Kutsekeka kwa magazi m'mimba (ICH) ndi mtundu wowopsa wa sitiroko womwe umakhudza magazi m'matumba aubongo. Zochitika monga kuthamanga kwa magazi zimapanikiza kwambiri mitsempha yaying'ono yomwe imapereka magazi ndi mpweya kubongo. Kupanikizika kwambiri kwamitsempha kumapangitsa kuti mitsempha imeneyi iphulike ndipo pamapeto pake imatseka magazi, zomwe zimapangitsa kuti maselo awonongeke.

Vuto longa ngati kuperewera kwa magazi (hemorrhage hemorrhage (ICH)) layamba pomwe ubongo sukulandira magazi okwanira ndi mpweya, womwe umatha kubweretsedwa ndi vuto lalikulu, oopsa or zopanga magazi. Ichi ndi chithandizo chamankhwala chomwe chikusowa mwamsanga zomwe zingaphatikizepo mankhwala, opareshoni, kapena kulowerera kosavuta kuti muchepetse kuthamanga kwa magazi; Komabe, kuchuluka kwa kuthamanga kwa magazi kutsikira kukhathamiritsa kwapakati sikudziwika kwathunthu.

Phunziroli pa Intercerebral Hemorrhage (ICH)

Phunziro la Anderson, C. et. al. (2013) adawunika momwe ntchito yolowerera yotaya magazi mu Intercerebral Hemorrhage (ICH) imathandizira pakuchepetsa kuthamanga kwa magazi komwe kumakhudza kuchuluka kwa omwe akutenga nawo mbali pazachipatala. Kumbali ina, kuuma kwa kupwetekedwa kwawo kunayesedwa kudzera Glasgow Coma Scale (GCS) ndi National Institutes of Health Stroke Scale (NIHSS)) zolembedwa zoyambira, maola 24 ndi masiku 7 kapena nthawi yomwe amachoka kuchipatala.

Mukamayesa deta yoyambira, CT scan ya ubongo kapena MRI idachitika kuti zitsimikizire kuti sitiroko ikugwirizana ndi njira yomwe ilipo. Kuphatikiza apo, masiku 28 kapena masiku 90, odwalawo amatsatiridwa ndi telefoni kapena kwa anthu ogwira ntchito wamba ophunzirawo osazindikira magawo amtunduwo. Odwala omwe sanathe kulandira chithandizo chomwe amayesedwa kapena sanathe kutsatira malangizowo adatsatiridwa kwathunthu, komanso chidziwitso chawo chidaphatikizidwa pakufufuza komwe malinga ndi lingaliro la 'cholinga chofuna kuchitira'.

Zomwe zatsimikizidwa pakafukufukuyu pa Intercerebral Hemorrhage (ICH)

Phunziroli, ofufuzawo adapatsa odwala 2839 omwe anali ndi mbiri yokhudzana ndi kutaya magazi mkati mwa maola 6 apitawa komanso omwe adakweza kuthamanga kwa magazi. Amakonda kulandira chithandizo chambiri kuti achepetse kuthamanga kwa magazi ndi cholinga chotsitsa ma systolic a <140 mmHg mkati mwa ola limodzi kapena chithandizo chothandizidwa ndiupangiri ndi cholinga cha systolic ya <1 mmHg.

Zotsatira zoyambirira zinali kufa kapena kulumala kwakukulu, komwe amafotokozedwa ngati chithunzi cha 3 mpaka 6 pamlingo wosinthidwa wa Rankin (kuchuluka kwa 0 sikusonyeza chilichonse, kuchuluka kwa 5 kumawonetsa kulumala kwakukulu, ndipo kuchuluka kwa 6 kumawonetsa imfa) pa Masiku 90. Kuwunikira komwe kumanenedweratu kwa chiwerengero chosinthika cha Rankin kunachitidwanso komanso kuchuluka kwa zovuta zowopsa kunayerekezedwa pakati pa magulu awiriwo. Mwa otenga nawo mbali 2794 omwe zotsatira zoyambirira zitha kutsimikizika, 719 mwa ophunzira 1382 (52.0%) akulandila chithandizo champhamvu, poyerekeza ndi 785 of 1412 (55.6%) omwe amalandila chithandizo cholimbikitsidwa, anali ndi zochitika zoyambirira.).

Imfa inali 11.9% mgululi amalandila chithandizo champhamvu ndipo 12.0% pagululi amalandila chithandizo chothandizira. Zochitika zoyipa zomwe sizinachitike zinawonongeka mu 23.3% ndi 23.6% ya odwala m'magulu awiriwa, motsatana.

Pomaliza, odwala ali intracerebral hemorrhage, kuchepa kwakukulu kwa kuthamanga kwa magazi sikothandiza kuchepetsa kuchuluka kwa zotsatira zoyambirira za kufa kapena kulumala kwambiri. Komabe, kuwunika koyendetsedwa kwa masinthidwe a Rankin zambiri kunawonetsa zotsatira zowoneka bwino ndikuchepetsa kwambiri kuthamanga kwa magazi.

PITIRIZANI KUWERENGA Phunziro la:

Craig S. Anderson, MD, Ph.D., Emma Heeley, Ph.D., Yining Huang, MD, Jiguang Wang, MD, Christian Stapf, MD, Candice Delcourt, MD, Richard Lindley, MD, Thompson Robinson, MD, Pablo Lavados, MD, MPH, Bruce Neal, MD, Ph.D., Jun Hata, MD, Ph.D., Hisatomi Arima, MD, Ph.D., et al., Wofufuza wa INTERACT2

 

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Kupanikizika kwa Magazi: Buku Latsopano la Sayansi la Kuunika kwa Anthu

 

Kodi kuthamanga kwa magazi kumachepetsa chiopsezo cha matenda a mtima ndi impso kapena sitiroko?

 

Cincinnati Prehospital Stroke Scale. Udindo wake mu Dipatimenti Yadzidzidzi

 

Chiwopsezo chachikulu chodwala ma veterani omwe ali ndi vuto laumoyo wamisala

 

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Ambulansi yoyamba ku Stroke Ambulansi - Njira yatsopano yopulumutsa miyoyo