Lub ischemic nres

Kev hloov ischemic nres (TIA) tshwm sim thaum cov ntshav ntws mus rau ib feem ntawm lub paj hlwb nres ib pliag. Ib tus neeg yuav mob stroke zoo li 24 teev. Feem ntau, cov tsos mob yuav nyob ntev li 1 mus rau 2 teev.

Kev hloov ischemic nres yog ib qho kev ceeb toom tias qhov mob stroke tseeb yuav tshwm sim yav tom ntej yog tias qee yam tsis ua los tiv thaiv nws.

Ib qho TIA txawv dua li tus cwj nrag. Tom qab TIA, kev txhaws sai sai thiab yaj. Ib qho TIA tsis ua rau lub hlwb cov ntaub tuag.

Kev ploj ntawm cov ntshav ntws mus rau ib cheeb tsam ntawm lub hlwb tuaj yeem tshwm sim los ntawm:

• Ib qho ntshav txhaws hauv cov leeg ntshav ntawm lub hlwb
• Ib qho ntshav txha uas mus rau lub hlwb los ntawm lwm qhov hauv lub cev (piv txwv li, los ntawm lub siab)
• Kev raug mob ntawm cov hlab ntshav
• Qhov nqaim ntawm cov hlab ntshav hauv lub hlwb lossis ua rau lub hlwb khiav tawm

Ntshav siab yog qhov txaus ntshai rau TIA thiab mob stroke. Lwm qhov kev pheej hmoo txaus ntshai yog:

• Lub plawv dhia tsis ncaj ncees 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
• Cov haiv neeg (cov neeg Asmeskas coob yog cov yuav tuag ntau dua ntawm cov hlab ntsha tawg)
• Haus Yeeb
• Siv dej cawv
• Kev ua si siv tshuaj yeeb
• Keeb kwm ntawm TIA ua ntej los sis mob stroke

Cov neeg muaj mob plawv lossis ntshav khiav tsis zoo hauv lawv ob txhais ceg los ntawm cov leeg ntshav nqaim feem ntau muaj TIA lossis mob stroke.

Cov tsos mob pib dheev, kav ntev tom qab (los ntawm ob peb feeb txog 1 txog 2 teev), thiab ploj mus. Lawv yuav tshwm sim dua tom qab sijhawm.

Cov tsos mob ntawm TIA yog tib yam li cov tsos mob ntawm tus mob stroke, thiab suav nrog:

• Hloov hauv qhov tsis meej (suav nrog tsaug zog lossis tsis nco qab zoo)
• Hloov pauv qhov tsis nkag siab (xws li hnov, tsis pom kev, saj thiab kov)
• Hloov puas siab puas ntsws (xws li tsis meej pem, tsis nco qab, nyuaj sau ntawv lossis nyeem ntawv, hais tsis tau lus lossis nkag siab lwm tus)
• Cov teeb meem nqaij (xws li tsis muaj zog, nqos teeb meem, taug kev nyuaj)
• Kiv taub hau lossis ploj ntawm kev tshuav thiab kev sib koom tes
• Kev tswj tsis tau lub zais zis lossis lub plab hnyuv
• Cov teeb meem hlab ntsha (xws li loog lossis tingling ntawm ib sab ntawm lub cev)

Feem ntau, cov tsos mob thiab cov tsos mob ntawm TIA yuav ploj mus los ntawm lub sijhawm koj mus rau hauv tsev kho mob. Kev kuaj mob TIA tuaj yeem tsim los ntawm koj li keeb kwm kho mob ib leeg.

Tus kws kho mob yuav kuaj ib ce tag nrho kom kuaj xyuas cov teeb meem hauv lub plawv thiab txog ntsha. Koj tseem yuav raug kuaj xyuas qhov teeb meem hlab ntsha thiab leeg.

Tus kws kho mob yuav siv lub stethoscope los mloog koj lub plawv thiab cov hlab ntsha. Lub suab txawv txav uas hu ua bry tuaj yeem hnov ​​thaum mloog cov carotid leeg hauv caj dab lossis lwm cov leeg ntshav. Ib qho tom qab yog los ntawm cov ntshav khiav tsis xwm yeem.

