Nzira Yokudzivirira Sei Stroke?

Stroke ndiyo yave iri kukonzera kufa kukuru muChina kwemakore makumi matatu apfuura, nehuwandu hwezviitiko zvinosvika 39.9% uye huwandu hwevanhu vanofa hunopfuura 20%, zvichikonzera kufa kwevanhu vanodarika miriyoni imwe nemazana mapfumbamwe gore rega rega.Vanachiremba veChinese uye masangano ekudzoreredza vakagadzira mutumbi weruzivo nezve sitiroko.Ngatinyatsoongororai.

1. Chii chinonzi Acute Stroke?

sitiroko inonyanya kuratidza sekutaura kusinganzwisisike, kuita chiveve kwemakumbo nemaoko, kuvhiringidzika kuziva, kupera simba, hemiplegia, nezvimwe.Yakakamurwa kuva mapoka maviri: 1) Ischemic sitiroko, iyo inobatwa ne intravenous thrombolysis uye thrombectomy yekukurumidzira;2) Hemorrhagic sitiroko, uko kutariswa kuri kudzivirira kubudazve, kuderedza kukuvara kwesero rehuropi, uye kudzivirira matambudziko.

2. Kurapa Sei?

1) Ischemic Stroke (Cerebral Infarction)

Mushonga wakakwana wecerebral infarction ndeye Ultra-early intravenous thrombolysis, uye arterial thrombolysis kana thrombectomy inogona kushandiswa kune vamwe varwere.Thrombolytic therapy ine alteplase inogona kupiwa mukati maawa 3-4.5 kubva pakutanga, uye thrombolytic therapy neurokinase inogona kupiwa mukati maawa matanhatu kubva pakutanga.Kana mamiriro e thrombolysis akasangana, thrombolytic therapy ine alteplase inogona kunyatso kudzikisa kuremara kwemurwere uye kugadzirisa kufungidzira.Zvakakosha kuyeuka kuti neurons muuropi haigoni kudzorerazve, saka kurapwa kwecerebral infarction kunofanira kuva nenguva uye hakufaniri kunonoka.

① Chii chinonzi Intravenous Thrombolysis?

Intravenous thrombolytic therapy inonyungudutsa thrombus inovharira tsinga yeropa, inodzoreredza tsinga yeropa yakavharika, inodzoreredza kubuda kweropa kuhuropi tishu nekukurumidza, uye inoderedza necrosis yeuropi tishu inokonzerwa neischemia.Nguva yakanakisisa ye thrombolysis iri mukati maawa matatu mushure mekutanga.

② Chii chinonzi Emergency Thrombectomy?

Thrombectomy inosanganisira chiremba anoshandisa muchina weDSA kubvisa emboli yakavharika mumudziyo weropa nekushandisa thrombectomy stent kana catheter yakakosha yekusveta kuti iwane cerebral blood vessel recanalization.Iyo inonyanya kukodzera kune acute cerebral infarction inokonzerwa nehombe yemudziyo occlusion, uye vascular recanalization rate inogona kusvika 80%.Parizvino ndiko kuvhiya kwakanyanya kusinganyanyi kupindira kwemidziyo mikuru occlusive cerebral infarction.

2) Hemorrhagic Stroke

Izvi zvinosanganisira cerebral hemorrhage, subbarachnoid hemorrhage, etc. Nheyo yekurapa ndeyekudzivirira kubudazve, kuderedza kukuvara kwesero rehuropi kunokonzerwa nehemorrhage yeuropi, uye kudzivirira matambudziko.

3. Nzira yekuziva Stroke?

1) Murwere anongoerekana asangana nekusagadzikana, anofamba asina kugadzikana, achizununguka sekunge akadhakwa;kana kuti simba remakumbo nderomuzvarirwo asi harina kururama.

2) Murwere ane maonero akajeka, maonero maviri, chikanganiso chemunda;kana chinzvimbo cheziso chisina kujairika.

3) Muromo wemurwere makona akakombama uye nasolabial folds haana kudzika.

