Dot quy la tinh trang nao bi ton thuong dot ngot do mach mau nao bi tac nghen hoac bi vo. Nhieu nguoi thuong cho rang “dot quy nhe” khong qua nguy hiem vi trieu chung chi thoang qua hoac nhanh chong tu het. Tuy nhien, day la quan niem sai lam. Nhung bieu hien nhe, xuat hien trong thoi gian ngan roi bien mat, co the la dau hieu cua con thieu mau nao thoang qua, thuong duoc goi la TIA. Day co the la loi canh bao truoc mot con dot quy thuc su.

Viec nhan biet dau hieu cua dot quy nhe tai Dak Lak co y nghia quan trong trong viec cap cuu, chan doan nguyen nhan va phong ngua tai phat. Khi xuat hien trieu chung nghi ngo, nguoi benh can duoc dua den co so y te co kha nang cap cuu va chan doan dot quy nhu Benh vien da khoa Thien Hanh hospital hoac co so y te gan nhat cang som cang tot.

Xem them: https://thienhanhhospital.com

Dot quy nhe la gi?

“Dot quy nhe” khong phai la mot thuat ngu y khoa chinh thuc de chi muc do an toan cua benh. Cum tu nay thuong duoc dung de mo ta:

Con thieu mau nao thoang qua, trong do trieu chung than kinh xuat hien dot ngot roi tu het.

Dot quy co trieu chung nhe, nguoi benh van con tinh tao va co the van dong.

Dot quy giai doan som, ton thuong chua bieu hien ro rang.

Nhung truong hop co trieu chung thoang qua nhung chua duoc chan doan chinh xac.

Du bieu hien nhe, nguoi benh van co the dang gap van de nghiem trong o mach mau nao. Khong the dua vao viec trieu chung tu het de ket luan rang benh khong nguy hiem.

Tim hieu them: Benh Vien Da Khoa Thien Hanh BMT

Nhung dau hieu cua dot quy nhe thuong gap

1. Meo mieng hoac lech mat dot ngot

Mot ben mat co the bi xe xuong, khoe mieng lech, nu cuoi khong can doi hoac nguoi benh khong the huyt sao, phong ma nhu binh thuong.

Dau hieu nay doi khi rat nhe nen nguoi benh hoac nguoi nha khong chu y. Co the yeu cau nguoi nghi ngo dot quy cuoi hoac nhe rang de kiem tra su can doi cua hai ben mat.

Tham khao them:Benh Vien Da Khoa Thien Hanh Daklak

2. Yeu hoac te mot ben tay, chan

Nguoi benh co the dot ngot cam thay:

Te bi mot ben mat, tay hoac chan.

Cam nam do vat kho khan.

Lam roi do vat.

Khong the gio cao mot canh tay.

Di dung khong vung.

Mot ben chan yeu, buoc hut hoac de nga.

Trieu chung co the chi keo dai vai phut roi bien mat. Tuy nhien, day van la dau hieu can duoc danh gia khan cap.

3. Noi kho, noi ngong hoac khong hieu loi noi

Nguoi benh co the dot ngot:

Noi khong ro tieng.

Noi ngong bat thuong.

Khong dien dat duoc dieu muon noi.

Dung tu sai hoac noi cau vo nghia.

Khong hieu loi nguoi khac.

Khong the lap lai mot cau don gian.

Doi khi nguoi benh van noi duoc nhung phat am cham, kho nghe hoac khong the goi dung ten do vat. Day co the la bieu hien cua roi loan ngon ngu do nao bi thieu mau.

4. Nhin mo hoac mat thi luc tam thoi

Mot so nguoi xuat hien:

Nhin mo dot ngot.

Mat thi luc mot ben mat.

Nhin doi.

Nhin thay hinh anh chong len nhau.

Mat mot phan truong nhin.

Cam giac nhu co man che truoc mat.

Dau hieu co the chi keo dai vai phut nhung khong nen xem nhe, dac biet khi di kem chong mat, yeu tay chan hoac noi kho.

