Tlhaselo ea nakoana ea ischemic

Tlhaselo ea nakoana ea ischemic (TIA) e etsahala ha phallo ea mali e ea karolong e itseng ea boko e emisa nakoana. Motho o tla ba le matšoao a kang a stroke ho fihlela lihora tse 24. Maemong a mangata, matšoao a nka lihora tse 1 ho isa ho tse 2.

Tlhaselo ea nakoana ea ischemic ke sesupo sa temoso ea hore lefu la 'nete le ka etsahala nakong e tlang haeba ho sa etsoe letho ho le thibela.

TIA e fapane le stroke. Kamora TIA, blockage e robeha kapele mme ea qhala. TIA ha e bake hore lisele tsa boko li shoe.

Ho lahleheloa ke phallo ea mali sebakeng sa boko ho ka bakoa ke:

• Ho koaloa hoa mali mothapong oa boko
• Leqeba la mali le eang bokong le tsoa kae kae 'meleng (mohlala, ho tsoa pelong)
• Kotsi meleng ea mali
• Ho khutsufatsa sejana sa mali bokong kapa ho lebisa bokong

Khatello ea mali e phahameng ke kotsi e kholo ea li-TIA le stroke. Lisosa tse ling tse kholo tsa kotsi ke:

• Ho otla ha pelo ho sa tloaelehang ho bitsoang atrial fibrillation
• Lefu la tsoekere
• Nalane ea lelapa ea stroke
• Ho ba monna
• Cholesterol e phahameng
• Ho eketsa lilemo, haholoholo kamora lilemo tse 55
• Morabe (Maafrika a Amerika a na le monyetla oa ho bolaoa ke setorouku)
• Ho tsuba
• Tšebeliso ea joala
• Ts'ebeliso ea lithethefatsi tsa boithabiso
• Nalane ea TIA ea pele kapa stroke

Batho ba nang le lefu la pelo kapa phallo e mpe ea mali maotong a bona a bakoang ke methapo e menyenyane le bona ba na le monyetla oa ho ba le TIA kapa stroke.

Matšoao a qala ka tšohanyetso, a nka nako e khuts'oane (ho tloha metsotso e 'maloa ho isa ho lihora tse 1 ho isa ho tse 2), ebe oa fela. Li kanna tsa hlaha hape hamorao.

Matšoao a TIA a ts'oana le matšoao a stroke, mme a kenyeletsa:

• Fetola tlhokomeliso (ho kenyelletsa boroko kapa ho se tsebe letho)
• Liphetoho linthong tsa kutlo (joalo ka kutlo, pono, tatso le ho ama)
• Liphetoho tsa kelello (joalo ka pherekano, ho lahleheloa ke mohopolo, ho thatafalloa ho ngola kapa ho bala, ho thatafalloa ho bua kapa ho utloisisa ba bang)
• Mathata a mesifa (joalo ka bofokoli, bothata ba ho metsa, ho tsamaea ka thata)
• Ho tsekela kapa ho lahleheloa ke botsitso le khokahano
• Ho hloka taolo holim'a senya kapa mala
• Mathata a methapo (joalo ka ho felloa ke matla kapa ho hlohlona ka lehlakoreng le leng la 'mele)

Hangata, matšoao a TIA a tla be a felile ka nako eo u fihlang sepetlele ka eona. Tlhahlobo ea TIA e ka etsoa ho latela nalane ea hau ea bongaka feela.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo e felletseng ea 'mele ho lekola mathata a pelo le methapo ea mali. U tla hlahlojoa hape bakeng sa mathata a methapo le mesifa.

Ngaka e tla sebelisa stethoscope ho mamela pelo le methapo ea hau. Ho ka utloahala molumo o sa tloaelehang o bitsoang bruit ha u mametse mothapo oa carotid molaleng kapa mothapong o mong. Bruit e bakoa ke phallo e sa tloaelehang ea mali.

