Stroke - kubuda

Iwe wanga uri muchipatara mushure mekurohwa nesitiroko. Sitiroko inoitika kana kuyerera kweropa kuchikamu chehuropi kuchimira.

Pamba tevera kuraira kwemupi wako wehutano nezve kuzvitarisira. Shandisa ruzivo rwuri pazasi sechiyeuchidzo.

Kutanga, iwe wakagamuchira kurapwa kwekudzivirira kumwe kukuvara kuhuropi, uye kubatsira moyo, mapapu, uye zvimwe zvakakosha nhengo kupora.

Mushure mekunge magadzikana, vanachiremba vakaedza uye vakatanga kurapwa kuti vakubatsire kupora kubva pakurohwa uye kudzivirira sitiroko yeramangwana. Iwe unogona kunge wakagara mune yakakosha yuniti inobatsira vanhu kupora mushure mekurohwa nesitiroko.

Nekuda kwekukuvara kunogona kuitika kuuropi kubva pakurova, unogona kuona matambudziko ne:

• Shanduko mumaitiro
• Kuita mabasa ari nyore
• Ndangariro
• Kufambisa rumwe rutivi rwemuviri
• Tsandanyama mhasuru
• Kuteerera
• Kunzwa kana kuziva kwechimwe chikamu chemuviri
• Kumedza
• Kutaura kana kunzwisisa vamwe
• Kufunga
• Kuona kune rimwe divi (hemianopia)

Iwe ungangoda rubatsiro nezviitwa zvezuva nezuva zvawaimboita wega usati warohwa.

Kushungurudzika mushure mekurohwa zvakajairika sezvo iwe uchidzidza kurarama pamwe neshanduko. Inogona kukura nekukurumidza mushure mekurohwa kana kusvika makore maviri mushure mekurohwa.

Usafambisa motokari yako pasina mvumo yechiremba wako.

Kufamba famba uye kuita zvakajairwa mabasa kungave kwakaomarara mushure mekurohwa nesitiroko.

Iva nechokwadi chekuti imba yako yakachengeteka. Kumbira chiremba wako, mushandi, kana mukoti pamusoro pekuita shanduko mumba mako kuti zvive nyore kuita zviitiko zvezuva nezuva.

Tsvaga nezve zvaunogona kuita kudzivirira kuwira uye chengetedza imba yako yekugezera yakachengeteka kushandisa.

Mhuri nevachengeti vangangoda kubatsira ne:

• Exercises kuti uchengetedze magokora ako, mapendekete, uye mamwe majoini akasununguka
• Kutarisa kubatana kusimbisa (zvibvumirano)
• Kugadzira chokwadi mabara anoshandiswa nenzira kwayo
• Kuita chokwadi maoko nemakumbo zviri munzvimbo yakanaka kana wakagara kana kunyepa

Kana iwe kana mudiwa wako achishandisa wiricheya, kushanya kwekutevera kuti uone kuti inokwana zvakanaka kwakakosha kudzivirira maronda eganda.

• Tarisa zuva rega rega kuti uone maronda pazvitsitsinho, makumbo, mabvi, chiuno, muswe uye magokora.
• Chinja zvinzvimbo muwiricheya kanoverengeka paawa mukati mezuva kudzivirira maronda ekumanikidza.
• Kana iwe uine matambudziko nekukasira, dzidza zvinoita kuti zviwedzere. Iwe kana iye anokuchengeta iwe unogona kudzidza kurovedza kuitira kuti tsandanyama dzako dzirasike.
• Dzidza maitiro ekudzivirira kumanikidza maronda.

Matipi ekugadzira zvipfeko kuve nyore kupfeka uye kubvisa ndeaya:

• Velcro iri nyore kwazvo kupfuura mabhatani uye zipi. Mabhatani ese uye zipi anofanirwa kuve pamberi pechidimbu chehembe.
• Shandisa mbichana mbichana uye shangu dzinotsvedza.

Vanhu vane sitiroko vanogona kunge vaine matambudziko ekutaura kana emitauro. Matipi emhuri nevachengeti ekuvandudza kutaurirana anosanganisira:

• Chengetedza zvinokanganisa uye ruzha pasi. Chengetedza izwi rako pasi. Enda kuimba ine runyararo. Usasheedzera.
• Bvumira yakawanda nguva yekuti munhu apindure mibvunzo uye anzwisise mirairo. Mushure mekurohwa, zvinotora nguva yakareba kuti zvigadzirise zvataurwa.
• Shandisa mazwi akapfava nemitsara, taura zvishoma. Bvunza mibvunzo nenzira inogona kupindurwa hongu kana kwete. Kana zvichibvira, ipa sarudzo dzakajeka. Usape zvakawanda zvakawandisa.
• Putsa mirayiridzo mumatanho madiki uye akapusa.
• Dzokorora kana zvichidikanwa. Shandisa mazita nenzvimbo zvaunoziva. Zivisa kuti uchachinja riini nyaya.
• Tarisa kumeso usati wabata kana kutaura kana zvichibvira.
• Shandisa zvinowoneka kana zvinoonekwa zvinokurumidza kana zvichibvira. Usape zvakawandisa sarudzo. Iwe unogona kukwanisa kushandisa kunongedza kana ruoko rwemaoko kana madhirowa. Shandisa mudziyo wemagetsi, senge komputa yepiritsi kana nharembozha, kuratidza mifananidzo yekubatsira pakukurukurirana.

