Ingabe isifo sohlangothi singawuthinta umgogodla? (Isifo Sohlangothi Lomgogodla) Ake sixoxe ngalokhu!

Uma sizwa igama elithi "stroke," sivame ukucabanga ngento eyenzeka ebuchosheni. Kodwa bewazi ukuthi, nakuba kungavamile kakhulu, umgogodla wethu, noma intambo yomgogodla, nawo ungabhekana nesimo esifanayo? Lokhu yilokho esikubiza ngokuthi "stroke yomgogodla." Nakuba lokhu kungalindelekile kancane, kubaluleke kakhulu ukuqaphela lokhu.

Ngakho-ke kuyini lokhu kuhlaselwa yisifo somgogodla?

Kalula nje, i-spinal stroke ukuphazamiseka okungazelelwe kokugeleza kwegazi kuya emgogodleni wakho, uhlelo lwezinzwa olubalulekile olutholakala ngaphakathi komgogodla wakho. Kufana ne-brain stroke, kodwa kwenzeka emgogodleni wakho. Odokotela bakubiza nangokuthi "i-spinal cord stroke" noma "i-spinal infarction."

Njengokushaywa yisifo sohlangothi, umthambo wegazi emgogodleni ungavinjelwa ukuqhekeka kwegazi (okubizwa ngokuthi i-ischemic stroke) noma ukuqhuma komthambo wegazi nokopha (okubizwa ngokuthi i-hemorrhagic stroke). Lokhu akuvamile kakhulu - ngaphansi kwe-1% yazo zonke izinhlungu emhlabeni kuthinta umthambo womgogodla ngale ndlela. Kodwa ukuthi nje akuvamile akusho ukuthi akuvamile. Kungaba yingozi empilweni noma kukhubaze unomphela.

Ngakho-ke, uma wena noma othile omaziyo ebhekene nezimpawu zesifo sohlangothi somgogodla, kufanele ushayele ucingo ku-1990 (Sri Lankan Ambulance Service) ngokushesha. Uma usheshe uxilongwe futhi welashwe, kulapho amathuba okusindisa impilo eba makhulu khona. Umzuzwana ngamunye ubalulekile lapha.

Ziyini izimpawu zesifo sohlangothi lomgogodla?

Izimpawu zokuhlaselwa yisifo somgogodla zingahluka kumuntu nomuntu. Ziyahlukahluka kuye ngokuthi iyiphi ingxenye yomgogodla ethintekile. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala:

• Ubuhlungu obungazelelwe, obukhulu entanyeni noma emhlane. Lokhu akusikho nje ubuhlungu obuvamile emhlane, kodwa ubuhlungu obubukhali kancane futhi obungalindelekile.
• Kuzwakala sengathi ubuhlungu busakazeka kusukela emhlane kuya ezingalweni noma emilenzeni. Abanye abantu baze bathi ubuhlungu buzwakala njengogesi.
• Ukuba ndikindiki noma ukuqaqamba ezandleni noma ezinyaweni.
• Ubuthakathaka bemisipha (ikakhulukazi emilenzeni). Ubunzima bokuma noma ukuhamba, kanye nomuzwa wobuthakathaka emilenzeni.
• Ukulahlekelwa yimizwa efana nokuthinta, ukushisa/ukubanda.
• Kungaba ukungakwazi ukuzibamba ngomchamo noma ukungakwazi ukuzibamba ngamathumbu.
• Ukukhubazeka noma ukulahlekelwa ukusebenza komzimba. Lokhu kuyimpawu enzima kakhulu.

Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngesikhathi esisodwa, ungazithathi kalula. Into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha.

Kungani kwenzeka lokhu kushaywa umgogodla?

Kunezindlela ezimbili eziyinhloko, noma izimbangela, lapho isifo somgogodla singenzeka khona.

