Iimpawu zoMngcipheko weStroke Bonke abantu basetyhini kufuneka bazi

Umxholo

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Kwakuyi-4 ekuseni ngoNovemba 2014, kwaye uMerideth Gilmor, umshicileli omele abadlali abafana noMaria Sharapova, wayejonge phambili ekugqibeleni ukuya kulala. Usuku luqale kwangoko, kunye nokubaleka kwakhe kweekhilomitha ezisibhozo. Emva koko yena nomyeni wakhe baye kumtshato womhlobo wakhe osenyongweni, apho bachitha ubusuku "besenza itheko njengeenkwenkwezi zerock," utshilo. Ngexesha ebuyela kwigumbi lakhe lasehotele, wayesele ekulungele ukuwela ebhedini aze aphume. Kodwa njengoko wayesenza loo nto, waziva into engaqhelekanga. "Andisokuze ndiyilibale; kwaba ngathi ndifunqule i-dandelion enkulu empumlweni yam. Emva koko umbono wam waba mnyama," uyakhumbula. "Ndandingeva, kodwa ndandingakwazi ukunxibelelana kwaye ndandingakwazi ukushukuma."

UGilmor, owayeneminyaka engama-38 kuphela ubudala, wayesandul’ ukuhlaselwa sistrowuku.

Ingxaki ekhulayo

UGilmor ukude eyedwa. "Ukuxhaphaka kwe-stroke kubasetyhini abancinci kuye kwanda," utsho uPhilip B. Gorelick, M.D., umlawuli wezonyango kwi-Mercy Health Hauenstein Neuroscience Centre e-Grand Rapids, MI. Phakathi kwe-1988 ukuya kwi-1994 kunye ne-1999 ukuya ku-2004, ukuxhaphaka kwe-stroke kubasetyhini abaneminyaka eyi-35 ukuya kwi-54 ngokuphindwe kathathu; Amadoda zange alufumane utshintsho, utshilo uGorelick. Ngoxa ilolona nyango luphezulu ezintlanu amabhinqa aselula angalulindelanga, xa lulonke, malunga ne-10 ekhulwini le-stroke lenzeka kubantu abangaphantsi kweminyaka engama-50 ubudala. (Olunye ubalo olothusayo: I<em>stroke sibulala amabhinqa amaninzi ngokuphindwe kabini kunomhlaza wamabele nyaka ngamnye.

"Kunzima ukwazi ukuba ukwanda kuyanda, okanye ukuba nje siphucuka ekuqondeni ukubetha kubantu abadala abancinci," utshilo uCainlin Loomis, MD, unjingalwazi oncedisayo we-neurology kwisikolo iYale School of Medicine, kunye nogqirha wemithambo-luvo eYale -Isibhedlele esitsha seHaven. Kodwa i-Gorelick ithi i-stroke iya ixhaphake kakhulu, ngenxa yokuba uxinzelelo lwegazi oluphezulu kunye namanqanaba aphezulu e-cholesterol, imiba emibini yengozi ye-stroke, ichaphazela abafazi abaninzi kwiminyaka yobudala. (Ngaba ubusazi ukuba kukho unxibelelwano phakathi kokungalali kunye noxinzelelo lwegazi oluphezulu?)

Nangona ulwazi lwengxaki lukhula ngokuqinisekileyo, ngenxa yokuba izibetho zixhaphake kakhulu kubantu abadala, abaninzi abantu-oogqirha babandakanyiwe-abaphumeleli ukuqaphela iimpawu xa zivela kubasetyhini abancinci. Malunga ne-13 ekhulwini labantu abanesifo se<em>stroke abaxilongwa kakuhle, ngokutsho kohlolisiso lwakutshanje olulindixesha Uxilongo. Kodwa abaphandi bafumanise ukuba abasetyhini bangama-33 ekhulwini amathuba okuba bangafunyaniswanga kakuhle, kwaye abantu abangaphantsi kweminyaka engama-45 banamathuba aphindwe kasixhenxe okuba banikwe uxilongo olungalunganga.

Kwaye oko kunokuba buhlungu: Yonke imizuzu eli-15 umntu ophethwe si-stroke uhamba ngaphandle kokufumana unyango wongeza enye inyanga yokukhubazeka kwixesha labo lokufumana kwakhona, ngokophando Istroke.

