Uncedo lokuqala lwe-stroke luqala ngemizuzu embalwa yokuqala emva kwesifo. Oku kuya kunceda ukuphepha ukuphuhliswa kweenkqubo ezingenakwenzeka kwiingqondo nokukhusela ukufa. Kuyaziwa ukuba iiveki ezilandelayo emva kwe-stroke lixesha elidlulileyo lexesha kwaye kuthiwa yiwindow yokunyanga. Ukuba unyango lwangaphambili lwonyango luchanekile kwaye luphakathi kwezi zi-3 iiyure, ke kukho ithemba lesiphumo esifanelekileyo sesifo kunye nokubuyiswa okuqhelekileyo kwemisebenzi yomzimba.
Iintlobo zemivimbo:
- I-Iskemik isifo sesifo se-cerebral infarction. Ingxelo engaphezulu kwe-75% yazo zonke iimeko.
- Isibilini esinobuhlungu - isifo se-cerebral hemorrhage.
I-Stroke - iimpawu kunye noncedo lokuqala
Izibonakaliso zesifo esibuhlungu:
- Isikhwebu esibi kakhulu.
- Ukulahleka kokuva.
- Ukuvutha.
- Ukukhubazeka kweziphelo.
- Ubuso obusobala.
- Salivation eqinisiweyo.
Izibonakaliso zesifo sengqondo:
- Ukugqithisa kweminye imilenze.
- Ubuthathaka kwingalo okanye ngomlenze kwicala elinye le-trunk.
- Ukunyanzeliswa kwentetho.
- Ubungqina buso.
- Intloko.
- Utywala.
- Ukulahlekelwa kolawulo.
- Ukugqithiswa kombono.
- Ukuxhalabisa.
Okokuqala, unyango olufunekayo olukhawulezileyo kufuneka lubizwe xa kwenzeka unxephezelo okanye xa kukho impawu ecacileyo. Kubalulekile ukuthobela ingqalelo, ukuba kuyimfuneko ukuba ucacise ngokuchanekileyo imiqondiso yesifo kunye nesimo somguli.
Uncedo olukhawulezileyo nge-stroke
Emva kwefowuni yeqela le-neurological, kuyimfuneko ukubonelela ngoncedo lokuqala kwixhoba le-stroke.
Ukuphazamiseka kwamathambo - uncedo lokuqala:
- Beka isigulane ebhedeni okanye phantsi ukuze amahlombe nentloko ziphakanyiswe (malunga ne-30% yomhlaba). Kubalulekile ukuba ungashenxiseli maxhoba kwaye ungamvumeli ukuba ahambe ekhaya xa ukubetha kwenzeka kwitalato;
- ukususa okanye ukukhupha zonke izambatho ezinqabileyo (i-collar, tie, ibhande);
- ukuba kukho iindlovu emlonyeni, kufuneka zisuswe;
- unikeze umoya omtsha;
- intloko yexhoba kufuneka ilungiswe ngapha nangapha;
- xa uhlanza, uhlambulule umlomo ngoncedo lwegreyze okanye ezinye izicubu zendalo;
- ukuba unamathele entlokweni into ethile ebandayo (ibhotile yamanzi okanye umkhiqizo okhuniweyo). I-compress isetyenziswe kwicala lentloko echasene neenqwelo ezinzima okanye ezinokukhubazeka;
- Ukugcina ukujikeleza kwegazi ezandleni nasezinyaweni (ukumboza ngengubo, ufake ifowuni yokushisa okanye ikhadi eliphuzi);
- Ukubeka iliso kwi-salivation, ngexesha lokucoca umtya womlomo wesalathiso esingaphezulu;
- xa ukukhubazeka, gubha izitho kunye naluphi na umxube weoli otywala (kufuneka udibanise ii-2 zeoyile yemifuno kunye nenye inxalenye yotywala).
Isibonelelo sokuqala sokuqala kwesifo sokukhupha ischemic:
- ukubeka isigulane ngendlela efana ne-stroke ephazamisayo - enekhanda eliphakanyisiweyo kunye namagxa;
- Ukuqinisekisa uxolo nokungabikho kokuhamba;
- ukuxhasa ixhoba ngokuqonda ngoncedo loboya bekoton,
ixutywe kwi-ammonia okanye iviniga yewayini; - landela ukuphefumula okuqhelekileyo, ungavumeli ulwimi luwe;
- Musa ukuvumela isigulane ukuba siphuze nayiphina imishanguzo, ngaphandle kwe-glycine kunye ne-piracetam (abanayo imiphumo emibi);
- Ukucoca ubuso obushushu kunye nentanyeni ngamanzi abandayo kanye emva kwesigamu seyure;
- gubha izandla kunye ne-trunk ngezandla okanye ibhulashi elithambileyo;
- kwixinzelelo ephakamileyo, kubalulekile ukufudumala imilenze yesigulane okanye ukuyibeka emanzini ashushu.