Ukuhlinzwa Kwe-Stroke Okuthuthukisiwe eBhubaneswar
A unhlangothi isimo esisongela ukuphila esiba khona lapho ukugeleza kwegazi eliya ebuchosheni kuphazamiseka. Ubuchopho buthembele ekunikezweni njalo komoyampilo kanye nezakhamzimba ezivela egazini ukuze zisebenze kahle. Lapho lokhu kunikezwa kwegazi kunqanyulwa, amangqamuzana obuchopho aqala ukufa emizuzwini embalwa.
Yiziphi Izinhlobo Zesifo Sohlangothi?
Imivimbo ihlukaniswa ngezinhlobo ezihlukene ngokuya ngezinqubo nezici zazo. Izinhlobo ezintathu eziyinhloko yilezi:
- I-Ischemic Stroke: Lolu uhlobo oluvame kakhulu lokushaywa unhlangothi, olubalelwa ku-87% wazo zonke izimo. Kwenzeka lapho amahlule egazi evimba imithambo yobuchopho, avimbele ukugeleza kwegazi okubalulekile ezicutshini zobuchopho. Lawa mahlule angakheka endaweni noma ahambe esuka kwezinye izingxenye zomzimba.
- I-Hemorrhagic Stroke: Lolu hlobo lubalelwa cishe u-13% wezimo futhi lwenzeka lapho imithambo yegazi ebuchosheni iphuka, okubangela ukopha ezicutshini zobuchopho ezizungezile. Kunezinhlobo ezimbili ezingaphansi zemivimbo ye-hemorrhagic:
- I-Intracerebral Haemorrhage: Ukopha ngqo esicutshini sobuchopho.
- I-Subarachnoid Haemorrhage: Ukopha phakathi kobuchopho kanye nesembozo sabo esivikelayo, ngokuvamile okubangelwa ukugqashuka kwe-aneurysms yobuchopho.
- I-Transient Ischemic Attack (TIA): Ngokuvamile eyaziwa ngokuthi "i-mini-stroke," i-TIA ibonisa izimpawu ezifana nesifo sohlangothi kodwa ixazulula phakathi namahora angu-24. Nakuba izimpawu zingezesikhashana, i-TIA iwuphawu oluyisixwayiso olubucayi lwe-stroke egcwele ezayo.
- I-Cerebral Venous Thrombosis (CVT): Lokhu kwehluka okungajwayelekile kodwa okubalulekile kuthinta cishe abantu abahlanu ngesigidi ngonyaka. Amahlule egazi akheka ezonweni ze-venous zobuchopho, okuholela ekwakhekeni komfutho nokopha okungase kube khona.
Odokotela Abahlinzayo Abahle kakhulu eNdiya
Yini Ebangela I-Stroke?
Kunezici ezimbalwa ezingabangela ukushaywa unhlangothi, kusukela ezimeni zempilo kuye ekukhetheni indlela yokuphila:
- Umfutho wegazi ophezulu iyimbangela ehamba phambili, kodwa ezinye izimo zezokwelapha njengezinkinga zenhliziyo kanye sikashukela futhi kwandisa ingozi.
- Izinkinga zemithambo yegazi, njenge i-aneurysms kanye nokukhubazeka kwe-arteriovenous (AVMs), kwenza imithambo yobuchopho ibe maningi amathuba okuba yophe.
- Ukwakheka kwama-plaque emithanjeni, eyaziwa ngokuthi i-atherosclerosis, ikakhulukazi emithanjeni ye-carotid, nakho kungaholela ekushayweni.
- Imikhuba yokuphila nayo idlala indima ebalulekile ekushayweni. Izinto ezinobungozi zifaka:
- Ukudla ukudla okunothiswe ngamafutha agcwele kanye cholesterol
- Ukungazivocavoci- okuholela ekutheni ukukhuluphala
- Ukuphuza utshwala ngokweqile
- Ukubhema, okulimaza imithambo yegazi
- Amazinga aphezulu okucindezeleka, athinta umfutho wegazi
- I-Genetics nayo idlala indima. Amadoda anomama abashaywa unhlangothi abhekana nengozi ephindwe kathathu kunevamile. Ucwaningo lukhombisa ukuthi iningi leziguli zohlangothi linamalungu omndeni ahlangabezane nesimo esifanayo, kanti ingozi isukela ku-15-52%.
