Yintoni iLacunar Stroke? Masithethe ngayo ngokulula!

Namhlanje siza kuthetha ngemeko enzima kakhulu ekufuneka uyiqaphele. Usenokuba ukhe weva ngestroke. Enye yezona ntlobo zixhaphakileyo zestroke yistroke ebuhlungu. Ngamafutshane, le yimeko eyenzeka xa igazi liqhekeka kumthambo wegazi omncinci kakhulu engqondweni. Ifana nombhobho wamanzi ovalekileyo othintela ukuhamba kwamanzi.

I-Lacunar stroke yenzeka xa ukuhamba kwegazi ukuya kumthambo omncinci wegazi onzulu engqondweni kuyeka, okanye kuthintelwa lihlwili legazi, nto leyo ebangela umonakalo kuloo nxalenye yengqondo. Olu luhlobo lwe-stroke olubizwa ngokuba yi-ischemic stroke . Oogqirha ngamanye amaxesha bayibiza ngokuba yi-lacunar infarction. Igama elithi 'infarction' lithetha ukuba xa isicwili emzimbeni silahlekelwa ligazi, eso sicwili siyafa. I-stroke yiyo nayiphi na into ephazamisa ukuhamba kwegazi ukuya engqondweni.

Le yingxamiseko yezonyango esongela ubomi , njengengozi. Ngoko ke ukuba wena okanye umntu omaziyo uneempawu zestroke, fowunela u-911 (okanye inombolo yakho yengxamiseko yasekuhlaleni) ngoko nangoko . Okukhona ufika esibhedlele ngokukhawuleza kwaye uqale unyango, kokukhona amathuba akho okusindisa ubomi aba mancinci. Umzuzwana ngamnye ubalulekile.

Zithini iimpawu ze-lacunar stroke?

Iimpawu ze-lacunar stroke zifana kakhulu nezinye iintlobo ze-ischemic stroke. Enye okanye ezingaphezulu kwezi zinokwenzeka ngaxeshanye:

• Ukuziva ubuthathaka okanye ukungabi nanto kwicala elinye lobuso nomzimba.
• Ubunzima bokuthetha, ukungakwazi ukuthetha kakuhle, kwaye ngamanye amaxesha ukuphelelwa lilizwi ngokupheleleyo (oku sikubiza ngokuba yi -'aphasia' ).
• Intetho engacacanga, ukuthintitha (oku kubizwa ngokuba yi -'dysarthria' ).
• Ukulahlekelwa kulawulo lwemisipha kwelinye icala lobuso (njengomlomo otsalwa kwelinye icala).
• Ukuphelelwa ngamandla okanye ukulahleka ngequbuliso kwesinye okanye ngaphezulu kweemvakalelo zethu ezintlanu (ukubona, ukuva, ukuvumba, ukungcamla, ukuchukumisa).
• Umbono ongaboniyo, umbono ophindwe kabini ( diplopia ).
• Ukulahlekelwa yibhalansi kunye nokungakwazi ukulawula amalungu omzimba, njengomntu onxilileyo ( 'Ataxia' ).
• Ukuziva unesizungu okanye udiniwe.
• Isicaphucaphu nokuhlanza.

Ukuba ukrokrela ukuba unestroke, khumbula le ndlela ethi 'YIBA NGOKUKHAWULEZA'!

Kuluncedo ukukhumbula la magama esiNgesi athetha ukuthi 'BE FAST' ukuze ukhawuleze uqaphele ukuba wena okanye umntu omthandayo uhlangabezana neempawu ezilumkisayo zestroke. Makhe sijonge ukuba zeziphi:

• B for Balance: Jonga ukuba ngequbuliso ulahlekelwa yibhalansi yakho. Ngaba unengxaki yokuma okanye yokuhamba?
• E yeMehlo: Jonga ukuba kukho ukulahleka ngequbuliso kombono, ukufiphala, okanye utshintsho kwiliso elinye okanye omabini.
• F for Face: Bacele ukuba bancume. Jonga ukuba elinye okanye omabini amacala obuso babo abonakala egobile na. Ngaba umlomo wabo utsalelwe kwelinye icala?
• A malunga neengalo: Bacele ukuba baphakamise zombini iingalo. Ukuba banestroke, enye ingalo isenokungaphakami njengenye kwaye ingawa phantsi.
• S kwiNtetho: Jonga ukuba akukho kugquma, ukuthintitha, okanye ubunzima bokufumana amagama afanelekileyo xa uthetha. Ngaba ungathetha ngokucacileyo xa uceliwe ukuba uthethe isivakalisi esilula?
• T yeXesha: Ixesha libaluleke kakhulu! Ukuba ubona naziphi na kwezi mpawu , funa uncedo ngokukhawuleza, oko kuthetha ukufowunela u-1990. Ukuba kunokwenzeka, qaphela ixesha eziqale ngalo iimpawu zakho ngokujonga iwotshi okanye ifowuni yakho. Ukuxelela ugqirha wakho ukuba ziqale nini iimpawu zakho kunokubanceda bagqibe ukuba loluphi unyango olulungele wena.

