Rov qab tuaj tom qab mob stroke

Mob stroke ntshav tshwm sim thaum ntshav txaus rau qee qhov ntawm lub paj hlwb nres.

Txhua tus neeg muaj lub sijhawm rov qab los txawv thiab xav tau kev saib xyuas mus ntev. Cov teeb meem ntawm kev txav mus los, xav, thiab hais lus feem ntau txhim kho hauv thawj lub asthiv lossis hli tom qab mob hlab ntsha tawg. Qee tus neeg yuav ua kom muaj kev txhim kho lub hlis lossis xyoo tom qab mob hlab ntsha tawg.

QHOV TWG LOS UA KE RAU ​​TOM QAB

Feem ntau cov neeg yuav xav tau kev rov qab mob stroke (rov pab dua) los pab lawv kom rov zoo tom qab lawv tawm hauv tsev kho mob. Stroke rehab yuav pab koj rov qab muaj peev xwm saib xyuas koj tus kheej.

Feem ntau hom kev kho mob tuaj yeem ua kom tiav qhov chaw koj nyob, suav nrog hauv koj lub tsev.

• Cov neeg uas tsis tuaj yeem saib xyuas lawv tus kheej nyob hauv tsev tom qab mob hlab ntsha tawg yuav muaj kev kho nyob rau hauv cov chaw tshwj xeeb hauv tsev kho mob lossis hauv tsev laus lossis chaw kho kom rov zoo.
• Cov uas muaj peev xwm rov qab mus tsev tej zaum yuav mus rau hauv lub tsev kho mob tshwj xeeb lossis muaj ib tus neeg tuaj hauv lawv lub tsev.

Txawm hais tias koj yuav rov qab mus tsev tom qab mob stroke nyob ntawm:

• Txawm hais tias koj tuaj yeem saib xyuas koj tus kheej
• Muaj kev pab ntau npaum li cas hauv tsev
• Txawm hais tias lub tsev yog qhov chaw nyab xeeb (piv txwv li, ntaiv nyob hauv tsev yuav tsis muaj kev nyab xeeb rau tus neeg mob stroke uas muaj teeb meem taug kev)

Tej zaum koj yuav tsum tau mus rau kev nce mus hauv tsev, tsev neeg laus hauv tsev, lossis hauv tsev ze kom muaj kev nyab xeeb.

Rau cov neeg uas zov nyob hauv tsev:

• Cov kev hloov yuav xav tau kom muaj kev nyab xeeb ntawm kev ntog hauv tsev thiab chav dej, tiv thaiv kom tsis txhob muaj neeg taug kev, thiab ua kom lub tsev yooj yim siv. Lub txaj thiab chav dej yuav tsum yooj yim kom ncav cuag. Cov khoom (xws li muab cov ntaub pua taw pov tseg) uas tuaj yeem ua rau lub caij nplooj zeeg yuav tsum tau muab tshem tawm.
• Ib tug xov tooj ntawm cov cuab yeej tuaj yeem pab nrog kev ua ub ua no xws li ua noj lossis noj mov, da dej lossis da dej, txav mus los hauv tsev lossis lwm qhov, hnav khaub ncaws thiab tu cev, sau ntawv thiab siv computer, thiab ntau yam haujlwm ntxiv.
• Kev sab laj ntawm tsev neeg tej zaum yuav pab koj paub txog cov kev pauv hloov uas xav tau ntawm kev tu neeg hauv tsev. Kev mus saib xyuas cov neeg saib mob lossis cov neeg pabcuam, cov pabcuam ua haujlwm pub dawb, cov ua haujlwm hauv tsev, cov kev pabcuam tiv thaiv cov laus, kev saib xyuas tus neeg laus, thiab lwm yam kev pabcuam hauv zej zog (xws li Lub Chaw Haujlwm Hauv Paus Laus hauv zos) yuav pab tau.
• Tej zaum yuav xav tau kev pab tswv yim. Cov lus qhia ua ntej, lub hwj chim ntawm kws lij choj, thiab lwm yam kev cai lij choj tuaj yeem ua rau nws yooj yim dua rau kev txiav txim siab txog kev saib xyuas.

PHEEJ YEEM THIAB KEV SIB TXHAWB

Tom qab mob hlab ntsha tawg, qee tus neeg yuav muaj teeb meem nrhiav lo lus lossis muaj peev xwm hais tau ntau dua ib los lus lossis kab lus hauv ib lub sijhawm. Lossis, lawv yuav muaj teeb meem hais lus txhua. Qhov no hu ua aphasia.

