Txhua Yam Koj Yuav Tsum Tau Paub Txog Mob Stroke

Zoo Siab

• Mob stroke
• Cov tsos mob ntawm tus poj niam mob stroke hauv cov poj niam
• Cov tsos mob ntawm tus mob stroke rau cov txiv neej
• Hom mob stroke
• Ischemic mob stroke
• Embolic mob stroke
• Nres kev ischemic nres (TIA)
• Hemorrhagic mob stroke
• Dab tsi ua rau mob stroke?
• Kev pheej hmoo ua rau mob stroke
• Kev noj haus
• Tsis vuag
• Kev haus dej haus cawv
• Kev siv luam yeeb
• Tus kheej keeb kwm yav dhau
• Keeb kwm kev noj qab haus huv
• Kev kuaj mob stroke
• Kev ntsuam xyuas los kuaj mob txhaws
• Kuaj ntshav
• MRI thiab CT scan
• EKG
• Cerebral angiogram
• Carotid ultrasound
• Echocardiogram
• Mob stroke
• Ischemic mob stroke thiab TIA
• Antiplatelet thiab anticoagulants
• Clot-tawg tshuaj
• Cov khoom siv tshuab nqus ntshav
• Stents
• Kev phais mob
• Hemorrhagic mob stroke
• Cov Tshuaj Kho Mob
• Txheej
• Clamping
• Kev phais mob
• Mob stroke ntshav
• Rov qab los ntawm kev tawm tsam
• Kho kho hais lus
• Txawj ntse kho
• Kev ntsuas qhov txawj hnov ​​qab
• Kev kho lub cev
• Yuav tiv thaiv mob stroke li cas
• Cov nqa mus

Mob stroke ne?

Mob stroke yog thaum ib txog hlab ntshav hauv lub hlwb txhaws thiab ntshav, lossis thaum muaj ntshav txhaws mus rau hauv lub hlwb. Qhov tawg lossis txhaws tiv thaiv ntshav thiab oxygen kom ncav cuag lub hlwb cov ntaub so ntswg.

Raws li Cov Chaw Tiv Thaiv thiab Tswj Xyuas Kabmob (CDC), mob stroke yog qhov ua rau muaj kev tuag nyob rau Tebchaws Meskas. Txhua xyoo, ntau dua Tebchaws Meskas cov neeg muaj tus mob stroke.

Yog tias tsis muaj oxygen, lub hlwb ntawm cov nqaij thiab cov nqaij ua rau tsis zoo thiab pib tuag nyob hauv ob peb feeb. Txheeb xyuas qhov tseeb raws li cas mob hlab ntsha tawg rau lub cev.

Mob stroke

Kev ploj ntawm cov ntshav ntws mus rau lub hlwb ua kom cov nqaij hauv lub hlwb. Cov tsos mob ntawm tus mob stroke tshwm nyob rau hauv cov khoom hauv lub cev raug tswj los ntawm thaj chaw puas ntawm lub hlwb.

Cov neeg mob stroke sai npaum li cas tau txais kev saib xyuas sai, lawv yuav tuaj yeem ua haujlwm tau zoo dua. Vim li no, nws tseem ceeb yuav pab paub cov cim mob stroke thiaj li tuaj yeem ua nrawm dua. Cov tsos mob stroke tuaj yeem yog:

• tuag tes tuag taw
• loog lossis tsis muaj zog ntawm caj npab, ntsej muag, thiab ceg, tshwj xeeb ntawm ib sab ntawm lub cev
• teeb meem hais lus los yog nkag siab kev hais lus
• tsis meej pem
• hais lus phem
• cov teeb meem tsis pom kev, xws li cov teeb meem pom hauv ib lossis ob lub qhov muag nrog qhov muag pom tsaus lossis qhov muag plooj, lossis ob lub zeem muag
• taug kev nyuaj
• poob ntawm kev tshuav lossis kev sib koom tes
• kiv taub hau
• mob hnyav, mob taub hau sai sai uas tsis paub xyov yuav ua li cas

Mob stroke yuav tsum tau txais kev kho mob sai. Yog koj xav tias koj lossis lwm tus neeg muaj mob hlab ntsha tawg, muaj ib tus neeg hu 911 tamsis ntawd. Kev kho sai yog qhov tseem ceeb ntawm kev tiv thaiv cov txiaj ntsig nram qab no:

• mob hlwb
• kev tsis taus ntev ntev
• kev tuag

Nws zoo dua yog kom muaj kev nyab xeeb dua li thov txim thaum cuam tshuam txog kev mob stroke, yog li tsis txhob ntshai hu 911 yog tias koj xav tias koj paub txog cov cim ntawm qhov mob stroke. Ua nrawm nrawm thiab kawm kom paub txog cov cim ntawm tus mob stroke.

Cov tsos mob ntawm tus poj niam mob stroke hauv cov poj niam

Mob stroke yog qhov ua kom muaj kev ploj tuag nyob hauv Asmeskas Cov poj niam. Cov poj niam muaj kev pheej hmoo siab ntev dua lub neej ntawm tus kab mob hlab ntsha tawg dua li tus txiv neej.

