Sitiroko: Chithandizo cha mankhwala ndi mankhwala wowerengeka

A sitiroko kapena ngozi cerebrovascular - ndi pachimake cerebrovascular ngozi. Kumaonetsa mofulumira (pasanathe maola ochepa kapena ngakhale mphindi) mawonetseredwe a zizindikiro oziziritsa focal kapena ubongo zotupa ubongo. Zizindikiro za kugonjetsedwa izi adzaona pansipa. Ngati mulibe nthawi thandizo wodwala, zivute zitani akutsatiridwa ndi imfa. Wodwala ayenera mwachangu anamutengera kuchipatala. Odwala amene ali mu maola awiri oyamba zitachitika kale anapatsidwa ndipo anayamba chithandizo, osangalala nthawi zambiri anapereka. Pamene matenda a mankhwala opha ziwalo kunyumba n'chotheka pambuyo kumaliseche kwa kuchipatala. Iwo amapereka zotsatira zabwino pa gawo kuchira pambuyo matenda.

Chilonda - izo

Zikwapu angakhale mitundu iwiri - ischemic ndi hemorrhagic. Pansi sitiroko kutanthauza:

• subarachnoid kukha mwazi - magazi mu M'mimbamo ndi ili pakati pa Pia Mater ndi cobweb, chomwe nthawi zambiri kwambiri chifukwa cha chotupa cha aneurysm kapena chifukwa TBI (zoopsa ubongo choipa);
• intracerebral kukha magazi nthawi zambiri kumachitika chifukwa chotupa cha muubongo makoma mtima chifukwa cha kusintha kwawo pathological;
• infarction oziziritsa kapena ischemic sitiroko - kuwonongeka amapezeka medulla ndi kukanika ake chifukwa kuchotsa kotunga magazi dera ubongo.

Zimayambitsa hemorrhagic sitiroko

The chifukwa parenchymal kukha magazi ndi matenda oopsa chofunika kwambiri kapena sekondale chitukuko oopsa matenda aimpso kapena matenda a zopangitsa za endocrine, monga, adrenal. Komanso, kukha magazi awa chingachitike n'chiyani connective matenda minofu, monga lupus erythematosus, vasculitis, haemorrhagic diathesis, kapena sepsis pambuyo TBI. The kukha mwazi zambiri kumachitika chifukwa cha chotupa cha pakhoma chotengera, koma nthawi zina ndi zotheka chifukwa kuchuluka permeability a linga chotengera. zikwapu Hemorrhagic ali mu mawonekedwe a nuchoka kapena magazi akuwukha ubongo minofu. Ngati hematoma ali omveka bwino, nthawi zina moyembekezera chithandizo opaleshoni, mu nkhani iyi, ndi opareshoni neurosurgical ndi hematoma chabe kuchotsedwa.

Zimayambitsa zikwapu ischemic

infarction oziziritsa kapena zikwapu ischemic anawagawa thrombotic ndi netromboticheskie. Ndipo ndi anthu ndi nthenda yotaya magazi ena akawinduka, ndi mwa kundipatsako wolumikizira magazi ikutha kapena kuti mbali ya ubongo, chifukwa mu kusintha okhudza mitsempha ndi cascading zochita mankhwala zimachitika zimene zimachititsa infarction ubongo. Anapanga ubongo necrosis anakonzeratu osiyanasiyana kapena ischemic sitiroko. Chithandizo cha mankhwala wowerengeka pamodzi ndi mankhwala akhoza kukhala ndi zotsatira zabwino. Koma bwino anachita panthawi konzanso.

Sitiroko. Zizindikiro ndi Chithandizo

Symptomatology zikwapu angaoneke motere:

• Mwadzidzidzi, mwadzidzidzi maonekedwe a kufooka ndi dzanzi kapena ziwalo ku malekezero (mikono, miyendo) kapena munthu ndi dzanja limodzi;
• slurred kulankhula slurred;
• zosayembekezereka, mwadzidzidzi amaona masomphenya diso limodzi, zina zonse, nthawi zina imfa ya m'munda theka zooneka ndi maso onse awiri;
• mwadzidzidzi chizungulire, incoordination;
• mwadzidzidzi zikuchitika mutu;
• angakhale nayo nseru kapena kusanza.

