Okufanele Ukwazi Ngokubanjwa Kwangemuva Kohlangothi

-Delile

• Yiziphi izinhlobo zohlangothi ezingahle zidale ukuquleka ngemuva kokushaywa unhlangothi?
• Kuvame kangakanani ukuquleka ngemuva kokushaywa unhlangothi?
• Wazi kanjani ukuthi uyaquleka?
• Kufanele umbone nini udokotela wakho?
• Ungamsiza kanjani umuntu oqulekile?
• Uyini umbono wokubanjwa ngemuva kokushaywa unhlangothi?
• Yini ongayenza ukuvimbela ukuthathwa kwesifo ngemuva kokuhlaselwa yisifo sohlangothi?
• Izinguquko zendlela yokuphila
• Ukwelashwa kwendabuko

Yini ukuxhumana phakathi kwesifo sohlangothi nokuquleka?

Uma uke waba nesifo sohlangothi, unengozi eyengeziwe yokuba nokuquleka. Isifo sohlangothi sidala ukuthi ubuchopho bakho bulimale. Ukulimala ebuchosheni bakho kubangela ukwakheka kwezicubu ezibomvu, ezithinta umsebenzi kagesi ebuchosheni bakho. Ukuphazamisa ukusebenza kukagesi kungadala ukuthi uquleke.

Qhubeka ufunda ukuze ufunde kabanzi mayelana nokuxhumana phakathi kokushaywa yimivimbo nokuquleka.

Yiziphi izinhlobo zohlangothi ezingahle zidale ukuquleka ngemuva kokushaywa unhlangothi?

Kunezinhlobo ezintathu ezahlukene zemivimbo, futhi zifaka imivimbo yokopha neyeschemic. Imivimbo yokopha kwenzeka ngenxa yokopha ngaphakathi noma ngaphakathi kobuchopho. Ukushaywa yischemic kwenzeka ngenxa yegazi noma ukungabi khona kwegazi eliya ebuchosheni.

Abantu abake baba nesifo sohlangothi esopha kakhulu maningi amathuba okuthi babe nokuquleka ngemuva kokushaywa unhlangothi kunalabo abanesifo sohlangothi. Usengozini eyengeziwe yokuquleka uma isifo sinzima noma senzeka ngaphakathi kwe-cortex yobuchopho bobuchopho bakho.

Kuvame kangakanani ukuquleka ngemuva kokushaywa unhlangothi?

Ingozi yakho yokubanjwa ngemuva kokushaywa unhlangothi iphakeme ezinsukwini zokuqala ezingama-30 kulandela unhlangothi. Cishe amaphesenti ama-5 abantu bazohlaselwa yisifo sohlangothi emasontweni ambalwa ngemuva kokuhlaselwa yisifo sohlangothi, ngokusho kweNational Stroke Association. Kungenzeka ukuthi ube nokuquleka okukhulu phakathi kwamahora angama-24 wesifo sohlangothi, isifo sohlangothi, noma isifo sohlangothi esifaka phakathi i-cerebral cortex.

Ucwaningo lwango-2018 luthole ukuthi amaphesenti ayi-9.3 abo bonke abantu abanesifo sohlangothi babhekana nokuquleka.

Ngezikhathi ezithile, umuntu oke washaywa unhlangothi angaba nokuquleka okungapheli nokuphindaphindayo. Bangatholwa ukuthi banesifo sokuwa.

Wazi kanjani ukuthi uyaquleka?

Izinhlobo ezingaphezu kuka-40 zokuhlukunyezwa zikhona. Izimpawu zakho zizohluka ngokuya ngohlobo lokuquleka onakho.

Uhlobo lokudlidliza oluvame kakhulu, kanye nokubukeka okuphawuleka kakhulu, kungukuquleka okujwayelekile. Izimpawu zokubanjwa okujwayelekile zifaka:

• ukuphazamiseka kwemisipha
• ukuzwa ukuzwa
• eqhaqhazela
• ukulahlekelwa ukwazi

Ezinye izimpawu zokuhlaselwa zingabandakanya:

• ukudideka
• imizwa eshintshiwe
• izinguquko endleleni obona ngayo ukuthi izinto zizwakala kanjani, zinuka kanjani, zibukeka kanjani, zinambitha kanjani, noma zizizwa kanjani
• ukulahlekelwa ukulawula imisipha
• ukulahlekelwa ukulawula isinye

Kufanele umbone nini udokotela wakho?

Uma unesifo sokuquleka, yazisa udokotela wakho ngokushesha. Bazofuna ukwazi izimo ezizungeze ukuquleka kwakho. Uma othile ubenawe ngesikhathi sokubanjwa, bacele bachaze ukuthi babone ini ukuze ukwazi ukwabela udokotela wakho leyo mininingwane.

Ungamsiza kanjani umuntu oqulekile?

