Yog tias cov hlab ntsha mus rau lub hlwb raug thaiv lawm, yuav ua li cas? Cia peb tham txog mob stroke uas ua rau lub hlwb puas tsuaj!

Yog tias cov ntshav txhaws uas tsim nyob rau hauv peb lub cev tawg thiab daig rau hauv cov hlab ntsha hauv peb lub hlwb, yuav ua li cas? Nws yog ib qho kev xav txaus ntshai, puas yog? Yog lawm, qhov no yog qhov peb hu ua 'embolic stroke'. Qhov no yog ib qho xwm txheej ceev uas ua rau tuag taus. Thaum muaj qee yam zoo li no tshwm sim, txhua ob feeb suav nrog, yog li kev kho mob sai li sai tau yog qhov tseem ceeb tshaj plaws.

Mob stroke embolic yog dab tsi? Cia peb nkag siab yooj yim.

Hais yooj yim xwb, mob stroke embolic yog thaum cov ntshav txhaws lossis lwm yam (peb hu qhov no ua 'embolism' ) daig hauv cov hlab ntsha uas nqa cov ntshav mus rau lub hlwb, ua rau cov ntshav ntws mus rau ib feem ntawm lub hlwb, ua rau qhov ntawd puas tsuaj. Qhov no yog pawg loj dua hu ua 'ischemic stroke' . Xav txog nws zoo li ib daim khib nyiab daig hauv cov yeeb nkab dej thiab ua rau cov ntshav ntws tsis tau. Ntawm no, 'embolism' no, uas txhais tau tias cov ntshav txhaws, feem ntau tsim nyob rau hauv cov hlab ntsha loj nyob rau lwm qhov hauv lub cev, tej zaum hauv lub plawv, thiab tawg tawm ntawm qhov ntawd, mus ncig los ntawm cov ntshav thiab daig hauv cov hlab ntsha me me hauv lub hlwb. Tom qab ntawd qhov ntawm lub hlwb uas tau txais cov ntshav los ntawm cov hlab ntsha ntawd tsis tau txais oxygen thiab cov as-ham.

Cov tsos mob ntawm tus mob embolic stroke yog dab tsi?

Cov tsos mob zoo ib yam li lwm hom mob stroke ischemic. Lawv tuaj yeem tshwm sim sai sai , yog li nws tseem ceeb rau koj thiab koj cov neeg hlub kom paub txog lawv.

• Aphasia yog ib qho mob uas lub peev xwm hais lus tsis zoo lossis ploj mus tag. Tej zaum koj yuav tsis nkag siab txog yam uas lawv hais.
• Pom kev tsis meej tam sim ntawd , pom ob sab (Diplopia), lossis pom tsis meej ib lossis ob lub qhov muag.
• Muaj kev xav tsis meej pem thiab tsis meej pem sai sai , tsis nco qab koj nyob qhov twg thiab yog lub sijhawm twg lawm.
• Hauv qee kis mob hnyav , muaj kev poob siab tag nrho (Coma).
• Vertigo yog ib qho kev xav ntawm kev tig thiab poob ntawm qhov sib npaug .
• Mob taub hau sai sai thiab hnyav heev . Qhov no txawv ntawm mob taub hau ib txwm thiab ua rau mob tsis taus.
• Amnesia yog qhov poob ntawm kev nco qab tam sim ntawd .
• Kev hloov pauv tus cwj pwm tam sim ntawd , zoo li tsuas yog npau taws lossis chim siab.
• Xeev siab thiab ntuav .
• Hnov qhov nruj ntawm lub caj dab .
• Yuav raug rub thiab poob tsis nco qab .
• Muaj kev mob nkeeg (Seizures) .
• Hais lus tsis meej thiab hais tsis tau lus kom raug (Dysarthria).
• Qhov txo qis tam sim ntawd lossis poob tag nrho ntawm cov kev xav xws li pom, hnov, ntxhiab, saj, thiab kov .
• Mob loog, tingling, lossis tsis muaj zog ntawm ib sab ntawm lub ntsej muag lossis lub cev .

Cov cim qhia txog kev mob stroke embolic yog dab tsi? Nco ntsoov 'UA SAI SAI'!

