Ntau tus neeg nug dab tsi yog mob stroke thiab dab tsi yog qhov tshwm sim tom qab nws. Kab lus no yuav txheeb xyuas qhov tseem ceeb ua rau mob stroke thiab qhov tshwm sim.
ONMK - nws yog dab tsi
Ntau tus neeg uas tsis muaj dab tsi ua tshuaj tej zaum tsis paub tias mob stroke yog dab tsi. Yog li, ib qho mob circulatory tsis meej nyob rau hauv lub hlwb yog mob stroke, uas ua rau puas thiab tuag ntawm lub hlwb hlwb. Qhov ua rau ntawm tus kab mob no yog tsim cov ntshav txhaws nyob rau hauv cov hlab ntsha ntawm lub paj hlwb los yog rupture ntawm ib co hlab ntsha, uas ua rau cov neeg tuag ntawm ib tug lossis loj tus naj npawb ntawm paj hlwb thiab cov ntshav. Raws li kev txheeb cais, nws yog mob stroke uas yog thawj qhov chaw ntawm cov kab mob uas ua rau tib neeg tuag. Txhua xyoo, thoob ntiaj teb, raws li tsoomfwv cov ntaub ntawv sau npe, 14 feem pua ntawm cov tib neeg tuag los ntawm tus kab mob no, nrog rau 16 los ntawm lwm hom kab mob ntawm cov hlab ntshav.
Yog vim li cas qhov mob stroke tuaj yeem tshwm sim
Yuav kom tiv thaiv qhov tshwm sim ntawm tus kab mob no, nws yuav tsum tau ua tib zoo saib xyuas koj txoj kev ua neej txij li thaum ntxov. Piv txwv li, kev ua haujlwm ruaj khovKev ua kis las tuaj yeem txo qhov ua tau ntawm CVA. Nws yog dab tsi, koj twb paub lawm, qee qhov ua rau tus kab mob no yuav raug txiav txim siab ntxiv.
Raws li txoj cai, tus kab mob no tsis tuaj sai sai, feem ntau qhov kev kuaj mob stroke tuaj yeem tsim los ntawm qee yam kab mob. Feem ntau tus mob no tuaj yeem tshwm sim los ntawm:
- mob ntshav siab;
- rog yog qhov ua rau ntau tshaj plaws uas tau tshaj tawm los ntawm tsoomfwv CVA npe;
- mob ntshav qab zib;
- mob plawv;
- cawv thiab haus luam yeeb;
- ntau yam tshuaj;
- siab hemoglobin;
- raws li tsoomfwv cov ntawv sau npe mob stroke, lwm qhov laj thawj yog hnub nyoog;
- mob hlwb raug mob;
- caj ces predisposition thiab lwm yam.
cov cholesterol
Tam sim no nws paub meej tias mob stroke yog dab tsi. Cov no yog qhov tshwm sim ntawm txoj kev tsis ncaj ncees ntawm lub neej. Yog li ntawd, nws tseem ceeb heev uas yuav tsum tau saib xyuas koj tus mob thiab lub cev.
Ischemic stroke
Ischemic stroke yog ib qho mob stroke uas tshwm sim los ntawm kev puas tsuaj rau lub hlwb thiab cov ntshav ntws tsis zoo rau ib lossis lwm qhov ntawm nws lub chaw haujlwm.
Feem ntau ntawm cov neeg mob uas muaj ischemic stroke muaj cov kab mob dav dav ntawm cov hlab plawv. Cov kab mob no kuj muaj xws li arteriosclerosis, kab mob plawv (arrhythmia, kab mob rheumatic), ntshav qab zib mellitus.
Hom mob stroke no yog qhov ua tau zoo thiab nquag tshwm sim ntawm qhov mobkev hnov qab, qhov tshwm sim ntawm qhov uas yog qhov tsis zoo ntawm cov ntshav ncig hauv lub paj hlwb cortex. Raws li txoj cai, qhov kev tawm tsam no tuaj yeem ua rau lawv tus kheej hnov ntau zaus hauv ib teev thiab kav ntev li 24 teev.
