Nthawi zina m'miyoyo yathu, zinthu zosayembekezereka zimachitika, sichoncho? Zinthu monga kumva chizungulire mwadzidzidzi, kusatha kuyang'ana kwambiri, kapena kuona wina akukomoka ndikugwa. Zina mwa izi zitha kubisika kumbuyo kwa vuto lalikulu la thanzi. Cerebral Hypoxia ndi vuto limodzi lotere lomwe limafuna chisamaliro chachangu. Mwachidule, izi zikutanthauza kuti ubongo wathu sulandira mpweya wofunikira. Popeza izi zitha kukhala zoopsa pamoyo, tiyeni tikambirane za izi mozama lero.
Kodi Hypoxia ya Cerebral ndi chiyani?
Mwachidule, ndi chomwe timachitcha (Cerebral Hypoxia) pamene ubongo wanu sulandira mpweya wokwanira. Taganizirani izi, monga ziwalo zina zonse za thupi lathu, ubongo umafunikanso mpweya kuti ugwire ntchito. Mpweya umenewu umatengedwa kupita ku ubongo ndi magazi. Chifukwa chake, ngati simungathe kupuma bwino, kapena ngati magazi asiya kuyenda mu ubongo pazifukwa zina, ubongo umalandira mpweya wochepa. Popanda mpweya, mitsempha yathu singathe kugwira ntchito bwino. Pamenepo ndi pamene zinthu monga kupuma, kuyenda, kulankhula, ndi kuona zimasokonekera.
Nthawi zina madokotala amatcha izi kuti "hypoxia-anoxia injury." Hypoxia imatanthauza kuchepa pang'ono kwa mpweya. Koma "anoxia" imatanthauza kuti ubongo sulandira mpweya konse. Komabe, zonsezi ndi zoopsa, chifukwa ubongo ndi chiwalo chosavuta kumva.
Kodi zizindikiro za izi ndi ziti?
Zizindikiro zimasiyana malinga ndi nthawi yomwe ubongo umasowa mpweya. Kumbukirani, maselo a muubongo amayamba kufa pasanathe mphindi zochepa kuchokera pamene mpweya umasowa. Choncho ndikofunikira kuzindikira izi mwachangu.
Zizindikiro zoyamba zooneka
Pa gawo loyamba la matendawa, zizindikiro zotsatirazi zingawonekere:
- Kumva kusakhazikika bwino, kulephera kuyenda bwino (`Ataxia`). Tangoganizirani kulephera kulamulira miyendo yanu mwadzidzidzi.
- Kumva ngati mutu wako ukuzungulira, kuzungulira ndi kuzungulira.
- Kumva kusangalala kwambiri mwadzidzidzi popanda chifukwa. Izi ndi zachilendo pang'ono, sichoncho? Koma izi zithanso kukhala chizindikiro.
- Kuchuluka kwa mpweya wopuma, koma kupuma pang'ono (`Tachypnea`).
- Ziwalo zina za thupi sizigwira ntchito bwino, ndipo zimamveka ngati nyerere zikuthamanga.
- N'zovuta kuti maganizo anu akhale okhazikika ndikugwira ntchito.
Zizindikiro zoopsa zomwe zimawonekera pambuyo pake
Pamene vutoli likukula kwambiri, zizindikiro monga:
- Kusakhazikika, kusokonezeka.
- Kusokonezeka, kutaya chidziwitso. Kusadziwa komwe muli kapena zomwe mukuchita.
- Kusintha kwa mtundu wabuluu wa khungu, milomo, ndi misomali (`Cyanosis`). Izi zimachitika pamene mpweya m'magazi mulibe wokwanira.
- Kugona, kuvutika kudzuka.
- Kugwedezeka kwa minofu mwadzidzidzi (`Myoclonus`).
- Kukhala ndi vuto la kutopa kumatanthauza kugwidwa ndi khunyu.
Ngati vutoli likuipiraipira , munthu angataye chikumbumtima kapena kukomoka . Tiyembekeze kuti sizingachitike.
N’chifukwa chiyani izi (Cerebral Hypoxia) zimachitika? Kodi zimayambitsa chiyani?
Pali zifukwa zambiri zomwe zimayambitsa izi. M'mayiko ngati America, chifukwa chachikulu ndi kulephera kwa mtima pambuyo pa matenda a mtima . Komabe, vutoli limatha kuchitika nthawi iliyonse pamene mpweya wopita ku ubongo wasokonekera. Taganizirani zinthu monga izi:
- Ngati muli ndi vuto la kuchepa kwa magazi m'thupi, komwe maselo ofiira m'magazi anu ndi ochepa kwambiri, izi zimachitika chifukwa maselo ofiira awa amanyamula mpweya.
