Mob Stroke - tawm

Koj tau nyob hauv tsev kho mob tom qab mob hlab ntsha tawg. Mob stroke yog tshwm sim thaum cov ntshav ntws mus rau ib feem ntawm lub paj hlwb nres.

Tom tsev ua raws koj tus kws kho mob cov lus qhia ntawm kev saib xyuas tus kheej. Siv cov ntaub ntawv hauv qab no los ceeb toom.

Ua ntej, koj tau txais kev kho mob kom tiv thaiv kev puas tsuaj ntxiv rau lub hlwb, thiab pab rau lub siab, ntsws, thiab lwm yam khoom hauv nruab nrog zoo.

Tom qab koj nyob ruaj khov, cov kws kho mob tau sim thiab pib kho los pab koj kom rov zoo los ntawm stroke thiab tiv thaiv kom txhob mob stroke yav tom ntej. Koj tuaj yeem tau nyob hauv ib chav tshwj xeeb uas pab tib neeg tom qab kev mob ntshav tawm.

Vim tias kev raug mob rau lub hlwb los ntawm cov hlab ntsha tawg, koj tuaj yeem pom teeb meem nrog:

• Kev hloov pauv tus cwj pwm
• Ua cov haujlwm yooj yim
• Nco
• Txav mus rau ib sab ntawm lub cev
• Mob leeg pob txha
• Xyuam xim
• Kev hnov ​​lossis paub txog ntawm ib qho ntawm lub cev
• Nqos
• Tham lossis nkag siab lwm tus
• Kev Xav
• Pom mus rau ib sab (hemianopia)

Koj yuav xav tau kev pab nrog cov haujlwm txhua hnub uas koj tau ua ib leeg ua ntej mob stroke.

Kev ntxhov siab tom qab mob hlab ntsha tawg yog qhov tshwm sim zoo li koj kawm paub nyob nrog hloov. Nws yuav pib sai tom qab mob stroke lossis txog li 2 xyoos tom qab mob stroke.

Tsis txhob tsav tsheb yam tsis muaj kev pom zoo los ntawm koj tus kws kho mob.

Txav mus los thiab ua cov haujlwm ib txwm yuav nyuaj tom qab mob hlab ntsha tawg.

Nco ntsoov tias koj lub tsev muaj kev nyab xeeb. Nug koj tus kws kho mob, kws kho mob, lossis tus kws tu neeg mob hais txog kev hloov pauv hauv koj lub tsev kom yooj yim rau kev ua ub ua no txhua hnub.

Tshawb nrhiav qhov koj tuaj yeem ua los tiv thaiv kev ntog thiab ua kom koj lub chav dej zoo siv.

Tej zaum tsev neeg thiab cov neeg zov me nyuam xav tau kev pab nrog:

• Cov kev tawm dag zog ua kom koj lub lauj tshib, lub xub pwg nyom, thiab lwm cov pob qij txha xoob
• Saib rau kev sib koom tes zawm (ntawv cog lus)
• Nco ntsoov tias kev faib khoom siv raug siv qhov yog
• Ua kom caj npab thiab txhais ceg tau nyob hauv qhov chaw zoo thaum zaum lossis pw

Yog tias koj lossis tus koj hlub siv lub rooj zaum muaj log, rov mus ntsib kom paub tseeb tias nws haum zoo yog qhov tseem ceeb rau kev tiv thaiv cov tawv nqaij ua paug.

• Kuaj xyuas txhua hnub rau qhov ua paug siab ntawm pob taws, pob taws, hauv caug, duav, pob tw, thiab lauj tshib.
• Hloov chaw ntawm lub rooj muaj log ntau zaus hauv ib teev thaum nruab hnub txhawm rau txhawm rau tiv thaiv qhov txhab mob siab.
• Yog tias koj muaj teeb meem nrog qhov ua mob spasticity, kawm seb qhov twg ua rau nws tsis zoo. Koj lossis koj tus neeg zov menyuam tuaj yeem kawm ua kom lub zog ua rau koj cov leeg poob.
• Kawm paub yuav ua li cas tiv thaiv kom txhob mob rwj.

