Puas yog nws yog qhov txhaws hauv cov hlab ntsha hauv lub hlwb nruab nrab? Cia peb tham txog MCA stroke!

Koj puas tau xav tias yuav muaj dab tsi tshwm sim yog tias cov hlab ntsha me me hauv peb lub hlwb raug thaiv tam sim ntawd? Qhov ntawd yog qhov mob hnyav hu ua MCA stroke (Middle Cerebral Artery Stroke) . Lub npe suab me ntsis ntshai, puas yog? Tab sis tsis txhob txhawj. Peb yuav tham txog txhua yam hauv txoj kev yooj yim uas koj nkag siab. Nws zoo li muaj koj tus phooj ywg zoo tshaj plaws lossis tus tswv cuab hauv tsev neeg piav qhia qee yam rau koj.

MCA Stroke yog dab tsi?

Hais yooj yim xwb, mob stroke MCA yog ib qho mob uas ua rau lub hlwb tsis ua haujlwm vim yog muaj kev thaiv cov hlab ntsha hauv koj lub hlwb hu ua Middle Cerebral Artery (MCA) . Xav txog seb cov hlab ntsha hauv nruab nrab ntawm lub hlwb no yog ib qho ntawm cov hlab ntsha tseem ceeb uas muab ntshav rau peb lub hlwb. Yog hais kom meej, nws txuas rau cov hlab ntsha carotid hauv peb lub caj dab thiab muab ntshav rau cov qhov ntawm lub hlwb uas pab peb siv peb cov kev xav, txav peb lub cev, thiab hais lus. Feem ntau cov mob stroke tshwm sim hauv cov hlab ntsha no hu ua MCA.

Yog li, qhov mob stroke MCA no tshwm sim li cas? Qhov laj thawj rau qhov no yog vim muaj cov ntshav txhaws hauv cov hlab ntsha hauv lub hlwb no. Ib yam li thaum ib daim av nplaum hauv cov kav dej, cov dej tsis ntws, thaum cov hlab ntsha no raug thaiv, cov ntshav tsis ntws mus rau cov qhov tseem ceeb ntawm lub hlwb. Tom qab ntawd cov hlwb hauv cov qhov ntawd pib tuag. Qhov ntawd yog qhov ua rau mob stroke.

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

Muaj ntau yam tsos mob ntawm MCA stroke. Cov no feem ntau tshwm sim sai sai. Saib seb cov tsos mob no puas zoo li koj paub:

• Tsis muaj zog lossis loog ntawm ib sab ntawm lub ntsej muag lossis lub cev: Koj yuav xav tias ib sab loog. Lossis koj yuav tsis txav tau sab ntawd li.
• Kev poob lossis txo qis ntawm kev ua haujlwm ntawm kev hnov: Kev hnov, hnov ​​tsw, saj, thiab kov tej zaum yuav ploj mus lossis puas lawm.
• Hais lus tsis meej lossis hais lus tsis meej (dysarthria): Tsis muaj peev xwm hais cov lus kom meej.
• Nyuaj hais lus lossis tsis hais lus kiag li (aphasia): Nyuaj nrhiav lus, lossis tsis muaj peev xwm hais lus li, yuav tshwm sim.
• Kev Tsis Saib Xyuas: Qhov no feem ntau yog sab laug uas raug tso tseg li no. Uas yog, tej yam ntawm sab laug tsis muaj leej twg pom, thiab tsis muaj kev txhawj xeeb rau sab ntawd.
• Tsis muaj zog txav mus los lossis nyuaj rau txav mus los (ataxia): Taug kev tsis taus, nyuaj rau tuav tej yam.

Tam sim no saib, peb lub hlwb muab faib ua ob sab, sab laug thiab sab xis. Cov hlab ntsha MCA no kuj ceg thiab muab ntshav rau ob sab ntawm lub hlwb. Qhov tseem ceeb yog tias ib sab ntawm lub hlwb tswj lwm sab ntawm lub cev. Qhov ntawd txhais tau tias, yog tias mob stroke cuam tshuam rau sab laug ntawm lub hlwb, cov tsos mob yuav tshwm sim rau sab xis ntawm lub cev. Yog tias sab xis ntawm lub hlwb raug puas tsuaj, cov tsos mob yuav tshwm sim rau sab laug ntawm lub cev.

