Kugonana kungasinthe pambuyo pa kupwetekedwa. Kukwapulika sikoyenera chifukwa chokhalira kugonana. Koma nkhawa imene imachitika chifukwa cha kupwetekedwa mtima ingapangitse kusintha kwa kugonana.
Kupweteka kwa matenda a stroke kumayambira mwamsanga, ndipo kumapitirizabe munthu wina atapulumuka kudwala matenda osokoneza bongo ndipo okondedwa ake achoka kuchipatala. Odwala opweteka ndi odwala ayenera kuthana ndi mavuto atsopano pambuyo pa kupweteka, monga:
- Kusunga mankhwala atsopano
- Kukhala ndi chilema chatsopano
- Kuphunzira kuyenda njira zachipatala
- Kulimbana ndi zovuta za inshuwalansi
- Kugwiritsa ntchito kufufuza mawonekedwe ndi mapepala osadziwika
- Kuika maumboni ndi odwala, opaleshoni, ndi madokotala
Mosakayikira, chigumula chosayembekezereka cha mavuto atsopano chingakhudze chibwenzi, osatchula zomwe zilema zakuthupi ndi zamaganizo zomwe zimabweretsa chifukwa cha sitiroko yokhayo ingathe kusintha kusintha kwa maanja. Mphamvu za chiyanjano ndi kugonana kwa chiyanjano zingasinthidwe, mwachangu, ndi mavuto monga afesiya (osakhoza kulankhula kapena kumvetsa chinenero), hemiplegia (kufooka kwa mbali imodzi ya thupi nthawi zambiri yokhudza nkhope, mkono, ndi mwendo) kapena hemiparesis (mbali yochepa ya mbali imodzi ya thupi.)
Ntchito Yogonana Pambuyo pa Stroke
Pokhapokha, kupwetekedwa sikumayambitsa chifukwa chogonana.
Kafukufuku amasonyeza kuti zikuwoneka kuti ndi nthawi yochepa yothetsera vutoli pambuyo pa kupweteka kumene moyo wa kugonana umaletsedwa. Mwachitsanzo, kafukufuku wina anapeza kuti amuna 80% omwe amafotokoza kufooka kwa erectile pambuyo poti sagwirizanenso akugwira ntchito patapita miyezi ingapo. Komabe, banjali lingapitirizebe kuvutika chifukwa cha kugonana kwa zaka zambiri pambuyo pa kupwetekedwa.
Pano pali mndandanda mwachidule wa zifukwa zofala kwambiri izi:
Kuopa Kupsinjika Kwina
Anthu ambiri amakhulupirira kuti munthu akakhala ndi vuto linalake, chisangalalo chogonana chikhoza kuwapweteka . Izi sizingakhale choncho. Nthawi zambiri, wodwala ali ndi matenda apamtima angapemphedwe ndi dokotala kuti achepetse zofuna zathu pamtima (ngakhale kugonana) kuti athetse vuto la mtima. Kugonana kochepa kumalimbikitsidwanso pamene munthu akufuna kuchita opaleshoni kuti akonze chombo chachikulu cha aneurysm , kapena chotengera cha magazi. Izi zimachitidwa kuti zisawonongeke kuwonjezeka kwa kugonana mukuthamanga kwa magazi zomwe zingachititse kuti mitsempha ya magazi iwonongeke ndi kuuluka.
Kafukufuku amasonyeza kuti mantha amodzi ndi omwe amachititsa kuti anthu asagwirizane ndi kugonana pakati pa opulumuka. Mwachitsanzo, kafukufuku wina amasonyeza kuti odwala 50 mpaka 50 omwe amachira chifukwa cha kugonana kwachilombo chifukwa cha mantha kuti angawavulaze. Komanso, ambiri mwa anthu omwe ali ndi kachilombo koyambitsa matenda a stroke akunena kuti akuchita mantha kuti ayambe kugonana chifukwa cha mantha kuti mnzawo angathe kudwala matenda ena.
Kuchepetsa Libido
Kuchepetsa libido pambuyo poti sitingathe kuyembekezera ku zifukwa zingapo zamaganizo, kuphatikizapo kudzidalira, kusatsimikizika za tsogolo la chiyanjano, kuganizira zachuma, ndi mavuto kulandira moyo watsopano wolumala.
Mwinanso, kuchepa kwa libido kungayambitsidwe ndi mankhwala ena kuphatikizapo antidepressants, ndi mankhwala apamwamba a magazi (mwachitsanzo, beta blockers ).
Immobility
Kukwapula kungakhudze mbali za ubongo zomwe zimayendetsa manja ndi miyendo, motero kumathandiza maanja kukwaniritsa zochitika zogonana zomwe amasangalala nazo kwambiri. Inde, anthu ena amakhudzidwa kwambiri kuposa ena mwa izi, malinga ndi kuchuluka kwa ubongo umene umayambitsa stroke.
Kusokonezeka maganizo
Kafukufuku wambiri amasonyeza kuti kupanikizika kumachepetsanso kugonana pambuyo pa kupwetekedwa mtima poyambitsa wopulumuka, komanso mnzanuyo. Palibe funso, komabe, ngati matendawa ndi omwe amachepetsa kugonana kapena ngati akudwala matenda ovutika maganizo, kuchepetsa libido ndi chimodzi mwa zotsatira zoyipa za mankhwala opatsirana pogonana.
Kuonongeka kwa Mbali Zogonana za Ubongo
Monga tafotokozera pamwambapa, sitiroko kawirikawiri ndizo chifukwa choyambitsa kugonana. Komabe, zikwapu zina zingakhudze kumverera kuchokera kumalo opatsirana pogonana, zomwe zimawatsogolera anthu kuti asamveke ngati akusowa chiwerewere. Sitiroko zina zingayambitse anthu kulephera kuzindikira za ziwalo zawo. Zoonadi, imodzi mwa milanduyi ingapangitse kugonana kukhala kovuta. Kukwapula komwe kumakhudza hypothalamus, mbali ya ubongo yomwe imakhudza mahomoni ogonana, ingathandizenso kugonana kwa munthu. Nthawi zina sindinayambe kugonana, chifukwa cha kupwetekedwa mtima kungayambitsenso kugonana, kapena zachilendo komanso kusonyeza khalidwe losayenera la kugonana .
Mawu Ochokera
Thandizo la kugonana lingakhale njira imodzi yabwino kwambiri yowonjezera kugonana pambuyo pa kupweteka. Njira zina ndi njira zikuphatikizapo:
- Tsegulani kulankhulana pakati pa okondedwa
- Akuuzeni dokotala ndi / kapena mankhwala kuti asankhe ngati zingatheke kusintha mankhwala mu regimen yanu, zomwe zingakhudze kugonana kwanu.
- Yankhulani ndi nkhawa yanu ndipo mumvetse kuti si zachilendo kuti kugonana kumayambitsa sitiroko. Izi zingakhale zolimbikitsa kwa inu ndi mnzanuyo.
- Pamene mukuyenera kuyesetsa kuti mubwezeretse ntchito tsiku ndi tsiku, muyenera kumvetsetsa kuti kuvomereza kulemala kwanu ndi chinthu chofunikira choyamba kuti muthe kukhazikitsa moyo wanu wogonana.
> Zotsatira:
Kupweteka kwa poststroke: zifukwa zomwe zingayambitse matendawa, zomwe zimachititsa kuti asinthe, Karaahmet OZ, Gurcay E, Avluk OC, Umay EK, Gundogdu I, Ecerkale O, Cakci A, Int J Rehabil Res. 2017 Mar; 40 (1): 71-75