• Cov neeg uas tau mob stroke yuav tuaj yeem tso ntau lo lus ua ke, tab sis lawv kuj yuav tsis nkag siab zoo. Coob leej ntau tus tsis paub tias qhov lawv hais lawv tsis yooj yim to taub. Lawv yuav ntxhov siab thaum lawv paub tias lwm tus neeg tsis tuaj yeem nkag siab. Tsev neeg thiab cov neeg zov menyuam yuav tsum kawm kom paub txoj kev sib txuas lus zoo tshaj plaws.
• Nws tuaj yeem siv sijhawm txog li 2 xyoos kom rov zoo siab hais lus. Tsis yog txhua tus neeg yuav rov zoo hlo li.

Tus mob stroke tseem tuaj yeem ua rau cov leeg mob uas pab koj hais tawm. Raws li qhov tshwm sim, cov leeg no tsis txav txoj hauv kev thaum koj sim hais lus. Qhov no hu ua dysarthria.

Tus kws kho mob hais lus thiab hais lus tuaj yeem ua haujlwm nrog koj thiab koj tsev neeg lossis cov neeg saib xyuas. Koj tuaj yeem kawm cov kev tshiab los sib txuas lus.

UA TSAUG THIAB PAJ HUAM

Tom qab mob hlab ntsha tawg, neeg yuav muaj:

• Hloov pauv ntawm lawv lub peev xwm rau kev xav lossis yog vim li cas
• Hloov pauv ntawm cov cwj pwm thiab kev pw tsaug zog
• Teeb meem nco
• Kev txiav txim siab tsis zoo

Cov kev pauv no tuaj yeem ua rau:

• Ib qho kev nce hauv qhov xav tau ntawm kev ntsuas kev nyab xeeb
• Hloov pauv peev xwm hauv kev tsav tsheb
• Lwm yam hloov pauv lossis ceevfaj

Kev ntxhov siab tom qab mob stroke yog hom. Kev ntxhov siab tuaj yeem pib sai tom qab mob hlab ntsha tawg, tab sis cov tsos mob yuav tsis pib txog li 2 xyoos tom qab mob hlab ntsha tawg. Cov kev kho mob siab ntsws suav nrog:

• Nce kev sib raug zoo. Mus ntsib tom tsev ntau dua lossis mus rau hauv lub tsev zov menyuam laus rau cov haujlwm.
• Tshuaj kho mob kho kev nyuaj siab.
• Mus ntsib tus kws kho mob lossis kws pab tswv yim.

MUSCLE, JOINT, THIAB NERVE PROBLEMS

Txav mus los thiab ua tej haujlwm txhua hnub xws li hnav khaub ncaws thiab pub mis noj yuav nyuaj tom qab mob hlab ntsha tawg.

Cov leeg ntawm ib sab ntawm lub cev yuav tsis muaj zog lossis tsis tuaj yeem txav mus los. Qhov no tsuas yog koom nrog sab caj npab lossis txhais ceg, lossis tag nrho ntawm lub cev.

• Cov leeg nyob rau hauv sab uas tsis muaj zog ntawm lub cev tej zaum yuav nruj heev.
• Cov pob qij txha sib txawv thiab cov leeg hauv lub cev yuav ua rau nyuaj txav. Lub xub pwg thiab lwm cov pob qij txha yuav txav.

Ntau yam ntawm cov teeb meem no tuaj yeem ua rau mob tom qab mob hlab ntsha tawg. Qhov mob kuj tseem tuaj yeem tshwm sim los ntawm kev hloov pauv ntawm lub hlwb nws tus kheej. Koj tuaj yeem siv cov tshuaj mob, tab sis kuaj nrog koj tus kws kho mob ua ntej. Cov neeg uas muaj mob vim mob leeg yuav tau txais cov tshuaj uas pab ua pob txha caj qaum.

Kws saib xyuas lub cev, tus kws kho mob kom ua haujlwm, thiab cov kws kho kom rov zoo yuav pab koj rov qab ua li cas:

• Hnav khaub ncaws, hnav, thiab noj
• Da dej, da dej, thiab siv chav dej
• Siv cov canes, cov taug kev, lub rooj muaj log, thiab lwm yam khoom siv kom nyob tau zoo li qub tau
• Tejzaum nws rov mus ua haujlwm
• Ua kom txhua cov leeg khov khov ua muaj zog thiab ua kom lub cev muaj zog npaum li ua tau, txawm tias koj tsis tuaj yeem taug kev
• Tswj cov leeg pob txha lossis cov leeg nruj nrog ncab qoj ib ce thiab cov caws tes uas haum ib puag ncig ntawm pob luj taws, lauj tshib, xub pwg, thiab lwm cov pob qij txha

BLADDER THIAB HAIS TUAJ

Txoj hlab ntaws tuaj yeem ua rau muaj teeb meem nrog zais zis lossis quav tswj. Cov teeb meem no tuaj yeem tshwm sim los ntawm:

• Kev puas tsuaj rau qee qhov ntawm lub hlwb uas pab rau lub plab thiab zais zis ua haujlwm zoo
• Tsis pom qhov xav tau nkag mus hauv chav dej
• Teeb meem tau mus tso quav hauv lub sijhawm

Cov tsos mob tuaj yeem suav nrog:

• Kev plob tsis so tswj, raws plab (tso quav xoob), lossis cem quav (tawv plab zom plab)
• Poob lub zais zis tswj, xav tias yuav tsum tau tso zis ntau zaus, lossis teeb meem plooj lub zais zis

Koj tus kws kho mob yuav sau ntawv muab tshuaj los pab tswj kev zais zis. Koj yuav tsum tau xa mus rau tus kws ntsuam xyuas zais zis lossis tso quav.

