Kuthiwani uma umthambo wegazi oya ebuchosheni uvalekile? Ake sixoxe ngesifo sohlangothi esibangelwa yi-embolic stroke!

Kwenzekani uma ihlule legazi elakheka endaweni ethile emzimbeni wethu liphuma bese libhajwa emthanjeni wegazi ebuchosheni bethu? Kungumcabango owesabekayo, akunjalo? Yebo, yilokhu esikubiza ngokuthi 'i-embolic stroke'. Lesi yisimo esiphuthumayo sezokwelapha esisongela impilo. Uma kwenzeka into efana nale, umzuzwana ngamunye uyabaluleka, ngakho ukuthola ukwelashwa ngokushesha okukhulu kuyinto ebaluleke kakhulu.

Kuyini i-embolic stroke? Ake sikuqonde kalula.

Kalula nje, i-embolic stroke yilapho i-blood clot noma okunye (esikubiza ngokuthi 'i-embolism' ) inamathela emthanjeni wegazi othwala igazi liye ebuchosheni, imise ukugeleza kwegazi liye engxenyeni yobuchopho, okubangela umonakalo kuleyo ngxenye. Lokhu kungokwesigaba esikhulu esibizwa ngokuthi 'i-ischemic stroke' . Cabanga ngakho njengocezu lwemfucumfucu olunamathela epayipini lamanzi bese lumisa ukugeleza. Lapha, le 'embolism', okusho i-blood clot, ivame ukwakheka emthanjeni omkhulu wegazi kwenye indawo emzimbeni, mhlawumbe enhliziyweni, bese iphuma lapho, ihambe egazini bese inamathela emthanjeni omncane wegazi ebuchosheni. Bese ingxenye yobuchopho enikezwa igazi yilowo mthambo ayitholi umoya-mpilo nezakhamzimba.

Ziyini izimpawu zesifo sohlangothi esibangelwa yi-embolic stroke?

Izimpawu zifana nezinye izinhlobo zokuhlaselwa yisifo sohlangothi. Zingavela ngokuzumayo , ngakho-ke kubalulekile ukuthi wena nabathandekayo bakho nizazi.

• I-Aphasia yisimo lapho ikhono lokukhuluma liphazamiseka noma lilahleka ngokuphelele. Ungase ungakwazi ngisho nokuqonda okushiwoyo.
• Ukufiphala kombono ngokuzumayo , ukubona okuphindwe kabili (i-Diplopia), noma ukulahlekelwa umbono kwelinye noma kuwo womabili amehlo.
• Umuzwa osheshayo wokudideka nokudideka, ukhohlwa ukuthi ukuphi nokuthi isikhathi sini.
• Kwezinye izimo ezinzima kakhulu , kuba nokulahlekelwa ngokuphelele kwengqondo (i-Coma).
• I-Vertigo umuzwa wokujikeleza nokulahlekelwa ibhalansi .
• Ikhanda elibuhlungu ngokuzumayo, elinzima . Lokhu kuhlukile ekhanda elibuhlungu elivamile futhi kungaba nzima ukubekezelela.
• Ukukhohlwa ukulahlekelwa inkumbulo ngokuzumayo .
• Izinguquko ezingazelelwe ekuziphatheni , njengokuthukuthela noma ukucasuka.
• Isicanucanu nokuhlanza .
• Ukuzwa ukuqina entanyeni .
• Ukuhudulwa nokuwa uqulekile .
• Ukuba nesithuthwane (Ukuquleka) .
• Inkulumo engacacile kanye nokungakwazi ukuphimisa amagama ngendlela efanele (i-Dysarthria).
• Ukuncipha noma ukulahlekelwa ngokuphelele kwemizwa yezinzwa njengokubona, ukuzwa, ukuhogela, ukunambitha, kanye nokuthinta .
• Ukuba ndikindiki, ukuqaqamba, noma ubuthakathaka ohlangothini olulodwa lobuso noma lomzimba .

