Ukuhlaselwa kweschemic okudlulayo: kuyini, izimpawu eziyinhloko nokwelashwa
-Delile
Ukuhlaselwa yischemic kwesikhashana, okwaziwa nangokuthi i-mini-stroke noma i-stroke yesikhashana, kungukuguqulwa, okufana nokushaywa unhlangothi, okubangela ukuphazamiseka ekudlulisweni kwegazi kuya endaweni yobuchopho, imvamisa ngenxa yokwakheka kwehlule.
Kodwa-ke, ngokungafani nokushaywa unhlangothi, kulokhu, inkinga ithatha imizuzu embalwa kuphela bese ihamba yodwa, ngaphandle kokushiya izihlahlakazana ezihlala njalo.
Yize singesibi kangako, le "mini-stroke" ingaba wuphawu lokuthi umzimba ukhiqiza amahlule kalula, ngakho-ke, ivame ukuvela ezinyangeni ezimbalwa ngaphambi kokushaywa unhlangothi, futhi kunconywa ukuthatha izinyathelo zokuvimbela lokhu ukuthi kungenzeki. Ezinye zezinto ezinobungozi ezingaba nesandla ekuhlaselweni yischemic okudlulayo ukukhuluphala, umfutho wegazi ophakeme, isifo sikashukela, ukusetshenziswa kukagwayi, ukuphuza ngokweqile, ukungasebenzi komzimba noma ukusebenzisa izinto zokuvimbela inzalo, isibonelo.
Izimpawu eziyinhloko
Izimpawu zokuhlaselwa kwe-ischemic okudlulayo ziyefana kakhulu nezimpawu zokuqala zesifo sohlangothi futhi zifaka:
- Ukukhubazeka nokushaywa ngapha nangapha kobuso;
- Ubuthakathaka nokuncinza engalweni nasemlenzeni kolunye uhlangothi lomzimba;
- Kunzima ukukhuluma ngokucacile;
- Ukufiphaza noma ukubona kabili;
- Kunzima ukuqonda izinkomba ezilula;
- Ukudideka okungazelelwe;
- Ukuphathwa ikhanda ngokungazelelwe;
- Isizungu nokulahlekelwa ibhalansi.
Lezi zimpawu ziba namandla kakhulu imizuzu embalwa, kodwa zinyamalale ngokuphelele kungakapheli ihora elilodwa ngemuva kokuqala.
Kunoma ikuphi, kungakuhle ukuthi uye ngokushesha esibhedlela noma ushayele i-ambulensi, ushayele abayi-192, ukukhomba inkinga, ngoba lezi zimpawu zingakhombisa nesifo sohlangothi, esidinga ukwelashwa ngokushesha okukhulu.
Bona ezinye izimpawu zesifo sohlangothi ezingaphinda zenzeke ngesikhathi sokushaywa unhlangothi okuncane.
Ungakwazi ukushiya i-sequelae?
Ezimweni eziningi, ukuhlaselwa kwe-ischemic okudlulayo akushiyi noma yiluphi uhlobo lwe-sequelae unomphela, njengobunzima bokukhuluma, ukuhamba noma ukudla, ngokwesibonelo, njengoba ukuphazamiseka kokugeleza kwegazi kuhlala isikhashana futhi, ngakho-ke, izilonda zobuchopho ezinzima azivamile ukwakheka .
Kodwa-ke, ngokuya ngobukhulu, ubude nendawo okukhona ubuchopho obuthintekile, abanye abantu bangathola i-sequelae esingesihle kangako kune-stroke.
Yini ukuxilongwa
Ukuxilongwa kokuhlaselwa yischemic kwenziwa ngudokotela ngokuhlola izimpawu nezimpawu eziveziwe.
Ngaphezu kwalokho, ukuhlolwa, njengokuhlolwa kwegazi, i-ultrasound noma i-computed tomography, ngokwesibonelo, nakho kunga-oda, ukuze kukhishwe izinguquko ezingezona ezemithambo yegazi, njengokuthatha noma i-hypoglycemia, kanye nokuthola imbangela, ukuvimbela isiqephu esisha, ngoba ukuhlaselwa kwe-ischemic kuyisignali enkulu ye-alamu ye-infarction ye-cerebral. Lezi zivivinyo kufanele zenziwe emahoreni angama-24 okuqala ngemuva kokuhlaselwa yischemic
Yelashwa kanjani
Ngokuvamile akudingeki ukwelapha ukuhlaselwa yischemic okudlulayo, njengoba iqhwa likhishwa ngokwemvelo ngumzimba, kodwa-ke, kuselulekwa ukuya esibhedlela ukuyoqinisekisa ukuxilongwa nokunqanda ukuthi kungenzeka yini kube isifo sohlangothi.
Ngemuva kokuba nalolu hlobo lwe- "mini-stroke" kunengozi enkulu yokuba nesifo sohlangothi futhi, ngakho-ke, udokotela angakhombisa uhlobo oluthile lokwelashwa ukukuvimbela ukuthi kungenzeki, kufaka phakathi:
- Amakhambi we-anti-platelet, njenge-Aspirin: anciphisa ikhono lama-platelets lokunamathela ndawonye, livimbele amahlule ukuba avele, ikakhulukazi lapho kuvela isilonda sesikhumba;
- Amakhambi we-Anticoagulant, njengeWarfarin: kuthinta amanye amaprotheni egazi, kuwenze ube mncane futhi ungabi namathuba amancane okudala amahlule angaholela kohlangothi;
- Ukuhlinzwa: isetshenziswa lapho umthambo we-carotid umncane kakhulu futhi usiza ukukhulisa umkhumbi ngokuqhubekayo, ukuvimbela ukuqoqwa kwamafutha ezindongeni zawo ekuphazamiseni ukudlula kwegazi;
Ngaphezu kwalokho, kubalulekile ukuthi ngemuva kokuhlaselwa yischemic okudlulayo, yamukele imikhuba enempilo esiza ukunciphisa ubungozi bokwakheka kwamakhaza njengokungabhemi, ukwenza imizuzu engu-30 yokuzivocavoca umzimba kathathu ngesonto nokudla ngendlela elinganiselayo.
Thola amanye amathiphu asiza ukunciphisa amathuba okuba nesifo sohlangothi noma isifo sohlangothi.