Zizindikiro za Stroke ndi Zizindikiro
Mliriwu ukhoza kuyambitsa zizindikiro ndi zizindikiro zosiyanasiyana. Ambiri mwawo ndi ovuta kuphonya, koma akuyesera kunyalanyaza ngati simudziwa kuti ndi oopsa bwanji. Chofunika kwambiri pa kuchepetsa zizindikiro za matenda osokoneza bongo sikumasowa zizindikiro zokha, koma m'malo mofuna kuti apite okha. Ngati mwawona kapena mukuwona zizindikiro izi ndi zizindikiro za matenda a stroke, nkofunika kupeza chithandizo chamankhwala mwamsanga, monga kupweteka ndi vuto.
Zizindikiro Zodziwika ndi Zizindikiro za Sitiroko
Yang'anizani Zofooka
Izi zimamveka zachilendo chifukwa sitimaganizira kuti nkhope zathu ndizo "zamphamvu" kapena 'zovuta.' Koma minofu ya nkhope imagwira ntchito nthawi zonse. Kufooka kwa nkhope monga chizindikiro cha kukwapulidwa kumawonetsera ngati kuthamanga kwa khungu la chikopa kapena kukwapula kwa mbali imodzi ya nkhope. Nthawi zina mbali imodzi ya nkhope imawonekera kuti ndi yopanda pake ndipo pakamwa pake pangakhale pansi. Mwinanso amatha kusuntha lilime kumbali imodzi ya pakamwa.
Nkhondo kapena Kufooka kwa Thupi
Kufooka kwa mkono, mwendo, kapena zonsezi ndi chizindikiro chodziwika kwambiri cha zilonda. Pamene sitiroko imayambitsa kufooka kwa thupi, chinthu chofunikira ndi chakuti, makamaka, zimakhudza mbali imodzi yokha ya thupi. Mutha kuona kufooka pang'ono, kutanthauza kuti mulibe mphamvu zonse, kapena zofooka zathunthu, zomwe zimadziwika ndi chiwalo chodetsedwa chomwe simungathe kusuntha konse. Kufooka kwa ziweto kungakuchititseni kusiya zinthu kapena kukupangitsani kuti musakwaniritse zinthu. Nthawi zina kufooka kwa mwendo kungakuchititseni kudalira kumbali imodzi, pamene zofooka zazikulu za mimba zingakupangitseni kugwa.
Kulankhulidwa
Kulankhulana kungakhale koonekeratu kwa ena kusiyana ndi munthu amene ali ndi stroke. Kawirikawiri, kulankhula kosasokonezeka kumagwirizanitsa ndi drooling ndipo nthawi zambiri kumakhudzana ndi kufooka kwa nkhope.
Kugwa
Kufooka kwa miyendo kungachititse kugwa-chochitika chodabwitsa chomwe chingayambitse kuvulaza. Choncho, ngati muwona kuti wina wagwa pansi ndipo pali mwayi uliwonse kuti sangathe kudzuka popanda thandizo, kapena atakhala ndi mutu waukulu, ndikofunikira kwambiri kupempha thandizo.
Kutaya Masomphenya
Kuwonongeka koonekera kuchokera ku stroke kungasonyeze m'njira zosiyanasiyana zomwe zimathetsa masomphenya mu theka la diso limodzi kapena theka la maso onse, omwe nthawi zambiri amatchedwa hemianopsia . Ngati mwadzidzidzi mutha kuona masomphenya, muyenera kupeza thandizo ngakhale mutha kuona pang'onopang'ono kapena ngati mutha kuona kunja kwa maso anu. Hemianopsia ndi yopanda phokoso, koma imasokoneza ndipo ingakuchititseni kugwedeza maso anu pamene mukuyesera kuzindikira zomwe zikuchitika ndi masomphenya anu.
Mavuto a Chilankhulo
Mavuto a chinenero mwadzidzidzi ndi ena mwa zizindikilo zozizwitsa.
Aphasia , vuto lachilankhulo, lingasonyeze ngati vuto lobala mawu ophweka kapena ophatikizana ndi mawu, zovuta kumvetsetsa zolembedwa kapena zinenero, kapena kuphatikizapo vuto lililonse.