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov lub ntsiab lus ntawm cov lus Askiv 'BE FAST' kom paub seb koj lossis ib tus neeg koj paub puas muaj mob stroke. Txhua ob feeb suav rau lub sijhawm no! Koj ua sai npaum li cas, koj yuav ua tau kev puas tsuaj tsawg npaum li ntawd.

• B - Sib Npaug: Saib seb koj puas poob koj qhov sib npaug lossis koj puas ntog thaum taug kev.
• E - Qhov Muag: Xyuas seb puas pom kev tsis meej tam sim ntawd, pom kev tsis meej, lossis pom ob sab .
• F - Lub Ntsej Muag: Luag nyav thiab saib. Saib seb ib sab ntawm lub ntsej muag puas poob qis lossis zoo li raug rub.
• A - Caj Npab: Tsa ob sab caj npab mus tom ntej. Yog tias koj muaj mob stroke, ib sab caj npab yuav tsis tuaj yeem tsa tau zoo thiab tej zaum yuav poob lossis tej zaum yuav muaj teeb meem tuav nws.
• S - Kev Hais Lus: Saib seb koj lossis lwm tus neeg cov lus hais puas tsis meej, muaj teeb meem xaiv cov lus zoo, lossis nyuaj nkag siab .
• Lub Sijhawm: Lub sijhawm yog qhov tseem ceeb heev! Yog tias koj pom ib qho ntawm cov tsos mob no , hu rau 911 tam sim ntawd thiab nrhiav lub tsheb thauj neeg mob . Yog tias ua tau, saib koj lub moos lossis xov tooj kom nco ntsoov lub sijhawm uas koj cov tsos mob pib. Thaum koj qhia tus kws kho mob lub sijhawm ntawd, nws yuav yooj yim dua rau lawv xaiv txoj kev kho mob zoo tshaj plaws.

Dab tsi ua rau mob stroke embolic?

Qhov ua rau mob stroke embolic yog, raws li peb tau hais ua ntej , 'embolism' . Qhov no txhais tau tias cov ntshav txhaws (feem ntau yog cov npuas cua, cov rog me me, lossis lwm yam khoom) uas tsim nyob rau hauv ib qho chaw hauv lub cev tawg tawm ntawm qhov ntawd, mus ncig los ntawm cov ntshav, thiab daig hauv cov hlab ntsha hauv lub hlwb.

Muaj ntau yam kab mob uas ua rau cov ntshav txhaws:

• Atrial Fibrillation: Qhov no yog ib qho mob uas cov chav sab saud ntawm lub plawv (atria) tsis sib zog zoo, tab sis nws dhia sai thiab tsis sib xws. Qhov no ua rau cov ntshav sib sau ua ke hauv lub plawv, ua rau nws muaj feem ntau dua uas cov ntshav txhaws yuav tsim. Cov no yog cov uas yuav tawg tawm thiab mus rau lub hlwb.
• Kab mob Atherosclerosis: Qhov no yog thaum cov rog xws li cov roj cholesterol sib sau ua ke hauv cov hlab ntsha (arteries), ua rau cov phab ntsa ntawm cov hlab ntsha tawv thiab nqaim. Cov rog no (plaques) tuaj yeem tawg thiab thaiv cov hlab ntsha hauv lub hlwb.
• Kev Mob Ntshav: Qee tus neeg yuav muaj feem yuav muaj lawv cov ntshav txhaws yooj yim, vim yog cov yam ntxwv caj ces lossis lwm yam kab mob.
• Qee yam mob sib kis, xws li COVID-19, kuj ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.
• Cov kab mob uas ua rau cov nqaij tuag . Piv txwv li, hauv sepsis , kev kis kab mob hnyav, cov kab mob lossis cov nqaij tuag tuaj yeem nkag mus rau hauv cov ntshav thiab mus rau lub hlwb. Qhov no kuj tuaj yeem tshwm sim hauv cov kab mob plawv (infective endocarditis).