Yiziphi izimpawu eziyisixwayiso zesifo sohlangothi esibangelwa yi-embolic stroke? Khumbula 'UKUSHESHA'!

Kubalulekile ukukhumbula incazelo yamagama esiNgisi athi 'BE FAST' ukuze uqaphele ukuthi wena noma othile omaziyo unesifo sohlangothi. Umzuzwana ngamunye uyabalwa ngalesi sikhathi! Uma ushesha ukwenza okuthile, kulapho umonakalo ongawenza khona.

• B - Ibhalansi: Bheka ukuthi ulahlekelwa yibhalansi yakho ngokuzumayo noma uma ukhubeka ngenkathi uhamba.
• E - Amehlo: Hlola ukulahlekelwa umbono ngokuzumayo, ukubona okufiphele, noma ukubona okubili .
• F - Ubuso: Mamatheka bese ubheka. Bheka ukuthi uhlangothi olulodwa lobuso luyagoba noma lubukeka ludonsekile.
• A - Izingalo: Phakamisa izingalo zombili phambili. Uma une-stroke, ingalo eyodwa ingase ingakwazi ukuphakanyiswa kahle futhi ingase iwele phansi noma ingase ibe nobunzima bokuyiphakamisa.
• S - Inkulumo: Bheka ukuthi inkulumo yakho noma yomunye umuntu ayicacile, inenkinga yokukhetha amagama afanele, noma kunzima ukuyiqonda .
• Isikhathi: Isikhathi sibaluleke kakhulu! Uma ubona noma yiziphi zalezi zimpawu , shayela u-911 ngokushesha bese uthola i-ambulensi . Uma kungenzeka, bheka iwashi noma ifoni yakho ukuze ukhumbule isikhathi izimpawu zakho eziqale ngaso. Uma utshela udokotela ngaleso sikhathi, kuzoba lula ngaye ukukhetha ukwelashwa okungcono kakhulu.

Yini ebangela i-embolic stroke?

Imbangela eyinhloko yesifo sohlangothi esibangelwa yi-embolic stroke, njengoba sishilo ngaphambili , 'i-embolism' . Lokhu kusho ukuthi ihlule legazi (ngokuvamile i-bubble yomoya, inhlayiya yamafutha, noma enye into) elakheka endaweni eyodwa emzimbeni liyaphuma lapho, lihambe egazini, bese linamathela emthanjeni wegazi ebuchosheni.

Kunezifo eziningana ezingabangela ukwakheka kwamahlule egazi:

• I-Atrial Fibrillation: Lesi yisimo lapho amakamelo aphezulu enhliziyo (i-atria) enganciphi kahle, kodwa kunalokho ashaya ngokushesha nangokungajwayelekile. Lokhu kubangela ukuthi igazi lihlangane ngaphakathi enhliziyweni, okwenza kube lula ukuthi kwakheke amahlule egazi. Lawa yiwo avame ukuqhekeka futhi aye ebuchosheni.
• I-atherosclerosis: Lokhu kwenzeka lapho ama-fatty deposits afana ne-cholesterol eqoqana ngaphakathi kwemithambo yegazi (imithambo yegazi), okwenza izindonga zemithambo yegazi ziqine futhi zinciphe. La ma-fatty deposits (ama-plaque) angaphuka futhi avimbe imithambo yegazi ebuchosheni.
• Izinkinga zokujiya kwegazi: Abanye abantu bangase babe nomkhuba wokuba igazi labo lijiye kalula, kungaba ngenxa yezakhi zofuzo noma ezinye izifo.
• Ezinye izimo ezithelelanayo, njenge- COVID-19, nazo zandisa ingozi yokuqhekeka kwegazi.
• Ukutheleleka okubangela ukufa kwezicubu . Isibonelo, ku- sepsis , ukutheleleka okukhulu, amagciwane noma izingcezu zezicubu ezifile zingangena egazini ziye ebuchosheni. Lokhu kungenzeka futhi ekuthelelekeni kwe-valve yenhliziyo (i-infective endocarditis).

