Kab mob Pontine Stroke yog dab tsi? Cia peb tham txog nws kom meej!

Tej zaum nej twb tau hnov ​​txog "mob stroke," ib yam mob uas ua rau lub cev tsis ua haujlwm, puas yog? Peb txhua tus paub tias nws yog ib yam mob loj heev. Hnub no peb yuav tham txog ib hom mob stroke uas txaus ntshai ib yam nkaus, tab sis tej zaum yuav tsis tshua muaj neeg tham txog, uas nej yuav tsum paub txog. Qhov ntawd hu ua Pontine Stroke . Qhov no yog ib yam dab tsi uas cuam tshuam rau lub hlwb. Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas nej nkag siab tau.

Kab mob Pontine Stroke yog dab tsi tiag?

Hais yooj yim xwb, tus mob Pontine Stroke yog kev cuam tshuam cov ntshav ntws mus rau ib feem tseem ceeb ntawm peb lub hlwb hu ua "Pons" . Xav txog nws xwb, muaj cov hlab ntsha uas nqa ntshav mus rau txhua qhov ntawm peb lub cev, thiab tib yam li ntawd rau lub hlwb. Yog li, yog tias cov hlab ntsha uas nqa ntshav mus rau pons raug thaiv, cov hlwb nyob ntawd yuav tsis tau txais oxygen thiab cov as-ham. Thaum ntawd tus mob no tshwm sim. Qhov no yog ib hom mob ischemic stroke , uas yog mob stroke uas cov hlab ntsha raug thaiv los ntawm ib yam dab tsi zoo li cov ntshav txhaws. Qhov kev thaiv no tuaj yeem tshwm sim sai sai, lossis nws tuaj yeem loj hlob maj mam dhau sijhawm.

Tam sim no tej zaum koj yuav xav paub tias "Pons" no yog dab tsi. Nws yog qhov loj tshaj plaws ntawm peb lub hlwb . Lub hlwb zoo li chav tswj hwm ntawm peb lub cev. Cov Pons kuj muaj qee lub luag haujlwm tseem ceeb heev. Cov Pons pab tswj kev ua pa, kev ua haujlwm ntawm cov leeg ntawm lub ntsej muag, kev txav ntawm lub qhov muag, thiab kev sib npaug.

Kab mob Pontine stroke yog ib qho xwm txheej ceev uas ua rau tuag taus, yog li kev kho mob sai yog qhov tseem ceeb.

Qhov no hu ua lwm yam, tej zaum koj yuav tau hnov ​​​​txog nws:

• Mob stroke los yog infarction ntawm lub hlwb
• Mob stroke los yog infarction ntawm Pons

Kab mob Pontine Stroke feem ntau tshwm sim li cas?

Kab mob Stroke yog ib yam kab mob uas pom ntau heev, tab sis piv rau lwm hom kab mob stroke, Pontine Stroke tsis tshua muaj ntau.

Kab mob Pontine strokes yog li ntawm 7% ntawm tag nrho cov kab mob ischemic strokes hauv ntiaj teb. Piv txwv li, nyob rau hauv Tebchaws Meskas xwb, muaj li ntawm 48,000 tus neeg raug kev txom nyem los ntawm tus mob no txhua xyoo. Yog li, qhov ntawd yog tus lej tseem ceeb, puas yog?

Cov tsos mob ntawm tus mob Pontine Stroke yog dab tsi?

Qhov no yog qhov tseem ceeb. Cov tsos mob ntawm tus kab mob Pontine Stroke yuav txawv me ntsis ntawm lwm cov tsos mob ntawm tus kab mob stroke uas peb tau hnov ​​​​​​txog. Yog li nws tsim nyog paub txog qhov no.

Kab mob Pontine Stroke yuav ua rau muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no:

