ʻO nā mea āpau āu e ʻike ai e pili ana i ka hahau

Anter

• Nā hōʻailona hahau
• Nā ʻōuli o ka hahau ʻana i nā wahine
• Nā ʻōuli o ka hahau ʻana i nā kāne
• Nā ʻano hahau
• ʻAha ischemic
• Hāpai kūmole
• Hoʻouka ischemic kuewa (TIA)
• Hahau hemorrhagic
• He aha ke kumu o ka hahau ʻana?
• Nā kumu pilikia no ka hahau
• Meaʻai
• Hoʻoikaika ʻole
• ʻO ka inu waiʻona
• Hoʻohana paka
• Palapala pilikino
• Mōʻaukala olakino
• Kuhi o ka hahau
• Nā hoʻāʻo e ʻike pono i nā hahau
• Nā hoʻāʻo koko
• MRI a me CT scan
• EKG
• Cerebral angiogram
• Ultrasound Carotid
• ʻEchocardiogram
• Lapaʻau hahau
• ʻO ka hahau Ischemic a me TIA
• Antiplatelet a me nā anticoagulants
• Nā lāʻau wāwahi lole
• Thrombectomy mīkini
• Stents
• ʻOki kino
• Hahau hemorrhagic
• Nā Lapaʻau
• ʻŌwili hao
• Ka hopu ʻana
• ʻOki kino
• Nā lāʻau hahau
• Ke hoʻōla nei mai kahi hahau
• ʻ .lelo haʻi ʻōlelo
• Laʻau hoʻomākalakala
• Nā mākau ʻike hou
• Hoʻoikaika kino
• Pehea e pale ai i ka hahau
• ʻO ka lawe lawe ʻana

He aha ka hahau?

Kū ka maʻi hahau i ka wā e haki ai kahi kīʻaha koko i ka lolo a kahe, a i ʻole ke kū ʻia o ke kahe o ke koko i ka lolo. ʻO ka haki ʻana a i ʻole ka pale ʻana e pale aku i ke koko a me ka oxygen mai ka hiki ʻana i nā kiko o ka lolo.

Wahi a nā Centers for Disease Control and Prevention (CDC), ʻo ka hahau ke kumu o ka make ma United States. I kēlā me kēia makahiki, ʻoi aku ka nui o nā poʻe o ka U.S.

Me ka loaʻa ʻole o ka oxygen, e hōʻino ʻia nā hunaola a me nā kiko a hoʻomaka e make i loko o nā minuke. E nānā kikoʻī pehea ka hopena o ke kino i ka hopena o ke kino.

Nā hōʻailona hahau

ʻO ka nalo o ke kahe o ke koko i ka lolo e hoʻopōʻino i nā kinona i loko o ka lolo. Hōʻike nā ʻōuli o ke kuʻi ʻana i nā ʻāpana o ke kino i kāohi ʻia e nā wahi i hōʻino ʻia o ka lolo.

ʻO ka loaʻa koke ʻana o kahi maʻi hahau i ka mālama ʻana, ʻoi aku ka maikaʻi o kā lākou hopena. No kēia kumu, he mea kōkua ke ʻike i nā hōʻailona o ka hahau ʻana i hiki ai iā ʻoe ke hana wikiwiki. Hiki i nā hōʻailona hahau ke komo pū me:

• lolo
• numbness a nāwaliwali paha i ka lima, ka maka, a me ka wāwae, keu hoʻi ma kekahi ʻaoʻao o ke kino
• hoʻopilikia i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo
• huikau
• haʻi waha
• pilikia pilikia hihiʻo, e like me ka ʻike ʻana i ka maka i hoʻokahi a i ʻole ʻelua mau maka me ka ʻike ʻeleʻele a pouli hoʻi, a i ʻole ka ʻike lua
• pilikia hele wāwae
• nalo o ke kaulike a me ka hoʻohui ʻana
• ʻūpā
• ʻeha, ʻeha poʻo ʻeha me kahi kumu i ʻike ʻole ʻia

Pono kahi hahau i ka nānā koke ʻana i ka lāʻau. Inā manaʻo ʻoe e loaʻa ana iā ʻoe a i ʻole kekahi i ka maʻi hahau, e kāhea koke aku kekahi iā 911. ʻO ke lapaʻau wikiwiki ke kī i ka pale ʻana i nā hopena aʻe:

• poino lolo
• kīnā ʻole o ka wā lōʻihi
• make

ʻOi aku ka maikaʻi o ka palekana ma mua o ke kala ʻana i ka wā o ka hahau ʻana, no laila mai makaʻu e kāhea iā 911 inā manaʻo ʻoe ʻike ʻoe i nā ʻōuli o ke kuʻi. Hana FAST a aʻo e ʻike i nā hōʻailona o ka hahau.

Nā ʻōuli o ka hahau ʻana i nā wahine

ʻO ka hahau ke kumu o ka make i nā wahine U.S. Loaʻa i nā wahine ke kiʻekiʻe o ke ola āpau o ka hahau ʻana ma mua o nā kāne.

ʻOiai like kekahi o nā hōʻailona hahau i nā wahine a me nā kāne, ʻoi aku ka maʻamau o kekahi i nā wahine.

