Ingozi yeCerebrovascular

Umxholo

• Iindidi zengozi ye-cerebrovascular
• Ischemic stroke
• Isifo esibuhlungu
• Iimpawu zengozi ye-cerebrovascular
• Ukuchongwa kwengozi ye-cerebrovascular
• Unyango lwengozi ye-cerebrovascular
• Unyango lwe-Ischemic stroke
• Unyango lwe-stroke esibuhlungu
• Ukujonga ixesha elide kwengozi ye-cerebrovascular
• Ukuthintela ingozi yengozi

Yintoni ingozi yecebrovascular?

Ingozi yeCerebrovascular (CVA) ligama lonyango lesifo. Isibetho kuxa ukuhamba kwegazi kwinxalenye yengqondo yakho kumisiwe nokuba kungathintelwa okanye kukophuka isitya segazi. Kukho imiqondiso ebalulekileyo yestroke ekufuneka uyazi kwaye uyilumkele.

Funa uncedo lwezonyango kwangoko ukuba ucinga ukuba wena okanye umntu okufutshane nawe unokuba nohlaselo. Ngokukhawuleza ufumana unyango, kungcono uxelelwano, njengoko ukubetha kungashiywanga kunganyangwa ixesha elide kunokubangela ukonakala kwengqondo okungapheliyo.

Iindidi zengozi ye-cerebrovascular

Zimbini iintlobo eziphambili zengozi ye-cerebrovascular, okanye stroke: an ukubetha kweschemic kubangelwa kukuvaleka; a Isifo esibuhlungu Kubangelwa ukuqhekeka kwegazi. Zombini ezi ntlobo zestroke zithintela inxenye yegazi kunye neoksijini, zibangela ukuba iiseli zobuchopho zife.

Ischemic stroke

Ukubethwa sischemic kuyinto exhaphakileyo kwaye kwenzeka xa iqokobhe legazi livimba isitya segazi kwaye lithintela igazi kunye neoksijini ukuba zingafiki kwinxalenye yengqondo. Zimbini iindlela ezinokuthi zenzeke. Enye yeendlela kukubethwa sisifo esingumntu, okwenzeka xa ihlwili lenzeka kwenye indawo emzimbeni wakho lize lifakwe kwisitya segazi kwingqondo. Enye indlela kukubethwa yitrombotic, eyenzeka xa ihlwili lenzeka kwisitya segazi ngaphakathi kwengqondo.

Isifo esibuhlungu

Isibetho esophulayo senzeka xa umthambo wegazi uqhekeka, okanye ukopha, emva koko uthintele igazi lingafikeleli kwingqondo. I-hemorrhage inokwenzeka nakweyiphi na into yegazi kwingqondo, okanye inokwenzeka kwimbrane ejikeleze ingqondo.

Iimpawu zengozi ye-cerebrovascular

Ngokukhawuleza unokufumana ukuxilongwa kunye nokunyangwa kwesifo, kunokuba ngcono ukuxela kwakho. Ngesi sizathu, kubalulekile ukuqonda nokuqonda iimpawu zestroke.

Iimpawu zestroke zibandakanya:

• ubunzima bokuhamba
• isiyezi
• Ukuphulukana nokulingana kunye nokulungelelanisa
• kunzima ukuthetha okanye ukuqonda abanye abathethayo
• ukuba ndindisholo okanye ukukhubazeka ebusweni, emlenzeni, okanye engalweni, ikakhulu kwicala elinye lomzimba
• ukungaboni kakuhle okanye umbono omnyama
• intloko ebuhlungu ngesiquphe, ngakumbi xa ihamba nesicaphucaphu, ukugabha, okanye isiyezi

Iimpawu zestroke zinokwahluka ngokuxhomekeka kumntu kunye nalapho kwenzeke khona kwingqondo. Iimpawu zihlala zibonakala ngesiquphe, nokuba azikho qatha, kwaye zisenokuba mandundu ngokuhamba kwexesha.

Ukukhumbula igama elithi "FAST" kunceda abantu baqonde ezona mpawu zixhaphakileyo zestroke:

• FAce: Ngaba icala elinye lobuso lijingile?
• Arm: Ukuba umntu ubamba iingalo zombini, ngaba umntu uyehla esihla?
• Speech: Ngaba intetho yabo ayiqhelekanga okanye ayilunganga?
• Time: Lixesha lokutsalela umnxeba ku-911 kwaye ufike esibhedlele ukuba kukho naziphi na kwezi mpawu.

Ukuchongwa kwengozi ye-cerebrovascular

Ababoneleli ngezeMpilo banezixhobo ezininzi zokumisela ukuba ngaba unestroke.Umboneleli wakho wokhathalelo lwempilo uya kuqhuba uviwo olupheleleyo lomzimba, apho baya kujonga amandla akho, ikrelekrele, umbono, intetho, kunye neengqondo. Baza kujonga isandi esithile kwimithambo yegazi yentamo yakho. Esi sandi, sibizwa ngokuba yi-bruit, sibonisa ukuhamba kwegazi okungaqhelekanga. Okokugqibela, baya kujonga uxinzelelo lwegazi, olunokuba phezulu ukuba ubukhe wanestroke.

