Stroke: kurapwa nemishonga yevanhu uye mishonga

Stroke kana ONMK chirwere chakaoma chekuvara kwepfungwa. Zvinoratidzika sekukurumidzira (mukati maawa mashomanana kana kunyange maminitsi) kuratidzwa kwechirwere kana kuti zviratidzo zvehutano hwekushaya hutano kwouropi. Zviratidzo zvekukundwa uku zvinokurukurwa pasi apa. Kana iwe usingaiti rubatsiro rwezvekurapa munguva yekuenda kune murwere akadaro, chirwere chinouraya chinotevera. Murwere anofanirwa kuendeswa kune imwe nzvimbo kuchipatara. Varwere vagara vatongororwa uye vatanga kurapwa mukati maawa maviri okutanga mushure mokunge chiitiko chacho chave chichipiwa maitiro akanaka mune dzimwe nguva. Nekuongororwa kwechirwere, kurapwa pamusha kunokwanisika chete mushure mokusunungurwa kubva kuchipatara. Inopa migumisiro yakanaka pane yekudzoka shure mushure mekurwara.

Stroke - chii ichocho

Kurohwa kunogona kuva kwemhando mbiri-ine simba uye ischemic. Strokes zvinoreva:

• Subarachnoid kushaya ropa kunokonzera kupisa mumuviri uripo pakati pemvura yakadzika materia uye mbambo, iyo inonyanya kuitika sechikonzero chekufa kweanirysm kana nekuda kwekukuvara kwepamusoro (craniocerebral trauma);
• Intracerebral hemorrhage kazhinji kazhinji nekuda kwekubuda kwemadziro emidziyo yekuberekwa zvichienderana nekuchinja kwemaitiro avo;
• Cerebral infarction kana ischemic stroke - uropi hwezvinhu zvinokanganisa uye basa rayo rinokanganiswa nekuda kwekuregererwa kweropa kune imwe nzvimbo yeuropi.

Zvinokonzera kushungurudzika kwemhepo

Chinokonzera kuparara kwemhepo kunonyanya kuipa zvirwere zvakanyanya kushaya simba kana kuti kukura kwechipiri chepupuriro mune zvirwere zvetsvo kana kushungurudzika kwezvipembenene zve endocrine, somuenzaniso, zvipembenene zvinonzi adrenal. Uyezve, izvi zvinokonzera kupisa zvinogona kuitika semugumisiro wehutachiona hwehutachiona, semuenzaniso, kana iine lupus erythematosus, vasculitis, hemorrhagic diathesis, sepsis kana mushure meCCT. Hemorrhage, sekutonga, inoitika semugumisiro wokuputika kwemasvingo emadziro, asi dzimwe nguva zvinokwanisika nekuda kwekuwedzerwa kwezvakakwana zvemutiro wemadziro. Hemorrhagic stroke iri muhutano hwemopa kana huropi hutachiona hwekudzivirira. Kana hematoma ine miganhu yakajeka, dzimwe nguva inoshandiswa kurapwa, munyaya iyi basa reuropiyurgic rinoshandiswa uye hematoma inongobviswa chete.

Zvinokonzerwa neIschemic Stroke

Chirwere cheperesi kana kuti ischemic stroke chinosanganiswa nehutachiona uye kwete-thrombotic. Uye neavo nevamwe, ropa rinoputika rinoputika, uye ropa reropa rinorega kupa ichi kana icho chikamu cheuropi, zvichiita kuti kuchinja kwee-neuroni uye kukanganisa kwemakemikari kunokonzera kuberekwa kweperection. Necrosis yenzvimbo chaiyo yeuropi kana ischemic stroke inoumbwa. Kurapa nemishonga yevanhu pamwe nemishonga inogona kuva nemigumisiro yakanaka. Asi zviri nani kuzviitisa panguva yekuvandudza nguva.

Stroke. Zviratidzo uye Kurapa

Zviratidzo zvekurova zvinogona kuratidza seizvi:

• Nenguva isipi, chitarisiko chekukurumidza kweutera uye kupera kana kuora mitezo mumakumbo (ruoko, gumbo) kana chiso kune rumwe rutivi;
• Kutaura kwakaoma kusagadzikana;
• Nenguva isipi, kushungurudzwa kamwe kamwe kweziso rimwe, kashoma kaviri, dzimwe nguva kune kurasikirwa kwehafu yeminda yekuonekwa mumaziso ose;
• Nenzira yekukurumidza yerima, kusakonzera kuwirirana kwekufamba;
• Kamwe kamwe-kamwe misoro;
• Nausea kana kurutsa zvinogona kuitika.

