Kwenziwa kanjani ukwelashwa unhlangothi

-Delile

• 1. Ukwelashwa kwesifo sohlangothi
• 2. Ukwelashwa kwesifo sohlangothi esophayo
• Ngabe ukululama kwesifo kwenzeka kanjani
• Ukuvuselelwa ukunciphisa imiphumela

Ukwelashwa kwesifo sohlangothi kufanele kuqalwe ngokushesha okukhulu, ngakho-ke, kubalulekile ukwazi ukuthi ungazibona kanjani izimpawu zokuqala zokubiza i-ambulensi ngokushesha, ngoba ukwelashwa ngokushesha sekuqalisiwe, kwehlisa ubungozi be-sequelae njengokukhubazeka noma ukukhuluma kanzima. Bona lapha ukuthi yiziphi izimpawu ezingakhombisa isifo sohlangothi.

Ngakho-ke, ukwelashwa kungaqalwa ngudokotela osekwi-ambulensi esendleleni eya esibhedlela, ngamakhambi anjengezidakamizwa ezinomfutho wegazi ophakeme ukuzinzisa umfutho wegazi nokushaya kwenhliziyo, ukusetshenziswa komoya-mpilo ukwenza ukuphefumula, ngaphezu kokulawula izimpawu ezibalulekile, njenge indlela yokubuyisela ukugeleza kwegazi ebuchosheni.

Ngemuva kokwelashwa kokuqala, uhlobo lwe-stroke kufanele lukhonjwe, kusetshenziswa izivivinyo ezinjenge-tomography ne-MRI, njengoba lokhu kuthonya izinyathelo ezilandelayo zokwelashwa:

1. Ukwelashwa kwesifo sohlangothi

Ukushaywa yischemic kwenzeka lapho ihlwili livimba ukudlula kwegazi kwesinye sezitsha ebuchosheni. Kulezi zimo, ukwelashwa kungafaka:

• Imithi esezibhebheni, njenge-AAS, Clopidogrel neSimvastatin: esetshenziswa ezimweni zokushaywa unhlangothi noma i-ischemia edlulayo, njengoba bekwazi ukulawula ukukhula kwehlwili futhi bavimbele ukuvaleka kwemikhumbi yobuchopho;
• I-Thrombolysis eyenziwa ngomjovo we-APt: iyi-enzyme okufanele inikezwe kuphela lapho isifo se-ischemic sesivele siqinisekisiwe nge-tomography, futhi kufanele sisetshenziswe emahoreni ama-4 okuqala, njengoba ibhubhisa ngokushesha i-clot, ithuthukisa ukujikeleza kwegazi endaweni ethintekile;
• I-catheterization yobuchopho: kwezinye izibhedlela, njengenye indlela yomjovo we-APt, kungenzeka ukufaka ishubhu eliguquguqukayo elisuka emthanjeni we-groin liye ebuchosheni ukuzama ukususa iqhwa noma ukujova ngemithi elwa namagciwane esizeni. Funda kabanzi mayelana ne-catheterization ye-cerebral;
• Ukulawulwa kwengcindezi yegazi, nezidakamizwa ezinomfutho wegazi ophezulu, njenge-captopril: kwenziwa ezimweni lapho umfutho wegazi uphakeme, ukuvimbela le ngcindezi ephezulu ekonakaliseni i-oxygenation nokusakazwa kwegazi ebuchosheni;
• Ukuqapha: izimpawu ezibalulekile zomuntu obenesifo sohlangothi kufanele zibhekwe futhi zilawulwe, zibheke ukushaya kwenhliziyo, ingcindezi, i-oxygenation yegazi, i-glycemia nokushisa komzimba, kuzigcine zizinzile, kuze kube yilapho umuntu ekhombisa ukuthuthuka okuthile, ngoba uma zingalawuleki, kungahle kube nokuwohloka kwesifo sohlangothi kanye ne-sequelae ebangelwe.

Ngemuva kwesifo sohlangothi, ukuhlinzekwa kokucindezelwa kobuchopho kuboniswa ezimweni lapho ubuchopho bunokuvuvukala okukhulu, okwandisa ingcindezi yokungasebenzi futhi kungadala ingozi yokufa. Lokhu kuhlinzwa kwenziwa ngokususa, okwesikhashana, ingxenye yethambo logebhezi, elishintshwa lapho ukuvuvukala kwehla.

2. Ukwelashwa kwesifo sohlangothi esophayo

Izimo zokushaywa yisifo esibuhlungu zivela lapho umthambo wobuchopho uvuza igazi noma uqhekeka, njenge-aneurysm noma ngenxa yezipikili ezinomfutho wegazi ophezulu, ngokwesibonelo.