Cov lus qhia ua kom khaub ncaws hnav yooj yim dua thiab hle tawm yog:

• Velcro yooj yim dua li cov nyees khawm thiab zippers. Txhua cov nyees khawm thiab cov hlua khawm yuav tsum nyob ntawm sab xub ntiag ntawm ib daim ntawm cov khaub ncaws.
• Siv cov khaub ncaws pullover thiab khau khiab.

Cov tib neeg uas tau mob stroke yuav hais lus lossis teeb meem lus. Cov lus qhia rau tsev neeg thiab cov neeg zov menyuam los txhim kho kev sib txuas lus muaj xws li:

• Ua kom phov nrov thiab suab nrov. Kom koj lub suab qis dua. Txav mus rau chav nyob ntsiag to. Tsis txhob qw.
• Siv sijhawm ntau rau tus neeg los teb cov lus nug thiab nkag siab cov lus qhia. Tom qab mob stroke, nws siv sijhawm ntev dua rau cov txheej txheem uas tau hais lawm.
• Siv cov lus yooj yooj yim thiab kab lus, hais qeeb qeeb. Nug cov lus nug hauv txoj kev tuaj yeem tuaj yeem teb nrog yog lossis tsis yog. Thaum ua tau, qhia meej txoj kev xaiv. Tsis txhob muab ntau txoj kev xaiv.
• Txhaum cov lus qhia rau hauv cov kauj ruam me me thiab yooj yim.
• Rov ua dua yog xav tau. Siv cov npe thiab qhov chaw tsis tau paub. Tshaj tawm thaum koj yuav hloov cov ncauj lus.
• Ntsia qhov muag ua ntej kov lossis hais lus yog tias ua tau.
• Siv cov khoom lossis kho qhov muag pom thaum tsim nyog. Tsis txhob muab ntau txoj kev xaiv. Koj tuaj yeem siv tus taw tes lossis tes taw lossis kos duab. Siv cov twj siv hluav taws xob, xws li ntsiav tshuaj khoos phis tawj lossis xov tooj ntawm tes, kom pom cov duab los pab nrog kev sib txuas lus.

Cov hlab ntsha uas pab ua haujlwm ntawm txoj haujlwm ua haujlwm txhawm rau tuaj yeem muaj kev puas ntsoog tom qab mob hlab ntsha tawg. Muaj ib txwm ua. Thaum koj pom tias muaj lub plab zom zaws uas ua haujlwm, tuav nws:

• Siv sijhawm so, xws li tom qab noj mov lossis da dej kom sov, kom sim plab ua haujlwm.
• Ua siab ntev. Nws yuav siv sijhawm li 15 txog 45 feeb los muaj lub plab zom mov.
• Sim maj mam txhuam koj lub plab kom pab tso quav tawm ntawm koj txoj hnyuv.

Zam kev cem quav:

• Haus dej kom ntau.
• Nquag ua ub no los yog nquag ua kom ntau li ntau tau.
• Noj cov khoom noj uas muaj cov tshuaj fiber ntau.

Nug koj tus kws kho mob txog cov tshuaj uas koj siv uas yuav ua rau cem quav (xws li tshuaj kho mob kev nyuaj siab, mob, zais zis, thiab mob leeg).

Yuav tsum sau koj cov tshuaj noj ua ntej koj mus tsev. Nws yog ib qhov tseem ceeb koj yuav tsum noj koj cov tshuaj raws li kws kho mob tau hais rau koj. Tsis txhob noj lwm yam tshuaj, tshuaj ntxiv, vitamins, lossis tshuaj ntsuab yam tsis tau nug koj tus kws khomob txog lawv ua ntej.