ʻO nā hōʻailona hahau e hana pinepine ʻia i nā wahine e:

• nausea a luaʻi paha
• hoʻāno
• ʻeha
• nāwaliwali laulā
• pōkole o ka hanu a i ʻole pilikia ka hanu ʻana
• maʻule a nalowale paha ka ʻike
• ka hopu ʻana
• huikau, disorientation, a i ʻole nele i ka pane ʻole
• loli i ka loli i ka hana, ke hoʻonui i ka hoʻonāukiuki

ʻOi aku ka make o nā wahine ma mua o ka make ʻana o nā kāne mai ka maʻi hahau, no laila he mea nui e hiki ke hoʻomaopopo koke i kahi ʻōpala i ka wā hiki loa. E aʻo hou e pili ana i ka ʻike ʻana i nā hōʻailona o ka hahau ʻana i nā wahine.

Nā ʻōuli o ka hahau ʻana i nā kāne

ʻO ka hahau ke kumu o ka make i nā kāne. Loaʻa i nā kāne ka maʻi hahau i ko lākou mau makahiki ʻōpio ma mua o ka wahine, akā liʻiliʻi ka make ʻana o ia mea, e like me ka.

Hiki i nā kāne a me nā wahine ke loaʻa kekahi o nā hōʻailona like a me nā ʻōuli o ka hahau ʻana (ʻike ma luna). Eia naʻe, ʻo kekahi mau hōʻailona hahau pinepine pinepine i nā kāne. Pākuʻi ʻia kēia mau mea:

• e hāʻule ana ma kekahi ʻaoʻao o ka helehelena a i ʻole ka minoʻaka kaulike ʻole
• ʻōlelo pōkole, paʻakikī e ʻōlelo, a pilikia i ka hoʻomaopopo ʻana i kahi ʻōlelo ʻē aʻe
• nāwaliwali o ka lima a i ʻole ka nāwaliwali o ka mākala ma kekahi ʻaoʻao o ke kino

ʻOiai he ʻokoʻa paha kekahi mau hōʻailona ma waena o nā kāne a me nā wahine, he mea nui like ia no ka hiki i nā mea ʻelua ke ʻike i kahi ʻōkuhi wanaʻao a loaʻa ke kōkua E aʻo hou aʻe e pili ana i nā hōʻailona o ka hahau ʻana i nā kāne.

Nā ʻano hahau

Hāʻule nā ​​hahau i ʻekolu mau papa nui: hoʻouka ischemic kuikawa (TIA), hahau ischemic, a me ka maʻi hemorrhagic. Hoʻokaʻawale hou ʻia kēia mau ʻāpana i nā ʻano hahau ʻē aʻe, e like me:

• hahau hoʻokalakupua
• hahau thrombotic
• hahau intracerebral
• hahau subarachnoid

ʻO ke ʻano o ka hahau ʻana āu e pili ai i kāu hana lapaʻau a me ke kaʻina hoʻōla. E heluhelu hou aʻe e pili ana i nā ʻano kī hahau.

ʻAha ischemic

I ka wā o kahi hahau ischemic, nā aʻa e hāʻawi ana i ke koko i ka lolo e hāiki a i ʻole ālai ʻia. Hoʻokumu ʻia kēia mau palapu e ke kōkō ʻana o ke koko a i ʻole ke kahe o ke koko e hōʻemi nui ʻia. Hiki iā lākou ke kumu ʻia e nā ʻāpana o ka pālaki ma muli o ka haki ʻana o ke atherosclerosis a me ka pale ʻana i kahi moku koko.

ʻO nā ʻano maʻamau ʻelua o nā hahau ischemic he thrombotic a embolic. Hana ʻia kahi ʻōpala thrombotic ke hana ke koko i kekahi o nā aʻa e hāʻawi ana i ke koko i ka lolo. Hele ka hāwele ma loko o ke kahe o ke koko a lilo i mea moe, kahi e ālai ai i ke kahe o ke koko. ʻO kahi hahau embolic ke hana ʻia kahi kōkuʻu koko a i ʻole nā ​​ʻōpala ʻē aʻe i kekahi ʻāpana o ke kino a laila hele i ka lolo.

Wahi a ka CDC, ʻo nā hahau nā hahau ischemic. E ʻike i ke kumu o ka hahau ʻana o ka ischemic.

Hāpai kūmole

ʻO ka hahau embolic kekahi o nā ʻano ʻāpana ischemic ʻelua. Kū ʻia ia ke kūpulu ke koko i kekahi ʻāpana o ke kino - pinepine ka puʻuwai a i ʻole nā ​​aʻa i ka umauma luna a me ka ʻāʻī - a neʻe i loko o ke kahe o ke koko i ka lolo. Hoʻopili ka lole i nā aʻa o ka lolo, kahi e kū ai ke kahe o ke koko a lilo i ka maʻi hahau.

ʻO ka hahau embolic ka hopena o ke ʻano puʻuwai. Aibrial fibrillation, kahi ʻano maʻamau o ka puʻuwai kūlohelohe ʻole, hiki ke hoʻoulu i ke koko i loko o ka puʻuwai. E kipaku paha kēia mau clots a hele i loko o ke kahe o ke koko a i loko o ka lolo. E heluhelu hou aʻe e pili ana i ka hopena o nā hahau embolic a me nā ʻōuli e hiki iā lākou ke kumu.

