Shanyewar cutar shanyewar jiki ita ce kan gaba wajen samun mace-mace a kasar Sin cikin shekaru 30 da suka gabata, inda adadin wadanda suka kamu da cutar ya kai kashi 39.9 cikin dari da kuma yawan mace-mace sama da kashi 20 cikin 100, wanda ya haddasa mutuwar sama da miliyan 1.9 a kowace shekara.Likitocin kasar Sin da kungiyoyin gyaran jiki sun tattara tarin ilmi game da bugun jini.Mu duba a tsanake.
1. Menene Mugun ciwon bugun jini?
Shanyewar jiki da farko yana bayyana kamar slured magana, tausasawa gaɓoɓi, damuwa da hankali, suma, hemiplegia, da ƙari.An kasu kashi biyu: 1) Ischemic bugun jini, wanda aka yi masa magani tare da thrombolysis na ciki da thrombectomy na gaggawa;2) bugun jini na jini, inda aka mayar da hankali kan hana sake zubar jini, rage lalacewar kwayoyin halitta, da hana rikitarwa.
2. Yaya ake bi da shi?
1) Ciwon Jiki (Cerebral Infarction)
Mafi kyawun magani don ciwon ƙwayar cuta shine thrombolysis na farko na ultra-farko, kuma ana iya amfani da thrombolysis ko thrombectomy ga wasu marasa lafiya.Za a iya gudanar da maganin thrombolytic tare da alteplase a cikin sa'o'i 3-4.5 na farko, kuma ana iya ba da maganin thrombolytic tare da urokinase a cikin sa'o'i 6 na farko.Idan an hadu da yanayin thrombolysis, maganin thrombolytic tare da alteplase zai iya rage rashin lafiyar mai haƙuri da kyau kuma ya inganta yanayin.Yana da mahimmanci a tuna cewa neurons a cikin kwakwalwa ba za su iya sake farfadowa ba, don haka maganin ciwon ƙwayar cuta dole ne ya dace kuma kada a jinkirta.
① Menene Thrombolysis na Jiki?
Maganin thrombolytic na ciki yana narkar da thrombus yana toshe magudanar jini, yana sake dawo da toshewar tasoshin jini, yana dawo da wadatar jini zuwa nama na kwakwalwa da sauri, kuma yana rage necrosis na nama na kwakwalwa wanda ischemia ke haifarwa.Mafi kyawun lokaci don thrombolysis shine a cikin sa'o'i 3 bayan farawa.
② Menene Gaggawa Thrombectomy?
Thrombectomy ya ƙunshi likita ta amfani da injin DSA don cire emboli da aka toshe a cikin jijiyar jini ta hanyar amfani da thrombectomy stent ko catheter na musamman na tsotsa don samun farfadowa na jijiyoyin jini na kwakwalwa.Ya dace da farko ga m cerebral infarction lalacewa ta hanyar babban jirgin ruwa occlusion, da kuma jijiyoyin bugun gini recanalization kudi iya isa 80%.A halin yanzu shine mafi inganci mafi ƙarancin aikin tiyata don babban jigon ɓarna na ɓarna.
2) Ciwon Jiki
Wannan ya hada da zubar jini na kwakwalwa, zubar jini na subachnoid, da dai sauransu. Ka'idar magani ita ce hana sake zubar jini, rage lalacewar ƙwayoyin kwakwalwa da ke haifar da zubar jini na kwakwalwa, da kuma hana rikitarwa.
3. Yadda Ake Gane Ciwon Jiki?
1) Mai haƙuri ba zato ba tsammani ya fuskanci rashin daidaituwa, yana tafiya ba tare da tsayawa ba, yana tashe kamar an bugu;ko ƙarfin gaɓoɓin na al'ada ne amma ba shi da daidaito.
2) Mai haƙuri yana da hangen nesa, hangen nesa biyu, lalacewar filin gani;ko matsayin ido mara kyau.
3) Kusurwoyin bakin mara lafiya sun karkace kuma nasolabial folds ba su da zurfi.
4) Mai haƙuri yana fuskantar raunin hannu, rashin kwanciyar hankali a cikin tafiya ko riƙe abubuwa;ko rashin jin jiki.
5) Maganganun mara lafiya ba su da kyau kuma ba su da tabbas.
A cikin kowane irin rashin daidaituwa, yana da mahimmanci a yi aiki da sauri, tsere da lokaci, da kuma neman magani da wuri-wuri.
4. Yadda ake Hana Shanyewar Jiki?
1)Masu fama da hawan jini ya kamata su kula da kula da hawan jini tare da bin magunguna.
2) Marasa lafiya masu yawan Cholesterol su sarrafa abincinsu da shan magungunan rage lipid.
3) Marasa lafiya masu ciwon sukari da ƙungiyoyi masu haɗari masu haɗari ya kamata su yi rigakafi da kuma kula da ciwon sukari.
4) Wadanda ke da fibrillation ko wasu cututtukan zuciya yakamata su nemi kulawar likita sosai.
A takaice, yana da mahimmanci a ci abinci cikin koshin lafiya, motsa jiki a matsakaici, da kuma kula da yanayi mai kyau a rayuwar yau da kullun.
5. Muhimman Lokacin Gyaran Buga
Bayan mummunan yanayin bugun jini ya daidaita, yakamata su fara gyarawa da shiga tsakani da wuri-wuri.
Marasa lafiya masu rauni zuwa matsakaicin bugun jini, waɗanda cutar ba za ta ci gaba ba, za su iya fara gyaran gadon gado da horon gyaran gado da wuri sa'o'i 24 bayan alamun alamun sun tabbata.Ya kamata a fara maganin gyaran gyare-gyare da wuri, kuma lokacin zinare na gyaran gyare-gyare shine watanni 3 bayan bugun jini.
Daidaitaccen horo da kulawa na gyaran lokaci da daidaitacce na iya rage yawan mace-mace da nakasa yadda ya kamata.Sabili da haka, kula da masu fama da bugun jini ya kamata ya haɗa da gyaran gyare-gyare na farko, ban da maganin miyagun ƙwayoyi na al'ada.Muddin an fahimci yanayin gyaran bugun jini na farko kuma ana lura da abubuwan haɗari sosai, za a iya inganta hasashen marasa lafiya, haɓaka ingancin rayuwa, rage lokacin asibiti, kuma rage farashin marasa lafiya.
6. Gyaran Farko
1) Matsayi mai kyau a kan gado: matsayi na kwance, matsayi na kwance a gefen da ya shafa, matsayi na rukuni a gefen lafiya.
2) Juyawa a kan gado akai-akai: Ko da kuwa matsayin ku, kuna buƙatar jujjuya kowane sa'o'i 2, tausa sassan da aka matse, da haɓaka yaduwar jini.
3) Ayyuka masu wuce gona da iri na gabobin hemiplegic: Hana spasms na haɗin gwiwa da rashin amfani da tsoka atrophy lokacin da alamun mahimmancin sun tsaya a cikin sa'o'i 48 bayan bugun jini kuma cututtukan tsarin jijiya na farko sun tabbata kuma ba su ci gaba ba.
4) Ayyukan motsa jiki na gado: motsin haɗin gwiwa na sama da kafada, horarwa mai aiki-taimako, horar da motsa jiki ga gado.
Koyi gano farkon alamun bugun jini.Lokacin da bugun jini ya faru, kira lambar gaggawa da wuri-wuri don siyan lokacin mara lafiya don magani.
Da fatan wannan labarin zai taimaka muku.
Labarin ya fito ne daga kungiyar likitocin farfadowa ta kasar Sin
Lokacin aikawa: Yuli-24-2023