Kurohwa

Sitiroko inoitika kana kuyerera kweropa kuchikamu chehuropi kuchimira. Sitiroko dzimwe nguva inonzi "kurwisa kwehuropi."

Kana kuyerera kweropa kukagurwa kwenguva yakareba kupfuura masekondi mashoma, uropi haugone kuwana zvinovaka muviri uye oxygen. Maseru ehuropi anogona kufa, achikonzera kukuvara kusingaperi.

Sitiroko inogona zvakare kuitika kana ropa reropa mukati mehuropi rakaputika, zvichitungamira mukubuda ropa mukati memusoro.

Kune maviri makuru marudzi e stroke:

• Chirwere cheIschemic
• Kurwara kweropa

Ischemic sitiroko inoitika kana ropa reropa rinopa ropa kuuropi rakavharwa neropa.Izvi zvinogona kuitika nenzira mbiri:

• Hove inogona kuumbika mutsinga inenge yakatetepa zvakanyanya. Izvi zvinonzi chirwere che thrombotic.
• Hohwe inogona kutsemuka kubva kune imwe nzvimbo mumidziyo yeropa yeuropi, kana kubva kune imwe nhengo yemuviri, yozokwira ichienda kuuropi. Izvi zvinonzi "cerebral embolism", kana kurohwa kwechimbichimbi.

Kurohwa neschemic kunogona kukonzerwa nechinhu chinonamira chinonzi plaque chinogona kuvhara tsinga.

Sitiroko inobuda ropa inoitika kana tsinga yeropa muchikamu chehuropi yoshaya simba ndokuvhurika. Izvi zvinokonzera kuti ropa ripinde muuropi. Vamwe vanhu vane hurema mumidziyo yeropa yeuropi izvo zvinoita kuti izvi zviwedzere. Kukanganisa uku kunogona kusanganisira:

• Aneurysm (isina kusimba nzvimbo mumadziro eropa tsinga iyo inokonzeresa iro reropa reropa kuti riwedzere kana bharuni kunze)
• Arteriovenous malformation (AVM; kuwirirana zvisina kujairika pakati petsinga uye mutsinga)
• Cerebral amyloid angiopathy (CAA; mamiriro ayo mapuroteni anonzi amyloid anovaka pamadziro etsinga muuropi)

Hemorrhagic sitiroko inogona zvakare kuitika kana mumwe munhu achitora ropa rakapfava, senge warfarin (Coumadin). Yakakwira yakakwira BP inogona kukonzera tsinga dzeropa kuputika, zvichitungamira kuropa reropa.

Sitiroko ischemic inogona kukura kubuda ropa uye yoita chirwere chekubuda ropa.

Kuwedzera kweropa ndiyo inonyanya kuisa njodzi pakurwara. Zvimwe zvinhu zvakakura zvine njodzi ndeizvi:

• Kusajairika kwemwoyo, kunonzi atrial fibrillation
• Chirwere cheshuga
• Nhoroondo yemhuri yekurohwa
• Kuva murume
• Cholesterol yakakwira
• Kuwedzera zera, kunyanya mushure memakore makumi mashanu nemashanu
• Ethnicity (vemuAmerican America vanowanzo kufa nesitiroko)
• Kufutisa
• Nhoroondo yekurohwa kusati kwaitika kana kushomeka kwechischemic kurwisa (kunoitika kana kuyerera kweropa kune chikamu cheuropi kuchimira kwenguva pfupi)

Stroke njodzi iri zvakare yakakwira mu:

• Vanhu vane chirwere chemwoyo kana kushomeka kweropa kuyerera mumakumbo avo zvinokonzerwa neakadzika tsinga
• Vanhu vane tsika dzisina kunaka dzehupenyu senge kusvuta, kushandisa zvakanyanya doro, kushandisa zvinodhaka, zvinodhaka zvine mafuta, uye kushaya kurovedza muviri
• Vakadzi vanotora mapiritsi ekudzivirira kubereka (kunyanya avo vanosvuta uye vakura kupfuura makumi matatu nemashanu)
• Vakadzi vane nhumbu vane njodzi yakawedzera vachiri nepamuviri
• Vakadzi vanotora mahormone kutsiva kurapwa
• Patent foramen ovale (PFO), gomba pakati peboshwe uye kurudyi atria (kumusoro makamuri) emoyo

Zviratidzo zvekurohwa zvinoenderana nechikamu cheuropi chakakuvara. Mune zvimwe zviitiko, munhu anogona kunge asingazive kuti sitiroko yaitika.

Kazhinji yenguva, zviratidzo zvinokurumidza kuitika uye pasina yambiro. Asi zviratidzo zvinogona kuitika nekudzima kwezuva rekutanga kana maviri. Zviratidzo zvinowanzo kuve zvakanyanya kwazvo apo sitiroko inotanga kuitika, asi inogona kuwedzera zvishoma nezvishoma.