CVA suav nrog hauv kev faib tawm thoob ntiaj teb ntawm cov kab mob ntawm 10 kev hloov kho
CVA codes (ICD 10):
- I63.0. Tib neeg cerebral infarction los ntawm thrombosis ntawm cov hlab ntsha precerebral.
- I63.1. Tib neeg lub hlwb infarction tom qab embolism ntawm cov hlab ntsha precerebral.
- I63.2. Cerebral infarction raws li qhov tshwm sim ntawm stenosis ntawm precerebral ntshav hlab ntsha los yog unrefined blockage ntawm cerebral hlab ntsha.
- I63.3. CVA raws li qhov tshwm sim ntawm thrombosis ntawm cov hlab ntsha ntawm lub hlwb.
- I63.4. CVA vim cerebral embolism.
- I63.5. CVA raws li qhov tshwm sim ntawm stenosis ntawm cov hlab ntsha los yog lawv cov blockage unrefined.
- I63.6. Non-pyogenic cerebral infarction raws li qhov tshwm sim ntawm cerebral ntshav vein thrombosis.
- I63.8. Cerebral infarction rau lwm yam laj thawj.
- I63.9. Unrefined stroke.
- I64.0. Ib qho mob stroke uas tsis paub meej uas tshwm sim nws tus kheej li ntshav los yog lub plawv nres.
CVA codes (ICD 10) tso cai rau cov kws kho mob sai sai tsim cov kev faib tawm ntawm tus kab mob, qhov tseeb ntawm qhov tshwm sim thiab txiav txim siab txog kev kho mob tsim nyog. Yog li ntawd, qhov kev faib tawm no yog cov cuab yeej tseem ceeb ntawm tus kws kho mob txhais tes, uas tso cai rau koj kom txuag tau txoj sia ntawm ib tus neeg.
Ua rau ischemic stroke CVA
Qhov laj thawj tseem ceeb rau kev tshwm sim ntawm mob stroke yog ischemichom yog qhov txo qis hauv cov ntshav mus rau lub hlwb. Feem ntau, qhov no yog vim li cas qhov ua rau tuag ntawm ib tug neeg dhau los ua mob stroke.
Yog li, peb pom cov yam ntxwv ntawm ischemic stroke, nws yog dab tsi thiab nws cov tsos mob dab tsi.
Qhov no feem ntau yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha ntawm lub caj dab thiab qee cov hlab ntsha ntawm lub hlwb nyob rau hauv daim ntawv ntawm occlusive lesions thiab stenosis.
Cia peb tshawb nrhiav qhov laj thawj tseem ceeb ntawm nws qhov tshwm sim. Cov yam tseem ceeb uas tuaj yeem cuam tshuam qhov txo qis hauv cov ntshav muaj xws li hauv qab no:
1. Occlusions thiab stenoses ntawm cov hlab ntsha tseem ceeb ntawm lub hlwb thiab cov hlab ntsha ntawm caj dab.
2. Thrombotic deposits ntawm qhov chaw ntawm atherosclerotic plaque.
3. Cardiogenic embolism, uas tshwm sim thaum muaj cov khoom siv dag zog hauv tib neeg lub siab.
4. Dissection ntawm cov hlab ntsha loj ntawm lub ncauj tsev menyuam.
5. Hyalinosis ntawm cov hlab ntsha me, raws li qhov tshwm sim ntawm microangiopathy tsim, uas ua rau tsim cov lacunar infarction ntawm tib neeg lub hlwb.
6. Hemorheological hloov pauv hauv cov ntshav, uas tshwm sim nrog vasculitis, nrog rau coagulopathy.
Tsis tshua muaj, qhov ua rau tus kab mob no tuaj yeem raug mob sab nraud ntawm cov hlab ntsha carotid thiab ntau yam txheej txheem inflammatory uas tuaj yeem cuam tshuam cov ntshav ntws los ntawm cov hlab ntsha.