Mukuwedzera kune zvakataurwa pamusoro apa, zvichienderana nenzvimbo yechirungu cheuropi, kusarura kana kukwana zvakakwana kune rumwe rutivi rwemuviri kunogona kuitika. Kana chironda cheuropi chiri kurudyi, ipapo chikamu chechikamu chemuviri chinotambudzika, uyewo, kana zvisizvo, apo chinotarisa chiri munzvimbo yakasara hemisphere, kuora mwoyo kunowanikwa kurutivi rworudyi rwemuviri.

Kana pakanga pane chironda cheruboshwe, kurapa kunotungamirirwa pakubvisa izvo zvinonzi "matatu gemi" syndrome, regai tiitsanangure kuti chii:

• Hemiplegia - chirwere chemuviri (kukwana immobilization) kana paresis (chikamu chikamu hachibatsiri) ruoko rwakarurama uye gumbo;
• Hemihypesthesia - marudzi ose ekunzwisisika pamativi akaoma rutivi haasipo;
• Hemianopsia - upofu hwehafu kana kurasikirwa kwehafu yendima yekuonekwa pane ziso rimwe nerimwe.

Izvo zvinowedzera chinangwa chechirwere chinobva kumucheto wekumaodzanyemba, zvishoma zvinokanganisa motokari inoshanda. Nzvimbo yakakosha yehuropi inotarisira mamwe mabasa. Saka, kana pakanga pane chironda cherudyi, kurapa kunangwa yekudzorera kuporesa basa, mutemo wemvura-electrolyte balance uye inosanganisira neuroprotective therapy.

Zvose zvinoratidzwa pamusoro apa zvinogona kuva nehanya mune zvose zveschemic uye zvirwere zvakashata. Kana imwe kana zviratidzo zvakadai zvichiitika, zvakakosha kuti mudane nekukurumidzira kutarisirwa uye kutora murwere kuchipatara. Izvi zviratidzo zvekliniki zvinoita kuti zvive nyore kukanganisa sitiroko. Kurapa nemishonga yevanhu panguva ino haigamuchirwi. Inogona kushandiswa chete mushure mekunge murwere achibudiswa kubva kuchipatara. Nzira dzevanhu dzekurapa dzakaitwa zvakanaka muchikamu chekudzorera. Kana iwe uchifungidzira chirwere chakasimba, zvinonzwisisika kutanga kurapwa mumaawa maviri okutanga mushure mekurwa. Inofanira kunge ichinyatsotsanangurwa pamusoro pechiratidzo chakasiyana pakati pezvinonzi ischemic uye zvinokonzera marwadzo.

Kana zviratidzo zvechirwere zvinogona kuitika zvishoma nezvishoma muitiro wechem ischemic, somuenzaniso, kuderera kwemudziyo kwakaitika, uye nekushaya ropa (chirwere chinopisa simba) vanoonekwa kamwe kamwe uye pakarepo, nokuti Pane kupera kwakasimba kwekupa ropa kwechikamu cheuropi.

Chikafu chevarwere vane chirwere

Kana uchitarisira murwere anonzi ane chirwere, usati watanga kumudya kokutanga, iwe unofanirwa kuve nechokwadi chokuti mabasa ekugwinya haana kuputsika. Nokuda kweizvi, murwere anobvumirwa kumedza mvura kubva mupu, kana zvinhu zvose zvichifamba zvakanaka, ipapo ramba uchidya kudya kwakasviba nemvura (muto, jisi). Mumazuva mashomanana okutanga murwere anodyiswa chete mumvura uye anopukuta makori. Zvokudya zvinofanira kuva nehuwandu hweprotheni nemahydrohydrate, zvinoda kuti murwere arambe akasimba uye achidzoka.

Kazhinji, nekukundwa kwemamwe mativi europi muvarwere vangave vasina chido. Vanoda kudyidzwa, asi ipapo zvikamu zvakatemwa, uye nhamba yekudyidzana yakawedzerwa. Zvakakosha kuti murwere anofanira kutora zvokudya.

Kana murwere asina chaanoziva, ipapo kurapwa kunoitika muimba huru yekuchengetedza. Kupa varwere vakadaro kunoitwa parenterally (kuburikidza nemuviri).

