Iyo Stroke Njodzi Zviitiko Zvese Vakadzi Vanofanirwa Kuziva

Zvemukati

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Yakanga iri 4 mangwanani mangwanani munaNovember 2014, uye Merideth Gilmor, mutori wenhau anomiririra vatambi vakaita saMaria Sharapova, anga achitarisira kuzorara. Zuva rakanga ratanga kare, aine ake akajairika mamaira masere. Zvino iye nemurume wake vaive vaenda kumuchato weshamwari yake yepamwoyo, uko kwavakanorara husiku "vachitamba senge nyeredzi dzedombo," anodaro. Panguva yaakadzokera kuimba yake yehotera, aive akagadzirira kupfuura kuwira mumubhedha uye kunetseka. Asi sezvaakaita izvo chaizvo, akanzwa chimwe chinhu chakashamisa. "Handimbofi ndakazvikanganwa; zvaingonzwa sekunge ndakwenya dandelion hombe mumhino dzangu. Ipapo chiratidzo changu chakasviba," anoyeuka. "Ndainzwa, asi ndaisakwanisa kutaura uye ndaisakwanisa kufamba."

Gilmor, aingova nemakore makumi matatu nemasere chete, aive achangobva kuve nesitiroko yakakura.

Dambudziko Riri Kukura

Gilmor iri kure yega. "Stroke kuwanda kwevakadzi vadiki kwave kuwedzera," anodaro Philip B. Gorelick, M.D., director wezvekurapa paMercy Health Hauenstein Neuroscience Center muGrand Rapids, MI. Pakati pa1988 kusvika 1994 na1999 kusvika 2004, kuwanda kwesitiroko muvakadzi vane makore 35 kusvika ku54 zvakapetwa katatu; varume havana kumbochinja, anodaro Gorelick. Kunyange zvazvo chiri chimwe chezvirwere zvishanu zvepamusoro izvo vakadzi vaduku vasingatarisiri, pamwero wose, inenge 10 muzana yesitiroko inoitika muvanhu vari pasi pemakore 50. (Humwe nhamba inokatyamadza: sitiroko inouraya vakadzi vakawanda nekaviri kupfuura kenza yemazamu gore negore.)

"Zvakaoma kuziva kana kupararira kuri kuwedzera, kana kuti isu tiri kungove tiri nani pakuziva sitiroko muvakuru vechidiki," anodaro Caitlin Loomis, MD, mubatsiri wepurofesa wetsinga paYale School of Medicine, uye chiremba wetsinga kuYale. -New Chipatara cheHaven. Asi Gorelick anofungidzira kuti sitiroko iri kuramba ichiwanzoitika, muchidimbu nekuti kukwirisa kweropa uye huwandu hwecholesterol, zvinhu zviviri zvine njodzi yekurohwa, zviri kubata vakadzi vazhinji pazera diki. (Wanga uchiziva here kuti pane hukama pakati pekushaya hope uye kuwedzerwa kweropa?)

Kunyangwe kuziva nezve dambudziko iri kuchikura, nekuti kurohwa kwakanyanya zvakanyanya muvakuru, vanhu vazhinji-vanachiremba vanosanganisira-vanokundikana kuona zviratidzo kana zvikaitika muvakadzi vadiki. Panenge ne13 muzana yevanorohwa nesitiroko vanoongororwa zvisirizvo, sekureva kweongororo ichangobva kuitwa mumagazini Kuongororwa. Asi ivo vaongorori vakaona kuti vakadzi vane makumi matatu nematatu muzana mukana wekutadza kubatwa zvakanaka, uye vanhu vari pasi pemakore makumi mana nemashanu vanowedzerwa kakapetwa kanomwe kuti vapihwe chirwere chisina kunaka.

Uye izvo zvinogona kukuvadza Stroke.