Muaj coob tus neeg muaj teeb meem hais lus (aphasia) yog tias sab laug ntawm lub hlwb tsis ua haujlwm .Nws tuaj yeem tshwm sim. Thaum muaj mob sab xis tuag tes tuag taw, kev tsis quav ntsej sab laug ntawm lub cev yuav tshwm sim.

Cov cim qhia txog MCA stroke yog dab tsi?

Vim tias MCA mob stroke muaj ntau yam tsos mob, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov lo lus luv BE FAST kom paub thaum twg koj lossis ib tus neeg koj hlub yuav mob stroke.

• B - Qhov Nyiaj Tshuav: Xyuas seb puas muaj qhov nyiaj tshuav poob sai sai.
• E - Qhov Muag: Tshawb xyuas seb puas muaj kev poob lossis kev hloov pauv ntawm qhov muag hauv ib lossis ob lub qhov muag.
• F - Lub Ntsej Muag: Luag nyav thiab saib seb ib sab lossis ob sab ntawm koj lub ntsej muag puas poob qis .
• A - Tes: Tsa ob sab caj npab. Yog tias koj muaj mob tuag tes tuag taw, tej zaum koj yuav tsa tsis tau ib sab caj npab, lossis nws yuav qaug zog heev uas nws yuav ntog.
• S - Kev Hais Lus: Saib seb cov lus hais puas tsis meej lossis yog tias nyuaj rau xaiv cov lus zoo .
• T - Lub Sijhawm: Lub sijhawm yog qhov tseem ceeb - nrhiav kev pab sai li sai tau! Yog tias ua tau, nco ntsoov lub sijhawm uas koj cov tsos mob pib los ntawm kev saib koj lub moos, xov tooj, lossis lwm yam khoom siv ntsuas sijhawm. Qhia rau kws kho mob thaum koj cov tsos mob pib tuaj yeem pab lawv xaiv txoj kev kho mob zoo tshaj plaws.

Tseem Ceeb: Yog tias koj pom ib qho ntawm cov cim no UA NTEJ SAI, hu rau lub tsheb thauj neeg mob (hauv peb lub tebchaws, 1990) lossis mus rau tsev kho mob tam sim ntawd, tsis txhob ncua sijhawm. Vim tias thaum muaj mob stroke, lub sijhawm yog lub neej!

Kev Tawm Tsam Ischemic Transient (TIA)

Qee zaum muaj peev xwm muaj kev mob hlwb tsis txav mus los (transient ischemic attack - TIA) . Ib txhia neeg hu qhov no ua "mini-stroke." Qhov no zoo li mob hlwb, tab sis cov tsos mob yuav ploj mus tom qab ib pliag. Txawm li cas los xij, qhov no yog ib qho cim ceeb toom loj heev . Ib tug neeg uas tau muaj TIA muaj feem yuav mob hlwb tag nrho yav tom ntej. Yog li ntawd, ib tug neeg uas tau muaj TIA kuj yuav tsum tau txais kev kho mob thaum muaj xwm txheej ceev sai li sai tau.

Dab tsi yog cov ua rau muaj mob stroke MCA?

MCA strokes yog ib hom ischemic stroke . Raws li tau hais ua ntej lawm, lawv tshwm sim thaum koj cov hlab ntsha hauv lub hlwb nruab nrab (MCA) raug thaiv los ntawm cov ntshav txhaws. Muaj qee yam mob nkeeg uas ua rau koj muaj feem yuav muaj ntshav txhaws. Cov no suav nrog:

• Cov roj cholesterol ntau (hyperlipidemia): Cov roj cholesterol ntau ntxiv hauv cov ntshav.
• Kev Mob Ntshav: Ib txhia neeg muaj tus cwj pwm ua rau lawv cov ntshav txhaws tau yooj yim.
• Atherosclerosis: Cov rog tso rau hauv phab ntsa ntawm cov hlab ntsha, ua rau lawv nqaim thiab tawv.
• Atrial fibrillation:Lub plawv dhia tsis xwm yeem hauv lub plawv atria. Qhov kev pheej hmoo siab dua yog tias qhov mob no yog los ntawm kev pw tsaug zog apnea, tshwj xeeb tshaj yog thaum pw tsaug zog.
• Cov teeb meem plawv: Piv txwv li, cov mob xws li atrial septal defect thiab ventricular septal defect .

