Xa sisiva igama elithi "stroke," sidla ngokucinga ngento eyenzeka engqondweni. Kodwa ubusazi ukuba, nangona kunqabile kakhulu, umqolo wethu, okanye intambo yomgogodla, nawo unokufumana imeko efanayo? Oku sikubiza ngokuba yi "stroke yomgogodla." Nangona oku kungalindelekanga kancinci, kubaluleke kakhulu ukukwazi oku.
Ngoko ke yintoni le stroke yomqolo?
Ngamafutshane, i-spinal stroke kukuphazamiseka ngequbuliso kokuhamba kwegazi kwi-spinal cord yakho, inkqubo yemithambo-luvo ebalulekileyo engaphakathi komqolo wakho. Ifana ne-brain stroke, kodwa yenzeka kumqolo wakho. Oogqirha bakwabiza ngokuba yi-"spinal cord stroke" okanye "spinal infarction."
Njengestroke, umthambo wegazi kwi-spinal cord unokuvaleka yi-blood clot (ebizwa ngokuba yi-ischemic stroke) okanye ukuqhuma komthambo wegazi kunye nokopha (ebizwa ngokuba yi-hemorrhagic stroke). Oku kunqabile kakhulu - ngaphantsi kwe-1% yazo zonke izistroke emhlabeni zichaphazela umthambo womqolo ngale ndlela. Kodwa ukuba kunqabile akuthethi ukuba akunqabile. Kunokuba yingozi ebomini okanye kukhubazeke ngokusisigxina.
Ngoko ke, ukuba wena okanye umntu omaziyo uneempawu ze-spinal cord stroke, kufuneka utsalele umnxeba kwi-1990 (Sri Lankan Ambulance Service) ngoko nangoko. Okukhona uxilongwa kwaye unyangwa ngokukhawuleza, kokukhona amathuba okusindisa ubomi esanda. Umzuzwana ngamnye ubalulekile apha.
Zithini iimpawu ze-spinal stroke?
Iimpawu ze-spinal cord stroke zingahluka kumntu nomntu. Ziyahluka ngokuxhomekeke ekubeni leliphi icala lomqolo elichaphazelekileyo. Nangona kunjalo, kukho iimpawu eziqhelekileyo ezinokubonwa:
- Intlungu ebuhlungu ngequbuliso entanyeni okanye emqolo. Le ayisiyontlungu yomqolo eqhelekileyo nje kuphela, kodwa yintlungu ebukhali kancinci kwaye engalindelekanga.
- Kuvakala ngathi intlungu isasazeka ukusuka emqolo ukuya ezingalweni okanye emilenzeni. Abanye abantu bade bathi intlungu ivakala ngathi yimbane.
- Ukuba ndindisholo okanye ukurhawuzelela ezandleni okanye ezinyaweni.
- Ubuthathaka bemisipha (ingakumbi emilenzeni). Ubunzima bokuma okanye ukuhamba, kunye nokuziva ubuthathaka emilenzeni.
- Ukulahlekelwa zimvakalelo ezifana nokuchukumisa, ubushushu/ukubanda.
- Kukungakwazi ukuzibamba umchamo okanye ukungakwazi ukuzibamba kwamathumbu.
- Ukukhubazeka okanye ukungasebenzi kakuhle komzimba. Olu luphawu olunzima kancinci.
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu ngaxeshanye, musa ukuyithatha lula loo nto. Eyona nto ingcono onokuyenza kukufuna ingcebiso kagqirha ngokukhawuleza.
Kutheni le nto kwenzeka esi sifo somqolo?
Kukho iindlela ezimbini eziphambili, okanye izizathu, ezinokuthi zenzeke ngazo i-spinal stroke.
1. I-Ischemic Spinal Stroke
Olu lolona hlobo luxhaphakileyo. Igama elithi "Ischemic" lithetha ukunqongophala kwegazi. Oku kwenzeka xa ihlwili legazi livala umthambo wegazi emqolo. Kufana nodaka olunamathelayo kumbhobho wamanzi. Kukho ezinye iimeko zempilo ezinyusa umngcipheko wokuba nehlwili legazi ngolu hlobo:
- Ukwanda kwamanqanaba e-cholesterol egazini (i-Hyperlipidemia).
- I-atherosclerosis: Oku kwenzeka xa izinto ezifana ne-cholesterol ziqokelelana ngaphakathi kwemithambo yegazi, zizivale.
- Iingxaki zokuqunjelwa kwamalungu omzimba.
