Inhloso yokuqala ukunciphisa umonakalo ebuchosheni ngokubuyisela ukujikeleza kwegazi esimweni sokuhlasela kwe-ischemic okutholwe yi-MRI noma ngokunciphisa ukuphuma kwegazi uma kwenzeka ingozi yokopha. Uma unhlangothi sisibi, umuntu uzohlala esibhedlela ukuze abhekwe izinsuku ezimbalwa. Isikhathi sokuvuselela, ekhaya noma esikhungweni esikhethekile, ngezinye izikhathi siyadingeka. Ngaphezu kwalokho, imbangela ye-stroke kufanele iphenywe futhi ilashwe (isibonelo, ukulungisa umfutho wegazi ophakeme kakhulu noma i-arrhythmia yenhliziyo).

izidakamizwa

Uma umthambo uvalekile

Umuthi owodwa kuphela wokunciphisa ubungozi bokulimala kobuchopho obungalungiseki ovunyiwe. Kuboniswa isifo sohlangothi esibangelwa i-thrombosis noma i-embolism. Lokhu yi i-activator ye-plasminogen yezicubu, iphrotheni egazini elisiza ukuncibilikisa amahlule ngokushesha (ngaphezu kwehora noma amabili). Ukuze uphumelele, umuthi kufanele ujovwe ngomjovo phakathi kwamahora angu-3 kuya kwangu-4,5 okushaya isifo sohlangothi, okunciphisa kakhulu ukusetshenziswa kwayo.

Emahoreni ambalwa ngemva kokushaywa unhlangothi okungelona ukopha, ngokuvamile kunikezwa imithi i-anticoagulant ou i-antiplaquettaire. Lokhu kusiza ukuvimbela amahlule egazi amasha ukuthi akheke emithanjeni. Ngaphezu kwalokho, kuvimbela ukukhuliswa kwamahlule asevele akhiwe. Uma i-stroke isizinzile, udokotela ngokuvamile uzophakamisa imithi elula, njengei-aspirin, okufanele zithathwe nsuku zonke esikhathini eside.

Phakathi nesikhathi sokuvuselela, ezinye izidakamizwa zingase zibe usizo. Isibonelo, izidakamizwa ze-antispasmodic zingasiza ukukhulula ama-muscle spasms.

Uma kukhona ukopha

Emahoreni alandela lolu hlobo lwengozi yemithambo yegazi, izidakamizwa zokwehlisa umfutho wegazi ngokuvamile zisetshenziswa ukuze kukhawulwe ukopha kanye nengozi yokuphinda ukopha. Kwesinye isikhathi ukopha kubangela isithuthwane. Bese belashwa ngezidakamizwa zesigaba se-benzodiazepine.

ukuhlinzwa

Uma umthambo uvalekile

Uma isifo sohlangothi sesizinzile, udokotela unikeza izivivinyo ezihlukahlukene ukuze athole ukuthi ingabe eminye imithambo ibuthaka ngenxa ye-atherosclerosis. Angase anikeze ukuhlinzwa okukodwa kokuvimbela okulandelayo:

• i-carotid endarterectomy. Le nqubo ihlanganisa "ukuhlanza" udonga lwe-carotid artery ehlaselwe yi-atherosclerosis. Kuye kwenziwa iminyaka engamashumi amane futhi kuhloswe ukuvimbela ukuphindaphinda kwemivimbo;
• i-angioplasty. Ibhaluni lifakwa emithanjeni ehlaselwe yi-atherosclerosis ukuze kuvinjwe ukuvaleka kwayo. Induku encane yensimbi iphinde ifakwe emthanjeni ukuze ungafinyeleli. Le nqubo ithwala ingozi enkulu kuneyangaphambili, ngoba lapho uqweqwe lwe-atherosclerotic luchotshozwa ibhaluni, izingcezu ze-plaque zingase zikhishwe futhi kubangele okunye ukuvinjelwa okuqhubekayo emthanjeni wobuchopho.

Uma kukhona ukopha

Ukuhlinzwa kobuchopho kungase kudingeke ukuze kukhishwe igazi elinqwabelene. Uma udokotela ohlinzayo ethola i-aneurysm ngesikhathi sokuhlinzwa, bayayelapha ukuze bayivimbele ukuthi ingaqhumi kanye nesinye isifo. Ukwelashwa ngokuvamile kuhilela ukubeka i-platinum filament ku-aneurysm. Ihlule legazi lizobe seliyizungezile futhi ligcwalise ukuvuleka komthambo wegazi.

Inothi. Ngezinye izikhathi, ukuhlolwa kwezokwelapha kungase kwembule ukuba khona kwe-aneurysm engaphazamiseki ebuchosheni. Kuye ngomongo, udokotela angase ancome noma angakuncomi ukuhlinzwa okuvimbelayo. Uma isiguli singaphansi kweminyaka engama-55, udokotela ngokuvamile uzophakamisa lokhu kuhlinzwa kokuvimbela. Uma isiguli sesikhulile, ukukhetha kufanele kwenziwe kucatshangelwa izinzuzo nezingozi zokuhlinzwa. Ngempela, lokhu kwakamuva kuveza isiguli engcupheni ye-neurological sequelae esukela ku-1% kuya ku-2%, futhi engcupheni yokufa ecishe ibe ngu-1%.². Ngaphezu kwalokho, kudingeka izifundo ezengeziwe ukuze kwaziwe umphumela wangempela wokungenelela okunjalo ekuvimbeleni ukushaywa unhlangothi.

ukulungiswa

Omunye wemigomo yokuvuselela iwukuqeqesha amangqamuzana ezinzwa engxenyeni engathinteki yobuchopho ukuba enze imisebenzi eyenziwa ngaphambi kokushaywa unhlangothi ngamanye amangqamuzana ezinzwa. Kuye ngezidingo, izinsizakalo zabelaphi abahlukahlukene ziyadingeka: umhlengikazi, isazi sokudla, i-physiotherapist, isazi sokukhuluma, i-occupational Therapist, isazi sokusebenza kwengqondo, isazi sokusebenza kwengqondo, isisebenzi senhlalakahle, njll.