Cov yam ua rau muaj kev pheej hmoo yog dab tsi?

Txhua tus neeg yeej muaj peev xwm mob stroke , tab sis qee pawg neeg muaj feem yuav mob stroke ntau dua. Cov no suav nrog:

• Cov neeg uas haus luam yeeb lossis siv lwm yam khoom luam yeeb/nicotine (piv txwv li vaping).
• Cov neeg hnub nyoog tshaj 65 xyoo.
• Cov neeg uas siv cov tshuaj lom zem lossis cov tshuaj uas tsis tau sau ntawv kom noj.
• Cov neeg uas muaj teeb meem nrhiav kev pab kho mob tsis tu ncua.
• Yog tias ib tug neeg hauv tsev neeg tau muaj mob stroke ua ntej.
• Cov neeg uas tsis tau txais kev tawm dag zog txaus.

Tsis tas li ntawd xwb, qhov kev pheej hmoo ntawm kev tuag tes tuag taw yuav nce ntxiv yog tias koj muaj qee yam mob nkeeg:

• Ntshav siab (ntshav siab)
• Cov roj cholesterol ntau (hyperlipidemia)
• Kev kis tus kab mob Covid-19 (COVID-19)
• Kab mob ntshav qab zib
• Kev siv cawv tsis raug cai
• Kev rog dhau

Yuav kuaj mob MCA stroke li cas?

Tus kws kho mob kuaj mob stroke MCA los ntawm kev kuaj mob hlwb , kuaj lub cev, thiab ntau yam kev kuaj ntxiv. Yog tias koj raug coj mus rau chav kho mob ceev los ntawm lub tsheb thauj neeg mob, cov kws kho mob nyob ntawd kuj tuaj yeem kuaj mob stroke.

Koj tus kws kho mob yuav siv cov kev kuaj mob zoo li no los xyuas kom meej tias koj puas tau muaj mob stroke:

• Kev kuaj CT
• CT angiogram
• Kev kuaj mob hluav taws xob (EKG)
• MRI
• Kev kuaj mob magnetic resonance angiogram (MRA)
• Kev kuaj mob cerebral angiogram
• Kev kuaj ntshav

Cov kev kho mob rau MCA stroke yog dab tsi?

Koj cov kws kho mob yuav sim kho kom cov ntshav ntws mus rau koj lub hlwb zoo li qub sai li sai tau kom txo qhov kev pheej hmoo ntawm kev puas tsuaj rau lub hlwb thiab kev tuag mus tas li.

Cov kws kho mob ua cov kauj ruam los rhuav lossis tshem tawm cov ntshav txhaws.

• Tej zaum yuav muab cov tshuaj thrombolytic rau koj, xws li cov tshuaj tissue plasminogen activator (tPA) .
• Tej zaum koj kuj tseem yuav xav tau kev phais (feem ntau yog kev phais mob thrombectomy) kom tawg thiab tshem tawm cov ntshav txhaws.
• Cov kws kho mob kuj tseem yuav sau ntawv kom noj tshuaj los tswj koj cov ntshav siab.

Tseem ceeb heev: Yog tias koj xav tias koj muaj mob stroke, nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd. Qee qhov kev kho mob (xws li tPA) tsuas yog muab tau rau hauv lub sijhawm tom qab mob stroke pib.

Koj cov kws kho mob yuav qhia koj meej tias kev kho mob twg zoo tshaj plaws rau koj thiab yuav tsum xav li cas.

