Umfutho wegazi ophakeme wesikhathi eside, obizwa ngokuthi yi-hypertension, yinto eyaziwayo engozini yokushaywa kwe-ischemic , okuyinto imivimbo ebangelwa ukuphazanyiswa kokunikezwa kwegazi ebuchosheni.
Umfutho wegazi ophakeme kakhulu, ngisho nesikhathi esifushane, kungabangela imivimbo ephazamisayo , okuyinto imivimbo ebangelwa ukuphuma kwegazi ebuchosheni.
Iziphazamiso ezimbi
Izibhamu eziningi zenzeka ngenxa yokuvinjelwa kwegazi kuyingxenye yobuchopho, kodwa cishe ama-stroke angu-15% akhona ngenxa yokuphuma kwegazi ebuchosheni.
Kuzo zonke izimbangela ze-stroke enamandla, ukucindezelwa kwegazi okuphezulu kuyona evame kakhulu, kubika cishe ama-80% kuwo wonke amacala.
Ukucindezeleka Kwegazi Eliphakeme njengeNgcini Yengozi Yokushaywa Yizinhlungu
Umfutho wegazi ophakeme ungandisa kakhulu ingozi yesifo esiyingozi. Lesi sengozi sisho nakakhulu kubantu asebekhulile, kubantu ababhema, emadodeni, abasifo sikashukela, nakubantu abaphuza utshwala .
Umfutho wegazi ophezulu ungabangela ukubola kwe-intrarebral hemorrhage (ICH), egaqa ngaphakathi kwekhanda, ngokulimaza izindonga ezincane ezinamathambo ezincane ngaphakathi ezindaweni ezijulile zobuchopho. Lezi yiziyaluyalu ezifanayo ezithinteka izibhamu ezingavamile, ezivame kakhulu ezindaweni ezimhlophe . Izindawo ezivame ukulimazwa yi-ICH yi- brainstem , i- capsule yangaphakathi kanye ne- cerebellum .
Kwezinye izimo ukuphuma kwegazi okubangelwa ukucindezeleka kwegazi kungase kube mkhulu ngokwanele ukuthi igazi lichithelwa ezingxenyeni zobuchopho ezibangelwa ukubola kwesimiso , isimo esingabangela i- hydrocephalus esongela ukuphila.
Ziyini Izimpawu?
Izimpawu ze-ICH ezibangelwa ukucindezeleka kwegazi ezihlukahlukene zihluka kuye ngokuthi indawo nobukhulu begazi, futhi kaningi kufana nezibonakaliso zesifo.
Izimpawu zesifo esiwumshayabhuqe zihlanganisa:
- Ubuthakathaka buso kanye / noma ingalo, kanye / noma umlenze kolunye uhlangothi lomzimba
- Ubumbulu ebusweni, kanye / noma ingalo, kanye / noma umlenze ohlangothini olulodwa lomzimba
- Ukungakwazi ukuqonda ulimi olukhulunywe noma ukungakwazi ukukhuluma
- Ukungakwazi noma ubunzima ukubhala noma ukufunda
- I-vertigo kanye / noma ukungalingani kokungabi nabusana noma ngaphandle kokuhlanza noma ukuhlanza
- Inhloko ekhanda noma umbono ophindwe kabili
Ngokuvamile, isifo sohlangothi oluvame ukuhambisana nobuhlungu obukhulu bekhanda nesizungu, kodwa kwezinye izimo, ukushaya kanzima okungase kungabangeli lezi zimpawu kungabangela ubuhlungu obukhulu bekhanda noma isiyezi.
Ezimweni ezingavamile, ukuphuma kwegazi okubangelwa umfutho wegazi ophakeme kunjalo kangangokuthi kuholela ekukhuphukeni okusheshayo kokucindezela okungahambi kahle, okwenza kube nemiphumela emibi kakhulu, njengokungaphenduli, ukungakwazi ukuhamba, noma i-coma.
I-Stroke Ye-Hemorrhagic Ithola Kanjani?
Ukuhlolwa kwe-imaging ukukhomba ukuphuma kwegazi ebuchosheni kuyindlela enokwethenjelwa kakhulu yokuthola isifo esibi kakhulu.
Isivivinyo sokuqala esenziwa ngokuvamile yi- CT yekhanda , okuyindlela esheshayo futhi ethembekile yokulawula ukuphuma kwegazi ebuchosheni. Uma ukuphuma kwegazi kutholakala, kodwa umthombo wokuphuma kwegazi awucaci, ezinye izivivinyo ezifana ne- angiogram ye-cerebral noma i-MRI yobuchopho ngokungafani kungase kudingeke. Lezi zivivinyo zisiza ukuxilonga ezinye izimbangela zokugaya ezifana ne- AVM , aneurysms , i-angiopathy yama-amyloid , noma izicubu zobuchopho .
Kuyini Ukwelashwa Nge-Stroke Eyingozi?
Ukwelashwa kokuphuma kwegazi ebuchosheni obubangelwa ukucindezeleka kwegazi kuqala ngokuzinza nokuxilongwa.
Lokhu kungenxa yokuthi ukwandisa ukuphuma ekhanda kungathuthuka ngokushesha futhi kungabangela imiphumela ebuhlungu.
Ngokujwayelekile, ukucindezelwa kwegazi kulawulwa ukuze kuvinjelwe ukuphuma okunye. Okunye ukungenelela okunokwenzeka kuncike ezintweni ezifana nobukhulu bokuphuma kwegazi, ubunzima bezimpawu nokuthi ngabe ukungenelela okucatshangelwayo kungalindelwa yini ukwenza umehluko kulo lonke umphumela. Kwezinye izimo, ukuphuma kwamanzi kumele kukhishwe ngokushesha, ngoba kungabangela ukucindezeleka ebuchosheni. Kwezinye izimo, izingozi zokuhlinzeka ngokucacile zidlula kakhulu izinzuzo ezingase zibe khona, okuholela odokotela nemindeni ukugwema ukwelashwa okuqhubekayo.
Futhi ezimweni ezimbi kakhulu, ukuphuma kwegazi kubangele umonakalo obuningi ebuchosheni bokuthi ukungenelela kokuhlinzwa akusize, futhi ukufa kwengqondo kungase kuvele noma ngaphandle kokungenelela ..
Izwi elivela
Umfutho wegazi ophakeme ngokulinganayo ungandisa kancane kancane ingozi yokushaywa yisisu. yingakho kubalulekile ukugcina umfutho wegazi olandela imihlahlandlela enconywayo .
Nokho, ukucindezelwa kwegazi okwedlulele kakhulu, kungaholela emivinjeni eyingozi kakhulu. Izimbangela ezivame kakhulu zomfutho wegazi ophezulu kakhulu zibandakanya ukucindezeleka okungapheli, ukugula okukhulu nokusetshenziswa kwezidakamizwa.
Ukunakekelwa kwempilo yakho, kungakhathaliseki izinga lakho lokuthola imali, kungenza indlela ende ukuvimbela izimo eziphuthumayo zezokwelapha ezifana nesifo esibuhlungu.
> Imithombo:
> Ubuhlobo be-Hypertension kanye ne-Systolic Blood Pressure Ngengozi Yokushaywa Isisu Noma Ukuphulukiswa Kwabagulayo Ngezifo Ze-Atrial Fibrillation: I-Fushimi AF Registry, I-Shii M, i-Ogawa H, i-Unoki T, i-Y, i-Iguchi M, i-Masunaga N, u-Esato M, i-Chun YH , Tsuji H, Wada H, Hasegawa K, Abe M, Akao M, Am J Hypertens. 2017 Meyi 30.