Qhov sib txawv tseem ceeb ntawm lub hlwb hemorrhage thiab mob stroke yog tias cov hlab ntsha tawg yog vim muaj cov hlab ntsha tawg lossis vim muaj cov hlab ntsha tawg. Lub hlwb hemorrhage tshwm sim tom qab xws li cov hlab ntsha tawg. Yog li, lub hlwb hemorrhage yog qhov ua rau mob stroke.
Strokes yog ib qho ntawm feem ntau ua rau tuag nyob rau hauv lub teb chaws tsim. Lawv kuj tseem muaj qhov nce ntxiv uas yog qhov ua rau muaj mob hnyav hauv cov tebchaws tsim kho. Lawv yog ib qho mob tshwm sim sai ntawm lub paj hlwb tsis txaus uas kav ntev dua 24 teev lossis ua rau tuag yam tsis muaj qhov tshwm sim uas tsis yog vascular.
Lub paj hlwb hemorrhage yog dab tsi?
Raws li lub npe txhais tau tias, lub hlwb hemorrhage yog ib qho hemorrhage nyob rau hauv lub hlwb. Qhov no feem ntau tshwm sim los ntawm kev tawg ntawm cov hlab ntsha vim kev kub siab.
Daim duab 01: Lub paj hlwb hemorrhage
Ib lub hlab ntsha puas lawm tsis tuaj yeem muab cov ntshav txaus. Yog li, muaj kev ua haujlwm tsis zoo hauv cheeb tsam uas tau muab cov ntshav los ntawm qhov tshwj xeeb no. Nws yog cov lus hais saum toj no hais txog kev ua haujlwm tsis zoo uas tau txheeb xyuas tias yog mob stroke hemorrhagic.
Dab tsi yog Stroke?
Stroke yog ib qho mob uas tshwm sim sai ntawm lub paj hlwb tsis txaus uas kav ntev dua 24 teev lossis ua rau tuag yam tsis muaj qhov tshwm sim uas tsis yog vascular. Hauv kev mob stroke, cov ntshav muab rau lub hlwb raug cuam tshuam. Tsis tas li ntawd, nyob ntawm txoj kev no tshwm sim, muaj ob hom kab mob strokes li ischemic thiab hemorrhagic strokes.
Ischemic Strokes
Aan ischemic stroke yog qhov ua tsis taus ntawm cov ntshav mus rau lub hlwb, ob qho kev cuam tshuam rau hauv lub paj hlwb. Qhov tseeb, feem ntau ntawm cov mob stroke yog ischemic strokes.
Caus
Ythrombosis thiab embolism
Atrial fibrillation thiab arrhythmias ua rau tsim cov thrombi thiab lawv cov embolization tom ntej yog qhov ua rau mob stroke. Ib txhij infarcts nyob rau hauv txawv vascular ib ncig yog ib qho qhia meej ntawm lub plawv embolic stroke.
- Hypoperfusion
- Large artery stenosis
- kab mob me me
Daim duab 02: Ischemic Stroke
Tshuaj Kho Mob
- Poob ntawm kev tswj lub cev muaj zog thiab hnov qab ntau thaj tsam ntawm lub cev, uas nyob ntawm thaj tsam ntawm lub hlwb cuam tshuam
- Kev pom kev hloov pauv thiab qhov tsis txaus
- Dysarthria
- Tsis nco qab
Hemorrhagic Strokes
Nws yog kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha ua rau cov ntshav nkag mus rau lub hlwb hauv cov hlab ntsha hemorrhagic. Cov hlab ntsha uas muaj aneurysms thiab phab ntsa tsis muaj zog yog qhov ua rau muaj kev puas tsuaj ntau dua thiab ua rau hemorrhages hauv cov kab noj hniav cranial.
Caus
- Subarachnoid hemorrhages
- Intracerebral hemorrhages
Qhov ua rau cov hemorrhages muaj xws li kev raug mob, arteriovenous malformations, rupturing ntawm aneurysms, thiab lwm yam.
Tshuaj Kho Mob
Cov yam ntxwv kho mob yuav zoo ib yam li cov kab mob ischemic hemorrhages. Ntxiv mus, subarachnoid hemorrhage kuj tuaj yeem ua rau muaj cov tsos mob hauv qab no.
