Ngenxa yokuba unyango lwe-tPA lungabangela ukuguqulwa kwesifo se-ischemic, kuba kubalulekile ukuqonda oko kwenzekayo ngaphakathi kwengqondo ngexesha le- stroke yesiqhelo. Kodwa okokuqala, makhe sixoxe nge-stroke ngokubanzi.
Sibanzi
I-stroke isifo esibangela iimitha ezibangelwa kwaye ngaphakathi kwengqondo. NguNombolo 5 ebangela ukufa nokubangela ukukhubazeka eUnited States.
I-stroke iyenzeka xa isitya segazi esithwala i-oksijeni kunye nezondlo kwiingqondo zivaliwe i-clot okanye i-bursts (okanye i-break). Xa oko kwenzeka, inxalenye yengqondo ayinakufumana igazi (kunye ne-oksijeni) iyayidinga, ngoko iseli kunye neengqondo zeesilini ziyafa.
I ziphumo
Ingqondo ingumzimba onzima kakhulu olawula imisebenzi eyahlukeneyo yomzimba. Ukuba ukuqhuma kwenzeka kwaye ukuhamba kwegazi akukwazi ukufikelela kummandla olawula umsebenzi othile, loo nxalenye yomzimba ayiyi kusebenza ngendlela efanele.
Izinto zobungozi
- Ubudala - Ilungelo lokuba nesifo sokubethwa ngokuphindwe kabini kwishumi ngalinye leminyaka yobomi emva kweminyaka yobudala engama-55. Nangona i-stroke ixhaphakile phakathi kwabalupheleyo, abaninzi abantu abangaphantsi kwe-65 banemivimbo.
- Ulungelelwano (imbali yentsapho) - Ingozi yakho yengozi ingaba enkulu xa umzali, ootatomkhulu, udade okanye umzalwana sele enesifo.
- Uhlanga - abaseMerika-baseMelika banomngcipheko ophezulu wokufa ngenxa yesifo esibuhlungu kuneCaucasians. Oku kungenxa yokuba abantu abamnyama baneengozi ephezulu yexinzelelo lwegazi, isifo sikashukela, kunye nokukhuluphala.
- Ubundlobongela (ngokwesini) - Unyaka ngamnye, abafazi banemivimbo engaphezulu kunamadoda, kwaye ukubethelwa komzimba kubulala abaninzi abasetyhini kunamadoda. Ukusetyenziswa kweepilisi zokulawula ukuzalwa, ukukhulelwa, imbali ye-preeclampsia / eclampsia okanye isifo sikashukela, isifo sikashukela, ukusetyenziswa komlomo, kunye nokubhema, kunye ne-post-menopausal ye-hormone yokwelapha ingabangela ingozi ekhethekileyo yokubethelwa kwabasetyhini.
- Ukubetha kwangaphambili, i-TIA okanye ukuhlaselwa yintliziyo -Ingozi yokubetha umntu oye wayesebenayo kaninzi ngamaxesha omntu ongenalo. Ukuhlaselwa kwe-ischemic ezidlulileyo "ziphazamiso" ezivelisa iimpawu ezinjenge-stroke kodwa akukho monakalo ohlala njalo. I-TIA i-predictors eqinileyo ye-stroke. Umntu onomnye okanye ngaphezulu kwe-TIAs cishe amaxesha angama-10 amathuba okuba nesigxina kunomntu ofanayo kunye nobulili ongenalo. Ukuqaphela nokunyanga i-TIAs kunokunciphisa umngcipheko we-stroke enkulu. I-TIA imele ithathelwe ingqalelo kwimeko yexakeka yonyango kwaye ilandelwe ngokukhawuleza kunye neengcali zonyango. Ukuba unesifo senhliziyo, usemngciphekweni omkhulu wokuba nesifo, nokuba.
Yintoni ukuguqulwa kwamaHemorrhagic?
I-stroke ibangelwa ukucima ukuhamba kwegazi kwingxenye yengqondo, ebangela ukuba indawo enkulu yesikhumba ibe yindlala elambileyo, kwaye iiseli ezenza loo ndawo ziqala ukufa. Ngokuhamba kwexesha, iiseli ezincinci kunye nezincinci zisele zisindiswe ngokunyanga, kwaye emva kokuba ezininzi iiseli zifile, ukunyanga i-stroke ayincedi kwaye ingakwazi ukuguqula i-ischemic stroke ibe yintlungu. Esi siganeko saziwa njengenguqu eguqukileyo.
Kwenzeka njani oku? Uninzi lwezonyango oluphuthumayo lwe-ischemic stroke lujolise ekubuyiseleni ukuhamba kwegazi kwindawo ye- ischemic ngokuphelisa i-blood clots-stroke.
Kodwa nje emva kweeyure ezimbalwa emva kokufa komzimba wengqondo, ilahlekelwa amandla ayo okugcina igazi ngaphakathi kwemithambo yegazi, okwandisa umngcipheko wokuba i-hemorrhage enkulu iya kwenzeka ukuba ukubuyiswa kwegazi kuya kubuyiselwa. Olu hlobo lokuphuma kumathambo afileyo lubizwa ngokuba nguguquko olubi. Phantse iipesenti ezi-6 zazo zonke izigulana zecroke eziphathwe nge-tPA ene-intravenous, iyeza elinamandla elinamaqabunga e-clot-busting, amava okuguquka okukhulu.
Leli thuba lokuguqulwa kwesigxina ngenye yezizathu ezibalulekileyo zokuba i-tPA ene-stroke kunye nezinye izifo zonyango ezifanayo zingasetyenziswa kuphela ngexesha elithile le window emva kokuqala kweempawu .
Imithombo:
American Stroke Association. http://www.strokeassociation.org/STROKEORG/AboutStroke
Gatz Thomalla, MD; UJan Sobesky, MD; UMartin Kharmann, MD; Jochen B. Fiebach, MD; Jens Fiehler, MD; UOlivier Zaro Weber, MD; Anna Kruetzelmann, MD; Thomas Kucinski, MD; UMichael Rosenkranz, MD; Joachim Kunoko, MD Peter D. Schellinger, MD, PhD Iingqungquthela ezimbini: Ukuguqulwa kwamanzi kodwa kungekhona i-Parenchymal Hemorrhage Emva kokuba iThrombolysis ixhomekeke kwixesha elide kunye nexesha le-Ischemia MRI Uvavanyo lwe-stroke elamkelekileyo Izigulane ezithathwa nge-Intravenous Tissue Plasminogen Activator Kwiiyure ezingama-6 isiqwenga 2007; : 313.