Namuhla, sixoxa ngesimo esibucayi esibalulekile ukuthi usiqonde: i-Lacunar Stroke. Kungenzeka ukuthi uke wezwa nge-general stroke, kodwa i-Lacunar Stroke uhlobo oluthile noluhlukile. Kalula nje, kwenzeka lapho umthambo wegazi omncane, obuthakathaka ngaphakathi ebuchosheni bakho uvalwa yi-clot, njengepayipi elincane elivalekile futhi livimba ukugeleza kwamanzi.
I-Lacunar Stroke yenzeka lapho ukunikezwa kwegazi endaweni encane kakhulu ejulile ebuchosheni bakho kuphazanyiswa ukuvaleka, okubangela umonakalo kuleyo thishu ethile. Lokhu kuhlukaniswa ngaphansi kwesigaba esibanzi se- Ischemic Stroke . Odokotela bavame ukubiza lokhu ngokuthi 'i-Lacunar Infarct.' Igama elithi 'infarction' libhekisela ekufeni kwethishu okubangelwa ukuntuleka kokunikezwa kwegazi. Empeleni, i-stroke yinoma yisiphi isenzakalo esivimbela ukugeleza kwegazi ebuchosheni bakho.
Lesi yisimo esiphuthumayo sezokwelapha esisongela impilo esidinga ukungenelela okusheshayo. Uma wena noma othile ohamba naye ebonisa izimpawu zesifo sohlangothi, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho ngokushesha. Uma uthola ukunakekelwa esibhedlela ngokushesha futhi uqala ukwelashwa, amathuba okululama okuhle nokusindisa impilo yakho ayanda. Umzuzwana ngamunye ubalulekile.
Hlala unolwazi nge-Nirogi Lanka.
Ziyini izimpawu ze-Lacunar Stroke?
Izimpawu zesifo sohlangothi esibizwa ngokuthi i-lacunar stroke zifana kakhulu nezinye izinhlobo zesifo sohlangothi esibizwa ngokuthi i-ischemic stroke. Ungase ubhekane nesinye noma ngaphezulu salezi zimpawu ngokuzumayo:
- Ubuthakathaka noma ukuba ndikindiki kolunye uhlangothi lobuso noma lomzimba wakho.
- Ubunzima bokukhuluma, inkulumo engacacile, noma ukulahlekelwa yinkulumo ngokuphelele, okwaziwa ngokuthi i-Aphasia .
- Inkulumo engacacile noma ukungingiza, okubizwa ngokuthi i-Dysarthria ngokwezokwelapha.
- Ukulahlekelwa ukulawula imisipha yobuso, okuvame ukubonakala njengohlangothi olugobile lomlomo.
- Ukwehla noma ukulahlekelwa ukusebenza ngokuzumayo kunoma yiziphi izinzwa zakho ezinhlanu (umbono, ukuzwa, ukuhogela, ukunambitha, noma ukuthinta).
- Ukubona okufiphele noma okuphindwe kabili, okwaziwa ngokuthi i-Diplopia .
- Ukulahlekelwa ibhalansi, ukuhambisana, noma ubunzima bokulawula ukunyakaza kwezitho zomzimba, okuvame ukubonakala njengomuntu odakiwe, owaziwa ngokuthi i-Ataxia .
- Isiyezi noma i-vertigo.
- Isicanucanu nokuhlanza.
Usola ukuthi une-stroke? Uyakhumbula indlela ethi 'BE FAST'!
Ukuze sikusize usheshe ubone ukuthi wena noma othandekayo wakho nibhekene nezimpawu eziyisixwayiso zesifo sohlangothi, khumbula isifinyezo esithi 'BE FAST' :
- B for Balance: Ingabe kukhona ukulahlekelwa yibhalansi ngokuzumayo? Ingabe unenkinga yokuma noma yokuhamba?
- E for Eyes: Ingabe kukhona ukulahlekelwa umbono ngokuzumayo kwelinye noma womabili amehlo, ukufiphala, noma ushintsho ekuboneni kwakho?
- F for Face: Cela umuntu ukuthi amamatheke. Ingabe uhlangothi olulodwa lobuso luyagoba? Ingabe umlomo udonseleke kolunye uhlangothi?
