Stroke inoramba iri chikonzero chechitatu chinotungamirira rufu muUnited States chinotevera chirwere chepfungwa uye kenza. Gore roga roga, vanenge 800 000 vanhu vanokuvadzwa nehuroti uye140,000 vanofa navo.
Nokuti kushungurudzwa kwakaipa kwazvo, iwe unofanirwa kuve wakagadzirira nemashoko pamusoro pemapurogiramu ekuchengetedza chirwere munzvimbo yako kune shamwari kana nhengo yemumhuri inotarisana nehutano hwakakosha.
Mhando dzeStroke uye Emergency Treatment
Ischemic stroke inoitika kana pane kuvhara kana kuvharwa kwemudziyo muuropi inokonzerwa nechirwere cheprombosi kana kuti embolism. Chirwere chehutachiona ndechekuumbwa kweropa rinopinda mukati meuropi iro rinovhara ropa richiyerera. Chirwere chinonzi emberesi chinowanikwa apo jira rakaumbwa kune imwe nzvimbo mumuviri rinosvika kuuropi uye rinovhara ropa richiyerera .
Ischemic stroke varwere vanopona mukurwisana kwakanyanya vanogona kupiwa mishonga inopisa, yakadai seTPA; ropa rakapfava, rakadai se heparin; kana anti-clotting agents, zvakadai sa aspirin.
Chirwere chinoputika chinoitika apo mudziyo unoputika uye unobuda mukati meuropi. Uku kukuvara kunowanzokonzerwa ne aneurysm , iyo inowedzera uye inoputika yeimwe nzvimbo yemudziyo. Kutambudza uye kuwedzerwa kukurudzirwa muuropi kunogona kutungamirira kune chirwere chakanyanya.
Hemorrhagic chirwere chepurojekiti chinangwa chekutonga kusagadzikana kwechisimba , kana kupikisa mukati mehenya.
Hapana ropa rakaonda kana anti-clotting agents rinoshandiswa kubvira apo chironda chinokonzerwa neropa. Chinangwa chekurapa ndechekudzivisa kubuda ropa uye kuderera kusagadzikana kwechisimba kuti kuderedze kukuvara kweuropi. Kupindira kunosanganisira kushandiswa kwemishonga ekuderedza kusagadzikana kwechisimba uye kuderedza kuputika muuropi, kuvhiyiwa kugadzirisa kuputsika kwemidziyo, kana kuti zvirwere zvekupedzisira kuti zvivhare ropa richiyerera kusvika pakaputsika.
Kushungurudza Rufu uye Kuchengetedzwa Kwepakati
Pasinei nokurapwa kwekukurumidzira, inenge imwe chete muzvikamu zvitatu zvakaurayiwa zvinofa semugumisiro. Rufu rungatevera sitiroko nekukurumidza kana kuuya pane imwe nguva gare gare. Stroke avo vanopukunyuka kurwisa kwokutanga vangatambura kukura kwakanyanya mumuviri uye mupfungwa. Kuoma muviri, kunetseka kubvumira, kusava nehanya, uye magetsi anopisa mukana wekufa. Dambudziko rinogona kusiya vanhu mu coma kana kuti inoramba ichidyara mbeu, ichizarura musuo kune zvinonetsa uye zvinokosha pamusoro pehupenyu hwavo.
Kunyatsotarisirwa uye zvirongwa zvekuchengetedza zvirwere zvinogona kubatsira avo avo vakakuvara nekurohwa uye avo vadikanwa vanoita zvisarudzo zvakaoma pavanenge vachitaura nezvemunhu wose wepanyama, zvepfungwa, uye zvemudikanwi. Chinangwa chekuchengetedza kwepamusoro kune hutachiona chakasiyana kune vanhu vane chirwere. Kunyatsotarisirwa kunowanzoitwa munzvimbo yezvipatara pasina zvingakwanisi kurarama muupenyu. Kunyatsotarisa kunogona kunotanga kusati kwasara kugadziriswa .
Kuchengetwa kwechipatara, zvisinei, zvakakodzera chete kuvanhu vanogona kunge vane mwedzi mitanhatu kana vashomanana kurarama uye vanosarudza kufa mumusha wavo. Hospice isarudzo yakakodzera kune mumwe munhu anenge asarudza kupikisa mararamiro-anowedzera kurapa, zvakadai se tube tubeings uye mechanical ventilation .
Stroke vanobatwa nevanorapwa vanogara vachiuya kumusha kana kuti vanobvumirwa kupinda munzvimbo yekuchengetedza vakwegura kwemazuva avo vakasara.
Sources:
> IInternet Stroke Center. Stroke Statistics. http://www.strokecenter.org/patients/about-stroke/stroke-statistics/
Holloway RG, Benesch CG, Burgin S, Zentner JB. Zviratidzo uye Chisarudzo Kuita mukurohwa kwakanyanya. JAMA. 2005; 294: 725-733.