Mob stroke

A stroke tshwm sim thaum ntshav ntws mus rau ib feem ntawm lub paj hlwb nres. A stroke yog qee zaum hu ua "hlwb nres."

Yog hais tias cov ntshav ntws tawm ntawm kev txiav tawm ntev dua li ob peb feeb, lub hlwb tsis tuaj yeem txais cov as-ham thiab oxygen. Hlwb hlwb muaj peev xwm tuag, ua rau kev puas tsuaj mus ntev.

Mob stroke tseem tuaj yeem tshwm sim yog tias cov hlab ntsha hauv sab hauv lub hlwb tawg, ua rau muaj ntshav tawm hauv lub taub hau.

Nws muaj ob hom mob stroke loj:

• Ischemic mob stroke
• Hemorrhagic mob stroke

Ischemic stroke tshwm sim thaum cov hlab ntsha uas xa ntshav mus rau lub hlwb tau txhaws los ntawm ntshav txhaws.Qhov no yuav tshwm sim hauv ob txoj kev:

• Ib qho hnav tuaj yeem tuaj yeem ua rau ntawm cov leeg ntshav uas twb tau nqaim heev. Qhov no yog hu ua tus mob khaub thuas (thrombotic stroke).
• Ib qho ntshav tuaj yeem tawg tawm ntawm lwm qhov chaw hauv cov hlab ntshav ntawm lub hlwb, lossis los ntawm lwm qhov ntawm lub cev, thiab taug kev mus rau lub hlwb. Qhov no hu ua hlab hlwb embolism, lossis mob stroke embolic.

Mob ntshav hauv ischemic kuj tuaj yeem tshwm sim los ntawm cov quav nplaum hu ua quav hniav uas tuaj yeem txhaws cov hlab ntsha.

Lub ntsav hem ntshav tshwm sim thaum txoj hlab ntshav hauv ib feem ntawm lub hlwb ua rau tsis muaj zog thiab tawg qhib. Qhov no ua rau cov ntshav tuaj rau hauv lub hlwb. Qee tus neeg muaj kab mob hauv cov hlab ntshav ntawm lub hlwb uas ua rau qhov no ntau dua. Cov tsis xws luag yuav suav nrog:

• Aneurysm (thaj chaw tsis muaj zog hauv phab ntsa ntawm lub hlab ntshav uas ua rau cov hlab ntshav su lossis zais lub pob tawm)
• Cov leeg tsis ua haujlwm (AVM; kev sib txuas tsis zoo ntawm cov hlab ntsha thiab leeg ntshav)
• Cerebral amyloid angiopathy (CAA; kev mob uas cov kab mob hu ua amyloid txhim kho rau ntawm cov hlab ntsha hauv lub hlwb)

Hemorrhagic strokes kuj tseem yuav tshwm sim thaum ib tug neeg tab tom noj ntshav thinner, xws li warfarin (Coumadin). Ntshav siab heev yuav ua rau cov hlab ntsha tawg, uas ua rau mob ntshav liab.

Kev mob hlab ntsha hauv ischemic tuaj yeem tsim los ntshav thiab los ntshav txoj hlab ntshav.

Ntshav siab yog qhov pheej hmoo txaus ntshai rau tus cwj nrag. Lwm qhov kev pheej hmoo txaus ntshai yog:

• Lub plawv dhia tsis xwm yeem, hu ua atrial fibrillation
• Mob ntshav qab zib
• Tsev neeg muaj keeb kwm mob ntshav khov
• Ua txiv neej
• Cov roj (cholesterol) siab
• Nce hnub nyoog, tshwj xeeb tshaj yog tom qab hnub nyoog 55 xyoos
• Haiv neeg (Neeg Asmeskas Dub feem ntau yuav tuag los ntawm mob hlab ntsha tawg)
• Kev pham
• Keeb kwm ntawm mob stroke ua ntej los yog lub cev siv ischemic nres (tshwm sim thaum cov ntshav ntws mus rau ib feem ntawm lub paj hlwb nres ib pliag)

Txoj kev pheej hmoo mob stroke tseem muaj ntau hauv:

