Uncedo lokuqala lweStrowuku

Umxholo

• Yazi iimpawu zestroke
• Unobangela wesifo
• Ukubuyiselwa kwesibetho
• Ulwazi loMkhathaleli
• Imbonakalo

Amanyathelo okuqala ukuba ucinga ukuba umntu unesifo

Ngexesha lokubetha, ixesha lixabisekileyo. Tsalela umnxeba iinkonzo zongxamiseko uze esibhedlele kwangoko.

Ukubetha kungabangela ukulahleka kwemali okanye ukungabikho kwengqondo, oku kunokubangela ukuwa. Ukuba ucinga ukuba wena okanye umntu okufutshane nawe unokuba nohlaselo, landela la manyathelo:

• Tsalela iinkonzo zongxamiseko. Ukuba uneempawu zestroke, funa omnye umntu akubize. Hlala uzolile kangangoko ngelixa ulinde uncedo olungxamisekileyo.
• Ukuba ukhathalela omnye umntu onesifo esibuhlungu, qiniseka ukuba bakwimeko ekhuselekileyo, ekhululekile. Ngokukhethekileyo, oku kufuneka kungqengqe kwicala elinye iintloko ziphakanyiswe kancinci kwaye zixhaswe kwimeko yokuba zigabhe.
• Jonga ukuba bayaphefumla na. Ukuba abaphefumli, yenza iCPR. Ukuba banobunzima bokuphefumla, khulula nayiphi na impahla exineneyo, enje ngeqhina okanye isikhafu.
• Thetha ngendlela ezolileyo neqinisekisayo.
• Zigqume ngengubo ukuze uzigcine ufudumele.
• Musa ukubanika nantoni na ukuba batye okanye basele.
• Ukuba umntu ubonakalisa nabuphi na ubuthathaka kwilungu elithile, kuphephe ukubashukumisa.
• Mqwalasele ngononophelo umntu ngalo naluphi na utshintsho kwimeko. Zilungiselele ukuxelela umqhubi ongxamisekileyo malunga neempawu zabo kunye nokuba baqale nini. Qiniseka ukukhankanya ukuba umntu uwile okanye wabetha entloko.

Yazi iimpawu zestroke

Ngokuxhomekeka kubukrakra bokubetha, iimpawu zinokubakho kobuqili okanye zibukhali. Ngaphambi kokuba uncede, kufuneka uyazi ukuba ubukele ntoni. Ukujonga iimpawu zokulumkisa ukubetha, sebenzisa i NGOKUKHAWULEZA isifinyezo, esimele:

• Ubuso: Ngaba ubuso buba ndindisholo okanye bujingxela kwelinye icala?
• Izixhobo: Ngaba ingalo enye indindisholo okanye ibuthathaka kunenye? Ngaba ingalo enye ihlala isezantsi kunenye xa izama ukuphakamisa iingalo zombini?
• Intetho: Ngaba intetho idibene okanye iyaphazanyiswa?
• Ixesha: Ukuba uphendule ewe kuyo nayiphi na kwezi zingasentla, lixesha lokuba ubize iinkonzo zongxamiseko ngokukhawuleza.

Ezinye iimpawu zestroke zibandakanya:

• ukungaboni kakuhle, ukungaboni kakuhle, okanye ukulahleka kombono, ngakumbi kwelinye iliso
• ukubetha, ubuthathaka, okanye ukuba ndindisholo kwelinye icala lomzimba
• isicaphucaphu
• ukulahleka kwesinyi okanye ukulawula amathumbu
• intloko ebuhlungu
• utywala okanye intloko
• ukulahleka kokulinganisela okanye ukuqonda

Ukuba wena okanye omnye umntu uneempawu zestroke, sukuthatha indlela yokulinda ubone. Nokuba iimpawu zobuqili okanye ziyaphela, zithathe ngokungathí sina. Kuthatha kuphela imizuzu ukuba iiseli zobuchopho ziqale ukufa. Umngcipheko wokukhubazeka uyancipha ukuba iziyobisi ezigubungelayo zilawulwa kwisithuba seeyure eziyi-4,5, ngokwezikhokelo ezivela kwi-American Heart Association (AHA) kunye ne-American Stroke Association (ASA). Ezi zikhokelo zikwatsho ukuba ukususwa kwe-clot clot kungenziwa ukuya kuthi ga kwiiyure ezingama-24 emva kokuqala kweempawu zestroke.

Unobangela wesifo

Ukubetha kwenzeka xa ukunikezelwa kwegazi kwingqondo kuphazanyiswa okanye xa kukho ukopha kwingqondo.

Ukubetha kweschemic kwenzeka xa imithambo yengqondo iye yathintelwa ligazi. Imivumbo emininzi ye-ischemic ibangelwa kukwakhiwa kweplati kwimithambo yakho. Ukuba iqokobhe lenza ngaphakathi komthambo kwingqondo, ibizwa ngokuba yi-thrombotic stroke. Amahlwili enza kwenye indawo emzimbeni wakho kwaye ahambe aye kwingqondo kunokubangela ukubetha okungapheliyo.

Isibetho esophayo senzeka xa umthambo wegazi kwingqondo uqhuma kwaye wopha.