- Amathuba okushaya uhlangothi aphindeka kabili njalo eshumini leminyaka ngemva kweminyaka yobudala engama-55.
- Amaqembu athile, afana nabantu abaNsundu okungewona ama-Hispanic, anamathuba angu-50% okushaywa unhlangothi uma kuqhathaniswa nabamhlophe.
Kudingeka Nini Ukuhlinzwa Kwe-Stroke Noma Kunconywa?
Odokotela batusa ukuhlinzwa ezimweni ezithile lapho ukwelashwa okusheshayo kungakwazi ukubhekana nobunzima be-stroke. Umgomo wokuhlinza unhlangothi uwukubuyisela ukugeleza kwegazi ukuvimbela ukulimala okungapheli kobuchopho ngokushesha. Okulandelayo ezinye izinkomba ezijwayelekile zokuhlinzwa unhlangothi:
- I-Ischemic stroke enokuvinjelwa okukhulu
- I-Hemorrhagic stroke
- I-carotid artery stenosis
- Ukuvuvukala ebuchosheni
- I-Aneurysm noma i-AVM rupture
- Amahlule amakhulu emithanjeni emikhulu
Izivivinyo zokuxilonga
Ukuxilongwa okunembile kubalulekile ekwelashweni okuphumelelayo kwe-stroke. Amaqembu ezokwelapha asebenzisa izivivinyo zokuxilonga ezihlukahlukene ukuze abone ukushaywa unhlangothi ngokushesha.
I-Computed Tomography (CT) scan iyithuluzi eliyinhloko lokuxilonga, ngokuvamile elenziwa ngokushesha lapho isiguli sifika esibhedlela. Lokhu kuhlolwa kwesithombe kudala izithombe zobuchopho ezinemininingwane kusetshenziswa ama-X-ray futhi kusiza ukunquma ukuthi ihlule legazi noma ukopha okubangele ukushaywa unhlangothi. Izikena ze-CT zingathola izinguquko zobuchopho phakathi nemizuzu yokuqala kwezimpawu zokushaywa unhlangothi.
Okunye ukuhlola okubalulekile kwesithombe kufaka phakathi:
- I-Magnetic Resonance Imaging (MRI): Idala izithombe zobuchopho ezinemininingwane kusetshenziswa izinkundla kazibuthe namaza omsakazo.
- I-Carotid Ultrasound: Ihlola imithambo yentamo isebenzisa amaza omsindo.
- I-Cerebral Angiogram: Inikeza imibono enemininingwane yemithambo yegazi yobuchopho isebenzisa udayi okhethekile.
- I-Electrocardiogram (EKG): Isiza ukukhomba izinkinga zenhliziyo okungenzeka ziholele ekushayweni
- Ukuthepha Umgogodla: Ezimeni lapho izithombe zokuskena zingakwazi ukuqinisekisa ukopha kobuchopho
- Ukuhlolwa kwegazi nakho kuyisisekelo ekuxilongeni isifo sohlangothi. Lezi zivivinyo zikala amazinga kashukela egazini, zibheka izimpawu zokutheleleka, futhi zihlole isivinini sokujiya kwegazi. Odokotela baphinde bahlole amazinga e-electrolyte ukuze bakhiphe ezinye izimo ezilingisa izimpawu zokushaywa unhlangothi.
Ukuxilongwa okusheshayo kubalulekile ukuze kuvinjwe ukulimala kobuchopho unomphela futhi kunqunywe uhlelo olufanele lokwelapha.
Izinqubo Zokuhlinza Ze-Stroke
Ngokushaywa kwe-ischemic, izinqubo zokuhlinzwa zicatshangelwa phakathi nezikhathi ezithile. A ukugoxa, ngokwesibonelo, kufanele wenziwe phakathi kwamahora angu-6 ngemva kokuba izimpawu ziqale ezigulini ezihlangabezana nemibandela ethile. Izinketho zokuhlinzwa ezitholakalayo zihlanganisa:
- I-Thrombectomy: Ukususwa kwamahlule kusetshenziswa i-catheter exhunywe emithanjeni yegazi.
