Cov Qib Qub Sib txawv Yog Dab Tsi?

Zoo Siab

• Mob stroke ne?
• Dab tsi yog qhov sib txawv ntawm cov cwj nrag?
• Lub ischemic nres
• Ischemic mob stroke
• Hemorrhagic mob stroke
• Cov tsos mob ntawm tus mob stroke zoo li cas?
• Teeb meem dab tsi tuaj yeem ua rau mob stroke?
• Yuav kho tus mob stroke li cas?
• TIA
• Ischemic mob stroke
• Hemorrhagic mob stroke
• Qhov tshwm sim rau txhua hom mob stroke yog dab tsi?

Mob stroke ne?

Mob stroke yog ib qho kev kho mob xwm txheej ceev uas tshwm sim thaum cov ntshav ntws mus rau koj lub hlwb tau cuam tshuam. Yog tias tsis muaj ntshav, koj lub hlwb pib tuag. Qhov no tuaj yeem ua rau cov tsos mob hnyav, ua rau lub cev tsis taus, thiab txawm tas sim neej.

Muaj ntau dua ib hom mob stroke. Kav tsij nyeem ntxiv kom kawm txog peb yam tseem ceeb ntawm cov mob stroke, lawv cov tsos mob, thiab kev kho mob.

Dab tsi yog qhov sib txawv ntawm cov cwj nrag?

Muaj peb qho tseem ceeb ntawm cov mob stroke: lub caij nres ischemic nres, ischemic stroke, thiab mob ntshav liab hemorrhagic. Nws tau kwv yees tias 87 feem pua ​​ntawm tus cwj nrag yog ischemic.

Lub ischemic nres

Cov kws kho mob tseem hu ua kev hloov ischemic nres (TIA) ib qho kev ceeb toom lossis ministroke. Txhua yam uas cuam tshuam txog ntshav ntws mus rau koj lub hlwb niaj hnub ua rau TIA. Cov ntshav txhaws thiab TIA cov tsos mob kawg rau lub sijhawm luv luv.

Ischemic mob stroke

Kev mob hlab ntsha hauv ischemic tshwm sim thaum ntshav txhaws ntshav kom ntshav khiav mus rau koj lub hlwb. Cov ntshav txhaws feem ntau yog vim tias atherosclerosis, uas yog qhov tsim ntawm cov roj ntsha tso rau hauv cov roj ntsha sab hauv. Ib feem ntawm cov rog no tuaj yeem rhuav tshem thiab cuam tshuam ntshav ntshav hauv koj lub hlwb. Lub tswv yim zoo ib yam li lub plawv nres, qhov ntshav txhaws ua kom ntshav ntws mus rau ib qho ntawm koj lub plawv.

Txoj hlab ntsha hauv ischemic tuaj yeem ua embolic, txhais tau tias cov ntshav txhaws taug kev los ntawm lwm qhov ntawm koj lub cev mus rau koj lub hlwb. Kwv yees li ntawm 15 feem pua ​​ntawm cov kab mob stroke no yog vim ib qho mob uas hu ua atrial fibrillation, qhov uas koj lub plawv dhia tsis xwm yeem.

A mob ntsws thrombotic yog ib qho ischemic stroke tshwm sim los ntawm ntshav txhaws hauv txoj hlab ntshav hauv koj lub hlwb.

Tsis zoo li TIA, cov ntshav txhaws uas ua rau cov ischemic stroke yuav ploj mus yam tsis tau txais kev kho mob.

Hemorrhagic mob stroke

Qhov mob ntshav nyab yog thaum ntshav tawm hauv koj lub hlwb txhaws lossis tawg, ua ntshav nchuav rau cov nqaij mos nyob ib puag ncig.

Muaj peb lub ntsiab ntawm cov hemorrhagic strokes: Thawj qhov yog pob taws pob txha, uas ua rau ib feem ntawm cov hlab ntshav tsis muaj zog nyob rau hauv lub cev tawm mus ncig sab nraud thiab qee zaum kev sib tsoo.Lwm qhov yog cov hlab ntsha tsis txaus ua haujlwm, uas koom nrog cov ntshav cov ntshav tsis huv. Yog tias cov hlab ntsha tawg, nws tuaj yeem ua ib txoj hlab ntsws tawg. Thaum kawg, ntshav siab tuaj yeem ua rau kom cov hlab ntshav me me rau hauv lub hlwb thiab ua rau cov ntshav nkag rau hauv lub hlwb thiab.

Cov tsos mob ntawm tus mob stroke zoo li cas?