Masifunde nange-'Mini-Stroke'?

Ngamanye amaxesha i-'Transient Ischemic Attack' okanye i-'TIA' inokwenzeka. Abanye abantu bakubiza oku ngokuthi 'yiMini-Stroke'. Kulapho uneempawu ezifana nestroke, kodwa ziyaphela emva kwexesha elifutshane (ngesiqhelo kwiiyure ezingama-24). Nangona kunjalo, esi sisilumkiso esinzulu sokuba istroke yokwenyani isenokufika kungekudala. Umntu obe ne-TIA naye udinga uncedo lwezonyango ngokukhawuleza. Akulunganga ukuyityeshela nje.

Yintoni ebangela i-lacunar stroke?

Ukubetha kweLacunar, njengoko benditshilo ngaphambili, kubangelwa kukuqhekeka kwegazi okuvalela umthambo omncinci wegazi nzulu engqondweni yakho. Ezi ndawo zengqondo zikhaya lamaziko abalulekileyo alawula izivamvo zethu (iimvakalelo, umbono, njl.njl.) kunye nokuhamba, njengeBasal Ganglia kunye neThalamus .

Kukho iimeko ezahlukeneyo zempilo ezinokubangela ukuba kubekho amahlwili egazi kwaye zibangele ukubetha kwemithambo yegazi. Umzekelo:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Le yeyona nto iphambili neyona inzima kakhulu . Ukuba uyazi ukuba uxinzelelo lwakho lwegazi luphezulu, kubalulekile ukuba ululawule.
• Amanqanaba e-cholesterol egazini anyukileyo (i-Hyperlipidemia): Xa i-cholesterol 'embi' isanda, inokuzifaka kwimithambo yegazi ize iyivale.
• Iingxaki zokuqunjelwa: Abanye abantu banomkhwa wokuba igazi labo liqunje lula.
• Usulelo lwe-COVID-19: Oku kunokunxulunyaniswa nokuqhekeka kwegazi kwezinye iimeko.
• Iintsholongwane ezitshabalalisa izicubu zomzimba: Umzekelo, kwisifo esinzima njenge- sepsis , iziqwenga zezicubu ezifileyo zinokuqokelelana egazini zize ziye engqondweni zize zihlale apho.

Khumbula, uxinzelelo lwegazi oluphezulu lolona tshaba lukhulu lwe-lacunar stroke. Thetha nogqirha wakho malunga noxinzelelo lwakho lwegazi kwaye uzame ukulugcina lukwinqanaba elifanelekileyo.

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

Nabani na unokuba ne-lacunar stroke, kodwa abanye abantu basengozini enkulu. Oku kuquka:

• Abantu abangaphezu kweminyaka engama-65 ubudala.
• Abantu abaNtsundu (oku kusenokunxulunyaniswa nemfuza kunye neemeko zentlalo noqoqosho).
• Abantu abatshayayo okanye abasebenzisa ezinye iimveliso ezine-nicotine (umz. i-vaping).
• Abantu abasebenzisa iziyobisi.

Kwakhona, abantu abaneengxaki ezithile zempilo basengozini enkulu:

• Abantu abanotshintsho lwemfuza kwi-'NOTCH3' gene (oku kunxulunyaniswa nemeko engaqhelekanga ebizwa ngokuba yiCADASIL).
• Abantu abaneengxaki zesingqisho sentliziyo ezifana ne -atrial fibrillation (enokubangela ukuba kubekho amahlwili egazi entliziyweni).
• Ingxaki yokusebenzisa utywala.
• Kwabo bane -'atherosclerosis', isifo apho iindonga zemithambo yegazi ziba nkulu kwaye ziqine.
• Isifo seswekile (isifo seswekile).

Oogqirha bayixilonga njani ngokuchanekileyo i-lacunar stroke?

Ugqirha uza kuqinisekisa ukuba une-lacunar stroke ngokujonga iimpawu zakho, ukwenza uvavanyo lwe-neurological , ukwenza uvavanyo lomzimba, kunye nokwenza ezinye iimvavanyo ezikhethekileyo. Ukuba usiwa kwigumbi likaxakeka, oogqirha balapho banokwenza olu xilongo.

