Uma sizwa igama elithi “stroke,” cishe njalo silihlobanisa nobuchopho. Kodwa-ke, bewazi ukuthi ezimweni ezingavamile, umgogodla wakho ungabhekana nesenzakalo esifanayo? Lokhu sikubiza ngokuthi “stroke yomgogodla.” Nakuba lokhu kungase kumangaze, ukuqonda lesi simo kubalulekile empilweni yakho, futhi eNirogi Lanka , sifuna ukuqinisekisa ukuthi unolwazi oluphelele.
Ngakho-ke, Kuyini Ngempela I-Spinal Stroke?
Kalula nje, isifo sohlangothi lomgogodla senzeka lapho ukuphakelwa kwegazi emgogodleni wakho—inethiwekhi yemizwa ebalulekile egijima emgogodleni wakho—kuphazamiseka ngokuzumayo. Empeleni kufana nesifo sohlangothi lobuchopho, kodwa kuthinta ikholomu yomgogodla. Odokotela babhekisela kulokhu ngokuthi “isifo sohlangothi lomgogodla” noma “isifo sohlangothi lomgogodla.”
Njengokushaywa yisifo sohlangothi lobuchopho, lokhu kungabangelwa ukuqhekeka kwegazi okuvalela umthambo (i-ischemic stroke) noma ukuqhuma komthambo wegazi okubangela ukopha (i-hemorrhagic stroke). Lesi simo asivamile kakhulu , sibangela ngaphansi kwe-1% yazo zonke izinhlungu zohlangothi. Kodwa-ke, naphezu kokungavamile kwaso, kuyisimo esiphuthumayo sezokwelapha esingaholela ekukhubazekeni okungapheli noma, ezimweni ezimbi kakhulu, ukulahlekelwa impilo.
Ngakho-ke, uma wena noma othile onayo ekhombisa izimpawu zesifo somgogodla, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho ngokushesha. Ukuxilongwa okusheshayo nokwelashwa kubalulekile ekusindiseni impilo yakho nokuvikela ukuhamba kwakho kwesikhathi eside. Umzuzwana ngamunye ubalulekile.
Yiziphi Izimpawu Zokushaywa Umgogodla?
Izimpawu ziyahlukahluka kuye ngomuntu ngamunye kanye nendawo ethile yomgogodla othintekile. Kodwa-ke, izimpawu ezivamile zokuxwayisa zifaka:
- Ubuhlungu obungazelelwe, obukhulu entanyeni noma emhlane. Ngokungafani nobuhlungu obuvamile emhlane, lobu buhlungu kakhulu futhi bufika ngokuzumayo.
- Ubuhlungu obukhipha imisebe. Ungase uzizwe sengathi ubuhlungu buhamba kusukela emhlane wakho buye phansi ezingalweni noma emilenzeni yakho, okuvame ukuchazwa njengokuzwa okubukhali, okufana nokushaqeka kukagesi.
- Ukuba ndikindiki noma ukuqaqamba ezingalweni noma emilenzeni.
- Ubuthakathaka bemisipha (ikakhulukazi emilenzeni). Ungase uzizwe ungazinzile, ukuthola kunzima ukuhamba, noma uzizwe sengathi imilenze yakho ilahlekelwe amandla ayo.
- Ukulahlekelwa ukuqonda kwezinzwa, njengokungakwazi ukuzwa ukuthintwa, izinga lokushisa, noma ubuhlungu.
- Ukulahlekelwa ukulawula isinyi noma amathumbu (Ukungakwazi ukuzibamba).
- Ukukhubazeka, okuwuphawu olunzima nolubucayi.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, sicela ungazilahli. Funa usizo lochwepheshe bezokwelapha ngokushesha.
Yini Ebangela Ukuhlaselwa Yisifo Somgogodla?