Tsis tas li, feem ntau, qhov ua rau mob hlab ntsha tawg ntawm lub hlwb tuaj yeem yog osteochondrosis ntawm lub ncauj tsev menyuam nqaj qaum, thaum lub sijhawm cov hlab ntsha yog pinched, uas tuaj yeem ua rautxo cov ntshav khiav. Cov neeg mob uas muaj osteochondrosis tas li pom zoo kom zaws lub ncauj tsev menyuam nqaj qaum thiab smear nws nrog ntau yam kev npaj ua kom sov uas tuaj yeem nthuav cov hlab ntsha thiab txhim kho cov ntshav.
CVA tsos mob
Cov tsos mob ntawm tus kab mob no tuaj yeem tshwm sim sai sai lossis nce zuj zus. Raws li txoj cai, cov tsos mob tseem ceeb ntawm tus kab mob no suav nrog kev hais lus thiab qhov muag tsis pom kev hauv tus neeg mob, ua txhaum ntawm ntau yam kev cuam tshuam, kev sib koom ua ke ntawm kev txav, mob taub hau, tsis txaus ntseeg, pw tsaug zog, suab nrov hauv lub taub hau, tsis nco qab, tuag tes tuag taw ntawm lub ntsej muag, tus nplaig, tsis muaj zog. kev hnov lus ntawm qee cov ceg, thiab lwm yam. tom ntej.
Nyob rau hauv mob cerebrovascular raug xwm txheej, cov kev tshwm sim hauv qab no yog cov yam ntxwv - mob hlab ntsha tawg, circulatory disorders hauv cerebral cortex thaum tsim cov ntshav txhaws hauv cov hlab ntsha thiab cov hlab ntsha loj ntawm lub taub hau, thiab lwm yam.
Nrog cov tsos mob ntawm mob cerebrovascular raug mob uas kav ntev tshaj li ib hnub, kuaj mob stroke. Thaum thawj theem ntawm tus kab mob no, mob taub hau hnyav, kiv taub hau, xeev siab, gag reflexes, thiab lwm yam tuaj yeem tshwm sim. Yog tias koj tsis ua tib zoo saib cov kev tshwm sim tam sim no, nws tuaj yeem ua rau tib neeg tuag.
Raws li kev sau npe ntawm cov neeg mob stroke, raws li kev txheeb cais, qhov laj thawj tseem ceeb ntawm cov tsos mob no tuaj yeem ua rau ntshav siab, uas tuaj yeem pom thaum lub cev muaj zog. Kev nce siab hauv cov ntshav siab tuaj yeem ua rau cov hlab ntsha hauv hlwb tawg,ua raws li hemorrhage thiab intracerebral hematoma.
Feem ntau, cov tsos mob saum toj no tshwm sim ua ntej ischemia. Raws li txoj cai, lawv tuaj yeem kav ntev li ob peb teev lossis ob peb feeb. Raws li txoj cai, nrog rau qhov tshwm sim ntawm mob stroke ntawm hom ischemic, cov tsos mob tas li ua kom nquag plias. Raws li cov kws tshaj lij, nrog rau qhov tshwm sim ntawm cov tsos mob no, cov neeg feem coob ntsib kev tsis sib haum xeeb, vim tias ib tus neeg poob siab, kev sib koom tes ntawm kev txav tsis zoo, yog li ntau tus neeg mob tsuas yog tsaug zog. Raws li kev txheeb cais, 75 feem pua ntawm ischemic plawv nres tshwm sim thaum pw tsaug zog.
Kev kuaj mob ntawm lub paj hlwb raug mob los ntawm hom ischemic
txhawm rau txheeb xyuas qhov teeb meem, nws yog qhov yuav tsum tau ua qhov kev kuaj mob thiab ntau yam kev tshawb fawb siv ICD system. Cov kws kho mob ACVA tuaj yeem kuaj tau tom qab cov txheej txheem hauv qab no:
- kuaj ntshav rau electrolytes, piam thaj, hemostasis, lipid spectrum, antiphospholipid antibodies.
