Kodi chimachitika ndi chiyani ngati magazi asiya kuyenda muubongo mwanu? (Ischemic Stroke) Tiyeni tiphunzire zambiri za izi.

Tangoganizirani zomwe zingachitike ngati magazi opita ku ubongo wanu atasiya mwadzidzidzi? Ndi vuto loopsa kwambiri. Timatcha izi kuti sitiroko ya ischemic . Ichi ndi vuto lachipatala lomwe lingakhale pachiwopsezo. Vutoli limapangitsa kuti maselo a ubongo afe, ndipo ngati zitachitika, ntchito za thupi zomwe maselowo amalamulira zimatha kutayika. Siroko ya Ischemic imapanga pafupifupi 80% ya sitiroko zonse padziko lapansi. Chifukwa chake, ndikofunikira kwambiri kuti inu ndi okondedwa anu mudziwe izi.

Kodi zizindikiro za "Ischemic Stroke" ndi ziti?

Zizindikiro za sitiroko ya ischemic zimatha kusiyana malinga ndi gawo la ubongo lomwe lakhudzidwa. Komabe, pali zizindikiro zina zodziwika bwino:

• Kumva dzanzi kapena kufooka mbali imodzi ya nkhope kapena thupi.
• Kuvuta kulankhula, kapena kutaya kwathunthu kulankhula (Aphasia) .
• Kulankhula kumakhala kosamveka bwino ndipo mawu sangatchulidwe bwino (Dysarthria) .
• Kulephera kulamulira minofu mbali imodzi ya nkhope.
• Palibe vuto kutaya mwadzidzidzi kapena kuipitsa mphamvu yanu ya kununkhiza, kulawa, kukhudza, kapena kumva.
• Kuona kolakwika kapena kuwona kawiri (Diplopia) .
• Kulephera kugwirizana kwa thupi, kulephera kumvetsa bwino zinthu, ndi kulephera kugwira ntchito (Ataxia) .
• Kumva chizungulire.
• Kusanza ndi kusanza.
• Khosi lolimba.
• Kusintha kwadzidzidzi kwa maganizo kapena umunthu.
• Kumva kusokonezeka komanso kusakhazikika.
• Kukhala ndi khunyu.
• Kulephera kukumbukira zinthu ndi vuto la kukumbukira zinthu.
• Mutu wopweteka kwambiri komanso wodzidzimutsa mwadzidzidzi.
• Kutaya chidziwitso ndikugwa.
• Kugwa mu chikomokere.

Zizindikiro zochenjeza - kumbukirani KUKHALA MOFULUMIRA!

"Ischemic Stroke" ikhoza kukhala ndi zizindikiro zosiyanasiyana. Kuti mudziwe ngati chinthu chonga ichi chikukuchitikirani kapena munthu amene mumamudziwa, kumbukirani mawu awa BE FAST .

• B - Kulinganiza: Onani ngati mwadzidzidzi mwataya kulinganiza kwanu .
• E - Maso: Yang'anani ngati maso anu atayika mwadzidzidzi m'diso limodzi kapena onse awiri, kapena kusintha kulikonse kwa masomphenya.
• F - Nkhope: Mwetulirani ndipo muwone ngati mbali imodzi ya nkhope ikugwa .
• A - Manja: Kwezani manja onse awiri. Onani ngati mkono umodzi wagwa modabwitsa kapena ukuoneka wofooka.
• S - Kulankhula: Onani ngati mawuwo ndi osamveka bwino kapena ngati n'kovuta kuwamvetsa bwino.
• T - Nthawi: Nthawi ndi yofunika kwambiri - imbani thandizo nthawi yomweyo (ngati muli ku Sri Lanka, imbani 1990)Ngati n'kotheka, sungani wotchi kapena foni yolemba nthawi yomwe zizindikiro zanu zinayamba. Kuuza dokotala nthawi ino kudzawathandiza kusankha chithandizo chabwino kwambiri kwa inu.

Sekondi iliyonse imawerengedwa! Ngati mukukayikira kuti muli ndi sitiroko, pitani kuchipatala nthawi yomweyo.

Kodi n’chiyani chimayambitsa matenda a "Ischemic Stroke"?

Mwachidule, "Ischemic Stroke" imachitika pamene chinachake chikusokoneza kuyenda kwa magazi kupita ku ubongo wanu. Madokotala amatcha izi "Ischemia." "Ischemia" amatanthauza kuti maselo salandira magazi okwanira ndipo amafa. Izi zikachitika ku ubongo, "Ischemic Stroke" imachitika. Nthawi zambiri, chifukwa chachikulu ndi magazi kuundana.