Tsinga dzinobatsira ura kushanda zvakanaka dzinogona kukuvara mushure mekurohwa nesitiroko. Iva netsika. Paunenge iwe wawana ura hwetsika hunoshanda, namatira pairi:

• Sarudza nguva yakajairwa, senge mushure mekudya kana yekugeza inodziya, kuyedza kuita ura.
• Iva nemwoyo murefu. Zvinotora maminetsi gumi nemashanu kusvika makumi mana nemashanu kuti ubve ura.
• Edza zvinyoronyoro kukwiza dumbu rako kuti ubatsire chigaro kufamba kuburikidza nekoloni yako.

Dzivisa kupatirwa:

• Inwa zvimwe zvinwiwa.
• Ramba uchishingaira kana kuwedzera kushanda zvakanyanya sezvinobvira.
• Idya chikafu chine yakawanda fiber.

Kumbira mupi wako nezve mishonga yauri kutora iyo inogona kukonzera kupatira (senge mishonga yekuora mwoyo, kurwadziwa, kudzora kwedundira, uye mhasuru).

Iva nezvose zvaunonyorwa usati wadzokera kumba. Izvo zvakakosha kuti utore mishonga yako nenzira iyo mupi wako akakuudza iwe. Usatore chero mimwe mishonga, zvinowedzera, mavitamini, kana mahebhu usinga bvunze mupi wako nezvazvo kutanga.

Unogona kupihwa imwe kana yakawanda yemishonga inotevera. Izvi zvinoitirwa kudzora kuwedzerwa kweropa rako kana cholesterol, uye kuchengetedza ropa rako kubva pakuvhara. Ivo vanogona kubatsira kudzivirira imwe sitiroko:

• Mishonga yeantiplatelet (aspirin kana clopidogrel) inobatsira kuchengetedza ropa rako kuti rirege kugwamba.
• Beta blockers, diuretics (mapiritsi emvura), uye ACE inhibitor mishonga inodzora yako yeropa uye inodzivirira moyo wako.
• Statins dzikisa cholesterol yako.
• Kana iwe uine chirwere cheshuga, chengetedza shuga yako yeropa padanho rinokurudzirwa nemupi wako.

Usarega kutora chero ipi yemishonga iyi.

Kana iwe uri kutora ropa rakatetepa, senge warfarin (Coumadin), iwe ungangoda kuti uwedzere kuongororwa kweropa kuitwe.

Kana iwe uine matambudziko nekumedza, iwe unofanirwa kudzidza kutevedzera yakasarudzika chikafu chinoita kuti kudya kuve kwakachengeteka. Zviratidzo zvekumedza matambudziko kudzipwa kana kukosora kana uchidya. Dzidza matipi ekuti kudyisa uye kumedza zvive nyore uye zvakachengeteka.

Dzivisa chikafu chine munyu uye chakakora uye gara kure nenzvimbo dzinodyiwa chikafu nekukurumidza kuti moyo wako nemidziyo yeropa zvive neutano.

Ganisira kuti unonwa doro rakawanda zvakadii kusvika pakunwa kamwe chete pazuva kana uri mukadzi uye zvinwiwa zviviri pazuva kana uri murume. Kumbira mupiki wako kana zvakanaka kuti iwe unwe doro.

Ramba uchiziva nezvako majekiseni ako. Tora chirwere chinoputika gore negore. Kumbira chiremba wako kana iwe uchida pneumonia kupfura.

Usapute. Kumbira mupiki wako kuti abatsire kurega kana uchida. Usarega chero munhu achiputa mumba mako.

Edza kugara kure nezvinhu zvinonetsa. Kana iwe uchinzwa kushushikana nguva dzese kana kunzwa kusuruvara zvakanyanya, taura nemupi wako.

Kana iwe uchinzwa kusuruvara kana kushushikana pane dzimwe nguva, taura nemhuri kana shamwari nezve izvi. Kumbira mupiki wako nezve kutsvaga rubatsiro rwehunyanzvi.