Mob stroke me me - embolic transient ischemic attack (TIA)

Qee zaum muaj kev mob hlwb tsis txav mus los ib ntus (transient ischemic attack - TIA), uas tseem hu ua mini-stroke, uas tuaj yeem tshwm sim. Qhov no zoo ib yam li mob hlwb, uas cov ntshav mus rau lub hlwb raug cuam tshuam ib ntus. Txawm li cas los xij, cov tsos mob feem ntau ploj mus hauv ob peb feeb txog ib teev lossis ob teev thaum cov ntshav txhaws yaj lossis txav mus los thiab raug tso tawm ntawm qhov txhaws. Txawm li cas los xij, qhov no yog ib qho cim ceeb toom tias koj muaj feem yuav muaj mob hlwb loj yav tom ntej . Ib tus neeg uas tau muaj TIA yuav xav tau kev kho mob tam sim ntawd los txiav txim seb ua rau muaj mob hlwb loj.

Leej twg muaj feem yuav mob stroke embolic ntau dua?

Txhua tus neeg yeej muaj tau tus mob stroke embolic, tab sis qee tus neeg muaj feem yuav mob hnyav dua:

• Rau cov neeg dub.
• Rau cov neeg hnub nyoog tshaj 65 xyoo (qhov kev pheej hmoo yuav nce ntxiv thaum lawv laus zuj zus).
• Rau cov neeg uas haus luam yeeb lossis siv lwm yam khoom luam yeeb/nicotine (piv txwv li, cov vapers, chewingers). Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj thiab ua rau cov ntshav txhaws.
• Rau cov neeg uas siv tshuaj yeeb (tshwj xeeb yog cocaine thiab amphetamines) .

Tsis tas li ntawd xwb, cov neeg uas muaj tej yam mob nkeeg muaj feem yuav muaj feem ntau dua:

• Rau cov neeg uas haus dej cawv ntau dhau (kev siv cawv tsis zoo).
• Rau cov neeg uas muaj ntshav qab zib . Ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Rau cov neeg uas muaj ntshav siab (hypertension) . Yog tias qhov no tsis raug tswj, nws tuaj yeem ua rau cov hlab ntsha puas tsuaj mus sij hawm ntev.
• Rau cov neeg uas muaj roj cholesterol ntau (Hyperlipidemia) hauv cov ntshav . Qhov no ua rau 'atherosclerosis'.
• Cov neeg uas muaj kab mob plawv (piv txwv li atrial fibrillation, teeb meem plawv valve, yav dhau los mob plawv).

Yuav ua li cas thiaj paub tias muaj mob stroke embolic? (Kev kuaj mob)

Ib tug kws kho mob yuav qhia koj meej tias tus mob embolic stroke yog dab tsi. Thaum koj mus rau tsev kho mob, thawj qhov lawv ua yog nug txog koj cov tsos mob, xws li thaum lawv pib. Tom qab ntawd lawv ua qhov kev kuaj mob neurological . Qhov no kuaj xyuas koj cov lus hais, kev pom kev, lub zog, thiab cov reflexes. Lawv kuj ua qhov kev kuaj lub cev dav dav thiab ob peb qhov kev kuaj lwm yam.

Cov kev kuaj zoo li no yog siv los paub meej tias muaj mob stroke:

• Kev kuaj ntshav: Xyuas seb puas muaj teeb meem ntshav txhaws, ntshav qab zib, thiab roj cholesterol.
• CT scan: Qhov no thaij duab ntawm lub hlwb thiab tuaj yeem txiav txim siab sai sai seb puas muaj kev los ntshav lossis cov hlab ntsha txhaws (ischemic stroke).
• Kev thaij duab MRI: Qhov no muab cov duab ntxaws ntxaws dua li kev thaij duab CT. Nws pab pom tseeb tias muaj kev puas tsuaj dab tsi rau lub hlwb.
• Kev kuaj ECG (Electrocardiogram - EKG): Qhov no kuaj qhov hluav taws xob ntawm lub plawv kom paub seb puas muaj teeb meem plawv dhia xws li atrial fibrillation.
• Kev kuaj EEG (Electroencephalogram - EEG): Qhov no kuj tuaj yeem ua tau los xyuas qhov kev ua haujlwm hluav taws xob ntawm lub hlwb, vim tias cov mob xws li qaug dab peg qee zaum tuaj yeem tsis meej pem nrog mob stroke.
• Kev Siv Ultrasound Rau Cov Hlwb Carotid: Txhawm rau kuaj xyuas seb puas muaj roj ntau thiab puas muaj kev nqaim ntawm cov hlab ntsha tseem ceeb hauv caj dab (cov hlab ntsha carotid).
• Echocardiogram: Kev kuaj lub plawv los ntawm lub tshuab ultrasound. Txhawm rau kuaj seb puas muaj cov ntshav txhaws hauv lub plawv thiab cov teeb meem ntawm lub valve.