Ukuhlaselwa kwe-ischemic okufushane kwe-embolic (TIA)

Ngezinye izikhathi ukuhlaselwa kwe-ischemic okuhamba kancane (i-TIA), okwaziwa nangokuthi i-mini-stroke, kungenzeka. Lokhu kufana ne-stroke, ngoba ukunikezwa kwegazi ebuchosheni kuyaphazamiseka okwesikhashana. Kodwa-ke, izimpawu zivame ukuxazululeka phakathi kwemizuzu embalwa kuya ehoreni elilodwa noma amabili njengoba i-clot incibilika noma ihamba futhi ikhishwa ekuvalekeni. Kodwa-ke, lokhu kuyisibonakaliso esiyisixwayiso sokuthi usengozini enkulu yokuba ne-stroke enkulu esikhathini esizayo . Umuntu oke waba ne-TIA angadinga ukunakekelwa kwezokwelapha ngokushesha ukuze athole imbangela futhi aqale ukwelashwa ukuze avimbele i-stroke enkulu.

Ubani osengozini enkulu yokuthola isifo sohlangothi esibangelwa yi-embolic stroke?

Noma ubani angaba nesifo sohlangothi esibangelwa yi-embolic stroke, kodwa abanye abantu basengozini enkulu:

• Kwabantu abamnyama.
• Kubantu abaneminyaka engaphezu kwengu-65 ubudala (ingozi iyanda njengoba iminyaka ikhula).
• Kulabo ababhemayo noma abasebenzisa eminye imikhiqizo kagwayi/i-nicotine (isib., abahlafuni, abahlafuna). Ukubhema konakalisa imithambo yegazi futhi kunegalelo ekuqhekekeni kwegazi.
• Kulabo abasebenzisa izidakamizwa (ikakhulukazi i-cocaine nama-amphetamine) .

Futhi, abantu abanezimo ezithile zezokwelapha basengozini enkulu:

• Kulabo abaphuza ngokweqile (isifo sokusebenzisa utshwala).
• Kubantu abanesifo sikashukela . Isifo sikashukela singalimaza imithambo yegazi.
• Kulabo abanomfutho wegazi ophakeme (umfutho wegazi ophakeme) . Uma lokhu kungalawulwa, kungabangela umonakalo wesikhathi eside emithanjeni yegazi.
• Kubantu abane -cholesterol ephezulu (i-Hyperlipidemia) egazini . Lokhu kubangela 'i-atherosclerosis'.
• Abantu abanesifo senhliziyo (isib. i-atrial fibrillation, izinkinga ze-valve yenhliziyo, ukuhlaselwa yinhliziyo ngaphambilini).

Ungayibona kanjani i-embolic stroke? (Ukuxilongwa)

Udokotela uzokutshela kahle ukuthi iyini i-embolic stroke. Uma uya esibhedlela, into yokuqala abayenzayo ukubuza ngezimpawu zakho, njengalapho ziqale khona. Bese benza ukuhlolwa kwezinzwa . Lokhu kuhlola inkulumo yakho, umbono, amandla, kanye nokusabela komzimba. Baphinde benze ukuhlolwa okujwayelekile komzimba kanye nezinye izivivinyo ezimbalwa.

Ukuhlolwa okufana nalokhu kusetshenziselwa ukuqinisekisa isifo sohlangothi:

