Kuthekani ukuba umthambo wegazi engqondweni yakho uvalekile? Masiqaphele 'iThrombotic Stroke'!

Ngaba wakha weva ngestroke eyenzeka xa ukuhamba kwegazi ukuya ebuchotsheni kuvaliwe? Ngamanye amaxesha ngequbuliso ulahlekelwa ngamandla okuthetha, okanye uzive ngathi ulahlekelwa lulawulo kwelinye icala lomzimba wakho. Le yinto esiyibiza ngokuba yi-'thrombotic stroke.' Le yimeko engxamisekileyo esongela ubomi, ngoko ke kubalulekile ukuba wena nabantu obathandayo nazi ukuba nilindele ntoni.

Yintoni i-'Thrombotic Stroke'? Masifumanise ngokulula!

Ngamafutshane, i-thrombotic stroke si -stroke esenzeka xa i-blood clot (i-thrombus) iqanduselwa ngaphakathi kwemithambo yegazi engqondweni yakho ize iyivale. Cinga ngayo njengengcezu yenkunkuma ebhajwa kumbhobho wamanzi ize ivale amanzi ukuba angaphumi. Le gazi liqanduselwa lithintela iindawo zengqondo ekufumaneni igazi ezilifunayo, oko kuthetha i-oxygen kunye nezondlo. Iiseli zobuchopho azinakuphila ixesha elide ngaphandle kwe-oxygen, kwaye ukuba oko kuyenzeka, ezo seli ziqala ukufa.

Nasiphi na isifo sohlangothi esibangelwa kukuvaleka komthambo wegazi ngolu hlobo sibizwa ngokuba yi-'ischemic stroke'. I-'Thrombotic stroke' luhlobo olukhethekileyo lwe-'ischemic stroke'.

Le yingxamiseko yezonyango enokuba yingozi ebomini. Ngoko ke ukuba wena okanye umntu omaziyo uhlangabezana nezi mpawu, fowunela u-911 ngoko nangoko uze ubize i-ambulensi, okanye umse esibhedlele esikufutshane ngokukhawuleza. Khumbula, umzuzwana ngamnye ubalulekile. Okukhona ufumana unyango ngokukhawuleza, kokukhona kunokwenzeka ukuba unciphise umonakalo wengqondo kwaye usindise ubomi.

Zithini iimpawu ze-'thrombotic stroke'?

Iimpawu zestroke esibizwa ngokuba yi-thrombotic stroke zifana kakhulu nezezinye iintlobo zestroke esibizwa ngokuba yi-ischemic stroke. Enye okanye ezingaphezulu kwezi zinokwenzeka ngequbuliso, ngaphandle kwesilumkiso :

• Umbono ophindwe kabini (i-diplopia) kuxa umbono kwelinye iliso ufiphala ngequbuliso.
• Intloko ebuhlungu enganyamezelekiyo ngequbuliso.
• Ukungakwazi ukulawula izihlunu kwelinye icala lobuso, njengomlomo ogobileyo okanye ukungakwazi ukuvala iliso elinye kakuhle.
• Ukuqala ngokutsha isicaphucaphu nokuhlanza.
• Ukuquleka/Ukutyhafa.
• Ukungathethi kakuhle xa uthetha, ngokungathi uyathintitha, kunye nokungathethi kakuhle (iDysarthria).
• Ukulahlekelwa ngequbuliso kwemvakalelo kwenye okanye ezingaphezulu zezivamvo zakho. Oku kuthetha ukuba izinto ezifana nokubona, ukuva, ukuvumba, ukungcamla, kunye nokuchukumisa ziyalahleka ngequbuliso.
• Ubunzima bokuthetha, okanye ukungakwazi ukufumana amagama omawuwathethe, okanye nokulahlekelwa ngokupheleleyo lilizwi (i-aphasia).
• Ubunzima bokuhamba, ukuziva ngathi umzimba ulahlekelwe yibhalansi yawo, ngokungathi awunyatheli kakuhle emhlabeni (ukuhamba okungazinzanga).
• Ukungaphenduli nantoni na. Kusenokungabikho mpendulo xa uthetha okanye uchukumisa.
• Ukukhubazeka okanye ubuthathaka becala elinye lobuso nomzimba (icala lasekunene okanye lasekhohlo).

