Txhua Yam Koj Yuav Tsum Tau Paub Txog Ischemic Stroke

Zoo Siab

• Cov tsos mob zoo li cas?
• Dab tsi ua rau ischemic stroke?
• Dab tsi yog qhov muaj kev pheej hmoo?
• Nws kuaj tau li cas?
• Cov teeb meem cuam tshuam dab tsi cuam tshuam nrog cov ischemic stroke?
• Yuav kho tus mob ischemic stroke li cas?
• Yuav rov zoo li cas los ntawm ischemic stroke entail?
• Qhov tshwm sim yog dab tsi?

Ischemic stroke yog dab tsi?

Ischemic stroke yog ib qho ntawm peb hom mob stroke. Nws tseem raug xa mus rau lub hlwb ischemia thiab cerebral ischemia.

Hom mob stroke no yog tshwm sim los ntawm qhov txhaws hauv cov leeg ntshav uas xa ntshav mus rau lub hlwb. Qhov txhaws txo cov ntshav thiab ntshav oxygen mus rau lub hlwb, ua rau lub hlwb puas lossis tuag. Yog hais tias kev ncig dej tsis rov qab sai, lub hlwb puas yuav nyob ruaj khov.

Kwv yees li ntawm 87 feem pua ​​ntawm txhua yam mob stroke yog ischemic stroke.

Lwm hom mob stroke loj yog hemorrhagic stroke, uas cov hlab ntshav hauv lub hlwb tawg thiab ua rau los ntshav. Los ntshav compresses cov ntaub so ntswg ntawm lub hlwb, ua kom puas lossis tua nws.

Qhov thib peb hom mob stroke yog transient ischemic nres (TIA), tseem hu ua ministroke. Hom mob stroke no tshwm sim los ntawm kev txhaws ib ntus lossis kev txo ntshav ntws mus rau lub hlwb. Cov tsos mob feem ntau ploj ntawm lawv tus kheej.

Cov tsos mob zoo li cas?

Cov tsos mob tshwj xeeb ntawm tus mob ischemic stroke yog nyob ntawm thaj tsam twg ntawm lub paj hlwb cuam tshuam. Qee cov tsos mob tshwm sim nyob rau feem ntau cov ischemic stroke, suav nrog:

• teeb meem tsis pom kev, xws li dig muag hauv ib lub qhov muag lossis ob lub zeem muag
• tsis muaj zog lossis tuag tes tuag taw hauv koj nqua, uas yuav nyob ntawm ib qho lossis ob tog, nyob ntawm cov leeg ntshav cuam tshuam
• kiv kiv thiab kiv taub hau
• tsis meej pem
• poob kev sib koom tes
• drooping ntawm lub ntsej muag ntawm ib sab

Thaum cov tsos mob pib, nws yog ib qho tseem ceeb kom tau txais kev kho mob sai li sai tau. Qhov no ua rau nws tsis tshua pom kev puas tsuaj zuj zus. Yog tias koj xav tias ib tug neeg muaj mob stroke, soj ntsuam lawv siv FAST:

• Ntsej muag. Puas yog ib sab ntawm lawv lub ntsej muag thiab thim xav txav?
• Caj npab. Yog tias lawv tsa lawv sab caj npab, puas yog ib txhais npab txav mus sab hauv, los yog lawv puas muaj teeb meem loj tsa lawv sab caj npab?
• Hais lus. Puas yog lawv hais lus dag lossis tsis txaus ntseeg?
• Sijhawm. Yog tias cov lus teb rau ib qho ntawm cov lus nug no yog, nws yog lub sijhawm hu rau koj lub chaw pabcuam thaum muaj xwm txheej ceev.

Txawm hais tias TIA siv sijhawm ib ntus thiab feem ntau daws nws tus kheej, nws tseem xav tau kws kho mob. Qhov no tuaj yeem yog cov cim ceeb toom ntawm tag nrho cov tshuab ischemic stroke.

Dab tsi ua rau ischemic stroke?

Ischemic stroke tshwm sim thaum cov hlab ntsha uas xa ntshav mus rau lub hlwb tau txhaws los ntawm cov ntshav txhaws lossis rog rog, hu ua cov quav hniav. Qhov txhaws no tuaj yeem tshwm sim ntawm caj dab lossis pob txha taub hau.

