Zizindikiro za Stroke mwa Akazi: Momwe Mungadziwire Sitiroko ndikupeza Thandizo

Zamkati

• Kodi sitiroko imafala mwa akazi?
• Zizindikiro zapadera kwa amayi
• Zizindikiro zakusintha kwamaganizidwe
• Zizindikiro zofala za sitiroko
• Zomwe muyenera kuchita mukawombedwa ndi sitiroko
• Njira zochiritsira sitiroko
• Chilonda cha ischemic
• Sitiroko yotaya magazi
• Kuchiza kwa amayi ndi amuna
• Stroke kuchira mwa akazi
• Kupewa sitiroko yamtsogolo
• Chiwonetsero

Kodi sitiroko imafala mwa akazi?

Pafupifupi chaka chilichonse amakhala ndi sitiroko. Sitiroko imachitika magazi atagunda kapena chotengera chodula chimadula magazi kupita muubongo wanu. Chaka chilichonse, anthu pafupifupi 140,000 amamwalira ndi zovuta zokhudzana ndi sitiroko. Izi zikuphatikizapo kupanga magazi kuundana kapena kugwira chibayo.

Ngakhale amuna amakhala ndi sitiroko, azimayi amakhala pachiwopsezo chachikulu chokhala ndi moyo. Amayi nawonso amatha kufa ndi sitiroko.

Akuti mayi m'modzi mwa amayi asanu aku America adzadwala sitiroko, ndipo pafupifupi 60% amwalira ndi chiwembucho. Sitiroko ndi chifukwa chachitatu chodziwika bwino chakupha kwa azimayi aku America.

Pali zifukwa zambiri zomwe amai amakhala ndi sitiroko: Amayi amakhala ndi moyo wautali kuposa amuna, ndipo msinkhu ndi chinthu china chofunikira kwambiri pachiwopsezo cha sitiroko. Amakhala ndi vuto lakuthamanga magazi. Mimba komanso zakulera zimathandizanso kuti mayi azikhala ndi chiopsezo.

Mukamadziwa zambiri pazizindikiro za sitiroko mwa akazi, ndizotheka kupeza thandizo. Chithandizo mwachangu chingatanthauze kusiyana pakati pa kulemala ndi kuchira.

Zizindikiro zapadera kwa amayi

Amayi amatha kunena zisonyezo zomwe sizimakhudzana ndi zikwapu mwa amuna. Izi zingaphatikizepo:

• nseru kapena kusanza
• kugwidwa
• ming'alu
• kuvuta kupuma
• ululu
• kukomoka kapena kutaya chidziwitso
• kufooka wamba

Chifukwa izi ndizosiyana ndi azimayi, zitha kukhala zovuta kuzilumikizitsa kuti ziphuphu. Izi zitha kuchedwetsa chithandizo, chomwe chingalepheretse kuchira.

Ngati ndinu mayi ndipo simukudziwa ngati zizindikiro zanu ndi matenda a sitiroko, muyenera kuyimbirabe ntchito zadzidzidzi kwanuko. Odwala opaleshoni akangofika pamalopo, amatha kuyesa zizindikiro zanu ndikuyamba chithandizo, ngati kuli kofunikira.

Zizindikiro zakusintha kwamaganizidwe

Makhalidwe osamvetseka, monga kuwodzera mwadzidzidzi, amathanso kuwonetsa sitiroko. Madokotala amatcha izi "".

Zizindikirozi ndi monga:

• kusayankha
• kusokonezeka
• chisokonezo
• kusintha kwadzidzidzi kwamakhalidwe
• kubvutika
• kuyerekezera zinthu m'maganizo

Ofufuza mu kafukufuku wa 2009 adapeza kuti kusintha kwa malingaliro ndichizindikiro chofala kwambiri chamakhalidwe. Pafupifupi azimayi 23 pa 100 aliwonse komanso amuna 15 pa 100 alionse akuti asintha momwe amagwirira ntchito. Ngakhale amuna ndi akazi atha kukhudzidwa, azimayi ali ndi mwayi wopitilira chizindikiro chimodzi chazizindikiro.

Zizindikiro zofala za sitiroko

Zizindikiro zambiri za sitiroko zimapezeka ndi amuna ndi akazi. Sitiroko nthawi zambiri imadziwika ndikulephera kuyankhula kapena kumvetsetsa zolankhula, kufinya, komanso kusokonezeka.