Liteko li tla etsoa ho thibela stroke kapa mathata a mang a ka bakang matšoao:

• U kanna oa ba le hlooho ea CT scan kapa MRI ea boko. Leqeba le ka bonts'a liphetoho litekong tsena, empa li-TIA li ke ke.
• U kanna ua ba le angiogram, CT angiogram, kapa MR angiogram ho bona hore na ke methapo efe ea mali e thibetsoeng kapa e tsoang mali.
• U kanna ua ba le echocardiogram haeba ngaka ea hau e nahana hore u ka ba le mali a tsoang pelong.
• Carotid duplex (ultrasound) e ka bonts'a haeba methapo ea carotid e molaleng oa hau e fokotsehile.
• U kanna ua ba le liteko tsa ho lekola ho otloa ha pelo ka tsela e sa tloaelehang elektrocardiogram (ECG) le pelo ea morethetho oa pelo.

Ngaka ea hau e ka etsa liteko tse ling ho lekola khatello e phahameng ea mali, lefu la pelo, lefu la tsoekere, k'holeseterole e phahameng le lisosa tse ling tsa lisosa tsa TIA kapa stroke.

Haeba u bile le TIA nakong ea lihora tse 48 tse fetileng, u kanna oa amoheloa sepetlele e le hore lingaka li ka u batlela sesosa le ho u ela hloko.

Khatello ea mali e phahameng, lefu la pelo, lefu la tsoekere, k'holeseterole e phahameng le mathata a mali li tla phekoloa ha ho hlokahala. U tla khothaletsoa ho etsa liphetoho bophelong ho fokotsa menyetla ea ho ba le matšoao a mang. Liphetoho li kenyelletsa ho tlohela ho tsuba, ho ikoetlisa haholoanyane, le ho ja lijo tse phetseng hantle.

U ka fumana li-thinner tsa mali, tse kang aspirin kapa Coumadin, ho fokotsa ho koala mali. Batho ba bang ba thibileng methapo ea molala ba ka hloka ho buuoa (carotid endarterectomy). Haeba u e-na le pelo e sa tloaelehang (atrial fibrillation), u tla phekoloa ho qoba mathata a tlang.

Li-TIA ha li bake tšenyo e tšoarellang bokong.

Empa, li-TIA ke lets'oao la tlhokomeliso la hore o kanna oa ba le stroke sa nnete matsatsing kapa likhoeling tse tlang. Batho ba bang ba nang le TIA ba tla ba le stroke nakong ea likhoeli tse tharo. Halofo ea lichapo tsena e etsahala nakong ea lihora tse 48 kamora TIA. Leqeba le ka hlaha ka lona letsatsi leo kapa hamorao. Batho ba bang ba na le TIA e le 'ngoe feela,' me ba bang ba na le TIA e fetang e le 'ngoe.

U ka fokotsa menyetla ea hau ea ho hlaseloa ke lefu la kamoso ka ho latela mofani oa hau ho sebetsana le maemo a kotsi.

TIA ke ts'ohanyetso ea bongaka. Letsetsa 911 kapa nomoro ea lehae ea tšohanyetso hang hang. O SE Ka wa tlhokomologa matshwao fela ka gonne a a fela. E kanna ea ba temoso ea seterouku se tlang.

Latela litaelo tsa mofani oa hau mabapi le mokhoa oa ho thibela li-TIA le lipolao. Mohlomong u tla bolelloa ho etsa liphetoho tseleng eo u phelang ka eona le ho noa meriana ho alafa khatello e phahameng ea mali kapa k'holeseterole e phahameng.

Leqeba le lenyenyane; TIA; Leqeba le lenyenyane; Lefu la masapo - TIA; Motsoako oa Carotid - TIA

• Ho beoa ha Angioplasty le stent - mothapo oa carotid - ho tsoa
• Atrial fibrillation - ho tsoa
• Ho buuoa ka methapo ea Carotid - ho tsoa
• Stroke - ho tsoa
• Ho nka warfarin (Coumadin)

• Endarterectomy
• Tlhaselo ea nakoana ea Ischemic (TIA)

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