Koj tus me nyuam puas muaj mob stroke? (Pediatric Stroke) Tsis txhob txhawj, cia peb paub txog qhov no!

Peb txhua tus tau hnov ​​​​tias cov neeg laus tuaj yeem muaj mob stroke . Tab sis koj puas paub tias, txawm hais tias tsis tshua muaj, peb cov menyuam yaus, txij li cov menyuam mos mus rau cov menyuam yaus hnub nyoog qis dua 18 xyoo, kuj tuaj yeem muaj tus mob no, hu ua Pediatric Stroke . Txawm tias koj txhawj me ntsis thaum koj hnov ​​​​​​qhov no, tsis txhob txhawj. Yog tias koj tau txais kev qhia txog qhov no zoo, koj tuaj yeem ua cov haujlwm tsim nyog sai sai.

Mob Stroke rau Menyuam Yaus yog dab tsi?

Hais yooj yim xwb, mob stroke yog ib qho mob uas tshwm sim thaum cov ntshav ntws mus rau ib feem ntawm peb lub hlwb raug cuam tshuam. Nws zoo li qhov tshwm sim thaum peb lub tshuab cua sov dej tas. Lub hlwb tau txais nws cov pa oxygen los ntawm cov ntshav. Yog li ntawd, yog tias cov ntshav ntws tsis txav, cov hlwb hlwb pib tuag. Qhov no yog qhov xwm txheej ceev uas txaus ntshai rau lub neej.

Qhov no tuaj yeem tshwm sim rau cov neeg laus thiab cov menyuam yaus. Peb hu nws tias ' Pediatric Stroke ' thaum nws tshwm sim rau ib tug menyuam yaus hnub nyoog qis dua 18 xyoo. Kuj tseem muaj ntau yam sib txawv:

• Mob stroke Perinatal: Qee tus menyuam yug los nrog tus mob no.
• Cov uas tshwm sim hauv 28 hnub thawj zaug ntawm lub neej: Ntawd yog, cov uas tshwm sim rau cov menyuam mos tshiab.
• Thiab tom qab ntawd cov uas tshwm sim txog thaum muaj hnub nyoog 18 xyoo: cov no yog qhov peb hu ua 'mob stroke thaum yau'.

Feem ntau cov ua rau yog kab mob plawv, teeb meem ntshav txhaws, thiab lwm yam. Qee zaum nws tuaj yeem tshwm sim los ntawm cov xwm txheej uas txo cov pa oxygen mus rau lub hlwb, lossis los ntawm qee yam mob uas yug los .

Cov hom kab mob polio tseem ceeb yog dab tsi?

Ib yam li cov neeg laus, peb cov menyuam yaus tuaj yeem ntsib peb hom kev tuag tes tuag taw tseem ceeb:

• Mob stroke los ntawm kev los ntshav: Qhov no tshwm sim thaum cov hlab ntsha hauv lub hlwb tawg thiab los ntshav. Xav txog nws zoo li cov yeeb nkab dej tawg thiab dej xau.
• Mob stroke vim yog ischemic: Qhov no yog thaum cov ntshav txhaws thaiv cov hlab ntsha hauv lub hlwb, ua rau cov ntshav ntws tsis tau zoo. Nws zoo li ib daim av uas thaiv cov kav dej.
• Kev Mob Hlwb Tsis Txaus (Transient Ischemic Attack - TIA): Qhov no zoo li 'mob stroke me me'. Cov ntshav txhaws tau daig hauv cov hlab ntsha hauv lub hlwb ib ntus, tom qab ntawd nws tawm thiab cov ntshav ntws rov qab mus rau qhov qub. Cov tsos mob kav ntev li ib pliag thiab tom qab ntawd ploj mus. Tab sis qhov no kuj yog ib qho cim ceeb toom tseem ceeb heev uas qhia tias muaj peev xwm mob stroke loj.

Qhov no feem ntau tshwm sim li cas?

Qhov tseeb, mob stroke rau cov menyuam yaus yog qhov tsis tshua muaj . Yog li ntawd, tsis tas yuav txhawj xeeb txog qhov no. Raws li cov kws tshawb fawb, qhov mob no tshwm sim rau ib lossis ob ntawm txhua 100,000 tus menyuam yaus hnub nyoog qis dua 18 xyoo txhua xyoo. Kwv yees li ib ntawm 3,500 tus menyuam mos yuav muaj mob stroke thaum yug menyuam . Tab sis nws nyuaj rau muab tus lej tseeb, vim tias qee zaum nws nyuaj rau kuaj mob.

