Stroke: kev kho mob nrog tshuaj tua neeg thiab tshuaj

Mob stroke los yog ONMK yog ib qho mob loj ntawm kev mob hlwb. Nws tshwm sim nws tus kheej sai li sai tau (hauv ob peb teev los yog feeb) qhov tshwm sim ntawm cov paj hlwb lossis focal ntawm kev puas hlwb ntawm lub paj hlwb. Cov cim qhia ntawm qhov kev kov yeej no yog tham hauv qab no. Yog tias koj tsis muab kev pab kho mob rau lub sij hawm rau tus neeg mob, qhov kev txiav txim tuag yuav tsis ua raws li. Tus neeg mob yuav tsum tau mob ceev heev rau lub tsev kho mob. Cov neeg mob uas twb tau txais thiab tau pib kho thawj thawj ob xuaj moos tom qab qhov teeb meem tau muab nrog txoj kev kuaj pom zoo feem ntau. Nrog kev kuaj mob stroke, kev kho mob tom tsev tsuas yog tom qab tso tawm hauv tsev kho mob xwb. Nws muab nws cov txiaj ntsig zoo rau qhov rov qab los tom qab kis mob.

Stroke - dab tsi yog nws

Cwj nrag yog ob hom - hemorrhagic thiab ischemic. Cwj pwm txhais tau tias:

• Subarachnoid hemorrhage yog ib qho hemorrhage rau hauv cov kab noj hniav uas nyob nruab nrab ntawm cov mos txwv maub thiab cov cobweb, uas feem ntau tshwm sim los ntawm kev tawg ntawm ib qho aneurysm los yog vim raug mob taub hau (craniocerebral mob);
• Intracerebral hemorrhage feem ntau yog vim rupture ntawm cov phab ntsa cerebral hlab ntsha los ntawm lawv cov kev hloov pathological;
• cerebral infarction los yog ischemic stroke - kev puas tsuaj tshwm sim medulla thiab nws tsis ua hauj lwm vim txiav ntawm cov ntshav mov mus rau ib tug kev lub hlwb cheeb tsam.

Ua rau ntawm tus mob hemorrhagic

Qhov ua rau ntawm lub cev ntaj ntsug yog feem ntau cov kab mob hypertensive lossis kev loj hlob ntawm ob qib siab nyob rau hauv cov kab mob ntawm ob lub raum los yog mob ntawm cov qog ntawm qog, piv txwv, qog lub caj dab. Tsis tas li ntawd, cov hemorrhages tuaj yeem tshwm sim los ntawm kab mob khuav nqaij, piv txwv li, thaum mob lupus erythematosus, vasculitis, hemorrhagic diathesis, sepsis los yog tom qab CCT. Hemorrhage, raws li txoj cai, tshwm sim raws li ib tug ntawm rupture ntawm vascular phab ntsa, tab sis tej zaum nws yog ua tau vim muaj nce permeability ntawm lub nkoj nkoj. Hemorrhagic cwj nrag yog nyob rau hauv daim ntawv ntawm cov ntshav los yog hlwb hlwb impregnation. Yog hais tias lub hematoma muaj meej ciam teb, qee zaus muaj kev kho mob rau kev kho mob phais, qhov no ua haujlwm neurosurgical thiab ua rau lub hematoma raug tshem tawm.

Ua rau Ischemic Cwj Pwm

Kab mob kis tau los sis qaum ua pob txha yog faib ua thrombotic thiab non-thrombotic. Thiab nrog cov neeg thiab lwm tus, cov ntshav khiav tsis zoo, thiab cov ntshav ntshis nres qhov no lossis qhov ntawm lub paj hlwb, ua rau muaj kev hloov hauv cov hlab ntsha thiab cov tshuaj tiv thaiv kabmob uas ua rau lub hlwb mob hlwb. Necrosis ntawm ib cheeb tsam ntawm lub paj hlwb lossis ischemic mob stroke yog tsim. Kev kho nrog pej xeem cov kev kho mob nrog rau kev noj tshuaj muaj peev xwm ua tau zoo. Tab sis nws yog qhov zoo dua rau coj nws thaum lub sij hawm rov kho dua.