Hom mob stroke txawv ua rau cov tsos mob zoo sib xws vim tias txhua qhov cuam tshuam cov ntshav ntws hauv koj lub hlwb. Tib txoj kev los txiav txim siab seb koj yuav muaj mob stroke dab tsi yog mus nrhiav kev kho mob. Tus kws kho mob yuav xaj kuaj cov duab rau koj lub hlwb.

Koom Haum Mob Hlwb Hauv Tebchaws (National Stroke Association) pom zoo rau cov qauv CEEV kom pab txhawm rau paub cov cim ceeb toom ntawm kev mob hlab ntsha tawg:

• Ntsej muag: Thaum koj luag ntxhi, puas muaj ib sab ntawm koj lub ntsej muag?
• Caj Npab: Thaum koj tsa ob sab caj npab, puas yog ib txhais npab txav zuj zus?
• Hais lus: Puas yog koj cov lus tsis meej? Koj puas muaj teeb meem hais lus?
• Sijhawm: Yog koj muaj cov tsos mob no, hu 911 tamsis ntawd.

Cov tsos mob ntxiv uas tsis haum rau qhov kev piav qhia ceev ceev suav nrog:

• kev tso siab sai, xws li qhov nyuaj rau kev nkag siab txog dab tsi tus neeg tau hais
• taug kev nyuaj, cia li kiv taub hau, lossis tsis ua hauj lwm
• dheev, mob taub hau heev uas tsis muaj lwm yam kev paub
• nyuaj rau pom nyob rau hauv ib lossis ob lub qhov muag

A TIA yuav ua rau cov tsos mob no rau lub sijhawm luv luv, feem ntau nyob rau thaj tsam li ib txog tsib feeb. Txawm li cas los xij, koj yuav tsum tsis txhob quav ntsej txog cov mob stroke, txawm hais tias lawv mus sai.

Teeb meem dab tsi tuaj yeem ua rau mob stroke?

Kev mob stroke yog qhov mob xwm txheej ceev rau qhov laj thawj - nws tuaj yeem tsim kev phom sij txog lub neej. Lub hlwb tswj cov haujlwm tseem ceeb ntawm tib neeg lub neej. Yog tias tsis muaj ntshav txaus, koj lub hlwb tswj tsis tau pa, ntshav siab, thiab lwm yam. Lwm yam mob tuaj yeem sib txawv raws li hom mob stroke thiab yog tias koj tuaj yeem tau txais kev kho mob tiav. Piv txwv ntawm cov teeb meem muaj xws li:

Kev coj cwj pwm hloov: Muaj mob stroke tuaj yeem pab txhawb kev ntxhov siab lossis ntxhov siab. Koj tseem yuav muaj kev hloov pauv hauv koj tus cwjpwm, xws li ua tsis tau zoo lossis raug rho tawm ntawm kev ua phooj ywg nrog lwm tus.

Hais lus nyuaj: Mob stroke tuaj yeem cuam tshuam thaj chaw ntawm koj lub hlwb uas tau ua nrog hais lus thiab nqos. Raws li qhov tshwm sim, koj yuav muaj teeb meem nyeem, sau ntawv, lossis nkag siab lwm tus neeg thaum lawv hais lus.

Tsa lossis mob: A mob stroke tuaj yeem ua rau loog loog thiab tsis hnov ​​hnov ​​nyob ntawm koj lub cev. Qhov no tuaj yeem raug mob. Qee zaum kev raug mob rau lub hlwb kuj tseem tuaj yeem cuam tshuam koj lub peev xwm los ntsuas qhov kub thiab txias. Tus mob no yog paub mob qog mob stroke thiab tuaj yeem kho tau yooj yim.

Tuag tes tuag taw: Vim tias txoj hauv kev uas koj lub hlwb ua haujlwm ncaj qha rau kev txav mus los, txoj hlab ntsha hauv lub cheeb sab xis ntawm koj lub hlwb tuaj yeem cuam tshuam kev txav ntawm sab laug ntawm koj lub cev thiab rov qab. Cov uas tau mob stroke yuav tsis tuaj yeem siv cov leeg ntsej muag lossis txav caj npab ntawm ib sab.

Koj tuaj yeem tuaj yeem rov qab lub cev muaj zog ploj, hais lus, lossis nqos peev xwm tom qab mob stroke los ntawm kev tsim kho dua tshiab. Txawm li cas los xij, cov no tuaj yeem siv sijhawm los rov ua dua.

Yuav kho tus mob stroke li cas?

Kev kho mob rau cov hlab ntsha tawg raws ntau yam. Cov no suav nrog seb nws yog hom ntev li cas thiab yuav siv sijhawm ntev li cas. Yog koj yim nrhiav kev pab tom qab mob stroke sai, koj yuav muaj kev zoo mob zoo sai.

