Pehea e hoʻokaʻawale ai i nā ʻano hahau

Anter
ʻElua ʻano o ka hahau ʻana, i hoʻokaʻawale ʻia e like me ke kumu o ka emi ʻana o ke kahe o ke koko i kekahi wahi o ka lolo.
- ʻAha ischemic: ka mea e ʻike ʻia ke hū ʻana kahi ʻōpala i kahi kīʻaha lolo, ke keʻakeʻa nei i ke kahe o ke koko;
- Hahau hemorrhagic: he aha ka hana i ka wā e haki ai kahi moku i ka lolo, e hoʻemi ana i ka nui o ke koko e hele ma waena o kēlā moku.
ʻOiai ʻano ʻokoʻa lākou, ʻelua mau ʻano o ka hahau ʻana i kumu like i nā ʻōuli e like me ka nalowale o ka ikaika a i ʻole ka ʻike ma kekahi ʻāpana o ke kino, ka paʻakikī i ka ʻōlelo ʻana, ka lualua a me ka hihi. No laila, ʻaʻole hiki ke ʻike ʻia ke ʻano o ka hahau ma o nā ʻōuli, e hōʻoia wale ʻia ma ka haukapila wale nō, ma o ka MRI a i ʻole tomography i helu ʻia.
I kēlā me kēia hihia, ʻo ka hahau kahi manawa pilikia olakino pono ia e ʻike ʻia e like me ka hiki a mālama ʻia i ka haukapila, ʻoiai ʻo ka mea nui i kēia ʻano o ke kūlana ka manawa e hala ai mai ke ʻano o nā ʻōuli mua a hiki i ka hoʻomanawanui ua hoʻokūpaʻa. ʻO kahi ala maikaʻi e ʻike ai i kahi hahau ma o ka lawe ʻana i ka hōʻike SAMU - e ʻike pehea e lawe ai i ka hoʻokolohua SAMU a i ka manawa hea e kāhea ai i ke kōkua lapaʻau.
ʻO nā ʻokoʻa nui ma waena o ka ischemic a me ka hemorrhagic i wehewehe ʻia ma lalo:
1. Puʻukū Ischemic

Kū ka maʻi ischemic ke loaʻa kahi momona momona i loko o kekahi o nā moku lolo a i ʻole ke kūpulu ʻana, i hana ʻia ma kahi ʻē o ke kino, hiki i nā kīʻaha i ka lolo, e hana ana i ka palaka e pale i ke koko mai kahi pae o ka lolo. lolo
Eia kekahi, ʻo nā ʻokoʻa ʻē aʻe e pili ana i ka hahau hemorrhagic nā kumu a me ke ʻano o ka mālama ʻana.
- Nā kumu nui: kiʻekiʻe kolesterol, atherosclerosis, atrial fibrillation, anela maʻi maʻi anemia, coagulation kāna hana a me nā loli i ka cardiac functioning.
- Pehea e hana ai i ka lapaʻau: hana mau ʻia ia me nā lāʻau, lawelawe pololei ʻia i ka aa, e lahilahi i ka pūpū, akā hiki ke hoʻopili pū ʻia me ke kahakaha e hemo ai i ka pūpū, inā ʻaʻole holo pono nā lāʻau. E ʻike i ke kikoʻī i ka hana ʻia ʻana o ka lāʻau hahau.
Eia hou, he mea maʻamau ia no ka hahau ʻana o ka ischemic i kahi prognosis ʻoi aku ka maikaʻi ma mua o ka hahau hemorrhagic, no ka mea ʻoi aku ka maʻalahi o ka mālama ʻana, kahi e hoʻēmi ai i ka manawa mai nā ʻōuli mua i hoʻokūpaʻa ʻia ka mea maʻi, a hoʻoliʻiliʻi hoʻi i ka makaʻu o ka sequelae.
I kekahi mau hihia, hiki ke hele i ka hahau ischemic kuikawa, kahi e kū ai nā ʻōuli, no ka hapa nui, ma kahi o 1 hola, a laila nalo me ka haʻalele ʻole i ka sequelae. Hiki ke ʻike ʻia i kēia ʻano me ka pre-stroke, no laila he mea nui e hele i ka keʻena pilikia e hana i kahi loiloi a hoʻomaka i ka lāʻau kūpono i mea e pale aku ai i ka neʻe ʻana o ka maʻi maʻi.
2. Pāpā hemorrhagic

ʻAʻole like me ka hahau ischemic, ʻaʻole kū ka hemorrhagic ma ke kāpae ʻana i kahi moku cerebral, akā ma ka haki ʻana i kahi moku, kahi e pale ai i ke koko mai ka hoʻomau ʻana e hala i kekahi wahi o ka lolo. Eia hou, i ka hahau hemorrhagic aia kekahi hōʻiliʻili o ke koko i loko a puni paha o ka lolo, kahi e hoʻonui ai i ka lolo, e hoʻonui hou ai i nā ʻōuli.
I kēia ʻano hahau, nā kumu maʻamau a me ke ʻano o ka mālama ʻana:
- Nā kumu nui: ke koko kiʻekiʻe, hoʻohana nui i nā anticoagulants, aneurysm a me nā hahau koʻikoʻi i ke poʻo, no ka laʻana.
- Pehea e hana ai i ka lapaʻau: hoʻomaka pinepine ia me ka lawelawe ʻana i nā lāʻau e hoʻohaʻahaʻa i ke kahe o ke koko, akā i nā manawa he nui he pono paha ke ʻoki ʻana e hoʻoponopono i ka ʻino o nā moku i ka lolo. E aʻo hou aʻe e pili ana i ka mālama ʻia ʻana o ka hahau.
ʻO ka maʻamau, ʻoi aku ka maikaʻi o ka wānana ʻana o ka hemorrhagic ma mua o ka hahau ʻana o ka ischemic, no ka mea he ʻoi aku ka paʻakikī e kaohi i ke kahe.