Chachikulu sitiroko: zotsatira mwayi wa kupulumuka, madokotala ananena zawo

N'zovuta Musaone kufunika kwa nkhani, wotsegula, kodi matenda oopsa monga sitiroko yamphamvu, zotsatira. The mwayi wa kupulumuka sangatengedwe kukhala mkulu pamene matenda amenewa. Koma ngakhale amatha kupewa imfa, monga kuwonongeka kwa bongo mwapadera kukhudza moyo wodwalayo. Choncho m'pofunika kudziwa chimene kudwala anapatsidwa nanga zizindikiro zake.

Kodi ayenera kumvetsa ndi sitiroko yamphamvu

Vuto limeneli akhoza limanenedwa ngati mokwanira kwambiri chifukwa zimakhudza ubongo. matenda imeneyi ndipo akuyamba onse ambiri mwa anthu usinkhu wapakati, pamene diagnoses kale amenewa makamaka opezeka mwa nzika kalekale chikondwerero chikumbutso ake makumi asanu.

Dziwani kuti yekha pamaso pa dokotala kwambiri oyenerera ndi kupeza thandizo la mankhwala zofunika, n'zomveka kulankhula za mankhwala a matenda monga yaikulu ubongo sitiroko. Zotsatira za matendawa kukhala kuposa lalikulu, ndipo ngati mulibe kuthandizapo yake, ndi zotheka imfa. Motero, musazengereze ngati izo zikusonyeza zizindikiro za magazi mu ubongo.

ischemic sitiroko

Ndipotu, monga matenda lingathe malangizo ziwiri zazikulu. Ichi ndi ischemic ndi hemorrhagic sitiroko (mlingo akuluakulu a choipa).

Poyamba ofunika kukhudza mawonekedwe wachete, ndiwo chotsatira cha kuchepetsa ziwiya ubongo. Pa ndondomekoyi, imfa ya maselo a mu ubongo kumachitika chifukwa chosowa mpweya, ndiko kuchita kanthu kenakake limodzi ndi magazi. matenda osauka kwambiri ndipo ali ndi khalidwe yaikulu (mtsempha wamagazi matenda amapezeka kapena gulu lonse la ziwiya).

Choncho sitiroko ischemic mwina mitundu angapo:

- lacunarity. Zimadzetsa mapangidwe mipata (voids) ku ubongo.

- Mikrookklyuzivny. Pankhaniyi pali limagwirira kuphwanya lomwe lili magazi mulingo woyenera otaya (hemostasis).

- cardioembolic. Occluded mtsempha wamagazi, koma pang'ono.

- Hemodynamic. Chotero mtundu wa sitiroko zingachititse kulumpha mwadzidzidzi magazi. Pamene magazi yafupika kwambiri, pali kuchepetsa ziwiya, womwe umakhala ndi outflow lakuthwa magazi.

- tsinde. matenda Izi ntchito kudziwa ubongo tsinde chotupa. Umenewu ndi oopsa kwambiri sitiroko yamphamvu, chifukwa mu nkhani iyi malo ofunika amapezeka kugonja. Chotero boma, nthawi zambiri umatha imfa yomweyo.

- Aterotrombichesky. Pankhaniyi, perekani magazi zipolowe chifukwa ndi chifukwa magazi aumirira kuti anachoka ku khoma chotengera, kapena chifukwa atherosclerosis.

Monga mmene taonera, yaikulu ubongo sitiroko madokotala ananena zawo ali kutali ndi olimbikitsa, kuyambira mlingo wa avulala kwambiri.

mawonekedwe hemorrhagic

Mtundu wa sitiroko amakhala ndi ngati mbali oopsa ngati magazi mu ubongo. Pankhaniyi, pali zitsanzo ziwiri:

- intracerebral sitiroko, omwe chifukwa cha mwadzidzidzi amasulidwe kuthamanga. Matenda makamaka anthu okalamba.