Kunezindlela ezimbili eziyinhloko ezenzeka ngazo isifo somgogodla:
1. I-Ischemic Spinal Stroke
Lolu uhlobo oluvame kakhulu. Igama elithi "Ischemic" libhekisela ekuntulekeni kokugeleza kwegazi. Kwenzeka lapho umthambo wegazi ohlinzeka ngentambo yomgogodla uvalwa yi-clot , efana nepayipi elivalekile. Izimo ezandisa ingozi yalezi zi-clot zifaka:
- I-cholesterol ephezulu (i-Hyperlipidemia).
- I-Atherosclerosis: Ukuncipha nokuqina kwemithambo yegazi ngenxa yokunqwabelana kwama-plaque.
- Izinkinga zokuqunjelwa.
- I-Atrial Fibrillation: Ukushaya kwenhliziyo okungajwayelekile; ingozi iphezulu kakhulu uma ihambisana nezimo ezifana ne-sleep apnea.
- Izinkinga zenhliziyo ezizalwa nazo: Njenge-Atrial Septal Defect noma i-Ventricular Septal Defect.
2. Isifo Sokushaywa Umgogodla Esibangelwa Ukopha
Igama elithi "hemorrhagic" libhekisela ekuphumeni kwegazi. Lokhu kwenzeka lapho umthambo wegazi emgogodleni uqhuma noma udabuka, okubangela ukopha kwangaphakathi. Izimbangela ezivamile zifaka:
- Umfutho Wegazi Ophakeme (Umfutho Wegazi Ophakeme): Ikakhulukazi umfutho wegazi ophakeme ongalawuleki wesikhathi eside.
- Izimila Zomgogodla.
- Ama-Aneurysms: Indawo ebuthaka odongeni lwemithambo yegazi evuvukalayo; uma iqhuma emgogodleni, ingabangela isifo sohlangothi esihambisana nokopha.
Ezinye Izimbangela Ezingavamile
Ngaphezu kwalokhu, izimbangela ezingavamile zifaka:
- Ukulimala komgogodla.
- Izifo ezifana ne-meningitis.
- Izinkinga ngesikhathi sokuhlinzwa.
- Ukuphuka komgogodla.
Ubani Osengozini Ephakeme Yokushaywa Umgogodla?
Nakuba isifo sohlangothi lomgogodla singathinta noma ubani, kunezici ezithile ezandisa ingozi yakho:
- Ukubhema noma ukusebenzisa imikhiqizo ye-nicotine (isb., ukuvapha).
- Uneminyaka engu-65 nangaphezulu.
- Izici zofuzo.
- Ukusetshenziswa kwezidakamizwa ezingekho emthethweni.
Ngaphezu kwalokho, izimo zempilo ezilandelayo ziphakamisa ingozi yakho:
- Umfutho Wegazi Ophakeme (Umfutho Wegazi Ophakeme)
- I-Cholesterol Ephakeme (i-Hyperlipidemia)
- Ukungenwa isifo se-covid-19
- Isifo sikashukela
- Ukukhuluphala ngokweqile
- Inkinga yokusebenzisa utshwala
Uma unezinye zalezi zimo, kubalulekile ukuhlala uthatha isinyathelo futhi ulandele izincomo zomhlinzeki wakho wezempilo waseNirogi Lanka zokuphatha impilo yenhliziyo yakho kanye nemithambo yegazi.
Yiziphi izinkinga ezingavela ngenxa yesifo somgogodla?
Isifo somgogodla siyisimo esiphuthumayo sezokwelapha esingasongela impilo. Uma umgogodla wakho ulimala unomphela, ungase ubhekane nezinkinga zesikhathi eside, ezishintsha impilo, okuhlanganisa:
- Ukukhubazeka okungapheli
- Ubuhlungu obungapheli
- Ubunzima bokuphefumula
- Ukungasebenzi kahle kocansi
- Ukulahlekelwa unomphela ukulawula isinyi noma amathumbu (ukungakwazi ukuzibamba)
Yingakho eNirogi Lanka, sigcizelela ukuthi ngisho nezimpawu ezincane nezingavamile zidinga usizo lwezokwelapha ngokushesha.