- A for Izingalo: Cela umuntu ukuthi aphakamise zombili izingalo. Ngesikhathi sokushaya, ingalo eyodwa ingase yehle iye phansi noma izwakale ingenakwenzeka ukuyiphakamisa.
- S for Speech: Ingabe inkulumo iyinkimbinkimbi, iyaguquguquka, noma kunzima ukuyiqonda? Ingabe umuntu angakwazi ukuphinda umusho olula ngokucacile?
- Isikhathi: Isikhathi sibalulekile! Uma ubona noma yiziphi zalezi zimpawu, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho ngokushesha. Uma kungenzeka, bhala isikhathi lapho izimpawu ziqale khona. Ukwabelana ngalesi sikhathi nochwepheshe bezokwelapha kubasiza ukuthi banqume ukwelashwa okusebenzayo kakhulu kuwe.
Kuthiwani nge-'Mini-Stroke'?
Ngezinye izikhathi, ungase ube ne- Transient Ischemic Attack (TIA) , evame ukubizwa ngokuthi 'i-mini-stroke.' Lezi zimpawu zifana ne-stroke evamile kodwa zixazululeka zodwa, ngokuvamile zingakapheli amahora angu-24. Kodwa-ke, lokhu kuyisibonakaliso esibucayi sokuthi i-stroke enkulu ingase yenzeke maduze.I-TIA idinga ukuhlolwa kwezokwelapha ngokushesha; ungalokothi uyishaye indiva.
Yini ebangela i-Lacunar Stroke?
Njengoba kushiwo, i-lacunar stroke yenzeka lapho umthambo omncane ojulile ebuchosheni bakho uvaleka. Lezi zindawo zivame ukufaka izikhungo ezibalulekile njenge- Basal Ganglia kanye ne-Thalamus , ezilawula ukuqonda kwakho kwezinzwa kanye nemisebenzi yokunyakaza.
Izimo eziningana zempilo zinegalelo ekwakhekeni kwalezi zinhlayiya, okuhlanganisa:
- Umfutho wegazi ophakeme (Umfutho wegazi ophezulu): Lesi yisici esiyinhloko nesiyingozi kakhulu. Uma unomfutho wegazi ophakeme, ukuwulawula kubalulekile empilweni yakho yesikhathi eside.
- I-Hyperlipidemia (I-Cholesterol Ephakeme): I-cholesterol 'embi' ngokweqile inganqwabelana emithanjeni yegazi, iyinciphise futhi ivimbele ukuhamba kwegazi.
- Izinkinga Zokujiya Kwamahlule: Abanye abantu bathambekele kakhulu ekujiyeni kwegazi kalula.
- Ukutheleleka kwe-COVID-19: Lokhu kuhlotshaniswa nengozi eyengeziwe yokwakheka kwamahlule egazi kwezinye iziguli.
- Ukutheleleka okuthinta izicubu: Ukutheleleka okukhulu njenge- Sepsis kungabangela ukuthi imfucumfucu yezicubu ingene egazini futhi ivimbe imithambo yegazi ebuchosheni.
Khumbula, umfutho wegazi ophakeme ongalawuleki uyisitha esikhulu mayelana nokushaya kwenhliziyo okubangelwa yi-lacunar. Xhumana nodokotela wakho eNirogi Lanka ukuze ugcine umfutho wegazi wakho ungaphakathi kwebanga elifanele nelinempilo.
Ubani osengozini enkulu yokuthola i-Lacunar Stroke?
Nakuba noma ubani angaba nesifo sohlangothi esibizwa ngokuthi i-lacunar stroke, kunezici ezithile ezandisa ingozi yakho:
- Uneminyaka engu-65 noma ngaphezulu.
- Abantu abansundu (abaxhumene nenhlanganisela yezici zofuzo kanye nezenhlalo-zomnotho).
- Ukubhema noma ukusebenzisa imikhiqizo esekelwe kwi-nicotine (isb., ukuvapha).
- Ukusetshenziswa kwezidakamizwa ezingekho emthethweni.
Ngaphezu kwalokho, ezinye izimo zezokwelapha zandisa ingozi yakho:
- Ukuguqulwa kwezakhi zofuzo ku-'NOTCH3' gene (okuhambisana nesimo esingavamile esibizwa ngokuthi i-CADASIL).