Cov tsos mob ntawm tus mob polio yog dab tsi? Yuav ua li cas thiaj paub tias yog li ntawd?

Qee cov tsos mob uas cov neeg laus muaj thaum lawv muaj mob stroke kuj tuaj yeem tshwm sim rau cov neeg hluas. Cov tsos mob no suav nrog:

• Muaj kev hloov pauv sai sai hauv tus cwj pwm lossis kev xav .
• Kev hloov pauv ntawm kev hnov ​​​​lus thiab kev pom kev tshwm sim.
• Hnov lossis xav tias tsis muaj zog ntawm ib sab ntawm lub cev (Hemiparesis) .
• Nyuaj hais lus thiab nkag siab cov lus (Aphasia) .
• Nyuaj nqos (Dysphagia) .
• Thaum taug kev, nws zoo li koj co mus rau ib sab thiab taug kev tsis zoo (ataxia) .

Xav txog seb, yog tias koj tus menyuam cia li hais lus tsis meej tom qab ua si, lossis xav tias nws tsis tuaj yeem txav ib sab caj npab lossis ceg ... Hauv cov xwm txheej zoo li no, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Txawm li cas los xij, cov menyuam yaus me me, tshwj xeeb tshaj yog cov menyuam mos thiab cov menyuam yaus me uas tseem tsis tau hais lus zoo, tej zaum yuav tsis qhia cov cim qhia meej no. Hloov chaw, lawv yuav pom tej yam xws li:

• Qaug dab peg. Qhov no yog cov tsos mob feem ntau ntawm kev tuag tes tuag taw rau cov menyuam yaus.
• Kuv mob taub hau heev.
• Ntuav, xeev siab.
• qaug zog thiab tsaug zog tas li.
• Kub taub hau tsis muaj laj thawj.

Cov tsos mob no kuj tuaj yeem muaj nyob rau hauv lwm yam kab mob, yog li nws nyuaj rau xav tias nws yog mob stroke tam sim ntawd. Tab sis yog tias koj pom ib yam dab tsi zoo li no, tshwj xeeb tshaj yog tias nws zoo li mob, koj yuav tsum mus ntsib kws kho mob.

Vim li cas cov menyuam yaus thiaj li tuag tes tuag taw? Dab tsi yog cov ua rau?

Feem ntau mob stroke tshwm sim thaum cov ntshav ntws mus rau lub hlwb raug cuam tshuam. Qhov no tuaj yeem tshwm sim los ntawm cov ntshav txhaws (ischemic stroke) lossis los ntawm cov hlab ntsha tawg hauv lub hlwb (hemorrhagic stroke) .

Muaj ntau yam laj thawj tshwj xeeb uas ua rau tus mob no tshwm sim rau cov menyuam yaus:

• Qee yam kev txawv txav ntawm cov hlab ntsha hauv lub hlwb uas muaj txij thaum yug los: Piv txwv li , ib qho mob hu ua Arteriovenous Malformation (AVM) . Hauv qhov mob no, cov hlab ntsha hauv lub hlwb sib xyaw ua ke, ua rau lawv muaj feem tawg thiab los ntshav. Cov no feem ntau yog cov mob uas muaj txij thaum yug los.
• Kab mob plawv yug los: Muaj ib txhia menyuam yug los muaj teeb meem plawv. Cov mob plawv no kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob stroke.
• Cov kab mob ntsig txog ntshav: Piv txwv li , cov menyuam yaus uas muaj kab mob hu ua Sickle Cell Disease yuav muaj feem ntau dua los ntshav txhaws. Tsis tas li ntawd, cov kab mob uas tiv thaiv cov ntshav kom tsis txhob txhaws tau yooj yim (piv txwv li Hemophilia ) kuj tuaj yeem ua rau los ntshav hauv lub hlwb.

Dab tsi yog cov yam uas ua rau muaj kev pheej hmoo ntawm kev tuag tes tuag taw?

Tej tus menyuam yaus yuav muaj feem yuav tuag tes tuag taw ntau dua li lwm tus. Tej yam uas ua rau muaj kev pheej hmoo no suav nrog:

• Kev tsis sib xws ntawm lub plawv dhia (Arrhythmias) .
• Kab mob plawv yug los(Kab mob plawv yug los).
• Tsis muaj oxygen txaus rau lub hlwb thaum yug los (Cerebral hypoxia) .
• Mob ntshav qab zib.
• Ntshav siab.
• Kev rog dhau txhais tau tias loj dhau.
• Cov mob uas cov ntshav yooj yim txhaws (Thrombophilia) lossis cov mob uas cov ntshav tsis yooj yim txhaws (Hemophilia) .
• Raug mob hnyav rau lub taub hau lossis caj dab (Traumatic Brain Injury - TBI) .
• Qhov kev pheej hmoo no kuj tseem siab dua me ntsis rau cov menyuam yaus uas muaj qee yam mob caj ces, piv txwv li , Down syndrome .