Cov kev kho mob rau tus mob embolic stroke yog dab tsi?

Qhov tseem ceeb tshaj plaws thaum kho tus mob stroke embolic yog kom rov qab tau cov ntshav mus rau lub hlwb sai li sai tau . Cov kws kho mob ua qhov no sai li sai tau vim qhov no tuaj yeem txo qhov kev puas tsuaj rau lub hlwb mus tas li thiab txawm tias cawm tau txoj sia. Muaj ib zaj lus hais tias, "Lub Sijhawm yog Lub Hlwb," txhais tau tias txhua lub sijhawm uas dhau mus yam tsis muaj sijhawm, cov hlwb hlwb tuag.

Muaj ob txoj kev kho mob tseem ceeb uas feem ntau siv:

• Kev kho mob Thrombolytic: Cov no yog cov tshuaj uas pab kom cov ntshav khov (piv txwv li, Alteplase). Cov tshuaj no raug txhaj rau hauv cov hlab ntsha kom yaj cov ntshav khov thiab rov qab ntws tau. Feem ntau cov kws kho mob tsuas yog muab cov no yog tias koj tuaj txog hauv tsev kho mob hauv plaub teev thiab ib nrab (4.5 teev) ntawm qhov pib muaj cov tsos mob stroke . Kev muab lawv tom qab tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav hauv lub hlwb.
• Kev phais mob ntshav txhaws: Qhov no yog ib txoj kev phais uas tsis yog phais uas siv ib lub cuab yeej tshwj xeeb los tshem tawm cov ntshav txhaws. Tus kws phais (interventional neuroradiologist) ntxig ib lub raj me me, nyias (catheter) los ntawm cov leeg ntshav loj hauv qhov chaw mos lossis caj npab thiab xa mus rau cov ntshav txhaws hauv lub hlwb raws li kev coj ua X-ray. Tom qab ntawd cov ntshav txhaws raug rub tawm los ntawm kev siv lub cuab yeej zoo li mesh hu ua stent retriever lossis lub catheter suction. Qhov no feem ntau tuaj yeem ua tiav hauv 6 teev ntawm qhov pib ntawm cov tsos mob stroke, tab sis tuaj yeem ua tiav txog li 24 teev hauv qee kis. Qhov no zoo tshaj plaws rau cov neeg uas muaj cov ntshav txhaws hauv cov leeg ntshav loj.

Tsis tas li ntawd xwb, tej zaum yuav xav tau lwm yam kev kho mob:

