Ka hahau ʻana i nā pōpoki

Nā kumu e hoʻomaka ai ka hahau ʻana i nā pōpoki

ʻO ka mea mua, hiki ke hōʻeha i nā pōpoki ma muli o ke kaumaha o ke kino. Hoʻopili pinepine ʻia ka momona me nā maʻi like ʻole o ka ʻōnaehana circulatory, naʻau. Me ka lawa ʻole o ka hana kino o ka holoholona, ​​alakaʻi kēia i ka congestion i loko o ke kahe koko, ka hoʻokumu ʻana o nā clots koko, ka ulu ʻana o ka atherosclerosis, impaired permeability o nā paia o nā kīʻaha koko, a me ka hemahema o nā meaʻai a me ka oxygen. Hana ʻia ka pūʻulu pilikia i nā pōpoki ma hope o ka castration (sterilization) a me ka ʻelemakule.

Eia kekahi, hiki i kēia mau mea ke hoʻonāukiuki i ka pathology:

• kaumaha;
• kulu i ke kahe koko;
• hypertension;
• nā anomalies o ka ʻōnaehana cardiovascular;
• helminthiases;
• ka ona no ka manawa loihi;
• hakuʻala ʻole;
• nā ʻeha (poʻo, iwi kuamoʻo);
• maʻi diabet;
• maʻi kūpale kolohe;
• ʻO Cushing's Syndrome (ka hana nui o cortisol).

ʻOiai he nui nā kumu, a he ʻokoʻa lākou a pau ma ke ʻano o nā hōʻailona, ​​koʻikoʻi a me ka hopena i ka CVS, e like nā hōʻailona o ka hahau i kēlā me kēia hihia.

ʻO ke ʻano o ka hahau ʻana i nā pōpoki a me nā kumu

ʻEkolu ʻano o ka hahau ʻana i nā pōpoki.

Ischemic

Hoʻopili ʻia ke kīʻaha koko me kahi thrombus (atherosclerotic plaque), ulu ka ischemia (ʻaʻole lawa ke kahe koko i nā ʻāpana). ʻO ka hopena, ʻaʻole loaʻa ka oxygen i ke kino a make. Me ka ischemic stroke, hiki ke ʻike ʻia ka make nui o nā neurons a i ʻole ko lākou make hapa. Hoʻoulu ʻia ka mumū i loko o ka lolo, hoʻopilikia ʻia kona hāʻawi koko, a puka ka edema.

ʻO ka maʻi Ischemic i nā pōpoki, ʻoi aku ka pinepine, e kū i ke kua o:

• maʻi maʻi ʻōpū;
• mimikō mellitus;
• kiʻekiʻe kolesterol;
• nā maʻi o ka ʻōnaehana cardiovascular;
• nā maʻi parasitic o ke koko;
• ʻO Cushing's Syndrome.

Hemorrhagic

Poha ka ipu koko o ka lolo, hiki mai ka hemorrhage ma ka lolo. Paʻi ka hematoma i nā ʻiʻo a puni, e pale ana i kā lākou hana maʻamau.

Nā kumu e alakaʻi ai i ka hemorrhagic stroke i nā pōpoki:

• ʻeha poʻo;
• phlebitis (ka wela o nā veins);
• nā neoplasms i loko o ka lolo;
• nā maʻi i loaʻa me ke kuni;
• hypertension;
• lāʻau make
• momona.

ʻO ka micro stroke

E like me ka ischemic stroke, i kēia hihia, ulu ka pathology ma muli o ka paʻa ʻana o ke kīʻaha koko e kahi thrombus. Eia nō naʻe, ʻaʻole nui ka nui o ke kahe ʻana o ke koko, a hiki i ka clot ke hoʻoheheʻe iā ia iho i ka lā me ka ʻole o nā hopena i ʻōlelo ʻia. I ka manawa like, he mea weliweli ke hoʻohaʻahaʻa i kahi microstroke. ʻO kona hanana ʻana (ʻoi aku ma mua o hoʻokahi manawa) e hōʻike ana i ka loaʻa ʻana o nā pilikia koʻikoʻi me ke kahe ʻana o ke koko, he mea mua ia i ka hahau ikaika, a hiki ke alakaʻi i ke kīnā o kahi holoholona.