Qee tus cim mob stroke kuj zoo ib yam rau poj niam thiab txiv neej, qee qhov ntau dua ntawm poj niam.

Mob stroke uas pom muaj ntau hauv cov poj niam suav nrog:

• xeev ntuav lossis ntuav
• ua yog toog pom
• kev mob
• feem ntau tsis muaj zog
• txog siav lossis ua tsis taus pa ua pa
• tsaus muag lossis hnov ​​qab
• qaug dab peg
• tsis meej pem, tsis meej pem, los sis tsis muaj kev rov paub dua
• kev hloov tus cwj pwm tam sim ntawd, tshwj xeeb kev ntxhov siab ntxiv

Cov poj niam feem ntau yuav ntau dua li cov txiv neej tuag los ntawm tus kab mob stroke, yog li nws tseem ceeb uas yuav tsum muaj peev xwm txheeb xyuas qhov mob stroke sai li sai tau. Kawm paub ntau ntxiv txog kev paub txog cov cim ntawm mob stroke ntawm cov poj niam.

Cov tsos mob ntawm tus mob stroke rau cov txiv neej

Mob stroke yog qhov ua rau txiv neej tuag taus. Tus txiv neej feem ntau yuav muaj mob hlab ntsha tawg hauv lawv cov hnub nyoog yau dua li cov poj niam, tab sis lawv tsis tshua muaj tuag los ntawm nws, raws li tus.

Tus txiv neej thiab poj niam tuaj yeem muaj qee cov paib thiab cov tsos mob ntawm tus mob stroke (saib saum toj). Txawm li cas los xij, qee qhov mob stroke tshwm sim ntau dua rau cov txiv neej. Cov no suav nrog:

• drooping rau ntawm ib sab ntawm lub ntsej muag lossis tsis txaus luag
• hais lus thuam lwm tus, hais lus tsis meej, thiab tsis nkag siab lwm nqe lus
• sab caj npab tsis muaj zog lossis cov leeg tsis muaj zog ntawm ib sab ntawm lub cev

Txawm tias qee tus tsos mob kuj yuav txawv ntawm tus txiv neej thiab poj niam, nws yog ib qho tseem ceeb rau ob leeg kom pom kev mob stroke thaum ntxov thiab nrhiav kev pab. Kawm paub ntxiv txog cov cim ntawm tus mob hlab ntsha hauv txiv neej.

Hom mob stroke

Strokes poob rau hauv peb pawg loj: lub sijhawm ischemic nres (TIA), ischemic stroke, thiab mob ntshav liab hemorrhagic. Cov pawg no tau txuas ntxiv rau hauv lwm hom kev sib tsoo, suav nrog:

• embolic mob stroke
• thrombotic mob stroke
• mob hlab ntsha tawg hauv hlwb
• subarachnoid mob stroke

Hom mob stroke uas koj tau cuam tshuam rau koj txoj kev kho thiab rov qab ua dua. Nyeem ntxiv txog ntau hom cwj nrag.

Ischemic mob stroke

Thaum lub sij hawm mob hlab ntsha hauv ischemic, cov hlab ntsha xa cov ntshav mus rau lub hlwb nqaim los yog txhaws. Qhov txhaws no yog los ntawm ntshav txhaws lossis ntshav txaus uas txo qis heev. Lawv kuj tuaj yeem tshwm sim los ntawm cov quav hniav vim yog atherosclerosis rhuav tshem thiab thaiv cov hlab ntsha.

Qhov ob hom ntau ntawm ischemic cwj nrag yog cov thrombotic thiab embolic. Qhov mob stroke thrombotic tshwm sim thaum cov ntshav txhaws hauv ib qho ntawm cov hlab ntshav xa khoom ntshav mus rau lub hlwb. Cov ntshav hla los ntawm cov hlab ntsha thiab dhau mus ua chaw pw, uas ua rau cov ntshav khiav tsis tau mus. Embolic stroke yog thaum ntshav ntas lossis lwm yam khib nyiab hauv lwm qhov ntawm lub cev thiab tom qab ntawd taug kev mus rau lub hlwb.

Raws li CDC,, tus cwj nrag yog iskesic stroke. Tshawb nrhiav vim li cas ischemic stroke tshwm sim.

Embolic mob stroke

Qhov mob stroke embolic yog ib qho ntawm ob hom ischemic stroke. Nws tshwm sim thaum cov ntshav txhaws hauv lwm qhov ntawm lub cev - feem ntau lub plawv lossis hlab ntsha hauv siab thiab hauv siab - thiab txav los ntawm cov hlab ntshav mus rau lub hlwb. Cov pob txhaws txhaws rau ntawm lub hlwb cov hlab ntsha, qhov twg nws nres ntshav thiab ua rau mob stroke.

Txoj hlab ntsha daj tuaj yeem yog qhov tshwm sim ntawm lub siab. Atrial fibrillation, uas ib txwm tshwm sim ntawm lub plawv dhia tsis xwm yeem, tuaj yeem ua rau cov ntshav txhaws hauv lub plawv. Cov txhaws no yuav cuam tshuam thiab taug kev los ntawm cov hlab ntsha thiab mus rau hauv lub hlwb. Nyeem ntxiv txog yuav ua li cas thiaj mob ntshav khov thiab tshwm sim cov tsos mob tuaj yeem ua tau.

