Kalafo ea stroke e etsoa joang

Litaba

• 1. Kalafo ea lefu la ischemic
• 2. Kalafo ea lefu la ho tsoa mali
• Ho hlaphoheloa ke stroke ho fola joang
• Nchafatso ho fokotsa litlamorao

Kalafo ea stroke e lokela ho qalisoa kapele kamoo ho ka khonehang, ka hona, ho bohlokoa ho tseba ho tseba matšoao a pele a ho letsetsa ambulense hanghang, hobane kalafo e sa tsoa qala, e fokotsa menyetla ea sequelae joalo ka ho holofala kapa ho thatafalloa ho bua. Bona mona hore na lipontšo li ka supa stroke.

Kahoo, kalafo e ka qalisoa ke ngaka e seng e ntse e le ka ambulense tseleng e eang sepetlele, ka litlhare tse joalo ka meriana e thibelang khatello ea mali ho tsitsisa khatello ea mali le ho otla ha pelo, ts'ebeliso ea oksijene ho thusa ho hema, ntle le ho laola matšoao a bohlokoa, joalo ka Mokhoa oa ho khutlisetsa phallo ea mali bokong.

Kamora kalafo ea pele, mofuta oa stroke o lokela ho tsejoa, o sebelisa liteko tse kang tomography le MRI, kaha sena se susumetsa mehato e latelang ea kalafo:

1. Kalafo ea lefu la ischemic

Leqeba la Ischemic le etsahala ha lesela le thibela ho feta ha mali ho se seng sa lijana bokong. Maemong ana, kalafo e ka kenyelletsa:

• Meriana e matlapeng, joalo ka AAS, Clopidogrel le Simvastatin: e sebelisoa maemong a belaelloang a setorouku kapa ischemia ea nakoana, kaha ba khona ho laola kholo ea 'mele le ho thibela ho koaloa ha likepe tsa bokong;
• Thrombolysis e etsoa ka ente ea APt: ke enzyme e lokelang ho fanoa feela ha leqeba la ischemic le se le netefalitsoe ka tomography, 'me e lokela ho sebelisoa lihoreng tse 4 tsa pele, kaha e senya leqhubu ka potlako, e ntlafatsa phallo ea mali sebakeng se amehileng;
• Catheterization ea boko: lipetleleng tse ling, e le mokhoa o mong oa ente ea APt, ho a khonahala ho kenya tube e tenyetsehang e tlohang mothapong oa methapo ho ea bokong ho leka ho tlosa lesela kapa ho kenya lithethefatsi tsa anticoagulant sebakeng sena. Ithute haholoanyane ka catheterization ea boko;
• Ho laola khatello ea mali, ka lithethefatsi tse matlafatsang, e le captopril: e etsoa maemong ao khatello ea mali e leng holimo, ho thibela khatello ena e phahameng hore e se ke ea mpefatsa oksijene le phallo ea mali bokong;
• Tlhokomelo: matshwao a bohlokwa a motho ya neng a tshwerwe ke seterouku a tlameha ho behwa leihlo le ho laolwa, ho sheba ho otla ha pelo, khatello, oksijene ea mali, glycemia le mocheso oa 'mele, ho li boloka li tsitsitse, ho fihlela motho a bontša ntlafatso, hobane haeba li tsoile taolong, ho ka ba le ho mpefala ha setorouku le sequelae e bakiloeng.

Kamora ho otloa ke stroke, ho buuoa ka khatello ea kelello ho bonts'itsoe maemong ao boko bo nang le ho ruruha ho hoholo, ho eketsang khatello ea kelello mme ho ka baka kotsi ea lefu. Ts'ebetso ena e etsoa ka ho tlosa karolo ea lesapo la lehata, e nkeloang sebaka ha ho ruruha ho kokobela.

2. Kalafo ea lefu la ho tsoa mali

Maemo a lefu la hemorrhagic a hlaha ha methapo ea boko e lutla mali kapa e phatloha, joalo ka ka aneurysm kapa ka lebaka la lihlohlo tsa khatello e phahameng ea mali, mohlala.

Maemong ana, kalafo e etsoa ka ho laola khatello ea mali, joalo ka antihypertensives, ntle le ts'ebeliso ea catheter ea oksijene le ho lekola matšoao a bohlokoa hore phallo ea mali e laoloe kapele.

