Kuchira pambuyo pa sitiroko

Sitiroko imachitika magazi akamayenderera mbali iliyonse yaubongo.

Munthu aliyense amakhala ndi nthawi yosintha mosiyana ndipo amafunikira chisamaliro cha nthawi yayitali. Mavuto akusuntha, kulingalira, ndi kuyankhula nthawi zambiri amakula m'masabata kapena miyezi yoyambirira pambuyo poti mudwala sitiroko. Anthu ena apitiliza kusintha miyezi kapena zaka zitadwala sitiroko.

KUKHALA PANTHAWI YOTHANDIZA

Anthu ambiri amafunikira kukonzanso sitiroko (rehab) kuwathandiza kuchira atachoka kuchipatala. Rehab rehab ikuthandizani kuti mupezenso mwayi wosamalira nokha.

Mitundu yambiri yamankhwala imatha kuchitidwa komwe mumakhala, kuphatikiza kunyumba kwanu.

• Anthu omwe sangathe kudzisamalira kunyumba atadwala sitiroko atha kulandira chithandizo m'chigawo chapadera cha chipatala kapena malo osungira anthu okalamba.
• Omwe amatha kubwerera kwawo atha kupita kuchipatala chapadera kapena wina kubwera kunyumba kwawo.

Kaya mutha kubwerera kwanu mutadwala sitiroko zimadalira:

• Kaya mutha kudzisamalira
• Kuchuluka kwa thandizo lomwe lingakhale pakhomo
• Kaya nyumbayo ndi malo otetezeka (mwachitsanzo, masitepe mnyumbamo sangakhale otetezeka kwa wodwalayo yemwe ali ndi vuto kuyenda)

Mungafunike kupita kunyumba yogona, nyumba yabanja yayikulu, kapena nyumba yabwinoko kuti mukakhale malo otetezeka.

Kwa anthu omwe amasamaliridwa kunyumba:

• Zosintha zitha kukhala zofunikira kuti mukhale otetezeka kugwa m'nyumba ndi kubafa, kupewa kuyendayenda, ndikupangitsa kuti nyumbayo ikhale yosavuta kugwiritsa ntchito. Bedi ndi bafa ziyenera kukhala zosavuta kufika. Zinthu (monga zoponya zopondera) zomwe zingayambitse kugwa ziyenera kuchotsedwa.
• Zipangizo zingapo zimatha kuthandizira pazinthu monga kuphika kapena kudya, kusamba kapena kusamba, kusuntha pakhomo kapena kwina kulikonse, kuvala ndi kudzikongoletsa, kulemba ndikugwiritsa ntchito kompyuta, ndi zina zambiri.
• Upangiri wabanja ukhoza kukuthandizani kuthana ndi zosintha zofunika pakulera kunyumba. Kuyendera anamwino kapena othandizira, othandizira mongodzipereka, okonza nyumba, zithandizo zachitetezo za achikulire, chisamaliro cha akulu, ndi zina zothandiza mdera (monga Dipatimenti Yokalamba Yapafupi) zitha kukhala zothandiza.
• Malangizo azamalamulo angafunike. Malangizo pasadakhale, mphamvu ya loya, ndi zochitika zina zalamulo zitha kupangitsa kuti zikhale zosavuta kupanga zisankho pazokhudza chisamaliro.

KULANKHULA NDI KULANKHULA

Pambuyo pa sitiroko, anthu ena atha kukhala ndi mavuto kupeza mawu kapena kutha kulankhula mawu kapena mawu amodzi nthawi imodzi. Kapenanso, atha kukhala ndi vuto kuyankhula konse. Izi zimatchedwa aphasia.

• Anthu omwe adadwala sitiroko amatha kuyika mawu ambiri palimodzi, koma mwina sangakhale omveka. Anthu ambiri sadziwa kuti zomwe akunenazo ndi zovuta kuzimvetsa. Amatha kukhumudwa akazindikira kuti anthu ena sangamvetse. Achibale ndi omwe akuwasamalira ayenera kuphunzira momwe angathandizire kulumikizana.
• Zitha kutenga zaka ziwiri kuti muyambenso kuyankhula. Sikuti aliyense adzachira.

