I-hemorrhagic stroke: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Umehluko phakathi kokushaywa yischemic kanye nesifo sohlangothi esopha kakhulu
• Yelashwa kanjani
• Ungakuvimbela kanjani

Ukushaywa yisifo esopha kakhulu kwenzeka lapho kuqhekeka umthambo wegazi ebuchosheni, kubangele ukopha esizeni okuholela ekuqoqeni kwegazi futhi, ngenxa yalokho, kukhuphule ingcindezi esifundeni, kuvimbele igazi ukuthi likwazi ukujikeleza kuleyo ngxenye yobuchopho.

Ukwehla kwenani legazi nakho kuholela ekwehliseni ukunikezwa komoya-mpilo, okugcina kuphumele ekufeni kwamangqamuzana obuchopho, okungaholela ekulandeleni unomphela, njengokukhubazeka, ubunzima bokukhuluma noma izinguquko ekucabangeni, kuye ngokuthi isifunda sobuchopho esithintekile.

Uma kwenzeka ukushaywa unhlangothi, okunezimpawu ezifana nokuphelelwa amandla ohlangothini olulodwa lomzimba, ubunzima bokukhuluma noma ukuphathwa ikhanda kakhulu, kubalulekile ukucela usizo lwezokwelashwa ngokushesha okukhulu, ukuze uqale ukwelashwa futhi uvimbele ukuqala kwe-sequelae. Imvamisa, uma umuntu enesifo sohlangothi esopha kakhulu ngaphandle kokwelashwa, iba sengozini enkulu i-sequelae.

Izimpawu eziyinhloko

Ezinye zezimpawu ezingasiza ekuboneni isifo sohlangothi esibuhlungu yilezi:

• Ikhanda elinamandla;
• Isicanucanu nokuhlanza;
• Kunzima ukukhuluma noma ukugwinya;
• Ukudideka nokudideka;
• Ubuthakathaka noma ukuncinza ebusweni, ingalo noma umlenze ohlangothini olulodwa kuphela lomzimba;
• Ukulahlekelwa ukwazi;
• Isiyezi noma ukulahlekelwa ibhalansi;
• Ukudlikizela.

Lapho kukhona lezi zimpawu, usizo lwezokwelapha kufanele lubizwe ngokushesha. Thola ukuthi ungaqala kanjani usizo lokuqala esimweni sohlangothi.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwesifo esibuhlungu senziwa ngokuhlolwa kwezimpawu nokusebenza kwe-computed tomography, evumela ukubonwa kwegazi lobuchopho. Ngaphezu kwalokho, le ndlela yokuxilonga iyasiza ekutholeni ukungasebenzi kahle kwemithambo yegazi, ama-aneurysms kanye nezicubu, okuyizinto eziyingozi ekuveleni kwesifo sohlangothi.

Izimbangela ezingaba khona

Izimbangela ezivame kakhulu zokushaywa yisifo esopha kakhulu yilezi:

• Umfutho wegazi ophakeme kakhulu futhi ongelashwa, okungaholela ekuqhekekeni kwesitsha sobuchopho;
• I-aneurysm yobuchopho;
• Ukukhubazeka kwemithambo yegazi ebuchosheni;
• Ukusetshenziswa okungalungile kwama-anticoagulants noma ama-antiplatelet agents.

Ngaphezu kwalokho, yize kuyivelakancane, isifo sohlangothi esibuhlungu singabangelwa futhi yizifo ezivimbela ukunqamuka kwegazi, njenge-hemophilia ne-thrombocythemia, ukuvuvukala kwemithambo emincane yobuchopho, izifo eziwohlokayo zobuchopho, njenge-Alzheimer's, ukusetshenziswa kwezidakamizwa ezingekho emthethweni, njenge i-cocaine ne-amphetamine, nesimila sobuchopho.

Umehluko phakathi kokushaywa yischemic kanye nesifo sohlangothi esopha kakhulu

Ngenkathi isifo sohlangothi esibuhlungu sibangelwa ukuqhekeka kwesitsha ebuchosheni, ukwehla kwenani legazi elihanjiswa kumaseli obuchopho, isifo sohlangothi sivela lapho iqhwa livale umkhumbi, liphazamisa ukujikeleza kwegazi kusukela lapho.

Yize zivela ngokuhlukile, zombili izinhlobo zemivimbo zidala izimpawu ezifanayo. Funda ukuthi ungahlukanisa kanjani izinhlobo zemivimbo.

Yelashwa kanjani

Ukwelashwa kufanele kwenziwe ngokushesha okukhulu, ukuvikela i-sequelae ehlala njalo, equkethe ukulawula ukuphuma kwegazi nokukhulula ukucindezela ebuchosheni, kanye nokunikeza imishanguzo yokulawula umfutho wegazi.

Uma ukuphuma kwegazi kulawulwa ngezinyathelo zokuqala zokusiza, umuntu udinga kuphela ukubhekwa futhi, kamuva, athole izikhathi zokwelashwa ngokomzimba. Kodwa-ke, uma ukopha kungalawulwa, kungadingeka ukuthi ubhekane nokuhlinzwa ukuze ulungise umthambo wegazi futhi unqande ukopha.

Ungakuvimbela kanjani

Kungathathwa ezinye izindlela ukuvimbela ukuvela kohlangothi, njengokulawula umfutho wegazi, ukugwema izipikisi, ukugwema ukuphuza utshwala, osikilidi nezidakamizwa, nokusebenzisa imishanguzo ngokunengqondo, ikakhulukazi ama-anticoagulants okuthi, uma ethathwe ngokungafanele, ukwandisa ingozi yokuba nesifo sohlangothi.