Sitiroko - kumaliseche

Mudali mchipatala mutadwala sitiroko. Sitiroko imachitika magazi akamayenderera mbali ina ya ubongo.

Kunyumba tsatirani malangizo a omwe amakuthandizani pa za kudzisamalira. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Choyamba, mudalandira chithandizo chopewa kuwonongeka kwina kwa ubongo, ndikuthandizanso mtima, mapapo, ndi ziwalo zina zofunika kuchira.

Mutakhazikika, madokotala adayesa ndikuyamba chithandizo kuti akuthandizeni kuchira sitiroko ndikupewa sitiroko yamtsogolo. Muyenera kuti mudakhala m'chipinda chapadera chomwe chimathandiza anthu kuchira pambuyo povulala.

Chifukwa cha kuvulala kwa ubongo kuchokera ku stroke, mutha kuwona mavuto ndi:

• Kusintha kwamakhalidwe
• Kuchita ntchito zosavuta
• Kukumbukira
• Kusuntha mbali imodzi ya thupi
• Kupweteka kwa minofu
• Kumvetsera
• Kumva kapena kuzindikira gawo limodzi la thupi
• Kumeza
• Kuyankhula kapena kumvetsetsa ena
• Kuganiza
• Kuwona mbali imodzi (hemianopia)

Mungafune kuthandizidwa ndi zochitika za tsiku ndi tsiku zomwe mumachita nokha musanadwalike.

Kukhumudwa pambuyo poti sitiroko ndiyofala mukamaphunzira kukhala ndi zosinthazo. Ikhoza kukula posachedwa sitiroko kapena mpaka zaka ziwiri zitachitika.

Osayendetsa galimoto yanu popanda chilolezo cha dokotala.

Kuyenda mozungulira ndikugwira ntchito zabwinobwino kumakhala kovuta pambuyo povulala.

Onetsetsani kuti nyumba yanu ndi yotetezeka. Funsani dokotala wanu, wothandizira, kapena namwino za kusintha kwanu mnyumba yanu kuti zikhale zosavuta kuchita zochitika za tsiku ndi tsiku.

Dziwani zomwe mungachite kuti mupewe kugwa ndikusunga bafa lanu kuti likhale lotetezeka.

Achibale ndi omwe akuwasamalira angafunike kuthandiza ndi:

• Zolimbitsa thupi kuti zisungire mikono yanu, mapewa, ndi ziwalo zina kumasuka
• Kuyang'anira kulimbitsa kolumikizana (mapangano)
• Kuonetsetsa kuti ziboda zimagwiritsidwa ntchito moyenera
• Kuonetsetsa kuti mikono ndi miyendo ili pamalo abwino mukakhala pansi kapena kunama

Ngati inu kapena wokondedwa wanu mukugwiritsa ntchito njinga ya olumala, maulendo obwereza kuti muwonetsetse kuti akukwanira bwino ndikofunikira popewa zilonda pakhungu.

• Chongani tsiku lililonse zilonda zapakamwa, zidendene, mawondo, chiuno, fupa, ndi zigongono.
• Sinthani malo pa chikuku kangapo pa ola masana kuti muchepetse zilonda zam'mimba.
• Ngati mukukumana ndi zovuta zakuchulukirapo, phunzirani zomwe zimaipitsa. Inu kapena amene amakusamalirani mutha kuphunzira masewera olimbitsa thupi kuti musataye minofu yanu.
• Phunzirani momwe mungapewere zilonda zam'mimba.

Malangizo pakupangira zovala kuti zikhale zosavuta kuvula ndi:

• Velcro ndiyosavuta kuposa mabatani ndi zipi. Mabatani onse ndi zipi ayenera kukhala kutsogolo kwa chovala.
• Gwiritsani ntchito zovala ndi nsapato.

Anthu omwe adadwala sitiroko atha kukhala ndi vuto lakulankhula kapena chilankhulo. Malangizo kwa mabanja ndi omwe akuwasamalira kuti athe kuyankhulana bwino ndi awa:

• Sungani zosokoneza ndi phokoso pansi. Chepetsani mawu anu. Pitani kuchipinda chodekha. Osafuula.
• Mpatseni nthawi yochuluka kuti munthuyo ayankhe mafunso ndikumvetsetsa malangizo. Pambuyo pa sitiroko, zimatenga nthawi kuti zisinthe zomwe zanenedwa.
• Gwiritsani ntchito mawu osavuta ndi ziganizo, lankhulani pang'onopang'ono. Funsani mafunso m'njira yomwe ingayankhidwe ndi inde kapena ayi. Ngati kuli kotheka, perekani zosankha zomveka. Osapereka zosankha zambiri.
• Dulani malangizo muzinthu zing'onozing'ono komanso zosavuta.
• Bwerezani ngati pakufunika kutero. Gwiritsani ntchito mayina ndi malo omwe mumawadziwa. Lengezani nthawi yomwe mudzasinthe mutuwo.
• Yang'anani pamaso musanakhudze kapena kulankhula ngati n'kotheka.
• Gwiritsani ntchito zowonjezera kapena zowoneka ngati zingatheke. Osapereka zosankha zambiri. Mutha kugwiritsa ntchito kuloza kapena manja kapena zojambula. Gwiritsani ntchito chida chamagetsi, monga piritsi lapakompyuta kapena foni yam'manja, kuti muwonetse zithunzi zothandiza polumikizana.

