Kubantu abanesifo sikashukela, ingozi yokuba nesifo sohlangothi ikhuphuke kakhulu ngesifo.
Ngenxa yemiphumela yocwaningo lwemitholampilo eminingi, ososayensi bathole ukuthi iziguli ezinethuba lokuhlaselwa yisifo sohlangothi, kepha ezingenawo umlando wesifo sikashukela, zisengozini encane kunesifo sikashukela.
Amathuba okushaywa yisifo sikashukela anda ngezikhathi ezingama-2,5.
Izimpawu kanye namagama
Ischemic kanye ne-hemorrhagic stroke - kuyini kushukela?
Ukuthuthukiswa kwalesi sifo kungenxa yomonakalo noma ukuvalwa kwemithambo yegazi.
Ngenxa yokuthi igazi liyayeka ukugelezela ezingxenyeni ezithile zobuchopho, umsebenzi walo uya usiba mibi. Uma indawo ethintekile kungakapheli imizuzu eyi-3-4 izwakala iswele i-oxygen, amangqamuzana obuchopho aqale ukufa.
Odokotela bahlukanisa izinhlobo ezimbili ze-pathology:
- I-Ischemic - ebangelwa yimithambo yegazi evinjiwe.
- IHemorrhagic - ihambisana nokuqhuma kwethambo lomthambo.
Isici esiyinhloko esinquma izinga lokuqagela kwalesi sifo umfutho wegazi ophezulu. Ukwedlula i-cholesterol "emibi" nakho kungasicunula lesi sifo. Izici zobungozi zibandakanya ukubhema nokudakwa.
Kubalulekile! Ngemuva kokuthi umzimba womuntu uqale ukuthola ukushoda komoya-mpilo, imithambo engaqondile inyusa ukugeleza komoya, idlule indawo evaliwe. Kunzima kakhulu kunabo bonke abanye abantu ukuhlaselwa yisifo sohlangothi, iziguli ezinesifo sikashukela.
Lokhu kungenxa yokuxinana kwe-atherosulinosis yemikhumbi yemilenze, ngokwesibonelo, imithambo yegazi eminingi ilahlekelwa amandla ayo okuhambisa umoya-mpilo.
Ngalesi sizathu, ukuvuvukala kokushaywa unhlangothi 2 nohlobo 2 sikashukela kuyadumaza kakhulu.
Izimpawu zokushaywa unhlangothi
Uma kutholakala izimpawu zokuqina ukuthi unhlangothi, umuntu kufanele abonane nodokotela ngokushesha. Uma ukuthuthukiswa kwalesi sifo esibi kumiswa ngesikhathi, isiguli singabuyiselwa empilweni ephelele. Izimpawu ezilandelayo ziimpawu zesifo:
- Ukukhubazeka ngokuzumayo.
- Ukubuthakathaka kobuthakathaka noma ukushuba kobuso, izingalo, imilenze (ikakhulukazi ohlangothini olulodwa lomzimba).
- Ukulahleka kwekhono lokwenza nokukwazi ukubona ukukhuluma.
- Ubunzima bokucabanga.
- Ngaphandle kwesizathu esibonakalayo, ukuvela kwekhanda elinzima.
- Ukuwohloka okubukhali embonweni obonwe ngamehlo amabili noma womabili.
- Ukuntuleka kokuxhumana kokunyakaza.
- Ukulahleka kokulinganisela, kuhambisana nesiyezi.
- Ukungajabuli noma ubunzima bokugwinya amathe.
- Ukulahlekelwa okwesikhashana ukwazi.
Ungaselapha kanjani isifo se-ischemic isifo sikashukela
I-Unyango Wezokudla Nezidakamizwa wase-U.S. Ukuphatha unhlangothi ivumela umuthi owodwa, i-tPA. Umuthi uqeda ngempumelelo izingcezu zegazi. Umuthi kufanele uphuzwe emahoreni amathathu alandelayo ngemuva kokuthola izimpawu zokuqala zokushaywa unhlangothi.
Umuthi lo unomphumela wejazi legazi elivimba umgogodla, ulichithe, ubuyisele ukugeleza kwegazi ezindaweni zobuchopho ezilimele ngemuva kokuxinana.
I-Ischemic stroke in sikashukela ingalashwa ngokuhlinzwa. Le ndlela iqukethe ekususeni i-plaque eyenziwe odongeni lwangaphakathi lwe-carotid artery. Lo mkhumbi wethula ukugeleza kwegazi okuyinhloko ebuchosheni.
Enye indlela yokwelapha isifo sikashukela yi-carotid endarterectomy. Indlela yokusebenza yenqubo imi kanjena: ekuqaleni, kufakwa ibhaluni emthanjeni we-carotid, obese udonsa futhi unwebe i-lumen encishisiwe. Ngemuva kwalokho kufakwa i-stent yeselula, enikezela ukulungiswa kwe-artery endaweni evulekile.
Ukuze uthuthukise ukusebenza kwemithambo ye-cerebral cerebral arabetes ku-mellitus yesifo sikashukela, i-angioplasty kwesinye isikhathi ibekiwe.
Izindlela zokuvimbela
Iziguli ezinesifo sikashukela sohlobo lwe-1 noma uhlobo 2, udokotela wakhe oselutholile isifo sokuqina kwezitho zomzimba, kufanele zinamathele endleleni yokuphila enempilo futhi zilandele indlela ekhethekile yokudla.
