Ukuqothulwa yiziqephu zokunyakaza okungazibandakanyi noma ukushintsha kokuqaphela noma kokubili. Zibangelwa umsebenzi ophuthumayo wobuchopho.
Ukuzizwa kungenzeke ngokuzenzekelayo noma ngenxa yokulimala komqondo, njengokulimala kwekhanda, izicubu zobuchopho noma izibhamu. Ezinye zezimpawu zokushaya kanye nokuqothulwa kungase kube okufanayo, okungadideka uma usuvele une-stroke.
Kuyasiza uma ungafunda ukuqaphela umehluko nokufana phakathi kokushaywa nokuhlukunyezwa.
Yeka ukuthi Ziyingozi Kangakanani Ngemuva Kokushaya Isisu?
Udokotela wakho angase akhulume ngokuvimbela ukuzivikela kanye nawe ngemuva kokuba unesifo sokushaya ngoba ukugubha okwenzeka kungavamile ngemuva kokushaywa yisifo.
Cishe u-10% wabo bonke abasindile be- ischemic attack are experiencing at least one seizure eminyakeni emihlanu emva kokushaya kwabo. Ingozi yokuqothulwa ngemva kokushaywa yisifo esibi kakhulu. Cishe amaphesenti angu-27% anezimpungushe ze-intracerebral kanye neziguli ezingama-34% ezinezinsiza ezihamba nge- subarachnoid , okungenani okuhlangenwe nakho okuhlangenwe nakho okulodwa okungakapheli iminyaka emihlanu ngemuva kokushaya kwesifo.
Abasindile isifo sohlangothi olune-stroke elimaza i-cortex ye-cerebral yiyo engase ibe nakho ukuthunjwa ngemva kokushaya.
Ukuthinta Isifo Esiyingozi Kangakanani?
Isifo sesifo yisimo esibonakala ukuthambekela kokuphindwa ngokuphindaphindiwe.
Isibalo sokuqala kwesifo sokuphuza ngemuva kokushaywa yisifo esingaphansi kwesigameko sokungena kwesinye noma ezimbili.
Ukubulawa kwesifo ngemuva kokushaya isifo kuthiwa kwenzeka ngo-2 kuya ku-4% kuphela abasindile besifo. Kodwa-ke, ngokugcwele, ukushaywa yisifo yisisusa esivame kakhulu sokuhlushwa kubantu abadala abakhulile kunama-35 futhi kulandisa okungaphezu kwama-50% kuwo wonke amacala amasha okuwa nesibindi esaziwayo kubantu asebekhulile.
Yini Ebonakalayo Ebonakalayo?
Kunezinhlobo ezahlukene zokuwa.
Ngokuvamile abantu bacabanga ngokugabuka njengeziqephu zokulahlekelwa ukwazi, ukuthungatha imilenze nezingalo, ukuluma ulimi kanye nesilonda noma ukungenwa kwesisu. Lolu hlobo lokubamba, okuvame ukubizwa ngokuthi "ukuthunjwa kwe-tonic-clonic jikelele," kungenye yezinhlobo ezimbalwa zokuthungatha. Ezinye izinhlobo ziqhamuka kakhulu futhi zingaba nzima kakhulu ukuzibona ngumboneli. Isibonelo, ukuhlukunyezwa kwezingane ezincane kwenza abantu baqaphele baqonde emkhathini, kuyilapho ukugubha okuncane kubonakala ngokuhleka kokuzimela.
Yimiphi Imithi Eyetshenziselwa Ukwelapha Isifo Sokuhlushwa Nge-Stroke?
Kunezinhlobo zemithi ephumelelayo ekulawuleni ukugunjwa. Ukufa kwesisu okuhlobene nesifo sohlangothi kungaba ngokuvamile ukulawulwa kahle ngemishanguzo yokulwa ne-anti-seizure.
Ukuthatha Imishanguzo Ye-anti-Seizure Ngemuva kokushaya isisu
Abanye abantu bayaqhubeka behluleka ukubhekana nokuphuza imithi yabo. Izizathu zokuqhuma okuqhubekayo zihlanganisa:
- Ukungahleleki okungahle kwenzeke : Abanye abantu bakhohlwe ukuthatha imithi yabo. Lokhu kuyinkinga ikakhulukazi uma othile eqala izinkinga zememori ngokushaywa ngeso lengqondo futhi engaqondakali, kodwa kaningi, weqa ukulinganisa. Kulezi zimo, usizo lomnakekeli kubalulekile hhayi kuphela ukuqinisekisa ukwelashwa okufanele ngemithi yokulwa nokuthunjwa kodwa neminye imithi.
