Ukushaywa unhlangothi - ukukhishwa

Ubusesibhedlela ngemuva kokuhlaselwa yisifo sohlangothi. Unhlangothi kwenzeka lapho ukugeleza kwegazi kuya engxenyeni yobuchopho kuyeka.

Ekhaya landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo ngokuzinakekela. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Okokuqala, uthole ukwelashwa ukuvimbela ukulimala okuqhubekayo ebuchosheni, nokusiza inhliziyo, amaphaphu, nezinye izitho ezibalulekile ukuthi zelapheke.

Ngemuva kokuzinza, odokotela bahlola futhi baqala ukwelashwa ukukusiza ukuthi ululame kunhlangothi futhi uvimbele isifo sohlangothi esizayo. Kungenzeka ukuthi uhlala egumbini elikhethekile elisiza abantu ukuthi balulame ngemuva kokushaywa unhlangothi.

Ngenxa yokulimala okungenzeka ebuchosheni kusukela kuhlangothi, ungabona izinkinga nge:

• Izinguquko ekuziphatheni
• Ukwenza imisebenzi elula
• Imemori
• Ukuhambisa uhlangothi olulodwa lomzimba
• Ukudumba kwemisipha
• Ukunaka
• Ukuzwa noma ukuqaphela ingxenye eyodwa yomzimba
• Ukugwinya
• Ukukhuluma noma ukuqonda abanye
• Ukucabanga
• Ukubona ohlangothini olulodwa (hemianopia)

Ungadinga usizo ngemisebenzi yansuku zonke obukade uyenza wedwa ngaphambi kokushaywa unhlangothi.

Ukudangala ngemuva kokushaywa unhlangothi kujwayelekile njengoba ufunda ukuhlala nezinguquko. Ingakhula ngemuva nje kokushaywa unhlangothi noma kuze kube yiminyaka emibili ngemuva kokushaywa unhlangothi.

Ungashayeli imoto yakho ngaphandle kwemvume kadokotela wakho.

Ukuhambahamba wenze imisebenzi ejwayelekile kungaba nzima ngemuva kokushaywa unhlangothi.

Qiniseka ukuthi ikhaya lakho liphephile. Buza udokotela wakho, umelaphi, noma umhlengikazi mayelana nokwenza izinguquko ekhaya lakho ukwenza kube lula ukwenza imisebenzi yansuku zonke.

Thola ukuthi yini ongayenza ukuvimbela ukuwa futhi ugcine indawo yakho yokugezela iphephile ukuyisebenzisa.

Umndeni nabanakekeli bangadinga ukusiza nge:

• Ukuzivocavoca ukugcina izindololwane zakho, amahlombe, namanye amalunga kukhululekile
• Ukubuka ukuqina ngokuhlanganyela (izinkontileka)
• Ukwenza isiqiniseko sokusetshenziswa kusetshenziswe ngendlela eyiyo
• Ukwenza isiqiniseko sokuthi izingalo nemilenze kusesimweni esihle lapho uhleli noma ulele

Uma wena noma othandekayo wakho usebenzisa isihlalo sabakhubazekile, ukuvakashelwa kokulandelela ukuqinisekisa ukuthi kuhambisana kahle kubalulekile ukuvikela izilonda zesikhumba.

• Bheka nsuku zonke izilonda zengcindezi ezithendeni, emaqakaleni, emadolweni, ezinqeni, emathanjeni nasezindololwaneni.
• Shintsha izikhundla esihlalweni esinamasondo izikhathi eziningana ngehora emini ukuvimbela izilonda zengcindezi.
• Uma unezinkinga nge-spasticity, funda ukuthi yini eyenza kube kubi kakhulu. Wena noma umnakekeli wakho ningafunda ukuzivocavoca umzimba ukuze imisipha yenu ilahlekelwe.
• Funda ukuthi ungazivikela kanjani izilonda zengcindezi.

Amathiphu wokwenza izingubo kube lula ukuzigqoka nokuzikhumula yilezi:

• IVelcro ilula kakhulu kunezinkinobho noziphu. Zonke izinkinobho noziphu kufanele babe ngaphambili kwengcezu yengubo.
• Sebenzisa izingubo ze-pullover nezicathulo ezishelelayo.

Abantu abaye bahlaselwa uhlangothi bangaba nezinkinga zokukhuluma noma zolimi. Izeluleko zomndeni nabanakekeli zokuthuthukisa ukuxhumana zifaka:

• Gcina iziphazamiso nomsindo phansi. Gcina izwi lakho liphansi. Hambisa egumbini elithulile. Ungamemezi.
• Nika umuntu isikhathi esiningi sokuphendula imibuzo futhi aqonde nemiyalo. Ngemuva kokushaywa unhlangothi, kuthatha isikhathi eside ukucubungula okushiwoyo.
• Sebenzisa amagama alula nemisho, khuluma ngokunensa. Buza imibuzo ngendlela engaphendulwa ngo-yebo noma cha. Uma kungenzeka, nikeza izinqumo ezicacile. Musa ukunikeza izinketho eziningi kakhulu.
• Hlukanisa imiyalo ngezinyathelo ezincane nezilula.
• Phinda uma kudingeka. Sebenzisa amagama nezindawo ozijwayele. Memezela ukuthi uzoshintsha nini isihloko.
• Bukana emehlweni ngaphambi kokuthinta noma ukukhuluma uma kungenzeka.
• Sebenzisa izinsiza noma izibonisi lapho kungenzeka. Musa ukunikeza izinketho eziningi kakhulu. Ungahle ukwazi ukusebenzisa ukukhomba noma ukushukuma kwesandla noma imidwebo. Sebenzisa i-elekthronikhi, njengekhompyutha yethebhulethi noma umakhalekhukhwini, ukukhombisa izithombe ezizosiza ekuxhumaneni.