Kulezi zimo, ukwelashwa kwenziwa ngokulawula ukucindezelwa kwegazi, njenge-antihypertensives, ngaphezu kokusetshenziswa kwe-catheter ye-oxygen nokuqapha izimpawu ezibalulekile ukuze ukuphuma kwegazi kulawulwe ngokushesha okukhulu.

Ezimweni ezibucayi kakhulu, lapho kukhona ukuqhuma okuphelele komthambo futhi kunzima ukumisa ukopha, ukuhlinzwa okuphuthumayo kobuchopho kungadingeka ukuthola indawo eyophayo bese uyayilungisa.

Ezimweni zokushaywa yisifo esopha kakhulu, kungenziwa nokuhlinzwa kokucindezelwa kobuchopho, njengoba kujwayelekile ukuzwa ukucasuka nokuvuvukala kobuchopho ngenxa yokopha.

Ngabe ukululama kwesifo kwenzeka kanjani

Ngokuvamile, ngemuva kokulawula izimpawu zesifo sohlangothi, ukuhlala esibhedlela kuyadingeka izinsuku ezi-5 kuye kwezingu-10, ezihluka ngokuya ngesimo somtholampilo somuntu ngamunye, ukuze zihlale zibhekiwe, ukuze kuqinisekiswe ukululama kokuqala. imiphumela ebangelwe yisifo sohlangothi.

Ngalesi sikhathi, udokotela angaqala ukusebenzisa imishanguzo noma aguqule imishanguzo yesiguli, ancoma ukusetshenziswa kwe-anti-aggregant noma i-anticoagulant, efana ne-Aspirin noma i-Warfarin, uma kwenzeka ukushaywa yischemic, noma ukukhipha i-anticoagulant uma kwenzeka isifo soHemorrhagic, Ngokwesibonelo.

Ngaphezu kwalokho, kungadingeka imithi yokulawula kangcono umfutho wegazi, i-glucose yegazi, i-cholesterol, ukunciphisa ubungozi beziqephu ezintsha zestroke.

Amanye ama-sequelae angahlala, njengobunzima bokukhuluma, anciphise amandla ohlangothini olulodwa lomzimba, aguquke ukugwinya ukudla noma ukulawula umchamo noma indle, ngaphezu kwezinguquko ekucabangeni noma kwimemori. Inani nobukhulu be-sequelae buyahluka ngokuya ngohlobo lwesifo sohlangothi kanye nendawo yobuchopho ethintekile, kanye nekhono lomuntu lokululama. Ukuqonda kangcono izinkinga ezikhona zokushaywa unhlangothi.

Ukuvuselelwa ukunciphisa imiphumela

Ngemuva kokushaywa unhlangothi, umuntu udinga ukwenza uchungechunge lwezinqubo zokuvuselela, ukusheshisa ukutakula nokunciphisa ukulandelana. Izinhlobo eziyinhloko zokuvuselelwa yilezi:

• I-Physiotherapy: i-physiotherapy isiza ukuqinisa imisipha, ukuze umuntu akwazi ukuthola noma ukugcina ukunyakaza komzimba, athuthukise impilo yakhe. Bona ukuthi ukwelashwa ngokomzimba kwenziwa kanjani ngemuva kokushaywa unhlangothi.
• Ukwelashwa emsebenzini: kuyindawo esiza isiguli nomndeni ukuthola amasu okunciphisa imiphumela ye-stroke sequelae nsuku zonke, ngokuzivocavoca umzimba, ukujwayela indlu, indlu yangasese, ngaphezu kwemisebenzi yokwenza ngcono ukucabanga nokunyakaza;
• Ukwelashwa Kwenkulumo: lolu hlobo lwezokwelapha lusiza ukubuyisa inkulumo nokugwinya ezigulini ezithintwe yile ndawo ngenxa yohlangothi;
• Ukudla okunomsoco: ngemuva kokushaywa unhlangothi, kubalulekile ukuthi umuntu adle ukudla okunomsoco futhi anamavithamini namaminerali acebile anondla ingilazi nangendlela enempilo, ukugwema ukungondleki noma isifo sohlangothi esisha. Kwezinye izimo lapho kudingeka khona ukusebenzisa iphenyo ukondla, isazi sokudla okunempilo sizobala inani eliqondile lokudla bese sikufundisa ukuthi sikulungiselela kanjani.

Ukwesekwa komndeni kubalulekile kule nkathi yokululama ekushayweni unhlangothi, kokubili ukusiza emisebenzini umuntu angabe esakwazi ukuyenza, kanye nokuxhaswa ngokomzwelo, ngoba ukulinganiselwa okuthile kungakhungathekisa futhi kudale umuzwa wokungabi nalusizo nokudabuka. Funda ukuthi ungamsiza kanjani umuntu onobunzima bokukhuluma.