Ngenxa yokuba ezi mpawu zenzeka ngequbuliso, kubaluleke kakhulu ukuqaphela oku.

Iimpawu zesilumkiso zestroke: Khumbula 'UKUKHAWULEZA'!

Ukuze uqaphele ukuba wena okanye umntu omthandayo unesifo sohlangothi, khumbula la magama esiNgesi athetha ukuthi 'YIBA MSINYANA'. Masibone ukuba athetha ukuthini:

• B - Ibhalansi: Jonga ukuba akukho lahleko ngequbuliso yokulinganisela okanye ukungazinzi xa uhamba.
• E - Amehlo: Khangela ukulahleka ngequbuliso kombono, ukubona okufipheleyo, okanye ukubona kabini kwelinye okanye omabini amehlo.
• F - Ubuso: Cela umbukeli ukuba ancume. Jonga ukuba icala elinye lobuso libonakala ligobile okanye ligobile na.
• A - Iingalo: Bacele ukuba baphakamise zombini iingalo phambi kwabo. Jonga ukuba ingalo enye iyawa okanye ibonakala ibuthathaka, ayikwazi ukuphakama phezulu njengenye.
• S - Intetho: Jonga ukuba amagama akho ayadida na, ukuba unengxaki yokukhetha amagama afanelekileyo, okanye ukuba awukwazi ukuthetha konke konke. Jonga ukuba ungatsho isivakalisi esilula ngokuchanekileyo na xa ubuzwa.
• T - Ixesha: Ixesha lixabiseke kakhulu! Zama ukukhumbula ngqo ukuba ezi mpawu ziqale nini. Ukuba kunokwenzeka, jonga iwotshi okanye ifowuni uze ubhale phantsi ixesha. Oku kuya kunceda oogqirha ukuba bakhethe unyango. Ukuba unayo nayiphi na kwezi mpawu, fowunela u-1990 ngoko nangoko ngaphandle kokulibazisa!

Zithini izizathu ze-'thrombotic stroke'?

Ngoku siyazi ukuba 'i-thrombotic stroke' ibangelwa kukuvaleka komthambo wegazi ngaphakathi kwengqondo yakho. Igama elithi 'Thrombus' ligama lezonyango elithetha i-blood clot. Igama elithi 'Thrombosis' yinkqubo apho kwakheka khona i-blood clot. Ngoko ke, 'i-thrombotic stroke' yi-'thrombus', oko kuthetha i-stroke ebangelwa yi-blood clot.

Kukho iimeko ezininzi zempilo ezinokubangela ukuba amahlwili egazi avele ngale ndlela:

• I-atherosclerosis (ukuqina/ukuvaleka kweendonga zemithambo yegazi): Oku kuxa i-cholesterol namafutha eqokelelana ngaphakathi kwemithambo yegazi yethu, nto leyo ebangela ukuba iindonga zemithambo yegazi ziqine kancinci kancinci, nto leyo enciphisa indlela yegazi. Kufana nomhlwa oqokelelana ngaphakathi kombhobho wamanzi omdala. Ezi ndawo zinciphileyo zinokwenza amahlwili egazi.
• I-Atrial Fibrillation: Le yimeko apho intliziyo ibetha ngokungacwangciswanga. Ngenxa yokuba intliziyo ayibethi kakuhle, amahlwili egazi anokwenziwa ngaphakathi entliziyweni, anokuya engqondweni aze avale imithambo yegazi.
• Iingxaki zokuqunjelwa:Abanye abantu banokuba notyekelo lokuba igazi labo lijiye lula, nokuba bazalwa okanye ngenxa yezifo ezikhula kamva.
• I-Covid-19: Usulelo lwe-Covid-19 lukwafunyaniswe ukuba lonyusa umngcipheko wokuqhekeka kwegazi kwezinye iimeko.
• Uxinzelelo lwegazi oluphezulu (iHypertension): Uxinzelelo lwegazi oluphezulu lonakalisa imithambo yegazi kwaye lwandisa umngcipheko wokuba igazi liqhekeke kuyo.
• I-cholesterol ephezulu / i-Hyperlipidemia: Njengoko amanqanaba e-cholesterol esanda, umngcipheko wokuba ne-atherosclerosis uyanda.
• Iintsholongwane: Amahlwili egazi anokubakho ngenxa yezinto ezifana nosulelo oluthile lweentsholongwane okanye lwefungus, i-sepsis, kunye nosulelo lweevalvu zentliziyo.