Magazi amaundana motere chifukwa cha matenda osiyanasiyana. Zitsanzo zina ndi izi:

• Matenda a atherosclerosis ndi pamene mitsempha yamagazi imakhala yopapatiza komanso yolimba, zomwe zimalepheretsa kuyenda kwa magazi. Zili ngati dothi lomwe limamatira mu chitoliro cha madzi.
• Matenda a magazi kuundana.
• Matenda a mtima otchedwa Atrial fibrillation ndi matenda omwe mtima umagunda molakwika.
• Zilema za mtima zobadwa nazo monga mabowo mumtima (Atrial septal defects kapena Ventricular septal defects).
• Matenda otchedwa ``Microvascular ischemic disease`` angachitike pamene mitsempha yaing'ono yamagazi muubongo yatsekedwa.

Kodi mitundu ya `(Ischemic Stroke)` ndi iti?

Pali mitundu iwiri ikuluikulu ya "Ischemic Stroke":

1. Matenda a thrombotic strokes: Apa ndi pamene magazi amaundana mkati mwa ubongo . Madokotala amatcha njira imeneyi kuti thrombosis.

2. Kukwapulidwa kwa magazi m'thupi: Izi zimachitika pamene magazi amaundana (embolism) omwe amapangika kwina m'thupi (nthawi zambiri mumtima) amayenda m'mitsempha yamagazi ndikukhazikika mumtsempha wamagazi muubongo.

Tiyeni tiphunzirenso za "mini stroke" yotchedwa `(Transient Ischemic Attack - TIA)`

`(Transient Ischemic Attack)` kapena `(TIA)` ili ngati sitiroko, koma zizindikiro zimatha pakapita nthawi yochepa (nthawi zambiri mkati mwa maola 24) . Imatchedwanso ``mini-stroke``. Koma musaisiye chifukwa ndi yaying'ono. `(TIA)` nthawi zambiri ndi chizindikiro champhamvu cha chenjezo chisanachitike sitiroko yayikulu komanso yokhazikika . Ndikofunikira kuti munthu amene wakhala ndi `(TIA)` apeze chithandizo chamankhwala mwachangu momwe angathere.

Ndani ali pachiwopsezo chachikulu chotenga izi?

Aliyense akhoza kukhala ndi "Ischemic Stroke". Koma anthu ena ali pachiwopsezo chachikulu. Awa ndi awa:

• Anthu opitirira zaka 65.
• Anthu ochokera ku Africa (izi sizikugwirizana ndi Sri Lanka, koma ndi bwino kudziwa).
• Anthu omwe amasuta kapena kugwiritsa ntchito mitundu ina ya fodya kapena nikotini (monga vaping).
• Anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo.

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

• Kwa iwo omwe ali ndi kuthamanga kwa magazi (Hypertension) .
• Kwa iwo omwe ali ndi cholesterol yambiri m'magazi (Hyperlipidemia) .
• Kwa anthu omwe ali ndi vuto la kumwa mowa ('Matenda oletsa kugwiritsa ntchito mowa').
• Kwa iwo omwe ali ndi matenda a shuga amtundu wa 2 .
• Pali maphunziro omwe akusonyeza kuti omwe kale anali ndi COVID-19 nawonso ali pachiwopsezo.

Kodi madokotala amazindikira bwanji izi?

Dokotala adzakuuzani motsimikiza ngati muli ndi "Ischemic Stroke" mutatha kupatsidwa "mayeso a mitsempha" ndi mayeso ena angapo. Ngati mwabweretsedwa ku chipinda chodzidzimutsa, madokotala kumeneko akhoza kuzindikira izi.

Pali mayeso angapo omwe mungachite kuti mutsimikizire ngati mwakhalapo ndi "Ischemic Stroke":

• `(CT scan)` (CT scan): Izi zimatenga zithunzi za ubongo.
• Electrocardiogram (EKG): Ntchito yamagetsi ya mtima imayang'aniridwa.
• `(MRI)` (MRI): Izi zithanso kujambula zithunzi za ubongo mwatsatanetsatane.
• Electroencephalogram (EEG): Kapangidwe ka mafunde amagetsi muubongo kamawunikidwa.
• Kuyezetsa magazi: Yang'anani zinthu monga mavuto okhudza magazi kuundana ndi kuchuluka kwa shuga m'magazi.

Kodi chithandizo cha izi ndi chiyani?

Chofunika kwambiri pochiza "stroke ya ischemic" ndikubwezeretsa magazi muubongo mwachangu momwe zingathere . Madokotala amachita izi mwachangu kuti achepetse chiopsezo cha kuwonongeka kwa ubongo kosatha komanso imfa.

