I-stroke ye-thrombotic yintlobo yesibalo esenzekayo xa i-blood clot, ebizwa ngokuba yi-thrombus, ifom i-artery eyenza ingqondo. I-clot yegazi ingavimba ukuhamba kwegazi okwi-oksijeni kwintsipho yengqondo, kubangela ukulimala kweengqondo ezide. Olu hlobo lomonakalo wengqondo obangelwa ukungabikho kwegazi olwaneleyo luvelisa isifo.
Kukho iintlobo ezimbini ze- stroke ye- ischemic : embolic and thrombotic.
I-stroke ye-thrombotic ibangelwa i-clot yegazi eyenza kwaye ibimbela ukuhamba kwegazi ngetyitrhi apho lwakhiwa ngayo, ngelixa i-stroke ye-embolic ibangelwa i-clot yegazi eyenza umthambo uze uhambe kwenye i-artery, "uyanamathela" kwaye ukuvimba ukuhamba kwegazi.
Iintlobo zeStrotic Stroke
I-stroke ye-thrombotic ingabizwa ngokuba yi-thrombosis ye-cerebral, i-cerebral infarction okanye i-cerebral infarct.
Izibetho ze-thrombotic ziyahlula ngokwamaqela amabini ngokusekelwe kubukhulu bendawo yokukhusela ngaphakathi kwengqondo - inkulu ye-thrombosis kunye ne- thrombosis encinci .
Iimpawu kunye neempembelelo zesifo se-Thrombotic
I-stroke ye-thrombotic iyakwenzeka kuyo nayiphi na indawo yengqondo, kwaye iimpawu ezisondeleyo kunye nefuthe elide elide le-stroke le-stroke correlate kunye nommandla wengqondo echaphazelekayo ngenxa yokungabikho kwegazi.
Iimpawu zesifo soxinzelelo singabandakanya nayiphi na inhlanganisela yale ilandelayo:
- Ingxaki yokuqonda amagama okanye ingxaki yokuthetha
- Ukudideka ngokukhawuleza
- Ukulahleka kwengqondo
- Ubuthathaka buso, ingalo okanye umlenze kwicala elinye lomzimba
- Ubungqina bengalo, ubuso okanye umlenze kwicala elinye lomzimba
- Umbono ogqityiweyo omnye okanye zombini amehlo
- Umbono ombini
- Ngokukhawuleza, inwele embi
- Utywala
- Unzima ukuhamba
- Ukulahleka kokulinganisela okanye ukulungelelaniswa
Iingxaki kunye neengozi zeHlrotic Stroke
Kukho izimbangela ezininzi zokubetha kwe-thrombotic.
- I-atherosclerosis okanye ukunciphisa imithana yegazi: I-stroke ye-thrombotic ibangelwa ngokunciphisa imithwaba ekhanda okanye entanyeni. Eyona mininzi ibangelwa yi-atherosclerosis, iirrixia ziba zigula kwaye zingaphili. Oku kwenzeka ngenxa yexinzelelo eliphezulu legazi kunye nokwakha i-cholesterol, i-fat and debris kwicandelo lemithwalo yegazi. Ngethuba lexesha, eli nqaku lingabamba iqhosha elibangele iiseli zegazi ukuba ziqoke kwaye zenze i-clot yegazi. I-Atherosclerosis kunye nokunciphisa imithana yegazi kwingqondo idlalwa ngokuba yi- cerebrovascular disease.
- Umxinzelelo ophezulu wegazi: Ukunyamezela kwengcinezelo yegazi, ebizwa ngokuba yingozi yegazi, kungabangela izifo kunye nokunciphisa imithana yegazi, ukuxhomekeka kwimivimbo ye-thrombotic. Uxinzelelo lwe-hypertension kunye ne-atherosclerosis yiimeko ezidla rhoqo kunye, ezibangela ukuba umonakalo omkhulu kumithambo yegazi.
- I-cholesterol ephakamileyo: Amanqanaba aphezulu e-cholesterol emzimbeni wakho anokubangela ukuba i-cholesterol kunye neenqatha zifake kwiimitha zegazi, zenze ingozi yecroke ye-throtic.
- Ukuphazamiseka kwegazi: Ezinye iziphazamiso zegazi zenza ukuba kube lula ukuba i-blood clots exhaphazele, ukunyusa amathuba okuba nesifo soxinzelelo lwe-thrombotic.