- I-Atrial Fibrillation noma okunye ukungahambi kahle kwesigqi senhliziyo (okungaholela ekwakhekeni kwamahlule).
- Inkinga yokusebenzisa utshwala.
- I-atherosclerosis , isimo lapho izindonga zemithambo yegazi ziqina futhi ziqine khona.
- Isifo Sikashukela.
Odokotela bayixilonga kanjani ngokunembile iLacunar Stroke?
Udokotelainquma ukuthi uke waba nesifo sohlangothi esibizwa ngokuthi i-lacunar stroke ngokusekelwe ezimpawini zakho, ukuhlolwa kwezinzwa, ukuhlolwa ngokomzimba, kanye nokuhlolwa okuningana okukhethekile kokuxilonga. Uma ulethwa emnyangweni wezimo eziphuthumayo, ithimba lezokwelapha lingenza lokhu kuhlola ukuqinisekisa ukuxilongwa.
Ukuqinisekisa ukuthi uke waba nesifo sohlangothi esibizwa ngokuthi i-lacunar stroke, odokotela bangase basebenzise lezi zivivinyo ezilandelayo:
- Ukuhlolwa kwegazi: Ukuhlola izinkinga ezifana nezinkinga zokujiya kwegazi, isifo sikashukela, kanye namazinga e-cholesterol.
- I-CT scan: Ukuthatha izithombe zobuchopho bakho bese unquma ngokushesha ukuthi isifo sohlangothi sibangelwa ukopha noma ukuvaleka komthambo wegazi.
- I-EEG (i-Electroencephalogram): Ukuqapha ukusebenza kukagesi kobuchopho bakho (kuyadingeka ezimweni ezithile).
- I-ECG (i-Electrocardiogram): Ukuhlola ukuthi ukushaya kwenhliziyo yakho akujwayelekile noma ukuthi kunezimpawu zokuhlaselwa yinhliziyo.
- I-MRI: Ukuze uthole izithombe ezicacile nezinemininingwane zobuchopho bakho. Lokhu kubalulekile ekuhloleni ngokunembile izinga lomonakalo obangelwe yisifo sohlangothi.
Yiziphi izindlela zokwelapha ezitholakalayo zokushaya kwe-lacunar?
Okubaluleke kakhulu lapho welapha isifo sohlangothi esibangelwa yi-lacunar ukubuyisela ukugeleza kwegazi ebuchosheni bakho ngokushesha okukhulu. Odokotela bathatha isinyathelo esiphuthumayo ukuze banciphise ingozi yokulimala kobuchopho unomphela noma ukufa.
Kunezindlela ezimbili zokwelapha eziyinhloko:
- Ukwelashwa nge-Thrombolytic: Lena imithi eqeda amahlule egazi. Ngokuvamile inikezwa zingakapheli amahora amane nesigamu kusukela ekuqaleni kwezimpawu. Ngale kwaleli windi, ingozi yokopha kwangaphakathi okuyingozi iyanda kakhulu.
- Ukuhlinzwa kwe-thrombectomy ngomshini: Lena inqubo yokususa ihlule. Udokotela ohlinzayo ufaka ithubhu elincane (i- catheter ) emthanjeni wegazi kwenye ingxenye yomzimba wakho bese eliqondisa emthanjeni ovalekile ebuchosheni bakho. Ihlule liyabe selikhishwa noma liqhekeke. Qaphela ukuthi imithambo ethintekile ezifweni eziningi ze-lacunar strokes ingaba mincane kakhulu kule nqubo; ithimba lakho lezokwelapha lizokweluleka ngesinyathelo esingcono kakhulu ongasithatha.
Ngaphezu kwalokho, ungadinga ukwelashwa okulandelayo:
- Ama-blood thinner: Ama-anticoagulant avimbela igazi lakho ukuthi lingajiyi kalula futhi anganikezwa ngemva kokwelashwa nge-thrombolytic.
- Ukulawulwa komfutho wegazi: Odokotela bazokunikeza imithi yokulawula umfutho wegazi lakho futhi bawugcine usezingeni eliphephile.