- Kuthamanga kwa magazi kotsika kwambiri (`systemic hypotension` kapena `kuthamanga kwa magazi kotsika`). Izi zimachepetsa kuchuluka kwa magazi omwe amapopedwa kupita ku ubongo.
- Matenda omwe minofu ya thupi imasowa mpweya (systemic hypoxia).
Nazi zifukwa zina:
- Poizoni wa carbon monoxide ungachitike chifukwa chopuma mpweya wa carbon monoxide kapena utsi wochokera pamoto. Izi zitha kuchitika ngati pakhala moto m'nyumba kapena ngati pali vuto ndi chitoliro chotulutsa utsi cha galimoto.
- Kudzimbidwa, kutsekeredwa m'mimba, ndi kulephera kupuma. Monga mwana wamng'ono akamatafuna chidole n'kutsamwa, kapena wina akamira.
- Kudula magetsi.
- Kuvulala mutu, ndiko kuti, kuvulala kwambiri mutu, makamaka kuvulala koopsa muubongo.
- Matenda amtima.
- Ngakhale mutamira ndipo mwapulumutsidwa (`Ndikutsala pang'ono kumira`).
- Kugwiritsa ntchito mankhwala mopitirira muyeso kapena kugwiritsa ntchito molakwika mankhwala opumira.
- Ngati kulanda kukupitirira.
- Kutaya magazi kwambiri kapena kutuluka magazi ambiri. Ngati mwavulala kwambiri, monga ngozi.
- Mavuto omwe amachitika panthawi ya opaleshoni (`Mavuto a opaleshoni`) kapena mankhwala oletsa ululu (`mavuto a mankhwala oletsa ululu`).
- Stroke.
Kodi izi zingayambitse mavuto otani oopsa?
Izi n'zomvetsa chisoni, koma zinthu zoyipa kwambiri zomwe zingachitike chifukwa cha `(Cerebral Hypoxia)` ndi izi:
- Chikomokere: Izi zikutanthauza kugona tulo tofa nato, osamvetsa chilichonse.
- Imfa ya ubongo. Pambuyo pa izi, palibe kuchira.
- Mwatsoka, ngakhale imfa ikhoza kuchitika.
"Ndicho chifukwa chake timati izi ndi zadzidzidzi, ndipo ngati muwona ngakhale chizindikiro chochepa kwambiri, muyenera kuwona dokotala nthawi yomweyo."
Kodi madokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, dokotala adzayamba waona kuchuluka kwa magazi omwe akuyenda bwino kupita ku ubongo. Izi zingaphatikizepo mayeso monga:
- Angiography: Izi zimayang'ana ngati pali kutsekeka kwa mitsempha yamagazi.
- Kujambula kwa CT kapena MRI. Izi zimatenga zithunzi za mkati mwa ubongo kuti zitsimikizire ngati pali sitiroko, kutuluka magazi mkati mwa ubongo, kutupa mu ubongo, kapena kuwonongeka kwina.
- Mayeso a EEG (Electroencephalogram - EEG). Izi zimayesa ntchito yamagetsi ya ubongo.
- Mayeso oyeserera mphamvu. Izi zimayesa momwe ubongo umayankhira ku zomwe zimamveka monga kukhudza.
Kodi chithandizo cha izi ndi chiyani?
Madokotala amayamba chithandizo choyamba mwa kupeza chomwe chimayambitsa kenako n’kuchiza chomwe chimayambitsa vutoli kuti abwezeretse mpweya wabwino muubongo. Mwachitsanzo, ngati mukuvutika kupuma, mungagwiritse ntchito makina (`makina opumira mpweya`) kuti akuthandizeni kupuma. Kapena mungagwiritse ntchito mankhwala omwe amathandiza magazi odzaza ndi mpweya wabwino kupita ku ubongo.
Chithandizocho chimadalira momwe wodwalayo alili komanso chifukwa cha kusowa kwa mpweya. Chofunika kwambiri ndikubwezeretsa mpweya ku ubongo mwachangu momwe zingathere.
