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Dzidza kuziva zviratidzo zve stroke

Dzidza kuziva zviratidzo zve strokeDzidzo yehutano

Pane mukana wakanaka wekuti iwe uzive mumwe munhu akarohwa nesitiroko, kana iwe uchaita muhupenyu hwako-uye imhaka yekuti sitiroko dzakazara. Vanopfuura vanhu mazana manomwe nemakumi mapfumbamwe nemakumi manomwe ezviuru muUnited States vane sitiroko gore rega rega, sekureva kwe Nzvimbo dzeDziviriro Kudzora uye Kudzivirira (CDC) . Mune mamwe manhamba, mumwe munhu muUnited States ane sitiroko mumasekondi makumi mana oga oga. Kwese maminetsi mana, mumwe munhu anofa nesitiroko. Uye kune avo vanopona, sitiroko ndiyo inonyanya kukonzera kuremara kwenguva refu.





Sitiroko ine njodzi uye yakajairika, asi kuchine kuvhiringidzika kwakadzikomberedza - chii chinonzi sitiroko? Ndezvipi zviratidzo zvekurohwa? Unogona sei kudzivirira sitiroko? Pano, tsvaga mhinduro dzaunoda.



Chii chinonzi sitiroko?

Kuti uzviise pachena sezvinobvira, sitiroko kukuvara kwehuropi kunokonzerwa neropa risina kukwana rinosvika kuuropi, anodaro Stephen Devries, MD, anodzivirira cardiologist uye director director weiyo isingabatsiri Gaples Sisitimu Yekubatanidza Cardiology . Sitiroko inokonzerwa nedambudziko nemitsipa yeropa inoenda kuuropi, izvo zvinogona kuitika kana nekuti iro reropa reropa rinovharika kubva kune cholesterol plaque kana kuwanda kweropa, kana apo tsinga yeropa muuropi inoputika yakavhurika BP kana kushaya simba kwakagarwa nhaka mutsinga.

Iwe unowanzo kunzwa sitiroko mumutsara mumwe chete sekurwadziwa kwemoyo nekuti iwo ane hukama hwakanangana, asi iwo haana kufanana.Sitiroko inoitika nekuda kwekuvharika mumidziyo inopa uropi neropa rine mweya, nepo chirwere chemwoyo chichiitika nekuda kwekuvharika kunoitika mumidziyo inopa mhasuru yemwoyo, anotsanangura Regina S. Druz, MD, FACC, a cardiologist neKaturike Health Services yeLong Island uye Chief Medical Officer neHolistic Heart Centres yeAmerica (HHCA). Nepo nhengo dzacho dzakasiyana zvakanyanya, zviitiko zvevascular uye zve systemic zvinosanganisira sitiroko nekurwadziwa kwemoyo zvakabatana zvakanyanya, sezvakaita mamiriro ezvinhu ane njodzi.

Ndezvipi zvinhu zvine njodzi yekurohwa nesitiroko?

Maererano ne iyo National Moyo, Mapapu, uye Ropa Institute , zvimwe zvezvinhu zvakakura zvine njodzi zvinowedzera mikana yako yekuva nesitiroko zvinosanganisira:



  • Kuwedzera kweropa
  • Chirwere cheshuga
  • Chirwere chemoyo
  • Kusvuta
  • Yakakwira LDL cholesterol mazinga
  • Atrial fibrillation (isina kujairika moyo mutinhimira)
  • Brain aneurysms kana arteriovenous malformations (AVMs)
  • Zvirwere kana mamiriro ezvinhu anokonzera kuzvimba (senge lupus kana rheumatoid arthritis)
  • Nhoroondo yemhuri yekurohwa
  • Zvepabonde ( vakadzi vanowanzoitika kuva nesitiroko)
  • Isati yaitika nhoroondo yekurohwa kana Kunonoka Ischemic Attack (TIA) inozivikanwawo seye mini-sitiroko

Zvimwe, zvishoma-zvinozivikanwa sitiroko zvine njodzi zvinosanganisira kushushikana, kushushikana, kuwanda kwekushushikana, kugara uchishandisa zvinodhaka zvisiri pamutemo, kunwisa, kufutisa, kurara zvakanyanya (anopfuura maawa mapfumbamwe nguva nenguva), kutsiva estrogen, mapiritsi ekudzivirira kubata mukanwa, uye kugara munzvimbo. nekusvibiswa kwemweya.

Ndezvipi zviratidzo zvekutanga zvekurohwa?