• Cov neeg muaj mob plawv lossis ntshav khiav tsis zoo hauv lawv cov ceg tshwm sim los ntawm cov hlab ntsha nqaim
• Cov tib neeg uas muaj lub neej tsis zoo xws li haus luam yeeb, haus cawv ntau dhau, siv tshuaj lom zem, noj cov zaub mov muaj roj ntau, thiab tsis muaj kev tawm dag zog
• Cov poj niam uas noj cov tshuaj txwv kom xeeb tub (tshwj xeeb yog cov haus luam yeeb thiab laus dua 35)
• Cov poj niam cev xeeb tub muaj qhov kev pheej hmoo ntau ntxiv thaum cev xeeb tub
• Cov poj niam uas siv tshuaj kho cov tshuaj hormones
• Patent foramen ovale (PFO), lub qhov taub ntawm sab laug thiab sab xis atria (chav sab saud) ntawm lub siab

Cov tsos mob ntawm tus mob stroke yog nyob ntawm qhov twg ntawm lub paj hlwb raug mob. Hauv qee kis, tus neeg tuaj yeem tsis paub tias tus neeg mob stroke tau tshwm sim.

Feem ntau, cov tsos mob tshwm sim sai thiab tsis ceeb toom. Tab sis cov tsos mob yuav tshwm sim rau thiab tawm rau thawj hnub lossis ob hnub. Cov tsos mob feem ntau yog qhov hnyav tshaj thaum cov mob stroke tshwm sim ua ntej, tab sis lawv kuj yuav maj mam mob heev.

Mob taub hau yuav tshwm sim yog tias mob stroke los ntawm ntshav tawm hauv lub hlwb. Mob taub hau:

• Pib dheev thiab tej zaum yuav mob hnyav
• Tej zaum yuav phem dua thaum koj dag kom tiaj tus
• Tsa koj sawv ntawm kev pw tsaug zog
• Tau zoo dua thaum koj pauv chaw haujlwm lossis thaum koj khoov, leeg, lossis hnoos

Lwm cov tsos mob nyob ntawm seb mob stroke npaum li cas, thiab qhov twg ntawm lub paj hlwb raug cuam tshuam. Cov tsos mob tuaj yeem suav nrog:

• Hloov pauv hauv kev ceev faj (suav nrog kev tsaug zog, tsis nco qab, thiab tsis nco qab)
• Hloov pauv hauv hnov ​​lus lossis saj
• Cov kev hloov pauv uas cuam tshuam rau qhov kov thiab lub peev xwm xav tias mob, siab, lossis txias sib txawv
• Tsis meej pem lossis tsis nco qab
• Cov teeb meem nqos
• Cov teeb meem sau ntawv los yog nyeem ntawv
• Kiv taub hau lossis txawv txav ntawm txav (txav dua qub)
• Teeb meem qhov muag pom kev, xws li tsis pom kev, tsis pom kev ob zaug, lossis tsis pom kev kiag li
• Kev tswj tsis tau lub zais zis lossis lub plab hnyuv
• Kev ploj ntawm kev tshuav lossis kev sib koom tes, lossis teeb meem taug kev
• Nqaij ua kom tsis muaj zog hauv lub ntsej muag, caj npab, lossis ceg (feem ntau tsuas yog ib sab xwb)
• Xuas caj dab los yog tingling ntawm ib sab ntawm lub cev
• Tus kheej, kev xav, lossis lub siab hloov
• Teeb meem hais lus lossis to taub lwm tus neeg hais lus

Tus kws kho mob yuav kuaj lub cev rau:

• Txheeb xyuas cov teeb meem nrog kev pom kev, txav mus los, hnov ​​zoo li qub, nkag siab, thiab hais lus. Koj tus kws kho mob thiab cov kws tu neeg mob yuav rov ua qhov kev kuaj xyuas no txhua lub sijhawm kom pom tias koj mob stroke nce dua lossis txhim kho.
• Mloog rau ntawm cov hlab ntsha hauv carotid hauv caj dab nrog lub stethoscope rau lub suab tsis meej, hu ua bruit, uas tshwm sim los ntawm cov ntshav khiav tsis zoo.
• Kuaj ntshav siab.