- yaikulu subarachnoid kukha mwazi muubongo sitiroko. Pankhaniyi tikulankhula kuswa mtsempha wamagazi. Chotero zotsatira ndi nthawi zambiri zinalembedwa anthu onenepa kwambiri kapena zamatsenga zizolowezi zoipa.

zifukwa

Monga tanenera, yafupika sitiroko yaikulu imene kumachitika blockage kapena chotupa ziwiya oziziritsa gulu kapena mtsempha wamagazi yaikulu. Zimenezi zikusonyeza kuti zinthu zilizonse zomwe ndi zoyipa pa Mitsempha ndi boma makamaka, tinganene kuti ngati chifukwa cha kukha magazi.

Komanso mwapadera, tiyenera powasamalira amenewa zoopsa, monga atheroma ndi anthu kuundana kuti akhoza kupanga pa icho. Kuti zimayambitsa yaikulu ubongo sitiroko. Zimayambitsa mipukutuyi ngati - nkhani osiyana, koma pa chiopsezo nthawi zambiri anthu amene ndi okhulupirika kwa kulemera owonjezera.

Kawirikawiri matenda magazi mu ubongo mwina chifukwa cha matenda ena mu thupi. Choncho, gulu chiopsezo zikuphatikizapo anthu ndi diagnoses zotsatirazi:

- matenda oopsa, makamaka mu mkhalidwe kunyalanyaza;

- kudwala mtima, monga pamene amalenga zinthu emboli ndi thrombi (kobadwa nako ndi zilema yotengedwa, matenda fibrillation, mavavu mtima, amene ali apulasitiki);

- asymptomatic atherosclerotic carotid stenosis;

- monga chotsatira cha kunenepa layamba moyo;

- shuga (magazi fluidity chatsitsa, thrombi anapanga);

- oziziritsa arteriosclerosis , ndipo magazi mafuta m'thupi;

- chosakhalitsa ischemic kuukira mu mbiri.

symptomatology

Pofuna kuchita mofulumira kusisita m'pofunika kudziwa zizindikiro kiyi. Izi zidzathandiza kudziwa boma oona a wodwalayo komanso nthawi yomweyo itanani ambulansi.

zizindikiro za nkhaniyi n'kofunika kuphunzira pamaso kuthana ndi zomwe zimayambitsa zotsatira sitiroko yamphamvu. The mwayi wa kupulumuka mu nkhani ya munthu wodwala kwambiri ndi mwachindunji amadalira thandizo kuchipatala adzapereka zinthu zofunikira ngati m'njira yake.

Nkofunika kudziwa chakuti pali zizindikiro okhudzidwa, ndiwo zizindikiro ndi sitiroko yamphamvu. Awonekere pamaso kukha magazi kumachitika yokha. Nthawi zina zizindikiro izi anamva milungu pamaso pa escalation vuto. Zizindikiro zotsatirazi akhoza zimachitika kuti:

- mutu;

- chizungulire;

- muzitha kukumbukira imfa;

- mdima pa kayendedwe mwadzidzidzi;

- imfa zosakhalitsa lathu mu mlengalenga.

Vuto limeneli yaikulu ubongo sitiroko, matendawo angakhale ndi mtundu yosiyaniranapo ngati agwidwa ndi mabuku lalikulu zakuthupi. Iwo amayang'ana motere:

- tulo;

- mutu chaukali;

- malungo;

- imfa ya chikumbumtima (ngakhale chikomokere n'zotheka);

- kulankhula amakhala incoherent;

- pali kuiwalaiwala;

- thukuta;

- kupweteka;

- kudzikayikira dryness mkamwa;

- timasiyanitsa kuwotchedwa;

- ululu m'dera diso;

- wodwala tidzawukitsidwe kumvetsa zimene zinam'chitikira ndi kumene ali, koma amakhala nthawi yomweyo mu chikumbumtima (boma la stupefaction).

Kodi mwamsanga kuzindikira sitiroko

Kuwonjezera zizindikiro zakumwamba, pali zinthu zingapo zimene zingathandize oterewa chikhalidwe cha munthu amene ubongo akuchita chidwi chifukwa chotupa kapena blockage Mitsempha.