Nres kev ischemic nres (TIA)

Kev hloov ischemic nres, feem ntau hu ua TIA lossis ministroke, tshwm sim thaum cov ntshav ntws mus rau lub hlwb tau txwv ib ntus. Cov tsos mob, uas zoo ib yam li cov mob stroke tag nrho, feem ntau yog ib ntus thiab ploj tom qab ob peb feeb lossis teev.

Ib qho TIA feem ntau yog los ntawm ntshav txhaws. Nws ua haujlwm ceebtoom txog kev mob stroke yav tom ntej, yog li tsis txhob quav ntsej TIA. Nrhiav tib txoj kev kho koj yuav ua rau mob hlab ntsha tawg loj thiab hu 911.

Raws li CDC hais, ntawm cov tib neeg uas muaj TIA thiab tsis tau txais kev kho mob tau mob stroke loj hauv ib xyoos. Txog ntawm cov neeg uas muaj TIA muaj mob hlab ntsha loj hauv peb lub hlis. Nov yog kom nkag siab txog TIAs thiab yuav ua li cas tiv thaiv kom txhob mob stroke loj dua yav tom ntej.

Hemorrhagic mob stroke

Qhov mob ntshav nchav tshwm sim thaum txoj hlab ntshav hauv lub hlwb tawg qhib lossis xau ntshav. Cov ntshav los ntawm cov leeg ntshav ntawd ua kom dhau mus rau lub pob txha taub hau thiab o rau lub hlwb, ua rau lub hlwb ntawm cov hlwb thiab cov ntaub so ntswg.

Qhov ob hom hemorrhagic strokes yog intracerebral thiab subarachnoid. Kev mob ntshav khov hauv ntshav khov, feem ntau hom ntshav hemorrhagic mob stroke, tshwm sim thaum cov nqaij mos uas nyob ib ncig ntawm lub hlwb sau nrog cov ntshav tom qab cov leeg ntshav tawg. Cov mob stroke subarachnoid hemorrhagic tsawg dua. Nws ua rau los ntshav ntawm thaj chaw nruab nrab ntawm lub hlwb thiab daim ntaub so ntswg uas npog nws.

Raws li American Heart Association, hais txog 13 feem pua ​​ntawm cov mob ntshav npleem yog hemorrhagic. Kawm paub ntau ntxiv txog cov ua rau cov ntshav hemorrhagic mob stroke, nrog rau kev kho thiab tiv thaiv.

Dab tsi ua rau mob stroke?

Qhov ua rau mob stroke nyob ntawm hom mob stroke. Qhov peb yam tseem ceeb ntawm cov mob stroke yog transient ischemic nres (TIA), ischemic stroke, thiab mob ntshav liab hemorrhagic.

Ib qho TIA yog tshwm sim los ntawm kev txhaws ib ntus hauv cov leeg ntshav uas ua rau lub hlwb. Qhov blockage, feem ntau yog ntshav txhaws, nres ntshav kom tsis txhob los ntshav rau qee qhov ntawm lub paj hlwb. A TIA feem ntau tsuas kav ntev li ob peb feeb txog rau ob peb teev, thiab tom qab ntawv txhaws thiab cov ntshav rov qab los.

Zoo li TIA, mob hlab ntsha hauv ischemic tshwm sim los ntawm kev txhaws ntawm cov leeg ntshav uas ua rau lub hlwb khiav. Qhov txhaws no tuaj yeem ua rau ntshav txhaws, lossis nws tuaj yeem tshwm sim los ntawm atherosclerosis. Nrog rau cov xwm txheej no, cov quav hniav (cov khoom ua rog rog) txhim kho rau ntawm cov phab ntsa ntawm cov hlab ntsha. Ib daig ntawm cov quav hniav tuaj yeem ua txhaum thiab lodge hauv cov leeg ntshav, thaiv cov ntshav khiav thiab ua rau cov ischemic stroke.

Ib txoj kev mob hemorrhagic, ntawm qhov tod tes, yog qhov tshwm sim los ntawm txoj hlab ntshav lossis txoj hlab ntshav txha ntshav. Cov ntshav pom rau hauv lossis puag ncig cov ntaub so ntswg ntawm lub hlwb, ua rau lub siab thiab ua rau lub hlwb hlwb.

Muaj ob qhov ua tau rau ntawm cov mob hemorrhagic mob stroke. Ib qho hlab ntshav tawm (qhov tsis muaj zog, ntu ntawm cov hlab ntshav) tuaj yeem los ntawm ntshav siab thiab tuaj yeem ua rau cov ntshav tawg. Tsawg tsawg zaus, qhov xwm txheej hu ua cov hlab ntsha tsis txaus, uas yog qhov txuas tsis zoo ntawm koj cov leeg ntshav thiab cov hlab ntsha, tuaj yeem ua rau ntshav tawm hauv lub hlwb. Kav tsij nyeem txog qhov uas ua rau muaj ntau yam mob stroke.

