Kuthekani ukuba umthambo wegazi oya ebuchotsheni uvalekile? Masithethe nge-embolic stroke!

Kwenzeka ntoni ukuba ihlwili legazi elenzeka ndaweni ithile emzimbeni wethu liqhekeka lize linamathele emthanjeni wegazi engqondweni yethu? Yingcinga eyoyikisayo, akunjalo? Ewe, le yinto esiyibiza ngokuba yi-'embolic stroke'. Le yingxamiseko yezonyango esongela ubomi. Xa into efana nale isenzeka, umzuzwana ngamnye uyabaluleka, ngoko ke ukufumana unyango ngokukhawuleza yeyona nto ibalulekileyo.

Yintoni i-embolic stroke? Masiyiqonde ngokulula.

Ngamafutshane, i-embolic stroke kuxa i-blood clot okanye enye into (esiyibiza ngokuba yi-'embolism' ) inamathela kwimithambo yegazi ethwala igazi ukuya engqondweni, imisa ukuhamba kwegazi ukuya kwinxalenye yengqondo, nto leyo ebangela umonakalo kuloo nxalenye. Oku kukwicandelo elikhulu elibizwa ngokuba yi -'ischemic stroke' . Cinga ngayo njengeqhekeza lenkunkuma elinamathela kumbhobho wamanzi lize limise ukuhamba kwegazi. Apha, le 'embolism', ethetha i-blood clot, idla ngokwenzeka kwimithambo yegazi emikhulu kwenye indawo emzimbeni, mhlawumbi entliziyweni, ize iphume apho, ihambe ngegazi ize inamathele kwimithambo yegazi emincinci engqondweni. Emva koko inxalenye yengqondo enikwa igazi yiloo vein ayifumani ioksijini kunye nezondlo.

Zithini iimpawu ze-embolic stroke?

Iimpawu ziyafana nezinye iintlobo ze-ischemic stroke. Zinokubonakala ngequbuliso , ngoko ke kubalulekile ukuba wena nabantu obathandayo nizazi.

• I-Aphasia yimeko apho amandla okuthetha ephazamiseka okanye elahlekileyo ngokupheleleyo. Usenokungakwazi nokuyiqonda into ethethwayo.
• Ukufiphala ngequbuliso kombono , ukubona kabini (iDiplopia), okanye ukulahleka kombono kwelinye okanye omabini amehlo.
• Ukuziva udidekile ngequbuliso , ulibale ukuba ukuphi kwaye lixesha lini.
• Kwezinye iimeko ezinzima kakhulu , kukho ukulahlekelwa ngokupheleleyo yingqondo (i-Coma).
• I-Vertigo yimvakalelo yokujikeleza kunye nokulahlekelwa yibhalansi .
• Intloko ebuhlungu ngequbuliso . Oku kwahlukile kwintloko eqhelekileyo kwaye akunakunyamezeleka.
• Ukukhumbula izinto ezingalindelekanga kukulahlekelwa yinkumbulo ngequbuliso .
• Utshintsho olukhawulezileyo kwindlela yokuziphatha , njengokucaphuka okanye ukucaphuka.
• Isicaphucaphu nokuhlanza .
• Ukuziva uxinene entanyeni .
• Ukurhuqwa nokuwa ungazi nto .
• Ukuba nesithukuthezi (Ukuxhuzula) .
• Intetho engacacanga kunye nokungakwazi ukubiza amagama ngokuchanekileyo (iDysarthria).
• Ukuncipha okanye ukulahleka ngokupheleleyo kweemvakalelo ezifana nokubona, ukuva, ukuvumba, ukungcamla, kunye nokuchukumisa ngequbuliso .
• Ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka kwelinye icala lobuso okanye lomzimba .

Zithini iimpawu ezilumkisayo ze-embolic stroke? Khumbula 'UKUKHAWULEZA'!

Kubalulekile ukukhumbula intsingiselo yamagama esiNgesi athi 'BE FAST' ukuze uqaphele ukuba wena okanye umntu omaziyo unesifo sohlangothi. Umzuzwana ngamnye ubalulekile ngeli xesha! Okukhona usenza ngokukhawuleza, kokukhona umonakalo omncinci onokwenza.