Mutu wamphamvu
Mutu waukulu ukhoza kuwonetsa matenda a sitiroko, makamaka kukwapulidwa kwa magazi, koma kupweteka kwa mutu sikuchitika. Modzidzimutsa , kupweteka kwa mutu kumene kuli kosiyana ndi kupweteka kwa mutu wanu nthawi zonse kungakhale chizindikiro cha kupwetekedwa, komabe ngati pali zizindikiro zina zokhudzana ndi maso monga kusintha kusintha kapena kufooka. Malangizo awa akhoza kukuthandizani kuthetsa pamene muyenera kudandaula ndi mutu.
Kusokonezeka
Zizindikiro za stroke zikhoza kukhala zosokoneza, koma kupweteka komweko kungayambitse chisokonezo chifukwa cha zotsatira za ubongo. Kusokonezeka mwadzidzidzi, kukhumudwa, kapena kukuiwala kungakhale chizindikiro cha kupwetekedwa kapena matenda ena ovuta.
Chizungulire
Chizunguliro, kutengeka, kapena kubvunda ndiko kuthekera kwa zizindikiro za kupwetekedwa. Ngati mukumva kuti simungathe kudzisunga nokha kapena kuti inu kapena malo anu akuzungulira, nkofunika kupeza chithandizo chamankhwala.
Zizindikiro zochepa zochepa ndi zizindikiro za matenda a sitiroko
Incontinence
Chikhodzodzo ndi chifuwa chimafuna kuyanjana pakati pa zigawo zingapo za ubongo. Kuthamangitsidwa mwadzidzidzi sikuli chizindikiro choyamba cha kupwetekedwa, koma chikhoza kukhala choyamba chowonetsa kuti pali vuto linalake.
Kunjenjemera, Kusinkhasinkha kapena Kuwonongeka Kwambiri
Mavuto osokoneza bongo monga kupweteka kapena kupweteka, kapena kulephera kumverera nkhope, mkono, kapena mwendo kungakhale chizindikiro choyamba cha stroke. Kawirikawiri, kupweteka kumayambitsa mavuto ambiri, koma mavuto amodzidzidzimutsa, osakhala ochepa, angakhale oyamba omwe amawonekera.
Zozizwitsa Zachilendo
Zovuta zachilendo zikhoza kukhala zizindikiro zoyamba za kupwetekedwa. Kwachidziwikire, khungu loyaka kapena kutsekemera ndikumakhala ndi zizindikiro zokhudzana ndi ubongo, osati kupweteka. Komabe, matendawa amayamba pang'onopang'ono patapita nthawi. Zosokonezeka mwadzidzidzi zimakhudza ndipo zimatha kuwonetsa khunyu.
Sinthani mu Masomphenya
Nthawi zambiri, kusintha kwawonetseratu kusonyeza kukwapulika kumagwera mu gulu la mabala owonetsera. Komabe, pali zochitika zina zomwe zimawonetseratu kusintha, kuphatikizapo imfa ya masomphenya mu diso limodzi ndi kutayika kwa masomphenya.
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Zosintha Zowoneka Pambuyo pa Mliri wa Lobe wa Occipital
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Chizungulire ndi Vertigo ndi Brainstem Strokes
Mafupa
Chimodzi mwa zizindikiro zosazolowereka komanso zochititsa chidwi za matenda a stroke, ziphuphu zosalekeza, zingakhale chizindikiro chodziwika kwambiri komanso chovutitsa cha kukwapulidwa kochepa mu ubongo. Zizindikiro zina za mtundu umenewu wa matenda a ubongo, wotchedwa Wallenberg matenda , umaphatikizapo kufooka kwa nkhope ndi miyendo, ndi kuchepa kwachinsinsi. Ngati stroke ikukula mofulumira, zizindikiro zakuthupi zingakhale zolepheretsa, choncho izi sizingowonjezereka.
Mavuto Ogwirizanitsa
Kachilombo kaŵirikaŵiri kamangogwirizanitsa kugwirizana. Komabe, kupweteka kwapadera kotchedwa serebellar stroke kungabweretse mavuto omwe ali otchuka kwambiri kuposa kufooka kapena zizindikiro zina.