Cov ntshav khov feem ntau pib hauv plawv thiab taug kev los ntawm txoj kev ncig. Ib qho hnav tuaj yeem tsoo nws tus kheej lossis ua nyob rau ntawm leeg ntshav. Thaum nws txhaws cov hlab ntshav lub hlwb, lub hlwb tsis muaj ntshav lossis pa oxygen txaus, thiab lub hlwb pib tuag.

Ischemic stroke tshwm sim los ntawm kev rog rog tshwm sim thaum cov quav hniav tawm ntawm cov leeg ntshav thiab taug kev mus rau lub hlwb.Cov quav hniav tseem tuaj yeem tsim tsa hauv cov hlab ntsha uas xa ntshav mus rau lub hlwb thiab nqaim cov hlab ntsha txaus kom ua rau ischemic stroke.

Ntiaj teb ischemia, uas yog ib hom mob hnyav dua ntawm ischemic stroke, tshwm sim thaum cov pa oxygen mus rau lub hlwb txo qis los yog txiav tawm kiag li. Qhov no feem ntau tshwm sim los ntawm lub plawv nres, tab sis nws kuj tuaj yeem yog tshwm sim los ntawm lwm yam mob lossis xwm txheej, xws li carbon monoxide lom.

Dab tsi yog qhov muaj kev pheej hmoo?

Cov kev mob ncig yog qhov tseem ceeb txaus ntshai rau ischemic stroke. Ntawd yog vim tias lawv nce koj qhov kev pheej hmoo rau txhaws lossis cov nyiaj muaj rog. Cov mob no suav nrog:

• ntshav siab
• atherosclerosis
• cov roj (cholesterol) siab
• atrial fibrillation
• ua ntej plawv nres
• sickle cell anemia
• txhaws tsis meej
• yug los tsis pom lub plawv

Lwm yam kev pheej hmoo muaj xws li:

• mob ntshav qab zib
• haus luam yeeb
• rog dhau sijhawm, tshwj xeeb yog tias koj muaj ntau lub plab rog
• haus cawv ntau dhau
• siv qee yam tshuaj, xws li yeeb dawb los yog methamphetamines

Ischemic stroke tseem muaj ntau rau cov neeg uas muaj keeb kwm mob stroke lossis tus neeg muaj mob stroke yav dhau los. Cov txiv neej muaj ntau dua li cov poj niam tau mob ischemic stroke, thaum cov dub muaj kev pheej hmoo ntau dua li lwm haiv neeg lossis pawg neeg. Kev phom sij kuj nce nrog lub hnub nyoog.

Nws kuaj tau li cas?

Tus kws kho mob tuaj yeem siv tshuaj xyuas lub cev thiab keeb kwm tsev neeg lub sijhawm los kuaj mob ischemic stroke. Raws li koj cov tsos mob, lawv kuj tuaj yeem tau txais ib lub tswv yim ntawm qhov chaw uas thaiv qhov twg nyob.

Yog tias koj muaj cov tsos mob xws li tsis meej pem thiab hais lus tsis meej, koj tus kws kho mob yuav kuaj ntshav qab zib. Qhov ntawd vim tias kev tsis meej pem thiab hais lus tsis meej kuj yog cov tsos mob ntawm cov ntshav qab zib qis heev. Kawm paub ntau txog kev cuam tshuam ntawm cov ntshav qab zib hauv lub cev tsawg.

Kev kuaj cranial CT kuj tseem tuaj yeem pab qhia qhov txawv ntawm cov ntshav ischemic los ntawm lwm yam teeb meem uas ua rau lub hlwb tuag ntawm lub cev, xws li mob ntshav lossis ua rau qog hlwb.

Thaum koj tus kws kho mob tau kuaj mob ischemic stroke, lawv yuav sim xyuas seb nws pib qhov twg thiab lub hauv paus yog dab tsi. Ib qho MRI yog txoj kev zoo tshaj plaws los txiav txim siab thaum lub ischemic stroke pib. Kev ntsuam xyuas siv los txiav txim lub hauv paus tsim muaj:

• ib qho ntsuas electrocardiogram (ECG lossis EKG) los ntsuas rau lub plawv tsis txaus siab
• echocardiography los kuaj xyuas koj lub plawv txhaws lossis txawv txav
• Cov ntawv xoo xaj xaj kom pom cov hlab ntsha twg thiab lub pob thaiv loj npaum li cas
• kuaj ntshav rau cov teeb meem roj thiab txhaws

Cov teeb meem cuam tshuam dab tsi cuam tshuam nrog cov ischemic stroke?

