Txhua tus neeg thib ob hauv ntiaj teb paub zoo tias mob stroke yog ib yam kab mob txaus ntshai. Tab sis feem ntau ntawm cov neeg mob thiab kws kho mob koj tuaj yeem pom lwm lo lus - microstroke, tab sis ob peb tus neeg paub tias nws txhais li cas. Yuav ua li cas paub txog cov tsos mob ntawm tus kab mob microstroke, dab tsi ua rau nws tsim, yuav tsum tau kho thiab tiv thaiv dab tsi?
microstroke yog dab tsi?
Microstroke yog ib qho necrosis ntawm cov ntaub so ntswg ntawm lub hlwb, provoked los ntawm muaj cov ntshav txhaws los yog qhov tob tob ntawm cov hlab ntsha me. Nws yog feem ntau tsis meej pem nrog ib ntus ischemic nres, thaum noj zaub mov ntawm lub hlwb hlwb deteriorates, uas ua rau cov tsos mob ib ntus ntawm cov tsos mob ntawm neurological mob hlwb. Tab sis qhov kev tawm tsam yog cov txheej txheem thim rov qab, thiab nws yeej tsis ua rau necrosis. Nws lub sijhawm tuaj yeem yog ob peb feeb lossis ib hnub. Nrog rau microstroke, cov kev hloov necrotic tsawg tsawg, tab sis lawv muaj nyob, thiab tsis muaj cov txheej txheem rov qab, txawm tias tom qab kho tus neeg mob tuaj yeem yooj yim them rov qab thiab rov zoo.
Rau ntau dua, qhov kev tawm tsam ischemic tshwm sim vim muaj cov ntshav txhaws, uas ua rau muaj kev txwv ib ntus hauv cov ntshav ncig hauv qee thaj tsam ntawm lub hlwb, tab sis, raws li txoj cai, nkaus xwbcov nkoj me. Tom qab cov ntshav ntws rov qab mus rau qhov qub, cov tsos mob thiab cov tsos mob ntawm microstroke, uas yog tus neeg mob tus mob, ploj mus. Mob stroke tiag tiag cuam tshuam rau lub nkoj lossis ob peb ntawm lawv, thiab lawv tseem raug thaiv.
Qhov tseeb, mob stroke thiab microstroke yog tib yam, tab sis tsuas yog tom kawg nkaus xwb, kev puas tsuaj rau cov hlab ntsha me ntawm lub hlwb tsis tshua pom, yog li rov qab sai dua.
A microstroke yog insidious nyob rau hauv uas ib tug neeg tej zaum yuav tsis txawm pom muaj dab tsi tshwm sim nyob rau hauv nws lub cev, thiab qhov no yog thawj lub teeb liab ceeb toom tias mob stroke yuav tshwm sim sai heev.
Koj tuaj yeem kuaj pom thawj cov tsos mob ntawm tus kab mob microstroke thaum kuaj tom qab tuag.
Type of pathology
Nyob ntawm cov txheej txheem pathogenetic, cov kws kho mob faib cov microstroke ua ob hom loj:
- Ischemic, nws yog raws li vasospasm lossis thrombosis, uas thaum kawg ua rau tsis muaj zaub mov ntawm lub hlwb cov ntaub so ntswg thiab provokes cell tuag.
- Hemorrhagic. Nws tshwm sim nyob rau lub sijhawm thaum cov hlab ntsha ntawm lub hlwb tawg, uas ua rau hemorrhage nyob rau hauv intercellular qhov chaw thiab compression ntawm cov ntaub so ntswg nyob ze.
Leej twg txaus ntshai?
