Zowonjezera Tsamba Loyeserera Stroke Stroke

Kuyankha kwakanthawi kumathandizadi ndika Chilonda alowererepo. Kutaya magazi nthawi yayitali kutsatira sitiroko kumatha kuwononga zinthu kosasinthika, nthawi zambiri kumabweretsa chilema. Nthawi zambiri sitiroko imagwiritsidwa ntchito kupulumutsa minofu. 

Mpaka pano, nthawi yocheperako idalimbikitsidwa kuti athane ndi sitiroko. Koma malinga ndi malamulo atsopano operekedwa ndi The American Heart Association ndi American Stroke Association mu Januware 2019, zenera lowonjezera la opaleshoni ndiloyenera kwa odwala omwe ali ndi sitiroko yayikulu. 

Maphunzirowa adayesedwa ndi gulu la akatswiri oyenerera chisamaliro cha sitiroko ndipo ndi malingaliro osiyanasiyana pakuthandizira sitiroko ischemic idatulutsidwa kuyambira 2013. 

Pafupifupi 20% ya sitiroko yovuta ischemic imagawidwa ngati zikwapu zodzuka, zomwe zimatuluka munthawi yanthawi yothandizirayi kotero kuti nthawi yochulukirayi ikuyembekezeka kuchepetsa chiopsezo cha olumala ndikupereka mwayi wochira odwala ochulukirapo m'tsogolo. 

Njira yochita opaleshoni yotchedwa mechanical thrombectomy imatalikitsa nthawi mpaka maola 24 kuti asankhe odwala omwe ali ndi sitiroko. Malangizowa amangofunikanso m'matumba omwe amaletsa sitima zazikulu. Zitha kupangitsa kuti odwala ambiri akhale oyenera kulandira thrombectomy chifukwa odwala ambiri amathandizidwa malinga ndi kuwonetsa kuchipatala m'malo mongodula okha. Chifukwa chake, imatha kupindulitsa anthu ambiri ndipo yasinthiratu chiyambi cha chithandizo champhamvu cha sitiroko. 

Upangiri watsopanowu ukunena kuti zikwapu zazikulu zotengera zitha kuchiritsidwa bwino ndi makina a thrombectomy mpaka maola 16 atadwala sitiroko mwa odwala omwe asankhidwa. Mawindo owonjezera othandizira kuyambira maola asanu ndi limodzi mpaka 16 amatengera umboni wazachipatala kuchokera ku mayesero a DAWN ndi DEFUSE 3. Nthawi zina, kulingalira kwakutsogolo kwaubongo kumachita gawo lofunikira pozindikira odwala omwe atha kupindula ndi chithandizo cha maola 24 ndi makina a thrombectomy, kutengera zoyeserera za DAWN. 

Malangizowa amavomerezedwa ndi cholinga chopereka malangizidwe apamwamba kwa asing'anga omwe akusamalira odwala achikulire omwe ali ndi sitiroko yayikulu pachikuto chimodzi. Amayankha: - 

• chisamaliro chisanafike kuchipatala; 
• kuwunika mwachangu komanso mwachangu; 
• chithandizo chamankhwala olowa mkati ndi mkati; 
• Oyang'anira chipatala kuphatikiza njira zachiwiri zopewera zomwe zimakhazikitsidwa koyenera milungu iwiri yoyambirira.

Chiphunzitso china chatsopano chimakulitsa kuyenera kogwiritsa ntchito mtsempha wa magazi wa alteplase, chithandizo chokhacho chovomerezeka ndi US FDA chothana ndi matenda a ischemic stroke. Kafukufuku watsopanoyu amathandiza ena mwa odwalawa ndi zikwapu zochepa zomwe poyamba sizinali zoyenera kulandira chithandizo. Upangiri watsopanowu ukunena kuti mankhwalawa amatha kuchepetsa kulumala, bola akapatsidwa mwachangu komanso moyenera kwa odwalawo atazindikira kuopsa ndi kupindula kwa wodwala payekha.