Ischemic stroke: ndi chiyani, chimayambitsa, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Kodi Ngozi Yosakhalitsa Ya Ischemic Ndi Chiyani?
• Momwe mungatsimikizire matendawa
• Zomwe zimayambitsa sitiroko ischemic
• Momwe mankhwalawa amachitikira
• Kodi pali kusiyana kotani pakati pa ischemic kapena hemorrhagic stroke?

Sitiroko ya Ischemic ndiye mtundu wofala kwambiri wama stroke ndipo umachitika pomwe chimodzi mwa zotengera muubongo chimalephereka, kupewa magazi. Izi zikachitika, dera lomwe lakhudzidwa sililandira mpweya wa oxygen, chifukwa chake, limalephera kugwira bwino ntchito, ndikupangitsa kuti zizindikilo zikhale zovuta pakulankhula, pakamwa kokhota, kutaya mphamvu mbali imodzi ya thupi ndikusintha masomphenya, chifukwa Mwachitsanzo.

Nthawi zambiri, sitiroko yamtunduwu imakonda kwambiri okalamba kapena anthu omwe ali ndi vuto linalake lamtima, monga kuthamanga kwa magazi, cholesterol kapena shuga, koma zimatha kuchitika kwa munthu aliyense komanso msinkhu.

Popeza ma cell amubongo amayamba kufa patangopita mphindi zochepa magazi atasokonezedwa, sitiroko nthawi zonse imawonedwa ngati vuto lachipatala, lomwe liyenera kuthandizidwa mwachangu kuchipatala, kuti tipewe ma sequelae akulu, monga ziwalo, kusintha kwa ubongo ngakhale imfa .

Zizindikiro zazikulu

Zizindikiro zowonekera kwambiri, zomwe zitha kuwonetsa kuti munthuyo akudwala sitiroko, ndi monga:

• Zovuta kuyankhula kapena kumwetulira;
• Mkamwa wokhotakhota ndi nkhope yosakanikirana;
• Kutaya mphamvu mbali imodzi ya thupi;
• Zovuta kukweza mikono;
• Kuvuta kuyenda.

Kuphatikiza apo, zizindikilo zina zitha kuwoneka, monga kumva kulasalasa, kusintha kwa masomphenya, kukomoka, kupweteka mutu komanso kusanza, kutengera dera lomwe lakhudzidwa ndi ubongo.

Onani momwe mungadziwire sitiroko ndi thandizo loyamba lomwe liyenera kuchitidwa.

Kodi Ngozi Yosakhalitsa Ya Ischemic Ndi Chiyani?

Zizindikiro za sitiroko zimapitilirabe ndipo zimapitilira mpaka munthuyo atayamba chithandizo kuchipatala, komabe, palinso zochitika zomwe zizindikirazo zimatha patatha maola ochepa, popanda chithandizo chilichonse.

Izi zimadziwika kuti "Transient Ischemic Accident", kapena TIA, ndipo zimachitika pomwe sitiroko idayambitsidwa ndi kansalu kakang'ono kwambiri komwe, komabe, kanakankhidwa ndi kayendedwe ka magazi ndikusiya kuyimitsa chotengera. M'magawo awa, kuphatikiza pakusintha kwa zizindikilo, ndizofala mayeso omwe amachitika kuchipatala kuti asawonetse kusintha kulikonse muubongo.

Momwe mungatsimikizire matendawa

Nthawi zonse sitiroko ikayikiridwa, ndikofunikira kupita kuchipatala kukatsimikizira kuti ali ndi matendawa. Nthawi zambiri, dokotalayo amagwiritsa ntchito mayeso a kujambula, monga ma computed tomography kapena kujambula kwa maginito, kuti azindikire kutsekeka komwe kumayambitsa sitiroko ndikupangitsa chithandizo choyenera kwambiri.

Zomwe zimayambitsa sitiroko ischemic

Sitiroko imayamba pamene chotengera china muubongo chatsekana, chifukwa chake magazi samatha kudutsa ndikudyetsa ma cell aubongo ndi oxygen ndi michere. Kulepheretsa kumeneku kumatha kuchitika m'njira ziwiri:

• Kutsekedwa ndi khungu: ndizofala kwambiri kwa okalamba kapena anthu omwe ali ndi vuto la mtima, makamaka atril fibrillation;
• Kupapatiza chotengera: nthawi zambiri zimachitika kwa anthu omwe ali ndi vuto la kuthamanga kwa magazi kapena atherosclerosis, chifukwa ziwiya zimasinthasintha ndikucheperachepera, kuchepa kapena kupewa magazi.

Kuphatikiza apo, pali zinthu zina zambiri zomwe zimawonjezera chiopsezo chokhala ndi khungu ndi kudwala sitiroko, monga kukhala ndi mbiri yakukhala ndi ziwalo, kusuta, kunenepa kwambiri, kusachita masewera olimbitsa thupi kapena kumwa mapiritsi oletsa kubereka, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha kupwetekedwa kwa ischemic chimachitika mchipatala ndipo nthawi zambiri chimayambira ndi jakisoni wa mankhwala a thrombolytic molunjika mumtsinje, omwe ndi mankhwala omwe amapangitsa magazi kukhala ochepa thupi ndikuthandizira kutseka khungu lomwe likuyambitsa kutsekeka kwa chotengera.

Komabe, khungu likakhala lalikulu kwambiri ndipo silimachotsedwa ndi kugwiritsa ntchito thrombolytics, pangafunike kupanga makina opanga ma thrombectomy, omwe amakhala ndi catheter, yomwe ndi chubu yopyapyala komanso yosinthasintha, mumitsempha ina ya kubuula kapena khosi, ndikulitsogolera kupita ku chotengera chaubongo komwe kulumikizana. Ndiye, mothandizidwa ndi catheter iyi, adotolo amachotsa chovalacho.

Ngati sitiroko siyimayambitsidwa ndi khungu, koma pochepetsa chombocho, adotolo amathanso kugwiritsa ntchito catheter kuyika stent m'malo mwake, yomwe ndi thumba laling'ono lachitsulo lomwe limathandiza kuti chotsekacho chitseguke, kuloleza kudutsa mwazi.

Pambuyo pa chithandizo, munthuyo amayenera kuyang'aniridwa mchipatala nthawi zonse, chifukwa chake, ndikofunikira kukhala mchipatala masiku angapo. Pakugonekedwa mchipatala, adotolo awunika kupezeka kwa sequelae ndipo atha kuwonetsa kugwiritsa ntchito mankhwala ochepetsa sequelae awa, komanso ma physiotherapy ndi magawo olankhulira olankhula. Onani 6 sequelae wofala kwambiri pambuyo pa sitiroko komanso momwe akuchira.

Kodi pali kusiyana kotani pakati pa ischemic kapena hemorrhagic stroke?

Mosiyana ndi sitiroko ya ischemic, sitiroko yotuluka magazi ndiyosowa kwambiri ndipo imachitika pamene chotengera muubongo chimaphulika, chifukwa chake, magazi sangadutse bwino. Sitiroko yotaya magazi ndiyofala kwambiri kwa anthu omwe ali ndi kuthamanga kwa magazi kosalamulirika, omwe amamwa ma anticoagulants kapena aneurysm. Phunzirani zambiri za mitundu iwiri ya zikwapu komanso momwe mungasiyanitsire.