Funda ngeqhinga elibizwa ngokuthi i-permissive hypertension emva kokushaywa ischemic.
Umfutho wegazi ophakeme, obizwa nangokuthi unomfutho wegazi ophakeme , yiyona ingozi ebhekene nayo yonke into yokulimaza . Ngakho-ke kungamangaza abantu abathile ukuthi babone ukuthi omunye umuntu ube nesifo sohlangothi, odokotela bangase bayeke imishanguzo yengcindezi yegazi futhi bavumele ukucindezela ukuba kubonakale kuvelele. Kungani kunjalo?
Ukulawula Ukucindezeleka Kwegazi Ngemuva kwesifo se-Ischemic
Ukushaywa yi-Ischemic kubangelwa ukuvinjelwa emzimbeni wegazi, ukuze igazi lingakwazi ukuphuma.
Ngaphandle kwegazi ukuletha oksijithali nokususa imikhiqizo enobuthi, cishe amamitha ayizigidi ezingu-1.9 ezicubu zengqondo ziyafa ngomzuzu ngamunye.
Igazi lingase lifinyelele kancane endaweni yengqondo ngokusebenzisa ezinye izitsha zegazi, njengezimoto ezithatha enye indlela lapho umgwaqo omkhulu uvinjelwe. Ngezinye izikhathi isitsha esivinjiwe sivula kabusha. Kunoma yikuphi, umgomo ukugqugquzela igazi ukuba ligijime esikhaleni esiphezulu.
Enye indlela yokwenza lokhu ukwandisa ukucindezelwa kwegazi ukuqhuma igazi ngalezo zindwangu zegazi ezincane. Ukwehlisa ukucindezeleka kwegazi kungahle kube yingozi kakhulu. Ezinye izivivinyo zocwaningo ziphakamisa kakhulu lokhu.
Isu "sokwehla komfutho wegazi ophezulu" kuhilela ukumisa imishanguzo yegazi lomuntu isikhathi esibekiwe ngemuva kokushaya - ngokuvamile ayikho amahora angu-24 kuya kwangu-48. Phakathi naleso sikhathi, i- systolic blood pressure (inombolo ephakeme) ingakhuphuka ephezulu ka-220, noma i-185 uma i- activistogen activator (tPA) i-clot-busting tissue tissue activator (tPA) inikezwe.
Ekugcineni, umfutho wegazi kufanele ubuyiselwe kumazinga avamile. Yeka indlela ukucindezelwa kwegazi okumelwe kubuyiselwe ngayo evamile ngemva kokushaywa yisifo, kodwa kunjalo.
Esivivinyweni se-CATIS, iziguli ezingaphezu kuka-2000 zahlelwa ukuthi zinciphise ukucindezelwa kwegazi ngamaphesenti angu-10 kuya ku-25 phakathi kwamahora angu-24 okuqala ngemva kokushaywa isifo bese zinciphisa zibe ngaphansi kuka-140/90 ezinsukwini ezingu-7.
Ngokuphambene nalokho, iningi labantu lizobe lihlose ukucindezelwa kwegazi okujwayelekile emasontweni ambalwa alandelayo ngemuva kokushaywa yisifo.
Ngemuva kwezinsuku ezingama-40, abacwaningi baseCATIS bahlola amazinga okufa nokukhubazeka futhi abatholanga umehluko phakathi kwalezi zindlela ezimbili. Ngesikhathi abalobi bechaza ukuthi ukunciphisa kakhulu ukucindezela akuzange kusize iziguli, mhlawumbe okuphawulekayo ukuthi iziguli azizange zilimaze, noma kunjalo.
Ukunciphisa ukucindezelwa kwegazi ngegazi lakwa-Lacunar Ischemic Strokes
Ku-CATIS, iziguli ezinemijondolo encane "lacunar" zibonakala zizuzisa ngokuthe xaxa ekulawuleni ukucindezela kwegazi. Lezi ziphazamiso ezincane, ezivame ukungena ekujuleni kobuchopho lapho zingenza khona umonakalo omkhulu ngokungajwayelekile, zihlotshaniswa ikakhulu nomfutho wegazi ophezulu.
Isivivinyo se-SPS3 sibheke izinkulungwane zalezi ziguli ezinezigameko zakamuva zamehlo abo e- MRI, uma kuqhathaniswa nokulawula ukucindezela kwegazi okwezinye izindlela zokuvumela. Ngenkathi imiphumela yalolu cwaningo ayengabalulekile kakhulu, kwakukhona ukuthambekela ekulawuleni okunamandla okubonakala kunciphisa yonke imivimbo - nakuba lokhu kungenzeka ukuthi kwakungenxa yokuthi kwakunezinhlungu ezimbalwa zokungena emgodleni eqenjini elicindezelayo elilawulwa yigazi.
Ngaphansi
Lokho okutholakele kusikisela?
Mhlawumbe umfutho wegazi lakho ulawula izinsuku ezimbalwa kuya kwamasonto emva kokushaywa ngokuxhomeka kohlobo lwesifo. Iziguli ezikhulile emva kokushaywa yi-lacunar, isibonelo, umgomo kufanele ube ngaphansi kwe-symphilic eyi-130 mmHg. Ngokushesha ngemva kokushaywa yisisu, indlela engcono kakhulu isenza ukucindezeleka kwegazi kuphakeme.
Imithombo:
J, Zhang Y, Xu T, Zhao Q, Wang D, et al; Abaphenyi be-CATIS. Imiphumela yokunciphisa ukucindezeleka kwegazi ekufeni nokukhubazeka okukhulu ezigulini ezine-stroke eziyinkimbinkimbi: isilingo somtholampilo se-CATIS esenziwe ngezikhathi ezithile.JAMA. 2014 Feb 5; 311 (5): 479-89. i-doi: 10.1001 / jama.2013.282543
I-White CL, i-Pergola PE, i-Szychowski JM, i-Talbert R, iCervantes-Arriaga A, et al .; Abaphenyi be-SPS3. Ukucindezeleka kwegazi ngemva kokushaywa yamuva: ukutholakala okuyisisekelo kusukela ekuvinjeni kwesibili kokuhlolwa kwesibalo esincane. Am J Hypertens. 2013 Sep; 26 (9): 1114-22.