Zowopsa Kwa Stroke Amayi Onse Amayenera Kudziwa

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Anali 4 koloko m'mawa mu Novembala 2014, ndipo Merideth Gilmor, wolemba nkhani yemwe amayimira othamanga ngati Maria Sharapova, anali kuyembekeza kuti adzagona. Tsikuli linali litayamba molawirira, ndi kuthamanga kwake kwanthawi zonse kwa makilomita asanu ndi atatu. Kenako iye ndi mwamuna wake anali atapita kuukwati wa bwenzi lake lapamtima, komwe adagona usiku wonse "akuchita zisangalalo ngati nyenyezi," akutero. Pomwe amabwerera kuchipinda chake cha hotelo, anali atakonzeka kugwa pabedi ndikutuluka. Koma pamene ankachita zimenezo, anamva chinthu chodabwitsa. "Sindidzaiwala konse; zimangokhala ngati ndakhomerera dandelion yayikulu pamphuno mwanga. Kenako masomphenya anga adada," akukumbukira. "Ndimamva, koma sindimatha kulumikizana ndipo sindimatha kusuntha."

Gilmor, yemwe panthawiyo anali ndi zaka 38 zokha, anali atangodwala matenda a sitiroko.

Vuto Likukula

Gilmor sakhala yekha. "Kuchuluka kwa sitiroko kwa azimayi achichepere kwachulukirachulukira," akutero a Philip B. Gorelick, M.D., wamkulu wa zamankhwala ku Mercy Health Hauenstein Neuroscience Center ku Grand Rapids, MI. Pakati pa 1988 mpaka 1994 ndi 1999 mpaka 2004, kufalikira kwa sitiroko kwa amayi azaka zapakati pa 35 mpaka 54 kuwirikiza katatu; amuna sanasinthe, atero a Gorelick. Ngakhale kuti ili limodzi mwa matenda asanu apamwamba kwambiri a zachipatala amene atsikana sayembekezera, pafupifupi 10 peresenti ya sitiroko imachitika mwa achichepere osakwana zaka 50. (Chiŵerengero china chodabwitsa: Sitiroko imapha akazi ochuluka kuŵirikiza kaŵiri kuposa kansa ya maŵere chaka chilichonse.)

"Zimakhala zovuta kudziwa ngati kufalikira kukukulirakulira, kapena ngati tikungoyamba kuzindikira zikwapu mwa achikulire," akutero Caitlin Loomis, MD, pulofesa wothandizira wa minyewa ku Yale School of Medicine, komanso katswiri wa minyewa ku Yale. Chipatala Chatsopano cha Haven. Koma Gorelick akuganiza kuti sitiroko ikuchulukirachulukira, mwa zina chifukwa kuthamanga kwa magazi komanso kuchuluka kwama cholesterol, zomwe zimayambitsa ziwopsezo, zimakhudza azimayi ambiri azaka zazing'ono. (Kodi mumadziwa kuti pali kugwirizana pakati pa kusowa tulo ndi kuthamanga kwa magazi?)

Ngakhale kuti kuzindikira za vutoli kukukulirakulira, chifukwa zikwapu zimakhala zofala kwambiri kwa okalamba, anthu ambiri-madokotala amaphatikizapo-amalephera kuzindikira zizindikiro zikachitika mwa amayi aang'ono. Pafupifupi 13 peresenti ya odwala sitiroko sazindikira molondola, malinga ndi kafukufuku waposachedwa m'magaziniyo Matendawa. Koma ofufuzawo adapeza kuti amayi ndi 33 peresenti omwe amatha kuzindikiridwa molakwika, ndipo anthu osakwanitsa zaka 45 amakhala ndi mwayi wopezeka ndi matenda olakwika kasanu ndi kawiri.

Ndipo zitha kukhala zowopsa: Mphindi 15 zilizonse munthu wodwala sitiroko akapanda kulandira chithandizo amawonjezera mwezi wina wolumala munthawi yawo yochira, malinga ndi kafukufuku Sitiroko.

