Stroke ndiyo "muurayi wekutanga" wehutano hwevanhu.KuChina, kune murwere mutsva wesitiroko mumasekonzi gumi nemaviri ega ega, uye munhu mumwe anofa nesitiroko mumasekonzi 21 ega ega.Stroke yave chirwere chepamusoro chinouraya muChina.

Musi wa12 Ndira, Lin Min, director weDhipatimendi reNeurology uye mudzidzisi wepashure kubva kuFujian Second People's Hospital, akashanyira kamuri yekutepfenyura yeFujian News Broadcast "Sharing Doctor" column yakanyatso kutepfenyurwa neGANOHERB, vachikuunzirai hurukuro yehutano hweveruzhinji pa " Kudzivirira uye Kurapa kweStroke”.Ngationgororei zvinofadza zviri munhepfenyuro yelive.'

Goridhe maawa matanhatu kununura varwere sitiroko

Kukurumidza kuzivikanwa kwezviratidzo zvesitiroko:
1: Asymmetrical chiso uye muromo wakatsauka
2: Kutadza kusimudza ruoko rumwe
3: Kutaura kusina kujeka uye kuoma pakutaura
Kana murwere aine zviratidzo zviri pamusoro, ndapota fonera nhamba ye emergency nekukurumidza.

Mutungamiriri Lin akasimbisa asimbisazve mupurogiramu yacho, kuti: “Nguva uropi.Maawa matanhatu mushure mekutanga sitiroko ndiyo nguva huru.Kuti ngarava yacho inogona kufambiswa patsva panguva ino inokosha zvikuru.”

Mushure mekutanga kwesitiroko, intravenous thrombolysis inogona kushandiswa kuvhura tsinga dzeropa mukati memaawa mana nehafu.Mitsipa yeropa yevarwere vane hombe yemidziyo yeropa inogona kuvhurwa nekubvisa thrombus.Nguva yakanakisisa yethrombectomy iri mukati memaawa matanhatu kubva pakatanga sitiroko, uye inogona kuwedzerwa kusvika mukati memaawa makumi maviri nemana mune vamwe varwere.

Kuburikidza nenzira idzi dzekurapa, uropi husati hwave necrotic hunogona kuponeswa kusvika pamwero mukuru, uye huwandu hwekufa nekuremara hunogona kudzikiswa.Vamwe varwere vanogona kupora zvachose vasina kusiya chero sequelae.

Director Lin akataurawo muchirongwa ichi: "Mumwe pavarwere vana sitiroko achave nechiratidzo chekunyevera.Kunyangwe ari mamiriro enguva pfupi chete, anofanirwa kutariswa. ”

Kana zviratidzo zvinotevera zvenguva pfupi zvikaonekwa, tsvaga kurapwa nenguva:
1. Nhengo imwe (ine kana isina chiso) haina kusimba, haina kusimba, inorema kana kuti chiveve;
2. Kutaura kusina kujeka.

“Kune nzira dzakasvibira dzevarwere vesitiroko muchipatara.Mushure mekufona foni yekukurumidzira, chipatara chakavhura nzira yegirinhi kune varwere vachiri muamburenzi.Mushure mekupedza maitiro ese, vanozoendeswa kukamuri yeCT kunoongororwa nekukurumidza pavanosvika kuchipatara."Director Lin vakadaro.

1. Mushure mokunge murwere asvika muimba yeC CT, cheki huru ndeyekuona kana tsinga yeropa yakavharwa kana kuputsika.Kana yakavharika, murwere anofanira kupiwa mushonga mukati memaawa mana nehafu, inova thrombolytic therapy.
2. Neural interventional therapy, kugadzirisa mamwe matambudziko ekuvharidzirwa kwevascular ayo mishonga isingagoni kugadzirisa, inonziwo intravascular interventional therapy.
3. Panguva yekurapa, tevera mazano enyanzvi.

Zvikonzero zvinowanzoitika zvinogona kunonoka rubatsiro rwekutanga kune sitiroko
1. Hama dzemurwere hadzina hanya nazvo.Vanogara vachida kumirira uye kuona, uye vozocherechedza;
2. Vanotenda zvisiri izvo kuti idambudziko diki rinokonzerwa nezvimwe zvikonzero;
3. Pashure pokunge vakweguru vasina chinhu-dendere varwara, hapana anovabatsira kuridza runhare rwechimbichimbi;
4. Kutevera zvipatara zvikuru noupofu uye kusiya chipatara chiri pedyo.

Nzira yekudzivirira sei sitiroko?
Kudzivirirwa kwekutanga kweischemic sitiroko: kuderedza njodzi yekurova muvarwere vasina asymptomatic inonyanya kubata nenjodzi.