Tej yam teeb meem uas yuav tshwm sim ntawm kev tuag tes tuag taw yog dab tsi?

Feem ntau, cov menyuam yaus uas muaj mob stroke feem ntau rov zoo tag nrho. Qhov ntawd yog xov xwm zoo heev. Txawm li cas los xij, nyob ntawm seb qhov twg ntawm lub hlwb raug mob stroke, qee tus menyuam yuav muaj kev hloov pauv mus tas li.

• Piv txwv li, tej zaum yuav muaj tej qhov tsis muaj zog uas nyob mus ib txhis hauv txoj kev uas peb xav thiab hais lus .
• Tej zaum yuav muaj qhov tsis muaj zog tas mus li rau sab ntawm lub cev uas raug cuam tshuam los ntawm qhov tuag tes tuag taw.
• Tej zaum yuav muaj kev hloov pauv tas mus li hauv qhov muag pom kev .
• Tsis tas li ntawd xwb, cov menyuam yaus uas tau muaj mob stroke muaj feem yuav mob qaug dab peg ntau dua thaum lawv tseem muaj sia nyob.

Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum nrhiav kev kho mob sai thiab koom nrog cov kev pab cuam kho kom rov zoo.

Yuav kuaj mob polio li cas? Yuav kuaj li cas?

Qhov tseeb, kev kuaj mob tuag tes tuag taw rau cov menyuam yaus me me qee zaum yuav nyuaj me ntsis . Vim tias, raws li tau hais ua ntej lawm, cov tsos mob tsis yog ib txwm pom tseeb. Yog li ntawd, qee tus menyuam yuav tsis tau txais kev kho mob tam sim ntawd. Qee zaum cov kws kho mob paub thaum lawv pom kev loj hlob qeeb hauv ib tus menyuam, thiab lawv xav tias, 'Auj, tus menyuam no tej zaum yuav tau tuag tes tuag taw ua ntej lawm.'

Yuav kom paub tseeb tias koj tus menyuam muaj mob, tus kws kho mob yuav nug koj txog cov tsos mob ntawm koj tus menyuam ua ntej. Tom qab ntawd lawv mam li kuaj tus menyuam. Tsis tas li ntawd xwb, lawv yuav ua cov kev kuaj mob nram qab no:

• Kev thaij duab CT (Computed Tomography scan): Qhov no thaij duab ntawm lub taub hau kom pom seb puas muaj ntshav hauv lub hlwb lossis yog tias cov ntshav txhaws tau ua rau ib feem ntawm lub hlwb puas tsuaj. Qhov no yog kev kuaj sai.
• CT angiogram: Qhov no xyuas cov ntshav ntws los ntawm lub plawv, cov hlab ntsha, thiab lub hlwb.
• Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no yog qhov kev kuaj mob uas rhiab tshaj plaws rau kev kuaj mob stroke. Kev kuaj MRI tso cai rau cov kws kho mob pom cov qauv ntawm lub hlwb thiab cov hlab ntsha kom meej meej.
• MRA (Magnetic Resonance Angiogram): Qhov no kuj saib seb cov ntshav ntws li cas.

Ntxiv rau cov kev kuaj tseem ceeb no, muaj lwm cov kev kuaj uas ua los nrhiav qhov ua rau tuag tes tuag taw thiab nrhiav lwm yam teeb meem (tshwj xeeb yog qaug dab peg) uas yuav tshwm sim:

• Echocardiogram (Echo): Qhov no tshuaj xyuas qhov qauv ntawm lub plawv ntawm tus menyuam.
• EEG (Electroencephalogram):Qhov kev kuaj no yog ua los txiav txim siab seb tus me nyuam puas muaj mob.
• Kev kuaj ntshav: Xyuas seb puas muaj kab mob ntshav xws li kab mob ntshav liab lossis lwm yam mob uas cuam tshuam rau kev txhaws ntshav.
• Kev kuaj mob caj ces: Qhov kev kuaj no yog ua yog tias muaj mob caj ces uas ua rau tuag tes tuag taw.

Yuav kho tus kab mob paralysis rau menyuam yaus li cas?