Basic therapy

Nekuongororwa kwechirwere, mishonga inorapwa chete muchipatara. Varwere vakadaro vanongorapwa kuchipatara. Chirwere chetachiona chakakonzerwa kumurwere zvisinei nokuti chii chakaitika.

• Mushonga wacho unotarisirwa kuisa chimiro chehutano hwemagetsi. Nokuda kweizvi, mari "Cerebrolysin", "Piracetam" inorayirwa.
• Mvura-munyu yemari inoshandiswa ne "Disol", "Ringer solution" uye potassium chloride.
• Kutenderwa kurapwa kunotungamirirwa kurongedza basa rezvikamu zvinokosha: kuronga kwekudzidzira kupemha uye kushandiswa kwemasimba, pamwe nekusimudzirwa kwemyocardial contractility.
• Kana pane hovha yakakura mumurwere ane chirwere chekurohwa, chirwere (antipyretic zvinodhaka) chinotungamirirwa kurwisa hyperthermia. Nokuda kwechikonzero ichi, mishonga yemajoka (analgin, dimedrol, papaverine) inogona kushandiswa.
• Kuti kuderedze kukwirira kwemaitiro ekudzivirira uye kudzivirira cerebral edema, Lasik neMannit zvinodhaka zvinoshandiswa, zvinobatsira kubvisa kudarika kwemvura kunobva mumuviri.
• Kugadzirira "Trental" uye "Reopoliglyukin" vanosarudzwa kuti vavandudze microcirculation yeropa mumidziyo yeuropi.
• Kugadzirira-antihypoxants ("Actovegin", "Hypoxenum") inorayirwa kurwisa hypoxia yeuropi.

Differential therapy

Kusiyana kwehutachiona kunoitwa zvichienderana nerudzi rwekurohwa. Mune chirwere cheschemicic, kuwedzera pakurapa kwepanyama, munguva yekutanga maawa (2-6 maawa) kurapwa kunoitwa kuchengetedza kufa kweeuroronia yeuropi, nzvimbo iyo iri pedyo nechetoni (necrosis). Kuti uite izvi, shandisa:

• Fibrinolytics;
• Neuroprotectors;
• Heparin therapy;
• Anticoagulants.

Nechirwere chinopisa, murwere anofanirwa kuomerera pamubhedha wakazara wemazuva makumi maviri. Iwe haugoni kungomuka uye kufamba, asi zvakare ugare pamubhedha uye wototendeuka iwe pachako. Zvakakosha kubvisa chero upi nehupi, kunyange nekuzvidzivirira kana kukakandira, nekuda kwechikonzero ichi marara uye, kana zvichidikanwa, antitussives inofanira kunyorwa. Kuti kuderedza pfungwa dzepfungwa dzinoputika, shandisa ioxydium okbutyrate kana "Seduxen". Kuti kuwedzere ropa coagulability uye kudzivirira kuwedzera ropa, aminocaproic acid inorayirwa. Kuti usabvisa DIC-syndrome, maitiro ekugadzirisa enzymatic "Trasilol", "Gordoks", "Kontrikal" anoshandiswa.

Mukuwedzera kumushonga wezvinodhaka nokuda kwechirwere chinopisa, kupindira kwekuvhiya kunowanzoshandiswa.

Nzira dzechirongwa zvekurapa kwekurohwa

Inofanira kurangarirwa kuti chirwere chacho chakakomba zvikuru - chirwere chakanyanya, kurapwa nemishonga yevanhu kunongogona kuwedzera kuwedzerwa kwehutano hwemishonga. Saka, somuenzaniso, kunyange vamwe vanachiremba vanoti kutsva nguva dzose kutsvaga gamu kunobatsira kudzorera kushambadzira kweropa mushure mekushaya chirwere cheschemic, tk. Kunyange zvazvo mishonga yakawanda yemusoro wepamusoro uye, semugumisiro, inovandudza ropa rinopa kuuropi.

Kana chirwere chikaitika, kurapwa nemishonga yevanhu kuti vabatsire nheyo dzinosanganisira mapepa akawanda achishandisa conifers.

