ʻAhaʻa Cerebrovascular

Anter

• Nā ʻano o ka ulia cerebrovascular
• ʻAha ischemic
• Hahau hemorrhagic
• Nā ʻōuli o kahi ulia cerebrovascular
• ʻIke o kahi ulia cerebrovascular
• Hoʻomaʻo no kahi ulia cerebrovascular
• Hoʻomaʻo Ischemic stroke
• Hoʻoponopono hahau hemorrhagic
• ʻO ka nānā lōʻihi no kahi ulia cerebrovascular
• Kāohi ʻana i kahi ulia cerebrovascular

He aha ka ulia cerebrovascular?

ʻO ka ulia Cerebrovascular (CVA) ka manawa olakino no ka hahau. ʻO ka hahau ke kahe ke koko i kahi ʻāpana o kou lolo e kāpae ʻia e ka ālai a i ʻole ka haki ʻana o kahi kīʻaha koko. Aia kekahi mau hōʻailona koʻikoʻi o kahi hahau āu e makaʻala ai a e makaʻala hoʻi.

E ʻimi koke i ka lāʻau inā noʻonoʻo ʻoe e loaʻa ana iā ʻoe a i ʻole kekahi mea e puni ana iā ʻoe ke maʻi ahulau. ʻO ka loaʻa koke o ka lāʻau iā ʻoe, ʻoi aku ka maikaʻi o ka wānana, ʻoiai ʻo kahi hahau i waiho ʻia i mālama ʻole ʻia no ka lōʻihi loa e hopena ai i ka ʻino mau o ka lolo.

Nā ʻano o ka ulia cerebrovascular

Aia he ʻano nui ʻelua o ka ulia cerebrovascular, a i ʻole ka hahau ʻana: an hahau ischemic kumu ʻia e kahi paʻa; a hahau hemorrhagic kumu ʻia e ka haki o kahi kīʻaha koko. ʻO nā ʻano o ka hahau ʻelua e hoʻonele ai i ka ʻāpana o ke koko a me ka oxygen, e make ai nā hunaola o ka lolo.

ʻAha ischemic

ʻO ka hahau ischemic ka mea maʻamau a hiki i ka wā e paʻa ai kahi kōkō koko i kahi kīʻaha koko a pale i ke koko a me ka oxygen mai ka hele ʻana i kahi ʻāpana o ka lolo. ʻElua ala e hiki ai kēia. ʻO kahi ala kahi ʻōpala embolic, i hana ʻia ke kūpulu kahi ma kahi ʻē aʻe o kou kino a komo i loko o kahi kīʻaha koko i ka lolo. ʻO ke ala ʻē aʻe he hahau thrombotic, i hana ʻia ke kūpulu i loko o kahi kīʻaha koko ma loko o ka lolo.

Hahau hemorrhagic

Kū ka maʻi hemorrhagic ke haki kahi kīʻaha koko, a i ʻole nā ​​hemorrhages, a laila pale i ke koko mai ka hele ʻana i kahi ʻāpana o ka lolo. Hiki i ka hemorrhage i loko o nā kīʻaha koko i ka lolo, a i ʻole ia i loko o ka membrane e pili ana i ka lolo.

Nā ʻōuli o kahi ulia cerebrovascular

ʻO ka wikiwiki hiki iā ʻoe ke loaʻa kahi hōʻailona a me ka mālama ʻana no ka hahau ʻana, ʻoi aku ka maikaʻi o kāu wānana. No kēia kumu, he mea nui e hoʻomaopopo a ʻike i nā ʻōuli o ka maʻi kō.

ʻO nā hōʻailona hahau me:

• paʻakikī i ka hele wāwae
• ʻūpā
• lilo o ke kaulike a me ka hoʻohui ʻana
• paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i nā poʻe ʻē aʻe e ʻōlelo nei
• numbness a palalysis paha i ka maka, ka wāwae, a i ʻole ka lima, ma ka ʻaoʻao hoʻokahi paha o ke kino
• ʻike hihi ʻole a pouli hoʻi
• kahi ʻeha poʻo poʻo, keu hoʻi ke hele pū me ka nausea, ka luaʻi, a me ka puʻupuʻu

Hiki ke loli nā ʻōuli o ka hahau ma muli o ke kanaka a ma kahi o ka lolo i hiki ai. ʻIke pinepine nā ʻōuli, ʻoiai inā ʻaʻole koʻikoʻi loa lākou, a e lilo lākou i mea ʻoi aku ka hewa ma mua o ka manawa.