Kev tuag tes tuag taw yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej. Yog li ntawd, yog tias ib tug me nyuam muaj cov cim qhia tias nws tuag tes tuag taw, lawv yuav tsum raug coj mus rau chav kho mob ceev ze tshaj plaws hauv tsev kho mob yam tsis muaj kev ncua sijhawm, lossis lawv yuav tsum hu rau 1990. Lub sijhawm pib kho mob yog qhov tseem ceeb heev.

Kev kho mob sib txawv nyob ntawm seb hom kev tuag tes tuag taw yog dab tsi:

• Rau qhov mob stroke uas tshwm sim los ntawm cov ntshav txhaws (ischemic stroke): Cov kws kho mob feem ntau muab tshuaj (thrombolytics) los yaj cov ntshav txhaws, lossis qee zaum lawv tshem cov ntshav txhaws los ntawm kev phais hu ua thrombectomy thiab rov qab cov ntshav ntws mus rau lub hlwb.
• Rau qhov mob stroke uas los ntawm kev los ntshav rau hauv lub hlwb (hemorrhagic stroke): Tej zaum yuav tsum tau phais kom nres qhov kev los ntshav.

Txhua lub tsev kho mob muaj ib txoj kev kho mob tshwj xeeb, hu ua Stroke Protocol , uas yog ua raws li rau cov menyuam yaus mob stroke. Nov yog txoj kev kuaj mob thiab kev kho mob pib sai li sai tau.

Ntxiv rau cov kev kho mob tseem ceeb no, cov kws kho mob yuav siv lwm cov tshuaj:

• Cov tshuaj anticoagulant .
• Yog tias tus me nyuam muaj mob qaug dab peg, lawv yuav tau txais cov tshuaj tiv thaiv qaug dab peg kom tswj tau qhov mob ntawd.

Yuav siv sijhawm ntev npaum li cas los kho kom rov zoo? Kev kho kom rov zoo li cas?

Txhua tus menyuam yaus rov zoo txawv thiab lub sijhawm nws siv los kuj txawv. Tom qab muaj mob stroke, tus menyuam yuav tsum mus rau qhov kev pab kho mob stroke rau menyuam yaus . Nyob ntawm tus menyuam cov tsos mob, lawv yuav tau txais kev kho mob los ntawm pab pawg kws tshwj xeeb. Cov no suav nrog:

• Ib tug kws kho mob hlwb menyuam yaus .
• Ib tug kws kho mob plawv menyuam yaus .
• Ib tug kws kho mob uas tshwj xeeb hauv cov kab mob ntawm cov ntshav, pob txha, thiab cov lymphatic system (Pediatric hematologist) .
• Ib tug kws kho mob hlwb rau menyuam yaus .
• Kws Kho Mob Lub Cev - Ua kom lub cev sab uas raug mob.
• Kws kho mob hais lus (SLP) - pab hais lus thiab nqos.
• Kws kho mob ua haujlwm - Xyaum ua tej haujlwm txhua hnub ntawm koj tus kheej.

Muaj pes tsawg feem pua ​​uas yuav muaj sia nyob tau tus mob polio?

Raws li cov kws tshawb fawb txog kab mob polio thaum yau tau pom, qhov ntev ntawm kev kuaj mob, qhov cuam tshuam ntau dua rau cov txiaj ntsig kev noj qab haus huv.Muaj ntau tus menyuam uas tau muaj mob stroke ischemic stroke tseem muaj sia nyob. Txawm li cas los xij, lawv yuav muaj feem yuav muaj mob stroke dua, tshwj xeeb tshaj yog tias lawv muaj kab mob plawv lossis teeb meem ntshav txhaws.

Puas tiv thaiv tau tus mob polio?

Kab mob cerebral palsy muaj ntau yam ua rau. Qee yam yog tej yam mob uas muaj txij thaum yug los. Yog li ntawd, peb tsis muaj peev xwm tiv thaiv tau qee yam mob uas muaj txij thaum yug los. Yog tias koj tus menyuam muaj mob, nrog koj tus kws kho mob tham txog qhov no thiab nrhiav kev qhia txog yuav ua li cas kom koj tus menyuam noj qab nyob zoo.

Yog koj tus menyuam muaj tej yam mob xws li Arteriovenous Malformation (AVM) , Congenital heart disease , lossis Sickle Cell Disease , cov kws kho mob yuav kho cov mob ntawd. Cov kev kho mob no tuaj yeem pab txo qhov kev pheej hmoo ntawm kev mob stroke yav tom ntej. Ib txhia menyuam kuj tseem yuav xav tau kev kuaj mob tsis tu ncua kom pom tias lawv puas muaj feem yuav mob stroke ntau dua.

