Nanga bwanji ngati mtsempha wa magazi wopita ku ubongo watsekeka? Tiyeni tikambirane za sitiroko ya embolic!

Kodi chimachitika n’chiyani ngati magazi oundana omwe amapangika kwinakwake m’thupi mwathu atuluka n’kukakamira m’mitsempha yamagazi muubongo mwathu? Ndi lingaliro loopsa, sichoncho? Inde, ichi ndi chimene timachitcha 'stroke ya embolic'. Ichi ndi vuto lachipatala lomwe lingawononge moyo. Zinthu ngati zimenezi zikachitika, sekondi iliyonse ndi yofunika, kotero kupeza chithandizo mwamsanga n’kofunika kwambiri.

Kodi matenda otchedwa embolic stroke ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, sitiroko ya embolic ndi pamene magazi amaundana kapena china chake (timachitcha kuti 'embolism' ) chimakakamira mumtsempha wamagazi womwe umanyamula magazi kupita ku ubongo, ndikuletsa kuyenda kwa magazi kupita ku gawo la ubongo, zomwe zimapangitsa kuti gawolo liwonongeke. Izi ndi za gulu lalikulu lotchedwa 'ischemic stroke' . Taganizirani ngati chidutswa cha zinyalala zomwe zimakakamira mu chitoliro chamadzi ndikuletsa kuyenda. Pano, 'embolism' iyi, yomwe imatanthauza magazi amaundana, nthawi zambiri imapanga mtsempha waukulu wamagazi kwinakwake m'thupi, mwina mumtima, ndikutuluka pamenepo, imayenda m'magazi ndikukakamira mumtsempha wamagazi waung'ono muubongo. Kenako gawo la ubongo lomwe limaperekedwa ndi magazi ndi mtsempha umenewo sililandira mpweya ndi michere.

Kodi zizindikiro za sitiroko ya embolic ndi ziti?

Zizindikiro zake zimafanana ndi mitundu ina ya sitiroko ya ischemic. Zitha kuchitika mwadzidzidzi , choncho ndikofunikira kuti inu ndi okondedwa anu muzidziwe.

• Aphasia ndi vuto lomwe limapangitsa kuti munthu asamathe kulankhula kapena kulephera kulankhula . Mwina simungathe kumvetsa zomwe zikunenedwa.
• Kusawona bwino mwadzidzidzi , kuwona kawiri (Diplopia), kapena kutaya kuwona m'diso limodzi kapena onse awiri.
• Kumva mwadzidzidzi chisokonezo ndi kusokonezeka, kuiwala komwe uli komanso nthawi yanji.
• Nthawi zina zoopsa kwambiri , munthu amataya chikumbumtima (Coma).
• Vertigo ndi kumva ngati munthu akuzungulira komanso kutayika kwa mphamvu .
• Mutu woopsa komanso wodzidzimutsa . Izi ndi zosiyana ndi mutu wamba ndipo sizingapiririke.
• Kulephera kukumbukira zinthu ndi kutayika mwadzidzidzi kwa kukumbukira zinthu .
• Kusintha kwadzidzidzi kwa khalidwe , monga kungokwiya kapena kukwiya.
• Kusanza ndi kusanza .
• Kumva kupsinjika pakhosi .
• Kukokedwa ndi kugwa osadziwa .
• Kukhala ndi chizungulire (Kugwidwa ndi khunyu) .
• Kulankhula movutikira komanso kulephera kutchula mawu molondola (Dysarthria).
• Kuchepa mwadzidzidzi kapena kutayika kwathunthu kwa zomverera monga kuona, kumva, kununkhiza, kulawa, ndi kukhudza .
• Kusanza, kumva kuwawa, kapena kufooka mbali imodzi ya nkhope kapena thupi .

Kodi zizindikiro zochenjeza za sitiroko ya embolic ndi ziti? Kumbukirani 'KUKHALA MWAMSANGA'!

Ndikofunikira kukumbukira tanthauzo la mawu achingerezi akuti 'BE FAST' kuti muzindikire ngati inu kapena munthu amene mumamudziwa akudwala sitiroko. Sekondi iliyonse imawerengedwa panthawiyi! Mukachitapo kanthu mwachangu, mavuto omwe mungakumane nawo ndi ochepa.