Nā mea e hoʻonāukiuki i ka microstroke i nā pōpoki:

• kaumaha;
• hypertension;
• ka momona;
• pathology o ka paia vascular.

Nā hōʻailona o ka pathology

Inā hiki koke mai ka hahau, a pili ka holoholona i ka mea nona, a laila hiki ʻole ke ʻike i nā hōʻailona. Akā i kekahi manawa e ulu mālie ke kiʻi lapaʻau, ʻoiai i nā lā he nui, e hōʻike ana i nā deviations maʻalahi.

Pehea e hōʻike ʻia ai ka hahau ʻana i nā pōpoki? ʻO ka hōʻailona nui o ka hahau ʻana i ka pōpoki he hoʻololi i nā maka: hiki i nā haumāna ke lilo i ʻokoʻa ka nui, a me ka loli pinepine ʻana a me ka nānā ʻole i nā hopena o waho.

ʻO nā mea'ē aʻe he:

• lohi koke, lethargy, nele i ka hoihoi i nā pāʻani, meaʻai, ka mea nona;
• "ka hau" ma kahi (inā loaʻa kahi hahau i ka wikiwiki o ka uila) me ka nalowale o ka ʻike;
• ke kūlana kūlohelohe o ke poʻo (ma kona ʻaoʻao a i ʻole ka haʻalulu);
• ʻoʻopa hikiwawe, kauo ʻana o nā lālā; ma ke ʻano maʻamau, pili ka nalowale o ka neʻe ʻana i hoʻokahi mau wāwae o ka pōpoki;
• hāmama ka waha, puka alelo;
• ka leaka ʻole o ka saliva;
• ka nalowale o ka orientation ma kahi ākea, ka makemake e peʻe ma kahi kaʻawale;
• ka hoʻokuʻu ʻole ʻia o ka mimi a i ʻole feces;
• nalo ka lohe; ʻAʻole pane ka pōpoki i ka leo o ka mea nāna;
• ka hemorrhage i loko o nā maka, ka ʻike maka, ka ʻiʻo i ka makapō; hiki i ka holoholona ke hina i nā mea, hina, hāʻule;
• hoʻopaʻapaʻa ʻiʻo convulsive o nā ʻano like ʻole a me ka pinepine;
• pilikia i ka nau a me ka moni ʻana i ka meaʻai a me ka wai; ʻo ka hopena, hōʻole paha ka holoholona i ka ʻai;
• pilikia ka hele ʻana - i ka wā o ka neʻe ʻana, hiki i ka pōpoki ke hoʻoluliluli, huikau, ʻike ʻole, hāʻule i kona mau wāwae;
• hanu pinepine
• nā maʻi epileptic.

ʻO nā hōʻailona o kahi microstroke:

• ka luaʻi;
• nele i ka makemake ʻole;
• molowa, hiamoe;
• makaʻu i ka mālamalama;
• hāʻule ke kaomi, hōʻike ʻia i ka mae ʻana o ka holoholona.

ʻO nā hōʻailona o ka hahau, ʻoi aku ka liʻiliʻi, e like me nā hōʻailona o nā maʻi ʻē aʻe, no laila ʻoi aku ka maikaʻi o ka lawe ʻana i ka pōpoki i ke kauka holoholona me ka kali ʻole i nā pilikia. Aia paha ka pilikia i loko o kahi maʻi infectious, oncology, nā maʻi i loko o ka ʻōnaehana nerve waena.

Kokua mua no ka popoki me ka hahau

Inā ʻike ʻoe i kekahi hōʻailona o ka hahau ʻana i kāu pōpoki, e kelepona i kāu kauka holoholona. E haʻi kikoʻī i ke kauka e pili ana i ka mea i hana ʻia, e nīnau i nā hana e hiki ke hana ʻia, inā palekana ka halihali i kēia manawa. Malia paha e hele mai kahi loea i ka hale.

