Yog tus menyuam muaj mob stroke, qhov no qhia tau tias nws raug mob los ntawm kev mob plawv hauv lub hlwb. Nyob rau hauv cov ntaub ntawv no, ib tug ntawm cov tseem ceeb hauv nruab nrog cev ntawm tib neeg lub cev tsis tau txais qhov yuav tsum tau ntawm cov khoom tseem ceeb, uas yog vim li cas nws cov hauj lwm yog kiag li cuam tshuam. Raws li txoj cai, koj tuaj yeem paub qhov teeb meem los ntawm qee cov tsos mob.
Ua ntej mob stroke, txhua tus neeg muaj kev cuam tshuam ntawm lub hauv nruab nrab lub paj hlwb. Txawm li cas los xij, muaj lwm cov cim qhia uas koj tuaj yeem txiav txim siab tias tus menyuam yuav ntsib teeb meem zoo sib xws yav tom ntej. Qhov tseeb yog hais tias nyob rau hauv cov me nyuam ib tug zoo xws li mob tshwm sim nws tus kheej me ntsis txawv.
Koj kuj yuav tsum tau npaj los ntsuas kub ceev los pab tus menyuam. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias niaj hnub no mob stroke nyob rau hauv cov me nyuam, yog vim li cas ntawm uas yuav ua tau txawv heev, yog ua ntau. Feem ntau qhov no yog vim kev noj zaub mov tsis zoo thiab ecology. Yog li ntawd, nws yog ib qho tseem ceeb los saib xyuas kev ua haujlwm ntawm tus menyuam lub plawv.
Yog tus me nyuam muaj mob stroke, ces nyob rau hauvNyob rau hauv cov ntaub ntawv no, peb tab tom tham txog ib tug mob circulatory ntshawv siab, vim hais tias ntawm tus me nyuam muaj teeb meem loj rau lub paj hlwb. Raws li qhov no, muaj ntau ntau yam ntawm qhov tsis kaj siab no.
Hemorrhagic
Hom mob stroke no feem ntau tshwm sim hauv cov menyuam yaus. Hemorrhagic stroke cuam tshuam nrog kev tawg ntawm cov hlab ntsha nrog lawv cov hemorrhage tom qab mus rau cov ntaub so ntswg nyob sib ze. Vim li no, ib qho hematoma tshwm, uas nias ntawm cov ntaub so ntswg.
Nyob hauv lub xeev no, kev tuag ntawm neurons feem ntau tshwm sim. Thiab yog hais tias cov ntshav tawg mus rau hauv lub ventricles ntawm lub paj hlwb, ces nyob rau hauv cov ntaub ntawv no cov kab noj hniav yog ntim nrog cov ntshav.
Ischemic
Hom mob stroke hauv menyuam yaus tsis tshua muaj. Hauv qhov no, peb tab tom tham txog kev thaiv cov hlab ntsha lossis nws qhov txo qis. Tawm tsam keeb kwm yav dhau los ntawm qhov teeb meem zoo li no, kev ua haujlwm ntawm cov neurons cuam tshuam los yog lawv txoj haujlwm tsis ua tiav. Thaum thawj theem ntawm ischemic stroke hauv cov menyuam yaus, kev sib pauv ntawm electrolytes nres. Qhov no ua rau kom nres ntawm kev xa cov paj hlwb impulses. Yog li ntawd, cov paj hlwb tsis ua lawv txoj haujlwm tseem ceeb. Yog hais tias tus me nyuam raug kev txom nyem los ntawm qhov tsis muaj ntshav ncig, qhov no ua rau cov pa oxygen tshaib plab thiab qhov tseeb tias tus menyuam lub hlwb tsis tau txais cov as-ham. Txij li thaum cov khoom seem ntawm cov khoom lwj tsis tau tawm ntawm lub cev, qhov no ua rau hu ua cell lom. Nws yog lub sijhawm no uas cerebral ischemia tau teeb tsa.
Tsis pub dhau 3 feeb nws tuaj yeem tshwm sim tias cov neurons ntawm lub hlwb tuaj yeem tuag tag. Yog ibmuaj kev tuag ntawm tag nrho cov hlwb, ces ib tug zoo xws li tshwm sim hu ua necrosis. Ntxiv rau cov neurons, cov paj hlwb uas nyob ze rau thaj chaw cuam tshuam kuj tuaj yeem cuam tshuam rau hauv cov txheej txheem no.
Txawm li cas los xij, feem ntau, nrog cov mob stroke hauv menyuam yaus, cov hlwb tsis tuag, tab sis nres ua rau cov hlab ntsha tsis txaus.