Odokotela bakuthola kanjani ukuthi umuntu unesifo sohlangothi lomgogodla?
Uma ubonisa izimpawu zesifo sohlangothi lomgogodla, ithimba lakho lezokwelapha lizothatha isinyathelo ngokushesha ukuqinisekisa ukuxilongwa. Ngokuvamile siqala ngokuhlolwa okuphelele komzimba kanye nokuhlolwa kwezinzwa ukuze kuhlolwe ukusabela kwakho, amandla, kanye nomuzwa.
Okulandelayo, sizo-oda i -MRI (Magnetic Resonance Imaging). Lokhu kunikeza izithombe ezicacile zomgogodla wakho, okusisiza siqinisekise ukuthi ngabe kube nesifo sohlangothi noma ukuthi ezinye izimo zibangela izimpawu zakho.
Kwezinye izimo, singase senze ukubhoboza i-lumbar (umpompi womgogodla). Lokhu kuhilela ukuqoqa isampula yoketshezi lwakho lwe-cerebrospinal ukuze kunqunywe izifo noma izimo zokuvuvukala ezingase zifane nezimpawu zohlangothi.
Yiziphi izindlela zokwelapha ezitholakalayo zokushaya umgogodla?
Ukwelashwa kwenziwa ngokwezifiso kakhulu ngokusekelwe kuhlobo oluthile lwesifo sohlangothi. Umgomo wethu oyinhloko uhlale ubuyisela ukugeleza kwegazi okunempilo emgogodleni wakho ngokushesha okukhulu.
Nge-Ischemic Stroke…
Ngenxa yokuthi ihlule legazi livimbela ukugeleza kwegazi, sihlose ukulincibilikisa noma ukulisusa.
- Imithi yokunciphisa igazi (ama-anticoagulants).
- Imithi yokuqeda amahlule (i-Thrombolytics).
- Ukuhlinzwa , njengokuhlinzwa kwe-mechanical thrombectomy, ukuze kukhishwe ukuvaleka ngokomzimba.
Sizophinde sinikeze imithi yokuqinisa umfutho wegazi lakho.
Ngesifo Sokushaywa Yigazi…
Okugxilwe kukho lapha ukuvimba ukopha. Sisebenzisa imithi yokulawula umfutho wegazi nokusiza ekujiyeni kwegazi. Uma ukopha kudala umfutho oyingozi ngaphakathi komgogodla, kungadingeka ukuthi kuncishiswe ukucindezeleka ngokuhlinzwa.
Odokotela bakho eNirogi Lanka bazochaza uhlelo lokwelashwa olukhethiwe nokuthi yini ongayilindela ohambweni lwakho lokululama.
Kubaluleke kangakanani ukuvuselelwa ngemva kokuhlaselwa yisifo sohlangothi?
Ukuvuselelwa kubalulekile—kuyinsika ebalulekile yokululama kwakho.
Ukwelashwa Komzimba kubalulekile ekwakheni kabusha amandla emisipha, ukuthuthukisa ibhalansi, kanye nokukusiza ukuthi uphinde uthole ukusebenza kahle kwemisipha ezithweni zakho.
I-Occupational Therapy ikunikeza amathuluzi namasu asebenzayo okwenza imisebenzi yansuku zonke ngokuphepha futhi uthole ukuzimela ekhaya.
Ungakwazi yini ukululama ngokuphelele ekushayweni umgogodla?
Ukubikezela kwakho kuncike ezintweni eziningi, okuhlanganisa uhlobo lwesifo sohlangothi, ukuthi washeshe wathola ukungenelela kwezokwelapha, izinga lomonakalo womgogodla, iminyaka yakho, kanye nempilo yakho yokuqala.
