Kuukira kwakanthawi kochepa

Kuwonongeka kwakanthawi kozungulira (TIA) kumachitika magazi akamayenda mbali ina yaubongo imayimilira kwakanthawi kochepa. Munthu amakhala ndi zizindikilo zonga stroke mpaka maola 24. Nthawi zambiri, zizindikirazo zimatenga maola 1 kapena 2.

Kuwonongeka kwakanthawi kochepa ndi chizindikiro chochenjeza kuti kupwetekedwa koona kumatha kuchitika mtsogolo ngati sichinachitike kuchitapo kanthu.

TIA ndiyosiyana ndi stroke. Pambuyo pa TIA, kutsekeka kumatha msanga ndikusungunuka. TIA siyimayambitsa minofu yaubongo kufa.

Kutayika kwa magazi kudera laubongo kumatha kuyambitsidwa ndi:

• Mitsempha yamagazi pamitsempha yamaubongo
• Dothi lamagazi lomwe limapita kuubongo kuchokera kwinakwake mthupi (mwachitsanzo, kuchokera mumtima)
• Kuvulala pamitsempha yamagazi
• Kupendeketsa kwa chotengera chamagazi muubongo kapena kupita kuubongo

Kuthamanga kwa magazi ndiye chiopsezo chachikulu cha TIAs ndi sitiroko. Zina mwaziwopsezo zazikulu ndi izi:

• Kugunda kwamtima kosasintha kotchedwa atrial fibrillation
• Matenda a shuga
• Mbiri ya banja la sitiroko
• Kukhala wamwamuna
• Cholesterol wokwera
• Kukula msinkhu, makamaka atakwanitsa zaka 55
• Mitundu (Afirika aku America atha kufa ndi sitiroko)
• Kusuta
• Kumwa mowa
• Kugwiritsa ntchito mankhwala osokoneza bongo
• Mbiri ya TIA yapitayi kapena sitiroko

Anthu omwe ali ndi matenda amtima kapena magazi samayenda bwino m'miyendo chifukwa cha mitsempha yocheperako nawonso amakhala ndi TIA kapena stroke.

Zizindikiro zimayamba mwadzidzidzi, zimatenga kanthawi kochepa (kuyambira mphindi zochepa mpaka 1 mpaka 2 maola), ndikuchoka. Zitha kuchitika nthawi ina.

Zizindikiro za TIA ndizofanana ndi zizindikilo za sitiroko, ndipo zimaphatikizapo:

• Sinthani kukhala tcheru (kuphatikiza kugona kapena chikomokere)
• Zosintha m'malingaliro (monga kumva, masomphenya, kulawa, ndi kukhudza)
• Kusintha kwamaganizidwe (monga kusokonezeka, kukumbukira kukumbukira, kulemba zovuta kapena kuwerenga, kuvuta kuyankhula kapena kumvetsetsa ena)
• Mavuto amisempha (monga kufooka, vuto kumeza, kuyenda movutikira)
• Chizungulire kapena kutayika bwino ndikugwirizana
• Kulephera kulamulira chikhodzodzo kapena matumbo
• Mavuto amitsempha (monga dzanzi kapena kumva kulasalasa mbali imodzi ya thupi)

Kawirikawiri, zizindikiro ndi zizindikiro za TIA zidzakhala zitatha pofika nthawi kuchipatala. Matenda a TIA atha kupangidwa kutengera mbiri yanu yachipatala.

Wothandizira zaumoyo adzayesa kwathunthu kuti awone ngati ali ndi vuto la mtima ndi chotengera magazi. Mudzawonanso mavuto a mitsempha ndi minofu.

Dokotala adzagwiritsa ntchito stethoscope kuti amvetsere mtima wanu ndi mitsempha yanu. Phokoso losazolowereka lotchedwa bruit limamveka mukamamvera mtsempha wa carotid m'khosi kapena mtsempha wina. Buluu amayamba chifukwa cha kusayenda bwino kwa magazi.