Mitsempha yomwe imathandiza matumbo kugwira ntchito bwino imatha kuwonongeka pambuyo povulala. Khalani ndi chizolowezi. Mukapeza chizolowezi chamatumbo chomwe chimagwira, gwiritsitsani:

• Sankhani nthawi yanthawi zonse, monga mukatha kudya kapena kusamba mofunda, kuti muyesetse kuyenda.
• Khazikani mtima pansi. Zitha kutenga mphindi 15 mpaka 45 kuti matumbo ayende.
• Yesani kusisita bwino m'mimba mwanu kuti chimbudzi chiziyenda m'matumbo anu.

Pewani kudzimbidwa:

• Imwani madzi ambiri.
• Khalani achangu kapena khalani achangu momwe mungathere.
• Idyani zakudya zokhala ndi ulusi wambiri.

Funsani omwe akukuthandizani za mankhwala omwe mukumwa omwe angayambitse kudzimbidwa (monga mankhwala opsinjika, kupweteka, kuwongolera chikhodzodzo, ndi kupindika kwa minofu).

Lembani mankhwala anu onse musanapite kunyumba. Ndikofunika kwambiri kuti muzimwa mankhwala anu monga momwe wothandizirayo anakuwuzani. Musamwe mankhwala ena aliwonse, zowonjezera mavitamini, kapena zitsamba popanda kufunsa omwe amakupatsirani za izo poyamba.

Mutha kupatsidwa mankhwala amodzi kapena angapo. Izi zimatanthawuza kuchepetsa kuthamanga kwa magazi kapena kolesterolini, komanso kuti magazi anu asamange. Amatha kuthandiza kupewa sitiroko ina:

• Mankhwala a antiplatelet (aspirin kapena clopidogrel) amathandiza kuti magazi anu asamange.
• Beta blockers, diuretics (mapiritsi amadzi), ndi mankhwala a ACE inhibitor amawongolera kuthamanga kwa magazi ndi kuteteza mtima wanu.
• Statins zimachepetsa cholesterol yanu.
• Ngati muli ndi matenda ashuga, sungani shuga m'magazi anu pamlingo womwe omwe amakupatsani.

Osasiya kumwa chilichonse mwa mankhwalawa.

Ngati mukumwa magazi ochepera magazi, monga warfarin (Coumadin), mungafunike kuyezetsa magazi ena.

Ngati mukuvutika ndi kumeza, muyenera kuphunzira kutsatira zakudya zapadera zomwe zimakupatsani chakudya chabwino. Zizindikiro zakumeza mavuto ndikutsamwitsa kapena kutsokomola mukamadya. Phunzirani malangizo othandizira kudya ndi kumeza mosavuta komanso motetezeka.

Pewani zakudya zamchere ndi zamafuta ndipo khalani kutali ndi malo odyera mwachangu kuti mtima wanu ndi mitsempha yamagazi ikhale yathanzi.

Malire mowa wochuluka bwanji womwe mumamwa mpaka kumwa kamodzi pa tsiku ngati ndinu mzimayi ndikumwa kawiri patsiku ngati ndinu abambo. Funsani omwe akukuthandizani ngati zili bwino kuti mumwe mowa.

Dziwani za katemera wanu. Pezani chimfine chaka chilichonse. Funsani dokotala wanu ngati mukufuna chibayo.

Osasuta. Funsani omwe akukuthandizani kuti akuthandizeni kusiya ngati mukufuna kutero. Musalole aliyense kusuta m'nyumba mwanu.

Yesetsani kupewa zovuta. Ngati mumakhala opanikizika nthawi zonse kapena mumakhala achisoni, lankhulani ndi omwe akukuthandizani.

Ngati mumakhala achisoni kapena okhumudwa nthawi zina, lankhulani ndi abale kapena abwenzi za izi. Funsani omwe akukuthandizani za kufunafuna chithandizo cha akatswiri.