Zosowa Zoganizira
Mliriwu ukhoza kusokoneza maganizo, kukumbukira, ndi kuphunzira. Kulephera kwa maluso oganiza ndi chiwindi cha matenda a maganizo monga kawirikawiri zimakhala zowonjezereka zowonongeka, m'malo mwa zizindikiro zatsopano. Komabe, kupweteka kwatsopano kungayambitse mavuto amodzidzidzidzi, makamaka ngati sitiroko yamkati yayamba kale kukhudza ubongo.
Zina Zomwe Mungasokonezeke Ndi Stroke
Neuropathy
Neuropathy ndi matenda a mitsempha. Neuropathy ndilo vuto lomwe limasokonezeka nthawi zambiri ndi stroke chifukwa ndilofala. Zizindikiro za matenda a mphuno, monga zizindikiro za kupwetekedwa, zimakhala zovutitsa komanso nthawi zambiri zimasokoneza. Komabe, zizindikiro za matenda a mphuno zimayamba pang'onopang'ono, makamaka zimapweteka, ndipo zimakhala ndi mbali zonse ziwiri za thupi, pamene zizindikiro za kupweteka kwapakati zimakhudza mbali imodzi ya thupi ndipo zimadziwika mofulumira, kufooka, ndi kutaya mtima.
Dementia
Pali mitundu yosiyanasiyana ya matenda a maganizo aumtima. Zomwe ali nazo ndizokuti amadziwika ndi kuchepa kwa chidziwitso ndi makhalidwe omwe amayamba. Kawirikawiri, mavuto a chidziwitso ndi makhalidwe omwe amayamba chifukwa cha sitiroko sizowonjezereka, koma, mmalo mwawo, ali mofulumira. Komabe, kukwapulidwa mobwerezabwereza nthawi zina kumabweretsa zizindikiro zomwe zimawoneka ngati zikuwoneka kuti zikuwoneka kuti zikuthetsa nzeru, zomwe zimapangitsa kuti kusiyana kusokonezeke. Vuto la dementia ndi matenda a maganizo omwe amachitidwa ndi zikwapu zomwe zimabwereza ndipo zimatha kusokonezeka mosavuta ndi mitundu ina ya matenda a maganizo monga matenda a Alzheimer's.
Matenda a Parkinson
Zizindikiro za matenda a Parkinson makamaka zimaphatikizapo zovuta zowonongeka, monga mantha ndi kuuma. Kawirikawiri, zizindikiro za matenda a Parkinson zimapita pang'onopang'ono ndipo zimakhudza mbali zonse ziwiri za thupi, mosiyana ndi mbali imodzi komanso mwadzidzidzi zizindikiro za kupwetekedwa.
Migraine Headaches
Mutu wa mutu wa mutu wa m'mimba umakhala ndi kupweteka kwa mutu osati kumangomva ululu. Migraines nthawi zambiri imakhudzana ndi chizungulire, photophobia (kuvutika chifukwa cha kuwala), ndi phonophobia (kuvutika chifukwa cha phokoso). Komabe, nthawi zina migraines imayambitsanso zizindikiro monga maonekedwe akusintha kapena kufooka, kapena popanda kupweteka mutu. Zigawo izi, zomwe nthawi zambiri zimatchedwa migraine zovuta, zimakhala zoopsa kwambiri. Mutu wa migraine wokhudzana ndi kuperewera kwa ubongo nthawi zonse umakhala wabwino. Komabe, sizingatheke kudziwa bwinobwino ngati zizindikiro za mitsempha zokhudzana ndi migraine ndi chizindikiro cha kupwetekedwa. Pali chiopsezo chochepa cha kudwala pakati pa anthu omwe amapezeka ndi migraines, choncho ngati mwapezeka kuti muli ndi migraines yovuta, ndibwino kuti mukhale osamalidwa ndi dokotala.