Neraki, murume waGilmor akaziva zviratidzo zvake-kuoma mitezo kumeso kwake, kuvhiringidzika, kutaura kwakadzikama-sekurova. "Ndakamunzwa achisheedza 911, ndikafunga," Ndinofanira kupfeka. Asi ndakanga ndisingakwanisi kufambisa maoko angu,” anodaro. Kuchipatara, chiremba akasimbisa zvaityiwa nomurume wake: Aiva nesitiroko ye<em>ischemic, iyo inotora inenge 90 muzana yesitiroko dzose uye inoitika kana chimwe chinhu, kazhinji chikagwamba. , inodzivirira mudziyo unopa ropa kuuropi. (Kurohwa neropa, kune rumwe rutivi, kunoitika kana tsinga yeropa ichibvaruka kana kutsemuka.)

Carolyn Roth akanga asina rombo rakanaka. Muna 2010, aingova nemakore makumi maviri nemasere paakagadzira chiratidzo chake chekutanga chekunyevera: kurwadziwa kwakanyanya mumutsipa wake mushure merwendo rwekuenda kunzvimbo yekusimbisa muviri. Akazvinyora semhasuru yakadhonza. Akakwanisawo kutsanangura nzvimbo dzakaita sedhaimondi dzakavhara chiono chake paakanga achidzokera kumba husiku ihwohwo uye kurwadziwa kwemutsipa kwakamuita kuti abude Tylenol zuva rose raitevera.

Pakupedzisira, mangwanani akatevera akanetseka zvokuti akafonera baba vake, avo vakaenda naye kuchipatara. Akaenda kuma8 dzemangwanani, uye maawa mashoma gare gare chiremba akamuudza kuti aiita sitiroko. "Ivo vaiziva ipapo, nekuti maziso angu anga asiri kupindura mwenje," anodaro. Asi zvakamushamisa. Nepo ainzwa kurwadziwa, kusvotwa, kuvhiringika, uye kusaona zvakanaka, akange asati amboona zvimwe zve “zvakajairika” zviratidzo, sekuremara rutivi rworuboshwe. Izvo zvinogona kunge zviri nekuti kurohwa kwake kwakakonzerwa nekudambura diski, kana kuchema mutsinga, kazhinji kunoguma kweimwe mhando yekushungurudzika senge tsaona yemotokari kana kukosora zvine chisimba. (Zvimwe zviratidzo-seizvi zviratidzo zvepamusoro zvekunyevera-haufanire kufuratira.)

"Kana zvasvika pakurwara nesitiroko, nguva yakakosha," anodaro Loomis. "Mimwe mishonga inongobatsira chete kana yaunzwa mukati memaawa matatu kusvika ku4.5-awa, saka zvakakosha kuti vakabatwa nesitiroko vaunzwe kuchipatara nekukurumidza uye nekukasika."

The Aftermath

Stroke kupora kunotaridzika kwakasiyana kune wese murwere. "Zvakawanda zvinoenderana nesaizi yesitiroko uye nzvimbo iri muuropi," anodaro Loomis. Uye kunyange chiri chokwadi kuti kupora kunogona kuva mugwagwa wakareba, unononoka, zvichipesana nezvinotendwa nevanhu vazhinji, sitiroko haisiyo mutongo wehurema hwoupenyu hwese. Izvi ndezvechokwadi kunyanya kuvarwere vadiki, avo Loomis vanoti vanowanzoita zviri nani kupfuura varwere vakura kana zvasvika pakurapwa kwemuviri uye rehab. (Dzimwe nyaya dzehutano dzinobatawo varume nevakadzi zvakasiyana.)

