Kurohwa chirwere kunoda kuongororwa nekutsvaga kwekurapa, kazhinji nekubatsirwa kwekombiki yehutano. Kana iwe uchinge uine sitiroko yekuongorora, kuongorora kwako kunosanganisira zvishandiso zvinotevera.
The Neurological Examination
Uyu muedzo unoitwa nachiremba kuitira kuti uone kana pane dambudziko muuropi basa rinogona kusimbisa kunyunyuta kuti munhu ari kunyanya kubata chirwere.
Chikamu chimwe nechimwe chekuongorora kwepfungwa chinongedza nzvimbo yakasiyana yeuropi, kusanganisira:
- Kuziva nekuziva
- Kutaura, mutauro, uye chiyeuchidzo chinoshanda
- Chiono uye kufamba kweziso
- Kunzwa uye kufamba mumeso nemaoko nemakumbo
- Reflexes
- Kufamba uye pfungwa yekuenzanisa
Computed Tomography Scan
Uyu muedzo unoitwa muimba yekukurumidzira kuona chirwere chinopisa .
Computed tomography (CT) inoongorora zviratidzo zvakanaka nokuda kwechinangwa ichi kwete nokuti vanoona nyore nyore kubuda mukati meuropi, asiwo nokuti vanogona kuitwa nokukurumidza.
CT inoongorora zvakare inogona kubudisa ischemic strokes, asi kazhinji haigone kuona ischemic stroke kusvika maawa matanhatu kusvika maviri shure kwekutanga kwavo.
Lumbar Puncture
Iyo inozivikanwa se " mumupfupa wepelinha " iyi muedzo dzimwe nguva inowanikwa mukamuri rekukurumidzira kana pane chikonzero chakasimba chekurohwa kwepfungwa. Chiyero chinosanganisa kuiswa kwesaeni kune imwe nzvimbo mukati memucheto wepasi pemutsara wepamusoro apo yakachengeteka kutora cerebrospinal fluid (CSF).
Apo kubuda ropa muuropi, ropa rinogona kuonekwa mu CSF.
Magnetic Resonance Imaging (MRI)
Iyi ndeimwe yemuedzo unobatsira zvikuru pakuonekwa kwechirwere nokuti inogona kuona zvirwere mumaminitsi ekutanga kwadzo. MRI zvifananidzo zvehuropi zvakare zvinopfuura zvakanakisisa kune CT mifananidzo. Mhando yakasiyana yeMRI inonzi magnetic resonance angiography , kana kuti MRA, inobvumira vanachiremba kufungidzira kuderedza kana kuvhara kwemitsipa yeropa muuropi.
Transcranial Doppler (TCD):
Uyu muedzo unoshandisa mazaya akajeka kuti ayerere kuteura ropa kuburikidza nemidziyo mikuru yeropa muuropi . Nzvimbo dzakatetepa mukati memudziyo weropa dzinoratidzira huwandu hwekuyerera kweropa pane nzvimbo dzese. Iyi ruzivo inogona kushandiswa navanachiremba kutevera kufambira mberi kwechikamu chakavhara midzi yeropa.
Imwe nzira yakakosha yekushandiswa kweTCD ndiyo kuongorora kweropa rinoyerera nemishupa yeropa munzvimbo yekudengenyeka kwemvura, sezvo mishonga yeropa ine simba rokutora "vasospasm" inotyisa uye inononoka kuvhara ropa mudziyo unogona kudzivisa ropa kuyerera.
Cerebral Angiography:
Stroke vanachiremba vanoshandisa chiyero ichi kufungidzira mitsipa yeropa mumutsipa neuropi. Munguva iyi muedzo dhayi yakakosha, iyo inogona kuonekwa kushandisa X-rays, inopindwa mumaroto e-carotid, ayo anounza ropa kuuropi. Kana munhu ane chikamu chisina kukwana kana chakakwana mune imwe yemidziyo yeropa, chimiro chedayi chinogona kubatsira kubvuma kuti chirwere chisingawanzi ropa.
