Ungayihoyi le miqondiso ebalulekileyo
I-stroke yongxamiseko kwaye idinga ukunakekelwa kwangoko kunyango. Iipilisi ezona zifumanekileyo zonyango, ezifana ne-plasminogen activator ( TPA ) yee-tissue i-activminogen ( TPA ), zisebenza ngokukhawuleza emva kokuba zinikezelwe, kwaye emva kweeyure ezimbalwa, zisenokungabancedi nhlobo. Ngenxa yoko, kubalulekile ukuba uqaphele iimpawu zokubetha kwaye uye kwindlu yongxamisekileyo ngokukhawuleza ukuba uyakrokrela ukuba unayo.
Iimpawu zeStroke
Izimpawu zesisu ziqala ngokukhawuleza, kwaye zibandakanya naziphi na ezi zilandelayo:
- Ukuhamba nzima: Oku kungenxa yokungabikho kwemilinganiselo, ubuthathaka, ukuxhamla, okanye utywala.
- Unzima ukuthetha: Awuyi kuqonda ukuba yintoni abanye abantu abakutshoyo. Awukwazi ukukwazi ukwakha amagama ongathanda ukusho kwaye ulahlekelwe ukukwazi kwakho ukubhala. Intetho yakho inokuba yinto enzima kwaye iyanzima ukuyiqonda.
- Ubungqina okanye ubuthathaka kwelinye icala lomzimba okanye ubuso: Oku kungabikho kwi-paralysis epheleleyo ukuya kumbindi oqhoshayo phakathi kokugcina izandla zakho ezisekhohlo kunye nezisemgangathweni eziphakanyisiweyo. Ubuthathaka buso bakho bungenza elinye icala libukeke.
- Ukulahleka kokulungelelanisa kwelinye icala lomzimba: Nangona iinyawo zakho zingasomelela, unganakho ukulungelelanisa ukwenza into ongayenza ngaphambili, njengokuba ubambe i-spoon okanye iqhosha le-clasp. Kwiimeko ezinqabileyo, inxalenye yomzimba ingahlakulela ukuhamba okungaqhelekanga, ngokuzenzekelayo.
- Ubunzima nombono: Oku kungabandakanya ukubona ilahleko okanye ukulahleka kombono kwelinye okanye zombini amehlo.
- Inwele ephezulu: Uninzi lwezibetho azibangeli intloko, kodwa ukuba intloko isweleke ngokukhawuleza, inzima, okanye ihambelana nokuhlanza okanye ukuncipha kwengqondo, inokubangelwa ukushaywa yintlungu.
- Ubungqina : Uninzi lwexesha, ukuxhatshazwa akubanga ngenxa yokubetha. Ngakolunye uhlangothi, izibetho zizona zizathu eziqhelekileyo zokutshatyalaliswa komntu kumntu ongaphezu kweminyaka engama-50 engenazo iimbali zangaphambili.
Iimpawu ezide zokugqibela
Ubude bexesha lokuxhomekeka kuxhomekeke kubukhulu kunye nokubandezeleka kwe-stroke . Iimpawu zihlala zingaphantsi kweyure, kodwa ziyakwazi ukuhlala ixesha elide. Nangona ukuba umonakalo owenziwe ngumzimba ongekho ukusombulula ngonyango, ngamanye amaxesha ingqondo ikwazi "ukuyibuyisela" ngokwayo ukufumana iindlela ezintsha zokuhamba ukuze ufumane umsebenzi. Xa ixesha elide libonakaliswe, kubonakala ukuba kuya kuhlala kusekho isigxina. Ngokuqhelekileyo kulungele ukujongana neengxaki ezibangelwa ukubetha ngokukhawuleza.
Into enokuyenza Ukuba iiMpawu zihamba
Nangona iimpawu zakho ziphela, uvavanyo ngokukhawuleza lunokwenzeka. Ukuhlaselwa kwe-ischemic yexesha elide (uhlobo lwe-TIAs) luhlobo lwesifo sokubethwa okubangelwa ukulahleka kwexesha elifutshane lokuhamba kwegazi ukuya kwinxalenye yengqondo. Ngokomzekelo, i-clot ingafakwa kwi-artery kwaye ivinjiwe ukuphuma kwegazi, kodwa ngoku iphule kwaye idlulile. Nangona ukuhamba kwegazi kunokuzibuyisa, usengozini yokwanda yokuba nesinye isiqhelo kunye neempawu ezisisigxina.
Oko Ukwenza Ukuba Ucinga Ukuba Unayo Isisu
Ukudayela 911. Ukuba awukwazi ukuthetha ngokucacileyo, fumana umntu ukuba akuncede. Ngokukhawuleza ufika kwigumbi lexakeka, kungcono amathuba okuba isifo sakho siza kuba nemiphumo emide.
I-Aspirin kunye namanye amayeza
Ungakhathazeki ngokuthatha i-aspirin okanye amanye amayeza. Kubaluleke kakhulu ukufika kwigumbi eliphuthumayo kwangoko. Phantse iipesenti ezingama-85 zezibetho ziyi- ischemic , nto leyo ithetha ukuba i-clot iye yayeka igazi ukuba lingene kwiindawo zobuchopho. Ezi ngxabano zancedwa ngamayeza afana ne-aspirin. Nangona kunjalo, iipesenti ezingama-15 zezibetho zibangelwa ukuphuma kwintsholongwane engqondweni , apho i-aspirin yenza izinto zibe zibi nakakhulu. Kulungele ukuba uhlolwe ukuba uluphi uhlobo lwesifo esingaba nalo ngaphambi kokuba uthathe nawaphi na amayeza.
Kwenzeka ntoni kwiGumbi eliPhezulu
Xa ufika kwigumbi lokuxakeka, oogqirha baya kufuna ukukhawuleza ukuba ngaba unokuba nesifo sobungozi kwaye ukuba ukhuselekile ukukunika igazi elincinci njenge-TPA.
Basenokubuza le mibuzo elandelayo ukunceda ukukhokela izigqibo zabo:
- Uva nini uziva uqhelekile? Ngaba uvuke kunye nale mpawu, okanye ukhumbula ixesha eliye laqala ngalo?
- Iyiphi imbali yakho yezobugcisa? Ngaba unayo ingozi yengozi yesifo sikashukela okanye ukutshaya? Ngaba uke wakha isifo phambi?
- Ingaba unesifo sokuphaphaza okanye ukuphazamiseka?
- Ngaba uye waphala ngegazi kwingqondo yakho ngaphambili? Ngaba uyenze utyando olutsha okanye ukhathazeka ngokwenyama?
- Ingaba uthatha awaphi amayeza?
- Ingaba unesitya naphi na emzimbeni wakho, njengemikhonkco yokucoca okanye i-hardware? Ngaba u-claustrophobic? Le mibuzo ibalulekile ukuchonga ukhuseleko lwe- MRI .
Khumbula, ukuphazamiseka kuyingozi, kwaye yonke iminithi ibalwa. Kulungile ukuba ubonwa kwigumbi lexakeka kwiiyure zeempawu zakho zokuqala. Ukuba unakho ukungathandabuzeki malunga nokuba unokuba ne-stroke, kufuneka uxoxe nongcali yezobugcisa kwangoko.
> Imithombo:
> Abasebenzi beKliniki yabasebenzi. Stroke. Clinical Mayo. Ukuhlaziywa ngoNovemba 11, 2017.
> Ropper AH, Samuels MA, Klein JP. I-Adams kunye neMigaqo kaVictor ye-Neurology. We-10. Imfundo ye-McGraw-Hill; 2014.