Zitenga nthawi yayitali bwanji kuti munthu achire ku vutoli? (Outlook)
Izi zimasiyana malinga ndi munthu. Kawirikawiri, zotsatira zake zimadalira zinthu monga:
- Ubongo umakhala wopanda mpweya kwa nthawi yayitali bwanji. Kumbukirani, kuwonongeka kwa ubongo kumayamba mkati mwa mphindi zinayi kuchokera pamene mpweya wachepa. Choncho, ubongo ukakhala wopanda mpweya kwa nthawi yayitali, mwayi woti ubongo uwonongeke umakhala waukulu.
- Chifukwa cha izi ndi chakuti , mwachitsanzo, kafukufuku wina wasonyeza kuti anthu ambiri omwe ali ndi ``cerebral hypoxia`` atatha kudwala matenda a mtima amakhala ndi mavuto akuluakulu ndi luso lawo loganiza (``cognition``).
- Ngati vutoli linapangitsa kuti munthu akhale ndi chikomokere, kodi chikomokerecho chinatenga nthawi yayitali bwanji? Mwachitsanzo, kafukufuku wina akusonyeza kuti anthu omwe amatuluka mu chikomokere pasanathe milungu inayi amakhala ndi mavuto ochepa kwa nthawi yayitali kuposa omwe amakhalabe ndi chikomokere kwa nthawi yayitali.
Choncho, ichi ndi chinthu chovuta kwambiri. Anthu ena amachira msanga, ena amatenga nthawi yayitali, ndipo mwatsoka ena amavutika ndi vuto losatha.
Kodi hypoxia ya ubongo ingapewedwe?
Mwatsoka, sitingathe kuletsa milandu yonse ya hypoxia mu ubongo yomwe imachitika chifukwa cha ngozi monga kumira ndi kupuma movutikira. Komabe, titha kuchitapo kanthu kuti tichepetse chiopsezo cha ngozi zotere.
Kuti mudziteteze ku ngozi, chitani izi:
- Ikani zida zowunikira utsi ndi zowunikira mpweya wa carbon monoxide m'nyumba mwanu ndipo muziyang'ane nthawi zonse kuti muwonetsetse kuti zikugwira ntchito bwino.
- Onetsetsani kuti aliyense amavala malamba achitetezo nthawi iliyonse akamayendetsa galimoto.
- Gwiritsani ntchito majekete oteteza moyo mukalowa m'madzi, sambirani m'malo omwe muli oteteza moyo, ndipo yang'anirani ana aang'ono, ngakhale m'bafa.
- Valani zipewa mukamasewera masewera amphamvu, kukwera njinga, kukwera masiketi, kapena kukwera nsapato za chipale chofewa.
Kuchepetsa chiopsezo cha mavuto azaumoyo:
Matenda monga kulephera kwa mtima, matenda a mtima, ndi sitiroko amawonjezeranso chiopsezo cha kuchepa kwa magazi m'thupi. Ngakhale kuti sangathe kupewedwa kotheratu, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu:
- Sinthani moyo wanu. Kuchita masewera olimbitsa thupi tsiku lililonse ndi kudya zakudya zopatsa thanzi, monga zakudya za ku Mediterranean kapena zakudya za DASH, kungachepetse chiopsezo chanu cha matenda a mtima ndi sitiroko.
- Dziwani za chiopsezo chanu chokhala ndi matenda a mtima (`Cardiac arrest`). Lankhulani ndi dokotala wanu za mavuto anu komanso mbiri ya banja lanu ya matenda a mtima. Dokotala wanu akhoza kuwunika zoopsa zanu ndikuyitanitsa mayeso monga EKG (`Electrocardiogram - EKG`) kapena kafukufuku wa EP (`Electrophysiology - EP`) .
- Pewani zizolowezi zoipa pa moyo wanu. Zinthu monga kusuta fodya, kugwiritsa ntchito mankhwala osokoneza bongo, komanso kumwa mowa mopitirira muyeso zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko.
- Kuwongolera matenda omwe amayambitsa matenda monga matenda a shuga, kuthamanga kwa magazi, kuchuluka kwa mafuta m'thupi, ndi kunenepa kwambiri, zomwe zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko.
- Pitani kuchipatala nthawi zonse. Pitani kwa dokotala wa banja lanu kamodzi pachaka kuti mukayezedwe mokwanira. Mwanjira imeneyi, ngati pali zizindikiro zomwe zimawonjezera chiopsezo cha `(Cerebral Hypoxia)`, mutha kuzizindikira msanga.