• B - Ibhalansi: Jonga ukuba ngequbuliso ulahlekelwa yibhalansi yakho okanye ukuba uyakhubeka ngelixa uhamba.
• E - Amehlo: Jonga ukuba akukho mbono ulahlekile ngequbuliso, umbono ofipheleyo, okanye umbono ophindwe kabini .
• F - Ubuso: Ncuma uze ujonge. Jonga ukuba icala elinye lobuso liyagoba okanye lijongeka litsaliwe na.
• A - Iingalo: Phakamisa iingalo zombini phambili. Ukuba unestroke, ingalo enye isenokungakwazi ukuphakanyiswa kakuhle kwaye ingawa phantsi okanye inokuba nobunzima bokuyiphakamisa.
• S - Intetho: Jonga ukuba intetho yakho okanye yomnye umntu ayicacanga, inobunzima bokukhetha amagama afanelekileyo, okanye kunzima ukuyiqonda .
• T - Ixesha: Ixesha libaluleke kakhulu! Ukuba ubona naziphi na kwezi mpawu , fowunela u-911 ngoko nangoko uze ufumane i-ambulensi . Ukuba kunokwenzeka, jonga iwotshi okanye ifowuni yakho ukuze ukhumbule ixesha eziqale ngalo iimpawu zakho. Xa uxelela ugqirha ngelo xesha, kuya kuba lula kuye ukukhetha unyango olufanelekileyo.

Yintoni ebangela i-embolic stroke?

Eyona nto ibangela i-embolic stroke, njengoko besitshilo ngaphambili , 'yi-embolism' . Oku kuthetha ukuba ihlwili legazi (ngesiqhelo liqamza lomoya, isuntswana lamafutha, okanye enye into) elenzeka kwindawo enye emzimbeni liyaqhekeka apho, lihambe ngegazi, lize linamathele kwimithambo yegazi engqondweni.

Kukho izifo ezininzi ezinokubangela ukuba kubekho amahlwili egazi:

• I-Atrial Fibrillation: Le yimeko apho amagumbi aphezulu entliziyo (i-atria) enganciphisi kakuhle, kodwa endaweni yoko abetha ngokukhawuleza nangokungacwangciswanga. Oku kubangela ukuba igazi lihlangane ngaphakathi entliziyweni, nto leyo eyenza kube lula ukuba kubekho amahlwili egazi. La ngamahlwili egazi anokuthi aqhekeke aye engqondweni.
• I-atherosclerosis: Oku kwenzeka xa iintsalela zamafutha ezifana ne-cholesterol ziqokelelana ngaphakathi kwemithambo yegazi (imithambo yegazi), nto leyo ebangela ukuba iindonga zemithambo yegazi ziqine kwaye zinciphe. Ezi ntsalela zamafutha (ii-plaques) zinokuqhekeka zize zivale imithambo yegazi engqondweni.
• Iingxaki zokuqunjelwa: Abanye abantu banokuba notyekelo lokuba igazi labo liqunje lula, mhlawumbi ngenxa yezizathu zemfuza okanye ezinye izifo.
• Ezinye izifo ezisulelayo, ezifana ne -COVID-19, nazo ziyandisa umngcipheko wokuqhekeka kwegazi.
• Iintsholongwane ezibangela ukufa kwezicubu . Umzekelo, kwi- sepsis , usulelo olunzima, iintsholongwane okanye iziqwenga zezicubu ezifileyo zinokungena egazini ziye engqondweni. Oku kunokwenzeka nakwizifo zevalvu yentliziyo (infective endocarditis).

Uhlaselo lwe-ischemic olufutshane lwe-embolic transient ischemic (TIA)

Ngamanye amaxesha uhlaselo lwe-ischemic oludlulayo (TIA), olwaziwa ngokuba yi-mini-stroke, lunokwenzeka. Oku kufana ne-stroke, kuba ukuhanjiswa kwegazi ebuchosheni kuyaphazamiseka okwethutyana. Nangona kunjalo, iimpawu zihlala ziphela kwimizuzu embalwa ukuya kwiyure enye okanye ezimbini njengoko ihlwili linyibilika okanye lihamba kwaye liphuma ekuvalekeni. Nangona kunjalo, olu luphawu lwesilumkiso sokuba usemngciphekweni omkhulu wokuba ne-stroke enkulu kwixesha elizayo . Umntu okhe waba ne-TIA unokufuna ingqalelo kagqirha ngokukhawuleza ukuze afumanise unobangela kwaye aqalise unyango lokuthintela i-stroke enkulu.