Maemong a boima ka ho fetisisa, moo methapo e robehileng ka ho felletseng 'me ho leng thata ho emisa ho tsoa ha mali, ho ka hlokahala ts'ebetso ea tšohanyetso ea boko ho fumana sebaka sa mali le ho se lokisa.

Maemong a lefu le leholo la ho tsoa mali, ho ka etsoa opereishene ea khatello ea maikutlo, hobane ho tloaelehile ho halefa le ho ruruha ha boko ka lebaka la ho tsoa mali.

Ho hlaphoheloa ke stroke ho fola joang

Ka kakaretso, kamora ho laola matšoao a stroke se matla, ho hlokahala hore motho a lule sepetlele matsatsi a ka bang 5 ho isa ho a 10, a fapaneng ho latela maemo a bongaka a motho e mong le e mong, ho lula a shebiloe, ho netefatsa ho fola ha pele le ho lekola litlamorao tse bakiloeng ke stroke.

Nakong ena, ngaka e ka qala ho sebelisa meriana kapa ea ikamahanya le meriana ea mokuli, ea khothaletsa ts'ebeliso ea anti-aggregant kapa anticoagulant, joalo ka Aspirin kapa Warfarin, haeba ho ka ba le leqeba la ischemic, kapa ho tlosa anticoagulant haeba ho ka ba le leqeba la Hemorrhagic, ka mohlala.

Ntle le moo, meriana e kanna ea hlokahala ho laola khatello ea mali, tsoekere ea mali, k'holeseterole, ho fokotsa kotsi ea likotsi tse ncha tsa stroke.

Li-sequelae tse ling li ka sala, joalo ka bothata ba ho bua, ho fokotsa matla lehlakoreng le leng la 'mele, ho fetoha ho koenya lijo kapa ho laola moroto kapa mantle, ntle le liphetoho menahanong kapa mohopolong. Palo le ho tiea ha sequelae ho fapana ho latela mofuta oa stroke le sebaka se amehileng sa boko, hammoho le bokhoni ba motho ba ho fola. Utloisisa hamolemo mathata a teng a stroke.

Nchafatso ho fokotsa litlamorao

Kamora ho ts'oaroa ke stroke, motho o hloka ho etsa letoto la lits'ebetso tsa tlhabollo, ho potlakisa ho hlaphoheloa le ho fokotsa sequelae. Mefuta ea mantlha ea tlhabollo ke:

• Physiotherapy: physiotherapy e thusa ho matlafatsa mesifa, e le hore motho a tsebe ho hlaphoheloa kapa ho boloka metsamao ea 'mele, ho ntlafatsa bophelo ba bona. Bona kamoo kalafo ea 'mele e etsoang kamora stroke.
• Phekolo ea mosebetsing: ke sebaka se thusang mokuli le ba lelapa ho fumana maano a ho fokotsa litlamorao tsa stroke sequelae letsatsi le leng le le leng, ka ho ikoetlisa, ho tloaela ntlo, ntloana, ho kenyelletsa mesebetsi e ntlafatsang monahano le metsamao;
• Phekolo ea Puo: mofuta ona oa kalafo o thusa ho hlaphoheloa puo le ho koenya bakuli ba nang le sebaka sena se anngoeng ke stroke;
• Phepo e nepahetseng: kamora stroke, ho bohlokoa hore motho a be le phepo e nepahetseng le livithamini le liminerale tse ngata tse fepang khalase le ka tsela e phetseng hantle, ho qoba khaello ea phepo e nepahetseng kapa setorouku se secha. Maemong a mang moo ho hlokahalang ho sebelisa sesebelisoa ho fepa, setsebi sa phepo e nepahetseng se tla bala palo e nepahetseng ea lijo ebe se u ruta ho se pheha.

Ts'ehetso ea lelapa e bohlokoa nakong ena ea ho hlaphoheloa ke stroke, ho thusa mesebetsing eo motho a seng a sa khone ho e etsa, le ho mo tšehetsa maikutlong, hobane mefokolo e meng e ka nyahamisa mme ea baka maikutlo a ho hloka thuso le ho hlonama. Ithute ho thusa motho ea nang le bothata ba ho bua.