Tus Sau: John Stephens
Hnub Kev Tsim: 24 Lub Ib Hli Ntuj 2021
Hloov Hnub: 23 Lub Kaum Ib Hli Ntuj 2024
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Cerebrovascular Xwm txheej - Noj Qab Haus Huv
Cerebrovascular Xwm txheej - Noj Qab Haus Huv

Zoo Siab

Dab tsi yog cerebrovascular kev sib tsoo?

Cerebrovascular kev huam yuaj (CVA) yog lo lus kev kho mob rau tus mob stroke. Mob stroke yog thaum ntshav ntws mus rau ib qho ntawm koj lub hlwb raug nres lossis txhaws lossis txhaws ntawm cov hlab ntshav. Muaj cov cim tseem ceeb ntawm txoj hlab ntaws uas koj yuav tsum paub thiab ceev faj.

Nrhiav kev kho mob sai sai yog tias koj xav tias koj lossis ib tus neeg nyob ib puag ncig koj tej zaum muaj mob hlab ntsha tawg. Thaum koj tau txais kev kho mob sai dua, qhov pom tias yuav zoo dua qub, vim tias qhov mob stroke tom qab tsis nrhiav kev pab ntev heev tuaj yeem ua rau lub hlwb puas.

Hom ntawm cerebrovascular kev sib tsoo

Muaj ob qho tseem ceeb ntawm kev ua haujlwm ntawm cerebrovascular, lossis mob hlab ntsha tawg: an ischemic mob stroke tshwm sim los ntawm blockage; a hemorrhagic mob stroke yog tshwm sim los ntawm kev sib tawg ntawm cov hlab ntshav. Ob txoj hlab ntaws ua rau txoj hlab ntshav thiab pa oxygen tawg, ua rau lub hlwb tuag.

Ischemic mob stroke

Kev mob hlab ntsha hauv ischemic feem ntau tshwm sim thiab tshwm sim thaum txhaws ntshav txhaws ntawm cov hlab ntshav thiab tiv thaiv cov ntshav thiab oxygen mus rau qee qhov ntawm lub paj hlwb. Muaj ob txoj hauv kev uas qhov no tuaj yeem tshwm sim. Ib txoj kev yog txoj hlab ntaws tuaj ntshav, uas tshwm sim thaum ntshav khov ua lwm qhov hauv koj lub cev thiab tau pw hauv cov hlab ntshav hauv lub hlwb. Lwm txoj kev yog mob stroke ntshav khov, uas tshwm sim thaum ntshav txhaws hauv cov hlab ntshav hauv lub hlwb.


Hemorrhagic mob stroke

Hemorrhagic stroke tshwm sim thaum cov hlab ntsha tawg, lossis hemorrhages, thiab tiv thaiv kom ntshav tsis txhob kis mus rau qee qhov ntawm lub hlwb. Txoj hlab ntshav kuj tshwm sim hauv txhua cov hlab ntshav hauv lub hlwb, lossis nws yuav tshwm sim nyob rau ntawm daim nyias nyias ncig lub hlwb.

Cov tsos mob ntawm cerebrovascular kev huam yuaj

Qhov sai dua koj tuaj yeem tau txais kev kuaj mob thiab kho tus mob stroke, qhov zoo dua qhov koj yuav tau txais yuav. Vim li no, nws tseem ceeb kom nkag siab thiab paub cov tsos mob ntawm tus mob stroke.

Cov tsos mob stroke muaj xws li:

  • taug kev nyuaj
  • kiv taub hau
  • poob ntawm kev tshuav thiab kev sib koom ua ke
  • nyuaj hais lus lossis nkag siab lwm tus neeg hais lus
  • loog lossis ib ce txhav ntawm lub ntsej muag, txhais ceg, lossis caj npab, feem ntau yuav yog ntawm ib sab ntawm lub cev
  • pom kev plooj plooj lossis tsaus
  • mob taub hau sai sai, tshwj xeeb tshaj yog thaum nrog mob xeev siab, ntuav, lossis kiv taub hau

Cov tsos mob ntawm tus mob stroke tuaj yeem sib txawv raws tus neeg thiab qhov chaw hauv lub hlwb nws tau tshwm sim. Cov tsos mob feem ntau tshwm sim tam sim ntawd, txawm tias lawv tsis mob heev, thiab lawv tuaj yeem dhau sijhawm dhau los.