- Ukwazi ukuthi ulahlekelwa umthamo : Abanye abantu bahlangabezana nemiphumela emibi engafuneki emithini yabo yokulwa nesithuthwane futhi banquma ukweqa amanani ukuze bawagweme. Uma uhlakulela imiphumela emibi emithini yakho, kubalulekile ukuthi ukhulume nodokotela wakho ngakho ngaphambi kokuba unqume ukweqa umthamo ukuze ukwazi ukuthi imishanguzo yakho ishintshwe noma umthamo wakho uguquliwe.
- Ukuntula ubuthongo : Ngenxa yezizathu ezingaqondakali ngokuphelele, abantu ababhekene nesifo sokuwa nesifo sofuba cishe banomdlavuza lapho belele-benqatshiwe. Abanye abasindile isifo sabantu abalala ngesifo ngenxa yokulimala kwengqondo, ukucindezeleka noma kokubili. Uma ulele-unqatshelwe ekucindezelekeni noma kunoma yiyiphi enye imbangela, futhi unesifo sengqondo naphezu kokuthatha imithi yakho, khuluma nodokotela wakho ngakho.
- Utshwala : Utshwala ukwandisa amathuba okuba umuntu abe nokuthunjwa. Uma une-epilepsy, odokotela batusa ukugwema ukuphuza utshwala ngokuphelele.
- Imithi enganele yokwelashwa kokulwa ne-anti-seizure : Nakuba kunezinhlobo eziphakanyisiwe zokwelapha zonke izidakamizwa, wonke umuntu uhlukile, futhi ungase udinge umthamo ophakeme noma ophansi wokulawulwa kokunqoba nokugwema imiphumela emibi. Uma uqhubeka nokuhlushwa, xoxa nodokotela wakho ukuze ukwazi ukuthi imishanguzo yakho ishintshe noma ishintshwe njengoba kudingeka.
- Ukufa kwesithuthwane : Isifo sesifo singashuba kakhulu ngokuhamba kwesikhathi, kungakhathaliseki ukuthi uthatha imithi yakho noma cha. Ezimweni ezinjalo, kubaluleke kakhulu ukushintsha imithi, ukwandisa ukulinganisa kwemithi ekhona noma wengeze umuthi wesibili noma wesithathu ohlelweni lwakho. Phakathi kokukhethwa kukho, udokotela wakho angase akhombise ukuthi uhlolwe ngokuhlinzwa ukuze ulawule ukuhlukunyezwa kwakho. Ukuze usize udokotela wakho, gcina idayari lokuthumba futhi ulethe nawe ekuvakaseleni udokotela ngamunye. Leli thuluzi elilula lingabaluleka kakhulu ekuhloleni ukuthi ngabe awudingi yini ushintsho emgomweni wakho wemithi.
Izwi elivela
Isifo sokuphuza singathuthuka njengomphumela wesifo. Imishanguzo yokulwa ne-anti-seizure iyindlela ephumelela kunazo zonke yokuvimbela ukugwinya ngemuva kokushaywa yisifo. Ukuthatha imishanguzo emisha yokuhlukunyezwa kungathatha ezinye ukujwayela.
Uma wena noma othandekayo wakho uthatha imishanguzo yokulwa ne-anti-seizure ukuze uvimbele ukushaywa kwe-post-stroke, kubalulekile ukulondoloza ukuxhumana neqembu lakho lokunakekelwa kwezempilo ukuze ube nokulawulwa kokubamba okuhle kanye nemiphumela emibi kakhulu.
> Ukufunda okuqhubekayo
Ukuqothulwa kwesigameko sokuphazamiseka kokuthunyelwa komzimba okuphazamiseka emitholampilo, uBentes C, Martins H, Peralta AR, Casimiro C, Morgado C, Franco AC, Fonseca AC, Geraldes R, Canhão P, Pinho E Melo T, Paiva T, Ferro JM, J Neurol. 2017 Aug 14. kufanele: 10.1007 / s00415-017-8586-9