Ukululama kuwuhambo oludinga umuntu ngamunye. Nakuba abanye bengase baphinde basebenze ngokugcwele ezinyangeni ezimbalwa, abanye kungadingeka bazivumelanise nezinguquko zesikhathi eside, njengokusebenzisa i-walker noma induku. Ungapheli amandla; iziguli eziningi zibona ukuthuthuka okukhulu ngokuhamba kwesikhathi. Ukululama kungaba inqubo ende, ngezinye izikhathi kuthatha iminyaka, kodwa intuthuko enkulu ivame ukwenzeka. Ithimba lakho lezokwelapha lizokusiza ukuthi ubeke imigomo enengqondo nefinyelelekayo.
Iyini isikhathi sokuphila ngemva kokuhlaselwa yisifo somgogodla?
Lesi yisimo esisongela impilo , futhi ukubikezela imiphumela yesikhathi eside kuyinkimbinkimbi. Ngokuvamile, umbono wezokwelapha wesifo sohlangothi lwe-ischemic uvame ukuba ngcono kakhulu kunowohloka kwegazi, kodwa umzimba wesiguli ngasinye usabela ngendlela ehlukile. Ukugxila kwakho kufanele kuhlale ekwelashweni okusheshayo nasekuvuseleleni ngenkuthalo.
Ungasiza kanjani ekuvimbeleni isifo sohlangothi lomgogodla?
Ukugcina impilo yakho iyonke kuyindlela yakho engcono kakhulu yokuzivikela.
- Uma ubhema, yeka ngokushesha.
- Yamukela ukudla okunempilo kwenhliziyo(njengokudla kwaseMedithera) futhi uhlose ukuba nesisindo esinempilo.
- Gcina izimo ezifana nomfutho wegazi, i-cholesterol, nesifo sikashukela zilawulwa kahle.
- Hlala uvivinya umzimba njalo.
- Hlela ukuhlolwa kwezokwelapha minyaka yonke. Ngokuvamile, izimo eziyisisekelo eziholela ekushayweni yisifo somgogodla azibonisi izimpawu zisencane.
Uzinakekela kanjani ngemva kokuhlaselwa yisifo somgogodla?
Ukululama kuyinqubo ezinikele edinga ukuzibophezela kwakho.
- Yiba khona kuzo zonke izikhathi zakho zokuvuselelwa kanye nokwelashwa. Uma uhlangabezana nanoma yiziphi izinkinga, qiniseka ukuthi ukhuluma nabelaphi bakho.
- Beka impilo yakho yengqondo phambili. Kuvamile ukuba nokucindezeleka nokukhathazeka ngemva kokuhlaselwa yisifo sohlangothi. Ukuzizwa ukhungathekile akulona uphawu lobuthakathaka. Sicela ukhulume nodokotela wakho noma nomeluleki wezempilo yengqondo uma ubhekene nobunzima.
- Landela isimiso sakho semithi ngokucophelela nangesikhathi.
Khumbula, akudingeki uhambe le ndlela wedwa. Umndeni wakho, abangani, kanye nethimba elizinikele eNirogi Lanka balapha ukuzokusekela.
Yini okufanele uyenze uma ubona izimpawu ezintsha zohlangothi noma esinye isimo esiphuthumayo sezokwelapha?
Uma usola ukuthi ubhekene nezimpawu zesinye isifo sohlangothi, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni ngokushesha. Ukuzilungiselela kubalulekile.
Ngemva kokuhlaselwa yisifo sohlangothi, ungase ube sengozini enkulu yezinye izimo ezingathi sína, okuhlanganisa:
- Isifo senhliziyo
- Inyumoniya
- I-Deep Vein Thrombosis (DVT)
- I-Pulmonary Embolism (ukuqhekeka kwegazi emaphashini)
- Ukuquleka
Uma ubona izimpawu zanoma yikuphi kwalokhu, funa usizo lwezokwelapha oluphuthumayo esibhedlela ngokushesha.
Yimiphi imibuzo okufanele uyibuze udokotela wakho?
- Hlobo luni lwesifo somgogodla enganginaso?