Myasthenia Gravis
Myasthenia gravis ndi chizoloŵezi chosadziwika bwino chomwe chimadziwika ndi mapiko a khungu. Pamene chikhalidwe chimawonjezeka, chimayambitsa zofooka zathunthu ndipo zingakhudze minofu ya kupuma. Myasthenia gravis ndi matenda a neuromuscular, chifukwa zimakhudza kuyankhulana pakati pa mitsempha ndi minofu yomwe amayenera kuyendetsa, mosiyana ndi kupwetekedwa, zomwe zimawonongeka ndi ubongo chifukwa cha kusokonezeka kwa mitsempha. Myasthenia gravis amakhalanso ofanana kumbali zonse ziwiri za thupi, ndipo zizindikiro zake zimatha kuchiritsidwa ndi mankhwala.
Multiple Sclerosis
Multiple sclerosis (MS) ndi matenda ofala omwe amakhudza ubongo, msana, ndi mitsempha ya maso. MS, ngati sitiroko, kawirikawiri amapanga zizindikiro mwadzidzidzi zomwe zimaphatikizapo zofooka, kusintha kwa masomphenya, ndi kuchepa kwachinsinsi. Kusiyana kwakukulu pakati pa zizindikiro za MS ndi matenda a stroke ndizoti zizindikiro za stroke zimagwirizana ndi zigawo za ubongo zomwe zimaperekedwa ndi mitsempha yomweyo, pamene zizindikiro za MS sizikutsatirani mchitidwe wogawanika wa stroke. MS ndi matenda a moyo wonse omwe amadziwika ndi kuchulukitsidwa ndi kuchotsedwa. Pali mankhwala angapo omwe angathandize kuchepetsa kuopsa kwake, kuchuluka kwake, komanso kuwonongeka kwambiri kwa ma sclerosis.
TIA
Mtundu wina wa mphuno monga chiwonongeko chotchedwa Ischemic attack (TIA) ndi kusokonezeka kwa kanthawi kochepa mu ubongo umene umatsimikiza kuti usanawonongeke. Ngati mukumva zizindikiro za mliri womwe umakhala wabwino mwaokha, ndiye kuti zikhoza kukhala TIA. Koma TIA si chifukwa chokhalira kupuma kwachisangalalo ndikuiwala za zizindikiro zanu. Anthu ambiri omwe amatha kukhala ndi TIA amayamba kupwetekedwa ngati samayamba kumwa mankhwala kuti ateteze mmodzi-ndipo palibe amene angadziwe ngati TIA imatanthauza kuti mliri udzachitika mu ola limodzi kapena mkati mwa miyezi ingapo.
Mawu Ochokera
Ndikofunika kudziwa zizindikiro ndi zizindikilo za kupweteka kwapakati pamene mungakumanepo kapena kuchitira umboni wina amene ali. Zimenezo, zomwe mumamva kapena kuziwona zingakhale zoopsa. Ngati mukuganiza kuti mwina mukudwala sitiroko, zingakhale zovuta kuti muyesetse kuthetsa ngati zizindikirozo zilidi chifukwa cha kupwetekedwa, TIA, kapena chinthu china pamene mukukhala nawo. Ngati muwona munthu amene akudwala sitiroko, mungamve momwemonso.
Ngati inu mukuganiza kuti zomwe mukuwona kapena kumverera zingakhale chifukwa cha kupwetekedwa, funsani thandizo lachangu ndikuyesera kufotokozera zambiri momwe mungathe ku gulu lachipatala. Tengani zowonjezera, koma khulupirirani matumbo anu nthawi zonse.
Zotsatira za nthawi yayitali zimakhala zofanana ndi zizindikiro zoyamba, ngakhale sizili zofanana. Pambuyo pa kupweteka, zizindikiro zimakhazikika ndipo nthawi zambiri zimawoneka bwino. Zizindikiro zatsopano monga kupweteka , kuthamanga , kuthamanga kwa minofu , kuvutika maganizo, ndi kumeza mavuto kungayambe. Kusamalira mofulumira kukulandiridwa, bwino bwino zotsatira zake ndizo.
> Chitsime:
Khalidwe lachilendo panthawi ya kupweteka kwapakati: Kufufuza kwapakati pazizindikiro za matenda odwala matendawa, Mellon L, Doyle F, Williams D, Brewer L, Hall P, Hickey A, Emergency Medicine Journal, June 2016.