Ischemic stroke: yintoni, unobangela, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Yintoni iNgozi yeSchemic yexeshana?
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni ebangela ukubetha kweschemic
• Unyango lwenziwa njani
• Nguwuphi umahluko phakathi kweschemic okanye isifo esophayo?

Ischemic stroke lolona hlobo luxhaphakileyo lwe-stroke kwaye kwenzeka xa enye yeenqanawa ezisengqondweni iye yaphazamiseka, kuthintela ukuhamba kwegazi. Xa oku kusenzeka, ummandla ochaphazelekayo awuyifumani ioksijini kwaye, ngenxa yoko, awunakho ukusebenza ngesiqhelo, ubangela ukubonakala kweempawu ezinje ngobunzima bokuthetha, umlomo ojijekileyo, ukuphelelwa ngamandla kwelinye icala lomzimba kunye notshintsho kumbono, kuba umzekelo.

Ngokuqhelekileyo, olu hlobo lwesifo soxinzelelo luqheleke kakhulu kubantu abadala okanye kubantu abanesifo esithile senhliziyo, njengexinzelelo lwegazi, i-cholesterol ephezulu okanye isifo sikashukela, kodwa kunokwenzeka nakubani na umntu kunye nobudala.

Kuba iiseli zobuchopho ziqala ukusweleka emva kwemizuzu emva kokuphazamiseka kokuhamba kwegazi, ukubetha kuhlala kuthathwa njengongxamiseko kwezonyango, ekufuneka inyangwe ngokukhawuleza esibhedlele, ukunqanda ukulandelelana okunzulu, njengokukhubazeka, ukutshintsha kwengqondo kunye nokufa .

Iimpawu eziphambili

Ezona mpawu zibonakalayo, ezinokubonisa ukuba umntu uphethwe si-stroke, zibandakanya:

• Kunzima ukuthetha okanye ukuncuma;
• Umlomo ogobileyo kunye nobuso obungalinganiyo;
• Ukuphelelwa ngamandla kwelinye icala lomzimba;
• Kunzima ukuphakamisa iingalo;
• Kunzima ukuhamba.

Ukongeza, ezinye iimpawu zinokuvela, njengokutswina, ukutshintsha umbono, ukuphelelwa ngamandla, intloko ebuhlungu kunye nokugabha, kuxhomekeke kwingingqi echaphazelekayo yengqondo.

Jonga indlela yokuchonga ukubetha kunye noncedo lokuqala ekufuneka lwenziwe.

Yintoni iNgozi yeSchemic yexeshana?

Iimpawu zestroke ziyaqhubeka kwaye ziyaqhubeka de umntu aqale unyango esibhedlele, nangona kunjalo, kukho iimeko apho iimpawu zinokunyamalala emva kweeyure ezimbalwa, ngaphandle kwalo naluphi na unyango.

Ezi meko zaziwa njenge "Ingozi ye-Ischemic yeThutyana", okanye i-TIA, kwaye zenzeka xa ukubetha kwabangelwa ligazi elincinci kakhulu, nangona kunjalo, elatyhalwa kukujikeleza kwegazi kwaye layeka ukuvimba inqanawa. Kwezi ziqendu, ukongeza ekuphuculeni iimpawu, kuqhelekile ukuba iimviwo ezenziwa esibhedlele zingabonisi naluphi na uhlobo lotshintsho kwingqondo.

Indlela yokuqinisekisa ukuxilongwa

Nanini na xa ukrokrelwa yistroke, kubaluleke kakhulu ukuya esibhedlele ukuya kuqinisekisa isifo. Ngokubanzi, ugqirha usebenzisa iimvavanyo zokucinga, ezinje ngecomputer tomography okanye ngemagneti yokubonwa kwemagneti, ukuchonga ukubhloka okubangela ukubetha kwaye ke ngoko kuqalise olona nyango lufanelekileyo.

Yintoni ebangela ukubetha kweschemic

Ischemic stroke sivela xa enye yemithambo ebuchotsheni ivalekile, ke igazi alinakugqitha kwaye londle iiseli zengqondo ngeoksijini kunye nezondlo. Olu thintelo lunokwenzeka ngeendlela ezimbini ezahlukeneyo:

• Ukuvaleka ngengubo: kuqheleke ngakumbi kubantu abadala okanye kubantu abaneengxaki zentliziyo, ngakumbi i-fibrillation ye-atrial;
• Ukunciphisa inqanawa: oko kwenzeka kubantu abanexinzelelo lwegazi olungalawulekiyo okanye isifo sokuqina kwemithambo yegazi, njengoko iinqanawa ziba bhetyebhetye kwaye zinciphise, zinciphise okanye zithintele ukuhamba kwegazi.

Ukongeza, zininzi ezinye iimeko ezonyusa umngcipheko wokuba nehlwili kunye nokuhlaselwa sisifo esibuhlungu esibuhlungu, njengokufumana usapho ngesibetho, ukutshaya, ukutyeba kakhulu, ukungazilolongi okanye ukuthatha iipilisi zolawulo lokuzalwa, umzekelo.

Unyango lwenziwa njani

Unyango lwestroke se-ischemic lwenziwa esibhedlele kwaye ihlala iqala ngenaliti yeziyobisi ze-thrombolytic ngqo emthanjeni, ezingamayeza enza igazi linciphe kwaye lincede ekupheliseni ihlwili elibangela ukuvaleka kwenqanawe.

Nangona kunjalo, xa ihlwili likhulu kakhulu kwaye lingapheliswa ngokusetyenziswa kwe-thrombolytics, kunokuba yimfuneko ukwenza i-thrombectomy yoomatshini, equka ukufaka i-catheter, ityhubhu ebhityileyo neguqukayo, komnye wemithambo i-groin okanye intamo, kwaye uyikhokele kwisitya sobuchopho apho i-clot ikhoyo. Emva koko, ngoncedo lwale catheter, ugqirha ususa ihlwili.

Kwiimeko apho ukubetha kungabangelwa yingubo, kodwa ngokunciphisa isitya, ugqirha unokusebenzisa kwakhona ipayipi yokubeka i-stent endaweni, into encinci yentsimbi enceda ukugcina inqanawa ivulekile, ivumela ukudlula yegazi.

Emva konyango, umntu kufuneka asoloko ejongwa esibhedlele kwaye, ke ngoko, kubalulekile ukuhlala esibhedlele iintsuku ezimbalwa. Ngexesha lokulaliswa esibhedlele, ugqirha uya kuvavanya ubukho be-sequelae kwaye angabonisa ukusetyenziswa kwamayeza ukunciphisa le sequelae, kunye ne-physiotherapy kunye neeseshoni zonyango lwentetho. Jonga ii-sequelae ezi-6 eziqhelekileyo emva kokubetha kunye nendlela ekubuyiswa ngayo.

Nguwuphi umahluko phakathi kweschemic okanye isifo esophayo?

Ngokungafaniyo nestroke se-ischemic, isifo esophulayo sinqabile kwaye senzeka xa isitya kwingqondo siphuka kwaye, ke, igazi alinakudlula ngokufanelekileyo. Ukubethwa sisifo esibuhlungu kuxhaphake kakhulu kubantu abanexinzelelo lwegazi olungalawulekiyo, abathatha ii-anticoagulants okanye abane-aneurysm. Funda kabanzi malunga neentlobo ezimbini zemivimbo kunye nendlela yokwahlula.