Koj tuaj yeem raug muab rau ib lossis ntau cov tshuaj hauv qab no. Cov no yog txhawm rau tswj koj cov ntshav siab los yog cov cholesterol, thiab ua kom koj cov ntshav txhaws. Lawv tuaj yeem pab tiv thaiv kom tsis txhob mob stroke ntxiv:

• Cov tshuaj tiv thaiv kab mob hauv lub cev (tshuaj aspirin los yog clopidogrel) pab ua kom koj cov ntshav txhaws.
• Beta blockers, diuretics (dej tshuaj), thiab ACE inhibitor tshuaj tswj koj cov ntshav siab thiab tiv thaiv koj lub plawv.
• Statins txo koj cov roj (cholesterol).
• Yog tias koj muaj ntshav qab zib, tswj koj cov ntshav qab zib nyob ntawm theem uas koj tus kws kho mob pom zoo.

Tsis txhob tsum tseg ib qho ntawm cov tshuaj no.

Yog tias koj noj ntshav dua, xws li warfarin (Coumadin), tej zaum koj yuav tsum tau kuaj ntshav ntxiv.

Yog tias koj muaj teeb meem nrog kev nqos, koj yuav tsum kawm ua raws cov khoom noj tshwj xeeb uas ua kom noj muaj kev nyab xeeb dua. Tus yam ntxwv nqos teeb meem yog zawv caj pas lossis hnoos thaum noj. Kawm cov lus qhia kom ua kom noj thiab nqos yooj yim dua thiab nyab xeeb dua.

Zam cov khoom noj qab ntsev thiab rog thiab nyob deb ntawm tsev noj mov cov zaub mov kom ua rau koj lub plawv thiab cov hlab ntshav kev noj qab haus huv.

Txwv txiav koj haus cawv ntau npaum li cas ntawm 1 haus dej nyob rau ib hnub yog tias koj tau poj niam thiab 2 haus dej nyob rau ib hnub yog tias koj yog txiv neej. Nug koj tus kws kho mob yog nws tsis ua li cas yog koj haus cawv.

Ua kom txog hnub koj txhaj tshuaj tiv thaiv. Txhaj tshuaj tiv thaiv khaub thuas txhua xyoo. Nug koj tus kws kho mob yog tias koj xav tau tshuaj tiv thaiv kab mob ntsws.

Tsis txhob haus luam yeeb. Nug koj tus kws kho mob kom pab txiav yog tias koj xav tau. Tsis txhob cia ib tus neeg haus luam yeeb hauv koj lub tsev.

Ua kom deb ntawm cov xwm txheej ntxhov siab. Yog tias koj muaj kev ntxhov siab txhua lub sijhawm lossis zoo siab heev, nrog koj tus kws khomob tham.

Yog tias koj xav tu siab lossis chim siab rau lub sijhawm, tham nrog tsev neeg lossis cov phooj ywg txog qhov no. Nug koj tus kws khomob txog kev nrhiav kev pabcuam.

Hu rau koj tus kws khomob yog koj muaj:

• Cov teeb meem noj tshuaj rau cov leeg pob txha
• Cov teeb meem txav koj pob qij txha (sib koom sib cog lus)
• Teeb meem txav mus los los sis tawm ntawm koj lub txaj lossis rooj zaum
• Daim tawv nqaij ua pob lossis ua pob liab
• Kev mob siab zuj zus
• Tsis ntev los no ntog
• Txhawm chim lossis hnoos thaum noj mov
• Cov tsos mob ntawm lub zais zis (kub taub hau, mob thaum koj tso zis, lossis tso zis heev)

Hu rau 911 lossis tus npawb xov tooj xwm ceev hauv zos yog tias cov tsos mob tshwm sim sai los sis tshiab:

• Ntog lossis tsis muaj zog ntawm lub ntsej muag, caj npab, lossis ceg
• Plooj lossis hnov ​​tsis pom kev
• Tsis txawj hais lus lossis to taub
• Kiv taub hau, poob ntawm seem, lossis ntog
• Mob taub hau heev

Cerebrovascular tus kab mob - paug; CVA - kev tso tawm; Cerebral infarction - paug; Cerebral hemorrhage - tawm; Ischemic stroke - kev tshem tawm; Mob stroke - ischemic - paug; Mob stroke theem nrab rau atrial fibrillation - paug; Cardioembolic stroke - kev tso tawm; Lub hlwb los ntshav - tawm; Mob hlwb hemorrhage - tawm; Mob stroke - hemorrhagic - paug; Hemorrhagic cerebrovascular tus kab mob - tawm; Cerebrovascular kev huam yuaj - paug

• Txoj hlab ntshav hauv hlab hlwb

Dobkin BH. Kev kho kom zoo thiab rov qab ntawm tus neeg mob lub ntsws. Hauv: Grotta JC, Albers GW, Broderick JP, li al, eds. Mob stroke: Pathophysiology, Kev kuaj mob, thiab Kev tswj hwmCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 58.