- I-Carotid Endarterectomy: Ukususwa kwe-plaque emithanjeni yentamo.
- Angioplasty kanye ne-Stenting: Ukuvula imithambo evalekile.
- I-Decompressive Hemicraniectomy: Ukunciphisa ukuvuvukala kobuchopho.
Ucwaningo lubonisa ukuthi ukusebenzisa i-patch angioplasty phakathi ne-carotid endarterectomy kwehlisa ingozi yokushaywa unhlangothi ngakolunye uhlangothi. Inqubo inezinga lempumelelo elingu-95% lokuvaleka okuphelele kwesikhathi eside.
Ngemivimbo yokopha, ukuhlinzwa kuhloswe ukulawula ukopha nokunciphisa umfutho wobuchopho. Lokhu kuhlanganisa:
- I-Surgery Clipping: Ivimba ama-aneurysm emithanjeni yegazi
- Inqubo Yokubopha: Isebenzisa ama-catheter ukumisa ukugeleza kwegazi ezindaweni ezithintekile
- I-Ventriculostomy: Isiza ukuphatha i-obstructive hydrocephalus ngemva kwe-cerebellar infarct
- I-Decompressive Craniectomy: Yehlisa umfutho ophakeme we-intracranial lapho ukuphathwa kwezokwelapha kwehluleka
Iziguli ezine-cerebellar haemorrhages ezinkulu kuno-3 cm zinemiphumela engcono ngokukhishwa kokuhlinzwa okuphuthumayo nge-suboccipital craniectomy.
Kungani Ukhetha Izibhedlela Ze-CARE Zokuhlinza I-Stroke?
Izibhedlela ze-CARE ziyisikhungo esihamba phambili sokwelapha isifo sohlangothi, esihlinzeka ngendlela ebanzi yokunakekelwa kwesiguli. Isibhedlela sisebenza 24/7 ukuze sinikeze usizo lwezokwelapha ngokushesha ezimweni eziphuthumayo ze-stroke.
Ukuhlanganiswa kobuchwepheshe obuthuthukisiwe kuyisisekelo sohlelo lokwelapha unhlangothi lwe-CARE. Isibhedlela sisebenzisa imishini yesimanje, okuhlanganisa:
- Amasistimu we-stereotaxy wokuzulazula okunembile kokuhlinzwa.
- Ubuchwepheshe be-Neuronavigation bokwenza imephu yobuchopho enembile.
- I-Intraoperative CT yokuthwebula bukhoma.
- Amakhono okuhlinzwa e-Microscopic.
Izibhedlela ze-CARE zihamba phambili kukho kokubili ukungenelela okusheshayo nokuphatha isikhathi eside. Ochwepheshe besikhungo se-neurologists benza izivivinyo zomzimba kanye nokuhlolwa kwegazi ukuze baqinisekise ukutholakala kwesifo sohlangothi. Isibhedlela sihlanganisa ubuchwepheshe bezokwelapha nezinkonzo zokuhlunyeleliswa, ezihlinzekayo physiotherapy, ukwelapha ngenkulumo, kanye nokwelashwa emsebenzini ukuze kuqinisekiswe ukunakekelwa okuphelele kwangemuva kokushaywa unhlangothi. Le ndlela ehlanganisa konke kanye nochwepheshe abanolwazi benza izibhedlela ze-CARE zibe yisinqumo esithembekile sokuhlinzwa kwe-stroke eBhubaneswar.
HyderabadIzibhedlela ze-CARE, eBanjara Hills I-CARE Outpatient Centre, e-Banjara Hills CARE Izibhedlela, HITEC City CARE Hospitals, Nampally Izibhedlela zaseGurunanak CARE, Musheerabad I-CARE Hospitals Outpatient Centre, i-HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. Sambhajinagar
Imitholampilo Nezikhungo Zezokwelapha
