Stroke Zvinodhaka

Zvemukati

• Kurohwa nemishonga kunoshanda sei
• Anticoagulants
• Antiplatelet zvinodhaka
• Tissue plasminogen activator (tPA)
• Statins
• Ropa kumanikidza zvinodhaka
• Tora woenda nazvo

Kunzwisisa sitiroko

Sitiroko kukanganisa kwehuropi basa kunokonzerwa nekushayikwa kweropa kuyerera kuuropi.

Kurohwa kudiki kunonzi ministerroke, kana kunopera kurwisa ischemic kurwisa (TIA). Zvinoitika kana kuvhara kweropa kuchingovharira kuyerera kweropa kwechinguva.

Kurohwa nemishonga kunoshanda sei

Iyo mishonga inoshandiswa pakurapa sitiroko inowanzo shanda nenzira dzakasiyana.

Mimwe mishonga yekurohwa inonyatsopwanya mavhinga eropa aripo. Zvimwe zvinobatsira kudzivirira kugwamba kweropa kubva mukuumbwa mumidziyo yako yeropa. Vamwe vanoshanda kugadzirisa kukwirisa kweropa uye cholesterol mwero kubatsira kudzivirira kuyerera kweropa kubhuroka.

Mushonga unorayirwa nachiremba wako zvinoenderana nemhando yesitiroko yawaive nayo uye chikonzero chayo. Sitiroko zvinodhaka zvinogona zvakare kushandiswa kubatsira kudzivirira sitiroko yechipiri muvanhu vakatova neimwe.

Anticoagulants

Anticoagulants mishonga inobatsira kuchengetedza ropa rako kuti rirege kugwamba nyore. Vanoita izvi nekukanganisa nzira yekuvhara ropa. Anticoagulants anoshandiswa kudzivirira ischemic sitiroko (iyo yakajairika mhando yesitiroko) uye ministerroke.

Iyo anticoagulant warfarin (Coumadin, Jantoven) inoshandiswa kudzivirira kugwamba kweropa kubva pakuumba kana kudzivirira kugwamba kuripo kubva mukukura. Inowanzo gadzirirwa kune vanhu vane mavhavha emoyo ekugadzira kana kurova kwemoyo zvisina kujairika kana vanhu vane chirwere chemwoyo kana sitiroko.

Warfarin yakave zvakare ichibatanidzwa nekutyisidzira hupenyu, kubuda ropa zvakanyanya. Udza chiremba wako kana iwe uine chirwere chekubuda ropa kana wakamboona kubuda ropa kwakanyanya. Chiremba wako angangotarisa mumwe mushonga.

Antiplatelet zvinodhaka

Antiplatelets akadai clopidogrel (Plavix) anogona kushandiswa kubatsira kudzivirira kugwamba kweropa. Ivo vanoshanda nekuita kuti zvinyanye kuomera kuti maplatelet muropa rako anonamatira pamwechete, rinova danho rekutanga mukuumbwa kweropa rakagwamba.

Ivo dzimwe nguva vanonyorerwa vanhu vakamboita ischemic sitiroko kana moyo kurwadza. Chiremba wako anogona kunge uchivatora nguva nenguva kwenguva yakareba senzira yekudzivirira sitiroko yechipiri kana chirwere chemwoyo.

Iyo antiplatelet aspirin inosanganisirwa nenjodzi huru yekubuda ropa. Nekuda kweizvi, kurapwa kweaspirin haisi nguva dzose sarudzo yakanakisa kune vanhu vasina nhoroondo yepakutanga yeatherosclerotic yemwoyo chirwere (semuenzaniso, sitiroko uye chirwere chemwoyo).

Aspirin inofanira kungoshandiswa chete kudzivirira kwekutanga kweatherosclerotic yemwoyo chirwere mune vanhu vano:

• vari pangozi yakanyanya yekurohwa, kurohwa nemoyo, kana mamwe marudzi eatherosclerotic yemwoyo chirwere
• vari zvakare panjodzi yakaderera yekubuda ropa

Tissue plasminogen activator (tPA)

Tissue plasminogen activator (tPA) ndiyo yega sitiroko mushonga uyo unonyatsotyora ropa clot. Inoshandiswa seyakajairika kurapwa panguva yekurohwa.

Pamushonga uyu, tPA inorowa mutsinga kuti ikwanise kusvika muropa nekukurumidza.

tPA haina kushandiswa kune wese munhu. Vanhu vari panjodzi huru yekubuda ropa muhuropi hwavo havapihwe tPA.

Statins

Statins dzinobatsira kudzikisa yakakwira cholesterol mazinga. Kana cholesterol yako yakanyanya kukwirira, cholesterol inogona kutanga kuvaka pamadziro emitsipa yako. Ichi chivakwa chinonzi plaque.

Iyi mishonga inovhara HMG-CoA reductase, enzyme iyo muviri wako unoda kugadzira cholesterol. Nekuda kweizvozvo, muviri wako unoita kushoma pazviri. Izvi zvinobatsira kudzikisa njodzi yekubata uye kudzivirira mahushumiri uye kurwiswa kwemoyo kunokonzerwa nemitsinga yakavharika.

Statins inotengeswa muUnited States inosanganisira:

• atorvastatin (Lipitor)
• fluvastatin (Lescol)
• lovastatin (Altoprev)
• pitavastatin (Livalo)
• pravastatin (Pravachol)
• rosuvastatin (Crestor)
• simvastatin (Zocor)

Ropa kumanikidza zvinodhaka

Chiremba wako anogona zvakare kuraira mishonga kuti ubatsire kudzikisa yako BP. Kuwedzera kweropa kunogona kuita basa rakakura mukurohwa. Inogona kupa kune machunks epaki kupaza, izvo zvinogona kutungamira mukuumbwa kweropa clot.

Ropa rekumanikidza zvinodhaka zvinoshandiswa zverudzi urwu rwekurapa zvinosanganisira:

• angiotensin-inoshandura enzyme (ACE) inhibitors
• beta-blockers
• calcium chiteshi blockers

Tora woenda nazvo

Mhando dzakasiyana dzemishonga dzinogona kubatsira kubata kana kudzivirira sitiroko. Vamwe vanobatsira kudzivirira kugwamba kweropa nekukanganisa zvakananga nenzira inogwamba kuumbika. Vamwe vanorapa mamwe mamiriro anogona kutungamira sitiroko. tPA inobatsira kupwanya kugwamba mushure mekunge vatove vakaumbwa mumidziyo yako yeropa.

Kana iwe uri panjodzi yekurohwa, taura nachiremba wako. Zvichida kuti imwe yemishonga iyi inogona kunge iri sarudzo yekukubatsira iwe kubata iyo njodzi.