Stroke. Cov tsos mob thiab kev kho mob

Cov tsos mob ntawm tus cwj nrag tuaj yeem tshwm sim raws li nram no:

• Sudden, Sudden tsau pom kev tsis muaj zog thiab ua rau loog los yog tuag tes tuag taw nyob rau hauv lub nqua (npab, ceg) lossis ntsej muag ntawm ib sab;
• Txoj kev nyuaj slurred hais lus;
• Sudden, cia li cuam tshuam ntawm qhov muag pom ntawm ib lub qhov muag, tsawg dua ob leeg, qee zaum muaj ib feem ntawm ib nrab ntawm qhov pom ntawm ob lub qhov muag;
• Sudden kiv taub hau, ua tsis taus pa ntawm kev taw;
• Sudden taub hau;
• Kev xeev siab lossis ntuav yuav tshwm sim.

Ntxiv nrog rau cov saum toj no, nyob ntawm qhov chaw ntawm lub paj hlwb raug mob, ib nrab lossis tag nrho tuag tes tuag taw ntawm ib sab ntawm lub cev yuav tshwm sim. Yog tias qhov mob ntawm lub paj hlwb ntawm sab xis, ces sab laug ib nrab ntawm lub cev raug mob, thiab lwm txoj kev, thaum ua kom pom tseeb nyob rau sab laug hemisphere, tuag tes taw rau ntawm sab xis ntawm lub cev.

Yog hais tias muaj ib txoj hlab ntsha tawg ntawm sab laug, txoj kev kho mob yog qhia rau kev tshem tawm cov lus hais "peb lub npe", qhia rau peb tias nws yog dab tsi:

• Hemiplegia - tuag tes tuag taw (ua kom tiav tsis tiav) lossis pauv (limb feem ntau tsis ua haujlwm) sab caj npab thiab ceg;
• Hemihypesthesia - txhua yam kev rhiab heev ntawm tus tuag tes tuag taw yog tsis tuaj;
• Hemianopia - ib nrab dig muag lossis poob ntawm ib nrab ntawm qhov pom kev ntawm txhua qhov muag.

Lub farther lub lesion yog nyob rau ntawm sab laug hemisphere, tsawg chim lub cev muaj zog zog. Txoj cai hemisphere ntawm lub hlwb yog lub luag haujlwm rau lwm lub luag haujlwm. Yog li, yog hais tias muaj ib txoj hlab ntsha tawg ntawm sab xis, txoj kev kho mob yog tswj hwm kev ua kom rov ua pa, kev cai ntawm dej-electrolyte tshuav nyiaj li cas thiab suav cov kev kho mob neuroprotective.

Tag nrho cov kev mob tshwm sim saum no kuj yog kev txhawj xeeb ntawm ob lub txiv neej qog nqaij hlav hauv lub cev thiab lub cev nqaij. Yog tias ib lossis ntau dua li cov tsos mob tshwm sim, nws yuav tsum tau hu mus rau qhov kev pabcuam thaum muaj xwm ceev thiab coj tus neeg mob mus rau tsev kho mob. Cov kev mob tshwm sim no ua rau nws muaj peev xwm ua rau tus mob stroke stroke. Kev kho nrog pej xeem tshuaj nyob rau theem no yog tsis tsim nyog. Nws tsuas yog siv tom qab tus neeg mob tawm hauv tsev kho mob lawm. Tib neeg txoj kev kho mob ua tau zoo nyob rau theem rov qab. Yog tias koj xav tias ib qho hlab ntsha tawg, nws yuav tsum tau pib kho thaum thawj ob xuab moos tom qab tua. Nws yuav tsum paub ntau me ntsis ntawm cov kev txawv ntawm kev sib txawv ntawm tus cwj pwm hu ua ischemic thiab hemorrhagic.

