Kodi Lacunar Stroke ndi chiyani? Tiyeni tikambirane mwachidule!

Lero tikambirana za vuto lalikulu lomwe ndi lofunika kwambiri kulidziwa. Mwina munamvapo za sitiroko. Mtundu umodzi wofala kwambiri wa sitiroko ndi sitiroko ya lacunar. Mwachidule, uwu ndi vuto lomwe limachitika pamene magazi amaundana m'mitsempha yaying'ono kwambiri yamagazi muubongo. Lili ngati chitoliro chamadzi chotsekedwa chomwe chimaletsa kuyenda kwa madzi.

Kufa kwa magazi m'mitsempha yaing'ono yamagazi yomwe ili mkati mwa ubongo imasiya kuyenda, kapena kutsekedwa ndi magazi kuundana, zomwe zimapangitsa kuti gawo la ubongo liwonongeke. Uwu ndi mtundu wa sitiroko wotchedwa ischemic stroke . Madokotala nthawi zina amautcha kuti lacunar infarction. Mawu oti 'infarction' amatanthauza kuti pamene minofu m'thupi itaya magazi ake, minofuyo imafa. Kufa kwa magazi m'mitsempha ndi chilichonse chomwe chimasokoneza kuyenda kwa magazi kupita ku ubongo.

Izi ndi ngozi yachipatala yomwe ingawononge moyo , monga ngozi. Chifukwa chake ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro za sitiroko, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo . Mukafika kuchipatala mwachangu ndikuyamba chithandizo, mwayi wanu wopulumutsa moyo umakhala wabwino. Sekondi iliyonse ndi yofunika.

Kodi zizindikiro za sitiroko ya lacunar ndi ziti?

Zizindikiro za lacunar stroke zimafanana kwambiri ndi mitundu ina ya ischemic stroke. Chimodzi mwa izi chingachitike nthawi imodzi:

• Kumva kufooka kapena dzanzi mbali imodzi ya nkhope ndi thupi.
• Kuvuta kulankhula, kusalankhula bwino, ndipo nthawi zina kutayika kwathunthu kwa mawu (timatcha izi kuti 'aphasia' ).
• Kulankhula movutikira, chibwibwi (izi zimatchedwa 'dysarthria' ).
• Kutaya mphamvu yolamulira minofu mbali imodzi ya nkhope (monga pakamwa pokokedwa mbali imodzi).
• Kufooka mwadzidzidzi kapena kutayika kwa chimodzi kapena zingapo mwa mphamvu zathu zisanu (kuona, kumva, kununkhiza, kulawa, kukhudza).
• Kuwona molakwika, diplopia (kuwerenga kawiri).
• Kutaya kulinganiza bwino komanso kulephera kulamulira miyendo, monga munthu woledzera ( 'Ataxia' ).
• Kumva chizungulire kapena vertigo.
• Kusanza ndi kusanza.

Ngati mukukayikira kuti mwadwala sitiroko, kumbukirani njira iyi ya 'KHALANI MOFULUMIRA'!

Ndikothandiza kukumbukira zilembo za Chingerezi zomwe zimatanthauza 'KHALANI MOFULUMIRA' kuti muzindikire mwachangu ngati inu kapena wokondedwa wanu akukumana ndi zizindikiro zochenjeza za sitiroko. Tiyeni tiwone zomwe zili:

• B pa Kulinganiza Zinthu: Onani ngati mwadzidzidzi mwataya kulinganiza zinthu. Kodi mukuvutika kuyima kapena kuyenda?
• E ya Maso: Onani ngati pali kutayika kwadzidzidzi kwa masomphenya, kusawoneka bwino, kapena kusintha kwa maso amodzi kapena onse awiri.
• F pa Nkhope: Afunseni kuti amwetulire. Onani ngati mbali imodzi kapena zonse ziwiri za nkhope yawo zikuoneka kuti zikuwerama. Kodi pakamwa pawo pakokedwa mbali imodzi?
• A za Manja: Apempheni kuti akweze manja onse awiri. Ngati akudwala sitiroko, mkono umodzi sungakhale wokwera kwambiri ngati wina ndipo ungagwe pansi.
• S pa Kulankhula: Onetsetsani ngati pali kusalankhula bwino, chibwibwi, kapena kuvutika kupeza mawu oyenera polankhula. Kodi mungalankhule momveka bwino mukapemphedwa kuti munene chiganizo chosavuta?
• T ya Nthawi: Nthawi ndi yofunika kwambiri! Ngati muwona chimodzi mwa zizindikirozi , funani thandizo nthawi yomweyo, zomwe zikutanthauza kuyimba foni ku 1990. Ngati n'kotheka, lembani nthawi yomwe zizindikiro zanu zinayamba poyang'ana wotchi kapena foni yanu. Kuuza dokotala wanu nthawi yomwe zizindikiro zanu zinayamba kungathandize kusankha chithandizo chomwe chili chabwino kwa inu.