Kudzivirirwa kwechipiri kweischemic sitiroko: kuderedza njodzi yekudzokorora kwevarwere vesitiroko.Mwedzi mitanhatu yekutanga mushure mekurohwa kwekutanga ndiyo danho rine njodzi huru yekudzokazve.Nokudaro, basa rekudzivirira rechipiri rinofanira kuitwa nokukurumidza sezvinobvira mushure mekurohwa kwekutanga.

Risk factors for sitiroko:
Zvinhu zvine njodzi zvisingakwanisi kupindira: zera, murume kana mukadzi, rudzi, nhaka yemhuri
2. Zvinhu zvine ngozi zvinogona kupindira: kusvuta, kudhakwa;mamwe mararamiro asina kunaka;high blood pressure;chirwere chemoyo;chirwere cheshuga;dyslipidemia;kufutisa.

Hupenyu hunotevera hwakashata huchawedzera njodzi yesitiroko:
1. Kusvuta, kudhakwa;
2. Kusaita maekisesaizi;
3. Kudya kusina kunaka (mafuta akawanda, ane munyu, nezvimwewo).

Zvinokurudzirwa kuti munhu wese asimbise maekisesaizi uye adye zvekudya zvine hutano zvakaita semuriwo, michero, zviyo, mukaka, hove, bhinzi, huku nenyama isina mafuta mukudya kwavo, uye kuderedza kudyiwa kwemafuta akaguta necholesterol, uye kuderedza kudyiwa kwemunyu. .

Rarama Q&A

Mubvunzo 1: Migraine inokonzera chirwere here?
Mutungamiri Lin anopindura: Migraine inogona kukonzera sitiroko.Chikonzero chemigraine ndiko kukanganiswa kusina kujairika uye kuwedzera kwetsinga dzeropa.Kana pane vascular stenosis, kana kune vascular microaneurysm, sitiroko inogona kukonzerwa mukugadzirisa kusingawanzoitiki kana kuwedzera.Inokurudzirwa kuita imwe vascular assessment, yakadai sekutarisa kana kune vascular stenosis kana vascular malformation aneurysm.Zviratidzo zvekliniki zve migraine nyore kana migraine inokonzerwa nechirwere chevascular haina kufanana.

Mubvunzo wechi2: Kutamba zvakanyanya kwebasketball kunoita kuti ruoko rumwe rusimuke nekudonha zvisingaite, asi rinodzokera kune zvakajairika zuva rinotevera.Ichi chiratidzo chesitiroko here?
Mutungamiri Lin anopindura: Kumwe kusanzwa kana kushaya simba kwerimwe divi rerutivi hakusi iko chiratidzo chesitiroko.Inogona kunge iri kungoita kuneta kana chirwere chepervical spine.

Mubvunzo 3: Mumwe mukuru akadonha kubva pamubhedha mushure mekunwa doro.Paakawanikwa, pakanga patova nemaawa makumi maviri gare gare.Ipapo murwere akaonekwa kuti ane cerebral infarction.Mushure mekurapwa, iyo cerebral edema yakasunungurwa.Murwere anogona kuendeswa kudhipatimendi rekugadzirisa?
Mutungamiri Lin anopindura: Kana mamiriro emukuru wako ari kuita zviri nani iye zvino, edema yakaderera, uye pasina matambudziko ane hukama, mukuru wako anogona kuita kurapa kwekudzorera.Panguva imwecheteyo, iwe unofanirwa kunyatso kudzora zvinhu zvine njodzi uye uwane zvikonzero.Nezve nguva yekutamira kune dhipatimendi rekugadzirisa, tinofanira kutevera mazano enyanzvi inoenda, uyo achaita kuongorora kwese kwehutano hwemurwere.

Mubvunzo wechina: Ndave nemakore makumi maviri ndichitora mishonga yeBP.Gare gare, pakuongororwa, chiremba akawana kuti ndakanga ndabuda ropa muuropi uye sitiroko, naizvozvo ndakavhiyiwa.Hapana sequelae yawanikwa ikozvino.Chirwere ichi chichadzoka zvakare mune ramangwana here?
Director Lin vanopindura: Zvinoreva kuti wagona zvakanaka.Sitiroko iyi haina kukuuraya.Zvechokwadi pane zvimwe zvinhu zvinodzokorora.Zvaunofanira kuita mune ramangwana ndezvokuramba uchigadzirisa ropa rako zvakasimba uye uchidzora pamwero wakanaka, izvo zvinogona kudzivirira kudzokorora.

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