Yog hais tias ischemic stroke tsis kho kom sai, nws tuaj yeem ua rau lub hlwb puas lossis tuag.

Yuav kho tus mob ischemic stroke li cas?

Thawj lub hom phiaj ntawm kev kho mob yog kho ua pa, lub plawv dhia, thiab ntshav siab kom rov zoo li qub. Yog tias tsim nyog, koj tus kws kho mob yuav sim txo lub siab hauv hlwb nrog kev siv tshuaj.

Kev kho mob tseem ceeb rau ischemic stroke yog cov leeg plasminogen activator (tPA), txhaws txhaws. Cov lus qhia 2018 los ntawm American Heart Association (AHA) thiab American Stroke Association (ASA) hais tias tPA zoo tshaj plaws thaum nws tau muab nyob rau hauv plaub thiab ib nrab xuaj moos txij li pib mob stroke. Nws tsis tuaj yeem muab ntau dua tsib teev tom qab pib mob stroke. Vim tias TPA tuaj yeem ua rau los ntshav, koj tsis tuaj yeem noj nws yog tias koj muaj keeb kwm ntawm:

• hemorrhagic mob stroke
• los ntshav hauv lub hlwb
• tsis ntev tas los phais lossis mob taub hau

Nws kuj tseem tuaj yeem siv tsis tau los ntawm ib tus neeg uas noj tshuaj anticoagulants.

Yog tias TPA tsis ua haujlwm, yuav tshem tawm cov ntshav tawm los ntawm kev phais mob. Kev tshem tawm cov neeg kho tshuab tawm tuaj yeem ua tau ntev txog 24 teev tom qab pib mob stroke.

Cov kev kho mob ntev ntev suav nrog cov tshuaj aspirin (Bayer) lossis tshuaj pleev ib ce kom tiv thaiv tau ntxiv ntshav ntxiv.

Yog tias ischemic stroke tshwm sim los ntawm ib qho mob xws li ntshav siab lossis mob atherosclerosis, koj yuav tsum tau txais kev kho mob rau cov mob ntawd. Piv txwv li, koj tus kws kho mob yuav qhia ib qho stent los qhib txoj hlab ntshav nqaim los ntawm cov quav hniav lossis statins kom ntshav siab.

Tom qab mob ntshav ischemic, koj yuav tsum nyob hauv tsev kho mob rau kev soj ntsuam tsawg kawg yog ob peb hnub. Yog tias mob hlab ntsha tawg ua rau tuag tes tuag taw lossis tsis muaj zog txaus, koj kuj tseem xav tau kev kho kom rov qab zoo tom qab kom rov ua haujlwm dua.

Yuav rov zoo li cas los ntawm ischemic stroke entail?

Kev rov tsim kho yog feem ntau tsim nyog yuav rov qab muaj lub cev muaj zog thiab kev sib koom tes. Kev ua haujlwm, kev tawm dag zog lub cev, thiab kev hais lus kuj yuav muaj txiaj ntsig pab kom rov ua tau lwm yam haujlwm ploj. Cov tub ntxhais hluas thiab cov neeg uas pib txhim kho sai yuav muaj peev xwm rov qab ua haujlwm ntau dua.

Yog tias muaj teeb meem tseem nyob rau tom qab ib xyoo, lawv yuav nyob ruaj khov.

Muaj ib qho ischemic stroke ua rau koj muaj kev pheej hmoo siab rau lwm tus. Ua cov kauj ruam los txo koj txoj kev pheej hmoo, xws li txiav luam yeeb, yog ib feem tseem ceeb ntawm kev rov zoo lub sijhawm ntev. Kawm paub ntau ntxiv txog qhov mob stroke rov qab.

Qhov tshwm sim yog dab tsi?

Ischemic stroke yog ib qho mob hnyav thiab yuav tsum tau kho sai. Txawm li cas los xij, nrog txoj kev kho kom raug, feem ntau cov neeg uas muaj ischemic stroke tuaj yeem rov qab lossis tswj kev ua haujlwm txaus los saib xyuas lawv cov kev xav tau. Kev paub txog cov cim ntawm ischemic stroke tuaj yeem pab cawm koj txoj sia lossis lwm tus lub neej.