Isifo sohlangothi “singumbulali wokuqala” wempilo yomuntu.E-China, kuba nesiguli esisha sohlangothi njalo ngemizuzwana engu-12, futhi umuntu oyedwa ubulawa isifo sohlangothi njalo ngemizuzwana engu-21.I-Stroke isiphenduke isifo esiyingozi kakhulu eChina.

NgoJanuwari 12, uLin Min, umqondisi woMnyango Wezezinzwa kanye nomfundisi we-postgraduate esibhedlela saseFujian Second People, uvakashele igumbi lokusakaza bukhoma lekholomu ye-Fujian News Broadcast "Sharing Doctor" esakazwe ngokukhethekile yi-GANOHERB, ekulethela inkulumo yezenhlalakahle zomphakathi " Ukuvimbela Nokwelashwa Kwesifo Sohlangothi”.Ake sibuyekeze okuqukethwe okuhle kokusakaza bukhoma.'

Igolide amahora ayisithupha ukuhlenga iziguli zohlangothi

Ukuqashelwa ngokushesha kwezimpawu zokushaywa unhlangothi:
1: Ubuso obungalingani nomlomo ochezukile
2: Ukungakwazi ukuphakamisa ingalo eyodwa
3: Inkulumo engacacile kanye nobunzima ekukhulumeni
Uma isiguli sinalezi zimpawu ezingenhla, sicela ushayele inombolo yezimo eziphuthumayo ngokushesha ngangokunokwenzeka.

Umqondisi uLin wagcizelela ngokuphindaphindiwe ohlelweni: “Isikhathi siwubuchopho.Amahora ayisithupha ngemva kokuqala kwe-stroke yisikhathi esiyinhloko.Ukuthi umkhumbi ungathuthwa kabusha ngalesi sikhathi kubaluleke kakhulu.”

Ngemuva kokuqala kwe-stroke, i-thrombolysis ye-intravenous ingasetshenziswa ukuvula imithambo yegazi phakathi namahora amane nesigamu.Imithambo yegazi yeziguli ezinegazi elikhulu elivalekile ingavulwa ngokususa i-thrombus.Isikhathi esingcono kakhulu se-thrombectomy siphakathi kwamahora ayisithupha okuqala kokushaywa unhlangothi, futhi singanwetshwa sibe phakathi kwamahora angu-24 kwezinye iziguli.

Ngalezi zindlela zokwelapha, izicubu zobuchopho ezingakabi yi-necrotic zingasindiswa ngezinga elikhulu kakhulu, futhi izinga lokufa nokukhubazeka lingancishiswa.Ezinye iziguli zingalulama ngokuphelele ngaphandle kokushiya noma iyiphi i-sequelae.

Umqondisi uLin uphinde washo ohlelweni: “Isiguli esisodwa kwezine sizoba nesignali yesixwayiso sangaphambi kwesikhathi.Yize kuyisimo sesikhashana kodwa kumele sinakwe.”

Uma kuvela izimpawu eziyisixwayiso zesikhathi esifushane ezilandelayo, funa usizo lwezokwelapha kusenesikhathi:
1. Isitho esisodwa (esinobuso noma ngaphandle kwabo) sibuthakathaka, siqinile, sinzima noma sindikindiki;
2. Inkulumo engacacile.

“Kunemigudu eluhlaza yeziguli ezine-stroke esibhedlela.Ngemuva kokushaya ucingo oluphuthumayo, isibhedlela sivulele iziguli umzila oluhlaza ngenkathi zise-ambulensi.Ngemva kokuphothula zonke izinqubo, bazothunyelwa ekamelweni le-CT ukuze bahlolwe ngokushesha nje lapho befika esibhedlela.“Kusho uMqondisi uLin.

1. Ngemva kokuba isiguli sifike ekamelweni le-CT, isheke eliyinhloko liwukubona ukuthi umkhumbi wegazi uvinjelwe noma uphukile.Uma ivinjiwe, isiguli kufanele sinikezwe umuthi engakapheli amahora amane nesigamu, okuwukwelashwa kwe-thrombolytic.
2. Ukwelashwa kwe-Neural interventional, ukuxazulula ezinye zezinkinga zokuvinjelwa kwe-vascular izidakamizwa ezingakwazi ukuzixazulula, kubizwa nangokuthi i-intravascular interventional therapy.
3. Ngesikhathi sokwelashwa, landela iseluleko sikachwepheshe.

Izizathu ezivamile ezingase zibambezele usizo lokuqala lwe-stroke
1. Izihlobo zesiguli azikunaki kakhulu.Bahlale befuna ukulinda futhi babone, bese bebheka;
2. Bakholelwa ngephutha ukuthi kuyinkinga encane ebangelwa ezinye izizathu;
3. Ngemva kokugula kwabadala abangenasidleke, akekho ozisiza ngokushayela inombolo yezimo eziphuthumayo;
4. Ukulandela izibhedlela ezinkulu ngokungaboni nokushiya isibhedlela esiseduze.

