Kana uine chirwere cheshuga, unofanira kufunga zvishoma nezvehutano hwemwoyo wako, itsvo, nehuropi. Nekuti chirwere cheshuga chinoita kuti uve nedambudziko rine njodzi rinonzi sitiroko kaviri kupfuura munhu asina chirwere ichi. Asi usazvidya mwoyo. Nemararamiro ane hutano uye kurapwa kwakakodzera, tinogona kudzora njodzi iyi zvakanyanya. Saka, ngatitaurei nezvazvo zviri nyore.
Chii chaizvo chinonzi sitiroko?
Zvichitaurwa zviri nyore, sitiroko kukanganiswa kweropa kuenda kuuropi. Funga nezvazvo senzira yemapombi anopomba mvura kuenda kuuropi hwedu. Mitsipa iyi yeropa inopa masero europi okisijeni nezvinovaka muviri zvinodiwa kuti ararame. Chinoitika musitiroko ndechekuti imwe yemitsipa iyi yeropa inongoerekana yavharika kana kukuvara. Kana ropa rikaenda kuchikamu cheuropi rikamira kweanopfuura maminetsi 3-4, masero ari muchikamu ichocho anotanga kufa. Izvi ndizvo zvinokonzera kuti mabasa akasiyana-siyana mumuviri arasikirwe.
Kune mhando mbiri huru dzekurohwa:
- Ischemic Stroke: Iyi ndiyo mhando inonyanya kuitika. Inoitika kana tsinga yeropa inoendesa ropa kuuropi yavharwa neropa rakagwamba.
- Hemorrhagic Stroke: Izvi zvinoitika kana tsinga yeropa iri muuropi yaputika yobuda ropa ichipinda muuropi.
Kana munhu ane chirwere cheshuga akabatwa nesitiroko, simba remuviri rekupindura rinodzikirawo. Kazhinji, kana imwe tsinga yeropa ikavharika, muviri unoedza kupa ropa kuuropi kuburikidza nedzimwe tsinga dzeropa dzinoita sedzinobuda muropa. Asi nechirwere cheshuga, kunyange tsinga dzeropa dzakawedzerwa dzinogona kutetepa nekufamba kwenguva nemafuta akachengetwa (plaque). Mukurapa, tinodana izvi kuti "Atherosclerosis" . Zvakafanana nengura inoumba mukati mepombi yemvura. Ipapo kuyerera kweropa ikoko kunobva kwavharika zvakanyanya.
Ndezvipi zvikonzero zvikuru zvestroke?
Chinhu chikuru chinokonzera sitiroko iBP yakakwira . Pamusoro pezvo, zvinhu zvinotevera zvinowedzerawo njodzi:
- Kusvuta fodya.
- Kuwedzera kwehuwandu hwecholesterol yakaipa muropa (High LDL Cholesterol).
- Chirwere cheshuga chisingadzoreki.
- Chirwere chemwoyo.
Ngwarira zvikuru nezvezviratidzo izvi!
Ungave uine chirwere cheshuga kana kuti kwete, sitiroko idambudziko rehutano. Kana iwe kana mumwe munhu waunoziva aine chimwe chezviratidzo izvi, unofanira kuenda kuchipatara nekukurumidza . Nguva ndiyo inokosha.
| Chiratidzo chekukurumidzira | Unonzwisisa sei? |
|---|---|
| Kushaya simba kana kusasimba | Kunzwa kusasimba kwechiso, ruoko, kana gumbo kamwe kamwe (kunyanya kune rumwe rutivi rwemuviri). |
| Kuoma kutaura | Mashoko anovhiringika, uye haugone kunzwisisa kana kutaura kunyange mutsetse mudiki. |
| Kutadza kuona zvakanaka | Kuona muziso rimwe chete kana ese ari maviri kunobva kwava kusviba kana kunyangarika. |
| Kuoma kumedza | Kamwe kamwe hauchakwanisi kumedza chimwe chinhu. |
| Dzungu, kurasikirwa nepfungwa dzakanaka | Dzungu risingatarisirwi, kurasikirwa nepfungwa dzakanaka pakufamba uye njodzi yekudonha. |
| Kuoma mitezo | Kamwe kamwe, hauchakwanisi kufambisa chikamu chemuviri wako, semuenzaniso, ruoko kana gumbo. |
| Musoro wakakomba | Musoro wakaoma, wakasimba, pasina chikonzero chakajeka, wausina kumbobvira waona muhupenyu hwako. |
Ndezvipi zviri kurapwa?