Oogqirha basebenzisa iimvavanyo ezifana nezi ukuqinisekisa ukuba ukhe waba ne-lacunar stroke:

• Uvavanyo lwegazi: Jonga izinto ezifana neengxaki zokujiya kwegazi, isifo seswekile, kunye namanqanaba e-cholesterol.
• I-CT scan: Oku kunokufumanisa ngokukhawuleza ukopha okanye ukuvaleka komthambo wegazi ngokuthatha imifanekiso yobuchopho.
• I-EEG (i-Electroencephalogram): Ijonga umsebenzi wombane wengqondo (kunokufuneka kwezinye iimeko).
• I-ECG (i-Electrocardiogram): Jonga ukubetha kwentliziyo okungahambelaniyo kunye neempawu zokuhlaselwa yintliziyo.
• I-MRI: Oku kunokuvelisa imifanekiso ecacileyo neneenkcukacha ezingaphezulu zobuchopho. Oku kubaluleke kakhulu ekuhloleni ngokuchanekileyo umonakalo wobuchopho obangelwe sistroke.

Ziziphi iindlela zonyango zokubetha kwe-lacunar?

Eyona nto ibalulekileyo xa unyanga i-lacunar stroke kukubuyisela ukuhamba kwegazi engqondweni ngokukhawuleza. Oogqirha benza oku ngokukhawuleza kuba kunciphisa umngcipheko wokonakala kwengqondo okusisigxina nokufa.

Kukho iindlela ezimbini eziphambili zonyango:

• Unyango lweThrombolytic: La ngamayeza anyibilikisa amahlwili egazi. Adla ngokunikezelwa kwiiyure ezine ezinesiqingatha emva kokuqala kweempawu, kuba ukuba anikwa kamva, kukho umngcipheko omkhulu wokopha okuyingozi emzimbeni.
• Utyando lwe-thrombectomy: Le yindlela yotyando yokususa i-clot yegazi. Ugqirha ufaka ityhubhu encinci, ebhityileyo (i-catheter) kwimithambo yegazi kwenye indawo emzimbeni wakho aze ayifake kwi-clot yegazi engqondweni yakho. I-clot emva koko itsalwa yonke ngaxeshanye okanye yaphulwe ibe ziingceba ize itsalwe. Nangona kunjalo, kwi-lacunar strokes ezininzi, umthambo wegazi ochaphazelekayo unokuba mncinci kakhulu ukuba wenze olu hlobo lwe-thrombectomy. Ugqirha wakho kunye nogqirha baya kukuxelela ukuba yintoni efanelekileyo kwimeko yakho.

Ukongeza koku, unokufuna ezinye iindlela zonyango:

• Izithibi zegazi: Amayeza okuthintela ukugabha kwegazi athintela igazi lakho ukuba lingajiyi lula. La mayeza anokunikwa emva konyango lwe-thrombolytic.
• Ukulawula uxinzelelo lwegazi: Oogqirha bakunika amayeza okulawula uxinzelelo lwakho nokulugcina lukwinqanaba elifanelekileyo.

Ingaba ukuvuselelwa komzimba kubalulekile emva kwestroke?

Ewe, ngokuqinisekileyo! Unyango lokubuyisela kwimeko yesiqhelo lubaluleke kakhulu kunyango emva kwestroke. Olu nyango lokubuyisela kwimeko yesiqhelo lukunceda ukuba ulungelelanise notshintsho olwenzeke engqondweni yakho nasemzimbeni wakho ngenxa yestroke. Ungadinga uncedo lokubuyisela amandla owawunawo ngaphambi kwestroke, okanye ukuze ulungele ukuhlala nokukhubazeka okutsha. Ungadinga olunye okanye indibaniselwano yezi ndlela zonyango:

• Unyango lokuthetha: Oku kunokukunceda ukuphucula izakhono zakho zolwimi, indlela othetha ngayo, kunye nokulawula izihlunu ezikunceda ukuthetha, ukuphefumla, ukutya, kunye nokuginya. Amayeza okunciphisa iiplatelet adla ngokufuneka emva kwe-lacunar stroke.
• Unyango lomzimba: Oku kunokunceda ukuqinisa izihlunu zakho, ukuphucula ibhalansi yakho, kunye nokusebenzisa kwakhona iingalo nemilenze yakho.
• Unyango lomsebenzi: Oku kukunceda ukuba wenze imisebenzi yakho yemihla ngemihla ngokukhuselekileyo, ingakumbi imisebenzi efuna iintshukumo ezintle (umz., ukutya, ukunxiba, ukubhala).
• Ukuvuselelwa kwengqondo: Oku kunceda ukuphucula inkumbulo yakho, ixesha lokunikel’ ingqalelo, kunye nezinye izakhono zengqondo.

