I-stroke iyisifo esisebenzayo, esiqhubekayo. Ukulimala kokulimala kobuchopho kanye nokungaphumeleli kwemiphumela yezinzwa kungase kusabe. I-stroke iyinto eyenzeka ngokuzumayo , futhi iguqukela ngokuphawulekayo phezu kwamahora ambalwa okuqala. Ngaphakathi kwezinsuku ezimbalwa zokuqala, ukulimala nokukhubazeka kwesifo sokushaya isifo ngokuvamile kufinyelela phezulu bese kuzinza.
Ukuphulukiswa Ngemva Kokushaya Isisu
Umonakalo wesifo sokushaya isifo ngokushesha futhi ulaka.
Ukubuyisela, ngakolunye uhlangothi, kuhamba kancane, kuhlakaniphile futhi kuhamba kancane. Ukubuyiswa nokuphulukiswa kungase kwenzeke ngokuzenzekelayo. Kodwa-ke, kukhona ukungenelela kwezokwelapha okungasiza ekwandiseni ukulungisa nokusebenza okulula. Ngokuvamile, ukwelashwa kwesifo sohlangothi kunisiza ekuthuthukiseni umphumela jikelele ngemuva kokushaya, kodwa ukwelashwa akuvami ukusheshisa izinga lokubuyiselwa.
I-Brain Edema
Ukuzinza kuyisinyathelo sokuqala ekuphulukisweni kusuka ku-stroke. Ngemva kokushaywa yisifo sohlangothi, iningi labasindile lithola izinga lokuvuvukala ebuchosheni-obufana nokuvuvukala ngemuva kokulimala, okufana nokulimala ngokuphawulekayo ngemva kokulimala engalweni noma emlenzeni. Lobukhukhumezi, obizwa ngokuthi i-edema, buyingxenye yomzimba wokulungisa umzimba. Ukuvuvukala kubandakanya ukuxuba kwamangqamuzana asemzimbeni nokuvuthayo. Ngenxa yokuthi ubuchopho bufakwe ku-skull, akukho isikhala esiningi sokubekezela ukuvuvukala. Ngakho-ke, i-edema eqhubeka ngemva kokushaywa komzimba inganciphisa ubuchopho, okwenza izimpawu zokuphazamiseka zibe zimbi nakakhulu, ngezinye izikhathi okwesikhashana.
I-Brain edema iqala ukuthuthukisa amahora angu-24-48 ngemuva kokushaywa umoya futhi iqhubeka nokuthuthukisa amasonto. Ngokuvamile, ukuqapha ngokucophelela kokugxiliswa komzimba emzimbeni wesibhedlela kusiza ukunciphisa umonakalo owengeziwe womqondo ongase ubangelwe u-edema obukhulu ngemva kokushaywa yisifo.
Ukushaya kwegazi
Ukucindezeleka kwegazi ngokuvamile kuguquguquka ngesikhathi nangemva kokushaywa yisifo.
Ngesikhathi samanje, ukuphathwa kwezokwelapha kwezingcindezi zegazi ezinsukwini ezimbalwa zokuqala emva kokushaywa komzimba kuqukethe ukuphazamiseka okuncane kanye nokuphazamiseka okukhulu kakhulu ngezingcindezi zegazi. Isizathu sokulawulwa kokucindezela kwegazi okwenziwe okulinganiselwe ukuthi njengamanje siyakholelwa, ngokusekelwe kwesayensi yezokwelapha yakamuva, ukuthi ukucindezeleka kwegazi okuzenzekelayo kwanda futhi kuyancipha ngesikhathi nangemva kokushaywa yindlela yomzimba yemvelo yokugcina ukulinganisela oketshezi nokugeleza kwegazi kuya ebuchosheni ngalesi sikhathi esibucayi. Ukulungiswa kwezokwelapha komfutho wegazi kusindelwe ukucindezeleka kwegazi okweqile kakhulu noma okuphansi kakhulu okungahle kuphazamise ukuphulukiswa. Ngokuvamile, ukuguqulwa kwengcindezi yegazi okubangelwa uhlangothi oluzinzile phakathi kwezinsuku ezingu-2-3 zokuqala.
I-Blood Sugar
Ezinye izinguquko ezithinta ushukela wegazi kanye nama-hormone okucindezeleka nazo zenzeka ngesifo sohlangothi. Lezi zinguquko zizinzile ezinsukwini ezimbalwa zokuqala bese ziqhubeka nokujwayelekile phakathi kwamasonto ambalwa okuqala ngemva kokushaya.
Ukubuyiswa kweBrain
Lapho umzimba uzinza, ngokuvamile ngokuqapha okudokotela kanye nokuphathwa kwezokwelapha, ubuchopho buqala ukuphulukisa. Ukuphathwa kwezokwelapha ngokuyinhloko kugxile ekuvimbeleni ukuqhubekela phambili kokuqhubeka kwesifo. Ukulondoloza izimo zezokwelapha ezilungile, njengokulawula oketshezi, ukuphathwa kwengcindezi yegazi, nokulawulwa kweshukela egazini kukhulisa ukuvikeleka kwe-neuronal ngemuva kokushaywa yisifo.
Ukubuyiselwa kokusebenza kobuchopho kanye nokubuyiselwa kwesisindo sekhanda ngemuva kokushaya isifo kuqala phakathi kwezinsuku ezimbalwa futhi uqhubeke izinyanga ngisho neminyaka ngaphambi kokufinyelela ukuzinza.
Ukwelapha
Ukwelapha kubaluleke kakhulu ekusizeni ubuchopho buyothola ngokuvuselela inqubo yemvelo ye-neuroplasticity. Ukukhuluma nokwelapha ukwelashwa, ukwelashwa ngokomzimba kanye nokwelashwa kwezemisebenzi ekuvuseleleni umsebenzi. Ukunqoba ukunganakwa okubonwayo noma kwendawo kungaba enye yezinselelo ezinkulu ekubuyiseleni. I-Mood ithinta ukutakula kwesifo sohlangothi futhi isifo sithinta isimo sengqondo, ngakho-ke, cindezela ukucindezeleka nokukhathazeka yingxenye edingekayo yenqubo yokuphulukisa.
Okuqhamuka uma udla imishanguzo
Ezinye izigaba ekutholeni ukushaywa komzimba zingase zibandakanye ukugubha , ukuhlukunyezwa kwe- muscle , nokuphalaza .
Ezimweni eziningi, izinyathelo zokuvimbela zingasiza ekugwemeni lokhu kanye nezinye izinkinga.
Inkathi yesikhathi sokushaya isifo ngokuzumayo futhi ngokushesha. Isifo esiphuthumayo yisimo esiphuthumayo sezokwelapha. Kudingeka ukwelashwa okuphuthumayo ukuze unciphise umonakalo omkhulu. Kodwa-ke, inqubo yokutakula ngokuvamile ihamba kancane futhi iyanzima.
Imithombo
UWalter G. Bradley DM FRCP, uRobert B. Daroff MD, MD Gerald M Fenichel, uJoseph Jankovic MD, Neurology ku-Clinical Practice, Edition 4, Butterworth-Heinemann, 2003