Ukuwohloka komqondo okunama-infarct amaningi

-Delile

• Ukubona Izimpawu Zokuwohloka Komqondo Okungafani Nezifo Eziningi
• Izimpawu Zokuqala
• Izimpawu Zamuva
• Yiziphi Izimbangela Zokuwohloka komqondo Okungafani Nokweqile?
• Yiziphi Izici Zengozi ye-MID?
• Izimo Zezokwelapha
• Izici Zengozi Yendlela Yokuphila
• I-MID ITHOLWA KANJANI?
• Ukulingisa Ukuhlolwa
• Ukulawula Ezinye Izimbangela Zokuwohloka Komqondo
• Iphathwa Kanjani I-MID?
• Imithi
• Ezinye Izindlela Zokwelapha
• Uyini umbono wesikhathi eside we-MID?
• I-MID ingavinjelwa kanjani?

Kuyini Ukuwohloka Komqondo Okungafani Ne-infarct?

I-Multi-infarct dementia (MID) uhlobo lokuwohloka komqondo okuyimithambo yegazi. Kwenzeka lapho uchungechunge lwemivimbo emincane lubangela ukulahleka kokusebenza kobuchopho. I-stroke, noma i-brain infarct, yenzeka lapho ukugeleza kwegazi kuya kunoma iyiphi ingxenye yobuchopho kuphazamiseka noma kuvinjelwe. Igazi lihambisa umoya-mpilo ebuchosheni, futhi ngaphandle kwe-oksijini, izicubu zobuchopho ziyafa ngokushesha.

Indawo yomonakalo wonhlangothi inquma uhlobo lwezimpawu ezenzekayo. I-MID ingadala ukulahleka kwememori nokusebenza kwengqondo futhi ingaqala izinkinga zengqondo. Ukwelashwa kugxile ekulawuleni izimpawu nasekunciphiseni ubungozi bokushaywa unhlangothi ngokuzayo.

Ukubona Izimpawu Zokuwohloka Komqondo Okungafani Nezifo Eziningi

Izimpawu ze-MID zingavela kancane kancane ngokuhamba kwesikhathi, noma zingenzeka ngokuzumayo ngemuva kokushaywa unhlangothi. Abanye abantu bazovela bathuthuke bese behla futhi ngemuva kokuthola imivimbo emincane.

Izimpawu Zokuqala

Izimpawu zokuqala zokuwohloka komqondo zifaka:

• ukulahleka ezindaweni ezijwayelekile
• ukuba nobunzima ekwenzeni imisebenzi ejwayelekile, njengokukhokha izikweletu
• ukuba nobunzima bokukhumbula amagama
• ukubeka izinto ngokungeyikho
• ukulahlekelwa intshisekelo ezintweni obukade uzijabulela
• uhlangabezana nezinguquko zobuntu

Izimpawu Zamuva

Izimpawu ezisobala ziyavela njengoba ukuwohloka komqondo kuqhubeka. Lokhu kungafaka:

• izinguquko emaphethini wokulala
• ukusangana
• ubunzima ngemisebenzi eyisisekelo, njengokugqoka nokulungisa ukudla
• ukukhohlisa
• ukudana
• ukwahlulela kabi
• ukuhoxa komphakathi
• ukulahleka kwememori

Yiziphi Izimbangela Zokuwohloka komqondo Okungafani Nokweqile?

I-MID ibangelwa uchungechunge lwemivimbo emincane. I-stroke, noma i-infarct, ukuphazamiseka noma ukuvinjelwa kokugeleza kwegazi kunoma iyiphi ingxenye yobuchopho. Igama elithi "multi-infarct" lisho imivimbo eminingi nezindawo eziningi zomonakalo. Uma ukugeleza kwegazi kumiswa ngaphezu kwemizuzwana embalwa, amangqamuzana obuchopho angafa ngenxa yokushoda komoya-mpilo. Lo monakalo uvame ukuhlala unomphela.

Ukushaywa unhlangothi kungathula, okusho ukuthi kuthinta indawo encane kangako ebuchosheni kangangokuba kungabonakali. Ngokuhamba kwesikhathi, imivimbo eminingi ethule ingaholela ku-MID. Imivimbo emikhulu ebangela izimpawu ezibonakalayo zomzimba nezenhliziyo nayo ingaholela ku-MID.

Yiziphi Izici Zengozi ye-MID?

I-MID ivame ukwenzeka kubantu abaneminyaka engama-55 kuya kwengama-75 futhi ivame kakhulu kwabesilisa kunabesifazane.

Izimo Zezokwelapha

Izimo zezokwelapha ezandisa ubungozi be-MID zifaka:

• i-atrial fibrillation, okuwukushaya kwenhliziyo okungajwayelekile, okusheshayo okwenza ukudama okungaholela kumahlule egazi
• imivimbo yangaphambilini
• ukuhluleka kwenhliziyo
• ukwehla kwengqondo ngaphambi kwesifo sohlangothi
• umfutho wegazi ophakeme
• isifo sikashukela
• i-atherosclerosis, noma ukuqina kwemithambo yegazi

Izici Zengozi Yendlela Yokuphila

Lokhu okulandelayo yizici zobungozi bendlela yokuphila ye-MID:

• ukubhema
• utshwala
• izinga eliphansi lemfundo
• ukudla okungenamsoco
• akukho lutho olwenziwa ngokomzimba

I-MID ITHOLWA KANJANI?

