Chifukwa chakuti mankhwala a TPA angayambe kusinthasintha kwa zikwapu zamaschemic, ndikofunikira kumvetsetsa zomwe zimachitika mkati mwa ubongo panthawi yomwe imakhala yachilendo . Koma choyamba, tiyeni tikambirane za stroke.
Mwachidule
Stroke ndi matenda omwe amakhudza mitsempha yopita ku ubongo. Ndicho chifukwa cha imfa ndi chifukwa chachikulu cholemala ku United States.
Sitiroko imapezeka pamene chombo cha magazi chomwe chimanyamula oksijeni ndi zakudya ku ubongo chimatsekedwa ndi chovala kapena kupasuka. Izi zikachitika, mbali imodzi ya ubongo silingapeze magazi (ndi oxygen), kotero izo ndi maselo a ubongo amafa.
Zotsatira
Ubongo ndi chiwalo chovuta kwambiri chomwe chimayang'anira ntchito zosiyanasiyana za thupi. Ngati sitiroko imapezeka ndipo kuthamanga kwa magazi sikungathe kufika ku dera lomwe limayang'anira thupi lapadera, gawo limenelo la thupi siligwira ntchito moyenera.
Zowopsa
- Ukalamba - Mpata wokhala ndi sitiroko pafupifupi maulendo awiri pa zaka khumi zonse za moyo mutakwanitsa zaka 55. Ngakhale kuti anthu ambiri okalamba amavutika ndi zilonda, anthu ambiri oposa 65 amakhala ndi zikwapu.
- Heredity (mbiri yakale ya banja) - Vuto lanu la kupweteka kwambiri lingakhale lalikulu ngati kholo, agogo, aakazi kapena mbale adagwidwa ndi stroke.
- Mpikisano - African-American ali ndi chiopsezo chochuluka cha imfa kuchokera ku stroke kuposa Caucasians. Izi ndizo chifukwa anthu akuda ali ndi mavuto akuluakulu a kuthamanga kwa magazi, shuga, ndi kunenepa kwambiri.
- Kugonana (kugonana) - Chaka chilichonse, amayi ali ndi zilonda zambiri kuposa amuna, ndipo kupha ziwalo kumapha akazi ambiri kuposa amuna. Kugwiritsa ntchito mapiritsi oletsa kubereka, mimba, mbiri ya preeclampsia / eclampsia kapena matenda a shuga, kugwiritsira ntchito pakamwa, ndi kusuta, komanso mankhwala opatsirana am'mimba amatha kupweteka kwambiri amayi.
- Musanayambe kupwetekedwa, TIA kapena matenda a mtima - Kuopsa kwa kupwetekedwa kwa munthu amene kale ali ndi nthawi zambiri kuposa munthu amene alibe. Kuthamanga kwa ischemic kochepa ndi "kuchenjeza" zomwe zimabweretsa zizindikiro monga matenda koma sizowonongeka kosatha. TIAs ndizowongolera mwamphamvu za kupwetekedwa. Munthu yemwe ali ndi TIA imodzi kapena zambiri amakhala odwala kangapo kambirimbiri kuposa munthu yemwe ali ndi zaka zofanana komanso kugonana yemwe alibe. Kuzindikira ndi kuchiza TIA kungachepetse chiopsezo chachikulu cha kupwetekedwa. TIA iyenera kuonedwa kuti ndi yachipatala mwamsanga ndipo imatsatira nthawi yomweyo ndi dokotala wa zaumoyo. Ngati mwakhala ndi matenda a mtima, muli pachiopsezo chachikulu chokhala ndi stroke, nanunso.
Kodi Hemorrhagic Conversion n'chiyani?
Mliriwu umayamba chifukwa cha kuthamanga kwa magazi kumbali imodzi ya ubongo, zomwe zimapangitsa malo ambiri a minofu kukhala osowa oksijeni, ndipo maselo omwe amapanga dera amayamba kufa. Pakapita nthawi, maselo ocheperapo ndi ocheperapo amatsala kuti apulumutsidwe ndi mankhwala osokoneza bongo, ndipo maselo ambiri atamwalira, kuchiza sitiroko sikuthandizira ndipo kumatha kusintha shuga ya ischemic kuti ikhale yopweteka kwambiri. Chochitika ichi chimatchedwa kutembenuka kwa magazi.
Kodi izi zingatheke bwanji? Chithandizo chachikulu cha mankhwalawa ndi cholinga chobwezeretsa magazi kupita kumalo osokoneza bongo.
Koma patatha maola angapo pambuyo pake, minofu ya ubongo yafa, imatha kutaya magazi mkati mwa mitsempha, kuonjezera chiopsezo chachikulu kuti mimba idzachitika ngati magazi adzabwezeretsedwa. Mtundu uwu wamagazi m'matumbo wakufa umatchedwa kutembenuka kwa magazi. Pafupifupi 6 peresenti ya milandu yonse ya kupwetekedwa imakhala ndi mankhwala opatsirana a tPA, mankhwala amphamvu othamanga magazi, amatha kutembenuka mtima kwambiri.
Chiyembekezo cha kutembenuka kwa magazi ndi chimodzi mwa zifukwa zazikulu zomwe tizilombo ta tizilombo toyambitsa matenda ndi zina zotere zimagwiritsidwa ntchito mkati mwazenera nthawi yina.
Zotsatira:
American Stroke Association. http://www.strokeassociation.org/STROKEORG/AboutStroke
Gatz Thomalla, MD; Jan Sobesky, MD; Martin Kharmann, MD; Jochen B. Fiebach, MD; Jens Fiehler, MD; Olivier Zaro Weber, MD; Anna Kruetzelmann, MD; Thomas Kucinski, MD; Michael Rosenkranz, MD; Joachim M'malo mwake, MD Peter D. Schellinger, MD, PhD Two Stories: Hemorrhagic Transformation koma osati Parenchymal Hemorrhage Pambuyo pa Thrombolysis Amagwirizana ndi Kuzama ndi Kutalika kwa Ischemia MRI Phunziro la Acute Stroke Odwala Omwe Amagwiriridwa Ndi Matenda Osakaniza Plasminogen Activator M'maola 6 Mliri 2007; : 313.