Nco ntsoov cov lo lus "FAST" pab tib neeg paub cov tsos mob tshwm sim ntawm tus mob stroke:

  • FAce: Puas yog ib sab ntawm lub ntsej muag droop?
  • Arm: Yog tias ib tug neeg tuav ob txhais caj npab tawm, puas yog txav ib qho rau sab hauv?
  • Shais lus: Yog lawv hais lus txawv txav lossis hais lus tsis txaus ntseeg?
  • Time: Nws yog lub sijhawm hu 911 thiab coj mus rau tsev kho mob yog tias pom muaj cov tsos mob no.

Kev kuaj mob ntawm cerebrovascular kev huam yuaj

Cov kws saib xyuas kev noj qab haus huv muaj qee cov cuab yeej los txiav txim siab seb koj puas tau muaj mob stroke.Koj tus kws kho mob yuav saib xyuas lub cev kom zoo, thaum lub sijhawm lawv kuaj koj lub zog, tsis kam, pom kev, hais lus, thiab qhov yog. Lawv tseem yuav kuaj xyuas lub suab tshwj xeeb hauv cov hlab ntshav hauv koj lub caj dab. Lub suab no, uas yog hu ua bruit, qhia txog ntshav khiav tsis txaus. Thaum kawg, lawv yuav kuaj koj cov ntshav siab, uas tej zaum yuav siab yog tias koj tau mob stroke.

Koj tus kws kho mob tseem tuaj yeem ua cov kev kuaj mob tshawb nrhiav qhov ua rau mob stroke thiab taw qhia qhov chaw nws nyob. Cov ntawv sib tw no yuav suav nrog ib lossis ntau yam ntawm cov hauv qab no:


  • Kev kuaj ntshav: Koj tus neeg saib xyuas kev noj qab haus huv yuav xav ntsuas koj cov ntshav txhawm rau sijhawm, ntshav muaj piam thaj hauv ntshav, lossis kis tau tus mob. Cov no tuaj yeem cuam tshuam txhua yam kev nyiam thiab kev vam meej ntawm tus mob stroke.
  • Angiogram: Ib qho angiogram, uas koom nrog kev zas xim rau koj cov ntshav thiab xoo hluav taws xob ntawm koj lub taub hau, tuaj yeem pab koj tus kws kho mob nrhiav tau cov hlab ntshav uas thaiv lossis hemorrhaged.
  • Carotid ultrasound: Qhov kev ntsuam xyuas no siv lub suab sib txuam los tsim cov duab ntawm cov hlab ntshav hauv koj lub caj dab. Kev kuaj ntshav no tuaj yeem pab koj tus kws kho mob txiav txim siab seb puas muaj ntshav khiav mus rau koj lub hlwb.
  • Kev kuaj mob CT: Txoj kev kuaj duab CT feem ntau yuav ua sai sai tom qab cov tsos mob ntawm tus mob stroke. Qhov sim sim tuaj yeem pab koj tus kws kho mob pom qhov teeb meem lossis lwm yam teeb meem uas yuav cuam tshuam nrog mob hlab ntsha tawg.
  • MRI scan: Ib qho MRI tuaj yeem muab cov duab ntau dua ntawm lub hlwb piv rau CT scan. Nws tseem rhiab ntau tshaj li lub CT scan hauv qhov uas tuaj yeem kuaj mob stroke.
  • Echocardiogram: Cov txheej txheem ntsuas no siv suab vuag los tsim duab ntawm koj lub siab. Nws tuaj yeem pab koj tus kws khomob nrhiav cov ntshav txhaws.
  • Electrocardiogram (EKG): Qhov no yog qhov hluav taws xob tshawb hauv koj lub siab. Qhov no yuav pab koj tus kws saib xyuas kev noj qab haus huv txiav txim siab yog tias lub plawv dhia tsis zoo yog qhov ua rau mob stroke.