ʻO ka hoʻomanaʻo ʻana i ka haʻi inoa ʻo "FAST" e kōkua i ka poʻe e ʻike i nā ʻōuli maʻamau o ka hahau.

• Face: Holo paha kekahi ʻaoʻao o ka maka?
• Arm: Inā paʻa kekahi i nā lima i waho, e ʻauheʻe kekahi i lalo?
• Speech: Kūleʻa a slurr paha kā lākou ʻōlelo?
• Time: ʻO ka manawa kēia e kāhea ai iā 911 a hele i ka haukapila inā aia kekahi o kēia mau ʻōuli.

ʻIke o kahi ulia cerebrovascular

He nui nā pono hana o nā mea mālama ola e hoʻoholo ai inā ua loaʻa ʻoe i ka maʻi ʻōpū.E lawelawe ana kāu mea mālama ola i kahi hoʻokolohua kino piha, kahi e nānā ai lākou i kou ikaika, reflexes, hihiʻo, ʻōlelo, a me nā noʻonoʻo. E nānā pū lākou no kahi kani kikoʻī i loko o nā kīʻaha koko o kou ʻāʻī. ʻO kēia kani, i kapa ʻia he bruit, e hōʻike ana i ke kahe o ke koko maʻamau. ʻO ka mea hope loa, e nānā lākou i kou kaomi koko, kiʻekiʻe paha inā ua loaʻa ʻoe i ka maʻi kō.

Hana paha kāu kauka i nā hoʻokolohua diagnostics e ʻike i ke kumu o ka maʻi ʻōiwi a kuhikuhi i kona wahi. Pili pū paha kēia mau hoʻāʻo i hoʻokahi a ʻoi paha o kēia mau mea:

• Nā hoʻāʻo koko: makemake paha kāu mea mālama ola e hoʻāʻo i kou koko no ka hoʻopili ʻana i ka manawa, nā pae kō kō, a i ʻole ka maʻi. Hiki i kēia mau mea āpau ke hoʻololi i ka likelihood a me ka holomua o kahi hahau.
• Angiogram: ʻO kahi angiogram, e pili ana i ka hoʻohui ʻana i kahi kala i kou koko a me ka lawe ʻana i kahi X-ray o kou poʻo, hiki ke kōkua i kāu kauka e ʻike i ka moku koko i ālai ʻia a i ʻole hemorrhaged.
• Carotid ultrasound: hoʻohana kēia hōʻike i nā nalu kani e hana i nā kiʻi o nā kīʻaha koko i kou ʻāʻī. Hiki i kēia hoʻāʻo ke kōkua i kāu mea lawelawe e hoʻoholo inā loaʻa ke kahe o ke koko i kāu lolo.
• CT scan: Hana pinepine ʻia kahi CT scan ma hope koke iho o ka ulu ʻana o nā ʻōuli o kahi hahau. Hiki i ka hōʻike ke kōkua i kāu mea lawelawe e ʻike i kahi o ka pilikia a i ʻole nā ​​pilikia ʻē aʻe e pili pū ana me ka hahau.
• MRI scan: Hiki i kahi MRI ke hāʻawi i kahi kiʻi kikoʻī o ka lolo ke hoʻohālikelike ʻia i ka CT scan. ʻOi aku ka maʻalahi ma mua o kahi CT scan hiki ke ʻike i kahi hahau.
• Echocardiogram: hoʻohana kēia ʻenehana kiʻi i nā nalu kani e hana i kiʻi o kou puʻuwai. Hiki iā ia ke kōkua i kāu mea lawelawe e ʻike i ke kumu o ke koko.
• Electrocardiogram (EKG): ʻO kēia kahi uila uila o kou puʻuwai. ʻO kēia ka mea e kōkua i kāu kauka lawelawe e hoʻoholo inā he ritma puʻuwai maʻamau ke kumu o ka maʻi maʻi.