• Ukuhlolwa kwegazi: Hlola izinto ezifana nezinkinga zokujiya kwegazi, amazinga kashukela, kanye ne-cholesterol.
• I-CT scan: Lokhu kuthatha izithombe zobuchopho futhi kunganquma ngokushesha ukuthi kukhona ukopha noma imithambo yegazi evalekile (i-ischemic stroke).
• I-MRI scan: Lokhu kunikeza izithombe ezinemininingwane eminingi kune-CT scan. Kuyasiza ukubona ukuthi yimuphi umonakalo owenzekile ebuchosheni.
• Ukuhlolwa kwe-ECG (Electrocardiogram - EKG): Lokhu kuhlola ukusebenza kukagesi kwenhliziyo ukuze kuhlolwe izinkinga zesigqi senhliziyo njenge-atrial fibrillation.
• Ukuhlolwa kwe-EEG (Electroencephalogram - EEG): Lokhu kungenziwa futhi ukuhlola umsebenzi kagesi wobuchopho, njengoba izimo ezifana nokuquleka ngezinye izikhathi zingadidaniswa nesifo sohlangothi.
• I-Carotid Ultrasound: Ukuhlola ukugcinwa kwamafutha kanye nokuncipha kwemithambo yegazi eyinhloko entanyeni (imithambo ye-carotid).
• I-Echocardiogram: Ukuhlolwa kwenhliziyo nge-ultrasound. Ukuhlola amahlule egazi enhliziyweni nasezinkingeni zamavalvu.

Yiziphi izindlela zokwelapha isifo sohlangothi esibangelwa yi-embolic stroke?

Into ebaluleke kakhulu lapho welapha isifo sohlangothi esibangelwa yi-embolic stroke ukubuyisela ukugeleza kwegazi ebuchosheni ngokushesha okukhulu . Odokotela benza lokhu ngokushesha okukhulu ngoba lokhu kunganciphisa ukulimala kobuchopho okungapheli futhi kusindise ngisho nokuphila. Kukhona isisho esithi, "Isikhathi Singubuchopho," okusho ukuthi umzuzu ngamunye odlula ngaphandle kwesikhathi, amangqamuzana obuchopho ayafa.

Kunezindlela ezimbili eziyinhloko zokwelapha ezivame ukusetshenziswa:

• Ukwelashwa nge-Thrombolytic: Lena imithi yokugoqa igazi (isib. i-Alteplase). Le mithi ifakwa emthanjeni ukuze kuncibilikiswe i-clot yegazi futhi kubuyiselwe ukugeleza kwegazi. Odokotela bavame ukuyinikeza kuphela uma ufika esibhedlela zingakapheli amahora amane nesigamu (amahora angu-4.5) kusukela ekuqaleni kwezimpawu zesifo sohlangothi . Ukuyinikeza kamuva kungandisa ingozi yokopha ngaphakathi kobuchopho.
• Ukuhlinzwa kwe-thrombectomy ngomshini: Lena inqubo engeyona eyokuhlinzwa esebenzisa idivayisi ekhethekile ukususa ihlule legazi. Udokotela ohlinzayo (i-neuroradiologist engenelelayo) ufaka ithubhu elincane, elincane (i-catheter) ngomthambo omkhulu osesinqeni noma engalweni bese elidlulisela ehlwini legazi ebuchosheni ngaphansi kwesiqondiso se-X-ray. Ihlule libe selithathwa kusetshenziswa idivayisi efana ne-mesh ebizwa ngokuthi i-stent retriever noma i-suction catheter. Lokhu ngokuvamile kungenziwa zingakapheli amahora ayi-6 kusukela ekuqaleni kwezimpawu zesifo sohlangothi, kodwa kungenziwa kuze kube amahora angama-24 kwezinye izimo. Lokhu kungcono kakhulu kubantu abanehlwili legazi emthanjeni omkhulu.

Ngaphezu kwalokho, kungadingeka ezinye izindlela zokwelapha:

