Mlembi: Roger Morrison
Tsiku La Chilengedwe: 4 Sepitembala 2021
Sinthani Tsiku: 7 Febuluwale 2025
Anonim
Cerebral ischemia: ndi chiyani, zizindikiro ndi chithandizo - Thanzi
Cerebral ischemia: ndi chiyani, zizindikiro ndi chithandizo - Thanzi

Zamkati

Cerebral ischemia kapena ischemic stroke imachitika pakuchepa kapena kusapezeka kwa magazi kubongo, motero kumachepetsa kuchuluka kwa mpweya womwe umafikira chiwalo ndikuwonetsa momwe ubongo wa hypoxia umakhalira. Cerebral hypoxia imatha kubweretsa sequelae yayikulu kapena kufa ngati munthuyo sakudziwika ndikumuchiza akangoyamba kuwonekera, monga kuwodzera, kufooka kwa manja ndi miyendo ndikusintha pakulankhula ndi masomphenya.

Cerebral ischemia imatha kuchitika nthawi iliyonse, panthawi yochita zolimbitsa thupi kapena ngakhale kugona, ndipo zimakonda kuchitika kwa anthu omwe ali ndi matenda ashuga, atherosclerosis ndi sickle cell anemia. Matendawa amatha kupangidwa potengera mayeso a kujambula, monga maginito resonance ndi computed tomography.

Pali mitundu iwiri ya ubongo ischemia, ndi iyi:

  1. Zolingalira, momwe chovala chimatsekereza chotengera chaubongo ndikuletsa kapena kuchepetsa kupititsa kwa magazi kupita kuubongo, komwe kumatha kubweretsa kufa kwa maselo am'magawo amubongo omwe asokonekera;
  2. Padziko lonse lapansi, momwe magazi athunthu amasunthira muubongo, zomwe zimatha kuwononga ubongo nthawi zonse ngati sizikudziwika ndikuchiritsidwa mwachangu.

Zizindikiro zazikulu

Zizindikiro za ubongo ischemia zimatha kukhala pamasekondi mpaka nthawi yayitali ndipo zitha kukhala:


  • Kutaya mphamvu mmanja ndi miyendo;
  • Chizungulire;
  • Kuyimba;
  • Kulankhula kovuta;
  • Mutu;
  • Nseru ndi kusanza;
  • Kuthamanga;
  • Kusagwirizana;
  • Kusadziŵa kanthu;
  • Kufooka mbali imodzi kapena mbali zonse ziwiri za thupi.

Zizindikiro za ubongo ischemia ziyenera kuzindikirika mwachangu kuti mankhwala ayambe, apo ayi kuwonongeka kwakanthawi kwaubongo kumatha kuchitika. Munthawi yochepa yaubongo ischemia zizindikilozi zimakhalitsa ndipo zimakhala zosakwana maola 24, koma amayeneranso kuthandizidwa kuchipatala.

Kodi kuchepa kwa ubongo ischemia ndi chiyani

Matenda a ubongo, omwe amatchedwanso TIA kapena mini-stroke, amapezeka pakuchepa kwa magazi muubongo munthawi yochepa, ndi zizindikilo zakayambiranso mwadzidzidzi ndipo nthawi zambiri zimasowa pafupifupi maola 24, ndipo zimafunikira chisamaliro mwachangu momwe zimakhalira Chiyambi cha matenda oopsa kwambiri a ubongo.

Ischemia yanthawi yayitali imayenera kuthandizidwa molingana ndi malangizo azachipatala ndipo nthawi zambiri imachitika pochiza zovuta, monga matenda ashuga, matenda oopsa, cholesterol, komanso kusintha pakudya ndi zizolowezi, monga kuchita masewera olimbitsa thupi komanso kuchepa kwamafuta ndi mowa, kuwonjezera kupewa kupewa kusuta. Phunzirani momwe mungadziwire ndi kuchiza matenda opatsirana.


Zotsatira zotheka za ubongo ischemia

Cerebral ischemia imatha kusiya sequelae, monga:

  • Kufooka kapena kulumala kwa mkono, mwendo kapena nkhope;
  • Konzani thupi lonse kapena mbali imodzi ya thupi;
  • Kutaya kwa kugwirizanitsa magalimoto;
  • Zovuta kumeza;
  • Kulingalira;
  • Kulankhula kovuta;
  • Mavuto am'mutu, monga kukhumudwa;
  • Zovuta m'masomphenya;
  • Kuwonongeka kwamuyaya kwa ubongo.

Zotsatira za ubongo ischemia zimasiyana mosiyanasiyana kuchokera pamunthu kupita kwina ndikudalira komwe ischemia idachitikira komanso nthawi yomwe adatenga kuti ayambe kulandira chithandizo, nthawi zambiri zimafunikira kuti athandizidwe ndi othandizira, olankhula kapena othandizira pantchito kuti akhale ndi moyo wabwino komanso pewani kuti sequelae ikhale yokhazikika.


Zomwe zingayambitse

Zomwe zimayambitsa ubongo ischemia ndizofanana kwambiri ndi moyo wamunthuyo. Chifukwa chake, anthu omwe ali ndi atherosclerosis, matenda ashuga komanso kuthamanga kwa magazi, omwe ndi matenda okhudzana ndi kudya, ali pachiwopsezo chotenga ubongo ischemia.

Kuphatikiza apo, anthu omwe ali ndi sickle cell anemia amathanso kudwala chifukwa chotsika kwa mpweya wa oxygenation, chifukwa mawonekedwe amwazi ofiira osasintha samalola mayendedwe abwino a oxygen.

Mavuto okhudzana ndi kugundana kwamatenda, monga kupindika kwa ma platelet ndi ma coagulation, amakondweretsanso kupezeka kwa ubongo ischemia, popeza pali mwayi waukulu wotsekeka chotengera chaubongo.

Kodi chithandizo ndi kupewa kwa ubongo ischemia kumachitika bwanji

Chithandizo cha ubongo ischemia chimachitika poganizira kukula kwa khungu ndi zomwe zingachitike kwa munthuyo, komanso kugwiritsa ntchito mankhwala omwe amachepetsa chovalacho, monga Alteplase, kapena opaleshoni atha kuwonetsedwa. Chithandizo chikuyenera kuchitika mchipatala kuti magazi ndi kuthamanga kwa magazi kuyang'anitsidwe, motero kupewa zovuta zomwe zingachitike.

Kuphatikiza pa kugwiritsa ntchito mankhwala, ndikofunikira kufunafuna chithandizo kuchokera kwa othandizira, olankhula kapena othandizira pantchito kuti atukule moyo wamunthuyo ndikupewa kuwonongeka kwamuyaya. Onani momwe stroke physiotherapy yachitidwira.

Pambuyo pakumasulidwa kuchipatala, zizolowezi zabwino ziyenera kusungidwa kuti chiwopsezo chokhala ndi vuto la ubongo ischemia ndi chochepa, ndiye kuti, chisamaliro chiyenera kulipidwa pachakudya, kupewa zakudya zamafuta ndi zamchere wambiri, kuchita masewera olimbitsa thupi, kupewa kumwa zakumwa zoledzeretsa ndikusiya kusuta. Pali mankhwala ena apakhomo omwe angalepheretse kupwetekedwa mtima, chifukwa ali ndi zinthu zomwe zimalepheretsa magazi kuti azikula kwambiri ndikupanga kuundana.

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