Kupewa sitiroko

Sitiroko imachitika magazi akamadulidwa kupita mbali iliyonse yaubongo. Kutaya magazi kumatha kuyambitsidwa ndi magazi m'mitsempha yaubongo. Ikhozanso kuyambitsidwa ndi chotengera chamagazi mu gawo lina laubongo chomwe chimafooka ndikutseguka. Sitiroko nthawi zina imatchedwa "matenda aubongo."

Chowopsa ndichinthu chomwe chimakulitsa mwayi wanu wokhala ndi stroke. Simungasinthe zinthu zina zowopsa za sitiroko. Koma ena, mutha.

Kusintha zoopsa zomwe mutha kuwongolera kukuthandizani kuti mukhale ndi moyo wautali, wathanzi. Izi zimatchedwa chisamaliro choteteza.

Njira yofunika yothandizira kupewa sitiroko ndiyo kuwona omwe amakuthandizani pakuwunika mayeso. Wopereka wanu akufuna kukuwonani kamodzi pachaka.

Simungasinthe zoopsa kapena zoyambitsa sitiroko:

• Zaka. Chiwopsezo chanu cha sitiroko chimakula mukamakula.
• Kugonana. Amuna ali pachiwopsezo chachikulu cha sitiroko kuposa akazi. Koma azimayi ambiri kuposa amuna amafa ndi sitiroko.
• Makhalidwe abwinobwino. Ngati m'modzi wa makolo anu adadwala sitiroko, muli pachiwopsezo chachikulu.
• Mpikisano. Anthu aku Africa aku America ali pachiwopsezo chachikulu cha stroke kuposa mafuko ena onse. Anthu aku Mexico aku America, Amwenye aku America, aku Hawaii, komanso anthu aku Asia aku America nawonso ali pachiwopsezo chachikulu chodwala matenda opha ziwalo.
• Matenda monga khansa, matenda a impso, ndi matenda ena am'thupi.
• Malo ofooka mumtambo wamitsempha kapena mitsempha yachilendo ndi mitsempha.
• Mimba, mkati ndi milungu ingapo pambuyo pa mimba.

Magazi oundana ochokera mumtima amatha kupita kuubongo ndikupangitsa sitiroko. Izi zitha kuchitika kwa anthu omwe ali ndi

• Mavavu amtima opangidwa ndimunthu kapena kachilombo
• Zovuta zina za mtima zomwe mudabadwa nazo

Mutha kusintha zina mwaziwopsezo za sitiroko, pochita izi:

• Osasuta. Ngati mumasuta, siyani.
• Onetsetsani kuthamanga kwa magazi kudzera pazakudya, masewera olimbitsa thupi, komanso mankhwala, ngati kuli kofunikira.
• Muzichita masewera olimbitsa thupi osachepera mphindi 30 patsiku osachepera masiku atatu sabata iliyonse.
• Pitirizani kulemera thupi mwa kudya zakudya zopatsa thanzi, kudya magawo ang'onoang'ono, ndi kulowa nawo pulogalamu yochepetsa ngati kuli kofunikira.
• Chepetsani kumwa mowa. Izi sizikutanthauza kumwa kamodzi pa tsiku kwa akazi ndi 2 pa tsiku kwa amuna.
• Musagwiritse ntchito mankhwala osokoneza bongo a cocaine ndi mankhwala ena oletsedwa.

Kudya wathanzi ndibwino pamtima wanu ndipo kumatha kuchepetsa chiopsezo cha sitiroko.

• Idyani zipatso, ndiwo zamasamba, ndi tirigu wambiri.
• Sankhani mapuloteni owonda, monga nkhuku, nsomba, nyemba, ndi nyemba.
• Sankhani mkaka wopanda mafuta kapena mafuta ochepa, monga 1% mkaka ndi zinthu zina zopanda mafuta.
• Pewani zakudya zokazinga, zakudya zopakidwa, ndi zinthu zophika.
• Idyani zakudya zochepa zomwe zili ndi tchizi, kirimu, kapena mazira.
• Pewani zakudya zokhala ndi sodium wochuluka (mchere).

Werengani zolemba ndikukhala kutali ndi mafuta osapatsa thanzi. Pewani zakudya ndi:

• Mafuta okhuta
• Mafuta ochepa a hydrogenated kapena hydrogenated

Sungani cholesterol yanu ndi matenda ashuga ndi zakudya zabwino, masewera olimbitsa thupi, komanso mankhwala ngati kuli kofunikira.

Ngati muli ndi kuthamanga kwa magazi:

• Omwe amakupatsirani akhoza kukupemphani kuti muzindikire kuthamanga kwa magazi kwanu.
• Muyenera kutsitsa ndikuwongolera ndi zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi, komanso pomwa mankhwala omwe woperekayo akupatsani.

Lankhulani ndi omwe amakupatsani mwayi wokhudza kumwa mapiritsi oletsa kubereka.

• Mapiritsi oletsa kubereka amatha kuwonjezera mwayi wamagazi, womwe ungayambitse sitiroko.
• Zovala zimakhala zotheka kwa amayi omwe amatenga mapiritsi olera omwe amasutanso komanso omwe ali ndi zaka zopitilira 35.

Wothandizira anu atha kupereka lingaliro la kumwa aspirin kapena mankhwala ena kuti ateteze kuundana kwamagazi. Musatenge aspirin musanalankhule ndi omwe akukuthandizani kaye.

Sitiroko - kupewa; CVA - kupewa; Cerebral mtima ngozi - kupewa; TIA - kupewa; Kuukira kwakanthawi kochepa - kupewa

Wopanga J, Ruland S, Schneck MJ. Matenda a Ischemic cerebrovascular. Mu Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 65.

Golide wa LB. Kupewa ndi kuwongolera sitiroko ya ischemic. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 65.

Januwale CT, Wann LS, Alpert JS, et al. Chitsogozo cha AHA / ACC / HRS cha 2014 pakuwongolera odwala omwe ali ndi matenda a atrial: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Ndine Coll Cardiol. 2014; 64 (21): e1-e76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669. (Adasankhidwa)

Riegel B, Moser DK, Buck HG, et al; (Adasankhidwa) American Heart Association Council on Nursing a Mtima ndi Stroke; Council on Peripheral Vascular Disease; ndi Council on Quality of Care ndi Zotsatira Zakufufuza. Kudziyang'anira pawokha popewa komanso kuyang'anira matenda amtima ndi sitiroko: mawu asayansi azachipatala ochokera ku American Heart Association. J Am Mtima Assoc. 2017; 6 (9). pii: e006997. PMID: 28860232 www.ncbi.nlm.nih.gov/pubmed/28860232. (Adasankhidwa)

Whelton PK, Carey RM, Aronow WS, ndi al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA malangizo othandizira kupewa, kuzindikira, kuwunika, ndi kuwongolera kuthamanga kwa magazi mwa achikulire: lipoti la American College of Cardiology / American Gulu Lantchito Yogwira Mtima Pazitsogoleredwe Zamankhwala. J Ndine Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535. (Adasankhidwa)

• Sitiroko Yotaya Mimba
• Chilonda cha Ischemic
• Sitiroko