Ingabe ukuvuselelwa kubalulekile ngemva kokuhlaselwa yisifo sohlangothi?
Yebo, impela! Ukuvuselelwa kuyingxenye ebalulekile yokululama kwakho. Kukusiza ukuthi uzivumelanise nezinguquko ezibangelwa yisifo sohlangothi futhi ubuyisele amakhono alahlekile noma ufunde ukubhekana nezinselele ezintsha. Kuye ngezidingo zakho, ungase uhileleke kokunye noma ngaphezulu kwalokhu okulandelayo:
- Ukwelashwa kokukhuluma: Kusiza ekuthuthukiseni amakhono akho olimi, inkulumo, kanye nokulawula imisipha okudingekayo ekuphefumuleni, ekudleni nasekugwinyeni. Qaphela ukuthi ngemva kokushaya kwenhliziyo okubangelwa yi-lacunar, imithi yokulwa nama-platelet nayo ivame ukudingeka.
- Ukwelashwa ngokomzimba:Igxile ekuqiniseni imisipha yakho, ekuthuthukiseni ibhalansi yakho, kanye nokubuyisela ukusebenza kwezingalo nemilenze yakho.
- Ukwelashwa Komsebenzi: Kukusiza ekwenzeni imisebenzi yansuku zonke ngokuphephile, ikakhulukazi leyo edinga amakhono okunyakaza (isib. ukudla, ukugqoka, ukubhala).
- Ukuvuselelwa kwengqondo: Kwenzelwe ukuthuthukisa inkumbulo yakho, ukunaka, kanye neminye imisebenzi yengqondo.
Impilo injani ngemva kokuhlaselwa yisifo sohlangothi esibizwa ngokuthi i-lacunar stroke? Ngingalulama ngokuphelele?
Amazinga okusinda ayathuthuka ngenxa yokwelashwa okuthuthukisiwe nokusheshayo. Kodwa-ke, lonke uhambo lokululama luhlukile. Nakuba ukushaywa yi-lacunar (kanye nezinye izifo zokushaya kwenhliziyo) ngokuvamile kunezinga lokusinda eliphakeme kunezifo zokushaya kwenhliziyo , lokhu akuqinisekisi umphumela othize kuwe.
Ukululama kungumuntu ngamunye; ungase uphinde usebenze ngokugcwele, noma ungase ubhekane nezinselele ezintsha noma eziqhubekayo. Umphumela wakho uncike ezintweni ezifana nobudala bakho, isivinini sokungenelela kwakho kwezokwelapha, kanye nempilo yakho iyonke. Iningi labantu lidinga izinyanga eziningana ukuze lilulame. Udokotela wakho waseNirogi Lanka uzokuqondisa ohlelweni lwakho lokululama ngokusekelwe ezidingweni zakho ezithile.
Ingabe isifo sohlangothi se-lacunar singavinjelwa?
Yebo, ngokuphawulekayo! Ukuphatha impilo yakho iyonke kuyindlela engcono kakhulu yokuzivikela. Zama ukugxila kulokhu okulandelayo:
- Gcina umfutho wegazi lakho, amazinga e-cholesterol, kanye nezinye izimo eziyisisekelo (njengesifo sikashukela) ngaphansi kokulawula okuqinile. Njalo thatha imithi oyinikezwe ngudokotela njengoba nje uyalelwe.
- Yidla ukudla okunempilo kwenhliziyo okucebile ngemifino, izithelo, imifino enamaqabunga kanye ne-fiber. Sebenzisana nodokotela wakho ukuze ugcine isisindo somzimba esinempilo.
- Uma ubhema, yeka ngokushesha. Gwema yonke eminye imikhiqizo ye-nicotine.
- Yenza umsebenzi wokuzivocavoca umzimba njalo. Zibekele okungenani imizuzu engama-30 yokuzivocavoca okulingene, njengokuhamba ngokushesha, nsuku zonke.
Hlela ukuhlolwa kwezokwelapha njalo ngonyaka (noma njengoba kuceliwe udokotela wakho). Izimo eziningi eziholela ekushayweni yi-lacunar stroke zikhula kancane kancane ngokuhamba kwesikhathi, ngokuvamile ngaphandle kokubonisa izimpawu ezisobala. Udokotela wakho angakusiza ekuboneni lezi zimpawu zokuxwayisa kusenesikhathi futhi anikeze izindlela zokungenelela ezidingekayo ukuze uhlale uphephile.