Kuwonjezera pa pamwamba, malinga ndi kutanthauzira kwa zotupa ubongo kumachitika ndi tsankho kapena wathunthu ziwalo za mbali imodzi ya thupi. Ngati ubongo lamanja, theka kumanzere ya thupi amavutika ndi mosemphanitsa, pakati kutanthauzira mu Chigawo cha kumanzere, ndipo ziwalo amapezeka kumanja kwa thupi.

Ngati inu sitiroko lamanzere, mankhwala amachitira kuchotsa otchedwa matenda a "atatu hemi", fotokozani icho chiri:

• Hemiplegia - ziwalo (wathunthu knockdown) kapena paresis (nthambi pang'ono wosweka) dzanja lamanja ndi mwendo;
• gemigipesteziya - mitundu yonse ya tilinazo kumbali ziwalo ndi kwina;
• hemianopsia - theka khungu kapena imfa ya theka munda zooneka wina diso.

Patsogolo chotupa cha lili Chigawo lamanzere, ntchito zochepa kukhumudwa galimoto. Chigawo lamanja la ubongo amachititsa zinthu zina. Choncho, ngati inu sitiroko kumanja, mankhwala umalimbana kubwezeretsa ntchito kupuma, malamulo a madzi ndi bwino electrolyte ndi zikuphatikizapo mankhwala neuroprotective.

Onse zizindikiro zakumwamba zimakhala zosokoneza kwa onse ischemic ndi haemorrhagic sitiroko. Ngati mwakumana ndi chimodzi kapena zingapo mwa zizindikiro zimenezi, muyenera yomweyo kuyitana chisamaliro mwadzidzidzi ndi kupulumutsa wodwalayo kuchipatala. Izi mawonetseredwe matenda n'zotheka kuti akuganiza kuti sitiroko. mankhwala wowerengeka mankhwala panthawi imeneyi ili udzakhala osazindikilika. Thiabendazole angagwiritsidwe ntchito pokhapokha kumaliseche wodwala ku chipatala. njira Traditional mankhwala asonyeza bwino pa gawo kuchira. Pamene amaganiziridwa pachimake sitiroko zabwino kuyamba chithandizo mkati maola awiri pambuyo nkhondo. Ayenera kuganizira pang'ono pa kusiyana yeniyeni pakati zikwapu ischemic ndi hemorrhagic.

Ngati ischemic sitiroko zizindikiro za matenda kumachitika pang'onopang'ono, mwachitsanzo, vasoconstriction inkachitika, kukha mwazi (hemorrhagic sitiroko), iwo amaoneka mwadzidzidzi ndipo pomwepo, chifukwa pali kutha mwadzidzidzi la kusowa magazi kuti mbali zina za ubongo.

odwala mphamvu sitiroko

Pamene kusamalira odwala amene amapezeka ndi sitiroko ndi musanayambe kudyetsa iye kwa nthawi yoyamba, onetsetsani kuti palibe kuphwanya Pomeza ntchito. Kuti tichite zimenezi, wodwalayo wapatsidwa namzeze madzi ndi supuni, ngati zinthu zinkatiyendera bwino, ndiye kupitiriza ofunda chakudya madzi (msuzi, madzi). Mu masiku oyamba a wodwalayo akudyetsedwa yekha madzi ndi pureed calorie chakudya. Chakudya ayenera kukhala ndi zambiri zomanga thupi ndi chakudya, iwo ayenera kukhala mphamvu mtima ndi kuchira.

Kawirikawiri, kugonjetsedwa kwa mbali ina ya ubongo odwala kungakhale kudya. Kuwadyetsa iwo kwenikweni ayenera, koma ndiye kudula mbali ndi kuonjezera chiwerengero cha feedings. Nkofunika kuti wodwalayo anadya.

Ngati wodwalayo anakomoka, mankhwalawa mipita ake ICU lapansi. Kudyetsa odwalawo anachita parenterally (kudzera m'mitsempha a).

mankhwala zoyambirira

Pamene matenda a sitiroko mankhwala chimafikira yekha m'chipatala. odwalawo kuchipatala zofunikira. mankhwala Basic kutumikiridwa kwa wodwala mosasamala chimene sitiroko.

