Yakakura Stroke

Zvemukati

• Kunzwisisa kurohwa kukuru
• Zviratidzo zvekurohwa
• Zvinokonzera sitiroko
• Chirwere cheIschemic
• Kurwara kweropa
• Njodzi zvinhu zvekurohwa nesitiroko
• Zvepabonde
• Rudzi kana dzinza
• Mararamiro
• Mishonga uye mamiriro ekurapa
• Zera
• Kuziva sitiroko
• Emergency kurapwa kwechirwere chakakura
• Chirwere cheIschemic
• Kurwara kweropa
• Matambudziko anosangana nesitiroko yakakura
• Kutsungirira mushure mekurohwa
• Kutsigira kwevachengeti
• Maonero kwenguva refu
• Kudzivirira sitiroko

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Kunzwisisa kurohwa kukuru

Sitiroko ndiyo inoitika kana kuyerera kweropa kuchikamu chehuropi kuchikanganiswa. Mhedzisiro yacho kushomeka kweoksijeni kumatumbu ehuropi. Izvi zvinogona kuve nemhedzisiro inokanganisa. Iko kugona kupora kubva pakurohwa kunoenderana nekuoma kwesitiroko uye nekukurumidza kwaunowana kurapwa.

Kurohwa kwakakura kunogona kuuraya, sezvo kuchikanganisa zvikamu zvikuru zveuropi. Asi kune vanhu vazhinji vari kusangana nesitiroko, kupora kwakareba, asi zvinogoneka.

Zviratidzo zvekurohwa

Kuomarara kwezviratidzo kunoenderana nenzvimbo yekurohwa uye nekukura kwesitiroko. Zviratidzo zvekurohwa zvinogona kusanganisira:

• kamwe kamwe, musoro wakakomba
• kurutsa
• kuomesa kwemutsipa
• kurasikirwa kwemaonero kana kusaona zvakanaka
• dzungu
• kurasikirwa nechiyero
• chiveve kana kushaya simba kudivi rimwe remuviri kana kumeso
• kuvhiringidzika kamwe kamwe
• kuoma kutaura
• kunetseka kumedza

Muzviitiko zvakakomba, kuomarara uye coma zvinogona kuitika.

Zvinokonzera sitiroko

Kurohwa kunoitika kana kuyerera kweropa kuenda kuuropi hwako kukanganiswa. Izvo zvinogona kuve ischemic kana hemorrhagic.

Chirwere cheIschemic

Ruzhinji rwekurohwa ischemic. Kurwara kwechischemic kunoguma kubva kugwamba rinovhara ropa kuyerera kune imwe nharaunda yeuropi.

Ivha inogona kunge iri cerebral venous thrombosis (CVT). Izvi zvinoreva kuti inoumba panzvimbo yekuvharwa muuropi. Neimwe nzira, iyo clot inogona kunge iri embraism embolism. Izvi zvinoreva kuti inoumba kumwe kunhu mumuviri uye inofamba ichipinda muuropi, zvichitungamira kune sitiroko.

Kurwara kweropa

Kurwara kweropa kunoitika kana tsinga dzeropa muuropi dzichitsemuka, zvichikonzera kuti ropa riungane mumatumbu ehuropi akakomberedza. Izvi zvinomanikidza uropi. Iyo inogona kusiya chikamu chehuropi hwako chakanyimwa ropa uye oxygen. Inenge gumi neshanu muzana sitiroko ine hemorrhagic, inofungidzira iyo American Stroke Association.

Njodzi zvinhu zvekurohwa nesitiroko

Maererano neCenters for Disease Control and Prevention, sitiroko nyowani kana inoramba iripo inobata gore rega rega. Izvo zvine njodzi mitezo yesitiroko inosanganisira nhoroondo yemhuri yekurohwa, pamwe ne:

Zvepabonde

Mumazera mazhinji - kusara kwevakuru - sitiroko dzinowanzoitika kuvarume kupfuura vakadzi. Nekudaro, sitiroko inouraya kuvakadzi kupfuura varume. Izvi zvinogona kuve nekuti sitiroko dzinowanzoitika kune vakura vakuru, uye vakadzi vanowanzo rarama kwenguva yakareba kupfuura varume. Kubata mapiritsi uye nhumbu zvinogona zvakare kuwedzera njodzi yemukadzi yekurohwa.

Rudzi kana dzinza

Vanhu vari mune vane njodzi yakanyanya yekurohwa kupfuura vaCaucasus. Nekudaro, mutsauko wenjodzi pakati pevanhu vari mumapoka aya unodzikira nezera:

• Vanhu vekuAmerica
• Vagari veAlaska
• VaAfrica -America
• vanhu verudzi rweSpain

Mararamiro

Aya anotevera mararamiro maitiro anowedzera njodzi yako yekurohwa.

