I-Brain Stroke

Ukwelashwa Kwe-Brain Stroke e-Hyderabad, e-India

CARE Izibhedlela sebenza ubusuku nemini ukuze unikeze ukwelashwa okungcono kakhulu isifo sobuchopho. Ukushaywa unhlangothi kobuchopho kwenzeka lapho kuvaleka imithambo yegazi eqala ukopha. Lokhu kunciphisa noma kuphazamisa ukunikezwa kwegazi ebuchosheni. Uma lokhu kwenzeka, khona-ke ingqondo ayiwutholi umoya-mpilo ofanele noma imisoco ngenxa yokuthi amangqamuzana obuchopho aqala ukufa. 

I-stroke ithinta imithambo yegazi enikeza umoya-mpilo ebuchosheni. Uma ubuchopho bungakwazi ukuthola imisoco eyanele noma umoya-mpilo, khona-ke umonakalo ungase uqale ukwenzeka. Kuyiqiniso ukuthi imivimbo yobuchopho iyelapheka kodwa uma ingelashwa ngesikhathi lokho kungaholela ekufeni noma ukukhubazeka unomphela. Masifunde kabanzi mayelana nokushaywa unhlangothi ngosizo lwe-CARE Hospitals:- 

Izinhlobo zokushaywa wubuchopho ezilashwa ngochwepheshe bethu 

Ukushaywa kobuchopho kwenzeka uma amahlule igazi ukwakheka ebuchosheni, okuholela ekopheni kobuchopho. Lokhu kungase futhi kulimaze izicubu zobuchopho futhi kubangele ukukhubazeka nokungalingani ngokomzimba. Thina njengesibhedlela esingcono kakhulu sokuhlinzwa kwe-brain aneurysm e-Hyderabad sinikeza usizo lwezokwelapha olungcono kakhulu lwalokhu kushaywa kobuchopho okulandelayo:-

I-Ischemic stroke - I-ischemia yobuchopho noma i-ischemic stroke ibangela cishe u-80% wakho konke ukuhlaselwa yisifo sohlangothi. Lokhu kubangelwa amahlule egazi ebuchosheni njengoba igazi liphazamisekile futhi izicubu zobuchopho zendawo ethile zilimele. Isizathu esiyinhloko sohlangothi lwe-ischemic yi-fatty acid deposits ebizwa ngokuthi i-atherosclerosis. Amadiphozithi ayizinhlobo ezimbili: 

• Amahlule egazi noma i-cerebral embolism yakheka ohlelweni lokujikeleza kwegazi lwenhliziyo kanye nemithambo emikhulu eduze kwentamo yakho engenhla noma ingxenye yesifuba. 

• Ngenxa yezimpawu ze-ischemic stroke, isiguli sibhekana nokungalingani ngokomzimba, ukubona lufifi, nokungakwazi ukudla ukudla. 

Isifo sohlangothi esopha kakhulu - Cishe amaphesenti angu-15 azo zonke izigameko zokushaywa unhlangothi yi-stroke eyophayo. Isizathu esiyinhloko salesi sifo yimikhumbi ebuthakathaka eholela ekopheni okuthuthukisiwe ebuchosheni. Ngaphezu kwalokho, kukhona ukunqwabelana kwegazi futhi izicubu zobuchopho ziqala ukulimaza. I-Hemorrhagic Stroke iyizinhlobo ezimbili: -

• I-Subarachnoid hemorrhage

• I-Intracerebral hemorrhage

Isizathu esibangela ukopha okuningi ukungahambi kahle kwe-arteriovenous. Lokhu ukwakheka kwehlule legazi okungavamile okubangela ukopha ebuchosheni. 