Chimwe chikonzero chinowanzokonzera chirwere ndechekucheka kwetarotid arteri, carotid stenosis, iyo kazhinji inoguma necholesterol iripo pamasvingo emidziyo iyi yeropa. Ichi chiitiko chinogona kuonekwawo nechiyero chinonzi Carotid Duplex, iyo mafungu anonzwika anoshandiswa kuongorora kubuda kweropa kuburikidza nemidziyo yeropa.
Zvichienderana nehuwandu hwokuderedza uye zviratidzo zvinonzwa nemunhu, chirwere chinogona kudiwa kuti chibvise chidimbu kubva pane dhiyabhorosi yakaoma.
Cerebral angiography inogona kubatsirawo vanachiremba kuziva kuti ndezvipi zvinowanzozivikanwa kuti zvinosanganiswa nemhepo
Mushure mokunge chirwere chiripo chinowanikwa, dzimwe nguva, bhati mutsva yekuedzwa inofanira kuitwa kuitira kuti uwane chikonzero chekurohwa.
Electrocardiogram
Uyu muedzo, unonziwo EKG kana ECG, unobatsira vanachiremba kuti vaone zvinetso nekutengesa magetsi kwemoyo.
Kazhinji, mwoyo unorova muzviitiko, nguva yemaitiro inokurudzira kutenderera kweropa kunopinda muuropi uye dzimwe nhengo. Asi kana mwoyo une chiremera mumagetsi ekugadzirisa, inogona kurohwa nechirongwa chisina kujeka. Izvi zvinonzi chirmiti, kana kuti kusagadzikana kwemwoyo kunorohwa .
Dzimwe arrhythmias, dzakadai sefriday fibrillation, zvinokonzera kuumbwa kweropa mukati memakamuri emwoyo. Iyi dzimwe nguva ropa rinotamira kune uropi uye rinokonzera chirwere.
Transthoracic echocardiogram (TTE)
Uyu muedzo, unozivikanwawo sekuti 'echo' inoshandisa mazaya ane mutsva kutsvaga kuvhara ropa kana mamwe mamiriro ekunze mukati memwoyo. Iyo inoshandiswawo kutarisa kusakanganiswa mumoyo wemabasa zvinogona kutungamirira kuropa rekuvhara mukati mukati memakamuri emwoyo. TTEs inoshandiswawo kuongorora kana ropa rinovhara kubva pamakumbo rinogona kufamba mukati memwoyo uye kusvika kuuropi.
Leg Leg Ultrasound
Vanachiremba vanowanzoita izvi kuongororwa nevarwere vanonzi vane patent foramen ovale. Chiyero chinoshandisa mazai ane mutsva kutsvaga mazai eropa mumaketani akadzika emakumbo, ayo anozivikanwawo sehutachiona hwehutachiona kana DVTs. DVTs dzinogona kukonzera marwadzo nekuita rwendo rurefu runopera muuropi. Chokutanga, chiduku chiduku cheDVT chinoparara uye chinosvika pamwoyo kuburikidza nemhepo inotyisa. Rimwechete mumoyo mavheti eropa ropa kubva kuruboshwe rworudyi kusvika kuruboshwe rwemoyo kuburikidza ne PFO, iyo inobudiswa kunze kweaorta uye carotids kune uropi, uko inogona kukonzera chirwere.
Dambudziko reRopa
Kune chikamu chikuru, kuongerwa ropa kunobatsira vanachiremba kutarisa zvirwere zvinozivikanwa kuti kuwedzere njodzi yekurohwa , kusanganisira:
Chinhu
Bradley G Walter, Daroff B Robert, Fenichel M Gerald, Jancovic, Joseph Neurology muchipatara, maitiro ekuongorora uye kutungamira. Philadelphia Elsevier, 2004.
Yakagadzirwa naHeidi Moawad MD