Hoʻouka ischemic kuewa (TIA)

ʻO kahi hoʻouka ischemic kuikawa, i kapa pinepine ʻia ʻo TIA a i ʻole ministroke, ke hana ʻia ke kahe ʻia ke kahe o ke koko i ka manawa. ʻO nā ʻōuli, i ʻano like me ka hahau piha ʻana, he manawa pōkole ia a nalo ma hope o kekahi mau minuke a mau hola paha.

Hoʻokumu pinepine ʻia kahi TIA e kahi ʻōpala koko. He hōʻailona ia no ka hahau ʻana i ka wā e hiki mai ana, no laila mai makaʻu ʻole i kahi TIA. E ʻimi i ka lāʻau like āu e makemake ai no kahi maʻi nui a kāhea iā 911.

Wahi a ka CDC, ʻo ka poʻe i ʻike i ka TIA a loaʻa ʻole ka lāʻau i loaʻa i kahi maʻi nui i loko o hoʻokahi makahiki. Loaʻa i kahi poʻe i ʻike i ka TIA i kahi maʻi nui i loko o ʻekolu mau mahina. Eia pehea e maopopo ai iā TIA a pehea e pale ai i kahi hahau ʻoi loa i ka wā e hiki mai ana.

Hahau hemorrhagic

Kū ka maʻi hemorrhagic ke haki ke aʻa o ka lolo i ka hā a wehe paha i ke koko. Hoʻokumu ke koko mai kēlā aʻa i ka nui o ke kaomi i ka iwi poʻo a pehu i ka lolo, e hōʻino ana i nā hunaola o ka lolo a me nā aʻa.

ʻO nā ʻano ʻelua o ka heʻe hemorrhagic he intracerebral a me subarachnoid. ʻO kahi hahau hemorrhagic intracerebral, ka ʻano maʻamau o ka maʻi hemorrhagic, ke hana ʻia i ka hoʻopiha ʻana o nā aʻa e pili ana i ka lolo me ke koko ma hope o ka haki o nā aʻa. ʻOi aku ka maʻamau o ka hahau ʻana o ka hemorrhagic subarachnoid. Kuhi ia i ke kahe ʻana ma ka wahi ma waena o ka lolo a me nā aʻa e uhi iā ia.

Wahi a ka American Heart Association, ma kahi o 13 pākēneka o nā hahau he hemorrhagic. E aʻo hou aʻe e pili ana i nā kumu o ka hahau hemorrhagic, a me ka mālama ʻana a me ka pale ʻana.

He aha ke kumu o ka hahau ʻana?

Pili ke kumu o ka hahau ʻana i ka ʻano o ka hahau. ʻO nā ʻano nui ʻekolu o ka hahau ka neʻe ischemic transient (TIA), ka ischemic stroke, a me ka hahau hemorrhagic.

Hoʻokumu ʻia kahi TIA e kahi paʻa wā i loko o ke aʻa e alakaʻi i ka lolo. ʻO ka paʻa ʻana, he ʻokoke koko, pani i ke koko mai ke kahe ʻana i kekahi mau ʻāpana o ka lolo. Kū mau kahi TIA no kekahi mau minuke a i kekahi mau hola, a laila neʻe ka ālai a hoʻihoʻi ʻia ke kahe o ke koko.

E like me kahi TIA, hopena ʻia kahi ischemic stroke e kahi paʻa i loko o ke aʻa a hiki i ka lolo. ʻO kēia paʻa paha he ʻōpū koko, a i ʻole he kumu atherosclerosis paha. Me kēia kūlana, kūkulu ka pāka (kahi mea momona) ma nā paia o kahi kīʻaha koko. Hiki i kahi ʻāpana o ka pālaki ke haki a moe i loko o ke aʻa, ālai i ke kahe o ke koko a hana i ka maʻi ischemic.

ʻO ka hahau hemorrhagic, ma ka ʻaoʻao ʻē aʻe, i kumu ʻia e ka hāhū a i ʻole ke kahe ʻana o ke kīʻaha koko. Holo ke koko i loko a puni paha o nā kiko o ka lolo, e hoʻoulu ana i ke kaomi a hōʻino hoʻi i nā hunaola o ka lolo.

Aia ʻelua kumu kūpono o ka maʻi hemorrhagic. ʻO kahi aneurysm (kahi nāwaliwali, ʻāpana bulging o kahi kīʻaha koko) hiki ke hopena ʻia e ke koko kiʻekiʻe a hiki ke alakaʻi i kahi kīʻaha koko. ʻO ka liʻiliʻi pinepine, kahi ʻano i kapa ʻia he malformation arteriovenous, kahi pilina maʻamau ma waena o kou mau uaua a me nā aʻa, hiki ke alakaʻi i ke kahe ʻana i ka lolo. E hoʻomau i ka heluhelu ʻana e pili ana i nā kumu o nā ʻāpana hahau like ʻole.