Ngakolunye uhlangothi, udokotela kufanele anikeze umuthi isiguli umuthi, ngemuva kokwelashwa okuzoqedwa ngalo imithambo yegazi futhi nengozi yokuthola inkinga enkulu izoncipha kakhulu.
Kunezindlela ezilula zokuvimbela imivimbo. Ngokuya ngemithetho elandelayo, isiguli siqinisekisiwe ukuphepha ngokuya ngesifo esithuthukisayo:
- Inani elikhulu lotshwala nokubhema kufanele kulahlwe.
- I-cholesterol kufanele ibhekwe njalo; ukunakwa okukhethekile kufanele kukhokhwe kufinyelela ezingeni "elibi" (LDL). Uma okwejwayelekile kudlulwa, i-cholesterol kufanele incishiswe ngazo zonke izindlela.
- Zonke izinsuku udinga ukulawula izinga lomfutho wegazi, ungagcina noma idayari lapho kuzoqoshwa zonke izinkomba.
- Iziguli ezingenazo izinkinga zamathumbu ziyelulekwa ukuthatha i-aspirin nsuku zonke.
Iphuzu lokugcina likufanele ukukhuluma ngemininingwane eminingi. Kwabesilisa nabesifazane ngemuva kweminyaka engama-30 behlushwa isifo sikashukela sohlobo 1 noma uhlobo 2, imithamo emincane yomuthi iyamukeleka. Kodwa kunoma yikuphi, ngokuqondene ne-aspirin, isiguli kufanele sibonane nodokotela wakhe.
Umuthi awuhlali uphephile, kwesinye isikhathi ngemuva kokuwuthatha, imiphumela emibi ngendlela yobuhlungu esiswini iyabonakala.
Ukwelashwa kwesifo sikashukela sikashukela
Ukushaywa unhlangothi kuhlangene nohlobo 1 noma isifo sikashukela 2 kudinga ukudla okuthile. Lesi silinganiso siyadingeka ukuze kubuyiswe umzimba ngemuva kokuhlupheka komoya futhi wehlise nengozi yokuphinde ubuye.
Ngohlobo 1 nesifo sikashukela sohlobo 2 nesifo sohlangothi, kubekwa iThebhulethi engu-10. Umqondo wokudla ukukhipha ingxenye yokudla egcwele ama-carbohydrate namafutha ekudleni. Ngenxa yalesi silinganiso, inani lamandla lemenyu yansuku zonke liyancishiswa.
Izimiso zokudla yilezi ezilandelayo:
Ukwenqaba usawoti. Okokuqala, umkhiqizo ukhishwe ngokuphelele ekudleni. Ngesifo sikashukela, lokhu kubaluleke kakhulu. Ngokuhamba kwesikhathi, njengoba inhlala kahle yesiguli izinza, usawoti ungafakwa kancane kancane ezitsheni, kodwa ngamanani amancane.
Imodi yokuphuza. Zonke izinsuku, umzimba womuntu udinga uketshezi oluningi. Lokhu kuyiqiniso ikakhulukazi ngesifo sikashukela nohlobo 1, no-2. I-DM yenza igazi lesiguli ukuba libonakale ngokwengeziwe, ngakho-ke uketshezi luyadingeka ukulenza lusebenze.
Ijusi yezithelo ezinamanzi, amanzi okuphuza ahlanzekile, ama-compotes - konke lokhu kungenzeka ngesifo sikashukela, kepha iziphuzo zekhofi neziphuzo ezinamakhabhoni ziyaphikisana.
Yehlisa i-cholesterol yegazi. Ukunakwa okukhethekile kufanele kukhokhwe ku-cholesterol "embi". Ukudla kokudla kwesiguli, kuyadingeka ukukhipha yonke imikhiqizo enomthelela ekwakhiweni kwento.
Udinga ukukhathazeka ngalokhu kusengaphambili, hhayi lapho kuzoba khona ukuphazamiseka emsebenzini wobuchopho nezinye izinkinga zohlobo 1 nohlobo 2 lwesifo sikashukela.
Amavithamini Ukudla kwesiguli kufanele kube nemifino nezithelo eziningi, ngakho-ke izitsha ezinale mikhiqizo ekuqaleni zinconywa. Izithelo nemifino kungadliwa kusha noma kufishiwe, kuyasiza kakhulu. Kunoma yikuphi, ukudla okunoshukela ophezulu kufanele kuthuthukiswe kucatshangelwa zonke izici zesifo sikashukela.
Ukwemukelwa kwe potassium. Isitho esonakaliswe unhlangothi sidinga ukwenziwa nge-potassium. Ngakho-ke, kuyadingeka ukufaka njalo imikhiqizo yokudla yesiguli equkethe le nto ngamanani amakhulu.
Ukwenqaba ikofi. Lesi siphuzo esinesifo sohlangothi sinemibandela eqinile yokuqina. Ungadli ukudla okune-caffeine ngesikhathi sokuvuselela umzimba.
Umuntu oye wahlaselwa yisifo sokusha kwe-hemorrhagic noma i-ischemic ebuchosheni ngokwengxenye noma ngokuphelele ulahlekelwe amandla okugwinya ukudla eyedwa. Isimo esifanayo singabonakala kwabanesifo sikashukela isifo saso esedlulele kakhulu.
Ngokuhlaselwa yisifo sohlangothi, isiguli sinqunywa isakhi sofuzo, futhi ngesifo sikashukela, kuboniswa imenyu ezitsheni eziwuketshezi. Yonke imikhiqizo ingaphansi ngesihlungo, bese iziphuzo zinikezwa ngotshani.
