Uma unesifo sikashukela, udinga ukucabanga kakhudlwana ngempilo yenhliziyo yakho, izinso, kanye nobuchopho. Ngoba isifo sikashukela sikwenza ube namathuba aphindwe kabili okuba nesifo esiyingozi esibizwa ngokuthi isifo sohlangothi kunomuntu ongenaso. Kodwa ungakhathazeki. Ngendlela yokuphila enempilo kanye nokwelashwa okufanele, singayilawula le ngozi ngezinga elikhulu. Ngakho-ke, ake sixoxe ngalokhu kalula.
Kuyini ngempela isifo sohlangothi?
Kalula nje, i-stroke iwukuphazamiseka kokugeleza kwegazi ebuchosheni. Cabanga ngakho njengohlelo lwamapayipi ampompa amanzi ebuchosheni bethu. Le mithambo yegazi inikeza amangqamuzana obuchopho umoya-mpilo nezakhamzimba azidingayo ukuze aphile. Okwenzekayo ku-stroke ukuthi omunye wale mithambo yegazi uvaleka noma wonakale ngokuzumayo. Uma ukugeleza kwegazi engxenyeni yobuchopho kuma isikhathi esingaphezu kwemizuzu emi-3-4, amangqamuzana akuleyo ngxenye aqala ukufa. Yilokhu okubangela ukuba imisebenzi ehlukahlukene emzimbeni ilahleke.
Kunezinhlobo ezimbili eziyinhloko zokushaya:
- I-Ischemic Stroke: Lolu uhlobo oluvame kakhulu. Luvela lapho umthambo wegazi ohambisa igazi ebuchosheni uvalwa yi-blood clot.
- Isifo Sokushaywa Yigazi: Lokhu kwenzeka lapho umthambo wegazi ebuchosheni uqhuma bese uphuma igazi ungene ebuchosheni.
Uma umuntu onesifo sikashukela enesifo sohlangothi, ikhono lomzimba lokusabela kuso liyancishiswa. Ngokuvamile, uma umthambo wegazi owodwa uvalekile, umzimba uzama ukuhlinzeka ngegazi ebuchosheni ngeminye imithambo yegazi efana nokudlula. Kodwa ngesifo sikashukela, ngisho naleyo mithambo yegazi eyengeziwe ingaba mincane futhi iqine ngokuhamba kwesikhathi ngenxa yamafutha amaningi (i-plaque). Kwezokwelapha, lokhu sikubiza ngokuthi "i-Atherosclerosis" . Kufana nokugqwala okwakheka ngaphakathi kwepayipi lamanzi. Khona-ke lokho kugeleza kwegazi okubalulekile kuvinjelwa kakhulu.
Yiziphi izimbangela eziyinhloko zokuhlaselwa yisifo sohlangothi?
Isici esiyinhloko sengozi yesifo sohlangothi umfutho wegazi ophakeme . Ngaphezu kwalokho, lezi zinto ezilandelayo nazo zandisa ingozi:
- Ukubhema ugwayi.
- Amazinga akhuphukile e-cholesterol embi egazini (i-LDL Cholesterol ephezulu).
- Isifo sikashukela esingalawulwa.
- Isifo senhliziyo.
Qaphela kakhulu ngalezi zimpawu!
Kungakhathaliseki ukuthi unesifo sikashukela noma cha, isifo sohlangothi siyisimo esiphuthumayo sezokwelapha. Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha . Isikhathi sibaluleke kakhulu.
| Isibonakaliso esiphuthumayo | Uqonda kanjani? |
|---|---|
| Ukuba ndikindiki noma ubuthakathaka | Ukungazweli noma ubuthakathaka bobuso, ingalo, noma umlenze (ikakhulukazi ohlangothini olulodwa lomzimba). |
| Ubunzima bokukhuluma | Amagama ayaphambana, futhi awukwazi ukuqonda noma ukukhuluma ngisho nomusho olula. |
| Ukukhubazeka kokubona | Ukubona kwelinye noma kokubili iso ngokuzumayo kuba lufifi noma kulahleke. |
| Ubunzima bokugwinya | Kungazelelwe awukwazi ukugwinya okuthile. |
| Isiyezi, ukulahlekelwa yibhalansi | Ukuzungeza okungazelelwe, ukulahlekelwa yibhalansi lapho uhamba kanye nengozi yokuwa. |
| Ukukhubazeka | Kungazelelwe, awukwazi ukunyakaza ingxenye yomzimba wakho, isibonelo, ingalo noma umlenze. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu kakhulu, elibuhlungu, ngaphandle kwesizathu esicacile, ongakaze ulibone empilweni yakho. |
Yiziphi izindlela zokwelapha?