TIA

Kev kho mob rau TIA suav nrog kev noj tshuaj uas yuav pab tiv thaiv cov ntshav tawm yav tom ntej. Cov tshuaj no suav nrog cov tshuaj antiplatelets thiab anticoagulants.

Antiplatelets txo cov kev ua rau koj cov ntshav hu ua platelets yuav lo ua ke thiab ua rau txhaws. Tshuaj aspirin thiab clopidogrel (Plavix) yog cov tshuaj antiplatelet.

Cov tshuaj Anticoagulants yog cov tshuaj noj uas ua rau kom cov ntshav txhaws khov. Ntau hom tshuaj muaj nyob nrog, suav nrog warfarin (Coumadin) thiab dabigatran (Pradaxa).

Tus kws kho mob tej zaum tseem yuav pom zoo rau kev phais hu ua carotid endarterectomy. Qhov no tshem tawm cov quav hniav buildup hauv carotid leeg ntawm koj lub caj dab, uas yog qhov ua kom mob stroke.

Ischemic mob stroke

Kev kho ischemic stroke uas koj tau txais nyob ntawm seb koj tau mus rau tsev kho mob sai npaum li cas. Lawv puav leej nyob ntawm koj li keeb kwm kho mob.

Yog tias koj mus nrhiav kev kho mob tsis pub dhau peb teev ua haujlwm rau hom mob stroke no, koj tus kws kho mob tuaj yeem muab tshuaj rau koj uas yog hu ua plasminogen activator (tPA). Cov tshuaj no, uas xa tawm los ntawm IV, tuaj yeem yaj cov leeg ntshav. Txawm li cas los xij, tsis yog txhua tus neeg tuaj yeem txais tPA vim muaj kev pheej hmoo rau los ntshav. Koj tus kws kho mob yuav tsum ua tib zoo xav txog koj li keeb kwm kev noj qab haus huv ua ntej tswj cov tPA.

Cov kws kho mob tuaj yeem siv cov txheej txheem los tshem tawm cov ntshav los yog xa cov tshuaj ua kom ntshav khov rau koj lub hlwb.

Hemorrhagic mob stroke

Hemorrhagic stroke kev kho mob koom nrog kev sim kom tsis txhob los ntshav hauv koj lub hlwb thiab txo cov kev phiv los cuam tshuam nrog lub hlwb los ntshav. Cov kev mob tshwm sim yuav suav nrog kev muaj zog intracranial siab. Cov txheej txheem phais mob suav nrog kev phais mob lossis coiling. Cov no yog tsim los ua kom cov hlab ntshav tsis txhob los ntshav ntxiv lawm.

Koj tuaj yeem raug muab tshuaj kom txo cov ntshav siab intracranial. Koj kuj yuav tsum tau tso ntshav ntxiv kom cov ntshav txhaws ntau ntxiv hauv koj cov ntshav kom tsis txhob los ntshav.

Qhov tshwm sim rau txhua hom mob stroke yog dab tsi?

Kwv yees li ntawm ib feem peb ntawm cov neeg uas muaj TIA yuav ua rau muaj tus mob ischemic tag nrho hauv lub xyoo. Nrhiav kev kho kom tsis txhob muaj teeb meem ntau qhov ntxiv.

Yog tias tus neeg muaj mob hlab ntsha tawg, lawv yuav muaj lwm yam ntxiv tuaj. Nws tau kwv yees tias ib feem plaub ntawm cov neeg uas tau mob hlab ntsha tawg yuav muaj dua ib xyoos hauv tsib xyoos.

Muaj ntau yam kev hloov pauv hauv lub neej koj tuaj yeem txais los txo koj cov kev pheej hmoo ntawm puas tau muaj mob stroke lossis kev rov ua dua tshiab. Piv txwv li:

• nce kev tawm dag zog
• noj zaub mov zoo rau lub cev ua kom muaj lub cev nyhav rau koj qhov siab thiab ua
• txo cov kev haus cawv thiab haus cawv kom tsawg dua li ib hnub rau cov poj niam thiab ib rau ob rau ib hnub rau cov txiv neej
• txwv kev siv cov tshuaj txhaum cai uas paub los txhawb kom muaj mob stroke, xws li cocaine thiab methamphetamines
• kev noj tshuaj raws li cov lus qhia ua kom txo qis ntshav siab thiab txhawb cov ntshav tswj ntshav qab zib
• looj lub npog ntsej muag muaj pa zoo li qub yog tias koj tau pw tsaug zog apnea los txo qhov kev xav ntawm koj lub siab

Tham nrog koj tus kws kho mob txog txoj kev koj tuaj yeem txo koj tus kheej li kev pheej hmoo mob stroke.