1. I-Ischemic Spinal Stroke

Lolu uhlobo oluvame kakhulu. Igama elithi "Ischemic" lisho ukuntuleka kwegazi. Lokhu kwenzeka lapho ihlule legazi livimba umthambo wegazi emgogodleni. Kufana nocezu lodaka olubhajwa epayipini lamanzi. Kunezinye izimo zempilo ezandisa ingozi yakho yokuba namahlule egazi anjengalawa:

• Ukwanda kwamazinga e-cholesterol egazini (i-Hyperlipidemia).
• I-atherosclerosis: Lokhu kwenzeka lapho izinto ezifana ne-cholesterol ziqoqana ngaphakathi kwemithambo yegazi, ziyivalele.
• Izinkinga zokuqunjelwa.
• I-Atrial Fibrillation. Lesi yisimo lapho inhliziyo ishaya khona ngokungajwayelekile. Ingozi iphezulu kakhulu uma lesi simo sihambisana ne-sleep apnea.
• Izinkinga zenhliziyo. Izibonelo zifaka phakathi "i-Atrial Septal Defect" kanye ne-"Ventricular Septal Defect".

2. Isifo Sokushaywa Umgogodla Esibangelwa Ukopha

"Ukuphuma kwegazi" kusho ukuphuma kwegazi. Lokhu kwenzeka lapho umthambo wegazi emgogodleni uqhuma noma udabuka bese uqala ukuphuma igazi. Lokhu kungabangelwa yilokhu:

• Umfutho Wegazi Ophakeme. Le ngozi iphakeme uma unomfutho wegazi ophakeme isikhathi eside, ikakhulukazi uma ungalawuleki.
• Izimila zomgogodla.
• Ama-Aneurysms. Lokhu kwenzeka lapho udonga lomthambo wegazi luba buthakathaka futhi luvuvukala njengebhaluni. Uma lokhu kwenzeka emthanjeni osemgogodleni, ungaqhuma.

Ezinye izimbangela ezingavamile

Ngaphezu kwalezi zimbangela ezimbili eziyinhloko, ukushaywa yi-spinal cord kungenzeka nangenxa yezinye izizathu, okungajwayelekile kakhulu:

• Ukulimala komgogodla.
• Izifo ezifana ne-meningitis.
• Ukulimala ngengozi ngesikhathi sokuhlinzwa.
• Ukuphuka komgogodla.

Ubani osengozini enkulu yokuthola isifo sohlangothi lomgogodla?

Noma ubani angaba nesifo sohlangothi somgogodla, kodwa abanye abantu basengozini enkulu.

• Abantu ababhemayo noma abasebenzisa eminye imikhiqizo equkethe i-nicotine (isb., ukuvapha).
• Abantu abangaphezu kweminyaka engama-65 ubudala.
• Abantu abamnyama (Nakuba lokhu kuyiqiniso eliqashelwa ngokwesayensi, kungenzeka kubantu banoma yiluphi uhlanga.)
• Abantu abasebenzisa izidakamizwa ezingekho emthethweni.

Futhi, ingozi yokushaywa yisifo sohlangothi iyanda uma unezinkinga ezithile zempilo:

• Umfutho wegazi ophezulu (i-Hypertension)
• I-cholesterol ephezulu egazini (i-Hyperlipidemia)
• Ukutheleleka kwe-Covid-19 (COVID-19)
• Isifo sikashukela
• Ukukhuluphala ngokweqile (ukuba nesisindo esikhulu)
• Inkinga yokusebenzisa utshwala

Uma unesinye noma ngaphezulu salezi zinto, kubaluleke kakhulu ukuqaphela nokulandela iseluleko sezokwelapha.

Yiziphi izinkinga ezingaba khona ngenxa yesifo somgogodla?

Lokhu kungaba yingozi empilweni. Futhi, uma kukhona umonakalo ongapheli emgogodleni, kunengozi yezinkinga ezinkulu kakhulu:

• Ukukhubazeka okungapheli
• Ubuhlungu obungapheli
• Izinkinga zokuphefumula
• Ukungasebenzi kahle kocansi
• Ukungakwazi ukuzibamba unomphela

Kungenxa yezinto ezinjengalezi ukuthi uma uzwa ngisho nophawu oluncane kakhulu, kufanele ubonane nodokotela ngokushesha.

Odokotela banquma kanjani ukuthi lokhu kuyisifo somgogodla?