Tiyeni tiphunzirenso za 'Mini-Stroke'?

Nthawi zina 'Transient Ischemic Attack' kapena 'TIA' ingachitike. Anthu ena amatchanso izi kuti 'Mini-Stroke'. Izi zimachitika mukakhala ndi zizindikiro zofanana ndi sitiroko, koma zimatha pakapita nthawi yochepa (nthawi zambiri mkati mwa maola 24). Komabe, ili ndi chenjezo lalikulu kuti sitiroko yeniyeni ikhoza kubwera posachedwa. Munthu amene wakhala ndi TIA amafunikanso thandizo lachipatala mwachangu. Si bwino kungonyalanyaza.

Kodi n’chiyani chimayambitsa sitiroko ya lacunar?

Matenda a Lacunar, monga ndanenera kale, amayamba chifukwa cha magazi kuundana omwe amatseka mtsempha wamagazi womwe uli mkati mwa ubongo wanu. Madera awa a ubongo ndi kwawo kwa malo ofunikira omwe amalamulira mphamvu zathu (malingaliro, masomphenya, ndi zina zotero) ndi kuyenda, monga Basal Ganglia ndi Thalamus .

Pali matenda angapo omwe angayambitse magazi kuundana ndikuyambitsa sitiroko ya lacunar. Mwachitsanzo:

• Kuthamanga kwa magazi (Kuthamanga kwa magazi): Ichi ndiye chinthu chachikulu komanso chachikulu kwambiri chomwe chimayambitsa vutoli . Ngati mukudziwa kuti kuthamanga kwa magazi anu kuli kokwera, ndikofunikira kuti muwalamulire.
• Kuchuluka kwa mafuta m'magazi (Hyperlipidemia): Mafuta 'oipa' akachuluka, amatha kusungidwa m'mitsempha yamagazi ndikutsekeka.
• Matenda a magazi kuundana: Anthu ena amakhala ndi chizolowezi choti magazi awo amaundana mosavuta.
• Matenda a COVID-19: Izi zithanso kugwirizanitsidwa ndi magazi kuundana nthawi zina.
• Matenda omwe amawononga minofu ya thupi: Mwachitsanzo, pa matenda oopsa monga sepsis , zidutswa za minofu yakufa zimatha kusonkhana m'magazi ndikupita ku ubongo ndikukhazikika.

Kumbukirani, kuthamanga kwa magazi ndiye mdani wamkulu wa sitiroko ya lacunar. Lankhulani ndi dokotala wanu za kuthamanga kwa magazi anu ndipo yesani kusunga kuthamanga kwa magazi pamlingo wabwino.

Ndani ali pachiopsezo chachikulu chotenga sitiroko ya lacunar?

Aliyense akhoza kukhala ndi sitiroko ya lacunar, koma anthu ena ali pachiwopsezo chachikulu. Izi zikuphatikizapo:

• Anthu opitirira zaka 65.
• Anthu akuda (izi zitha kukhala zokhudzana ndi majini ndi zachuma).
• Anthu omwe amasuta kapena kugwiritsa ntchito zinthu zina zomwe zili ndi nikotini (monga vaping).
• Anthu omwe amagwiritsa ntchito mankhwala osokoneza bongo.

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

• Anthu omwe ali ndi kusintha kwa majini mu jini ya 'NOTCH3' (izi zikugwirizana ndi vuto losowa lotchedwa CADASIL).
• Anthu omwe ali ndi vuto la mtima losagwira bwino ntchito monga atrial fibrillation (zomwe zingayambitse magazi kuundana mumtima).
• Vuto la kugwiritsa ntchito mowa.
• Kwa iwo omwe ali ndi 'atherosclerosis', matenda omwe makoma a mitsempha yamagazi amakhala olimba komanso okhuthala.
• Matenda a shuga (Diabetes Mellitus).

Kodi madokotala amazindikira bwanji matenda a lacunar stroke molondola?

Dokotala adzadziwa ngati muli ndi sitiroko ya lacunar powunikanso zizindikiro zanu, kuchita mayeso a mitsempha , kuchita mayeso akuthupi, ndikuchita mayeso ena apadera. Ngati mutengedwa kupita kuchipatala chadzidzidzi, madokotala kumeneko akhoza kuzindikira izi.

