Ingaba usengozini yokuba nesifo sohlangothi ukuba unesifo seswekile? Masithethe ngale nto!

Ngaba unesifo seswekile? Ngoko ke kufuneka uhlale uxhalabile ngamanqanaba eswekile egazini lakho, akunjalo? Yinto entle kakhulu leyo. Nangona kunjalo, enye yezona meko zinzima ezinokubakho ngenxa yesifo seswekile sistroke, okanye njengoko sisitsho ngesiNgesi , istroke . Abantu abaninzi abayazi le nto. Ngoko ke, namhlanje siza kuthetha ngokweenkcukacha malunga nolwalamano phakathi kwesifo seswekile kunye nestroke, into enokubangelwa siso, kwaye okona kubaluleke kakhulu, indlela yokuzikhusela kuso. Kuba oku kunokuba kubaluleke kakhulu kuwe nakubantu obathandayo.

Yintoni istroke? Masiyiqonde ngokulula

Kulungile, masiqale sijonge ukuba yintoni istroke. Ngamafutshane, istroke senzeka xa umthambo wegazi othwala igazi engqondweni yethu uvalekile okanye uqhuma. Cinga ngayo njengombhobho wamanzi oyekayo ukuhamba. Iiseli zethu zengqondo zifuna ioksijini kunye nezondlo ukuze zisebenze. Ezi zivela egazini. Ngoko ke xa ukuhamba kwegazi kuma ngaloo ndlela, inxalenye yengqondo ayifumani ioksijini kunye nezondlo. Emva koko ezo seli zengqondo ziqala ukufa.

Kubalulekile: Xa ingqondo yonakele, imisebenzi yomzimba elawulwa yinxalenye eyonakeleyo inokuphazamiseka.

Kukho izinto ezininzi ezinokubangela oku:

• Ubunzima bokuthetha, okanye ukungakwazi ukuqonda oko kuthethwayo. Ngamanye amaxesha amagama ayaxanana, nto leyo eyenza kube nzima ukuthetha kakuhle.
• Ukulahlekelwa yinkumbulo. Usenokude ulibale nezinto eziqhelekileyo.
• Ukuba ndindisholo okanye ubuthathaka kwelinye icala lomzimba (oku kubizwa ngokuba yi-paralysis). Umzekelo, elinye icala lobuso, ingalo, okanye umlenze lisenokungasebenzi kakuhle.
• Ukuba neentlungu zomzimba.
• Ubunzima bokulawula iimvakalelo, okanye iimvakalelo ezikhawulezileyo zosizi okanye uxinezeleko.
• Ubunzima bokucinga, ukugxila, ukufunda izinto ezintsha, nokwenza izigqibo.
• Kwezinye iimeko ezinzima , ukufa kunokwenzeka.

Uyabona ukuba le meko inzima kangakanani.

Iyintoni ingozi yestroke kubantu abanesifo seswekile?

Ngoku makhe sijonge ukuba kunokwenzeka kangakanani ukuba umntu onesifo seswekile abe nestroke. Enyanisweni, xa kuthelekiswa nomntu ongenaso isifo seswekile, umntu omdala onesifo seswekile unamathuba aphindwe kayi-1.5 okuba nestroke . Kwakhona, abantu abanesifo seswekile banamathuba aphindwe kabini okufa ngenxa yesifo sentliziyo okanye istroke kunabantu abangenaso isifo seswekile. Ezi zibalo ziyoyikisa kancinci, akunjalo? Kodwa ungakhathazeki, ukwazi oku linyathelo lokuqala.

Isifo seswekile sibangela njani ukukhubazeka ?

Kutheni oku kusenzeka? Xa sinesifo seswekile, imizimba yethu ayikwazi ukusebenzisa ukutya ngokufanelekileyo. Umzimba wakho awukwazi ukwenza i-hormone ebizwa ngokuba yi-insulin eyaneleyo, okanye awukwazi ukusebenzisa i-insulin oyivelisa ngokufanelekileyo. Le insulin yiswekile ekutyeni esikutyayo, ebizwa ngokuba yi-glucose., enceda ekudaleni amandla ngokungena kwiiseli zethu.

