He aha ʻo Spinal Stroke?

Anter

• He aha nā hōʻailona o ka maʻi ʻōiwi?
• He aha ke kumu o ka maʻi ʻōiwi?
• ʻO ka maʻi ʻōiwi i nā keiki
• Ke hōʻike nei i kahi maʻi ʻōiwi
• Pehea e mālama ʻia ai ka maʻi ʻōiwi?
• Nā pilikia o ka maʻi ʻōiwi
• Loaʻa a me ka nānā

Hōʻike Overview

ʻO ka maʻi ʻōiwi, i kapa ʻia hoʻi ʻo ka maʻi o ke kuamoʻo, ke hana ʻia ke hoʻopau ʻia ke koko i ka iwi kuamoʻo. ʻO ka iwi kuamoʻo kahi ʻāpana o ka ʻōnaehana waena (CNS), ʻo ia pū kekahi me ka lolo. Ke hōʻoki ʻia ka lako o ke koko, ʻaʻole hiki i ke kuamoʻo ke loaʻa ka oxygen a me nā meaola. Hiki ke hōʻino ʻia nā nāʻaʻa o ke kuamoʻo a ʻaʻole hiki ke hoʻouna i nā impulses nerve (nā leka) i ke koena o kou kino. He mea nui kēia mau neʻe aʻa no ka kaohi ʻana i nā hana o ke kino, e like me ka hoʻoneʻe ʻana i nā lima a me nā wāwae, a me ka ʻae ʻana i kāu mau lālā e hana pono.

ʻO ka hapa nui o nā kuʻi ʻōiwi i kumu ʻia e ka ālai ʻia i loko o nā kīʻaha koko e hāʻawi i ke koko i ka iwi kuamoʻo, e like me ke kōkuʻu koko. Kapa ʻia kēia mau mea he hahau ʻōiwi ischemic. Hoʻokumu ʻia kahi helu liʻiliʻi o nā kuʻikuʻi iwi e nā kahe. Kapa ʻia kēia mau mea he hemorrhagic spinal stroke.

ʻOkoʻa ka ʻōiwi ʻōiwi ma mua o ka hahau e hoʻopili i ka lolo. I kahi maʻi lolo, ua hōʻoki ʻia ke koko i ka lolo. ʻOi aku ka liʻiliʻi o ka hahau ʻana o ka ʻōiwi ma mua o nā hahau e pili ana i ka lolo, e helu ana ma lalo o ʻelua pākēneka o nā hahau āpau.

He aha nā hōʻailona o ka maʻi ʻōiwi?

ʻO nā ʻōuli o ka maʻi ʻōiwi e pili ana i ka ʻāpana o ka iwi kuamoo e pili ai a pehea ka nui o ka poino i ka iwi kuamoʻo.

I ka hapanui o nā hihia, ʻike koke ʻia nā ʻōuli, akā hiki mai paha lākou i nā hola ma hope o ka hiki ʻana o ka hahau. ʻO nā hōʻailona me:

• ʻāʻeha a ʻeha hoʻi a ʻehaʻeha hoʻi
• nāwaliwali o nā mākala i nā wāwae
• nā pilikia e kaohi ana i ka ʻōpū a me ka maʻi huki (incontinence)
• ke manaʻo nei e like me ke kāʻei paʻa a puni ka kino
• ʻūpē mākala
• ʻōlohelohe
• haʻalulu manaʻo
• lolo
• hiki ʻole ke ʻike i ka wela a i ʻole ke anuanu

He ʻokoʻa kēia mai ka lolo lolo, a ʻo nā hopena pū kekahi ma:

• paʻakikī e ʻōlelo
• pilikia pilikia ʻike
• huikau
• ʻūpā
• ʻeha poʻo poʻo wale

He aha ke kumu o ka maʻi ʻōiwi?

Hoʻokumu ʻia kahi ʻōiwi ʻōiwi e ka hoʻohaunaele i ke koko i ka iwi kuamoʻo. ʻO ka hapanui o ka manawa, he hopena kēia o ka hoʻopili ʻana o nā aʻa (nā moku koko) e hāʻawi i ke koko i ka iwi kuamoʻo. Kapa ʻia ka pākiki ʻana o nā aʻa atherosclerosis. Hoʻokumu ʻia ka Atherosclerosis e ke kūkulu ʻia ʻana o ka pā.