Ngubani osengozini enkulu yokufumana isifo sohlangothi esibizwa ngokuba yi-embolic stroke?

Nabani na unokuba ne-embolic stroke, kodwa abanye abantu basengozini enkulu:

• Kwabantu abamnyama.
• Kubantu abangaphezu kweminyaka engama-65 ubudala (umngcipheko uyanda ngokuhamba kweminyaka).
• Kwabo batshayayo okanye basebenzisa ezinye iimveliso zecuba/nicotine (umz., abatshisi, abahlafunayo). Ukutshaya konakalisa imithambo yegazi kwaye kunegalelo ekuqhekekeni kwegazi.
• Kwabo basebenzisa iziyobisi (ingakumbi i-cocaine kunye ne-amphetamines) .

Kwakhona, abantu abaneengxaki ezithile zempilo basengozini enkulu:

• Kwabo basela kakhulu (ingxaki yokusebenzisa utywala).
• Kubantu abanesifo seswekile . Isifo seswekile singonakalisa imithambo yegazi.
• Kwabo banoxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) . Ukuba oku akulawulwa, kunokubangela umonakalo wexesha elide kwimithambo yegazi.
• Kubantu abane -cholesterol ephezulu (i-Hyperlipidemia) egazini . Oku kubangela 'i-atherosclerosis'.
• Abantu abanesifo sentliziyo (umz. i-atrial fibrillation, iingxaki zevalvu yentliziyo, ukuhlaselwa yintliziyo ngaphambili).

Ungayibona njani i-embolic stroke? (Ukuxilongwa)

Ugqirha uza kukuxelela kanye kanye ukuba yintoni i-embolic stroke. Xa usiya esibhedlele, into yokuqala abayenzayo kukubuza ngeempawu zakho, njengaxa zaqala. Emva koko benza uvavanyo lwe-neurological . Oku kujonga intetho yakho, umbono, amandla, kunye ne-reflexes. Bakwaqhuba novavanyo lomzimba oluqhelekileyo kunye nezinye iimvavanyo ezimbalwa.

Uvavanyo olufana nolu lusetyenziselwa ukuqinisekisa istroke:

• Uvavanyo lwegazi: Jonga izinto ezifana neengxaki zokujiya kwegazi, amanqanaba eswekile, kunye ne-cholesterol.
• I-CT scan: Oku kuthatha imifanekiso yobuchopho kwaye kunokufumanisa ngokukhawuleza ukuba kukho ukopha okanye imithambo yegazi evalekileyo (i-ischemic stroke).
• I-MRI scan: Oku kunika imifanekiso eneenkcukacha ezingaphezulu kune-CT scan. Kunceda ukubona ukuba loluphi kanye kanye umonakalo owenzekileyo engqondweni.
• Uvavanyo lwe-ECG (Electrocardiogram - EKG): Olu vavanyo luvavanya umsebenzi wombane wentliziyo ukujonga iingxaki zesingqisho sentliziyo ezifana ne-atrial fibrillation.
• Uvavanyo lwe-EEG (Electroencephalogram - EEG): Oku kungenziwa ukujonga umsebenzi wombane wengqondo, njengoko iimeko ezifana nokuxhuzula ngamanye amaxesha zinokubhidaniswa nestroke.
• I-Carotid Ultrasound: Ukujonga ukuba akukho mafutha agciniweyo kunye nokuncitshiswa kwemithambo yegazi ephambili entanyeni (imithambo ye-carotid).
• I-Echocardiogram: Uvavanyo lwentliziyo olusebenzisa i-ultrasound. Ukujonga ukuba akukho mahlwili egazi entliziyweni nakwiingxaki zevalvu.

Ziziphi iindlela zonyango ze-embolic stroke?

Eyona nto ibalulekileyo xa unyanga i-embolic stroke kukubuyisela ukuhamba kwegazi engqondweni ngokukhawuleza . Oogqirha benza oku ngokukhawuleza kuba oku kunokunciphisa umonakalo osisigxina engqondweni kwaye kusindise nobomi. Kukho intetho ethi, "Ixesha yingqondo," ethetha ukuba umzuzu ngamnye odlula ngaphandle kwexesha, iiseli zengqondo ziyafa.