Puas muaj kev pheej hmoo thaum cev xeeb tub?

Muaj tseeb tiag, tej zaum tus me nyuam yuav muaj mob stroke (perinatal strokes) vim yog cov ntshav txhaws uas tshwm sim thaum yug los lossis tom qab yug los. Tej yam mob uas leej niam muaj thaum cev xeeb tub kuj tuaj yeem ua rau muaj kev pheej hmoo rau tus me nyuam. Piv txwv li:

• Ntshav qab zib thaum cev xeeb tub .
• Preeclampsia yog ib qho mob ntshav siab.
• Kev tawg ntawm cov membranes ua ntej .

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham txog cov hau kev los txo qhov teeb meem uas yuav tshwm sim thaum cev xeeb tub.

Kuv ua tau dab tsi los txo qhov kev pheej hmoo ntawm kev tuag tes tuag taw ntawm kuv tus menyuam?

Tham nrog koj tus kws kho mob txog qhov uas koj tus menyuam muaj feem yuav mob stroke. Muaj ib txhia menyuam yaus tau txais tshuaj los tiv thaiv cov ntshav txhaws, uas tuaj yeem pab tiv thaiv kom tsis txhob mob stroke.

Ntxiv mus, yog tias koj tus menyuam rov zoo los ntawm kev mob stroke, ua raws li koj tus kws kho mob cov lus qhia kom meej. Muab tag nrho cov tshuaj raws li tau sau tseg. Tus menyuam:

• Koj yuav tsum tau ua kom lub cev muaj zog thiab ua kom lub cev nquag.
• Koj yuav tsum noj cov khoom noj uas muaj txiaj ntsig zoo (tswj qhov kev pheej hmoo ntawm cov roj cholesterol siab thiab ntshav qab zib).
• Koj yuav tsum tau pw tsaug zog txaus.

Thaum twg koj yuav tsum coj koj tus menyuam mus ntsib kws kho mob? Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Tom qab koj tus menyuam mob stroke, tej zaum koj tus menyuam yuav xav tau kev kho mob los ntawm ib pab kws tshwj xeeb. Nco ntsoov coj koj tus menyuam mus ntsib kws kho mob txhua zaus. Yog tias koj muaj kev txhawj xeeb txog kev noj qab haus huv lossis kev loj hlob ntawm koj tus menyuam, tshwj xeeb tshaj yog tias koj pom muaj cov tsos mob tshiab, hu rau koj tus kws kho mob tam sim ntawd.

Yog koj tus menyuam muaj cov cim qhia tias muaj mob stroke, hu rau 911 lossis coj lawv mus rau tsev kho mob ze tshaj plaws tam sim ntawd. Mob stroke yog qhov xwm txheej ceev. Kev kho mob sai sai tuaj yeem pab tau koj tus menyuam txoj kev noj qab haus huv zoo dua.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov

Zoo, yog li ntawm qhov peb tau tham txog, kuv vam tias koj nkag siab zoo txog Pediatric Stroke . Nco ntsoov, qhov no yog qhov tshwm sim tsawg heev. Tab sis, yog tias nws tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum ua sai sai.

• Cov tsos mob ntawm kev tuag tes tuag taw hauv cov menyuam yaus me me tuaj yeem txawv ntawm cov neeg laus. Yuav tsum ceev faj txog tej yam xws li qaug dab peg, kev hloov pauv tus cwj pwm sai sai, thiab qaug zog ntawm ib sab ntawm lub cev .
• Yog koj pom cov tsos mob no, mus ntsib kws kho mob sai sai, lossis hu rau 1990.
• Yog koj tus menyuam muaj tej yam uas ua rau koj muaj feem yuav mob, xws li kab mob plawv lossis kab mob ntsig txog ntshav, nrog koj tus kws kho mob tham txog qhov no thiab nrhiav kev kho mob uas tsim nyog.
• Tsis txhob ntshai. Kev paub txog yog lub zog loj tshaj plaws. Qhov zoo tshaj plaws uas koj ua tau rau koj tus menyuam yog kev paub txog tej no.

Mob Stroke rau Menyuam Yaus, Mob Tuag Tes Tuag Taw, Mob Stroke, Menyuam Yaus, Los Ntshav Hauv Lub Hlwb, Ntshav Pob Txha, Cov Menyuam Mos Tshiab, Kev Noj Qab Haus Huv Rau Menyuam Yaus