Uma unezimpawu zesifo sohlangothi lomgogodla, udokotela uzokwenza izivivinyo eziningana ukuqinisekisa lokhu. Okokuqala, bazokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa .

Okulandelayo, uzocelwa ukuba wenze ukuhlolwa kwe-MRI (Magnetic Resonance Imaging) . Lokhu kuthatha izithombe ezinemininingwane zomgogodla ukuze kuhlolwe izimpawu zesifo sohlangothi noma ezinye izimbangela.

Ngezinye izikhathi, ukuhlolwa okubizwa ngokuthi "ukubhoboza i-lumbar" noma "i-spinal tap" kungenziwa. Lokhu kuhilela ukuthatha isampula yoketshezi lwe-cerebrospinal oluvela emgogodleni ukuze kuhlolwe ukutheleleka noma okunye ukuvuvukala.

Yiziphi izindlela zokwelapha isifo sohlangothi lomgogodla?

Ukwelashwa kuyahlukahluka kuye ngohlobo lwesifo sohlangothi oke waba naso. Umgomo oyinhloko wodokotela ukubuyisela ukugeleza kwegazi emgogodleni ngokushesha okukhulu.

Uma i-ischemic stroke...

Kukhona ihlule legazi elinamathele lapho. Ngakho-ke bazama ukuncibilikisa ihlule bese belisusa, noma balihlukanise bese belisusa.

• Ama-anticoagulant (ama-anticoagulant).
• Imithi yokwelapha i-thrombolytic noma imithi "yokuqeda amahlule".
• Ngezinye izikhathi ukuhlinzwa, njengokuhlinzwa kwe-mechanical thrombectomy, kwenziwa ukuze kususwe ihlule legazi.

Futhi, banikeza imithi yokulawula umfutho wegazi.

Uma isifo sohlangothi esopha igazi...

Isinyathelo sokuqala ukuvimba ukopha. Lokhu kuhilela ukunikeza imithi yokulawula ukopha kanye nomfutho wegazi. Ngezinye izikhathi, uma ukopha kunomfutho owengeziwe ngaphakathi komgogodla, kungase kudingeke ukuhlinzwa ukuze kuncishiswe ingcindezi.

Odokotela bazochaza ukuthi yiziphi izindlela zokwelapha ezifanele wena nokuthi yini ongayilindela kuzo.

Ingabe ukuvuselelwa kubalulekile ngemva kokuhlaselwa yisifo sohlangothi?

Impela! "Ukwelashwa kwe-Stroke" kuyingxenye yokwelashwa ngokwako.

Ukwelashwa ngokomzimba kuqinisa imisipha yakho, kuthuthukisa ibhalansi yakho, futhi kukusiza ukuthi uphinde usebenzise izingalo nemilenze yakho.

Ukwelashwa emsebenzini kukusiza ukuthi wenze imisebenzi yakho yansuku zonke kanye nemisebenzi yasekhaya ngokuphepha.

Kungenzeka yini ukuthi ululame ngokuphelele ekushayweni yi-spinal cord?

Ukubikezela kwesifo kuncike ezintweni eziningana: uhlobo lwesifo sohlangothi, ukuthi ukwelashwa kutholwa ngokushesha kangakanani, ukuthi kukhona yini umonakalo ohlala njalo emgogodleni, impilo yakho iyonke, kanye nobudala bakho.

"Ukululama okuphelele" kuhlukile kumuntu ngamunye. Kungathatha izinyanga eziningana ukuthi abanye abantu baphinde bavuselele amakhono abo angaphambilini. Abanye kungase kudingeke baphile nokukhubazeka okusha. Isibonelo, bangase baqhubeke bedinga i-walker noma induku yokubasiza bahambe. Kodwa abanye abantu bagcina belulame ngokuphelele. Lokhu kungathatha iminyaka, kodwa akunakwenzeka. Udokotela wakho uzokusiza ukuthi ubeke imigomo efanele yokululama.

Ingakanani isikhathi sokusinda ngemva kokushaywa yisifo somgogodla?