• Tswj cov ntshav siab thiab cov ntshav qab zib: Koj cov kws kho mob yuav saib xyuas koj cov ntshav siab thiab cov ntshav qab zib tsis tu ncua kom pab koj lub hlwb kho. Txhawm rau kom txo qhov kev puas tsuaj rau lub hlwb, lawv yuav sau tshuaj kom txo lossis (qee zaum) nce koj cov ntshav siab.
• Cov tshuaj ua kom cov ntshav nyias: Cov tshuaj Anticoagulants (piv txwv li Warfarin, Apixaban) lossis cov tshuaj antiplatelets(Piv txwv li: Aspirin, Clopidogrel) Cov tshuaj uas ua rau cov ntshav tsis txhob khov yooj yim. Nyob ntawm seb ua rau mob stroke, koj yuav tsum tau noj cov tshuaj no tom qab kev kho mob thrombolytic kom tiv thaiv tau lwm yam mob stroke.
• Kev phais plawv los yog kev tso stent: Yog tias cov hlab ntsha carotid hauv caj dab nqaim heev los ntawm cov rog uas tso rau hauv (carotid stenosis), cov rog uas tso rau hauv tuaj yeem raug phais tshem tawm (endarterectomy) lossis ib lub stent tuaj yeem raug ntxig los ntawm cov hlab ntsha kom qhib nws. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm lwm cov ntshav txhaws (embolism).
• Kev kub taub hau me me uas txhob txwm ua: Qee zaum, cov kws kho mob tuaj yeem txo koj lub cev qhov kub me ntsis kom muaj kev nyab xeeb. Qee qhov kev tshawb fawb qhia tau tias qhov no yuav pab txo qhov kev puas tsuaj rau lub hlwb thaum lub sijhawm thiab tom qab muaj mob stroke, tab sis qhov no tseem tsis tau yog kev kho mob ib txwm muaj.
• Kev Kho Mob Pa oxygen: Thaum muaj mob stroke, lub hlwb tsis tau txais pa oxygen txaus. Yog tias koj cov pa oxygen hauv cov ntshav qis, cov kws kho mob yuav muab pa oxygen ntxiv rau koj los ntawm kev siv lub raj mis ntswg lossis lub ntsej muag. Qhov no ua rau nws yooj yim dua rau kev ua pa thiab pab xa pa oxygen mus rau koj lub cev thiab lub hlwb.

Yuav ua li cas yog kev kho mob tom qab mob stroke embolic?

Kev kho mob stroke yog ib feem tseem ceeb heev ntawm kev kho mob. Nws yog ib qho tseem ceeb rau koj kom hloov kho rau qhov kev hloov pauv hauv koj lub hlwb thiab lub cev tom qab mob stroke thiab kom rov qab tau koj lub peev xwm uas ploj lawm ntau li ntau tau. Qhov kev pab cuam kho mob yog tsim tshwj xeeb rau koj, raws li koj xav tau. Qhov no yuav suav nrog kev pab los ntawm cov kws kho mob xws li:

• Kev Kho Mob Lub Cev: Ua kom koj cov leeg muaj zog, txhim kho koj qhov kev sib npaug, thiab rov qab tau lub peev xwm taug kev thiab siv koj txhais tes thiab ob txhais ceg.
• Kev kho mob ua haujlwm: Pab koj kawm ua koj tej haujlwm txhua hnub (xws li noj mov, hnav khaub ncaws, thiab da dej) ntawm koj tus kheej dua. Nws kuj pab koj ua tej haujlwm hauv tsev thiab ua haujlwm tau zoo, tshwj xeeb tshaj yog cov uas xav tau kev txav lub cev zoo.
• Kev Kho Mob Hais Lus: Pab koj rov qab tau lossis txhim kho koj cov lus thiab kev hais lus (Aphasia, Dysarthria). Nws kuj qhia koj kom tswj tau cov leeg nqaij uas pab koj hais lus, ua pa, noj mov, thiab nqos (Dysphagia).
• Kev kho kom rov qab paub txog tej yam: Txhim kho koj lub cim xeeb, kev mloog zoo, kev daws teeb meem, thiab lwm yam kev txawj ntse ntawm lub hlwb (yog tias muaj mob stroke).
• Kev sab laj txog kev puas siab puas ntsws kuj tseem yuav tsum tau ua, vim tias nws yog ib qho uas feem ntau yuav muaj kev nyuaj siab, kev ntxhov siab, thiab kev hloov pauv ntawm lub siab tom qab mob stroke.

Muaj pes tsawg txoj hauv kev uas yuav muaj sia nyob tau los ntawm kev mob stroke embolic?

Cov neeg uas tseem muaj sia nyob los ntawm tus kab mob stroke no tab tom nce ntxiv txhua hnub, vim peb nrhiav tau cov kev kho mob tshiab thiab sai dua. Txawm li cas los xij, tsis muaj ib lub sijhawm rov zoo lossis kev kwv yees uas ua haujlwm rau txhua tus.