Ngingazinakekela kanjani ngemva kokuhlaselwa yisifo sohlangothi?
Ukululama nokuvuselelwa ngemva kokuhlaselwa yisifo sohlangothi kungaba nzima ngokomzimba nangokomzwelo. Uma wena nodokotela wakho senisungule uhlelo lokwelashwa oluqondene nomuntu ngamunye, kubalulekile ukululandela njalo. Ngokuvamile, kufanele ugxile kulokhu okulandelayo:
- Phuza imithi yakho njengoba uyalelwe. Lokhu kubaluleke kakhulu uma usebenzisa imithi yokunciphisa igazi. Ukuphathwa kwemithi njalo kusiza ukuvimbela ukuqhekeka kwegazi esikhathini esizayo futhi kusekela inqubo yokuphulukisa yomzimba wakho.
- Yiba khona kuzo zonke izikhathi zakho zokuvuselelwa kanye nokwelashwa. Uma noma yikuphi ukuvivinya umzimba noma umsebenzi okubangela ukungakhululeki noma uzizwa ungaphephile, khuluma nomeluleki wakho ngokushesha. Nakuba ukuvuselelwa kudinga umzamo, akufanele uphoqeleke ukubekezelela ubuhlungu obungadingekile.
- Beka impilo yakho yengqondo phambili. Kuvamile kakhulu ukuzwa ukucindezeleka noma ukukhathazeka ngemva kokuhlaselwa yisifo sohlangothi. Inhlalakahle yakho yengqondo ibaluleke njengokululama kwakho ngokomzimba. Ukuzizwa ucindezelekile noma uphansi akukwenzi ube buthakathaka. Uma ubhekene nobunzima, sicela uxhumane nodokotela wakho noma umeluleki wezempilo yengqondo ofanelekile.
Yikuphi ukudla neziphuzo okufanele ngizigweme?
Udokotela wakho angase asikisele izinguquko ezithile zokudla ukuze aphathe izimo zakho zempilo futhi anciphise ingozi yokuqhekeka kwegazi esikhathini esizayo ngemva kokuhlaselwa yisifo sohlangothi. Izinguquko ezincane emikhubeni yakho yansuku zonke zingenza umehluko omkhulu.
Ngokuvamile, kufanele uzame ukunciphisa noma ukugwema:
- Utshwala
- Iziphuzo ezine-caffeine (zama ukunciphisa ukuphuza itiye nekhofi)
- Ukudla neziphuzo ezinoshukela omningi
- Ukudla okune-sodium eningi (nciphisa usawoti lapho upheka futhi ugweme ukudla okucutshungulwe ngosawoti omningi)
- Ukudla okuthosiwe
- Ukudla okucutshungulwe kakhulu (isb., amasoseji, ama-meatball, ukudla okulula okupakishwe)
Kufanele ngifune nini usizo oluphuthumayo?
Uma uhlangabezana nanoma yiziphi izimpawu zesifo sohlangothi esiphindaphindayo, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho ngokushesha. Isifo sohlangothi esilandelayo singaholela ezinkingeni ezinkulu futhi singasongela impilo. Ungalibali ukufuna usizo oluphuthumayo.
Labo abaye baba nesifo sohlangothi esibizwa ngokuthi i-lacunar stroke basengozini enkulu yezinkinga ezinkulu, okuhlanganisa:
- I-Deep Vein Thrombosis (DVT) (ukuqhekeka kwegazi emithanjeni ejulile yemilenze)
- Isifo senhliziyo
- Inyumoniya
- I-pulmonary embolism (i-blood clot emaphashini)
- Ukuquleka
Uma ubona izimpawu zanoma yiziphi zalezi zimo, funa usizo oluphuthumayo ngokushesha.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Ungangabazi ukubuza udokotela wakho imibuzo ngesikhathi sokubonana naye. Cabanga ngokubuza okulandelayo:
- 'Kukuphi ngempela engqondweni yami lapho lesi sifo sohlangothi esibizwa ngokuthi i-lacunar stroke senzeke khona?'
