Stroke mumakati

Zvinhu zvinokonzera sitiroko mumakati

Chokutanga pane zvose, sitiroko mumakati inogona kuitika nekuda kwekuremera kwemuviri. Kufutisa kunowanzo kuperekedzwa nezvirwere zvinoenderana neinotenderera system, moyo. Pamwe chete nekusakwana kwekuita kwemuviri kwemhuka, izvi zvinotungamira mukusangana muropa, kuumbwa kweropa, kukura kweatherosclerosis, kusakwana kwemadziro emidziyo yeropa, uye kushomeka kwezvinovaka muviri uye oksijeni. Boka renjodzi rinoumbwa nekatsi mushure mekukanda (sterilization) uye kuchembera.

Mukuwedzera, zvinotevera zvinogona kukonzera pathology:

• kushushikana;
• kudonha mukumanikidza kweropa;
• neBP;
• anomalies of the cardiovascular system;
• helminthiases;
• kudhakwa kwenguva refu;
• itsvo kutadza;
• kukuvara (musoro, musana);
• chirwere cheshuga;
• tumarara twakaipa;
• Cushing's syndrome (yakawandisa kugadzirwa kwecortisol).

Kunyange zvazvo pane zvakawanda zvezvikonzero, uye zvose zvakasiyana maererano nezviratidzo, kukosha uye simba paCVS, zviratidzo zvesitiroko munyaya imwe neimwe zvichave zvakafanana.

Mhando dzesitiroko mumakati uye zvikonzero zvadzo

Kune marudzi matatu esitiroko mumakati.

Ischemic

Mutsipa weropa wakavharwa ne thrombus (atherosclerotic plaque), ischemia inokura (kusakwana kweropa kuyerera kumasero). Nekuda kweizvozvo, tsinga yetsinga haigamuchire okisijeni uye inofa. Ne ischemic sitiroko, kufa kwakawanda kwemaneuroni kana kufa kwavo zvishoma kunogona kucherechedzwa. Kuzvimba kunokura muuropi, kugovera kweropa kwaro kunovhiringidzwa, uye edema inoitika.

Ischemic sitiroko mumakati, kazhinji, inoitika ichipesana nemashure e:

• itsvo chirwere;
• chirwere cheshuga mellitus;
• cholesterol yakawanda;
• zvirwere zvehutano hwemwoyo;
• parasitic zvirwere zveropa;
• Cushing's syndrome.

Hemorrhagic

Mutsipa weropa weuropi unoputika, kubuda ropa kunoitika muuropi. Iyo hematoma inotsikirira pamatishu akapoteredza, ichidzivirira kushanda kwavo kwese.

Zvinhu zvinotungamirira kuhemorrhagic sitiroko mumakati:

• musoro kukuvara;
• phlebitis (kuzvimba mutsinga);
• neoplasms muuropi;
• zvirwere zvinokonzerwa nefivha;
• neBP;
• chepfu;
• kufutisa.

Micro stroke

Sezvakaita ischemic sitiroko, mune iyi kesi, iyo pathology inokura nekuda kwekuvharika kwemudziyo weropa ne thrombus. Zvisinei, kukanganisa kwekuyerera kweropa hakusi kwakanyanyisa, uye chivharo chinogona kunyunguduka pachacho mukati mezuva pasina migumisiro yakataurwa. Panguva imwecheteyo, zvine ngozi kurerutsa microstroke. Kuitika kwaro (kazhinji kanopfuura kamwe) kunoratidza kuvapo kwezvinetso zvakakomba nekutenderera kweropa, inotangira kurova kwakasimba, uye inogona kutungamirira kukuremara kwemhuka.

Zvinhu zvinomutsa microstroke mumakati:

• kushushikana;
• neBP;
• kuneta;
• pathology yevascular wall.

Zviratidzo zvepathology

Kana sitiroko ikaitika kamwe kamwe, uye chipfuwo chiri pedyo nemuridzi, saka hazvizogoneki kusaona zviratidzo. Asi dzimwe nguva mufananidzo wekiriniki unokura zvishoma nezvishoma, kunyangwe nemazuva akati wandei, uchiratidza kutsauka kusinganzwisisike.

Ko sitiroko inoratidzwa sei mumakati? Chiratidzo chikuru chesitiroko mukati kuchinja mumaziso: vadzidzi vanogona kuva hukuru hwakasiyana, pamwe nekuchinja nguva dzose uye pasinei nekunze kwekunze.

