Indlela unyango lwe-stroke lwenziwa ngayo

Umxholo

• 1. Unyango lwe-ischemic stroke
• 2. Unyango lwe-stroke esophayo
• Ukuphola kwesibetho
• Ukubuyisela kwisimo sangaphambili ukunciphisa iziphumo

Unyango lwe-Stroke kufuneka luqalwe ngokukhawuleza kwaye, ke, kubalulekile ukwazi ukuba ungazichonga njani iimpawu zokuqala ukubiza i-ambulensi ngokukhawuleza, kuba kuba unyango luqalisiwe ngokukhawuleza, kunciphisa umngcipheko we-sequelae njengokukhubazeka okanye ukuthetha nzima. Jonga apha ukuba yeyiphi imiqondiso enokubonisa ukubetha.

Ke, unyango lunokuqaliswa ngugqirha sele ekwi-ambulensi kwindlela eya esibhedlele, ngamayeza anje ngeziyobisi ezinamandla okuqinisa uxinzelelo lwegazi kunye nokubetha kwentliziyo, ukusetyenziswa kweoksijini ukulungiselela ukuphefumla, ukongeza kulawulo lweempawu ezibalulekileyo, njenge indlela yokubuyisela ukuhamba kwegazi kwingqondo.

Emva konyango lokuqala, kufuneka kuchongwe uhlobo lwesifo, kusetyenziswa iimvavanyo ezinje ngetomography kunye neMRI, njengoko oku kuchaphazela amanyathelo alandelayo onyango:

1. Unyango lwe-ischemic stroke

Ischemic stroke senzeka xa iqokobhe livimba ukuhamba kwegazi kwenye yeemithambo zobuchopho. Kule meko, unyango lunokubandakanya:

• Amayeza kwiipilisi, ezinje nge-AAS, Clopidogrel kunye neSimvastatin: esetyenziswa kwimeko yokurhanelwa kwesibetho okanye ischemia edlulayo, njengoko bekwazi ukulawula ukukhula kwehlwili kunye nokuthintela ukuvaleka kwemithambo yobuchopho;
• I-Thrombolysis eyenziwa ngenaliti ye-APt: yi-enzyme ekufuneka inikezwe kuphela xa ukubetha kwe-ischemic sele kuqinisekisiwe nge-tomography, kwaye kufuneka isetyenziswe kwiiyure zokuqala ze-4, njengoko itshabalalisa ngokukhawuleza ihlwili, ukuphucula ukujikeleza kwegazi kwindawo echaphazelekayo;
• Catheterization yeCerebral: Kwezinye izibhedlele, njengenye indlela yokufaka inaliti ye-APt, kunokwenzeka ukufaka ityhubhu eguqukayo ephuma kumthambo we-groin uye kwingqondo ukuzama ukususa ihlwili okanye ukufaka inaliti ye-anticoagulant kwindawo. Funda ngakumbi malunga ne-catheterization yecerebral;
• Uxinzelelo lwegazi, kunye neziyobisi ezichasayo, njenge-captopril: yenziwa kwiimeko apho uxinzelelo lwegazi luphezulu, ukunqanda olu xinzelelo luphezulu ukuba lube mandundu kwioksijini nasekujikelezeni kwegazi kwingqondo;
• Ukubeka ilisoIimpawu ezibalulekileyo zomntu onesifo sokufa icala kufuneka zibekwe esweni zize zilawulwe, kujongwe ukubetha kwentliziyo, uxinzelelo, ioksijini yegazi, i-glycemia kunye nobushushu bomzimba, ukuzigcina zizinzile, ade umntu abonakalise ukuphucuka, kuba ukuba azilawuleki, kunokubakho ukwanda kwesibetho kunye nokulandelelana okubangelwe.

Emva kokubetha, utyando lobuchwephesha bokuchaphazeleka kwengqondo kubonisiwe kwimeko apho ingqondo inokudumba okukhulu, okunyusa uxinzelelo lwangaphakathi kwaye kunokubangela umngcipheko wokufa. Olu tyando lwenziwa ngokususa, kangangexesha elithile, inxalenye yethambo lokakayi, elibuyiselweyo xa ukudumba kuyehla.

2. Unyango lwe-stroke esophayo

Amatyala okuhlaselwa sisifo esibuhlungu avela xa umthambo wobuchopho uvuza igazi okanye ugqabhuke, njenge-aneurysm okanye ngenxa yeepikhi kuxinzelelo lwegazi oluphezulu, umzekelo.