• Cov leeg nqaij ntawm ib sab ntawm lub cev tsis muaj zog (hemiparesis). Zoo li ib txhais ceg tsis muaj zog lawm.
• Tsis muaj zog lossis qaug zog ntawm ib sab lossis ob sab ntawm lub ntsej muag (mob hlwb ntawm lub ntsej muag). Qee zaum lub qhov ncauj yuav raug rub mus rau ib sab.
• Muaj tej yam txawv txawv ntawm ib sab ntawm lub ntsej muag. Tej zaum yuav zoo li loog lossis zoo li cov ntsaum taug kev ncig.
• Muaj tej yam kev xav txawv txawv ntawm ib sab ntawm lub cev (kev poob ntawm ib sab ntawm lub cev).
• Nyuaj hais lus, hais tsis tau lus (dysarthria). Cov lus zoo li sib xyaws ua ke.
• Nyuaj nqos (dysphagia). Nyuaj nqos zaub mov thiab dej haus.
• Ua pa nyuaj.
• Tsis muaj zog, taug kev nyuaj (ataxia). Zoo li kiv taub hau.
• Kiv taub hau, zoo li tig ib ncig koj (vertigo).
• Kev hnov ​​​​lus tsis zoo.
• Quaj lossis luag tsis tuaj yeem tswj tau (pseudobulbar affect). Qhov no yog ib qho tsos mob txawv txawv, txhais tau tias koj tuaj yeem quaj yam tsis muaj kev tu siab lossis luag yam tsis muaj kev zoo siab.
• Poob tag nrho plaub ceg (quadriplegia).
• Poob siab.

Cov tsos mob ntsig txog qhov muag thiab kev pom kev kuj tseem yuav muaj xws li:

• Pom kev ob sab, tshwj xeeb tshaj yog thaum saib rau sab (vim yog tus mob thib rau ntawm cov hlab ntsha tawg).
• Kev txav ntawm lub qhov muag sai sai, tsis tswj tau (nystagmus).
• Tsis muaj peev xwm txav ob lub qhov muag mus rau tib qho kev taw qhia tib lub sijhawm (conjugate gaze palsy).
• Teeb meem ntsais muag.

Yog koj lossis ib tug neeg nyob ze koj muaj cov tsos mob no, koj yuav tsum nrhiav kev kho mob tam sim ntawd yam tsis muaj kev ncua, vim Pontine Stroke yog ib qho mob txaus ntshai rau lub neej uas tuaj yeem ua rau puas tsuaj tsis rov qab zoo li qub.

Puas muaj hom mob Pontine Stroke?

Yog, muaj ntau hom Pontine Stroke, nyob ntawm qhov chaw ntawm cov ntshav ntws mus rau ntau qhov ntawm cov pons. Cov tsos mob yuav txawv me ntsis nyob ntawm txhua hom, tab sis ntau yam ntawm cov tsos mob yog ib txwm muaj. Cov kws kho mob muab lawv lub npe raws li qhov chaw ntawm cov pons.

Piv txwv li:

• Mob stroke Medial pontine: Qhov no tshwm sim thaum cov ntshav ntws tsis txav hauv nruab nrab ntawm cov pons. Cov tsos mob feem ntau suav nrog qaug zog ntawm ib sab ntawm lub cev, cov leeg ntawm lub qhov muag tsis muaj zog, thiab tsis muaj peev xwm txav lub qhov muag ntawm ib sab mus rau ib sab (horizontal gaze palsy).
• Mob stroke ntawm sab nraub qaum ntawm lub pob txha caj qaum: Qhov no tshwm sim rau ib sab ntawm cov pob txha caj qaum. Cov tsos mob yuav suav nrog kev tsis hnov ​​​​​​lus nyob rau sab nraud ntawm lub cev (kev poob ntawm lub cev) thiab kev poob ntawm qhov sib npaug (ataxia). Nws tuaj yeem yog ib sab lossis ob sab.
• Kab mob Caudal pontine stroke: Qhov no cuam tshuam rau sab nraub qaum ntawm cov pons. Mob hlwb ntawm lub ntsej muag, tsis hnov ​​​​lus zoo, thiab kiv taub hau yog cov tsos mob uas tshwm sim ntau.

Dab tsi ua rau muaj tus mob Pontine Stroke?

Raws li peb tau hais ua ntej lawm, qhov no tshwm sim thaum cov ntshav mus rau cov pons raug thaiv. Muaj ob qho laj thawj tseem ceeb rau qhov kev thaiv no:

1. Kab mob ntawm cov hlab ntsha me: Yog tias koj muaj ntshav siab lossis ntshav qab zib ntev, cov hlab ntsha me me hauv cov hlab ntsha me me tuaj yeem puas tsuaj. Raws li lub sijhawm dhau mus, cov ntshav ntws tuaj yeem raug txwv, thiab thaum kawg cov hlab ntsha tuaj yeem raug thaiv tag nrho, ua rau mob stroke. Qhov no yog qhov ua rau feem ntau.