Musoro unogona kuitika kana sitiroko ichikonzerwa nekubuda ropa muuropi. Musoro:

• Inotanga kamwe kamwe uye ingave yakaoma
• Zvinogona kuve zvakanyanya kana iwe uchinge wakarara zvakatsiga
• Anokumutsa kubva kuhope
• Inowedzera zvakanyanya kana iwe ukachinja nzvimbo kana kana iwe uchikotama, kuomesa, kana kukosora

Zvimwe zviratidzo zvinoenderana nekukura kwakaita sitiroko, uye ndechipi chikamu chehuropi chakakanganiswa. Zviratidzo zvinogona kusanganisira:

• Chinja mukusvinura (kusanganisira kurara, kusaziva, uye koma)
• Shanduko mukunzwa kana kuravira
• Shanduko dzinobata kubata uye kugona kunzwa kurwadziwa, kumanikidzwa, kana tembiricha dzakasiyana
• Kuvhiringidzika kana kurasikirwa ndangariro
• Matambudziko kumedza
• Zvinetso kunyora kana kuverenga
• Dzungu kana kunzwa kusina kujairika kwekufamba (vertigo)
• Matambudziko eziso, sekuderera kwemaonero, kuona kaviri, kana kurasikirwa zvachose kwemaonero
• Kusava nekutonga pamusoro pechidzitiro kana ura
• Kurasikirwa kwekuyera kana kubatana, kana kunetseka kufamba
• Tsvina kushaya simba kumeso, ruoko, kana gumbo (kazhinji parutivi rumwe chete)
• Unhu kana kugwinha kune rumwe rutivi rwemuviri
• Hunhu, manzwiro, kana manzwiro shanduko
• Dambudziko kutaura kana kunzwisisa vamwe vari kutaura

Chiremba achaita bvunzo yemuviri ku:

• Tarisa uone matambudziko ane chiono, kufamba, kunzwa, kufungisisa, kunzwisisa, uye kutaura. Chiremba wako navanamukoti vanodzokorora bvunzo iyi nekufamba kwenguva kuti vaone kana sitiroko yako iri kuramba ichikura kana kuvandudzika.
• Teerera kune carotid arteri mumutsipa ne stethoscope yezwi risinganzwisisike, inonzi bruit, iyo inokonzereswa nekushomeka kweropa kuyerera.
• Tarisa uone BP yakakwira.

Iwe unogona kunge uine bvunzo dzinotevera kuti ubatsire kuwana iyo mhando, nzvimbo, uye chinokonzera sitiroko uye kutonga kunze mamwe matambudziko:

• CT scan yehuropi kuti uone kana paine kubuda ropa
• MRI yeuropi kuti ione nzvimbo yekurohwa
• Angiogram yemusoro kutsvaga tsinga yeropa yakavharika kana kubuda ropa
• Carotid duplex (ultrasound) kuti uone kana iyo carotid arteri mumutsipa wako yaderera
• Echocardiogram kuti uone kana sitiroko yacho ingadai yakakonzerwa neropa rakavhara kubva pamoyo
• Magnetic resonance angiography (MRA) kana CT angiography yekutarisa isina kujairika mitsipa yeropa muuropi

Mimwe bvunzo inosanganisira:

• Kuongororwa kweropa
• Electroencephalogram (EEG) kuona kana paine pfari
• Electrocardiogram (ECG) uye moyo mutinhimira kuongorora

Sitiroko chirwere chekukurumidzira. Kurapa nekukurumidza kunodiwa. Fonera 911 kana iyo yemuno emergency emergency nhamba kana kutsvaga kurapwa kwekukurumidza pazviratidzo zvekutanga zvekurohwa.

Vanhu vane zviratidzo zvekurohwa vanofanirwa kuenda kuchipatara nekukurumidza sezvazvinogona.

• Kana sitiroko ichikonzerwa neropa, gadziriro inovhara chiponi inogona kupihwa kuti iparadze hura.
• Kuti ubudirire, kurapwa uku kunofanira kutanga mukati memaawa matatu kusvika mana nehafu kubva apo zviratidzo zvakatanga. Iyo inokurumidza kurapwa uku kwatanga, zvirinani mukana wemhedzisiro yakanaka.

Kumwe kurapwa kunopihwa muchipatara kunoenderana nechikonzero chekurohwa. Izvi zvinogona kusanganisira:

• Ropa rakapfava senge heparin, warfarin (Coumadin), aspirin, kana clopidogrel (Plavix)
• Mishonga yekudzora njodzi zvinhu, senge yakakwira BP, chirwere cheshuga, uye yakakwira cholesterol
• Maitiro akakosha kana kuvhiya kubvisa zviratidzo kana kudzivirira mamwe maronda
• Nutrients uye zvinwiwa

Kurapa kwepanyama, kurapa kwekuita basa, kurapa kwekutaura, uye kurapa kwekumedza zvese zvinotanga muchipatara. Kana munhu wacho aine dambudziko rakanyanya rekumedza, chubhu yekudyisa mudumbu (gastrostomy tube) ingangodiwa.

Chinangwa chekurapwa mushure mekurohwa ndechekubatsira iwe kuti uwanezve yakawanda basa sezvazvinogona uye kudzivirira ramangwana kurohwa.