Kev kho mob rau ib cerebrovascular kev huam yuaj

Kev kho mob stroke yog nyob ntawm hom mob stroke uas koj tau muaj. Lub hom phiaj ntawm txoj kev kho mob rau ischemic stroke, piv txwv, yog kom kho cov ntshav ntws. Kev kho mob rau cov ntshav txhaws yog nyob rau tswj kev los ntshav.

Kev kho mob stroke ischemic

Txhawm rau kho ischemic stroke, koj yuav muab ib qho tshuaj uas muaj roj los yog ua kom ntshav nyias zog dua. Koj tseem yuav muab tshuaj aspirin rau kev tiv thaiv kom txhob mob stroke zaum ob. Kev kho mob thaum maj nrawm rau hom mob stroke no suav nrog kev txhaj tshuaj rau hauv lub hlwb lossis tshem tawm cov blockage nrog cov txheej txheem.

Hemorrhagic mob stroke kho mob

Txog kev mob ntshav siab, koj yuav tau muab tshuaj uas txo cov ntshav siab rau hauv koj lub hlwb los ntawm qhov los ntshav. Yog tias qhov los ntshav hnyav, koj yuav tau phais kom tshem tawm cov ntshav ntau dhau. Nws kuj tseem tau hais tias koj yuav xav tau kev phais txhawm rau txhim kho cov hlab ntshav txhaws.

Lub zeem muag ntev rau kev sib tsoo ntawm cerebrovascular

Muaj lub sijhawm rov zoo li qub tom qab muaj mob stroke txhua yam. Lub sijhawm ua kom rov zoo li qub txawv nyob ntawm seb mob stroke npaum li cas. Koj yuav tsum koom nrog kev pab kom rov zoo los vim yog txoj kev raug mob stroke rau koj txoj kev noj qab haus huv, tshwj xeeb cov kev tsis taus nws yuav ua rau. Qhov no tuaj yeem suav nrog kev hais lus lossis kev kho mob hauv tsev haujlwm, lossis ua haujlwm nrog tus kws kho mob hlwb, kws kho paj hlwb, lossis lwm tus kws saib xyuas kev noj qab haus huv.

Koj txoj kev xav ntev tom qab mob stroke nyob ntawm ob peb yam:

  • hom mob stroke
  • nws puas ua rau koj lub hlwb mob ntau npaum li cas
  • sai npaum li cas koj muaj peev xwm tau txais kev kho mob
  • koj kev noj qab haus huv tag nrho

Qhov kev pom ntev ntev tom qab tom qab mob stroke ischemic zoo dua li tom qab mob stroke hemorrhagic.

Cov teeb meem tshwm sim los ntawm mob stroke suav nrog nyuaj rau hais lus, nqos, txav mus los, lossis xav tswv yim. Cov no tuaj yeem txhim kho ntau lub asthiv, hli, thiab xyoo dhau los tom qab mob stroke.

Kev tiv thaiv ntawm kev tawm tsam cerebrovascular

Muaj ntau yam kev pheej hmoo ua rau mob stroke, suav nrog ntshav qab zib, atrial fibrillation, thiab kub siab (ntshav siab).

Kev raws cai, muaj ntau txoj kev koj yuav coj los pab tiv thaiv kom txhob mob stroke. Kev tiv thaiv mob stroke yog zoo ib yam li cov yeeb yam koj yuav ua los pab tiv thaiv kab mob plawv. Nov yog ob peb txoj hauv kev los txo koj txoj kev pheej hmoo:

  • Tswj ntshav siab.
  • Txwv txiav cov roj nyeem ntxiv thiab cov roj cholesterol kom tsawg.
  • Tsis txhob haus luam yeeb, thiab haus cawv kom tsis txaus.
  • Tswj ntshav qab zib.
  • Tswj qhov hnyav.
  • Ua kom ib ce muaj zog tas li.
  • Noj zaub mov ntau nyob rau hauv zaub thiab txiv hmab txiv ntoo.

Koj tus kws kho mob yuav sau ntawv mus yuav tshuaj tiv thaiv kom txhob mob stroke yog lawv paub tias koj muaj feem yuav ua mob. Siv cov tshuaj tiv thaiv rau mob stroke xws li tshuaj uas ua kom cov ntshav khov thiab tiv thaiv kom txhob tuaj ntshav.

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