- Yimiphi imithi engiyidingayo, futhi kufanele ngiyithathe kanjani?
- Yiziphi izinsizakalo ezithile zokuvuselela ezinconyelwe mina?
- Ingabe ngisengozini yokuthola esinye isifo sohlangothi, futhi yini engingayenza ukuze ngisinciphise?
Ungalokothi unqikaze ukubuza udokotela wakho noma yimiphi imibuzo noma ukuveza noma yikuphi ukukhathazeka ongase ube nakho.
Okokugcina, nansi umyalezo wethu kuwe…
Isifo somgogodla singase senzeke ngokuzumayo, futhi ezinye izimpawu zokuqala zingase zibe lula ukuzishaya indiva. Sicela ungazishayi indiva. Uyazi umzimba wakho kangcono kunanoma ubani omunye. Uma kukhona okuzwakala kungalungile, ungakuthathi kalula. Uma uthola ukunakekelwa ngokushesha, imiphumela engaba khona iba ngcono.
Gubha yonke inqubekela phambili encane ngesikhathi sokululama kwakho. Ukuvuselelwa kuyindlela enzima ngokomzimba nangokwengqondo, futhi ufanele ukunconywa ngayo yonke imizamo oyenzayo. Hlala uxhumene nethimba lakho lezokwelapha kanye nelokwelapha eNirogi Lanka. Ungalokothi ulahle ithemba!
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa) - Nirogi Lanka
💬 Ingabe isifo sohlangothi lomgogodla sifana nesifo sohlangothi lobuchopho?
Njengokushaywa yisifo sobuchopho, ukushaywa yisifo somgogodla kwenzeka lapho ukugeleza kwegazi kuphazamiseka. Lapho umthambo wegazi ohlinzeka ngentambo yomgogodla uvaleka noma uqhekeka ngokuzumayo, indawo entulayo ilahlekelwa umoya-mpilo, okuholela ekulimaleni kwemizwa. Nakuba kungavamile kakhulu kunokushaywa yisifo sobuchopho, kuyisimo esiphuthumayo sezokwelapha esishintsha impilo esidinga ukunakekelwa okusheshayo.
💬 Yiziphi izimpawu eziyisixwayiso ezisheshayo zokushaywa yisifo somgogodla?
Ukuqala kushesha kakhulu. Ungase uzwe ubuhlungu obungazelelwe, obukhulu, "obusebenza ngogesi" entanyeni yakho noma emhlane ongezansi. Okubaluleke kakhulu, ngemizuzu embalwa, ungase uqaphele ubuthakathaka noma ukukhubazeka emilenzeni yakho, okwenza kube nzima ukuhamba, futhi ungase uzwe ukulahlekelwa ukulawula isinyi noma amathumbu ngokuzumayo. Uma lezi zimpawu zivela, shayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
💬 Ingabe kungenzeka ukululama ngemva kokuhlaselwa yisifo somgogodla?
Lesi yisimo esiphuthumayo sezokwelapha esibucayi. Ngaphandle kokunakekelwa okuphuthumayo esibhedlela, ukulimala kwemizwa kungaba unomphela. Lapho befika, odokotela bazokwenza i-MRI scan; uma kutholakala ukuthi ihlule libolile, ukwelashwa okufana ne-TPA (thrombolytics) noma ukuphathwa komfutho wegazi kungase kuqalwe. Nakuba ukululama kuncike kakhulu ekutheni uthola ukwelashwa ngokushesha kangakanani, iziguli eziningi zithuthukisa kakhulu ukuhamba kwazo ngokusebenzisa i-physiotherapy ezinikele isikhathi eside.
Amagama angukhiye: Isifo Sokushaywa Umgogodla, Intambo Yomgogodla, Izimpawu Zokushaywa Umgogodla, Ukwelashwa Kwesifo Sokushaywa Umgogodla, Ukukhubazeka, Ukuvuselelwa, iNirogi Lanka