Ma nā ʻōlelo maʻamau, ʻo ke kōkua mua no ka popoki me ka hahau ʻana penei:

• waiho ʻia ka holoholona ma kahi ʻaoʻao ākea, ma kona ʻaoʻao;
• inā ua puka mai ka luaʻi a i ʻole ke kahe ʻana o ka kohu, e wehe i ke koena o ka luaʻi a me ka wai nui me kahi kāwele;
• hana i kahi lewa ʻoluʻolu, hoʻopololei i ke kukui, wehe i nā kani pono ʻole;
• ina e komo ka popoki i ke kola, ua wehe ia;
• wehe i ka puka makani e hoʻokomo i ka ea hou.

Ma mua o ka hōʻea ʻana mai o ke kauka, ua hahau ʻia ka pipi a kamaʻilio pū me.

Inā ʻaʻole hiki ke hoʻopili ʻia ke kauka, pono e lawe koke ʻia ka pōpoki i ke keʻena kino. He mea maikaʻi inā loaʻa kahi mea ʻē aʻe ma kahi kokoke e hōʻoia i ke kūlana kūpono o ka holoholona. A i ʻole, hiki iā ʻoe ke hoʻokomo i ka pipi i loko o ka pahu a i ʻole ka hīnaʻi a kau ma ka noho aʻe.

ʻO ka hōʻoia ʻana o ka maʻi maʻi i nā pōpoki

ʻO ka pinepine, ʻaʻole paʻakikī ka maʻi ʻana, a ua lawa ia i kahi loea e nānā i ka pōpoki e hoʻoholo ai i ka hahau. Akā, pono ʻoe e hele i loko o kahi hoʻokolohua hoʻokolohua a me nā lako hana e ʻike ai i ke kumu kūpono, ke ʻano o ka pathology, ke ʻano o ka pōʻino o ke kino. ʻO kēia ka mea e hiki ai ke haʻalele i nā maʻi ʻē aʻe, hana i kahi prognosis, kuhikuhi i ka mālama kūpono. No ka hana ʻana i kēia, hiki ke kuhikuhi ʻia ka pōpoki i nā hoʻokolohua koko a me ka mimi, kahi MRI a i ʻole CT scan o ka lolo.

Lapaʻau ʻana ma ke keʻena lapaʻau holoholona

Ma muli o ke kūlana o ka holoholona,ʻo ka mea mua,ʻo nā hana a ke kauka e pili ana i ka stabilization. He mea nui e pale i ka nalowale o ka ikaika a hoʻihoʻi i ka wai a me ke kaulike electrolyte. I ka wā e hiki mai ana, e kuhikuhi ʻia ka mālama ʻana i ka hoʻopau ʻana i nā hōʻailona, ​​​​e pale i ka ulu ʻana o nā pilikia. No kēia, hoʻohana ʻia nā hui o nā lāʻau lapaʻau:

• glucocorticosteroids (e ho'ēmi i ka mumū, wehe i ka pehu);
• analgesics (hoʻomaha i ka ʻeha);
• immunomodulators (hoʻoulu i ka palekana);
• antispasmodics (hoʻomaha i ka ʻiʻo o ka ʻiʻo, pale i ka cramps);
• nā neuroprotectors (pale i nā pūnaewele nerve mai ka pōʻino hou aʻe, e hoʻihoʻi i nā pilina ma waena o nā neurons e like me ka hiki).

Eia kekahi, hiki ke kuhikuhi ʻia nā diuretics, nā lāʻau antibacterial, sedatives, antiemetics a me nā lāʻau ʻē aʻe, e like me ka mea e pono ai i kēia a i kēlā hihia. I ka hihia o ka hypoxia maopopo, e hāʻawi ʻia ka holoholona i ka oxygen therapy, a i ka hihia o ka ʻinoʻino nui, hiki ke hoʻokomo i ka pōpoki i loko o kahi hiamoe kūlohelohe ma o ka lawelawe ʻana i ka anesthesia.

Hoʻomaʻamaʻa hale holoholona

I nā lā mua ma hope o ka hahau ʻana, nāwaliwali loa ka pōpoki a pono e nānā mau. Eia kekahi, ʻaʻole hiki ke ʻike koke ʻia nā pilikia, no laila ʻoi aku ka maikaʻi o ka waiho ʻana i ka holoholona i ka haukapila no kekahi manawa. ʻAʻole e nānā wale nā ​​​​poʻe loea i ka hopena o nā lāʻau lapaʻau, akā pane pū kekahi i ka manawa me ka hoʻomohala ʻana o ka relapse.