- Ukutshaya: Ukubhema ngenye yezinto ezibangelwa ingozi yesifo kunye nesifo senhliziyo ngenxa yokuba kubangele imithwalo yegazi kuwo wonke umzimba.
- Iziyobisi zokuzonwabisa: Ezinye iziyobisi, ezifana ne-cocaine, i- methamphetamine kunye nezinto zokuphucula ukusebenza zingakhuthaza ukuphuculwa kancinci kwesifo se-cerebrovascular. Ezi zi yobungozi zingakhokelela nokuphazamiseka ngokukhawuleza kunye nokuba 'ukuphazamiseka' kwemithambo yegazi, ukuvala ngokukhawuleza ukuphuma kwegazi kwindawo yengqondo ngexesha elifutshane.
- Ixinzelelo kwimithambo yegazi entanyeni: Nangona akuqhelekanga, kukho iziganeko apho utyhafu olunzima lunokubangela ukubunjwa kwegazi , okubangelwa ukuphazamiseka.
- Ukuhlaselwa kwe-ischemic emfutshane: I-stroke ye-thrombotic ingathathwa ngaphambi kokuhlaselwa kwesinye okanye ngaphezulu kokuhlaselwa kwe-ischemic, eyaziwa ngokuba yi- "mini-strokes" okanye i-TIAs . I-TIA ingadlulela imizuzu embalwa okanye iiyure kwaye idla ngokuba ngumqondiso wesifo esizayo. Iimpawu ze-TIA zifana nezo-stroke.
Iintlobo zeStrotic Stroke
I-clot yegazi inokwenza kwisitya esincinci segazi kwingqondo okanye kwisitya esikhulu segazi kwingqondo. Isiphumo siba ngumkhumbi omkhulu weenqanawa okanye i-stroke encinci.
- Umkhonto omkhulu wempahla : I-stroke enkulu yemitya ivela kwiindawo ezinkulu zokunikezela ngegazi zengqondo, ezifana neetrijidi okanye umzobo ophakathi phakathi kwe-cerebral . Izibetho ezinkulu zeenqanawa zezibilini zibangele iimpawu ezinkulu kunye nefuthe elide elide, njenge- aphasia (ingxaki ngeelwimi) okanye i-hemiparesis (ubuthathaka kwelinye icala lomzimba.)
- I-Stroke encinci yeVessel: Olu hlobo lwe-stroke ye-thrombotic lwenzeka xa ukuphuma kwegazi kuvaliwe kwisitya esincinci segazi esincinci. Olu hlobo lwesisu luyaziwa nangokuthi i- lacunar isifo okanye i- stroke . Inqanawa encinci ye-thrombus nayo ingakhokelela kwisifo seengqondo . Izibetho ezincinci zintlanzi zincinci ngobukhulu, zichaphazela indawo ephantsi kwengqondo. Ngokuxhomekeka kwendawo echaphazelekayo yintlungu encinci ye-thrombotic, ingavelisa imiphumo emincinci okanye ingaba nemiphumo enkulu xa ichaphazela ummandla wengqondo ejongene nobungcali obubonakalayo obubonakalayo obubonakalayo nabonakalayo.
ILizwi
Ukubetheka kwe-thrombotic kuphakathi kwezona zinto zixhaphake kakhulu. Kukho uninzi lwezonyango ze-stroke ye-thrombotic, kubandakanywa i-blood thinners njenge- TPA kunye neenkqubo ezinokukunceda ukutshabalalisa nokususa i-clot yegazi. Ukuba wena okanye othandekayo uye wafumana unxephezelo lwe-thrombotic, unokufuna ukuba uthathe inxaxheba kwiprogram yokuvuselela i-stroke , enokukunceda ukufumana kwakhona.
> Ukufunda okuqhubekayo:
> Iiplani ze-atherosclerotic ezixhatshazelisayo - ukuhlaziywa kweengcamango zangoku kunye nokucinga okuphambili, i-Spacek M, iZemanek D, i-Hutyra M, i-Sluka M, i-Taborsky M, i-Papor Med kunye no-Univ Palacky Olomouc yaseCzech. Ngo-2018 Feb 21. i-doi: 10.5507 / bp.2018.004. [Epub ngaphambi kokuprinta]