Ugqirha wakho unokwenza uvavanyo lokuchonga ukuze afumane unobangela wesifo kunye nokukhomba indawo akuyo. Olu vavanyo lunokubandakanya enye okanye ezingaphezulu kwezi zilandelayo:

• Uvavanyo lwegazi: Umboneleli wakho wezempilo unokufuna ukuvavanya igazi lakho ixesha lokuvala, amanqanaba eswekile yegazi, okanye usulelo. Zonke ezi zinokuchaphazela ukubakho kunye nokuqhubela phambili kwesifo.
• I-Angiogram: I-angiogram, ebandakanya ukongeza idayi egazini lakho kunye nokuthatha i-X-ray yentloko yakho, inokunceda ugqirha wakho ukuba afumane isitya segazi esivaliweyo okanye esophayo.
• ICarotid ultrasound: Olu vavanyo lusebenzisa amaza esandi ukwenza imifanekiso yemithambo yegazi entanyeni yakho. Olu vavanyo lunokunceda umboneleli wakho ukuba anqume ukuba kukho ukuhamba kwegazi okungaqhelekanga kwingqondo yakho.
• Ukuskena kwe-CT: Ukuskena kwe-CT kuhlala kwenziwa kwakamsinya emva kokuvela kweempawu zestroke. Uvavanyo lunokunceda umboneleli wakho afumane indawo yengxaki okanye ezinye iingxaki ezinokuthi zidibaniswe nokubetha.
• Ukuskena iMRI: I-MRI inokubonelela ngomfanekiso obanzi ngakumbi wobuchopho xa kuthelekiswa ne-CT scan. Kubuthathaka ngakumbi kune-CT scan ukuze ukwazi ukubona ukubetha.
• I-Echocardiogram: Obu buchule bokucinga busebenzisa amaza esandi ukwenza umfanekiso wentliziyo yakho. Inokunceda umboneleli wakho afumane umthombo wamagazi.
• I-Electrocardiogram (EKG): Olu luphawu lombane lwentliziyo yakho. Oku kuya kunceda umboneleli wakho wezempilo ukuba anqume ukuba isigqi senhliziyo esingaqhelekanga sisizathu sokubetha.

Unyango lwengozi ye-cerebrovascular

Unyango lwe-stroke luxhomekeke kuhlobo lwesifo owabethayo. Injongo yonyango lwe-ischemic stroke, umzekelo, kukubuyisela ukuhamba kwegazi. Unyango lwe-stroke eyophayo lujolise ekulawuleni ukopha.

Unyango lwe-Ischemic stroke

Ukunyanga ukubetha kweschemic, unokunikwa ichiza lokunyibilika kweqhwa okanye igazi elincinci. Unokunikwa kwakhona i-aspirin ukukhusela isifo sesibini. Unyango lukaxakeka kolu hlobo lwesifo soxinzelelo kunokubandakanya ukutofa iyeza kwingqondo okanye ukususa ukubhloka ngenkqubo.

Unyango lwe-stroke esibuhlungu

Ukubetha okungafunekiyo, unokunikwa iyeza elinciphisa uxinzelelo kwingqondo yakho olubangelwa kukopha. Ukuba ukuphuma kwegazi kunzima, unokufuna utyando ukuze ususe igazi elininzi. Kwakhona kunokwenzeka ukuba uya kufuna ukuhlinzwa ukuze ulungise i-blood robe.

Ukujonga ixesha elide kwengozi ye-cerebrovascular

Kukho ixesha lokubuyisela emva kokuba naluphi na uhlobo lwesifo. Ubude bokubuyiswa buyahluka ngokuxhomekeke kwindlela esibuhlungu ngayo isifo. Kuya kufuneka uthathe inxaxheba ekubuyiseleni kwimeko yesiqhelo ngenxa yeziphumo zestroke kwimpilo yakho, ngakumbi nakuphi na ukukhubazeka okunokubangela. Oku kunokubandakanya unyango lwentetho okanye unyango lwasemsebenzini, okanye usebenze nogqirha wengqondo, ugqirha wemithambo-luvo, okanye olunye uqeqesho kwezonyango.

Umbono wakho wexesha elide emva kokubetha uxhomekeke kwizinto ezimbalwa:

• uhlobo lwesifo
• ungakanani umonakalo obangelwe yingqondo yakho
• ukhawuleza kangakanani ukufumana unyango
• impilo yakho iyonke

Umbono wexesha elide emva kokubetha kweschemic ungcono kunasemva kokubetha okungapheliyo.

Iingxaki eziqhelekileyo ezibangelwa kukubetha kubandakanya ubunzima bokuthetha, ukugwinya, ukuhamba, okanye ukucinga. Oku kunokuphucula ngaphezulu kweeveki, iinyanga, kunye neminyaka emva kokubetha.

Ukuthintela ingozi yengozi

Zininzi izinto ezinobungozi bokubethwa sisifo, kubandakanya isifo seswekile, i-atrial fibrillation, kunye noxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu).

Ngokuhambelana, kukho amanyathelo amaninzi onokuwathatha ukukunceda ukuthintela ukubetha. Amanyathelo othintelo lwe-stroke afana nezenzo onokuzithatha ukunceda ukuthintela isifo sentliziyo. Nazi iindlela ezimbalwa zokunciphisa umngcipheko:

• Gcina uxinzelelo lwegazi oluqhelekileyo.
• Nciphisa amafutha kunye ne-cholesterol.
• Yeka ukutshaya, kwaye usele utywala ngobungcathu.
• Ukulawula isifo seswekile.
• Gcina ubunzima obusempilweni.
• Yenza umthambo rhoqo.
• Yitya ukutya okunotye imifuno kunye neziqhamo.

Umboneleli wakho wezempilo unokuyalela amayeza okuthintela ukubetha ukuba bayazi ukuba usemngciphekweni. Amayeza anokuthintela ukubetha abandakanya iziyobisi ezinciphisa igazi kunye nokuthintela ukwakheka kwehlwili.