• B - Kulinganiza: Onani ngati mwadzidzidzi mwataya kulinganiza kwanu kapena ngati mwapunthwa mukuyenda.
• E - Maso: Yang'anani ngati mwataya mwadzidzidzi maso, kuona zinthu molakwika, kapena kuona zinthu ziwiri .
• F - Nkhope: Mwetulirani ndi kuyang'ana. Onani ngati mbali imodzi ya nkhope yagwa kapena ikuoneka yokhota.
• A - Manja: Kwezani manja onse awiri patsogolo. Ngati muli ndi sitiroko, mkono umodzi sungakwezedwe bwino ndipo ungagwe pansi kapena ungavutike kuukweza.
• S - Kulankhula: Onani ngati mawu anu kapena a munthu winayo ndi osamveka bwino, akuvutika kusankha mawu oyenera, kapena akuvuta kumva .
• T - Nthawi: Nthawi ndi yofunika kwambiri! Ngati muwona chimodzi mwa zizindikirozi , imbani 911 nthawi yomweyo ndikupeza ambulansi . Ngati n'kotheka, yang'anani wotchi yanu kapena foni kuti mukumbukire nthawi yomwe zizindikiro zanu zinayamba. Mukauza dokotala nthawi imeneyo, zidzakhala zosavuta kuti asankhe chithandizo chabwino kwambiri.

Kodi n’chiyani chimayambitsa sitiroko ya m’mimba?

Chifukwa chachikulu cha sitiroko ya embolic, monga tanenera kale , ndi 'embolism' . Izi zikutanthauza kuti magazi kuundana (nthawi zambiri thovu la mpweya, tinthu tamafuta, kapena chinthu china) chomwe chimapangika pamalo amodzi m'thupi chimachoka pamenepo, chimayenda m'magazi, ndikukakamira mumtsempha wamagazi muubongo.

Pali matenda angapo omwe angayambitse magazi kuundana:

• Kutupa kwa mtima: Imeneyi ndi vuto lomwe zipinda zapamwamba za mtima (atria) sizimakoka bwino, koma m'malo mwake zimagunda mofulumira komanso mosakhazikika. Izi zimapangitsa kuti magazi azisonkhana mkati mwa mtima, zomwe zimapangitsa kuti magazi aziundana. Izi ndi zomwe zimatuluka mwachangu n’kupita ku ubongo.
• Matenda a atherosclerosis: Izi zimachitika pamene mafuta monga cholesterol amasonkhana mkati mwa mitsempha yamagazi (mitsempha yamagazi), zomwe zimapangitsa kuti makoma a mitsempha yamagazi akhale olimba komanso opapatiza. Mafuta amenewa (ma plaques) amatha kusweka ndikutseka mitsempha ya ubongo.
• Matenda a magazi kuundana: Anthu ena amakhala ndi chizolowezi chopanga magazi kuundana mosavuta, mwina chifukwa cha majini kapena matenda ena.
• Matenda ena opatsirana, monga COVID-19, amawonjezeranso chiopsezo cha magazi kuundana.
• Matenda omwe amachititsa kuti minofu ife . Mwachitsanzo, mu sepsis , matenda oopsa, mabakiteriya kapena zidutswa za minofu yakufa zimatha kulowa m'magazi ndikupita ku ubongo. Izi zitha kuchitikanso mu matenda a valavu ya mtima (infective endocarditis).

Kuukira kwa ischemic kwa kanthawi kochepa (TIA) - mini-stroke

Nthawi zina kuukira kwa ischemic kwa transiently ischemic (TIA), komwe kumadziwikanso kuti mini-stroke, kungachitike. Izi zikufanana ndi sitiroko, chifukwa magazi opita ku ubongo amasokonekera kwakanthawi. Komabe, zizindikiro nthawi zambiri zimatha mkati mwa mphindi zochepa mpaka ola limodzi kapena awiri pamene magazi amatuluka kapena kusuntha ndikutuluka kutsekeka. Komabe, ichi ndi chizindikiro chochenjeza kuti muli pachiwopsezo chachikulu chokhala ndi sitiroko yayikulu mtsogolo . Munthu amene wakhala ndi TIA angafunike thandizo lachipatala mwachangu kuti adziwe chomwe chikuyambitsa ndikuyamba kulandira chithandizo kuti apewe sitiroko yayikulu.

Ndani ali pachiwopsezo chachikulu cha matenda a embolic stroke?

