Cholinga choyamba ndi kuchepetsa kuwonongeka kwa ubongo mwa kubwezeretsa kuyendayenda kwa magazi pakachitika vuto la ischemic lodziwika ndi MRI kapena kuchepetsa kutuluka kwa magazi pakachitika ngozi yotaya magazi. Ngati sitiroko yakula kwambiri, munthuyo amakhala m’chipatala kwa masiku angapo kuti awonedwe. Nthawi yokonzanso, kunyumba kapena kumalo apadera, nthawi zina imakhala yofunikira. Kuonjezera apo, chomwe chimayambitsa sitiroko chiyenera kufufuzidwa ndikuchiritsidwa (mwachitsanzo, kukonza kuthamanga kwa magazi kapena mtima wa arrhythmia).

Mankhwala

Ngati mtsempha wamagazi watsekeka

Mankhwala amodzi okha ochepetsa chiopsezo cha kuwonongeka kosasinthika kwaubongo amavomerezedwa. Amasonyezedwa chifukwa cha sitiroko chifukwa cha thrombosis kapena embolism. Izi ndi minofu plasminogen activator, mapuloteni m'magazi omwe amathandiza kusungunula magazi mwamsanga (kupitirira ola limodzi kapena awiri). Kuti mankhwalawa akhale ogwira mtima, ayenera kubayidwa kudzera m'mitsempha mkati mwa 3 mpaka 4,5 maola a sitiroko, zomwe zimalepheretsa kwambiri kugwiritsidwa ntchito kwake.

Maola angapo pambuyo pa sitiroko yopanda magazi, mankhwala nthawi zambiri amaperekedwa anticoagulant ou antiplaquettaire. Zimenezi zimathandiza kuti magazi asapangike m’mitsempha yatsopano. Kuphatikiza apo, zimalepheretsa kukulitsa kwa magazi opangidwa kale. Pamene sitiroko yakhazikika, dokotala nthawi zambiri amapereka mankhwala opepuka, mongaaspirin, kutengedwa tsiku ndi tsiku kwa nthawi yayitali.

Panthawi yokonzanso, mankhwala ena angakhale othandiza. Mwachitsanzo, mankhwala a antispasmodic angathandize kuchepetsa kupweteka kwa minofu.

Ngati pali kukha magazi

M'maola otsatirawa a ngozi yamtundu uwu, mankhwala ochepetsa kuthamanga kwa magazi nthawi zambiri amaperekedwa kuti achepetse magazi komanso chiopsezo choyambiranso magazi. Nthawi zina kutuluka magazi kumayambitsa khunyu. Kenako amathandizidwa ndi mankhwala ochokera m'gulu la benzodiazepine.

opaleshoni

Ngati mtsempha wamagazi watsekeka

Sitiroko ikakhazikika, dokotala amapereka mayeso osiyanasiyana kuti adziwe ngati mitsempha ina yafowoka ndi atherosulinosis. Akhoza kupereka imodzi mwamaopaleshoni odzitetezera awa:

• carotid endarterectomy. Njira imeneyi imakhala ndi "kuyeretsa" khoma la mitsempha ya carotid yomwe imakhudzidwa ndi atherosclerosis. Zakhala zikuchitika kwa zaka makumi anayi ndipo cholinga chake ndi kuteteza kubwereza kwa zikwapu;
• angioplasty. Buluni imayikidwa mumtsempha womwe umakhudzidwa ndi atherosulinosis kuti usatsekeke. Kachitsulo kakang'ono amalowetsanso mtsempha wamagazi kuti usachepetse. Njira imeneyi imakhala ndi chiopsezo chochuluka kuposa yapitayi, chifukwa pamene cholembera cha atherosclerotic chaphwanyidwa ndi baluni, zidutswa za chipikacho zimatha kumasulidwa ndikuyambitsanso kutsekeka kwina kwa mitsempha ya ubongo.

Ngati pali kukha magazi

Opaleshoni yaubongo ingakhale yofunika kuchotsa magazi owunjika. Ngati dokotala wa opaleshoni apeza aneurysm panthawi ya opaleshoni, amachitirapo kuti asawonongeke komanso sitiroko ina. Chithandizo nthawi zambiri chimaphatikizapo kuyika platinamu filament mu aneurysm. Kenako magazi amaundana mozungulira ndikudzaza kufalikira kwa mtsempha wamagazi.

Zindikirani. Nthaŵi zina, kufufuza kwachipatala kungasonyeze kukhalapo kwa aneurysm yosasokonezeka mu ubongo. Malingana ndi nkhaniyo, dokotala akhoza kapena sangalimbikitse opaleshoni yodzitetezera. Ngati wodwala ali ndi zaka zosakwana 55, dokotala nthawi zambiri amamuuza kuti achite opaleshoniyi. Ngati wodwalayo ali wamkulu, chisankho chiyenera kupangidwa poganizira ubwino ndi zoopsa za opaleshoniyo. Zowonadi, zotsirizirazi zimayika wodwalayo pachiwopsezo cha zotsatira za minyewa kuyambira 1% mpaka 2%, komanso pachiwopsezo cha kufa pafupifupi 1%.². Kuonjezera apo, maphunziro ochulukirapo amafunika kudziwa zotsatira zenizeni za kulowerera koteroko pa kupewa sitiroko.

kusintha

Chimodzi mwa zolinga za kukonzanso ndi kuphunzitsa maselo a mitsempha mu gawo losakhudzidwa la ubongo kuti agwire ntchito zomwe zinkachitidwa chisanachitike sitiroko ndi maselo ena a mitsempha. Malingana ndi zosowa, ntchito za akatswiri osiyanasiyana zimafunika: namwino, katswiri wa zakudya, physiotherapist, wolankhula mawu, wogwira ntchito, katswiri wa zamaganizo, katswiri wa zamaganizo, wothandiza anthu, ndi zina zotero.