Ii-Neurologists ze-Vascular nazo zibizwa ngokuba yi-'Croke Doctors '
I-vascular neurology yonyango lokubetha . Isibetho sisifo esichaphazela umkhumbi wegazi okhokelela kwingqondo nokuhamba ngaphakathi kwengqondo. I-stroke ibonakaliswe yimpawu ezifana nobuthathaka, ukuphazamiseka, ukuguqulwa kombono nokuphazamiseka kwentetho.
Ukuqhuma kwenzeka xa umtshini ophethe i-oksijeni kunye nezondlo kwiingqondo zivaliwe nge-clot yegazi (i-ischemic stroke) okanye i-bursts (i-stroke ephazamisayo.) Xa kwenzeka, inxalenye yengqondo exhomekeke ekunikezeni igazi kwi-vessels ephazamisekile yegazi akakwazi ukufumana igazi elaneleyo le-oksijini kunye nezondlo, okwenza umonakalo ebuchosheni.
Uninzi lwexesha, ugqirha, umongikazi okanye omnye umqeqeshi wezempilo unokwazi ukuxilonga isifo. Ngokuqhelekileyo, unyango lwe-stroke luqaliswa ngokukhawuleza, kwaye ngamanye amaxesha, unyango lwe-stroke lunokuqala kwi-ambulensi endleleni eya esibhedlele . Kukho qho amaninzi aqeqeshiweyo abasebenza kunye njengenxalenye yecandelo lokunyamekela i-stroke . Ngokuqhelekileyo, i-neurologist ibandakanyeka kwiinkcukacha eziyinkimbinkimbi zokuxilongwa kwesifo kunye nokunyangwa kwesifo .
Ngamanye amaxesha, kwiimeko ezinzima kakhulu, i-articular neurologist isetyenziselwa ukuxilongwa kwe-stroke ukuxilongwa kunye nonyango, kwaye unokulandelelana nawe xa uphila. I-vascular neurologist i-neurologist enokuqeqeshwa okongeziweyo kunye nobuchule kwinkathalo yokunyangwa, ukunyangwa nokukhusela.
Utyando lweStroke
Kwiminyaka edlulileyo, kwakuncinane ukuba oogqirha babenokwenza ukuba baphathe imivimbo, ngenxa yokungabikho kobuchule bokuxilonga kunye nokunyanga okunyanga. Nangona kunjalo, kwiminyaka embalwa edluleyo, izazi ze-neurologists kunye namanye amagqirha ziye zavelisa iindlela ezintsha kunye neendlela ezifanelekileyo zokuxilonga, ukunyanga nokukhusela imivimbo, okubangele ukunyamekela ngokunyanzeliswa koluhlungu.
Ulwaphulo lweStroke luxhomekeke kuhlobo lweStroke
Kukho iintlobo ezimbini zokubetha: i- hemorrhagic okanye ischemicic . Unyango luyahlukahluka kuxhomekeke kuhlobo lwesifo.
Ngexesha lokubethelwa kwe-ischemic, isitya segazi esisinika igazi kwingqondo iyavalwa. Ngethuba lokubethelwa kwegazi, inkunkuma yegazi ebuthakathaka okanye eyonakaliswayo iyaqhekeka kunye negazi lokugafa kwiimpawu zengqondo.
Kukho ezinye iindidi ezimbini zeemithwalo yegazi ezinokubangela ukuphazamiseka kwesifo esibuhlungu: ubuchopho be-aneurysms (isigaba sokuvuvukala somthamo onokusiphulaphula) kunye neengxaki ze- AVMs ( arteriovenous malformations ).
Ischemic Stroke Treatment
Kukho unyango oluninzi lwe-stroke ye-ischemic. Elinye lala ma- tistim e-plasminogen activator (tPA) enikwa IV (ngokukhawuleza.) Ukulawulwa kakuhle kwe-tPA kuchitha i-clot yegazi kwaye kuphuculwe ukuphuma kwegazi kwingqondo, oku kunokuthintela ukulimala kwexesha elide kunye nokukhubazeka.
Olunye ukhetho lwonyango luyinkqubo yokugcina i- endovascular ebizwa ngokuba yi-mechanical thrombectomy, ezama ukususa i-clot enkulu yegazi ngokuthumela i-device-caged device (ebizwa ngokuba yi-stent retriever) kwisiza sesityilo segazi esivaliweyo engqondweni.
Utyando lweStyroke
Iinkqubo ze-Endovascular zingasetyenziselwa ukuthintela okanye ukunciphisa umonakalo wezibetho ezinobangela obubangelwa yi-aneurysms okanye i-AVMs. Ngethuba le nkqubo, i-catheter ifakwe kwi-artery enkulu kumlenze okanye ingalo, kwaye ikhokelwa kwi-aneurysm; ke ibeka ikhoyili ukukhusela ukubola.
Uphando lunokukunceda ukuyeka ukuphuma. Ukuba ukuphuma kwegazi kubangelwa i-aneurysm ephukile, isimboli yesinyithi ingafakwa kwindawo yesiseko se-aneurysm ukuyikhusela.
IVascular Neurologists
Iintsholongwane ze-Vascular neurologists nazo zibizwa ngokuba zizigulana. Ukuze ube nolwazi kwiindlela ezintsha zokufumana unyango, amayeza kufuneka afumane amava amaninzi kunye noqeqesho. Zonke i-neurologists zinamava amaninzi ekulawuleni imivimbo. I-vascular neurology idinga uqeqesho olongezelelweyo lwe-subspecialty emva kokugqitywa koqeqesho lwe-neurology ngexesha apho i-neurologists ithola uqeqesho olongezelelweyo kwiindlela zokugqibela zonyango.
Ukuba unesiqhwala esingabonakali isizathu, unyango olubizwa ngokuba yi- cryptogenic stroke , ungathunyelwa kwi-neurologist ye-vascular for diagnosis.
Ngokufanayo, ukuba unesimo esichengeni sengozi ngokukhethekileyo, njengesihlungu ngexesha lokukhulelwa, okanye ingxaki yegazi engakhokelela ekubetheni , ungadinga ukubona i-articular neurologist.
ILizwi
Ukuba uye wafumana unxephezelo, iqela lezokwelapha liyakwazi ukuphazamiseka kwaye liqalise unyango lokugcina ubomi. Kwezinye iimeko, iqela lakho linokubandakanya i-neurologist neurologist, ngokukodwa ukuba kukho iimpawu ezingachazwanga okanye ukuba uhlangothi lwakho alufaneki.
Ukunyamekela kwakho ulwaphulo kubandakanya iqela labaqeqeshi bezempilo abanokwazi ukuphendula imibuzo yakho njengoko kukuncedisa ngokubuyiswa kwakho.
> Ukufunda i-Fuither
> UkuQeqesha ngokuQeqesha kunye nokuSasazwa kweVascular Neurology Interventionists kwi-Era yeThrombectomy, i-Grotta JC, i-Lyden P, i-Brott T, i-Stroke. 2017 Aug; 48 (8): 2313-2317. i-doi: 10.1161 / STROKEAHA.116.016416. Epub 2017 Julayi 13.