Kaum feem pua ntawm kev mob hlab ntsha tawg tshwm sim rau cov neeg laus hnub nyoog qis dua 45. Vim li no, nws yog ib qho tseem ceeb kom muaj peev xwm paub cov cim thiab tsos mob uas tuaj yeem qhia koj (lossis lwm tus neeg) muaj mob stroke thiab tsis tso tseg qhov ua tau raws hnub nyoog. Yog tias koj ntseeg tias koj (lossis lwm tus neeg) muaj mob stroke, nws tseem yog qhov tseem ceeb kom nrhiav kev kho mob xwm txheej ceev tam sim ntawd kom kho tau tuaj yeem pib ua raws sijhawm.
Cov kauj ruam
Ntu 1 ntawm 3: Paub Txog Tus Mob Stroke
Kauj Ruam 1. Hu rau 911 lossis cov kev pabcuam thaum muaj xwm txheej ceev hauv koj cheeb tsam yog koj xav tias koj (lossis lwm tus neeg) tab tom muaj mob stroke
Yog tias koj ntseeg tias koj (lossis lwm tus neeg) muaj mob stroke, nws yog qhov tseem ceeb kom tau txais kev tshuaj xyuas xwm txheej ceev sai li sai tau. Qhov no yog vim muaj txiaj ntsig zoo ntawm kev kho mob stroke yog lub sijhawm nyob ntawm; hauv lwm lo lus, tau txais kev kho mob sai dua, qhov txiaj ntsig tau zoo dua thiab tsawg dua kev noj qab haus huv mus sij hawm ntev uas yuav tshwm sim los ntawm mob hlab ntsha tawg.
- Kev kho tus mob stroke uas tshwm sim los ntawm cov ntshav txhaws hauv lub hlwb yuav tsum tshwm sim tsis pub dhau peb teev tom qab pib mob.
- Qhov koj tau txais kev kho mob sai dua, qhov zoo dua koj txoj hauv kev yog zam kev mob hnyav, ua rau lub paj hlwb puas. Yog tias koj tos ntev heev, koj yuav tsis tsim nyog tau txais cov tshuaj ntxiv lawm.
- Kev kho thaum ntxov yuav muaj txiaj ntsig ntau dua thaum siv rau cov neeg mob ntshav qab zib.
Kauj Ruam 2. Tsis txhob hnov qab cov tsos mob thaum ntxov
Yog tias koj yog koj li 20's thaum ntxov, tej zaum koj yuav tsis xav tias muaj cov tsos mob zoo li tsis tuaj yeem piav qhia, mob lub puab tsaig, lossis kiv taub hau cuam tshuam nrog mob hlab ntsha tawg - neeg feem coob xav tias mob hlab ntsha tawg yog qee yam uas tshwm sim rau cov laus ntau dua. Tsis txhob tso koj cov tsos mob lossis tos saib lawv puas yuav ploj mus - tau txais kev kho mob tam sim no.
- Kev mob hlab ntsha tawg tau ua rau cov neeg laus laus dua 65 xyoos, tab sis cov neeg mob stroke hauv cov neeg hnub nyoog qis dua 45 xyoos tau nce ib feem peb.
- Yog tias koj tab tom ntsib qhov tshwm sim sai sai, piav qhia tsis meej ntawm mob stroke - tsis hais koj muaj hnub nyoog li cas - nrhiav kev pab kho mob tam sim.
Kauj Ruam 3. Ceev faj txog kev loog thiab/lossis tingling ntawm lub ntsej muag, caj npab, lossis txhais ceg
Ib tus neeg muaj mob stroke tuaj yeem pom kev qaug zog sai sai, loog, tingling, lossis tuag tes tuag taw, feem ntau yuav nyob ntawm ib sab ntawm lub cev thiab tsis yog lwm yam. Tej zaum nws yuav nyob hauv ib cheeb tsam, xws li caj npab, lossis ib sab ntawm lub ntsej muag, lossis nws tuaj yeem ua rau thaj chaw loj dua.