Kukho iindlela ezimbini eziphambili zonyango ezisetyenziswa rhoqo:

• Unyango lwe-Thrombolytic: La ngamayeza okuqunjelwa kwegazi (umz., i-Alteplase). La mayeza afakwa emthanjeni ukuze anyibilikise iqunjelwa legazi aze abuyisele ukuhamba kwegazi. Oogqirha badla ngokuwanika la mayeza kuphela ukuba ufika esibhedlele kwiiyure ezine ezinesiqingatha (iiyure ezi-4.5) emva kokuqala kweempawu zestroke . Ukuwanika kamva kunokunyusa umngcipheko wokopha ngaphakathi kwengqondo.
• Utyando lwe-thrombectomy olusebenzisa indlela yokuhlinzwa: Le yinkqubo engeyoyotyando esebenzisa isixhobo esikhethekileyo ukususa ihlwili legazi. Ugqirha wotyando (i-neuroradiologist engenelelayo) ufaka ityhubhu encinci, ebhityileyo (i-catheter) ngomthambo omkhulu osesinqeni okanye engalweni aze ayihambise kwihlwili legazi ebuchotsheni phantsi kwesikhokelo se-X-ray. Emva koko ihlwili liyafunyanwa kusetyenziswa isixhobo esifana ne-mesh esibizwa ngokuba yi-stent retriever okanye i-suction catheter. Oku kunokwenziwa kwiiyure ezi-6 emva kokuqala kweempawu zestroke, kodwa kungenziwa ukuya kuthi ga kwiiyure ezingama-24 kwezinye iimeko. Oku kungcono kubantu abanehlwili legazi emthanjeni omkhulu.

Ukongeza, kunokufuneka ezinye iindlela zonyango:

• Ukulawula uxinzelelo lwegazi kunye namanqanaba eswekile egazini: Oogqirha bakho baya kujonga uxinzelelo lwakho lwegazi kunye namanqanaba eswekile yegazi rhoqo ukunceda ingqondo yakho iphile. Ukunciphisa umonakalo wengqondo, banokukunika amayeza okunciphisa okanye (kwezinye iimeko) okunyusa uxinzelelo lwegazi lakho.
• Izinto zokunciphisa igazi: Izinto ezithintela igazi ukuba libole (umz. iWarfarin, iApixaban) okanye izinto ezithintela igazi ukuba libole(Umzekelo: I-Aspirin, i-Clopidogrel) Amayeza athintela igazi ukuba lingaqini lula. Ngokuxhomekeke kwisizathu sestroke, unokufuna ukuqhubeka nokusebenzisa la mayeza emva konyango lwe-thrombolytic ukuthintela esinye isifo sestroke.
• Ukususwa kwe-Endarterectomy okanye ukufakwa kwe-stent: Ukuba imithambo ye-carotid entanyeni incitshiswe kakhulu yi-fatty deposits (carotid stenosis), i-fatty deposits inokususwa ngotyando (endarterectomy) okanye i-stent ingafakwa nge-artery ukuze ivuleke. Oku kunokunciphisa umngcipheko we-blood clot enye (embolism).
• Uxinzelelo oluphantsi lobushushu bomzimba: Kwezinye iimeko, oogqirha banokulinciphisa kancinci iqondo lobushushu bomzimba wakho. Ezinye izifundo zibonisa ukuba oku kunokunceda ukunciphisa umonakalo wengqondo ngexesha nasemva kwestroke, kodwa olu asilonyango oluqhelekileyo okwangoku.
• Unyango lweoksijini: Ngexesha lestroke, ingqondo ayifumani oksijini eyaneleyo. Ukuba amanqanaba eoksijini egazini lakho aphantsi, oogqirha banokukunika oksijini eyongezelelweyo nge-cannula yempumlo okanye imaski yobuso. Oku kwenza kube lula ukuphefumla kwaye kunceda ukuthumela oksijini emzimbeni wakho nasengqondweni.

Ukuphiliswa njani emva kwe-embolic stroke?