Cov kws tshaj lij hais tias kwv yees li 80% ntawm cov neeg uas muaj mob stroke embolic yuav muaj sia nyob tsawg kawg yog ib hlis . Tom qab koj mob stroke thawj zaug, koj qhov kev pheej hmoo ntawm kev muaj mob stroke ntxiv yuav nce ntxiv. Cov neeg uas tau mob stroke ntau zaus muaj feem yuav muaj sia nyob tsawg dua. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum tiv thaiv kom tsis txhob muaj mob stroke ntxiv.

Yuav siv sijhawm ntev npaum li cas los rov zoo los ntawm kev mob stroke embolic?

Txhua tus neeg lub cev teb txawv rau qhov mob stroke embolic. Qhov koj tuaj yeem cia siab ('kev kwv yees') nyob ntawm ntau yam:

• Koj tau txais kev kho mob sai npaum li cas .
• Cov feem twg ntawm lub hlwb raug cuam tshuam thiab mus txog qhov twg .
• Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho (seb koj puas muaj lwm yam mob).
• Koj koom nrog hauv qhov kev pab cuam kho kom rov zoo li cas .

Nws yuav siv sijhawm ntau lub hlis txog ib xyoos lossis ntau dua rau cov neeg feem coob kom ua tiav qee qib kev rov zoo. Ib txhia neeg yuav tsum nyob nrog kev tsis taus mus tas li. Koj tus kws kho mob yuav qhia koj tias yuav tsum xav li cas. Lawv yuav pab koj teeb tsa lub hom phiaj thiab kev cia siab rau koj txoj kev rov zoo uas tsim nyog rau koj txoj kev noj qab haus huv thiab tus mob.

Peb yuav ua li cas thiaj tiv thaiv tau tus kab mob embolic stroke?

Txoj kev zoo tshaj plaws los tiv thaiv kev mob embolism thiab embolic stroke yog tswj koj txoj kev noj qab haus huv tag nrho thiab tswj koj cov yam uas ua rau muaj kev pheej hmoo . Sim ua cov no:

• Ua si nawv tsis tu ncua (tsawg kawg yog 30 feeb 5 hnub hauv ib lub lim tiam).
• Noj zaub mov kom muaj txiaj ntsig zoo (txiv hmab txiv ntoo, zaub, taum pauv, thiab cov nplej tag nrho uas muaj fiber ntau, ntsev, qab zib, thiab rog tsawg dua). Tswj qhov hnyav kom noj qab nyob zoo. Koj tus kws kho mob yuav pom zoo kom koj ua raws li txoj kev npaj zaub mov zoo li kev noj zaub mov Mediterranean .
• Xyuas koj cov ntshav siab, roj cholesterol, thiab cov ntshav qab zib tsis tu ncua thiab tswj lawv kom zoo . Noj koj cov tshuaj raws li koj tus kws kho mob tau hais.
• Tsum haus luam yeeb kiag li thiab tsis txhob nyob rau hauv qhov chaw uas lwm tus haus luam yeeb.
• Txwv lossis tsum tsis txhob haus cawv kiag li.
• Yog tias koj muaj mob plawv xws li atrial fibrillation, nrhiav kev kho mob kom zoo.

Mus ntsib kws kho mob txhua xyoo (lossis raws li koj tus kws kho mob pom zoo) kom kuaj xyuas koj tus kheej . Muaj ntau yam kab mob thiab teeb meem uas ua rau mob stroke tshwm sim raws sijhawm. Tej zaum lawv yuav ua rau koj zoo siab dua. Koj tus kws kho mob tuaj yeem pab koj paub thiab tswj cov cim ceeb toom ua ntej lawv ua rau koj muaj feem mob stroke ntau dua.

Kuv yuav saib xyuas kuv tus kheej li cas tom qab muaj mob stroke embolic?

