Sitiroko ya Basal Ganglia

Zamkati

• Kodi zizindikiro za sitiroko ya basal ganglia ndi ziti?
• Nchiyani chimayambitsa matenda a basal ganglia?
• Kodi ndi zoopsa ziti za basal ganglia stroke?
• Kodi matenda a basal ganglia amapezeka bwanji?
• Kodi basal ganglia stroke imathandizidwa bwanji?
• Nchiyani chomwe chikuphatikizidwa kuchira kuchokera ku basal ganglia stroke?
• Kodi malingaliro a anthu omwe adadwala sitiroko ya basal ndi otani?
• Kodi FAST ikuyesa chiyani?

Kodi basal ganglia stroke ndi chiyani?

Ubongo wanu uli ndi ziwalo zambiri zomwe zimagwirira ntchito limodzi kuwongolera malingaliro, zochita, mayankho, ndi zonse zomwe zimachitika mthupi lanu.

Basal ganglia ndi ma neuron ozama mu ubongo omwe ndi ofunikira pakuyenda, kuzindikira, ndi kuweruza. Ma Neuron ndi maselo amubongo omwe amakhala ngati amithenga potumiza zizindikiritso zamanjenje.

Kuvulala kulikonse kwa basal ganglia kumatha kukhala ndi zoyipa zazikulu, zomwe zingakhudze mayendedwe anu, malingaliro anu, kapena kuweruza kwanu. Sitiroko yomwe imasokoneza magazi kupita ku basal ganglia yanu imatha kubweretsa zovuta pakuwongolera minofu kapena kukhudza kwanu. Mwinanso mutha kusintha umunthu.

Kodi zizindikiro za sitiroko ya basal ganglia ndi ziti?

Zizindikiro za sitiroko mu basal ganglia zikhala zofanana ndi zizindikilo za sitiroko kwina muubongo. Sitiroko ndi kusokonezeka kwa magazi kulowa mbali ina ya ubongo, mwina chifukwa mtsempha watsekeka kapena chifukwa chotengera magazi chimang'ambika, ndikupangitsa magazi kulowa m'minyewa yapafupi yaubongo.

Zizindikiro zowopsa za stroke zingaphatikizepo:

• mutu mwadzidzidzi komanso wamphamvu
• dzanzi kapena kufooka mbali imodzi ya nkhope kapena thupi
• kusowa kolumikizana kapena kulingalira
• kuvuta kuyankhula kapena kumvetsetsa mawu oyankhulidwa kwa inu
• kuvuta kuwona kuchokera m'maso amodzi kapena onse awiri

Chifukwa cha basal ganglia, zizindikilo za kupwetekedwa kwa basal ganglia zitha kuphatikizaponso:

• minofu yolimba kapena yofooka yomwe imachepetsa kuyenda
• kutayika kofananira pakumwetulira kwanu
• zovuta kumeza
• kunjenjemera

Kutengera mbali yomwe basal ganglia imakhudzidwa, zizindikilo zingapo zimatha kutuluka. Mwachitsanzo, ngati sitiroko ipezeka kumanja kwa basal ganglia yanu, mutha kukhala ndi zovuta kutembenukira kumanzere. Mwina simukudziwa ngakhale zinthu zomwe zikuchitika nthawi yomweyo kumanzere kwanu. Sitiroko kumanja kwanu kwa basal ganglia imatha kubweretsa mphwayi yayikulu ndikusokonezeka.

Nchiyani chimayambitsa matenda a basal ganglia?

Zikwapu zambiri zomwe zimachitika mu basal ganglia ndimatenda opha magazi. Sitiroko yotaya magazi imachitika pamene mtsempha wamagazi womwe mbali ina ya ubongo umaphulika. Izi zitha kuchitika ngati khoma la mtsempha limakhala lofooka ndikung'amba ndikulola magazi kutuluka.