Kumeso kudonha, kushomeka kwemaoko, uye kunetsekana kwekutaura zvese zvinoratidza sitiroko, Dr. Druz anodaro. Maererano neCDC, zviratidzo zvekutanga zvekurohwa zvinosanganisira:

  • Kungoerekana wapera simba kana kushaya simba kumeso, ruoko, kana gumbo, kunyanya kune rumwe rutivi rwemuviri
  • Kamwe kamwe nyonganiso, kunetseka kutaura, kana kunetseka kunzwisisa kutaura
  • Kamwe kamwe kunetsekana kuona mune rimwe kana maviri maziso
  • Kamwe kamwe kunetseka kufamba, dzungu, kurasikirwa kwechiyero, kana kushomeka kwekubatana
  • Kamwe kamwe kwakakomba musoro musoro pasina chikonzero chinozivikanwa

Sitiroko zviratidzo zvinogona kuve zvakasiyana muvakadzi kupfuura zvavari mune varume. Sekureva kweAmerican Stroke Association, vakadzi vanogona kuzivisa zviratidzo zvakaita se:



  • Kazhinji kushaya simba
  • Kunetseka kufema kana kupfupika kwekufema
  • Kuvhiringidzika, kusapindura, kana kusagadzikana
  • Pakarepo maitiro ekuchinja
  • Kusagadzikana
  • Kufungidzira
  • Kusvotwa kana kurutsa
  • Kurwadziwa
  • Kufenda
  • Kurasika kwekuziva kana kufenda

Une nguva yakareba sei uine zviratidzo usati warwara?

Sitiroko yambiro zviratidzo zvinogona kusvika kusvika mazuva manomwe pasati paitika sitiroko, sekutsvaga kwakaburitswa muna Neurology . Zviratidzo zvinonyevera zvekurohwa zvakaenzana nesitiroko pachayo-asi mutsauko ndewekuti, isati yarova sitiroko chaiyo, zviratidzo zvekunyevera zvinokurumidza kugadzirisa, dzimwe nguva nenzira yemaminetsi mashoma, Dr. Devries anotsanangura. Kazhinji kazhinji, maalamu aya haana hanya uye vanhu havatsvage kurapwa izvo zvinogona kuponesa hupenyu. Kutsvaga rubatsiro rwekurapa nekukurumidza pakuratidzira kwechiratidzo kunogona kubatsira kudzivirira kukuvara kwehuropi.

Chii chaunofanira kuita kana iwe ukaona zviratidzo zve sitiroko?

Kana aya ari mamiriro matsva saka iwe unofanirwa kubva wakurumidza kudaidza 911. Iri boka rezviratidzo nezviratidzo rinozivikanwa sezita rekuti 'FAST'-richikubatsira kuyeuka izvi zviratidzo zvitatu, uine akawedzera' T 'anoratidza kuti nguva ndiyo yezvakakosha. anotsanangura Dr. Druz.

Iyo National Moyo, Lung, uye Ropa Institute (NHLBI) inoputsa FAST nezviratidzo uye chiito iwe chaunofanira kutora kuti ubvumidze inogona kuitika sitiroko mamiriro ezvinhu seizvi:



F — Chiso: Kumbira munhu wacho kunyemwerera. Rutivi rumwe rwechiso rwakadonha here?
A — Arms: Kumbira munhu kuti asimudze maoko maviri. Ruoko rumwe chete runodzikira pasi here?
S-Kutaura: Kumbira munhu wacho kuti adzokore mutsara wakareruka. Kutaura kunonoka here kana kushamisa?
T — Nguva: Kana iwe ukacherekedza chero cheizvi zviratidzo, fona 9-1-1 ipapo ipapo. Kurapa kwekutanga kwakakosha.

Kana iwe uchifunga kuti iwe kana mumwe munhu arikurarama ischemic attack (TIA) kana sitiroko, usatyaire kuchipatara kana kurega mumwe munhu akutyaire. Fonera amburenzi kuitira kuti varapi vatange kurapwa kunoponesa munzira munzira yekukurumidzira. Munguva yekurohwa, miniti yega yega kuverenga.



Sitiroko inogona kuenda isingazivikanwe here?

Kune chinhu chakadai se mini sitiroko - kana TIA - iyo inogona kuoneka isingazivikanwe neese ari maviri ari kuiona uye nevanotarisa. TIA idambudziko mumidziyo yeropa yeuropi inokonzeresa kuderera kweropa kuenda kune imwe nharaunda yehuropi, Harvard Hutano . Dr. Louis Caplan, purofesa wezveurology paHarvard-yakabatana neBeth Israel Deaconess Medical Center anoti zvikamu izvi zvipfupi, zvinogara isingasviki awa kusvika kumaawa makumi maviri nemana.