Kev kho mob thiab kev kho kom rov zoo tom qab mob stroke tuaj yeem yog ib qho txheej txheem ntev thiab siv sijhawm ntev. Thaum koj thiab koj tus kws kho mob tau tsim ib txoj kev npaj kho mob, ua raws li nws kom ze li sai tau. Feem ntau, koj yuav tsum:

• Nco ntsoov mus koom koj qhov kev kho mob thiab lwm yam chav kawm kho mob . Ua cov kev tawm dag zog uas koj cov kws kho mob muab rau koj hauv tsev. Qhia rau koj cov kws kho mob yog tias koj xav tias tsis xis nyob lossis tsis muaj kev nyab xeeb thaum ua ib yam dab tsi. Kev kho mob yog ib txoj haujlwm nyuaj, tab sis koj tsis tas yuav mob lossis tsis xis nyob txhua lub sijhawm.
• Xav txog koj txoj kev noj qab haus huv ntawm lub hlwb thiab . Kev nyuaj siab thiab kev ntxhov siab yog qhov tshwm sim ntau heev tom qab muaj mob stroke. Nws yog ib qho ib txwm muaj los xav txog tej yam zoo li, "Vim li cas qhov no thiaj tshwm sim rau kuv?" "Kuv puas yuav zoo li qub dua?" Kev tu siab lossis poob siab tsis ua rau koj qaug zog lossis ua tsis tiav. Koj txoj kev noj qab haus huv ntawm lub hlwb tseem ceeb ib yam li koj txoj kev noj qab haus huv ntawm lub cev. Yog tias koj xav tias koj xav tau kev pab nrhiav qee yam thaum koj rov zoo, tham nrog kws kho mob lossis kws tshaj lij txog kev noj qab haus huv ntawm lub hlwb (tus kws pab tswv yim, tus kws kho mob hlwb). Kev txhawb nqa los ntawm tsev neeg thiab cov phooj ywg kuj tseem ceeb heev rau lub sijhawm no.
• Noj koj cov tshuaj raws nraim, raws sijhawm, thiab raws li qhov ntau npaum li cas . Qhov no tseem ceeb heev yog tias koj noj cov tshuaj ua kom cov ntshav nyias, cov tshuaj ntshav siab, cov tshuaj roj cholesterol, lossis cov tshuaj ntshav qab zib. Nws yog ib qho tseem ceeb kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws yav tom ntej, thiab noj koj cov tshuaj raws li koj tus kws kho mob hais kom koj ua yuav pab koj lub cev kho.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) dua thaum twg?

Yog koj xav tias koj muaj mob stroke dua (nco ntsoov UA CAI SAI!) , hu rau 911 lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd . Qhov kev pheej hmoo ntawm kev mob hnyav thiab kev tuag yuav siab dua yog tias koj muaj mob stroke dua . Tsis txhob ncua sijhawm thov kev pab lossis mus rau chav kho mob ceev.

Cov neeg uas tau muaj mob stroke embolic muaj feem yuav muaj teeb meem loj dua, xws li:

• Cov ntshav txhaws hauv cov leeg ntshav tob ntawm ob txhais ceg (Deep vein thrombosis - DVT): o, liab, mob hauv ceg.
• Mob plawv nres: Mob hauv siab, ua pa nyuaj.
• Mob ntsws: Kub taub hau, hnoos, ua pa nyuaj (tshwj xeeb tshaj yog rau cov neeg uas nyuaj nqos, zaub mov tuaj yeem nkag mus rau hauv lub ntsws - Aspiration Pneumonia).
• Kab mob ntsws txhaws: Ua pa luv luv tam sim ntawd, mob hauv siab, thiab lub plawv dhia ceev. Qhov no tej zaum yuav yog vim cov ntshav txhaws uas tawg tawm ntawm DVT.
• Muaj kev mob nkeeg (Seizures).

Yog tias koj muaj cov tsos mob ntawm cov teeb meem no, hu rau cov kev pabcuam thaum muaj xwm txheej ceev tam sim ntawd lossis mus rau chav kho mob ceev.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Tom qab koj muaj mob stroke lawm, koj thiab koj tsev neeg yuav muaj ntau lo lus nug. Tsis txhob ntshai nug koj tus kws kho mob txog lawv.