Kev kho mob tom qab mob stroke ntawm cov hlab ntsha hauv nruab nrab

Kev kho kom rov zoo yog ib feem tseem ceeb heev ntawm kev kho mob stroke. Koj xav tau kev kho kom rov zoo los pab koj hloov kho rau qhov kev hloov pauv hauv koj lub hlwb thiab lub cev tom qab mob stroke. Tej zaum koj yuav xav tau kev pab kom rov qab tau koj cov peev xwm yav dhau los lossis hloov kho rau koj qhov kev tsis taus tshiab. Qhov no yuav suav nrog kev sib xyaw ua ke ntawm:

• Kev kho dua tshiab ntawm kev xav: Pab txhim kho kev nco, kev mloog zoo, thiab lwm yam peev xwm ntawm lub hlwb.
• Kev Kho Mob Hais Lus: Pab rov qab tau lossis txhim kho cov txuj ci hais lus thiab kev hais lus, nrog rau tswj cov leeg nqaij uas pab koj hais lus, ua pa, noj mov, thiab nqos.
• Kev kho mob ua haujlwm: Pab koj ua tiav cov haujlwm txhua hnub kom muaj kev nyab xeeb, tshwj xeeb yog cov haujlwm uas xav tau kev txav mus los zoo.
• Kev Kho Mob Lub Cev: Pab kom cov leeg muaj zog, txhim kho kev sib npaug, thiab rov siv tau caj npab thiab ceg.

Lub neej ntev npaum li cas tom qab muaj mob stroke MCA?

Nws nyuaj rau cov kws tshaj lij los kwv yees qhov tseeb ntawm tus nqi ciaj sia tom qab MCA stroke. Mob stroke tuaj yeem ua rau tuag taus, ua rau muaj kev tsis taus mus tas li, thiab cuam tshuam rau lub sijhawm koj yuav nyob ntev npaum li cas (lub neej ntev). Txawm li cas los xij, tsis muaj ib lub sijhawm lossis kev xav uas haum rau txhua tus.

Kev kwv yees ntawm mob stroke ntawm cov hlab ntsha hauv nruab nrab ntawm lub hlwb

Koj yuav xav li cas (kev kwv yees) tom qab muaj mob stroke MCA nyob ntawm ntau yam:

• Koj tau txais kev kho mob sai npaum li cas.
• Koj txoj kev noj qab haus huv tag nrho.
• koj lub hnub nyoog.

Feem ntau cov neeg yuav siv sijhawm tsawg kawg yog ob peb lub hlis los kho kom zoo. 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 kho kom zoo uas haum rau koj txoj kev noj qab haus huv thiab tus mob.

Puas tiv thaiv tau qhov mob stroke ntawm cov hlab ntsha hauv lub hlwb nruab nrab?

Txoj kev zoo tshaj plaws los txo koj txoj kev pheej hmoo ntawm MCA stroke yog kom muaj kev noj qab haus huv zoo. Feem ntau, sim ua cov no:

• Tsum haus luam yeeb.
• Tswj koj cov ntshav siab, roj cholesterol, thiab txhua yam mob uas koj muaj.
• Noj cov khoom noj khoom haus zoo thiab tswj kom muaj qhov hnyav noj qab nyob zoo.
• Ua ib qho kev tawm dag zog tsis tu ncua.

Mus ntsib kws kho mob txhua xyoo (lossis raws li koj tus kws kho mob pom zoo). Muaj ntau yam mob uas ua rau mob MCA stroke tshwm sim raws sijhawm. Qee yam yuav tsis ua rau koj pom cov tsos mob. Piv txwv li, ntau tus neeg uas muaj roj cholesterol ntau lossis ntshav siab tsis hnov ​​​​​​dab tsi kom txog thaum lawv kuaj pom. Koj tus kws kho mob tuaj yeem pab koj paub thiab tswj cov cim ceeb toom ua ntej lawv ua rau koj muaj feem yuav mob stroke ntau dua.

Kev kho mob thiab kev kho kom rov zoo tom qab mob stroke yog ib txoj haujlwm ntau heev. Thaum koj thiab koj tus kws kho mob tau ua tiav txoj kev npaj kho mob lawm, ua raws li nws kom ze li sai tau. Feem ntau, koj yuav tsum ua cov hauv qab no:

• Noj koj cov tshuaj kom raug. Kev noj koj cov tshuaj raws li koj tus kws kho mob qhia koj yuav pab koj lub cev kho.
• Mus rau koj qhov chaw kho mob thiab lwm qhov chaw teem caij kho mob. Qhia rau koj cov kws kho mob yog tias muaj dab tsi ua rau koj xav tias tsis muaj kev nyab xeeb lossis tsis xis nyob. Kev kho kom rov zoo yog qhov 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 feem ntau tshwm sim tom qab muaj mob stroke. Kev tu siab lossis chim siab tsis ua rau koj qaug zog lossis tso tseg. Koj txoj kev noj qab haus huv ntawm lub siab 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 tham txog qee yam thaum koj rov zoo, nrog koj tus kws kho mob lossis tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb tham.