Muchokwadi, mazhinji maTIA akapera mukati memaminetsi mashoma. Iyo keteni yezviitiko zvinotungamira kuTIA yakafanana iyo inotungamira kune sitiroko, asi padiki padanho. Izvi zvine njodzi nekuti TIA inogona kukonzera kukuvara zvachose uye inogona kukonzera sitiroko munguva pfupi iri kutevera.



Ndeapi mamiriro anogona kutevedzera sitiroko?

Maererano ne tsvagiridzo Yakaburitswa muna2017, kune akati wandei mamiriro ekurapa anogona kutevedzera zviratidzo nezviratidzo zvekurohwa, senge: tumota dzehuropi, kusagadzikana kwemetabolism (senge hypoglycemia kana hyperthyroidism), hosha dzinotapukira (senge meningoencephalitis), uye kusagadzikana kwepfungwa (senge migraine kana kufenda. ).

Izvi zvinoita kuti kuziva sitiroko kunyanye kuoma, asi kumirira kurapwa kunogona kukonzera matambudziko asingadzoreke. Kana iwe uchifunga kuti pane chero mukana unogona kunge uri sitiroko, inguva yekuenda kuchipatara. Kunyangwe zvikapedzisira zvave kutevedzera mamiriro, zvirinani kuve wakachengeteka pane urombo.



Maitiro ekudzivirira sitiroko

Kunyange paine zvinhu zvakawanda zvine njodzi zviri kunze kwesimba redu (senge nhoroondo yemhuri uye genetics), kune nzira dzakawanda dzekudzora zvakanyanya njodzi yekurohwa. Vanhu vane simba rakawanda pamusoro pehutano hwavo nechikafu uye nemararamiro kupfuura zvavanowanzoziva, Dr. Devries anodaro.

Varwere vane chirwere cheshuga, atrial fibrillation, cholesterol yakawanda, uye hypertension vari pangozi yekuwedzera sitiroko. Kudzora aya mamiriro epasi nemarapirwo avo kunobatsira kudzivirira sitiroko.

Aya matanho mashanu anogona kubatsira kudzivirira sitiroko:

  1. Regedza kusvuta . Kusvuta chinhu chakakura chine njodzi, uye hapana chinogona kuve danho rakanaka kune hutano hwakanaka pane kurega, anodaro Dr. Devries.
  2. Deredza munyu muzvokudya zvako, uye shandisa zvokudya zvishoma zvakagadzirwa . Kuwedzera kweropa BP chimwe chezvinhu zvine njodzi zvakanyanya pakurwara nesitiroko, anodaro Dr. Devries. Shanduko dzechikafu dzinogona kuenda kure kure kubatsira neBP - kunyanya kudzora munyu muchikafu chako (unowanikwa mune zvakawanda zvakagadziriswa zvakapetwa chikafu, pamwe nechingwa, nyama dzakagadzirwa senge bacon uye soseji, uye pizza).
  3. Idya michero yakawanda, bhinzi, uye magirini . Padivi rakanaka, chikafu chakazara mu potassium, semichero yakawanda, bhinzi, uye magirini, zvinobatsira chaizvo yakaderera BP , anodaro Dr. Devries.
  4. Deredza kunwa doro . Doro rakawandisa rinogona zvakare kukwidza BP — chokwadi icho vanhu vazhinji vasingazive, anodaro Dr. Devries.
  5. Gara uchiekisesaiza . Dzimwe shanduko dzemararamiro dzinogona kubatsira kudzivirira sitiroko inosanganisira kurovedza muviri nguva dzose, kusanganisira kufamba kwakatsiga, uye kugadzirisa kushungurudzika nemidziyo senge kufungisisa, anodaro Dr. Devries.

Kana iwe watove uine sitiroko, chiremba wako anogona kukubata iwe asipurini , clopidogrel ( Plavix ), uye statin mishonga yekudzivirira sitiroko yechipiri.

Maitiro maviri-maviri ekudzivirira kudzokororazve kwesitiroko ndeyekuongororwa nguva dzese kwekurapa uye kuita zvese zvaunogona kukwidziridza mikana yako yehupenyu, Dr. Devries anodaro. Kugara uchiongororwa zvekurapa kwakakosha kuti urambe uine BP, cholesterol , uye shuga mazinga mukutarisa. Asi kunyangwe nemushonga wakakodzera, kuchinja mararamire ako kunoramba kuchikosha. Varwara nesitiroko vanorapwa neaspirin, clopidogrel (Plavix) pamwe nemishonga yesterin kudzivirira sitiroko yechipiri.