Ua ntej yuav kho nrog kev kho mob, cov tsos mob thiab cov tsos mob ntawm micro stroke, nws yog ib qho tsim nyog yuav tsum paub tias cov neeg twg muaj kev pheej hmoo ntau dua. Paub txog cov tsos mob thiab paub qhov txawv ntawm tus kab mob los ntawm lwm yam kab mob yog qhov yooj yim heev, yog tias tsuas yog koj paub tias tus neeg mob koom nrog pawg uas muaj kev pheej hmoo siab. Ntau zausmicrostrokes tshwm sim nyob rau hauv ib nrab zoo nkauj ntawm tib neeg, nyob rau nruab nrab 8% ntau tshaj li cov txiv neej. Cov nkoj tau cuam tshuam ntau dua hauv cov pab pawg no:
- cov neeg muaj keeb kwm ntawm ntshav siab, angina thiab ntshav siab txawv txav;
- tus neeg mob uas muaj cov txheeb ze uas muaj mob stroke lossis mob stroke;
- tus neeg mob nrog thrombotic abnormalities;
- cov neeg mob ntshav qab zib muaj kev hloov pauv ntawm cov ntshav qab zib ntau zaus;
- cov neeg mob hnyav uas tsis tswj lawv cov zaub mov;
- cov neeg muaj ntshav tsis txaus hauv lub hlwb, suav nrog cov neeg muaj qhov txawv txav hauv lub cev, uas tau muaj teeb meem kub siab, ischemic stroke;
- duab neeg phem.
Qee zaum, kev hloov pauv ntawm cov ntshav siab tuaj yeem ua rau cov tsos mob ntawm microstroke.
Cas thiab predisposing yam ntawm pathology
Qhov laj thawj thiab kev pheej hmoo tsis txawv ntawm tus mob stroke tiag tiag. Kev mob nkeeg tuaj yeem tshwm sim los ntawm:
- Atherosclerotic vascular txhab. Atherosclerosis yog ib yam kab mob, yog tias tus neeg mob raug mob los ntawm kab mob plawv, ces nws yuav muaj cov roj cholesterol nyob hauv cov hlab ntsha ntawm lub hlwb.
- Hypertension and nquag hypertensive crises.
- Kab mob ntawm cov hlab plawv (mob plawv tsis xws luag, atrial fibrillation, myocarditis, arrhythmia, blockade thiab lwm yam).
- Squeezing cov hlab ntsha ntawm sab nraud:qog nqaij hlav, hernia ntawm lub ncauj tsev menyuam nqaj qaum, kev phais ntawm cov hlab ntsha, aneurysms, vasospasm.
- Kab mob ntawm cov hlab ntsha ntawm lub hlwb, kis kab mob lossis kab mob autoimmune.
- Kev mob tshwm sim ntawm lub hlwb channel.
Muaj kev pheej hmoo: tshuaj tiv thaiv kab mob, nquag mob migraine, haus luam yeeb, kab mob hauv ntshav, varicose leeg, rog dhau.
Ib yam ua rau cov tsos mob ntawm mob stroke thiab microstroke yog kub siab. Txhua tus neeg uas xav tiv thaiv kev loj hlob ntawm tus kab mob yuav tsum paub qhov ua rau kev loj hlob ntawm tus kab mob.
thawj cov tsos mob ntawm microstroke
thawj cov cim qhia txawv ntawm ntau yam, txhua yam nyob ntawm qhov chaw ntawm qhov chaw ntawm cov hlab ntsha ntawm cov hlab ntsha, nrog rau cov txheej txheem ntawm kev loj hlob ntawm cov kab mob: thrombus, spasm, compression, circulatory tsis ua hauj lwm. Qee zaum, ib tus neeg yuav tsis xav tias nws muaj microstroke. Cov tsos mob tuaj yeem ua rau tsis meej pem nrog lwm yam mob, xws li kiv taub hau thiab mob, loog thiab tingling ntawm caj npab, qhov muag tsis pom kev, cov leeg tsis muaj zog.
Tab sis ntau zaus tshaj tsis tau, kev ua txhaum cai loj hlob sai heev uas tsis tuaj yeem pom lawv. Lawv tau hais thiab zoo ib yam li cov tsos mob ntawm tus mob stroke tiag tiag:
- qhov loog loog ntawm txhua qhov ntawm lub cev, feem ntau yog cov ceg, qhov xav tau nkag;
- ntse tsis muaj zog hauv cov leeg ntawm ob txhais ceg lossis caj npab;
- tsis hnov tsw ntawm qee qhov ntawm lub cev;
- mob taub hau, ntshav siab, kiv taub hau;
- sudden tsis pom kev;
- dab kaum ntawm lub qhov ncauj, luag tsis tau;
- kev hais lus tsis meej;
- ntuav, xeev siab, ntuav, tsis meej pem.