He haiki a nāwaliwali nā aʻa i ko mākou mau makahiki. Eia nō naʻe, ʻoi aku ka nui o ka makaʻu o ka poʻe me nā kūlana aʻe o ka loaʻa ʻana o nā aʻa nāwaliwali a nāwaliwali paha:

• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe
• maʻi maʻi puʻuwai
• momona
• diabetes

ʻO ka poʻe puhipaka, loaʻa i ka waiʻona kiʻekiʻe, a i ʻole hana hoʻoikaika kino pinepine pū kekahi i ka makaʻu.

Hiki ke hoʻomaka ʻia kahi maʻi ʻōiwi i ka wā e ālai ai ke koko i kekahi o nā aʻa e hāʻawi ana i ka iwi kuamoʻo. Hiki i kahi ʻūlū koko ke hana i nā wahi āpau o ke kino a hele i ke kahe o ke koko a hiki i ka paʻa ʻana i ke aʻa i hoʻopili ʻia no ka pā. Kapa ʻia kēia ma ke ʻano he hahau ischemic.

ʻO ka pākēneka liʻiliʻi o nā kuʻi ʻōiwi ke kū mai kekahi o nā kīʻaha koko e hāʻawi ana i ka iwi kuamoʻo e hāmama a hoʻomaka i ke kahe ʻana. ʻO ke kumu o kēia ʻano maʻi ʻōiwi, i kapa ʻia hoʻi he hahau hemorrhagic, he koko kiʻekiʻe a i ʻole kahi aneurysm e poha ana. ʻO kahi aneurysm he puʻu i ka paia o ke aʻa.

ʻO ka mea maʻamau, ʻo ka ʻōiwi ʻōiwi kekahi pilikia o kēia mau kūlana:

• nā tumors, me nā kuamoʻo chordomas
• malformations vascular o ka iwi kuamoʻo
• ʻeha, e like me ka pū kī pū
• ʻōpū o ka iwi kuamoʻo a i ʻole nā ​​maʻi ʻē aʻe a puni ke kuamoʻo, e like me kahi abscess
• kaohi ʻana o ka iwi kuamoʻo
• cauda equine maʻi (CES)
• ʻōpū o ka ʻōpū a i ʻole ka puʻuwai

ʻO ka maʻi ʻōiwi i nā keiki

He kakaikahi loa ka ʻōiwi ʻōiwi i ke keiki. ʻO ke kumu o ka maʻi ʻōiwi i nā keiki ʻokoʻa i nā poʻe mākua. ʻO ka hapanui o ka manawa, ua hōʻeha ʻia ke kuamoʻo i loko o kahi keiki e kekahi ʻeha o ka iwi kuala, a i ʻole kahi kūlana hānau e hoʻopilikia i nā kīʻaha koko a i ʻole ka hopena o ke kō ʻana o ke koko. ʻO nā kūlana hānau e hiki ai ke hōʻeha i nā ʻōiwi i nā keiki.

• cavernous malformations, kahi ʻano e hoʻoulu ai i nā puʻupuʻu liʻiliʻi o nā kīnā ʻole, hoʻonui ʻia o nā kīʻaha koko i hoʻokahe pinepine ʻia i ke kahe
• malformations o arteriovenous, kahi tangle kūpono ʻole o nā moku i ka lolo a i ʻole ke kuamoʻo
• maʻi moyamoya, kahi ʻano loaʻa ʻole kahi e hoʻopaʻa ʻia ai nā aʻa ma ke kumu o ka lolo
• vasculitis (li nui o nā kīʻaha koko)
• nā maʻi maʻi
• nele i ka huaʻai K
• nā maʻi, e like me ka maʻi ʻaʻai
• anemia maʻi ʻaʻai
• ʻūheā umbilical artery i loko o kahi keiki hānau
• he pilikia o ka puʻuwai puʻuwai

I kekahi mau hihia, ʻike ʻole ʻia ke kumu o ka ʻōiwi ʻōiwi i kahi keiki.

Ke hōʻike nei i kahi maʻi ʻōiwi

Ma ka haukapila, e nīnau kahi kauka e pili ana i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino. Ma muli o kāu mau hōʻailona, ​​e kānalua paha kāu kauka i kahi pilikia me ka iwi kuamoʻo. Makemake paha lākou e kāpae i nā kūlana ʻē aʻe i hiki ke hoʻokau i ka iwi kuamoʻo, e like me kahi disopa i heʻe ʻia, ʻoki, a i ʻole he abscess.

