Laau Lapaʻau

Anter

• Pehea e hana ai nā lāʻau lapaʻau hahau
• Nā Anticoagulants
• Nā lāʻau Antiplatelet
• Hoʻopaʻa pūnaewele plasminogen (tPA)
• Statins
• Nā lāʻau kaomi koko
• Lawe aku

Ka hoʻomaopopo ʻana i ka hahau

ʻO ka hahau kahi hoʻohaunaele i ka hana o ka lolo ma muli o ka loaʻa ʻole o ke kahe o ke koko i ka lolo.

Kapa ʻia kahi hahau liʻiliʻi he ministroke, a i ʻole hoʻouka ischemic kuewa (TIA). Hana ʻia ia ke hoʻopili wale ke koko i kekahi manawa i ke kahe o ke koko i ka lolo.

Pehea e hana ai nā lāʻau lapaʻau hahau

ʻO nā lāʻau i hoʻohana ʻia no ka mālama ʻana i ka hahau maʻamau ka hana ma nā ʻano like ʻole.

ʻO kekahi mau lāʻau lapaʻau hahau e haki maoli i nā kahe koko. Kōkua nā mea ʻē aʻe i ka pale ʻana o ke koko i loko o kāu kīʻaha koko. Hana kekahi e hoʻomaʻa i ke kiʻekiʻe o ke koko a me nā pae koleke e kōkua ai i ka pale ʻana i nā kahe o ke kahe.

ʻO ka lāʻau a ke kauka e kuhikuhi ai e kaukaʻi ʻia i ke ʻano o ka hahau āu i loaʻa ai a me kona kumu. Hiki ke hoʻohana ʻia nā lāʻau hahau e kōkua ai i ka pale ʻana i ka maʻi ʻelua i ka poʻe i loaʻa mua iā lākou.

Nā Anticoagulants

ʻO nā lāʻau anticoagulants nā lāʻau e kōkua i ka mālama ʻana i kou koko mai ka hoʻopili maʻalahi ʻana. Hana lākou i kēia ma ka hoʻopilikia ʻana i ke kaʻina hana pili koko. Hoʻohana ʻia nā Anticoagulants no ka pale ʻana i ka hahau ischemic (ke ʻano ʻoi loa o ke ʻano o ka hahau) a me ka ministroke.

Hoʻohana ʻia ka anticoagulant warfarin (Coumadin, Jantoven) i mea e pale aku ai i nā huehue koko a i ʻole e pale aku i nā clots o kēia manawa mai ka nui ʻana. Hoʻonohonoho pinepine ʻia i ka poʻe me nā puʻuwai puʻuwai a i ʻole nā ​​puʻuwai kūlike ʻole a i ʻole nā ​​poʻe i loaʻa i ka puʻuwai puʻuwai a i ʻole ka hahau.

Ua pili pū ʻia ʻo Warfarin i ka hoʻoweliweli ola, ke kahe nui ʻana o ke kahe. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi koko a ua ʻike paha i ke kahe nui ʻana. E noʻonoʻo paha kāu kauka i kahi lāʻau ʻē aʻe.

Nā lāʻau Antiplatelet

Hiki ke hoʻohana ʻia nā Antiplatelets e like me clopidogrel (Plavix) e pale aku ai i nā hāle koko. Hana lākou ma ka hana ʻana i mea paʻakikī no nā platelet i loko o kou koko e pili pū, ʻo ia ka hana mua i ka hoʻokumu ʻia ʻana o ke koko.

Hoʻonohonoho ʻia lākou i kekahi manawa i ka poʻe i loaʻa i nā maʻi ischemic a i ʻole nā ​​puʻuwai puʻuwai. E lawe paha kāu kauka iā ʻoe ma kahi manawa maʻamau no kahi wā lōʻihi i mea e pale ai i ka hahau ʻelua a i ʻole ka hōʻeha puʻuwai.

Pili ka aspirin antiplatelet me ka nui o ke kahe o ke kahe. Ma muli o kēia, ʻaʻole ʻo ka aspirin therapy ka koho ʻoi loa no nā poʻe i loaʻa ʻole ka mōʻaukala mua o ka atherosclerotic maʻi maʻi maʻi (e laʻa me ka hahau a me ka puʻuwai puʻuwai).