Vaviri Gilmor naRoth vanoti vaive nerombo rakanaka kuve nemabasa anochinjika anovabvumidza kuwana zororo rakawanda. "Kurara kwakakosha kwazvo pakutanga, sezvo huropi hwako huri kuedza kuzvigadzirisa. Zvinotora nguva yakareba," anodaro Roth. Mushure mekutora mwedzi mishoma kubva kubhawa kuti apore, zvishoma nezvishoma akatanga kurovedza muviri zvakare. "Ndichaita chero maekisesaizi izvozvi-ndakatomhanya New York City marathon muna 2013!" anoti. (Kufunga zvekumhanya? Tarisa Zvinhu 17 Zvekutarisira Kana Uchimhanya Marathon Yako Yokutanga.)

Gilmor anorumbidzawo rutsigiro rwake-vanachiremba vake, vaanomudaidza kuti "Stroke Squad" (Loomis aive mumwe wavo), mhuri, vatengi, vaaishanda navo, uye shamwari-pamwe nekupora kwake. “Ndaiedza kuona zvinosetsa muzvinhu zvose, zvandinofunga kuti zvakabatsira,” anodaro. Pamusoro pekurapwa kwemuviri, Gilmor, uyo achiri kuona kushaya simba parutivi rwake rwekuruboshwe, zvishoma nezvishoma akatanga kukwira dombo nemwanakomana wake senzira yekuvakazve simba rake.

Asi kumhanya chaive chinangwa chake chaicho chekupedzisira. "Mwanakomana wangu akati kwandiri, 'Amai, ndinofunga muchave nani kana mukwanisa kumhanya zvakare.' Ehe izvo zvakandiita kuti ndive senge, 'Zvakanaka-ini ndofanira kumhanya!' "Anodaro Gilmor. Iye zvino arikudzidzira iyo 2015 New York City Marathon, uye, muchokwadi, achangopedza 14-mamaira refu kumhanya.

"Hazvisi nyore, kuyedza kumhanya marathon," anodaro Gilmor. "Asi iwe unongotora matanho emwana. Maonero angu ese ndeaya: Unotofanira kudarika zvikonzero zvako. Unogona kutya, asi unofanira kuva mukuru kudarika kutya."

Zvaunogona Kuita Izvozvi

Hapana chaungaita kuti uve nechokwadi chekuti hauzombofi wakaita sitiroko. Asi aya mazano manomwe anogona kubatsira kuderedza njodzi yako-uye nerutsigiro vapukunyuki vemazuva ano.

1. Ziva zviratidzo zvese: Acronym FAST inzvimbo yakanaka yekutanga. Inomiririra Kumeso kudonha, Simba kushomeka, Kunetseka kwekutaura, uye Nguva yekufona 911-inovhara zviratidzo zvikuru zvekurohwa kwakanyanya. “Asi ndingati chinhu chinonyanya kukosha chokuyeuka ndechokuti kana munhu akangoerekana achinja pamberi pemaziso ako, wana rubatsiro,” anodaro Dr. Loomis. Pamusoro pechiratidzo cheFAST, kungoerekana waita matambudziko ekuona, kutadza kutaura kana kumira wakamira, kutaura kwakashata, kana neimwe nzira kusangoita kunge munhuwo zvake zvinogona kuve zviratidzo zvekurohwa.

2. Ngwarira mamwe mishonga: Vanachiremba vaGilmor vanotenda kuti njodzi yake yekurohwa sitiroko yakakwidziridzwa nekuda kwerudzi rwekuberekwa kwaakatora. "Chero ipi yehutachiona hwekudzivirira kubata pamuviri ine estrogen, kusanganisira mapiritsi ekudzivirira kubereka, zvigamba, uye maringi emadzimai, zvinowedzera mukana wako wekuumbana," anodaro Loomis. Kazhinji, magwamba iwayo anoperera mutsinga, kwete mutsinga. Asi kana uine zvimwe zvinhu zvine njodzi, senge high blood pressure, ungada kutaura neob-gyn wako nezvekuchinja kuberekwa. (Mumwe munyori anogovera chikonzero nei asingazotore Piritsi zvakare.)