Yog tias cov tsos mob ntawm tus kab mob no tshwm sim hauv kev qoj pob qij txha, piv txwv, qhov nqaim ntawm lub nkoj tau tshwm sim, tom qab ntawd nrog lub hemorrhage (hemorrhagic stroke) lawv tshwm sim sai sai thiab tam sim ntawd, vim hais tias Muaj ib qho kev txiav tawm ntawm cov ntshav ntawm ib qho ntawm lub hlwb.

Kev noj haus ntawm cov neeg mob ntshav qab zib

Thaum tu ib tus neeg mob uas tau mob ntshav qab zib lawm, ua ntej koj pib noj nws thawj zaug, koj yuav tsum paub tseeb tias cov nqos tau tsis tawg lawm. Rau qhov no, tus neeg mob yuav tsum tau nqos dej los ntawm rab diav, yog tias txhua yam zoo, ces mus txuas ntxiv pub zaub mov (kua txiv, kua txiv). Thawj thawj ob peb hnub tus neeg mob tsuas pub ua kua thiab tsuas muaj calorie ntau ntau. Khoom noj khoom haus yuav tsum muaj cov protein ntau thiab carbohydrates, lawv tsim nyog rau tus neeg mob kom muaj zog thiab rov qab.

Feem ntau, nrog lub yeej ntawm qee qhov ntawm lub hlwb hauv cov neeg mob tej zaum yuav tsis muaj qab los noj mov. Lawv yuav tsum tau pub, tab sis, ces qhov feem ntau yog txiav, thiab cov naj npawb ntawm kev pub noj yog nce. Nws yog ib qho tseem ceeb uas tus neeg mob yuav tsum tau noj zaub mov.

Yog tias tus neeg mob tsis nco qab lawm, ces qhov kev kho mob yuav tshwm sim nyob rau hauv pawg neeg kho mob. Kev pub cov neeg mob zoo li no tau ua rau hauv siab (ntawm txoj leeg).

Kev kho kev yooj yim

Thaum tus mob stroke kev kho mob siv yeeb tshuaj extends xwb nyob rau hauv lub tsev kho mob. Cov neeg mob zoo li no tau pw hauv tsev kho mob. Cov kev kho mob tseem ceeb yog tus kws kho mob sau rau tus neeg mob tsis hais tus mob ntshav siab li cas los xij.

• Cov kev kho mob no yog npaj rau kev coj cev nqaij daim tawv cov metabolism. Rau lub hom phiaj no, cov nyiaj "Cerebrolysin", "Piracetam" yog raug sau tseg.
• Dej ntsuas ntsev yog tswj los ntawm "Disol", "Ringer's solution" thiab potassium chloride.
• Kev kho mob yuav tsum tau ua raws li kev ua haujlwm ntawm lub cev ntawm lub plab hnyuv siab raum: normalization ntawm kev ua pa thiab kev siab ntsws, thiab kev txhawb zog ntawm kev mob plawv (myocardial contractility).
• Yog tias muaj kub taub hau hauv tus neeg mob uas muaj tus mob stroke, kev kho mob (tshuaj antipyretic) yog los tiv thaiv kev mob hyperthermia. Rau cov hom phiaj yuav siv tau lytic mix (analgin, diphenhydramine, papaverine).
• Yuav kom txo tau qhov siab ntawm lub hlwb thiab tiv thaiv kev puas hlwb, Lasik thiab Mannit tshuaj siv, lawv pab tshem tawm cov kua ntau dhau ntawm lub cev.
• Kev Npaj "Kev Xeeb Tawm" thiab "Reopoliglyukin" raug tsa los txhim kho cov kua qaub ntawm cov ntshav hauv cov hlab ntsha ntawm lub hlwb.
• Npaj-cov tshuaj tua kab mob ("Actovegin", "Hypoxenum") yog cov kws kho mob ua rau sib ntaus sib tua ntawm lub hlwb.