4) Murwere anoona kushaya simba kwemakumbo, kusagadzikana mukufamba kana kubata zvinhu;kana kusanzwa kwemakumbo nemaoko.

5) Kutaura kwemurwere hakuna kujeka uye kujeka.

Muchiitiko chipi nechipi chisina kumira zvakanaka, zvakakosha kuti uite chiito nekukurumidza, kukwikwidzana nenguva, uye kutsvaga kurapwa nekukurumidza.

4. Nzira Yokudzivirira Sei Stroke?

1) Varwere vane hypertension vanofanira kubhadhara kudzora kweropa uye kuomerera kumishonga.
2) Varwere vane high cholesterol vanofanira kudzora kudya kwavo uye kutora lipid-kuderedza zvinodhaka.
3) Varwere vane chirwere cheshuga uye mapoka ane ngozi zvikuru anofanira kushingaira kudzivirira nekurapa chirwere cheshuga.
4) Avo vane atrial fibrillation kana zvimwe zvirwere zvemwoyo vanofanira kushingaira kutsvaga kurapwa.

Muchidimbu, zvakakosha kudya zvine hutano, kurovedza muviri zvine mwero, uye kuchengetedza chimiro chakanaka muhupenyu hwezuva nezuva.

5. Nguva Yakakosha YeStroke Rehabilitation

Mushure mekunge mamiriro emurwere wesitiroko agadzikana, vanofanirwa kutanga kudzoreredza uye kupindira nekukurumidza sezvinobvira.

Varwere vane sitiroko yakapfava kusvika pakati nepakati, vane chirwere chisingachafambire mberi, vanogona kutanga kugadziridzwa kwemubhedha uye kudzidziswa kwekutanga kwemubhedha wepamubhedha maawa makumi maviri nemana mushure mezviratidzo zvakakosha zvakagadzikana.Kurapa kwekudzorera kunofanira kutanga kare, uye nguva yegoridhe yekurapa kwekugadzirisa ndeye mwedzi mitatu mushure mekurohwa.

Kudzidziswa uye kurapwa panguva uye kwakamisikidzwa kunogona kuderedza kufa nekuremara.Nokudaro, kurapwa kwevarwere vesitiroko kunofanira kusanganisira kurapwa kwekutanga kwekugadzirisa, kunze kwekurapa kwemishonga.Chero bedzi mamiriro ekutanga ekugadzirisa sitiroko anonzwisiswa zvizere uye zvinhu zvinokanganisa zvinotariswa zvakanyanya, kufungidzira kwevarwere kunogona kuvandudzwa, hupenyu hwehupenyu hunosimbiswa, nguva yechipatara inopfupiswa, uye mari yevarwere yakaderedzwa.

6. Kudzorerwa Kwepakutanga

1) Kuisa nhengo dzakanaka pamubhedha: supine nzvimbo, kurara panzvimbo yakakanganiswa, nzvimbo yeboka kune utano hwakanaka.
2) Gara uchitendeuka pamubhedha: Pasinei nechinzvimbo chako, unofanirwa kushandura maawa maviri ega ega, kukwiza zvikamu zvakamanikidzwa, uye kukurudzira kutenderera kweropa.
3) Zviitiko zvePassive zvehemiplegic mitezo: Dzivirira majoini spasms uye tsandanyama kusashandisa atrophy kana zviratidzo zvakakosha zvakagadzikana maawa 48 mushure mekurova uye chekutanga tsinga system chirwere chakagadzikana uye hachisiri kufambira mberi.
4) Zviitiko zvekufamba kwemubhedha: Mutengo wepamusoro uye pfudzi yekubatana kwekufamba, kubatsira-kushanda kutendeuka kudzidzisa, mubhedha bhiriji rekurovedza muviri.

Dzidza kuziva zviratidzo zvokutanga zvesitiroko.Kana sitiroko ikaitika, fonera nhamba yekukurumidzira nekukurumidza kuti utengere murwere nguva yekurapwa.

Ndinovimba kuti chinyorwa ichi chinobatsira kwauri.

Chinyorwa chinobva kuChinese Association of Rehabilitation Medicine