No ke kuhi ʻana i kahi maʻi ʻōiwi, e lawe paha kāu kauka i kahi scanʻana o ka resonance kiʻi magnetic, i kapa ʻia he MRI. Hoʻokumu kēia ʻano scan i nā kiʻi o ka iwi kuamoo i ʻoi aku ka kikoʻī ma mua o kahi X-ray.

Pehea e mālama ʻia ai ka maʻi ʻōiwi?

Hoʻopaʻa ʻia ka mālama ʻana i ka mālama ʻana i ke kumu o ka maʻi ʻōiwi a hoʻēmi i nā ʻōuli, e laʻa me:

• No ka mālama ʻana i ke koko, e kauoha ʻia ʻoe i nā lāʻau i kapa ʻia ʻo antiplatelet a me nā lāʻau anticoagulant, e like me aspirin a me warfarin (Coumadin). Hoʻemi kēia mau lāʻau lapaʻau i ka manawa o kekahi mea hana hou.
• No ke kiʻekiʻe o ke koko, kauoha paha ʻoe i kahi lāʻau e hoʻohaʻahaʻa ai i kou kaʻe koko.
• No ke kolesterol kiʻekiʻe e kauoha ʻia ʻoe i kahi lāʻau e hoʻohaʻahaʻa i kou kahe koko, e like me ka statin.
• Inā lilo ʻoe i paralitiko a nalowale paha i ka naʻau i kekahi mau ʻāpana o kou kino, koi paha ʻoe i ka lāʻau a me ka hoʻomaʻamaʻa hana e mālama i ka hana o kou mau mākala.
• Inā loaʻa ʻoe i ka incontinence o ka bladder, pono ʻoe e hoʻohana i ka catheter urinary.
• Inā hopena ʻia ka maʻi ʻōiwi e kahi tumo, hoʻohana ʻia nā corticosteroids e hōʻemi i ka pehu. E hoʻoneʻe ʻia ka tumo ma ke ʻano o ka lāʻau.

Inā puhi ʻoe, e noi ʻia ʻoe e haʻalele. I mea e hoʻomaikaʻi ai i kou kiʻekiʻe o ke koko a me nā pae kolesterol, pono ʻoe e ʻai pū i kahi papaʻai kaulike a olakino hoʻi i waiwai i nā huaʻai, nā mea kanu, a me nā hua holoʻokoʻa.

Nā pilikia o ka maʻi ʻōiwi

Pili nā pilikia ma ka ʻāpana o ka iwi kuamoo e pili ai. ʻO kahi laʻana, inā hoʻemi ʻia ke koko i mua o ka iwi kuamoʻo, hiki i kou mau wāwae ke lōlō mau.

ʻO nā pilikia ʻē aʻe:

• nā pilikia hanu
• paralysis mau
• incontinence ʻōpū a me ka ʻōpū
• moe kolohe
• ʻeha, ʻami, a ʻehaʻeha paha
• ʻeha kaomi ma muli o ka nalo ʻana o ka naʻau i kekahi mau ʻāpana o ke kino
• nā pilikia kani o ka mākala, e like me ka spasticity (ke kaohi ʻole ʻole ʻia i nā mākala) a i ʻole ka nele o ke kani o ka mākala (flaccidity)
• kaumaha

Loaʻa a me ka nānā

ʻO ka hoʻōla a me ka nānā holoʻokoʻa hilinaʻi ʻia i ka nui o ke kuamoʻo e hoʻopili ai a me kou olakino holoʻokoʻa, akā hiki ke hana i kahi ola piha i ka manawa. ʻAʻole hiki i nā poʻe he nui ke hele wāwae no kekahi manawa ma hope o ka maʻi ʻōiwi a pono e hoʻohana i ka catheter urinary.

I hoʻokahi noiʻi o ka poʻe i loaʻa i ka maʻi ʻōiwi, 40 pakeneka i hiki ke hele wāwae iā lākou iho ma hope o ka manawa ukali maʻamau o 4.5 mau makahiki, 30 pākēneka hiki ke hele me kahi kōkua hele, a 20 pākēneka i ka noho huila. Pēlā nō, ma kahi o 40 pākēneka o ka poʻe i loaʻa hou ka hana maʻamau o kā lākou kīloi, ma kahi o 30 pākēneka i loaʻa i nā pilikia kūmau me ka hoʻomau ʻole, a 20 pākēneka e pono ai e hoʻohana i ka catheter urinary.