Masifunde nange-'Transient Ischemic Attack' (TIA).

'Uhlaselo lwe-ischemic oludlulayo' lukwabizwa ngokuba yi-'mini-stroke' ngabanye. Lufana ne-stroke, kodwa iimpawu zezokwexeshana. Ezi mpawu zihlala ziphela ngaphantsi kweeyure ezingama-24, zihlala ziphela kwimizuzu embalwa. Iimpawu ze-TIA zifana nezo ze-stroke.

I-TIA ayisiyonto incinci nje. Sisilumkiso esinzulu kakhulu! Umntu okhe waba ne-TIA usemngciphekweni omkhulu wokuba nestroke sokwenyani kungekudala. Ke ngoko, ukuba iimpawu ze-TIA ziyavela, nokuba ziyanyamalala, kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko.

Ngubani osengozini enkulu yokuba ne-'thrombotic stroke'?

Nangona nabani na enokuba nesifo sohlangothi esibizwa ngokuba yi-thrombotic stroke, abanye abantu basengozini enkulu:

• Abantu abangaphezu kweminyaka engama-65 ubudala. Umngcipheko uyanda njengoko iminyaka ikhula ngenxa yotshintsho kwimithambo yegazi.
• Amanye amaqela eentlanga kwihlabathi liphela afunyenwe esengozini enkulu. (Inqaku lokuqala likhankanya abantu "abamnyama"; kungcono ukulichaza ngokubanzi eli gama kubantu baseSri Lanka ngaphandle kokuba kukho idatha ethile yendawo ekhankanyiweyo.)
• Kwabo batshayayo okanye abasebenzisa ezinye iimveliso ezisekelwe kwicuba/kwi-nicotine (ezifana nokutshaya i-vaping). Ukutshaya kuyingozi kakhulu kwimithambo yegazi.
• Kwabo basebenzisa iziyobisi ezingekho mthethweni.

Kwakhona, abantu abaneengxaki ezithile zempilo basengozini enkulu:

• Kwabo basela kakhulu (ingxaki yokusebenzisa utywala).
• Kwabo bane-high blood pressure (i-Hypertension).
• Kubantu abanesifo seswekile. Isifo seswekile singonakalisa nemithambo yegazi.

Oogqirha bayixilonga njani 'i-thrombotic stroke'?

Ukuba ukrokrela ukuba unestroke, oogqirha baza kuqala benze uvavanyo lwemithambo-luvo. Oku kuthetha ukuba baza kujonga inkumbulo yakho, intetho, amandla, kunye nokulinganisela. Baza kwenza novavanyo lomzimba kunye nezinye iimvavanyo ezimbalwa. Ukuba uziswa kwigumbi likaxakeka, oogqirha apho baza kuqalisa olu vavanyo ngoko nangoko.

Uvavanyo olufana nolu lunokusetyenziswa ukuqinisekisa istroke:

• Uvavanyo lwegazi: Jonga izinto ezifana neengxaki zokujiya kwegazi, amanqanaba eswekile, kunye namanqanaba e-cholesterol.
• I-Carotid ultrasound: Oku kunceda ukubona ukuba kukho naziphi na izithintelo kwimithambo yegazi ephambili entanyeni (imithambo ye-carotid).
• I-CT scan kunye/okanye i-CT angiogram: Oku kuthatha imifanekiso yengqondo kwaye kunokufumanisa ngokukhawuleza ukuba kukho ukopha, ihlwili legazi, okanye umonakalo wengqondo. I-CT angiogram inokuyibona ngokucacileyo imeko yemithambo yegazi.
• I-Echocardiogram: Olu vavanyo lwenziwa ukujonga ukusebenza kwentliziyo kunye nokuba ingaba kukho amahlwili egazi entliziyweni.
• I-MRI kunye/okanye i-MRI angiogram: Oku kungathatha nemifanekiso eneenkcukacha zobuchopho kunye nemithambo yegazi. Kungabonisa umonakalo wobuchopho ngokucacileyo kune-CT scan.

Ziziphi iindlela zonyango 'ze-thrombotic stroke'?