Ingakanani ixesha lokuphila emva kwe-lacunar stroke? Ngaba kunokwenzeka ukuba uphile ngokupheleleyo?

Inani labantu abasinda kwistroke liyanda, ngenxa yonyango oluphuculweyo nolukhawulezayo. Kodwa kunzima ukuqiniseka ukuba kukho ishedyuli yokuchacha efanayo okanye umbono ofanelekileyo.

I-Lacunar strokes (kunye nezinye iintlobo ze-'ischemic strokes') zihlala zinezinga eliphezulu lokusinda kune -hemorrhagic strokes , ezibangelwa kukopha ebuchotsheni. Kodwa oko akuthethi ukuba uya kuphila ixesha elide kunezinye.

Umzimba womntu wonke usabela ngokwahlukileyo kwistroke. Oko kuthethwa "kukuphila ngokupheleleyo" kuwe kunokwahluka koko kuthethwa ngomnye umntu. Usenokuphinda usebenze ngokupheleleyo engqondweni nasemzimbeni wakho, kodwa usenokuba neziphene ezintsha okanye ezahlukeneyo emva kwestroke esibuhlungu.

Oko unokukulindela kuxhomekeke kwizinto ezininzi:

• iminyaka yakho.
• Indlela ekhawulezileyo yonyango lwestroke.
• Impilo yakho iyonke.

Uninzi lwabantu luthatha iinyanga ezininzi ukuze luphile. Ugqirha wakho uza kukuxelela into omawuyilindele. Uza kukunceda ubeke iinjongo zakho zokuchacha kunye nolindelo olusekelwe kwimpilo yakho.

Ngaba i-lacunar stroke ingathintelwa?

Ewe, kunjalo kakhulu! Ukugcina impilo entle iyonke yeyona ndlela ilungileyo yokuthintela i-lacunar stroke. Zama ukwenza ezi zinto:

• Gcina uxinzelelo lwakho lwegazi, amanqanaba e-cholesterol, kunye nezinye iimeko zempilo (umz. isifo seswekile) zilawulwa. Sela amayeza akho njengoko ugqirha wakho ekuyalele.
• Yitya ukutya okunempilo ngakumbi (imifuno, iziqhamo, iimbotyi kunye nefayibha). Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuba uyatshaya, yeka. Hlala kude nezinye iimveliso ezine-nicotine.
• Zilolonge rhoqo. Yenza into efana nokuhamba ubuncinane imizuzu engama-30 ngosuku.

Yenza uhlolo lwezonyango rhoqo ngonyaka (okanye njengoko ugqirha wakho ecebisa). Izifo ezininzi kunye neengxaki ezinokubangela i-lacunar stroke zikhula kancinci kancinci ngokuhamba kwexesha. Usenokungaziboni iimpawu. Ugqirha wakho unokukunceda uqaphele ezi mpawu zesilumkiso kwangethuba aze akuncede uzilawule.

Ndingazinyamekela njani emva kwestroke?

Ukuchacha emva kwestroke kunye nokudlula kwiinkqubo zokubuyisela imeko esiqhelweni akulula, ngumsebenzi omninzi. Nje ukuba wena nogqirha wakho niyile isicwangciso sonyango, silandele ngokusondeleyo kangangoko. Ngokubanzi, kufuneka wenze oku kulandelayo:

• Sela amayeza akho njengoko uyalelwe. Oku kubaluleke kakhulu ukuba uthatha amayeza okunciphisa igazi. Kubalulekile ukunciphisa umngcipheko wokuqhekeka kwegazi kwixesha elizayo, kwaye ukuthatha amayeza akho njengoko uyalelwe ngugqirha wakho kuya kunceda umzimba wakho uphile.
• Gcina amadinga akho onyango kunye nonyango oluthe kratya. Xelela ugqirha wakho ukuba kukho into ekwenza uzive ungakhululekanga okanye ungakhuselekanga. Unyango lunzima, kodwa akufuneki uhlale uneentlungu okanye ungakhululekanga ngalo lonke ixesha.
• Cinga nangempilo yakho yengqondo.Ukudakumba kunye nokuxhalaba ziqhelekile emva kwestroke. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ukuziva ulusizi okanye uxhalabile akukwenzi ube buthathaka okanye ube sisilela. Ukuba uziva uxinezelekile yinto ethile ngexesha lokuchacha kwakho, thetha nogqirha wakho okanye nomcebisi wempilo yengqondo .