• Ua cas kuv thiaj muaj tus mob stroke no? Cov ntshav txhaws (embolism) tshwm sim qhov twg?
• Muaj mob dab tsi los yog muaj teeb meem dab tsi ua rau qhov no?
• "Kuv muaj feem yuav muaj mob stroke dua yog dab tsi?"
• Kuv yuav tsum noj cov tshuaj twg thiaj li txuas ntxiv noj tau, kuv yuav tsum noj li cas? Lawv cov kev mob tshwm sim yog dab tsi?
• Kuv yuav tsum hloov dab tsi hauv kuv lub neej txhua hnub? Tej yam xws li kev noj zaub mov, kev tawm dag zog, thiab lwm yam.
• Kuv yuav siv sijhawm ntev npaum li cas los kho dua tshiab?
• Kuv puas yuav tsav tsheb tau thiab mus ua haujlwm tau dua? Thaum twg mam li rov qab mus ua haujlwm tau?

"Kev muaj mob stroke tuaj yeem hloov koj lub neej. Tab sis qhov ntawd tsis tau txhais hais tias koj tsis yog koj li. Nco ntsoov qhuas koj tus kheej rau qhov koj ua tiav thaum koj kho thiab rov zoo. Txawm tias nws tsis zoo li nws ib txwm los xij, txhua qhov kev vam meej me me tsim nyog ua kev zoo siab."

Tham nrog koj cov kws kho mob txog yam koj ua tau los tiv thaiv kom tsis txhob muaj mob stroke dua yav tom ntej. Lawv tuaj yeem pab koj hloov kho koj txoj kev ua neej txhua hnub kom txo tau koj txoj kev pheej hmoo ntawm kev muaj mob stroke dua. Tsis txhob ntshai nug cov lus nug. Koj yog tus neeg tawm tswv yim zoo tshaj plaws rau koj tus kheej thiab koj txoj kev noj qab haus huv , thiab koj muaj cai nkag siab txhua yam uas lawv qhia koj.

Qee yam uas kuv xav tias tseem ceeb rau koj (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb saib qee yam uas peb yuav tsum nco ntsoov los ntawm qhov peb tau tham txog.

• Kab mob embolic stroke yog thaum cov ntshav txhaws uas tsim nyob rau lwm qhov chaw hauv lub cev (feem ntau yog hauv lub plawv) mus rau hauv cov hlab ntsha hauv lub hlwb. Qhov no yog xwm txheej ceev kho mob!
• Nco ntsoov txog cov cim qhia tias 'UA SAI' (tsis muaj zog, pom kev hloov pauv, ntsej muag poob qis, caj npab tsis muaj zog, hais lus tsis meej). Yog koj pom cov cim no , hu rau 1990 tam sim ntawd . Lub sijhawm yog qhov tseem ceeb heev.
• Ntshav siab, ntshav qab zib, kab mob plawv (tshwj xeeb tshaj yog atrial fibrillation), roj cholesterol ntau, thiab haus luam yeeb yog cov yam tseem ceeb uas ua rau muaj qhov no.
• Nws yog ib qho tseem ceeb heev uas yuav tsum pib kho mob sai li sai tau. Kev kho mob Thrombolytic thiab kev siv tshuab thrombectomy yog cov kev kho mob tseem ceeb.
• Kev kho kom rov zoo yog qhov tseem ceeb tom qab muaj mob stroke. Kev kho mob hais lus, kev kho lub cev, kev kho mob ua haujlwm, thiab kev kho lub hlwb tuaj yeem pab tau qhov no.
• Yuav kom tiv thaiv tau lwm tus mob stroke, nws yog ib qho tseem ceeb heev uas yuav tsum hloov pauv txoj kev ua neej kom noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog tsis tu ncua , tso tseg kev haus luam yeeb tag nrho, thiab txwv kev haus dej cawv) thiab ua raws li cov lus qhia ntawm kws kho mob kom meej.
• Koj tsis nyob ib leeg xwb . Muaj cov kws kho mob, cov kws kho mob hlwb, tsev neeg, thiab cov phooj ywg uas tuaj yeem pab koj hauv txoj kev no. Nug koj tus kws kho mob txhua yam, thov kev pab. Kev noj qab haus huv ntawm lub hlwb tseem ceeb ib yam li kev noj qab haus huv ntawm lub cev.

Vam tias nej yuav pom cov ntaub ntawv no muaj txiaj ntsig, cov phooj ywg zoo. Thov kom nej noj qab nyob zoo thiab zoo siab txhua tus!

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