• Chithandizo (mankhwala) imatsogoleredwa kwa normalization wa kagayidwe ubongo. Chifukwa chaichi, kusankha nthumwi "Cere" "Piracetam".
• Madzimadzi ndi electrolyte bwino anakhalabe ndi mankhwala "Disol", "Ringer ndi njira", ndi mankhwala enaake potaziyamu.
• chithandizo chofunika imatsogoleredwa pa normalization wa kugwira ntchito kwa ziwalo zofunika kwambiri: ndi normalization wa ntchito kupuma ndi magazi, komanso kukondoweza kwa contractility m'mnyewa wamtima.
• Pamaso pa kutentha wodwalayo anapezeka ndi matenda opha ziwalo, chithandizo (mankhwala antipyretic) walangizidwa kulimbana hyperthermia. Pakuti zolinga zimenezi zingagwiritsidwe ntchito lytic mix (analgin, ndi diphenhydramine, papaverine).
• Kuchepetsa mkulu intracranial kuwasangalatsa ndiponso kupewa edema oziziritsa ntchito mankhwala "Lasix" ndi "Mannitol" zimathandiza kuti kuchotsedwa kwa madzimadzi owonjezera m'thupi.
• Mankhwala "Trental" ndi "Reopoligljukin" amawatumiza kusintha kwa microcirculation magazi ziwiya ubongo.
• Kukonzekera-antihypoxants ( "Aktovegin", "Hypoxen") akapatsidwa kuthana ndi hypoxia ubongo.

mankhwala kusiyanitsidwa

Therapy ndi kusiyanitsidwa monga mtundu wa sitiroko. Mu sitiroko ischemic, kuwonjezera mankhwala enieni maola ochepa choyamba (maola 2-6) ikuchitika mankhwala umalimbana popewa imfa ya manyuroni ubongo, zomwe zili padziko kutanthauzira kwa chotupa (necrotic). Kuchita izi, ntchito:

• fibrinoloitiki;
• neuroprotective wothandizila;
• heparin;
• anticoagulants.

Mu hemorrhagic sitiroko mtima pasanathe masiku 21 ayenera kutsata bedi zina okhwima. Sikuti kudzuka ndi kuyenda, komanso kukhala mu bedi ndipo ngakhale paokha anyamata. Iwo ayenera kuthetsa nkhawa iliyonse ngakhale pamene chifuwa kapena defecation, chofunika amapatsidwa mankhwala ofewetsa tuvi ndi ozizira likafunika. Kuchepetsa mukubwadamuka ntchito ndi sodium hydroxybutyrate kapena "Seduxen". Pofuna kulimbikitsa magazi clotting ndi kupewa magazi zambiri, asidi aminocaproic Kwalamulidwa. Kuti achotse DIC, ntchito yokonzekera enzyme "Trasylol", "Gordoks", "Contrycal".

Kuwonjezera mankhwala mu hemorrhagic sitiroko kawirikawiri amagwiritsidwa ntchito opaleshoni.

njira Traditional mankhwala a sitiroko

Kumbukirani kuti kwambiri matenda - pachimake sitiroko, chithandizo cha mankhwala wowerengeka zitha kukhala enaake kwa mankhwala waukulu mankhwala. Mwachitsanzo, ngakhale madokotala ena amanena kuti ochiritsira chingamu chingatithandize kuti abwezeretse magazi pambuyo sitiroko ischemic, chifukwa pamene ntchito minofu ambiri a mutu, ndipo zotsatira zake, bwino oziziritsa magazi.

Ngati inu sitiroko, chithandizo cha mankhwala wowerengeka kuthandiza waukulu kumaphatikizapo zosiyanasiyana maphikidwe ndi conifers.

cones Pine polimbana ndi mavuto obwera chifukwa cha sitiroko zatenga malo oyenera. Iwo ali zinthu zambiri zothandiza, oyaka, mavitamini, ndipo ambiri Chofunika - ndi tannins a mtundu wapadera, chimene chingathe popewa imfa ya maselo a mu ubongo. Pambuyo pa imfa ya maselo a mu ubongo sitiroko akupitiriza chifukwa kukhudzana PRAG enzyme. Tannins opezeka cones pine. wokhoza kuchita enzyme ndi kutchinga izo, chotero, selo imfa utachepa kwambiri.

