Ukushaywa yisifo sofuba uhlobo lwe-stroke olwenzeka lapho i-clot yegazi, ebizwa nangokuthi i-thrombus, ifaka emthini ohlinzeka ubuchopho. I-clot yegazi ingavimbela ukugeleza kwegazi eline-oksijeni engxenyeni yobuchopho, okwenza umonakalo wesikhathi eside ubuchopho. Lolu hlobo lokulimala kwengqondo olubangelwa ukungabi khona kwegazi okwanele luveza isifo sohlangothi.
Kunezinhlobo ezimbili ze- ischemic stroke : embolic and thrombotic.
I-stroke ye-thrombotic ibangelwa i-clot yegazi eyenza futhi ivimbele igazi eligeleza kulo mshini lapho lwakhiwa khona, kuyilapho isifo sofuba esibangelwa yi-clot yegazi eyenza emthini bese sihamba siye komunye umshini, "siyanamathela" futhi kuvimbela ukugeleza kwegazi.
Izinhlobo ze-Stroke ye-Thrombotic
Isihlungu soshukela singase sabizwe ngokuthi i-thrombosis ye-cerebral, infarction ye-cerebral noma i-cerebral infarct.
Iziphazamiso ze-thrombotic zihlukaniswe ngokwengeziwe zibe izigaba ezimbili ngokususelwa ngobukhulu bendawo yokuvimba ngaphakathi kwengqondo - inhlanzi enkulu ye-thrombosis kanye ne -thrombosis yamancane .
Izimpawu nemiphumela yesifo sofuba
I-stroke ye-thrombotic ingenzeka kunoma iyiphi indawo yobuchopho, futhi izimpawu ezisheshayo kanye nemiphumela yesikhathi eside yesikhuhlane sokushaywa kwe- thrombotic correlate nendawo yengqondo ebuhlungu ngenxa yokuntuleka kwegazi.
Izimpawu zesifo sofuba singabandakanya noma iyiphi inhlanganisela yalokhu okulandelayo:
- Ukuhluleka ukuqonda amagama noma ukukhuluma okunzima
- Ukudideka okungazelelwe
- Ukulahlekelwa kokwazi
- Ubuthakathaka buso, ingalo noma umlenze kolunye uhlangothi lomzimba
- Ubuningi bengalo, ubuso noma umlenze kolunye uhlangothi lomzimba
- Umbono ophuphuthekile kokukodwa noma kokubili amehlo
- Umbono kabili
- Ngokungazelelwe, ikhanda elibi kakhulu
- Isizungu
- Kunzima ukuhamba
- Ukulahlekelwa ibhalansi noma ukubambisana
Izimbangela Nezikhwama Zezifo Ze-Thrombotic Stroke
Kunezimbangela eziningana zesifo sofuba.
- Ukwelashwa kwesifo sofuba noma ukunciphisa imishanguzo yegazi: Ukushaya isifo se-thrombotic kuvame ukubangelwa ukunciphisa imishanguzo ekhanda noma entanyeni. Okuvame ukubangelwa yi-atherosclerosis, imishanguzo iba yinkinga futhi ingavamile. Lokhu kwenzeka ngenxa yomsindo ophezulu wegazi nokwakhiwa kwe-cholesterol, amafutha nama-debris ezingxenyeni zemithambo yegazi. Ngokuhamba kwesikhathi, le ndaba ingaba yinkimbinkimbi ebangela ukuthi amaseli egazi aqoqe futhi enze i-clot yegazi. Ukuphefumula kwesifo sofuba kanye nokunciphisa imithwalo yegazi ebuchosheni ngokuvamile kubhekwa ngokuthi yisifo se-cerebrovascular.
- Umfutho wegazi ophakeme: Umfutho wegazi ophezulu oqhubekayo, obizwa nangokuthi unomfutho wegazi ophakeme, ungabangela izifo nokunciphisa imithwalo yegazi, okubhebhetheke ukushaywa kwe-thrombotic. Ukushisa kwegazi nokuqina kwesifo sofuba yizinto ezivame ukuhlangana ndawonye, okwenza kube nemonakalo eminye emithanjeni yegazi.
- I-cholesterol ephakeme: Amazinga aphezulu e-cholesterol emzimbeni wakho angabangela i-cholesterol namafutha ukuthi afakwe emithanjeni yegazi, okwandisa ingozi yesifo sofuba.