• kusvuta
• kudya
• kusaita basa
• kunwa doro zvakanyanya
• kushandisa zvinodhaka

Mishonga uye mamiriro ekurapa

Kudzora mapiritsi kunogona kuwedzera njodzi yako yeschemic sitiroko. Mishonga inoderedza ropa inogona kuwedzera njodzi yako yesitiroko yeropa. Izvi zvinosanganisira:

• warfarin (Coumadin)
• Rivaroxaban powder (Xarelto)
• apixaban (Eliquis)

Dzimwe nguva vatete veropa vanorairwa kudzikisa njodzi yekurohwa neschemic kana chiremba wako achinzwa kuti uri panjodzi huru. Nekudaro, izvi zvinogona zvakare kuwedzera njodzi yako yechirwere chekubuda ropa.

Kubata uye zvimwe zvehutano zvinogona kuwedzera njodzi yako yekurohwa. Aya mamiriro anosanganisira:

• zvinetso zvemwoyo uye zvevascular
• chirwere cheshuga
• nhoroondo yekurohwa kana kushumirwa
• cholesterol yakawanda
• BP, kunyanya kana isingadzoreki
• kufutisa
• metabolic chirwere
• migraine
• jeko cell chirwere
• mamiriro anokonzeresa hutachiona husingagundike (ropa gobvu)
• mamiriro anokonzera kubuda ropa kwakanyanya, senge maplatelet epasi uye hemophilia
• kurapwa nemishonga inozivikanwa seye thrombolytics (clot busters)
• nhoroondo yeaneurysms kana kusagadzikana kwevascular muuropi
• polycystic ovarian syndrome (PCOS), sezvo ichienderana neaneurysms muuropi
• tumota muuropi, kunyanya tumamota twakaipa

Zera

Vakuru vanopfuura makore makumi matanhatu nemashanu vari panjodzi huru yekurohwa, kunyanya kana ivo:

• vane BP yakakwira
• vane chirwere cheshuga
• vanogara
• vakafuta
• chiutsi

Kuziva sitiroko

Kana chiremba wako achifungidzira kuti une sitiroko, ivo vanozoita bvunzo kuvabatsira kuti vaongorore. Ivo vanogona zvakare kushandisa mamwe bvunzo kuona mhando yesitiroko.

Kutanga, chiremba wako achaita bvunzo dzepanyama. Ivo vanozoedza yako yepfungwa kungwarira, kubatana, uye kuenzanisa. Vachatarisa:

• chiveve kana kushaya simba kumeso kwako, maoko, uye makumbo
• zviratidzo zvekuvhiringidzika
• kuoma kutaura
• kuoma kuona zvakajairika

Kana iwe uine sitiroko, chiremba wako anogona zvakare kuita bvunzo kuti asimbise mhando yesitiroko yawakave nayo uye kuve nechokwadi kuti vari kukupa iwe chaiyo mhando yekurapa. Mimwe miedzo yakajairwa inosanganisira:

• MRI
• remagineti resonance angiogram (MRA)
• uropi CT scan
• computed tomography angiogram (CTA)
• iyo carotid ultrasound
• angiogram carotid
• electrocardiogram (EKG)
• an echocardiogram
• kuongororwa ropa

Emergency kurapwa kwechirwere chakakura

Kana iwe uchinge uine sitiroko, unoda rubatsiro rwechimbichimbi nekukurumidza sezvazvinogona. Kana ukakurumidza kuwana kurapwa, zvirinani kuti mikana yako ndeyekupona uye kupora.

Chirwere cheIschemic

Mirayiridzo ine chekuita nekurapwa kwesitiroko yakagadziridzwa neAmerican Heart Association (AHA) uye American Stroke Association (ASA) muna2018.

Kana iwe ukasvika mune yekukurumidzira mukamuri yekurapwa 4 1/2 maawa mushure mekutanga kwezviratidzo, kutarisirwa kwechimbichimbi kwechirwere cheschemic kunogona kusanganisira kuparara kweiyo clot. Mishonga yekugwamba-inozivikanwa se thrombolytics inowanzo shandiswa nekuda kwechinangwa ichi. Vanachiremba vanowanzo kupa aspirin munzvimbo dzechimbichimbi kudzivirira chero kuwedzerwa kweropa kubva pakuumba futi.

Usati wawana kurapwa kwakadai, boka rako rezvehutano rinofanirwa kusimbisa kuti sitiroko haina hemorrhagic. Ropa rakapfava rinogona kuita kuti chirwere chinobuda ropa chiwedzere. Izvi zvinogona kutotungamira kurufu.

Mimwe mishonga yekurapa inogona kusanganisira maitiro ekuburitsa iyo clot kubva kune yakakanganiswa arteri uchishandisa madiki makateti. Maitiro aya anogona kuitwa maawa makumi maviri nemana mushure mekutanga kwezviratidzo. Inozivikanwa seyemachine clot clot kana mechanical thrombectomy.

Kana sitiroko iri yakakura uye ichisanganisira chikamu chikuru cheuropi, kuvhiyiwa kudzikamisa kumanikidza muuropi kunogona kudikanwa.