Izinzwa ezisiza amathumbu asebenze kahle zingalimala ngemuva kokushaywa unhlangothi. Yiba nesimiso. Lapho usuthole inqubo yamathumbu esebenzayo, namathela kuyo:

• Khetha isikhathi esijwayelekile, njengangemuva kokudla noma ukugeza okufudumele, ukuzama ukunyakaza kwamathumbu.
• Iba nesineke. Kungathatha imizuzu eyi-15 kuye kwengama-45 ukuba nokunyakaza kwamathumbu.
• Zama ngobumnene ukugcoba isisu sakho ukuze usize indle ukuthi idlule kukholoni yakho.

Gwema ukuqunjelwa:

• Phuza uketshezi oluningi.
• Hlala usebenza noma sebenza ngokwengeziwe ngangokunokwenzeka.
• Yidla ukudla okune-fiber eningi.

Buza umhlinzeki wakho ngemithi oyiphuzayo engadala ukuqunjelwa (njengemithi yokudangala, ubuhlungu, ukulawula isinye, kanye nokuqaqamba kwemisipha).

Gcwalisa yonke imiyalo yakho ngaphambi kokuba uye ekhaya. Kubaluleke kakhulu ukuthi uphuze imithi yakho ngendlela umhlinzeki wakho akutshele ngayo. Ungathathi noma imuphi omunye umuthi, izithasiselo, amavithamini, noma amakhambi ngaphandle kokubuza umhlinzeki wakho ngawo kuqala.

Unganikezwa eyodwa noma ngaphezulu yale mithi elandelayo. Lokhu kuhloselwe ukulawula umfutho wegazi noma i-cholesterol yakho, nokugcina igazi lakho lingaboli. Bangasiza ukuvimbela esinye isifo:

• Imithi yama-antiplatelet (i-aspirin noma i-clopidogrel) isiza ekugcineni igazi lakho linganqandi.
• Ama-beta blocker, i-diuretics (amaphilisi amanzi), kanye nemithi ye-ACE inhibitor ilawula umfutho wegazi lakho futhi ivikele inhliziyo yakho.
• Izitatimende zehlisa i-cholesterol yakho.
• Uma unesifo sikashukela, lawula ushukela wegazi lakho ezingeni eliphakanyiswa umhlinzeki wakho.

Ungayeki ukuthatha noma iyiphi yale mithi.

Uma uthatha igazi elincanyana, njenge-warfarin (i-Coumadin), kungadingeka ukuthi wenze ukuhlolwa kwegazi okwengeziwe.

Uma unezinkinga ngokugwinya, kufanele ufunde ukulandela indlela yokudla ekhethekile eyenza ukudla kuphephe. Izimpawu zezinkinga zokugwinya ziyaminyaniswa noma ukukhwehlela lapho udla. Funda amathiphu wokwenza ukondla nokugwinya kube lula futhi kuphephe.

Gwema ukudla okunosawoti nokunamafutha futhi hlukana nezindawo zokudlela ezisheshayo ukuze wenze inhliziyo nemithambo yegazi yakho ibe yimiqemane.

Nciphisa ukuthi uphuza utshwala obungakanani ngesiphuzo esingu-1 ngosuku uma ungowesifazane neziphuzo ezi-2 ngosuku uma uyindoda. Buza umhlinzeki wakho ukuthi kulungile yini ukuphuza utshwala.

Gcina usesikhathini ngemigomo yakho. Thola umkhuhlane njalo ngonyaka. Buza udokotela wakho uma udinga i-pneumonia shot.

Ungabhemi. Cela umhlinzeki wakho akusize uyeke uma udinga. Ungavumeli noma ngubani abheme ekhaya lakho.

Zama ukuziqhelelanisa nezimo ezicindezelayo. Uma uzizwa ucindezelekile ngaso sonke isikhathi noma uzizwa udabuke kakhulu, khuluma nomhlinzeki wakho.

Uma uzizwa udabukile noma udangele kwesinye isikhathi, khuluma nomndeni noma nabangane ngalokhu. Buza umhlinzeki wakho ngokufuna usizo lochwepheshe.