Fonera mupiki wako kana iwe uine:

• Zvinetso zvekutora zvinodhaka zvemhasuru
• Matambudziko ekufambisa majoini (chibvumirano chakabatana)
• Zvinetso zvekutenderera kana kubuda kubva pamubhedha wako kana chigaro
• Maronda eganda kana kutsvuka
• Marwadzo ari kuramba achiwedzera
• Nguva pfupi yadonha
• Kukachidza kana kukosora kana uchidya
• Zviratidzo zvehutachiona hwechiropa (fivha, kupisa kana iwe uchiita weti, kana kugara uchiita weti)

Fonera 911 kana iyo yemuno emergency emergency kana izvo zvinotevera zviratidzo zvichikura kamwe kamwe kana zvitsva.

• Unhu kana kushaya simba kwechiso, ruoko, kana gumbo
• Kujeka kana kudzikira kwemaonero
• Kutadza kutaura kana kunzwisisa
• Dzungu, kurasikirwa kwechiyero, kana kudonha
• Musoro wakanyanya

Chirwere cheperebrovascular - kubuda; CVA - kubuda; Cerebral infarction - kubuda; Cerebral hemorrhage - kubuda; Kurohwa Ischemic - buditsa; Stroke - ischemic - kubuda; Sitiroko yechipiri kune atrial fibrillation - kubuda; Chirwere che Cardioembolic - kubuda; Brain kubuda ropa - kubuda; Brain hemorrhage - kubuda; Sitiroko - hemorrhagic - kubuda; Hemorrhagic cerebrovascular chirwere - kubuda; Cerebrovascular tsaona - kubuda

• Intracerebral kubuda ropa

Dobkin BH. Kuvandudza uye kupora kwemurwere nesitiroko. Mune: Grotta JC, Albers GW, Broderick JP, et al, eds. Stroke: Pathophysiology, Kuongorora, uye Management. 6th ed. Philadelphia, PA: Elsevier; 2016: chits. 58.

Kernan WN, Ovbiagele B, Nhema HR, et al. Nhungamiro yekudzivirira sitiroko kune varwere vane sitiroko uye inopera ischemic kurwisa: nhungamiro yevashandi vehutano kubva kuAmerican Heart Association / American Stroke Association Kurohwa. 2014; 45 (7): 2160-2236. PMID: 24788967 yakanyorwa.ncbi.nlm.nih.gov/24788967/.

National Institutes of Utano. National Institute yeNeurological Dambudziko uye Stroke webhusaiti. Post-sitiroko yekuvandudza chokwadi pepa. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet. Yakagadziridzwa May 13, 2020. Yakasvika munaNovember 5, 2020.

Winstein CJ, Stein J, Arena R, et al. Nhungamiro yevakuru yekurohwa sitiroko kugadzirisa uye kupora: nhungamiro yevashandi vehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa. 2016; 47 (6): e98-e169. PMID: 27145936 pubmed.ncbi.nlm.nih.gov/27145936/.

• Brain aneurysm kugadzirisa
• Kuvhiya kwehuropi
• Carotid tsinga yekuvhiya - yakavhurika
• Yakakwira ropa cholesterol cholesterol
• Kupora mushure mekurohwa
• Kurohwa
• Matipi ekusiya kusvuta
• Yechinguva ischemic kurwisa

• ACE inhibitors
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuchengetedzwa kwekugezera kwevakuru
• Kuvhiya kwehuropi - kubuda
• Butter, majarini, uye mafuta ekubikisa
• Kuchengetedza mhasuru kusimba kana kupaza
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kutaurirana nemumwe munhu ane aphasia
• Kutaurirana nemumwe munhu ane dysarthria
• Kuzvimbirwa - kuzvitarisira
• Kuzvimbirwa - chii chekubvunza chiremba wako
• Kudzora kukwira kweropa rako
• Zuva nezuva chirongwa chekuchengeta ura
• Dementia uye kutyaira
• Dementia - maitiro uye matambudziko ekurara
• Dementia - kuchengetwa kwemazuva ese
• Dementia - kuchengetedza zvakachengeteka mumba
• Dementia - chii chekubvunza chiremba wako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Gastrostomy yekudyisa chubhu - bolus
• Jejunostomy yekudyisa chubhu
• Kegel kurovedza muviri - kuzvitarisira
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Kumanikidza maronda - chii chekubvunza chiremba wako
• Kudzivirira kudonha
• Kudzivirira kudonha - chii chekubvunza chiremba wako
• Kudzivirira kumanikidzwa nemaronda
• Kuzvidzora catheterization - mukadzi
• Kuzvidzora catheterization - murume
• Suprapubic catheter kuchengetedza
• Kumedza matambudziko
• Weti mabhegi emvura
• Paunenge uine weti kusagadzikana

• Kurohwa neHemorrhagic
• Ischemic Kurohwa
• Kurohwa