Ngethamsanqa, umyeni kaGilmor waqonda ukuba uneempawu ezithile-zokukhubazeka ebusweni, ukudideka, intetho engalunganga-njengesibetho. "Ndimvile ebiza u-911, ndacinga, Ndifanele ndinxibe. Kodwa ndandingakwazi ukushukuma amalungu am.” Esibhedlele, ugqirha wakungqina oko umyeni wakhe wayekoyika: Wayene<em>ischemic stroke, ethabatha malunga nama-90 ekhulwini azo zonke izistrowuku yaye kwenzeka xa into ethile, ngokuqhelekileyo ihlwili. , thintela isitya esisa igazi kwingqondo. (Kwelinye icala, ukubethwa yimiphunga kwenzeka xa umthambo wegazi ukrazuka okanye uqhekeka.)

UCarolyn Roth wayengenalo ithamsanqa. Ngo-2010, wayeneminyaka engama-28 kuphela xa wayephuhlisa umqondiso wakhe wokuqala wesilumkiso: iintlungu ezinzulu entanyeni yakhe emva kohambo lokuya ejimini. Wayibhala njengesihlunu esitshiweyo. Kwakhona wakwazi ukucacisa amabala afana nedayimane avale umbono wakhe njengoko wayeqhuba ekhaya ngobo busuku kunye neentlungu zentamo ezamgcina ephuma eTylenol yonke imini elandelayo.

Ekugqibeleni, ngentsasa elandelayo wayekhathazeke ngokwaneleyo ukuba angatsalela utata wakhe umnxeba, owamsa esibhedlele. Wangena malunga nentsimbi yesi-8 kusasa, kwaye kwiiyure ezimbalwa kamva ugqirha wamxelela ukuba une-stroke. Bazi kwangoko, kuba amehlo am ayengaphenduli ekukhanyeni, utshilo. Kodwa wayemangalisiwe. Ngelixa wayesiva iintlungu, isicaphucaphu, ukudideka, kunye nokungaboni kakuhle, wayengakhange abone ezinye zeempawu "eziqhelekileyo", njengokukhubazeka kwicala lasekhohlo. Oku kungenxa yokuba i-stroke yakhe yabangelwa kukuqhekeka, okanye ukukrazula kwi-artery, ngokuqhelekileyo isiphumo sohlobo oluthile lokwenzakala njengengozi yemoto okanye ukukhohlela okunobundlobongela. (Ezinye iimpawu-njengale miqondiso yezilumkiso eziphezulu-akufuneki ungazihoyi.)

"Xa kuziwa ekubuyiseleni ukubetha, ixesha liyinto ebalulekileyo," kusho uLoomis. "Amayeza athile aluncedo kuphela xa uhanjiswa kwisithuba seeyure ezintathu ukuya kwezingama-4,5, ngoko ke kubalulekile ukuba amaxhoba wesibetho aziswe esibhedlele ngokukhawuleza kwaye kuvavanywe ngokukhawuleza."

Umva

Ukuchacha kwesitrowuku kujongeka ngokwahlukileyo kwisigulane ngasinye. "Okuninzi kuxhomekeke kubungakanani bokubetha kunye nendawo kwingqondo," utshilo uLoomis. Kwaye ngelixa kuyinyani ukuba ukubuyela kwakhona kunokuba yindlela ende, ecothayo, ngokuchasene noko abantu abaninzi bakholelwa kuko, ukubetha akunyanzelekanga ukuba kube sisigwebo sokukhubazeka ubomi bakho bonke. Yinyani leyo ngakumbi kwizigulana eziselula, athi uLoomis athande ukwenza ngcono kunezigulana ezindala xa kufikwa kunyango lomzimba kunye ne-rehab. (Eminye imiba yezempilo ikwachaphazela amadoda nabasetyhini ngokwahlukileyo.)