Kule meko, unyango lwenziwa ngokulawula uxinzelelo lwegazi, njenge-antihypertensives, ukongeza ekusebenziseni i-oxygen catheter kunye nokubeka iliso kwiimpawu ezibalulekileyo ukuze ukopha kulawulwe ngokukhawuleza.

Kwiimeko ezinzima kakhulu, apho kukho ukugqabhuka ngokupheleleyo komthambo kwaye kunzima ukunqanda ukopha, utyando lobuchopho olungxamisekileyo lunokufuneka ukufumana indawo eyophayo kwaye uyilungise.

Kwiimeko zokuhlaselwa sisibetho esikhulu sokopha, ukuphazamiseka koxinzelelo kwengqondo kunokwenziwa, njengoko kuyinto eqhelekileyo ukuba nomsindo kunye nokudumba kwengqondo ngenxa yokopha.

Ukuphola kwesibetho

Ngokubanzi, emva kokulawula iimpawu zesifo esibukhali, ukuhlala esibhedlele kuyafuneka malunga neentsuku ezintlanu ukuya kwezili-10, ezahluka ngokwemo yeklinikhi yomntu ngamnye, ukuze zihlale ziphantsi koqwalaselo, ukuze kuqinisekiswe ukuba umntu uchacha njani kuqala. Iziphumo ezibangelwe kukubetha.

Ngeli xesha, ugqirha angaqala ukusebenzisa amayeza okanye alungelelanise amayeza esigulana, ecebisa ukusetyenziswa kwe-anti-aggregant okanye i-anticoagulant, efana ne-Aspirin okanye i-Warfarin, kwimeko yesifo se-ischemic, okanye ukususa i-anticoagulant kwimeko yesifo esibuhlungu, umzekelo.

Ukongeza, amayeza anokufuneka ukulawula ngcono uxinzelelo lwegazi, iglucose yegazi, icholesterol, umzekelo, ukunciphisa umngcipheko weziqendu ezitsha zestroke.

Olunye ulungelelwaniso lusenokuhlala, njengobunzima ekuthetheni, ukunciphisa amandla kwelinye icala lomzimba, utshintsho ekuginyeni ukutya okanye ukulawula umchamo okanye ilindle, ukongeza kutshintsho ekuqiqiseni okanye kwimemori. Inani kunye nobukrakra be-sequelae ziyahluka ngohlobo lwesifo kunye nendawo yengqondo echaphazelekayo, kunye nokukwazi komntu ukubuyela kwimeko yesiqhelo. Ukuqonda ngcono iingxaki ezinokubakho zokubetha.

Ukubuyisela kwisimo sangaphambili ukunciphisa iziphumo

Emva kokubetha, umntu kufuneka enze uthotho lweenkqubo zokubuyisela kwimeko yesiqhelo, ukukhawulezisa ukubuyisela kwimeko yesiqhelo kunye nokunciphisa ukulandelelana. Ezona ndlela ziphambili zokubuyiselwa kwisimo sesiqhelo zezi:

• Umzimba wonyango: i-physiotherapy inceda ukomeleza izihlunu, ukuze umntu akwazi ukubuyisela okanye ukugcina iintshukumo zomzimba, ukuphucula umgangatho wobomi. Jonga ukuba unyango lwasemzimbeni lwenziwa njani emva kokubetha.
• Unyango emsebenzini: yindawo enceda isigulana kunye nosapho ukuba bafumane iindlela zokunciphisa istroke sequelae mihla le, ngokwenza imithambo, ukulungelelanisa indlu, igumbi lokuhlambela, ukongeza kwimisebenzi yokuphucula ukuqiqa kunye nokuhamba;
• Unyango lwentetho: olu hlobo lonyango lunceda ukubuyisela intetho kunye nokuginya kwizigulana eziye zachukunyiswa yile ndawo kukubethwa sistroke;
• Isondlo: emva kokubethwa sistroke, kubalulekile ukuba umntu atye ukutya okunezondlo kwaye atyebile ngeevithamini kunye neeminerals ezondla iglasi kwaye ngendlela esempilweni, ukunqanda ukungondleki okanye ukubetha okutsha. Kwezinye iimeko apho kuye kufuneke ukuba kusetyenziswe iprosesa ukondla, ugqirha wezondlo uya kubala inani elichanekileyo lokutya aze akufundise ukuba ukupheka njani.

Inkxaso yosapho ibalulekile ngeli xesha lokuchacha kwistroke, kokubini ukunceda kwimisebenzi angakwaziyo ukuyenza umntu, kunye nenkxaso yeemvakalelo, kuba ezinye izithintelo zinokukhathaza kwaye zibangele ukuziva ungenakunceda kunye nosizi. Funda ngendlela yokunceda umntu onengxaki yokuthetha.