Zizindikiro zofala kwambiri za sitiroko ndi izi:

• vuto ladzidzidzi kuwona m'maso amodzi kapena onse awiri
• dzanzi mwadzidzidzi kapena kufooka kwa nkhope yanu ndi ziwalo zanu, makamaka mbali imodzi ya thupi lanu
• kuyankhula mwadzidzidzi kapena kumvetsetsa, zomwe zimakhudzana ndi chisokonezo
• mutu mwadzidzidzi komanso wowopsa popanda chifukwa chodziwika
• chizungulire mwadzidzidzi, kuyenda movutikira, kapena kutayika bwino kapena kulumikizana

Kafukufuku akuwonetsa kuti azimayi nthawi zambiri amakhala bwino pozindikira bwino zizindikiro za sitiroko. A 2003 adapeza kuti 90% ya azimayi, poyerekeza ndi 85 peresenti ya amuna, amadziwa kuti kuyankhula molakwika kapena kusokonezeka mwadzidzidzi ndi zizindikilo za matenda a sitiroko.

Kafukufukuyu adawonetsanso kuti amayi ndi abambo ambiri amalephera kutchula zizindikilo zonse molondola komanso kuzindikira nthawi yoyitanitsa othandizira. Ndi 17% yokha mwa omwe akutenga nawo mbali omwe adafufuza.

Zomwe muyenera kuchita mukawombedwa ndi sitiroko

National Stroke Association ikulimbikitsa njira yosavuta yozindikiritsa zizindikiro za sitiroko. Ngati mukuganiza kuti inu kapena winawake pafupi nanu akhoza kukhala kuti akudwala sitiroko, muyenera kuchitapo kanthu mwachangu.

Ponena za sitiroko, mphindi iliyonse amawerengera. Mukadikirira nthawi yayitali kuti muitane thandizo lanu ladzidzidzi, ndizotheka kuti sitiroko imatha kuwononga ubongo kapena kulemala.

Ngakhale zoyambira zanu zoyambirira zitha kukhala zodziyendetsa kupita kuchipatala, muyenera kukhala komwe muli. Itanani oyang'anira zadzidzidzi mukangodziwa zizindikiro ndikuwadikira kuti afike. Amatha kukupatsirani chithandizo chamankhwala mwachangu chomwe simungathe kulandira ngati mutadula ambulansi.

Mukafika kuchipatala, dokotala adzawunika zizindikiro zanu komanso mbiri yazachipatala. Adzayesa thupi ndi mayeso ena osanthula asanaphunzire.

Njira zochiritsira sitiroko

Zosankha zothandizira zimadalira mtundu wa sitiroko.

Chilonda cha ischemic

Ngati sitiroko inali ischemic - mtundu wofala kwambiri - zikutanthauza kuti magazi amatseka magazi kuchokera kuubongo wanu. Dokotala wanu adzakupatsani mankhwala opangira ma plasminogen activator (tPA) kuti athetse magazi.

Mankhwalawa ayenera kuperekedwa pasanathe maola atatu kapena anayi ndi theka kuchokera pomwe chizindikiro chikuwonekera kuti chikhale chogwira ntchito, malinga ndi malangizo omwe asinthidwa posachedwa kuchokera ku American Heart Association (AHA) ndi American Stroke Association (ASA). Ngati mukulephera kumwa tPA, dokotala wanu azikupatsani mankhwala ochepetsa magazi kapena mankhwala ena oletsa magazi kuletsa kuphatikizana kwa magazi.

Njira zina zamankhwala zimaphatikizira opareshoni kapena njira zina zowononga zomwe zimaphwanya kuundana kapena kutsekula mitsempha. Malinga ndi malangizo omwe asinthidwa, kuchotsedwa kwamankhwala kwamagwiridwe kumatha kuchitidwa mpaka maola 24 kutha kuwonekera koyamba kwa zizindikiritso za sitiroko. Kuchotsa makina osungunuka kumatchedwanso kuti mechanical thrombectomy.

Sitiroko yotaya magazi

Sitiroko yotulutsa magazi imachitika pamene mtsempha wamagazi muubongo wanu umang'amba kapena kutuluka magazi. Madokotala amachiza matenda amtunduwu mosiyana ndi sitiroko ya ischemic.