Bobabini uGilmor noRoth bathi babenethamsanqa lokufumana imisebenzi ebhetyebhetye ebavumela ukuba bafumane ukuphumla okuninzi. "Ukulala kubaluleke kakhulu ekuqaleni, kuba ingqondo yakho izama ukuzilungisa. Kuthatha ixesha elide," utshilo uRoth. Emva kokuthatha iinyanga ezimbalwa ekwenziweni komthambo ukuze abuye kwakhona, waqala ngokuzilolonga kwakhona. "Ndiza kwenza naluphi na umthambo ngoku-ndade ndabaleka umdyarho weNew York City ngo-2013!" uthi. (Ucinga ukubaleka? Jonga izinto ezili-17 onokuzilindela xa usenza iMarathon yakho yokuqala.)

UGilmor ukwazisa ngenkqubo yakhe yokuxhasa-oogqirha bakhe, abambiza ngokuba "yiStroke Squad" (uLoomis wayengomnye wabo), usapho, abathengi, abantu abasebenza nabo kunye nabahlobo-ngokuchacha kwakhe. Ndizamile ukubona uburharha kuyo yonke into, endicinga ukuba iyanceda, utshilo. Ukongeza kunyango lomzimba, uGilmor, osenamava obuthathaka kwicala lasekhohlo, kancinci waqala ukunyuka amatye nonyana wakhe njengendlela yokwakha amandla akhe kwakhona.

Kodwa ukubaleka yayiyeyona njongo yakhe yokuphela. "Unyana wam wathi kum," Mama, ndicinga ukuba uyakuba ngcono xa ungabaleka kwakhona. ' Ewe oko kwandenza ndaba ngathi, 'Kulungile-kufuneka ndibaleke!' "Utshilo uGilmor. Ngoku uziqeqeshela uMdyarho weSixeko saseNew York ka-2015, kwaye, eneneni, usandula ukugqiba umgama omde weemayile ezili-14.

"Akukho lula, ukuzama ukubaleka umdyarho," utshilo uGilmor. "Kodwa thabatha amanyathelo omntwana. Imbono yam ngoku yile: Kuya kufuneka udlule kwizizathu zakho. Usenokoyika, kodwa kufuneka ubemkhulu kunoloyiko."

Into Ongayenza Ngoku

Akukho nto unokuyenza ukuqinisekisa ukuba awusoze ube nestroke. Kodwa ezi zicwangciso zisixhenxe zinokukunceda ukunciphisa umngcipheko wakho kunye nenkxaso yabasindileyo banamhlanje.

1. Yazi yonke imiqondiso: Isichazi FAST yindawo elungileyo yokuqala. Imele ukujongwa kobuso, ubuthathaka bengalo, ubunzima bokuthetha, kunye nexesha lokubiza i-911-egubungela ezona mpawu ziphambili zemivumbo. "Kodwa ndiza kuthi eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba xa umntu etshintsha ngesiquphe phambi kwamehlo akho, fumana uncedo," utshilo uGqirha Loomis. Ukongeza kwiimpawu ze-FAST, ngequbuliso ukukhula kweengxaki zombono, ukungakwazi ukuthetha okanye ukuma nkqo, intetho egudileyo, okanye ngenye indlela ungabonakali njengomntu oqhelekileyo konke oko kunokuba yimiqondiso yesifo.

2. Zilumkele meds ezithile: Oogqirha baseGilmor bakholelwa ukuba umngcipheko wakhe wokuba ne-stroke unyukile ngenxa yohlobo lolawulo lokubeleka aluthathayo. "Nakuphi na ukukhulelwa kwehomoni okuqulethe i-estrogen, kubandakanya iipilisi zokuthintela inzala, iipatches, kunye neeringi zelungu lobufazi, kuyawonyusa umngcipheko wokwenza ihlwili," utsho uLoomis. Ngokwesiqhelo, loo mahlule aphelela emthanjeni, hayi umthambo. Kodwa ukuba uneminye imingcipheko, njengoxinzelelo lwegazi oluphezulu, unokufuna ukuthetha ne-ob-gyn yakho malunga notshintsho kulawulo lokuzalwa. (Omnye umbhali wabelana ngesizathu sokuba angaze aphinde ayithathe iPilisi.)