Aliyense akhoza kukhala ndi sitiroko ya embolic, koma anthu ena ali pachiwopsezo chachikulu:

• Kwa anthu akuda.
• Kwa anthu azaka zopitilira 65 (chiopsezo chimawonjezeka ndi ukalamba).
• Kwa iwo omwe amasuta kapena kugwiritsa ntchito zinthu zina za fodya/nicotine (monga ma vape, otafuna). Kusuta kumawononga mitsempha yamagazi ndipo kumawonjezera magazi kuundana.
• Kwa iwo omwe amagwiritsa ntchito mankhwala osokoneza bongo (makamaka cocaine ndi amphetamines) .

Komanso, anthu omwe ali ndi matenda enaake ali pachiwopsezo chachikulu:

• Kwa iwo omwe amamwa mowa mopitirira muyeso (vuto la kugwiritsa ntchito mowa).
• Kwa anthu omwe ali ndi matenda a shuga , matenda a shuga amatha kuwononga mitsempha yamagazi.
• Kwa iwo omwe ali ndi kuthamanga kwa magazi (kuthamanga kwa magazi) . Ngati izi sizikulamuliridwa, zingayambitse kuwonongeka kwa mitsempha yamagazi kwa nthawi yayitali.
• Kwa anthu omwe ali ndi cholesterol yambiri (Hyperlipidemia) m'magazi , izi zimayambitsa 'atherosclerosis'.
• Anthu omwe ali ndi matenda a mtima (monga atrial fibrillation, mavuto a valve ya mtima, matenda a mtima omwe adachitika kale).

Kodi mungazindikire bwanji matenda a sitiroko (embolic stroke)? (Kuzindikira)

Dokotala adzakuuzani bwino lomwe tanthauzo la sitiroko ya embolic. Mukapita kuchipatala, chinthu choyamba chomwe amachita ndikufunsani za zizindikiro zanu, monga momwe zinayambira. Kenako amakupimirani ubongo . Izi zimafufuza kalankhulidwe kanu, masomphenya anu, mphamvu zanu, ndi momwe thupi lanu limagwirira ntchito. Amakupimiraninso mayeso a thupi lonse ndi mayeso ena angapo.

Mayeso ngati awa amagwiritsidwa ntchito kutsimikizira sitiroko:

• Kuyezetsa magazi: Yang'anani zinthu monga mavuto okhudza magazi kuundana, kuchuluka kwa shuga, ndi cholesterol.
• Kujambula kwa CT: Kujambula kumeneku kumatenga zithunzi za ubongo ndipo kungathe kudziwa mwamsanga ngati pali kutuluka magazi kapena ngati mtsempha wamagazi watsekeka (ischemic stroke).
• Kujambula kwa MRI: Izi zimapereka zithunzi zambiri kuposa CT scan. Zimathandiza kuona bwino lomwe kuwonongeka kwa ubongo.
• Mayeso a ECG (Electrocardiogram - EKG): Izi zimayesa momwe magetsi a mtima amagwirira ntchito kuti aone ngati pali mavuto a mtima monga atrial fibrillation.
• Kuyesa kwa EEG (Electroencephalogram - EEG): Izi zitha kuchitikanso kuti ziwone momwe magetsi a ubongo amagwirira ntchito, chifukwa matenda monga khunyu nthawi zina amatha kusokonezedwa ndi sitiroko.
• Kuyeza kwa Carotid Ultrasound: Kufufuza ngati pali mafuta ambiri m'thupi komanso ngati mitsempha yamagazi m'khosi (carotid arteries) yachepa.
• Echocardiogram: Kuyesa mtima pogwiritsa ntchito ultrasound. Kufufuza ngati magazi amaundana mumtima ndi mavuto a valavu.

Kodi mankhwala a embolic stroke ndi ati?

Chofunika kwambiri pochiza sitiroko ya embolic ndikubwezeretsa magazi muubongo mwachangu momwe zingathere . Madokotala amachita izi mwachangu momwe angathere chifukwa izi zitha kuchepetsa kuwonongeka kwa ubongo kosatha komanso kupulumutsa miyoyo. Pali mwambi womwe umati, "Nthawi ndi Ubongo," kutanthauza kuti mphindi iliyonse yomwe imadutsa popanda nthawi, maselo a ubongo amafa.

