Oko Ufanele Ukwazi Ngokubanjwa Kwasemva Kobetho

Umxholo

• Zeziphi iintlobo zemivumbo ezinokubangela ukubanjwa kwasemva kokubetha?
• Kuqheleke kangakanani ukuxhuzula emva kokubethwa?
• Wazi njani ukuba uyaxhuzula?
• Ufanele umbone nini ugqirha wakho?
• Ungamnceda njani umntu oxhuzulayo?
• Yintoni imbonakalo yokuthimba emva kokubethwa sistroke?
• Yintoni onokuyenza ukuthintela ukubanjwa emva kokubethwa sistroke?
• Utshintsho kwindlela yokuphila
• Unyango lwesiNtu

Luluphi unxibelelwano phakathi kwemivumbo nokuxhuzula?

Ukuba uye wabethwa sistroke, unobungozi obandayo bokuxhuzula. Ukubethwa sisifo kubangela ukuba ingqondo yakho yenzakale. Ukwenzakala kwengqondo yakho kukhokelela ekwakheni izicubu ezibomvu, ezichaphazela umsebenzi wombane kwingqondo yakho. Ukuphazamisa umsebenzi wombane kunokubangela ukuba uxhuzule.

Qhubeka ufunda ukuze ufunde okungakumbi ngonxibelelwano phakathi kokubetha kunye nokuhlutha.

Zeziphi iintlobo zemivumbo ezinokubangela ukubanjwa kwasemva kokubetha?

Zintathu iintlobo ezahlukeneyo zemivumbo, kwaye zibandakanya imivumbo ekopha kunye neyeschemic. Imivumbo eyophayo yenzeka ngenxa yokopha ngaphakathi okanye ngaphakathi kwingqondo. Imivumbo ye-Ischemic yenzeka ngenxa yegazi okanye ukungahambi kwegazi liye kwingqondo.

Abantu abaye banesifo esophayo banokubakho ukuxhuzula emva kokubethwa kunabo banestroke esibuhlungu. Ukwanomngcipheko owandileyo wokuxhuzula ukuba ukubetha kukhulu okanye kwenzeka ngaphakathi kwithambo lobuchopho lobuchopho bakho.

Kuqheleke kangakanani ukuxhuzula emva kokubethwa?

Umngcipheko wokubanjwa emva kokubethwa kwesifo uphezulu kwiintsuku ezingama-30 zokuqala kulandela ukubetha. Phantse iipesenti ezintlanu zabantu baya kuthi baxhuzule kwiiveki nje ezimbalwa emva kokubethwa sistroke, ngokwe National Stroke Association. Kusenokwenzeka ukuba ube nokuhlutha okungathethekiyo ngaphakathi kweeyure ezingama-24 zestroke esibuhlungu, ukubetha okukopha, okanye ukubetha okubandakanya i-cortex yecerebral.

Uphononongo lwango-2018 lufumanise ukuba iipesenti ezili-9.3 zabo bonke abantu abanesifo sokubethwa ngamava bahlaselwa.

Ngamaxesha athile, umntu oye wahlaselwa sistroke angaba nokuxhuzula okungapheliyo nokuphindaphindayo. Banokufumanisa ukuba banesathuthwane.

Wazi njani ukuba uyaxhuzula?

Ngaphezulu kwe-40 iintlobo ezahlukeneyo zokubanjwa ezikhoyo. Iimpawu zakho ziya kwahluka ngokuxhomekeka kuhlobo lokubanjwa onalo.

Olona hlobo luxhaphakileyo lokuhlutha, kunye nokubonakala okuphawuleka kakhulu, kukuhlutha ngokubanzi. Iimpawu zokubanjwa ngokubanzi zibandakanya:

• ukudumba kwezihlunu
• ukuva ukuva
• ndingcangcazela
• ukulahleka kwengqondo

Ezinye iimpawu ezinokubakho zokubanjwa zibandakanya:

• ukudideka
• iimvakalelo eziguqulweyo
• utshintsho kwindlela oqonda ngayo ukuba izinto zivakala njani, zivumba, zijongeka njani, zinambitha njani okanye zivakala njani
• ukulahleka kolawulo lwezihlunu
• ukulahleka kolawulo lwesinyi

Ufanele umbone nini ugqirha wakho?

Ukuba unesifo sokuxhuzula, yazisa ugqirha ngokukhawuleza. Bazofuna ukwazi iimeko ezingqonge ukubanjwa kwakho. Ukuba umntu ebekunye nawe ngexesha lokuthinjwa, bacele ukuba bachaze oko bakubonileyo ukuze wabelane nolu lwazi nogqirha wakho.

Ungamnceda njani umntu oxhuzulayo?

