Matenda a ischemic: ndi chiyani, zizindikiro zazikulu ndi chithandizo
Zamkati
- Zizindikiro zazikulu
- Kodi mutha kusiya sequelae?
- Kodi matendawa ndi ati?
- Momwe mankhwalawa amachitikira
Kuukira kwakanthawi kochepa, komwe kumadziwikanso kuti mini-stroke kapena kwakanthawi kochepa, ndikusintha, kofanana ndi kupwetekedwa, komwe kumayambitsa kusokonekera kwa magazi kupita kudera laubongo, nthawi zambiri chifukwa chopanga khungu.
Komabe, mosiyana ndi sitiroko, pamenepa, vutoli limangotenga mphindi zochepa ndipo limadzichokera lokha, osasiya mayendedwe okhazikika.
Ngakhale sichicheperako, "mini-stroke" iyi ikhoza kukhala chisonyezo choti thupi limapanga kuundana mosavuta, chifukwa chake, limapezeka miyezi ingapo sitiroko isanachitike, ndipo tikulimbikitsidwa kuti titeteze kuti izi zisachitike. Zina mwaziwopsezo zomwe zitha kuchititsa kuti ischemic iwonongeke kwakanthawi ndi kunenepa kwambiri, kuthamanga kwa magazi, matenda ashuga, kugwiritsa ntchito ndudu, uchidakwa, kusachita masewera olimbitsa thupi kapena kugwiritsa ntchito njira zakulera, mwachitsanzo.
Zizindikiro zazikulu
Zizindikiro zakanthawi kochepa za ischemic ndizofanana kwambiri ndi zisonyezo zoyambirira za sitiroko ndipo zimaphatikizapo:
- Kufa ziwalo ndi kumva kulasalasa mbali imodzi ya nkhope;
- Kufooka ndi kumenyera dzanja ndi mwendo mbali imodzi ya thupi;
- Zovuta kuyankhula momveka bwino;
- Maso kapena masomphenya awiri;
- Kuvuta kumvetsetsa ziwonetsero zosavuta;
- Kusokonezeka mwadzidzidzi;
- Mutu mwadzidzidzi;
- Chizungulire ndi kutayika bwino.
Zizindikirozi ndizolimba kwambiri kwa mphindi zochepa, koma zimazimiririka pasanathe ola limodzi kuchokera pomwe zimayamba.
Mulimonsemo, ndibwino kuti mupite kuchipatala nthawi yomweyo kapena kuyimbira ambulansi, kuyimba foni 192, kuti mudziwe vuto, popeza zizindikilozi zitha kuwonetsanso sitiroko, yomwe imafunika kuthandizidwa mwachangu.
Onani zizindikiro zina za sitiroko zomwe zitha kuchitika pakamenyedwe kakang'ono.
Kodi mutha kusiya sequelae?
Nthawi zambiri, kuwonongeka kwa ischemic kwakanthawi sikusiya mtundu wina uliwonse wokhazikika, monga kuvutika kuyankhula, kuyenda kapena kudya, mwachitsanzo, monga kusokonekera kwa magazi kumatenga kanthawi kochepa, chifukwa chake, zotupa zazikulu zaubongo sizimapezeka ..
Komabe, kutengera kulimba, kutalika ndi malo omwe ubongo wakhudzidwa, anthu ena atha kukhala ndi zovuta zina zochepa kupatula sitiroko.
Kodi matendawa ndi ati?
Kuzindikira matenda amisala kumapangidwa ndi dokotala poyang'ana zizindikilo ndi zizindikilo zomwe zimaperekedwa.
Kuphatikiza apo, mayesero, monga kuyesa magazi, ultrasound kapena computed tomography, mwachitsanzo, amathanso kulamulidwa, kuti asatenge kusintha kosakhala kwamitsempha, monga kutenga kapena hypoglycemia, komanso kudziwa chomwe chikuyambitsa, pofuna kupewa gawo latsopano, popeza kuukira kwa ischemic ndiye chizindikiro chachikulu cha ma alarm a infarction. Mayesowa akuyenera kuchitidwa mkati mwa maola 24 oyamba chisokonezo chisanachitike
Momwe mankhwalawa amachitikira
Nthawi zambiri sikofunikira kuchiza matenda osakhalitsa a ischemic, chifukwa chovalacho chimachotsedwa mwachilengedwe ndi thupi, komabe, ndikofunikirabe kupita kuchipatala kukatsimikizira kuti ali ndi vutoli ndikuletsa kuthekera kochita sitiroko.
Pambuyo pokhala ndi "mini-stroke" yamtunduwu pamakhala chiopsezo chachikulu chodwala sitiroko, chifukwa chake, adotolo atha kuwonetsa mtundu wina wamankhwala kuti izi zisachitike, kuphatikiza:
- Mankhwala a anti-platelet, monga Aspirin: amachepetsa kuthekera kwa ma platelet kumamatira palimodzi, kuteteza kuundana kuti kuonekere, makamaka pakakhala chilonda pakhungu;
- Mankhwala a Anticoagulant, monga Warfarin: zimakhudza mapuloteni ena amwazi, kuwapangitsa kukhala ochepa komanso osapangika mapiko omwe angayambitse sitiroko;
- Opaleshoni: amagwiritsidwa ntchito pamene mtsempha wamagazi wa carotid ndi wopapatiza kwambiri ndipo umathandiza kutambasula chotengeracho mopitilira, kuteteza mafuta omwe amapezeka pamakoma ake kuti asasokoneze magazi;
Kuphatikiza apo, ndikofunikira kuti pakadutsa nthawi ischemic attack, khalani ndi zizolowezi zabwino zomwe zimathandiza kuchepetsa chiopsezo cha kupangika kwa magazi monga kusasuta, kuchita masewera olimbitsa thupi kwa mphindi 30 katatu pamlungu ndikukhala ndi chakudya chamagulu.
Pezani malangizo ena omwe angakuthandizeni kuchepetsa mwayi wokhala ndi stroke kapena stroke.