Mwamwayi, mwamuna wa Gilmor adazindikira zizindikiro zake-kufa ziwalo pamaso pake, chisokonezo, kulankhula momveka bwino-monga sitiroko. "Ndinamumva akuyitana 911, ndipo ndinaganiza, Ndiyenera kuvala. " , imalepheretsa mtsempha wotumiza magazi ku ubongo.

Carolyn Roth analibe mwayi. Mu 2010, anali ndi zaka 28 zokha pomwe adapanga chizindikiro chake choyamba chochenjeza: kupweteka kwambiri m'khosi mwake atapita ku masewera olimbitsa thupi. Anayilemba ngati minofu yokoka. Anakwanitsanso kufotokozera madontho ngati daimondi omwe adaphimba masomphenya ake pomwe amayenda kunyumba usiku womwewo komanso kupweteka kwa khosi komwe kumamupangitsa kuti apeze Tylenol tsiku lotsatira lonse.

Pomaliza, m'mawa mwake anali ndi nkhawa zokwanira kuyimbira bambo ake, omwe adamutengera kuchipatala. Analowa cha m'ma 8 koloko m'mawa, ndipo patadutsa maola ochepa dokotala adamuwuza kuti adwala sitiroko. "Adadziwa nthawi yomweyo, chifukwa maso anga sanali kuyankha kuwala," akutero. Koma adachita chidwi. Ngakhale anali kumva kuwawa, nseru, kusokonezeka, komanso kuwonongeka kwa masomphenya, anali asanakumane ndi zina mwazizindikiro "monga", monga ziwalo zakumanzere. Izi zikhoza kukhala chifukwa chakuti kupwetekedwa mtima kwake kunayambitsidwa chifukwa cha kutsekeka kwa msana, kapena kung'ambika pamtsempha, nthawi zambiri kumachitika chifukwa cha zoopsa zina monga ngozi yagalimoto kapena kukhosomola koopsa. (Zizindikiro zina-ngati izi zikuchenjeza-simuyenera kuzinyalanyaza.)

"Pankhani yakuchira sitiroko, nthawi ndiyofunika kwambiri," akutero a Loomis. "Mankhwala ena amangothandiza mukangowatumiza m'maola atatu kapena anayi a ola limodzi, chifukwa chake ndikofunikira kuti omwe akuvutika ndi sitiroko atengere kuchipatala mwachangu ndikuwunika mwachangu."

Zotsatira

Kuchira kwa sitiroko kumawoneka mosiyana kwa wodwala aliyense. "Zambiri zimadalira kukula kwa sitiroko komanso komwe kuli ubongo," akutero a Loomis. Ndipo ngakhale zili zowona kuti kuchira kumatha kukhala njira yayitali, yocheperako, mosiyana ndi zomwe anthu ambiri amakhulupirira, sitiroko siyimene munthu amakhala wolumala moyo wake wonse. Izi ndizowona makamaka kwa odwala achichepere, omwe a Loomis akuti amakonda kuchita bwino kuposa odwala okalamba pankhani yothandizira ndi kukonzanso. (Mavuto ena azaumoyo amakhudzanso abambo ndi amai mosiyanasiyana.)

Onse a Gilmor ndi Roth akuti anali ndi mwayi wokhala ndi ntchito zosinthika zomwe zimawalola kupuma mokwanira. "Kugona ndikofunikira kwambiri pachiyambi, popeza ubongo wanu ukuyesera kudzikonza wokha. Zimatenga nthawi yayitali," akutero Roth. Atapita miyezi ingapo kuchokera ku masewera olimbitsa thupi kuti achire, pang'onopang'ono adayambanso kuchita masewera olimbitsa thupi. "Ndichita masewera olimbitsa thupi tsopano-ndinathamanga ngakhale New York City marathon mu 2013!" akutero. (Mukuyesa kuthamanga? Onani Zinthu 17 Zomwe Mungayembekezere Mukamathamanga Marathon Yanu Yoyamba.)