Nā kumu pilikia no ka hahau

ʻO kekahi mau kumu pilikia e maʻalahi iā ʻoe i ka hahau. Wahi a ka, nā nui o nā pilikia i loaʻa iā ʻoe, ʻo ka nui paha o kāu loaʻa ʻana i ka maʻi ʻōpū. ʻO nā kumu pilikia no ka hahau pū kekahi:

Meaʻai

ʻO kahi papaʻai pono ʻole e hoʻonui i kou maka o ka hahau ʻana kekahi mea kiʻekiʻe ma:

• paʻakai
• momona momona
• momona momona
• kolesterol

Hoʻoikaika ʻole

ʻO ka hana ʻole, a i ʻole nele i ka hoʻoikaika kino, hiki ke hāpai i kou makaʻeha no ka hahau.

ʻO ka hoʻoikaika mau i ka helu o nā pono olakino. Paipai ka CDC i ka poʻe mākua e loaʻa ma ka liʻiliʻi o ka hoʻoikaika kino aerobic i kēlā me kēia pule. Hiki i kēia ke hoʻohālikelike i ka hele wāwae wikiwiki i kekahi mau manawa o ka pule.

ʻO ka inu waiʻona

Hoʻonui pū ʻia kou makaʻu no ka hahau inā inu nui ʻoe i ka waiʻona. Pono e hana i ka inu waiʻona i ke kaulike. ʻO ke kumu o kēia ʻaʻole ma mua o hoʻokahi inu i kēlā me kēia lā no nā wahine, a ʻaʻole ʻoi aku i ʻelua no nā kāne. Ma mua o kēlā hiki ke hāpai i nā pae o ke koko a me nā pae triglyceride, hiki ke kumu i ke atherosclerosis.

Hoʻohana paka

ʻO ka hoʻohana ʻana i ka paka i nā ʻano āpau e hāpai i kou makaʻu no ka hahau ʻana, ʻoiai hiki iā ia ke hōʻino i kou mau kīʻaha koko a me kou puʻuwai Hoʻonui hou ʻia kēia i ka wā puhihihi, no ka mea piʻi aʻe kou kiʻekiʻe o ke koko ke hoʻohana ʻoe i ka nikotine.

Palapala pilikino

Aia kekahi mau pilikino pilikino no ka hahau ʻaʻole hiki iā ʻoe ke kāohi. Hiki ke hoʻopili ʻia ka pilikia ahuna i kāu:

• Mōʻaukala ʻohana. ʻOi aku ka nui o ka pilikia stroke i kekahi mau ʻohana ma muli o nā pilikia olakino, e like me ke kahe kiʻekiʻe.
• Moekolohe Wahi a ka, ʻoiai hiki i nā wahine a me nā kāne ke loaʻa i nā hahau, ʻoi aku ka maʻamau o nā wahine ma mua o nā kāne i nā makahiki āpau.
• Makahiki. ʻO kou ʻelemakule, ʻo ka nui paha o ka loaʻa ʻana o ka maʻi kō.
• Ka lāhui a me ka lāhui. ʻO ka poʻe Caucasians, ʻAmelika ʻAmelika, a me Hispanics ka liʻiliʻi o ka hahau ʻana ma mua o ko ʻAmelika-ʻAmelika, nā ʻōiwi o Alaska, a me nā Indians ʻAmelika.

Mōʻaukala olakino

Hoʻopili ʻia kekahi ʻano olakino i ka makaʻi hahau. Pākuʻi ʻia kēia mau mea:

• kahi hahau ma mua a i ʻole TIA
• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe
• nā maʻi puʻuwai, e like me ka maʻi o ke aʻa
• kīnā kīwī naʻau
• hoʻonui ʻia i nā keʻena puʻuwai a me nā puʻuwai puʻuwai ʻole
• maʻi maʻi ʻaʻai
• diabetes

E ʻike ai e pili ana i kāu kumuhana kikoʻī no ka hahau ʻana, e kamaʻilio me kāu kauka. I kēia manawa, e ʻike i ka mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kāu pilikia o ka hahau.

Kuhi o ka hahau

E nīnau aku kāu kauka iā ʻoe a i ʻole kekahi lālā o ka ʻohana e pili ana i kāu mau hōʻailona a me kāu e hana nei ke ala aʻe lākou. Lawe lākou i kāu mōʻaukala olakino e ʻike i kāu mau pilikia pilikia maʻi hahau. E lākou pū kekahi:

• e nīnau he aha nā lāʻau āu e lawe ai
• e hōʻoia i kou kaomi koko
• e hoʻolohe i kou puʻuwai

E loaʻa iā ʻoe kahi hoʻokolohua kino, kahi e loiloi ai ke kauka iā ʻoe no:

• koena
• hoʻohui like
• nāwaliwali
• ʻōlohelohe i kou mau lima, ka maka, a me nā wāwae
• nā hōʻailona o ka huikau
• nā pilikia ʻike

E hana ana kāu kauka i kekahi mau hoʻokolohua. Hoʻohana ʻia nā ʻano hoʻokolohua like ʻole e kōkua i ke kuhi ʻana o ka maʻi kō. Hiki i kēia mau hoʻāʻo ke kōkua i nā kauka e hoʻoholo:

• inā ua loaʻa ʻoe i ka maʻi kō
• he aha ke kumu o ia
• he aha ka ʻaoʻao o ka lolo i hoʻopili ʻia
• inā he kahe ʻana kou i ka lolo

Hiki i kēia mau hoʻāʻo ke hoʻoholo inā pili ʻia kāu mau hōʻailona e kekahi mea ʻē aʻe.