Ib lub tswv yim los tshuaj xyuas caj npab tsis muaj zog yog thov kom tus neeg nqa ob txhais caj npab saum lawv taub hau. Tom qab ntawd, saib seb lawv puas tuaj yeem tuav lawv li 10 vib nas this. Yog tias ib txhais caj npab poob lossis poob qis, qhov no tuaj yeem yog lub cim ntawm kev qaug zog thiab qhia txog mob stroke
Kauj Ruam 4. Saib kom muaj teeb meem hais lus
Ib qho ntawm cov cim tseem ceeb ntawm kev mob hlab ntsha tawg tuaj yeem muaj teeb meem hais lus. Tej zaum nws yuav hais lus tsis meej, tsis meej pem, lossis teeb meem nkag siab lwm tus. Lub sijhawm kho mob rau kev nyuaj hais lus yog hu ua "aphasia."
- Aphasia tshwm sim los ntawm kev tsis muaj ntshav ntws mus rau thaj tsam ntawm lub hlwb uas tswj cov lus thiab kev sib txuas lus (vim yog mob hlab ntsha tawg).
- Aphasia tuaj yeem daws nyob rau hnub mus rau ntau lub lis piam tom qab mob hlab ntsha tawg, lossis nws tseem yuav ua rau lub hlwb puas tas mus li. Nws nyob ntawm qhov kev puas tsuaj tshwm sim los ntawm tus mob hlab ntsha tawg, nrog rau lub sijhawm ntev uas cov lus thiab kev sib txuas lus hauv nruab nrab ntawm lub hlwb tsis muaj ntshav txaus (vim qhov txhaws ntawm mob hlab ntsha tawg).
- Kev kho hais lus feem ntau tau muab tom qab mob hlab ntsha tawg kom pab tib neeg rov muaj peev xwm sib txuas lus tau sai thiab muaj txiaj ntsig zoo li sai tau.
- Koj tuaj yeem txheeb xyuas qhov mob ntsig txog mob hlab ntsha tawg hauv lwm tus los ntawm kev nug lawv cov lus nug thiab pom tias lawv teb tau zoo, thiab/lossis pom tias lawv tuaj yeem ua raws thiab nkag siab cov lus qhia los ntawm koj.
Kauj Ruam 5. Tshaj tawm qhov hloov pauv ntawm kev tshuav nyiaj thiab kev sib koom tes
Ib tus neeg uas muaj mob stroke tuaj yeem pib hnov tsis khov thaum taug kev, lossis muaj mob taub hau sai sai. Kev kiv taub hau lossis tsis txaus yog ib qho kev txhawj xeeb uas qhia tias muaj peev xwm ua rau mob stroke. Nws yog ib qho tseem ceeb kom zaum lossis pw kom tsis txhob ntog, thiab kom muaj ib tus neeg hu rau kev pab kho mob tam sim.
Kauj Ruam 6. Saib xyuas txhua qhov kev hloov pauv pom
Yog tias ib tus neeg muaj teeb meem pom kev, suav nrog qhov muag tsis pom, ob lub zeem muag, lossis lub qhov muag tsis pom kev hauv ib lossis ob lub qhov muag, nws yuav yog ib qho cim ntawm mob stroke. Nws yog ib qho tseem ceeb kom nkag siab tias cov tsos mob ntawm tus mob hlab ntsha tawg tag nrho yog nyob ntawm thaj tsam ntawm lub paj hlwb tau txo qis (lossis txiav tawm) cov ntshav - thaj chaw uas cuam tshuam yog dab tsi yuav ua rau muaj cov tsos mob tshwj xeeb.
- Yog tias thaj tsam ntawm lub paj hlwb lub luag haujlwm rau kev pom kev yog ib nrab lossis tsis muaj peev xwm ntawm cov ntshav ntws, qhov no yog thaum tus neeg yuav pom cov tsos mob tshwm sim.
- Raws li nrog cov tsos mob feem ntau ntawm tus mob stroke, tus neeg lub zeem muag yuav zoo dua (thiab tseem tuaj yeem rov zoo li qub) tom qab mob hlab ntsha tawg, raws li lub paj hlwb rov zoo. Txawm li cas los xij, nws yuav siv ob peb hnub mus rau ob peb lub lis piam kom rov zoo tuaj.
Kauj Ruam 7. Saib rau ntawm lub ntsej muag
Yog tias koj ntseeg tias koj yuav muaj mob stroke, sawv ntsug ntawm lub iav thiab sim luag ntxhi. Yog tias ib sab poob ntau dua li lwm qhov (hauv txoj kev uas txawv txav rau koj), qhov no tuaj yeem yog ib qho cim ntawm mob stroke.
