Stroke

Chirongwa cheStroke

Chirwere chisingawanzozivikanwi, chinokanganisa vanenge 800 000 veAmerica uye vanhu vane mamiriyoni gumi nemashanu pasi pose gore negore. Kunyange zvazvo uchizivikanwa nevanhu vakawanda nemazita, vanhu vakawanda vakura vasina kumbobatwa nehupuro havanyatsozivi kuti chii chaicho chaizvo-chimwe chinhu chinofanira kuitika, kunyanya chikamu, kuti kushungurudzwa ndechimwe chinhu chakaoma kurapa.

Kana iwe wakamboudzwa kuti iwe kana munhu waunoda wakave nechirwere, kana kuti kune ngozi yakawedzerwa kune imwe, iyi ingave ndiyo yekutanga iwe wakambofanirwa kufunga pamusoro pematambudziko emamiriro ezvinhu aya nemigumisiro.

Kunyangwe iwe ungave uri kuverenga izvi panguva yakaoma, kudzidza zvakawanda pamusoro pekurohwa kunogona kukubatsira kuti uwane rubatsiro rwakanaka pamamiriro ako ezvinhu. Kana izvi zvisiri iwe, uchikwira nekukurumidzira padzidziso iyi ikozvino rimwe zuva ingachengetedza hupenyu hwako kana hupenyu hwomunhu waunoziva.

Chii Chinonzi Stroke?

> Ropa remakumbo rinogona kufamba neropa uye kudzivirira oksijeni kuuropi.

Kurwadza kunoitika apo kune kukanganisa kweropa kunopinda munzvimbo yeuropi inokonzera kukanganisa kweuropi.

• Chinonzi Mini Stroke Chinorevei?

• Kusiyana pakati peStroke neTIA

Izvi zvinogona kukonzera kuderedzwa muviri, unyanzvi hwokufunga, kana kuti zvose, uye iyo iyo inoitika inosiyana yakasiyana zvichienderana nenhengo ipi yeuropi yakakuvadzwa uye yakawanda yekukuvara.

Zvakakosha kuchengetedza chikamu chekupedzisira mupfungwa: Vamwe vanhu vanogona kuona zvirwere umo zvinoguma zvisinganyanyi kukosha kune avo vane mhosva dzakaoma, uye pamwe chete.

Mhando dzeStroke

Kune miviri miviri mikuru yemashiroko, iyo inoparadzaniswa nehutachiwana hwehupenyu chinetso chakaitika.

Zvinokonzerwa neIschemic zvinokonzerwa nekuvharwa kweimwe yemakumbo emagetsi eropa. Izvi zvinogona kuva:

• Chirwere , apo paine kuumbwa kwetrombus (clot) zvakananga mukati meropa mudziyo

• Embolic, apo ropa rinotanga kune dzimwe nzvimbo dzomuviri, zvakadai semwoyo, uye rinofamba kuenda kuuropi zvichikonzera kuvharwa kweimwe yemidziyo yayo

Kurohwa kwemahombekombe kunokonzerwa neropa remvura rinopera uye rinoratidzika neropa muuropi. Hemorrhagic stroke iri pasi-yakakamurwa kuva mhando mbiri:

• Intracerebral hemorrhage
• Subarachnoid homorrhage

Uyezve, kune zvikamu zvitatu zvakakura zvekurohwa, izvo zvakasiyana-siyana zvichibva kune imwe nzvimbo yeuropi inoshandiswa.

Cortical Stroke (Kubvira Chikafu Chokudzivirira): Kurwisa kunobata kerebral cortex kunorondedzerwa sechirwere chekoriki kana kuti mudziyo mukuru wehove . A cortical stroke inokonzera kukanganisa mukufunga, kufunga, mutauro, kurangarira, kufamba, kunzwa, kana kuratidzwa.

Subcortical Stroke (Small Vessel Stroke): Chirwere munharaunda ye subcortical yeuropi inonzi chiduku chiduku chevhu . Rudzi urwu runogona kukonzera kukanganwa kwepfungwa, kushaya simba, kumira, kana kurasika.

Brainstem Stroke: Chirwere chepfungwa chinogona kukonzera kaviri maonero, chirungu, kuvhara matambudziko, matambudziko ekufema, kana kuvhara, pamwe chete nekuputika kana kupera.

Chii Chinokonzera Stroke?

