Prophylaxis kokubetha nezolo

Okokuqala, kufanele kuphawulwe ukuba amanyathelo othintelo ukuthintela ukwenzeka stroke kobuchopho kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka emva kokuvela imeko zaseprayimari. Phakathi amanyathelo ibalulekileyo kuthintelo ezimbi kukhutshwe akukho ukutshaya, utywala, ulungiso ukudla, ukusetyenziswa kweziyobisi, ukuqeshwa umsebenzi ngokulinganisela. Ngenxa engozini yeengxaki kwizigulane amanyathelo ezindala othintelo yobudala kufuneka wenziwe ngocoselelo olukhulu.

Kuba iindlela non-kweziyobisi ngenxa ekuvimbeni ukuphinda kokubetha ziquka zokuyeka yokuqala ukutshaya. Kokuma zibonisa ukuba emva kweminyaka emihlanu ndizila umngcipheko inicotine zokuphuhlisa ithi lo utshayayo yangaphambili iye umahluko ezincinane evela amathuba walo mntu, nokungatshayi a naphakade. Kulo mzekelo, nkqu abantu ebudaleni amava enkulu ngokwaneleyo kokutshaya ukunciphisa isixa yecuba watshaya okanye ukutshaya lwe isetyenziswa njenge ukuthintelwa kobetho yintliziyo.

Ukunciphisa ukuselwa kotywala ngcembe lunciphisa ubungozi ithi kwi otywala zangaphambili. Ezinye iingcali bathi oku ukuhla kwe lwefibrinogen kunye cholesterol amanqanaba, kwakunye ukuncipha udibaniso (adhesion) of ziiplatelets. Noko ke, iindlamanzi, uthintelo stroke ngokufumana amathamo aphantsi utywala awuthunyelwanga kwabonakala.

Oku kwandisa amathuba nokuphungulwa umsebenzi karhulumente eziluhlobo emzimbeni. Uthintelo olululo stroke nezolo ukwenza umthambo rhoqo. A kwamnceda urhulumente ukuzilolonga, ngaphandle ukuhamba rhoqo. Ukuba isigulane akakwazi ukuhambahamba, yenza iseti umthambo ukukhanya kuboniswe kweli khaya.

Prophylaxis kokubetha nezolo ngokuyimfuneko kufuneka iquke ulungiso amandla nomonde. Uyacetyiswa ukuba afake ekutyeni iziqhamo kunye nemifuno ezininzi ezaneleyo, oli yemifuno. Ngelo iimveliso xesha ezinomthamo aphezulu cholesterol kufuneka ngaphandle. Kuboniswa ukuba ukunciphisa ukusebenzisa ityuwa ekutyeni. Phambi seswekile kufuneka abe nolawulo rhoqo amanqanaba iswekile, ukutya, i-insulin ukusetyenziswa okanye sulfonylureas. Ukuncitshiswa ubengo ubunzima bomzimba ukuze lusebenze.

Prophylaxis kokubetha nezolo kuquka unyango antiplatelet. Kufuneka kuqatshelwe ukuba ukusetyenziswa kweziyobisi ephungula zegazi udibaniso, nguye isiganeko elikhokelayo ekuthinteleni iimeko zophendlo lwezifo ezinxulumene nemithambo yegazi. Prophylaxis kokubetha nezolo ngokuqhelekileyo luqhutywa ngokusebenzisa acetylsalicylic acid, ticlopidine kunye nezinye arhente antiplatelet. Ngokutsho kokuma, ngenzuzo elide (ubuncinane iminyaka emithathu) ala machiza kunciphisa kakhulu umngcipheko secondary ithi izifo, kuquka ukufa, umlinganiselo amabini ekhulwini.

Phambi ngokuzalana okanye lesithathu soxinzelelo lwegazi (esiphakathi okanye kakhulu) ingaba siphumelele abafumana amachiza umfutho. Kunye nokuqeshwa kwabo oluthathela ingqalelo Ufundo akhawunti ngamnye ogulayo iye ukufa icala okanye ukuhlaselwa yintliziyo. Ukongeza, kuba izigulane abangeva (lokuqala) iqondo amachiza hypertension ukusebenza ukusahlula kuphela ukususela kwiqela antihypertensives. Ezi ziquka, ingakumbi, ukuya indapamide umchamo.