Txawv txawv txoj kev kho

Kev sib txawv ntawm txoj kev kho yog kwv yees nyob ntawm hom mob stroke. Hauv kev khaus qis, ntxiv rau cov kev kho mob yooj yim, thaum lub sijhawm thawj zaug (2-6 teev) kev kho mob los ntawm kev tiv thaiv kev tuag ntawm lub paj hlwb, qhov chaw uas nyob ib ncig ntawm qhov chaw lesion (necrosis). Ua li no, siv:

• Fibrinolytics;
• Neuroprotectors;
• Heparin kho;
• Anticoagulants.

Nrog rau lub plab hnyuv ncaug, tus neeg mob yuav tsum ua raws li kev pw so kom nruj rau 21 hnub. Koj tuaj yeem tsis tau sawv thiab taug kev, tab sis kuj zaum hauv txaj thiab txawm tig rau koj tus kheej. Nws yog ib qho tsim nyog yuav tau tshem tawm cov kev nruj, txawm nrog defecation los yog hnoos, rau lub ntsiab lus no yog lam tau lam ua thiab, yog tias tsim nyog, cov tshuaj tiv thaiv yuav tsum tau sau kom tas. Los txo kom txhob muaj kev puas siab ntsws, siv sodium oxybutyrate lossis "Seduxen". Yuav kom nce ntshav cov coagulability thiab tiv thaiv kom ntxiv los ntshav, aminocaproic acid yog cov tshuaj. Txhawm rau tshem tawm DIC-syndrome, cov tshuaj enzymatic "Trasilol", "Gordoks", "Kontrikal" yog siv.

Ntxiv nrog rau kev siv yeeb tshuaj rau kev kho mob hemorrhagic, feem ntau kev siv phais mob yog siv.

Tso kev kho mob rau kev kho mob stroke

Nws yuav tsum nco ntsoov tias tus kab mob no loj heev - yog mob stroke, kev kho nrog pej xeem tshuaj tuaj yeem tsuas yog ib qho ntxiv rau txoj kev kho tshuaj tseem ceeb. Yog li, piv txwv li, txawm tias qee cov kws kho mob hais tias zom zom cov quav hniav yuav pab rov qab kho cov ntshav tom qab qog nqaij hlav qaum, mob qa. Thaum ntau cov nqaij ntshiv ntawm lub taub hau ua haujlwm thiab, vim li ntawd, nws pab tau cov ntshav txaus rau lub hlwb.

Yog tias muaj kev mob hlab ntsha tawg tawg, kev kho mob rau cov pej xeem muaj txiaj ntsig los pab rau cov hauv paus muaj ntau yam khoom noj uas siv cov conifers.

Ntoo thuv cones nyob rau hauv sib ntaus tawm tsam cov teebmeem ntawm stroke nyob ib tug tsim nyog qhov chaw. Lawv muaj ntau yam khoom siv: phytoncides, vitamins, thiab tseem ceeb tshaj - cov tannins, lawv tshwj xeeb zoo, uas yog ua tau los tiv thaiv kev puas tsuaj rau hlwb hlwb. Tom qab mob hlab ntsha tawg tawg, kev tuag ntawm lub hlwb tseem yog vim muaj teebmeem ntawm PRAG rau lawv. Tannins pom nyob rau hauv Pine cones. Muaj peev xwm ua rau qhov no enzyme thiab thaiv nws, yog li, cell tuag yog significantly txo.

Daim ntawv qhia nws tus kheej yog qhov yooj yim heev. Siv 5 Pine cones, yaug lawv thiab ncuav 200 ml ntawm kev kho mob cawv. Muab tshuaj rau hauv qhov chaw tsaus rau 14 hnub. Siv 1 teaspoon nrog ib tug sov so haus dej haus 1 lub sij hawm ib hnub tom qab noj mov.

