Yadda ake maganin bugun jini
Wadatacce
Ya kamata a fara jinyar shanyewar jiki da wuri-wuri kuma, sabili da haka, yana da mahimmanci a san yadda za a gano alamun farko da za a kira motar asibiti nan da nan, saboda da an fara jiyya da wuri, ƙananan haɗarin masu kamuwa da cutar kamar paralysis ko wahalar magana. Duba a nan waɗanne alamu na iya nuna bugun jini.
Don haka, likita zai iya fara maganin tun tuni a cikin motar asibiti a kan hanyar zuwa asibiti, tare da magunguna irin su magungunan hawan jini don daidaita karfin jini da bugun zuciya, amfani da iskar oxygen don sauƙaƙa numfashi, ban da sarrafa mahimman alamu, kamar hanya don dawo da jini zuwa kwakwalwa.
Bayan jiyya ta farko, ya kamata a gano nau'in bugun jini, ta yin amfani da gwaje-gwaje kamar su tomography da MRI, saboda wannan yana tasiri kan matakai na gaba na magani:
1. Maganin bugun ischemic
Harshen Ischemic yakan faru ne yayin da gudan jini ya toshe hanyar jini a ɗayan tasoshin cikin kwakwalwa. A waɗannan lokuta, magani na iya haɗawa da:
- Magunguna a cikin allunan, kamar su AAS, Clopidogrel da Simvastatin: ana amfani da su a lokutan da ake zargi da bugun jini ko kuma ischemia na wucin gadi, saboda suna iya sarrafa ci gaban dasashi da hana toshewar jijiyoyin jijiyoyin;
- Thrombolysis da aka yi tare da allurar APt: enzyme ne wanda yakamata ayi amfani dashi kawai lokacin da an riga an tabbatar da bugun ischemic tare da tomography, kuma yakamata ayi amfani dashi a cikin awanni 4 na farko, saboda yana saurin lalata gudan jini, yana inganta zagayawar jini zuwa yankin da abin ya shafa;
- Ciwon ƙwaƙwalwar ƙwaƙwalwa: a wasu asibitocin, a matsayin madadin allurar APt, yana yiwuwa a saka bututu mai sassauƙa wanda ke fitowa daga jijiyar jijiyoyin jini zuwa ƙwaƙwalwa don ƙoƙarin cire tabon ko yin allurar ƙwayoyi masu guba a cikin shafin. Learnara koyo game da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa;
- Gudanar da karfin jini, tare da magungunan rage karfin jini, as captopril: ana yin sa ne a yanayin da hawan jini ya hau, don hana wannan matsin lamba daga mummunar oxygenation da zagawar jini a kwakwalwa;
- Kulawa: dole ne a sanya ido da lura da muhimman alamomin wanda ya kamu da cutar shanyewar jiki, lura da bugun zuciya, matsin lamba, oxygenation na jini, glycemia da yanayin zafin jiki, yana sanya su kwanciyar hankali, har sai mutumin ya nuna ɗan ci gaba, saboda idan ba su da iko, akwai yiwuwar samun rauni na bugun jini da kuma abin da ya haifar.
Bayan bugun jini, ana nuna tiyatar yankewar ƙwaƙwalwa a cikin yanayin inda ƙwaƙwalwar ke da babban kumburi, wanda ke ƙara matsin ciki kuma yana iya haifar da haɗarin mutuwa. Ana yin wannan aikin ta cire, na wani lokaci, wani ɓangare na ƙashin kwanyar, wanda aka maye gurbin lokacin da kumburin ya ragu.
2. Maganin bugun jini
Maganganun bugun jini sun tashi lokacin da jijiyoyin jini ke kwararar jini ko fashewa, kamar yadda yake tare da sigar jini ko kuma saboda saurin hawan jini, misali.
A wa annan lokuta, ana yin magani ne ta hanyar kula da hawan jini, kamar su antihypertensives, ban da yin amfani da bututun iskar oxygen da sa ido kan muhimman alamu don a sarrafa zub da jini da sauri.