Qee zaum, tso zis lossis lub plab zom mov yuav pab tau. Nws kuj tseem tuaj yeem pab tso lub rooj zaum commode ze rau qhov chaw koj zaum txhua hnub. Qee tus neeg yuav tsum tso cov zis tso pa tawm mus txhawm rau tso zis tawm ntawm lawv lub cev.

Txhawm rau tiv thaiv cov tawv nqaij lossis qhov siab ua paug:

• Kev tu kom huv si tom qab txwv tas
• Hloov chaw ntau zaus thiab paub txav mus hauv lub txaj, rooj zaum lossis rooj zaum muaj log
• Nco ntsoov tias lub rooj zaum muaj zog haum rau
• Hais kom cov neeg hauv tsev neeg lossis cov neeg zov me nyuam kawm paub saib yuav ua li cas saib xyuas qhov tawv nqaij mob

MUAB NQOS THIAB noj Tom qab taub qab

Nqa teeb meem tuaj yeem vim tsis saib xyuas thaum noj mov lossis ua kom puas tsuaj rau cov leeg ntshav uas pab koj nqos.

Cov tsos mob ntawm kev nqos muaj:

• Kev hnoos lossis txhawm chim, tsis hais thaum noj lossis tom qab noj mov
• Gurgling lub suab tawm hauv caj pas thaum lossis tom qab noj mov
• Lub caj pas tshem tawm tom qab haus dej los yog nqos
• Qeeb qeeb mentsis lossis noj
• Kev hnoos tau khoom noj rov qab los tom qab noj mov tag
• Ua ntsos tom qab nqos tas
• Hauv siab tsis zoo thaum lub sijhawm lossis tom qab nqos

Tus kws kho hais lus tuaj yeem pab nqos thiab noj teeb meem tom qab mob stroke. Kev noj haus hloov, xws li haus cov kua nyeem ua kua lossis haus cov khoom noj ntshiab, yuav tsum tau noj. Qee tus neeg yuav xav tau lub raj ua noj tsis tu ncua, hu ua gastrostomy.

Qee tus neeg siv tsis tau noj calories txaus tom qab mob hlab ntsha tawg. Cov khoom noj muaj calorie kom ntau lossis zaub mov noj uas tseem muaj cov vitamins lossis minerals yuav tiv thaiv kom yuag poob thiab ua kom koj noj qab nyob zoo.

LWM YAM TSEEM CEEB

Tus txiv neej thiab tus poj niam yuav muaj teeb meem nrog kev sib deev tom qab mob stroke. Cov tshuaj hu ua phosphodiesterase type 5 inhibitors (xws li Viagra, Levitra, lossis Cialis) yuav muaj txiaj ntsig zoo. Nug koj tus kws kho mob seb cov tshuaj no puas zoo rau koj. Tham nrog tus kws kho mob lossis kws pab tswv yim kuj tseem yuav pab tau.

Txoj kev kho thiab kev ua neej hloov pauv kom tiv thaiv lwm tus mob stroke tseem ceeb heev. Qhov no suav nrog kev noj zaub mov zoo, tswj kev mob nkeeg xws li mob ntshav qab zib thiab ntshav siab, thiab qee zaum noj tshuaj los pab tiv thaiv lwm qhov mob stroke.

Mob stroke txhim kho; Cerebrovascular kev huam yuaj - kev kho kom rov zoo; Rov qab los ntawm mob hlab ntsha tawg; Stroke - rov qab; CVA - rov qab

• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Kho lub paj hlwb aneurysm - kev tso tawm
• Carotid leeg txoj kev phais - kev tshem tawm
• Txoj haujlwm kho mob hnyuv niaj hnub
• Tiv thaiv kom txhob mob plab
• Mob Stroke - tawm

Dobkin BH. Neurological kho kom rov zoo nkauj. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 57.

Rundek T, Sacco RL. Kev soj ntsuam tom qab mob hlab ntsha tawg. Hauv: Grotta JC, Albers GW, Broderick JP, Kasner SE, li al, eds. Mob stroke: Pathophysiology, Kev kuaj mob, thiab Kev tswj hwmCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 16.

Stein J. Stroke. Hauv: Frontera WR, Nyiaj JK, Rizzo TD, eds. Qhov tseem ceeb ntawm Kev Siv Lub Cev thiab Kev Rov Kho DuaCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 159.