Ngenxa yokuthi ukwelashwa kwe-tPA kungabangela ukuguqulwa kwesifo se-ischemic, kubalulekile ukuqonda ukuthi kwenzekani ngaphakathi kobuchopho phakathi nesifo socwaningo lwe- ischemic . Kodwa okokuqala, ake sixoxisane ngesifo sohlangothi ngokujwayelekile.
Sibutsetelo
Ukushaywa yisifo yisifo esithinta imishanguzo eholela ngaphakathi nangaphakathi kobuchopho. Yimbangela yezokufa kanye nesizathu esiyinhloko sokukhubazeka e-United States.
I-stroke kwenzeka uma isitsha segazi esithwala i-oksijeni nezakhi kumbono kungavinjelwa i-clot noma i-bursts (noma i-break). Uma lokho kwenzeka, ingxenye yengqondo ayikwazi ukuthola igazi (ne-oksijeni) idinga, ngakho-ke amaseli obuchopho abufa.
Imiphumela
Ubuchopho yingxenye eyinkimbinkimbi kakhulu elawula imisebenzi ehlukahlukene yomzimba. Uma ukushaywa kwegazi kwenzeka futhi ukugeleza kwegazi akukwazi ukufinyelela esifundeni esilawula umsebenzi othile womzimba, leyo ngxenye yomzimba ngeke isebenze ngendlela efanele.
Izingozi Zezingozi
- Ubudala - Ilungelo lokuba nesifo sokushaya isifo cishe kokuphindwe kabili iminyaka eyishumi ngayinye yokuphila ngemva kweminyaka yobudala engama-55. Ngenkathi isifo sivame kakhulu kubantu asebekhulile, iningi labantu abangaphansi kweminyaka engu-65 linemivimbo.
- I-Heredity (umlando womndeni) - Ingozi yakho yokushaya isifo ingase ibe mkhulu uma umzali, ugogo nomkhulu, udadewabo noma umfowenu sebehlaselwe isifo.
- Umjaho - Abase-Afrika baseMelika banengozi enkulu yokufa ngenxa yokushaywa yisifo esibucayi kunaseCaucasus. Lokhu kungenxa yokuthi abamnyama banengozi ephezulu yokucindezeleka kwegazi, isifo sikashukela, nokukhuluphala.
- Ubulili (ubulili) - Unyaka ngamunye, abesifazane banemivimbo eminingi kunabesilisa, kanti ukushaywa yicala kubulala abesifazane abaningi kunamadoda. Ukusetshenziswa kwamaphilisi okulawula ukubeletha, ukukhulelwa, umlando we-preeclampsia / eclampsia noma isifo sikashukela sokubeletha, ukusetshenziswa komlomo ngokweqile, nokubhema, kanye nokwelashwa kwe-hormone ye-post-menopausal kungabangela izingozi ezikhethekile zokuhlukunyezwa kwabesifazane.
- Ukushaywa kanzima, i-TIA noma i-heart attack - Ingozi yokushaya isifo somuntu osevele esenayo izikhathi eziningi zomuntu ongenakho. Ukuhlaselwa kwe-ischemic esheshayo "kuyingozi yokuxwayisa" eyenza izimpawu ezinjenge-stroke kodwa azikho umonakalo ohlala njalo. Ama-TIA ayimemezelo eqinile yokushaywa yisifo. Umuntu ophethe i-TIA eyodwa noma ngaphezulu cishe cishe izikhathi ezingu-10 ukuthi abe nesifo esingaphezu komuntu oneminyaka efanayo nobulili obengazange. Ukuqaphela nokwelapha i-TIA kunganciphisa ingozi yesifo esibucayi. I-TIA kufanele ibhekwe njengesimo esiphuthumayo sezokwelapha futhi ilandelwe ngokushesha kanye nochwepheshe wezempilo. Uma uke wahlaselwa yinhliziyo, usengozini enkulu yokuba nesifo, futhi.
Kuyini ukuguqulwa kwamaHemorrhagic?
Ukushaywa yisifo kubangelwa ukuvinjelwa kwegazi kuyingxenye yobuchopho, okwenza indawo enkulu yesikhumba ibe yilapho elambile oksijini, futhi amangqamuzana akhayo aqala ukufa. Ngokuhamba kwesikhathi, amangqamuzana ambalwa futhi ambalwa ashiywe ukuze asindiswe ngokwelashwa, futhi ngemva kokufa kwamangqamuzana amaningi, ukwelashwa kwesisu akusizi ngalutho futhi empeleni kungashintsha isifo sochungechunge sibe yingozi. Lo mcimbi waziwa ngokuthi ukuguqulwa kwamanzi.
Kwenzeka kanjani lokhu? Imithi eminingi ephuthumayo yokwelapha ischemic ihlose ukubuyisela ukugeleza kwegazi endaweni ye- ischemic ngokuqeda i-blood clots ephazamisayo.
Kodwa ngemva nje kwamahora ambalwa ngemuva kokufa kwesisindo sobuchopho, ilahlekelwa ikhono layo lokugcina igazi ngaphakathi kwe-arteries, okwandisa ingozi yokuthi kuzokwenzeka ukulimala okukhulu uma ukuphuma kwegazi kungabuyiselwa. Lolu hlobo lokuphuma kwamangqamuzana afile lubizwa ngokuthi ukuguqulwa kwamanzi. Cishe ngamaphesenti angu-6 azo zonke izigameko eziphazamiseka eziphathwe nge-tPA e-intravenous, imithi enamandla ye-clot-busting, ehlangabezana nokuguqulwa kwamanzi.
Leli thuba lokuguqulwa kwamangqamuzana yisinye sezizathu eziyinhloko ezibangela ukuthi i-tPA emangcwabeni nezinye izifo ezinjalo eziphazamisekile zingasetshenziswa kuphela ngaphakathi kwindiza ethile emva kokuqala kwezimpawu .
Imithombo:
I-American Stroke Association. http://www.strokeassociation.org/STROKEORG/AboutStroke
I-Gatz Thomalla, MD; UJan Sobesky, MD; UMartin Kharmann, MD; UJochen B. Fiebach, MD; UJens Fiehler, MD; U-Olivier Zaro Weber, MD; U-Anna Kruetzelmann, MD; Thomas Kucinski, MD; UMichael Rosenkranz, MD; Joachim Kunalokho, MD Peter D. Schellinger, MD, PhD Amathebula amabili: Ukuguqulwa kwamaHemorrhagic kodwa hhayi ukulimaza kwe-Parenchymal Emva kwe-Thrombolysis Kuhlobene nobunzima nobude be-Ischemia MRI Study of Acute Stroke Patients Treated With Intravenous Tissue Plasminogen Activator Engakapheli amahora angu-6 isifo sika- 2007; : 313.