Intrauterine lossis Perinatal
Txij li mob stroke no, tus menyuam tuaj yeem raug kev txom nyem ua ntej nws yug los. Txawm li cas los xij, qhov teeb meem ntawm qhov tshwm sim tuaj yeem ua rau tag nrho lub neej tom ntej ntawm tus menyuam. Feem ntau qhov no tshwm sim nrog cov me nyuam ntxov ntxov. Cov menyuam yaus no feem ntau raug kuaj pom tias muaj kev loj hlob tsis zoo. Paralysis tshwm sim hauv qee qhov xwm txheej.
Yog tus me nyuam yug ntxov ntxov, qhov no yuav muaj kev pheej hmoo siab ntawm kev puas hlwb uas nws yuav raug kev txom nyem yav tom ntej. Tsis tas li ntawd, hais txog hom mob stroke no, koj yuav tsum xyuam xim rau qhov hnyav ntawm tus menyuam. Yog tias nws yug los me me (tsawg dua 1 kg), ces nrog ib puas feem pua qhov tshwm sim nws tuaj yeem xav tias nws muaj mob stroke hauv plab.
Tsis tas li ntawd, qhov teeb meem zoo sib xws tuaj yeem tshwm sim yog tias muaj kev quav yeeb quav tshuaj ntawm lub cev tau raug kaw. Qhov no tuaj yeem tshwm sim yog leej niam coj txoj hauv kev tsis ncaj ncees lawm thaum nws nyob hauv txoj haujlwm. Yog hais tias ib tug poj niam haus cawv, haus luam yeeb, los yog siv yeeb tshuaj, ces muaj kev pheej hmoo ntawm kev qaug cawv thiab ua mob rau tus menyuam hauv plab.
Los ntawm hom mob stroke no tsis muaj kev pov hwm thiab cov uas tab tom kawmcov tshuaj kho mob. Koj kuj yuav tsum tau ceev faj cov poj niam uas, nyob rau hauv lub chav kawm ntawm lawv ua hauj lwm, nyob ze ze rau co toxins. Lawv kuj muaj kev puas tsuaj rau tus menyuam hauv plab.
Juvenile
Cov mob stroke no tshwm sim rau cov menyuam hnub nyoog 1 hlis txog 18 xyoo. Hauv qhov no, muaj qee qhov sib txawv ntawm perinatal ntau yam. Hauv qhov xwm txheej no, tsis tsuas yog qhov tsis muaj oxygen tuaj yeem ua rau muaj tus mob zoo li no hauv tus menyuam. Yuav muaj ntau yam ntxiv.
tus menyuam mob stroke txawv ntawm tus neeg laus li cas
Yog tias peb tham txog cov yam ntxwv tshwj xeeb ntawm cov kab mob no, ces ua ntej ntawm tag nrho nws yog tsim nyog yuav tsum xyuam xim rau qhov tseeb hais tias, thaum nws los txog rau cov me nyuam mos, feem ntau cov niam txiv nco ntsoov cov teeb meem neurological. Hauv cov neeg laus, cov kab mob feem ntau cuam tshuam rau lub hlwb.
Nws tsim nyog sau cia tias mob stroke hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, raws li txoj cai, tsis muaj qhov tshwm sim pom tseeb. Nws yog vim li no tias nws yuav luag tsis tuaj yeem kuaj xyuas pathology. Thaum muaj hnub nyoog laus dua hauv cov menyuam yaus, cov tsos mob ntawm tus mob stroke kuj mob me. Qee zaum kev puas hlwb ntawm lub hlwb ua qhov tshwm sim ntawm microstroke lossis lub plawv nres. Hauv qhov no, tus menyuam cov tsos mob kuj yuav mob me.
Yuav kom kho tus menyuam thiab tiv thaiv cov teeb meem yav tom ntej, yuav tsum muaj ntau txoj kev kho mob sib txawv. Hauv qhov no, tib txoj kev kho uas siv rau cov neeg laus yuav tsis ua haujlwm.
Nws feem ntau tshwm sim tias cov menyuam yaus muaj teeb meem loj dua. Ntawm qhov tod tes, thaum yau, lub hlwb neurons ua haujlwmzoo dua cov laus. Nrog rau me ntsis cov ntaub so ntswg puas, koj tuaj yeem suav rau kev rov qab sai sai. Txawm li cas los xij, txhua yam nyob ntawm ntau yam.
Ua rau mob stroke hauv me nyuam
Yog tias peb tham txog cov neeg laus, feem ntau lawv ntsib teeb meem xws li keeb kwm ntawm atherosclerosis ntawm cov hlab ntsha lossis ntshav siab. Hauv cov menyuam yaus, qhov tshwm sim ntawm tus mob stroke yog vim muaj qhov sib txawv kiag li. Hauv qhov no, muaj ntau txoj kev xaiv. Piv txwv li, yog tias peb tab tom tham txog hemorrhagic stroke hauv menyuam yaus, ces cov kws kho mob feem ntau xav tias raug mob rau cov hlab ntsha hauv lub taub hau. Qhov no tuaj yeem tshwm sim thaum tseem nyob hauv plab lossis thaum yug menyuam yog tias tus menyuam raug mob. Muaj tsawg zaus, menyuam mos raug mob ntawm lub ncauj tsev menyuam qaum thaum yug.