- I-Atrial Fibrillation. Le yimeko apho intliziyo ibetha ngokungacwangciswanga. Umngcipheko uphezulu ngakumbi xa le meko ihamba ne-sleep apnea.
- Iziphene zentliziyo. Imizekelo iquka "i-Atrial Septal Defect" kunye ne "Ventricular Septal Defect".
2. I-Hemorrhagic Spinal Stroke
Igama elithi "hemorrhagic" lithetha ukopha. Oku kwenzeka xa umthambo wegazi kumqolo ugqabhuka okanye ukrazuka uze uqale ukopha. Oku kunokubangelwa zezi zinto zilandelayo:
- Uxinzelelo lwegazi oluphezulu. Lo mngcipheko uphezulu ukuba unexinzelelo lwegazi oluphezulu ixesha elide, ingakumbi ukuba alulawuleki.
- Iithumba zomqolo.
- Ii-Aneurysms. Oku kwenzeka xa udonga lomthambo wegazi lubuthathaka kwaye luvuthuluka njengebhaluni. Ukuba oku kwenzeka kumthambo osemqolo, ungaqhuma.
Ezinye izizathu ezingaqhelekanga
Ukongeza kwezi zizathu zimbini ziphambili, ukubetheka komqolo kunokwenzeka nangenxa yezinye izizathu, ezingaqhelekanga kakhulu:
- Ukulimala komqolo.
- Iintsholongwane ezifana ne-meningitis.
- Ukulimala ngengozi ngexesha lotyando.
- Ukuqhekeka komqolo.
Ngubani osengozini enkulu yokuba nesifo somqolo?
Nabani na unokuba ne-spinal stroke, kodwa abanye abantu basengozini enkulu.
- Abantu abatshayayo okanye abasebenzisa ezinye iimveliso ezine-nicotine (umz., ukuvasa).
- Abantu abangaphezu kweminyaka engama-65 ubudala.
- Abantu abamnyama (Nangona oku kuyinyani eyaziwayo ngokwesayensi, kunokwenzeka nakubantu balo naluphi na uhlanga.)
- Abantu abasebenzisa iziyobisi ezingekho mthethweni.
Kwakhona, umngcipheko westroke uyanda ukuba uneengxaki ezithile zempilo:
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
- I-cholesterol ephezulu egazini (i-Hyperlipidemia)
- Usulelo lwe-Covid-19 (COVID-19)
- Isifo seswekile
- Ukutyeba kakhulu (ukuba nobunzima obukhulu)
- Ingxaki yokusebenzisa utywala
Ukuba unenye okanye ngaphezulu kwezi zinto, kubaluleke kakhulu ukuba uqaphele kwaye ulandele iingcebiso zonyango.
Zeziphi iingxaki ezinokubakho ngenxa ye-spinal stroke?
Oku kunokuba yingozi ebomini. Kwakhona, ukuba kukho umonakalo osisigxina kumqolo, kukho umngcipheko weengxaki ezinzulu ngakumbi:
- Ukukhubazeka okungapheliyo
- Intlungu engapheliyo
- Iingxaki zokuphefumla
- Ukungasebenzi kakuhle ngokwesondo
- Ukungakwazi ukuzibamba okungapheliyo
Kungenxa yezinto ezinje ukuba ukuba ufumana neyona mpawu incinci, kufuneka ubone ugqirha ngokukhawuleza.
Oogqirha bafumanisa njani ukuba le yi-spinal stroke?
Ukuba uneempawu zestroke yomqolo, ugqirha uza kwenza uvavanyo oluninzi ukuqinisekisa oku. Okokuqala, baza kwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo .
Okulandelayo, uza kucelwa ukuba wenze uvavanyo lwe-MRI (Magnetic Resonance Imaging) . Olu vavanyo luthatha imifanekiso eneenkcukacha zomqolo ukujonga iimpawu zestroke okanye ezinye izizathu.
Ngamanye amaxesha, uvavanyo olubizwa ngokuba yi-"lumbar puncture" okanye "spinal tap" lunokwenziwa. Oku kuquka ukuthatha isampuli yolwelo lwe-cerebrospinal oluvela emgogodleni ukujonga usulelo okanye olunye uvuvuko.
Ziziphi iindlela zonyango ze-spinal stroke?
Unyango luyahluka ngokuxhomekeke kuhlobo lwestroke oye wayifumana. Injongo ephambili yoogqirha kukubuyisela ukuhamba kwegazi kwi-spinal cord ngokukhawuleza.