Ngoko ke, xa i-insulin ingasebenzi kakuhle, le glucose ayingeni kwiiseli kwaye endaweni yoko iyanda egazini. Xa amanqanaba eswekile egazini ephezulu ngolu hlobo ixesha elide, yonakalisa imithambo yegazi emzimbeni wethu. Kufana nomhlwa odla isidumbu. Iindonga zemithambo yegazi ziyaqina, zinciphe, kwaye zilahlekelwe bukuguquguquka kwazo. Sikwabiza le meko ngokuthi (atherosclerosis) . Xa oku kusenzeka, imithambo yegazi inokuvaleka okanye iqhume ngokulula. Oku kuyinyani ngakumbi kwimithambo yegazi eya ebuchotsheni, enokubangela istroke.

Abantu abadala abaninzi abanesifo seswekile banokuba nezinye iingxaki zempilo ezibangela ukuba bahlaselwe sisifo sohlangothi:

• Ubunzima bomzimba obugqithisileyo: Ukuqokelelwa kwamafutha, ingakumbi ejikeleze isisu. Ubunzima obusempilweni buchazwa ngokubanzi njenge-Body Mass Index (BMI) phakathi kwe-18.5 kunye ne-24.9.
• Isifo sentliziyo: Isifo seswekile sikwangunobangela omkhulu wesifo sentliziyo.
• Uxinzelelo lwegazi oluphezulu: Oku konakalisa nemithambo yegazi.
• I-cholesterol ephezulu: Ukwanda kwamanqanaba amafutha egazini kunokubangela ukuba imithambo yegazi ivaleke.

Xa konke oku kudityanisiwe, umngcipheko wokukhubazeka uyanda nangakumbi.

Zithini iimpawu zokukhubazeka okubangelwa sisifo seswekile?

Into enye ekufuneka uyiqaphele apha kukuba iimpawu zestroke ezibangelwa sisifo seswekile ziyafana neempawu zestroke eqhelekileyo. Oku kuthetha ukuba ukuba ubona ezi mpawu, kufuneka wenze ngokukhawuleza.

• Ubunzima bokuthetha: ukungakwazi ukuqonda into ethethwayo, ukungakwazi ukuthetha.
• Ukudinwa, ukulahlekelwa yibhalansi xa uhamba, okanye ubunzima bokuhamba.
• Intloko ebuhlungu nekhawulezileyo: Oku akufani nentloko eqhelekileyo, kodwa yintlungu enzima efika ngequbuliso.
• Ukudideka ngequbuliso: Ukulahlekelwa zingqondo, ukulahleka kwendawo nexesha.
• Iingxaki zokubona: ukubona okufiphele ngequbuliso, ukubona kabini.
• Ubuthathaka okanye ukuba ndindisholo kwelinye icala lomzimba: Umzekelo, ukugoba kwelinye icala lobuso, ukungakwazi ukuphakamisa ingalo okanye umlenze, ukuziva ungenabomi.

Nika ingqalelo! Ukukhubazeka komzimba yingxaki yezonyango . Ukuba ubona naziphi na kwezi mpawu, kufuneka uye esibhedlele ngoko nangoko. Umzuzwana ngamnye odlulayo unyusa umonakalo engqondweni. ESri Lanka, ungatsalela umnxeba inkonzo ye-ambulensi yaseSuwaseriya ka-1990.

Indlela yokubona isifo sohlangothi?

Ukuba ukrokrela ukuba unestroke, oogqirha baya kwenza oku kulandelayo:

• Baza kujonga ukuba uyakwazi na ukuhambisa izihlunu zobuso, iingalo, kunye nemilenze yakho ngokufanelekileyo.
• Baza kukubuza imibuzo elula ukujonga imeko yakho yengqondo, okanye bakucele ukuba uchaze umfanekiso okanye into ethile.
• Baza ku-odola iimvavanyo zokuthatha imifanekiso yengqondo yakho. Oku kungabandakanya i-CT scan.Olunye – oko kukuthi, uvavanyo olukhethekileyo lwe-X-ray olunokuthabatha imifanekiso yengqondo yakho – okanye i-MRI scan – uvavanyo olusebenzisa amaza emagnethi ukuthatha imifanekiso eneenkcukacha zobuchopho – lungabandakanywa.
• Usenokuba neemvavanyo ezifana ne- electrocardiogram (ECG) ukujonga intliziyo yakho, kunye neemvavanyo ezifana ne -ultrasound scan okanye i-arteriogram ukujonga imithambo yegazi yakho.

