Manufar farko ita ce rage lalacewar kwakwalwa ta hanyar maido da zagayawa na jini a yayin harin ischemic da MRI ya gano ko ta hanyar rage zubar jini a yayin wani hatsarin jini. Idan bugun jini ya yi tsanani, mutumin zai ci gaba da zama a asibiti don duba lafiyarsa na wasu kwanaki. Wani lokaci na gyarawa, a gida ko a cikin cibiyar musamman, wani lokaci ya zama dole. Bugu da kari, ya kamata a bincika musabbabin bugun jini da kuma bi da su (misali, gyara hawan jini da yawa ko arrhythmia na zuciya).

magunguna

Idan an toshe jini

Magunguna guda ɗaya kawai don rage haɗarin lalacewar kwakwalwa da ba za a iya jurewa ba an yarda. Ana nuna shi don bugun jini wanda ya haifar da thrombosis ko embolism. Wannan a nama plasminogen activator, furotin a cikin jini wanda ke taimakawa wajen narkewa da sauri (fiye da awa daya ko biyu). Don yin tasiri, dole ne a yi amfani da miyagun ƙwayoyi a cikin intravenously a cikin sa'o'i 3 zuwa 4,5 na bugun jini, wanda ke iyakance amfani da shi sosai.

Bayan 'yan sa'o'i kadan bayan bugun jini mara jini, ana yawan ba da magani anticoagulant ou antiplatelet. Wannan yana taimakawa hana sabon gudan jini daga samuwar jini a cikin arteries. Bugu da ƙari, yana hana haɓakar ƙwayoyin da aka riga aka kafa. Da zarar bugun jini ya daidaita, likita zai ba da shawarar magani mai sauƙi, kamarasirrin, da za a sha kullum a cikin dogon lokaci.

A lokacin lokacin gyarawa, wasu magunguna na iya taimakawa. Alal misali, magungunan antispasmodic na iya taimakawa wajen kawar da spasms na tsoka.

Idan akwai zubar jini

A cikin sa'o'in da ke biyo bayan irin wannan hatsarin jijiyoyin jini, yawanci ana ba da magunguna don rage hawan jini don iyakance zubar jini da haɗarin sake dawowar jini. Wani lokaci zubar da jini yana haifar da ciwon farfadiya. Sannan za a yi musu magani da magunguna daga rukunin benzodiazepine.

tiyata

Idan an toshe jini

Da zarar bugun jini ya daidaita, likita ya ba da gwaje-gwaje daban-daban don gano ko wasu arteries sun raunana ta hanyar atherosclerosis. Yana iya ba da ɗaya daga cikin waɗannan tiyatar rigakafi:

• carotid endarterectomy. Wannan hanya ta ƙunshi "tsaftacewa" bangon carotid artery da ke fama da atherosclerosis. An shafe shekaru arba'in ana yinsa kuma ana nufin hana sake bullar cutar shanyewar jiki;
• angioplasty. Ana sanya balloon a cikin jijiyar da ke fama da cutar atherosclerosis don hana toshewar ta. Ana kuma saka wata karamar sandar karfe a cikin jijiya don hana ta takure. Wannan hanya tana ɗaukar haɗari fiye da na baya, saboda lokacin da bala'in atherosclerotic ya rushe da balan-balan, ana iya sakin gutsuttsuran plaque kuma su haifar da wani toshewa a cikin jijiyar cerebral.

Idan akwai zubar jini

Yin tiyatar ƙwaƙwalwa na iya zama dole don cire jinin da aka tara. Idan likitan fiɗa ya sami aneurysm a lokacin tiyata, suna magance ta don hana ta fashewa da wani bugun jini. Jiyya galibi ya haɗa da sanya filament na platinum a cikin aneurysm. Wani gudan jini zai yi kewaye da shi kuma ya cika nitsewar jijiyoyin jini.

Note. Lokaci-lokaci, binciken likita na iya nuna kasancewar anerysm wanda ba ya fashe a cikin kwakwalwa. Dangane da mahallin, likita na iya ko bazai bada shawarar tiyata na rigakafi ba. Idan majiyyaci yana ƙasa da 55, likita zai ba da shawarar wannan tiyata na rigakafi. Idan majiyyaci ya tsufa, dole ne a zaɓi zaɓi la'akari da fa'idodi da haɗarin aikin. Lallai, na ƙarshe yana fallasa majiyyaci ga haɗarin cututtukan ƙwayoyin cuta daga 1% zuwa 2%, kuma zuwa haɗarin mace-mace kusan 1%.². Bugu da ƙari, ana buƙatar ƙarin nazari don sanin ainihin tasirin irin wannan sa hannun kan rigakafin bugun jini.

gyara

Ɗaya daga cikin manufofin gyare-gyare shine horar da ƙwayoyin jijiyoyi a cikin wani ɓangaren kwakwalwa da ba a shafa ba don yin ayyukan da wasu ƙwayoyin jijiya suka yi kafin bugun jini. Dangane da bukatu, ana buƙatar sabis na masu ilimin hanyoyin kwantar da hankali daban-daban: ma'aikacin jinya, likitancin abinci, likitan physiotherapist, mai ba da magana, mai ilimin hanyoyin kwantar da hankali, masanin ilimin halayyar ɗan adam, likitan hauka, ma'aikacin zamantakewa, da sauransu.