Mliriwu ndi chifukwa cha kusokonezeka kwa magazi ku ubongo. Mliriwu ukhoza kuchitika mofulumira ndipo kuwonongeka ndiko msanga. Ndicho chifukwa chake ndi kofunika kwambiri kuchita mwamsangamsanga ndi kupeza chithandizo chadzidzidzi mwamsanga mutangoyamba kuona zizindikiro zomwe zingakhale stroke.
N'chifukwa chiyani kupwetekedwa mtima kumayambitsa ubongo mofulumira ndipo ndi chifukwa chiyani ndichedwa kuchepetsa chithandizo chamankhwala?
Chifukwa chake ndikuti pamene minofu ya ubongo sichipeza magazi okwanira, kuwonongeka kumayamba pomwepo. Kodi kwenikweni chimachitikira ubongo? Asayansi akhala akuchita kafukufuku kwa zaka zambiri ndipo akhala akudziŵa zinthu zosiyanasiyana zomwe zimachitikira ubongo panthawi yomwe akudwala.
Mitsempha ya ubongo imapanga poizoni
Pamene maselo a ubongo samapewa magazi okwanira, nthawi zambiri amataya zipangizo zofunikira zotchedwa enzymes. Mavitamini ameneŵa omwe amachoka mu maselo a ubongo kwenikweni ali ndi poizoni wamphamvu pamene alipo mowonjezereka. Izi zikutanthauza kuti ndi poizoni omwe amawonongadi selo kuchokera mkati, ndikupangitsa kuwonongeka kosasinthika.
Mankhwala ena atsopano omwe amawagwiritsabe ntchito amachititsa kuchepetsa kuwonongeka kwa mankhwalawa omwe amatha kutuluka panthawi yomweyo.
Kutupa
Kutupa kumatanthauza kuti thupi likuyesera kulimbana ndi matenda kapena kuyesera kukonza chinachake.
Pamene poizoni zimagonjetsa ubongo panthawi ya ululu, ubongo umayesetsa kudzikonza wokha. Komabe, kuyesa kwa ubongo kumayambitsa yankho lopweteketsa kwambiri lomwe limapangitsa kuti minofu ya ubongo ikhale ndi maselo oyera (maselo opatsirana pogonana) ndi madzi. Izi zimayambitsa kutupa komanso kuchuluka kwa madera omwe ali pafupi ndi ubongo.
Kutupa kumatchedwa edema. Ngati inu kapena wokondedwa wanu mwakhala mukudwala sitiroko ndipo munamvapo edema-ndiko kwenikweni thupi lanu likuyesera kuchiza. Komabe, nthawi zina mayesero a machiritso ali ochepa kwambiri.
Matenda omwe amabwera chifukwa cha kupwetekedwa ndi chimodzi mwa zifukwa zowonongeka kwadzidzidzi zimaphatikizapo kuwunika mosamala kwa madzi - kupewa kupezetsa kutupa ndikuyesera kuyipitsa.
Kuchuluka kwa Calcium
Pambuyo pa kuwonongeka kwa stroke, calcium, imodzi mwa mchere wofunika kwambiri wa thupi, ikhoza kulowa m'maselo a ubongo. Izi ndichifukwa chakuti mpweya wa magazi umapereka mphamvu kuti thupi likhale ndi kashiamu wokwanira mu selo iliyonse. Ngati palibe magazi okwanira - palibe oxygen yokwanira, kotero calcium imakhala yosasamala. Maselo a ubongo sali woyenera chifukwa cha kalisiyamu yambiri, choncho nthawi zambiri amachitanso mantha.
Chimodzi mwa zigawo za kayendetsedwe kake ka matenda osokoneza bongo chimaphatikizapo kuchuluka kwa mchere monga calcium.
Kusiyanitsa kwa sodium
Sodium, monga calcium, ndi mchere wofunika kwambiri wa ubongo. Sodium imachokera ku mchere wamchere wamba. Pamene sitiroko ichitika, zotsatira za kusamvana kwa sodium, zomwe zimayambitsa zochitika zomwe zimasintha zomwe zili mu khungu la ubongo, zimayipweteka kwambiri.
Mofanana ndi kusamalira kashiamu mosamala, kasamaliro ka sodium ndi gawo lofunika kwambiri la kusamalidwa kwa stroke kumayambiriro.
Mapangidwe apamwamba kwambiri
Mankhwala osakaniza, omwe amapangidwa panthawi yomwe akugunda, ndi mankhwala osakhazikika omwe amawononga mofulumira minofu yapafupi. Mwinamwake mwamvapo za antioxidants. Antioxidants ndi njira yachibadwa yochotsera zotsatira zovulaza zowonjezera. Zakudya zambiri zotchuka, zowonjezera mavitamini ndi zitsamba zimalengezedwa monga antioxidants. Koma uthenga wabwino ndi wakuti njira yabwino kwambiri yopezera antioxidants kwenikweni ndi zakudya zatsopano-makamaka zipatso zobiriwira ndi masamba.
PH Kusayenerera
Pamene maselo a ubongo samapewa magazi okwanira, kusowa mphamvu kumatanthauza kuti mamolekyumu amphamvu omwe amachititsa kuti ubongo wa pH upangidwe.
Izi zingakhale zovuta kwambiri kuti ubongo upirire, kuonjezera kuvulala.
Pambuyo pa kupwetekedwa, gulu lanu loyang'anira matenda a stroke limayang'anira bwino zakudya zanu ndi matenda aliwonse omwe ali ndi shuga omwe angasokoneze thupi lanu pH balance.
Magazi a Magazi
Inde, kupwetekedwa kumabwera chifukwa cha kusokonezeka kwa magazi. Nthawi zina, owonda magazi kuti abwezeretsedwe magazi amagwiritsidwa ntchito mosamalitsa msanga. Koma malinga ndi mtundu wa stroke ndipo kaya ndi yaikulu kapena yaing'ono, ochepa magazi angapangitse vuto linalake ndikumayambitsa magazi, zomwe zingakhale zoipira, zomwe zimayambitsa matenda osokoneza bongo .
Kugwiritsiridwa ntchito kwa ochepa magazi omwe ndi opanga magazi ndi chisankho chovuta ndipo nthawi zambiri kumafuna kuthandizidwa ndi katswiri wapadera kudzera pa telemedicine.
Sitiroko ndi vuto lalikulu komanso lovuta. Zambiri za stroke zimamveka bwino ndipo kufufuza kwa mankhwala opatsirana kumapita patsogolo ndikupita patsogolo.
Zotsatira
Ropper, Allan, Samuels, Martin, Klein, Joshua, Principles of Neurology, Edition 10, McGraw Hill, 2014