- Electrocardiography ntawm ntshav siab hloov.
- Computed tomography ntawm cerebral cortex, raws li tau zoo raws li nws yuav muaj peev xwm mus ntes cov cuam tshuam qhov chaw ntawm lub paj hlwb thiab cov tshwm sim hematomas yam tsis muaj teeb meem.
- Cerebral angiography thiab lwm yam.
Kho mob cerebrovascular kev huam yuaj hauv hom ischemic
Qhov feem ntau ua rau tuag yog mob stroke. Yog li ntawd, kev kho mob yuav tsum tau ua raws li kev saib xyuas ntawm cov kws kho mob paub txog. Nrog tus kab mob no,Kev kho tom ntej:
- Txoj haujlwm tseem ceeb ntawm tib neeg lub cev. Tus neeg mob yuav tsum tau siv cov tshuaj antihypertensive nyob rau hauv rooj plaub thaum cov ntshav siab hauv lub cev yog 200 txog 120 hli. ua rt. Art. Kev siv cov tshuaj tiv thaiv coagulants kuj tau sau tseg (siv rau cov kab mob sib kis thiab siv rau lub sijhawm ntev tom qab kev ua haujlwm zoo), cov tshuaj vasoactive, tshuaj tiv thaiv kab mob, decongestants, neuroprotectors, thiab lwm yam..
- Ntau yam kev tawm dag zog tau tsim - cov chav kawm hais lus kho mob thiab ua pa ua pa.
- Qhov teeb meem ntawm thrombolysis tau raug txiav txim siab thaum tus neeg mob tau mus rau hauv lub tsev kho mob li ntawm 3-6 teev txij li pib muaj tus kabmob.
- kev tiv thaiv kab mob thib ob.
- Ntau yam kev kho mob tau ua thiab lwm yam.
Raws li txoj cai, cov ntsiab lus tseem ceeb ntawm kev kho mob tsuas yog sau los ntawm tus kws kho mob uas yuav paub ntau ntxiv txog tus kab mob ntawm tus neeg raug tsim txom.
Yog tias muaj kev xav tias muaj kev ua txhaum loj ntawm lub paj hlwb, nws yuav tsum tau hu rau cov kws tshaj lij tshwj xeeb hauv kev ua haujlwm no. Raws li txoj cai, ua ntej ntawm tag nrho cov, nws yuav tsum tau mus soj ntsuam magnetic resonance imaging, uas yuav raug txiav txim siab tag nrho cov pathologies ntawm lub paj hlwb cortex. Yog li, nws yuav muaj peev xwm tiv thaiv tau qhov teeb meem ntawm tus kab mob thiab pib kho txawm tias ua ntej nws ua tiav nws tus kheej. Ib lub tuam tsev tshwj xeeb ntawm kev mob stroke, raws li txoj cai, yuav tsum muaj qhov tshwj xeebcov cuab yeej uas yuav txhim kho kev kho mob.
Txheeb cais cov kab mob ntawm cov pej xeem pawg
Tus kab mob no feem ntau txhawj xeeb tsis yog cov neeg laus xwb, tab sis kuj tseem muaj cov hluas. Cov kab mob no niaj hnub no nyiam ntau txhiab tus kws tshawb fawb los ntawm thoob plaws lub ntiaj teb, vim nws feem ntau txhawj xeeb rau cov neeg muaj hnub nyoog sib txawv. Ntau qhov xwm txheej tau sau tseg thaum mob stroke pib ua tiav hauv cov tub ntxhais hluas, thiab txawm tias cov menyuam mos. Cov kws tshawb fawb suav cov txheeb cais raws li cov kab mob hauv qab no rau 100,000 ntawm cov pejxeem ntawm cov hnub nyoog sib txawv tau dhau los ua.
