Qhov Kev pheej hmoo mob stroke txhua tus poj niam yuav tsum paub

Zoo Siab

• Ntsuam xyuas rau

Nws yog 4 teev sawv ntxov thaum lub Kaum Ib Hlis 2014, thiab Merideth Gilmor, tus tshaj tawm uas sawv cev rau cov kis las zoo li Maria Sharapova, tau tos ntsoov thaum kawg yuav mus pw. Hnub tau pib ntxov, nrog nws ib txwm khiav yim mais. Tom qab ntawd nws thiab nws tus txiv tau mus rau nws tus phooj ywg zoo tshaj plaws lub tshoob, qhov uas lawv tau siv hmo ntuj "tog zoo li cov hnub qub pob zeb," nws hais. Txog thaum nws tau rov qab mus rau nws chav tsev so, nws tau npaj ntau dua kom poob rau hauv txaj thiab hais tawm. Tab sis thaum nws ua li ntawd, nws xav tias ib yam dab tsi txawv. "Kuv yuav tsis hnov ​​qab nws; nws zoo li kuv tau hnia dandelion loj loj rau kuv lub qhov ntswg. Tom qab ntawd kuv lub zeem muag mus dub," nws nco. "Kuv tuaj yeem hnov, tab sis kuv tsis tuaj yeem sib txuas lus thiab kuv txav tsis tau."

Gilmor, thaum ntawd tsuas muaj 38 xyoo, nyuam qhuav muaj mob stroke loj.

Ib qho teeb meem loj hlob

Gilmor nyob deb ntawm ib leeg. Philip B. Gorelick, MD, tus kws saib xyuas kev noj qab haus huv ntawm Mercy Health Hauenstein Neuroscience Center hauv Grand Rapids, MI hais tias "Mob khaub thuas ua rau cov poj niam hluas tau nce ntxiv." Nyob nruab nrab ntawm 1988 txog 1994 thiab 1999 txog 2004, kev mob ntshav qab zib ntau ntau hauv cov poj niam hnub nyoog 35 txog 54 xyoos yog peb npaug; txiv neej tau ntsib kev hloov pauv zoo, Gorelick hais. Thaum nws yog ib ntawm tsib tus kws kho mob kuaj pom cov poj niam hluas tsis xav tias, tag nrho, kwv yees li 10 feem pua ​​ntawm kev mob hlab ntsha tawg tshwm sim rau cov neeg hnub nyoog qis dua 50. (Lwm qhov kev poob siab: Stroke tua ob zaug ntau tus poj niam raws li mob qog noj ntshav txhua xyoo.)

Caitlin Loomis, MD, tus pab xibfwb qhia txog paj hlwb ntawm Yale Tsev Kawm Ntawv Tshuaj, "" Nws nyuaj rau paub yog tias muaj ntau zuj zus ntxiv, lossis yog tias peb tab tom dhau los ua qhov zoo ntawm kev lees paub mob stroke hauv cov neeg hluas. " -New Haven Tsev Kho Mob. Tab sis Gorelick theorizes tias strokes tau dhau los ua ntau dua, ib feem vim tias ntshav siab thiab qib roj cholesterol siab, ob qho kev pheej hmoo rau mob stroke, cuam tshuam rau ntau tus poj niam thaum yau. (Koj puas paub tias muaj qhov txuas ntawm kev pw tsaug zog thiab ntshav siab?)

Txawm hais tias kev paub txog qhov teeb meem yeej loj tuaj, vim tias mob stroke muaj ntau dua rau cov neeg laus, ntau tus neeg-cov kws kho mob suav nrog-tsis paub txog cov tsos mob thaum lawv tshwm sim hauv cov poj niam hluas. Kwv yees li 13 feem pua ​​ntawm cov neeg mob stroke tau kuaj pom tsis raug, raws li kev tshawb fawb tsis ntev los no hauv phau ntawv xov xwm Kev kuaj mob. Tab sis cov kws tshawb fawb pom tias cov poj niam muaj 33 feem pua ​​feem ntau yuav raug kuaj mob tsis raug, thiab cov neeg hnub nyoog qis dua 45 xyoos yog xya zaus ntau dua yuav raug kuaj mob tsis raug.

Thiab qhov ntawd tuaj yeem ua rau muaj kev puas tsuaj: Txhua 15 feeb tus neeg mob stroke mus yam tsis tau txais kev kho mob ntxiv lwm lub hlis ntawm kev xiam oob qhab rau lawv lub sijhawm rov zoo, raws li kev tshawb fawb hauv Mob stroke.

