Stroke: Ukwelashwa amakhambi abantu futhi yezokwelapha

A stroke noma ingozi cerebrovascular - ingozi acute cerebrovascular. Kubonisa ngokushesha (ngaphakathi kwamahora ambalwa noma ngisho imizuzu) ukubonakaliswa izimpawu ebalulekile palsy noma izilonda zezinzwa-cerebral palsy. Izimpawu zalesi ukunqotshwa uzobona ngezansi. Uma ungenalo isikhathi ukusiza isiguli ezinjalo, nakanjani kulandele ukufa. Isiguli kumele ngokushesha esibhedlela. Iziguli ezingazweli ku-e yokuqala amahora amabili ngemuva kokuthi umcimbi isivele ababelwe waqala ukwelashwa nomuhle ezimweni eziningi ezinikeziwe. Lapho sitholakele ukwelashwa unhlangothi ekhaya kungenzeka kuphela emva osenyameni evela esibhedlela. Inikeza imiphumela emihle ngesikhathi sesigaba emumva izifo.

Stroke - ke

Imivimbo kungaba ezimbili zama - ischemic futhi oluhambisana. Ngaphansi unhlangothi isikisela ukuthi wayethi:

• ukopha subarachnoid - ukopha ingaphakathi itholakala phakathi Mater pia futhi ubulembu, okuyinto evame kakhulu ngenxa ukudabuka we useshonile noma ngenxa TBI (kuhlasimulise okulimala ebuchosheni);
• ukopha intracerebral ngokuvamile kwenzeka ngenxa ukudabuka ka-cerebral izindonga semithambo ngenxa ushintsho yabo sokugembula;
• infarction palsy noma unhlangothi ischemic - umonakalo kwenzeka medulla nokuphazamiseka okuhambisana yayo ngenxa ekunqanyulweni kwe kwegazi sendawo ethile ebuchosheni.

Izimbangela oluhambisana unhlangothi

I ukopha isizathu parenchymal iyona nomfutho wegazi ophezulu kubalulekile kakhulu noma yesibili ukuthuthukiswa nomfutho wegazi ophakeme izifo kwezinso noma iziyaluyalu nezindlala endocrine, ezifana, adrenal. Futhi, lezi nokopha bungase bubangelwe zezinzwa izicubu nezifo ezinjengesifo lupus erythematosus, vasculitis, haemorrhagic diathesis, noma sepsis ngemva TBI. I ukopha ngokuvamile kwenzeka ngenxa ukudabuka odongeni isitsha, kodwa ngezinye izikhathi kungenzeka ngenxa permeability anda odongeni isitsha. unhlangothi oluhambisana kukhona ngesimo ukulimaza noma igazi sifakwe emanzini nezicubu ingqondo. Uma hematoma has imingcele ecacile, ngezinye izikhathi asesebenzisa ukwelashwa kuhlinzwa, kulesi simo, operation neurosurgical kanye hematoma nje isusiwe.

Izimbangela imivimbo ischemic

infarction palsy noma unhlangothi ischemic zihlukaniswe thrombotic futhi netromboticheskie. Futhi angingeni nalabo nezinye ukugeleza kwegazi kuyaphazamiseka, izimpahla lwemithambo yegazi liyaphela noma kuleyo ngxenye yobuchopho, kuphumele ushintsho neuronal futhi ehlukahlukene zamakhemikhali zenzeka okuholela infarction palsy. Kwakheka ubuchopho necrosis ububanzi predetermined noma unhlangothi ischemic. Ukwelashwa nokuvikelwa amakhambi abantu kanye imithi kungaba nethonya elihle. Kodwa kungcono kakhulu kwenziwa ngesikhathi nokuvuselelwa.

Stroke. Izimpawu kanye Ukwelashwa

Symptomatology imivimbo zingavela kanje:

• okungazelelwe, ukubukeka ngokushesha ngobuthakathaka ndikindiki noma ukukhubazeka e emikhawulweni (imikhono, imilente) noma umuntu ngesandla esisodwa;
• egwinya inkulumo egwinya;
• ezingalindelekile, umbono okungazelelwe esilufifi kwelinye iso, ngezinye izikhathi kokubili, ngezinye izikhathi ukulahlekelwa isigamu emkhakheni ezibukwayo kuzo zombili amehlo;
• isiyezi okungazelelwe, incoordination;
• kungazelelwe okwenzeka bekhanda;
• bangezwa ukucanuzela kwenhliziyo noma ukuhlanza.