- Sudden pib mob taub hau
- Vim
- Ntaus
- Syncope
- photophobia
Risk Factors
- Hypertension
- Kev haus luam yeeb ntev
- kev ua neej nyob ntsiag to thiab ntxhov siab
- Pleev apnea
- YCarotid stenosis
- Kev haus dej cawv ntau ntau
- Atrial fibrillation
- Kev rog
Kev tswj hwm
- Amit tus neeg mob tam sim ntawd mus rau chav kho mob ntau yam.
- Ua raws li kev ntsuas dav dav hauv qab no.
- Qhia meej txog qhov patency ntawm txoj hlab pa thiab txuas ntxiv saib xyuas nws txhawm rau txheeb xyuas cov kev cuam tshuam hauv nws
- Saib xyuas ntshav siab thaum muab cov pa oxygen ntawm lub npog ntsej muag
- Sim txheeb xyuas qhov chaw ntawm emboli
- ntsuas qhov peev xwm ntawm tus neeg mob nqos
Kev kuaj lub hlwb yog qhov tsim nyog rau kev ntsuam xyuas ntawm qhov kev puas tsuaj thiab qhov tshwm sim tshwm sim. CT thiab MRI yog cov qauv tsim nyog tshaj plaws. Yog tias cov duab hluav taws xob pom tias muaj cov ntshav, tsis txhob muab cov tshuaj uas tuaj yeem cuam tshuam rau cov ntshav txhaws. Tab sis, yog tias tsis muaj hemorrhage thiab thrombolysis tsis yog contraindicated, pib kho thrombolytic tam sim ntawd.
Thaum muaj hemorrhages, neurosurgeries qee zaus yuav tsum tau tso cov ntshav uas tau khaws cia hauv cov kab noj hniav thiab tiv thaiv kev tsim ntawm qhov tsis txaus siab uas tuaj yeem ua rau lub hlwb.
Nyob rau hauv lub sij hawm ntev ntawm kev tswj cov neeg mob stroke, nws yog ib qho tseem ceeb los txheeb xyuas cov kev pheej hmoo saum toj no thiab ntsuas kom txo tau qhov kev pheej hmoo ntawm tus neeg mob lub neej. Antihypertensive therapy thiab anticoagulant therapy (tshwj xeeb tshaj yog nyob rau hauv cov neeg mob atrial fibrillation) yog ob qho tseem ceeb ntawm kev tswj mus sij hawm ntev ntawm cov neeg mob stroke. Psychotherapy thiab physiotherapy kuj pab tau rau kev txhim kho tus neeg mob lub neej zoo.
Kev sib raug zoo ntawm lub hlwb hemorrhage thiab stroke yog dab tsi?
Lub hlwb hemorrhage nws tus kheej yog ua rau mob stroke
Dab tsi yog qhov txawv ntawm lub paj hlwb hemorrhage thiab stroke?
Ib lub hlwb hemorrhage yog hemorrhage nyob rau hauv lub hlwb. Stroke, ntawm qhov tod tes, yog ib qho mob tshwm sim sai ntawm lub paj hlwb tsis txaus uas kav ntev dua 24 teev, lossis ua rau tuag yam tsis muaj qhov tshwm sim uas tsis yog vascular. Lub paj hlwb hemorrhage yog vim qhov tawg ntawm cov hlab ntsha hauv cov ntaub so ntswg ntawm lub paj hlwb uas ua rau muaj ntshav ntau ntxiv. Nyob rau hauv sib piv, mob stroke yog vim lub ischemia ntawm lub paj hlwb cov ntaub so ntswg tom qab occlusion ntawm cov hlab ntsha los yog ib tug arterial rupture.
Summary – Brain Hemorrhage vs Stroke
Brain hemorrhage yog ib qho ua rau mob stroke, uas tsuas yog ib qho kev nthuav tawm ntawm cov ntshav hauv lub hlwb vim muaj cov hlab ntsha tawg. Zuag qhia tag nrho, qhov no yog qhov sib txawv ntawm lub hlwb hemorrhage thiab stroke.