Kev pheej hmoo ua rau mob stroke

Qee yam kev pheej hmoo ua rau koj muaj kev tiv thaiv kab mob stroke ntau dua. Raws li qhov, cov kev pheej hmoo feem ntau uas koj muaj, koj yuav tsum tau mob stroke ntev dua. Yam txaus ntshai ntawm cov mob stroke no muaj xws li:

Kev noj haus

Noj zaub mov tsis zoo uas ua rau koj muaj teeb meem mob stroke yog ib qho uas:

• ntsev
• cov rog nyeem
• trans nqaijrog
• roj

Tsis vuag

Kev tawm dag zog, lossis tsis tawm dag zog, tuaj yeem ua rau koj txoj kev pheej hmoo ntawm mob hlab ntsha tawg.

Kev tawm dag zog tsis tu ncua muaj cov txiaj ntsig kev noj qab haus huv ntau. CDC qhia tias cov neeg laus yuav tsum tau ua tej yam kev tawm dag lub cev txhua lub lim tiam. Qhov no txhais tau tias tsuas yog mus kev ceev nrawm li ob peb zaug hauv lub lim tiam.

Kev haus dej haus cawv

Koj kev pheej hmoo mob stroke tseem nce siab yog tias koj haus cawv ntau. Kev haus dej haus cawv yuav tsum ua rau muaj ntsis. Qhov no txhais tau tias tsis pub haus ntau tshaj ib hnub haus dej rau cov poj niam, thiab tsis pub ntau tshaj ob tug txiv neej. Ntau tshaj qhov ntawd yuav nce qib ntshav siab thiab qib triglyceride, uas tuaj yeem ua rau atherosclerosis.

Kev siv luam yeeb

Kev haus luam yeeb hauv ib daim ntawv twg tseem ua rau koj muaj kev pheej hmoo mob stroke, vim nws tuaj yeem ua rau koj cov hlab ntsha thiab lub plawv puas. Qhov no nce ntxiv thaum haus luam yeeb, vim tias koj cov ntshav siab nce siab thaum koj siv cov nicotine.

Tus kheej keeb kwm yav dhau

Muaj qee yam kev pheej hmoo ntawm tus kheej li mob stroke uas koj tsis tuaj yeem tswj hwm. Txoj kev pheej hmoo mob stroke tuaj yeem txuas rau koj:

• Keeb kwm tsev neeg. Txoj kev pheej hmoo mob stroke yog qhov muaj ntau dua nyob hauv qee tsev neeg vim yog qhov muaj mob caj ces, xws li ntshav siab.
• Poj niam txiv neej. Raws li qhov, thaum tus poj niam thiab tus txiv neej tuaj yeem mob stroke, lawv muaj ntau yam ntawm cov poj niam ntau dua li cov txiv neej hauv txhua lub hnub nyoog.
• Lub hnub nyoog. Cov laus tshaj koj li, koj yog tus yuav tau mob stroke ntau.
• Haiv neeg thiab pawg. Caucasians, Neeg Asmesliskas Asmeskas, thiab Neeg Mev, Cov neeg Amelikas thiab Neeg Qhab Asmeskas yog cov yuav muaj hlab ntshav tsawg dua li neeg Asmeskas-Asmeskas, Alaska Ib Txwm, thiab Khab Asmeskas.

Keeb kwm kev noj qab haus huv

Qee qhov xwm txheej kho mob tau cuam tshuam txog kev pheej hmoo mob stroke. Cov no suav nrog:

• hlab pas dhau los lossis TIA
• ntshav siab
• cov roj (cholesterol) siab
• kev kho mob hauv lub plawv, xws li mob rau cov hlab ntshav ntawm lub cev
• lub plawv kho valve
• tsam lub plawv lag luam thiab lub plawv dhia tsis xwm yeem
• sickle cell kab mob
• mob ntshav qab zib

Txhawm rau kom paub txog koj cov teeb meem tshwj xeeb uas yuav muaj mob stroke, tham nrog koj tus kws kho mob. Hauv lub sijhawm, nrhiav seb koj tuaj yeem ua dab tsi los txo qis koj tus mob stroke.

Kev kuaj mob stroke

Koj tus kws kho mob yuav nug koj lossis ib tug neeg hauv koj tsev neeg txog koj tus mob thiab koj tau ua li cas thaum lawv sawv. Lawv yuav coj koj cov ntaub ntawv keeb kwm kho mob mus nrhiav kom paub txog koj cov teeb meem phom sij txog ntsha. Lawv kuj yuav:

• nug tias koj noj tshuaj dab tsi
• tshuaj xyuas koj cov ntshav siab
• mloog koj lub siab

Koj yuav tsum tau kuaj lub cev, lub sijhawm tus kws kho mob yuav tshuaj xyuas koj rau:

• seem
• kev sib koom tes
• tsis muaj zog
• loog hauv koj txhais tes, ntsej muag, lossis ceg
• cov cim ntawm kev tsis meej pem
• teeb meem tsis pom kev

Koj tus kws kho mob yuav ua qee yam kev kuaj mob. Muaj ntau hom kev kuaj mob tau siv los pab txhawm rau paub txog kev mob hlab ntsha tawg. Cov kev kuaj no tuaj yeem pab cov kws kho mob txiav txim siab:

• yog tias koj mob stroke
• dab tsi yuav tau tshwm sim nws
• dab tsi feem ntawm lub paj hlwb tau cuam tshuam
• seb koj puas los ntshav hauv lub hlwb

Cov kev kuaj no tseem tuaj yeem txiav txim siab yog tias koj tus tsos mob tab tom ua los ntawm lwm yam.

