Kuthamanga kwa ischemic komweko (TIA), yomwe imatchedwanso mini-stroke, ndi kuwonongeka kwa kanthaŵi kochepa kachitidwe ka ubongo, komwe kumayambitsa kusokonezeka kwadzidzidzi kwa magazi kumalo ena a ubongo.
Kusiyana kokha pakati pa TIA ndi kupweteka kwenikweni ndiko kuti mu TIA, kuthamanga kwa magazi kumabwezeretsedwa pamaso pa minofu ya ubongo imamwalira. Aliyense yemwe ali ndi TIA ali ndi chiopsezo chachikulu chokhala ndi zilonda zamtsogolo posachedwa.
Choncho, ngati mukuganiza kuti mwinamwake muli ndi TIA, ndikofunika kuti mupeze chithandizo mwamsanga.
Zizindikiro
Zizindikiro za TIA ndizofanana ndi zizindikiro za kupweteka, kupatula kuti zizindikiro za TIA zimachoka mkati mwa mphindi zochepa.
Zenizeni zomwe mungathe kukhala nazo ndi TIA zimasiyana kwambiri, ndipo zimadalira gawo lomwe ndi ubongo wambiri womwe umachotsedwa mwazi. Zizindikiro zambiri za TIA zikuphatikizapo:
- Kufooka m'manja, mkono, mwendo, nkhope, lilime, kapena nkhope
- Kuwongolera mu dzanja, mkono, mwendo, nkhope, lilime, kapena nkhope
- Kulephera kulankhula molumikizana
- Zozizwitsa zosadziwika, kawirikawiri ndi vertigo (kumverera kuti chipinda chikuyendayenda)
- Masomphenya awiri, kutayika pang'ono kwa masomphenya, kapena kusokonezeka kwina kwadzidzidzi
TIA imasiyanitsa ndi stroke pokhapokha ngati zizindikiro zimadzipangitsa okha. Mpaka nthawi yomweyi, mwachindunji, mukudwala sitiroko. Ngati inu kapena wokondedwa wanu mumakumana ndi zizindikiro izi, mumayenera kuchipatala mwamsanga.
Musamayembekezere kuti muone ngati zinthu zikuyenda bwino mwaokha!
Zimayambitsa
Matendawa amayamba chifukwa cha matenda omwewo omwe amachititsa kuti ziphuphu zisokonezeke, makamaka chifukwa cha matenda a atherosclerosis kapena embolism .
Kusiyana kokha ndiko kuti panthawi yachisokonezo, kutsekedwa kwacho kumapitirirabe kwa nthawi yaitali kuti iwononge imfa ya minofu ya ubongo.
Ndi TIA kusungidwa kumakhala kochepa, ndipo matenda a ubongo amasungidwa pamene kutsekedwa kwabwino kumawongolera.
Choncho, TIA ndi ofanana ndi angina osasunthika , zomwe zimachitika nthawi zina m'mitsempha ya mitsempha yamtunduwu imapweteka pachifuwa . Ndipo monga momwe angina osakhazikika nthawi zambiri amawombera thupi lonse la myocardial infarction , zochitika za TIA zimasonyeza kuti chikwapu chonse chikhoza kuchitika.
Chifukwa chakuti chiwopsezo cha kupwetekedwa mtima ndi chachikulu m'masiku angapo oyambirira mpaka masabata pambuyo pa TIA, kuchedwa pakufuna thandizo lachipatala kungakhale koopsa.
Kuchiza
Cholinga chachikulu cha kuchiza munthu yemwe ali ndi TIA ndikuteteza kudwala.
Ngati dokotala akuganiza kuti muli ndi TIA, mumakhala ndi mayesero amodzi kapena angapo, omwe mukufuna kuti mudziwe chomwe chikuchitika:
- Kujambula kwa ubongo ndi kuyesa kwa CT kapena MRI
- Kujambula mitsempha yambiri ya magazi yomwe imapereka ubongo, kaya ndi CT scanning kapena catheterization
- Kuyesedwa kwa mtima, kawirikawiri ndi mafilimu , kuyang'ana kasupe wamagazi omwe angayambitse ubongo
Mukamaliza kafukufukuyu, mankhwala omwe dokotala wanu amalimbikitsa adzadalira kwambiri zomwe zapezeka. Chithandizo nthawi zambiri chimaphatikizapo:
- Kuwongolera mofulumira zifukwa zomwe zimayambitsa matenda a atherosclerosis, monga kupatsirana kuthamanga kwa magazi ndi cholesterol , kupeza bwino kwambiri matenda a shuga, ndi kulimbikitsa (kufuna, ngati n'kotheka) kusuta fodya .
- Thandizo la antiplatelet lilepheretsa mapangidwe amadzimadzi osakwanira m'mitsempha, ndi aspirin, aspirin komanso dipyridamole, kapena Plavix (clopidogrel).
- Kuchepetsa matenda opatsirana pogonana ndi Coumadin (warfarin).
- Ngati kutsekedwa kwakukulu mu mitsempha ya carotid imapezeka, dokotala wanu angalimbikitse " carotid endarterectomy " (kukonza opaleshoni ya kutseka). Kutsetsereka kwa mitsempha ya carotid, pamene iyo yatha, sichinawonetsedwe motsimikizika kuti ndi yotetezeka kapena yogwira ngati kukonza opaleshoni.
Chidule
TIA ndi vuto lalikulu lachipatala, ngakhale kuti zizindikirozo zimasankha okha. Pofuna kupeza chithandizo chamankhwala mwamsanga pambuyo pa TIA, mukhoza kuchepetsa kwambiri vuto lanu lokhala ndi matenda osokoneza bongo.
Zotsatira:
Easton, JD, Saver, JL, Albers, GW, et al. Tanthauzo ndi kuyesa kusokonezeka kwa ischemic. AHA / ASA Scientific Statement. Stroke 2009; 40: 2276.
Kernan WN, Ovbiagele B, Black HR, et al. Malangizo othandizira kupewa matenda a stroke kwa odwala omwe amavutika ndi matenda osokoneza bongo komanso osakhalitsa: chitsogozo cha akatswiri a zaumoyo ku American Heart Association / American Stroke Association. Stroke 2014; 45: 2160.