Hmoov zoo, Gilmor tus txiv tau lees paub nws cov tsos mob-ib feem tuag tes tuag taw hauv nws lub ntsej muag, tsis meej pem, hais lus tsis txaus ntseeg-raws li mob stroke. "Kuv hnov ​​nws hu 911, thiab kuv xav tias, Kuv yuav tsum hnav khaub ncaws. Tab sis kuv tsis tuaj yeem txav kuv txhais ceg, "nws hais. Hauv tsev kho mob, tus kws kho mob tau lees paub qhov nws tus txiv ntshai: Nws tau muaj mob stroke, uas suav txog li 90 feem pua ​​​​ntawm tag nrho cov mob stroke thiab tshwm sim thaum muaj qee yam, feem ntau yog txhaws. , ua rau lub nkoj tsis muaj ntshav txaus rau lub hlwb. (Mob hlab ntsha tawg, ntawm qhov tod tes, tshwm sim thaum cov hlab ntshav los kua muag lossis tawg.)

Carolyn Roth tsis muaj hmoo heev. Hauv xyoo 2010, nws tsuas yog 28 thaum nws tsim nws thawj daim ntawv ceeb toom: mob hnyav hauv nws caj dab tom qab mus ncig ua si. Nws sau nws tawm raws li rub cov leeg. Nws kuj tau tswj xyuas qhov chaw zoo li pob zeb diamond uas ua rau pom nws lub zeem muag thaum nws tsav tsheb mus tsev hmo ntawd thiab mob caj dab uas ua rau nws popping Tylenol tag nrho hnub tom qab.

Thaum kawg, tag kis sawv ntxov nws txhawj xeeb txaus kom hu nws txiv, uas coj nws mus rau tom tsev kho mob. Nws mus nyob ib ncig ntawm 8 teev sawv ntxov, thiab ob peb teev tom qab ntawd tus kws kho mob hais rau nws tias nws tau mob stroke. Nws hais tias "Lawv paub tam sim, vim tias kuv lub qhov muag tsis teb rau lub teeb," Tab sis nws tau nyob hauv tsev. Thaum nws tau hnov ​​mob, xeev siab, tsis meej pem, thiab lub zeem muag tsis zoo, nws tsis tau ntsib qee qhov tshwm sim ntau dua, xws li sab laug tuag tes tuag taw. Qhov ntawd tej zaum yuav yog vim nws mob stroke yog tshwm sim los ntawm kev phais, los yog lub kua muag nyob rau hauv cov hlab ntsha, feem ntau yog tshwm sim los ntawm ib co kev raug mob xws li tsheb sib tsoo los yog hnyav hnoos haum. (Qee cov tsos mob-zoo li cov cim ceeb toom saum toj no-koj yuav tsum tsis txhob quav ntsej.)

Loomis hais tias "Thaum nws los txog rau kev mob stroke rov qab, lub sijhawm yog qhov tseem ceeb," Loomis hais. "Qee cov tshuaj tsuas yog pab tau thaum xa tawm hauv peb mus rau 4.5-teev lub qhov rais, yog li nws yog qhov tseem ceeb uas cov neeg raug mob stroke raug coj mus rau tsev kho mob sai li sai tau thiab soj ntsuam sai."

Cov tom qab

Stroke rov zoo li txawv rau txhua tus neeg mob. "Ntau ntau nyob ntawm qhov loj ntawm mob stroke thiab qhov chaw nyob hauv lub hlwb," sau Loomis. Thiab thaum nws muaj tseeb tias kev rov zoo tuaj yeem yog txoj hauv kev ntev, qeeb, tsis zoo li ntau tus neeg ntseeg, mob hlab ntsha tawg tsis tas yuav yog kab lus rau kev xiam oob khab tas mus li. Qhov ntawd yog qhov tseeb tshwj xeeb rau cov neeg mob hluas, uas Loomis hais tias yuav ua tau zoo dua li cov neeg laus thaum nws los kho lub cev thiab kho kom rov zoo. (Qee qhov teeb meem kev noj qab haus huv kuj cuam tshuam rau txiv neej thiab poj niam sib txawv.)

Ob Gilmor thiab Roth hais tias lawv muaj hmoo tau muaj txoj haujlwm hloov pauv uas tso cai rau lawv tau so ntau. "Kev pw tsaug zog yog qhov tseem ceeb heev thaum pib, txij li koj lub hlwb tau sim kho nws tus kheej. Nws siv sijhawm ntev," Roth hais. Tom qab siv ob peb lub hlis tawm ntawm lub gym kom rov zoo, nws maj mam pib rov ua dua. "Kuv yuav ua ib ce tam sim no-Kuv txawm khiav New York City marathon xyoo 2013!" nws hais tias (Thining ntawm kev khiav? Txheeb xyuas 17 yam uas yuav cia siab thaum khiav koj thawj Marathon.)

