Vascular Neurologists zvakare Inonzi 'Stroke Doctors'
Vascular neurology ndiyo kurapwa kwemarwadzo . Chirwere chirwere chinokanganisa ropa mudziyo unotungamirira kuuropi nekufamba mukati meuropi. Kurwadza kunoratidzwa nezviratidzo zvakadai sokusava nesimba, kupera simba, maonero ekuchinja uye kukanganiswa kwekutaura.
Chirwere chinowanzoitika apo ariti inotakura okisijeni nemuviri muuropi inogona kudzivirirwa neropa revharo (ischemic stroke) kana kuputika (chirwere chinopisa simba). Kana izvi zvikaitika, chikamu cheuropi chinotsigirwa neropa kubva kunopesana ropa haikwanisi kuwana ropa rakakwana oxygen uye mishonga, iyo inokonzera kukuvadza kweuropi.
Kazhinji yenguva, chiremba, mukoti kana imwe nyanzvi yehutano inogona kuongorora sitiroko. Kazhinji, kurohwa kwechirwere kunotanga pakarepo, uye dzimwe nguva, kurapwa kwepachirwere kunogona kutotanga mu ambulensi munzira yekuenda kuchipatara . Iko kune kazhinji nyanzvi dzakawanda dzinoshanda pamwe chete sechikamu cheboka rekuchengetedza chirwere . Kazhinji, nyanzvi yezvepurogiramu inobatanidzwa munhoroondo dzakaoma kwazvo dzekurohwa nekurohwa nekurohwa .
Dzimwe nguva, mumamiriro ezvinhu akaoma zvikuru, nyanzvi yezvepurogiramu yezvechirwere inobvunzurudzwa kuronga kuongorora chirwere uye kurapwa, uye inogona kutevera iwe nguva yako yose yekuwana. Imwe nyanzvi yezveuroyoyoyo yeuroyogistori inonzi neurologist iyo inewo yekuwedzera kudzidziswa uye unyanzvi mune zvekurohwa, kurapa nekudzivirira.
Stroke Treatment
Makore apfuura, pakanga pasina zvishoma izvo vanachiremba vaigona kuita kuti vararame zvirwere, nekuda kwekushayikwa kwehutano hwekuongorora nekurapa kwakanaka. Zvisinei, mumakumi mashoma emakore adarika, maurotori uye mamwe madhere akagadzira nzira dzakawanda uye itsva dzekuongorora, kubata uye kudzivirira maitiro, zvichiita kuti zvakanyanya kuwedzerwa kugadziriswa kweproke.
Stroke Treatment Inotenderera Kune Rudzi rweStroke
Iko kune marudzi maviri ehondo: hemorrhagic kana ischemic . Mushonga wacho unopesana zvichienderana nerudzi rwekurohwa.
Munguva yechirwere cheschemic, chirwere cheropa chinopa ropa kuuropi chinovharwa. Munguva yechirwere chemhepo, chirwere chinopera simba kana chakaipa chinoputika uye ropa rinoputika muhuputi hwehupi.
Kune dzimwe mhando mbiri dzemitsipa yeropa inogona kukonzera chirwere chakanyanya: brain aneurysms (chikamu chekudzivirira chetari chinogona kubvarura) uye arteriovenous malformations (AVMs).
Ischemic Stroke Treatment
Kune mishonga yakasiyana-siyana ye ischemic stroke. Chimwe chezvinhu izvi tissue plasminogen activator (tPA) iyo inopiwa IV (intravenously.) Zvakanaka kutungamirirwa kweTPA kunoparadza ropa clot uye kunoita kuti ropa riyerere muuropi, zvichida kudzivirira kuparara kwekugara kwenguva refu nekuremara.
Imwe nzira yekurapa ndeye endovascular nzira inonzi mechanical thrombectomy, iyo inoedza kubvisa ropa guru rekuvhara nekutumira chipfeko chakavharidzirwa (chinonzi stent retriever) panzvimbo yekuvhara ropa mudziyo muuropi.
Hemorrhagic Stroke Treatment
Endovascular maitiro anogona kushandiswa kudzivirira kana kuderedza kuipa kwemarwadzo ane chirwere chinokonzerwa neineurysms kana AVMs. Munguva iyi, catheter inowanikwa kuburikidza nehateri huru mujoka kana ruoko, zvino inotungamirirwa kune aneurysm; iyo inobva yavaisa coil kudzivirira kuputika.
Kuvhiya kunogonawo kubatsira kumisa kubuda ropa. Kana kubuda kunokonzerwa nekuputika aneurysm, chigadzirwa chesimbi chinogona kuiswa chirwere mumucheto we aneurysm kuti uwane iyo.
Vascular Neurologists
Vascular neurologists inowanzonzi stroke doctors. Kuti uve nehutano mune zvitsva zvitsva zvekurohwa chirwere, vanachiremba vanofanira kuwana ruzivo rwakakura uye kudzidziswa. Vose vezveuropiyo vane ruzivo rwakakura mukugadzirisa zvirwere. Vascular neurology inoda kuwedzera subspecialty kudzidziswa mushure mekupedzwa kwedzidzo yeuroyology panguva iyo maurogiologist anowana kuwedzera kumwekudzidzira mumagadzirirwo emangwana mukugadzirisa chirwere.
Kana uine chirwere chekusaziva, chiremba chinonzi se- cryptogenic stroke , iwe unogona kutumirwa kune chirwere chemapfupa chepurojekiti kuti uwedzere kuongororwa.
Saizvozvowo, kana uine mamiriro ekukurira zvakanyanya, zvakadai sokurova chirwere panguva yekuzvitakura, kana chirwere cheropa chingaita kuti urove , unogona kudikanwa kuona nyanzvi yezveuropiyo.
Shoko Rinobva
Kana iwe wakambosangana nesitiroko, boka rezvechirwere rinogona kuona chirwere uye kutanga chirongwa chekuponesa upenyu. Mune mamwe mamiriro ezvinhu, tende rako rinogonawo kusanganisira chirwere chemauropaist, zvikurukuru kana pane zviratidzo zvisingatsanangurwi kana kana kurohwa kwako kusingaiti.
Kushingaira kwako kunosanganisira boka rezviitiko zvezvehutano vanoziva avo vanogona kupindura mibvunzo yako sezvavanokubatsira kuburikidza nekudzoka kwako.
> Fuither Reading
> Kudzidzisa Rethinking uye Kuparadzirwa kweV Vascular Neurology Interventionists muEra yeThrombectomy, Grotta JC, Lyden P, Brott T, Stroke. 2017 Aug; 48 (8): 2313-2317. doi: 10.1161 / STROKEAHA.116.016416. Epub 2017 Jul 13.