Kuyesedwa kudzachitika pofuna kuchepetsa kupwetekedwa mtima kapena zovuta zina zomwe zingayambitse matendawa:

• Mutha kukhala ndi mutu wa CT scan kapena MRI yaubongo. Sitiroko ikhoza kuwonetsa kusintha pamayesowa, koma ma TIA sangatero.
• Mutha kukhala ndi angiogram, CT angiogram, kapena MR angiogram kuti muwone chotengera chamagazi chotsekedwa kapena kutuluka magazi.
• Mutha kukhala ndi echocardiogram ngati dokotala akuganiza kuti mutha kukhala ndi magazi kuchokera kumtima.
• Carotid duplex (ultrasound) imatha kuwonetsa ngati mitsempha ya carotid m'khosi mwanu yafupika.
• Mutha kukhala ndi electrocardiogram (ECG) ndi mayeso owunika mayendedwe amtima kuti muwone ngati pali kugunda kwamtima kosafunikira.

Dokotala wanu akhoza kuyesa mayeso ena kuti aone kuthamanga kwa magazi, matenda amtima, matenda ashuga, cholesterol, ndi zina zomwe zimayambitsa, komanso zoopsa za TIA kapena stroke.

Ngati mwakhala ndi TIA mkati mwa maola 48 apitawa, mwachidziwikire mudzalandiridwa kuchipatala kuti madotolo azitha kukufunani ndikuyang'anirani.

Kuthamanga kwa magazi, matenda amtima, matenda ashuga, cholesterol, komanso matenda amwaziwo adzathandizidwa pakufunika. Mudzalimbikitsidwa kuti musinthe moyo wanu kuti muchepetse ziwopsezo zina. Zosintha zimaphatikizapo kusiya kusuta, kuchita masewera olimbitsa thupi, komanso kudya zakudya zopatsa thanzi.

Mutha kulandira oonda magazi, monga aspirin kapena Coumadin, kuti achepetse magazi. Anthu ena omwe atseka mitsempha ya m'khosi angafunike kuchitidwa opaleshoni (carotid endarterectomy). Ngati muli ndi kugunda kwamtima kosafunikira (atrial fibrillation), mudzathandizidwa kuti mupewe zovuta zamtsogolo.

Ma TIA samawononga ubongo kwamuyaya.

Koma, ma TIA ndi chizindikiro chochenjeza kuti mwina mungakhale ndi stroke m'masiku kapena miyezi ikubwerayi. Anthu ena omwe ali ndi TIA adzadwala sitiroko mkati mwa miyezi itatu. Hafu ya zikwapu izi zimachitika patadutsa maola 48 kuchokera pa TIA. Sitiroko imatha kuchitika tsiku lomwelo kapena nthawi ina. Anthu ena ali ndi TIA imodzi yokha, ndipo ena ali ndi TIA yoposa imodzi.

Mutha kuchepetsa mwayi wakupwetekedwa mtsogolo potsatira wothandizirayo kuti athane ndi zoopsa zanu.

TIA ndi vuto lazachipatala. Imbani 911 kapena nambala yachangu yakomweko nthawi yomweyo. Musanyalanyaze zizindikirozo chifukwa chakuti zimatha. Atha kukhala chenjezo ladzanja lakutsogolo.

Tsatirani malangizo a omwe amakupatsani momwe mungapewere ma TIA ndi sitiroko. Muyenera kuti mudzauzidwa kuti musinthe moyo wanu ndikumwa mankhwala kuti muchepetse kuthamanga kwa magazi kapena cholesterol.

Sitiroko Mini; TIA; Sitiroko pang'ono; Matenda am'mitsempha - TIA; Mitsempha ya Carotid - TIA

• Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa
• Matenda a atrial - kutulutsa
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Sitiroko - kumaliseche
• Kutenga warfarin (Coumadin)

• Endarterectomy
• Kuukira kwakanthawi kwa Ischemic (TIA)

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