Unyango lwe-stroke lubaluleke kakhulu kunyango. Kubalulekile ukuba ulungelelanise utshintsho olusengqondweni nasemzimbeni wakho emva kwe-stroke kwaye ubuyisele amandla akho amaninzi alahlekileyo. Inkqubo yonyango yenzelwe wena ngokukodwa, ngokusekelwe kwiimfuno zakho. Oku kunokubandakanya uncedo lweengcali zonyango ezifana nezi:

• Unyango lomzimba: Yomeleza izihlunu zakho, uphucule ibhalansi yakho, kwaye uphinde ukwazi ukuhamba nokusebenzisa iingalo nemilenze yakho.
• Unyango lomsebenzi: Lukunceda ufunde ukwenza imisebenzi yakho yemihla ngemihla (njengokutya, ukunxiba, nokuhlamba) ngokuzimela kwakhona. Lukunceda nokuba wenze imisebenzi yasekhaya neyasemsebenzini ngokukhuselekileyo, ingakumbi leyo ifuna iintshukumo zomzimba ezintle.
• Unyango lokuthetha: Lukunceda ekubuyiseleni okanye ekuphuculeni izakhono zakho zolwimi kunye nokuthetha (i-Aphasia, i-Dysarthria). Lukwaqeqesha ukulawula izihlunu ezikunceda ukuthetha, ukuphefumla, ukutya, kunye nokuginya (i-Dysphagia).
• Unyango lokuqonda: Phucula inkumbulo yakho, ingqalelo, izakhono zokusombulula iingxaki, kunye nezinye izakhono zengqondo (ukuba zichaphazelekile sisifo sohlangothi).
• Ucebisi lwengqondo lunokufuneka, njengoko kuqhelekile ukuba ube noxinzelelo, ixhala, kunye nokutshintsha kweemvakalelo emva kwestroke.

Zithini amathuba okusinda kwi-embolic stroke?

Inani labantu abasinda kwistroke liyanda yonke imihla, njengoko sifumana unyango olutsha nolukhawulezayo. Nangona kunjalo, akukho xesha linye lokuchacha okanye isibikezelo esisebenzayo kuye wonke umntu.

Iingcali zithi malunga nama-80% abantu abane-embolic stroke baphila ubuncinane inyanga . Emva kwe-stroke yakho yokuqala, umngcipheko wakho wokuba ne-stroke enye uyanda. Abantu abaye baba ne-stroke ezininzi banomlinganiselo ophantsi wokusinda. Yiyo loo nto kubaluleke kangaka ukuthintela esinye i-stroke.

Kuthatha ixesha elingakanani ukuchacha emva kwe-embolic stroke?

Umzimba womntu wonke usabela ngokwahlukileyo kwi-embolic stroke. Oko unokukulindela (`ukuxela kwangaphambili`) kuxhomekeke kwizinto ezininzi:

• Indlela okhawuleze ngayo ukufumana unyango .
• Zeziphi iindawo zengqondo ezichaphazelekileyo kwaye zichaphazeleke kangakanani .
• Ubudala bakho kunye nempilo yakho iyonke (nokuba unezinye iingxaki zempilo).
• Indlela othatha inxaxheba ngayo kwinkqubo yokubuyisela impilo yakho kwimeko yesiqhelo .

Kungathatha iinyanga ukuya kunyaka okanye ngaphezulu ukuba uninzi lwabantu lufikelele kwinqanaba elithile lokuchacha. Abanye abantu banokufuneka baphile nokukhubazeka okungapheliyo. Ugqirha wakho uza kukuxelela into omawuyilindele. Baza kukunceda ubeke iinjongo kunye nolindelo lokuchacha oluhambelana nempilo yakho kunye nemeko yakho.

Singayithintela njani i-embolic stroke?

Eyona ndlela ilungileyo yokuthintela i-embolism kunye ne-embolic stroke kukugcina impilo yakho iyonke kunye nokulawula izinto ezikubangela umngcipheko . Zama ukwenza ezi zinto:

• Zilolonge rhoqo (ubuncinane imizuzu engama-30 iintsuku ezi-5 ngeveki).
• Yitya ukutya okunesondlo nokulinganiselayo (iziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo ezinefayibha, ityuwa encinci, iswekile, namafutha). Gcina ubunzima obusempilweni. Ugqirha wakho unokucebisa ukuba ulandele isicwangciso sokutya esifana nokutya kwaseMedithera .
• Hlola uxinzelelo lwakho lwegazi, i-cholesterol, kunye namanqanaba eswekile egazini rhoqo kwaye ugcine izinga lazo liphantsi kolawulo . Sela amayeza akho njengoko ugqirha wakho ekuyalele.
• Yeka ukutshaya ngokupheleleyo kwaye uphephe ukuba kwiindawo apho abanye abantu batshaya khona.
• Nciphisa okanye uyeke ngokupheleleyo ukusela utywala .
• Ukuba unesifo sentliziyo esifana ne-atrial fibrillation, fumana unyango olufanelekileyo.