- Yog tias koj tab tom saib rau lub ntsej muag ua tau rau lwm tus, nug lawv kom luag ntxhi thiab sau tseg yog tias lawv lub ntsej muag luag ntxhi tsis sib xws (yog tias ib sab zoo li siab dua lwm qhov). Nov yog qhov qhia tias lawv yuav muaj mob stroke.
- Ib yam nkaus, yog tias cov leeg ntawm ib sab ntawm lub ntsej muag zoo li tuag tes tuag taw lossis tsis tuaj yeem txav mus tau zoo, qhov no yog lub cim qhia tias muaj peev xwm mob hlab ntsha tawg.
Kauj Ruam 8. Nco ntsoov tias ib qho ntawm cov tsos mob no tuaj yeem qhia tias muaj mob stroke
Ib qho ntawm cov yam ntxwv tseem ceeb ntawm kev mob hlab ntsha tawg yog qhov lawv nthuav tawm txawv hauv ntau qhov xwm txheej. Qhov no yog vim tias cov tsos mob ntawm tus mob stroke cuam tshuam ncaj qha rau thaj chaw ntawm lub paj hlwb uas tsis muaj ntshav txaus. Cov cheeb tsam uas tsis muaj ntshav txaus yuav txiav txim siab cov tsos mob uas tshwm sim (piv txwv li, yog tias thaj chaw txav chaw raug cuam tshuam, koj yuav muaj kev qaug zog; yog tias thaj chaw lus raug cuam tshuam, koj yuav ntsib teeb meem kev sib txuas lus; yog tias thaj chaw pom kev raug cuam tshuam, koj yuav ntsib teeb meem pom kev, thiab lwm yam).
- Yog li, yog tias koj pom ib qho ntawm cov tsos mob lossis cov tsos mob tau piav qhia hauv kab lus no - lossis pom cov cim thiab cov tsos mob no hauv lwm tus - nrhiav kev kho mob tam sim.
- Nws tsis tas yuav tsum muaj tag nrho cov tsos mob txhawm rau txhawm rau mob stroke.
Kauj Ruam 9. Xav txog nws yog kev kho mob xwm txheej ceev yog tias koj mob taub hau loj tshaj plaws hauv koj lub neej
Muaj ib hom mob stroke me me, hu ua SAH (subarachnoid hemorrhage), uas nthuav tawm ua "mob taub hau," uas yog qhov pib mob taub hau loj tshaj plaws hauv koj lub neej. Tej zaum nws tuaj yeem xeev siab thiab/lossis ntuav. Mus rau Chav Kho Mob Kub Ceev tam sim yog tias koj (lossis lwm tus neeg) tab tom ntsib qhov no.
Kauj Ruam 10. Sau sijhawm ntev ntawm cov tsos mob
Yog tias koj pom cov cim lossis tsos mob uas txaus ntshai rau mob hlab ntsha tawg, koj yuav tsum nrhiav kev kho mob tam sim. Koj kuj yuav tsum tau ceeb toom thaum cov tsos mob pib, thiab seb lawv puas tau tas li lossis tsis tu ncua.
- Tsuas yog vim koj cov tsos mob tsis tu ncua lossis zoo li tau ploj mus tsis txhais tau tias nws tsis yog mob stroke.
- Yog tias koj cov tsos mob zoo li ploj mus, nws tseem pom zoo kom mus ntsib koj tus kws kho mob hauv tsev, lossis mus rau chav kho mob taug kev txhawm rau tshuaj xyuas yog tias koj tsis tuaj yeem teem sijhawm ib hnub nrog koj tus kws kho mob hauv tsev.
- Yog tias koj cov tsos mob tsis tu ncua, mus ncaj qha rau Chav Kho Mob Kub Ntxhov.
- Ib qho "TIA" (mob ischemic nres ib ntus), tseem hu ua "mob stroke me," yog mob stroke uas kav ntev dua li ib teev (feem ntau li ntawm 5-10 feeb thiab tom qab ntawd kho tus kheej).
- Nws tsis tuaj yeem qhia TIA thiab mob hlab ntsha tawg tag sib nrug kom txog thaum koj pom qhov kev daws teeb meem, yog li koj yuav tsum ua mus raws li nws yog mob stroke tag thiab nrhiav kev kho mob tam sim tshwj tsis yog thiab txog thaum koj pom lwm yam.