Yuav rov qab los tom qab mob stroke, pej xeem tshuaj pom zoo kom ob peb khoom siv siv ntoo thuv:

• Sau 1 liter ntawm koob thiab ncuav nws nrog 3 liv ntawm dej kub, boil rau 15 feeb. Tshuaj yej rau kev rov qab los yog npaj txhij. Nws yog pom zoo kom haus nws thaum koj xav, tab sis nrog ib tug txiv qaub, koj muaj peev xwm ntxiv zib mu.
• Ib daim ntawv qhia zoo sib xws nrog kev siv ntawm Pine koob yog tseem npaj yooj yim. Ib tug loj puav ntawm koob yog poured rau hauv lub thermos thiab poured rau hauv ib liter ntawm boiling dej. Nruab ib hnub, tom qab uas nws yog ib qhov tsim nyog los ntxiv tws slices ntawm txiv qaub thiab mus ntxiv rau lwm 2 xuab moos. Cov tshuaj yog npaj. Koj muaj peev xwm haus nws txhua sij hawm, koj muaj peev xwm nrog zib mu.

Ntau tus neeg mob uas tau raug mob stroke, kho tom tsev tseem tuaj tom qab tso tawm hauv tsev kho mob. Cov pej xeem cov kev siv siv txiv qaub rau cov hom phiaj no kuj paub dav heev. Qhov no yog to taub, vim hais tias ib tug txiv qaub yog ib qho antioxidant. Cov tshuaj muaj nyob hauv nws cov lus muaj peev xwm dilute cov ntshav, uas tiv thaiv qhov tsim ntawm cov ntshav txhaws. Cov khoom ntawm txiv qaub yog siv nyob rau hauv restorative kev kho mob rau cov neeg mob uas muaj tus mob stroke. Kev kho nrog pej xeem tshuaj, uas muaj xws li ib tug txiv qaub, kuj zoo kawg nkaus stimulates kev tiv thaiv. Qhov no txhawb cov kev mob ntawm kev rov qab kho kom zoo rau cov neeg mob uas muaj tus kab mob thiab tsis muaj peev xwm ua haujlwm los ntawm txoj kev tiv thaiv kab mob rov ua dua.

Npaj cov tshuaj kom zoo zoo txaus thiab tau qaug txiv qaub kis tau los ntawm cov nqaij hauv pob zeb nrog rau ntawm daim tawv nqaij thiab sib tov nyob rau hauv arbitrary proportions nrog zib mu. Qhov cuab yeej no yuav muab ntxiv rau cov tshuaj yej ntawm txhua tus neeg sab nrauv los yog tsuas yog kis nws ntawm nyias loaf. Nws yog ntshaw tias lub txiv qaub yuav nrog ib daim tawv nyias.

Stroke. Kev Kho Mob Hauv Tsev

Tom qab tawm hauv tsev kho mob, tus neeg mob cov txheeb ze pom lawv tus kheej nyob rau hauv qhov teeb meem. Kuv tuaj yeem pab tau kuv tus neeg tau hlub rov qab zoo tom qab mob nkeeg? Ua ntej tshaj, koj yuav tsum tau nyob twj ywm thiab muaj siab ntev. Txoj kev ua kom rov qab yuav tsis ntev.

Cov txheeb ze ua thawj pab rau cov neeg mob uas tau raug mob stroke. Kev kho mob hauv tsev nrog kev tu xyuas zoo nws ua tiav. Thaum tu cov neeg mob uas muaj kev tsis taus lub cev ua haujlwm, cov txheeb ze pab lawv kawm paub taug kev li cas. Nws yuav tsum raug coj mus rau hauv tus account tias nws yog ib qhov tsim nyog los txhawb cov neeg mob xws li sab nraud ntawm lub cev, i.e. Yog hais tias tuag tes tuag taw los yog lub plab ntawm tus neeg mob ntawm sab xis, ces kev txhawb nqa yog nqa tawm muaj, thiab lwm yam.

Xaus

Nrog rau kev kuaj mob ntawm kev qoj qaum hauv ischemic, pej xeem cov tshuaj, yog raug xaiv nrog cov tshuaj thiab kev kho kom zoo, yuav pab tau cov neeg mob rov qab sai sai thiab rov qab mus rau tag nrho lub neej. Mob stroke tsis yog qhov kev txiav txim. Nws yog ib qho tseem ceeb uas tus neeg mob tsis pom nws tus kheej nrog nws tus mob ib leeg. Kev txhawb nqa rau cov uas nyob ze rau nws yog qhov tseem ceeb heev.