Inā ʻae ke ʻano o ka holoholona a ʻaʻole hiki ke waiho i loko o ke keʻena kino, pono ʻoe e mālama iā ʻoe iho. ʻO ka hapa nui o ka mālama ʻana i ka home me nā injections (intramuscular and/or intravenous), meaʻai, a me ka hoʻomaha.

Hiki i kāu kauka ke kuhikuhi i nā koho injection like ʻole. ʻO ka subcutaneous ka mea maʻalahi loa e hana, hiki i kekahi ke haku i kēia mākaukau. Hoʻokomo nui ʻia nā injections ma lalo o ka ʻili ma nā withers. ʻOi aku ka paʻakikī o nā injections i loko o ka ʻiʻo, akā ʻaʻole lākou e hōʻike i kekahi pilikia. Ua lawa ka nīnau ʻana i kahi mea lapaʻau i nā kikoʻī a heluhelu paha e pili ana i nā hiʻohiʻona o ka hoʻonohonoho, e nānā i ke ʻano o ka hana ʻana i ka intramuscular injection i loko o ke keʻena.

ʻOi aku ka koʻikoʻi o ke kūlana me nā injections intravenous. Inā ʻaʻole ʻoe i kēia mākaukau, e hoʻomākaukau no ka kipa mau ʻana i ke keʻena lapaʻau no nā kaʻina hana. ʻO kahi koho ʻē aʻe e kāhea i kahi loea ma ka home.

I loko o ka hale no ka holoholona, ​​pono ʻoe e hana i kekahi mau kūlana. No ka laʻana, i ʻole e ʻeha ka puaʻa, pono ʻoe e neʻe i kahi e hiamoe ai ma ka papahele (e wehe i nā hīnaʻi, nā hale, a pēlā aku), e hoʻopaʻa pono i ka meaʻai a me ka wai i kahi kokoke i kekahi.

Inā liʻiliʻi ka neʻe ʻana o ka pōpoki a i ʻole ʻole ʻia, pono ʻo ia i ka lomilomi i kēlā me kēia lā o nā lālā a me kahi hoʻololi i ke kūlana. ʻO kēia ka mea e hiki ai ke pale i ka stagnation o ka lymph a me ke koko, e pale i ka hoʻokumu ʻana o nā bedsores.

ʻAʻole e hāʻule ka lā ma luna o ka holoholona. Makemake ʻia ʻaʻole e hoʻopilikia hou ʻia ka pōpoki e nā lālā o ka hale (ʻoi aku nā keiki) a me nā holoholona ʻē aʻe.

Inā mālama ka pōpoki i ka hana nau ma hope o ka hahau ʻana, hiki iā ia ke moni i ka meaʻai, a laila ʻaʻohe loli i ka meaʻai. No ka pale ʻana i ka ulu ʻana o ka atherosclerosis a me ka momona, ʻōlelo ʻia e hōʻemi i ka ʻike o nā momona holoholona i ka meaʻai. A i ʻole, lawe ʻia ka hānai ʻana me ka meaʻai wai me kahi syringe, kahi pēpē pēpē, a i kekahi manawa e koi ʻia ka hoʻohana ʻana i kahi dropper.

Eia kekahi, hiki i ke kauka ke kuhikuhi i ka physiotherapy: electrophoresis, magnetotherapy. Pono kēia e kipa i ke keʻena lapaʻau holoholona.

Nā hopena a me nā pilikia i hiki

Pono ʻoe e mākaukau no ka ʻoiaʻiʻo o ka manawa hoʻoponopono ma hope o ka hahau ʻana i ka pōpoki e lōʻihi ka manawa, a hiki i kekahi mau makahiki, e pili ana i ke ʻano o ka pōʻino o ka lolo. Eia hou, i ka hapanui o nā hihia, hikiʻole ke pale i nā pilikia a me nā hopena. ʻO ko lākou kūlana a me ka paʻakikī e pili ana i ka manawa kūpono o ka hoʻopili ʻana i kahi kauka lāʻau, ka pololei o ka mālama ʻana, nā ʻano o ka manawa hoʻoponopono, ke kino o ka pōpoki, a me nā kumu ʻē aʻe he nui.