Ntu 2 ntawm 3: Nrhiav Kev Kho Mob
Kauj Ruam 1. Mus rau tom tsev kho mob tam sim yog tias koj pom muaj yam tshwm sim sai sai uas piav tsis tau txog ntawm mob stroke
Yog tias koj tab tom pom cov tsos mob thiab cov tsos mob qhia tias mob stroke, kom ib tug neeg coj koj mus rau tom tsev kho mob lossis hu rau 911 tam sim. Tsis txhob tso tseg yog tias koj cov tsos mob zoo ib ntus, vim lawv tuaj yeem rov qab los.
Kauj Ruam 2. Nug koj tus kws kho mob rau TPA
TPA sawv cev rau cov ntaub so ntswg plasminogen activator. Nws yog kev kho mob rau ischemic stroke (mob hlab ntsha tawg los ntawm cov ntshav khov), tsuav yog nws muab nyob rau hauv peb teev tom qab pib mob.
- Nco tseg tias kev kho mob yuav txawv yog tias koj tab tom muaj mob stroke (ntshav hauv lub hlwb) ntau dua li ischemic stroke (txhaws hauv cov hlab ntshav hauv lub paj hlwb vim ntshav khov).
- Kev kho tus mob hemorrhagic stroke tsis siv TPA, thiab ntau ntxiv nrog cov tshuaj rau kev tswj ntshav siab thiab txo qis lub siab hauv lub hlwb thaum koj tus kws kho mob ua haujlwm los kho cov ntshav.
Kauj Ruam 3. Ceev faj txog cov kab mob me me
Muaj qee lub sijhawm thaum thawj zaug mob hlab ntsha tawg, lossis TIA (uas sawv cev rau "mob ischemic nres ib ntus," txwv tsis pub hu ua "mob stroke me"), tsis hnyav heev thiab tsis ua rau muaj kev puas tsuaj ntau dhau. Tom qab koj tau tshuaj xyuas los ntawm kws kho mob, nws tuaj yeem tawm tswv yim hais txog yuav ua li cas thiaj li txo koj txoj kev pheej hmoo mob stroke yav tom ntej.
Qhov no tuaj yeem suav nrog pib siv cov tshuaj ua kom ntshav qis lossis tus neeg sawv cev antiplatelet, tau txais kev tswj ntshav siab zoo, tswj ntshav qab zib, txiav kev haus luam yeeb, pib siv lub cev qoj ib ce kom tsim nyog, kuaj mob thiab kho ib lub plawv tsis ua haujlwm (txawv txav xws li atrial fibrillation), thiab tau txais txheej txheem kev cuam tshuam xws li carotid artery endarterectomy yog xav tau, ntawm lwm yam
Ntu 3 ntawm 3: Kev Nkag Siab Ua Rau Mob Stroke Hauv Ib Tug Hluas
Kauj Ruam 1. Nkag siab qee qhov hauv paus ua rau mob stroke hauv cov hluas
Nco ntsoov tias yog koj yog ib tus neeg hluas, koj muaj feem yuav muaj tus kab mob hauv paus uas tuaj yeem lav koj lub plawv. Piv txwv ntawm cov xwm txheej uas tej zaum yuav ua rau koj mob stroke muaj xws li AVMs (cov hlab ntsha tsis zoo, uas yog cov hlab ntsha txawv txav uas tuaj yeem tshwm sim hauv koj lub paj hlwb thiab xav kom koj tawg), nrog rau lwm yam kab mob hauv cov hlab ntshav lossis ntshav txhaws uas tuaj yeem ua rau tau txais los yog loj hlob thaum tseem hluas. Lwm qhov ua rau mob hlab ntsha tawg hauv cov neeg hluas suav nrog:
- Vasculitis - ib qho teeb meem ntawm cov hlab ntsha.
- Cerebral veins thrombosis - Cov ntshav khov hauv ib qho ntawm cov hlab ntshav hauv lub paj hlwb, ua rau pom cov tsos mob ntawm tus mob stroke.
- Moya -moya syndrome - Tsis tshua muaj mob uas cov hlab ntsha ntawm lub hauv paus ntawm lub paj hlwb raug thaiv.
- Ntshav Qab Zib - Kab mob uas cuam tshuam rau kev tsim cov tshuaj insulin, ua rau muaj cov piam thaj ntau hauv cov ntshav.
- Sickle -cell anemia - Ib yam mob uas cov qe ntshav liab tuag ntxov, ua rau cov ntshav liab tsis zoo.