3. Ungaze ungayihoyi intlungu yentamo: Malunga neepesenti ezingama-20 zemivumbo ye-ischemic kubantu abadala abangaphantsi kweminyaka engama-45-kubandakanya iRoth's-ibangelwa kukuqhaqha komthambo womlomo wesibeleko, okanye iinyembezi kwimithambo yegazi ekhokelela kwingqondo, uphando Ijenali evulekileyo yeNeurology imiboniso. Ukuphazamiseka kweemoto, ukukhohlela okanye ukugabha kufaneleka, kunye nokujija okungxamisekileyo okanye ukunyanzela intshukumo kunokubangela zonke iinyembezi. ULoomis uthi oko akuthethi ukuba kufuneka uphephe i-yoga (emva kwayo yonke loo nto, izigidi zabantu zijija kwaye zihlukumeze iintloko zabo yonke imihla kwaye akukho nto yenzekayo), kodwa kufuneka ubeke ingqalelo kwindlela oziva ngayo emva kokwenza nantoni na ebangela ukunyakaza ngokukhawuleza intamo. Ukuba uziva iintlungu ezigqithisileyo okanye isicaphucaphu, okanye uqaphele naziphi na iingxaki zombono emva koko, yiya kugqirha.

4. Yolule: Uzivile izilumkiso malunga nokuqinisekisa ukuma kwaye wolule xa ubhabha. Amathuba kukuba, awubahoyanga-ngakumbi ukuba ubukwisitulo sefestile. Kodwa ukubhabha ngenqwelomoya kungakhuthaza igazi ukuba lidibanise imilenze yakho, wandise umngcipheko wokwenza amahlwili anokuhamba aye kwingqondo yakho, utshilo uLoomis. (Oogqirha bakaGilmor bacinga ukuba ukukhwela kwenqwelomoya yakutsha nje, kudityaniswe nokusetyenziswa kwakhe kwePilisi, kuko okubangele ukuba asuke abe nestroke.) Umgaqo omhle wobhontsi: Vuka kwaye uzolule okanye uhambe iipaseji ubuncinane kanye ngeyure.

5. Gcina iithebhu kula manani: Qiniseka ukuba uxinzelelo lwegazi kunye necholesterol uthathwa rhoqo, kwaye ukuba amanani aqala ukunyuka aye kwindawo "ephezulu kunesiqhelo", cela ugqirha wakho ukuba ungenza ntoni ukubabuyisela ezantsi, ucebisa uGorelick. Uxinzelelo lwegazi oluphezulu lonakalisa imithambo yegazi, kwaye i-cholesterol ephezulu inokunyusa amathuba akho okuphuhlisa ihlwili.

6. Bambelela kwisidlo esisempilweni sentliziyo: I-Loomis incoma ukutya kweMeditera, okuye kwaboniswa ukunciphisa isifo senhliziyo. Iphezulu kwiintlanzi, amandongomane, kunye nemifuno, kwaye iphantsi kwinyama ebomvu kunye nezinto eziqhotsiweyo, utshilo. Qalisa ngezi ndlela zokupheka zokutya kweMeditera. Ukutya olu hlobo lokutya okucocekileyo kuya kukunceda ugcine ubunzima obunempilo, apho i-Gorelick kunye ne-Loomis bavumelanayo yenye yeendlela ezilula zokunciphisa umngcipheko we-stroke.

7. Baxhase abasindileyo: Ukuba awuchaphazelekanga ngokobuqu, ngekhe kufuneke ujonge kude ukuze ufumane umntu onayo: Yonke imizuzwana engama-40, umntu unayo, kwaye namhlanje kukho abantu abasindileyo besi-6.5 sezigidi abahlala e-US Kwaye ULoomis uthi, "I-stroke yisiganeko esitshintsha ubomi esinokuba nzima ukudlula, ngokwenyama, nangokweemvakalelo. Ukuba nenethiwekhi yenkxaso yenza umehluko omkhulu." Ukunceda abasindileyo, uMbutho weSizwe weStroke usungule umbutho wabo Wokubuya Womelele. Kukho iitoni zeendlela zokuzibandakanya: ukutshintsha umfanekiso wakho weprofayile uye kwiLogo ebuyayo eyomeleleyo, ukunikela ngemali, okanye ukuthatha inxaxheba kumnyhadala we-Returnback Trail ngoSeptemba 12-nikezela umzila wasekhaya kulowo usindileyo obethayo, kwaye uhambe iwonga lendlela yakhe yokubuyela ebomini ngaloo mini.

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