Itanani omwe akukuthandizani ngati muli ndi:

• Mavuto kumwa mankhwala osokoneza bongo
• Mavuto akusuntha ziwalo zanu (mgwirizano wophatikizika)
• Mavuto oyenda mozungulira kapena kutuluka pabedi kapena mpando wanu
• Zilonda za khungu kapena kufiira
• Ululu womwe ukukula kwambiri
• Kugwa kwaposachedwa
• Kutsamwa kapena kutsokomola mukamadya
• Zizindikiro za matenda a chikhodzodzo (malungo, kuwotcha mukakodza, kapena kukodza pafupipafupi)

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati zizindikiro zotsatirazi zikukula mwadzidzidzi kapena zatsopano:

• Dzanzi kapena kufooka kwa nkhope, mkono, kapena mwendo
• Maso osokonezeka kapena kuchepa
• Osakhoza kulankhula kapena kumvetsetsa
• Chizungulire, kutayika bwino, kapena kugwa
• Mutu wopweteka kwambiri

Matenda am'mimba - kutulutsa; CVA - kutulutsa; Cerebral infarction - kumaliseche; Kukha kwa magazi m'mimba - kumaliseche; Sitiroko ischemic - kumaliseche; Sitiroko - ischemic - kumaliseche; Sitiroko yachiwiri mpaka atrial fibrillation - kutulutsa; Matenda a mtima - kutulutsa; Kutuluka kwa ubongo - kutulutsa; Kutaya magazi muubongo - kutulutsa; Sitiroko - hemorrhagic - kumaliseche; Hemorrhagic cerebrovascular matenda - kutulutsa; Ngozi yamagazi - kutulutsa

• Kutaya magazi kwamkati

Dobkin BH. Kukhazikitsa ndi kuchira wodwalayo ndi sitiroko. Mu: Grotta JC, Albers GW, Broderick JP, et al, olemba. Stroke: Pathophysiology, Diagnosis, and Management. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 58.

Kernan WN, Ovbiagele B, Wakuda HR, et al. Malangizo popewa kupwetekedwa kwa odwala omwe ali ndi sitiroko komanso kuperewera kwaposachedwa: chitsogozo cha akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2014; 45 (7): 2160-2236. PMID: 24788967 pubed.ncbi.nlm.nih.gov/24788967/.

Ma National Institutes of Health. National Institute of Neurological Disorders ndi tsamba la Stroke. Chizindikiro chobwezeretsa pambuyo povulala. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet. Idasinthidwa pa Meyi 13, 2020. Idapezeka Novembala 5, 2020.

Winstein CJ, Stein J, Arena R, ndi al. Maupangiri pakukonzanso ndikubwezeretsa kwa achikulire: chitsogozo cha akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2016; 47 (6): e98-e169. PMID: 27145936 adasankhidwa.ncbi.nlm.nih.gov/27145936/.

• Kukonza aneurysm yaubongo
• Kuchita opaleshoni yaubongo
• Opaleshoni yamitsempha ya Carotid - yotseguka
• Kuchuluka kwa cholesterol m'magazi
• Kuchira pambuyo pa sitiroko
• Sitiroko
• Malangizo a momwe mungasiyire kusuta
• Kuukira kwakanthawi kochepa

• Zoletsa za ACE
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Chitetezo cha bafa cha akulu
• Opaleshoni ya ubongo - kutulutsa
• Batala, majarini, ndi mafuta ophikira
• Kusamalira kuchepa kwa minofu kapena kupindika
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kuyankhulana ndi munthu yemwe ali ndi aphasia
• Kuyankhulana ndi munthu yemwe ali ndi dysarthria
• Kudzimbidwa - kudzisamalira
• Kudzimbidwa - zomwe mungafunse dokotala
• Kulamulira kuthamanga kwa magazi
• Pulogalamu yamasiku onse yosamalira matumbo
• Dementia ndikuyendetsa
• Dementia - machitidwe ndi mavuto ogona
• Dementia - chisamaliro cha tsiku ndi tsiku
• Dementia - kukhala otetezeka m'nyumba
• Dementia - zomwe mungafunse dokotala wanu
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Gastrostomy yodyetsa chubu - bolus
• Thumba lodyetsera la Jejunostomy
• Zochita za Kegel - kudzisamalira
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean
• Zilonda zamagetsi - zomwe mungafunse dokotala wanu
• Kupewa kugwa
• Kuteteza kugwa - zomwe mungafunse dokotala wanu
• Kupewa zilonda zamagetsi
• Kudziletsa catheterization - wamkazi
• Kudzipangira catheterization - wamwamuna
• Chisamaliro cha catheter cha Suprapubic
• Kumeza mavuto
• Matumba otulutsa mkodzo
• Mukakhala ndi vuto la kukodza mkodzo

• Sitiroko Yotaya Mimba
• Chilonda cha Ischemic
• Sitiroko