Lisosa tsa kotsi ea stroke

Leqeba le hlaha ha phallo ea mali e ea karolong e itseng ea boko e emisa ka tšohanyetso. Ka linako tse ling stroke se bitsoa "hlaselo ea boko kapa kotsi ea methapo ea pelo." Haeba phallo ea mali e khaotsoe nako e telele ho feta metsotsoana e seng mekae, boko bo ke ke ba fumana limatlafatsi le oksijene. Lisele tsa boko li ka shoa, tsa baka tšenyo e tšoarellang.

Lisosa tsa kotsi ke lintho tse eketsang menyetla ea hau ea ho fumana lefu kapa boemo. Sengoliloeng sena se tšohla lisosa tsa likotsi tsa stroke le lintho tseo u ka li etsang ho fokotsa kotsi ea hau.

Ntho ea kotsi ke ntho e eketsang menyetla ea ho fumana lefu kapa bothata ba bophelo bo botle. Lisosa tse ling tsa kotsi ea stroke u ke ke ua li fetola. Tse ling u ka li khona. Ho fetola mabaka a kotsi ao u nang le taolo ho ona ho tla u thusa ho phela bophelo bo bolelele, bo phetseng hantle.

U ke ke ua fetola mabaka ana a kotsi ea stroke:

• Lilemo tsa hau. Kotsi ea stroke e nyoloha le lilemo.
• Thobalano ya hao. Banna ba na le kotsi e kholo ea ho tšoaroa ke lefu la pelo ho feta basali, ntle le ho batho ba baholo.
• Liphatsa tsa lefutso le morabe oa hau. Haeba batsoali ba hao ba ile ba tšoaroa ke stroke, u kotsing e khōloanyane. Maafrika a Amerika, Maamerika a Mexico, Maindia a Amerika, Mahawaii le Maasia a mang a Asia le bona ba na le kotsi e kholo.
• Maloetse a kang mofetše, mafu a sa foleng a liphio le mefuta e meng ea ramatiki.
• Libaka tse fokolang leboteng la methapo kapa methapo le methapo e sa tloaelehang.
• Boimana. Ka bobeli le nakong ea libeke hang kamora ho ima.

Ho koala mali ho tsoa pelong ho ka ea le ho thiba methapo ea mali bokong ebe ea baka stroke. Sena se ka etsahala ho batho ba nang le li-valve tsa pelo tse entsoeng ka matsoho kapa tse nang le tšoaetso. E kanna ea etsahala hape ka lebaka la bofokoli ba pelo boo u tsoetsoeng u na le bona.

Pelo e fokolang haholo le morethetho oa pelo o sa tloaelehang, joalo ka fibrillation ea atrial, le eona e ka baka ho koaloa ha mali.

Lisosa tse ling tsa kotsi tsa stroke eo u ka e fetolang ke:

• Ho se tsube. Haeba u tsuba, tlohela. Botsa ngaka ea hau thuso ea ho tlohela.
• Ho laola k'holeseterole ea hau ka lijo, boikoetliso le meriana ha ho hlokahala.
• Ho laola khatello e phahameng ea mali ka ho ja, ho ikoetlisa le meriana, ha ho hlokahala. Botsa ngaka ea hau hore na khatello ea mali ea hau e lokela ho ba eng.
• Ho laola lefu la tsoekere ka ho ja, ho ikoetlisa le meriana, ha ho hlokahala.
• Ho ikoetlisa bonyane metsotso e 30 ka letsatsi.
• Ho boloka boima ba 'mele bo phetse hantle. Ja lijo tse phetseng hantle, ja tse fokolang, 'me u kenelle lenaneong la ho theola boima ba' mele, haeba u hloka ho theola boima ba 'mele.
• Ho lekanyetsa hore na u noa joala bo bokae. Basali ha baa lokela ho noa lino tse fetang 1 ka letsatsi, le banna ba noa tse fetang tse 2 ka letsatsi.
• U SE KE UA sebelisa k'hok'heine le lithethefatsi tse ling tsa boithabiso.

Lipilisi tsa thibelo ea bokhachane li ka baka kotsi ea ho ba le mali. Liaparo li na le monyetla o moholo ho basali ba tsubang hape ba fetang lilemo tse 35.

Phepo e nepahetseng e bohlokoa ho bophelo ba pelo ea hau. E tla thusa ho laola mabaka a mang a kotsi a hau.

• Khetha lijo tse nang le litholoana, meroho le lithollo tse ngata.
• Khetha liprotheine tse omeletseng, tse kang khoho, tlhapi, linaoa le linaoa.
• Khetha lihlahisoa tsa lebese tse se nang mafura haholo, joalo ka lebese la 1% le lintho tse ling tse mafura a tlase.
• Qoba sodium (letsoai) le mafura a fumanoang lijong tse halikiloeng, lijong tse sebelisitsoeng le thepa e besitsoeng.
• Ja lihlahisoa tse fokolang tsa liphoofolo le lijo tse fokolang ka chisi, tranelate kapa mahe.
• Bala mangolo a lijo. Lula hole le mafura a mangata le eng kapa eng e nang le mafura a haedrojene kapa a hydrogenated. Tsena ke mafura a sa pheleng hantle.

Ngaka ea hau e kanna ea fana ka tlhahiso ea ho noa aspirin kapa e 'ngoe e nyane ea mali ho thusa ho thibela lisele tsa mali ho theha. U SE KE ua noa aspirin u sa bua le ngaka pele. Haeba u noa meriana ena, nka mehato ea ho itšireletsa hore e se ke ea oa kapa ea khoptjoa, e leng ho ka lebisang ho tsoa mali.

Latela litataiso tsena le likeletso tsa ngaka ea hau ho theola menyetla ea hau ea stroke.

Ho thibela stroke; Stroke - thibelo; CVA - thibelo; TIA - thibelo

Meschia JF, Bushnell C, Boden-Albala B, et al, Lekhotla la Stroke la American Heart Association; Lekhotla la Booki ba pelo le methapo le stroke; Lekhotla la Clinical Cardiology; Lekhotla la Functional Genomics le Translational Biology; Lekhotla la Hypertension. Litaelo tsa thibelo ea mantlha ea stroke: polelo bakeng sa litsebi tsa tlhokomelo ea bophelo bo botle ho tsoa ho American Heart Association / American Stroke Association. Leqeba. 2014; 45 (12): 3754-3832. PMID 25355838 www.ncbi.nlm.nih.gov/pubmed/25355838. (Lebokose)

Riegel B, Moser DK, Buck HG, le al; Lekhotla la American Heart Association la Booki ba pelo le methapo ea pelo; Lekhotla la Mafu a Pheriferale a Vascular; le Lekhotla la Patlisiso ea Boleng ba Tlhokomelo le Liphetho. Ho itlhokomela bakeng sa thibelo le taolo ea lefu la pelo le methapo le seterouku: polelo ea mahlale bakeng sa litsebi tsa bophelo bo botle tse tsoang American Heart Association. J Ke Pelo Assoc. 2017; 6 (9). pii: e006997. PMID: 28860232 www.ncbi.nlm.nih.gov/pubmed/28860232.

Whelton PK, Carey RM, Aronow WS, le al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA tataiso bakeng sa thibelo, ho lemoha, ho lekola le ho laola khatello e phahameng ea batho ba baholo: tlaleho ea American College of Cardiology / American Basebetsi ba Mokhatlo oa Pelo mabapi le Litataiso tsa Tloaelo ea Bongaka. J Ke Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.