Nā hopena maʻamau o ka hahau ʻana i ka pōpoki:

• ʻoʻopa, maʻi hapa a i ʻole holo piha o kekahi mau lālā;
• poho hapa a piha paha ka lohe;
• ʻike makapō, makapō;
• ʻino ka hoʻomanaʻo (ʻaʻole ʻike ka pōpoki i ka mea nona, holo aku mai ona aku, nalowale i ka ʻike kamaʻāina).

Hoʻoweliweli ʻia nā pōpoki moe e ka maʻi pneumonia aspiration, kahi maʻi ʻulaʻula e ulu ana ma muli o ka paʻa ʻana ma muli o ka nele o ka hana kaʻa.

Forecast

He maikaʻi ka wānana inā kōkua ʻia ka pōpoki i ka manawa kūpono - i loko o hoʻokahi hola ma hope o ka hahau ʻana. Manaʻo ʻia he maikaʻi ka pōʻino lolo kūloko, ʻaʻole i ka pōʻino nui.

Inā hele pū ka hahau i ka pōpoki me ka hemorrhage nui, sepsis, ʻaʻole pono ʻoe e manaʻolana no ka hoʻomaikaʻi ʻana i ke kūlana a me ka hoʻihoʻi. Hoʻohana like ia i ka hemorrhagic stroke i hoʻohālikelike ʻia me ka ischemic.

ʻO ka hoʻokō ʻole ʻana i nā ʻōlelo aʻoaʻo a ke kauka a me nā ʻōlelo aʻoaʻo, hiki i ka mālama piha ʻole ke alakaʻi i ka hoʻi hou ʻana i ka wā i ʻike ʻia ka hoʻomaikaʻi ʻana i ke olakino o ka holoholona. Heʻoiaʻiʻo loa kēia no nā microstrokes - ke hoʻoponopono nei ka holoholona (a i ʻole ka manaʻo maikaʻi ma hope o kahi manawa pōkole o ka maʻi), hoʻōki ka mea nona ka lawe ʻana iā ia i ka physiotherapy, massage, injections, a pēlā aku. ʻO ka hopena he pōʻino koke, ka hoʻi hou me ka ikaika o ka hopena, hiki i kahi hopena make.

Pehea e pale ai i ka hahau ʻana i nā pōpoki

ʻAʻohe hana kūikawā e hiki ke pale i ka ulu ʻana o ka hahau i loko o kahi pōpoki. Hiki iā ʻoe ke hōʻemi i ka pilikia o ka hiki ʻana mai ma ka mālama ʻana i ka pōpoki a hāʻawi i nā kūlana maikaʻi nona.

Ka papa inoa o nā hana pale:

• e mālama i ke kaumaha o ka holoholona i loko o ka pae maʻamau, inā he predisposition i ka momona, e nānā i ka ʻike calorie a me ka nui o ka meaʻai, ke koena o nā meaʻai (pono ka protein ma ka liʻiliʻi o 50%);
• ka manawa kūpono a hoʻokō i ka prophylaxis antiparasitic;
• i ka wā e ʻike ʻia ai nā hōʻailona mua o ka maʻi, e lawe i ka pipi i ke keʻena me ke kali ʻole i ke kiʻi piha piha;
• hoʻopaʻa i ke koko i nā pōpoki i ka pilikia (obese, predisposed to stroke, elemakule);
• mai ʻae i ka pipi e hoʻopili me nā mea ʻawaʻawa a me nā mea ʻawaʻawa;
• pale i ka hāʻule, ʻeha;
• e pale i ka hana ʻana i nā kūlana koʻikoʻi no ka pōpoki, e hoʻohana ikaika i nā sedatives (ma hope o ka nīnau ʻana i ke kauka holoholona), no ka laʻana, i ka wā e neʻe ai;
• hāʻawi i ka oxygen lawa i loko o ka lumi.

Eia kekahi, he mea nui e kipa mau i ke kauka holoholona. ʻO kahi hāʻawi koko haʻahaʻa, kahi hoʻokolohua lapaʻau makahiki e kōkua i ka pale ʻana ʻaʻole wale i kahi hahau, akā he nui nā pathologies ʻē aʻe.