I-stroke ingumonakalo wobuchopho obangelwa ukunikezwa kwegazi okunciphise ebuchosheni. Ngokuvamile, ukushaywa komzimba kwenzeka lapho omunye wemithwalo yegazi ehambisa igazi ebuchosheni ivinjelwa noma ivuleka.
Izimpawu zesisu
I-stroke ibangela izimpawu ezihambelana nendawo ebuchosheni obhekene nokwehla kwegazi. Ukushaya isifo kungabangela noma yiziphi izimpawu ezilandelayo:
- Ubuthakathaka ohlangothini olulodwa lomzimba
- Ubumbulu, ukuzwakala noma ukuzwa okungavamile
- Ukuhamba ngezinkinga
- Izinkinga zokuxhumanisa
- Ukulahleka kombono noma ukwehla embonweni
- Umbono ophukile noma umbono ophindwe kabili
- Inkulumo emisiwe
- Inkinga yokuxhumana
- Amazwi okuqonda azinkinga
- Ubuso be-asymmetry
- Ijwabu leso le-droopy
- Isizungu
- Izinwele
- Ukudideka
Indlela Ubungqabaza Echaza Ngayo Izimpawu Zesihlungu
Ubuchopho yingxenye ebalulekile yomzimba enezindawo eziningi ezihlangene ezisebenza ukulawula imisebenzi ehlukahlukene- kusukela ekucabangeni, embonweni, ekuhambeni, ekuxhumaniseni, ekuzwayo, emisebenzini ebalulekile njengokuphefumula nokuphila. Lezi zifunda zisebenza ndawonye ngendlela ehlelekile, eyinkimbinkimbi.
Umsebenzi wezobuchopho obufanele udinga ukuhlinzeka ngegazi ukulethwa kwezakhi kanye ne-oxygen. Igazi linikwe ebuchosheni ngeqembu lemizila yegazi ehambayo nangaphakathi kobuchopho. Izitsha zegazi zihlanganisa imishanguzo ye-carotid, imishanguzo ye- cerebral , nemithambo ye -vertebral.
Isitsha ngasinye segazi sihlukanisa sibe yizimbane ezincane zegazi ezihambisa igazi esifundeni esithile ebuchosheni. Noma yikuphi ukwehla kwegazi okunikezwa yingxenye yobuchopho kubangela ukukhubazeka kwemisebenzi yobuchopho ejwayele ukulawulwa yile ndawo yengqondo. I-stroke ingenzeka uma isitsha esikhulu noma esincane segazi sivinjelwe noma sivinjelwa, sivimbela ukulethwa okufanele kwezakhi kanye ne-oksijini endaweni eya ebuchosheni.
Kuye ngesitsha segazi esithinteka yi-stroke kanye nengxenye yobuchopho obunzima, izimpawu zokuqala nemiphumela yesikhathi eside zingase zihluke.
Yeka ukuthi kutholakala kanjani isisu
Igazi elihambela ebuchosheni nge-arteries lithwala i-oxygen nezakhi ezivumela ubuchopho ukuthi busebenze futhi buqhubeke. Uma igazi lendawo yengqondo liyancipha, ngisho nesikhashana, izicubu zobuchopho zingase zibe nesifo se-ischemia-ukungabi khona kwe-oxygen nezakhi okudingeka kusebenze. Uma i-ischemia ihlala isikhathi eside kunemizuzu embalwa, izicubu ezithintekayo zobuchopho zingalimaza kakhulu futhi ziphele ukusebenza-okuyinto isifo.
I-TIA ne-Silly Stroke
Imiphumela yokuncipha kwegazi ingancipha isikhathi esifushane uma i-ischemia imfushane futhi ibuyiselwa ngokushesha. Isikhathi esifushane se-ischemia singase sibangele ukuhlaselwa kwe-ischemic okudlulayo ( TIA ).
Lapho i-ischemia yenzeka esifundeni esincane sobuchopho esilawula imisebenzi elawulwa kwenye indawo ebuchosheni, isifo esibuhlungu , noma isifo esingaqondakali, singabangela.
Izimbangela Ze-Stroke
Igazi elinikezwa ebuchosheni lingaphazanyiswa ngenxa yokuvimba, ukuphuma noma ukugeleza kwegazi okuphansi.
Infarct: Ukuvinjwa kungabangelwa i-clot yegazi eqala ngaphakathi kwesitsha segazi (infarct) noma i-clot yegazi eyafika kwenye indawo futhi ifakwe kwisitsha segazi (thrombus.)
Ukushona kwesisu: Isikhumba segazi esigazayo esifundeni sobuchopho singabangela ukuphuka kwesitsha segazi esingenasici noma ukungazinzi okukhulu kwegazi. Ezimweni ezingavamile, ukutheleleka okunzima noma ukuqhuma emoyeni kungavimbela isitsha segazi, okwenza kube nesifo. Uma isitsha segazi siphula futhi siphume, ubuchopho bulimazwa yi-ischemia ngenxa yokuphazamiseka kwegazi. Kodwa-ke, lapho kuphuma igazi noma isisu , ukucasuka okuvela egazini eliseduze namathishu ebuchopho nakho kubangela ubuhlungu kanye nezimpawu ze-neurological, ngaphezu kwezimpawu zesifo esihlasela ischemia.
Okufanele Ukwenze Esimweni Sokushaywa Kwesifo
Ukuqaphela izimpawu zesifo kubalulekile.
Ukuxilongwa kungadinga ochwepheshe bezokwelapha. Ukuxilongwa okusheshayo kuyadingeka ngoba ukwelashwa kwesifo kudingekile, kudingekile, kuphakanyiswe izinqumo. Imithi ephumelela kakhulu yokushaya isifo iyaphumelela kakhulu lapho iphathwa ngokushesha.
Ukwelashwa kwesisu
Ukwelashwa kwesifo sokushaya isifo kunezindlela ezivumela ukuvuselelwa kabusha kwegazi emasukini ebuchopho be-ischemic kanye nokuzinza kwempilo kanye nemisebenzi ebalulekile ukuvumela ukutholakala okulungile. Ukuvuselelwa kabusha kwegazi kuyinkimbinkimbi- kwezinye izimo, kungabangela ukuphuma kwegazi. Esikhathini sokuqala sokushaywa yisisu, izicubu ze-ischemic zijwayele ukuphuma kwegazi, ngakho-ke ukunakekelwa ngokweqile kufanele kuthathwe ngokusungulwa kabusha kwegazi.
Izwi elivela
Imiphumela yesikhathi eside yokushaywa komzimba ishintsha ngokuphawulekayo, kodwa iningi labantu lilulame futhi lizwe ngcono. Ukubuyiswa kuhlanganisa ukuvuselelwa ngokomzimba nokunakekelwa okusekelayo.
Ukuvimbela imivimbo ephindaphindiwe nokubhekana nezinkinga ezingaphansi kwezinkinga kuyisici esibucayi sokutakula kwesifo. Uma uke wabhekana nesifo sokushaya isisu noma i-TIA, lokho kuyisibonakaliso sokuthi ungase ube engozini yokuthola esinye isifo. Ukubona izingozi zokushaywa yisifo kubalulekile ngoba izici eziningi eziyingozi zokubhekana nezifo zingaphathwa ukunciphisa ingozi yokushaywa yisifo.
> Ukufunda okuqhubekayo:
Ukushaywa Ischemic: Ukuthuthukiswa Ekutholeni Nokuphathwa, Cassella CR, Jagoda A, Emerg Med Clin North Am. 2017 Nov; 35 (4): 911-930. doi: 10.1016 / j.emc.2017.07.007.