Koj tuaj yeem muaj cov kev ntsuas hauv qab no los pab nrhiav hom, thaj chaw, thiab ua rau muaj mob stroke thiab tsis ua lwm yam teebmeem:

• CT scan ntawm lub paj hlwb txhawm rau txiav txim seb puas los ntshav
• MRI ntawm lub paj hlwb los txiav txim siab qhov chaw ntawm kev mob hlab ntsha
• Angiogram ntawm lub taub hau los saib seb puas muaj ntshav txhaws lossis los ntshav
• Carotid duplex (ultrasound) txhawm rau pom tias cov ntshav carotid hauv koj lub caj dab puas tau nqaim
• Echocardiogram mus saib seb cov hlab ntsha puas tuaj yeem yog ntshav txhaws hauv plawv
• Magnetic resonance angiography (MRA) lossis CT angiography txhawm rau kuaj xyuas cov hlab ntshav tsis txaus hauv lub hlwb

Lwm yam kev ntsuam xyuas suav nrog:

• Kuaj ntshav
• Electroencephalogram (EEG) los txiav txim siab yog tias muaj mob chua leeg
• Electrocardiogram (ECG) thiab tshuaj xyuas lub plawv

A stroke yog ib qho mob ti tes ti taw. Yuav tsum tau kho sai sai. Hu rau 911 lossis tus npawb xov tooj xwm ceev hauv zos tam sim lossis nrhiav kev kho mob sai sai ntawm thawj cov tsos mob ntawm tus mob stroke.

Cov neeg muaj mob stroke yuav tsum tau mus tom tsev kho mob sai li sai tau.

• Yog hais tias mob hlab ntsha tawg los ntawm ntshav khov, yuav tsum tau muab tshuaj tiv thaiv kom khov kom yaj cov ntshav.
• Kom ua tau hauj lwm zoo, txoj kev kho mob no yuav tsum tau pib hauv 3 rau 4 1/2 teev txij li thaum pib cov tsos mob. Thaum pib kho tau sai, qhov muaj txiaj ntsig zoo yuav muaj txiaj ntsig zoo.

Lwm txoj kev kho mob tau muab hauv tsev kho mob yog nyob ntawm qhov ua rau mob stroke. Cov no suav nrog:

• Cov ntshav ua pa zoo li heparin, warfarin (Coumadin), tshuaj aspirin, lossis clopidogrel (Plavix)
• Tshuaj kho mob los tswj cov muaj feem phom sij, xws li ntshav siab, ntshav qab zib, thiab ntshav siab
• Cov txheej txheem tshwj xeeb lossis kev phais mob txhawm rau txo cov tsos mob lossis tiv thaiv kom txhob mob stroke ntxiv
• Kev noj haus thiab kua dej

Kev kho lub cev, kev kho kom lub cev, kho kev hais lus, thiab nqos dej txhua tus yuav pib hauv tsev kho mob. Yog tias tus neeg muaj teeb meem nqos loj, yuav tau pub ib txoj hlab pub rau hauv lub plab (lub raj xa menyuam).

Lub hom phiaj ntawm kev kho mob tom qab mob hlab ntsha tawg yog pab koj rov qab ua haujlwm kom ntau li ntau tau thiab tiv thaiv cov mob stroke yav tom ntej.

Rov qab los ntawm koj cov hlab ntsha tawg yuav pib thaum koj tseem nyob hauv tsev khomob lossis hauv lub chaw txhim kho kom rov zoo nkauj. Nws yuav txuas ntxiv thaum koj mus tsev los ntawm tsev kho mob lossis chaw. Nco ntsoov nrog koj tus kws kho mob saib xyuas koj tom qab koj mus tsev.

Muaj kev txhawb nqa thiab cov peev txheej muaj los ntawm American Stroke Association - www.stroke.org/en/help-and-Support.

Ib tug neeg zoo li cas tom qab mob hlab ntsha tawg yog nyob ntawm:

• Hom mob stroke
• Mob hlwb npaum li cas cov leeg
• Dab tsi lub cev ua haujlwm tau muaj kev cuam tshuam
• Muab kev kho mob sai npaum li cas

Cov teeb meem txav mus los, xav, thiab hais lus feem ntau txhim kho hauv lub lis piam mus rau lub hlis tom qab mob hlab ntsha tawg.

Coob tus neeg uas muaj mob stroke tseem yuav txhim kho lub hlis lossis xyoo tom qab lawv mob ntshav nce hlwb.

