Momwe chithandizo cha stroke chimachitikira

Zamkati

• 1. Chithandizo cha ischemic stroke
• 2. Chithandizo cha kukha magazi
• Kodi kuchira kwa stroke kumachira bwanji?
• Kukonzanso kuti muchepetse zovuta

Chithandizo cha sitiroko chiyenera kuyambika mwachangu ndipo, chifukwa chake, ndikofunikira kudziwa momwe mungadziwire zisonyezo zoyambirira zoyimbira ambulansi mwachangu, chifukwa mankhwala akayambitsidwa mwachangu, amachepetsa chiopsezo cha sequelae monga ziwalo kapena zovuta kuyankhula. Onani apa zomwe zizindikilo zingasonyeze sitiroko.

Chifukwa chake, chithandizochi chitha kuyambitsidwa ndi dokotala yemwe ali kale mu ambulansi panjira yopita kuchipatala, ndi mankhwala monga mankhwala oletsa kuthamanga kwa magazi kuti athetse kuthamanga kwa magazi ndi kugunda kwa mtima, kugwiritsa ntchito mpweya wothandizira kupuma, kuphatikiza kuwongolera zizindikilo zofunika, monga njira yobwezeretsera magazi kulowa muubongo.

Mukalandira chithandizo choyambirira, mtundu wa sitiroko uyenera kudziwika, pogwiritsa ntchito mayeso monga tomography ndi MRI, chifukwa izi zimakhudza njira zotsatirazi zothandizira:

1. Chithandizo cha ischemic stroke

Sitiroko ya Ischemic imachitika pamene chigwiritsi chimatseka kuyenda kwa magazi mchimodzi mwa zotengera muubongo. Nthawi izi, chithandizo chitha kuphatikizira:

• Mankhwala omwe amapezeka m'mapiritsi, monga AAS, Clopidogrel ndi Simvastatin: amagwiritsidwa ntchito ngati akukayikira kuti ali ndi sitiroko kapena ischemia yaposachedwa, chifukwa amatha kuwongolera kukula kwa magazi ndi kupewa kutsekeka kwa ziwiya zamaubongo;
• Thrombolysis yochitidwa ndi jakisoni wa APt: ndi enzyme yomwe imayenera kuperekedwa kokha ngati sitiroko ischemic yatsimikiziridwa kale ndi tomography, ndipo iyenera kugwiritsidwa ntchito m'maola anayi oyamba, chifukwa imawononga msana magazi, ndikupangitsa kuti magazi aziyenda bwino kudera lomwe lakhudzidwa;
• Catheterization ya ubongo: m'zipatala zina, monga njira ina yopangira jakisoni wa APt, ndizotheka kuyika chubu chosunthika chomwe chimachokera kumtunda wa kubuula kupita kuubongo kuyesa kuchotsa chimbudzi kapena kubaya mankhwala oletsa antagagant pamalowo. Dziwani zambiri za ubongo catheterization;
• Kuthamanga kwa magazi, ndimankhwala osokoneza bongo, monga captopril: zimachitika nthawi yomwe kuthamanga kwa magazi kumakhala kokwera, kuteteza kuthamanga kwakukulu uku kuti kuwonjezere mpweya ndi magazi m'magazi;
• Kuwunika: Zizindikiro zofunika za munthu amene wadwala sitiroko ziyenera kuyang'aniridwa ndikuwunika, kuwunika kugunda kwa mtima, kuthamanga, magazi oxygenation, glycemia ndi kutentha kwa thupi, kuwakhazikika, mpaka munthuyo atayamba kusintha, chifukwa ngati atha, pakhoza kukhala kukulirakulira kwa sitiroko komanso sequelae yoyambitsidwa.

Pambuyo pa kupwetekedwa, opaleshoni ya ubongo imasonyezedwa pamene ubongo umakhala ndi kutupa kwakukulu, komwe kumawonjezera kupanikizika kwapadera ndipo kungayambitse imfa. Kuchita opaleshoniyi kumachitika pochotsa, kwakanthawi, gawo la chigaza, lomwe limasinthidwa pomwe kutupa kumatha.

2. Chithandizo cha kukha magazi

Matenda opha magazi amatuluka pamene mtsempha wamagazi umatuluka magazi kapena kuphulika, monga ndi aneurysm kapena chifukwa cha ma spikes othamanga magazi, mwachitsanzo.