Njira zochizira mwachangu

Mankhwala awiri omwe amagwiritsidwa ntchito nthawi zambiri ndi awa:

1. Chithandizo cha Thrombolytic: Awa ndi mankhwala omwe amachepetsa magazi. Madokotala nthawi zambiri amapereka mankhwalawa pokhapokha ngati zizindikiro zayamba mkati mwa maola anayi ndi theka kuchokera pamene munthu wagwidwa ndi sitiroko. Izi zili choncho chifukwa amatha kuwonjezera chiopsezo cha kutuluka magazi mkati mwa thupi.

2. Kuchotsa magazi m'thupi: Iyi ndi njira yochitira opaleshoni. Dokotala amaika chubu chaching'ono, chopyapyala (catheter) mumtsempha wina m'thupi lanu (nthawi zambiri m'mimba mwanu) ndikuchitsogolera ku magazi omwe ali muubongo wanu. Kenako magaziwo amatengedwa (monga 'vacuum') kapena kusweka m'zidutswa ndikuchotsedwa.

Mankhwala ena

Mungafunike mankhwala ena monga:

• Mankhwala ochepetsa magazi: Mankhwalawa amatchedwa mankhwala oletsa magazi kuundana. Mankhwalawa amaletsa magazi anu kuundana mosavuta. Madokotala angakupatseni mankhwalawa mutamwa mankhwala ochepetsa magazi.
• Chithandizo cha okosijeni: Pa nthawi ya sitiroko, ubongo sulandira mpweya wokwanira. Choncho madokotala angakupatseni chipangizo chomwe chimadutsa m'mphuno mwanu ndikukupatsani mpweya wowonjezera. Izi zimapangitsa kuti kupuma kukhale kosavuta komanso zimathandiza kubwezeretsa mpweya mu ubongo.
• Kusamalira shuga m'magazi:Madokotala nthawi zonse amayesa kuchuluka kwa shuga m'magazi mwanu kuti ubongo wanu ubwererenso bwino.
• Kutsika pang'ono kwa kutentha kwa thupi: Nthawi zina madokotala amatha kuchepetsa kutentha kwa thupi lanu pang'ono. Izi zingathandize kuchepetsa kuwonongeka kwa ubongo panthawi ya sitiroko komanso pambuyo pake. Komabe, izi sizimachitika kawirikawiri, koma m'mikhalidwe yapadera yokha.

Kodi tiyeneranso kudziwa za chithandizo cha matenda a sitiroko?

Kubwezeretsa matenda a sitiroko n'kofunika kwambiri mukadwala sitiroko. Kumakupatsani mphamvu zambiri kuti mubwererenso ku moyo. Kumakuthandizani kuzolowera kusintha komwe kwachitika muubongo ndi thupi lanu chifukwa cha sitiroko. Mungafunike kubwezeretsanso luso lanu lakale kapena kuzolowera kukhala ndi zilema zatsopano. Izi zitha kuchitika mothandizidwa ndi akatswiri osiyanasiyana azachipatala:

• Chithandizo cha kulankhula: Izi zimathandiza kukulitsa luso lolankhula, chilankhulo, ndi kulamulira minofu zomwe zimakuthandizani kulankhula, kupuma, kudya, ndi kumeza.
• Kuchiza thupi: Izi zimathandiza kulimbitsa minofu, kukonza bwino thupi, ndikubwezeretsanso kugwiritsa ntchito ziwalo.
• Chithandizo cha ntchito: Izi zimakuthandizani kuchita ntchito za tsiku ndi tsiku mosamala, makamaka ntchito zomwe zimafuna kusuntha bwino (monga kutseka shati, kulemba).
• Chithandizo cha Kuzindikira: Izi zimathandiza kukonza luso la maganizo monga kukumbukira, kusamala, ndi kuthetsa mavuto.

Kodi tingadziteteze bwanji ku `(Ischemic Stroke)` iyi?

Kukhala ndi thanzi labwino ndiyo njira yabwino kwambiri yochepetsera chiopsezo chanu chokhala ndi sitiroko ya ischemic. Yesani kuchita izi:

• Sungani kuthamanga kwa magazi anu, kuchuluka kwa cholesterol m'magazi , ndi matenda aliwonse omwe muli nawo (monga matenda a shuga) moyenera.
• Idyani zakudya zopatsa thanzi (monga zakudya za ku Mediterranean, zomwe zili ndi ndiwo zamasamba zambiri, zipatso, nyemba, ndi tirigu wonse) ndipo pitirizani kulemera bwino komwe kumakuyenererani.
• Siyani kusuta fodya kwathunthu ndipo pewani malo omwe mumapuma utsi wa ndudu.
• Kuchita masewera olimbitsa thupi nthawi zonse. Ngakhale chinthu chosavuta monga kuyenda kwa mphindi 30 patsiku ndi chabwino.
• Chepetsani kapena siyani kumwa mowa kwathunthu .

