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Qhia Kho Mob Tuag Tes Tuag Taw, Kho Mob Stroke Zoo Heev
Daim Duab: Qhia Kho Mob Tuag Tes Tuag Taw, Kho Mob Stroke Zoo Heev

Zoo Siab

Kev kho mob stroke yuav tsum tau pib sai li sai tau thiab, yog li ntawd, nws yog ib qho tseem ceeb kom paub tias yuav txheeb xyuas thawj cov tsos mob hu rau lub tsheb thauj neeg mob sai li cas, vim hais tias kev kho mob ntxov pib, kev pheej hmoo tsawg dua ntawm tus mob xws li tuag tes tuag taw lossis nyuaj hais lus. Saib ntawm no cov phiajcim twg tuaj yeem qhia txog mob stroke.

Yog li, txoj kev kho mob tuaj yeem pib los ntawm tus kws kho mob twb tau nyob hauv lub tsheb thauj neeg mob ntawm txoj kev mus rau hauv tsev kho mob, nrog rau cov kev kho mob xws li tshuaj tiv thaiv mob ntshav txhawm rau tswj lub plawv ntshav thiab lub plawv dhia, siv cov pa mus rau kev ua pa yooj yim, ntxiv rau kev tswj cov cim tseem ceeb, raws li txoj hauv kev los ua kom ntshav khiav mus rau lub hlwb.

Tom qab pib kho, hom mob stroke yuav tsum pom, siv kev sim xws li tomography thiab MRI, vim qhov no cuam tshuam rau cov kauj ruam tom ntej ntawm kev kho mob:

1. Kev kho mob rau ischemic stroke

Ischemic stroke tshwm sim thaum ib qho ntshav thaiv txoj kev hla ntshav hauv ib ntawm cov hlab ntsha hauv lub hlwb. Hauv cov xwm txheej no, kev kho yuav suav nrog:


  • Cov tshuaj hauv cov ntsiav tshuaj, xws li AAS, Clopidogrel thiab Simvastatin: siv rau thaum xav tias tsam mob stroke lossis hloov ischemia, vim lawv muaj peev xwm tswj hwm kev loj hlob ntawm txhaws thiab tiv thaiv qhov txhaws ntawm cov hlab ntsha hlab ntsha;
  • Thrombolysis ua nrog APt txhaj tshuaj: nws yog ib qho enzyme uas yuav tsum tau tswj hwm tsuas yog thaum lub ischemic stroke twb tau paub tseeb nrog tomography, thiab yuav tsum tau siv thawj 4 teev, vim nws nrawm plua plav txhaws, txhim kho ntshav ncig mus rau thaj tsam cuam tshuam;
  • Cerebral catheterization: hauv qee lub tsev kho mob, ua lwm txoj rau kev txhaj tshuaj APt, nws yog qhov ua tau rau qhov ntxig txoj kev hloov pauv uas mus los ntawm lub puab tais txoj hlab ntshav mus rau lub hlwb kom sim tshem tawm cov ntshav khov lossis txhaj tshuaj anticoagulant rau hauv lub xaib. Kawm ntxiv txog cerebral catheterization;
  • Ntshav siab tswj, nrog cov tshuaj antihypertensive, raws li captopril: nws tau ua nyob rau hauv rooj plaub uas cov ntshav siab, los tiv thaiv qhov siab no los ntawm kev ua kom cov pa oxygen thiab ntshav khiav hauv lub hlwb;
  • Saib xyuas: cov cim tseem ceeb ntawm tus neeg uas muaj mob stroke yuav tsum tau saib xyuas thiab tswj, saib lub plawv dhia, siab, ntshav oxygenation, glycemia thiab kub lub cev, ua kom lawv nyob ruaj khov, kom txog thaum tus neeg qhia qee qhov kev txhim kho, vim tias yog tias lawv tsis tuaj yeem tswj tau, tej zaum yuav muaj kev ntsuas ntau ntxiv ntawm cov mob stroke thiab cov sequelae tshwm sim los.

Tom qab mob stroke, lub paj hlwb decompression phais yog qhia nyob rau hauv cov mob uas lub hlwb muaj o loj, uas ua rau muaj kev tawm tsam mob siab thiab tuaj yeem ua rau muaj kev pheej hmoo tuag. Qhov kev phais no tau ua los ntawm kev tshem tawm, rau ib ntus, ib feem ntawm pob txha pob txha, uas tau hloov thaum qhov o rov qab nrawm.


2. Kho mob hemorrhagic mob stroke

Hemorrhagic stroke mob tshwm sim thaum lub hlwb txhaws ua rau cov ntshav txhaws lossis ua kom tawg, zoo li nrog cov leeg ntshav lossis txhaws vim muaj ntshav siab, piv txwv.

Hauv cov xwm txheej no, kev kho mob yog ua los ntawm kev tswj ntshav siab, xws li antihypertensives, ntxiv rau kev siv lub tshuab raj pa oxygen thiab saib xyuas cov paib tseem ceeb kom ntshav tawm los tswj tau sai dua.