Nā hoʻāʻo e ʻike pono i nā hahau

Hiki paha iā ʻoe ke hele i waena o nā hoʻokolohua like ʻole e kōkua hou i kāu kauka e hoʻoholo inā loaʻa ʻoe i ka maʻi hahau, a i ʻole e kāpae i kahi kūlana ʻē aʻe. Aia kēia mau hoʻāʻo:

Nā hoʻāʻo koko

Hiki paha i kāu kauka ke huki i ke koko no nā hoʻokolohua koko. Hiki i nā hōʻoia koko ke hoʻoholo:

• nā pae kō kō
• inā he maʻi kou
• kāu mau pae platelet
• pehea ka wikiwiki o kou koko koko

MRI a me CT scan

Hiki paha iā ʻoe ke ʻimi i kahi ʻelua a i ʻole ʻelua i kahi kaha kiʻi magnetic resonance (MRI) a me kahi kamepiula kamepiula kamepiula (CT) scan.

E kōkua ka MRI e ʻike inā ua hōʻino ʻia nā ʻili lolo a i ʻole nā ​​ʻili lolo. E hāʻawi kahi CT scan i kahi kiʻi kikoʻī a me ka mōakāka o kou lolo e hōʻike ana i ke kahe ʻana o ke koko a i ʻole ka pōʻino o ka lolo. Hōʻike paha ia i nā ʻano lolo ʻē aʻe i hiki ke kumu i kāu mau ʻōuli.

EKG

E kauoha paha kāu kauka i kahi electrocardiogram (EKG). Hoʻopaʻa kēia hōʻike maʻalahi i ka hana uila i ka puʻuwai, e ana ana i kāna mele a hoʻopaʻa i ka wikiwiki o kona kani. Hiki iā ia ke hoʻoholo inā he ʻano puʻuwai kāu i alakaʻi ai i ka hahau, e like me ka puʻuwai puʻuwai a i ʻole fibrillation atrial.

Cerebral angiogram

ʻO kahi hōʻoia hou aʻe e kauoha paha kāu kauka e hoʻoholo inā ua loaʻa ʻoe i kahi maʻi he angiogram cerebral. Hāʻawi kēia i kahi nānā kikoʻī i nā aʻa i kou ʻāʻī a me kou lolo. Hiki i ka hoʻāʻo ke hōʻike i nā palaka a i ʻole nā ​​clots i kumu ʻia nā ʻōuli.

Ultrasound Carotid

ʻO kahi ultrasound carotid, i kapa ʻia hoʻi he scan duplex carotid, hiki ke hōʻike i nā waihona momona (plaque) i loko o kāu mau aʻa carotid, ka mea e hāʻawi i ke koko i kou alo, ʻāʻī, a me kou lolo. Hiki iā ia ke hōʻike inā ua hoʻopili ʻia a hoʻopaʻa ʻia kāu aʻa carotid.

ʻEchocardiogram

Hiki i kahi echocardiogram ke loaʻa nā kumu o nā clots i kou puʻuwai. Ua huakaʻi paha kēia mau clots i kou lolo a hana i ka maʻi hahau.

Lapaʻau hahau

Pono ka loiloi olakino kūpono a me ka mālama koke ʻana i mea e ola hou ai mai kahi maʻi maʻi. Wahi a ka American Heart Association, "Ua lilo ka manawa i ka lolo." Kāhea iā 911 ke maopopo iā ʻoe e loaʻa ana ʻoe i ka maʻi ahulau, a i ʻole inā manaʻo ʻoe e loaʻa ana kahi maʻi i kahi mea aloha.

ʻO ka mālama ʻana no ka hahau kaukaʻi ʻia i ka ʻano o ka hahau.

ʻO ka hahau Ischemic a me TIA

Hoʻokumu ʻia kēia mau ʻano hahau e ke kōkō ʻana o ke koko a i ʻole ka paʻa ʻana o ka lolo i ka lolo. No kēlā kumu, mālama nui ʻia lākou me nā ʻano hana like, i hoʻopili ʻia:

Antiplatelet a me nā anticoagulants

ʻO ka aspirin over-the-counter ka lālani pale mua i nā hōʻino o ka hahau. Pono e lawe i nā lāʻau Anticoagulant a me antiplatelet i loko o 24 a 48 mau hola ma hope o ka hoʻomaka ʻana o nā ʻōuli o ka hahau.

Nā lāʻau wāwahi lole

Hiki i nā lāʻau thrombolytic ke haki i nā kahe o ke koko i nā aʻa o kou lolo, kahi e kū mau ai i ka hahau a hoʻemi i ka hōʻino o ka lolo.