2. Kab mob atherosclerosis ntawm cov hlab ntsha loj: Atherosclerosis yog qhov maj mam tsim cov rog (plaque) hauv cov hlab ntsha, ua rau lawv tawv. Thaum hom plaque no tsim nyob rau hauv cov hlab ntsha loj uas nqa ntshav mus rau lub hlwb (piv txwv li, cov hlab ntsha vertebral , cov hlab ntsha basilar ), nws tuaj yeem thaiv cov ntshav ntws mus rau cov hlab ntsha me me hauv cov pons.

Cov yam uas ua rau muaj tus mob Pontine Stroke yog dab tsi?

Cov yam tseem ceeb uas ua rau muaj tus mob Pontine Stroke zoo ib yam li lwm yam mob ischemic strokes. Lawv yog ntshav siab thiab ntshav qab zib . Ob yam mob no tuaj yeem ua rau koj cov hlab ntsha puas tsuaj, suav nrog cov hlab ntsha hauv cov pons.

Lwm yam uas ua rau muaj kev pheej hmoo yog:

• Haus luam yeeb.
• Cov roj cholesterol ntau hauv cov ntshav.
• Muaj keeb kwm mob plawv ischemic yav dhau los ( mob plawv los ntawm kev txhaws ntawm cov hlab ntsha hauv lub plawv).
• Cov xwm txheej hypercoagulable.
• Kab mob vasculitis.

Yog tias koj muaj ib qho ntawm cov yam ntxwv no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom paub tseeb tias txoj kev npaj kho mob uas koj tau txais ua haujlwm zoo.

Yuav kuaj mob Pontine Stroke li cas?

Yog koj muaj cov tsos mob ntawm tus mob stroke, koj yuav tsum mus rau chav kho mob ceev (ETU) sai li sai tau. Nyob ntawd, tus kws kho mob yuav ua ntau yam kev kuaj mob los kuaj mob Pontine Stroke thiab kuaj xyuas koj txoj kev noj qab haus huv. Cov no suav nrog:

• Xyuas koj cov ntshav siab thiab lub plawv dhia .
• Tshawb xyuas koj txoj kev ua pa (txheej txheem ua pa) .
• Kev kuaj lub cev thiab keeb kwm kho mob .
• Kev kuaj mob hlwb. Qhov no tuaj yeem txheeb xyuas cov cim qhia ntawm tus mob stroke thiab kwv yees seb qhov twg ntawm lub hlwb raug cuam tshuam.
• Kev kuaj duab ntawm lub hlwb.Piv txwv li, kev thaij duab CT thiab/lossis kev thaij duab MRI . Cov kev kuaj no tuaj yeem lees paub seb qhov mob stroke puas nyob hauv cov hlab ntsha hauv lub hlwb.

Koj tus kws kho mob yuav xaj kom muaj lwm yam kev kuaj mob los xyuas lwm yam ntawm koj txoj kev noj qab haus huv, xws li kev kuaj ntshav thiab EKG (EKG) .

Yuav kho tus mob Pontine Stroke li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob rau Pontine Stroke yog kom rov qab tau cov ntshav ntws mus rau hauv cov pons. Qhov no yog vim tias kev rov qab tau cov ntshav ntws sai sai tuaj yeem tiv thaiv kev puas tsuaj mus tas li lossis tsawg kawg txo qhov hnyav ntawm tus mob stroke. Dua li no, yog tias koj muaj cov tsos mob ntawm tus mob stroke, nws yog ib qho tseem ceeb uas yuav tsum mus rau tsev kho mob sai li sai tau kom koj thiaj li tau txais kev kho mob sai.

Yuav kom cov ntshav rov qab ntws tau zoo, feem ntau yuav muab ib hom tshuaj hu ua thrombolytics . Cov no ua haujlwm los ntawm kev yaj cov ntshav txhaws. Tsis tas li ntawd, yog tias muaj kev txhaws hauv cov leeg ntshav loj, kev phais hu ua mechanical thrombectomy tuaj yeem ua tau los tshem tawm cov ntshav txhaws.