Kuti tichite zimenezi, tsatirani malangizo akuti:

- Yesani kulankhula kwa munthuyo. Ngati pali kulephera kulankhula ndi wodwala amathandiza mwamsanga mafunso ophweka, m'pofunika imbani nambala mwadzidzidzi.

- M'pofunika kufunsa kumwetulira kukayikirana pa yaikulu ubongo sitiroko. Zotsatira za kukha magazi kapena akusowa mpweya ungadziwike ndi chisokonezo mimicry - mmodzi wa m'mphambano za pakamwa pa pofuna kumwetulira idzatitimira pansi.

- njira ina kwa matenda mofulumira boma - ndi kuyesa kukweza manja onse m'mwamba. Ngati kusowa magazi inasokoneza mutu, ndi synchronicity kayendedwe sadzakhala - dzanja limodzi kuti n'chozama kupitirira ena.

Ambiri, bwino kamodzinso kuyankha kopambana, kuposa kulola sitiroko yamphamvu. Zotsatira (chithunzi pamwambapa zikusonyeza chitsanzo cha kuwonongeka kwa bongo) Mwina chokhwima kwambiri.

Kodi mungayembekezere pambuyo sitiroko ndi

Choyamba ndi Dziwani kuti ayambe zonse silingakhale zotheka woterowo matenda aakulu. Izi anafotokoza chifukwa chakuti pambuyo sitiroko ndi kuphwanya ntchito zosiyanasiyana kwambiri. Kusanthula monga nkhani yaikulu sitiroko ndi, zotsatira zake, mwayi wa kupulumuka ndi kuthekera konzanso, tiyenera powasamalira mavuto amenewa, amene amayamba chifukwa cha kuwonongeka kwa bongo:

- Violation wa kulankhula. Otsala chikhalidwe choterocho kwambiri, ndi povuta kuti ngakhale ziganizo zophweka kwambiri.

- Amnesia. Pankhaniyi tikulankhula wosanyengereredwa kumbukirani mfundo zosiyanasiyana nawo tsiku ndi tsiku Komanso amaonera mudziwe zambiri zovuta.

- Ovutika ndende, luso galimoto ndi mgwirizano mawu.

- wodwala manjenje theka la nkhope, m'makona, ndi zina, imfa wathunthu wa ntchito galimoto.

Ngati m'njira yake kuwasamalira khalidwe mankhwala, pafupifupi gawo limodzi la milandu, chifukwa cha mavuto a deta chachikulu sitiroko amabwezeretsedwa poti wodwala adzatha moyo wonse.

Chikomokere chifukwa cha sitiroko

Ichi ndi chimodzi mwa zotsatira zake ovuta kwambiri, kumene kungakhale pa kugonjetsedwa kwa ubongo. Kabodzi kene iye chikomokere kumachitika chifukwa chotupa cha chotengera lalikulu oziziritsa, ndipo patapita subarachnoid chachikulu kapena intracerebral kukha magazi. Mmenemonso wodwala wotaya chikumbumtima ndipo n'kudzuka.

The yaitali chikomokere, ndi mphamvu chitukuko, ndi unyinji wochuluka izo chawonongeka manyuroni. Pankhaniyi, yaikulu ubongo sitiroko pambuyo zotsatira za chikomokere akhoza kukhala yofunika kwambiri, chifukwa pamene chikomokere mu ubongo kuwononga kwambiri, inasinthiratu.

Kodi chimachitika pa chikomokere ndi

Mmenemonso, wodwalayo sangathe kulabadira zimene zikuchitika osiyana. Pankhaniyi, bongo wodwala sanali kuonekera: kuwatenga ophunzira samva kuwala ndi mwapang'ono, ndi ululu amadziwikanso osati chifukwa zochita iliyonse.

