Imiphumo emibi ye-stroke yintshintsho ye-neurological, kodwa iingxaki zentliziyo nazo zingabangela ukuba i-stroke isilondoloze.
Uphando olupapashwe kwiphepha leStroke likhangele iqela lezigulane ezingama-846 zenyanga ezintathu emva kokuba zithintekile. Ngaphezu kweyoku-1 kwaba-3 babenomdla omkhulu wentliziyo ngexesha elo , kwaye ngaphezu kwe-4 ekhulwini bafa ngenxa yoko. Nangona umonakalo we-neurological iyona nto ibangela ukuba abulawe emva kokuphazamiseka, iingxaki zesifo somzimba zikwimeko yesibini.
Iingxaki eziqhelekileyo zeCardiac Emva kweStroke
Kwiintsuku ngokukhawuleza emva kokubetha, ukuhlasela kwentliziyo , ukungaphumeleli kwentliziyo , ukungavumelekanga kwintliziyo kunye nokubanjwa kwentliziyo kunokwenzeka kakhulu.
Iimpawu zentliziyo ezingavamile ezibizwa ngokuthi " i-fibrillation ye-atrial " kunye ne "flute" Kuzo zombini, amagumbi aphezulu entliziyweni-i-atria-ishaywa ngokungaqondakaliyo ngokukhawuleza nangokungahambi kakuhle.
Ukuba unobungozi be-friday, i-heartbeat yakho iya kuba yinto ephosakeleyo, okanye ingavumelekile. Ngokwahlukileyo, ukuba i-atria yakho "i-flutter," isingoma sentliziyo yakho iya kuba rhoqo kwaye iyashewuleza, kodwa ingasebenzi. Ezi zombini iimeko ziyingozi, njengoko amagumbi aphezulu entliziyo aqhuma ngokungahambi kakuhle, oko kuthetha ukuba igazi alikhiphi ngokukwi-intanethi ukusuka entliziyweni ukuya kuwo wonke umzimba.
Endaweni yoko, amachibi egazi kwi-atria kunye nama-clots clots angenza. Ukuba ama-clots ahamba egazini, angaphelela kwimibhobho ye-coronary (apho bangabangela ukuhlaselwa kwentliziyo) okanye ingqondo (apho bangabangela enye ingozi).
Ukuba ne-Stroke Kukhulisa Umngcipheko Womntu Ngeengxaki zeCardiac
Ezinye zeengozi ezifanayo ezinokubangela ukubetha, zingenza iintliziyo zenzeke ngakumbi, kubandakanywa uxinzelelo lwegazi oluphezulu, isifo sikashukela, i-cholesterol ephezulu, isifo se-coronary disease kunye ne-arrhythmias yehliziyo. Ezinye zeekhemikhali zitshintsha iimeko eziphazamisayo zingathintela ukusebenza kwentliziyo.
Ngokomzekelo, iikhemikhali kwingqondo ekhutshelwe kwigazi emva kokuphazamiseka kungabikho entliziyweni.
Ukuphazamiseka kungonakalisa ngokuthe ngqo iinxalenye zengqondo ezilawula intliziyo. Ukulimala kwelungelo lomhlaba (ngaphezu kwekhohlo) kwenza iingxaki zeengcamango zentliziyo kunye nokufa okubangelwa yintliziyo ngokukhawuleza ukuyeka kakhulu.
Ukuthintelwa kweengxaki zeCardia emva kwesisu
Iziphakamiso zakamuva zicebise ukuba zijonge rhoqo intliziyo yazo zonke iintsholongwane ezibethelwa zizibhedlele phakathi kweentsuku ezintathu kunye neentsuku zokufumana iingxaki zentliziyo.
Nazi ezinye izinto ezinobungozi ezingayenza ingcamango enhle kakhulu ukuba ibe nokubeka esweni intliziyo emva kokuphazamiseka:
- Ngaphezulu kweminyaka engama-75 ubudala
- Inkulu kunokuba isifo esincinci (i-stroke encinane ibhekiswe ngokubhekiselele ekuhlaselweni kwe-ischemic , okanye i-TIA)
- Imbali yeyodwa okanye ngaphezulu kwezi zilandelayo: I-diabetes, ukungaphumeleli kwintliziyo yesifo, uxinzelelo lwegazi oluphezulu, uhlangothi oludlulileyo, okanye isifo senhliziyo esisifo (isifo se-coronary disease)
- Amanqanaba aphezulu e-serum creatinine, eveliswayo xa i-muscle ihla
- I-troponin ephakamileyo ngamanqanaba. I-Troponin iprotheni efunyenwe kwisisu senhliziyo; ikhutshelwe egazini xa iiseli entliziyweni zenzakaliswe okanye zatshatyalaliswa.
- Uxinzelelo lwegazi lwe-high systolic (owokuqala, ephakamileyo, inombolo ehanjiswe kwimpembelelo yegazi; ulinganisela uxinzelelo xa intliziyo ihamba).
- Utshintsho kwimiphumo ye-electrocardiogram, ebonisa ukuba kwenzekani entliziyweni yakho-ingakumbi iinguqu ezingavamile; kusasa, iintsimbi ezongezelelweyo zeepriricle zentliziyo; kunye nefayili yefriji kunye ne-flutter njengoko kuchaziwe ngaphambili.
> Imithombo:
Chalela, uJulio A, MA Ezzeddine, uL. Davis, S. Warach. "I-Myocardial Injury kwi-stroke elula." Unonophelo lwe-Neurocritical Care 1 (2004): 343-346.
I-Maramattom, uBoby V. "Ukubaluleka kweCliniki ye-Cardiac Troponin Ukukhululwa kunye neCardiac engafanelekiyo kwizigulane kunye ne-Supratentorial Cerebral Hemorrhages." I-Mayo Clinic Proceedings 81 (2006): 192-196.
Prosser, Jane, uL. MacGregor, K. Lees, H.-C. Diene, W. Hacke, S. Davis. "Ukuqapheliswa kweMpawu zokuKhuselwa kweCardiac kunye nokufa emva kweSkemiksi." Isibetho 38 (2007): 2295.