Chinangwa chekutanga ndechekuderedza kukuvadzwa kuhuropi nekudzorera kutenderera kweropa muchiitiko chekurwisa ischemic kunoonekwa neMRI kana nekudzikisa kubuda kweropa pakaitika tsaona yehemorrhagic. Kana sitiroko yacho yakanyanya, munhu acharamba ari muchipatara kuti atariswe kwemazuva mashoma. Nguva yekuvandudza, kumba kana munzvimbo yakasarudzika, dzimwe nguva inodiwa. Mukuwedzera, chikonzero chesitiroko chinofanira kuongororwa uye kurapwa (somuenzaniso, kugadzirisa zvakanyanya kuwedzera kweropa kana cardiac arrhythmia).

Pharmaceuticals

Kana tsinga yakavharika

Mushonga mumwe chete wekudzikisa njodzi yekukuvadzwa kwehuropi usingachinji unobvumidzwa. Inoratidzwa nesitiroko inokonzerwa ne thrombosis kana embolism. Izvi a tishu plasminogen activator, puroteni iri muropa inobatsira kunyungudutsa magwamba nokukurumidza (anopfuura awa kana maviri). Kuti ushande, mushonga unofanirwa kubaiwa netsinga mukati me3 kusvika ku4,5 maawa ekurohwa, iyo inoderedza zvakanyanya kushandiswa kwayo.

Maawa mashomanana mushure mekusava neropa reropa, mishonga inowanzopiwa anticoagulant ou antiplaquettaire. Izvi zvinobatsira kudzivirira kugwamba kweropa kutsva kubva mutsinga. Mukuwedzera, inodzivirira kuwedzera kwezviputi zvakatogadzirwa. Kana sitiroko yadzikama, chiremba anowanzo kurudzira mushonga wakareruka, sengeasipurini, inofanira kutorwa zuva nezuva pamusoro penguva refu.

Munguva yekudzorera, mamwe madhiragi anogona kubatsira. Semuenzaniso, antispasmodic zvinodhaka zvinogona kubatsira kubvisa tsandanyama spasms.

Kana pane kubuda ropa

Mumaawa anotevera rudzi urwu rwetsaona yevascular, mishonga yekuderedza BP inowanzopiwa kuderedza kubuda kweropa uye njodzi yekutangazve kubuda ropa. Dzimwe nguva kubuda ropa kunokonzera pfari. Vanobva vabatwa nemishonga kubva mukirasi ye benzodiazepine.

sejari

Kana tsinga yakavharika

Kana sitiroko yadzikama, chiremba anopa bvunzo dzakasiyana siyana kuti aone kana mamwe matsinga akaderedzwa neatherosclerosis. Anogona kupa imwe yeanotevera maoparesheni ekudzivirira:

• carotid endarterectomy. Iyi nzira inosanganisira "kuchenesa" rusvingo rwe carotid artery yakabatwa neatherosclerosis. Yakave ichiitwa kwemakore makumi mana uye inotarisirwa kudzivirira kudzoka kwekurohwa;
• angioplasty. Bharumu rinoiswa mutsinga inobatwa neatherosclerosis kudzivirira kuvharika kwayo. Kamuti kadiki kesimbi kanopinzwawo mutsinga kuti isaite shoma. Iyi nzira inotakura njodzi kupfuura yekutanga, nekuti kana atherosclerotic plaque yakapwanyika nebharumu, zvidimbu zveplaque zvinogona kuburitswa uye kukonzera kumwe kuvharika kunowedzera mutsinga yeuropi.

Kana pane kubuda ropa

Kuvhiya uropi kungave kuri madikanwa kubvisa ropa rakaungana. Kana chiremba anovhiya akawana aneurysm panguva yekuvhiyiwa, vanoibata kuti irege kuputika uye imwe sitiroko. Kurapa kunowanzobatanidza kuisa platinamu filament muaneurysm. Ropa rinogwamba rinobva raita kutenderedza uye rozadza kupararira kwetsinga yeropa.

Cherechedza. Dzimwe nguva, kuongororwa kwechiremba kunogona kuratidza kuvapo kweaneurysm isina kuputika muuropi. Zvichienderana nemamiriro ezvinhu, chiremba anogona kana kusakurudzira kuvhiyiwa kwekudzivirira. Kana murwere ari pasi pemakore makumi mashanu nemashanu, chiremba anowanzo kurudzira kuvhiyiwa kwekudzivirira uku. Kana murwere akura, sarudzo inofanira kuitwa tichifunga nezvezvakanakira uye njodzi dzekuvhiya. Zvechokwadi, iyo yekupedzisira inofumura murwere kune njodzi yeurological sequelae kubva ku55% kusvika ku1%, uye kune ngozi yekufa inosvika 2%.². Mukuwedzera, zvidzidzo zvakawanda zvinodiwa kuti uzive mugumisiro chaiwo wekupindira kwakadaro pakudzivirira sitiroko.

kudzoreredzwa

Chimwe chezvinangwa zvekudzoreredza kudzidzisa masero etsinga muchikamu chisina kukanganiswa cheuropi kuita mabasa akaitwa asati arohwa nemamwe masero etsinga. Zvichienderana nezvinodiwa, masevhisi evarapi vakasiyana-siyana anodiwa: mukoti, nyanzvi yezvekudya, physiotherapist, nyanzvi yekutaura, murapi webasa, chiremba wepfungwa, chiremba wepfungwa, mushandi wezvemagariro evanhu, nezvimwewo.