ʻO kekahi o ia ʻano lāʻau lapaʻau, mea hoʻāʻo plasminogen activator (tPA), a i ʻole Alteplase IV r-tPA, i manaʻo ʻia he kūlana gula ma ka mālama ʻana i ka ischemic stroke. Hana ia ma ka hoʻopau ʻana i nā clots koko koke, inā hāʻawi ʻia i loko o nā hola 3 a 4,5 mau ma hope o ka hoʻomaka ʻana o nā ʻōuli o kou hahau ʻana. ʻO ka poʻe i loaʻa kahi ʻinikua tPA e ʻoi aku ke ola mai kahi hahau ʻana, a emi iki ka loaʻa ʻana o ke kīnā kīnā ʻole ma muli o ke kahakaha.

Thrombectomy mīkini

I loko o kēia kaʻina hana, hoʻokomo ke kauka i kahi catheter i loko o kahi kīʻaha koko nui i loko o kou poʻo. Hoʻohana lākou i kahi hāmeʻa e huki i ka pahu mai ka moku. ʻOi loa ke kūleʻa o kēia kaha inā hana ʻia ia 6 a 24 mau hola ma hope o ka hoʻomaka ʻana o ka maʻi ʻōiwi.

Stents

Inā ʻike kāu kauka i nā wahi nāwaliwali o nā paia o ke aʻa, hana paha lākou i kahi hana e hoʻonui ai i ke aʻa ākea a kākoʻo i nā paia o ke aʻa me kahi stent.

ʻOki kino

I nā hanana kakaikahi e holo ʻole nā ​​lapaʻau ʻē aʻe, hana paha kāu kauka i ke ʻoki e wehe i kahi kōkō a me nā pā mai kou aʻa. Hana ʻia kēia me kahi catheter, a inā nui ka nui o ka ʻūlū nui, hiki i kāu kauka ke wehe i kahi aʻa e wehe ai i ka paʻa.

Hahau hemorrhagic

ʻO nā hahau i hoʻokumu ʻia e nā kahe a i ʻole nā ​​kulu i ka lolo e koi ai i nā ʻano hana ʻokoʻa. ʻO nā mālama ʻana no ka hahau hemorrhagic me:

Nā Lapaʻau

ʻAʻole like me ka hahau ischemic, inā loaʻa ʻoe i ka maʻi heʻe hemorrhagic, ʻo ka pahuhopu lapaʻau e hoʻolilo i kou koko koko. No laila, hāʻawi ʻia ʻoe i ka lāʻau e pale aku ai i nā mea lahilahi o ke koko āu e lawe ai.

Kau ʻia ʻoe i nā lāʻau e hiki ai ke hoʻēmi i ke kaomi koko, hoʻohaʻahaʻa i ke kaomi i kou lolo, pale i ka hopu ʻana, a pale i ka paʻa ʻana o ke kīʻaha koko.

ʻŌwili hao

I loko o kēia kaʻina hana, alakaʻi kāu kauka i kahi puʻupuʻu lōʻihi i kahi o ka hemorrhage a i ʻole ke kīʻaha koko nāwaliwali. Hoʻokomo lākou i kahi mea like coil ma kahi e nāwaliwali ai ka paia o ke aʻa. Mālama kēia i ke kahe o ke koko i kahi, e hōʻemi ana i ke kahe.

Ka hopu ʻana

Ma nā hoʻokolohua kiʻi ʻana, ʻike paha kāu kauka i kahi aneurysm i hoʻomaka ʻole ke kahe ʻana a i ʻole kū. I mea e pale aku ai i ke kahe hou ʻana, hiki i kahi kauka ke hoʻokau i kahi mea ʻūlū liʻiliʻi ma ke kumu o ka aneurysm. ʻOki kēia i ka lako o ke koko a pale i kahi kīʻaha koko naha a i ʻole ke kahe hou.

ʻOki kino

Inā ʻike kāu kauka ua haki ka aneurysm, hana paha lākou i ke kahakaha e ʻokiʻoki i ka aneurysm a pale i ke kahe hou. Pēlā nō, pono ʻia kahi craniotomy e hōʻoluʻolu i ke kaomi ma ka lolo ma hope o ka hahau nui.

Ma waho aʻe o ka hoʻoponopono ulia pōpilikia, e aʻo aku nā mea lawelawe olakino iā ʻoe i nā ala e pale aku ai i nā maʻi ʻē aʻe e hiki mai ana. Makemake ʻoe e aʻo hou aʻe e pili ana i ka mālama ʻana i ka hahau a me nā ʻenehana pale. Kaomi ma aneʻi.

Nā lāʻau hahau

Hoʻohana ʻia kekahi mau lāʻau e mālama i nā hahau. Aia ke ʻano o ke kauka a kāu kauka e kaukaʻi nui ai i ka ʻano o ka hahau āu i loaʻa ai. ʻO ka pahuhopu o kekahi mau lāʻau e pale i ka hahau ʻelua, ʻo ka mea ʻē aʻe e pale i ka hahau ʻana mai ka hana mua.