Zikatero, mankhwala amachitika pochepetsa kuthamanga kwa magazi, monga antihypertensives, kuphatikiza pa kugwiritsa ntchito catheter ya oxygen ndikuwunika zizindikilo zofunika kuti magazi aziyendetsedwa mwachangu kwambiri.

Milandu yovuta kwambiri, pomwe pali minyewa yothira kwathunthu ndipo kumakhala kovuta kuimitsa kutuluka kwa magazi, kuchitidwa opaleshoni mwadzidzidzi kungafune kuti mupeze malo omwe akutuluka magazi ndikuwongolera.

Pakadwala matenda opha magazi, opareshoni yaubongo imatha kuchitidwanso, chifukwa zimakonda kukhumudwa ndikutupa kwaubongo chifukwa chamagazi.

Kodi kuchira kwa stroke kumachira bwanji?

Nthawi zambiri, pambuyo pothana ndi zizindikiritso zamatenda oyipa, kugona mchipatala kumafunikira kwa masiku pafupifupi 5 mpaka 10, omwe amasiyanasiyana kutengera momwe munthu aliyense alili, kuti aziyang'aniridwa, kuti atsimikizire kuchira koyamba. zotsatira zomwe zidadza chifukwa cha sitiroko.

Munthawi imeneyi, adotolo amatha kuyamba kugwiritsa ntchito mankhwala kapena kusintha mankhwala a wodwalayo, kuwalimbikitsa kuti azigwiritsa ntchito anti-aggregant kapena anticoagulant, monga Aspirin kapena Warfarin, atagwidwa ndi sitiroko, kapena kuchotsa anticoagulant pakagwa Hemorrhagic stroke, Mwachitsanzo.

Kuphatikiza apo, pamafunika mankhwala kuti muchepetse kuthamanga kwa magazi, magazi m'magazi, cholesterol, kuti muchepetse ziwopsezo zama stroke.

Ma sequelae ena amatha kutsalira, monga zovuta pakulankhula, kuchepa mphamvu mbali imodzi ya thupi, kusintha kumeza chakudya kapena kuwongolera mkodzo kapena ndowe, kuphatikiza pakusintha kwa kulingalira kapena kukumbukira. Chiwerengero ndi kuuma kwa sequelae kumasiyana kutengera mtundu wa sitiroko komanso malo omwe ali ndi ubongo, komanso kuthekera kwa munthu kuchira. Kumvetsetsa bwino zovuta zomwe zingachitike chifukwa cha sitiroko.

Kukonzanso kuti muchepetse zovuta

Pambuyo pa kupwetekedwa, munthuyo amafunika kuchita zingapo zakukonzanso, kuti afulumizitse kuchira ndikuchepetsa sequelae. Mitundu yayikulu yakukonzanso ndi:

• Physiotherapy: physiotherapy imathandizira kulimbitsa minofu, kuti munthuyo athe kupezanso kapena kuyendetsa kayendedwe ka thupi, kukonza moyo wawo. Onani momwe chithandizo chamankhwala chimagwirira ntchito pambuyo povulala.
• Thandizo lantchito: ndi malo omwe amathandiza wodwalayo komanso banja kupeza njira zochepetsera zovuta za sitiroko tsiku ndi tsiku, kudzera pakuchita masewera olimbitsa thupi, kusinthasintha nyumba, bafa, kuphatikiza pazinthu zothandiza kulingalira ndi mayendedwe;
• Chithandizo Cha Kulankhula: mankhwalawa amathandizanso kuti ayambe kulankhula komanso kumeza odwala omwe akhudzidwa ndi matendawa ndi sitiroko;
• Zakudya zabwino: pambuyo povulala, ndikofunikira kuti munthu azidya zakudya zopatsa thanzi komanso mavitamini ndi michere yambiri yomwe imapatsa thanzi magalasi komanso moyenera, kupewa kuperewera kwa zakudya m'thupi kapena sitiroko yatsopano. Nthawi zina pakafunika kugwiritsa ntchito kafukufuku kuti adyetse, wopezayo adzawerengera kuchuluka kwa chakudya ndikukuphunzitsani momwe mungakonzekere.

Thandizo labanja ndilofunikira munthawi yanthawi yochira sitiroko, zonse kuti zithandizire pazinthu zomwe munthu sangathenso kuchita, komanso kumulimbikitsa, popeza zolephera zina zimatha kukhala zokhumudwitsa ndikupangitsa kumva kuti alibe chochita komanso chisoni. Phunzirani momwe mungathandizire munthu amene amavutika kulankhulana.