Pitani kwa dokotala kamodzi pachaka (kapena nthawi zambiri monga momwe dokotala wanu akulangizira) kuti akakuwoneni. Matenda ambiri omwe angayambitse sitiroko ya ischemic amatha kukula pakapita nthawi ndikuipiraipira popanda inu kuzindikira. Anthu ambiri omwe ali ndi kuthamanga kwa magazi komanso cholesterol yambiri sakumana ndi zizindikiro zilizonse. Dokotala wanu angakuthandizeni kuzindikira zizindikiro izi msanga, kuzithetsa, ndikuchepetsa chiopsezo chanu cha sitiroko pambuyo pake.

Kodi chiyembekezo cha kuchira n'chiyani?

N'zovuta kunena kuchuluka kwa kuchira komwe kungayenerere aliyense. `(Ischemic Stroke)` ikhoza kupha komanso kuyambitsa kulumala kosatha. Koma si aliyense amene ali ndi nthawi yofanana yochira kapena chiyembekezo chofanana. Chithandizo chikalandiridwa mwachangu, mwayi wochira umakhala waukulu.

Matenda a sitiroko a Ischemic nthawi zambiri amakhala ndi zotsatira zabwino kuposa matenda a sitiroko a magazi. Koma sizikutanthauza kuti kuchira kwanu kudzakhala kosavuta, mwachangu, kapena bwino.

Zitenga nthawi yayitali bwanji kuti munthu achire?

Thupi la munthu aliyense limayankha mosiyana ndi sitiroko. Zimene mungayembekezere ('kuneneratu za matenda') zimadalira zinthu zingapo:

• Kodi munali ndi mtundu wanji wa "Ischemic Stroke"?
• Kodi ndi mbali ziti za ubongo wanu zomwe zinakhudza?
• Kodi munalandira chithandizo mwachangu bwanji?
• Thanzi lanu lonse.

Anthu ambiri amachira pambuyo pa sitiroko mkati mwa miyezi ingapo. Kuchira kwakukulu kumachitika mkati mwa miyezi itatu kapena isanu ndi umodzi yoyambirira pambuyo pa sitiroko. Komabe, zizindikiro ndi zotsatira zake zimatha kukhala chaka chimodzi kapena kuposerapo. Siroko ingayambitsenso chilema chosatha komanso kusintha kwa momwe mumagwiritsira ntchito thupi lanu.

Dokotala wanu adzakuuzani zomwe mungayembekezere. Iye adzakuthandizani kukhazikitsa zolinga zochira ndi ziyembekezo zoyenera thanzi lanu ndi thanzi lanu.

Kodi ndimadzisamalira bwanji nditadwala sitiroko?

Kuchira ndi kubwezeretsa thanzi pambuyo pa sitiroko ndi ntchito yaikulu. Kudzipereka kwanu ndi chithandizo cha banja lanu ndizofunikira kwambiri. Inu ndi dokotala wanu mukapanga dongosolo la chithandizo, litsatireni mosamala momwe mungathere.

• Imwani mankhwala anu moyenera komanso panthawi yake, makamaka ngati mukumwa mankhwala ochepetsa magazi. Izi ndizofunikira kuti muchepetse chiopsezo cha magazi kuundana mtsogolo, ndipo kumwa mankhwala anu monga momwe dokotala wanu wakuuzani kudzathandizanso thupi lanu kuchira.
• Onetsetsani kuti mwapita ku malo ochiritsira odwala komanso kukaonana ndi dokotala wina. Uzani akatswiri azaumoyo ngati pali chilichonse chomwe chimakupangitsani kumva kuti simukusangalala kapena kuti simuli otetezeka. Kubwezeretsa thanzi lanu ndi ntchito yovuta, koma simuyenera kukhala ndi ululu kapena kusasangalala nthawi zonse.
• Ganiziraninso za thanzi lanu la maganizo. Kuvutika maganizo ndi nkhawa n'zofala pambuyo pa sitiroko. Kumva chisoni, kukhumudwa, kapena kukwiya sikutanthauza kuti ndinu wofooka kapena wolephera. Maganizo amenewo ndi achibadwa. Thanzi lanu la maganizo ndi lofunika kwambiri monga thanzi lanu lakuthupi. Ngati mukuvutika kusankha zochita pa nthawi yomwe mukuchira, lankhulani ndi dokotala wanu kapena mlangizi wa zaumoyo wamaganizo . Zingakuthandizeni kwambiri.

