ISilent Stroke: Izimpawu Eziyisixwayiso Nokwelashwa

Uma sicabangela ukushaywa ngolimi lwezokwelapha, ngokuvamile sikhuluma ngezimpawu ezithile eziyisixwayiso noma izimpawu ezifana nenkulumo engacacile, ukuba ndikindiki, noma ukulahlekelwa ukunyakaza ebusweni noma emzimbeni. Kodwa abanye abantu bashaywa unhlangothi benganakile. Lezi zibizwa imivimbo ethule.

Ukushaywa unhlangothi buthule kwenzeka lapho ukuphakelwa kwegazi engxenyeni ethile yobuchopho kunqamuka kungazelelwe, kuncishe ubuchopho bomuntu umoya-mpilo futhi kulimaze amanye amangqamuzana obuchopho kule nqubo. Abanazo izimpawu eziyisixwayiso ezisobala noma izimpawu ezibonakalayo. Kodwa adala umonakalo ohlala njalo ezingxenyeni ezithintekile zobuchopho.

Kubonakale ukuthi amathuba okuthola isifo sohlangothi ayakhula uma umuntu enomfutho wegazi ophakeme noma ukushaya kwenhliziyo okungajwayelekile. Ikakhulukazi imivimbo ethule kunzima ukuyibona ngoba iphazamisa ukunikezwa kwegazi engxenyeni ethile yobuchopho engalawuli imisebenzi ebalulekile njengokukhuluma noma ukunyakaza. Uma umuntu eke washaywa unhlangothi owodwa noma ngaphezulu buthule, angase abhekane nezinkinga zokucabanga nenkumbulo. Ukushaywa unhlangothi buthule kungaholela ekushayweni okubi kakhulu.

Iyini I-Silent Stroke?

I-stroke ethule ingenye engenazo izimpawu ezibonakalayo. Ihlule elivimba umthambo wegazi ebuchosheni liyimbangela eyinhloko yemivimbo eminingi. Ngenxa yokuvinjwa, alikho igazi noma umoya-mpilo ongafika kuleyo ndawo, okuholela ekufeni kwamangqamuzana obuchopho angomakhelwane. 

Yiziphi Izimpawu Zesifo Sohlangothi Esithule?

Okulandelayo kuvamile ngokuhambisana nemivimbo ethule:

• Izinkinga ngekhono namakhono okuqonda 
• ukunyakaza kwesikhashana ukulahleka kwemisipha, ikakhulukazi esinyeni
• Ukuphazamiseka kwebhalansi
• Ukushintsha kwemizwa
• Ukushintsha ubuntu
• Izinkinga zenkulumo
• Ukulahlekelwa ukuzwa, ukubona, namandla
• Ukuphelelwa amandla

Yini Okufanele Uyenze Uma Umuntu Eshaywa I-Stroke Ethule?

Lapho othile eshaywa unhlangothi buthule (ukushaywa unhlangothi ngokuvamile okungabangeli izimpawu eziphawulekayo), isenzo esisheshayo singase singabonakali njengoba kungase kungabi nezimpawu ezisobala zokucindezeleka. Nokho, uma usola ukuthi othile uke washaywa unhlangothi buthule noma uma kukhona ukukhathazeka okusekelwe emlandweni wezokwelapha noma izici eziyingozi, nakhu ongakwenza:

• Funa Ukunakekelwa Kwezokwelapha: Uma kunokusola noma ukukhathazeka mayelana nokushaywa unhlangothi buthule ngenxa yezinto eziyingozi noma umlando wezokwelapha, kubalulekile ukufuna ukuhlolwa kwezokwelapha. Xhumana nabezimo eziphuthumayo noma uchwepheshe wezokunakekelwa kwempilo ukuze uthole isiqondiso.
• Xhumana Nomhlinzeki Wezempilo: Hlela ukuhlolwa kwezokwelapha, ngisho nalapho zingekho izimpawu ezibonakalayo, ukuze kuhlolwe izici eziyingozi kanye nokulimala okungenzeka kobuchopho okubangelwa ukushaywa unhlangothi buthule. Uchwepheshe wezokunakekelwa kwempilo angase ancome ukuhlolwa kokuxilonga, okufana ne-MRI noma izikena ze-CT, ukuze athole noma yikuphi ukungahambi kahle kobuchopho.
• Landela Iseluleko Sezempilo: Uma kutholakala isifo sohlangothi buthule, landela izincomo zomhlinzeki wezempilo kanye nohlelo lokwelapha. Lokhu kungase kuhlanganise imithi, ukushintsha indlela yokuphila, noma izindlela zokwelapha ezihloselwe ukunciphisa ingozi yokushaywa unhlangothi esikhathini esizayo kanye nokulawula noma yiziphi izimo ezibangela ingozi yokushaywa unhlangothi.
• Gada futhi Ubhekane Nezici Zengozi: Thatha izinyathelo ezisheshayo ukuze ubhekane nezici eziyingozi ezihlobene nesifo sohlangothi, njengokulawula umfutho wegazi ophakeme, ukulawula isifo sikashukela, ukunakekela ukudla okunempilo, ukuhlala umatasa, kanye nokungabhemi. Ukulandelela njalo nomhlinzeki wezempilo kubalulekile ukuze kuqashwe futhi kulawule lezi zici eziyingozi.
• Ukunakekela okusekelayo: Nikeza ukusekelwa ngokomzwelo nesikhuthazo kumuntu othintekile. Ukubhekana nesifo sohlangothi buthule kungaba inselele, ngisho noma zingekho izimpawu ezibonakala ngokushesha. Nikeza isiqinisekiso futhi ubasize babambelele eselulekweni sezokwelapha esinconyiwe kanye nezinguquko zendlela yokuphila.