Uma ubona othile ehlaselwa yisifo sokuwa, yenza okulandelayo:

• Beka noma ugoqe umuntu oqulekile ohlangothini lwakhe. Lokhu kuzosiza ukuvimbela ukuminyana nokuhlanza.
• Beka okuthile okuthambile ngaphansi kwekhanda labo ukuvimbela ukulimala okuqhubekayo ebuchosheni babo.
• Khulula noma yiziphi izingubo ezibonakala ziqinile entanyeni yazo.
• Ungakhawuleli ukunyakaza kwabo ngaphandle kokuthi basengozini yokuzilimaza bona.
• Ungafaki lutho emlonyeni wabo.
• Susa noma yiziphi izinto ezibukhali noma eziqinile ezingathintana nazo ngesikhathi sokubanjwa.
• Qaphela ukuthi ukuquleka kuthatha isikhathi esingakanani kanye nanoma yiziphi izimpawu ezenzekayo. Lolu lwazi luzosiza abasebenzi bezimo eziphuthumayo ukuthi banikeze ukwelashwa okufanele.
• Ungamshiyi umuntu obanjwe yisifo sokudlikiza aze aphele.

Uma othile ehlangabezana nokuquleka isikhathi eside futhi engabuyeli, lokhu kuyisimo esiphuthumayo esisongela impilo. Funa usizo lwezokwelapha ngokushesha.

Uyini umbono wokubanjwa ngemuva kokushaywa unhlangothi?

Uma uke wahlangabezana nokuquleka kulandela ukushaywa unhlangothi, usengozini enkulu yokuba nesifo sokuwa.

Uma sekuphele izinsuku ezingama-30 wahlaselwa yisifo sohlangothi futhi awukaze uquleke, ithuba lakho lokuhlaselwa yisifo sokuwa lincane.

Uma usabhekene nokuquleka isikhathi esingaphezu kwenyanga ngemuva kokululama kwesifo sohlangothi, noma kunjalo, usengozini enkulu yesifo sokuwa. Isifo sokuwa ukuphazamiseka kwesistimu yezinzwa. Abantu abanesithuthwane banesifo sokuquleka esiphindelela esingahlobene nanoma iyiphi imbangela ethile.

Ungaba nemikhawulo ebekwe kwilayisense lakho lokushayela uma uqhubeka nokuquleka. Lokhu kungenxa yokuthi ukuquleka ngenkathi ushayela akuphephile.

Yini ongayenza ukuvimbela ukuthathwa kwesifo ngemuva kokuhlaselwa yisifo sohlangothi?

Inhlanganisela yezinguquko zendlela yokuphila kanye nokwelashwa kwendabuko kwe-antiseizure kungasiza ekuvimbeleni ukuthathwa kwesifo ngemuva kokushaywa yisifo.

Izinguquko zendlela yokuphila

Nazi izinto ezimbalwa ongazenza ukunciphisa ubungozi bokubanjwa:

• Hlala u-hydrated.
• Gwema ukuzikhandla ngokweqile.
• Gcina isisindo esinempilo.
• Yidla ukudla okunomsoco omningi.
• Gwema utshwala uma uthatha imishanguzo kadokotela yokuthatha.
• Gwema ukubhema.

Uma usengozini yokuquleka, lawa macebiso alandelayo angakusiza ukuthi uhlale uphephile uma ngabe unesifo sokudlikiza:

• Cela umngani noma ilungu lomndeni ukuthi libe khona uma ubhukuda noma upheka. Uma kungenzeka, bacele ukuthi bakushayele lapho kudingeka uye khona lapho ingozi yakho inciphile.
• Fundisa abangane bakho nomndeni wakho ngokuquleka ukuze bakusize ugcine uphephile uma unesifo sokuwa.
• Khuluma nodokotela wakho ngezinto ongazenza ukunciphisa ingozi yokubanjwa.

Ukwelashwa kwendabuko

Udokotela wakho angakunika imishanguzo yokuthithibalisa uma uke waquleka ngemuva kokushaywa yisifo. Landela imiyalo yabo bese uphuza yonke imithi njengoba kunqunyiwe.

Akukho ucwaningo oluningi mayelana nokuthi imithi yokwelapha isisu isebenza kahle kanjani kulabo abaye babhekana nesifo sohlangothi, noma kunjalo. Eqinisweni, i-European Stroke Organisation yeluleka kakhulu ngokusetshenziswa kwayo kuleli cala.

Udokotela wakho futhi angancoma i-vagus nerve stimulator (VNS). Lokhu kwesinye isikhathi kubizwa ngokuthi yi-pacemaker yobuchopho bakho. I-VNS isebenza ngebhethri udokotela wakho alinamathisela ngokuhlinzwa emthanjeni we-vagus entanyeni yakho. Ithumela imizwa yokuvuselela izinzwa zakho nokunciphisa ubungozi bokuquleka.