Ngaphandle kwezinto ezibalwe ngenhla, kuye kwasendaweni izilonda ubuchopho kungenzeka a ukukhubazeka esinqunyiwe noma ephelele kolunye uhlangothi emzimbeni. Uma ukulimala kobuchopho ngakwesokudla, uhhafu kwesokunxele umzimba lihlupheka, futhi aba amaSheshi, maphakathi kwasendaweni in Nenkabazwe kwesokunxele, ukukhubazeka kwenzeka ohlangothini kwesokudla umzimba.

Uma ngaba nesifo sohlangothi kwesokunxele isandla, impatho sibhekiswe ekuqedeni okuthiwa syndrome ka "hemi ezintathu", ukuchaza ukuthi kuyini:

• Hemiplegia - ukukhubazeka (knockdown ephelele) noma paresis (esitho kancane ngobugebengu) ingalo sokudla nasemlenzeni;
• gemigipesteziya - zonke izinhlobo ukuzwela ohlangothini okhubazekile bengekho;
• hemianopsia - isigamu ubumpumputhe noma ukulahleka isigamu emkhakheni ezibukwayo esweni ngalinye.

Lapho ziqhubeka le lesion isendaweni Nenkabazwe kwesokunxele, kancane ecasukile motor imisebenzi. Nenkabazwe kwesokudla ubuchopho unesibopho neminye imisebenzi. Ngakho, uma ngaba nesifo sohlangothi ohlangothini lwesokudla, ukuphathwa kuhloswe ekubuyiseleni umsebenzi zokuphefumula, ukulawulwa kwamanzi kanye electrolyte ibhalansi futhi kuhlanganisa ukwelashwa neuroprotective.

Zonke izimpawu ngenhla zingadida kokubili unhlangothi ischemic futhi haemorrhagic. Uma uhlangabezana eyodwa noma ngaphezulu zalezi zimpawu, kumele ngokushesha uyobiza ukunakekelwa eziphuthumayo futhi ukuletha isiguli esibhedlela. Lezi kubonakaliswa emitholampilo enze kube nokwenzeka ukuba usola washaywa unhlangothi. amakhambi Ukwelashwa Folk kulesigaba ayivumelekile. Kungasetjenziswa kuphela emva osenyameni lesiguli esibhedlela. izindlela Traditional yokwelashwa liye lazibonakalisa kahle ngesikhathi sesigaba yokutakula. Lapho esolwa unhlangothi-acute kuyinto efiselekayo uqale ukwelashwa ngaphakathi yokuqala amahora amabili emuva kwalesi sigameko. Kufanele ibe ukugxila kancane okwengeziwe umahluko oqondile phakathi imivimbo ischemic futhi oluhambisana.

Uma ischemic izimpawu unhlangothi lesi sifo kungenzeka kancane, isib, vasoconstriction kwenzeka, ukopha (oluhambisana unhlangothi), zivela ngokuzumayo futhi ngokushesha, ngoba kukhona ukumisa ngokushesha ukuze igazi eligciniwe ezinye izingxenye zobuchopho.

iziguli Amandla unhlangothi

Lapho benakekela ezigulini uxilongwe unhlangothi ngaphambi kokuqala uyondla okokuqala, qiniseka ukuthi kungekho ukuphulwa singagwinyi umsebenzi. Ukuze wenze lokhu, isiguli zinikwe amanzi umthamo ngesipuni, uma konke kuhambe kahle, khona-ke siqhubeke sizondla ngokudla efudumele okusamanzi (isobho, juice). Ezinsukwini zokuqala ezimbalwa isiguli sondliwa liquid pureed ikhalori ukudla kuphela. Ukudla kufanele ibe inala amaprotheni kanye carbohydrate, balindeleke ukuba bakwazi ukugcina amandla nesineke futhi alulame.

Kaningi, ukunqotshwa izingxenye ezithile ebuchosheni iziguli zingase kube khona ukulamba. Okuphakelayo kubo ngempela kudingeka, kodwa ke usike izingxenye futhi ukwandisa isibalo feedings. Kubalulekile ukuthi isiguli wathatha ukudla.

Uma isiguli aquleke, ukwelapha maqembu lakhe ICU. Ukondla kulezi ziguli wenziwa parenterally (ngokusebenzisa umthambo).

ukwelashwa eyisisekelo

Lapho sitholakele unhlangothi ukwelashwa izidakamizwa udlulisela kuphela esibhedlela. Lezi ziguli esibhedlela kunesidingo. Ukwelapha Basic zaphathwa isiguli kungakhathaliseki ukuthi iyiphi washaywa unhlangothi.