Bona ugqirha rhoqo ngonyaka (okanye njengoko ugqirha wakho ecebisa) ukuze uhlolwe . Izifo ezininzi kunye neengxaki ezinokubangela i-embolic stroke ziyavela ngokuhamba kwexesha. Zinokukwenza uzive ungcono. Ugqirha wakho unokukunceda uqaphele kwaye ulawule iimpawu ezilumkisayo ngaphambi kokuba zonyuse umngcipheko wakho we-stroke.

Ndingazinyamekela njani emva kwe-embolic stroke?

Ukuchacha kunye nokubuyela kwimeko yesiqhelo emva kwestroke kunokuba yinkqubo ende, ethatha ixesha elide. Nje ukuba wena nogqirha wakho niyile isicwangciso sonyango, namathela kuso ngokusondeleyo kangangoko. Ngokubanzi, kufuneka:

• Qiniseka ukuba uyaya kwiiklasi zakho zokuvuselela impilo kunye nezinye iindlela zonyango . Yenza umthambo owunikwa ziingcali zakho zonyango ekhaya. Xelela iingcali zakho zonyango ukuba uziva ungakhululekanga okanye ungakhuselekanga ukwenza nantoni na. Ukuvuselelwa komzimba ngumsebenzi onzima, kodwa akufuneki uhlale ukhathazekile okanye ungonwabanga ngalo lonke ixesha.
• Cinga nangempilo yakho yengqondo . Ukudakumba kunye nokuxhalaba kuxhaphakile emva kwestroke. Kuqhelekile ukucinga izinto ezinje, "Kutheni oku kwenzeke kum?" "Ngaba ndiza kuphinda ndibe njalo?" Ukuziva ulusizi okanye udanile akukwenzi ube buthathaka okanye ube sisilela. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ukuba uziva ngathi ufuna uncedo lokufumanisa into ethile ngexesha lokuchacha kwakho, thetha nogqirha okanye ingcali yezempilo yengqondo (umcebisi, ugqirha wengqondo). Inkxaso evela kusapho nakubahlobo nayo ibaluleke kakhulu ngeli xesha.
• Sela amayeza akho ngokuchanekileyo, ngexesha, nangedosi echanekileyo . Oku kubaluleke kakhulu ukuba usela amayeza okunciphisa igazi, uxinzelelo lwegazi oluphezulu, i-cholesterol, okanye isifo seswekile. Kubalulekile ukunciphisa umngcipheko wokuqhekeka kwegazi kwixesha elizayo, kwaye ukuthatha amayeza akho njengoko ugqirha wakho ekuxelele ukuba wenze kuya kunceda umzimba wakho uphile.

Kufuneka ndiye nini kwakhona kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba ucinga ukuba uphinde wafumana esinye isifo sohlangothi (khumbula UKUKHAWULEZA!) , fowunela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko . Umngcipheko weengxaki ezinkulu nokufa uphezulu ngakumbi ukuba uphinde wafumana esinye isifo sohlangothi . Musa ukulibazisa ukucela uncedo okanye ukuya kwigumbi longxamiseko.

Abantu abaye baba ne-embolic stroke basengozini yokufumana iingxaki ezinzulu, ezifana nezi:

• Amahlwili egazi kwimithambo enzulu yemilenze (Deep vein thrombosis - DVT): ukudumba, ukubomvu, intlungu emlenzeni.
• Ukuhlaselwa yintliziyo: Intlungu esifubeni, ubunzima bokuphefumla.
• Isifo semiphunga: Umkhuhlane, ukukhohlela, ubunzima bokuphefumla (ingakumbi kubantu abanengxaki yokuginya, ukutya kungangena emiphungeni - Isifo semiphunga).
• I-Pulmonary embolism: Ukuphelelwa ngumphefumlo ngequbuliso, iintlungu zesifuba, kunye nokubetha kwentliziyo ngokukhawuleza. Oku kunokubangelwa kukuphuma kwegazi eliphuma kwi-DVT.
• Ukuba nesithukuthezi (Ukuxhuzula).

