Momwe mungasiyanitsire mitundu ya zikwapu

Zamkati

• 1. Ischemic sitiroko
• 2. Sitiroko yotaya magazi

Pali mitundu iwiri ya sitiroko, yomwe imagawidwa malinga ndi chifukwa chakuchepa kwamagazi kudera lina laubongo:

• Chilonda cha ischemic: yomwe imawonekera pakagundana kutseka chotengera chaubongo, kusokoneza kayendedwe ka magazi;
• Sitiroko yotaya magazi: zomwe zimachitika chotengera muubongo chikang'ambika, ndikuchepetsa kuchuluka kwa magazi omwe amadutsa chotengera chija.

Ngakhale zimachitika mosiyanasiyana, mitundu iwiri ya zikwapu zimayambitsa zizindikilo zofananira monga kuchepa mphamvu kapena chidwi m'thupi, kuvutika kuyankhula, chizungulire komanso kusawona bwino. Chifukwa chake, mtundu wa sitiroko sungadziwike kudzera pazizindikiro, nthawi zambiri zimatsimikiziridwa mchipatala, kudzera mu MRI kapena computed tomography.

Mulimonsemo, sitiroko nthawi zonse imakhala vuto lazachipatala lomwe liyenera kuzindikirika mwachangu ndikuthandizidwa kuchipatala, chifukwa chofunikira kwambiri pamtunduwu ndi nthawi yomwe imatha kuchokera pakuwonekera kwa zizindikiro zoyambirira mpaka wodwalayo wakhazikika. Njira yabwino yodziwira sitiroko ndikutenga mayeso a SAMU - onani momwe mungayesere SAMU komanso nthawi yoti mupemphe thandizo lachipatala.

Kusiyanitsa kwakukulu pakati pa ischemic ndi hemorrhagic stroko ndikufotokozedwa pansipa:

1. Ischemic sitiroko

Sitiroko ya Ischemic imachitika pakakhala cholembera chamafuta muminyezi yaubongo kapena pamene khungu, lomwe lapangika kwina kulikonse mthupi, limatha kufikira zotengera muubongo, ndikupangitsa kutsekeka komwe kumalepheretsa magazi kufikira gawo lina laubongo. ubongo.

Kuphatikiza apo, zosiyana zina zazikulu pokhudzana ndi kupwetekedwa kwa magazi ndizomwe zimayambitsa ndi mtundu wa chithandizo:

• Zomwe zimayambitsa: cholesterol yambiri, atherosclerosis, matenda a atrial fibrillation, kuchepa kwa magazi m'thupi la sickle, matenda a coagulation komanso kusintha kwa magwiridwe antchito amtima.
• Momwe mankhwalawa amachitikira: kaŵirikaŵiri amachitidwa ndi mankhwala, operekedwa mwachindunji mumtsempha, omwe amachepetsa magazi, koma amathanso kuphatikizira kuchitapo opaleshoni kuti athetse magazi, ngati mankhwalawo sakugwira ntchito. Onani mwatsatanetsatane momwe chithandizo cha stroke chimachitikira.

Kuonjezera apo, zimakhala zachilendo kuti matenda a ischemic akhale ndi chidziwitso chokwanira kusiyana ndi kupwetekedwa kwa magazi, chifukwa nthawi zambiri zimakhala zosavuta kuchiza, zomwe zimachepetsa nthawi kuchokera kuzizindikiro zoyambirira kupita kwa wodwalayo, komanso kumachepetsa chiopsezo cha sequelae.

Nthawi zina, kupwetekedwa kwa ischemic kwakanthawi kumathanso kuchitika, komwe zizindikilo zimatha, pafupifupi, pafupifupi ola limodzi, kenako zimasowa osasiya sequelae. Mtundu uwu umatha kudziwikanso ndi pre-stroke, chifukwa chake ndikofunikira kupita kuchipinda chadzidzidzi kukayesa ndikuyamba chithandizo choyenera kuti muchepetse kupwetekedwa.

2. Sitiroko yotaya magazi

Mosiyana ndi sitiroko ya ischemic, sitiroko yotuluka magazi siyimachitika poletsa chotengera chaubongo, koma ndi kuphulika kwa chotengera, chomwe chimalepheretsa magazi kuti apitilire kudera lina laubongo. Kuphatikiza apo, sitiroko yotulutsa magazi imakhalanso ndi magazi mkati kapena mozungulira ubongo, zomwe zimawonjezera kukakamizidwa kwa ubongo, ndikuwonjezera zizindikilo.

Mu mtundu uwu wamatenda, zomwe zimayambitsa matenda ndi mawonekedwe ake ndi awa:

• Zomwe zimayambitsa: kuthamanga kwa magazi, kugwiritsa ntchito kwambiri ma anticoagulants, aneurysm ndi kumenya koopsa kumutu, mwachitsanzo.
• Momwe mankhwalawa amachitikira: nthawi zambiri zimayambira pakumwa mankhwala kuti achepetse kuthamanga kwa magazi, koma nthawi zambiri pamafunika kuchitidwa opaleshoni kuti athetse kuwonongeka kwa zotengera muubongo. Phunzirani zambiri za momwe stroke imathandizidwira.

Kawirikawiri, kupwetekedwa kwa magazi kumakhala koopsa kwambiri kuposa matenda a ischemic, chifukwa kumakhala kovuta kuletsa magazi.