• Ukwelashwa (izidakamizwa) kuqondiswe kumuntu ukuzinza lokugayeka kokudla palsy. Ngenxa yale njongo, ukhombe ejenti "Cere" "Piracetam".
• ibhalansi Fluid futhi electrolyte alondolozwa izidakamizwa "Disol", "solution, Ringer sika", kanye potassium chloride.
• ukwelashwa edingekayo bebhekise ukuzinza of ukusebenza kwezitho ezibalulekile: the ukuzinza umsebenzi zokuphefumula wegazi lazo wawungcono, kanye ukukhuthazwa contractility esivimba amanzi.
• Ephambi kwezinduna okushisa aphezulu e isiguli sekutholakele ukuthi sine- unhlangothi, ukwelashwa (izidakamizwa antipyretic) iqondiswe ekulweni komzimba okukhulu. Ngenxa yalezi zinjongo lingasetshenziswa ukuxubana lytic (analgin, diphenhydramine, papaverine).
• Ukuze banciphise umfutho ophakeme intracranial nokuvinjelwa edema cerebral usebenzisa izidakamizwa "Lasix" futhi "Mannitol", bathuthukisa ukususwa uketshezi okweqile kusukela umzimba.
• Izidakamizwa "Trental" futhi "Reopoligljukin" abelwa ngcono igazi microcirculation izitsha ubuchopho.
• Amalungiselelo-antihypoxants ( "Aktovegin", "Hypoxen") inikezwa ukubhekana hypoxia palsy.

ukwelashwa umahluko

Ukwelashwa is umahluko ngokuvumelana uhlobo unhlangothi. Esimeni unhlangothi ischemic, ngaphezu yokwelapha eziyisisekelo emahoreni ambalwa wokuqala (amahora 2-6) Kwenziwa ukwelashwa ukuze kuvinjelwe ukufa izinzwa ingqondo, okuyinto zitholakala emhlabeni kwasendaweni we lesion (necrotic). Ukuze wenze lokhu, sebenzisa:

• fibrinoloitiki;
• ejenti neuroprotective;
• heparin;
• anticoagulants.

Ngo oluhambisana unhlangothi nesineke ezinsukwini ezingu-21 kumele zithobele esiqinile embhedeni ukuphumula. Akukhona nje abakwazi sukuma uhambe, kodwa futhi ukuba ahlale embhedeni ngisho ngokuzimela emuva. Kufanele ukuqeda ukucindezeleka ngisho nalapho ukukhwehlela noma sokuzikhulula, luyadingeka ukuze lokhu kuthiwa laxatives ababelwe abandayo lapho kudingeka. Ukuze wehlise ukuyaluza usebenzisa i-sodium hydroxybutyrate noma "Seduxen". Ukuze kuthuthukiswe igazi ekunqandeni futhi kuvimbele ukopha okwengeziwe, aminocaproic acid lenikiwe. Ukuze ususe DIC, usebenzisa enzyme amalungiselelo "Trasylol", "Gordoks", "Contrycal".

Ngaphandle izidakamizwa oluhambisana unhlangothi livame ukusetshenziswa ukuhlinzwa.

izindlela Traditional yokwelashwa unhlangothi

Khumbula ukuthi isifo esiyingozi - unhlangothi-acute, ekwelapheni amakhambi abantu kungaba ibhekwa kuya ukwelashwa main. Ngakho, ngokwesibonelo, ngisho abanye odokotela bathi ezivamile ushingamu bantu bayosiza ekubuyiseleni ukugeleza kwegazi emva unhlangothi ischemic, ngoba ngenkathi usebenza imisipha eziningi ikhanda futhi, ngenxa yalokho, sithuthukisa cerebral ukugeleza kwegazi.

Uma ngaba nesifo sohlangothi, ekwelapheni amakhambi abantu ukusiza main kuhilela ezihlukahlukene zokupheka AmaConifers.

Izigaxa Pine ekulweni imiphumela unhlangothi hlala liyindawo efanelekayo. Ziqukethe izinto eziningi ewusizo, oluyingozi, amavithamini, futhi okubaluleke - the tannins hlobo olukhethekile, okuyinto uyakwazi ekuvimbeleni ukulahlekelwa kwamangqamuzana obuchopho. Ngemva kokufa amangqamuzana obuchopho unhlangothi uyaqhubeka ngenxa ukuchayeka PRAG enzyme. Tannins ezitholakala zikaphayini Izigaxa. bakwazi ukuthatha isinyathelo enzyme futhi uvimbele khona, ngaleyo ndlela, ukufa kwamangqamuzana kwehle kakhulu.