Zeziphi ukutya neziselo endifanele ndiziphephe?

Ugqirha wakho unokucebisa ukuba wongeze okanye ususe ukutya okuthile ekutyeni kwakho. Angacebisa nokuba wenze utshintsho oluncinci kwindlela yakho yemihla ngemihla ukunceda ukulawula iimeko zakho zempilo kunye/okanye ukunciphisa umngcipheko wokuba negazi eliqhekekileyo kwixesha elizayo emva kwe-lacunar stroke.

Ukutya okucetyiswayo ukuba kuphetshwe ngokubanzi zezi:

• Utywala
• Iziselo ezityebileyo kwi-caffeine (kungangcono ukuba unganciphisa ukuthathwa kweti nekofu)
• Ukutya okuneswekile eninzi (ukutya okumnandi, iziselo)
• Ukutya okunetyuwa eninzi (i-sodium) (nciphisa ityuwa ekutyeni, kuphephe ukutya okucutshungulweyo okunetyuwa eninzi)
• Ukutya okuqhotsiweyo
• Ukutya okucutshungulwe kakhulu (umz. iisoseji, iibhola zenyama, ukutya okupakishwe kwiipakethe)

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

Ukuba uziva ngathi uphinde wafumana esinye isifo sohlangothi, fowunela u-911 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko. Esinye isifo sohlangothi sinokubangela iingxaki ezinkulu kwanokufa. Musa ukulibazisa ukufuna uncedo okanye ukuya kwigumbi longxamiseko.

Abantu abaye baba ne-lacunar stroke basengozini enkulu yokufumana iingxaki ezinzulu. Umzekelo:

• I-Deep Vein Thrombosis (DVT) (ukuqhekeka kwegazi kwimithambo enzulu yemilenze)
• Ukuhlaselwa yintliziyo
• Ukukrala kwemiphunga
• I-Pulmonary embolism ( ukuqhekeka kwegazi kwimithambo yegazi emiphungeni)
• Ukuxhuzula

Ukuba ufumana iimpawu zayo nayiphi na kwezi ngxaki, kufuneka utsalele umnxeba iinkonzo zongxamiseko okanye uye kwigumbi longxamiseko ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, ungathandabuzi ukubuza nayiphi na imibuzo onayo. Nazi ezinye zezinto onokuthi uzibuze zona:

• 'Ndafumana phi kanye kanye esi sifo se-lacunar engqondweni yam?'
• 'Sisifo okanye ingxaki ebangele oku?'
• 'Ndifuna uhlobo luni lonyango, kwaye ndifanele ndilusebenzise njani?'
• 'Zeziphi iinguqu ekufuneka ndizenze kubomi bam bemihla ngemihla?'
• 'Yintoni enye endifanele ndiyenze ukuthintela ukuba ndingaphinde ndibe nestroke?'
• 'Inkqubo yam yokubuyisela impilo iza kuhlala ixesha elingakanani? Zithini iziphumo endinokuzilindela?'

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

I-Lacunar stroke (ekwabizwa ngokuba yi-'lacunar infarct') yimeko echaphazela imithambo yegazi emincinci enzulu engqondweni yakho, kodwa inokuba nefuthe elikhulu kwimpilo yakho. Yiyo loo nto kubalulekile ukuba uhlolwe rhoqo. Ugqirha wakho unokukunceda uchonge kwaye ulawule iingxaki zempilo (ezifana noxinzelelo lwegazi oluphezulu, i-cholesterol, kunye nesifo seswekile) ezonyusa umngcipheko wakho we-stroke ngokuhamba kwexesha. Thetha nogqirha wakho ngeendlela ezilungileyo zokulawula izinto ezinobungozi ozibonileyo.

Njengoko uphola emva kwestroke, ungalibali ukubhiyozela notshintsho oluncinci olwenzileyo. Ngezinye iintsuku usenokungaziva unomdla, kodwa nayiphi na impumelelo ifanelekile ukubhiyozelwa. Ungaziqhenya ngomsebenzi onzima owenze ekubuyiseleni impilo yakho esimeni esiqhelekileyo.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Lacunar Stroke, i-Lacunar Infarct, i-Lacunar Infarct, i-Stroke, i-Blood Clot, uxinzelelo lwegazi oluphezulu, iimpawu ze-Stroke