Lwm lub hom phiaj ntawm kev kho mob yog:

• Tiv thaiv kom tsis txhob muaj teeb meem. Koj pab neeg kho mob yuav siv lwm yam kev kho mob los tiv thaiv lossis kho ntau yam teeb meem.
• Kev kho kom rov zoo los kho cov kev mob tshwm sim lossis cov teeb meem ntawm lub paj hlwb.
• Siv cov tswv yim los tiv thaiv lwm yam mob stroke , xws li tshuaj, kev hloov pauv zaub mov, thiab kev ua ub ua no ntau ntxiv.

Kev Kho Mob Pontine Stroke

Kev kho kom rov zoo yog ib feem tseem ceeb ntawm kev kho kom rov zoo rau ntau tus neeg uas tau muaj mob stroke. Nyob ntawm koj cov tsos mob, qhov no tuaj yeem muaj ntau hom:

• Kev Kho Mob Hais Lus: Qhov no pab koj rov qab tau koj cov lus thiab kev txawj hais lus, thiab tswj cov leeg nqaij uas pab koj ua pa, noj mov, haus dej, thiab nqos.
• Kev Kho Mob Lub Cev: Qhov no tuaj yeem pab koj txhim kho lossis rov qab siv koj txhais tes thiab ceg. Nws kuj tseem tuaj yeem pab nrog tej yam xws li teeb meem kev sib npaug thiab cov leeg tsis muaj zog.
• Kev kho mob ua haujlwm: Qhov no cob qhia koj lub hlwb kom pab koj ua tiav cov haujlwm txhua hnub, xws li noj mov nrog cov tais diav thiab hnav khaub ncaws.
• Kev kawm dua txog kev hnov ​​​​​​lus: Qhov no pab cob qhia lossis txhawb koj txoj kev xav. Piv txwv li, koj yuav raug cob qhia kom paub txog ntau hom kev kov, kev co, kev nyem, thiab qhov kub.
• Kev kho mob hlwb:Qhov no yuav pab tau yog tias koj muaj teeb meem nco qab. Nws kuj tseem yuav pab tau yog tias koj muaj teeb meem tsom ntsoov rau tej haujlwm uas koj tau ua yav dhau los.

Cov neeg uas muaj tus mob Pontine Stroke yuav muaj kev kwv yees li cas?

Tus neeg uas muaj tus kab mob Pontine Stroke yuav zoo li cas nyob ntawm ntau yam. Cov no suav nrog:

• Qhov twg ntawm cov pons raug cuam tshuam los ntawm tus mob stroke?
• Qhov hnyav ntawm tus mob stroke.
• Koj tau txais kev kho mob sai npaum li cas.
• Koj txoj kev noj qab haus huv thiab hnub nyoog tag nrho.

Piv txwv li, cov strokes uas cuam tshuam tsuas yog ib sab ntawm cov pons (unilateral) feem ntau muaj cov txiaj ntsig zoo dua li cov strokes uas cuam tshuam rau ob sab (bilateral) thiab cov uas cuam tshuam rau sab nraub qaum ntawm cov pons (caudal).

Koj pab neeg kho mob yuav muab lub tswv yim zoo rau koj txog kev rov zoo tom qab Pontine Stroke. Nrhiav kev pab los ntawm koj cov phooj ywg thiab nug lawv txog tej lus nug lossis kev txhawj xeeb uas koj muaj.

Cov teebmeem mus sij hawm ntev ntawm Pontine Stroke yog dab tsi?

Kab mob Pontine Stroke tuaj yeem ua rau muaj ntau yam teeb meem mus sij hawm ntev lossis mus tas li. Qhov no yog vim tias lub hlwb, uas suav nrog cov pons, yog ib qho tseem ceeb ntawm lub hlwb uas muaj ntau yam haujlwm tseem ceeb. Koj qhov kev pheej hmoo ntawm kev muaj teeb meem nyob ntawm ntau yam, suav nrog hom thiab qhov hnyav ntawm Pontine Stroke.