A cikin mawuyacin yanayi, inda akwai cikakkiyar fashewar jijiya kuma da wuya a tsayar da zubar da jini, aikin tiyatar ƙwaƙwalwa na gaggawa na iya zama dole don nemo wurin zubar da jini da kuma gyara shi.
A lokutan babban bugun jini, ana iya yin aikin tiyatar ƙwaƙwalwa, saboda yawanci fuskantar haushi da kumburin kwakwalwa saboda zubar jini.
Yaya dawo da bugun jini
Gabaɗaya, bayan sarrafa alamun bayyanar cututtukan bugun jini, ana buƙatar zaman asibiti na kimanin kwanaki 5 zuwa 10, wanda ya bambanta gwargwadon yanayin asibiti na kowane mutum, don kasancewa ƙarƙashin kulawa, don tabbatar da farfaɗowar farko. Da kuma tantance sakamakon da ya biyo bayan bugun jini.
A wannan lokacin, likita na iya fara amfani da magunguna ko daidaita magungunan marasa lafiya, yana ba da shawarar yin amfani da anti-aggregant ko anticoagulant, kamar Aspirin ko Warfarin, idan akwai wani ischemic bugun jini, ko cire anticoagulant idan na Hemorrhagic stroke, misali.
Kari akan haka, ana iya bukatar magunguna don sarrafa karfin jini, glucose na jini, cholesterol, alal misali, don rage haɗarin sabbin aukuwa na shanyewar barin jiki.
Wasu masu ruwa da tsaki na iya kasancewa, kamar wahalar magana, rage ƙarfi a gefe ɗaya na jiki, canje-canje don haɗiye abinci ko sarrafa fitsari ko najasa, ban da canje-canje a cikin tunani ko ƙwaƙwalwa. Adadin da kuma tsananin wahalar da aka samu sun bambanta dangane da irin cutar shanyewar jiki da yanayin kwakwalwar da abin ya shafa, da kuma ikon mutum na murmurewa. Mafi kyawun fahimtar rikitarwa na bugun jini.
Gyarawa don rage sakamakon
Bayan bugun jini, mutum yana buƙatar yin jerin hanyoyin gyarawa, don saurin murmurewa da rage tasirin. Babban siffofin gyara ne:
- Jiki: gyaran jiki yana taimakawa wajen ƙarfafa tsokoki, ta yadda mutum zai iya murmurewa ko kula da motsin jiki, ya inganta rayuwarsu. Duba yadda ake gyaran jiki bayan bugun jini.
- Maganin aiki: yanki ne da ke taimakawa mara lafiya da danginsa wajen nemo dabarun rage tasirin bugun jini a kullum, ta hanyar atisaye, daidaita gidan, gidan wanka, ban da ayyukan inganta tunani da motsi;
- Maganin Maganganu: wannan nau'in maganin yana taimakawa wajen dawo da magana da haɗiya ga marasa lafiya waɗanda ke fama da wannan yankin da cutar shanyewar jiki ta shafa;
- Gina Jiki: bayan bugun jini, yana da mahimmanci mutum ya sami daidaitaccen abinci da wadataccen bitamin da kuma ma'adanai waɗanda ke ciyar da gilashi kuma cikin ƙoshin lafiya, don guje wa rashin abinci mai gina jiki ko sabon bugun jini. A wasu lokuta inda ya zama dole ayi amfani da bincike don ciyarwa, masanin abinci mai gina jiki zai kirga ainihin adadin abincin kuma zai koya maka yadda ake shirya shi.
Tallafin dangi yana da mahimmanci a wannan lokacin na murmurewa daga bugun jini, duka don taimakawa cikin ayyukan da mutun ba zai iya yi ba, har ma da taimakon motsin rai, tunda wasu iyakokin na iya zama masu takaici da haifar da rashin taimako da baƙin ciki. Koyi yadda zaka taimaki wanda yake da wahalar sadarwa.