• Ukulawula umfutho wegazi kanye namazinga kashukela egazini: Odokotela bakho bazoqapha umfutho wegazi lakho kanye namazinga kashukela egazini njalo ukuze basize ubuchopho bakho bululame. Ukuze banciphise umonakalo wobuchopho, bangase bakunikeze imithi yokwehlisa noma (kwezinye izimo) ukuphakamisa umfutho wegazi lakho.
• Izinto zokunciphisa igazi: Izinto ezivimbela ukugabha kwegazi (isib. i-Warfarin, i-Apixaban) noma izinto ezivimbela ukugabha kwegazi(Isib: I-Aspirin, i-Clopidogrel) Imithi evimba igazi ukuthi lingajiyi kalula. Kuye ngokuthi imbangela yesifo sohlangothi ikuphi, kungadingeka uqhubeke nokuthatha le mithi ngemva kokwelashwa nge-thrombolytic ukuze uvimbele esinye isifo sohlangothi.
• Ukususwa kwe-endarterectomy noma ukubekwa kwe-stent: Uma imithambo ye-carotid entanyeni incishiswa kakhulu yizinqwaba zamafutha (carotid stenosis), izinqwaba zamafutha zingasuswa ngokuhlinzwa (endarterectomy) noma kufakwe i-stent ngemithambo ukuze ivuleke. Lokhu kunganciphisa ingozi yokuqhekeka kwegazi elinye (embolism).
• Ukushisa komzimba okungekuhle okungekuhle: Kwezinye izimo, odokotela bangehlisa izinga lokushisa lomzimba wakho ngokuphephile kancane. Ezinye izifundo zibonisa ukuthi lokhu kungasiza ekunciphiseni ukulimala kobuchopho ngesikhathi nangemva kokuhlaselwa yisifo sohlangothi, kodwa lokhu akukabi ukwelashwa okujwayelekile okwamanje.
• Ukwelashwa nge-oxygen: Ngesikhathi sokuhlaselwa yisifo sohlangothi, ubuchopho abutholi umoya-mpilo owanele. Uma amazinga e-oxygen egazini lakho ephansi, odokotela bangakunikeza umoya-mpilo owengeziwe nge-cannula yamakhala noma i-mask yobuso. Lokhu kwenza kube lula ukuphefumula futhi kusiza ukuthumela umoya-mpilo emzimbeni wakho nasebuchosheni bakho.

Kunjani ukuvuselelwa ngemva kokuhlaselwa yisifo sohlangothi?

Ukuvuselelwa kwesifo sohlangothi kuyingxenye ebaluleke kakhulu yokwelashwa. Kubalulekile ukuthi uzivumelanise nezinguquko ebuchosheni nasemzimbeni wakho ngemva kwesifo sohlangothi futhi ubuyisele amandla akho amaningi ngangokunokwenzeka. Uhlelo lokuvuselelwa lwenzelwe wena ngqo, ngokusekelwe ezidingweni zakho. Lokhu kungabandakanya usizo lwabelaphi abafana nalaba:

• Ukwelashwa ngokomzimba: Qinisa imisipha yakho, uthuthukise ibhalansi yakho, futhi ubuyisele ikhono lokuhamba nokusebenzisa izingalo nemilenze yakho.
• Ukwelashwa Komsebenzi: Kukusiza ukuthi ufunde ukwenza imisebenzi yakho yansuku zonke (njengokudla, ukugqoka, nokugeza) ngokuzimela futhi. Kukusiza futhi ukuthi wenze imisebenzi yasekhaya neyomsebenzi ngokuphephile, ikakhulukazi leyo edinga ukunyakaza komzimba okuhle.
• Ukwelashwa kokukhuluma: Kukusiza ukuthi uphinde uthole noma uthuthukise amakhono akho olimi nokukhuluma (i-Aphasia, i-Dysarthria). Kuphinde kukuqeqeshe ukulawula imisipha ekusiza ukuthi ukhulume, uphefumule, udle, futhi ugwinye (i-Dysphagia).
• Ukuvuselelwa kwengqondo: Thuthukisa inkumbulo yakho, ukunaka, amakhono okuxazulula izinkinga, kanye namanye amakhono engqondo (uma ethintwe yisifo sohlangothi).
• Ukwelulekwa kwengqondo kungadingeka futhi, njengoba kuvamile ukuzwa ukucindezeleka, ukukhathazeka, kanye nokushintshashintsha kwemizwelo ngemva kokuhlaselwa yisifo sohlangothi.