Kev ntsuam xyuas yuav ua tiav los tshem tawm cov hlab ntsha tawg lossis lwm yam kev ntshawv siab uas tuaj yeem ua rau cov tsos mob:

• Tej zaum koj yuav muaj lub taub hau CT scan lossis lub hlwb MRI. A mob stroke yuav qhia kev hloov pauv ntawm cov kev xeem no, tab sis TIAs yuav tsis.
• Tej zaum koj yuav muaj kab mob angiogram, CT angiogram, lossis MR angiogram saib seb cov hlab ntshav twg thaiv los yog los ntshav.
• Koj tuaj yeem muaj echocardiogram yog tias koj tus kws kho mob xav tias koj yuav muaj ntshav txhaws ntawm lub plawv.
• Carotid duplex (ultrasound) tuaj yeem qhia tau yog tias cov hlab ntsha carotid hauv koj lub caj dab tau nqaim.
• Tej zaum koj yuav muaj cov tshuaj electrocardiogram (ECG) thiab lub plawv khiav ceev kuaj cov ntaub ntawv txhawm rau kuaj xyuas lub plawv dhia tsis xwm yeem.

Koj tus kws kho mob tuaj yeem ua lwm yam kev kuaj mob txhawm rau kuaj ntshav siab, mob plawv, ntshav qab zib, ntshav siab, thiab lwm yam ua rau, thiab kev pheej hmoo rau TIAs lossis mob stroke.

Yog tias koj muaj TIA li 48 teev dhau los, koj yuav raug tso cai rau tsev kho mob kom cov kws kho mob tuaj tshawb nrhiav qhov ua rau thiab saib koj.

Ntshav siab, kab mob hauv lub plawv, ntshav qab zib, ntshav siab, thiab ntshav tsis huv yuav raug kho raws li qhov xav tau. Koj yuav tau txais kev txhawb nqa kom hloov txoj kev ua neej kom txo qhov kev pheej hmoo ntawm cov tsos mob ntxiv. Hloov pauv xws li txiav kev haus luam yeeb, tawm dag zog ntxiv, thiab noj zaub mov kom zoo dua qub.

Koj tuaj yeem tau txais cov ntshav txhaws, xws li tshuaj aspirin lossis Coumadin, kom txo ntshav txhaws. Qee tus neeg uas tau txiav caj dab cov hlab ntsha tuaj yeem xav phais mob (carotid endarterectomy). Yog tias koj muaj lub plawv tsis xwm yeem (atrial fibrillation), koj yuav raug kho kom tsis txhob muaj teeb meem yav tom ntej.

TIA tsis ua rau cov paj hlwb mus ntev.

Tab sis, TIAs yog ib lub cim ceeb toom tias koj yuav tuaj yeem muaj mob stroke tiag nyob rau hnub tom ntej lossis hli tom ntej. Qee cov neeg uas muaj TIA yuav muaj hlab ntsha hauv 3 lub hlis. Ib nrab ntawm cov nkees tshwm sim thaum 48 teev tom qab TIA. Qhov mob stroke yuav tshwm sim tib hnub ntawd lossis tom qab sijhawm. Qee tus neeg tsuas muaj TIA nkaus xwb, thiab lwm tus muaj ntau dua TIA.

Koj tuaj yeem txo koj txoj kev pheej hmoo mob stroke yav tom ntej los ntawm kev rov qab nrog koj tus kws kho mob kom tswj hwm koj cov kev pheej hmoo.

TIA yog kev kho mob ti tes ti taw. Hu rau 911 lossis tus npawb xov tooj xwm ceev hauv zos tam sim. TSIS TXHOB quav ntsej cov tsos mob tsuas yog vim lawv ploj mus. Tej zaum lawv yuav ceeb toom ua kom mob stroke lub neej tom ntej.

Ua raws li koj tus kws kho mob cov lus qhia yuav ua li cas tiv thaiv TIAs thiab mob nkees. Yuav kom koj qhia txog kev hloov pauv hauv lub neej thiab noj tshuaj los kho ntshav siab lossis ntshav siab siab.

Mini stroke; Tia; Mob stroke me; Cerebrovascular kab mob - TIA; Carotid leeg - TIA

• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Atrial fibrillation - paug tawm
• Carotid leeg txoj kev phais - kev tshem tawm
• Mob Stroke - tawm
• Noj warfarin (Coumadin)

• Endarterectomy
• Nres Hloov Ischemic nres (TIA)

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