Ndi zakudya ndi zakumwa ziti zomwe ndiyenera kusiya ?

Dokotala wanu angakuuzeni kuti muwonjezere kapena kuchotsa zakudya zina muzakudya zanu. Angakuuzeninso kuti musinthe pang'ono zochita zanu za tsiku ndi tsiku kuti muchepetse matenda anu, kapena kuti muchepetse chiopsezo chanu chokhala ndi magazi ambiri pambuyo pa sitiroko.

Zakudya ndi zakumwa zomwe nthawi zambiri zimalangizidwa kuti zichotsedwe kapena kuchepetsedwa ndi izi:

• Zakudya zokhala ndi mchere wambiri (sodium). (ma pickles, nsomba zouma, sauces, zakudya zopakidwa m'matumba)
• Zakudya zokhala ndi shuga wambiri (zakumwa zotsekemera, makeke, mabisiketi, toffee)
• Zakudya zokonzedwa bwino ( monga soseji, ham, ndi nyama za nyama)
• Zakudya zokazinga ndi zakudya zokhala ndi mafuta osinthika (ma French fries, mitundu ina ya margarine)
• Mowa.
• Kumwa kwambiri caffeine (ndi bwino kuchepetsa tiyi ndi khofi mpaka makapu ochepa patsiku)

Kodi ndiyenera kupitanso ku chisamaliro chadzidzidzi liti?

Ngati mukumva ngati mukudwala sitiroko ina (monga momwe tafotokozera mu BE FAST ) imbani 911 (ambulansi yadzidzidzi) nthawi yomweyo, kapena pitani ku chipinda chapafupi chadzidzidzi. Chiwopsezo cha mavuto akulu ndi imfa chimakhala chachikulu kwambiri ngati mukudwala sitiroko ina. Musazengereze kufunafuna thandizo kapena kupita kuchipinda chadzidzidzi.

Munthu amene wakhala ndi sitiroko ya ischemic ali pachiwopsezo chachikulu chotenga mavuto aakulu. Mwachitsanzo:

• Chibayo
• Magazi amaundana m'mitsempha yakuya ya miyendo (Deep Vein Thrombosis - DVT)
• Kutsekeka kwa M'mapapo
• Matenda amtima
• Kugwidwa ndi khunyu

Ngati mukukumana ndi zizindikiro zilizonse za mavutowa (monga kupuma movutikira, kupweteka pachifuwa, kutupa kwa mwendo), muyenera kuyimbira foni ogwira ntchito zadzidzidzi kapena kupita kuchipinda chodzidzimutsa nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• Kodi n’chiyani chinandipangitsa kuti ndidwale sitiroko?
• Kodi ndi zinthu ziti zabwino kwambiri zomwe ndingachite kuti ndichepetse chiopsezo changa chokhala ndi sitiroko ina?
• Kodi izi zindikhudza kwa nthawi yayitali?
• Kodi ndifunika nthawi yayitali bwanji kuti ndichiritsidwe (`Stroke rehab`)?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga watsiku ndi tsiku (kudya, kuchita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi)?

Pomaliza, zinthu zoti muzikumbukira

Kugwidwa ndi sitiroko kungakhale chinthu choopsa komanso chosintha moyo. Njira yabwino yopewera sitiroko ya ischemic ndi kuzindikira zizindikiro zochenjeza za sitiroko ndikuwongolera zoopsa zanu zisanachitike. Onani dokotala wanu kamodzi pachaka ndikupeza thandizo lowongolera matenda aliwonse omwe amawonjezera chiopsezo chanu cha sitiroko (monga kuthamanga kwa magazi, matenda a shuga, kapena cholesterol).

Ngati muli ndi sitiroko, mungamve ngati dziko lanu lonse lasintha. Koma inuyo ndinu nokha. Kuchira ndi kuchira ndi ntchito yovuta, ndipo kungakhale ulendo wautali. Masiku ena akhoza kukhala ovuta kuposa ena. Koma musaiwale kusangalala ndi zipambano zazing'ono zomwe mwakhala nazo, zomwe mwakwanitsa. Simuli nokha, ndipo muli ndi banja, anzanu, madokotala, ndi akatswiri okuthandizani.

` Stroke, sitiroko ya ischemic, magazi kuundana muubongo, zizindikiro, KHALANI MOFULUMIRA, chithandizo cha sitiroko, kupewa sitiroko