Kev ntsuam xyuas los kuaj mob txhaws

Koj tuaj yeem mus rau cov kev sim ntau yam ntxiv kom pab koj tus kws kho mob txiav txim siab seb koj puas tau mob stroke lossis tswj xyuas lwm yam mob. Cov kev ntsuam xyuas no suav nrog:

Kuaj ntshav

Koj tus kws khomob yuav nqus ntshav mus kuaj ntshav ntau zaug. Kev kuaj ntshav tuaj yeem txiav txim siab:

• koj cov ntshav qab zib ntau ntau
• yog tias koj muaj mob
• koj cov qib platelet
• koj cov ntshav txha khiav ceev npaum li cas

MRI thiab CT scan

Koj yuav hla tau lossis ob qho tib si sib nqus resonance imaging (MRI) thiab lub computer tom tom (CT) scan.

Tus MRI yuav pab saib yog tias muaj cov xoos hlwb lossis hlwb hlwb puas. Kev xoos fais fab (CT scan) yuav muab cov duab ntxig thiab meej ntawm koj lub hlwb uas qhia pom kev los ntshav lossis puas hauv lub hlwb. Tej zaum nws kuj qhia tau lwm cov kev mob hlwb uas tuaj yeem ua rau koj cov tsos mob.

EKG

Koj tus kws kho mob yuav xaj ib daim electrocardiogram (EKG), ib yam nkaus. Qhov kev ntsuam xyuas yooj yim no tau sau cov hluav taws xob ua hauv plawv, ntsuas nws cov lus sib dhos thiab sau seb nws dhia npaum li cas. Nws tuaj yeem txiav txim siab yog tias koj muaj teeb meem plawv uas yuav ua rau mob stroke, xws li lub plawv nres ua ntej lossis atrial fibrillation.

Cerebral angiogram

Lwm txoj kev kuaj mob uas koj tus kws kho mob yuav xaj los txiav txim siab yog tias koj tau mob stroke yog lub hlwb cei. Qhov no muab cov ncauj lus kom ntxaws los saib ntawm cov hlab ntsha hauv koj lub caj dab thiab lub hlwb. Kev kuaj mob tuaj yeem qhia thaiv lossis txhaws uas tuaj yeem ua rau cov tsos mob tshwm sim.

Carotid ultrasound

Ib qho carotid ultrasound, tseem hu ua carotid duplex scan, tuaj yeem qhia cov roj ntsha (plaque) hauv koj cov hlab ntsha carotid, uas muab cov ntshav rau koj lub ntsej muag, caj dab, thiab lub hlwb. Nws kuj tseem tuaj yeem pom seb koj cov carotid cov hlab ntsha tau raug nqaim lossis thaiv.

Echocardiogram

Tus echocardiogram tuaj yeem nrhiav cov khoom txhaws hauv koj lub siab. Cov clog no tau mus ncig rau koj lub hlwb thiab ua rau mob stroke.

Mob stroke

Kev tshuaj ntsuam kom raug thiab kev kho mob kom sai yog qhov tseem ceeb rau kev rov zoo los ntawm kev mob stroke. Raws li American Heart Association, "Sijhawm tau ploj mus yog lub hlwb ploj." Hu 911 sai li sai tau thaum koj paub tias koj yuav muaj mob hlab ntsha tawg, lossis yog koj xav tias tus neeg hlub raug mob stroke.

Kev kho mob stroke yog nyob ntawm hom mob stroke:

Ischemic mob stroke thiab TIA

Hom mob stroke no yog tshwm sim los ntawm ntshav txhaws lossis lwm yam txhaws hauv lub hlwb. Vim li ntawd, lawv tau kho kom zoo nrog cov tswv yim zoo sib xws, uas suav nrog:

Antiplatelet thiab anticoagulants

Tshuaj aspirin ntau dhau los feem ntau yog thawj kab kev tiv thaiv tiv thaiv kev puas tsuaj rau mob stroke. Cov tshuaj tiv thaiv Anticoagulant thiab tshuaj antiplatelet yuav tsum noj nyob rau hauv 24 txog 48 teev tom qab cov tsos mob stroke pib.

Clot-tawg tshuaj

Cov tshuaj Thrombolytic tuaj yeem ua rau cov ntshav txhaws hauv koj lub hlwb cov hlab ntsha, uas tseem nres tawm tsam mob stroke thiab txo kev puas tsuaj rau lub hlwb.