Tej yam teeb meem yuav muaj xws li:

• Kev puas tsuaj rau lub hlwb mus tas li.
• Tej zaum yuav xav tau kev pub mis los ntawm txoj raj vim nyuaj rau noj mov.
• Tsis tswj tau qhov tso zis (tso zis tsis tau), yuav tsum tau siv lub catheter tso zis.
• Cov leeg nqaij tsis muaj zog ntev, ua rau ntog ntau zaus.
• Kev nyuaj siab tom qab mob stroke.
• Cov teeb meem los ntawm kev pw tsaug zog ntev, piv txwv li, mob qhov txhab thiab mob ntshav hlab ntsha tob (DVT).
• Kev tsis taus mus sij hawm ntev.
• Kab mob xauv qhov muag. Hauv qhov no, koj tsis tuaj yeem tswj lwm yam hauv koj lub cev tsuas yog kev txav ntawm lub qhov muag xwb, tab sis koj tseem paub.
• Mob ntsws los ntawm kev nqus pa, tshwj xeeb tshaj yog rau cov neeg uas muaj mob pseudobulbar palsy lossis locked-in syndrome, yog tshwm sim los ntawm zaub mov lossis dej haus nkag mus rau hauv txoj hlab pas.
• Kev tuag.

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

Yog tias koj (lossis ib tug neeg ze koj) tau muaj tus kab mob Pontine Stroke, nws yuav pab tau yog tias koj nug koj tus kws kho mob cov lus nug no:

• Kuv muaj hom mob Pontine Stroke twg?
• Cov haujlwm twg hauv lub hlwb thiab lub cev tau cuam tshuam los ntawm tus mob stroke?
• Kuv txoj kev kho mob yuav zoo li cas? Cov kauj ruam tom ntej hauv kuv txoj kev saib xyuas yog dab tsi?
• Kuv xav tau hom kev kho mob zoo li cas?
• Kuv yuav ua tau dab tsi rau ob peb lub hlis tom ntej no?
• Kuv yuav cia siab li cas hauv ib xyoos?
• Cov txuj ci twg uas kuv cov neeg hlub thiab kuv xav tau los saib xyuas kuv?
• Muaj cov kev pabcuam thiab cov peev txheej twg los pab kuv thiab kuv cov neeg hlub?
• Dab tsi yog yam uas ua rau kuv muaj feem yuav mob stroke dua?

Yuav ua li cas thiaj tiv thaiv tau tus mob Pontine Stroke?

Kev mob hlwb Pontine tsis tuaj yeem tiv thaiv tau txhua lub sijhawm. Txawm li cas los xij, koj tuaj yeem ua haujlwm nrog koj tus kws kho mob los tswj koj cov yam uas ua rau muaj kev pheej hmoo ntawm mob hlwb. Cov tswv yim tswj hwm yuav suav nrog:

• Tswj koj cov ntshav siab, tsom mus rau 140/90 mmHg lossis qis dua. Koj tus kws kho mob yuav pom zoo kom noj tshuaj thiab/lossis hloov kev ua ub ua no thiab kev noj zaub mov.
• Kev kho mob ntawm cov roj cholesterol siab (dyslipidemia), piv txwv li, kev ua ub ua no ntau ntxiv, kev hloov pauv zaub mov, thiab/lossis cov tshuaj statin .
• Tswj tus kab mob ntshav qab zib, tsom mus rau kom A1C nyob rau hauv 7% lossis tsawg dua.
• Tso kev haus luam yeeb, uas tuaj yeem pab tau los ntawm kev kho mob tham thiab kev kho mob hloov nicotine (NRT) .
• Hloov koj txoj kev noj zaub mov, piv txwv li, ua raws li DASH diet lossis Mediterranean diet .
• Ua kom lub cev tawm dag zog tsis tu ncua tsawg kawg yog 40 feeb hauv ib hnub, peb mus rau plaub hnub hauv ib lub lim tiam.
• Tswj lossis ua tiav qhov hnyav noj qab nyob zoo.
• Yog koj muaj mob atrial fibrillation (Afib) (lub plawv dhia tsis xwm yeem), noj cov tshuaj thinning ntshav (anticoagulants) xws li aspirin lossis warfarin .

Thaum kawg, cov lus coj mus tsev:

Kab mob Pontine Stroke tuaj yeem ua rau koj lub neej hloov pauv sai sai. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog nws cov tsos mob thiab mus rau tsev kho mob sai li sai tau yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob no. Lub neej tom qab muaj kab mob stroke tuaj yeem nyuaj heev thiab tuaj yeem hloov pauv ntau yam uas koj tsis xav txog. Tsis txhob hnov ​​​​qab nrhiav kev txhawb nqa los ntawm koj pab neeg kho mob thiab cov neeg koj hlub thaum koj rov zoo. Nco ntsoov tias, kev ua thaum ntxov thiab kev kho mob zoo tuaj yeem ua rau muaj qhov sib txawv loj.

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