Tus naj npawb ntawm cov neeg mob stroke ntawm cov hnub nyoog sib txawv yog qhia hauv lub rooj.
| Poj niam | Txiv neej | |||||||||||||
| hnub nyoog | 60+ | 40-60 | 25-40 | 14-25 | 3-14 | 1-3 | 0-1 | 60+ | 40-60 | 25-40 | 14-25 | 3-14 | 1-3 | 0-1 |
|
Quantity cuam tshuam |
253, 2 | 16 | 52, 3 | 52 | 0, 5 | 0, 1 | 0,01 | 266, 5 | 184, 9 | 61, 5 | 61, 4 | 0,5 | 0, 1 | 0,01 |
Federal CVA Patient Registry
Tsoom fwv teb chaws sau npe khaws cov ntaub ntawv ntawm tus naj npawb ntawm cov neeg mob uas muaj kab mob tshwj xeeb. Nws kawm txog kev loj hlob ntawm qee yam kab mob thiab ua rau lawv txoj kev loj hlob. CVA yog ib yam kab mob uas tau sau tseg. Daim ntawv teev npe no muaj tag nrho cov ntaub ntawv hais txog cov neeg mob thiab lawv keeb kwm.
Tsoom Fwv Teb Chaws Register hais tias kev tuag vim muaj kab mob ntawm cov hlab ntsha ntawm lub cev yog thawj qhov chaw niaj hnub no. Raws li txoj cai, 50 feem pua ntawm cov neeg tuag tau cuam tshuam nrog kev mob cerebrovascular raug mob (ACC), uas yog, mob stroke yog qhov ua rau tuag. Txhua xyoo nyob rau hauv Lavxias teb sab Federation qhov nruab nrab ntawm 400-450 txhiab tus neeg mob stroke tau sau npe, uas yog, txhua txhua ib thiab ib nrab feeb ib tug neeg tsim tus kab mob no. Ntawm tag nrho cov neeg mob, kwv yees li 40 feem pua tau tuag.
Txhua xyoo tus naj npawb ntawm cov neeg mob stroke tau nce zuj zus. Yog li, raws li tsoomfwv sau npe ntawm ACMV chav haujlwm, xyoo 1996, 16,000 tus neeg raug tsim txom tau sau npe hauv cheeb tsam Moscow, thiab xyoo 2003 daim duab no tau nce mus rau 22,000 tus neeg mob. Los ntawm qhov no peb tuaj yeem txiav txim siab tias mob cerebrovascular raug mob yog ib yam kab mob loj tshaj plaws niaj hnub no.
Raws li tsoomfwv CVA sau npe, hauv peb lub tebchaws muaj txog li ib lab tus tib neeg uas twb muaj tus kabmob no lawm, tabsis tseem ceeb heev uas ib feem peb ntawm cov neeg raug tsim txom yog cov neeg muaj hnub nyoog ua haujlwm. Tom qab mobntawm cov neeg muaj hnub nyoog no, tsuas yog 25 feem pua ntawm cov neeg raug tsim txom tuaj yeem rov qab mus ua haujlwm. Raws li cov ntaub ntawv no, nws tuaj yeem txiav txim siab tias mob stroke yog ib qho ntawm cov kab mob loj tshaj plaws thiab txaus ntshai.
Tsoom fwv cov ntawv sau npe ntawm cov neeg mob stroke tau ntxiv txhua hnub nrog cov neeg mob coob, tab sis cov neeg mob tseem tsis hloov pauv. Qhov no yog qhov tseeb los ntawm qhov tseeb tias lub neej expectancy tom qab tus kab mob no txo qis heev. Yog li ntawd, nws tsim nyog saib xyuas koj txoj kev noj qab haus huv tas li txhawm rau tiv thaiv qhov tshwm sim ntawm tus kab mob no.
Txoj kev tshwm sim ntawm kev mob cerebrovascular raug mob
Qhov tshwm sim ntawm mob stroke tuaj yeem sib txawv heev - txij li mob me mus rau qhov hnyav tshaj plaws. Feem ntau, tom qab mob cerebrovascular raug mob, tib neeg tau txais cov txiaj ntsig hauv qab no:
- Tsis hnov tsw ntawm qee qhov ntawm lub cev. Feem ntau, kev hnov lus poob ntawm caj npab, ceg, ntiv tes, sab xis lossis sab laug ntawm lub cev, cov leeg ntawm lub ntsej muag, tus nplaig, thiab lwm yam.