Mitsempha yamagazi mu basal ganglia ndi yaying'ono makamaka ndipo imakhala pachiwopsezo chong'ambika kapena kuphulika. Ichi ndichifukwa chake zikwapu za basal nthawi zambiri zimayambanso kukwapula. Pafupifupi 13 peresenti ya zikwapu zonse ndi zotupa zamagazi.

Sitiroko ya ischemic imathanso kukhudza basal ganglia. Sitiroko yamtunduwu imachitika pamene magazi amaundana kapena mitsempha yopapatiza imaletsa magazi okwanira kudutsa mumitsempha yamagazi. Izi zimapha njala ya oxygen ndi michere yomwe imanyamula m'magazi. Sitiroko ya ischemic imatha kukhudza basal ganglia ngati mtsempha wapakati wamaubongo, chotengera chachikulu chamagazi chapakati paubongo, uli ndi chotsekemera.

Kodi ndi zoopsa ziti za basal ganglia stroke?

Zowopsa zakuwopsa kwa magazi m'magazi oyambira ndi awa:

• kusuta
• matenda ashuga
• kuthamanga kwa magazi

Zowopsa zomwezi zitha kukulitsanso chiopsezo cha sitiroko ya ischemic. Phunzirani zambiri za ziwopsezo za sitiroko.

Kodi matenda a basal ganglia amapezeka bwanji?

Mukakhala kuchipatala, dokotala wanu amafuna kudziwa zizindikilo zanu komanso nthawi yomwe adayamba, komanso mbiri yanu yazachipatala. Mafunso omwe angafunse ndi awa:

• Kodi mumasuta?
• Kodi muli ndi matenda ashuga?
• Kodi mukulandira matenda othamanga magazi?

Dokotala wanu angafunenso zithunzi za ubongo wanu kuti awone zomwe zikuchitika. Kujambula kwa CT ndi MRI kumatha kuwapatsa zithunzi zambiri zaubongo wanu komanso mitsempha yamagazi.

Ogwira ntchito zadzidzidzi akadziwa mtundu wa sitiroko yomwe mukudwala, amatha kukupatsani chithandizo choyenera.

Kodi basal ganglia stroke imathandizidwa bwanji?

Chimodzi mwazinthu zofunika kwambiri za chithandizo cha stroke ndi nthawi. Mukangofika kuchipatala, makamaka malo opwetekera mtima, dokotala wanu amatha kuchepetsa kuwonongeka kwa sitiroko. Itanani oyang'anira zadzidzidzi kwanuko kapena wina amene ali pafupi nanu ayimbire foni akangoyamba kumene.

Ngati mukudwala sitiroko ndipo mukufika kuchipatala pasanathe maola 4.5 kuyambira pomwe zizindikiro zayamba, mutha kulandira mankhwala osokoneza bongo otchedwa tissue plasminogen activator (tPA). Izi zitha kuthandiza kupukutira magazi ambiri. Kuchotsa kwamankhwala kwamankhwala tsopano kumatha kuchitika mkati mwa maola 24 kuyambira pomwe zizindikiro zimayamba. Ndondomeko zosinthidwa zakuchiza sitiroko zidakhazikitsidwa ndi American Heart Association (AHA) ndi American Stroke Association (ASA) mu 2018.

Ngati mukudwala matenda opha magazi, simungatenge tPA chifukwa imalepheretsa kuundana ndikuthandizira kuthamanga kwa magazi. Mankhwalawa amatha kuyambitsa magazi pachiwopsezo komanso kuwonongeka kwa ubongo.

Chifukwa cha sitiroko yotaya magazi, mungafunike kuchitidwa opaleshoni ngati chotupacho chili chachikulu.

Nchiyani chomwe chikuphatikizidwa kuchira kuchokera ku basal ganglia stroke?

