Maskaxdu waa nooc ka mid ah xarumaha kontoroolka ee jirka oo dhan, sidaas darteed waxyeelladiisa badanaa waxay noqotaa natiijo dhimasho ama cawaaqib xun. Xakameynta isdakameysi ee ku-meel-gaadhka ah waa xanuunka shaqooyinka maskaxda, kaasoo socon kara 2 daqiiqo ilaa 24 saacadood wuxuuna ku dhamaan doonaa istaroog.
Sababaha weerarka is-baddal-ku-socodka ah
Xaaladda la sharaxay waxay ka timaadaa dhaawac ku-meel-gaadh ah wareegga wareegga maskaxda.
Sababta ugu weyn ee weerarka waa atherosclerosis ee halbowlayaasha maskaxda (weyn iyo dhexdhexaad ah), iyo sidoo kale weelasha waaweyn. Isla mar ahaantaana, dabaqyada atherosclerotic ayaa la sameeyaa iyadoo isbeddel ku yimaada dabeecada dib u dhaca iyo burburinta, atheroobenka lagu arkay, atherostenosis, atheroembolia, atherothrombosis. Waxaa sidoo kale jira isbeddel qaabdhismeed oo ku yimaada maraakiibta dhiigga.
Qodobka kale ee caanka ah ee ka hortagaya weerarka soo noqnoqonayaa waa dhiigkar (hypertension). Cadaadiska joogtada ah ee sii kordhaya wuxuu keenayaa xaqiiqda ah in derbiga vascularku isbeddelayo (hyalinolysis) oo dhumucdiisuna ay sabab u tahay fibrinada dusha sare ee gudaha.
Qiyaastii 20% dhammaan weerarrada is-kicinta waxaa keena cudurada soo socda:
- dhaawaca wadnaha ee rheumatic;
- Cardiopathy;
- foosheelka atrial;
- endokarditis;
- cudurka miyir-qaadiga;
- aneurysms;
- kicinta maadada mitral ah;
- soo kabasho;
- cudurka wadnaha ee dhasha;
- stenosis aortic ;
- kala-soocidda halbowlayaasha (dhirta);
- Cudurada ugu horreeya ee xididdada dhiigga ee korantada;
- isbeddellada haweenka (dhalmada ka dib, waqtiga uurka);
- dysplasia fibro-muruqa;
- Cudurka Moya-Moya.
Calaamadaha weerarka isqaadsiinta ah ee maskaxda
Jaantuska bukaan-eegtada ee pathology ee su'aasha waxay ku xiran tahay hudheelka dareeraha ee waxyeelloobay.
Calaamadaha weerarka ku-meel-gaadhka ah ee ku-meel-gaadhka ah haddii ay dhacdo kicin carotid ah ee wareegga dhiiga ee halbowleyaasha carotid:
- curyaanimo ee jidhka ama jirka oo dhan, badhka wejiga;
- ka sii darista dareenka;
- xanuunada qalabka hadalka (aphasia, dysarthria, mutism);
- isbeddellada muuqaalka muuqaalka, indho la'aanta hal ama labadaba;
- hoos u dhaca awooda aqooneed;
- ka sii darida dhaqdhaqaaqa sii xumaanaya.
Calaamadaha weerarka ee kudhaca jirrada basaska vertebrobasilar:
- socodka shoogga;
- daweynta nidaamka;
- tayada;
- dhaqdhaqaaq aan xuduud lahayn;
- nystagmus;
- Dhibaatooyinka hawlaha neefsashada;
- miyir beelid.
Sida kiiskii hore, waxaa jira curyaan, hoos u dhac muuqaalka, hadalka, garashada aqoonta, la'aanta dareenka ee addimada ama jirka oo dhan.
Cawaaqibta weerarka is-daba-galka ah
Dhibaatada ugu weyn ee xaaladdan waa istaroog maskaxeed ee maskaxda oo leh qaabka dambe ee cilladaha naabshada oo xasilloon:
- xanuunada maskaxda;
- karti la'aanta guuritaanka;
- dysarthria (hadalka oo idil, ereyga lagu hadlo).
Xaalado badan, weeraro soo noqnoqday ayaa horseedaya dhimasho.
Daaweynta weerarka is-baddalka ku-meel-gaadhka ah
Sida caadiga ah, midna ma saadaalin karaynin horumarka sii socoshada pathology ee lagu sharraxay, sidaa darteed isbitaalada degdegga ah ee dhibanaha ayaa la sameeyaa. Daaweynta weerarka is-daba-galka ah waxaa lagu sameeyaa isbitaalka qaybta neerfaha waxayna ka kooban tahay kuwan soo socda:
- Qaadashada antiaggregants iyo daawada xinjirowga lidka ku ah daaweynta tooska ah iyo kuwa aan tooska ahayn (Aspirin, Clopidogrel, Dipiridamol).
- Isticmaal daawooyinka antiarrhythmic iyo macnaheedu yahay in la yareeyo cadaadiska dhiigga (maalinta labaad ka dib weerarka iskudhaca).
- Isticmaalka neuroprotors iyo walxaha nootropic.
- Magacaabista irbadaha isbiirtada ah ee loo yaqaan 'thrombolytic injection' si loo xakameeyo keydinta cilladihii halbowlaha.
Ka-hortagga weerarka joogtada ah ee is-dabajooga
Iska ilaali cudurkan adigoo yareynaya isirrada halista ah, adigoo qaadanaya daawooyinka hoos u dhigaya dareeraha dhiigga (acetylsalicylic acid, Cardiomagnesium). Waxaa sidoo kale lagu talinayaa in la cabbo sifooyinka, isdhexgalka iyo antihypertensives (haddii loo baahdo).
Waa muhiim in la ilaaliyo hab nololeed caafimaad leh oo si taxadar leh loola socdo cuntada, ka ilaalinta isticmaalka baruurta xad-dhaafka ah.