Pali njira ziwiri zazikulu zochizira zomwe zimagwiritsidwa ntchito nthawi zambiri:

• Chithandizo cha Thrombolytic: Awa ndi mankhwala otsekereza magazi (monga Alteplase). Mankhwalawa amabayidwa mumtsempha kuti asungunule magazi otsekereza ndikubwezeretsa kuyenda kwa magazi. Madokotala nthawi zambiri amapereka mankhwalawa pokhapokha ngati mwafika kuchipatala mkati mwa maola anayi ndi theka (maola 4.5) kuchokera pamene zizindikiro za sitiroko zayamba . Kuwapereka pambuyo pake kungapangitse kuti magazi azituluka muubongo.
• Kuchotsa magazi m'thupi pogwiritsa ntchito makina: Iyi ndi njira yopanda opaleshoni yomwe imagwiritsa ntchito chipangizo chapadera chochotsera magazi omwe amaundana. Dokotala wa opaleshoni (interventional neuroradiologist) amaika chubu chaching'ono, chopyapyala (catheter) kudzera mu mtsempha waukulu m'mimba kapena m'dzanja ndikuchipititsa ku magazi omwe amaundana mu ubongo motsogozedwa ndi X-ray. Kenako magaziwo amatengedwa pogwiritsa ntchito chipangizo chonga mesh chotchedwa stent retriever kapena suction catheter. Izi nthawi zambiri zimatha kuchitika mkati mwa maola 6 kuchokera pamene zizindikiro za sitiroko zayamba, koma nthawi zina zimatha kuchitika mpaka maola 24. Izi ndi zabwino kwa anthu omwe magazi amaundana m'mitsempha yayikulu.

Kuphatikiza apo, mankhwala ena angafunike:

• Kuwongolera kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi: Madokotala anu aziyang'anira kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi nthawi zonse kuti ubongo wanu uchiritse. Kuti achepetse kuwonongeka kwa ubongo, angakulembereni mankhwala ochepetsa kapena (nthawi zina) kukweza kuthamanga kwa magazi.
• Mankhwala ochepetsa magazi: Mankhwala oletsa magazi kutuluka magazi (monga Warfarin, Apixaban) kapena mankhwala oletsa magazi kutuluka magazi m'magazi(Mwachitsanzo: Aspirin, Clopidogrel) Mankhwala omwe amaletsa magazi kuundana mosavuta. Kutengera ndi chomwe chinayambitsa sitiroko, mungafunike kupitiriza kumwa mankhwalawa mutalandira chithandizo cha thrombolytic kuti mupewe sitiroko ina.
• Kuchotsa stent kapena kuyika stent: Ngati mitsempha ya carotid m'khosi yachepa kwambiri chifukwa cha mafuta ochulukirapo (carotid stenosis), mafuta ochulukirapo amatha kuchotsedwa opaleshoni (endarterectomy) kapena stent ingaikidwe kudzera mu mitsempha kuti itsegule. Izi zitha kuchepetsa chiopsezo cha magazi ena kuundana (embolism).
• Kutsika pang'ono kwa kutentha kwa thupi: Nthawi zina, madokotala amatha kuchepetsa kutentha kwa thupi lanu pang'ono. Kafukufuku wina akusonyeza kuti izi zingathandize kuchepetsa kuwonongeka kwa ubongo panthawi ya sitiroko komanso pambuyo pake, koma iyi si njira yodziwika bwino yothandizira.
• Chithandizo cha okosijeni: Pa nthawi ya sitiroko, ubongo sulandira mpweya wokwanira. Ngati mpweya m'magazi mwanu uli wochepa, madokotala angakupatseni mpweya wowonjezera kudzera mu kannula ya m'mphuno kapena chophimba nkhope. Izi zimapangitsa kuti kupuma kukhale kosavuta ndipo zimathandiza kutumiza mpweya m'thupi lanu ndi muubongo.

Kodi kubwezeretsa thupi kumakhala bwanji pambuyo pa sitiroko ya embolic?

