Hoʻouka ischemic kuikawa

Kū ka hopena ischemic transient (TIA) ke holo ke koko i kahi ʻāpana o ka lolo no kahi manawa pōkole. E loaʻa i kekahi kanaka nā ʻōuli e like me nā ʻōuli e like me 24 mau hola. I ka hapanui o nā hihia, kū nā hōʻailona no 1 a 2 mau hola.

ʻO kahi hoʻouka ischemic kuikawa he hōʻailona hōʻailona ia e kū maoli kahi hahau maoli i ka wā e hiki mai ana inā ʻaʻole i hana ʻia kekahi mea e pale ai.

ʻOkoʻa ka TIA ma mua o ka hahau. Ma hope o kahi TIA, haki koke ka ālai a hoʻoheheʻe. ʻAʻole hiki i kahi TIA ke kumu i ka make ʻana o ka lolo.

ʻO ke kahe o ke kahe o ke koko i kahi o ka lolo e hiki ke kumu ʻia e:

• Kahi koko i loko o ke aʻa o ka lolo
• Kahi koko e hele i ka lolo mai kahi ʻē aʻe i ke kino (e laʻa me ka puʻuwai)
• He hōʻeha i nā kīʻaha koko
• Ka liʻiliʻi o kahi kīʻaha koko i ka lolo a i ʻole ke alakaʻi i ka lolo

ʻO ke kahe koko kiʻekiʻe ka pilikia nui no nā TIA a me ka hahau. ʻO nā kumu weliweli ʻē aʻe kekahi:

• ʻO ke kuʻi puʻuwai ʻole i kapa ʻia ʻo atrial fibrillation
• Diabetes
• ʻO ka mōʻaukala ʻohana o ka maʻi ʻōiwi
• Ke kāne
• Kolesterol kiʻekiʻe
• Ke hoʻonui nei i ka makahiki, keu hoʻi ma hope o ka makahiki 55
• Lāhui (e make paha nā ʻAmelika ʻApelika i ka hahau)
• Puhipaka
• Hoʻohana rama
• Hoʻohana lāʻau hoʻoliʻiliʻi
• Mōʻaukala o ka TIA ma mua a i ʻole ka hahau

ʻO ka poʻe i loaʻa i ka maʻi puʻuwai a i ʻole ke kahe o ke koko i ko lākou mau wāwae i hoʻokumu ʻia e nā aʻa liʻiliʻi e ʻoi aku paha ka loaʻa o kahi TIA a hahau paha.

Hoʻomaka koke nā ʻōuli, hala ka manawa pōkole (mai kekahi mau minuke i 1 a 2 mau hola), a hele aku. Kū hou lākou i kekahi manawa ma hope.

Ua like nā ʻōuli o TIA me nā ʻōuli o ka hahau ʻana, a hui pū me:

• Hoʻololi i ka makaʻala (me ka hiamoe a i ʻole unconsciousness)
• Nā loli i nā manaʻo (e like me ka lohe, ʻike, ʻono, a me ka pā)
• Hoʻololi manaʻo (e like me ka huikau, nalo ʻana o ka hoʻomanaʻo, paʻakikī kākau a heluhelu ʻana paha, pilikia haʻi ʻōlelo a hoʻomaopopo ʻana i nā poʻe ʻē aʻe
• Nā pilikia puʻupuʻu (e like me ka nāwaliwali, pilikia i ka ale ʻana, pilikia e hele wāwae)
• Ka luhi a i ʻole ka lilo o ke kaulike a me ka hoʻohui ʻana
• Ka nele o ka kaohi ma luna o ka bladder a i ʻole ka ʻōpū
• Nā pilikia o ke aʻalolo (e like me ka helu a i ʻole ke kani ʻana ma kekahi ʻaoʻao o ke kino)

ʻO ka manawa pinepine, ua hala nā ʻōuli a me nā hōʻailona o kahi TIA i kou manawa e hele ai i ka haukapila. Hoʻokumu ʻia kahi kuhi ʻo TIA ma kāu moʻolelo olakino wale nō.

E hana ka mea mālama ola i kahi hoʻokolohua kino piha e nānā i nā pilikia o ka naʻau a me ke kahe o ke koko. E nānā pū ʻia ʻoe no nā pilikia o ke aʻa a me nā mākala.

E hoʻohana ke kauka i kahi stethoscope e hoʻolohe i kou puʻuwai a me nā aʻa. Lohe ʻia paha kahi kani maʻamau i kapa ʻia he bruit ke hoʻolohe nei i ke aʻa carotid i ka ʻāʻī a i ʻole nā ​​aʻa ʻē aʻe. Hoʻokumu ʻia kahi bruit e ka kahe ʻole o ke kahe.