Olu vavanyo lunokubonisa izinto ezininzi, njengokuthi ingaba kukho isifo sohlangothi, ukuba sikhona, loluphi uhlobo, kwaye sichaphazeleka phi engqondweni.

Inyangwa njani i-paralysis ebangelwa sisifo seswekile?

Ukuba istroke okanye umngcipheko westroke ufunyenwe kwangethuba, ezinye iindlela zonyango zinokunceda.

Unyango olukhawulezileyo

• Amayeza okususa amahlwili: Ukuba umthambo wegazi uvalekile, la mayeza anokunceda ekunyibilikiseni ihlwili kwaye abuyisele ukuhamba kwegazi. Kodwa kufuneka anikwe kwiiyure ezimbalwa emva kokuba iimpawu ziqalile. Yiyo loo nto kubalulekile ukuya esibhedlele ngokukhawuleza.
• Ukutsalwa kweCarotid: Ngamanye amaxesha umthambo wegazi oyintloko entanyeni (umthambo we-carotid) unokuvaleka. Kufakwa isixhobo esincinci esifana ne-mesh (i-stent) kuyo ukuze kugcinwe umthambo uvulekile.
• I-Carotid Endarterectomy: Olu lutyando olwenziwayo ukuba kukho ukuvaleka kwemithambo ye-carotid ngenxa yokugcwala kwamafutha .

Ukuvuselelwa

Abanye abantu banokufumana iziphumo ezihlala ixesha elide emva kwestroke. Unyango lokubuyisela imeko kwimeko yesiqhelo lubaluleke kakhulu kubo ukuze babuyele kubomi babo obuqhelekileyo.

• Unyango lomsebenzi: Lukunceda ufunde ukwenza imisebenzi ebalulekileyo yemihla ngemihla efana nokubhala nokunxiba wedwa.
• Unyango lomzimba: Ukuzilolonga kunye nonyango kusetyenziswa ukubuyisela amandla kunye nokusebenza kweengalo kunye nemilenze.
• Ingcebiso ngengqondo: Ikunceda ujongane neengxaki zengqondo (ezifana nokudakumba kunye noxinzelelo) ezinokuvela ngenxa yokukhubazeka.
• Unyango lokuthetha: Lunceda ukuphucula intetho ukuba iyachaphazeleka.

Le nkqubo yokubuyisela kwimeko yesiqhelo ithatha ixesha kwaye ifuna umonde, kodwa inokukhokelela kwinkqubela phambili enkulu.

Injani imeko yokuchacha komntu okhubazekileyo ngenxa yesifo seswekile?

Ukuchacha emva kwestroke kuyahluka kakhulu kumntu nomntu. Kuxhomekeke kwizinto ezininzi, kuquka uhlobo lwestroke, ubungakanani bomonakalo wengqondo, kunye nokuba unyango lukhawuleza kangakanani na. Abanye abantu banokuba nestroke encinci baze baphile ngokukhawuleza ngaphandle kwemiphumo yexesha elide. Abanye banokuba nestroke enzima enokubashiya bekhubazekile ubomi babo bonke.

Ngokufanayo, nangona abanye abantu bekwazi ukuya ekhaya ngokukhawuleza emva konyango lokukhubazeka, abanye banokufuna ukuhlala ixesha elide esibhedlele okanye kwiziko lokubuyisela impilo.

Ndinesifo seswekile, ndingayinciphisa na ingozi yokuba nesifo sohlangothi?

Ewe, unako! Le yeyona nxalenye ibalulekileyo kweli nqaku. Ukuba unesifo seswekile, zininzi izinto onokuzenza ukunciphisa umngcipheko wakho westroke. Ezi zizinto ezimbalwa onokuzenza kwindlela yakho yokuphila.