Madokotala amagwiritsa ntchito mayeso ngati awa kuti atsimikizire kuti mwakhala ndi sitiroko ya lacunar:

• Kuyezetsa magazi: Kuyang'ana zinthu monga mavuto okhudza magazi kuundana, matenda a shuga, ndi kuchuluka kwa mafuta m'thupi.
• Kujambula kwa CT: Izi zitha kujambula zithunzi za ubongo ndikupeza mwachangu ngati pali kutuluka magazi kapena ngati mitsempha yamagazi yatsekeka.
• EEG (Electroencephalogram): Imafufuza momwe magetsi a ubongo amagwirira ntchito (nthawi zina ingafunike).
• ECG (Electrocardiogram): Yang'anani ngati kugunda kwa mtima sikukuyenda bwino komanso ngati pali zizindikiro za matenda a mtima.
• MRI: Izi zingapangitse zithunzi zomveka bwino komanso zatsatanetsatane za ubongo. Izi ndizofunikira kwambiri pofufuza molondola kuwonongeka kwa ubongo komwe kumachitika chifukwa cha sitiroko.

Kodi mankhwala a lacunar stroke ndi ati?

Chofunika kwambiri pochiza matenda a lacunar stroke ndikubwezeretsa magazi muubongo mwachangu momwe zingathere. Madokotala amachita izi mwachangu momwe angathere chifukwa zimachepetsa chiopsezo cha kuwonongeka kwa ubongo kosatha komanso imfa.

Pali njira ziwiri zazikulu zochizira:

• Chithandizo cha Thrombolytic: Awa ndi mankhwala omwe amasungunula magazi kuundana. Nthawi zambiri amaperekedwa mkati mwa maola anayi ndi theka kuchokera pamene zizindikiro zayamba, chifukwa ngati ataperekedwa pambuyo pake, pamakhala chiopsezo chachikulu cha kutuluka magazi koopsa m'thupi.
• Kuchotsa magazi m'thupi pogwiritsa ntchito makina: Iyi ndi njira yochitira opaleshoni yochotsa magazi oundana. Dokotala wa opaleshoni amaika chubu chaching'ono, chopyapyala (catheter) mu mtsempha wamagazi kwinakwake m'thupi lanu ndikuchiyika mu magazi oundana muubongo wanu. Kenako magazi oundanawo amatengedwa nthawi imodzi kapena kusweka m'zidutswa ndikutengedwa. Komabe, nthawi zambiri pa stroke, mtsempha wamagazi womwe wakhudzidwawo ungakhale wochepa kwambiri kuti uchite opaleshoniyi. Dokotala wanu ndi dokotala wanu adzakuuzani zomwe zili bwino pa vuto lanu.

Kuwonjezera pa izi, mungafunike mankhwala ena:

• Mankhwala ochepetsa magazi: Mankhwala oletsa magazi kuundana amaletsa magazi kuundana mosavuta. Mankhwalawa angaperekedwenso pambuyo pa chithandizo cha thrombolytic.
• Kulamulira kuthamanga kwa magazi: Madokotala amalemba mankhwala oletsa kuthamanga kwa magazi anu ndikusunga kuthamanga kwa magazi pamlingo wabwino.

Kodi kubwezeretsa thanzi pambuyo pa sitiroko n'kofunika?

Inde, ndithudi! Kuchira ndi gawo lofunika kwambiri la chithandizo pambuyo pa sitiroko. Chithandizo chochirachi chimakuthandizani kusintha momwe ubongo ndi thupi lanu zasinthira chifukwa cha sitiroko. Mungafunike thandizo kuti mubwezeretse luso lomwe munali nalo musanachite sitiroko, kapena kuti muzolowere kukhala ndi zilema zatsopano. Mungafunike chithandizo chimodzi kapena zingapo mwa izi:

• Chithandizo cha kulankhula: Izi zingakuthandizeni kukulitsa luso lanu lolankhula, momwe mumalankhulira, komanso kulamulira minofu yomwe imakuthandizani kulankhula, kupuma, kudya, ndi kumeza. Mankhwala oletsa magazi kuundana nthawi zambiri amafunika mukadwala sitiroko ya lacunar.
• Kuchiza thupi: Izi zingathandize kulimbitsa minofu yanu, kukonza bwino thupi lanu, ndikubwezeretsanso kugwiritsa ntchito manja ndi miyendo yanu.
• Chithandizo cha ntchito: Izi zimakuthandizani kuchita ntchito zanu za tsiku ndi tsiku mosamala, makamaka ntchito zomwe zimafuna mayendedwe abwino (monga kudya, kuvala, kulemba).
• Kubwezeretsa chidziwitso: Izi zimathandiza kukulitsa kukumbukira kwanu, nthawi yoganizira, ndi luso lina la maganizo.