Ib qho yeeb tshuaj zoo li no, cov ntaub so ntswg plasminogen activator (tPA), lossis Alteplase IV r-tPA, raug suav tias yog tus qauv kub hauv ischemic stroke kho. Nws ua haujlwm los ntawm kev kho cov ntshav txhaws sai sai, yog tias xa hauv thawj 3 mus rau 4,5 teev tom qab cov tsos mob ntawm koj li mob stroke pib. Cov neeg uas tau txhaj koob tshuaj TPA feem ntau yuav zoo rov qab los ntawm mob stroke, thiab feem ntau tsis muaj qhov xiam oob qhab ntev vim yog mob stroke.

Cov khoom siv tshuab nqus ntshav

Hauv cov txheej txheem no, tus kws kho mob ntxig txoj raj rau hauv cov hlab ntshav loj hauv koj lub taub hau. Lawv tom qab ntawd siv ib qho khoom siv los rub cov ris tsho tawm ntawm lub nkoj. Qhov kev phais no tau zoo tshaj yog tias nws tau ua 6 mus rau 24 teev tom qab pib mob stroke.

Stents

Yog tias koj tus kws kho mob pom qhov twg cov leeg ntshav tau ua haujlwm tsis muaj zog, lawv tuaj yeem ua tus txheej txheem kom ua kom cov leeg ntshav me me thiab txhawb lub cev ntawm cov leeg ntshav nrog lub stent.

Kev phais mob

Muaj qee zaus uas lwm qhov kev kho mob tsis ua haujlwm, koj tus kws kho mob yuav ua phais los tshem tawm ntshav thiab plaques ntawm koj cov hlab ntsha. Qhov no tuaj yeem ua tus ntsuas qhov ntswg, lossis yog tias cov quav txhaws loj dua, koj tus kws kho mob yuav tuaj yeem qhib txoj hlab ntsha kom tshem tawm qhov txhaws.

Hemorrhagic mob stroke

Mob hlab ntsha los ntawm ntshav los ntshav hauv lub hlwb xav tau cov tswv yim kho txawv. Kev kho mob rau cov mob ntsig ntshav xws li:

Cov Tshuaj Kho Mob

Tsis zoo li cov hlab ntsha ischemic, yog tias koj mob ntshav liab, lub hom phiaj kho yog ua kom koj cov ntshav txhaws. Yog li, tej zaum koj yuav tau muab tshuaj rau kom tiv thaiv ib qho ntshav koj noj.

Koj kuj tseem tuaj yeem tau siv cov tshuaj uas tuaj yeem txo cov ntshav siab, txo qis kev ntseeg hauv koj lub hlwb, tiv thaiv qaug dab peg, thiab tiv thaiv cov leeg ntshav.

Txheej

Thaum ua cov txheej txheem no, koj tus kws kho mob coj lub raj ntev ntev rau thaj tsam hemorrhage lossis cov hlab ntsha tsis muaj zog. Lawv tom qab ntawd nruab cov coil-zoo li cov khoom siv hauv thaj chaw uas cov leeg phab ntsa tsis muaj zog. Qhov no thaiv cov ntshav ntws mus rau thaj chaw, txo cov ntshav tawm.

Clamping

Thaum kuaj cov duab, koj tus kws kho mob yuav pom pob qij ntshav uas tsis tau pib los ntshav los yog tsis tau tso tseg. Txhawm rau txhawm rau txhawm rau los ntshav ntxiv, ib tus kws phais yuav tso tus me quav ntawm lub pob taws pob txha. Qhov no yuav txiav tawm cov ntshav thiab tiv thaiv kom cov ntshav tawg lossis ntshav tshiab.

Kev phais mob

Yog tias koj tus kws kho mob pom tias lub pob quav pob txha pob lawm, lawv yuav ua phais los txiav lub pob taws thiab tiv thaiv kom tsis txhob los ntshav ntxiv. Ib yam li ntawd, craniotomy tej zaum yuav xav tau los daws qhov txo lub siab ntawm lub hlwb tom qab mob hlab ntshav loj.

Ntxiv nrog rau kev khomob kub ntxhov, cov kws khomob yuav qhia koj txoj hauv kev los tiv thaiv cov ntshav tawm yav tom ntej. Xav paub ntau ntxiv txog kev kho mob stroke thiab cov tswv yim tiv thaiv? Nyem qhov no.

Mob stroke ntshav

Ntau yam tshuaj siv los kho tus mob stroke. Yam uas koj tus kws kho mob sau ntawv yuav yog nyob ntawm hom mob stroke koj tau muaj. Lub hom phiaj ntawm qee cov tshuaj yog tiv thaiv kom tsis txhob mob ntshav thib ob, thaum lwm tus ua kom tiv thaiv kom tsis txhob mob stroke thawj zaug.

