Kugwiritsira ntchito mankhwala osokoneza bongo ndikoopsa kwambiri chifukwa cha kupwetekedwa, ndipo nthawi zambiri zimagwirizanitsidwa ndi kupwetekedwa kwa achinyamata omwe alibe matenda omwe amachititsa kuti aphedwe. Koma mankhwala osokoneza bongo ali ndi zotsatira zofanana pa chiopsezo cha sitiroko, ndipo mankhwala osiyanasiyana amakhudza thupi mosiyana.
Mankhwala ena angayambitse sitiroko mwa kuvulaza mitsempha yamagazi mu ubongo pamene ena amachititsa sitiroko molakwika, mwa kuwononga ziwalo zina m'thupi - monga mtima, impso kapena chiwindi.
Kugwiritsa ntchito mankhwala osokoneza bongo omwe amadziwika kuti amachititsa kuti ziphayo zikhale zoopsa monga kumwa mowa, cocaine, amphetamines ndi heroine.
Mowa
Ngakhale kuti vinyo wofiira ali ndi ndalama zochepa zingakuteteze kuti usagwidwe , kugwidwa mowa kwambiri kungapangitse chiopsezo chanu chokhala ndi stroke.
Kugwiritsa ntchito mowa mopitirira muyeso kungapangitse chiopsezo cha kupwetekedwa. Chowopsa kwambiri cha kumwa mowa kwambiri ndi chiwopsezo chowopsa cha kupweteka kwa magazi , chomwe ndi mtundu woopsa kwambiri wa stroke womwe umadziwika ndi kutuluka magazi mu ubongo.
Kuopsa koti sitiroko yomwe imakhudzana ndi kumwa mowa kwambiri kumawonekera chifukwa cha kuphatikiza kwa kuthamanga kwambiri kwa magazi komanso kufooka kwa thupi kwa thupi. Imodzi mwa njira zomwe mowa umalepheretsera kuzimitsa magazi ndi kuwononga chiwindi. Chiwindi chimapanga mapuloteni omwe ali ofunikira kupewa kutuluka mwadzidzidzi. Pamene chiwindi sichikhoza kupanga mapuloteni ofunikira awa, kutaya mwazi koopsa kumakhoza kulikonse kulikonse m'thupi, kuphatikizapo ubongo.
Cocaine
Pali mgwirizano pakati pa ntchito ya cocaine ndi stroke. Cocaine ikhoza kuwononga mwadzidzidzi nthawi yayitali. Kuwonjezera apo, kugwiritsidwa ntchito mobwerezabwereza kwa cocaine kungayambitsenso matenda a cerebrovascular m'kupita kwa nthawi, kuwonjezeka kwambiri pangozi ya kupwetekedwa, ngakhale kwa achinyamata omwe alibe thanzi labwino.
Njira zofunika kwambiri zomwe ntchito ya cocaine imagwiritsira ntchito kuonjezera chiopsezo cha matendawa ndi awa:
- Mwachangu komanso mofulumira kuwonjezera kuthamanga kwa magazi ndi kuchititsa magazi mu ubongo
- Mwa kuchititsa mitsempha ya mitsempha mwadzidzidzi kapena mopepuka pang'ono
- Ngati mumagwiritsa ntchito mawonekedwe ake omwe amadziwika kuti crack cocaine, amachepetsa chiopsezo chachikulu cha matenda opatsirana mu mtima. Matenda oterewa, otchedwa endocarditis, ndi amodzi mwa zikhalidwe zamtima zomwe zingayambitse matenda.
Heroin
Heroin ndi mankhwala osokoneza bongo amene amachitiridwa nkhanza. Mofananamo ndi intravenous cocaine, heroin yoopsa imapangitsanso chiopsezo chotchedwa endocarditis , chomwe chimachititsa kuti mabakiteriya alowe m'magazi ndi kukula pamwamba pa mavava a mtima. Magulu akuluakulu a mabakiteriyawa, omwe amadziwika kuti septic emboli, amachoka pamtima, amayenda ku ubongo ndipo amaletsa chotengera cha magazi mu ubongo, zomwe zimayambitsa matenda. Chifukwa chakuti heroin imayiritsidwa, kugwiritsa ntchito kwake kumapangitsanso chiopsezo cha matenda omwe sungathe kuwomboledwa pogwiritsa ntchito singano monga HIV ndi matenda a chiwindi.