Kubwezeretsa odwala matenda a sitiroko ndi gawo lofunika kwambiri pa chithandizo. Ndikofunikira kuti muzolowere kusintha kwa ubongo ndi thupi lanu mutadwala sitiroko ndikubwezeretsanso mphamvu zomwe mudataya momwe mungathere. Pulogalamu yobwezeretsa anthu imapangidwira inuyo, kutengera zosowa zanu. Izi zitha kuphatikizapo thandizo la akatswiri monga:

• Kuchiza thupi: Limbitsani minofu yanu, limbitsani bwino thupi lanu, ndikubwezeretsanso luso loyenda ndikugwiritsa ntchito manja ndi miyendo yanu.
• Chithandizo cha ntchito: Chimakuthandizani kuphunzira kuchita ntchito zanu za tsiku ndi tsiku (monga kudya, kuvala, ndi kusamba) nokha. Chimakuthandizaninso kuchita ntchito zapakhomo ndi za kuntchito mosamala, makamaka zomwe zimafuna kuyenda bwino kwa thupi.
• Chithandizo cha kulankhula: Chimakuthandizani kubwezeretsanso kapena kukonza luso lanu la chilankhulo ndi kulankhula (Aphasia, Dysarthria). Chimakuphunzitsaninso kulamulira minofu yomwe imakuthandizani kulankhula, kupuma, kudya, ndi kumeza (Dysphagia).
• Kubwezeretsa luso lanu la kuzindikira: Konzani kukumbukira kwanu, kusamala, luso lothana ndi mavuto, ndi luso lina la maganizo (ngati lakhudzidwa ndi sitiroko).
• Uphungu wa matenda amisala ungakhalenso wofunikira, chifukwa nthawi zambiri munthu amavutika maganizo, amakhala ndi nkhawa, komanso amasinthasintha maganizo akadwala sitiroko.

Kodi mwayi wopulumuka sitiroko ya embolic ndi wotani?

Chiwerengero cha anthu omwe akupulumuka sitiroko chikuwonjezeka tsiku lililonse, pamene tikupeza mankhwala atsopano komanso ofulumira. Komabe, palibe nthawi imodzi yochira kapena chiyembekezo chimodzi chomwe chimagwira ntchito kwa aliyense.

Akatswiri amanena kuti pafupifupi 80% ya anthu omwe ali ndi sitiroko ya embolic amakhala ndi moyo kwa mwezi umodzi kapena kuposerapo . Pambuyo pa sitiroko yanu yoyamba, chiopsezo chanu chokhala ndi sitiroko china chimawonjezeka. Anthu omwe adadwala sitiroko kangapo amakhala ndi moyo wochepa. Ndicho chifukwa chake ndikofunikira kwambiri kupewa sitiroko ina.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire matenda a embolic stroke?

Thupi la munthu aliyense limayankha mosiyana ndi sitiroko ya embolic. Zimene mungayembekezere ('prognosis') zimadalira zinthu zingapo:

• Kodi munalandira chithandizo mwachangu bwanji ?
• Ndi mbali ziti za ubongo zomwe zinakhudzidwa ndipo mpaka pati .
• Zaka zanu ndi thanzi lanu lonse (kaya muli ndi matenda ena).
• Momwe mumachitira nawo bwino pulogalamu yokonzanso thanzi lanu .

Zingatenge miyezi ingapo mpaka chaka chimodzi kapena kuposerapo kuti anthu ambiri achire. Anthu ena angafunike kukhala ndi zilema zosatha. Dokotala wanu adzakuuzani zomwe mungayembekezere. Adzakuthandizani kukhazikitsa zolinga ndi ziyembekezo za kuchira kwanu zomwe zikugwirizana ndi thanzi lanu komanso momwe mulili.

Kodi tingapewe bwanji sitiroko ya embolic?

Njira yabwino yopewera embolism ndi sitiroko ya embolic ndikukhala ndi thanzi labwino komanso kuwongolera zoopsa zanu . Yesani kuchita izi:

• Kuchita masewera olimbitsa thupi nthawi zonse (osachepera mphindi 30 masiku 5 pa sabata).
• Idyani zakudya zopatsa thanzi komanso zopatsa thanzi (zipatso zambiri, ndiwo zamasamba, nyemba, ndi tirigu wathunthu wokhala ndi ulusi, mchere wochepa, shuga, ndi mafuta). Sungani kulemera koyenera. Dokotala wanu angakulangizeni kuti mutsatire dongosolo la zakudya monga zakudya za ku Mediterranean .
• Yesani kuthamanga kwa magazi anu, cholesterol, ndi shuga m'magazi nthawi zonse ndipo muziyang'anira bwino . Imwani mankhwala anu monga momwe dokotala wanu wanenera.
• Siyani kusuta fodya kotheratu ndipo pewani kukhala pamalo omwe ena amasuta.
• Chepetsani kapena siyani kumwa mowa kotheratu.
• Ngati muli ndi vuto la mtima monga atrial fibrillation, pezani chithandizo choyenera.