Tsis tas li, hemorrhagic stroke tuaj yeem txhim kho ntawm keeb kwm ntawm:
- Arterial aneurysm.
- Tsis muaj cov vitamins (tshwj xeeb yog ascorbic acid).
- Intoxication ntawm lub hlwb vim muaj ntau yam kab mob los yog nyob rau hauv cov co toxins.
- hlwb hlav.
- Kev quav cawv lossis yeeb tshuaj yog leej niam tsis tswj nws txoj kev ua neej thaum cev xeeb tub.
- Pathology ntawm hematopoietic system.
- Txuag ntshav txhaws.
- ntshav qog noj ntshav.
- YImpaired hemoglobin synthesis.
- Anemia thiab lwm yam pathologies.
Yog tias peb tab tom tham txog ischemic stroke hauv tus menyuam, ces qhov no, qhov no tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau:
- Ntau yam kab mob (kab qaib, mob khaub thuas, mob encephalitis, thiab lwm yam).
- Kev mob plawvpathologies.
- Kab mob ntawm vascular system.
- Endocrine pathologies (mob ntshav qab zib mellitus, deformation ntawm cov hlab ntsha thiab lwm yam mob).
Yog tus me nyuam muaj mob stroke thaum lub sij hawm cev xeeb tub los yog cov hluas heev, ces nyob rau hauv cov ntaub ntawv no nws yog tsim nyog yuav tsum xyuam xim rau cov pathologies uas leej niam muaj peev xwm muaj. Thaum nqa tus menyuam, nws tuaj yeem raug mob ntawm ob txhais ceg, pov tseg ntawm cov kua amniotic thiab ua haujlwm nyuaj.
Vim li cas cov menyuam loj hlob muaj mob stroke
Yog tias peb tab tom tham txog cov teeb meem ntawm hom no hauv cov tub ntxhais hluas, feem ntau lawv tshwm sim tawm tsam keeb kwm ntawm thrombocytosis. Qhov no txhais tau hais tias tus tub lossis ntxhais muaj ntshav khov heev. Raws li cov ntaub ntawv kho mob tshiab tshaj plaws, txog li 50% ntawm cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo twb tau txais txhua yam ntawm cov ntshav pathologies, uas tuaj yeem ua rau mob stroke.
Symptoms of stroke in me nyuam
Muaj ob peb lub cim los saib xyuas. Piv txwv li, yog tias ib tug me nyuam muaj strabismus los yog txav lawv lub qhov muag nrawm dhau, qhov no yuav yog thawj lub cim ntawm tus mob stroke. Nws tseem tsim nyog ua tib zoo saib seb nws puas raug mob los ntawm lub cev tsis ruaj tsis khov, tshee tshee, tshee hnyo, hypertonicity lossis vice versa cov leeg nqaij hypotonicity, kev ua haujlwm ntawm lub cev tsis muaj zog hauv lub cev, txo qis hauv ntshav siab, teeb meem hnov lus.
Tsis tas li, cov menyuam yaus feem ntau mob taub hau, xeev siab, ntuav, kiv taub hau. Yog hais tias peb tham txog ib tug me nyuam, ces txheeb xyuas cov pathology yog ntau nyuaj, tab sis nyob rau hauv noNyob rau hauv cov ntaub ntawv no, nws yog tsim nyog them sai sai mus rau ob peb lub ntsiab lus.
Yog tus menyuam tsis tu ncua ua rau nws lub ntsej muag cov leeg, feem ntau quaj, hloov nws lub suab lossis hnov mob heev rau cov stimuli me me (suab, lub teeb, thiab lwm yam), ua rau cov leeg nqaij occipital, qhov no txhais tau hais tias koj yuav tsum tau saib xyuas ntau dua. rau nws tus mob.
Diagnosis
Ua ntej tshaj, koj yuav tsum ua tib zoo saib xyuas tus menyuam tus cwj pwm. Yog tias nws zoo li coj txawv txawv rau cov niam txiv, koj yuav tsum hais kom nws hais ib kab lus, luag nyav lossis ua qee yam (piv txwv li, kov nws lub qhov ntswg). Yog tias qhov no ua rau muaj teeb meem rau nws, ces nws yuav tsum hu rau tus kws kho mob tam sim ntawd uas yuav ua qhov kev kawm tsim nyog.