Ntau tshaj li ib nrab ntawm cov tib neeg uas mob stroke muaj peev xwm ua haujlwm thiab nyob hauv tsev. Lwm tus tsis muaj peev xwm tu lawv tus kheej.

Yog tias kho cov tshuaj tiv thaiv kom tsis txhob tuag, cov tsos mob ntawm tus mob stroke yuav ploj mus. Txawm li cas los xij, tib neeg feem ntau tsis mus rau tsev kho mob sai sai uas tau txais cov tshuaj no, lossis lawv tsis tuaj yeem noj cov tshuaj no vim tias muaj kev mob nkeeg.

Cov tib neeg uas mob stroke los ntshav txhaws (ntshav hlab plawv) yuav muaj txoj hmoo tau txoj sia zoo dua li cov neeg uas mob stroke los ntshav tawm hauv lub hlwb (hemorrhagic stroke).

Txoj kev pheej hmoo ntawm qhov mob stroke thib ob yog qhov siab tshaj plaws nyob rau lub limtiam lossis hli tom qab thawj zaug mob stroke. Kev pheej hmoo pib tsawg dua tom qab lub sijhawm no.

Stroke yog mob ti tes ti taw uas yuav tsum tau kho tam sim. Cov tsiaj ntawv F.A.S.T. yog ib txoj hauv kev yooj yim kom nco txog cov cim mob stroke thiab yuav ua li cas yog tias koj xav tias mob stroke tshwm sim. Qhov tseem ceeb tshaj uas yuav tsum tau ua yog hu rau 911 lossis tus npawb xov tooj thaum muaj xwm ceev hauv nroog kom tau txais kev pab thaum muaj xwm ceev.

F.A.S.T. sawv rau:

• TIM. Hais kom tus neeg luag nyav. Kuaj xyuas yog tias ib sab ntawm lub ntsej muag.
• Caj Npab. Hais kom tus neeg tsa ob sab caj npab. Saib yog ib sab sab caj npab poob qab.
• PHEEJ YIG. Hais kom tus neeg hais dua ib kab lus yooj yim. Txheeb xyuas yog tias cov lus tsis txaus ntseeg thiab yog tias cov kab lus raug dua.
• LUB SIJ HAWM. Yog tias ib tus neeg muaj cov tsos mob no, lub sijhawm yog qhov tseem ceeb. Nws yog ib qho tseem ceeb heev uas yuav tsum tau mus rau hauv tsev kho mob sai li sai tau. Hu 911 lossis tus npawb xov tooj xwm ceev hauv zos. Ua txoj cai F.A.S.T.

Txo koj txoj kev pheej hmoo mob stroke tsawg dua koj txoj hmoo yuav muaj mob stroke.

Cerebrovascular kab mob; CVA; Cerebral infarction; Cerebral hemorrhage; Ischemic mob stroke; Mob stroke - ischemic; Cerebrovascular kev sib tsoo; Mob stroke - hemorrhagic; Carotid leeg - mob hlab ntsha tawg

• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Nquag nquag siv thaum koj muaj kab mob plawv
• Kho lub paj hlwb aneurysm - kev tso tawm
• Butter, margarine, thiab roj ua noj
• Kev saib xyuas cov leeg mob lossis txha pob txha
• Carotid leeg txoj kev phais - kev tshem tawm
• 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
• 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
• Noj zaub mov kom tshaj thaum mob - cov neeg laus
• Mob taub hau - dab tsi yuav nug koj tus kws kho mob
• Ntshav siab - yuav tau nug dab tsi ntawm koj tus kws kho mob
• Tiv thaiv kev poob
• Mob Stroke - tawm
• Nqos teeb meem

• Lub Hlwb
• Carotid stenosis - X-ray ntawm sab laug leeg
• Carotid stenosis - X-ray ntawm txoj leeg leeg
• Mob stroke
• Lub hlwb ua haujlwm
• Cerebellum - muaj nuj nqi
• Vajvoog ntawm Willis
• Sab laug cerebral hemisphere - ua haujlwm
• Txoj cai cerebral hemisphere - ua haujlwm
• Endarterectomy
• Cov quav hniav buildup hauv cov hlab ntsha
• Mob stroke - series
• Carotid dissection

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