Angakanani amathuba okusinda ku-embolic stroke?

Inani labantu abasinda ekushayweni yisifo sohlangothi liyanda nsuku zonke, njengoba sithola ukwelashwa okusha nokusheshayo. Kodwa-ke, akukho sikhathi esisodwa sokululama noma isibikezelo esisebenza kuwo wonke umuntu.

Ochwepheshe bathi cishe abantu abangu-80% abane-embolic stroke basinda okungenani inyanga yonke . Ngemva kwe-stroke yakho yokuqala, ingozi yakho yokuba ne-stroke enye iyanda. Abantu abaye baba ne-stroke eningi banesilinganiso esiphansi sokusinda. Yingakho kubaluleke kakhulu ukuvimbela esinye isifo sohlangothi.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlaselwa yisifo sohlangothi?

Umzimba wawo wonke umuntu usabela ngendlela ehlukile ku-embolic stroke. Lokho ongakulindela (`ukubikezela`) kuncike ezintweni eziningana:

• Ukuthi washeshe wathola ukwelashwa .
• Yiziphi izingxenye zobuchopho ezithintekile futhi ngezinga elingakanani .
• Ubudala bakho kanye nempilo yakho iyonke (kungakhathaliseki ukuthi unezinye izimo zezokwelapha).
• Indlela ohlanganyela ngayo ohlelweni lokuvuselela .

Kungathatha izinyanga kuya onyakeni noma ngaphezulu ukuthi abantu abaningi bafinyelele ezingeni elithile lokululama. Abanye abantu kungase kudingeke baphile nokukhubazeka okungapheli. Udokotela wakho uzokutshela ukuthi yini okufanele uyilindele. Bazokusiza ukuthi ubeke imigomo kanye nokulindela kokululama kwakho okuhambisana nempilo yakho nesimo sakho.

Singakuvimbela kanjani ukushaywa yisifo sohlangothi?

Indlela engcono kakhulu yokuvimbela i-embolism kanye ne-embolic stroke ukugcina impilo yakho iyonke nokulawula izinto ezikubangela ingozi . Zama ukwenza lezi zinto:

• Vivinya umzimba njalo (okungenani imizuzu engama-30 izinsuku ezi-5 ngesonto).
• Yidla ukudla okunomsoco nokulinganiselayo (izithelo eziningi, imifino, ubhontshisi, kanye nokusanhlamvu okuphelele okune-fiber, usawoti omncane, ushukela namafutha). Gcina isisindo esinempilo. Udokotela wakho angase akuncome ukuthi ulandele uhlelo lokudla olufana nokudla kwaseMedithera .
• Hlola umfutho wegazi lakho, i-cholesterol, kanye namazinga kashukela egazini njalo bese uwalawula . Thatha imithi yakho njengoba nje udokotela wakho ekuyalele.
• Yeka ukubhema ngokuphelele futhi ugweme ukuba sezindaweni lapho abanye abantu bebhema khona.
• Nciphisa noma uyeke ngokuphelele ukuphuza utshwala .
• Uma unesifo senhliziyo esifana ne-atrial fibrillation, thola ukwelashwa okufanele kwaso.

Bona udokotela njalo ngonyaka (noma njengoba udokotela wakho encoma) ukuze ahlolwe . Izifo nezinkinga eziningi ezingabangela ukushaywa yisisu ziyavela ngokuhamba kwesikhathi. Zingase zikwenze uzizwe ungcono. Udokotela wakho angakusiza ukuthi uqaphele futhi uphathe izimpawu eziyisixwayiso ngaphambi kokuba zandise ingozi yakho yokushaywa yisisu.

Ngingazinakekela kanjani ngemva kokuhlaselwa yisifo sohlangothi?