Pachirwere che ischemic stroke, kureva kuti, chirwere che ischemic stroke chinokonzerwa nekugwamba kweropa, mushonga mukuru unonyungudutsa ropa unonzi `(tPA).` Asi mushonga uyu unofanira kupiwa mukati memaawa matatu kusvika mana nehafu ekutanga ezviratidzo . Ndosaka tichiti enda kuETU nekukasika. Asi mushonga uyu haugone kupihwa munhu wese. Haupihwe kune vanhu vakaita seavo vachangobva kuvhiyiwa zvakanyanya kana kuti vakakuvara musoro.
Mukuwedzera, kune dzimwe nzira dzekurapa:
- Kuvhiyiwa kweCarotid Endarterectomy: Uku kuvhiyiwa kunobvisa mafuta akaunganidzwa (plaque) mukati metsinga yecarotid, tsinga huru inopa ropa kuuropi.
- Carotid Angioplasty uye Stenting: Mukuita uku, mudziyo wakaita sebharumu unopinzwa nepachubhu tete mutsinga yeropa yakavharika, woiputira kuti ikure. Stent yakaita semesh inozopinzwa kudzivirira kuti tsinga isatete zvakare.
- Dzimwe nzira: Kune vamwe varwere, michina yakagadzirwa nehunyanzvi yakaita seMerci Retrieval System nePenumbra System yava kushandiswa kubvisa ropa rakagwamba.
Chiremba wako ndiye achasarudza mushonga wakakodzera iwe.
Unoita sei kuti upone sitiroko?
Pane zvinhu zvakawanda zvaunogona kuita kudzivirira sitiroko kana uine chirwere cheshuga. Kuisa izvi mumararamiro ako ndiyo nzira yakanakisisa yekuzvidzivirira.
| Zvekutevera | Sei izvozvo zvichikosha? |
|---|---|
| Dzivisa kusvuta zvachose. | Kusvuta kunokanganisa mitsipa yeropa uye kunowedzera zvikuru njodzi yekurohwa nesitiroko. |
| Dzora huwandu hweshuga muropa. | Kudzora chirwere cheshuga zvakanaka kunogona kuderedza kukuvara kwetsinga dzeropa. |
| Ramba uine huremu hwakanaka. | Kurema kwakanyanya kunokonzera BP, cholesterol, uye chirwere cheshuga. |
| Rovedza muviri nguva dzose. | Kurovedza muviri kwemaminitsi makumi matatu pazuva, mazuva mashanu pasvondo, kunosimbisa mwoyo netsinga dzeropa. |
| Tarisa huwandu hwecholesterol. | Edza kuchengetedza huwandu hweLDL (yakaipa) cholesterol yako pasi pe70 mg/dl. Chiremba wako achakupa mazano panyaya iyi. |
| Deredza doro. | Zvinokurudzirwa kuti vakadzi vasanwe doro rinopfuura rimwe chete pazuva, uye kuvarume, vasanwe kaviri. |
| Tarisa BP yako nguva nenguva. | Kana BP yako yakakwira, tevera mirairo yachiremba wako kuti uidzore. |
| Inwa mishonga yacho sezvakarairwa nachiremba. | Zvakakosha kutora mishonga yawakanyorerwa nachiremba (semuenzaniso, aspirin, mishonga inoderedza cholesterol) sezvakarairwa. Usambofa watanga kana kurega kutora mishonga usina kupiwa mazano nachiremba. |
Mharidzo Yekuenda Nayo Kumba
- Kuva nechirwere cheshuga kunowedzera zvakanyanya njodzi yekubatwa nestroke.
- Zvakakosha zvikuru kuenda kuchipatara kuEmergency Department (ETU) nekukasika kana ukaona zviratidzo zvekukurumidzira, zvakaita sekunzwa kusaziva/kurasikirwa neruzivo kune rumwe rutivi rwemuviri kana kuoma kutaura.
- Nzira yakanakisisa yekudzivirira sitiroko ndeyekuchengetedza huwandu hweshuga muropa, BP, uye cholesterol zviri pasi pekutarisirwa kwakanaka.
- Kurega kusvuta, kurovedza muviri nguva dzose, uye kudya chikafu chine hutano kunogona kubatsira kuponesa hupenyu hwako.
- Gara uchitaura nachiremba wako uye tevera mazano ake maererano nekurapwa uye shanduko dzemararamiro.
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