Uzahlula njani iintlobo zemivumbo
Umxholo
Zimbini iintlobo zestroke, ezahlulwa ngokwembangela yokwehla kokuhamba kwegazi ukuya kwingingqi ethile yobuchopho:
- Ischemic stroke: Evela xa iqokobhe livala isitya sobuchopho, liphazamisa ukujikeleza kwegazi;
- Isifo esibuhlungukwenzeka ntoni xa isitya kwingqondo siphuka, sinciphisa inani legazi elidlula kuloo nqanawa.
Nangona zenzeka ngokwahlukileyo, zombini iintlobo zemivumbo zibangela iimpawu ezifanayo njengokulahleka kwamandla okanye ubuntununtunu kummandla womzimba, ubunzima ekuthetheni, isiyezi kunye nombono ophazamisekileyo. Ke, uhlobo lwe-stroke alunakuchongwa ngeempawu, zihlala ziqinisekiswa kuphela esibhedlele, nge-MRI okanye ngekhompyuter ye-tomography.
Ngayiphi na imeko, isifo soxinzelelo sisoloko siyimeko yongxamiseko yezonyango ekufuneka ichongwe ngokukhawuleza kwaye inyangwe esibhedlele, kuba eyona nto ibaluleke kakhulu kolu hlobo lwexesha lixesha elidlula ekubonakala kweempawu zokuqala kude kube isiguli sizinzile. Indlela elungileyo yokuchonga ukubethwa yintlungu kukuthatha uvavanyo lwe-SAMU - jonga ukuba ungalwenza njani uvavanyo lwe-SAMU kwaye ufuna uncedo lonyango nini.
Umahluko ophambili phakathi kokubetha kweschemic kunye nokopha kuchazwe ngezantsi:
1. Ischemic stroke
Ischemic stroke yenzeka xa kukho ipleyiti enamanqatha komnye wemithambo yengqondo okanye xa iqokobhe, elenziwe kwenye indawo emzimbeni, linokufikelela kwimithambo yengqondo, ibangele ukuvaleka okuthintela igazi ukuba lingafikeleli kwingingqi ethile yobuchopho. ingqondo.
Ukongeza, ezinye izinto ezingafaniyo ngokubhekisele kwistroke esophayo zizizathu kunye nohlobo lonyango:
- Izizathu eziphambili: i-cholesterol ephezulu, i-atherosclerosis, i-atrial fibrillation, i-sickle cell anemia, ukuphazamiseka kwe-coagulation kunye notshintsho ekusebenzeni kwentliziyo.
- Unyango lwenziwa njani: ihlala isenziwa ngamachiza, ilawulwa ngqo emthanjeni, leyo icekeceke ihlwili, kodwa ingabandakanya utyando lokususa ihlwili, ukuba amayeza lawo akasebenzi. Jonga ngokweenkcukacha zendlela unyango lwestroke olwenziwa ngayo.
Ukongeza, kuqhelekile ukuba ukubetha kweschemic kube nokuqaqanjelwa sisifo esibuhlungu kunesifo esophayo, njengoko kuhlala kulula ukunyanga, okunciphisa ixesha ukusuka kwiimpawu zokuqala ukuya kwisigulana kuzinzo, kunciphisa umngcipheko we-sequelae.
Ngamanye amaxesha, ukubetha okwexeshana kwe-ischemic kunokubakho, apho iimpawu zihlala khona, ubukhulu becala, malunga neyure enye, emva koko zinyamalale ngaphandle kokushiya i-sequelae. Olu hlobo lunokwaziwa ngokuba ne-pre-stroke, ke kubalulekile ukuba uye kwigumbi likaxakeka wenze uvavanyo kwaye uqale unyango olufanelekileyo ukuze uluthintele ekuqhubekeni nokubetha.
2. Isifo esibuhlungu
Ngokungafaniyo nokubethwa sischemic, isifo esophayo asenzeki ngokuthintela isitya sobuchopho, kodwa ngokugqobhoza inqanawa, ethintela igazi ukuba liqhubeke nokudlulela kwingingqi ethile yobuchopho. Ukongeza, kwistroke esophayo kukwakho nokufumba kwegazi ngaphakathi okanye ngeenxa zonke kwingqondo, elonyusa uxinzelelo lobuchopho, kunye neempawu eziya zisiba mandundu.
Kule hlobo lwe-stroke, izizathu eziqhelekileyo kunye nefom yonyango zi:
- Izizathu eziphambili: uxinzelelo lwegazi oluphezulu, ukusetyenziswa gwenxa kwee-anticoagulants, aneurysm kunye nokubetha kakhulu entloko, umzekelo.
- Unyango lwenziwa njani: ihlala iqala ngolawulo lwamachiza ukuthoba uxinzelelo lwegazi, kodwa kwiimeko ezininzi kusenokufuneka kwenziwe utyando ukulungisa umonakalo kwimithambo yengqondo. Funda kabanzi malunga nendlela unyango oluphathwa ngayo.
Ngokwesiqhelo, ukubetha ngokuqaqamba kwesibetho kunesifo esibi ngakumbi kune-ischemic stroke, njengoko kunokuba nzima ukulawula ukopha.