Ngomhla we-12 kaJanuwari, uLin Min, umlawuli weSebe le-Neurology kunye nomfundisi ophumelele isidanga kwisibhedlele saseFujian Second People's Hospital, undwendwele igumbi losasazo le-Fujian News Broadcast "UGqirha woKwabelana" osasazwe ngokukodwa nguGANOHERB, ekuzisela intetho yentlalontle yoluntu " UThintelo lweStroke kunye noNyango”.Makhe sihlole umxholo omangalisayo wosasazo lwabukhoma.'

Iiyure ezintandathu zegolide ukuhlangula izigulane ze-stroke

Ukuqaphela ngokukhawuleza iimpawu ze-stroke:
I-1: Ubuso be-asymmetrical kunye nomlomo otenxileyo
2: Ukungakwazi ukuphakamisa ingalo enye
3: Intetho engacacanga kunye nobunzima ekuthetheni
Ukuba isigulane sinezi mpawu zingentla, nceda ufowunele inombolo kaxakeka ngokukhawuleza.

Umalathisi uLin wagxininisa ngokuphindaphindiweyo kolu cwangciso: “Ixesha lingqondo.Iiyure ezintandathu emva kokuqala kwestroke lelona xesha liphambili.Ukuba inqanawa inokuphinda ihanjiswe kwakhona ngeli xesha ibaluleke kakhulu.”

Emva kokuqala kwe-stroke, i-thrombolysis ye-intravenous ingasetyenziselwa ukuvula imithambo yegazi kwiiyure ezine ezinesiqingatha.Imithambo yegazi yezigulane ezine-blood-occlusion enkulu inokuvulwa ngokususa i-thrombus.Elona xesha lilungileyo le-thrombectomy liphakathi kweeyure ezintandathu zokuqala kwe-stroke, kwaye inokwandiswa ukuya kwiiyure ezingama-24 kwezinye izigulane.

Ngezi ndlela zonyango, izicubu zobuchopho ezingekabiyi-necrotic zinokusindiswa ngowona mlinganiselo mkhulu, kwaye izinga lokufa kunye nokukhubazeka linokuncitshiswa.Ezinye izigulana zinokuchacha ngokupheleleyo ngaphandle kokushiya nayiphi na i-sequelae.

UMlawuli uLin uphinde wakhankanya kule nkqubo: "Isigulane esinye kwezine ze-stroke siya kuba nomqondiso wesilumkiso kwangethuba.Nangona iyimeko yethutyana nje, kufuneka inikwe ingqwalasela.”

Ukuba ezi mpawu zilandelayo zexesha elifutshane ziyavela, funa unyango kwangethuba:
1. Ilungu elinye (elinobuso okanye lingenalo) libuthathaka, libhidekile, linzima okanye lindindisholo;
2. Intetho engacacanga.

“Kukho imijelo eluhlaza yezigulane zestroke esibhedlele.Emva kokufowunela ifowuni engxamisekileyo, isibhedlele sivule umjelo oluhlaza kwizigulane ngelixa zisese-ambulensi.Emva kokugqiba zonke iinkqubo, baya kuthunyelwa kwigumbi le-CT ukuze baxilongwe ngokukhawuleza bakufika esibhedlele.“Utshilo uMlawuli uLin.

1. Emva kokuba isigulane sifike kwigumbi le-CT, isheke esiphambili kukubona ukuba umthambo wegazi uvaliwe okanye uphukile.Ukuba ivalekile, umguli kufuneka anikwe iyeza kwisithuba seeyure ezine ezinesiqingatha, olulunyango lwe-thrombolytic.
2. Unyango lwe-Neural interventional, ukucombulula ezinye zeengxaki ze-vascular blockage ukuba iziyobisi azikwazi ukuzicombulula, zibizwa ngokuba yi-intravascular interventional therapy.
3. Ngexesha lonyango, landela iingcebiso zengcali.

Izizathu eziqhelekileyo ezinokulibazisa uncedo lokuqala lwe-stroke
1. Izalamane zesigulana aziyihoyi kangako.Basoloko befuna ukulinda baze babone, baze ke baqwalasele;
2. Bakholelwa ngempazamo ukuba yingxaki encinci ebangelwa zezinye izizathu;
3. Emva kokuba abantu abadala bendlwane engenanto begula, akukho mntu ubancedisayo ukufowunela inombolo kaxakeka;
4. Ukulandela ngokungaboniyo izibhedlele ezinkulu kunye nokushiya isibhedlele esikufutshane.

Indlela yokuthintela isifo sohlangothi?
Uthintelo oluphambili lwe-ischemic stroke: ukunciphisa umngcipheko we-stroke kwizigulana ezingenazimpawu ikakhulu ngokujongana nemingcipheko.