Ukululama nokulungisa ngemva kokuhlaselwa yisifo sohlangothi kungaba inqubo ende, ethatha isikhathi eside. Uma wena nodokotela wakho senisungule uhlelo lokwelashwa, namathela kulo eduze ngangokunokwenzeka. Ngokuvamile, kufanele:

• Qiniseka ukuthi uyaya emakilasini akho okwelapha kanye namanye amakilasi okwelapha . Yenza izivivinyo okunikezwa yilabo abalapha ekhaya. Tshela labo abalapha uma uzizwa ungakhululekile noma ungaphephile ukwenza noma yini. Ukuvuselelwa kuwumsebenzi onzima, kodwa akudingeki ube sezinhlungwini noma ungakhululeki ngaso sonke isikhathi.
• Cabanga nangempilo yakho yengqondo . Ukucindezeleka nokukhathazeka kuvame kakhulu ngemva kokuhlaselwa yisifo sohlangothi. Kuvamile ukucabanga izinto ezinjengokuthi, "Kungani lokhu kwenzeke kimi?" "Ingabe ngizophinde ngibe njengaye?" Ukuzizwa udangele noma udumele akukwenzi ube buthakathaka noma ube yisehluleki. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Uma uzizwa sengathi udinga usizo lokuthola okuthile ngesikhathi sokululama kwakho, khuluma nodokotela noma uchwepheshe wezempilo yengqondo (umeluleki, udokotela wezifo zengqondo). Ukusekelwa ngumndeni nabangane nakho kubaluleke kakhulu ngalesi sikhathi.
• Phuza imithi yakho ngqo, ngesikhathi, nangesilinganiso esifanele . Lokhu kubaluleke kakhulu uma uthatha imithi yokunciphisa igazi, umfutho wegazi ophakeme, i-cholesterol, noma isifo sikashukela. Kubalulekile ukunciphisa ingozi yokuqhekeka kwegazi esikhathini esizayo, futhi ukuthatha imithi yakho njengoba udokotela wakho ekutshelile kuzosiza umzimba wakho ululame.

Kunini lapho kudingeka ngiye khona eMnyangweni Wezimo Eziphuthumayo (i-ETU) futhi?

Uma ucabanga ukuthi unesinye isifo sohlangothi (khumbula UKUSHESHA!) , shayela u-911 noma inombolo yakho yezimo eziphuthumayo yasendaweni ngokushesha . Ingozi yezinkinga ezinkulu nokufa iphakeme kakhulu uma unesinye isifo sohlangothi . Ungalibali ukucela usizo noma ukuya ekamelweni lezimo eziphuthumayo.

Abantu abaye baba nesifo sohlangothi se-embolic basengozini yezinkinga ezinkulu kakhulu, njenge:

• Amahlule egazi emithanjeni ejulile yemilenze (i-Deep vein thrombosis - DVT): ukuvuvukala, ukubomvu, ubuhlungu emlenzeni.
• Ukuhlaselwa yinhliziyo: Ubuhlungu besifuba, ubunzima bokuphefumula.
• I-pneumonia: Umkhuhlane, ukukhwehlela, ubunzima bokuphefumula (ikakhulukazi kubantu abanenkinga yokugwinya, ukudla kungangena emaphashini - I-Aspiration Pneumonia).
• I-pulmonary embolism: Ukuphelelwa umoya ngokuzumayo, ubuhlungu besifuba, kanye nokushaya kwenhliziyo okusheshayo. Lokhu kungase kubangelwe ukuqhekeka kwegazi okuphuma ku-DVT.
• Ukuba nesicanucanu (Ukuquleka).

Uma uhlangabezana nezimpawu zalezi zinkinga, shayela izinsizakalo eziphuthumayo ngokushesha noma uye egumbini lezimo eziphuthumayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ngemva kokuba uhlaselwe yisifo sohlangothi, wena nomndeni wakho ningase nibe nemibuzo eminingi. Ungesabi ukubuza udokotela wakho ngayo.