Gilmor kuj tseem muab qhab nia rau nws txoj kev txhawb nqa-nws cov kws kho mob, uas nws hu nws "Stroke Squad" (Loomis yog ib tug ntawm lawv), tsev neeg, cov neeg siv khoom, cov npoj yaig, thiab cov phooj ywg-nrog nws rov zoo. Nws hais tias "Kuv tau sim pom kev lom zem hauv txhua yam, uas kuv xav tias tau pab," nws hais. Ntxiv rau kev kho lub cev, Gilmor, uas tseem muaj kev qaug zog hauv nws sab laug, maj mam pib pob zeb nce toj nrog nws tus tub los ua txoj hauv kev rov txhim kho nws lub zog.

Tab sis kev khiav yog nws lub hom phiaj kawg tiag. "Kuv tus tub hais rau kuv tias, 'Niam, kuv xav tias koj yuav zoo dua thaum koj tuaj yeem khiav tau dua.' Tau kawg uas ua rau kuv zoo li, 'Okay-Kuv yuav tsum khiav!' "Gilmor hais. Tam sim no nws tau qhia rau 2015 New York City Marathon, thiab qhov tseeb, tsuas yog ua tiav 14-mais ntev.

"Nws tsis yooj yim, sim khiav marathon," Gilmor hais. "Tab sis koj tsuas yog ua tus me nyuam kauj ruam. Kuv qhov kev pom tam sim no yog qhov no: Koj yuav tsum tau hla koj cov kev zam. Koj yuav ntshai, tab sis koj yuav tsum loj dua qhov kev ntshai."

Koj Yuav Ua Li Cas Tam Sim No

Tsis muaj ib yam uas koj tuaj yeem ua los lav tias koj yuav tsis muaj mob stroke. Tab sis xya lub tswv yim no tuaj yeem pab txo qis koj qhov kev pheej hmoo-thiab txhawb nqa cov neeg muaj txoj sia nyob niaj hnub no.

1. Paub tag nrho cov cim: Cov ntawv luv FAST yog qhov chaw zoo pib. Nws sawv cev rau lub ntsej muag poob, caj npab tsis muaj zog, hais lus nyuaj, thiab Lub Sijhawm hu 911-uas suav nrog cov tsos mob tseem ceeb ntawm feem ntau mob stroke. "Tab sis kuv yuav hais qhov tseem ceeb tshaj plaws kom nco qab yog tias yog leej twg hloov pauv tam sim ntawd ntawm koj lub qhov muag, nrhiav kev pab," hais tias Dr. Loomis. Ntxiv nrog rau FAST cov tsos mob, tam sim tsim teeb meem pom kev, tsis tuaj yeem tham lossis sawv ntsug, hais lus tsis meej, lossis lwm yam tsuas yog tsis zoo li ib tus kheej ib txwm tus kheej tuaj yeem ua rau pom tias muaj mob stroke.

2. Ceev faj txog qee yam tshuaj: Gilmor cov kws kho mob ntseeg tias nws txoj kev pheej hmoo ntawm kev mob stroke tau nce siab vim yog hom kev tiv thaiv kev yug menyuam uas nws coj. Loomis hais tias "Txhua yam tshuaj tiv thaiv kabmob ntshav uas muaj cov tshuaj estrogen, suav nrog ntau yam tshuaj tiv thaiv menyuam yaus, thaj ua rau thaj, thiab lub paum ntawm qhov chaw mos, ua rau koj muaj kev pheej hmoo los ua ntshav khov," Loomis hais. Feem ntau, cov hlab ntsha tuaj rau hauv cov hlab ntsha, tsis yog cov hlab ntsha. Tab sis yog tias koj muaj lwm yam kev pheej hmoo, xws li ntshav siab, koj yuav xav tham nrog koj ob-gyn txog kev hloov kev tswj kev yug menyuam. (Ib tug kws sau ntawv qhia vim li cas nws yuav tsis noj tshuaj ntxiv.)

