Dr. Oleg Vinogradov, MD: Cov neeg mob ntshav qab zib thiab ntshav siab muaj kev pheej hmoo mob stroke tom qab kov yeej covid

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Dr. Oleg Vinogradov, MD: Cov neeg mob ntshav qab zib thiab ntshav siab muaj kev pheej hmoo mob stroke tom qab kov yeej covid
Dr. Oleg Vinogradov, MD: Cov neeg mob ntshav qab zib thiab ntshav siab muaj kev pheej hmoo mob stroke tom qab kov yeej covid
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mob stroke tom qab covid thiab cov neeg twg muaj kev pheej hmoo ntau npaum li cas? Nov yog cov lus hais ntawm Lavxias teb sab neurologist - Dr. Oleg Vinogradov, MD, tus tswv cuab ntawm International Stroke Organization.

Dr. Vinogradov, tib neeg puas txhawj xeeb txog qhov mob stroke ntau npaum li cas tom qab covid?

- Tus nqi tag nrho ntawm kev mob stroke tom qab txhua hom kev tiv thaiv, suav nrog mob me thiab asymptomatic, hmoov zoo tau ua kom qis dua qhov xav tau - qhov nruab nrab ntawm 1.3%. Rau cov neeg uas tau ntsib covid hnyav, txawm li cas los xij, tshwj xeeb tshaj yog cua daj cua dub cytokine, qhov kev pheej hmoo siab dua. Ob pawg neeg tseem ceeb tuaj yeem paub qhov txawv, rau tus uas muaj kev phom sij ntawm vascular xwm txheej thaum kis tus kabmob coronavirus tau nce ntxiv.

thawj yog cov neeg mob uas twb muaj qhov pheej hmoo rau mob stroke - kab mob siab, ntshav qab zib mellitus, atrial fibrillation, tsis muaj ntshav txaus rau lub hlwb, thiab lwm yam. Covid ua rau muaj kev tsis txaus ntseeg ntawm lub xeev.

Thov hais tias tus neeg muaj mob plawv tsis zoo. Lub plawv sib cog lus tsis sib xws, cov ntshav stagnates nyob rau hauv sab laug atrium, thiab txoj kev pheej hmoo ntawm cov ntshav txhaws nyob rau hauv xyaum nce tsib npaug.

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Yog tias tus neeg mob no kis tus kab mob covid thiab tsis noj cov tshuaj tiv thaiv coagulants, tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej ntawm lub cev qhuav dej, cov ntaub ntawv thrombus, tawg thiab nkag mus rau hauv cov hlab ntsha hlwb, tsim cov hlab ntsha ischemic. Hauv qhov no, qhov kev hloov pauv tsis zoo uas tshwm sim los ntawm tus kabmob coronavirus ua rau muaj kev pheej hmoo ntawm cov hlab plawv uas twb muaj lawm.

Pab pawg thib ob yog cov neeg mob uas muaj covids hnyav heev. Qhov no nyob rau hauv nws tus kheej tuaj yeem ua rau tsim cov xwm txheej rau kev tsim thrombus. Peb pom cov tub hluas, hnub nyoog 35-40 xyoo, uas tau muaj daim ntawv thrombus hauv lawv cov hlab ntsha carotid, thaiv nws thiab ua rau mob stroke. Yog tsis muaj tus tub hluas no muaj kev pheej hmoo.

Puas muaj kev pheej hmoo ntawm mob hlab ntsha tawg hauv cov neeg mob uas twb muaj lawm los kuj tseem nyob ntev npaum li lwm cov tsos mob xws li ua tsis taus pa, tsis muaj zog, "pob hlwb", thiab lwm yam?

- Tsis yog. Raws li cov ntaub ntawv tshawb fawb, qhov kev pheej hmoo ntawm mob stroke rau cov neeg uas tau dhau los ntawm covid yog siab tshaj nyob rau thawj lub lis piam tom qab tso tawm hauv tsev kho mob, mus txog ib hlis thiab ib nrab mus rau ob lub hlis.

Yog tias ib tus neeg tau muaj covid thiab xav kuaj seb lawv qhov kev pheej hmoo mob stroke siab npaum li cas, nrog rau txo qhov kev hem thawj no, lawv yuav ua li cas?

- Txoj hauv kev los tiv thaiv kev mob stroke hauv cov neeg uas tau kis tus kabmob coronavirus yog tib yam li lwm tus neeg. Nws yog ib qho tsim nyog yuav tau nrhiav cov kev pheej hmoo rau mob stroke thiab kho lawv - xaiv ib tus neeg lub tswv yim rau kev tiv thaiv. Ib qho kev ntsuam xyuas uas tuaj yeem txiav txim siab seb koj puas muaj cov cholesterol plaques yog ib qho kev soj ntsuam duplex ntawm cov hlab ntsha brachiocephalic.

Nws yog ib qho tseem ceeb kom tswj tau cov kab mob nrog rau kev tswj hwm nrog kev pab ntawm cov tshuaj, kev noj zaub mov kom raug, kev tawm dag zog lub cev. Hauv thawj qhov chaw yog ntshav siab, nce cov roj cholesterol, ntshav qab zib mellitus.

Tsis muaj qhov tseem ceeb tsawg yog txoj kev noj qab haus huv feem ntau: tso kev haus luam yeeb thiab haus cawv; kev tawm dag zog ib txwm; poob phaus, thiab lwm yam.n. Thiab cov neeg mob uas tau ntsib covid hauv daim ntawv hnyav lossis nruab nrab yuav tsum tau noj cov tshuaj tiv thaiv kab mob (cov ntshav thinners) tsawg kawg 30-40 hnub tom qab tawm hauv tsev kho mob.

Lawv txo qhov kev pheej hmoo ntawm mob stroke thiab ntshav txhaws hauv cov leeg ntawm ob txhais ceg. Tab sis tsuas yog thaum cov kev kho mob zoo li no yog kev ncaj ncees. Vim tias nrog kev noj cov tshuaj tiv thaiv kab mob tsis txaus ntseeg, qhov tshwm sim tuaj yeem ua rau tu siab, yuav luag mus txog qhov hemorrhage nrog qhov tshwm sim tuag.

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