I-Cryptogenic stroke - Lesi sifo siwuhlangothi olubangelwa izici ezingaziwa okunzima ukuzibona. Kodwa-ke, imbangela yakho konke lokhu kushaywa ngokuvamile kungenxa yokwakheka kwehlule lobuchopho. Ngenxa yalokhu, ochwepheshe bethu bangase futhi batuse ukuxilongwa okunamandla ukulwa nobungozi bezempilo kusenesikhathi. 

I-Transient ischemic attack (TIA) - I-TIA okungukuthi i-transient ischemic attack ibizwa ngokuthi i-TIA mini-stroke. Lesi yisimo lapho ukuvinjelwa kwesikhashana kukhona ekugelezeni kwegazi ebuchosheni. Abanye abantu bakushaya indiva ekuqaleni njengoba kwaziwa ngokungadali umonakalo unomphela kodwa asikweluleki isenzo esinjalo. Uma amahlule egazi eqalile ukwakha, khona-ke lokhu kuyinkomba yokuhlasela kwe-ischemic yesikhashana. Seluleka iziguli ukuthi zixilongwe futhi zelashwe ezingeni lokuqala. Akufanele baphuthelwe ithuba lokuyivimbela ngesikhathi. 

I-Brain Stroke Ethule noma I-Cerebral Infarction Ethule - Lokhu isifo sohlangothi sibangelwa ngokwakhiwa kwehlule legazi futhi ivimbe ukugeleza kwegazi ukuya ebuchosheni. Lokhu kungase kube nesibopho sokushaywa unhlangothi kobuchopho buthule ngisho nangaphandle kokuqaphela kwakho. Isici esiyingozi kakhulu esihlobene nakho ukuthi singaholela kwelinye icala lokulimala kobuchopho. Izimbangela eziyinhloko zokushaywa unhlangothi ebuchosheni yizi:

• I-Atrial fibrillation iholela ekushayeni kwenhliziyo okungavamile phakathi kweziguli ezingaphezu kweminyaka engama-65.

• Amazinga egazi aphakeme, nomfutho wegazi ophezulu, kanye namazinga aphezulu we-systolic blood pressure yi-infarction ethule eyaziwayo noma izimbangela ze-SCI. 

• Uma sicabangela ukubaluleka, senza ukuxilongwa ukuze kuvinjelwe ingozi yokulimala kobuchopho. 

Ziyini izimpawu zestroke yobuchopho?

Izinhlobonhlobo nokuqina kwezinkomba zokuqala ze-stroke zingahluka, kodwa zonke zibonisa imfanelo ehlanganyelwe yokusuka kungazelelwe. Izimpawu ezijwayelekile ze-cerebral stroke zihlanganisa:

• Ukuba ndikindiki okungalindelekile noma ubuthakathaka endaweni yobuso, ingalo, noma umlenze, ikakhulukazi ohlangothini olulodwa lomzimba.
• Ukuqala okusheshayo kokudideka.
• Ubunzima bokukhuluma imicabango.
• Izinselelo ekuqondeni inkulumo.
• Ukukhubazeka kokubona okungazelelwe kwelinye noma womabili iso.
• Ubunzima obungalindelekile bokuhamba, obuhambisana nesiyezi.
• Ukulahlekelwa ibhalansi noma ukusebenzisana.
• Ikhanda elibuhlungu ngokungazelelwe futhi elinamandla, ngokuvamile elihambisana nokuhlanza noma ukulahlekelwa ukwazi.

Yiziphi izici eziyingozi ezibangela isifo sohlangothi?

Nakuba imivimbo ivame ukubonwa kubantu asebekhulile, ingathinta abantu banoma iyiphi iminyaka. Ukuqonda izici eziphakamisa amathuba okuba nesifo sohlangothi futhi ukwazi ukubona izimpawu zaso kungaba nomthelela ekuvimbeleni ukushaywa unhlangothi. Ukuxilongwa okusheshayo nokwelashwa kusenesikhathi kuthuthukisa amathuba okululama ngokuphelele.

Izinto eziyingozi zingahlukaniswa ngezigaba ezilungisekayo nezingaguquleki.

