Sibutsetelo
Imigomo yokushaywa kanye ne-TIA ivame ukudideka komunye nomunye. Uma ufuna ukuqonda umehluko phakathi kwesifo sohlangothi kanye ne-TIA, udinga ukufunda izici zombili.
Ukuphazamiseka ukuphazamiseka kokugeleza kwegazi kuya endaweni yobuchopho obuhlala isikhathi eside ngokwanele ukudala umonakalo unomphela ebuchosheni. Uma ufuna ukwazi kahle ukuthi ukuphazanyiswa kokugeleza kwegazi kubangela kanjani ukulimala ebuchosheni, ungathola kabanzi mayelana nalokhu lapha .
I-TIA imele ukuhlaselwa kwe-ischemic okudlulayo. I-TIA ukuphazamiseka okwesikhashana ekugezeni kwegazi endaweni yengqondo, futhi akuhlali isikhathi eside ngokwanele ukudala umonakalo unomphela ebuchosheni.
Izimbangela
Ukushaya isifo kungabangelwa yi-ischemia (ukungabi nokuphuma kwegazi) noma ukuphazamiseka kwamanzi (ukuphuma kwegazi.) I-TIA ihlale ibangelwa ischemia yesikhashana, hhayi ukuphuma kwegazi. Ukuphuza igazi ebuchosheni akuxazululanga ngaphambi kokulimala, futhi ngeke kube yisikhathi esincane.
Okuqhamuka uma udla imishanguzo
Isikhathi esifushane
Imiphumela yesikhashana yesikrini noma i-TIA ifana futhi ingafaka noma iyiphi inhlanganisela yalokhu okulandelayo:
- Ukungabi namandla
- Ubumbano / ukulinganisa
- Umbono ushintsho
- Izinkinga zokukhuluma
- Ukuwa
- Yehlisa izinto
- Kudonsa
- Ubuso obungenalutho
- Ukudideka
Lezi zimpawu zesikhathi esifushane zisekelwe kusiphi isifunda sobuchopho esibhekene nokuntuleka kwegazi ngesikhathi sokushaya noma i-TIA. Ngemuva kokushaywa yisifo, osindile unezinsalela ezihlala njalo ezihambisana nendawo eyonakele ebuchosheni.
Isikhati eside
Esikhathini eside, i-stroke ingabangela ukukhubazeka okungapheli okuhambisana nemiphumela yesikhashana.
Ngokujwayelekile, imiphumela yesikhathi eside yengozi ebonisa ukuthuthukiswa kokuhamba kwesikhathi. Kodwa-ke, ukushaywa komzimba kungase kube nokukhudlwana noma kungabangela ukuvuvukala ebuchosheni, ngakho imiphumela yesikhathi eside ingase ibe mkhulu kakhulu kunemiphumela emfushane yesikrini.
I-TIA ixazulula ngokuphelele futhi ayibangeli noma yimuphi umphumela wesikhathi eside noma ukukhubazeka.
Isibikezelo
I-stroke ingabonisa ukuthuthukiswa okuthile noma ingase ibe yimbi kakhulu ngokuhamba kwesikhathi. Abantu abangaba ngu-87% abanenkinga yokuphila, kepha ngezinye izikhathi ukushaywa komzimba kungabulala. Abasindile abaningi abahlukunyezwayo banokukhubazeka futhi badinga ukwelapha ngokomzimba.
I-TIA ixazulula ngokuphelele, kodwa isikhathi esiningi, abantu abane-TIA baqhubeka nokuphindaphindiwe kwe-TIA noma bangase babe nesifo phakathi kwemizuzu, izinsuku noma amasonto we-TIA yokuqala.
Lokhu kwenzeka ngoba ngokuvamile umkhumbi wegazi uphazanyiswa ngesikhathi se-TIA engavamile, ngakho-ke kungenzeka ukuthi uphazamise futhi. Ngezinye izikhathi, emva kwe-TIA, umuntu angase abe nokuhlukunyezwa kwesifo sobuchopho noma isifo esibuhlungu uma imbangela ye-TIA iphazanyiswa ukugeleza kwegazi emthonjeni wegazi ozokhala izinyembezi bese ephuma. Ukuze ufunde kabanzi mayelana ne-aneurysms yobuchopho nokubikezela kobuchopho bokuphefumula, funda lapha.
Ukucabanga Izinguquko
Ukushaya isifo ngokuvamile kubangela ukungajwayelekile okungabonwa kalula kwi-CT yobuchopho noma i-MRI yobuchopho.
I-TIA ayibangeli ushintsho ebuchosheni ebuchosheni buka-CT noma ebuchosheni be-MRI. Kodwa-ke, ngezinye izikhathi kunezinguquko zezimpahla zegazi ezingabonakala ekuhlolweni kwe-imaging okubonisa izitsha zegazi ebuchosheni noma imithwalo yegazi entanyeni.
Izimbangela
Izimbangela ze-ischemic stroke kanye ne-TIA zifanayo.
Zihlanganisa isifo senhliziyo, izinkinga ze-clotting zegazi, izitsha zegazi ezingavamile ezifana nezibangelwa yi-hypertension, isifo sikashukela, i-cholesterol ephezulu nokubhema. ( ukuze ufunde kabanzi mayelana nesifo se-cerebrovascular, bheka lapha.)
Isikhumba segazi esigazini singabangela isifo esiwumhubhe, kepha ngenxa yokuthi umonakalo wesifo esiwumgogodla unomphela, isitsha segazi esigazini asibangeli i-TIA. Noma kunjalo, isitsha segazi esonakele singabangela i-TIA ngaphambi kokuthi igeze.
Ukuphathwa
Uma une-stroke, uzodinga ukuphathwa ngokucophelela kwezokwelapha kanye nokuhlola okuphelele kwezokwelapha ukuze ubone ukuthi unesifo esithile sokubeka ingozi ukuze ukwazi ukugwema ukushaya esinye isifo.
Uma uke waba ne-TIA, kuzodingeka futhi uqiniseke ukuthi unokuhlolwa okuphelele kwezokwelapha ukukhomba nokuphatha noma yiziphi izici zengozi yokucindezeleka, ngoba i-TIA iyisimo esiqinile sokushaya isifo.
Ukuvimbela
Ukuvimbela imivimbo kanye ne-TIAs isekelwe endleleni yokuphila enempilo kanye nokuphathwa kwezinkinga zokuhlaselwa yi-stroke. Ungakwazi ukuguqula ingozi yakho yesifo. Abanye abantu abane-TIA kanye nezibhamu bangadinga ukuhlinzwa. Thola kabanzi mayelana nokuhlinzwa kwe-carotid endarterectomy lapha.
Imithombo:
Ukuthuthukiswa kokushaywa yisifo phakathi neshumi leminyaka edlule, iSilivali B, iRhode Island Medical Journal, Meyi 2014