Chinsinsi yokha ndi mwachilungamo wophweka. Marko 5 paini cones, asambe ndi kutsanulira 200 ml mowa zachipatala. Kuumirira mankhwala m'malo a mdima kwa masiku 14. Tengani 1 h. Supuni ndi kumwa ofunda 1 nthawi tsiku mukatha kudya.

Kuti achire anakhomedwa matenda, mankhwala azitsamba wowerengeka akuonetsa maphikidwe angapo ntchito masingano spruce:

• Sungani 1 lita singano, mudzaze ndi malita atatu a madzi otentha, wiritsani kwa mphindi 15. Tiyi, kukonzekera kuchira. Ndi bwino kumwa iliyonse mungakonde, koma nthawi zonse ndi ndimu, mukhoza kuwonjezera uchi.
• A ofanana Chinsinsi ntchito masingano komanso kukonzekera losavuta. A ochepa lalikulu la singano paini udzathiridwa mu thermos ndi anatsanulira lita imodzi ya madzi otentha. Unathandizira usiku, ndiye muyenera kuwonjezera akanadulidwa mandimu magawo ndi kunena maola 2. mankhwala ndi wokonzeka. Mukhoza kumwa nthawi iliyonse, mungathe ndi uchi.

Ambiri sitiroko odwala, chithandizo kunyumba anapitirizabe kumaliseche m'chipatala. Folk azitsamba ntchito mandimu Mwaichi ali paliponse. Zimenezi n'zomveka, chifukwa mandimu - ndi antioxidant achilengedwe. Zinthu zopezeka kapangidwe kake, mungathe woonda magazi, amene kumathandiza mapangidwe magazi kuundana. Izi zimatha mandimu ntchito konzanso mankhwala a odwala sitiroko ischemic. Chithandizo cha mankhwala wowerengeka, kuphatikizapo mandimu, komanso mwangwiro amamufika chitetezo cha m'thupi. Iwo amathandiza wonse mphamvu zabwino kuchira odwala chokumana ndi matenda ndi angathe kutumikira monga kupewa sitiroko kobwereza.

Pakuti yokonza medicament ndithu bwinobwino anatsuka ndi obsushenny ndimu mince ndi khungu ndi kusakaniza mu kufanana umasinthasintha ndi uchi. chida ichi chikhonza kuwonjezeredwa tiyi iliyonse chipani tiyi kapena monga kufalitsa mkate woonda. Ndi zofunika kuti mandimu chinali chikopa woonda.

Sitiroko. Home Chithandizo

Pambuyo kumaliseche kuchipatala, abale wodwala akulephera. Kodi kuthandiza mnzake wokondedwa achire matenda? Choyamba, m'pofunika kukhadzikika ndipo pirira. The ndondomeko kuchira posachedwapa.

Achibale ndi ogwira oyamba odwala sitiroko. Ankachitira kunyumba ndi zotsatira kuisamalira zokolola. Pamene kusamalira odwala amene sayenda impairments, abale kuwathandiza kuti adzathe kuphunzira kuyenda. Pa nthawi yomweyo, tiyenera kukumbukira kuti chithandizo cha odwala ayenera kukhala yekha pa mbali akhudzidwa ya thupi, mwachitsanzo, Ngati ziwalo kapena paresis wodwalayo kumanja, ndiye thandizo ulipo, ndi mosemphanitsa.

Pomaliza

Pamene matenda a ischemic sitiroko chithandizo dziko, molondola osankhidwa, pamodzi ndi chithandizo cha mankhwala ndi mwadongosolo, onetsetsani kuthandiza odwala achire mwamsanga ndi kubwerera ku moyo wabwinobwino. Chilonda - si chiweruzo. Nkofunika kuti wodwalayo sanawonekere ndi matenda akewo. Banja ndi lofunika kwambiri.