Ua ntej, ua tiav cov ntshav suav. Yog hais tias peb tham txog hemorrhagic stroke, ces nyob rau hauv cov ntaub ntawv no theem ntawm leukocytes yuav nce. Tom qab ntawd, ib coagulogram yog ua. Ua tsaug rau cov ntaub ntawv tau txais, nws yuav ua tau kom paub meej seb tus menyuam puas muaj teeb meem nrog ntshav txhaws. Yuav tsum muaj tus txha caj qaum ntxiv.
Ib qho MRI ntawm tus menyuam lub hlwb kuj tau ua. Raws li cov ntaub ntawv tau txais, tus kws tshaj lij yuav tuaj yeem lees paub lossis tsis lees paub qhov kev kuaj mob yam tsis muaj teeb meem. Tsis tas li ntawd, CT scan yuav ua tau. Txawm li cas los xij, cov kev tshawb fawb no tsis muaj nyob hauv txhua cheeb tsam. Yog li ntawd, ntau zaus cov niam txiv tsuas tuaj yeem tso siab rau MRI ntawm tus menyuam lub hlwb.
Pab koj tus menyuam li cas
Yog tias cov niam txiv tau sau tseg tsawg kawg ib qho cim ntawm tus mob stroke hauv tus menyuam, ces koj yuav tsum hu rau tus kws kho mob xwm txheej ceev tam sim ntawd. Txawm li cas los xij, ua ntej lawv tuaj txogNws yog ib qho tseem ceeb heev los muab kev pab thawj zaug rau kev mob stroke hauv tsev. Txhawm rau ua qhov no, koj yuav tsum ua ntau yam haujlwm uas yuav pab txhim kho tus menyuam lub cev.
Ua ntej, nws yuav tsum tau pw saum txaj thiab lub hauv caug khoov. Koj yuav tsum tsa tus menyuam lub taub hau. Koj yuav tsum qhib qhov rais, unbutton khaub ncaws thiab muab huab cua ntshiab rau tus menyuam. Yog tus me nyuam pib ntuav, nws yuav tsum tau tig nws lub taub hau mus rau sab tam sim kom nws tsis choke.
Ua ntej cov kws kho mob tuaj txog, kev pab thawj zaug rau mob hlab ntsha tawg hauv tsev suav nrog kev npaj rau kev resuscitation. Ua li no, nws raug pom zoo kom tshem tag nrho cov khoom hlau los ntawm nws thiab tos cov kws kho mob tuaj txog.
Kev kho mob
Yog hais tias peb tab tom tham txog kev mob stroke thaum yau, ces qhov no koj tsis tuaj yeem suav nrog kev xa tawm sai ntawm cov kab mob. Thawj zaug tom qab qhov kev tawm tsam, tus me nyuam raug yuam kom siv rau hauv kev saib xyuas hnyav, tsuas yog tom qab ntawd nws yuav raug xa mus rau lub chaw kho mob hlwb.
Yuav kom rov zoo sai sai ntawm tus mob, nws raug nquahu kom rov qab mus rau hauv qhov chaw kho mob tshwj xeeb. Nws yog qhov zoo tshaj los ua qhov no hauv cov nroog loj ntawm Lavxias Federation. Txij li thaum nyob rau hauv xws li tsev kawm ntawv muaj tag nrho cov tsim nyog cov cuab yeej. Tom qab tus menyuam tau txais kev kho mob tom qab mob stroke hauv Moscow lossis lwm lub nroog, nws tau sau npe nrog kws kho mob thiab kws kho mob hlwb.
Txoj kev kho ncaj qha nyob ntawm seb hom mob stroke. Piv txwv li, yog tias peb tab tom tham txog kev tawm tsam ischemic, ces qhov no, thrombolytickev kho mob. Hemorrhagic stroke yuav tsum tau siv cov tshuaj hemostatic.
Txhais tau
Yog tias tus menyuam raug kev tawm tsam, ces muaj qhov tshwm sim ntau uas nws yuav tuag lossis tsawg kawg tseem nyob tsis taus. 10% ntawm cov menyuam yaus uas tau mob stroke xav tau kev saib xyuas txhua hnub los ntawm lawv niam lawv txiv. Txawm hais tias tus me nyuam tau rov kho dua tom qab mob stroke hauv Moscow lossis lwm lub nroog, nws yeej ib txwm muaj kev pheej hmoo rov qab los.
Muaj kev pheej hmoo tias tus menyuam yuav muaj teeb meem hauv lub paj hlwb. Tej zaum nws yuav muaj teeb meem nrog kev hnov lus, tsis pom kev, kev ua haujlwm ntawm lub cev muaj zog, thiab lwm yam. Cov menyuam mos feem ntau mob hlwb.