- qaug zog lossis ua tiav tuag tes tuag taw ntawm caj npab lossis caj npab, ceg lossis ceg, cais ib feem ntawm lub cev, sab xis lossis sab laug ntawm lub cev.
- Ntau zaus, cov neeg raug tsim txom tsis hnov lus, tsis pom kev, saj, rhiab ntawm qee cov hlab ntsha ntawm cov ceg ntawm lub cev.
- Ntau zaus tom qab mob stroke, cov neeg mob kiv taub hau, pom ob lub qhov muag, suab nrov hauv lub taub hau, thiab lwm yam.
- hais lus tsis meej pem.
- nyuaj rau kev hais lus thiab xaiv cov lus thaum hais.
- Tsis muaj peev xwm paub txog lub cev tshwj xeeb.
- tso zis tsis txaus.
- Tsis muaj peev xwm txav mus los.
- Tsis muajkev taw qhia hauv qhov chaw thiab poob ntawm qhov sib npaug.
- Tseem tsis tau pom dua kev npam thiab lwm yam.
CVA cov chaw ua haujlwm ua haujlwm kho kom rov zoo li qub rau cov neeg mob. Raws li txoj cai, nyob rau hauv kev saib xyuas ntawm cov kws kho mob paub txog, nws muaj peev xwm tshem tawm cov kev tshwm sim no thiab rov ua kom lub cev muaj zog tag nrho. Tom qab ib lub sij hawm ntawm lub sij hawm tom qab qhov tshwm sim ntawm ischemic tawm tsam los yog mob hlab ntsha tawg, ib tug neeg yuav muaj peev xwm rov qab mus rau lub neej li qub. Nws tsim nyog xav tias qhov kev tawm tsam ischemic tuaj yeem nyob ntev ntev. Yog tias lawv tau pom txhua hnub, qhov no yuav ua rau feem ntau ua rau mob stroke tag nrho. Lawv kuj tuaj yeem tshwm sim tom qab qee lub sijhawm. Yog li, hauv qee tus neeg, cov tsos mob no tshwm sim ntau zaus hauv ib xyoos. Thiab tom qab txhua qhov tshwm sim, yuav tsum muaj qee lub sijhawm ntawm kev kho kom rov zoo.
Qhov tshwm sim ntawm kev mob stroke tuaj yeem sib txawv, vim thaj tsam ntawm lub hlwb puas tuaj yeem sib txawv.
pab thawj zaug rau mob stroke
Thawj qhov uas yuav tsum ua thaum kuaj pom tus kab mob no yog hu rau lub tsheb thauj neeg mob. Tus neeg mob thaum pom cov tsos mob ntawm tus kab mob no yuav tsum nyob rau hauv tsis muaj cov ntaub ntawv yuav cuam tshuam yam tsis muaj laj thawj, yog li ntawd, tam sim ntawd tom qab thawj cov tsos mob, nws yog tsim nyog los cais nws.
Nyob rau theem tom ntej, txhua tus neeg mob stroke yuav tsum dag kom lub cev sab sauv thiab lub taub hau tau tsa, nws tseem yuav tsum rub lub dab tshos ntawm lub cev txhawm rau txhawm rau ua kom tus neeg mob ua pa. Nws tseem tsim nyogmuab huab cua ntshiab rau chav uas tus neeg mob nyob (qhib qhov rais, qhov rooj, thiab lwm yam).
Yog tias tus neeg mob ntuav ntuav, nws yuav tsum tau tig nws lub taub hau mus rau sab laug thiab ntxuav lub qhov ncauj nrog cov ntaub qhwv los yog ib daim ntaub huv xwb. Qhov no yog tiv thaiv ntuav los ntawm kev ua pa mus rau hauv lub ntsws, uas tuaj yeem ua rau muaj teeb meem ntxiv.