Nge-ischemic stroke, okungukuthi, i-stroke ebangelwa ukugoba kwegazi, ukwelashwa okuyinhloko umuthi oqeda amahlule egazi obizwa ngokuthi `(tPA).` Kodwa lokhu kufanele kunikezwe zingakapheli amahora angu-3-4.5 okuqala kokuqala kwezimpawu . Yingakho sithi kufanele uye ku-ETU ngokushesha. Kodwa lo muthi awukwazi ukunikezwa wonke umuntu. Awunikezwa ezimweni ezifana nalabo abasanda kuhlinzwa kakhulu noma abalimele ekhanda.
Ngaphezu kwalokho, kunezinye izindlela zokwelapha:
- Ukuhlinzwa kwe-Carotid Endarterectomy: Lokhu ukuhlinzwa okususa ngokuhlinzwa ama-fatty deposits (i-plaque) aqongeleleke ngaphakathi kwe-carotid artery, umthambo omkhulu ohlinzeka ngegazi ebuchosheni.
- I-Carotid Angioplasty kanye ne-Stenting: Kule nqubo, kufakwa idivayisi efana nebhaluni ngepayipi elincane emthanjeni wegazi ovinjiwe, bese ivuvukala ukuze inwetshwe. Kube sekufakwa i-stent efana ne-mesh ukuze kuvinjelwe ukuthi umthambo ungaphinde unciphe.
- Ezinye izindlela: Kwabanye iziguli, amadivayisi akhethekile njenge-Merci Retrieval System kanye ne-Penumbra System manje asetshenziswa ukususa ihlule legazi.
Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe.
Ungasinda kanjani ku-stroke?
Kunezinto eziningi ongazenza ukuvimbela isifo sohlangothi uma unesifo sikashukela. Ukufaka lokhu endleleni yakho yokuphila kuyindlela engcono kakhulu yokuzivikela.
| Okufanele ukulandele | Kungani lokho kubalulekile? |
|---|---|
| Gwema ukubhema ngokuphelele. | Ukubhema kulimaza imithambo yegazi futhi kwandisa kakhulu ingozi yokushaywa yisifo sohlangothi. |
| Lawula amazinga kashukela egazini. | Ukulawulwa kahle kwesifo sikashukela kunganciphisa umonakalo emithanjeni yegazi. |
| Gcina isisindo esinempilo. | Isisindo esiningi sibangela umfutho wegazi ophakeme, i-cholesterol, kanye nesifo sikashukela. |
| Vivinya umzimba njalo. | Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto, kuqinisa inhliziyo nemithambo yegazi. |
| Hlola amazinga e-cholesterol. | Zama ukugcina izinga lakho le-cholesterol ye-LDL (embi) lingaphansi kuka-70 mg/dl. Udokotela wakho uzokweluleka ngalokhu. |
| Nciphisa utshwala. | Kunconywa ukuthi abesifazane bangaphuzi ngaphezu kwesisodwa ngosuku, kanti kwabesilisa bangaphuzi ngaphezu kwezimbili. |
| Hlola umfutho wegazi lakho njalo. | Uma umfutho wegazi wakho uphezulu, landela imiyalelo kadokotela wakho ukuze uwulawule. |
| Phuza imithi njengoba nje udokotela ekuyalele. | Kubalulekile ukuthatha imithi udokotela wakho ayinikezayo (isib. i-aspirin, imithi yokwehlisa i-cholesterol) njengoba uyalelwe. Ungalokothi uqale noma uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuba nesifo sikashukela kwandisa kakhulu ingozi yokushaywa yisifo sohlangothi.
- Kubaluleke kakhulu ukuya eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela ngokushesha uma ubona noma yiziphi izimpawu eziphuthumayo, njengokungazweli/ukulahlekelwa ukuqonda kolunye uhlangothi lomzimba noma ubunzima bokukhuluma.
- Indlela engcono kakhulu yokuvimbela isifo sohlangothi ukugcina ushukela egazini, umfutho wegazi, kanye namazinga e-cholesterol elawulwa kahle.
- Ukuyeka ukubhema, ukuzivocavoca njalo, nokudla ukudla okunempilo kungasiza ekusindiseni impilo yakho.
- Khuluma nodokotela wakho njalo futhi ulandele iseluleko sakhe mayelana nokwelashwa kanye nokushintsha kwendlela yokuphila.
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