• Jonga inqanaba leswekile egazini lakho rhoqo. Zama ukuligcina likwinqanaba elifanelekileyo (70-130 mg/dL ngaphambi kokutya, ngaphantsi kwe-140 mg/dL kwiiyure ezimbini emva kokutya). Sela amayeza akho njengoko uyalelwe ngugqirha wakho.
• Jonga uxinzelelo lwakho lwegazi rhoqo. Xelela ugqirha wakho ukuba uneengxaki. Zama ukulugcina lungaphantsi kwe-140/90 mmHg.
• Yitya ukutya okunesondlo nokunokulinganisela. Oku kunokunceda ukunciphisa i-cholesterol kwaye kugcine ubunzima obusempilweni. Yitya ioyile encinci, ityuwa, neswekile, kunye nemifuno emininzi, iziqhamo, imifuno eluhlaza kunye nokutya okutyebileyo kwi-fiber.
• Yenza umthambo rhoqo. Nokuba yinto elula njengokuhamba imizuzu engama-30 ngosuku inokunceda.
• Lala ngendlela umzimba wakho owudingayo. Lala ubuncinane iiyure ezisi-7-8 ngosuku.
• Yiya koogqirha ngexesha kwaye ulandele imiyalelo yabo.
• Nciphisa ityuwa oyityayo ekutyeni kwakho. Oku kuya kunceda ekulawuleni uxinzelelo lwegazi.
• Gcina ubunzima obusempilweni obukufaneleyo, ingakumbi ukunciphisa amafutha esiswini.
• Ukuba uyatshaya, yeka ngoko nangoko. Yeka nokusebenzisa iimveliso zecuba.
• Sela onke amayeza owanikwe wona kanye njengoko ugqirha wakho ekuxelela, kwaye ngexesha elifanelekileyo.

Ukuba uzilandela ngokuchanekileyo ezi zinto, ungazikhusela kungekuphela nje kwingozi yestroke, kodwa nakwezinye iingxaki ezininzi ezibangelwa sisifo seswekile.

Ufanele uye nini esibhedlele ngoko nangoko? (Okanye utsalele umnxeba ku-1990?)

Ukuba unesifo seswekile, kubalulekile ukuba wena nosapho lwakho niqaphele iimpawu zestroke. Ukuba ubona naziphi na kwezi mpawu, musa ukulibazisa kwaye ufune uncedo lwezonyango ngokukhawuleza.

• Ubunzima bokuthetha.
• Ukudinwa, ukulahlekelwa yibhalansi xa uhamba, okanye ubunzima bokuhamba.
• Intloko ebuhlungu kakhulu, ngequbuliso.
• Ukudideka ngequbuliso.
• Ubunzima bokubona, ukubona into enye okanye ezimbini.
• Ubuthathaka okanye ukuba ndindisholo kwelinye icala lomzimba (umz., ubuso, ingalo, okanye umlenze).

Ungasebenzisa nesifinyezo esithi FAST ukukhumbula ezi mpawu.

Ubuso – Ngaba icala elinye lobuso bakho liyagoba? Ngaba elinye icala liyaqhaqhazela xa uncuma?

Iingalo – Xa ucelwa ukuba uphakamise zombini iingalo, ngaba ingalo enye iyawa?

Intetho – Ngaba uyadideka xa uthetha? Awukwazi nokuthetha isivakalisi esilula ngokuchanekileyo?

Ixesha – Ukuba kukho naziphi na kwezi mpawu,Musa ukuchitha ixesha uze utsalele umnxeba ku-1990 ngoko nangoko okanye uye esibhedlele.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Abantu abanesifo seswekile basengozini enkulu yokuba nesifo sohlangothi. Oku kunokukhokelela kwiingxaki zempilo ezinzulu kunye nokukhubazeka. Kodwa iindaba ezimnandi zezokuba ungayinciphisa kakhulu le ngozi.

Kubalulekile ukulawula amanqanaba eswekile egazini lakho, uxinzelelo lwegazi, amanqanaba e-cholesterol, kunye nobunzima bomzimba. Ziqhelise indlela yokuphila enempilo. Landela imiyalelo kagqirha wakho ngononophelo.

Thetha nogqirha wakho malunga nomngcipheko wakho westroke kunye neendlela zokuthintela. Ungakhathazeki, ukuqonda kunye nokusebenza ngokukhawuleza zezona zinto zibalulekileyo ebomini obusempilweni. Ngamana ungafumana amandla okuhlala usempilweni!

Isifo Seswekile, Ukukhubazeka, Istroke, Isifo Seswekile, Istroke Yobuchopho, Inqanaba Leswekile, Uxinzelelo Lwegazi, I-Cholesterol, Impilo, eSri Lanka