ʻO nā lāʻau lapaʻau hahau ʻoi loa e like me:

• Hoʻoulu i ka plasminogen tissue (tPA). Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau pōpilikia i ka wā o ka hahau ʻana e wāwahi ai i kahi hāpala koko e hiki ai i ka maʻi maʻi. ʻO ia wale nō ka lāʻau i loaʻa i kēia manawa e hiki ke hana i kēia, akā pono e hāʻawi ʻia ma waena o 3 a 4,5 mau hola ma hope o ka hoʻomaka ʻana o nā ʻōuli o ka hahau. Hoʻokomo ʻia kēia lāʻau i loko o kahi kīʻaha koko e hiki ai i ka lāʻau lapaʻau ke hoʻomaka e hana me ka wikiwiki e hiki ai, kahi e hōʻemi ai i ka pilikia o nā pilikia mai ka maʻi hahau.
• Nā Anticoagulants. Hoʻoemi kēia mau lāʻau i ka hiki i kou koko ke kāpulu. ʻO ka anticoagulant maʻamau ʻo warfarin (Jantoven, Coumadin). Hiki i kēia mau lāʻau ke pale i ke koko i kū mai ka ulu nui ʻana, ʻo ia ke kumu e kuhikuhi ʻia ai lākou e pale i ka hahau ʻana, a ma hope paha o ka hopena o ka ischemic a i ʻole TIA.
• Nā lāʻau Antiplatelet. Pale kēia mau lāʻau i ke kahe o ke koko ma o ka hana ʻana i mea paʻakikī no nā pā o ke koko e pili pū. ʻO nā lāʻau antiplatelet ʻoi loa e like me aspirin a me clopidogrel (Plavix). Hiki iā lākou ke hoʻohana i mea e pale aku ai i nā hahau ischemic a he mea nui i ka pale ʻana i ka maʻi ʻelua. Inā ʻaʻole ʻoe i loaʻa i kahi hahau ma mua, pono wale ʻoe e hoʻohana i ka aspirin ma ke ʻano he lāʻau pale inā he nui kou makaʻu i ka maʻi atherosclerotic cardiovascular maʻi (e laʻa me ka puʻuwai puʻuwai a me ka hahau) a me ka haʻahaʻa haʻahaʻa o ke kahe.
• Statins. ʻO Statins, ka mea e kōkua i ka hoʻohaʻahaʻa ʻana i nā pae kolesterol kiʻekiʻe, aia i waena o nā lāʻau i ʻAmelika Hui Pū ʻIa. Pale kēia mau lāʻau i ka hana ʻana o kahi enzyme i hiki ke hoʻolilo i ka koleka i loko o ka pā - ka mānoanoa, nā mea paʻa e hiki ke kūkulu ʻia ma nā paia o nā aʻa a hana i nā hahau a me nā puʻuwai puʻuwai. ʻO nā statins maʻamau ka rosuvastatin (Crestor), simvastatin (Zocor), a me atorvastatin (Lipitor).
• Nā lāʻau kaomi koko. Hiki i ke kahe koko kiʻekiʻe ke hoʻonā i nā ʻāpana o ka plake buildup i loko o kāu mau aʻa. Hiki i kēia mau ʻāpana ke ālai i nā aʻa, ke kumu o ka hahau ʻana. ʻO ka hopena, hiki i ke kaohi ʻana i ke koko kiʻekiʻe ke pale aku i kahi maʻi ʻōiwi.

Hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o kēia mau lāʻau e mālama a pale aku ai i ka maʻi hahau, e like me nā mea e like me kou mōʻaukala olakino a me kāu mau pilikia. Nui nā lāʻau i hoʻohana ʻia e mālama a pale i nā hahau, e nānā i ka papa inoa piha ma aneʻi.

Ke hoʻōla nei mai kahi hahau

ʻO Stroke ke kumu nui o ke kīnā wā lōʻihi ma United States. Eia nō naʻe, hōʻike ka National Stroke Association he 10 pakeneka o ka poʻe i pakele i ka hahau e hana i kahi ola kokoke loa, ʻoiai he 25 pākēneka e hoʻihoʻi me nā hemahema liʻiliʻi wale nō.

He mea nui ka hoʻomaka ʻana o ka hoʻōla a me ka hoʻoponopono hou ʻana mai kahi hahau i ka wā hiki wawe. I ka ʻoiaʻiʻo, pono e hoʻomaka ka hoʻōla hahau ma ka haukapila. Ma laila, hiki i kahi hui mālama ke hoʻokūpaʻa i kou kūlana, loiloi i nā hopena o ka hahau, ʻike i nā kumu kumu, a hoʻomaka i ka lāʻau e kōkua iā ʻoe e loaʻa hou i kekahi o kāu mau mākau i hoʻopili ʻia.

ʻO ka hoʻōla hahau e nānā i nā ʻāpana nui ʻehā:

ʻ .lelo haʻi ʻōlelo

Hiki i kahi hōʻeha ke kumu i ka hōʻino o ka ʻōlelo a me ka ʻōlelo. E hana pū kahi mea hoʻoponopono ʻōlelo me ʻoe e aʻo hou pehea e ʻōlelo ai. A i ʻole, inā ʻike ʻoe i ka kamaʻilio kamaʻilio paʻakikī ma hope o ka hahau ʻana, e kōkua lākou iā ʻoe e ʻike i nā ala hou o ke kamaʻilio.