E hana ʻia nā hoʻokolohua e kāpae i kahi hahau a i ʻole nā ​​maʻi ʻē aʻe e hiki ke kumu i nā ʻōuli.

• E loaʻa paha iā ʻoe kahi scan CT poʻo a i ʻole MRI lolo. Hōʻike paha kahi hahau i nā loli ma kēia mau hoʻāʻo, akā ʻaʻole TIA.
• Loaʻa paha iā ʻoe kahi angiogram, CT angiogram, a i ʻole MR angiogram e ʻike ai i nā kīʻaha koko i ālai ʻia a i ʻole ke kahe ʻana o ke kahe.
• Loaʻa paha iā ʻoe kahi echocardiogram inā manaʻo kāu kauka he loaʻa koko kāu mai ka puʻuwai.
• Hiki i ka Carotid duplex (ultrasound) ke hōʻike inā ua hoʻopili nā aʻa carotid i kou ʻāʻī.
• Loaʻa paha iā ʻoe kahi electrocardiogram (ECG) a me nā hoʻokolohua e kiaʻi ai ka puʻuwai e nānā ai no kahi puʻuwai puʻuwai kūpono ʻole.

Hiki i kāu kauka ke hana i nā hoʻokolohua ʻē aʻe e nānā i ke kiʻekiʻe o ke koko, nā maʻi puʻuwai, ka maʻi diabetes, ke kōpaʻa kiʻekiʻe, a me nā kumu ʻē aʻe o, a me nā mea pilikia no ka TIA a i ʻole ka hahau.

Inā loaʻa iā ʻoe kahi TIA i loko o nā hola he 48 i hala iho nei, e hoʻokomo ʻia paha ʻoe i ka haukapila i hiki i nā kauka ke ʻimi no ke kumu a nānā iā ʻoe.

E mālama ʻia ke koko kiʻekiʻe, nā maʻi puʻuwai, ka maʻi kō, ka cholesterol kiʻekiʻe, a me nā maʻi o ke koko e pono ai. Paipai ʻia ʻoe e hana i nā loli nohona e hoʻemi i kou makaʻi i nā ʻōuli hou aʻe. Hoʻopili nā loli i ka haʻalele ʻana i ka puhipaka, ka hoʻoikaika kino ʻana, a me ka ʻai ʻana i nā meaʻai olakino.

Loaʻa paha iā ʻoe nā mea lahilahi o ke koko, e like me aspirin a i ʻole Coumadin, e hoʻēmi i ke kō ʻana o ke koko. Pono paha kekahi poʻe i ālai i nā ʻāʻī o ka ʻāʻoki i ke ʻoki (carotid endarterectomy). Inā loaʻa iā ʻoe kahi puʻuwai kūlike ʻole (atrial fibrillation), e mālama ʻia ʻoe e hōʻalo ai i nā pilikia e hiki mai ana.

ʻAʻole nā ​​TIA e hoʻopōʻino mau i ka lolo.

Akā, he hōʻailona hōʻailona ka TIA e loaʻa paha iā ʻoe kahi hahau maoli i nā lā e hiki mai ana. Kekahi poʻe i loaʻa i kahi TIA e loaʻa i ka maʻi hahau ma waena o 3 mau mahina. Hana ʻia ka hapalua o kēia mau hahau ma loko o nā hola he 48 ma hope o ka TIA. Kūpono ka hahau i kēlā lā a i ʻole ma hope. Hoʻokahi wale nō TIA o kekahi poʻe, a ʻoi aku kekahi i ka TIA.

Hiki iā ʻoe ke hōʻemi i kāu kūlana o ka hahau e hiki mai ana ma o ka ukali ʻana me kāu mea lawelawe e hoʻokele i kāu mau pilikia pilikia.

ʻO TIA kahi pilikia olakino. Kāhea iā 911 a i ʻole ka helu kūloko kūloko koke. Mai nānā i nā ʻōuli ma muli wale nō o ka hele. He ʻōlelo aʻoaʻo paha lākou no ka hahau hou ʻana.

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi i ka pale ʻana i nā TIA a me nā hahau. E haʻi ʻia paha ʻoe e hoʻololi i ka nohona a lawe i nā lāʻau e mālama ai i ke koko kiʻekiʻe a i ʻole ke kiʻekiʻe o ka cholesterol.

Pākuʻi liʻiliʻi; TIA; Pākuʻi liʻiliʻi; Maʻi Cerebrovascular - TIA; ʻO ke aʻa Carotid - TIA

• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery - hoʻokuʻu
• Aibrial fibrillation - hoʻokuʻu
• ʻOki kino aʻa Carotid - hoʻokuʻu
• Hahau - hoʻokuʻu
• Lawe iā warfarin (Coumadin)

• Kahikina
• Hoʻouka Ischemic kuewa (TIA)

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