Boko ke mofuta o mong oa taolo ea 'mele oohle, ka hona tšenyo ea oona hangata e fetoha liphello tse bolaeang kapa liphello tse bohloko. Tlhaselo e tloaelehileng ea ischemic ke ts'oaetso ea mesebetsi ea boko, e ka fokolang metsotso e 2 ho isa ho lihora tse 24 mme e fela ka stroke.
Lisosa tsa tlhaselo ea senyesemane e tloaelehileng
Boemo bo hlalositsoeng bo tsoa ho senya nakoana ho potoloha ha masapo.
Lebaka le ka sehloohong la tlhaselo ke atherosclerosis ea methapo ea masapo (e kholo le e bohareng), hammoho le lijana tse kholo. Ka nako e ts'oanang, li-platex tsa atherosclerotic li thehoa ka liphetoho tšebetsong ea ts'ireletso le e senyang, ho felloa ke matla holimo ho hlokomeloa, atherostenosis, atheroembolia, atherothrombosis. Ho boetse ho na le liphetoho tsa moralo meleng ea mali.
Ntho e 'ngoe e tloaelehileng e bakang tlhaselo ea nakoana ke khatello ea meriana ea mali. Khatello ea makhetlo a mangata e lebisa tlhokomelong ea hore lerako la majoe le fetoha ka tsela e sa tsitsang (hyalinolysis) le thickens ka lebaka la ho kenya li-deposit kahare ho eona.
Hoo e ka bang karolo ea 20 lekholong ea litlhaselo tsa ts'enyokemia e bakoa ke ho kula ho latelang:
- ho ruruha ha pelo ho senyeha;
- lefu la pelo;
- mafura a atrial;
- endocarditis;
- tšoaetso ea lik'hemik'hale;
- aneurysms;
- calcification ea valve ea mitral;
- tsoelo-pele;
- lefu la lefu la pelo;
- aortic stenosis ;
- ho qhalana ha methapo (stratification);
- matšoao a maholo a li-vascular of inflammatory genesis;
- liphetoho tsa basali (kamora ho beleha, nakong ea bokhachane);
- fibro-muscular dysplasia;
- Moya-Moya syndrome.
Matšoao a tlhaselo ea tlhaho ea kelello ea nakoana ea boko
Lipontšo tsa kliniki tsa mafu ao ho buuoang ka 'ona li itšetlehile ka hore na ke letamo lefe le le leng le senyehileng.
Matšoao a tlhaselo ea morao-rao ea tlhaselo ea tlhaho haeba ho e-na le ho fapana ha motlakase oa metsoako ea carotid:
- ho shoela litho tsa matsoho kapa 'mele oohle, halofo ea sefahleho;
- ho senyeha ha maikutlo;
- mathata a lisebelisoa tsa puo (aphasia, dysarthria, mutism);
- liphetoho ho bonono, ho foufala ho e mong kapa mahlo a mabeli;
- ho fokotseha ha bokhoni ba kelello;
- ho mpefala ha mesebetsi e phahameng ea methapo.
Matšoao a tlhaselo e hlaselang setulong sa limela:
- ho tsamaea ka thata;
- systemic moea;
- ho thothomela;
- mehato e sa tsamaisanang;
- nystagmus;
- litšitiso tsa mosebetsi oa ho hema;
- ho lahleheloa ke kelello.
Joaloka tabeng e fetileng, ho na le ho holofala, ho fokotseha ha ponahalo, lipuo, mesebetsi ea kelello, ho hloka kutloisiso maotleng kapa ka 'mele oohle.
Liphello tsa tlhaselo e tloaelehileng ea tlhaho ea tlhaho
Tlhaloso e ka sehloohong ea boemo bona ke ho otloa ha kelello ea kelello ka sebopeho sa morao-rao sa mefokolo ea methapo ea pelo:
- mathata a kelello;
- ho sitoa ho falla;
- dysarthria (ho fokola ha puo, ho bitsoa ha mantsoe ka mantsoe a hlalositsoeng).
Maemong a mangata, litlhaselo tse atisang ho lebisa lefung.
Phekolo ea tlhaselo e tloaelehileng ea ischemic
Ha e le molao, motho a ke ke a bolela esale pele hore na ho tla etsahala'ng ka lefu lena, ka lebaka leo, ho kena malapeng a tšohanyetso ho motho ea hlokofalitsoeng. Phekolo ea tlhaselo ea senyesemane ea nakoana e etsoang sepetleleng lefapheng la methapo ea pelo mme e na le tse latelang:
- Ho amoheloa ha li-antiggregants le li-anticoagulants tsa ketso e tobileng le e sa tobang (Aspirin, Clopidogrel, Dipiridamol).
- Tšebeliso ea lithethefatsi tse matlafatsang le mekhoa ea ho fokotsa khatello ea mali (ka letsatsi la bobeli ka mor'a tlhaselo ea ts'oaetso).
- Tšebeliso ea li-neuroprotectors le lintho tsa nootropic.
- Ho khethoa ha li-injection tsa thrombolytic ho qhaqha li-deposit tse neng li koahetse artery.
Thibelo ea tlhaselo ea ts'ik'hemik'hale ea nakoana
Thibela mafu ana ka ho fokotsa menyetla ea kotsi, ka ho noa meriana e fokotsang mali a viscosity (acetylsalicylic acid, Cardiomagnesium). Ho boetse ho kgothaletswa hore o noe li-statins, li-disaggregants le antihypertensives (haeba ho hlokahala).
Ke habohlokoa ho boloka bophelo bo botle ba bophelo le ho ela hloko ka hloko phepo, ho qoba tšebeliso ea k'holeseterole e feteletseng.