Zvimwe zviratidzo zvinosanganisira:

• kunonoka kamwe kamwe, kuneta, kushaya kufarira mitambo, zvokudya, muridzi;
• "kutonhora" munzvimbo (kana sitiroko ikatanga nekumhanya kwemheni) nekumwe kurasikirwa kwekuziva;
• nzvimbo isiri yakasikwa yemusoro (parutivi rwayo kana kuzunungusa);
• kukamhina kamwe kamwe, kukweva makumbo nemakumbo; sekutonga, kurasikirwa kwekufamba kunobata imwe paws yekati;
• muromo wakashama, rurimi rwakabuda;
• kubuda kwemate kusingaite;
• kurasikirwa kwekutarisa munzvimbo, chido chekuvanza munzvimbo yakavanzika;
• kubuda kweweti kana tsvina kusingaite;
• kurasikirwa kwekunzwa; kati haipindure kudana kwemuridzi;
• kubuda ropa mumaziso, kuvhiringidzika kwemaziso, nyama kusvika kupofu; mhuka inogona kugumburwa pazvinhu, kugumburwa, kuwa;
• convulsive muscle contractions of different intensity and frequency;
• kunetseka kutsenga nekumedza chikafu nemvura; somugumisiro, chipfuwo chinogona kuramba kudya;
• gait kuvhiringidzika - panguva yekufamba, kati inogona kuzununguka, kuvhiringidzika, kusava nechokwadi, kuwira pamakumbo ayo (paw);
• kugara uchifema
• pfari pfari.

Zviratidzo zve microstroke ndezvi:

• kurutsa;
• kusava nenzara;
• kuneta, kukotsira;
• kutya chiedza;
• madonhwe ekumanikidza, anoratidzirwa mukupera kwechipfuwo.

Zviratidzo zvekurohwa, kunyanya kana zvishoma, zvakafanana nezviratidzo zvezvimwe zvirwere, saka zviri nani kuendesa kati kune veterinarian pasina kumirira matambudziko. Zvichida dambudziko riri mune chirwere chinotapukira, oncology, kusagadzikana mukati mehutano hwepakati.

Rubatsiro rwekutanga kune katsi ine sitiroko

Kana ukaona chero zviratidzo zvesitiroko mukati yako, fonera veterinarian yako. Udza chiremba zvakadzama pamusoro pezvakaitika, bvunza kuti zvii zvingaitwa, kana kutakura kuchave kwakachengeteka panguva ino. Zvichida nyanzvi ichauya kumba.

Kazhinji, rubatsiro rwekutanga kune katsi ine sitiroko ndeichi:

• chipfuyo chinoradzikwa panzvimbo yakatwasuka, padivi payo;
• kana kurutsa kwakaitika kana mate achibuda, bvisa zvakasara zverutsi uye mvura yakawandisa nejira;
• gadzira mamiriro ekunze akasununguka, kuderedza chiedza, kubvisa zvisingakoshi ruzha;
• kana kati yakapfeka collar, inobviswa;
• vhura hwindo kuti mweya mutsva upinde.

Chiremba asati asvika, chipfuyo chacho chinopuruzirwa ndokutaurwa nacho.

Kana chiremba asingakwanisi kuonana, kati inofanira kuendeswa kukiriniki nokukurumidza. Zvingave zvakanaka kana paine mumwe munhu ari pedyo kuti ave nechokwadi chekuti mhuka iri panzvimbo chaiyo. Kana zvisina kudaro, iwe unogona kuisa chipfuwo mubhokisi kana tswanda uye wochiisa pachigaro chinotevera.

Kuongororwa kweStroke muKatsi

Kazhinji, kuongororwa hakuna kuoma, uye zvakakwana kuti nyanzvi iongorore kati kuti ione sitiroko. Asi iwe uchiri kufanira kuenda kuburikidza nerabhoritari uye hardware kuongororwa kuti uwane chaicho chikonzero, rudzi rwechirwere, dhigirii rekukuvara kwetishu. Izvi zvichaita kuti zvibvirire kusabvisa zvimwe zvirwere, kuita fungidziro, kuraira kurapwa kwakakwana. Kuti uite izvi, kati inogona kurongerwa kuongororwa kweropa uye weti, MRI kana CT scan yeuropi.

