Isibetho sisifo esisebenzayo, esiqhubekayo. Ukukhawuleza kokulimala kwengqondo kunye nokulahleka kweengxaki zeengqondo kunokusongela . I-stroke isiganeko esizenzekelayo , kwaye iguqukela ngokugqithiseleyo kwiiyure ezimbalwa zokuqala. Kwiintsuku ezimbalwa zokuqala, ukulimala kunye nokukhubazeka ngenxa yesigxina ngokuqhelekileyo kufinyelela kwinqanaba eliphezulu kwaye emva koko luzinzile.
Ukuphiliswa Emva kwesisu
Umonakalo wesibalo sihamba ngokukhawuleza.
Ukubuyiselwa, ngakolunye uhlangothi, lucotha, lufihlakele kwaye lusezantsi. Ukubuyiselwa kunye nokuphilisa kungenzeka ngokukhawuleza. Nangona kunjalo, kukho ukungenelelo ngoncedo lwezonyango okunokukunceda ukwandisa ukulungiswa nokusebenza ngokutsha. Ngokuqhelekileyo, unyango lwe-stroke luza kuphucula umphumo wonke emva kokuphazamiseka, kodwa unyango aluqhelekanga ngokukhawuleza izinga lokubuyiswa.
Edema yeBongo
Ukuzinza kuyisinyathelo sokuqala ekuphiliseni kwi-stroke. Emva kokuphazamiseka, abaninzi abasindileyo bafumana isantya sokuvuvukala kwengqondo-efana nokuvuvukala emva kokulimala, njengento ekhukhulayo emva kokulimala kwingalo okanye ngomlenze. Olu bukhukhuni, olubizwa ngokuba yi-edema, luyingxenye yendlela yokulungisa umzimba. Ukuvuvukala kubandakanywa ukuxuba kwamaseli ahlambulukileyo kunye nokuvuthayo. Ngenxa yokuba ubuchopho bufakwe kwikrele, akukho ndawo eninzi yokunyamezela ukuvuvukala. Ngaloo ndlela, i-edema eqhubeka emva kokubethwa komzimba ingancinciza ingqondo, ebangela ukuba iimpawu eziphazamisayo zibuhlungu, ngezinye ixeshana.
Ubomi be-edema buqala ukuphucula iiyure ezingama-24-48 emva kokuphazamiseka kwaye ziqhubeka nokuphucula iiveki. Ngokuqhelekileyo, ukujonga esondeleyo ukugxininiswa komzimba kwisibhedlele kunceda ukunciphisa umonakalo ophezulu wengqondo onokubangelwa yi-edema enzima emva kwesifo.
Ifuthe legazi
Uxinzelelo lwegazi luyaguquka ngexesha kunye nangemva kokuphazamiseka.
Ngexesha langoku, ulawulo lwezonyango lweengcinezelo zegazi phakathi kweentsuku ezimbalwa zokuqala emva kokuqhaqhaqho kubandakanya ukuphazamiseka nokukhawulelana kakhulu kunye nokutshintsha kwegazi. Isizathu sokulawulwa kweengcinezelo zengcinezelo yegazi okwangqongqo kukuba njengangoku kukholwa, ngokusekelwe kwenzululwazi yezokwelapha yakutshanje, ukuba ingcinezelo yonyango yenyango iyancipha kwaye iyancipha ngexesha kunye nangemva kokuphazamiseka yindlela yomzimba yendalo yokugcina ukulinganisela kwamanzi kunye nokuhamba kwegazi ukuya kwengqondo ngeli xesha elibucayi. Ulungiso lwezonyango lwexinzelelo lwegazi alugcinwa ngokunyuka kakhulu okanye uxinzelelo oluphantsi kakhulu lwegazi olungaphazamisa ukuphulukiswa. Ngokuqhelekileyo, utshintsho lwegazi olubangelwa uhlangothi oluzinzileyo kwiintsuku zokuqala ezingu-2-3.
I-Blood Sugar
Ezinye iinguqu kwi-sugar sugar kunye ne-hormone zoxinzelelo zenzeka kwakhona nge-stroke. Ezi zinguqu zizinzileyo kwiintsuku zokuqala kwaye ziqhubeke nokuzinza kwiiveki ezimbalwa zokuqala emva kwesifo.
Ukubuyiswa kweBrain
Xa umzimba ugxininisa, ngokuqhelekileyo ngokubeka esweni esondeleyo kunye neqondo lolawulo lwezokwelapha, ingqondo iqala ukuphilisa. Ulawulo lwezonyango lujoliswe ngokukhawuleza ekukhuseleni ukuqhubela phambili kokunyuka kwesifo. Ukugcinwa kweemeko zonyango ezifanelekileyo, ezifana nokulawulwa kwamanzi, ukulawula uxinzelelo lwegazi, kunye nomthetho weshukela wegazi unceda ukwandisa ukukhuselwa kwe-neuronal emva kwesifo.
Ukubuyiselwa komsebenzi wengqondo kunye nokubuyiselwa kwesilingo emva kokuba uhlangothi luqala phakathi kweentsuku ezimbalwa kwaye luqhubeke neenyanga kunye neminyaka ngaphambi kokufikelela ukuzinza.
Unyango
Ulwaphulo lubaluleke kakhulu ekuncedeni ubuchopho buyifumene ngokuvuselela inkqubo yendalo ye-neuroplasticity. Ukuthetha kunye nokugonywa unyango, unyango lomzimba kunye nonyango loncedo lokuphinda usebenze. Ukulwa nokunyanzeliswa kokubonakalayo okanye kwendawo kungayinye yeyona mingeni enkulu ekubuyiseni. Iimoya zichaphazela ukubuyiswa kwesifo kunye nokuphazamiseka kwesifo kukuphazamiseka kwemizwa, ke ingqalelo kwixinzelelo kunye nokuxhalaba yinxalenye ebalulekileyo yenkqubo yokuphilisa.
Imiphumela
Ezinye izigaba ngokuphinda uhlawuleleke zibandakanya ukutshatyalaliswa , i-atrophy ye-muscle , kunye ne- spasticity .
Kwiimeko ezininzi, amanyathelo okuthintela anokunceda ukuphepha ezi zinto kunye nezinye iingxaki.
Ixesha lexesha le-stroke likhawuleza kwaye likhawuleza. Utywala luyingozi yonyango. Ingqwalaselo yonyango ngokukhawulezayo kuyimfuneko ukunciphisa umonakalo omkhulu. Nangona kunjalo, inkqubo yokubuyisela isoloko ihamba kwaye iyanzima.
Imithombo
UWalter G. Bradley DM FRCP, uRobert B. Daroff MD, uGerald M Fenichel MD, uJoseph Jankovic MD, i-Neurology kwi-Clinical Practice, i-4 th Edition, i-Butterworth-Heinemann, 2003