Ischemic izimpawu kuhlasela, izimbangela, izinhlobo kanye nokuvinjelwa

Stroke - yezimbangela eyinhloko cerebral ukugeleza kwegazi. Izimpawu kanye izimbangela amanga ikakhulukazi sengqondo esingalungile zabantu maqondana nempilo yabo. Insulto (Lat.) - ekuphangeni kuhlasela, le nguqulo ayikwazanga ngcono ibonisa okushiwo kwenzekani ebuchosheni lapho crisis abanomfutho wegazi ophakeme.

Ngokwezibalo, lesi sifo singumbulali eyesithathu ohlwini izimbangela zokufa ngemva kokuhlaselwa yisifo senhliziyo nomdlavuza. ERussia, ezingaphezu kuka-400,000 imivimbo ngonyaka emhlabeni wonke, nazo kuka-40% abantu befa ngenxa yokuthi kukhona ukwephulwa of kwegazi cerebral palsy. Izimpawu zingavela kaningi ebusuku noma ekuseni.
 

Izimbangela cerebral iziyaluyalu kwegazi

Izizathu isifo esiyingozi ezifana nesifo sohlangothi noma "unhlangothi ezincane" kungenzeka umfutho wegazi ophakeme, isifo sokuvuvukala kwemithambo noma ukuqina kwemithambo yegazi cerebral, ukucindezeleka okungokomzwelo okuhlobene ngihlaselwe imizwelo ebuhlungu. unhlangothi Mini zifana kakhulu izimpawu ngesikhathi sokufa kohlangothi. It ahluke kuphela ukuthi izimpawu sishesha ngokwanele, kusale nemiphumela elimaza kakhulu hhayi ngaphandle, kodwa ngaphakathi.

Kancane - useshonile ukudabuka, lapho ngenxa yezinguquko azalwa naso ebuchosheni akhiwa "isikhwama" odongeni omunye izitsha lokuveza igazi ebuchosheni. Izindonga zawo ziyisikhumbuzo kwaphela, hhayi nokunwebeka ngenxa protrusion uhlangothi, ngakho kuphela ushintsho oluncane wegazi noma ushintsho ezimbi ngokomzwelo elimala isitsha odongeni.

izinhlobo izifo

Ngokusho izinga lomonakalo ubuchopho, kobukhulu kanye imiphumela izenzo sifo acute unhlangothi ischemic sehlukaniswe ischemic futhi oluhambisana. Sinenkosi ezihlukahlukene imiphumela kanye nezimpawu ezimbalwa ezifanayo.

ischemic:

• Endabeni ukwelashwa kanye antiagretantami antikaogulyantami kungenzeka ubuchopho perfusion yokutakula.

• Ngezinye izikhathi kwenziwe ukunakekelwa kuhlinzwa nokwelashwa ukuze silondoloze evamile ekusebenzeni kobuchopho.

• ukwelashwa Isondlo (mildronate, emoxipin, ascorbic acid), amalungiselelo ekuthuthukiseni izicubu umzimba.

oluhambisana:

• Ukuze kuncishiswe imithelela ukubola thrombus kwakhiwa futhi ukunciphisa permeability odongeni isitsha, bonisa angioprotectors (troksevazin, Ascorutinum) izidakamizwa nesenzo vasoactive (cinnarizine, Cavintonum, vinpocetine, aminophylline).

• Ukuvimbela izilonda yesibili ischemic esiyolandelwa kuphela ngaphansi nokuqapha njalo blood pressure kanye uma ukwehla eziphikelelayo.

izingozi Cerebrovascular. Izimpawu, usizo, izimbangela nokuvinjelwa

Izibonakaliso oyinhloko ngalokho okwenzeka acute unhlangothi ischemic, izimpawu:

• umfutho wegazi liphuma ngokucijile;
• ikhanda iza ngokuzumayo;
• isiyezi kanye Gait kuyabamangaza;
• ukuphazamiseka yokukhuluma, lapho audibility kuyehla (ngezinye izikhathi zero);
• Vision ngokuphawulekayo iphazamiseke, phezu ngeso elilodwa uma bobabili;
• izinga lokushisa lomzimba liyaphuma, ubuso uphendulela onsomi, iphika, ngokuphazima kweso kancane;
• kungavela uhlangothi noma ukungabi namizwa imisipha ngakolunye uhlangothi lwale emzimbeni.

Imiphumela yaloku kuhlola okungenhla ziyonquma ambulense, kufanele ngokushesha shayela. Isiguli kufanele asizwe ukuba zibuthise, ukuvula amafasitela, uma ekhaya noma umnyango ekamelweni ukuthi kwaba nomoya opholile ngaphezulu. Esikhathini esizayo, ukucacisa uhlobo lwesifo, ukuziphatha izivivinyo kanye izinqubo ezidingekayo.

Izimbangela zesifo isifo cerebrovascular, izimpawu zaso phezu nomlomo kakade eyayigcwele. Konke okufanayo ngendlela engafanele zokuphila, uma umuntu ukhuluphele, abangondlekile, ukubhema kabi futhi utshwala, ezihambayo kancane, isikhathi eside kuba ongaphansi kokucindezeleka.

Ngaphansi ngokuvamile, ukubukeka izinguquko nokusakazwa ubuchopho ehlaselwe izinguquko azalwa naso futhi sokugembula. yizifo ezingamahlalakhona, kuba ezifana iziyaluyalu nezindlala endocrine, izinso, cholesterol aphezulu ingavuthi imbangela nomfutho wegazi ophezulu kanti ngenxa yalokho - ubuchopho kwegazi iziyaluyalu.

imihlola ziphikelele ukwephulwa zobuchopho babe kwegazi okungamahlalakhona

Okungalapheki kwegazi cerebral kwenzeka ngenxa yokuntuleka nokunwetshiwe kwegazi ebuchosheni (futhi yingakho-mpilo kanye nezinye izakhi). It siyabhubha wonke isimiso sokujikeleza kwegazi, okuholela yokuphula ephikelelayo, futhi kwezicubu ingqondo.

ubuchopho ukusebenza ngeke ayithathe indawo ngokugcwele. Izizathu kungabandakanya: umfutho wegazi ophakeme, isifo sokuqina kwemithambo yegazi, isifo sikashukela, izifo ezithathelwanayo ezithinta imithambo palsy. Izimpawu zalezi zinkinga kungabandakanya:

• ukukhathala jikelele;
• umsindo njalo ezindlebeni;
• ikhanda eziphikelelayo;
• umuzwa wobukhulu ekhanda;
• Ukungazinzi ukusabela ngokomzwelo. izenzakalo Minor kubangele izinyembezi, imizwelo, inhliziyo ngcono;
• ubuthongo okhathazekile, inkumbulo nokunaka;
• avele nesiyezi engazinzile nedumbe uma uhamba.

Ukulungisa le nkinga kungase kwenziwe kuphela icubungulisise laqokwa sekuhloliwe ngokugcwele ngamunye esimweni ngasinye. Umuntu kufanele afune usizo lodokotela ngokushesha uphawu kancane isifo ukuthi uyogwema isigaba salo oyingozi.