Cerebral ischemia: nws yog dab tsi, cov tsos mob thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas yog nyob ntev cerebral ischemia
• Ua tau sequelae ntawm cerebral ischemia
• Cov teeb meem muaj peev xwm
• Yuav kho thiab tiv thaiv cov hlab hlwb ischemia li cas

Cerebral ischemia lossis ischemic stroke tshwm sim thaum muaj tsawg lossis tsis muaj ntshav ntws mus rau lub hlwb, yog li ua kom cov pa oxygen tsawg mus rau lub cev thiab paub cov yam ntxwv ntawm cerebral hypoxia. Cerebral hypoxia tuaj yeem ua rau mob loj heev lossis tuag taus yog tias tus neeg tsis tau pom thiab kho sai sai thaum thawj tus tsos mob tshwm sim, xws li tsaug zog, txhav ntawm caj npab thiab ceg thiab hloov hauv kev hais lus thiab lub zeem muag.

Cerebral ischemia tuaj yeem tshwm sim lub sijhawm twg los tau, lub sijhawm ua si lossis pw tsaug zog, thiab nws tshwm sim ntau rau cov neeg muaj ntshav qab zib, mob atherosclerosis thiab sickle cell anemia. Kev kuaj mob tuaj yeem ua raws cov qauv kev soj ntsuam, xws li cov hlau nplaum sib dhos thiab suav tomography.

Nws muaj 2 hom ntawm lub hlwb ischemia, lawv yog:

1. Tub Nuj, nyob rau hauv uas ib ce txhaws lub cerebral txog ntsha thiab tiv thaiv los yog txo cov ntshav hla mus rau lub hlwb, uas tuaj yeem ua rau kev tuag ntawm cov hlwb nyob hauv cheeb tsam lub hlwb uas tau tawg;
2. Thoob Ntiaj Teb, nyob rau hauv uas tag nrho cov ntshav xa mus rau lub hlwb tau nyuaj, uas tuaj yeem ua rau puas hlwb tas mus li yog tias nws tsis txheeb thiab kho tau sai.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm cerebral ischemia tuaj yeem nyob ntawm ob peb feeb mus rau lub sijhawm ntev dua thiab tuaj yeem yog:

• Poob lub zog hauv caj npab thiab ceg;
• Kiv taub hau;
• Tawb kev;
• Nyuaj hais lus;
• Mob taub hau;
• Xeev siab thiab ntuav;
• Kev kub siab;
• Tsis muaj kev sib koom tes;
• Kev tsis nco qab;
• Lub cev tsis muaj zog ntawm ib lossis ob sab ntawm lub cev.

Cov tsos mob ntawm cerebral ischemia yuav tsum tau txheeb xyuas sai li sai tau rau kev kho mob pib, txwv tsis pub lub hlwb tas mus li puas yuav tshwm sim. Hauv cov kab mob hloov mus ntev ntawm lub hlwb ischemia cov tsos mob hloov mus thiab tsawg dua 24 teev, tab sis lawv kuj yuav tsum tau kho hauv chaw kho mob.

Yuav ua li cas yog nyob ntev cerebral ischemia

Hloov pauv isrebia rau lub caij nyoog, tseem hu ua TIA lossis mini-mob stroke, tshwm sim thaum muaj ntshav tawm hauv lub hlwb hauv lub sijhawm luv luv, nrog cov tsos mob tshwm sim sai thiab feem ntau ploj mus li ntawm 24 teev, thiab xav tau kev saib xyuas sai li sai tau tej zaum yuav yog lub sijhawm pib loj dua cerebral ischemia.

Kev hloov pauv ischemia yuav tsum tau ua raws li cov lus qhia kho mob thiab feem ntau yog ua tiav nrog kev kho mob ntawm cov mob hlwb, xws li ntshav qab zib, ntshav siab, ntshav siab, thiab kev hloov pauv ntawm kev noj haus thiab kev nyob, xws li kev tawm dag zog lub cev thiab txo cov rog thiab cawv ntau ntxiv. kom zam kev haus luam yeeb. Kawm yuav ua li cas paub thiab kho mob stroke me.