Hoʻomaʻo no kahi ulia cerebrovascular

ʻO ka mālama ʻana no ka hahau kaukaʻi ʻia i ke ʻano o ka hahau āu i loaʻa ai. ʻO ka pahuhopu o ka mālama ʻana no ka hahau ischemic, no ka laʻana, e hoʻihoʻi i ke kahe o ke koko. Kūpono nā mālama ʻana no ka hahau hemorrhagic i ka kaohi ʻana i ke kahe.

Hoʻomaʻo Ischemic stroke

No ka mālama ʻana i kahi hahau ischemic, hāʻawi ʻia ʻoe i kahi lāʻau hoʻopau-hoʻoheheʻe a i ʻole ka lahilahi o ke koko. Hāʻawi ʻia ʻoe i ka aspirin e pale i ka hahau ʻelua. ʻO ka mālama ulia pōpilikia ʻana no kēia ʻano hahau hiki ke komo i loko o ka lolo i ka hoʻopuka ʻana i ka lāʻau i loko o ka lolo.

Hoʻoponopono hahau hemorrhagic

No ka maʻi heʻe hemorrhagic, hāʻawi ʻia ʻoe i ka lāʻau e hoʻohaʻahaʻa i ke kaomi i kou lolo i hoʻokumu ʻia e ke kahe. Inā koʻikoʻi ke kahe, pono paha ʻoe i ke ʻoki e wehe i ke koko keu. Hiki nō paha ʻoe e pono i ke kīpoki e hoʻoponopono i ka moku koko i wāwahi ʻia.

ʻO ka nānā lōʻihi no kahi ulia cerebrovascular

Aia kekahi manawa hoʻōla ma hope o ka loaʻa ʻana o kekahi ʻano hahau. Hoʻololi ka lōʻihi o ke ola ʻana i ka nui o ka hahau. Pono paha ʻoe e komo i ka hoʻoponopono hou ʻana ma muli o nā hopena o ka maʻi ahuna i kou olakino, ʻo ia hoʻi nā kīnā e hiki ai. Hiki i kēia ke hoʻopili i ka haʻi ʻōlelo a i ʻole ka hoʻomaʻamaʻa hana, a hana pū paha me ka psychiatrist, neurologist, a i ʻole kekahi ʻoihana olakino ʻē aʻe.

ʻO kāu nānā lōʻihi lōʻihi ma hope o ka hahau hilinaʻi ʻana i kekahi mau kumu:

• ke ʻano o ka hahau
• pehea ka nui o ka poino i kou lolo
• pehea ka wikiwiki e hiki ai iā ʻoe ke loaʻa ka lāʻau
• kou olakino holoʻokoʻa

ʻO ka nānā lōʻihi lōʻihi ma hope o ka hahau ischemic ʻoi aku ka maikaʻi ma mua o ka hopena hemorrhagic.

ʻO nā pilikia maʻamau i hopena ʻia mai kahi hahau ʻana me ka paʻakikī e ʻōlelo, ʻānai, neʻe, a noʻonoʻo paha. Hiki i kēia ke hoʻomaikaʻi i loko o nā pule, mahina, a me mau makahiki ma hope o ka maʻi ahulau.

Kāohi ʻana i kahi ulia cerebrovascular

Nui nā kumu pilikia no ka hōʻeha ʻana, e like me ka maʻi diabetes, atrial fibrillation, a me hypertension (ke koko kiʻekiʻe).

E like me, nui nā ana i hiki iā ʻoe ke lawe e kōkua i ka pale ʻana i ka maʻi kō. Kūlike nā hana pale no ka hahau ʻana i nā hana āu e lawe ai e kōkua i ka pale ʻana i ka maʻi puʻuwai. Eia kekahi mau ala e hōʻemi ai i kou makaʻi:

• Mālama i ke kahe o ke koko maʻamau.
• Palena i ka momona a me ka lawe ʻana i ka momona.
• E hōʻole i ka puhipaka, a inu i ka waiʻona i ka wā kūpono.
• Kāohi diabetes.
• Mālama i kahi kaupaona olakino.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• ʻAi i ka papaʻai momona i nā mea kanu a me nā huaʻai.

Hiki i kāu kauka olakino ke kuhikuhi i nā lāʻau no ka pale ʻana i ka maʻi ahika inā ʻike lākou ua makaʻu ʻoe. ʻO nā lāʻau lapaʻau hiki ke pale ʻia no ka hahau pū me nā lāʻau e lahilahi i ke koko a pale i ke kūkulu ʻana i ka paʻakai.