Kurapa mukiriniki yemhuka

Zvichienderana nemamiriro emhuka, kutanga kwezvose, zviito zvechiremba zvinotarisirwa kugadzikana. Zvakakosha kudzivirira kurasikirwa kwesimba uye kudzorera mvura uye electrolyte balance. Mune ramangwana, kurapwa kuchave nechinangwa chekubvisa zviratidzo, kudzivirira kukura kwematambudziko. Nokuda kweizvi, mapoka anotevera emishonga anoshandiswa:

• glucocorticosteroids (kuderedza kuzvimba, kubvisa kuzvimba);
• analgesics (kubvisa marwadzo);
• immunomodulators (kukurudzira kuzvidzivirira);
• antispasmodics (kuzorodza tsandanyama tishu, kudzivirira cramps);
• neuroprotectors (chengetedza masero etsinga kubva pakumwe kukuvara, dzorera kuwirirana pakati peeuroni zvakanyanya sezvinobvira).

Mukuwedzera, diuretics, antibacterial drugs, sedatives, antiemetics uye mamwe madhiragi anogona kurongerwa mukuwedzera, sezvinodiwa mune izvi kana zvakadaro. Muchiitiko che hypoxia iri pachena, chipfuwo chichapiwa oxygen therapy, uye kana iine kuzununguka kwakanyanya, zvinokwanisika kuisa kati muhope yekugadzira nekuita anesthesia.

Kurapa kwechipfuwo kumba

Mumazuva ekutanga mushure mekurohwa, kati haina kusimba uye inoda kugara ichitarisirwa. Mukuwedzera, zvinetso zvingasaoneka pakarepo, saka zviri nani kusiya mhuka muchipatara kwechinguva. Vanamazvikokota havangotarise mhedzisiro yezvinodhaka, asi zvakare vanopindura nenguva nekuvandudzwa kwekudzokazve.

Kana mamiriro emhuka achibvumira kana kuti pasina mukana wekuisiya mukiriniki, unofanira kuzvirapa iwe pachako. Kuchengetwa kwemba kwakawanda kunosanganisira jekiseni (intramuscular uye/kana intravenous), kudya, nekuzorora.

Chiremba wako anogona kukupa nzira dzakasiyana dzejekiseni. Subcutaneous ndiyo iri nyore kuita, chero munhu anogona kugona hunyanzvi uhu. Majekiseni ari pasi peganda anoiswa kunyanya pakusvava. Majekiseni mumhasuru akanyanya kuoma, asi zvakare haaratidze chero matambudziko. Zvakakwana kubvunza chiremba wemhuka zvakadzama kana kuverenga nezve maficha ekugadzirisa, kuti uone kuti jekiseni remukati memuscular rinoitwa sei mukiriniki.

Mamiriro acho akanyanya kuipa nemajekiseni emutsinga. Kana usina hunyanzvi uhu, gadzirira kushanya kukiriniki nguva nenguva kuti ugadziriswe. Imwe sarudzo ndeyekufonera nyanzvi kumba.

Muimba yemhuka, unoda kugadzira mamwe mamiriro ezvinhu. Semuenzaniso, kuitira kuti chipfuwo chirege kunetsa, iwe unofanirwa kufambisa nzvimbo yekurara pasi (bvisa mabhasikiti, dzimba, nezvimwe zvakadaro), iva nechokwadi chekuti chikafu nemvura zviri pedyo.

Kana katsi inofamba zvishomanana kana kuti isingakwanisi zvachose, iye achada zuva nezuva masaja emakumbo uye kuchinja kwechinzvimbo. Izvi zvichaita kuti zvikwanise kudzivirira kumira kwe lymph neropa, kudzivirira kuumbwa kwe bedsores.

Chiedza chezuva hachifaniri kuwira pamhuka. Izvo zvinodikanwa kuti katsi isakanganiswa zvakare neveimba (kunyanya vana) uye dzimwe mhuka dzinovaraidza.

Kana kati yakachengetedza basa rekucheka mushure mekurohwa, inogona kumedza zvokudya, saka hapana kuchinja kunoitwa pakudya. Kudzivirira kukura kweatherosclerosis uye kufutisa, zvinokurudzirwa kuderedza zvinyorwa zvemafuta emhuka muzvokudya. Zvikasadaro, kudyisa kunoitwa nechikafu chemvura nesirinji, bhodhoro remucheche, uye dzimwe nguva kushandiswa kwedonhwe kunodiwa.