Uhlaselo lwexeshana lwe-ischemic (TIA), okanye i-ministroke, kunokuba nzima ukuyichonga ngeempawu zodwa. Sisiganeko esikhawulezayo. Iimpawu zihamba ngokupheleleyo ngaphakathi kweeyure ezingama-24 kwaye zihlala zihlala ngaphantsi kwemizuzu emihlanu. I-TIA ibangelwa yibloko yethutyana yokuhamba kwegazi liye kwingqondo. Luphawu lokuba ukubetha kakhulu kunokuba nzima.

Ukubuyiselwa kwesibetho

Emva koncedo lokuqala kunye nonyango, inkqubo yokubuyiselwa kwesibetho iyahluka. Kuxhomekeka kwizinto ezininzi, njengokufumana unyango olukhawulezileyo okanye ukuba umntu unezinye iimeko zonyango.

Inqanaba lokuqala lokuchacha liyaziwa njengononophelo olukhulu. Yenzeka esibhedlele. Ngeli nqanaba, imeko yakho iyavavanywa, izinziswe, kwaye inyangwe. Akuqhelekanga ukuba umntu oye wahlaselwa yintlungu ukuba ahlale esibhedlele kwiveki. Kodwa ukusuka apho, uhambo lokufumana kwakhona luhlala lusisiqalo.

Ukubuyiselwa kwimeko yesiqhelo ihlala inqanaba elilandelayo lokubuyela kwimeko yesiqhelo. Inokwenzeka esibhedlele okanye kwiziko lokunyanga ngaphakathi. Ukuba iingxaki zestroke azinzima, ukubuyisela kwimeko yesiqhelo kungalaliswa ngaphandle.

Iinjongo zokuvuselelwa zezi:

• ukomeleza izakhono zemoto
• phucula ukuhamba
• ukunciphisa umda kwilungu elingachaphazeleki ukukhuthaza ukuhamba kwilungu elichaphazelekayo
• Sebenzisa uluhlu lweentshukumo zonyango ukunciphisa uxinzelelo lwezihlunu

Ulwazi loMkhathaleli

Ukuba ungumnakekeli wexhoba lokufa, umsebenzi wakho unokuba ngumngeni. Kodwa ukwazi ukuba ulindele ntoni kunye nenkqubo yenkxaso kunokukunceda ujongane nako. Esibhedlele, kuyakufuneka unxibelelane neqela lezonyango malunga nento ebangele ukubetha. Kuya kufuneka uxoxe ngeendlela zokonyango kunye nendlela yokuthintela ukubetha okuzayo.

Ngexesha lokuchacha, ezinye zeembopheleleko zakho zokukhathalela zinokubandakanya:

• ukuvavanya iindlela zokubuyisela kwimeko yesiqhelo
• ukwenza amalungiselelo ezothutho ukuya kwimo yesiqhelo kunye nokuqeshwa kugqirha
• kuvavanywa ukhathalelo lwabantu abadala, indawo yokuncedisa ukuhlala, okanye ukhetho lwekhaya labongikazi
• ukwenza amalungiselelo ezempilo ekhaya
• Ukulawula iimali zomntu osinde ngokubetha kunye neemfuno zomthetho
• Ukulawula amayeza kunye neemfuno zokutya
• ukwenza uhlengahlengiso ekhaya ukuphucula ukuhamba

Kwanasemva kokuba bethunyelwe esibhedlele ekhaya, umntu osinde ekubethweni sistroke usenokuba nokuqhubeka nokuthetha, ukuhamba, kunye nobunzima bokuqonda. Basenokungathandeki okanye bavalelwe ebhedini okanye kwindawo encinci. Njengomkhathaleli wabo, unokufuna ukubanceda ngococeko kunye nemisebenzi yemihla ngemihla enjengokutya okanye ukunxibelelana.

Ungalibali ukukukhathalela kuyo yonke le nto. Awunakho ukumkhathalela umntu omthandayo ukuba uyagula okanye uxinezelekile. Cela abahlobo kunye namalungu osapho ukuba akuncede xa ulufuna, kwaye uthathe ithuba lokufumana ukhathalelo rhoqo. Yitya ukutya okusempilweni kwaye uzame ukuphumla ngokupheleleyo ubusuku ngabunye. Yenza umthambo rhoqo. Ukuba uziva ukhathazekile okanye uxinezelekile, fikelela kugqirha wakho akuncede.

Imbonakalo

Imbonakalo yomntu osinde kwisifo soxinzelelo kunzima ukuyichaza kuba ixhomekeke kwizinto ezininzi. Ukuphathwa ngokukhawuleza kwesifo ngokukhawuleza kubaluleke kakhulu, ngoko unganqikazi ukufumana uncedo oluphuthumayo kwisibonakaliso sokuqala sesifo. Ezinye iimeko zonyango ezinjengesifo sentliziyo, isifo seswekile, kunye namahlwili egazi kunokuba nzima kwaye kwandise ukubuyela kwimeko yesiqhelo. Ukuthatha inxaxheba kwinkqubo yokubuyisela kwimeko yesiqhelo ikwakhona kubalulekile ekuphindiseni ukuhamba, izakhono zeemoto, kunye nentetho eqhelekileyo. Okokugqibela, njengako nakuphi na ukugula okunzulu, isimo sengqondo esikhuthazayo kunye nenkxaso yenkxaso ekhuthazayo iya kuba nendima ende ekuncedeni ukuphola.