Kugonjetsa kwa heroin kungapangitse kupuma pang'ono, kuteteza mpweya wokwanira kuti ufikire thupi. Panthawi ya oxygen yotsika kwambiri, munthu akhoza kuvutika chifukwa chosowa mpweya wabwino mu ubongo , ngakhale atachiritsidwa ndikupulumuka kwambiri.
Amphetamines
Pakhala pali malipoti ambiri omwe amasonyeza kuti amphetamine amagwiritsidwa ntchito maola ambiri asanayambe kupwetekedwa, ngakhale pakati pa achinyamata omwe ali ndi thanzi labwino popanda zifukwa zoopsa.
Amphetamines monga methamphetamine ali ndi mphamvu zowonjezera kuthamanga kwa magazi mwamsanga. Pamene kuthamanga kwa magazi ndi nthenda imodzi yomwe imayambitsa matenda, sizodabwitsa kuti ntchito ya amphetamine ingapangitse chiopsezo cha munthu kuti adwale matendawa. Monga mowa wa cocaine, kugwiritsa ntchito mankhwala a methamphetamine kwa nthawi yaitali kumawonjezera chiopsezo cha poizoni mwa kuchititsa kusagwira bwino ntchito m'mitsempha ya ubongo, pamene kuvulaza thupi lonse.
Kugwiritsira ntchito methamphetamine kwa nthawi yayitali kungabweretse mlidzidzidzi mwadzidzidzi panthawi yomwe wagwiritsidwa ntchito kapena pambuyo pake, makamaka chifukwa cha kusintha kwadzidzidzi kwa kuthamanga kwa magazi ndi mtima wothandizidwa ndi methamphetamine m'thupi.
Mankhwala Osokoneza Bongo Amene Amagwirizanitsidwa ndi Sitiroko
- Phencyclidine (PCP): mankhwalawa amadziwikanso ngati fumbi la mngelo
- Lysergic acid diethylamide (LSD)
- Mitundu ya mankhwala
- Marijuana
- Ndudu
- Zina zakumwa kwa mphamvu - ngati zimagwiritsidwa ntchito kwambiri
Mawu Ochokera
Kachilombo kaŵirikaŵiri kamayambitsa mavuto a umoyo kwa nthawi yaitali, kuwononga mitsempha ya magazi ndi kuwonjezera mwayi wokhala ndi magazi kapena kutuluka magazi mu ubongo. Kugwiritsa ntchito mankhwala osokoneza bongo kungachititse kuti thupi liwonongeke mwadzidzidzi, ndipo zotsatira zake zimakhala zoopsa kwambiri. Sitiroko ndi imodzi mwa zotsatirazi.
Kuchokera ku stroke chifukwa cha kugwiritsira ntchito mankhwala mofanana ndi njira yowonongeka kuchokera ku stroke yomwe imayambitsidwa ndi matenda ena aliwonse-izi zimaphatikizapo kukonzanso ndi kuchepetsa zipsyinjo za kupha ziwalo. Pamene sitiroko imayambitsidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo, kuchepetsa chiopsezo chotere kumayambitsa kuthetsa kugwiritsira ntchito mankhwala osokoneza bongo komanso kuledzeretsa, zomwe zimapindulitsa kwambiri komanso zimakhala zotsalira. Achinyamata amavutika kwambiri ndi matenda osokoneza bongo, ndipo kupumula kungakhale kosavuta chifukwa cha thanzi labwino kwambiri la opulumuka achinyamata ambiri.
> Kuwerenga Kwambiri:
Kuwongolera mwatsatanetsatane zochitika zovuta zomwe zimagwiritsidwa ntchito pogwiritsa ntchito mankhwala omwe amatha kupanga mankhwalawa ndi Tait RJ, Caldicott D, Mountain D, Hill SL, Lenton S, Clin Toxicol (Phila). 2016; 54 (1)
> Stroke ndi methamphetamine amagwiritsidwa ntchito kwa achinyamata: ndemanga, Lappin JM, Darke S, Farrell M, J Neurol Neurosurg Psychiatry. Dec 2017; 88 (12): 1079-1091. onetsani: 10.1136 / jnnp-2017-316071. Epub 2017 Aug 23.