3. Tsis txhob quav ntsej qhov mob caj dab: Kwv yees li 20 feem pua ​​ntawm cov hlab ntsha ischemic hauv cov neeg laus hnub nyoog qis dua 45 xyoos-suav nrog Roth's-tau tshwm sim los ntawm kev phais lub ncauj tsev menyuam, lossis cov kua muag hauv cov hlab ntshav ua rau lub hlwb, tshawb fawb hauv Qhib Neurology Journal qhia. Lub tsheb sib tsoo, hnoos lossis ntuav haum, thiab ua kom nrawm lossis ua rau lub zog txav tuaj yeem ua rau cov kua muag no. Loomis hais tias tsis tau txhais hais tias koj yuav tsum zam kev yoga (tom qab tag nrho, ntau lab tus tib neeg ntswj thiab ua rau lawv lub taub hau nyob ib puag ncig txhua hnub thiab tsis muaj dab tsi tshwm sim), tab sis koj yuav tsum ua tib zoo saib koj xav li cas tom qab ua ib yam dab tsi uas ua rau muaj kev txav mus los sai. caj dab. Yog tias koj hnov ​​​​qhov mob hnyav lossis xeev siab, lossis pom muaj teeb meem tsis pom kev tom qab, mus ntsib kws kho mob.

4. stretch nws tawm: Koj tau hnov ​​cov lus ceeb toom txog kev ua kom sawv thiab ncab thaum koj ya. Yuav muaj, koj kuj tau tsis quav ntsej lawv-tshwj xeeb yog tias koj tau nyob hauv lub rooj zaum qhov rais. Tab sis ya tuaj yeem txhawb nqa cov ntshav mus rau hauv koj ob txhais ceg, ua rau koj muaj kev pheej hmoo tsim cov ntshav khov uas tuaj yeem txav mus rau koj lub hlwb, hais tias Loomis. (Gilmor cov kws kho mob xav tias caij dav hlau tsis ntev los no, suav nrog nws cov tshuaj siv, yog dab tsi ua rau nws mob stroke.) Txoj cai zoo ntawm tus ntiv tes xoo: Sawv thiab ncab lossis taug kev hauv txoj kab tsawg kawg ib teev ib zaug.

5. Khaws tabs ntawm cov lej no: Nco ntsoov ua kom koj cov ntshav siab thiab cov roj cholesterol noj tsis tu ncua, thiab yog tias cov lej pib nkag mus rau hauv "siab dua li ib txwm", nug koj tus kws kho mob seb koj tuaj yeem ua li cas kom rov qab los, qhia Gorelick. Ntshav siab ua rau cov hlab ntsha puas tsuaj, thiab cov roj (cholesterol) siab tuaj yeem ua rau koj muaj feem tsim muaj ntshav khov.

6. Ua raws li kev noj zaub mov zoo rau lub plawv: Loomis pom zoo kom noj Mediterranean, uas tau pom tias yuav txo tau cov kab mob plawv. Nws hais tias "Nws muaj ntses ntau, txiv ntseej, thiab zaub, thiab muaj nqaij liab tsawg thiab kib yam," nws hais. Pib nrog cov zaub mov noj Mediterranean no. Kev noj cov zaub mov huv no kuj tseem yuav pab koj tswj kom lub cev hnyav, uas Gorelick thiab Loomis pom zoo yog ib txoj hauv kev yooj yim los txo koj txoj kev pheej hmoo ntawm mob stroke.

7. Txhawb cov muaj txoj sia nyob: Yog tias koj tus kheej tsis tau cuam tshuam los ntawm kev mob stroke, tej zaum koj tsis tas yuav nrhiav kom deb li deb mus nrhiav ib tus neeg uas muaj: Txhua 40 vib nas this, ib tus neeg muaj, thiab niaj hnub no muaj 6.5 lab tus neeg muaj mob stroke nyob hauv Tebchaws Meskas thiab. Loomis hais tias, "Kev mob hlab ntsha tawg yog qhov xwm txheej hloov pauv lub neej uas tuaj yeem nyuaj rau kev dhau mus, lub cev, thiab kev xav. Txhawm rau pab txhawb cov neeg muaj txoj sia nyob, National Stroke Association nyuam qhuav pib lawv txoj Kev Rov Los Muaj Zog. Muaj ntau txoj hauv kev los koom nrog: hloov koj daim duab profile mus rau Come Back Strong logo, pub nyiaj, lossis koom nrog hauv Txoj Haujlwm Comeback Trail thaum lub Cuaj Hlis 12-mob siab rau txoj hauv kev hauv nroog rau tus neeg mob stroke uas koj paub, thiab taug kev hauv hwm nws txoj hauv kev kom rov zoo rau hnub ntawd.

Ntsuam xyuas rau