Asikho isivivinyo esithile esinganquma i-MID. Isimo ngasinye se-MID sihlukile. Imemori ingakhubazeka kakhulu kumuntu oyedwa futhi iphazamiseke kancane komunye umuntu.

Ukuxilongwa kuvame ukwenziwa ngokususelwa ku:

• ukuhlolwa kwezinzwa
• umlando wokwehla kwengqondo okuhamba kancane
• I-CT noma i-MRI iskena leyo mininingwane ngezindawo ezincane zezicubu ezafa ngenxa yokuntuleka kwegazi
• ukukhipha ezinye izimbangela zemvelo zokuwohloka komqondo njenge-cholesterol ephezulu, isifo sikashukela, umfutho wegazi ophakeme, noma i-carotid stenosis

Ukulingisa Ukuhlolwa

Ukuhlolwa kwe-Radiological imaging kungafaka:

• Ukuhlolwa kwe-CT kobuchopho bakho
• Ukuhlolwa kwe-MRI kobuchopho bakho
• i-electroencephalogram, okuyisilinganiso somsebenzi kagesi wobuchopho
• i-transcranial doppler, evumela udokotela wakho ukukala ijubane lokugeleza kwegazi ngemithambo yegazi yobuchopho bakho

Ukulawula Ezinye Izimbangela Zokuwohloka Komqondo

Udokotela wakho angaphinde a-oda izivivinyo ukukhipha ezinye izimo ezingadala noma zibe nomthelela ekuwohlokeni komqondo, njenge

• i-anemia
• isimila ebuchosheni
• ukutheleleka okungapheli
• ukudana
• isifo segilo
• ukushoda kwamavithamini
• ukudakwa kwezidakamizwa

Iphathwa Kanjani I-MID?

Ukwelashwa kuzohambisana nezidingo zakho. Izinhlelo eziningi zokwelashwa zifaka phakathi izinguquko emithini nasempilweni.

Imithi

Imithi ingafaka:

• memantine
• nimodipine
• bhabha
• i-folic acid
• I-CDP-choline
• ama-serotonin reuptake inhibitors akhethiwe, okuyizidambisamagciwane ezingasiza futhi ama-neurons ukuba akhule futhi avuselele ukuxhumana ebuchosheni
• ama-calcium channel blockers wokusebenza kwengqondo yesikhashana
• i-angiotensin-converting enzyme inhibitors ukwehlisa umfutho wegazi

Ezinye Izindlela Zokwelapha

Izithako zemithi zikhule ekuthandeni njengezindlela zokwelapha i-MID. Kodwa-ke, akwenziwe izifundo ezanele ukufakazela ukuthi ukusetshenziswa kwazo kuphumelele. Izibonelo zezithako zemithi ezisafundwa njengamanje ukuze zisetshenziswe ekwelapheni i-MID zifaka:

• I-Artemisia absinthium, noma umhlonyane, osetshenziselwa ukuthuthukisa ukusebenza kwengqondo
• Melissa officinalis, noma i-lemon balm, esetshenziselwa ukubuyisela inkumbulo
• Bacopa monnieri, noma nehisopi lamanzi, elisetshenziselwa ukuthuthukisa inkumbulo nokusebenza kwengqondo

Qinisekisa ukuthi uxoxa nodokotela wakho ngalezi zithasiselo ngaphambi kokuzithatha, ngoba zingaphazamisa eminye imithi.

Ezinye izinketho zokwelashwa zibandakanya ukuzivocavoca njalo ukwakha amandla emisipha, ukuqeqeshwa kwengqondo ukuze uphinde uthole ukusebenza kwengqondo, nokuvuselelwa kwezinkinga zokuhamba.

Uyini umbono wesikhathi eside we-MID?

I-MID ayinawo umuthi. Imithi nokuqeqeshwa kwengqondo kungasiza ekugcineni ukusebenza kwengqondo. Ijubane nokuthuthuka komqondo kuyahlukahluka. Abanye abantu bafa ngokushesha ngemuva kokuxilongwa nge-MID, kanti abanye bayaphila iminyaka.

I-MID ingavinjelwa kanjani?

Akunabufakazi banoma yisiphi isilinganiso esisebenzayo sokugwema i-MID. Njengezimo eziningi, indlela engcono kakhulu yokuvikela ukunakekela umzimba wakho. Kumele:

• Vakashela udokotela njalo.
• Yidla ukudla okunomsoco.
• Qala noma ugcine uhlelo lokuzivocavoca njalo.
• Qinisekisa ukulawula umfutho wegazi okuhle.
• Gcina ukulawula kwesifo sikashukela.