Ib qho ntawm cov tsos mob ntawm tus mob stroke feem ntau yog qaug dab peg - ib tug neeg tsis nco qab kiag li, tom qab ob peb feeb ib nthwv dej ntawm convulsions sweeps los ntawm lub cev, uas yuav kav ntev li ob peb feeb. Nws tseem tsim nyog sau cia tias qhov kev tawm tsam no tuaj yeem rov ua dua ob peb zaug.
Txhua tus tuaj yeem nug seb yuav tsum ua li cas rau qhov xwm txheej zoo li no. Tus neeg mob yuav tsum tig rau ntawm nws sab, muab lub hauv ncoo hauv qab nws lub taub hau. Tuav lub taub hau, nws yog ib qho tsim nyog yuav tsum tau tas li so cov secretions los ntawm lub qhov ncauj kom lawv tsis txhob nkag mus rau hauv lub ntsws. Txhawm rau tiv thaiv tus neeg mob los ntawm kev tom nws tus nplaig, nws yog ib qho tsim nyog yuav tsum tau ntxig ib lub zuag los yog lo rau hauv nws lub qhov ncauj. Nws yog ib qho tsim nyog sau cia tias tsis muaj qhov xwm txheej twg koj yuav tsum nias lub caj npab thiab txhais ceg ntawm tus neeg mob lossis lean rau nws nrog koj lub cev tag nrho. Cov kev ua no tuaj yeem ua rau qaug dab peg lossis ua rau muaj ntau yam kev raug mob - dislocations, pob txha. Nws tsuas yog tsim nyog los tuav tus neeg mob ob txhais ceg kom nws tsis tuaj yeem ua mob rau nws tus kheej lossis lwm tus. Tsis txhob siv cov tshuaj ammonia, vim nws tuaj yeem ua rau ua pa nres hauvmob.
Yog tias tom qab muaj kev tawm tsam, tus neeg raug mob lub plawv nres lossis ua tsis taus pa kiag li, nws tseem ceeb heev uas yuav tsum tau ua lub plawv ncaj qha thiab qhov ncauj qhov ncauj lossis qhov ncauj qhov ntswg.
Tam sim no koj paub cov kev tawm dag zog yooj yim thiab CVA cov qauv uas tuaj yeem cawm tib neeg txoj sia thaum muaj kev tawm tsam.
Yuav tiv thaiv CVA
Raws li kev txheeb cais saum toj no, nws pom tseeb tias tus kab mob no tshwm sim nws tus kheej txawm tias hauv menyuam yaus. Nws yog ib qho yooj yim twv tias txhua xyoo muaj ntau thiab ntau tus neeg uas raug tus kab mob no. Tag nrho cov no yog vim kev noj zaub mov tsis txaus, kev ua neej tsis muaj zog thiab kev ntxhov siab siab.
Yog tias ib tug neeg tsis ua lub neej nquag thiab siv sijhawm nyob rau hauv computer, nws muaj feem yuav kis tus kab mob no. Kev rog rog, raws li tau hais tseg, yog qhov ua rau muaj tus kabmob no, uas yog vim li cas qhov teeb meem ntawm kev tswj lub cev muaj zog yog qhov tseem ceeb rau cov tub ntxhais hluas hnub no.
Kev thauj khoom tam sim no kuj yog ib qho teeb meem ntau heev, vim tias nrog kev nce ntshav siab, muaj kev pheej hmoo ntawm kev tawg ntawm cov hlab ntsha thiab cov hlab ntsha, uas yuav ua rau mob stroke. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum tau ua si tas li, ua lub neej nquag, noj txoj cai - thiab kev pheej hmoo ntawm mob stroke yuav txo qis.
Kab mob tuag taus thiab txaus ntshai tshaj plaws hauv peb lub sijhawm yog mob stroke. Nws yog dab tsi thiab dab tsi ua rau tus kab mob no, koj twb paub lawm, yog li koj yuav tsum ua raws li cov lus qhia saum toj no txhawm rau tiv thaivkev mob nkeeg yav tom ntej.