Ukuba ufumana iimpawu zezi ngxaki, fowunela iinkonzo zongxamiseko ngoko nangoko okanye uye kwigumbi longxamiseko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Emva kokuba uhlaselwe sistroke, wena nosapho lwakho ninokuba nemibuzo emininzi. Musa ukoyika ukubuza ugqirha wakho ngayo.

• "Kutheni ndibe nesi sifo? Kwenzeke phi ukuqhekeka kwegazi (i-embolism)?"
• "Sisiphi isifo okanye ingxaki ebangele oku?"
• "Ingaba ndingona ingozi yokuba ndiphinde ndibe nesifo sohlangothi?"
• "Ngawaphi amayeza endiwadingayo ukuze ndiqhubeke ndiwasela, ndiwasela njani? Zithini iziphumo zawo?"
• "Zeziphi iinguqu ekufuneka ndizenze kubomi bam bemihla ngemihla? Izinto ezifana nokutya, ukuzilolonga, njl.njl."
• "Kuza kufuneka ndenze i-rehabilitation ixesha elingakanani?"
• "Ndiza kukwazi ukuqhuba ndize ndiye emsebenzini kwakhona? Kuza kwenzeka nini oko?"

"Ukuba nestroke kunokutshintsha ubomi bakho. Kodwa oko akuthethi ukuba awunguye. Khumbula ukuzinika udumo ngento oyifezileyo ngexesha lokuvuselelwa kwakho nokuchacha. Nokuba akusoloko kuvakala njalo, yonke impumelelo encinci ifanelekile ukubhiyozelwa."

Thetha noogqirha bakho malunga nento onokuyenza ukuthintela esinye isifo sohlangothi kwixesha elizayo. Banokukunceda ulungise indlela oqhele ukwenza ngayo imihla ngemihla ukuze unciphise umngcipheko wokuba nesinye isifo sohlangothi. Ungoyiki ukubuza imibuzo. Ungummeli olungileyo kuwe nakwimpilo yakho , kwaye unelungelo lokuqonda yonke into abakuxelela yona.

Ezinye izinto endicinga ukuba zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, makhe sijonge nje ezinye zezinto ekufuneka sizikhumbule koko sithethe ngako.

• I-embolic stroke kuxa ihlwili legazi elenzeka kwenye indawo emzimbeni (ngokuqhelekileyo entliziyweni) lihlala kwimithambo yegazi esebuchotsheni. Le yingxamiseko yezonyango!
• Qaphela iimpawu ze -'BE FAST' (ukulahlekelwa yibhalansi, utshintsho embonweni, ukugoba kobuso, ukungaziva mnandi engalweni, intetho engacacanga). Ukuba ubona ezi mpawu , fowunela u-1990 ngoko nangoko . Ixesha libaluleke kakhulu.
• Uxinzelelo lwegazi oluphezulu, isifo seswekile, isifo sentliziyo (ingakumbi i-atrial fibrillation), i-cholesterol ephezulu, kunye nokutshaya zezona zinto ziphambili ezibangela oku.
• Kubaluleke kakhulu ukuqala unyango ngokukhawuleza. Unyango lwe-Thrombolytic kunye ne-mechanical thrombectomy zezona ndlela ziphambili zonyango.
• Unyango lokubuyisela imeko esiqhelweni lubalulekile emva kwestroke. Unyango lokuthetha, unyango lomzimba, unyango lomsebenzi, kunye nonyango lokuqonda lunokunceda koku.
• Ukuthintela esinye isifo sohlangothi, kubaluleke kakhulu ukwenza utshintsho olusempilweni kwindlela yokuphila (ukutya okunempilo, ukuzilolonga rhoqo , ukuyeka ngokupheleleyo ukutshaya, kunye nokunciphisa utywala) kunye nokulandela iingcebiso zonyango ngokuchanekileyo.
• Awuwedwa . Kukho oogqirha, iingcali zonyango, usapho, kunye nabahlobo abanokukunceda kolu hambo. Buza ugqirha wakho nantoni na, cela uncedo. Impilo yengqondo ibaluleke njengempilo yomzimba.

Ndiyathemba ukuba olu lwazi luluncedo kuni, bahlobo bam abathandekayo. Hlalani nisempilweni kwaye nonwabile nonke!

` I-Embolic stroke, i-stroke, i-stroke, i-brain stroke, i-blood clot, i-blood clot, i-blood clot, iimpawu ze-stroke, unyango lwe-stroke