Kudzoreredza kubva pakurwara kwako kunotanga iwe uchiri muchipatara kana kunzvimbo yekuvandudza. Icharamba ichienderera kana iwe uchienda kumba kubva kuchipatara kana pakati. Ive neshuwa yekutevera nemubatsiri wako wehutano mushure mekuenda kumba.

Tsigiro nezviwanikwa zviripo kubva kuAmerican Stroke Association - www.stroke.org/en/help-and-support.

Kunyatsoita munhu mushure mekurohwa nesitiroko kunoenderana ne:

• Rudzi rwe stroke
• Zvakawanda sei zvinyama zvehuropi zvakakanganisika
• Ndeapi mabasa emuviri akanganiswa
• Kurapa kupi kunopihwa nekukurumidza

Matambudziko ekufambisa, kufunga, uye kutaura kazhinji anovandudza mumavhiki kusvika kumwedzi mushure mekurohwa.

Vanhu vazhinji vane sitiroko vanoramba vachivandudza mumwedzi kana makore mushure mekurohwa kwavo.

Vanopfuura hafu yevanhu vane sitiroko vanokwanisa kushanda uye vanogara pamba. Vamwe havakwanisi kuzviriritira.

Kana kurapwa nemishonga yekuvhara muviri ikabudirira, zviratidzo zvekurohwa zvinogona kuenda. Nekudaro, vanhu kazhinji havauye kuchipatara nekukasira kuti vagamuchire mishonga iyi, kana havagone kutora mishonga iyi nekuda kwehutano.

Vanhu vane sitiroko kubva muropa (ischemic stroke) vane mukana wakanaka wekupona pane avo vane sitiroko kubva pakubuda ropa muuropi (hemorrhagic stroke).

Ngozi yekurohwa kechipiri ndeyepamusoro mukati memavhiki kana mwedzi mushure mekurohwa kwekutanga. Njodzi inotanga kudzikira mushure menguva ino.

Sitiroko chirwere chekukurumidzira chinoda kurapwa pakarepo. Izwi rekuti F.A..S.T. inzira iri nyore yekurangarira zviratidzo zvekurohwa uye zvekuita kana iwe uchifunga kuti sitiroko yaitika. Chinhu chakakosha kuita kutora runhare kuna 911 kana nhamba yemunharaunda yechimbichimbi ipapo rubatsiro rwechimbichimbi.

Zvikomborero inomirira:

• CHISO. Kumbira munhu wacho kunyemwerera. Tarisa kana rimwe divi rechiso rakadonha.
• MAHEMA. Kumbira munhu kuti asimudze maoko maviri. Ona kana ruoko rumwe rukakwirirwa pasi.
• KUTAURA. Kumbira munhu wacho kuti adzokorezve mutsara wakareruka. Tarisa uone kana mazwi asina kubatwa zvakanaka uye kana mutongo uchidzokororwa nemazvo
• NGUVA. Kana munhu achiratidza chimwe chezviratidzo izvi, nguva yakakosha. Zvakakosha kusvika kuchipatara nekukurumidza sezvazvinogona. Fonera 911 kana iyo yemuno emergency emergency. Chiito F.AS.S.

Kuderedza sitiroko yako njodzi zvinhu zvinoderedza mukana wako wekurohwa nesitiroko.

Chirwere chepfungwa; CVA; Cerebral infarction; Kubuda ropa kweropa; Kurohwa Ischemic; Sitiroko - ischemic; Tsaona yechisimba; Sitiroko - hemorrhagic; Carotid tsinga - sitiroko

• Angioplasty uye stent kuiswa - carotid arteri - kubuda
• Kuva unoshingaira kana uine chirwere chemwoyo
• Brain aneurysm kugadzirisa - kubuda
• Butter, majarini, uye mafuta ekubikisa
• Kuchengetedza mhasuru kusimba kana kupaza
• Carotid arteri kuvhiya - kubuda
• Kutaurirana nemumwe munhu ane aphasia
• Kutaurirana nemumwe munhu ane dysarthria
• Kuzvimbirwa - kuzvitarisira
• Dementia uye kutyaira
• Dementia - maitiro uye matambudziko ekurara
• Dementia - kuchengetwa kwemazuva ese
• Dementia - kuchengetedza zvakachengeteka mumba
• Dementia - chii chekubvunza chiremba wako
• Kudya mamwe macalorie kana uchirwara - vakuru
• Kutemwa nemusoro - chii chekubvunza chiremba wako
• Yakakwira BP - chii chaunobvunza chiremba wako
• Kudzivirira kudonha
• Stroke - kubuda
• Kumedza matambudziko

• Ubongo
• Carotid stenosis - X-ray yetsinga yekuruboshwe
• Carotid stenosis - X-ray yetsinga chaiyo
• Kurohwa
• Brainstem basa
• Cerebellum - basa
• Denderedzwa raWillis
• Kuruboshwe cerebral hemisphere - basa
• Right cerebral hemisphere - basa
• Endarterectomy
• Plaque inovaka mutsinga
• Stroke - akateedzana
• Carotid dissection

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