Eyona nto ibalulekileyo xa unyanga isifo sohlangothi esibizwa ngokuba yi-thrombotic stroke kukubuyisela ukuhamba kwegazi engqondweni ngokukhawuleza. Oogqirha bazama ukwenza oku ukunciphisa umngcipheko wokonakala kwengqondo okusisigxina, ukukhubazeka okutsha, kunye nokufa.

Kukho iindlela ezimbini eziphambili zonyango ezisetyenziswayo:

1. Utyando lwe-mechanical thrombectomy: Oku kuquka ukususa i-blood clot kusetyenziswa ityhubhu encinci, ebhityileyo (catheter). Ugqirha ufaka ityhubhu kumthambo osesihlahleni sakho okanye emqolo aze ayifake kwi-blood clot esebuchotsheni bakho. Emva koko ugqirha ususa i-clot ngoko nangoko okanye ayiqhekeze ibe ziingceba aze asuse izingceba. Olu nyango lunokwenziwa kwiiyure ezingama-24 emva kokuqala kweempawu.

2. Unyango lwe-Thrombolytic: La ngamayeza anyibilikisa amahlwili egazi. Nangona kunjalo, la mayeza anokunikwa kuphela kwiiyure ezine ezinesiqingatha (4.5) emva kokuqala kweempawu. Yiyo loo nto besithi ixesha libaluleke kakhulu.

Ukongeza kwezi ndlela zonyango ziphambili, unokufuna ezinye iindlela zonyango:

• Ulawulo lweswekile egazini: Ukugcina amanqanaba eswekile egazini lakho elawulwa kunceda ingqondo yakho iphile.
• Izinto zokunciphisa igazi:Kwiimeko ezininzi, kuya kufuneka uthathe amayeza okunciphisa iiplatelet, anjenge-aspirin. Ukuba une-atrial fibrillation okanye ingxaki yokunqanqatheka kwegazi, unokunikwa amayeza anamandla okunciphisa ukunqanqatheka kwegazi. La mayeza anciphisa umngcipheko wokwenzeka kwamahlwili egazi kwakhona.
• Utyando lwe-Endarterectomy: Olu lutyando lokususa i-plaque kwimithambo yegazi exineneyo okanye evalekileyo. Oku kunokunciphisa umngcipheko wokwakheka kwelinye ihlwili legazi.
• Ubushushu obuphantsi obungacwangciswanga ngabom: Kwezinye iimeko, oogqirha bayawuthoba kancinci ubushushu bomzimba wakho. Oku kunokunciphisa umonakalo wobuchopho ngexesha nasemva kwestroke.
• Unyango lweoksijini: Emva kwestroke, ingqondo ayifumani oksijini eyaneleyo. Ngoko oogqirha banokukunika oksijini eyongezelelweyo ngetyhubhu efakwe empumlweni yakho. Oku kwenza kube lula ukuphefumla kwaye kunceda umzimba wakho ufumane oksijini engakumbi engqondweni yakho.
• Ukukhupha i-stenting: I-stent yityhubhu encinci kakhulu efana ne-mesh efakwa ngaphakathi kwemithambo yegazi kwaye inceda ukuyigcina ivulekile, ivumela igazi ukuba lihambe ngokulula.

Kubaluleke kangakanani ukuvuselelwa emva kwestroke esibangelwa yi-thrombotic stroke?

Ukuvuselelwa kwesimo sengqondo kubaluleke kakhulu emva kwestroke. Istroke ibangela utshintsho engqondweni nasemzimbeni wakho. Unyango lokuvuselela umzimba lunokukunceda ulungelelane nolo tshintsho, ubuyisele izakhono zakho zangaphambili, okanye ufunde ukuphila nokukhubazeka okutsha. Ungadinga olunye okanye indibaniselwano yonyango olulandelayo:

• Ukuvuselelwa kwengqondo: Oku kunceda ukuphucula izakhono zengqondo ezifana nenkumbulo yakho, ixesha lokunikel’ ingqalelo, kunye nezakhono zokusombulula iingxaki.
• Unyango lomsebenzi: Olu nyango lukunceda ukuba wenze imisebenzi yakho yemihla ngemihla ngokukhuselekileyo, ingakumbi imisebenzi efuna iintshukumo ezintle (umz., ukutya, ukunxiba, ukubhala).
• Unyango lomzimba: Oku kunceda ukuqinisa izihlunu zomzimba, ukuphucula ulungelelwano, kunye nokubuyisela ukusetyenziswa kweengalo nemilenze.
• Unyango lokuthetha: Olu nyango lukunceda ukuba uphinde ufumane izakhono zakho zolwimi nokuthetha, kunye nokulawula izihlunu ezikunceda ukuba uthethe, uphefumle, utye, kwaye uginye.