Recipe ngokwalo kahle elula. Marku 5 zikaphayini Izigaxa, ubageze futhi uthele 200 utshwala yezokwelapha ml. Phikelela izidakamizwa endaweni emnyama izinsuku ezingu-14. Thatha 1 h. Faka nomnikelo efudumele izikhathi 1 usuku ngemva kokudla.

Ukuze usuke kusuka umvimbo isifo, ekwelapheni amakhambi abantu uncoma izindlela eziningana usebenzisa sonwele izinaliti:

• Ukuqoqa 1 ilitha inaliti usigcwalisa amalitha amathathu amanzi ashisayo, ubilise imizuzu 15. Itiye, isilungele yokutakula. Kunconywa ukuba baphuze noma kunini uma uthanda, kodwa ngaso sonke isikhathi nge lemon, ungakwazi ukwengeza uju.
• Ofanayo iresiphi usebenzisa izinaliti futhi silungiselela elula. Idlanzana enkulu zikaphayini izinaliti is batheleka a thermos wathela ilitha lamanzi abilayo. ebusuku Wafaka ke udinga ukwengeza oqoshiwe lemon tincetu futhi bagcizelele 2 amahora. Umuthi usulungile. Ungakwazi uphuze nganoma yisiphi isikhathi, ungakwazi uju.

Iziguli eziningi unhlangothi, ukwelashwa ekhaya waqhubeka emva osenyameni evela esibhedlela. amakhambi Folk usebenzisa lemon le njongo kukhona sisakazwe kabanzi. Lokhu kuyaqondakala, ngoba lemon - antioxidant zemvelo. Izinto eziqukethwe ngezithako zawo, unga mncane igazi, okuyinto evimbela ukwakheka amahlule. Lezi izindawo lemon isetshenziswa nokuvuselelwa yezokwelapha iziguli unhlangothi ischemic. Ukwelashwa nokuvikelwa amakhambi abantu, ezifaka hlangana ukuhlahluba lemon, futhi ngokuphelele kuvusa izivikeli mzimba. Isekela Dynamics jikelele omuhle zokululama for iziguli buthakathaka isifo futhi zingaba nokuvimbela unhlangothi yansukuzonke.

Ukuze ukulungiswa nomuthi wageza ngempela kahle obsushenny lemon inyama egayiwe ngesikhumba uhlanganise ngezabelo ngokungenasizathu ngoju. Leli thuluzi kungenziwa wanezela itiye kuwo wonke party itiye noma nje wayimboza isinkwa mncane. Kuyinto efiselekayo ukuthi lemon kwaba isikhumba elincanyana.

Stroke. Ikhaya Ukwelashwa

Ngemva osenyameni esibhedlela, izihlobo lesiguli kukhona at ukulahlekelwa. Ungasiza kanjani? Umuntu esimthandayo silulame ekuguleni? Okokuqala, kubalulekile ukuba ngehlise umoya futhi ubekezele. Inqubo yokutakula maduze.

Izihlobo kukhona abasizi wokuqala ezigulini unhlangothi. Waphatha ekhaya ngokunakekela ezithela efanele imiphumela. Lapho benakekela iziguli ukuhamba kahle, izihlobo ukubasiza kabusha ufunde ukuhamba. Ngesikhathi esifanayo, kumelwe sikhumbule ukuthi nokwesekwa kweziguli ezine-anjalo kufanele kube kuphela ohlangothini ethintekile yomzimba, okungukuthi, Uma ukukhubazeka noma paresis isiguli ngakwesokudla, khona-ke ukusekelwa kukhona, futhi okuphambene nalokho.

isiphetho

Lapho sitholakele ukwelashwa unhlangothi ischemic kazwelonke, kahle abakhethiwe, kanye ukunakekelwa ngezokwelashwa kanye kahle ehlelekile, qiniseka ukusiza iziguli alulame ngokushesha bese ubuyela ukuphila okuvamile. Stroke - akuyona umusho. Kubalulekile ukuthi isiguli akabonakalanga nokugula kwakhe kuphela. umndeni Ukusekela kubaluleke kakhulu kuye.