Pitani kwa dokotala chaka chilichonse (kapena monga momwe dokotala wanu akulangizira) kuti akakuwoneni . Matenda ndi mavuto ambiri omwe angayambitse sitiroko ya embolic amakula pakapita nthawi. Angakupangitseni kumva bwino. Dokotala wanu angakuthandizeni kuzindikira ndikuwongolera zizindikiro zochenjeza musanawonjezere chiopsezo chanu cha sitiroko.

Kodi ndimadzisamalira bwanji nditadwala sitiroko ya embolic?

Kuchira ndi kuchira pambuyo pa sitiroko kungakhale njira yayitali komanso yotenga nthawi yayitali. Inu ndi dokotala wanu mukapanga dongosolo la chithandizo, tsatirani njirayo momwe mungathere. Kawirikawiri, muyenera:

• Onetsetsani kuti mwapita ku makalasi anu ochiritsira matenda amisala ndi ena . Chitani masewero olimbitsa thupi omwe akatswiri anu amakupatsani kunyumba. Uzani akatswiri anu ngati mukumva kusasangalala kapena kusatetezeka kuchita chilichonse. Kubwezeretsa thanzi ndi ntchito yovuta, koma simuyenera kukhala ndi ululu kapena kusasangalala nthawi zonse.
• Ganiziraninso za thanzi lanu la maganizo . Kuvutika maganizo ndi nkhawa n’zofala kwambiri munthu akadwala sitiroko. Ndi zachilendo kuganiza zinthu monga, "N’chifukwa chiyani izi zinandichitikira?" "Kodi ndidzakhalanso chimodzimodzi?" Kumva chisoni kapena kukhumudwa sikukupangitsani kukhala wofooka kapena wolephera. Thanzi lanu la maganizo ndi lofunika kwambiri monga momwe thanzi lanu la thupi limakhalira. Ngati mukumva ngati mukufuna thandizo kuti mupeze yankho panthawi yomwe mukuchira, lankhulani ndi dokotala kapena katswiri wa zamaganizo (mlangizi, katswiri wa zamaganizo). Thandizo kuchokera kwa abale ndi abwenzi ndilofunikanso kwambiri panthawiyi.
• Imwani mankhwala anu moyenera, panthawi yake, komanso mu mlingo woyenera . Izi ndizofunikira makamaka ngati mukumwa mankhwala ochepetsa magazi, kuthamanga kwa magazi, cholesterol, kapena matenda a shuga. Ndikofunikira kuchepetsa chiopsezo cha magazi kuundana mtsogolo, ndipo kumwa mankhwala anu monga momwe dokotala wanu akukulangizirani kudzakuthandizani kuchira.

Kodi ndi liti pamene ndiyenera kupitanso ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ?

Ngati mukuganiza kuti mukudwala sitiroko ina (kumbukirani KUKHALA MWAMSANGA!) , imbani 911 kapena nambala yanu yadzidzidzi yapafupi nthawi yomweyo . Chiwopsezo cha mavuto aakulu ndi imfa chimakhala chachikulu kwambiri ngati mukudwala sitiroko ina . Musazengereze kupempha thandizo kapena kupita kuchipinda chadzidzidzi.

Anthu omwe adadwala matenda a embolic stroke ali pachiwopsezo chachikulu cha mavuto akuluakulu, monga:

• Magazi amaundana m'mitsempha yakuya ya miyendo (Deep vein thrombosis - DVT): kutupa, kufiira, kupweteka mwendo.
• Matenda a mtima: Kupweteka pachifuwa, kuvutika kupuma.
• Chibayo: Malungo, chifuwa, kupuma movutikira (makamaka kwa anthu omwe akuvutika kumeza, chakudya chingalowe m'mapapo - Kutuluka mpweya Chibayo).
• Kupuma movutikira m'mapapo: Kupuma movutikira, kupweteka pachifuwa, komanso kugunda kwa mtima mofulumira. Izi zitha kuchitika chifukwa cha magazi kuundana omwe amatuluka mu DVT.
• Kukhala ndi chizungulire (Kugwidwa ndi khunyu).