Gilmor amayamikiranso njira yake yothandizira-madokotala ake, omwe amamutcha "Stroke Squad" (Loomis anali m'modzi wa iwo), banja, makasitomala, ogwira nawo ntchito, ndi abwenzi-ndi kuchira kwake. Iye anati: “Ndinkayesetsa kuona zinthu zoseketsa m’chilichonse, zomwe ndikuganiza kuti zinandithandiza. Kuphatikiza pa chithandizo chamankhwala, a Gilmor, omwe adakali ofooka kumanzere kwawo, pang'onopang'ono adakwera kukwera miyala ndi mwana wawo wamwamuna ngati njira yomulimbikitsanso.

Koma kuthamanga inali cholinga chake chomaliza. "Mwana wanga wamwamuna anandiuza kuti, 'Amayi, ndikuganiza kuti mudzakhala bwino mukadzathanso kuthamanga.' Zachidziwikire kuti izi zidandipangitsa kukhala ngati, 'Chabwino-ndiyenera kuthamanga!' "Akutero a Gilmor. Pano akuphunzira za New York City Marathon ya 2015, ndipo, kwenikweni, wangomaliza kumene ulendo wautali wamakilomita 14.

"Sizovuta, kuyesa kuthamanga marathon," akutero a Gilmor. "Koma mungotenga masitepe achichepere. Maganizo anga onse tsopano ndi awa: Muyenera kuti mudutse zifukwa zanu. Mutha kukhala amantha, koma muyenera kukhala akulu kuposa mantha."

Zomwe Mungachite Tsopano

Palibe chomwe mungachite kuti mutsimikizire kuti simudzadwala sitiroko. Koma njira zisanu ndi ziwirizi zingakuthandizeni kuchepetsa chiopsezo chanu-ndikuthandizira opulumuka amasiku ano.

1. Dziwani zizindikilo zonse: Mawu akuti FAST ndi malo abwino kuyamba. Zimayimira Kugwa kwa Nkhope, Kufooka kwa Arm, Kuvuta Kulankhula, ndi Time to call 911-yomwe imakhudza zizindikiro zazikulu za zikwapu zambiri. “Koma ndinganene chinthu chofunika kwambiri kukumbukira n’chakuti ngati wina asintha mwadzidzidzi pamaso panu, pezani chithandizo,” akutero Dr. Loomis. Kuphatikiza pa zizindikiritso za FAST, kukulira mwadzidzidzi kukhala ndi vuto la masomphenya, kulephera kuyankhula kapena kuyimirira, mawu osalongosoka, kapenanso kungowoneka ngati munthu wamba sizizindikiro zonse za sitiroko.

2. Samalani ndi ma meds ena: Madokotala a Gilmor amakhulupirira kuti chiopsezo chake chokhala ndi sitiroko chinakwera chifukwa cha njira yolerera yomwe adatenga. "Njira yolerera ya mahomoni iliyonse yomwe imakhala ndi estrogen, kuphatikiza mapiritsi ambiri oletsa kubereka, zigamba, ndi mphete za kumaliseche, zimawonjezera chiopsezo chanu chokhala khungu," akutero a Loomis. Nthawi zambiri, magazi kuundana amathera mumtsempha, osati mtsempha. Koma ngati muli ndi zifukwa zina zowopsa, monga kuthamanga kwa magazi, mungafune kuyankhula ndi ob-gyn wanu posintha zakulera. (Wolemba wina akufotokoza chifukwa chake sadzamwanso Piritsi.)