Khumbula, nakuba imivimbo ethule ingase ingabonakali izimpawu ezisheshayo noma ezisobala, isadinga ukunakwa nokuhlolwa kwezokwelapha ukuze kuhlolwe umthelela ongaba khona futhi kulawule izici eziyingozi zokushaywa unhlangothi esikhathini esizayo. Ukubonana nochwepheshe bezokunakekelwa kwempilo kubalulekile ukuze uhlolwe futhi uqondiswe ngendlela efanele.

Kufanele Ngimvakashele Nini Udokotela?

I-stroke iyisigameko esibucayi sezokwelapha. Uma uhlangabezana nanoma yiziphi izimpawu ze-stroke, thola usizo lwezokwelapha olusheshayo.

Bona udokotela wakho uma usengozini yokushaywa unhlangothi kodwa ungabonisi noma yiziphi izimpawu ze-stroke. Bangakusiza ekudaleni isu lokwehlisa izinto eziyingozi futhi unqande isifo sohlangothi.

Ukuvimbela Imivimbo Ethule

Izinyathelo Zokuvimbela Zokunciphisa Ingozi Ye-Stroke:

• Thola Izinto Eziyingozi: Izinto ezifana nomfutho wegazi ophakeme, isifo semithambo yegazi, nesifo sikashukela zandisa amathuba okuthola isifo sohlangothi. Ngakho lawula lezi zimo
• Imikhuba Yokuphila Esebenzayo: Ukuhlola amazinga e-cholesterol njalo, ukulawula ushukela wegazi, ukuzivocavoca umzimba njalo, nokugcina isisindo esinempilo kunganciphisa kakhulu ingozi yokushaywa unhlangothi.
• Gcina Ukudla Okunempilo Yenhliziyo: Ukushintshela ohlelweni lokudla olunempilo kungasiza ekulawuleni i-cholesterol kanye nempilo yonke yenhliziyo nemithambo yegazi, kunciphise ingozi yokushaywa unhlangothi.
• Yeka ukubhema: Ukubhema kungaholela ekubambeni umlomo, uyeke ukubhema noma ukuphuza utshwala.

I-Silent Strokes vs. I-Mini Strokes

Impela, nanka amaphuzu amafushane ahlukanisa phakathi kokushaywa buthule nokushaya okuncane:

I-Silent Strokes:

• Ngokuvamile akunakwa ngenxa yezimpawu ezithambile noma ezingekho.
• Umphumela ezindaweni ezincane zokulimala kobuchopho ngaphandle kokudala ukukhubazeka okuqaphelekayo.
• Kungaholela ekulimaleni okwandayo futhi kwandise ingozi yesikhathi esizayo, imivimbo emibi kakhulu.
• Kutholwe ngokuhlolwa kwe-imaging yobuchopho (i-MRI noma i-CT scans) noma zingekho izimpawu ezisobala.

I-Mini-Strokes (I-Transient Ischemic Attacks - TIAs):

• Yethula ngezimpawu ezifana nokushaywa unhlangothi ezihlala isikhathi esifushane (imizuzu ukuya ngaphansi kwamahora angama-24).
• Kubangelwa ukuphazamiseka kwesikhashana kokugeleza kwegazi ukuya ebuchosheni.
• Izimpawu ziyaxazululeka ngaphandle kokudala umonakalo unomphela, kodwa akufanele zishaywe indiva njengoba zingase zibonise ubungozi obukhulayo besifo sohlangothi esibi kakhulu esizayo.
• Izimpawu ezicatshangelwayo eziyisixwayiso futhi zidinga ukunakekelwa kwezokwelapha ukuze kuhlolwe izici zengozi yokushaywa unhlangothi futhi kuvimbele ukushaywa unhlangothi esikhathini esizayo.