Sitiroko imathanso kuwononga minofu yomwe imakuthandizani kuyankhula. Zotsatira zake, minofu imeneyi siyenda moyenera mukamayankhula. Izi zimatchedwa dysarthria.

Wothandizira kulankhula ndi chilankhulo amatha kugwira ntchito ndi inu komanso banja lanu kapena omwe amakusamalirani. Mutha kuphunzira njira zatsopano zolankhulirana.

KULINGALIRA NDI KUKUMBUKIRA

Pambuyo povulala, anthu atha kukhala ndi:

• Zosintha pakutha kwawo kuganiza kapena kulingalira
• Kusintha kwamakhalidwe ndi magonedwe
• Mavuto okumbukira
• Kusazindikira bwino

Zosinthazi zitha kubweretsa ku:

• Kuwonjezeka pakufunika kwachitetezo
• Zosintha pakutha kuyendetsa
• Zosintha zina kapena zodzitetezera

Matenda okhumudwa pambuyo poti sitiroko ndi wamba. Matenda okhumudwa amatha kuyamba patangotha ​​sitiroko, koma zizindikilozo sizingayambe mpaka zaka ziwiri zitachitika. Chithandizo cha kukhumudwa ndi monga:

• Kuchulukitsa zochitika. Maulendo ochulukirapo kunyumba kapena kupita kumalo osamalira ana okalamba kuti akachite zinthu zina.
• Mankhwala okhumudwa.
• Kuyendera wothandizira kapena mlangizi.

MAVUTO A MISANGO, PAMODZI, NDI MAVUTO

Kuyenda mozungulira ndikugwira ntchito zatsiku ndi tsiku monga kuvala ndi kudyetsa kungakhale kovuta pambuyo povulala.

Minofu mbali imodzi ya thupi imatha kukhala yofooka kapena yosasunthika konse. Izi zitha kuphatikizira gawo limodzi la mkono kapena mwendo, kapena mbali yonse ya thupi.

• Minofu kumbali yofooka ya thupi imatha kukhala yolimba.
• Mafundo ndi minofu zosiyanasiyana m'thupi zimatha kukhala zovuta kusuntha. Mapewa ndi ziwalo zina zimatha kusokonekera.

Zambiri mwazovuta zimatha kupweteketsa munthu pambuyo poti wadwala sitiroko. Ululu amathanso kupezeka pakusintha kwaubongo komwe. Mutha kugwiritsa ntchito mankhwala opweteka, koma fufuzani kaye kwa omwe amakuthandizani pa zaumoyo. Anthu omwe ali ndi ululu chifukwa chaminyewa yolimba amatha kupeza mankhwala omwe amathandiza pakuthyola minofu.

Othandizira, othandizira pantchito, ndi madokotala othandizira kukonzanso akuthandizani kuzindikira momwe mungachitire:

• Valani, dzikongoletseni, ndipo idyani
• Kusamba, kusamba, ndi kugwiritsa ntchito chimbudzi
• Gwiritsani ntchito ndodo, zoyendera, ma wheelchair, ndi zida zina kuti mukhale oyenda momwe mungathere
• Mwinanso kubwerera kuntchito
• Sungani minofu yonse mwamphamvu momwe mungathere ndikukhala olimbikira momwe mungathere, ngakhale simungathe kuyenda
• Sinthani kupindika kwa minofu kapena kulimba ndikulimbitsa thupi ndi zolimba zomwe zimakwanira bondo, chigongono, phewa, ndi ziwalo zina

CHOSANGALALA NDI CHIDULE NDI BOWEL

Sitiroko imatha kubweretsa mavuto ndi chikhodzodzo kapena matumbo. Mavutowa atha kubwera chifukwa cha:

• Kuwonongeka kwa gawo lina la ubongo lomwe limathandiza matumbo ndi chikhodzodzo kugwira ntchito bwino
• Osazindikira kufunika kopita kubafa
• Mavuto obwera kuchimbudzi munthawi yake

Zizindikiro zimaphatikizapo:

• Kutaya matumbo, kutsekula m'mimba (matumbo otayirira), kapena kudzimbidwa (kuyenda mwamatumbo)
• Kutaya chikhodzodzo, kumva kufunika kokodza nthawi zambiri, kapena mavuto otaya chikhodzodzo

Omwe amakupatsirani mankhwalawa amatha kukupatsirani mankhwala othandizira chikhodzodzo. Mungafunike kutumizidwa kwa katswiri wa chikhodzodzo kapena m'matumbo.