Kauj Ruam 2. Ua raws thiab txheeb xyuas qhov xwm txheej
Tshwj xeeb yog tias koj tseem hluas, koj tus kws kho mob tuaj yeem xaj kuaj thiab tshuaj xyuas kom txiav txim siab seb koj puas muaj qhov xwm txheej hauv qab no, thiab tuaj yeem kho nws raws li qhov pom tau. Yog tias koj tau pom cov tsos mob qhia tias mob stroke, nug koj tus kws kho mob rau nws qhov kev xav txog yam tshuaj ntsuam xyuas uas koj yuav tsim nyog tau txais. Kev tshawb nrhiav uas koj yuav tau txais suav nrog:
- Vascular (cov hlab ntsha) kev tshawb fawb - Qhov no cuam tshuam nrog kev siv Doppler ultrasound txhawm rau ntsuas rau txhua qhov txhaws ntawm cov hlab ntsha.
- Kev kuaj lub paj hlwb (xws li CT scan lossis MRI) - Qhov no tuaj yeem txheeb xyuas cov ntshav txhaws hauv lub hlwb thiab kuaj mob ntsig txog mob hlab ntsha tawg.
- Kev ntsuas lub plawv - Qhov no tshuaj xyuas lub plawv rau qhov txawv txav uas tuaj yeem ua rau ib qho ua rau cov ntshav khov thiab mob hlab ntsha tawg tom qab.
- Kev ntsuas ntshav - Qhov no yog ntsuas ntshav uas ntsuas rau ntau yam kev pheej hmoo ntawm mob hlab ntsha tawg thiab kuaj pom qhov tseeb.
Kauj Ruam 3. Txo koj txoj kev pheej hmoo mob stroke thaum tseem hluas
Thaum ntau qhov ua rau mob hlab ntsha tawg hauv cov neeg hluas muaj feem cuam tshuam nrog kev kho mob txawv txawv lossis xwm txheej uas koj tau yug los, koj tseem tuaj yeem txo koj txoj kev pheej hmoo mob stroke los ntawm kev hloov kho txoj hauv kev muaj feem cuam tshuam. Cov kev ntsuas yooj yim xws li kev tawm dag zog tsis tu ncua (20 feeb peb mus rau plaub zaug hauv ib lub lis piam), noj zaub mov kom noj qab haus huv tsis muaj rog thiab qab zib, txiav luam yeeb, kho ib yam mob tsis zoo (xws li ntshav siab, nce roj cholesterol, thiab/lossis ntshav qab zib), thiab txo qis kev ntxhov siab hauv koj lub neej tuaj yeem ua haujlwm los txo koj txoj kev pheej hmoo ntawm mob stroke.
- Kev nce qib ntawm kev rog thiab ntshav siab ntawm cov tub ntxhais hluas tej zaum yuav yog ib feem ntawm lub luag haujlwm rau kev nce ntshav hauv ntshav.
- Kev quav yeeb quav tshuaj (tshwj xeeb yog methamphetamine thiab yeeb dawb) tau txuas rau kev mob hlab ntsha tawg hauv cov tub ntxhais hluas. Siv cov tshuaj no tuaj yeem ua rau koj pheej hmoo mob stroke.
- Xav txog qhov ua tau ntawm cov hlab ntsha tawg. Lub zog txav ntawm lub caj dab - los ntawm whiplash, tus kws kho mob caj dab, lossis txawm tias yoga - tuaj yeem ua rau lub qhov txhab me me hauv cov hlab ntshav loj nyob hauv koj lub caj dab. Yog tias koj tsis ntev los no tau ntsib kev raug mob, hloov caj dab, lossis qee yam kev txav ntawm lub caj dab thiab tom qab pom cov cim ntawm mob stroke, tsis txhob yig thiab nrhiav kev pab kho mob tam sim. Yog ua tau, zam kev hloov caj dab thiab lwm yam dej num uas yuav ua rau muaj kev txav mus los zoo li no.
- Tsis tas li, ua raws nrog cov lus pom zoo kuaj mob thiab kev tshuaj xyuas los ntawm koj tus kws kho mob yog qhov tseem ceeb. Qhov no yog vim tias cov kev ntsuas ntxaws ntxiv no yuav qhia pom qhov ua rau (lossis muaj feem txaus ntshai) rau mob stroke uas, yog tias pom, tuaj yeem kho tau zoo.