Cov tshuaj ntaus mob stroke feem ntau muaj xws li:

• Nqaij plasminogen activator (tPA). Cov tshuaj tiv thaiv thaum muaj xwm ceev no tuaj yeem muab tau thaum lub sij hawm mob ntshav txhawm rau txhaws ntshav txhaws ua rau mob stroke. Nws tsuas yog cov tshuaj noj tam sim no uas tuaj yeem ua qhov no, tab sis nws yuav tsum tau muab nyob rau hauv 3 rau 4,5 teev tom qab cov tsos mob ntawm tus mob stroke pib. Cov tshuaj no tau txhaj rau hauv cov hlab ntshav kom cov tshuaj tuaj yeem pib ua haujlwm sai li sai tau, uas txo kev pheej hmoo ntawm cov teeb meem los ntawm cov hlab ntsha tawg.
• Cov tshuaj Anticoagulants. Cov tshuaj no txo ​​koj cov ntshav tau txhaws. Cov tshuaj tiv thaiv feem ntau yog warfarin (Jantoven, Coumadin). Cov tshuaj no tseem tuaj yeem tiv thaiv cov ntshav txhaws tawm los ntawm kev loj dua, uas yog vim li cas lawv tuaj yeem tiv thaiv kom txhob mob stroke, lossis tom qab muaj ischemic stroke lossis TIA tau tshwm sim.
• Antiplatelet tshuaj. Cov tshuaj no tiv thaiv cov ntshav txhaws ua kom nyuaj ntxiv rau cov ntshav plasmaets los lo ua ke. Cov tshuaj tiv thaiv kab mob siab tshaj plaws muaj xws li tshuaj aspirin thiab clopidogrel (Plavix). Lawv tuaj yeem siv los tiv thaiv ischemic stroke thiab tshwj xeeb tshaj yog tseem ceeb hauv kev tiv thaiv kev mob stroke zaum ob. Yog tias koj tsis tau mob stroke ua ntej, koj tsuas yog siv cov tshuaj aspirin ua cov tshuaj tiv thaiv yog tias koj muaj kev pheej hmoo siab mob atherosclerotic mob plawv (piv txwv li, mob plawv thiab mob stroke) thiab tsis muaj ntshav txaus.
• Statins. Statins, uas pab txo cov ntshav siab hauv cov ntshav siab yog nyob ntawm cov tshuaj hauv tebchaws Asmeskas. Cov tshuaj no tiv thaiv kev tsim cov enzyme uas tuaj yeem hloov cov roj cholesterol ua cov quav hniav - cov khoom tuab, nplaum uas tuaj yeem txhim tsa rau ntawm phab ntsa ntawm cov hlab ntsha thiab ua rau cov hlab ntsha hauv plawv thiab lub plawv nres. Cov statins uas nquag muaj xws li rosuvastatin (Crestor), simvastatin (Zocor), thiab atorvastatin (Lipitor).
• Tshuaj ntshav siab. Ntshav siab tuaj yeem ua rau cov quav hniav ua ke hauv koj cov hlab ntsha txhawm rau kom tawg. Cov ntawv no tuaj yeem thaiv cov hlab ntsha, ua rau mob stroke. Vim li ntawd, tswj cov ntshav siab tuaj yeem pab tiv thaiv kom txhob mob stroke.

Koj tus kws kho mob yuav sau ntawv rau ib lossis ntau cov tshuaj los kho lossis tiv thaiv kom txhob mob stroke, nyob ntawm cov yam ntxwv ntawm koj li keeb kwm kev noj qab haus huv thiab koj cov kev pheej hmoo. Muaj ntau ntau cov tshuaj siv los kho thiab tiv thaiv cov mob stroke, tshawb xyuas cov npe tag nrho ntawm no.

Rov qab los ntawm kev tawm tsam

Stroke yog qhov ua rau muaj kev tsis taus ntev hauv Tebchaws Meskas. Txawm li cas los xij, National Stroke Association tau tshaj tawm tias 10 feem pua ​​ntawm cov neeg muaj mob stroke tuag rov zoo li yuav luag rov qab, thaum lwm 25 feem pua ​​rov qab tau nrog tsuas ua rau muaj kev xiam oob qhab me.

Nws yog ib qho tseem ceeb tias kev rov zoo thiab rov kho los ntawm mob stroke pib sai li sai tau. Qhov tseeb, mob stroke yuav tsum pib hauv tsev kho mob. Nyob ntawd, pab neeg saib xyuas mob tuaj yeem tswj koj tus mob kom khov kho, txheeb xyuas qhov tshwm sim ntawm cov hlab ntaws, paub qhov xwm txheej hauv qab, thiab pib kho los pab koj rov qab qee yam ntawm koj cov kev paub.

Mob stroke rov qab tsom rau plaub qhov chaw tseem ceeb:

Kho kho hais lus

Tus mob stroke tuaj yeem ua rau hais lus thiab hais lus tsis meej. Ib tus kws kho mob hais lus thiab hais lus yuav ua hauj lwm nrog koj kom rov hais lus li cas. Lossis, yog tias koj pom cov lus sib txuas lus nyuaj tom qab mob stroke, lawv yuav pab koj nrhiav txoj kev sib txuas lus tshiab.