Ua tau sequelae ntawm cerebral ischemia

Cerebral ischemia tuaj yeem tawm ntawm lub sijhawm, xws li:

• Tsis muaj zog lossis tuag tes tuag taw ntawm sab caj npab, ceg lossis ntsej muag;
• Tuag tes tuag taw tagnrho lossis ib sab ntawm lub cev;
• Poob qhov sib haum ntawm lub cev muaj zog;
• Nyuaj noj nyuaj;
• Kev daws teeb meem;
• Nyuaj hais lus;
• Kev npau taws teeb meem, xws li kev nyuaj siab;
• Cov teeb meem tsis pom kev zoo;
• Kev puas hlwb li qub lawm.

Cov ntu ntawm cerebral ischemia sib txawv heev los ntawm ib tug neeg mus rau qhov ntxiv thiab nyob ntawm seb qhov twg ischemia tshwm sim thiab lub sijhawm nws coj los pib kho, feem ntau xav tau kev sib xyaw nrog tus kws kho mob lub cev, hais lus kho mob lossis tus kws kho lub cev kom kho tau lub neej zoo thiab tiv thaiv lub sequelae los ntawm kev ua tas mus li.

Cov teeb meem muaj peev xwm

Cov laj thawj ntawm cerebral ischemia yog ze rau tus neeg lub neej. Yog li, cov neeg uas muaj atherosclerosis, mob ntshav qab zib thiab ntshav siab, uas yog cov kab mob ntsig txog kev noj zaub mov zoo, muaj feem yuav muaj mob hlwb ischemia.

Tsis tas li ntawd, cov tib neeg uas muaj mob ntshav hlwb tsawg yog tseem yuav muaj teeb meem lub hlwb ua pa tsawg dua, vim cov ntawv hloov ntshav liab tsis tso cai thauj cov pa oxygen tau zoo.

Cov teeb meem cuam tshuam nrog kev coagulation, xws li platelet stacking thiab coagulation ntshawv siab, tseem pom zoo qhov tshwm sim ntawm cerebral ischemia, vim tias muaj ntau dua qhov muaj peev xwm thaiv ntawm lub cerebral txog ntsha.

Yuav kho thiab tiv thaiv cov hlab hlwb ischemia li cas

Kev kho mob ntawm cerebral ischemia tau ua yog txiav txim siab qhov luaj li cas thiab qhov yuav tshwm sim rau tus neeg, thiab kev siv tshuaj uas ua rau txhaws txhaws, xws li Alteplase, lossis phais mob tuaj yeem qhia tau. Txoj kev kho yuav tsum yog nyob hauv tsev kho mob txhawm rau saib xyuas cov ntshav siab thiab ntshav txhawm rau saib xyuas, yog li zam qhov teeb meem tshwm sim.

Ntxiv rau kev siv tshuaj kho mob, nws yog ib qho tseem ceeb kom nrhiav kev pab los ntawm tus kws kho lub cev, tus kws kho kho hais lus lossis tus kws kho mob kom ua haujlwm txhawm rau txhim kho tus neeg lub neej zoo thiab zam kev puas tsuaj tas mus li. Saib seb mob qog nqaij hlav hauv lub hlwb li cas.

Tom qab tsev kho mob tawm mus, kev coj tus cwj pwm zoo yuav tsum tswj xyuas kom qhov kev pheej hmoo ntawm kev mob tshiab ntawm cerebral ischemia tsawg heev, uas yog, kev saib xyuas yuav tsum tau them rau zaub mov noj, zam kev rog thiab muaj ntsev ntau, ua cov haujlwm qoj ib ce, zam kev haus cawv thiab txiav luam yeeb. Muaj qee qhov tshuaj hauv tsev tuaj yeem tiv thaiv mob stroke, vim lawv muaj cov khoom uas tiv thaiv cov ntshav kom tsis txhob tuab thiab txhaws.