Ukuba isifo sohlangothi lwe-ischemic...
Kukho ihlwili legazi elinamathele apho. Ngoko ke bazama ukunyibilikisa ihlwili baze balisuse, okanye baliqhekeze baze balisuse.
- Izinto zokunciphisa igazi (i-Anticoagulants).
- Amayeza e-Thrombolytic okanye amayeza "okususa amahlwili".
- Ngamanye amaxesha utyando, olufana nokuhlinzwa kwemithambo yegazi, luyenziwa ukuze kususwe ihlwili legazi.
Kwakhona, banika amayeza okulawula uxinzelelo lwegazi.
Ukuba isifo sohlangothi esopha igazi...
Inyathelo lokuqala kukuyeka ukopha. Oku kuquka ukunika amayeza okulawula ukopha kunye noxinzelelo lwegazi. Ngamanye amaxesha, ukuba ukopha kunoxinzelelo oluphezulu ngaphakathi komqolo, kunokufuneka utyando ukuze kuncitshiswe uxinzelelo.
Oogqirha baza kukuchazela ukuba loluphi unyango olukufaneleyo kunye noko ungakulindela kubo.
Ingaba ukuvuselelwa komzimba kubalulekile emva kwestroke?
Inene! "I-Stroke Rehab" yinxalenye yonyango ngokwalo.
Unyango lomzimba luqinisa izihlunu zakho, luphucula ibhalansi yakho, kwaye lukunceda ukuba uphinde usebenzise iingalo nemilenze yakho.
Unyango lomsebenzi lukunceda ukuba wenze imisebenzi yakho yemihla ngemihla kunye nemisebenzi yasekhaya ngokukhuselekileyo.
Ngaba kunokwenzeka ukuba uphile ngokupheleleyo emva kokuhlaselwa sisifo somqolo?
Isiphelo sesifo sixhomekeke kwizinto ezininzi: uhlobo lwestroke, ukuba unyango lukhawuleza kangakanani na, nokuba kukho umonakalo osisigxina kumqolo, impilo yakho iyonke, kunye nobudala bakho.
"Ukuphila ngokupheleleyo" kwahlukile kumntu ngamnye. Kungathatha iinyanga ezininzi ukuba abanye abantu baphinde bafumane amandla abo angaphambili. Abanye basenokufuneka baphile nokukhubazeka okutsha. Umzekelo, basenokuqhubeka befuna i-walker okanye intonga yokubanceda bahambe. Kodwa abanye abantu ekugqibeleni bayaphila ngokupheleleyo. Oku kungathatha iminyaka, kodwa akunakwenzeka. Ugqirha wakho uya kukunceda ubeke iinjongo ezifanelekileyo zokuphila.
Lingakanani ixesha lokusinda emva kokuhlaselwa sisifo somqolo?
Le inokuba yimeko esongela ubomi. Nangona kunjalo, kunzima ukutsho ngokuthe ngqo ukuba uza kuphila ixesha elingakanani. Ngokubanzi, iziphumo ze-ischemic strokes kuthiwa zingcono kancinci kune-hemorrhagic strokes. Nangona kunjalo, umzimba womntu wonke usabela ngokwahlukileyo.
Yintoni esinokuyenza ukuthintela isifo somqolo esibizwa ngokuba yi-spinal stroke?
Eyona nto ingcono onokuyenza kukugcina impilo yakho iyonke .
- Ukuba uyatshaya, yeka.
- Yitya ukutya okunempilo (umz., iMeditera Diet) kwaye ugcine ubunzima obusempilweni.
- Gcina uxinzelelo lwakho lwegazi, amanqanaba e-cholesterol, kunye nesifo seswekile phantsi kolawulo.
- Yenza umthambo rhoqo.
- Fumana uhlolo lwezonyango rhoqo ngonyaka. Uninzi lweemeko ezibangela oku azibonisi zimpawu ekuqaleni.
Ndingazinyamekela njani emva kwestroke?
Ukuphilisa kufuna umgudu omkhulu.
- Qiniseka ukuba uyaya kwintlanganiso yakho yonyango kunye neyonyango. Xelela abagqirha bakho ukuba uneengxaki.
- Cinga nangempilo yakho yengqondo.Ukudakumba kunye nokuxhalaba zizinto eziqhelekileyo emva kwestroke. Ukuziva ulusizi akuyonto ibuthathaka. Thetha nogqirha okanye nomcebisi wezempilo yengqondo ukuba kuyimfuneko.