Txawj ntse kho

Tom qab mob hlab ntsha tawg, ntau cov neeg muaj sia nyob tau hloov pauv lawv qhov kev xav thiab kev paub ua li cas. Qhov no tuaj yeem ua rau tus cwj pwm thiab lub siab hloov. Tus kws qhia ua haujlwm tuaj yeem pab koj ua haujlwm kom rov tau txais koj tus qauv qub ntawm kev xav thiab tus cwj pwm thiab tswj hwm koj cov lus teb kev xav.

Kev ntsuas qhov txawj hnov ​​qab

Yog tias ib feem ntawm koj lub hlwb uas cuam tshuam rau cov cim piav qhia raug cuam tshuam thaum mob stroke, koj yuav pom tias koj qhov kev hnov ​​zoo "tsis zoo" lossis tsis ua haujlwm ntxiv lawm. Qhov ntawd txhais tau tias koj tsis xav tias muaj qhov zoo, xws li kub, nias, lossis mob. Tus kws kho mob tuaj yeem pab koj kawm kho raws li qhov tsis hnov.

Kev kho lub cev

Lub cev nqaij thiab lub zog yuav tsis muaj zog txaus los ntawm mob stroke, thiab koj yuav pom tias koj tsis tuaj yeem txav koj lub cev zoo li koj tau ua dhau los. Tus kws kho mob lub cev yuav ua haujlwm nrog koj kom rov qab ua kom koj lub zog thiab tshuav nyiaj li cas, thiab nrhiav cov hauv kev los hloov kho rau qee qhov kev txwv.

Kev kho kom zoo yuav muaj nyob hauv chaw kho kom zoo, tsev laus, lossis hauv koj lub tsev. Nov yog yam uas koj tuaj yeem xav tau thaum tus txheej txheem kho mob stroke sai.

Yuav tiv thaiv mob stroke li cas

Koj tuaj yeem ua cov txheej txheem los pab tiv thaiv kom tsis txhob mob stroke los ntawm kev ua lub neej zoo. Qhov no suav nrog cov kev ntsuas hauv qab no:

• Txiav Luam Yeeb. Yog tias koj haus luam yeeb, txiav tam sim no yuav txo koj txoj kev pheej hmoo ntawm mob stroke.
• Haus dej caw kom tsawg. Yog tias koj haus dej ntau dhau, sim txo koj txoj kev haus kom tsawg. Kev haus dej caw yuav ua rau koj cov ntshav siab tuaj.
• Ua kom hnyav dua. Ua kom koj qhov hnyav nyob rau hauv cov theem noj qab haus huv. Kev rog dhau los yog rog dhau los ua rau koj muaj ntshav phom sij txaus. Txhawm rau pab tswj koj qhov hnyav:
  • Noj cov khoom noj uas muaj txiv hmab txiv ntoo thiab zaub uas muaj tag nrho.
  • Noj cov zaub mov uas muaj roj (cholesterol), cov rog pauv, thiab cov rog.
  • Ua lub cev nquag. Qhov no yuav pab koj tswj kom lub cev noj qab nyob zoo thiab pab txo koj cov ntshav siab thiab cov roj (cholesterol).
• Tau mus kuaj mob. Nyob rau saum toj ntawm koj kev noj qab haus huv.Qhov no txhais tau tias mus kuaj mob tsis tu ncua thiab nyob nrog kev sib txuas lus nrog koj tus kws kho mob. Nco ntsoov ua raws li cov theem hauv qab no los tswj koj txoj kev noj qab haus huv:
  • Kuaj koj cov roj (cholesterol) thiab ntshav siab soj ntsuam.
  • Tham nrog koj tus kws kho mob txog kev hloov kho koj txoj kev ua neej.
  • Sib tham txog koj cov kev xaiv tshuaj noj nrog koj tus kws kho mob.
  • Hais txog teeb meem lub plawv uas koj yuav muaj.
  • Yog tias koj muaj ntshav qab zib, ua cov kauj ruam los tswj nws.

Ua raws li txhua yam ntsuas no yuav pab koj tso kom zoo dua rau kev tiv thaiv kom tsis txhob mob stroke. Nyeem ntxiv txog yuav ua li cas koj tuaj yeem tiv thaiv kom mob stroke.

Cov nqa mus

Yog koj xav tias koj muaj mob stroke, nws yog qhov tseem ceeb uas koj yuav tsum nrhiav kev kho mob maj nrawm. Clot-busting tshuaj tuaj yeem muab rau thawj teev tom qab cov tsos mob ntawm tus mob stroke pib, thiab kev kho thaum ntxov yog ib txoj hauv kev zoo tshaj plaws los txo koj txoj kev pheej hmoo rau cov teeb meem ntev thiab mob xiam oob qhab.

Kev tiv thaiv yog ua tau, txawm hais tias koj tau tiv thaiv kom tsis txhob mob thawj zaug lossis sim tiv thaiv thib ob. Cov tshuaj noj tuaj yeem pab txo cov ntshav txhaws, uas ua rau mob stroke. Ua haujlwm nrog koj tus kws kho mob kom nrhiav tau txoj kev tiv thaiv uas ua haujlwm rau koj, suav nrog kev kho mob thiab kev hloov pauv hauv lub neej.