Ukuphazamiseka komonakalo kwengqondo kubangelwa ukuphawulwa kwegazi kwingqondo. Ngokuqhelekileyo, i-stroke iyenzeka xa enye yemithambo yegazi ehambisa igazi kwingqondo ivalwe okanye ivule.
Iimpawu zeStroke
I-stroke ibangela iimpawu ezihambelana nommandla wengqondo ejongene nokunikezelwa kwegazi ekunciphiseni. Ukubetha kungabangela nayiphi na impawu ezilandelayo:
- Ubuthathaka kwelinye icala lomzimba
- Ubungqina, ukubetha okanye ukungavumelekanga
- Ingxaki yokuhamba
- Iingxaki zokulungelelanisa
- Ukulahleka kombono okanye ukuncipha kumbono
- Umbono ogqityiweyo okanye umbono obini
- Intetho edibeneyo
- Ingxaki yokuthetha
- Amazwi okuqonda iingxaki
- Ubuso be-asymmetry
- Ikhofidi ye Droopy
- Utywala
- Intloko
- Ukudideka
Indlela uBrain echaza ngayo izibilini zeStroke
Ingqondo yimbutho ebalulekileyo yomzimba eneendawo ezininzi ezisebenzisanayo ukulawula imisebenzi eyahlukahlukeneyo-ukusuka ekucingeni, embonweni, ekuhambeni, ekunxibelelaneni, ekuveleleni, kwimisebenzi ebalulekileyo njengokuphefumula nokugcina ubomi. Le mimandla isebenza ndawonye ngendlela edibeneyo, eyinkcazo.
Umsebenzi ofanelekileyo wengqondo ufuna ukunikezelwa kwegazi ngokunikezelwa kwezondlo kunye neoksijini. Igazi linikezelwa kwingqondo ngokusebenzisa iqela leemidyo yegazi eliya kwi-brain. Imithambo yegazi ibandakanya iiraro ze-carotid, iirriyeri ze-cerebral , kunye nemithambo ye-vertebral.
Isitya ngasinye segazi siyahlukana kwimida encinci yegazi ehambisa igazi kwindawo ethile kwingqondo. Naluphina ukwehla kwegazi kwinqanaba leengqondo kubangele ukuphazamiseka kwemisebenzi yengqondo elawulwa yiloo ndawo yengqondo. I-stroke iyakwenzeka xa isitya esikhulu okanye esincinci segazi sivinjiwe okanye siphala, sithintela ukunikezelwa okufanelekileyo kwezondlo kunye ne-oksijini ukuya kwindawo yengqondo.
Ngokuxhomekeka kwisitya segazi esichaphazelekayo kunye nenxalenye yengqondo engaphiliyo, iimpawu zokuqala kunye nemiphumo yexesha elide zingahluka.
Indlela i-Stroke eyenzeka ngayo
Igazi eliya echosheni ngokusebenzisa iirriji ithwala i-oxygen kunye nezondlo ezivumela ingqondo ukuba isebenze kwaye iphile. Xa ukunikezelwa kwegazi kwingingqi yengqondo kuncitshisiwe, kwanaxa okwethutyana, iisisu zengqondo zinokuthi zihlupheke kwi-ischemia-ukungabi naso kwe-oksijini kunye nezondlo kufuneka zisebenze. Ukuba i-ischemia ihlala ixesha elide kunemizuzu embalwa, izicubu zengqondo ezichaphazelekayo zingonakaliswa kakhulu kwaye ziyeke ukusebenza-nto leyo.
I-TIA kunye ne-Silly Stroke
Imiphumo yokunikezelwa kwegazi iyanciphisa ixesha elifutshane nje ukuba i-ischemia imfutshane kwaye ibuyiselwe ngokukhawuleza. Ixesha elifutshane le-ischemia lingakhokelela ekuhlaselweni kwe-ischemic ehamba phambili ( TIA ).
Xa i-ischememia ivela kwingingqi encinci yengqondo elawula imisebenzi elawulwa kwenye indawo kwingqondo, isifo esicacileyo , okanye isifo esingaqondakaliyo, sinokubangela.
Izizathu Ze-Stroke
Ukunikezelwa kwegazi kwingqondo kungaphazanyiswa ngenxa yokucima, ukuphuma okanye ukuhamba kwegazi.
Infarct: Ukukhusela kungabangelwa i-clot yegazi eqhubeka ngaphakathi kwinqwelo yegazi (i-infarct) okanye i-clot yegazi eyafika kwenye indawo kwaye ifakwe kwisitya segazi (thrombus.)
Umonakalo wegazi: Isitya segazi esiphala kumbilini singabangela ukuphuka kwesitya segazi esingekhoyo okanye ukungazinzi okukhulu kwegazi. Kwiimeko ezinqabileyo, ukusuleleka kwintsholongwane okanye ukuvutha kwomoya kungavimba umkhumbi wegazi, kubangele ukubetha. Xa isitya segazi siphula kwaye siphala, ingqondo ixhatshazwa yi-ischemia ngenxa yokuphazamiseka kwegazi. Nangona kunjalo, xa kuphuma igazi okanye ukubola kwegazi , ukucasuka kwigazi elisondele kwimizimba yengqondo kubangele ubuhlungu kunye neempawu ze-neurological, ngaphezu kweempawu eziphazamisayo ezibangelwa yi-ischemia.
Oko Ukwenza Kwimeko Ye-Stroke
Ukuqwalaselwa kweempawu zesifo kubalulekile.
Ukufumanisa i-Diagnosis kungafuna iingcali zezobugcisa. Ukuxilongwa ngokukhawuleza kuyimfuneko kuba unyango lwe-stroke ludinga, luphakamileyo , inqanaba eliphezulu, ukwenza izigqibo. Unonophelo olunzulu lwezonyango luphumelele xa luqhutywa ngokukhawuleza.
Utyando lweStroke
Unyango lwe-stroke luqulethe iindlela zokuvumela ukubuyiswa kwakhona kwegazi kwiinkcuphu zobuchopho zesisu kunye nokuzinza kwempilo kunye nemisebenzi ebalulekileyo ukuvumela ukufumana ngokufanelekileyo. Ukubuyiselwa kwakhona kwegazi kunokukhohlisayo-kwezinye iimeko, kungakhokelela ekuphumeni kwegazi. Kwinqanaba lokuqala lomdlalo, isisikicic tissue iyakwazi ukuphaphaza, ngoko kufuneka unyamekele ngokunyanzeliswa nokuvuselelwa kwegazi.
ILizwi
Imiphumo emide yexesha elibi lihamba ngokugqithiseleyo, kodwa abaninzi abantu bafumana kwaye bafumana uphuculo oluthile. Ukubuyiselwa kubandakanya ukuvuselelwa ngokomzimba nokunyamekela.
Ukuthintela izibetho eziphindaphindiweyo kunye nokujongana neengxaki zobungozi ziyinxalenye ebalulekileyo yokufumana isifo. Ukuba uye wabhekana nesifo okanye isifo se-TIA, oko kukho uphawu lokuba unobungozi bokuba nesinye isifo. Ukuchongwa kweziganeko zobungozi kubalulekile kuba izinto ezininzi ezinobungozi be-stroke zilawulwa ukunciphisa umngcipheko we-stroke.
> Ukufunda okuqhubekayo:
I-Ischemic Stroke: Ukuqhubela phambili kwi-Diagnosis noLawulo, uCassella CR, uJagoda A, Emerg Med Clin North Am. 2017 Nov; 35 (4): 911-930. i-doi: 10.1016 / j.emc.2017.07.007.