- Ukuphazamiseka kwegazi : Okunye ukuphazamiseka kwegazi okwenza ukuba kube khona amathuba amaningi okweqa igazi, okwandisa amathuba okuba nesifo sofuba.
- Ukubhema: Ukubhema kungenye yezinto ezibangela ingozi ye-stroke nesifo senhliziyo ngoba kubangela ukulimala emithanjeni yegazi emzimbeni wonke.
- Izidakamizwa zokungcebeleka: Izidakamizwa ezithile, njenge-cocaine, i- methamphetamine kanye nezinto ezithuthukisa ukusebenza zingakhuthaza ukuthuthukiswa okusheshayo kwesifo sofuba. Lezi zidakamizwa nazo zingabangela ukuzulazula ngokuzumayo noma 'ukupaka' kwemithambo yegazi, ukuvala ngokungazelelwe ukugeleza kwegazi endaweni yengqondo esikhathini esifushane.
- Ukuthungatha emithanjeni yegazi entanyeni: Nakuba kungavamile, kunezimo lapho ukuhlukumezeka okukhulu okungenza khona ukubunjwa kwegazi , okwenza kube nesifo.
- Ukuhlaselwa kwe-ischemic esheshayo: Ukushaywa yi-thrombotic kungase kulandelwe uchungechunge lwe-ischemic elilodwa noma ngaphezulu, okubizwa nangokuthi "ama-mini-strokes" noma ama-TIAs . I-TIA ingase ihlale imizuzu embalwa noma amahora futhi ngokuvamile iwuphawu lwesifo esizayo. Izimpawu ze-TIA zifana nalokho okwe-stroke.
Izinhlobo ze-Stroke ye-Thrombotic
I-clot yegazi ingakha isitsha esincane segazi ebuchosheni noma kwisitsha esikhulu segazi ebuchosheni. Umphumela uba umkhumbi omkhulu wesikebhe noma umkhumbi omncane wesitsha.
- I-Stroke enkulu yemikhumbi : Ukushaywa komkhumbi omkhulu kwenzeka emikhakheni emikhulu yokuhlinzeka ngegazi ebuchosheni, njenge-artery carotid noma umthambo we-cerebral ophakathi . Imivimbo emikhulu ye-thrombotic yezikhumba ngokuvamile ibangela izimpawu ezinkulu nemiphumela yesikhathi eside, njenge- aphasia (inkathazo ngolimi) noma i-hemiparesis (ubuthakathaka bunye uhlangothi lomzimba.)
- Ukushaywa kwe-Vessel Small: Lolu hlobo lwe-stroke le-thrombotic lwenzeka uma ukugeleza kwegazi kuvinjelwe kwesitsheni segazi esincane esithinta igazi. Lolu hlobo lwe-stroke luyaziwa nangokuthi i- lacunar isifo sokushaya noma isisindo esincane . Umkhumbi omncane we-thrombus ungabangela nesifo sobuchopho . Iziphazamiso ezincane zemikhumbi zincane ngobukhulu, zithinta indawo elinganiselwe yobuchopho. Kuye endaweni ethintekile ngesifo sofuba esincane, singenza imiphumela emincane noma singabangela ukukhubazeka okukhulu uma kuthinta isifunda sobuchopho obangela amandla abalulekile nabonakalayo ngokomzimba noma engqondweni.
Izwi elivela
Ukushaywa yisifo se-thrombotic kungenye yezimbangela ezivame kakhulu zokushaya isifo. Kunezinhlobo eziningi zokwelashwa kwesifo sofuba, okubandakanya igazi elincane njenge- TPA kanye nezinqubo ezingasiza ekuqothuleni nasekuseni i-clot yegazi. Uma wena noma othandekayo uye wabhekana nesifo sofuba, ungase udingeke ukuba uhlanganyele ohlelweni lokuvuselela ukuphazamiseka kokuthutha , okungasiza ekutholeni kwakho.
> Ukufunda okuqhubekayo:
> I-plaque engaba yingozi engabangela ukuhlukunyezwa - ukubuyekezwa kwemibono yamanje nemifanekiso ephakeme, Spacek M, Zemanek D, Hutyra M, Sluka M, Taborsky M, Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018 Feb 21. Ithi: 10.5507 / bp.2018.004. [I-Epub ngaphambi kokuphrinta]