Nthawi zina, chikhodzodzo kapena matumbo chithandizira. Zitha kuthandizanso kuyika mpando woyenda pafupi ndi komwe mumakhala masana ambiri. Anthu ena amafunikira kateti wokhalitsa wokhetsa mkodzo m'thupi lawo.

Kupewa zilonda pakhungu kapena kuthamanga:

• Kuyeretsa pambuyo kusadziletsa
• Sinthani malo nthawi zambiri ndikudziwa kusuntha pabedi, mpando, kapena chikuku
• Onetsetsani kuti olumala akuyendera bwino
• Awuzeni achibale kapena othandizira ena aphunzire kuyang'anira zilonda zakhungu

TIMAYAMILA NDIKUDYA PAMBUYO PA STOKI

Mavuto akumeza atha kukhala chifukwa chakusowa chidwi mukamadya kapena kuwononga mitsempha yomwe imakuthandizani kumeza.

Zizindikiro za mavuto akumeza ndi awa:

• Kutsokomola kapena kutsamwa, nthawi yakudya kapena mukadya
• Kumva phokoso kummero kukhosi mukamadya kapena mutadya
• Kukhetsa pakhosi mutamwa kapena kumeza
• Kutafuna pang'ono kapena kudya
• Kukhosomola chakudya mutadya
• Matendawa atatha kumeza
• Kusapeza pachifuwa nthawi kapena mukamedza

Wothandizira kulankhula amatha kuthandizira pakumeza komanso kudya mavuto pambuyo povulala. Kusintha kwa zakudya, monga kuzamitsa zakumwa kapena kudya zakudya zoyera, kungafunike. Anthu ena adzafunika chubu chodyetsera chokhazikika, chotchedwa gastrostomy.

Anthu ena samamwa makilogalamu okwanira pambuyo povulala. Zakudya zopatsa mphamvu kwambiri kapena zowonjezera zakudya zomwe zilinso ndi mavitamini kapena michere zimatha kupewa kuwonda ndikukhala athanzi.

NKHANI ZINA ZOFUNIKA

Amuna ndi akazi atha kukhala ndi mavuto pokhudzana ndi kugonana atadwala sitiroko. Mankhwala otchedwa phosphodiesterase type 5 inhibitors (monga Viagra, Levitra, kapena Cialis) atha kukhala othandiza. Funsani omwe akukuthandizani ngati mankhwalawa ndi oyenera kwa inu. Kuyankhula ndi wothandizira kapena mlangizi kungathandizenso.

Chithandizo ndi kusintha kwa moyo popewa sitiroko ina ndikofunikira. Izi zimaphatikizapo kudya bwino, kuwongolera matenda monga matenda ashuga komanso kuthamanga kwa magazi, ndipo nthawi zina kumwa mankhwala kuti muteteze sitiroko ina.

Kukonzanso kwa sitiroko; Ziwopsezo zamagulu - kukonzanso; Kuchira sitiroko; Sitiroko - kuchira; CVA - kuchira

• Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa
• Kukonza aneurysm ya ubongo - kutulutsa
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Pulogalamu yamasiku onse yosamalira matumbo
• Kupewa zilonda zamagetsi
• Sitiroko - kumaliseche

Dobkin BH. Kukonzanso kwaminyewa. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 57.

Rundek T, Sacco RL. Matendawa pambuyo sitiroko. Mu: Grotta JC, Albers GW, Broderick JP, Kasner SE, et al, olemba. Stroke: Pathophysiology, Diagnosis, and Management. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 16.

Stein J. Sitiroko. Mu: Frontera WR, Silver JK, Rizzo TD, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 159.