Kodi munthu amakhala ndi moyo wautali bwanji akadwala sitiroko ya lacunar? Kodi n'zotheka kuchira kwathunthu?

Chiwerengero cha anthu omwe akupulumuka sitiroko chikuwonjezeka, chifukwa cha chithandizo chabwino komanso chachangu. Koma n'zovuta kunena motsimikiza ngati pali nthawi yochira yomwe ikugwirizana ndi zonse kapena chiyembekezo.

Matenda a Lacunar stroke (ndi mitundu ina ya 'ischemic stroke') nthawi zambiri amakhala ndi chiwopsezo chachikulu cha kupulumuka kuposa matenda a hemorrhagic stroke , omwe amayamba chifukwa cha kutuluka magazi muubongo. Koma sizikutanthauza kuti mudzakhala ndi moyo nthawi yayitali kuposa ena.

Thupi la aliyense limayankha mosiyana ndi sitiroko. Tanthauzo la "kuchira kwathunthu" kwa inu lingakhale losiyana ndi tanthauzo la munthu wina. Mutha kupezanso ntchito yonse ya ubongo ndi thupi lanu, koma mutha kukhala ndi zilema zatsopano kapena zosiyana mutagwidwa ndi sitiroko ya lacunar.

Zimene mungayembekezere zimadalira zinthu zingapo:

• zaka zanu.
• Kodi sitiroko inachiritsidwa mwachangu bwanji?
• Thanzi lanu lonse.

Anthu ambiri amatenga miyezi ingapo kuti achire. Dokotala wanu adzakuuzani zomwe mungayembekezere. Iye adzakuthandizani kukhazikitsa zolinga zanu zochira komanso zomwe mukuyembekezera kutengera thanzi lanu.

Kodi sitiroko ya lacunar ingapewedwe?

Inde, ndi zoonadi! Kukhala ndi thanzi labwino ndiyo njira yabwino kwambiri yopewera sitiroko ya lacunar. Yesetsani kuchita izi:

• Sungani kuthamanga kwa magazi anu, kuchuluka kwa mafuta m'thupi, ndi matenda ena (monga matenda a shuga). Imwani mankhwala anu monga momwe dokotala wanu wanenera.
• Idyani zakudya zopatsa thanzi (masamba, zipatso, nyemba, ndi ulusi). Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Ngati mukusuta, siyani kusuta. Pewani kugwiritsa ntchito zinthu zina zomwe zili ndi nikotini.
• Chitani masewera olimbitsa thupi nthawi zonse. Chitani zinthu monga kuyenda kwa mphindi zosachepera 30 patsiku.

Pita kukayezetsa kuchipatala chaka chilichonse (kapena monga momwe dokotala wanu akulangizira). Matenda ndi mavuto ambiri omwe angayambitse sitiroko ya lacunar amakula pang'onopang'ono pakapita nthawi. Simungazindikire zizindikiro zilizonse. Dokotala wanu angakuthandizeni kuzindikira zizindikiro izi msanga ndikukuthandizani kuzithetsa.

Kodi ndimadzisamalira bwanji nditadwala sitiroko?

Kuchira ku matenda a sitiroko ndikupita ku mapulogalamu obwezeretsa thanzi sikophweka, ndi ntchito yambiri. Inu ndi dokotala wanu mukapanga dongosolo la chithandizo, litsatireni mosamala momwe mungathere. Kawirikawiri, muyenera kuchita izi:

• Imwani mankhwala anu monga momwe mwalangizidwira. Izi ndizofunikira kwambiri ngati mukumwa mankhwala ochepetsa magazi. Ndikofunikira kuchepetsa chiopsezo cha magazi kuundana mtsogolo, ndipo kumwa mankhwala anu monga mwalangizidwira ndi dokotala wanu kudzakuthandizani kuchira.
• Pitirizani kupita kukaonana ndi dokotala wanu wa matenda amisala komanso wa matenda ena. Uzani dokotala wanu ngati pali chilichonse chomwe chimakupangitsani kumva kuti simukusangalala kapena kuti simukutetezeka. 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 kwambiri munthu akadwala sitiroko. Thanzi lanu la maganizo ndi lofunika kwambiri monga momwe thanzi lanu la thupi limakhalira. Kumva chisoni kapena kuda nkhawa sikukupangitsani kukhala wofooka kapena wolephera. Ngati mukumva kutopa ndi zinazake pamene mukuchira, lankhulani ndi dokotala wanu kapena mlangizi wa zaumoyo wa maganizo .