Izinto ezinobungozi ezingalungiseka:

• Ukubhema: Ingozi yokushaywa unhlangothi iyanda ngokubhema, futhi uma kuhlanganiswa nezinto zokuvimbela inzalo ezithathwa ngomlomo, amathuba ayanda ayanda. Okutholakele kwakamuva kusikisela ukuthi ukuchayeka isikhathi eside entuthuni kagwayi kungase futhi kunyuse ingozi yokushaywa unhlangothi.
• Umfutho wegazi ophezulu: Ukufundwa komfutho wegazi okungu-140/90 mm Hg kuyisici esiyingozi esiyingozi sohlangothi.
• I-Carotid noma esinye isifo se-artery: Ukuncipha kwemithambo ye-carotid ngenxa yamafutha avela ku-atherosclerosis kungaholela ekuvinjweni ngehlule legazi.
• Isifo sikashukela: Isifo sikashukela esingalashwa sandisa ingozi yokushaywa unhlangothi futhi sibeka ezinye izingozi zezempilo ezihlukahlukene.
• I-cholesterol ephezulu yegazi: I-cholesterol ephelele ephakeme (240 mg/dL noma ngaphezulu), amazinga e-cholesterol aphezulu e-LDL (embi) (ngaphezu kuka-100 mg/dL), amazinga aphezulu e-triglyceride (150 mg/dL noma ngaphezulu), kanye namazinga e-cholesterol e-HDL (okuhle) aphansi (ngaphansi kuka-40 mg/dL) angase anyuse ingozi yokushaywa unhlangothi.
• Ukungasebenzi komzimba nokukhuluphala: Ukungasebenzi, ukukhuluphala, noma inhlanganisela yakho kokubili kungaphakamisa ingozi yomfutho wegazi ophakeme, i-cholesterol ephezulu yegazi, isifo sikashukela, isifo senhliziyo, nesifo sohlangothi.
• Izifo zenhliziyo ezifana ne-atrial fibrillation (AF) nezinye, isitsha esikhulu nesifo somkhumbi omncane, zandisa ingozi yokushaywa yi-ischemic.

Izingozi ezingaguquki noma ezingalawuleki:

• Iminyaka yobudala: Nakuba imivimbo ingenzeka kunoma iyiphi iminyaka, ingozi iyanda ngokukhula.
• Ubulili: Abesilisa bavame ukushaywa unhlangothi, kodwa abesifazane babalelwa ngaphezu kwesigamu sokufa okuhlobene nokushaywa unhlangothi. Abesifazane bangemva kokuya esikhathini babhekana nengozi efana neyabesilisa.
• Umlando womndeni kanye nezinkinga ezithile zofuzo ziphakamisa ingozi yokushaywa unhlangothi.
• Umlando we-stroke yangaphambilini wandisa amathuba okuba nemivimbo ephindaphindayo.
• Ezinye izici eziyingozi ezifana ne-hyperhomocysteinemia, ukuphazamiseka okuhlobene nokulala okufana ne-obstructive sleep apnea (OSA), izifo ezithile (kuhlanganise nezimo zakamuva ze-Covid), kanye nomlando wokuhlasela kwesikhashana kwe-ischemic (TIAs) nakho kunomthelela ekwandeni kwengozi yokushaywa unhlangothi.

Ukuvimbela esikusikisela ngaphambi kokwelashwa

Uma isiguli siza kithi, siphinde siphakamise izindlela ezimbalwa zokuvimbela kanye nokuxilongwa nokwelashwa, okuhlanganisa:

• Ukuzivocavoca njalo

• Ukuphatha isisindo esimaphakathi 

• Landela ishadi lokudla okunempilo 

• Gwema utshwala noma ugwayi

• Ukudla kufanele ibe nemifino eminingi, imbewu, okusanhlamvu, amantongomane, okusanhlamvu okuphelele, nezithelo. 