3. Osanyalanyaza kupweteka kwa khosi: Pafupifupi 20 peresenti ya zikwapu za ischemic mwa akuluakulu osapitirira zaka 45-kuphatikizapo Roth's-zimayamba chifukwa cha mitsempha ya khomo lachiberekero, kapena kung'ambika kwa mitsempha yopita ku ubongo. The Open Neurology Journal ziwonetsero. Kugundana kwagalimoto, kutsokomola kapena kusanza, ndi kugwedezeka mwadzidzidzi kapena kugwedezeka kungayambitse misozi iyi. Loomis akunena kuti sizikutanthauza kuti muyenera kupewa yoga (pambuyo pake, mamiliyoni a anthu amapotoza ndi kugwedeza mitu yawo tsiku ndi tsiku ndipo palibe chomwe chimachitika), koma muyenera kumvetsera kwambiri momwe mumamvera mutatha kuchita chilichonse chomwe chimayambitsa kusuntha kwadzidzidzi. khosi. Ngati mukumva kuwawa kwambiri kapena mseru, kapena muwona zovuta zamasomphenya pambuyo pake, pitani kuchipatala.

4. Tambasula: Mwamva machenjezo okhudza kuonetsetsa kuti muimirire ndi kutambasula pamene mukuuluka. Mwayi, mudawanyalanyaza-makamaka ngati mudakhala pampando wawindo. Koma kuwuluka kumalimbikitsa magazi kuti alowe m'miyendo yanu, ndikuwonjezera chiopsezo chanu chopanga magazi omwe amatha kupita ku ubongo wanu, akutero Loomis. (Madokotala a Gilmor akuganiza kuti kukwera ndege kwaposachedwa, kuphatikizapo kugwiritsa ntchito Mapiritsi, ndi zomwe zinayambitsa sitiroko.) Lamulo labwino la chala chachikulu: Imirirani ndi kutambasula kapena yendani timipata kamodzi pa ola.

5. Sungani ma tabu pa manambalawa: Onetsetsani kuti magazi ndi cholesterol yanu mumamwa pafupipafupi, ndipo ngati manambala ayamba kukwera kupita kumalo "apamwamba kuposa masiku onse", funsani dokotala zomwe mungachite kuti muwabwezeretse, akutero a Gorelick. Kuthamanga kwa magazi kumawononga mitsempha ya magazi, ndipo cholesterol yochuluka ingapangitse mwayi wanu kuti mupange magazi.

6. Khalani ndi chakudya chopatsa thanzi: Loomis amalimbikitsa zakudya za ku Mediterranean, zomwe zawonetsedwa kuti zimachepetsa matenda amtima. "Ndi nsomba, mtedza, ndiwo zamasamba, komanso nyama zofiira komanso zinthu zokazinga," akutero. Yambirani ndi maphikidwe awa a Zakudya Zaku Mediterranean. Kudya zakudya zoyera zamtunduwu kumathandizanso kuti mukhale ndi thanzi labwino, zomwe Gorelick ndi Loomis amavomereza ndi njira imodzi yosavuta yochepetsera chiopsezo.

7. Thandizani opulumuka: Ngati simunakhudzidwe ndi sitiroko, mwina simuyenera kuyang'ana kutali kuti mupeze munthu yemwe ali ndi izi: Sekondi iliyonse ya 40, wina ali nayo, ndipo lero pali opulumuka 6.5 miliyoni omwe amakhala ku US Ndipo monga Loomis akuti, "Sitiroko ndi chinthu chosintha moyo chomwe chingakhale chovuta kupyola, mwakuthupi, komanso mwamalingaliro. Kukhala ndi nthandizi kumathandiza kwambiri." Pofuna kuthandizira opulumuka, National Stroke Association yangoyambitsa gulu lawo la Come Back Strong. Pali njira zambiri zomwe mungatengerepo nawo mbali: kusintha chithunzi chanu cha mbiri yanu kukhala chizindikiro cha Come Back Strong, kupereka ndalama, kapena kutenga nawo gawo pazochitika za Comeback Trail pa Seputembara 12-kupatulira njira yakomweko kwa munthu amene wapulumuka sitiroko yemwe mukumudziwa, ndikulowamo. ulemu wa njira yake yakuchira pa tsikulo.

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