Kurwara kweropa

Kana iwe uine chirwere chekubuda ropa, vanokurumidza vanokuchengetedza vanogona kukupa iwe mishonga yekuderedza yako BP uye kunonoka kubuda kweropa. Kana wanga uchinge uchishandisa vashambadzi veropa, vanogona kukupa mishonga yekuzvidzivirira. Iyi mishonga inowedzera kubuda ropa.

Kana iwe uine chirwere chekubuda ropa, ungangoda kuvhiyiwa nechimbichimbi zvichienderana nekuoma kwekubuda ropa. Vachaita izvi kugadzirisa iro rakaputsika reropa uye kubvisa ropa rakawandisa iro rinogona kunge riri kumanikidza uropi.

Matambudziko anosangana nesitiroko yakakura

Matambudziko uye kukanganisika kunoguma kunova kwakanyanya zvichienderana nekuoma kwesitiroko. Zvinetso zvinogona kusanganisira zvinotevera:

• kuoma mutezo
• kunetseka kumedza kana kutaura
• kuenzanisa matambudziko
• dzungu
• ndangariro kurasikirwa
• kuoma kudzora manzwiro
• kuora mwoyo
• kurwadziwa
• shanduko mumaitiro

Basa rekuvandudza rinogona kubatsira kudzikisira matambudziko uye rinogona kusanganisira kushanda ne:

• murapi wepanyama kudzorera kufamba
• chiremba anoshanda kuti adzidze kuita mabasa ezuva nezuva, akadai sezviitwa zvinosanganisira hutsanana, kubika, uye kuchenesa
• murapi wekutaura kuti avandudze kugona kutaura
• chiremba wepfungwa kubatsira kubata nemanzwiro ekuzvidya mwoyo kana kushushikana

Kutsungirira mushure mekurohwa

Vamwe vanhu vane sitiroko vanopora nekukasira uye vanogona kudzoreredza kujairika mashandiro emuviri wavo mushure memazuva mashoma. Kune vamwe vanhu, kupora kunogona kutora mwedzi mitanhatu kana kupfuura.

Hazvina mhosva kuti zvinotora nguva yakareba sei kuti uwanezve kubva pakurwara, kupora kuita. Kuramba uine tariro kunogona kukubatsira kutsungirira. Pemberera chero kupi uye kwese kufambira mberi kwaunoita. Kutaura nemurapi kunogona kukubatsira kushanda kuburikidza nekupora kwako, futi.

Kutsigira kwevachengeti

Munguva yekudzoreredza mushure mekurohwa, munhu angangoda kugadziriswa. Zvichienderana nekuomarara kwesitiroko, izvi zvinogona kuve zvemavhiki mashoma, mwedzi, kana kunyange makore.

Zvinogona kubatsira kune vanovachengeta kuti vadzidzise ivo pachavo nezve sitiroko uye nzira yekuvandudza. Vanochengeta vanogona kubatsirwa nekujoinha mapoka ekutsigira uko kwavanogona kusangana nevamwe vari kubatsira vadiwa vavo kupora mushure mekurohwa nesitiroko.

Zvimwe zvakanaka zviwanikwa zvekutsvaga rubatsiro zvinosanganisira:

• National Stroke Sangano
• American Stroke Sangano
• Stroke Network

Maonero kwenguva refu

Maonero ako anoenderana nekukura kwesitiroko uye nekukurumidza kwaunowana kurapwa kwahwo. Nekuti kurohwa kwakakura kunowanzo kukanganisa huwandu hwakawanda hwetsinga dzehuropi, maonero ese haana kunaka.

Pakazara, iwo maonero ari nani kune vanhu vane ischemic sitiroko. Nekuda kwekumanikidza kwavanoisa pauropi, maronda eropa anotungamira kune mamwe matambudziko.

Kudzivirira sitiroko

Tevera aya matipi ekudzivirira sitiroko.

• Regedza kusvuta uye dzivisa kusangana nehusiri hwefodya.
• Idya kudya kunovaka muviri.
• Kurovedza muviri kwemaminitsi makumi matatu pazuva pazuva kana mazuva ese evhiki.
• Chengetedza huremu hune hutano.
• Deredza kunwa kwako doro.
• Kana iwe uine chirwere cheshuga, tevedzera zvaakarairwa nachiremba wako zvekuchengetedza mwero wehuga yeropa.
• Tevera rairo yechiremba wako yekuchengetedza hutano hweropa.

Chiremba wako anogona kukurudzira kana kuraira mimwe mishonga kuti ubatsire kudzikisa njodzi yako yekurohwa. Izvi zvinogona kusanganisira:

• antiplatelet mishonga, yakadai se clopidogrel (Plavix) kubatsira kudzivirira kuwanda kweropa kubva mukuumba mune yako arteri kana moyo
• anticoagulants, senge warfarin (Coumadin)
• asipurini

Kana usati wambobatwa nesitiroko, iwe unofanirwa kushandisa aspirin chete kudzivirira kana uine njodzi yakaderera yekubuda ropa uye njodzi huru yeatherosclerotic yemwoyo chirwere (semuenzaniso, sitiroko uye chirwere chemwoyo).

Tenga aspirin online.