Ukuba ubona umntu exhuzula, yenza oku kulandelayo:

• Beka okanye uqengqe umntu oxhuzule ecaleni lakhe. Oku kuya kunceda ukukhusela ukukrwitshwa kunye nokugabha.
• Beka into ethambileyo phantsi kwentloko ukuthintela ukonzakala ngakumbi kwingqondo yabo.
• Khulula naziphi na iimpahla ezibonakala ziqinile entanyeni yazo.
• Musa ukuthintela intshukumo yabo ngaphandle kokuba basemngciphekweni wokuzenzakalisa.
• Musa ukufaka nantoni na emlonyeni wabo.
• Susa naziphi na izinto ezibukhali okanye eziqinileyo abanokuthi badibane nazo ngexesha lokubanjwa.
• Nika ingqalelo ukuba ukuxhuzula kuhlala ixesha elingakanani kunye naziphi na iimpawu ezenzekayo. Olu lwazi luya kunceda abasebenzi bakaxakeka babonelele ngonyango olufanelekileyo.
• Musa ukumshiya umntu oxhuzulayo ade agqibe.

Ukuba umntu ufumana ukuxhuzula ixesha elide kwaye angaphinde abuyele ezingqondweni, le yinto esongela ubomi. Funa uncedo lwezonyango kwangoko.

Yintoni imbonakalo yokuthimba emva kokubethwa sistroke?

Ukuba ufumene ukuxhuzula kulandela ukubetha, usengozini enkulu yokuhlaselwa sisifo sokuwa.

Ukuba ziintsuku ezingama-30 okoko wabethwa sistroke kwaye ungakhange uxhuzule, ithuba lakho lokuba nesifo sokuwa liphantsi.

Ukuba usahlangabezana nokuxhuzula ngaphezulu kwenyanga emva kokubuyiswa sisibetho, nangona kunjalo, usengozini ephezulu yokuxhuzula. Isathuthwane kukuphazamiseka kwenkqubo yemithambo-luvo. Abantu abanesathuthwane banokubanjwa qho okungadibaniyo nesizathu esithile.

Unokuba nezithintelo ezibekwe kwilayisensi yakho yokuqhuba ukuba uyaqhubeka nokuxhuzula. Kungenxa yokuba ukuxhuzula xa uqhuba akukhuselekanga.

Yintoni onokuyenza ukuthintela ukubanjwa emva kokubethwa sistroke?

Indibaniselwano yotshintsho kwindlela yokuphila kunye nonyango lwesiko lokuthintela ukungakhuseleki kunokunceda ukuthintela ukubanjwa kwasemva kokubetha.

Utshintsho kwindlela yokuphila

Nazi izinto ezimbalwa onokuzenza ukunciphisa umngcipheko wokubanjwa:

• Hlala hydrated.
• Kuphephe ukuzonwabisa ngokugqithiseleyo.
• Gcina ubunzima obusempilweni.
• Yitya ukutya okunezakhamzimba ezininzi.
• Thintela utywala ukuba uthatha amayeza okuhlutha amayeza amiselweyo.
• Kuphephe ukutshaya.

Ukuba usemngciphekweni wokuxhuzula, la macebiso alandelayo anokukunceda ukuba uhlale ukhuselekile xa unokuxhuzula:

• Cela umhlobo okanye ilungu losapho ukuba libekho xa udada okanye upheka. Ukuba kunokwenzeka, bacele ukuba bakuqhubele apho kufuneka uye khona de ube umngcipheko wakho wehlile.
• Fundisa abahlobo bakho kunye nosapho ngokuxhuzula ukuze bakwazi ukukugcina ukhuselekile xa uxhuzula.
• Thetha nogqirha wakho malunga nezinto onokuzenza ukunciphisa umngcipheko wokubanjwa.

Unyango lwesiNtu

Ugqirha wakho unokukunika amayeza okubulala iintsholongwane ukuba uye waxhuzula emva kokubethwa. Landela imiyalelo yabo kwaye uthathe onke amayeza njengoko kumiselwe.

Akukho uphando oluninzi malunga nendlela amayeza okulwa ne-antiseizure asebenza ngayo kulabo abaye bafumana isifo, nangona kunjalo. Ngapha koko, i-European Stroke Organisation icebisa malunga nokusetyenziswa kweli tyala.

Ugqirha wakho unokucebisa nge-vagus nerve stimulator (VNS). Ngamanye amaxesha kubhekiswa njenge-pacemaker yengqondo yakho. I-VNS iqhutywa yibhetri ugqirha wakho abambelela kuyo kwi-vagus nerve entanyeni yakho. Ithumela iimpembelelo zokuvuselela imithambo-luvo yakho kunye nokunciphisa umngcipheko wokubanjwa.