Ungazihlukanisa kanjani izinhlobo zemivimbo

-Delile

• 1. Ischemic stroke
• 2. Unhlangothi owophayo

Kunezinhlobo ezimbili zokushaywa unhlangothi, ezihlukaniswa ngokwesizathu sokwehla kokugeleza kwegazi esifundeni esithile sobuchopho:

• Ischemic stroke: okuvela lapho ihlule limboza isitsha sobuchopho, eliphazamisa ukujikeleza kwegazi;
• Isifo sohlangothi esopha kakhulu: kwenzakalani lapho isitsha ebuchosheni sidabuka, sinciphisa inani legazi elidlula kulowo mkhumbi.

Yize zenzeka ngokuhlukile, zombili izinhlobo zemivimbo zidala izimpawu ezifanayo njengokuphelelwa amandla noma ukuzwela esifundeni somzimba, ubunzima bokukhuluma, isiyezi nokubona okufiphele. Ngakho-ke, uhlobo lwesifo sohlangothi alunakubonwa ngezimpawu, luvame ukuqinisekiswa kuphela esibhedlela, nge-MRI noma nge-computed tomography.

Kunoma ikuphi, isifo sohlangothi ngaso sonke isikhathi siyisimo esiphuthumayo sezokwelapha okufanele sikhonjwe ngokushesha okukhulu futhi welashwe esibhedlela, ngoba into ebaluleke kakhulu kulolu hlobo lwesimo yisikhathi esidlulayo kusukela ekubonakaleni kwezimpawu zokuqala kuze kube isiguli sizinzile. Indlela enhle yokukhomba isifo sohlangothi ngukuthatha ukuhlolwa kwe-SAMU - bona ukuthi ungaluhlola kanjani iSAMU nokuthi ungaludinga nini usizo lwezokwelapha.

Umehluko omkhulu phakathi kokushaywa yischemic kanye nokopha kuchazwe ngezansi:

1. Ischemic stroke

Ukushaywa yischemic kwenzeka lapho kukhona uqweqwe olunamafutha komunye wemithambo yobuchopho noma lapho iqhwa, elenziwe kwenye indawo emzimbeni, lingafinyelela ezitsheni ezisebuchosheni, lidale ukuvinjelwa okuvimbela igazi ukuthi lingafinyeleli esifundeni esithile sobuchopho. ubuchopho.

Ngaphezu kwalokho, okunye umehluko omkhulu maqondana nokushaywa yisifo esopha kakhulu yizimbangela kanye nendlela yokwelashwa:

• Izimbangela eziyinhloko: i-cholesterol ephezulu, i-atherosclerosis, i-atrial fibrillation, i-sickle cell anemia, ukuphazamiseka kwe-coagulation kanye nezinguquko ekusebenzeni kwenhliziyo.
• Ukwelashwa kwenziwa kanjani: imvamisa yenziwa ngezidakamizwa, efakwa ngqo emthanjeni, lokho kunciphisa ihlwili, kepha kungafaka nokuhlinzwa ukukhipha ihlwili, uma izidakamizwa zingasebenzi. Bona ngokuningiliziwe ukuthi ukwelashwa kwesifo sohlangothi kwenziwa kanjani.

Ngaphezu kwalokho, kujwayelekile ukuthi isifo sokushaywa yischemic sibe nesibikezelo esingcono kunesifo sohlangothi esopha kakhulu, njengoba kuvame ukwelashwa kalula, okunciphisa isikhathi kusuka ezimpawu zokuqala kuye esigulini, futhi kunciphisa nengozi yokulandelana kwezifo.

Kwezinye izimo, isifo se-ischemic esedlule singenzeka, lapho izimpawu zihlala khona, ingxenye enkulu, cishe ihora elilodwa, bese zinyamalala ngaphandle kokushiya i-sequelae. Lolu hlobo lungaziwa futhi nge-pre-stroke, ngakho-ke kubalulekile ukuya egumbini labezimo eziphuthumayo uyokwenza ukuhlolwa bese uqala ukwelashwa okufanele ukuze ulivikele ekuqhubekeni kohlangothi.

2. Unhlangothi owophayo

Ngokungafani nokushaywa yischemic, isifo esopha ngokweqile asenzeki ngokuvimba umkhumbi wobuchopho, kepha ngokuqhekeka komkhumbi, okuvimbela igazi ukuthi liqhubeke nokudlulela esifundeni esithile sobuchopho. Ngaphezu kwalokho, ekushayweni yisifo esopha kakhulu kukhona nokuqoqwa kwegazi ngaphakathi noma nxazonke zobuchopho, okwandisa ingcindezi yobuchopho, ezinye izimpawu eziba zimbi.

Kulolu hlobo lohlangothi, izimbangela ezivame kakhulu kanye nendlela yokwelashwa yilezi:

• Izimbangela eziyinhloko: umfutho wegazi ophakeme, ukusetshenziswa ngokweqile kwama-anticoagulants, i-aneurysm kanye nokushaywa okunzima ekhanda, isibonelo.
• Ukwelashwa kwenziwa kanjani: imvamisa kuqala ngokuphathwa kwemithi ukwehlisa umfutho wegazi, kepha ezimweni eziningi kungadingeka ukuthi kuhlinzwe ukulungisa umonakalo emikhunjini ebuchosheni. Funda kabanzi mayelana nokuthi isifo sohlangothi siphathwa kanjani.

Imvamisa, isifo sohlangothi esopha kakhulu sinesibikezelo esibi ukwedlula isifo sohlangothi, njengoba kungaba nzima ukulawula ukopha.