Yechinguva ischemic kurwisa

Kurwisa ischemic kurwisa (TIA) kunoitika kana kuyerera kweropa kune chikamu cheuropi kuchimira kwenguva pfupi. Munhu anozoita sitiroko-sezviratidzo kwemaawa makumi maviri nemana. Muzviitiko zvakawanda, zviratidzo zvinogara kweawa kusvika kumaawa maviri.

Kurwisa ischemic kurwisa chiratidzo chekunyevera kuti sitiroko yechokwadi inogona kuitika mune ramangwana kana paine chisina kuitwa kuzvidzivirira.

TIA yakasiyana nesitiroko. Mushure meTIA, iyo blockage inotsemuka nekukurumidza uye ichinyungudika. TIA haikonzere kuti hura hwehuropi hufe.

Kurasikirwa kweropa kuyerera kune imwe nzvimbo yeuropi kunogona kukonzerwa ne:

• Ropa rakavhara mune tsinga yeuropi
• Ropa rakavhara rinoenda kuuropi kubva kune imwe nzvimbo mumuviri (semuenzaniso, kubva pamoyo)
• Kukuvara kumidziyo yeropa
• Kudimbudzira kweropa tsinga muuropi kana kutungamira kuuropi

Kuwedzera kweropa ndiyo njodzi huru kumaTIA uye sitiroko. Zvimwe zvinhu zvakakura zvine njodzi ndeizvi:

• Kusajairika kurova kwemoyo kunonzi atrial fibrillation
• Chirwere cheshuga
• Nhoroondo yemhuri yekurohwa
• Kuva murume
• Cholesterol yakakwira
• Kuwedzera zera, kunyanya mushure memakore makumi mashanu nemashanu
• Ethnicity (maAmerican maAmerican vanogona kufa nesitiroko)
• Kusvuta
• Doro shandisa
• Varaidzo yekushandisa zvinodhaka
• Nhoroondo yekutanga TIA kana sitiroko

Vanhu vane chirwere chemwoyo kana kushomeka kweropa kunoyerera mumakumbo avo anokonzerwa neakadzika tsinga zvakare vane mukana wekuve neTIA kana sitiroko.

Zviratidzo zvinotanga kamwe kamwe, zvinotora nguva pfupi (kubva pamaminetsi mashoma kusvika 1 kusvika 2 maawa), woenda. Zvinogona kuitika zvakare pane imwe nguva inotevera.

Zviratidzo zveTIA zvakafanana nezviratidzo zvekurohwa, uye zvinosanganisira:

• Chinja mukusvinura (kusanganisira kurara kana kusaziva)
• Shanduko mumanzwiro (senge kunzwa, kuona, kuravira, nekubata)
• Shanduko dzepfungwa (senge nyonganiso, kurasikirwa ndangariro, kunetseka kunyora kana kuverenga, kunetseka kutaura kana kunzwisisa vamwe)
• Matambudziko emhasuru (senge kushaya simba, kunetseka kumedza, kunetseka kufamba)
• Dzungu kana kurasikirwa kwechiyero nekubatana
• Kusava nekutonga pamusoro pechidzitiro kana ura
• Matambudziko etsinga (senge chiveve kana kurira kune rumwe rutivi rwemuviri)

Kazhinji, zviratidzo nezviratidzo zveTIA zvichave zvaenda panguva yaunosvika kuchipatara. Kuongororwa kweTIA kunogona kuitwa zvichibva pane yako nhoroondo yezvokurapa chete.

Anopa hutano anozoongorora bvunzo dzepanyama kuti aone matambudziko emwoyo neropa. Iwe unozotariswawo matambudziko etsinga nemhasuru.

Chiremba anoshandisa stethoscope kuteerera kune moyo wako uye tsinga. Ruzha rusina kujairika rwunonzi bruit runogona kunzwika kana uchiteerera iyo aroti yecarotid mumutsipa kana imwe arteri. Bhuti rinokonzerwa nekusajairika kweropa kuyerera.