Yog tias tsawg kawg ib qho ntawm cov tsos mob ntawm tus kab mob microstroke tau piav qhia saum toj no pom muaj nyob hauv cov poj niam (xws li txiv neej), ces nws yog qhov ceev kom nrhiav kev pab tsim nyog. Tom qab tag nrho, tag nrho cov cim no tuaj yeem ua pov thawj ntawm ob qho tib si mob stroke thiab microstroke.
Cov tsos mob tseem ceeb ntawm tus kab mob
Thawj cov tsos mob ntawm microstroke thiab mob stroke hauv cov poj niam thiab cov txiv neej zoo sib xws, yog li, yog tias cov kab mob tau piav qhia hauv qab no tshwm sim, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd thiab, yog tias ua tau, coj txoj hauj lwm dag, tsa koj lub taub hau me ntsis, Muab ib daim phuam txias tso rau ntawm koj lub hauv pliaj thiab cia huab cua ntshiab ntxiv rau hauv chav. Cov yam ntxwv tseem ceeb suav nrog:
- mob ntawm lub ntsej muag, ob txhais ceg thiab caj npab;
- ntse mob taub hau thiab kiv taub hau;
- nce ntshav siab;
- kev sib cav;
- tshwj xeeb rau lub suab nrov thiab lub teeb ci.
Ntxiv mus, tej zaum yuav muaj lwm yam tsos mob ntawm tus kab mob microstroke hauv txiv neej thiab poj niam:
- kev qaug zog, tsaug zog, stupor;
- momentary tsis nco qab, tab sis tsis tas;
- kev tsis pom kev ib ntus;
- teeb meem nrog kev hais lus thiab nkag siab qhov tshwm sim nyob ib puag ncig.
Yog tias tsuas yog qee qhov piav qhia tshwm sim, koj yuav tsum hu rau tus kws kho mob.
Microstrokes tsis mus unnoticed: ob peb txawm me ntsis kev cuam tshuam nyob rau hauv cov ntshav khiav ntawm lub paj hlwb tuaj yeem ua rau muaj kev nyuaj siab ntawm kev txawj ntse mus txog rau dementia.
Yuav ua li cas pom cov cim qhia tias mob stroke hauv tsev?
Nws yog ib qho tseem ceeb heev thaum tus neeg muaj peev xwm txiav txim siab nyob hauv tsev tias tus neeg hlub muaj thawj cov tsos mob thiab thawj cov tsos mob ntawm microstroke. Rau cov txiv neej thiab poj niam, kev kuaj mob yuav tsum tau ua nyob rau hauv tsev, rau qhov no nws yog ib qho tsim nyog yuav tau ua cov kev ntsuam xyuas hauv qab no:
- Smile. Yog tias koj hais kom tus neeg mob luag ntxhi, ces qhov asymmetry ntawm lub qhov ncauj yog qhov pom tau - ib qho ntawm cov ces kaum ntawm daim di ncauj yuav qis dua.
- hais lus. Tus neeg mob yuav tsum tau hais ob peb nqe lus, piv txwv li, qhia ib lo lus pov thawj los yog hais, nws yuav hais maj mam thiab indistinctly.
- Txoj kev. Tus neeg mob yuav tsum tau hais kom tsa lawv txhais tes lossis ob txhais ceg. Yog tias muaj cov kab mob hauv lub hlwb, ib qho ntawm cov ceg ceg yuav poob qab los yog yuav tsis mloog tus tswv kiag li.
Cov kev sim yooj yim no tuaj yeem cawm tib neeg txoj sia, vim nws yog thawj feeb tom qab microstroke uas tseem ceeb.