3. Usambofa wakafuratira kurwadziwa kwemutsipa: Inenge 20 muzana yekurohwa kweischemic muvakuru vari pasi pezera re45-kusanganisira Roth's-inokonzerwa nekervical artery dissection, kana kubvarura mumidziyo yeropa inoenda kuuropi, tsvakurudzo Iyo Open Neurology Journal inoratidza. Kupunzika kwemota, kukosora kana kurutsa zvinokwana, uye kungoerekana kwamonyanisa kana kukwenya maitiro zvinogona kukonzera misodzi iyi. Loomis anoti izvo hazvireve kuti iwe unofanirwa kudzivisa yoga (mushure mezvose, mamirioni avanhu anomonyoroka uye kuzunguza misoro yavo zuva nezuva uye hapana chinoitika), asi iwe unofanirwa kunyatso tarisisa kuti unonzwa sei mushure mekuita chero chinhu chinokonzera kukurumidza kufamba kune mutsipa. Kana iwe uchinzwa kurwadziwa kwakanyanya kana kusvotwa, kana kucherechedza chero matambudziko ekuona mumashure, enda kune chiremba stat.

4. Tambanudza: Iwe wakanzwa yambiro nezve kuita chokwadi chekusimuka uye kutambanudza paunenge uchibhururuka. Mikana iripo, iwe wakazvifuratira-kunyanya kana wanga uri pachigaro chehwindo. Asi kubhururuka kunogona kukurudzira ropa kuti riwande mumakumbo ako, zvichiwedzera mukana wako wekuumbika izvo zvinogona kuzobva zvaenda kuuropi yako, anodaro Loomis. (Vanachiremba vaGilmor vanofunga kukwira kwendege nguva pfupi yadarika, pamwe chete nekushandisa kwake Piritsi, ndizvo zvakakonzera sitiroko.

5. Chengeta tabo pane idzi nhamba: Ita shuwa kuti utore ropa rako necholesterol zvinotorwa nguva zhinji, uye kana nhamba dzikatanga kukwira kupinda munzvimbo "yepamusoro pane zvakajairwa", bvunza chiremba wako zvaunogona kuita kuti vadzokere pasi, anodaro Gorelick. High blood pressure inokuvadza tsinga dzeropa, uye high cholesterol inogona kuwedzera mikana yako yekugadzira clot.

6. Namatira kune kudya kunovaka moyo: Loomis anokurudzira chikafu cheMediterranean, icho chakaratidzwa kudzikisa chirwere chemwoyo. "Yakazara nehove, nzungu, uye miriwo, uye yakadzika nenyama tsvuku uye zvinhu zvakakangwa," anodaro. Tanga neizvi Mediterranean Diet mabikirwo. Kudya rudzi urwu rwekudya kwakachena kuchakubatsira iwe kuchengetedza huremu hwakanaka, izvo Gorelick naLoomis vanobvumirana nazvo ndeimwe yenzira dziri nyore dzekudzora njodzi yekurohwa.

7. Tsigira vapukunyuki: Kana iwe usati wakabatwa nesitiroko, pamwe haufanire kutarisa kure kuti uwane mumwe munhu ane: Masekondi makumi mana, mumwe munhu anaro, uye nhasi kune mamirioni 6.5 vanopona sitiroko vanogara muUS Uye se Loomis anoti, "Sitiroko chiitiko chinoshandura hupenyu chinogona kunetsa kupfuura, mumuviri, uye nemweya. Kubatsira kutsigira vakapona, National Stroke Association ichangotanga musangano wavo wekudzoka wakasimba. Kune matani enzira dzekujoinha: kushandura yako pikicha pikicha kune iyo Kudzoka Yakasimba Strong, kupa mari, kana kutora chikamu muchiitiko cheKudzoka Trail munaGunyana 12 -zvipira nzira yemuno kune akapona sitiroko iwe unoziva, uye famba nayo kukudzwa kwenzira yake yekupora pazuva iroro.

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