Kodi ndimadzisamalira bwanji? (Kudzisamalira)
Mukataya magazi mu ubongo, mungakhale ndi vuto lolankhula, kuyenda, kapena kulamulira mayendedwe a thupi lanu. Ngati izi zitachitika, mungafunike thandizo lachipatala, monga chithandizo cha thupi kapena chithandizo cha kulankhula . Zingatenge miyezi kuti muchiritse bwino. Chifukwa chake, khalani oleza mtima ndikutenga nawo mbali pa chithandizo.
M'banja mwathu muli vuto lalikulu (Cerebral Hypoxia). Kodi ndingamuthandize bwanji?
Matenda oopsa a `(Cerebral Hypoxia)` ndi matenda oopsa omwe angakhale oopsa kwa moyo. Nthawi zina amatha kubweretsa chikomokere, chomwe chingakhalepo kwa milungu ingapo, kapena kukhala ndi vuto la 'vegetative state' losayankha.Ikhozanso kusamutsidwa. Komabe, chifukwa wachibale wanu sakudziwa, adzafunika chithandizo chamankhwala nthawi zonse kuchipatala kapena kuchipatala chothandizira anthu okalamba. Zingakhale zovuta kwambiri kuti achibale akhale olimba m'maganizo panthawiyi. Komabe, chinthu chabwino kwambiri chomwe mungachite ndikulankhula ndi madokotala nthawi zonse ndikuwapatsa chithandizo chomwe akufunikira.
Kodi ndiyenera kupita kuchipatala nthawi yomweyo liti?
Kuchepa kwa magazi m'mitsempha ya ubongo ndi vuto ladzidzidzi lachipatala. Ngati muli ndi zizindikiro - ngakhale zitakhala zosavulaza, monga chizungulire kapena kusokonezeka - imbani 911 nthawi yomweyo, pemphani wina kuti akuimbireni foni, ndipo pitani kuchipatala nthawi yomweyo. Ngati wina m'dera lanu akuwonetsa zizindikirozi, zikutanthauza:
- Kutaya chidziwitso.
- Kugwidwa ndi khunyu.
- Kupuma pang'ono, kupuma movutikira.
- Ngati mukuwonetsa zizindikiro za matenda a mtima kapena sitiroko (monga kupweteka kwambiri pachifuwa, kulephera kulankhula, kugwada kwa mbali imodzi ya nkhope).
Pa nthawi ngati iyi, tiyenera kuchitapo kanthu mwachangu, osazengereza ngakhale pang'ono!
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Ngati mukuchira ku Cerebral Hypoxia, mungafune kudzifunsa mafunso awa:
- "Kodi mukudziwa chifukwa chake izi zinandichitikira ine, dokotala?"
- "Kodi izi zingachitikenso?"
- "Kodi zotsatirapo zake zingakhale zotani?"
Ngati wachibale kapena wokondedwa wanu ali ndi vuto la kuchepa kwa magazi m'thupi (cerebral hypoxia) ndipo sangathe kulankhula, mutha kuwafunsa mafunso awa:
- "Kodi kuwonongeka kwa ubongo kuli koopsa bwanji?"
- "Kodi zotsatirapo zake zingakhale zotani?"
- "Kodi pali mankhwala aliwonse omwe angathandize kuchepetsa zizindikiro za wachibale wanga?"
- "Kodi mkhalidwe wake udzakhala bwanji mtsogolo?"
Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)
Matenda a Cerebral Hypoxia angachitikire aliyense, ndipo akhoza kusintha moyo wake komanso kuopseza moyo wake. Ngakhale palibe njira yopewera matendawa kwathunthu, pali njira zochepetsera chiopsezo chanu. Zimayamba ndi kusamalira thanzi lanu lonse. Mwachitsanzo, ngati muli ndi kuthamanga kwa magazi, kulandira chithandizo choyenera kungachepetse chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko komanso kukhala ndi vuto la kuchepa kwa magazi m'thupi. Chifukwa chake, lankhulani ndi dokotala nthawi zonse ndikuyang'anira thanzi lanu. Nkhani imeneyi ingakuthandizeni kupewa matenda a cerebral hypoxia ndi matenda ena akuluakulu. Musachite mantha, chofunika kwambiri ndikudziwa zambiri ndikukhala otetezeka.
` Kuchepa kwa mpweya m'bongo, kusowa kwa mpweya m'bongo, kusowa kwa mpweya m'thupi, kuwonongeka kwa ubongo, chithandizo chadzidzidzi, kupuma movutikira, matenda a mtima, sitiroko











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