Inkqubo yokubuyisela kwimeko yesiqhelo inokuba nzima kancinci, kodwa iziphumo ziyafaneleka.

Zithini amathuba okusinda kwi-'thrombotic stroke'?

Ngethamsanqa, njengoko kusenziwa unyango olutsha nolukhawulezayo lwe-stroke, inani labantu abasinda kwi-stroke liyanda. Kodwa kunzima ukutsho ukuba leliphi ixesha elifanelekileyo lokuchacha okanye umbono ofanelekileyo womntu wonke.

I-Thrombotic strokes (kunye nezinye iintlobo ze-ischemic strokes) zihlala zinokusinda ngakumbi kune-hemorrhagic strokes, ezibangelwa kukuqhuma komthambo wegazi engqondweni. Kodwa oko akuthethi ukuba unethuba elingcono lokusinda kunabanye. Umzimba womntu wonke usabela ngokwahlukileyo kwi-stroke, ngoko ke kunzima koogqirha ukunika ingqikelelo echanekileyo esebenza kuye wonke umntu.

Ithini ingqikelelo?

Uhlobo lwemeko onokululindela luxhomekeke kwizinto ezininzi:

• Indlela okhawuleze ngayo ukufumana unyango.
• Zeziphi iindawo zobuchopho ezonakeleyo?
• Injani impilo yakho iyonke?

Kudla ngokuthatha iinyanga ezininzi ukuze uphile ngokupheleleyo. Kwabanye, kungathatha ixesha elide. Ugqirha wakho uza kukuxelela into omawuyilindele. Ungakhathazeki, baza kukunceda ubeke kwaye ufezekise iinjongo zakho zokubuyela kwimeko yesiqhelo.

Ngaba isifo sohlangothi esibangela i-thrombosis singathintelwa?

Ewe, unako! Ukugcina impilo entle iyonke yeyona ndlela ilungileyo yokuthintela istroke se-thrombotic kunye namahlwili egazi abangela oko. Zama ezi zinto:

• Yitya ukutya okunempilo. Yitya iziqhamo, imifuno, iinkozo ezipheleleyo, kunye nefayibha engaphezulu. Nciphisa ioyile, ityuwa, kunye neswekile. Gcina ubunzima obusempilweni obukufaneleyo.
• Yenza umthambo rhoqo. Yenza uhlobo oluthile lomthambo olukwenza ubile, ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki.
• Gcina amanqanaba akho e-cholesterol, uxinzelelo lwegazi, kunye nezinye iimeko zempilo (ezifana nesifo seswekile) zilawulwa. Sela amayeza akho njengoko ugqirha wakho eyalele.
• Ukuba uyatshaya, yeka ngokupheleleyo. Ukuba ufuna uncedo lokuyeka, cela uncedo kugqirha okanye kwiinkqubo ezikunceda uyeke.

Bona ugqirha ubuncinane kanye ngonyaka (okanye njengoko ugqirha wakho ecebisa) ukuze uhlolwe impilo yakho ngokupheleleyo. Iingxaki ezininzi zempilo ezibangela 'i-thrombotic strokes' zikhula kancinci kancinci. Usenokungaziboni iimpawu zazo. Ke ngoko, uvavanyo lwezonyango lunokuchonga ezo mpawu zilumkisayo kwangethuba kwaye luzilawule.

Ndingazinyamekela njani emva kokuba ndifumene 'i-thrombotic stroke'?