Uthintelo lwesibini lwe-ischemic stroke: ukunciphisa umngcipheko wokuphindaphinda kwezigulane ze-stroke.Iinyanga ezintandathu zokuqala emva kwe-stroke yokuqala yinqanaba elinomngcipheko omkhulu wokuphindaphinda.Ngoko ke, umsebenzi wokuthintela okwesibini kufuneka wenziwe ngokukhawuleza emva kokubetha kokuqala.

Imiba yomngcipheko westroke:
Imiba yomngcipheko engenakungenelela: ubudala, isini, uhlanga, ilifa lentsapho
2. Izinto ezinobungozi ezinokungenelela: ukutshaya, utywala;ezinye iindlela zokuphila ezingenampilo;igazi elonyukayo;isifo sentliziyo;isifo seswekile;dyslipidemia;ukutyeba.

Ezi ndlela zokuphila zilandelayo zingalunganga ziya kwandisa umngcipheko we-stroke:
1. Ukutshaya, ukunxila;
2. Ukungazilolongi;
3. Ukutya okungenamsoco (okunamafutha kakhulu, okunetyuwa, njl.).

Kucetyiswa ukuba wonke umntu omeleze umthambo aze atye ukutya okusempilweni ngakumbi okufana nemifuno, iziqhamo, iisiriyeli, ubisi, intlanzi, iimbotyi, inkukhu nenyama ebhityileyo ekutyeni kwabo, kwaye kuncitshiswe ukutya okunamafutha ne<em>cholesterol, nokunciphisa ukutyiwa kwetyuwa. .

Phila Q&A

Umbuzo 1: Ngaba i-migraine ibangela i-stroke?
UMlawuli uLin uyaphendula: I-Migraine inokubangela i-stroke.Isizathu se-migraine kukuchithwa okungaqhelekanga kunye nokwandiswa kwemithambo yegazi.Ukuba kukho i-vascular stenosis, okanye kukho i-vascular microaneurysm, i-stroke inokuthi ifakwe kwinkqubo yokuphazamiseka okungaqhelekanga okanye ukwandiswa.Kunconywa ukwenza uvavanyo oluthile lwe-vascular, njengokukhangela ukuba kukho i-vascular stenosis okanye i-vascular malformation aneurysm.Iimpawu zekliniki ze-migraine elula okanye i-migraine ebangelwa yi-vascular disease ayifani.

Umbuzo wesi-2: Ukudlala ngokugqithisileyo kwe-basketball kubangela ukuba ingalo enye iphakame kwaye iwe ngokungazithandi, kodwa ibuyela kwisiqhelo ngosuku olulandelayo.Ngaba olu luphawu lwestroke?
UMlawuli uLin uyaphendula: Ukundindisholo okuthile okanye ubuthathaka belungu elinye elisecaleni akunyanzelekanga ukuba luphawu lwestroke.Isenokuba kukudinwa nje okanye isifo somqolo wesibeleko.

Umbuzo 3: Umdala wawa ebhedini emva kokusela.Xa wafunyanwayo, kwakusele kudlule iiyure ezingama-20.Emva koko isigulane safunyaniswa ukuba sine-cerebral infarction.Emva kokunyanga, i-edema ye-cerebral yakhululwa.Ngaba isigulane sinokudluliselwa kwisebe lokubuyisela?
UMlawuli uLin uyaphendula: Ukuba imeko yomdala wakho iba ngcono ngoku, i-edema iyancipha, kwaye akukho zingxaki ezinxulumene nayo, umdala wakho unokuqhuba unyango olusebenzayo lokubuyisela.Ngexesha elifanayo, kufuneka ulawule ngokungqongqo izinto ezinobungozi kwaye ufumane izizathu.Ngokumalunga nexesha lokudluliselwa kwisebe lokubuyisela, kufuneka silandele iingcebiso zengcali ehambayo, eya kwenza uvavanyo olupheleleyo lwemeko yesigulane.

Umbuzo 4: Ndithathe amayeza oxinzelelo lwegazi iminyaka engama-20.Kamva, xa wayendixilonga, ugqirha wafumanisa ukuba ndandinokopha ebuchotsheni nestroke, ngoko ndenziwa utyando.Akukho sequelae ifunyenweyo ngoku.Ngaba esi sifo siya kubuya kwakhona kwixesha elizayo?
UMlawuli uLin uyaphendula: Kuthetha ukuba ulawule kakuhle.Esi sifo asizange sikubulale.Kukho izinto ezithile eziphindaphindayo.Into ekufuneka uyenzile kwixesha elizayo kukuqhubeka nokulawula uxinzelelo lwegazi ngokungqongqo kwaye ulawule kwinqanaba elilungileyo, elinokuthintela ukuphindaphinda.

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