Nthawi zina, luso defecation zaufulu ndi pokodza. The bongo okha omwe afala pa chikomokere kwa - ndi kumeza ndi kupuma. Ngati chikomokere anali chifukwa cha sitiroko hemorrhagic, nthawi zambiri, munthu amafa pasanathe masiku 1-2, ndi chifukwa cha edema ubongo.

Ambiri, ngozi za imfa kuchuluka pamaso pa zifukwa zotsatirazi:

- atathana akamamwalira maselo a mu ubongo;

- m'badwo wa mtima kuposa chizindikiro cha zaka 70;

- nthambi spasms olembedwa masiku kuposa 2-3;

- salabadira mankhwala, ululu anachita ndi phokoso;

- chikomokere zachitika pa sitiroko chachiwiri.

Pofuna kupanga madokotala ananena zawo zolondola, madokotala zambiri ntchito kompyuta ndi kumveka maginito tomography. MAGAZI akhoza kwambiri kuthandiza ndondomeko matenda.

Brain chachikulu sitiroko: chithandizo

Chinthu choyamba chomwe tingachite pa chipatala pambuyo wodwala Yaponyedwa, ndi m'munsi magazi, kulumikiza wodwala kwa makina ndi kuonjezera magazi. Komanso, n'kofunika kuti kuchita zimenezi zinali mu maola atatu oyamba pambuyo anakhomedwa zinachitika.

Kubwezeretsa kunachitika monga efficiently ngati n'kotheka, m'pofunika ikani mtima pakati pa konzanso. Njira kwambiri kuchira ukhoza kuyambira mwezi umodzi mpaka zaka ziwiri. Kuti ali yaikulu ubongo sitiroko zotsatira. Reviews achibale ambiri odwala ndi matenda ichi, anatsimikizira mfundo yakuti m'pofunika khutu kwa nthawi yaitali konzanso ndi chisamaliro mtima. Njira yokhayo kukwaniritsa ulendo wake wobwerera ku moyo wabwinobwino.

miyeso mwadzidzidzi

Emergency mankhwala zikhoza pa kukonza mlingo mtima ndi kupuma, neutralization ubongo edema, normalization wa magazi, mankhwala a khunyu, kugonjetsa matenda homeostasis, malungo, kusanza ndi zizindikiro zina zimene pathological. Pankhaniyi, ndondomeko pochira kuti kusiyanitsidwa.

Ngati muyenera kuthana ndi sitiroko ischemic, kawirikawiri anachita mankhwala thrombolytic, ndipo mankhwala ntchito woonda magazi. Nthawi zina, ngati simungathe kuchepetsa kutaya mwazi yogwira ku ubongo opaleshoni ubongo.

Konzanso n'zotheka ndi kunyumba, koma zochita zonse ayenera kukhala mogwirizana ndi dokotala. Pankhani ya ndondomeko zomwe ziyenela kuchitidwa nthawi imeneyi, apa pali mndandanda wa iwo:

- Reflexology;

- maginito;

- magetsi;

- kutikita.

kupewa

Nkofunika kuti asiye ntchito kuti ndi zotsatira njira, kuyambira mobwerezabwereza ubongo choipa sangathenso kusiya mwayi kuchira. Pofuna kupewa zinthu zimenezi, m'pofunika kutsatira mfundo kutsimikiziridwa:

- zolimbitsa thupi nthawi zonse;

- chiwerengero osachepera mavuto;

- kusiyiratu wathunthu wa makhalidwe oipa;

- kugwiritsa ntchito zonse za mankhwala ndi oopsa, zomwe dokotala wanena m'kaundula;

- zakudya popanda zakudya zoipa mafuta;

- kulamulira kulemera owonjezera.

Pomaliza

Monga mukuonera, ngati pali vuto monga sitiroko yamphamvu, zotsatira zake, mwayi wa kupulumuka ndi zolosera wonse simungakhoze kusakaniza. zambiri A zimadalira m'mene msanga oyenerera thandizo kuchipatala adzapereka zinthu zofunikira, komanso zinthu zina zambiri (ukupeza, monga, zaka, etc.).