• "Kungani ngibe nalesi sifo sohlangothi? Kwakheka kuphi ukujiya kwegazi (i-embolism)?"
• "Yisiphi isifo noma inkinga ebangele lokhu?"
• "Iyini ingozi yami yokuba nesifo sohlangothi futhi?"
• "Yimiphi imithi engiyidingayo ukuze ngiqhubeke ngiyithatha, ngiyithatha kanjani? Iyini imiphumela yayo emibi?"
• "Yiziphi izinguquko okudingeka ngizenze empilweni yami yansuku zonke? Izinto ezifana nokudla, ukuzivocavoca umzimba, njll."
• "Kuzothatha isikhathi esingakanani ngiyokwenza ukuvuselelwa?"
• "Ngizokwazi yini ukushayela bese ngiya emsebenzini futhi? Kuzoba nini lokho?"

"Ukuba nesifo sohlangothi kungashintsha impilo yakho. Kodwa lokho akusho ukuthi awuyena wena. Khumbula ukuzinika udumo ngalokho okufezayo ngesikhathi sokuvuselelwa nokululama kwakho. Ngisho noma kungazwakali kanjalo ngaso sonke isikhathi, yonke impumelelo encane ifanele ukudunyiswa."

Khuluma nodokotela bakho ngalokho ongakwenza ukuze uvimbele esinye isifo sohlangothi esikhathini esizayo. Bangakusiza ukuthi ulungise isimiso sakho sansuku zonke ukuze unciphise ingozi yokuba nesinye isifo sohlangothi. Ungesabi ukubuza imibuzo. Ungummeli ongcono kakhulu kuwe kanye nempilo yakho , futhi unelungelo lokuqonda konke abakutshela kona.

Ezinye izinto engicabanga ukuthi zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, ake sibheke ezinye zezinto okudingeka sizikhumbule kulokho esikhulume ngakho.

• I-embolic stroke yilapho ihlule legazi elakheka kwenye indawo emzimbeni (ngokuvamile enhliziyweni) lihlala emthanjeni wegazi ebuchosheni. Lesi yisimo esiphuthumayo sezokwelapha!
• Qaphela izimpawu ze -'BE FAST' (ukulahlekelwa ibhalansi, izinguquko embonweni, ukugoba kobuso, ukungazweli engalweni, inkulumo engacacile). Uma ubona lezi zimpawu , shayela u-1990 ngokushesha . Isikhathi sibaluleke kakhulu.
• Umfutho wegazi ophakeme, isifo sikashukela, isifo senhliziyo (ikakhulukazi i-atrial fibrillation), i-cholesterol ephezulu, kanye nokubhema yizinto ezibangela lokhu.
• Kubaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu. Ukwelashwa nge-Thrombolytic kanye ne-mechanical thrombectomy yizona zindlela zokwelapha eziyinhloko.
• Ukuvuselelwa kubalulekile ngemva kokuhlaselwa yisifo sohlangothi. Ukwelashwa ngenkulumo, ukwelashwa ngokomzimba, ukwelashwa ngokomsebenzi, kanye nokwelashwa kwengqondo kungasiza kulokhu.
• Ukuze uvimbele olunye uhlobo lokuhlaselwa yisifo sohlangothi, kubaluleke kakhulu ukwenza izinguquko endleleni yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba njalo , ukuyeka ngokuphelele ukubhema, kanye nokunciphisa utshwala) bese ulandela iseluleko sezokwelapha ngqo.
• Awuwedwa . Kukhona odokotela, abelaphi, umndeni, nabangani abangakusiza kulolu hambo. Buza udokotela wakho noma yini, cela usizo. Impilo yengqondo ibaluleke njengempilo yomzimba.

Ngiyethemba ukuthi lolu lwazi luwusizo kini, bangani abathandekayo. Hlalani niphilile futhi nijabule nonke!

` Isifo sohlangothi esibangelwa yi-embolic stroke, isifo sohlangothi, isifo sohlangothi, isifo sohlangothi lobuchopho, ihlule legazi, ukuvaleka kwemithambo yegazi, izimpawu zesifo sohlangothi, ukwelashwa kwesifo sohlangothi