Ndi sitiroko Kodi ngati sitiroko limapezeka pa maziko oopsa chaukali

A matenda kwambiri lero ndi sitiroko. Ndipo ngati pamaso sitiroko kumachitika makamaka achikulire, tsopano zaka gulu utachepa kwambiri: mwina ngakhale kukhala mwana. Chilonda - ndi kuphwanya amphamvu a magazi mu ubongo. Nkofunika kuti mofulumira kuthandiza odwala, mwinamwake, ngati masana, kuchita zimenezi sadzakhala adzaimira, izo zikhoza kukhala amapha. Kupanda mpweya ndi zakudya kudzetsa imfa ya ubongo minofu. kuyan'anila oterewa nthawi zambiri zimachitika chifukwa cha matenda a mtima. Nthawi zambiri chifukwa cha sitiroko ndi ndi kuwonjezeka lakuthwa mu kuthamanga kapena arteriosclerosis. The zinthu zomwe zimathandiza kusisita ndi m'maganizo, wongokhala ndi kwambiri mkulu-kalori chakudya ndi vasomotor dystonia.

Sitiroko pa maziko amphamvu za matenda oopsa sizachilendo. Odwala hypertensive mu kotekisi oziziritsa kungakhale matumba patsogolo wa chisangalalo. Amawawidwira mtima ndi hypothalamic dera, chifukwa mu lamulo kusokonezedwa wa kamvekedwe mtima, nkhokwe compensatory ali zatha. Komanso, pali ndi pachimake cerebrovascular ngozi. Pa mavuto hypertensive edema oziziritsa, ubongo minofu amapezeka ndi vasospasms. Zimakhala zoyambitsa mavuto amphamvu. Ngati panali sitiroko motsutsa likhale oopsa amphamvu angasonyeze mutu kwambiri, chizungulire, ndi kuthamanga pa diso. Wodwala amayamba kuona odwala, pali phokoso m'khutu, amaona masomphenya, ngakhale mwina kuyamba kuona awiri. Munthu akhoza ngakhale kutaya kutsitsimuka, nthawi zina amapezeka zochitika convulsive.

Pa mavuto hypertensive oziziritsa mwadzidzidzi kudumpha kuthamanga, zipolowe autonomic zidzachitika, monga kuzizira kapena malungo. Komanso, voteji akhoza kufika mu minofu khosi. Mukhoza kuona matenda kayendedwe - akhoza kusokoneza munthu, munthu skewed lamanja kapena kumanzere. Pali mawu chisokonezo, sangathe kulankhula bwino.

Pamene pali sitiroko pa matenda oopsa amphamvu, wodwala kugwa mu chikomokere. Ichi ndi choopsa kwambiri. Nthawi zina, chifukwa cha matenda magazi imfa ubongo amapezeka. Pamene bwanji ubongo tsinde limapezeka chizungulire, gait ndi wobbly, kugwirizana kayendedwe wathyoka. Nthawi zina lovuta kulitsatira, mmodzi pa nthawi akhoza kutaya luso kuyenda.

Sitiroko ndi ischemic kapena hemorrhagic. The owopsa ndi hemorrhagic sitiroko, imene chotengera chophukacho. Ischemic sitiroko limapezeka nthawi zambiri usiku, ndipo popanda imfa ya chikumbumtima. Kusiyanitsa amapha ndipo sanali amapha ischemic sitiroko. Ngati pasanathe masiku 28 isanayambike zizindikiro sitiroko wodwala sanamwalire ayi, ngati iye ankakhala mu nthawi ino, kusisita si chakupha. Nthawi zambiri, monga sitiroko akupezeka anthu ukalamba, koma lero zambiri milandu sitiroko ischemic ndipo anthu okwanira wamng'ono.

Chiopsezo zinthu zogwirizana ndi moyo, monga kusuta fodya, kunenepa, zakudya osauka ndi maganizo apamwamba. Nthawi zambiri ischemic sitiroko akufotokozera shuga, matenda oopsa, ndi chifukwa kutengera za kumtundu. Komanso, pangakhale sitiroko pa maziko matenda oopsa kwambiri.

Pankhani ya ischemic ndi hemorrhagic sitiroko, mankhwala osiyana. Mu sitiroko ischemic ntchito chachikulu ndi mofulumira kubwezeretsa magazi mu ubongo. Kuti tichite zimenezi, mu M'mamawa kuchita mankhwala mwadzidzidzi. The wodwala kutumikiridwa mankhwala kuti woonda magazi. Ngati pali sitiroko ischemic, mankhwala ayenera yomweyo. The kale chiyambi mankhwala, ndi bwino kuti madokotala ananena zawo zina. Kuchepetsa clotting intiagreganty kutumikiridwa, iwo kuwonjezera mwayi kupulumuka mtima ndi kuchepetsa chiopsezo cha matenda oyamba pambuyo sitiroko. mankhwala makamaka ntchito monga aspirin warfarin ndi heparin, ndi clopidogrel.

Kuwonjezera mankhwala zoterezi pa mankhwala ndi mankhwala thrombolytic, cholinga chimene ndi kupasuka magazi aumirira, amene anatseka lumen wa chotengeracho. Chifukwa chaichi, agwiritsidwa ano mankhwala - minofu plasminogen activator. Mothandizidwa ndi aumirira monga amasungunula. Koma njira imeneyi ndi mogwira woyamba maola anayi ndi theka.

Nthawi zina, kuwonjezera mankhwala amafuna njira olanda. Izi zikhoza kukhala kwapakati pa-wolumikizira utsogoleli wa wothandizila thrombolytic, pamene activator umayamba mwachindunji mu mtsempha wamagazi akhudzidwa ubongo. Nthawi zina mwamwambo kuchotsa thrombus lapansi.