Indlela yokuvimbela isifo sohlangothi?
Ukuvimbela okuyinhloko kwe-ischemic stroke: ukunciphisa ingozi yokushaywa unhlangothi ezigulini ezingenazimpawu ikakhulukazi ngokubhekana nezici eziyingozi.

Ukuvimbela okwesibili kwe-ischemic stroke: ukunciphisa ingozi yokuphindaphinda kweziguli zohlangothi.Izinyanga eziyisithupha zokuqala ngemva kokushaywa unhlangothi kokuqala yisiteji esinengozi enkulu yokuphinda.Ngakho-ke, umsebenzi wokuvimbela wesibili kufanele wenziwe ngokushesha ngangokunokwenzeka ngemva kokushaywa yisifo sokuqala.

Izinto eziyingozi ze-stroke:
Izici eziyingozi ezingenakungenelela: iminyaka, ubulili, uhlanga, ifa lomndeni
2. Izici eziyingozi ezingase zingenelele: ukubhema, ukudakwa ngokweqile;ezinye izindlela zokuphila ezingenampilo;umfutho wegazi ophezulu;Isifo senhliziyo;isifo sikashukela;i-dyslipidemia;ukukhuluphala ngokweqile.

Izindlela zokuphila ezimbi ezilandelayo zizonyusa ingozi yokushaywa unhlangothi:
1. Ukubhema, uphuzo oludakayo;
2. Ukungazivocavoci;
3. Ukudla okungenampilo (okunamafutha kakhulu, okunosawoti omningi, njll.).

Kunconywa ukuthi wonke umuntu aqinise ukuzivocavoca umzimba futhi adle ukudla okunempilo kakhudlwana njengemifino, izithelo, okusanhlamvu, ubisi, inhlanzi, ubhontshisi, inkukhu nenyama engenamafutha ekudleni kwabo, futhi kuncishiswe ukudliwa kwamafutha agcwele kanye ne-cholesterol, futhi kunciphise nokudla kukasawoti. .

I-Q&A ebukhoma

Umbuzo 1: Ingabe i-migraine ibangela isifo sohlangothi?
Umqondisi uLin uyaphendula: I-Migraine ingabangela unhlangothi.Imbangela ye-migraine ukufinyela okungavamile nokwanda kwemithambo yegazi.Uma kukhona i-vascular stenosis, noma kukhona i-vascular microaneurysm, ukushaywa unhlangothi kungase kubangele inqubo yokugoqa okungavamile noma ukwandiswa.Kunconywa ukwenza ukuhlolwa kwemithambo yegazi, njengokuhlola ukuthi kukhona yini i-vascular stenosis noma i-vascular malformation aneurysm.Izimpawu zomtholampilo ze-migraine elula noma i-migraine ebangelwa isifo se-vascular ayifani.

Umbuzo 2: Ukudlala kakhulu kwe-basketball kubangela ingalo eyodwa ukuthi ivuke futhi iwe ngokuzenzakalelayo, kodwa ibuyela kwesejwayelekile ngosuku olulandelayo.Ingabe lolu wuphawu lokushaywa unhlangothi?
Umqondisi uLin uyaphendula: Ukuba ndikindiki okuthile noma ubuthakathaka bengxenye eyodwa yohlangothi akulona ngempela uphawu lokushaywa unhlangothi.Kungase kube ukukhathala nje kokuzivocavoca noma isifo somgogodla wesibeletho.

Umbuzo 3: Umdala wawa embhedeni ngemva kokuphuza.Lapho etholakala, kwase kudlule amahora angu-20.Ngemuva kwalokho isiguli satholakala ukuthi sine-cerebral infarction.Ngemuva kokwelashwa, i-edema ye-cerebral yakhululwa.Ingabe isiguli singadluliselwa emnyangweni wokubuyisela?
Umqondisi uLin uyaphendula: Uma isimo somdala wakho siba ngcono manje, i-edema iyancipha, futhi azikho izinkinga ezihlobene, umdala wakho angakwazi ukwenza ukwelashwa okusebenzayo kokubuyisela.Ngesikhathi esifanayo, kufanele ulawule ngokuqinile izici zobungozi futhi uthole izizathu.Mayelana nokuthi sidluliselwa nini emnyangweni wokuhlunyeleliswa kwezimilo, kufanele silandele iseluleko sikachwepheshe okhona, ozokwenza ukuhlola okuphelele kwesimo sesiguli.

Umbuzo 4: Ngineminyaka engu-20 ngiphuza imithi yomfutho wegazi ophezulu.Kamuva, lapho ngihlolwa, udokotela wathola ukuthi nganginokopha ebuchosheni futhi ngishaywa unhlangothi, ngakho ngahlinzwa.Awekho ama-sequelae atholakele manje.Ingabe lesi sifo senzeka esikhathini esizayo?
Umqondisi uLin uyaphendula: Kusho ukuthi ukwazile ukuphatha kahle.Lesi sifo asizange sikubulale.Kukhona ngempela izici ezithile zokuphinda.Okufanele ukwenze esikhathini esizayo ukuqhubeka nokulawula umfutho wegazi lakho ngokuqinile futhi uwulawule ngezinga elihle, okungavimbela ukuphindeka.

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