Ruzhinji rwevanhu vane stroke ndivo vakagadzirirwa. Zvisinei, zvizhinji zvezvikonzero zvinodzivirirwa kana kudzora uye zvinosanganisira:

• Chirwere chemoyo
• Cerebrovascular disease
• Carotid arteri chirwere
• Hypertension
• Malignant hypertension
• Chirwere cheshuga
• Kusvuta
• High cholesterol, mafuta, uye triglyceride mazinga
• Kuwedzera muviri
• Sedentary lifestyle
• Kuwedzeredza kunetseka
• Zvinodhaka
• Dambudziko reRopa
• Zvirwere
• Zvirwere zvekuzvidzivirira
• Huru systemic disease

Zvinowanzoitika kwenguva yakareba Migumisiro yemaitiro

Zvakare, havasi vose vanoona chirwere chekurohwa vachasangana nezvose izvi zvinoshushikana kana kuita saizvozvo pamwero wakafanana. Asi urongwa uhwu hwehuwandu hwemazuva mazhinji hunogona kuitika hunoita kuti iwe upe pfungwa yekuti zvinogadzirisa sei kurohwa kunogona kuva:

• Kushaya simba kune rumwe rutivi rwemuviri
• Kushaya simba kune rumwe rutivi rwechiso; dhizha rinoputika
• Chiratidzo kurasikirwa kana kurasikirwa kworuzhinji
• Chiono chechipiri kana maonero asina kunaka
• Slurred speech
• Dambudziko kunzwisisa mazwi kana dambudziko nemutauro
• Kuenzanisa uye zvinetso zvekubatanidza
• Kurasikirwa kwekunzwa kwechimwe rutivi rwemuviri kana chiso
• Kusaziva kwekupoteredza kwako kana kwemuviri wako

• Dambudziko nekugadzirisa zvinetso
• Uchechezi, musoro, uye kurwadziwa
• Urinary incontinence

Sei Stroke Inobatsira Pfungwa Nepfungwa?

Nharaunda dzehuropi dzinodzora mamwe mabasa epfungwa nemuviri. Nemhaka yenzira iyo mishonga yeropa inorongwa, dzimwe arteri dzinopiwa kune kupa ropa kunzvimbo dzakatsanangurwa dzeuropi. Kana imwe arteri inodzivirirwa kana kubuda ropa, nzvimbo yeuropi inogamuchira ropa kubva muyeri iyo inobatwa. Somugumisiro, mabasa anodzorwa nehara iyo yeuropi inogumira. Dambudziko riri mumotokari yeuropi rinokonzera kushaya simba, nepo kurohwa mukati mekuona kwouropi kunoita kuti kurasikirwa kwemaonero.

Mepu yeArterium uye iyo inowirirana neuropi nzvimbo inowirirana kubva kumunhu kusvika kune munhu. Uropi nzvimbo uye mabasa avo anotonga zvakafanana zvakanatsanangurwa pakati pedu tose, neine zvishoma zvakasiyana kubva kune mumwe munhu kune mumwe. Nemhaka yekunzwisisa uku, migumisiro yekurohwa kunogona kuratidzira chikamu chipi chehuropi chakakanganiswa pamwe chete uye chiropa cheropa chakavhiringidzika.

• Internal Capsule Stroke Overview

• Chii chinonzi Corona Radiata?

Kuziva rudzi rwekurohwa ndeimwe nzira iyo sangano rako rezvehutano rinogona kukugadzirira zvakanaka kana iwe uchinge uchinzwa chirwere.

Kushungurudzika Kunogona Sei Kukonzera Utano?

Kukuvadza kwebongo kubva pakurohwa ndiko kuguma kwezviitiko zvakasiyana-siyana zvezviitiko zvinowanikwa apo pane kushaya ropa rakakwana kune imwe nzvimbo yeuropi. Ropa rinoyerera kusvika muuropi rinokosha zvikuru nokuti ropa rine oxygen uye mishonga inofanirwa kuti rimwe nerimwe seuropi sero riite zvakanaka. Kunyangwe maminetsi mashomanana ekuvhiringidzika kwekuyerera kweropa kunokonzera kukonzera uropi.

Zvinhu Zvinokosha Zvokuti Uzive Nezvekurohwa

A Stroke inodzivirirwa
Zvinokonzera kushungurudzwa zvinonyatsozivikanwa. Zvose zvinokonzera kushungurudzwa zvinobatana nemitemo yezuva nezuva iyo inogona kudzorwa (yakadai sekusvuta) kana kuti kurapa kunogona kurapwa (zvakadai sokukwirira kweropa, chirwere cheshuga, nekuwedzeredza.) Kurwisa sitiroko kunoda kugadziriswa kwemararamiro emararamiro, pamwe chete nehutano hwakanaka kutarisirwa kunotarirwa kuona nekugadzirisa mamiriro ezvinhu ehutano ayo anozivikanwa kutungamirira kurwara.

