Ukuvimbela unhlangothi

Isifo sohlangothi senzeka lapho ukugeleza kwegazi kunqamulelwa kunoma iyiphi ingxenye yobuchopho. Ukwehla kokugeleza kwegazi kungadalwa yihlule legazi emthanjeni wobuchopho. Kungabangelwa futhi yisitsha segazi engxenyeni yobuchopho esiba buthakathaka bese sivuleka. I-stroke kwesinye isikhathi ibizwa ngokuthi "ukuhlaselwa yingqondo."

Ingcuphe yinto ekhulisa amathuba akho okuba nesifo sohlangothi. Awukwazi ukushintsha ezinye izinto eziyingozi zokushaywa unhlangothi. Kepha abanye, ungakwenza.

Ukushintsha izinto ezinobungozi ongazilawula kuzokusiza ukuthi uphile impilo ende, enempilo. Lokhu kubizwa ngokuthi ukunakekelwa kokuvikela.

Indlela ebalulekile yokusiza ukuvimbela isifo sohlangothi ukubona umhlinzeki wakho wezokunakekelwa kwempilo wezivivinyo ezijwayelekile zomzimba. Umhlinzeki wakho uzofuna ukukubona okungenani kanye ngonyaka.

Awukwazi ukushintsha izinto ezithile eziyingozi noma izimbangela zesifo sohlangothi:

• Ubudala. Ingozi yakho yokushaywa unhlangothi iyakhula njengoba ukhula.
• Ucansi. Abesilisa basengozini enkulu yokushaywa unhlangothi kunabesifazane. Kepha abesifazane abaningi kunabesilisa babulawa yisifo sohlangothi.
• Izici zofuzo. Uma omunye wabazali bakho ehlaselwa isifo sohlangothi, usengozini enkulu.
• Ubuhlanga. Abantu base-Afrika baseMelika banengozi enkulu yokushaywa unhlangothi ukwedlula zonke ezinye izinhlanga. Abantu baseMexico baseMelika, amaNdiya aseMelika, amaHawaii kanye nabanye baseMelika base-Asia nabo basengozini enkulu yokushaywa unhlangothi.
• Izifo ezifana nomdlavuza, isifo sezinso esingapheliyo, kanye nezifo ezizimele zomzimba.
• Izindawo ezibuthakathaka odongeni lwemithambo noma imithambo nemithambo engajwayelekile.
• Ukukhulelwa, phakathi nangemva kwamasonto ngemuva kokukhulelwa.

Izindwangu zegazi ezisuka enhliziyweni zingaya ebuchosheni futhi zidale isifo sohlangothi. Lokhu kungenzeka kubantu abane

• Amaphayiphu enhliziyo enziwe ngumuntu noma onegciwane
• Ukukhubazeka okuthile kwenhliziyo ozalwe nakho

Ungashintsha ezinye zezinto ezinobungozi bokushaywa unhlangothi, ngokuthatha lezi zinyathelo ezilandelayo:

• UNGABHALI. Uma ubhema, yeka.
• Lawula umfutho wegazi ophakeme ngokudla, ukuzivocavoca, kanye nemithi, uma kudingeka.
• Ukuzivocavoca okungenani imizuzu engama-30 ngosuku okungenani izinsuku ezintathu ngesonto.
• Gcina isisindo esinempilo ngokudla ukudla okunempilo, ukudla izingxenye ezincane, nokujoyina uhlelo lokwehlisa isisindo uma kudingeka.
• Nciphisa ukuthi uphuza kangakanani utshwala. Lokhu kusho ukuthi akudingeki isiphuzo esingaphezu kwesisodwa ngosuku kwabesifazane kanye no-2 ngosuku kwabesilisa.
• UNGAYisebenzisi i-cocaine nezinye izidakamizwa ezingekho emthethweni.

Ukudla okunempilo kuhle enhliziyweni yakho futhi kungasiza ekwehliseni ubungozi bokushaywa unhlangothi.

