Ukunyanga ngokukhawuleza emva kokuphazamiseka ngokukhawuleza kunokunceda ukunciphisa umonakalo omdala
Isibetho esinzima sisifo esiyingozi okanye esenza ngokukhawuleza. Kwaye inqaku eliphambili lomkhonto oqaqambileyo kukuba uqala ngokukhawuleza kwaye ngaphandle kwesixwayiso.
Sibanzi
Isibetho esinzima sisifo esingalindelekanga. Nangona kunjalo bambalwa abantu 'balindele' ukuba babe nesifo. Ngamanye amaxesha, nangona i-stroke inokukhula ngokukhawuleza, kuthatha iiyure ukufikelela kwinqanaba layo. Ngamanye amaxesha isifo siza kuqala kwaye sigqibe kwaye siqhubeke siqhuba ngcono okanye sibi ngaphezu kweeyure ezimbalwa okanye iintsuku.
Isibetho esichukumisayo okanye ukunyuka kwesantya ngokukhawuleza bobabini badinga ukunakekelwa ngonyango kunye nokunyamekela.
Izizathu
Isibetho esichukumisayo sinokuba sishekimic okanye isisu.
Iskrakra Stroke
Ngethuba le- stroke ye-ischemic , ukunikezelwa kwegazi kummandla wengqondo kuyacinywa ngenxa yokuba umkhumbi wegazi uvinjiwe nge-clot yegazi. Imiqathango emininzi inokumisela umntu ukuba ahlasele i-ischemic stroke. Ezi meko ziquka isifo senhliziyo, i-cholesterol ephezulu, kunye negazi eliphezulu. Ezinye izimbangela ze-stroke zichaza ukusetyenziswa kwezidakamizwa zokuzonwabisa, ukuphazamiseka kwegazi , okanye ukuxhatshazwa kwimithambo yegazi entanyeni.
Utyando lweHemorrhagic
I- stroke ephazamisayo iyenzeka xa i-artery ephuma echotsheni. Oku kunokubangelwa xa umzobo ongenakunqamle, njenge-malter (malm) ne- aneurysm, i- bursts. Igalelo elingena kwingqondo xa isitya segazi siphuma kubangele uxinzelelo ekwakheni ngaphakathi kwekhayi, ukuchukumisa ingqondo kwaye ingabangela ukulimala kwengqondo engapheliyo.
Kukho iintlobo ezimbini ze-stroke- intracerebral ne-subarachnoid. I-intrarebral hemorrhage iyenzeka xa isitya segazi esiphantsi kwengqondo siphula kwaye siphala kwiimpawu zengqondo. I-hemorrhage ye-subarachnoid iyenzeka xa igazi liqokelela kwindawo phakathi kwengqondo kunye nengxenyana yengqondo.
Izinto zobungozi
Iimeko eziqhelekileyo zobungozi zesifo siquka isifo senhliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, ukutshaya kunye nesifo sikashukela. Izinto ezinobungozi ezongezelelweyo zokubetha ziquka ezi zilandelayo:
- Ukubetha kwesantya okanye ukuhlasela kwentliziyo
- Imbali yentsapho yokubetha
- Ukugqithisa
- Izifo ze-Cerebrovascular
- Isifo somthi weCarotid
- Ukungabikho komzimba okanye umsebenzi
- Ukusetyenziswa kweepilisi zolawulo lokuzalwa okanye ezinye iirmone zokwelapha
- Ukukhulelwa
- Utywala okanye utywala
- Ukusetyenziswa kwezidakamizwa zokuzonwabisa
Ukuba unayo nayiphi na ingozi, unokunciphisa kakhulu umngcipheko wokuba nesifo esibi ngokufumana le miqathango phantsi kolawulo ngoncedo lugqirha wakho.
Iimpawu
Umqathango othiwa ukuhlaselwa kwe-ischemic ehamba phambili (TIA) unokusebenza njengesilumkiso somdlalo ozayo. I-TIA injenge-stroke, kodwa iimpawu zixazulula ngaphandle kokuphazamiseka kwengqondo. Ukuba unayo i-TIA, oku kuthetha ukuba mhlawumbi unomngcipheko omnye wengozi. Uninzi lwabantu abafumana i-TIA baya kuba ne-stroke kwisithuba seenyanga ezintathu ukuya ezintandathu ngaphandle kokuba izinto ezinobungozi zichongwa kwaye zonyango.
Iimpawu ezinkulu ze-stroke ziquka:
- Ubungqina okanye ubuthathaka kwelinye icala lomzimba
- Unzima ukuthetha okanye ukukhathazeka ukuqonda
- Unzima ngombono
- Ukuwa okanye kunzima ukuhamba
- Ngokukhawuleza, inwele emininzi ebandakanya intamo eqinile, intlungu ebusweni, intlungu phakathi kwamehlo, okanye ukuhlanza
- Ukulahleka kokulinganisela okanye ukulungelelaniswa
- Ukudideka
Ukuxilongwa
Ukuba ufumana iimpawu zesifo esibuhlungu, kufuneka ufumane unyango olungxamisekileyo. Emva kokuba iqela lakho lonyango lenze uvavanyo lwe-neurological, ezi mvavanyo zilandelayo ziza kwenziwa ukuze zichane imbangela yokubetha nokwenza isicwangciso sokonyango:
- Ukujonga iimviwo ezifana ne-CT scan kunye ne-MRI scan
- Iimvavanyo zegazi kunye nezinye iimvavanyo zonyango
Unyango
I-stroke i-ischemic iyakwazi ukulawulwa kunye nenani lezonyango zonyango, kubandakanywa unyango olunamandla olubizwa ngokuba ngumculi we-plasminogen (t-PA.) Lonyango luyasebenza xa uhlahlo lufumaneka ngokukhawuleza kwaye luvavanywa kwaye ukuba unyango lunokunikezwa kwiiyure ezintathu ukuqala kwempawu zesifo.
Ukuhlanganiswa kwegazi kunye nokusetyenziswa kwamachiza okulawula ukuphuma kwamanzi kungasetyenziselwa unyango lwe-stroke ephazamisayo. Unyango lunokubandakanya iinkqubo ezibandakanya ukucima i-aneurysm ephukile okanye i-endovascular embolization apho ikhoyili ifakwa kwi-aneurysm ukwenzela ukunciphisa ukuhamba kwegazi.
> Umthombo:
> Ukwelashwa kwe-cocktail, isicwangciso esithembisayo sokunyanga isifo sochungechunge lwe-cerebral ischemic acute? Liang LJ, Yang JM, Jin XC, iMed Gas Res. 2016 uMatshi 4; 6 (1): 33-38