Miedzo ichaitwa kutonga kunze kwekurohwa kana zvimwe zvinetso zvinogona kukonzera zviratidzo:

• Iwe unogona kunge uine musoro CT scan kana brain MRI. Sitiroko inogona kuratidza shanduko pane bvunzo idzi, asi maTIA haadaro.
• Iwe unogona kunge uine angiogram, CT angiogram, kana MR angiogram kuti uone kuti ndeipi ropa reropa rakavharwa kana kubuda ropa.
• Iwe unogona kunge uine echocardiogram kana chiremba wako achifunga kuti unogona kuva neropa rinovhara kubva pamoyo.
• Carotid duplex (ultrasound) inogona kuratidza kana iyo carotid arteri mumutsipa wako yakadzikira.
• Iwe unogona kunge uine electrocardiogram (ECG) uye nemoyo rhythm yekutarisa bvunzo kuti utarise kusagadzikana kwemoyo.

Chiremba wako anogona kuita mimwe miedzo kuti aone kuwedzerwa kweropa, chirwere chemwoyo, chirwere cheshuga, cholesterol yakakwira, uye zvimwe zvikonzero zve, uye njodzi zviitiko zveTIA kana sitiroko.

Kana iwe wakambove neTIA mukati memaawa makumi mana nemasere apfuura, ungangobvumirwa kuenda kuchipatara kuitira kuti vanachiremba vatsvage icho chikonzero uye vakuone.

Kuwedzera kweropa, chirwere chemwoyo, chirwere cheshuga, cholesterol yakawanda, uye kusagadzikana kweropa kucharapwa pazvinenge zvichidikanwa. Iwe unozokurudzirwa kuita shanduko yemararamiro kudzikisa njodzi yako yezvimwe zviratidzo. Shanduko dzinosanganisira kurega kusvuta, kurovedza muviri zvakanyanya, uye kudya zvine hutano chikafu.

Iwe unogona kugamuchira vanocheka ropa, senge aspirin kana Coumadin, kudzikisa kugwamba kweropa. Vamwe vanhu vakavhara mitsipa yemutsipa vangangoda kuvhiyiwa (carotid endarterectomy). Kana iwe uine isina kujairika kurova kwemoyo (atrial fibrillation), iwe unozorapwa kudzivirira matambudziko emangwana.

TIAs hazvikonzeri kukuvara kusingaperi kuuropi.

Asi, maTIA chiratidzo chekunyevera kuti unogona kunge uine sitiroko yechokwadi mumazuva anouya kana mwedzi. Vamwe vanhu vane TIA vanozoita sitiroko mukati memwedzi mitatu. Hafu yekurohwa uku kunoitika mukati maawa makumi mana nemasere mushure meTIA. Kurohwa kwacho kunogona kuitika musi iwoyo mumwe kana imwe nguva inotevera. Vamwe vanhu vane TIA imwe chete, uye vamwe vane inopfuura imwe TIA.

Iwe unogona kudzikisa mikana yako yekurohwa mune ramangwana nekutevera nemupi wako kuti utarise njodzi dzako.

TIA inyaya yekurapa. Fonera 911 kana iyo yemuno emergency emergency ipapo ipapo. Usatarise zviratidzo nekuda kwekuti zvinoenda. Vanogona kunge vari yambiro yekurohwa neshure.

Tevera mirairo yemupi wako kuti ungadzivirira sei maTIA uye kurova. Iwe unogona kunge uchiudzwa kuti uchinje mararamiro uye utore mishonga yekurapa yakakwira BP kana cholesterol yakawanda.

Mini sitiroko; TIA; Kurohwa kuduku; Chirwere cheperebrovascular - TIA; Tsinga yeCarotid - TIA

• Angioplasty uye stent kuiswa - carotid arteri - kubuda
• Atrial fibrillation - kubuda
• Carotid arteri kuvhiya - kubuda
• Stroke - kubuda
• Kutora warfarin (Coumadin)

• Endarterectomy
• Yakapfuura Ischemic kurwisa (TIA)

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