Laʻau hoʻomākalakala

Ma hope o ka hahau ʻana, nui nā mea ola i hoʻololi i ko lākou noʻonoʻo a me ka noʻonoʻo ʻana. Hiki i kēia ke kumu i nā loli a me ke ʻano. Hiki i kahi mea hoʻoponopono hana ke kōkua iā ʻoe e hana e loaʻa hou i kāu ʻano o ka noʻonoʻo a me ka lawena mua a me ka kaohi ʻana i kāu mau pane naʻau.

Nā mākau ʻike hou

Inā ʻāpana ka ʻāpana o kou lolo e hoʻoili i nā hōʻailona sensory i ka wā o ka hahau, ʻike paha ʻoe ua "ʻeleʻele" kou mau manaʻo a hana ʻole paha. ʻO ka manaʻo paha ia ʻaʻole ʻoe e manaʻo maikaʻi i nā mea, e like me ka mahana, kaomi, a me ka ʻeha. Hiki i kahi mea hoʻoponopono ke kōkua iā ʻoe e aʻo e hoʻomaʻa i kēia hemahema o ka naʻau.

Hoʻoikaika kino

E hoʻonāwaliwali paha ke kani a me ka ikaika e ka maʻi hahau, a ʻike paha ʻoe ʻaʻole hiki iā ʻoe ke neʻe i kou kino e like me ka hiki ma mua. E hana pū kahi mea hoʻoponopono kino me ʻoe e loaʻa hou kou ikaika a me ke kaulike, a loaʻa i nā ala e hoʻomaʻa ai i nā palena.

Hiki paha i ka hoʻoponopono hou ʻana i kahi keʻena hōʻeuʻeu, kahi home kahu hānai mākaukau, a i ʻole kou home ponoʻī. Eia ka mea hiki iā ʻoe ke manaʻo i ka wā o ke ola ʻana o ka hahau maikaʻi.

Pehea e pale ai i ka hahau

Hiki iā ʻoe ke hana i nā hana e pale ai i ka hahau ʻana ma ka noho ʻana i kahi nohona olakino. Hoʻopili kēia i nā ana aʻe:

• E haʻalele i ka puhi pua ʻana. Inā puhi ʻoe, ʻo ka haʻalele ʻana i kēia manawa e hoʻohaʻahaʻa i kou makaʻi no ka hahau.
• Pau ka ʻalekohola i ke kaulike. Inā inu nui ʻoe, hoʻāʻo e hoʻēmi i kāu lawe ʻana. Hiki i ka inu waiʻona ke hāpai i kou kaʻe koko.
• E hoʻomau i ke kaumaha. E mālama i kou kaupaona i kahi pae olakino. ʻO ka momona a keu paha ka hoʻonui i kou maka hahau. E kōkua i ka mālama ʻana i kou kaupaona:
  • E ʻai i ka papaʻai i piha i nā huaʻai a me nā lau.
  • ʻAi i nā meaʻai i haʻahaʻa i ka kolesterol, nā momona trans, a me nā momona momona.
  • Noho kino. E kōkua kēia iā ʻoe e mālama i kahi kaupaona olakino a kōkua i ka hōʻemi ʻana i kou kiʻekiʻe o ke koko a me nā pae kolesterol.
• E kiʻi i nā loiloi. E noho ma luna o kou olakino.ʻO kēia ke kiʻi ʻana i nā loiloi maʻamau a noho mau i ke kamaʻilio ʻana me kāu kauka. E mālama pono i kēia mau kaʻina e mālama i kou olakino:
  • E nānā i kāu kolamu a me ke kahe o ke koko.
  • E kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kou nohona.
  • Kūkākūkā i kāu koho lāʻau me kāu kauka.
  • E hoʻoponopono i nā pilikia puʻuwai āu i loaʻa.
  • Inā loaʻa ʻoe i ka maʻi diabetes, e hana i nā kaʻina hana e mālama ia.

ʻO ka lawe ʻana i kēia mau ana e kōkua iā ʻoe e waiho i ke ʻano ʻoi aku ka maikaʻi e pale ai i ka hahau. E heluhelu hou aʻe e pili ana pehea e hiki ai iā ʻoe ke pale i nā hahau.

ʻO ka lawe lawe ʻana

Inā kuhi ʻoe ke ʻike nei ʻoe i nā ʻōuli o ka hahau, pono ʻoe e ʻimi i ka lāʻau olakino olakino. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau lole i nā hola mua ma hope o ka hoʻomaka ʻana o nā hōʻailona o ka hahau ʻana, a ʻo ka mālama mua ʻana kekahi o nā ala kūpono e hōʻemi ai i kou pilikia no nā pilikia lōʻihi a me ke kīnā ʻole.

Hiki ke kāohi, inā ʻoe e pale nei i kahi hahau mua a hoʻāʻo paha e pale i ka kekona. Hiki i nā lāʻau ke kōkua i ka hōʻemi i ka makaʻu o ke kahe o ke koko, ka mea e alakaʻi ai i ka hahau. Hana pū me kāu kauka e ʻike i kahi papa hana pale e kū pono iā ʻoe, e like me ka hana lapaʻau a me nā loli nohona.