Txoj kev kuaj mob
Kev mob ntshav qab zib hauv lub hlwb tshwm sim sai heev uas qee zaum tus kws kho mob tsuas tsis muaj sijhawm los tshuaj xyuas tus neeg mob, vim li no qhov kev kuaj mob tau ua rov qab, raws li tus neeg mob cov lus nug. Tab sis qee qhov kev ntsuam xyuas tseem pom zoo kom ua tiav txawm tias tom qab qhov kev tawm tsam dhau lawm. Ntau yam nyob ntawm qhov chaw ntawm cov hlab ntsha thiab cov hlab ntsha tau cuam tshuam. Yog li, piv txwv li, yog tias feem ntau ntawm cov kab mob yog nyob rau hauv lub phiab ntawm lub vertebralcov hlab ntsha, nws raug pom zoo kom mus kawm xws li:
- MRI;
- CT ntawm cov hlab ntsha nrog tus neeg sawv cev sib txawv;
- X-ray ntawm lub ncauj tsev menyuam;
- CT ntawm lub hlwb tag nrho.
Txhua cov txheej txheem no tso cai rau peb txhawm rau kuaj xyuas tus kabmob microstroke. Txawm hais tias qhov kev tawm tsam tau dhau los lossis tsis dhau, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas yam tsis muaj kev poob. Qhov no yog qhov tseem ceeb txhawm rau txhawm rau kuaj xyuas kom raug, tshawb pom qhov ua rau muaj tus mob zoo li no, sau ntawv kho kom raug thiab tiv thaiv tus neeg mob los ntawm qhov tsis zoo.
Txoj kev kho mob: cov cai yooj yim
Thaum thawj cov tsos mob ntawm tus kab mob microstroke hauv cov txiv neej tau dhau mus, nws yog ib qho tseem ceeb uas yuav tau ua txhua yam ua tau los kho cov ntshav ncig hauv kev tsom xam ntawm hemorrhage thiab normalize tag nrho lub hlwb ua haujlwm. Txhawm rau pab daws qhov teeb meem no, cov tshuaj hauv qab no yuav pab tau:
- "Instenon" lossis "Pentoxifylline", uas pab nthuav cov lumen ntawm cov hlab ntsha.
- Tsis tas li, koj tsis tuaj yeem ua yam tsis muaj cov tshuaj tiv thaiv kab mob: "Aspirin Cardio", "Ticlopidine", "Dipyridamole".
- "Piracetam" lossis "Cinnarizine" yuav tsum tau txhawm rau txhawm rau txhim kho kev xav thiab nco.
- Koj tsis tuaj yeem ua yam tsis muaj angioprotectors, xws li Nimodipine lossis Bilobil.
- Tus neeg mob tseem yuav xav tau cov tshuaj metabolic: Actovegin thiab Mexidol.
Tom qab ntawd, tus kws kho mob pom zoo ua pa ua pa, zaws, kho mobPhysiotherapy thiab Physiotherapy. Nws tseem yog ib qho tseem ceeb uas yuav tsum tau saib xyuas tas li los ntawm tus kws kho mob tshwj xeeb, ua ke nrog kev so thiab kev ua haujlwm, kev ua kom lub cev muaj zog, noj zaub mov kom zoo, tsis txhob haus cawv thiab haus luam yeeb. Lwm txoj hauv kev kho mob yuav tsis ua rau muaj kev phom sij, xws li tshuaj ntsuab.
tshuaj ntsuab kho mob microstroke
Thaum qhov kev tawm tsam dhau lawm, thiab thawj cov tsos mob ntawm tus kab mob microstroke hauv cov poj niam (lossis txiv neej) tau dhau los ua cov lus tsis txaus ntseeg, koj tuaj yeem pib ua kom lub cev muaj zog, rov ua kom lub zog thiab ua rau muaj kev pheej hmoo nrog cov tshuaj pej xeem. Bay nplooj ntoos, marin cag thiab mummy pab tau ntau.
Rau kev kho mob ntawm Mary cag, ib tug tincture yog npaj, rau qhov no koj yuav tsum tau noj ib pinch ntawm raw cov ntaub ntawv thiab ncuav ib khob ntawm boiling dej. Noj peb zaug hauv ib hnub, 1/4 khob ua ntej noj mov.
Muab ib daim me me ntawm mummy rau hauv ib diav ntawm dej thiab haus. Qhov koob tshuaj me me no tuaj yeem kho lub cev tom qab microstroke.
Cov roj tshwj xeeb kho tau zoo heev nrog cov tsos mob ntawm microstroke hauv cov poj niam. Thiab lawv npaj nws zoo li no: ua tib zoo zuaj cov nplooj nplooj, ncuav nrog unrefined zaub roj thiab insist rau 7 hnub nyob rau hauv ib qho chaw tsaus. Tom qab ntawd, nws yog ib qho tsim nyog los lubricate qhov chaw cuam tshuam los ntawm microstroke.