• Yidla izithelo, imifino nezinhlamvu eziningi.
• Khetha amaprotheni anciphile, njengenkukhu, inhlanzi, ubhontshisi nemidumba.
• Khetha imikhiqizo yobisi engenamafutha noma ephansi, njengobisi olungu-1% nezinye izinto ezinamafutha aphansi.
• Gwema ukudla okuthosiwe, ukudla okusetshenzisiwe, kanye nezimpahla ezibhakiwe.
• Yidla ukudla okumbalwa okuqukethe ushizi, ukhilimu noma amaqanda.
• Gwema ukudla okune-sodium eningi (usawoti).

Funda amalebula futhi uziqhelelanise namafutha angenampilo. Gwema ukudla nge:

• Amafutha anelisiwe
• Amafutha we-hydrogenated noma ama-hydrogenated

Lawula i-cholesterol yakho nesifo sikashukela ngokudla okunempilo, ukuzivocavoca, kanye nemithi uma kudingeka.

Uma une-high blood pressure:

• Umhlinzeki wakho angakucela ukuthi ugcine ithrekhi yegazi lakho ekhaya.
• Kufanele wehlise futhi ulawule ngokudla okunempilo, ukuzivocavoca umzimba, nangokuphuza imithi umhlinzeki wakho akubekela yona.

Khuluma nomhlinzeki wakho mayelana nezingozi zokuphuza amaphilisi okulawula ukubeletha.

• Amaphilisi okuvimbela inzalo angakhuphula amathuba okuqina kwegazi, okungaholela ekushayweni unhlangothi.
• Izindwangu zivame kakhulu kwabesifazane abathatha amaphilisi okuvimbela inzalo nawo abhemayo futhi asebekhulile kuneminyaka engama-35.

Umhlinzeki wakho angaphakamisa ukuthatha i-aspirin noma omunye umuthi ukusiza ukuvimbela amahlule egazi ekwakhiweni. UNGAYITHATHI i-aspirin ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Unhlangothi - ukuvimbela; I-CVA - ukuvimbela; Ingozi yemithambo yegazi - ukuvimbela; I-TIA - ukuvimbela; Ukuhlaselwa kweschemic kwesikhashana - ukuvimbela

UBiller J, uRuland S, uSchneck MJ. Ischemic isifo se-cerebrovascular. KuDaroff RB, uJankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 65.

IGoldstein LB. Ukuvimbela nokuphathwa kwesifo se-ischemic. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 65.

UJanuwari CT, Wann LS, Alpert JS, et al. Umhlahlandlela we-2014 AHA / ACC / HRS wokuphathwa kweziguli ezine-fibrillation ye-atrial: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice kanye ne-Heart Rhythm Society. UJ Am Coll Cardiol. 2014; 64 (21): e1-e76. I-PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

URiegel B, uMoser DK, uBuck HG, et al; Umkhandlu Wenhlangano Yezinhliziyo ZaseMelika Wobuhlengikazi Benhliziyo Nemithambo Stroke; Umkhandlu wezifo zemithambo yegazi; kanye noMkhandlu Wocwaningo Lwekhwalithi Yokunakekelwa Nemiphumela. Ukuzinakekela ukuvimbela nokuphathwa kwesifo senhliziyo nemithambo yegazi: isitatimende sesayensi sabasebenzi bezempilo abavela e-American Heart Association. J Am Inhliziyo Assoc. 2017; 6 (9). pii: e006997. I-PMID: 28860232 www.ncbi.nlm.nih.gov/pubmed/28860232.

UWhelton PK, uCarey RM, u-Aronow WS, et al. I-2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA umhlahlandlela wokuvimbela, ukuthola, ukuhlola nokuphatha umfutho wegazi ophezulu kubantu abadala: umbiko we-American College of Cardiology / American I-Heart Association Task Force kumihlahlandlela yokusebenza kwemitholampilo. UJ Am Coll Cardiol. I-2018; 71 (19): e127-e248. I-PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.

• Isifo sohlangothi esopha kakhulu
• Ischemic Stroke
• Unhlangothi