E hoʻohana wale ʻia ʻo Aspirin no ka pale mua ʻana i ka maʻi maʻi maʻi atherosclerotic i ka poʻe nāna:

• aia i kahi makaʻu nui no ka hahau ʻana, ka puʻuwai puʻuwai, a i ʻole nā ​​ʻano ʻano maʻi maʻi atherosclerotic
• aia pū kekahi me ka makaʻu haʻahaʻa no ke kahe ʻana i ke kahe

Hoʻopaʻa pūnaewele plasminogen (tPA)

ʻO ka activator plasminogen tissue (tPA) ʻo ia wale nō ka lāʻau lapaʻau hahau e haki maoli i ka hāpala o ke koko. Hoʻohana ʻia ia ma ke ʻano he ulia pōpilikia maʻamau i ka wā o ka maʻi ʻōiwi.

No kēia mālama ʻana, hoʻokomo ʻia ka tPA i loko o ke aa i hiki ai iā ia ke hele koke i ke koko.

ʻAʻole hoʻohana ʻia ka tPA no nā mea āpau. ʻAʻole hāʻawi ʻia ka poʻe hopohopo nui i ke kahe ʻana i ka lolo i loko o kā lākou lolo.

Statins

Kōkua ʻo Statins i nā pae kolesterol kiʻekiʻe. Ke kiʻekiʻe loa kāu pae kolesterol, hiki i ka cholesterol ke hoʻomaka e kūkulu aʻe ma nā paia o kāu mau aʻa. Kapa ʻia kēia kūkulu ʻia he pāka.

Paʻa kēia mau lāʻau i ka HMG-CoA reductase, kahi enzyme e pono ai i kou kino e hana i ka cholesterol. A ʻo kahi hopena, hoʻemi iki kou kino iā ia. Kōkua kēia i ka hōʻemi i ka makaʻu o ka pāka a pale i nā ministroke a me nā hōʻeha puʻuwai i hoʻokumu ʻia e nā aʻa paʻa.

ʻO nā Statins i kūʻai ʻia i ʻAmelika Hui Pū ʻIa nā:

• atorvastatin (Lipitor)
• fluvastatin (Lescol)
• lovastatin (Altoprev)
• pitavastatin (Livalo)
• pravastatin (Pravachol)
• rosuvastatin (Crestor)
• simvastatin (Zocor)

Nā lāʻau kaomi koko

Kau kauka paha i kau kauka e kōkua i ka hoʻohaʻahaʻa i kou kaomi koko. Hiki i ke koko kiʻekiʻe ke hoʻokani nui i ka hahau. Hiki iā ia ke hāʻawi i nā ʻāpana o ka plake e haki ana, kahi e hiki ai ke alakaʻi i ke kōkō ʻana o ke koko.

Hoʻohana ʻia nā lāʻau kaomi koko no kēia ʻano lapaʻau.

• nā mea hoʻohiwahiwa angiotensin-hoʻololi i ka enzyme (ACE)
• beta-blockers
• paukū ʻaʻa calcium

Lawe aku

Hiki i nā ʻano lāʻau like ʻole ke kōkua i ka mālama ʻana a i ʻole ka pale ʻana i ka maʻi kō. Kōkua kekahi i ka pale ʻana i nā huehue koko ma o ka hoʻopilikia pololei ʻana me ke ʻano o ka hana ʻana o nā clots. Mālama kekahi i nā kūlana ʻē aʻe i hiki ke alakaʻi i ka maʻi hahau. Kōkua ʻo TPA i ka hoʻoheheʻe ʻana i nā huʻa ma hope o kā lākou hana mua ʻia i loko o kāu kīʻaha koko.

Inā pilikia ʻoe i ka maʻi ahulau, e kamaʻilio me kāu kauka. Maliʻa paha he koho paha kekahi o kēia mau lāʻau e kōkua iā ʻoe e hoʻokele i kēlā pilikia.