Uyezve, chiremba anogona kupa physiotherapy: electrophoresis, magnetotherapy. Izvi zvinodawo kushanyirwa kukiriniki yemhuka.

Zvinogona kuitika uye matambudziko

Iwe unofanirwa kuve wakagadzirira nekuda kwekuti nguva yekuvandudza mushure mekurohwa mukati mekati ichagara kwenguva yakareba, kusvika kumakore akawanda, zvichienderana nehuwandu hwekukuvara kwehuropi. Mukuwedzera, muzviitiko zvakawanda, hazvibviri kudzivisa chero matambudziko nemigumisiro. Mikana yavo uye kuomarara kunoenderana nenguva yekuonana nachiremba wemhuka, kurongeka kwekurapa, maitiro enguva yekudzoreredza, muviri wekati, uye zvimwe zvinhu zvakawanda.

Zvinowanzoitika mhedzisiro yesitiroko mukati:

• kukamhina, kuremara zvishoma kana kuperera kwemamwe makumbo nemaoko;
• chikamu kana zvachose kurasikirwa kwekunzwa;
• kusaona zvakanaka, upofu;
• ndangariro kukanganisa (katsi inogona kusaziva muridzi, kutiza kubva kwaari, kurasika munzvimbo yakajairika).

Katsi dzinogara pamubhedha dzinotyisidzirwa neaspiration pneumonia, chirwere chemapapu chinoputika chinokura semugumisiro wekusangana nekuda kwekushayikwa kwekushanda kwemotokari.

kushurudzira

Kufungidzira kunofadza kana kati yakabatsirwa panguva yakakodzera - mukati meawa mushure mekurohwa. Kukuvadzwa kwehuropi kwenzvimbo kunoonekwawo kwakanaka, kusiyana nekukuvadzwa kwakanyanya.

Kana sitiroko mukati yaiperekedzwa nekuwanda kweropa, sepsis, haufanirwe kutarisira kuvandudzwa kwemamiriro uye kupora. Izvo zvinoshandawo kune hemorrhagic sitiroko kana ichienzaniswa ischemic.

Kusateerera mazano echiremba uye zvinyorwa, kurapwa kusina kukwana kunogona kutungamirira pakudzoka zvakare kunyange kana chiitiko chekuvandudzwa kunooneka kwehutano hwechipfuwo. Izvi zvinonyanya kuitika kune microstrokes - mhuka iri pakugadzirisa (kana kungonzwa zvakanaka mushure mekurwara kwenguva pfupi), muridzi wacho anorega kumuendesa ku physiotherapy, massage, injections, nezvimwewo. Mhedzisiro yacho kuparara kwakamwe kamwe, kudzoka zvakare nesimba guru rekuita, mhedzisiro inouraya inogoneka.

Nzira yekudzivirira sei sitiroko mumakati

Iko hakuna matanho anokosha anogona kudzivirira kukura kwesitiroko mukati. Iwe unogona kuderedza njodzi yekuitika kwayo nekutarisira kati uye nekupa mamiriro akanaka kwaari.

Rondedzero yematanho ekudzivirira:

• chengetedza huremu hwechipfuwo mukati meyero yakajairika, kana paine fungidziro yekufutisa, tarisa koriori yemukati uye huwandu hwechikafu, chiyero chezvinovaka muviri (protein inofanira kunge iri 50%);
• vaccine nenguva uye kuita antiparasitic prophylaxis;
• pakarepo kana zviratidzo zvekutanga zvechirwere zvichionekwa, takura chipfuwo kukiriniki pasina kumirira mufananidzo wakazara wekliniki;
• kudzora kukwira kweropa mumakati ari panjodzi (yakafutisa, inofarirwa nesitiroko, vakwegura);
• usabvumira chipfuwo kuti chibatane nezvinhu zvine chepfu uye zvine chepfu;
• kudzivirira kudonha, kukuvara;
• dzivisa kusika mamiriro ezvinhu anotambudza ekati, kushingaira kushandisa sedatives (mushure mekubvunzurudza chiremba wemhuka), somuenzaniso, kana uchifamba;
• kupa oxygen yakakwana muimba.

Mukuwedzera, zvakakosha kushanyira veterinarian nguva dzose. Kupa ropa rekutanga, kuongororwa kwekurapa kwegore negore kunobatsira kudzivirira kwete sitiroko chete, asiwo mamwe akawanda pathologies.