Prophylaxis ntawm recurrent mob stroke

Ua ntej ntawm tag nrho cov, nws yuav tsum tau muab sau tseg hais tias kev tiv thaiv kom tsis txhob rov muaj dua ntawm ischemic stroke yuav tsum tau pib sai li sai tau tom qab qhov tshwm sim ntawm cov thawj mob. Ntawm cov tseem ceeb tshaj plaws kev ntsuas nyob rau hauv cov kev tiv thaiv ntawm pathologies emit tsis muaj haus luam yeeb, haus dej cawv, noj cov zaub mov kho, kev siv ntawm cov tshuaj, lub sij hawm ntawm loj tsawv lub cev ua si. Vim lub nce kev pheej hmoo ntawm cov teeb meem nyob rau hauv cov neeg mob nyob rau hauv cov laus hnub nyoog kev tiv thaiv yuav tsum tau nqa tawm nrog lub utmost kev saib xyuas.

Rau uas tsis yog-tshuaj txoj kev tiv thaiv cov tsis tshua mob heev ntawm stroke muaj xws li thawj cessation ntawm kev haus luam yeeb. Tswvyim qhia hais tias tom qab tsib xyoo ntawm abstinence los ntawm nicotine kev pheej hmoo ntawm kev tsim lub xeev nyob rau hauv lub yav tas los haus luam yeeb muaj me sib txawv los ntawm nws cov tshwm sim rau ib tug neeg, tsis haus luam yeeb ib tug yeej tsis. Nyob rau hauv cov ntaub ntawv no, txawm nyob rau hauv cov neeg nyob rau hauv cov laus hnub nyoog nrog ib tug loj txaus kev haus luam yeeb kom tsis txhob tus nqi ntawm cov luam yeeb haus luam yeeb los yog haus luam yeeb tas yog siv raws li ib tug tiv thaiv ntawm lub cev thiab lub plawv nres.

Txo noj nqos tau cov dej cawv maj thiaj li txoj kev pheej hmoo ntawm lub xeev nyob rau hauv lub qub quav dej quav cawv. Ib cov kws txawj tus cwj pwm no mus rau lub thawj ntawm fibrinogen thiab roj ntau ntau, raws li zoo raws li ib tug txo nyob rau hauv aggregation (adhesion) ntawm platelets. Txawm li cas los, quav dej quav cawv, mob stroke kev tiv thaiv los ntawm tau txais tsawg koob tshuaj cawv twb tsis tau muaj pov thawj.

Nws tsub kom kev pheej hmoo ntawm txo ua si lub xeev ntawm ib tug lub cev xwm. Kev tiv thaiv ntawm recurrent mob stroke ua kev qoj ib ce. Ib tug nyhuv lig rau hauv lub xeev muaj mob loj tsawv ce, kev taug kev nraum zoov. Yog hais tias tus neeg mob yog tsis tau txav mus los, ua ib co ntawm cov teeb ce yog muaj nyob rau hauv lub tsev.

Prophylaxis ntawm recurrent mob stroke tas yuav tsum muaj xws li hwj chim kho neeg mob. Nws yog ib advisable kom muaj xws li nyob rau hauv cov khoom noj ntawm txiv hmab txiv ntoo thiab zaub nyob rau hauv txaus kom muaj nuj nqis, zaub roj. Nyob rau tib lub sij hawm cov khoom uas muaj ib tug siab cov ntsiab lus ntawm cov roj uas txhaws yuav tsum raug tshem tawm. Qhia kom txo tau ntsev kom tsawg ntawm cov zaub mov. Nyob rau hauv lub xub ntiag ntawm cov ntshav qab zib yuav tsum tau ib tug tsis tu ncua tswj ntawm zib ntau ntau, noj cov zaub mov, siv insulin los yog sulfonylureas. Meej pem yuav txo tau ntawm lub cev hnyav mus cuag pom kev.

Prophylaxis ntawm recurrent mob stroke muaj xws li antiplatelet txoj kev kho. Nws yuav tsum tau muab sau tseg tias kev siv ntawm cov tshuaj uas txo platelet aggregation, yog coj kev tshwm sim rau kev tiv thaiv ntawm pathological tej yam kev mob txuam nrog cov hlab plawv system. Prophylaxis ntawm recurrent mob stroke feem ntau yog nqa tawm los ntawm kev siv acetylsalicylic acid, ticlopidine thiab lwm yam antiplatelet agents. Raws li lub tswvyim, heev tsawg (tsawg kawg yog peb lub xyoos) ntawm cov tshuaj zoo heev thiaj li muaj qhov pheej hmoo ntawm kev theem nrab kab mob kas, xws li txoj kev tuag, ib tug nruab nrab ntawm nees nkaum feem pua.

Nyob rau hauv lub xub ntiag ntawm lub thib ob los yog peb degree tawg (loj tsawv lossis mob) yuav ua tau ib tug zoo uas tau txais antihypertensive tshuaj. Nrog lawv lub sij hawm yuav siv sij hawm mus rau hauv tus account tus neeg nyeem ntawm tus neeg mob uas tau muaj ib tug mob stroke los yog lub plawv nres. Nyob rau hauv tas li ntawd, rau cov neeg uas me me (ua ntej) degree ntawm tawg tshuaj yog zoo xwb cais los ntawm cov pab pawg neeg ntawm antihypertensives. Cov no muaj xws, nyob rau hauv particular, mus rau lub diuretic indapamide.