Njira yothandizira imachokera pazomwe zimayambitsa sitiroko:

• Anurysm. Dokotala wanu angakuuzeni kuchitidwa opaleshoni kuti mulepheretse magazi kupita ku aneurysm.
• Kuthamanga kwa magazi. Dokotala wanu amakupatsani mankhwala omwe amachepetsa kuthamanga kwa magazi ndikuchepetsa magazi.
• Mitsempha yolakwika ndi mitsempha yotupa. Dokotala wanu angakulimbikitseni kukonzanso kwa arteriovenous malformation (AVM) kuti mupewe magazi ena aliwonse.

Kuchiza kwa amayi ndi amuna

Kafukufuku wasonyeza kuti azimayi amalandila chithandizo chadzidzidzi poyerekeza ndi abambo. Ofufuza mu 2010 adapeza kuti azimayi amadikirira kuti awoneke akafika ku ER.

Akangovomerezedwa, azimayi amatha kulandira chithandizo chamankhwala ochepa. Amanenedwa kuti izi zitha kukhala chifukwa cha zizindikilo zomwe amayi ena amakumana nazo, zomwe zimachedwetsa matenda opatsirana.

Stroke kuchira mwa akazi

Kuchira kwa sitiroko kumayambira mchipatala. Mukakhala bwino, mudzasamukira kumalo ena, monga malo odziwa ntchito zaunamwino (SNF) kapena malo obwezeretsa sitiroko. Anthu ena amapitiliza chisamaliro chawo kunyumba. Kusamalira kunyumba kumatha kuthandizidwa ndi kuchipatala kapena kuchipatala.

Kuchira kungaphatikizepo kuphatikiza kwakuthandizira kwakuthupi, chithandizo chamalankhulidwe, ndi chithandizo chantchito kukuthandizani kukhalanso ndi luso lokuzindikira. Gulu losamalira likhoza kukuphunzitsani kutsuka mano, kusamba, kuyenda, kapena kuchita masewera olimbitsa thupi.

Kafukufuku akuwonetsa kuti amayi omwe amapulumuka sitiroko nthawi zambiri amachira pang'onopang'ono kuposa amuna.

Amayi amakhalanso ndi mwayi wodziwa zambiri:

• chilema chokhudzana ndi sitiroko
• zovuta zochitika pamoyo watsiku ndi tsiku
• kukhumudwa
• kutopa
• kuwonongeka kwamaganizidwe
• moyo wotsika

Izi zimachita masewera olimbitsa thupi asanakwane kapena zodetsa nkhawa.

Kupewa sitiroko yamtsogolo

Chaka chilichonse, amafa ndi sitiroko monga amachitira khansa ya m'mawere. Ndicho chifukwa chake ndikofunikira kukhalabe atcheru pa zaumoyo wanu. Pofuna kupewa kupwetekedwa mtsogolo, mutha:

• idyani chakudya choyenera
• khalani ndi thanzi labwino
• muzichita masewera olimbitsa thupi nthawi zonse
• kusiya kusuta
• tengani zosangalatsa, monga kuluka kapena yoga, kuti muthane ndi kupsinjika

Amayi ayeneranso kusamala chifukwa cha ziwopsezo zomwe amakumana nazo. Izi zikutanthauza:

• kuwunika kuthamanga kwa magazi nthawi yayitali komanso pambuyo pathupi
• kuwunika kwa atrial fibrillation (AFib) ngati wazaka zopitilira 75
• kuyezetsa kuthamanga kwa magazi asanayambe kubereka

Chiwonetsero

Kuchira kwa sitiroko kumasiyana pamunthu ndi munthu. Thandizo lakuthupi lingathe kukuthandizani kuti muphunzire luso lililonse lotayika. Anthu ena amatha kudziwa momwe angayendere kapena kuyankhula pakangopita miyezi ingapo. Ena angafunike nthawi yochulukirapo kuti achire.

Munthawi imeneyi, ndikofunikira kutsatira njira ndi kukonzanso ndikusamalira kapena kukhala ndi moyo wathanzi. Kuphatikiza pakuthandizira kuchira, izi zitha kuthandiza kupewa zikwapu zamtsogolo.