Sage, mistletoe dawb thiab Japanese Sophora yog siv rau kev rov qab sai thiab zoo. Nws yog cov nroj tsuag no uas pab tib neeg rov qab mus rau lawv qhov kev kawm dhau los thiab ua lub neej tag nrho. Cov tshuaj ib txwm siv yuav ua rau muaj txiaj ntsig zoo yog tias ob chav kawm tau ua tiav, thiab muaj kev sib cais ntawm lawv. Koj tuaj yeem npaj kho decoctions zoo li no:
- Sophora thiab mistletoe sib tov sib npaug thiab ncuav ob khob ntawm vodka. Lub resulting sib tov yog nyob rau hauv ib qho chaw tsaus rau 30 hnub, co qee zaus. Tom qab ib lub hlis ntawm infusion, cov tshuaj yog noj 1 khob qab zib ob zaug ib hnub twg rau 24 hnub. Koj yuav tsum tau so ib nrab ib hlis, thiab rov qab kawm dua.
- Nws yog ib qho tsim nyog los kho thawj cov tsos mob thiab cov cim qhia ntawm microstroke hauv tsev nrog kev kho dua tshiab ntawm kev hais lus, rau qhov no lawv noj tincture ntawm sage. Txhawm rau npaj nws, coj cov nplooj ntawm cov tshuaj thiab ncuav ib khob ntawm boiling dej, coj mus rau ib tug boil. Haus cov decoction rau ib hlis hauv me me thaum sawv ntxov.
Thaum kev kho tus neeg mob nrog microstroke, nws yog ib qho tsim nyog los tiv thaiv nws hauv txhua txoj hauv kev los ntawm cov xwm txheej ntxhov siab, lub siab hloov pauv thiab ntxhov siab.
Qhov tshwm sim rau tus neeg mob tom qab microstroke yog dab tsi?
Ntau zaus tom qab ua txhaum ntawm cov ntshav ncig hauv lub hlwb, cov txiaj ntsig tau pom:
- memory deteriorates;
- txo qhov concentration ntau;
- tus neeg mob yuav cuam tshuam;
- chim siab nce;
- mob nyuaj siab;
- kua muag los yog qhov sib txawv, kev ua phem.
Ntau zaus, cov neeg mob ntsib ib qho mob stroke lossis hemorrhagic mob stroke hauv peb hnub tom qab qhov taw qhia effusion.
Yuav tiv thaiv microstroke li cas?
Yog kojmuaj kev pheej hmoo, ces koj yuav tsum xav txog yuav ua li cas tiv thaiv koj tus kheej los ntawm microstroke. Txhawm rau ua qhov no, nws raug nquahu kom ua raws li cov cai hauv qab no:
- ntsuas ntshav siab tsis tu ncua.
- Nws raug nquahu kom muaj ib qho chaw tshwj xeeb uas sau cov ntsuas thaum sawv ntxov thiab yav tsaus ntuj.
- Ua tiav cov zaub mov, sim cais tawm ntawm nws tag nrho cov rog, haus luam yeeb thiab ntsev. Nws yog kev noj zaub mov tsis muaj ntsev uas pab txo cov ntshav siab. Ntxiv cov txiv hmab txiv ntoo tshiab, zaub, ntses thiab taum rau koj noj.
- Tsis haus cawv lossis haus luam yeeb.
- Yuav tsum kawm paub npaj ua haujlwm thiab so kom zoo.
- Ua raws li koj txoj kev noj qab haus huv, mus ntsib koj tus kws kho mob tsis tu ncua.
Microstroke yog ib yam kab mob loj thiab txaus ntshai uas cuam tshuam rau lub hlwb, thiab nws yog lub luag haujlwm rau tag nrho cov kab mob. Nws yog ib qho tsim nyog yuav tau kho tus kab mob tam sim ntawd thiab nco ntsoov ua raws li tag nrho cov kws kho mob cov lus pom zoo, tsuas yog qhov teeb meem no tuaj yeem zam tau.