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

Yog koj xav tias koj muaj mob stroke dua , hu rau 911 (lossis koj tus xov tooj xwm txheej ceev hauv zos) tam sim ntawd. Mob stroke dua yuav ua rau tuag taus lossis ua rau muaj teeb meem loj. Tsis txhob ncua sijhawm nrhiav kev pab.

Cov neeg uas tau muaj mob stroke kuj muaj feem yuav muaj lwm yam teeb meem loj dua. Piv txwv li:

• Ib qho ntshav txhaws hauv lub ntsws (Pulmonary embolism)
• Mob plawv nres
• Qaug dab peg
• Mob ntsws o
• Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT)

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

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

• Kuv xav tau lwm yam tshuaj dab tsi thiab kuv yuav noj li cas?
• Kuv xav tau lwm hom kev kho mob dab tsi ntxiv?
• Kuv muaj feem yuav muaj mob stroke ntxiv rau yav tom ntej li cas?
• Puas muaj cov kev pabcuam lossis cov peev txheej uas koj pom zoo?

Qhov txawv ntawm MCA stroke thiab ACA stroke yog dab tsi?

MCA stroke thiab ACA (Anterior Cerebral Artery) stroke yog ob hom stroke. Qhov txawv yog nyob rau hauv cov hlab ntsha hauv lub hlwb uas raug cuam tshuam. MCA yog koj cov hlab ntsha hauv lub hlwb nruab nrab. Nws ceg tawm ntawm ob sab ntawm koj lub hlwb. Koj lub hlwb.Lub Anterior Cerebral Artery (ACA) nyob rau ntawm pem hauv ntej ntawm lub taub hau. "Anterior" txhais tau tias nyob rau pem hauv ntej hauv cov lus kho mob. Tsis zoo li MCA stroke, ACA stroke tuaj yeem cuam tshuam rau kev tswj thiab kev siv koj ob txhais ceg.

Ob hom mob stroke no muaj tib yam ua rau thiab cov tsos mob, thiab ob hom no puav leej ua rau tuag taus. Koj yuav tsis paub qhov txawv ntawm ob hom no kom txog thaum kws kho mob siv tau cov duab los ntsuas seb cov hlab ntsha twg raug thaiv lossis puas lawm. Yog tias koj xav tias koj muaj cov tsos mob ntawm ob hom mob stroke no , hu rau 911 tam sim ntawd.

Thaum kawg, ib zaj lus tseem ceeb

Cov hlab ntsha hauv lub hlwb nruab nrab (MCA) yog ib qho ntawm cov hlab ntsha loj tshaj plaws uas nqa cov ntshav tshiab mus rau koj lub hlwb. Yog vim li cas kev mob stroke uas thaiv nws tuaj yeem ua rau puas tsuaj heev. Tab sis koj tuaj yeem rov zoo. Txawm tias koj yuav tsum hloov kho rau qhov kev tsis taus tshiab lossis rov kawm qee yam kev txav uas koj tau ua yav dhau los, koj tseem yog koj tus kheej.

Kev kho dua tshiab tom qab muaj mob stroke yog ib txoj haujlwm ntau heev. Muaj tej hnub yuav yooj yim dua lwm hnub, tab sis nco ntsoov ua kev zoo siab rau koj txoj kev vam meej. Txawm tias qhov yeej me me los yeej tseem yog qhov yeej. Tham nrog koj cov kws kho mob lossis cov kws kho mob txog seb koj txoj kev rov zoo li cas. Lawv tuaj yeem pab koj xav txog seb koj tau mus deb npaum li cas rau hnub nyuaj, thiab lawv nyob ntawd los txhawb koj. Tsis txhob txhawj, koj tsis nyob ib leeg!

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