Ndi zakudya ndi zakumwa ziti zomwe ndiyenera kupewa?

Dokotala wanu angakulangizeni kuwonjezera kapena kuchotsa zakudya zina muzakudya zanu. Angakulimbikitseninso kusintha pang'ono pa zochita zanu za tsiku ndi tsiku kuti muchepetse matenda anu komanso/kapena kuchepetsa chiopsezo chanu chokhala ndi magazi ambiri mtsogolo mutatha kudwala sitiroko.

Zakudya zomwe nthawi zambiri zimalangizidwa kuti zipewedwe ndi izi:

• Mowa
• Zakumwa zokhala ndi caffeine wambiri (zingakhale bwino ngati mungachepetse kumwa tiyi ndi khofi)
• Zakudya zokhala ndi shuga wambiri (zakudya zotsekemera, zakumwa)
• Zakudya zokhala ndi mchere wambiri (sodium) (chepetsani mchere muzakudya, pewani zakudya zopangidwa ndi mchere wambiri)
• Zakudya zokazinga
• Zakudya zokonzedwa bwino (monga masoseji, mipira ya nyama, zakudya zopakidwa m'matumba)

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

Ngati mukumva ngati mukudwala sitiroko ina, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo. Siroko ina ingayambitse mavuto aakulu komanso imfa. Musazengereze kufunafuna thandizo kapena kupita kuchipinda chothandizira anthu ovulala.

Anthu omwe adadwalapo sitiroko ya lacunar ali pachiwopsezo chachikulu chotenga mavuto akulu. Mwachitsanzo:

• Kutsekeka kwa Mitsempha Yakuya (DVT) (magazi amaundana m'mitsempha yakuya ya miyendo)
• Matenda amtima
• Chibayo
• Pulmonary embolism ( kuundana kwa magazi m'mitsempha yamagazi m'mapapo)
• Kugwidwa ndi khunyu

Ngati mukuona zizindikiro za vuto lililonse mwa izi, muyenera kuyimbira foni ogwira ntchito zadzidzidzi kapena kupita kuchipinda chodzidzimutsa nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala wanu, musazengereze kufunsa mafunso aliwonse omwe muli nawo. Nazi zina zomwe mungafune kufunsa:

• 'Kodi ndi kuti kwenikweni muubongo mwanga komwe ndinadwala sitiroko iyi ya lacunar?'
• 'Ndi matenda kapena vuto lanji lomwe layambitsa izi?'
• 'Ndi mankhwala amtundu wanji omwe ndikufuna, ndipo ndiyenera kuwagwiritsa ntchito bwanji?'
• 'Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga watsiku ndi tsiku?'
• 'Ndiyenera kuchita chiyani china kuti ndisachitenso sitiroko?'
• 'Kodi pulogalamu yanga yobwezeretsa thanzi langa itenga nthawi yayitali bwanji? Kodi ndingayembekezere zotsatira zotani?'

Pomaliza, zinthu zingapo zoti muzikumbukira

Matenda a Lacunar stroke (omwe amatchedwanso 'lacunar infarct') ndi matenda omwe amakhudza mitsempha yamagazi yaying'ono yomwe ili mkati mwa ubongo wanu, koma amatha kukhudza kwambiri thanzi lanu. Ndicho chifukwa chake ndikofunikira kupita kukayezetsa nthawi zonse. Dokotala wanu angakuthandizeni kuzindikira ndikuwongolera mavuto azaumoyo (monga kuthamanga kwa magazi, cholesterol, ndi matenda ashuga) omwe amawonjezera chiopsezo chanu cha matenda a sitiroko pakapita nthawi. Lankhulani ndi dokotala wanu za njira zabwino kwambiri zothanirana ndi zoopsa zomwe mwazizindikira.

Pamene mukuchira matenda a sitiroko, musaiwale kusangalala ngakhale ndi kusintha pang'ono komwe mwapanga. Masiku ena simungamve ngati mukufuna, koma kupambana kulikonse ndikofunikira kukondweretsedwa. Mutha kunyada ndi ntchito yovuta yomwe mwagwira pochiza matenda anu.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

` Lacunar Stroke, Lacunar Infarct, Lacunar Infarct, Stroke, Magazi Oundana, Kuthamanga kwa Magazi Kwambiri, Zizindikiro za Stroke