Hauv cov xwm txheej loj tshaj plaws, qhov twg muaj kev ua tiav ntawm cov leeg ntshav thiab nws nyuaj rau kev txwv tsis los ntshav, kev phais mob hlwb sai yuav tsim nyog los nrhiav qhov chaw ntshav thiab kho nws kom raug.

Thaum muaj mob ntshav liab los ntshav, ua rau lub hlwb kho kom zoo nkauj kuj tseem ua tau, vim nws ib txwm muaj qhov voos thiab o ntawm lub hlwb vim los ntshav.


Yuav rov mob stroke li cas

Feem ntau, tom qab tswj xyuas cov tsos mob ntawm tus mob stroke, tsev kho mob yuav tsum nyob li 5 txog 10 hnub, uas txawv raws li kev kho mob ntawm txhua tus neeg, kom nyob twj ywm rau hauv kev soj ntsuam, txhawm rau lav qhov rov zoo dua thiab soj ntsuam lub txim uas tshwm sim los ntawm cov hlab ntaws.

Nyob rau lub sijhawm no, tus kws kho mob tuaj yeem pib siv tshuaj lossis kho tus neeg mob cov tshuaj, nquahu kom siv cov tshuaj tiv thaiv kabmob lossis tshuaj tua kabmob, xws li Aspirin lossis Warfarin, thaum mob ischemic stroke, lossis tshem cov tshuaj anticoagulant thaum mob stroke, muab ua piv txwv.

Ib qho ntxiv, cov tshuaj tuaj yeem xav tau kom zoo dua tswj ntshav siab, ntshav qabzib ntshav, ntshav qabzib, piv txwv, txhawm rau txo qhov kev pheej hmoo ntawm mob hlab ntsha tawg tshiab.

Qee qhov tshwm sim tuaj yeem tseem nyob, xws li nyuaj rau kev hais lus, txo lub zog ntawm ib sab ntawm lub cev, hloov mus nqos khoom noj lossis tswj zis lossis quav, ntxiv rau qhov hloov pauv hauv kev xav lossis nco qab. Tus xov tooj thiab qhov sib txawv ntawm sequelae sib txawv raws li hom mob stroke thiab cuam tshuam rau lub hlwb qhov chaw, ntxiv rau tus neeg lub peev xwm kom rov zoo. Nkag siab zoo txog kev tuaj yeem ua mob stroke.

Kev kho kom rov zoo li cas los txo cov txim

Tom qab mob hlab ntsha tawg, tus neeg yuav tsum ua cov txheej txheem tsim kho kom rov qab, txhawm rau kho kom rov zoo thiab txo qis kev tshwm sim. Cov qauv tseem ceeb ntawm kev rov kho yog:

  • Kev tawm dag zog lub cev: kev tawm dag zog pabcuam pab ua kom cov leeg muaj zog, kom tus neeg tuaj yeem ua kom rov zoo lossis tswj lub cev kev txav mus los, txhim kho lawv lub neej zoo. Saib seb txoj kev kho lub cev ua li cas tom qab mob hlab ntsha tawg.
  • Kev Kho Mob Ua Haujlwm: nws yog thaj chaw uas pab tus neeg mob thiab tsev neeg nrhiav cov tswv yim los txo cov kev cuam tshuam ntawm kev mob hlab ntsha tawg hauv lub neej txhua hnub, dhau los ntawm kev tawm dag zog, kev hloov kho lub tsev, chav dej, ntxiv rau cov haujlwm kom txhim kho kev ua kom zoo thiab txav mus los;
  • Hais Lus Kho Mob: hom kev kho mob no pab ua kom rov qab hais lus thiab nqos khoom rau hauv cov neeg mob uas tau txais thaj chaw no cuam tshuam los ntawm kab mob stroke;
  • Kev noj haus: tom qab mob hlab ntsha tawg, nws yog ib qho tseem ceeb uas tus neeg muaj kev noj zaub mov zoo thiab muaj nplua nuj nyob hauv cov vitamins thiab minerals uas txhawb lub khob thiab hauv txoj kev noj qab haus huv, kom tsis txhob noj zaub mov tsis zoo lossis mob hlab ntsha tawg tshiab. Hauv qee kis uas nws yuav tsum tau siv kev sojntsuam kom pub zaub mov, tus neeg noj zaub mov zoo yuav suav cov khoom noj txaus thiab qhia koj tias yuav npaj nws li cas.

Kev txhawb nqa tsev neeg yog qhov tseem ceeb nyob rau lub sijhawm no rov qab los ntawm kev mob stroke, ob qho tib si los pab rau cov dej num uas tus neeg tsis tuaj yeem ua tau, ntxiv rau txhawb nqa kev xav, vim tias qee qhov kev txwv yuav ua rau ntxhov siab thiab ua rau muaj kev cia siab thiab mob siab. Kawm seb yuav ua li cas pab lwm tus uas muaj teeb meem sib txuas lus.

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