Stroke imakhalabe chifukwa chachitatu cha imfa ku United States pambuyo pa matenda a mtima ndi khansara. Chaka chilichonse, anthu pafupifupi 800,000 amavulazidwa ndi stroke ndipo140,000 amafa nawo.
Chifukwa chakuti sitiroko imakhala yoopsa kwambiri, muyenera kukhala okonzekera ndi mauthenga okhudzana ndi chisamaliro chapadera kumudzi wanu kwa mnzanu kapena wachibale amene akukumana ndi vuto lalikulu lachipatala.
Mitundu ya Stroke ndi Edzidzidzi Mwachangu
Sitiroko ya Ischemic imachitika pamene pali kupyolera kapena kusungunuka kwa chotengera mu ubongo chifukwa cha thrombosis kapena embolism. Thrombosis ya ubongo ndi mapangidwe a magazi mkati mwa ubongo omwe amachititsa kuti magazi aziyenda. Ubongo wa ubongo umachitika pamene chovala chimene chimapanga kwinakwake m'thupi chimapita ku ubongo ndi kutseka magazi .
Odwala omwe amatha kupwetekedwa ndi matendawa amatha kupatsidwa mankhwala osokoneza bongo, monga tPA; ochepa magazi, monga heparin; kapena anti-clotting agent, monga aspirin.
Sitiroko yoopsa imachitika pamene chotengera chimatuluka ndikumatulutsa mkati mwa ubongo. Kuvulala kumeneku kumayambitsidwa chifukwa cha anirysm , yomwe imakhala yofooka komanso yowonongeka m'deralo. Kukhumudwa ndi kuwonjezeka kwa ubongo kungayambitsenso matenda opweteka kwambiri.
Mankhwala okhudza kupweteka kwachimake ndi cholinga choletsa kupanikizika , kapena kupanikizika mkati mwa chigaza.
Palibe ochepa magazi kapena othandizana ndi anti-clotting omwe amagwiritsidwa ntchito kuyambira pamene kupweteka kumayamba chifukwa cha magazi. Cholinga cha chithandizo ndikumasiya kupatsirana magazi ndi kuchepetsa kupanikizika kwapadera kuti kuchepetsa ubongo. Zophatikizapo zimaphatikizapo mankhwala osokoneza bongo kuti achepetse kuthamanga kwa thupi komanso kuchepetsa kutupa mu ubongo, opaleshoni yokonzanso zotengera zowonongeka, kapena mankhwala osokoneza bongo kuti atseke magazi kupita ku chipangizo chothamanga.
Imfa Yopweteka ndi Chisamaliro Chokhalitsa
Ngakhale kuti mwadzidzidzi mwadzidzidzi, pafupifupi munthu mmodzi mwa anthu atatu amene amazunzidwa ndi stroke amafa. Imfa ikhoza kutsatila mliri mwamsanga kapena kubwera pakapita nthawi. Odwala opweteka omwe amatha kupulumuka pachiyambi choyamba angadwale kwambiri thupi ndi maganizo. Kufooka kwa thupi, kuvutika kumeza, kusadziletsa, komanso kutulutsa mpweya wabwino kumapangitsa kuti pakhale ngozi. Mliriwu ukhoza kuwapangitsa anthu kukhala ovuta kapena osasinthasintha zamasamba, kutsegulira khomo la zovuta komanso zofunikira pa moyo wawo.
Mapulogalamu othandizira anthu odwala matendawa komanso othandizira anthu odwala matendawa angathandizire anthu omwe avulala ndi matendawa komanso okondedwa awo kuti azikhala ndi mavuto ovuta. Cholinga cha chisamaliro cholumikizana ndi odwala ndi chosiyana kwa anthu omwe adagwidwa ndi stroke. Kusamalidwa kumachitika kawirikawiri kuchipatala popanda malire pa nthawi ya moyo. Kusamalidwa kungapangidwe musanatengere matenda opatsirana .
Komabe, chisamaliro cha chipatala n'choyenera kwa anthu omwe ali ndi miyezi isanu ndi umodzi kapena ochepa kuti azikhala ndi omwe amasankha kufa kunyumba kwawo. Hospice ndi kusankha kwabwino kwa munthu amene wasankha zotsutsana ndi chithandizo chokhalitsa moyo, monga kupatsa chubu ndi mpweya wabwino .
Odwala ogwidwa ndi matenda osokoneza bongo omwe amapatsidwa chithandizo cha kuchipatala nthawi zambiri amatengedwera kunyumba kapena amaloledwa kupita kuchipatala kwa masiku otsalawo.
Zotsatira:
> Intaneti Stroke Center. Ziwerengero za Stroke. http://www.strokecenter.org/patients/about-stroke/stroke-statistics/
Holloway RG, Benesch CG, Burgin S, Zentner JB. Kugonjetsa ndi Kusankha Kupanga kupweteka koopsa. JAMA. 2005; 294: 725-733.