- 'Iyini imbangela eyinhloko noma isimo esiyisisekelo esiholele kulokhu?'
- 'Yimiphi imithi engiyidingayo, futhi kufanele ngiyithathe kanjani?'
- 'Yiziphi izinguquko zendlela yokuphila ezibaluleke kakhulu kimi njengamanje?'
- 'Yiziphi ezinye izinyathelo engingazithatha ukuvimbela esinye isifo sohlangothi?'
- 'Uhlelo lwami lokuvuselela luzothatha isikhathi esingakanani, futhi yimiphi imiphumela engingayilindela ngempela?'
Imicabango Yokugcina
I-lacunar stroke (eyaziwa nangokuthi i-lacunar infarct) ithinta imithambo yegazi emincane ejulile ebuchosheni, kodwa ingaba nomthelela omkhulu empilweni yakho iyonke. Ngakho-ke, ukuhlolwa njalo kwezokwelapha kubalulekile. Udokotela wakho uzosebenza nawe ukuthola nokuphatha izici eziyingozi (njengomfutho wegazi ophakeme, i-cholesterol, nesifo sikashukela) ezifaka isandla engcupheni yesifo sohlangothi. Xoxa nodokotela wakho ngamasu angcono kakhulu okuphatha lezi zingozi ngempumelelo.
Ngesikhathi sohambo lwakho lokululama, khumbula ukugubha yonke ingqophamlando encane. Ngisho nangezinsuku ezinzima, isinyathelo ngasinye sokuya phambili siyimpumelelo okufanele iqashelwe. Ziqhenye ngomsebenzi onzima owenzayo ekuvuseleleni kwakho.
Sithemba ukuthi lolu lwazi luwusizo. Hlala uphilile, futhi ukhumbule ukuthi iNirogi Lanka ilapha ukuze ikusize.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Ingabe i-Misophonia iwukwesaba nje imisindo?
Akuyona nje ukwesaba. I-Misophonia yisimo esiyinkimbinkimbi sezinzwa lapho "imisindo" ethile ephindaphindayo, efana nokuhlafuna, ukuchofoza ipeni, noma ukuphefumula okunzima - abanye abangase bayishaye indiva ingabangela impendulo engokomzwelo enamandla, engahlosiwe kuwe. Lokhu kungabonakala njengentukuthelo enkulu, ukucindezeleka, noma isifiso sokubalekela isimo. Empeleni "ukuzonda umsindo" ongakwazi ukukulawula kalula.
💬 Kungani ngizizwa ngithukuthele kakhulu uma ngizwa imisindo yokudla?
Sicela wazi ukuthi lokhu akuyona into yokuzikhethela noma isenzo sokungabi nanhlonipho; kuyinto engenziwa ngokuzithandela. Abantu abane-Misophonia abanakho ukuzwa okungcono kunanoma ubani omunye. Esikhundleni salokho, ngenxa yokungafani kwendlela ubuchopho obusebenzisa ngayo le misindo ethile, izikhungo zakho zokulawula imizwa ziyagcwala ngokweqile. Lokhu kubangela impendulo "yokulwa noma ukubaleka", okubangela umuzwa ovuthayo wentukuthelo okunzima kakhulu ukuwucindezela.
💬 Ingabe lesi simo singelashwa ngemithi?
Okwamanje, azikho imithi ethile yokwelapha i-Misophonia. Amasu okuphatha asebenza kahle kakhulu ahlanganisa i-Cognitive Behavioral Therapy (CBT) kanye nokusetshenziswa kwama-headphone okukhansela umsindo ukuze kuncishiswe ukuchayeka ezintweni ezibangela ukusabela. Okubaluleke kakhulu, ukuqonda nokusekelwa okuvela kwabathandekayo bakho, abangasiza ekunciphiseni le misindo endaweni okuyo, kuyizingxenye ezibalulekile zokunakekelwa kwakho eNirogi Lanka.
Amagama angukhiye: I-Lacunar Stroke, i-Lacunar Infarct, i-Brain Stroke, i-Stroke, i-Blood Clot, i-Hypertension, izimpawu ze-Stroke