Ngati mwadwala sitiroko, muyenera kutenga nawo mbali pobwezeretsa kukwapulidwa. Ngati kulumikizana kwanu kudakhudzidwa ndi sitiroko, akatswiri okonzanso akhoza kukuthandizani kuti muphunzire kuyendanso. Othandizira pakulankhula amatha kukuthandizani ngati luso lanu lolankhula lidakhudzidwa. Kudzera pakukonzanso, muphunziranso masewera olimbitsa thupi komanso mabowolezi omwe mungachite kunyumba kuti mupezenso bwino.

Pankhani ya kupwetekedwa kwa basal ganglia, kuchira kumatha kukhala kovuta kwambiri. Sitiroko yakumanja imatha kukupangitsani kukhala kovuta kuzindikira zomverera kumanzere kwanu ngakhale kuti sitiroko itatha. Mutha kukhala ndi vuto lodziwa komwe dzanja lanu lamanzere kapena phazi lili mlengalenga. Kupanga mayendedwe osavuta kumatha kukhala kovuta kwambiri.

Kuphatikiza pa zovuta zowoneka ndi zovuta zina zakuthupi, mutha kukhalanso ndi zovuta zam'malingaliro. Mutha kukhala okhudzidwa kwambiri kuposa momwe munalili musanadwalike ndi ganglia. Muthanso kukhumudwa kapena kuda nkhawa. Katswiri wazachipatala amatha kukuthandizani kuthana ndi izi pogwiritsa ntchito mankhwala ndi mankhwala.

Kodi malingaliro a anthu omwe adadwala sitiroko ya basal ndi otani?

Kuwona kwanu kwakanthawi kochepa komanso kwakanthawi pambuyo poti sitiroko ya basal idadalira momwe mudapangidwira mwachangu komanso ma neuron angati omwe adatayika. Ubongo nthawi zina umatha kuchira, koma zimatenga nthawi. Khalani oleza mtima ndikugwira ntchito limodzi ndi gulu lanu lazachipatala kuti muchitepo kanthu kuti mupeze bwino.

Sitiroko ya basal ganglia imatha kukhala ndi zovuta zomwe zingasokoneze moyo wanu. Kukhala ndi sitiroko yamtundu uliwonse kumawonjezera chiopsezo chanu chodwala matenda ena. Kukhala ndi sitiroko ya basal ganglia kapena kuwonongeka kwina kwa gawo limenelo la ubongo kungakulitsenso chiopsezo chanu chokhala ndi matenda a Parkinson.

Ngati mumamatira ku pulogalamu yanu yothandizira ndikukhala ndi mwayi wothandizidwa m'dera lanu, mutha kuwongolera mwayi wanu wochira.

Kodi FAST ikuyesa chiyani?

Kuchita mwachangu ndichinsinsi chothandizira kuyankha sitiroko, chifukwa chake ndikofunikira kuzindikira zina mwazizindikiro zowonekera za sitiroko.

American Stroke Association ikukumbutsa kukumbukira mawu akuti "FAST," omwe amatanthauza:

• Face akugwa pansi: Kodi mbali imodzi ya nkhope yanu ili dzanzi komanso yosamvera kuyesetsa kwanu kumwetulira?
• Arm kufooka: Kodi mungakweze manja awiri m'mwamba, kapena dzanja limodzi likutsikira pansi?
• SVuto la peech: Kodi mumatha kuyankhula momveka bwino ndikumvetsetsa mawu omwe wina akunena kwa inu?
• TIME kuti muitane anthu azadzidzidzi kwanuko: Ngati inu kapena munthu wina pafupi nanu muli ndi izi kapena zizindikiro zina za sitiroko, itanani 911 kapena malo azadzidzidzi mwadzidzidzi.

Musayese kuyendetsa nokha kuchipatala ngati mukuganiza kuti mukudwala sitiroko. Itanani ambulansi. Lolani madokotala azachipatala kuti awunikire zizindikiro zanu ndikupatseni chisamaliro choyambirira.