Ngati mukuona zizindikiro za mavuto amenewa, imbani ogwira ntchito zadzidzidzi nthawi yomweyo kapena pitani ku chipinda chodzidzimutsa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukadwala sitiroko, inu ndi banja lanu mungakhale ndi mafunso ambiri. Musaope kufunsa dokotala wanu za mafunsowo.

• "N’chifukwa chiyani ndinadwala sitiroko iyi? Kodi magazi oundana (embolism) anachokera kuti?"
• "Ndi matenda kapena vuto lanji lomwe linayambitsa izi?"
• "Kodi chiopsezo changa chodwala sitiroko ndi chiyani?"
• "Ndi mankhwala ati omwe ndikufunika kuti ndipitirize kumwa, ndimawamwa bwanji? Kodi zotsatira zake ndi zotani?"
• "Ndi kusintha kotani komwe ndikufunika kusintha pa moyo wanga watsiku ndi tsiku? Zinthu monga zakudya, masewera olimbitsa thupi, ndi zina zotero."
• "Ndidzayenera kuchita rehabilitation kwa nthawi yayitali bwanji?"
• "Kodi ndidzatha kuyendetsa galimoto ndikupitanso kuntchito? Kodi zimenezo zidzachitika liti?"

"Kukhala ndi sitiroko kungasinthe moyo wanu. Koma sizikutanthauza kuti simuli inu. Kumbukirani kudzipatsa ulemu chifukwa cha zomwe mukuchita panthawi yochira komanso kuchira kwanu. Ngakhale sizikumveka nthawi zonse, kupambana kulikonse ndikofunikira kuyamikira."

Lankhulani ndi madokotala anu za zomwe mungachite kuti mupewe matenda ena a sitiroko mtsogolo. Angakuthandizeni kusintha zochita zanu za tsiku ndi tsiku kuti muchepetse chiopsezo chanu chokhala ndi sitiroko ina. Musaope kufunsa mafunso. Ndinu wodziyimira pawokha komanso thanzi lanu , ndipo muli ndi ufulu womvetsa chilichonse chomwe akukuuzani.

Zinthu zina zomwe ndikuganiza kuti ndizofunikira kwa inu (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tione zinthu zina zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana.

• Sitiroko ya embolic ndi pamene magazi oundana omwe amapangika kwina m'thupi (nthawi zambiri mumtima) amakhazikika mumtsempha wamagazi muubongo. Izi ndi zadzidzidzi zachipatala!
• Dziwani zizindikiro za 'BE FAST' (kutayika kwa mphamvu, kusintha kwa masomphenya, kugwada kwa nkhope, dzanzi m'dzanja, kulankhula movutikira). Ngati muwona zizindikirozi , imbani 1990 nthawi yomweyo . Nthawi ndi yofunika kwambiri.
• Kuthamanga kwa magazi, matenda a shuga, matenda a mtima (makamaka atrial fibrillation), cholesterol yambiri, ndi kusuta fodya ndi zinthu zazikulu zomwe zimayambitsa izi.
• Ndikofunikira kwambiri kuyamba chithandizo mwamsanga. Chithandizo chachikulu ndi thrombolytic therapy ndi mechanical thrombectomy.
• Kuchira n'kofunika kwambiri munthu akadwala sitiroko. Kuchiza ndi kulankhula, kuchita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, komanso kuchita zinthu mwanzeru kungathandize pa izi.
• Kuti mupewe sitiroko ina, ndikofunikira kwambiri kusintha moyo wanu (kudya bwino, kuchita masewera olimbitsa thupi nthawi zonse , kusiya kusuta fodya, komanso kuchepetsa kumwa mowa) ndikutsatira malangizo a dokotala moyenera.
• Simuli nokha . Pali madokotala, akatswiri azaumoyo, abale, ndi abwenzi omwe angakuthandizeni paulendowu. Funsani dokotala wanu chilichonse, pemphani thandizo. Thanzi la maganizo ndi lofunika monga thanzi la thupi.

Ndikukhulupirira kuti izi zikuthandizani, abwenzi okondedwa. Khalani ndi thanzi labwino komanso osangalala nonse!

` Kuukira kwa Embolic, sitiroko, sitiroko, sitiroko ya ubongo, magazi kuundana, kutsekeka kwa mitsempha yamagazi, zizindikiro za sitiroko, chithandizo cha sitiroko