Ukuchacha kunye nokubuyela kwimeko yesiqhelo emva kwestroke akulula, ngumzamo omkhulu. Landela isicwangciso sonyango esenziwa nguwe nogqirha wakho ngokusondeleyo kangangoko kunokwenzeka. Ngokubanzi, nyamekela ezi zinto:

• Qiniseka ukuba uyaya kwi-rehab yakho nakwezinye iindawo zonyango. Ukuba kukho into ekwenza uzive ungakhululekanga okanye ungakhuselekanga, xelela ugqirha wakho. Unyango lunzima, kodwa akufuneki uhlale uneentlungu ngalo lonke ixesha.
• Ungalibali nangempilo yakho yengqondo.Ukudakumba kunye nokuxhalaba zixhaphakile kakhulu emva kwestroke. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Musa ukucinga ukuba ukuziva ulusizi okanye uxhalabile kukwenza ube buthathaka. Ukuba uziva ngathi ufuna uncedo ekuchacheni kwakho, thetha nogqirha okanye nomcebisi wezempilo yengqondo .
• Sela amayeza akho njengoko kumiselwe, ngamaxesha afanelekileyo, kwaye kwiidosi ezifanelekileyo. Ingakumbi ukuba uthatha amayeza okunciphisa igazi, qiniseka ukuba uwathatha ngokuchanekileyo. Ukusela amayeza akho ngokuchanekileyo kubalulekile ukunciphisa umngcipheko wokuba negazi eliqhekekileyo kwixesha elizayo.

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

Ukuba ucinga ukuba unesinye isifo sohlangothi (njengeempawu ze-BE FAST esithethe ngazo ngaphambili), fowunela u-1990 ngaphandle kokulibazisa, okanye uye esibhedlele ngoko nangoko. Ukuba unesifo sohlangothi sesibini, umngcipheko weengxaki ezinkulu kunye nokulahlekelwa bubomi uphezulu kakhulu.

Umntu oye waba ne-thrombotic stroke usemngciphekweni wokufumana ezinye iingxaki ezinzulu, ezinje ngezi:

• Amahlwili egazi kwimithambo enzulu yemilenze (i-Deep vein thrombosis - DVT)
• Ukuhlaselwa yintliziyo
• Ukuxhuzula kwemithambo yegazi (pulmonary embolism)
• Ukukrala kwemiphunga
• Iimeko zokuxhuzula/ ukuxhuzula

Ukuba ufumana iimpawu zolu hlobo lwengxaki, fowunela iinkonzo zongxamiseko okanye uye esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Zeziphi iinguqu ekufuneka ndizenze kubomi bam bemihla ngemihla?
• Kutheni ndibe nesi sifo?
• Igazi liqhekeke phi engqondweni yam?
• Luhlobo luni lwamayeza endifanele ndiwathathe kwaye ndiwathathe njani?
• Ingakanani ingozi yam yokuba nestroke kwakhona? Ndingenza ntoni ukuze ndiyinciphise?

Okokugqibela, yintoni ekufuneka uyikhumbule! (Umyalezo Wokuya Ekhaya)

Nangona istroke esibizwa ngokuba yi-thrombotic stroke sisifo esingxamisekileyo ngequbuliso, iingxaki ezisibangelayo zihlala zikhula kancinci ngokuhamba kwexesha. Yiyo loo nto kubalulekile ukubona ugqirha ubuncinane kanye ngonyaka ukuze ujonge impilo yakho. Ngale ndlela, unokubona iimpawu ezilumkisayo kwaye uzilawule ngaphambi kokuba igazi liqhekeke kwaye libangele istroke. Thetha nogqirha wakho malunga nomngcipheko wakho westroke. Unokukunceda ukhathalele impilo yakho iyonke kwaye ulawule izinto ezikubangela umngcipheko.

Ukuba ukhe waba nestroke kwaye okwangoku uyachacha, yonwaba ngayo yonke inkqubela oyenzayo kuhambo lwakho lokuchacha.Ezinye iintsuku ziya kuba nzima kunezinye, kodwa kufuneka uziqhayise. Ukuchacha ngumzamo omkhulu, kwaye kufuneka uzihlonele ngenxa yoko. Ungakhathazeki, awuwedwa. Kukho oogqirha, abagqirha bezonyango, usapho, kunye nabahlobo abanokukunceda.

Istroke Esibangelwa YiThrombotic, Istroke Esibangelwa YiThrombotic, Istroke, Igazi Eliqhekekileyo Ebuchotsheni, Iimpawu Zestroke, Unyango Lwestroke, Uthintelo Lwestroke