Lokhu kungaba yisimo esisongela impilo. Kodwa-ke, kunzima ukusho ukuthi uzophila isikhathi esingakanani. Ngokuvamile, imiphumela yesifo sohlangothi esibangelwa yi-ischemic kuthiwa ingcono kancane kunesifo sohlangothi esibangelwa ukopha. Kodwa-ke, umzimba womuntu wonke usabela ngendlela ehlukile.

Yini esingayenza ukuze sivimbele isifo sohlangothi lomgogodla?

Into engcono kakhulu ongayenza ukugcina impilo yakho iyonke .

• Uma ubhema, yeka.
• Yidla ukudla okunempilo (isib. Ukudla KwaseMedithera) futhi ugcine isisindo esinempilo.
• Gcina umfutho wegazi lakho, amazinga e-cholesterol, kanye nesifo sikashukela kulawulwa.
• Zivocavoce njalo.
• Thola ukuhlolwa kwezokwelapha njalo ngonyaka. Izimo eziningi ezibangela lokhu azibonisi izimpawu ekuqaleni.

Ngingazinakekela kanjani ngemva kokuhlaselwa yisifo sohlangothi?

Ukuphulukiswa kudinga umzamo omkhulu.

• Qiniseka ukuthi uyaya ezinkonzweni zakho zokuvuselelwa kanye nokwelashwa. Tshela abelaphi bakho uma unemibuzo.
• Cabanga nangempilo yakho yengqondo.Ukucindezeleka nokukhathazeka kuvamile ngemva kokuhlaselwa yisifo sohlangothi. Ukuzizwa udangele akuyona into ebuthakathaka. Khuluma nodokotela noma nomeluleki wezempilo yengqondo uma kudingeka.
• Thatha imithi yakho ngendlela efanele nangesikhathi.

Khumbula, akudingeki ukuthi uhambe wedwa kulolu hambo. Umndeni wakho, abangani, nodokotela bonke bakhona ukuzokusiza.

Yini okufanele uyenze uma izimpawu zokuhlaselwa yisifo sohlangothi ziphinde zivele noma uma kuvela esinye isimo esiphuthumayo?

Uma uzizwa sengathi unesifo sohlangothi, shayela u-911 ngokushesha. Ingozi yokuhlaselwa esinye isifo sohlangothi iphezulu.

Abantu abake baba nesifo sohlangothi bangaba nezinye izinkinga ezinkulu, njenge:

• Isifo senhliziyo
• Inyumoniya
• I-Deep Vein Thrombosis (DVT)
• I-Pulmonary Embolism (ukuqhekeka kwegazi emaphashini)
• Ukuquleka

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba esibhedlela ngokushesha.

Yini okufanele ngiyibuze udokotela wami?

• Hlobo luni lwesifo sohlangothi enganginaso?
• Yimiphi imithi engiyidingayo futhi ngiyithatha kanjani?
• Yiziphi izinsizakalo zokuvuselela engizidingayo?
• Ingabe ngisengozini yokuba nesifo sohlangothi futhi?

Ungesabi ukubuza udokotela wakho noma yini oyicabangayo noma onayo ukungabaza ngayo.

Ekugcineni, engikushoyo kini yilokhu...

Ukushaywa umgogodla kungenzeka ngokuzumayo. Ezinye izimpawu zingase zinganakwa ekuqaleni. Kodwa ungabi njalo. Akekho owazi umzimba wakho kangcono kunawe. Uma uzizwa into engavamile, ungakuthathi kalula. Uma uthola ukwelashwa ngokushesha, umphumela uba ngcono.

Gubha ngisho nentuthuko encane kakhulu oyenzayo ngesikhathi sokululama kwakho. Ukuvuselelwa kuyinselele enkulu ngokomzimba nangokwengqondo. Ufanelwe ukuqashelwa ngayo yonke imizamo oyenzayo. Khuluma nodokotela bakho kanye nabelaphi. Ungalokothi ulahle ithemba!

` Ukushaywa Umgogodla, Intambo Yomgogodla, Izimpawu Zokuhlaselwa Uhlangothi, Ukwelashwa Kokushaywa Uhlangothi, Ukukhubazeka, Ukuvuselelwa