- Thatha amayeza akho ngokuchanekileyo nangexesha elifanelekileyo.
Khumbula, akufuneki uhambe wedwa kolu hambo. Usapho lwakho, abahlobo, kunye noogqirha bakho bonke ukukunceda.
Yintoni omele uyenze xa iimpawu zestroke ziphinda zivele okanye ukuba kukho enye imeko engxamisekileyo?
Ukuba uziva ngathi uphinda ube nestroke, fowunela u-911 ngoko nangoko. Umngcipheko wokuphinda ube nestroke uphezulu.
Abantu abaye baba nestroke banokuba nezinye iingxaki ezinkulu, ezifana nezi:
- Ukuhlaselwa yintliziyo
- Ukukrala kwemiphunga
- I-Deep Vein Thrombosis (DVT)
- I-Pulmonary Embolism (ukuqhekeka kwegazi emiphungeni)
- Ukuxhuzula
Ukuba ufumana naziphi na kwezi mpawu, yiya esibhedlele ngokukhawuleza.
Ndimele ndibuze ntoni kugqirha wam?
- Luhlobo luni lwestroke endibe nalo?
- Ngawaphi amayeza endiwadingayo kwaye ndiwathatha njani?
- Zeziphi iinkonzo zokubuyisela imeko endizidingayo?
- Ngaba ndisengozini yokuba nesinye isifo sohlangothi?
Musa ukoyika ukubuza ugqirha wakho nantoni na oyicingayo okanye ongathandabuziyo ngayo.
Okokugqibela, ekuphela kwento endinokuyithetha kuwe yile...
Istroke yomqolo ingenzeka ngequbuliso. Ezinye iimpawu zisenokungahoywa ekuqaleni. Kodwa musa ukuba njalo. Akukho mntu wazi umzimba wakho ngaphezu kwakho. Ukuba uziva into engaqhelekanga, musa ukuyithatha lula. Okukhona ufumana unyango ngokukhawuleza, kokukhona iziphumo zingcono.
Bhiyozela yonke inkqubela oyenzayo ngexesha lokuchacha kwakho. Ukuvuselelwa ngumngeni omkhulu womzimba nengqondo. Ufanelwe kukuqatshelwa ngayo yonke imizamo oyenzayo. Thetha noogqirha bakho kunye nabanyangi. Ungaze ulahle ithemba!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba i-spinal stroke iyafana ne-stroke engqondweni?
Istroke senzeka xa ukuhamba kwegazi ukuya ebuchotsheni kuyeka, kwaye istroke yomgogodla yenzeka xa umthambo wegazi othwala igazi ukuya emgogodleni ngequbuliso uvaleka/uqhuma kwaye wopha, ulambe loo ndawo yobuchopho ioksijini kwaye ibangele ukufa kwemithambo-luvo. Oku kunqabile kakhulu kunestroke yobuchopho, kodwa yimeko eyingozi kakhulu enokubulala umntu.
💬 Ziziphi iimpawu endizivayo xa ndihlaselwa sisifo somqolo?
Akukholeleki ukuba ikhawuleza kangakanani le nto! Ngequbuliso, ngaphandle kwesizathu esicacileyo, ufumana intlungu ebuhlungu yomqolo/intamo ngequbuliso entanyeni okanye emqolo ongezantsi kwimizuzwana embalwa. Okubi nangakumbi kukuba kwimizuzu embalwa emva kwaloo ntlungu, uyaphulukana nolawulo lwemilenze yakho (ukukhubazeka), kwaye uyaphulukana nolawulo lwesinyi/indle yakho (ukungakwazi ukuzibamba).
💬 Ndingaphinda ndihambe emva kokuthatha amayeza e-spinal stroke?
Le yingxamiseko yezonyango! Ukuba awufiki esibhedlele kwiiyure ezimbalwa, imithambo-luvo iya kufa kwaye imilenze yakho iya kukhubazeka ngonaphakade. Uza kuthathwa uye esibhedlele ukuze uhlolwe i-MRI, kwaye ukuba kukho ihlwili legazi, uza kunikwa amayeza okulinyibilikisa (i-TPA / i-Thrombolytics) kunye namayeza oxinzelelo lwegazi. Abantu abaninzi banokuphila kwinqanaba elithile kwiinyanga nge-physiotherapy, kodwa kuxhomekeke kunyango olukhawulezileyo.
Istroke Yomgogodla, Intambo Yomgogodla, Iimpawu Zestroke, Unyango Lwestroke, Ukukhubazeka, Ukuvuselelwa
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