Ezinye izinyathelo ezimbalwa eziphakanyiswe yithi:

• Ukuphathwa kwesifo sikashukela 

• Ukulawula umfutho wegazi 

• Ukwelashwa okuvamile kwesifo senhliziyo 

Ukuxilongwa kwenziwa ngochwepheshe be-CARE Hospitals

• Okokuqala, odokotela bethu bahlola umzimba futhi babuze ngezimpawu zesiguli kanye nomlando wakhe wezokwelapha. Sihlola ama-reflexes, amandla, ukusebenzisana, ukubona, nokuzwa. Odokotela bethu bahlola imithambo yegazi ngemuva kwamehlo, umfutho wegazi, futhi balalele imithambo ye-carotid entanyeni. 

• Odokotela bethu baphinde bahlole igazi ukuze bathole ukuthi akhona yini ingozi enkulu yokuqunjelwa kwegazi noma ukopha. Amazinga ezinto ezithile egazini ayalinganiswa, okuhlanganisa izici zokujiyisa kanye nokutheleleka. 

• Ama-X-ray amaningi ngendlela yama-CT scan ayenziwa ukuze kwaziwe isimo sezimila, unhlangothi, nokopha ebuchosheni. I-MRI scan nayo yenziwa ukuze kwakhiwe izithombe zobuchopho ukuze kutholwe izicubu zobuchopho ezilimele. 

Indlela yethu yokwelapha isifo sohlangothi 

Indlela eyinhloko esiyamukelayo ekwelapheni isifo sohlangothi ukwenza ngokushesha ngangokunokwenzeka. I-Ischemic stroke iphathwa kangcono kakhulu uma yelashwa phakathi namahora ayisithupha okuhlasela kobuchopho. 

CARE Hospitals yiyona Isibhedlela esingcono kakhulu sokwelashwa kwe-Brain Stroke e-Hyderabad. Inikeza izinketho zokwelapha ezilandelayo, njenge:

• IV Thrombolysis

• I-Thrombectomy yemishini

• I-decompressive craniotomy

• Ukuvuselelwa kwe-stroke

Ukuvuselelwa kuyisici sokunakekelwa kwe-stroke njengoba iziguli eziningi zohlangothi zidinga ukuvuselelwa ngemva kokushaywa unhlangothi. Kubuye kuncike endaweni yesifo sobuchopho kanye nenani lezicubu ezilimele. Imithi yethu ihlanganisa ukwelapha emsebenzini, i-physiotherapy, i-dysphagia therapy, i-cognitive therapy, ukwelapha ngenkulumo, ukwelapha ngokuzijabulisa, umeluleki wezwekazi, njll. 

Izisebenzi zethu zokuvuselela kanye ne-physiotherapy kanye nodokotela njengeSibhedlela esingcono kakhulu sokwelashwa kwe-Brain Stroke Treatment e-Hyderabad abagxili ekwelapheni unhlangothi kuphela kodwa futhi babasiza ukuba baphinde babe nokuzethemba. Ukuze uthole ukwelashwa okungcono kakhulu, sihlonyiswe ngobuchwepheshe obuthuthukisiwe obufana ne-stereotaxy, isistimu ye-neuronavigation, i-CT yokuhlinza, ukuhlinzwa okuncane kakhulu, njll. Inhloso yethu eyinhloko ukunikeza usizo lwezokwelapha olufanele nokunakekelwa ngokucophelela okukhulu ngokumelana nokushaywa unhlangothi kobuchopho esikhathini esizayo. Ngakho-ke, uma ufuna usizo lwezokwelapha olungcono kakhulu lokulawula isifo sohlangothi lwakho, sondela ezibhedlela ze-CARE ukuthola izinsizakalo nokwelashwa okungcono kakhulu. 

Qaphela ngokuthatha ukuhlolwa kobungozi, Chofoza lapha.