Pine cones muhondo yekurwisana nemigumisiro yekurohwa inobata nzvimbo yakakodzera. Iine zvinhu zvakawanda zvinobatsira: phytoncides, mavitamini, uye inonyanya kukosha - tanini, rudzi rwavo runokosha, runogona kudzivirira kukanganisa kumasepi europi. Mushure mekurohwa, kufa kweuropi masero inopfuurira nekuda kwemigumisiro ye PRAG pavari. Tannins inowanikwa mupine cones. Vanokwanisa kuita pane iyi enzyme uye vanoivhara, saka, sero rinouraya rakanyanya kuderedzwa.

Iropepe pachayo iri nyore. Tora 5 pine cones, uisuke uye udururire 200 mami wehutano hwewaini. Kumanikidza mishonga munzvimbo ine rima kwemazuva 14. Tora kiyikoni 1 neswa inopisa 1 nguva pazuva mushure mekudya.

Kudzorera shure mushure mekurohwa, mishonga yevanhu inokurudzira mapapiro akawanda uchishandisa pine zvingano:

• Chengetedza 1 litre yenyuchi uye uidururire nemamita matatu emvura inopisa, svetera kwemaminitsi gumi nemashanu. Tea yekudzorera yakagadzirira. Inokurudzirwa kunwa kana iwe uchida, asi nemon, unogona kuwedzera uchi.
• Chikafu chakafanana nekushandiswa kwepine masingano inogadzirirwawo nyore. Chimwe chidiki chine nheyo chinodururirwa mu thermos uye chinodururirwa mumamiriyoni maviri emvura anodha. Anomanikidzira usiku, mushure mekunge zvakakosha kuwedzera zvimedu zvakakanyiwa zvemononi uye kuomerera kwemaawa maviri. Mushonga wakagadzirira. Iwe unogona kuinwa chero nguva, iwe unogona neuchi.

Varwere vakawanda avo vakatambura chirwere, kurapwa pamusha kunopfuvura mushure mekunge vabuda kuchipatara. Mishonga yevanhu inoshandisa lemon nokuda kwezvinangwa izvi inozivikanwa zvikuru. Izvi zvinonzwisisika, nokuti mandimu inorwisa antioxidant. Izvo zvinhu zviri muhutano hwayo zvinogona kuderedza ropa, izvo zvinodzivirira kuumbwa kweropa. Izvo zvinhu zvemononi zvinoshandiswa pakuvandudza kurapa kwevarwere vane ischemic stroke. Kurapa nemishonga yevanhu, iyo inosanganisira lemon, uyewo inokurudzira inokurudzira utachiona. Izvi zvinotsigira hutano hwakanaka hwekuvandudza kwevarwere vanoshayiwa simba nechirwere uye vanogona kushanda sekudzivirira kudzokorora kudzokorora.

Kugadzirira mishonga zvakanyatsogadzirwa uye yakasviwa lemon kuti ipfuure nenyama grinder pamwe chete neganda uye inosanganiswa zvakasiyana neuchi. Ichi chishandiso chinogona kuwedzerwa kune tei pane imwe yeti yetii kana kungoiparadzira pane chingwa chiduku. Izvo zvinodiwa kuti lemon ive nechepuru.

Stroke. Home Treatment

Mushure mokusununguka kubva kuchipatara, hama dzemurwere dzinozviwana dzichivhiringidzika. Ndingaita sei kuti ndibatsire mudiwa wangu achirapa mushure mekurwara? Chokutanga pane zvose, unoda kudzikama uye uve nemoyo murefu. Nzira yekugadzirisa haizove yakareba.

Ihama idzi dzinova vatsigiri vekutanga kune varwere vakatambura chirwere. Mishonga pamba nekutarisira kwakanaka kunounza migumisiro yayo. Kana uchitarisira varwere vane utano husina simba, hama dzinobatsira kudzidza kudzidza kufamba kwekare. Inofanira kuonekwa kuti zvinokosha kutsigira varwere vakadaro chete kubva kune rumwe rutivi rwemuviri, ini. Kana kuora mwoyo kana paresis murwere kurudyi, ipapo kutsigirwa kunoitwa ipapo, uye pamwe chete.

Mhedziso

Nekuongororwa kwechirwere cheschemic, mishonga yevanhu, yakasarudzwa pamwe chete nemishonga uye kutarisirwa kwakarongeka zvakanaka, zvechokwadi ichabatsira varwere kuti vawane nokukurumidza uye kudzokera kuhupenyu huzere. Stroke haisi mutongo. Zvakakosha kuti murwere haazviwani nehutano hwake oga. Kutsigira kune avo vari pedyo naye kunokosha zvikuru.