A Stroke Chirwere Chine Ngozi
Kana iwe kana mumwe munhu waunoziva zviitiko chero zvipi zvezviratidzo zvekurohwa , zvakakosha kuwana rubatsiro rwezvechiremba pakarepo. Kunyange zvazvo kurohwa kunogona kusiyana, iyo ndeimwe yezvikonzero zvinokonzera rufu nekuremara. Kunyange zvakadaro, kurapa nokukurumidza kurapwa ndiyo nzira yakanakisisa yekudzivirira yakaipisisa uye kuderedza huwandu hwekuremara kwevakawanda vanopona murwere.

A Stroke Inorapwa
Stroke inoporesa mumaawa mashoma maawa mashure mekurohwa zviratidzo zvinotanga. Emergency stroke treatment inoda chikwata chekurapa chakadzidziswa chingaita nokukurumidza kupa mishonga ine simba inogona kuderedza kana kuchinja kushandiswa kweropa kudarika isati yakonzera uropi husingaperi. Emergency treatments yakadai semashuga plasminogen activator (TPA) uye intra-arterial thrombolysis iri kuwanika kune mamwe mareji ekurasikirwa se teknolojia yekufambira mberi. Kunyange mafambiro epurogiramu emaoko ari kuita sitiroko nekukurumidza nekuwedzerwa.

Stroke Damage Haigone Kudzokororwa
Pane imwe nguva kuora kwekurohwa kwakaitika, ikoko, zvinosuruvarisa, hazvizivikanwe kurapwa kana kurapwa kunogona kugadzirisa uropi. Ndicho chikonzero kudzivirira kuputika uye kurapwa kwekukurumidza kunokosha. Zvisinei, masayendisiti ari kuziva kuti uropi hunogona kuzviporesa kuburikidza nekugadzirisa kunonzi neuroplasticity. Kunyange zvazvo achivimbisa, hapana nzira yekuratidza neuroplasticity kukurudzira uropi kuporesa. Stroke kupora ndeyekuchengetedza hutano hwakakwana kubvumira uropi kuti hudzoke pachega, uyezve 'kutarisa nekumirira' sekudzosa uye kuporesa kunoitika.

Iwe Unogona Kuponesa Upenyu Hweumwe Munhu kana Ukadzidza Kuziva Stroke
Kana iwe unogona kutora maminetsi mashomanana kuti udzidze kuziva zviratidzo zvekurohwa, iwe unogona kuchengetedza hupenyu hwako kana hupenyu hwomumwe munhu kana iwe wakambosangana nemamiriro ezvinhu apo chirwere chinongoitika kamwe kamwe pamberi pako. Iva wakatarisira:

• Kungoerekana kushaya simba
• Pakarepo chiratidzo chinoshanduka
• Kusanganiswa
• Kuwa
• Musoro musoro wakanyanya
• Kurasikirwa kwekunzwa kwechikamu chemuviri
• Kutaura kamwe kamwe kana kutaurirana matambudziko

Shoko Rinobva

Aroroke haisi pfungwa iri nyore kuvhara musoro wako. Izvo zvinokonzerwa nekurohwa zvakadzika mumisungo yehuropi, kukanganisa kwakavigwa kunze kwekuona (kunyange iwe unogona kuona mimwe yemigumisiro yakabatana), uye zviratidzo nemigumisiro zvinosiyana zvakanyanya. Kunzwisisa kurohwa kwakaoma kana iwe uchiedza kuzviita sezvaunodzidza nezvekuongororwa. Asi kunzwisisa zvakawanda pamusoro pekurohwa kunogona kukubatsira kuti uwane zvakanakisisa izvo iwe kana munhu waunoda iye zvino ungasangana nazvo, kana kuti chii chaungaita kuti uderedze mikana yako yekurova chirwere pakutanga.

Kana kukanganiswa kwekurohwa kwakanyanya, zivai kuti upenyu hunovandudza. Kunyangwe zvingava zvakanaka kuti zvinhu hazvingavi zvakafanana nepakutanga, kugadziriswa uye kugadzirisa zvinogona kukubatsira iwe kana mudiwa wako kutarisana neramangwana nekuzorora uye kuvimba.

Uye yeuka: Kuziva zvirwere zvekurohwa ndicho chinhu chinoita kuti iwe iwe kana mumwe munhu awane rubatsiro, sezvo nguva iripo yezvakakosha kana kurohwa kunorwa. Zivo iye zvino inogona kuva simba gare gare.

_Kunobva:

_{Emprechtinger R, Piso B, Ringleb PA, Thrombectomy nokuda kwechirwere cheschemic: meta-kuongorora yezvakaitika zvekare, vasospasms, uye subarachnoid hemorrhages, Journal of Neurology, June 2016.}