Shayela umhlinzeki wakho uma une:

• Izinkinga zokuthatha izidakamizwa zemisipha
• Izinkinga zokuhambisa amalunga akho (isivumelwano esihlangene)
• Izinkinga zokuhamba noma ukuphuma embhedeni noma esihlalweni sakho
• Izilonda zesikhumba noma ubomvu
• Ubuhlungu obuya ngokuya bubi
• Ukuwa kwakamuva
• Ukuklinya noma ukukhwehlela lapho udla
• Izimpawu zesifo sesinye (umkhuhlane, ukushisa lapho uchama, noma ukuchama njalo)

Shayela ku-911 noma inombolo ephuthumayo yendawo uma lezi zimpawu ezilandelayo ziqala kungazelelwe noma zintsha:

• Ukuba ndikindiki noma ubuthakathaka ebusweni, engalweni, noma emlenzeni
• Fiphalaza noma wehlise umbono
• Angikwazi ukukhuluma noma ukuqonda
• Isiyezi, ukulahlekelwa ibhalansi, noma ukuwa
• Ikhanda elibuhlungu

Isifo se-cerebrovascular - ukukhishwa; I-CVA - ukukhishwa; I-cerebral infarction - ukukhishwa; Ukopha ebuchosheni - ukukhishwa; Ischemic stroke - ukukhishwa; Stroke - ischemic - ukukhishwa; Stroke secondary fibrillation atrial - osenyameni; Unhlangothi Cardioembolic - khulula Ukuphuma kwegazi - ukukhipha; Ukopha ebuchosheni - ukukhipha; Stroke - hemorrhagic - ukukhishwa; Isifo se-hemorrhagic cerebrovascular - ukukhishwa; Ingozi ye-cerebrovascular - ukukhishwa

• Ukopha ngaphakathi kwe-Intracerebral

I-Dobkin BH. Ukuvuselelwa nokubuyiselwa kwesiguli ngohlangothi. Ku: Grotta JC, Albers GW, Broderick JP, et al, ama-eds. Unhlangothi: I-Pathophysiology, i-Diagnosis, ne-Management. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 58.

UKernan WN, Ovbiagele B, Black HR, et al. Imihlahlandlela yokuvinjelwa kwesifo sohlangothi ezigulini ezinesifo sohlangothi kanye nokuhlaselwa yischemic okwedlulayo: umhlahlandlela wabasebenzi bezempilo abavela e-American Heart Association / American Stroke Association. Unhlangothi. 2014; 45 (7): 2160-2236. I-PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Izikhungo Zikazwelonke Zezempilo. I-National Institute of Neurological Disorders and Stroke iwebhusayithi. Ishidi lamaqiniso okuvuselelwa ngemuva kokushaywa unhlangothi. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet. Kubuyekezwe uMeyi 13, 2020. Kufinyelelwe ngoNovemba 5, 2020.

UWinstein CJ, uStein J, u-Arena R, et al. Imihlahlandlela yokuhlunyeleliswa nokuvuselelwa kwesifo sabantu abadala: umhlahlandlela wabasebenzi bezempilo abavela e-American Heart Association / American Stroke Association. Unhlangothi. 2016; 47 (6): e98-e169. I-PMID: 27145936 pubmed.ncbi.nlm.nih.gov/27145936/.

• Ukulungiswa kwe-aneurysm yobuchopho
• Ukuhlinzwa kobuchopho
• Ukuhlinzwa komthambo weCarotid - kuvulekile
• Amazinga aphezulu e-cholesterol egazini
• Ukululama ngemuva kokushaywa unhlangothi
• Unhlangothi
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• Ukuhlaselwa kweschemic kwesikhashana

• Ama-ACE inhibitors
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukuphepha kwamakamelo abantu abadala
• Ukuhlinzwa kobuchopho - ukukhishwa
• Ibhotela, imajarini namafutha okupheka
• Ukunakekela ukuqina kwemisipha noma ama-spasms
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukuxhumana nomuntu one-aphasia
• Ukuxhumana nomuntu one-dysarthria
• Ukuqunjelwa - ukuzinakekela
• Ukuqunjelwa - yini okufanele uyibuze udokotela wakho
• Ukulawula umfutho wegazi ophakeme
• Uhlelo lokunakekelwa kwamathumbu nsuku zonke
• Ukuwohloka komqondo nokushayela
• Ukuwohloka komqondo - izinkinga zokuziphatha nezokulala
• Ukuwohloka komqondo - ukunakekelwa kwansuku zonke
• Ukuwohloka komqondo - ukugcina uphephile ekhaya
• Ukuwohloka komqondo - okufanele ubuze udokotela wakho
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Ishubhu yokudla ye-Gastrostomy - bolus
• Ishubhu yokudla yeJejunostomy
• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukudla okunosawoti omningi
• Ukudla kwaseMedithera
• Izilonda zengcindezi - okufanele ubuze udokotela wakho
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho
• Ukuvimbela izilonda zengcindezi
• Ukuzilungiselela ukukhipha i-catheterization - owesifazane
• Ukuzilimaza ngokobulili - owesilisa
• Ukunakekelwa kwe-catheter ye-Suprapubic
• Izinkinga zokugwinya
• Izikhwama zokudonsa umchamo
• Lapho une-incontinence yokuchama

• Isifo sohlangothi esopha kakhulu
• Ischemic Stroke
• Unhlangothi