Kernan WN, Ovbiagele B, Dub HR, li al. Cov lus qhia rau kev tiv thaiv mob stroke hauv cov neeg mob uas muaj mob stroke thiab hloov ischemic nres: cov lus qhia rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob strokeCov. Xyoo 2014; 45 (7): 2160-2236. PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Koom haum kho mob hauv teb chaws. Lub koom haum National of Neurological Disorders thiab Stroke lub vev xaib. Cov ntaub ntawv rov txhim kho tom qab mob stroke. www.ninds.nih.gov/Disorders/Patient-Caregiver- Education-Fact-Sheets/Post-Stroke- Rov Kho Dua-Fact- Teev. Hloov kho thaum Lub Tsib Hlis 13, 2020. Nkag mus Lub Kaum Ib Hlis 5, 2020.

Winstein CJ, Stein J, Arena R, li al. Cov txheej txheem rau cov neeg laus mob stroke thiab kho kom rov zoo: cov lus qhia rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob strokeCov. 2016; 47 (6): e98-e169. PMID: 27145936 pubmed.ncbi.nlm.nih.gov/27145936/.

• Lub paj hlwb rov ua haujlwm
• Kev phais mob hlwb
• Carotid leeg txoj hlab ntshav phais - qhib
• Cov ntshav siab hauv cov qib siab
• Rov qab tuaj tom qab mob stroke
• Mob stroke
• Cov lus qhia txog yuav ua li cas txiav luam yeeb
• Lub ischemic nres

• ACE inhibitors
• Antiplatelet tshuaj - P2Y12 inhibitors
• Cov tshuaj aspirin thiab kab mob plawv
• Chav dej nyab xeeb rau cov neeg laus
• Kev phais mob hlwb - tso tawm
• Butter, margarine, thiab roj ua noj
• Kev saib xyuas cov leeg mob lossis txha pob txha
• Cov roj khov thiab txoj kev ua neej
• Roj Cholesterol - tshuaj kho mob
• Sib txuas lus nrog ib tus neeg nrog aphasia
• Sib txuas lus nrog ib tug neeg nrog dysarthria
• Cem quav - saib xyuas nws tus kheej
• Cem quav - yam yuav nug koj tus kws kho mob
• Tswj koj cov ntshav siab
• Txoj haujlwm kho mob hnyuv niaj hnub
• Dementia thiab tsav tsheb
• Kev dementia - kev coj cwj pwm thiab teeb meem pw tsaug zog
• Dementia - kev saib xyuas txhua hnub
• Dementia - ua kom muaj kev nyab xeeb hauv tsev
• Dementia - dab tsi yuav nug koj tus kws kho mob
• Kev noj haus cov rog piav qhia
• Cov lus qhia zaub mov nrawm
• Gastrostomy pub raj - bolus
• Jejunostomy pub raj
• Kev qoj ib ce Kegel - kev saib xyuas tus kheej
• Noj ntsev tsawg
• Mediterranean noj
• Mob ncauj rwj - dab tsi yuav tau nug koj tus kws kho mob
• Tiv thaiv kev poob
• Tiv thaiv kom ntog - yuav ua li cas nug koj tus kws kho mob
• Tiv thaiv kom txhob mob plab
• Self catheterization - poj niam
• Self catheterization - txiv neej
• Suprapubic catheter saib xyuas
• Nqos teeb meem
• Zis ntim hnab dej
• Thaum koj tso zis tsis tu ncua

• Hemorrhagic mob stroke
• Ischemic Stroke
• Mob stroke