5. Chong mat, mat thang bang dot ngot

Nguoi benh co the cam thay:

Chong mat du doi.

Di loang choang.

Khong the dung vung.

Mat phoi hop dong tac.

Kho di theo duong thang.

Dot ngot nga ma khong ro nguyen nhan.

Chong mat don thuan co the do nhieu nguyen nhan khac nhau. Tuy nhien, neu chong mat xuat hien dot ngot kem noi kho, nhin doi, yeu tay chan hoac dau dau bat thuong, can nghi den nguy co dot quy.

6. Dau dau du doi bat thuong

Mot con dau dau dot ngot, du doi, khac han nhung lan dau dau truoc do co the la dau hieu canh bao benh ly mach mau nao, dac biet neu kem:

Non oi.

Cung gay.

Roi loan y thuc.

Yeu liet.

Co giat.

Nhin mo.

Mat thang bang.

Khong phai moi truong hop dot quy nhe deu co dau dau. Tuy nhien, dau dau du doi xuat hien bat ngo can duoc cap cuu, vi co the lien quan den xuat huyet nao hoac cac tinh trang nguy hiem khac.

7. Kho nuot hoac sac khi an uong

Mot so nguoi co the gap kho khan khi nuot nuoc, thuc an hoac nuoc bot. Nguoi benh de bi:

Sac khi uong nuoc.

Ho khi an.

Cam giac thuc an mac o co.

Chay dai.

Giong noi thay doi sau khi nuot.

Kho nuot co the lam tang nguy co thuc an hoac nuoc di vao duong tho. Nguoi benh khong nen co an uong khi dang co dau hieu roi loan nuot.

8. Lu lan hoac thay doi nhan thuc

Dot quy nhe co the gay:

Kho tap trung.

Khong dinh huong duoc thoi gian, dia diem.

Dot ngot quen cach thuc hien cong viec quen thuoc.

Khong hieu loi noi.

Phan ung cham.

Thay doi hanh vi bat thuong.

O nguoi cao tuoi, bieu hien lu lan dot ngot doi khi bi nham voi met moi, ha duong huyet hoac roi loan tien dinh. Vi vay, can danh gia y te neu trieu chung xuat hien bat thuong.

Cach nhan biet dot quy bang quy tac FAST

Quy tac FAST giup nguoi dan nhan biet nhanh cac dau hieu chinh cua dot quy:

F – Face: Khuon mat

Yeu cau nguoi benh cuoi hoac nhe rang. Neu mot ben mat bi xe, lech hoac mat can doi, can nghi ngo dot quy.

A – Arms: Canh tay

Yeu cau nguoi benh gio hai tay ve phia truoc. Neu mot ben tay yeu, roi xuong hoac khong the gio len, day la dau hieu canh bao.

S – Speech: Loi noi

Yeu cau nguoi benh noi mot cau don gian. Neu noi ngong, noi kho, khong hieu loi hoac khong the noi, can goi cap cuu.

T – Time: Thoi gian

Khi xuat hien bat ky dau hieu nao, can ghi nho thoi diem khoi phat va dua nguoi benh den benh vien ngay. Khong nen cho trieu chung tu het.

Ngoai FAST, nguoi dan cung can chu y cac bieu hien nhu mat thi luc dot ngot, chong mat kem mat thang bang, dau dau du doi hoac kho nuot.

Dot quy nhe co the tu het khong?

Co. Mot so truong hop thieu mau nao thoang qua co trieu chung tu bien mat sau vai phut hoac vai gio. Tuy nhien, viec trieu chung bien mat khong dong nghia voi viec mach mau nao da hoan toan binh thuong.

Con thieu mau nao thoang qua co the la dau hieu canh bao nguy co dot quy trong thoi gian gan. Nguoi benh van can duoc tham kham, chup chieu va danh gia cac yeu to nguy co de tim nguyen nhan.

Khong nen co suy nghi:

“Het meo mieng roi nen khong can kham.”

“Tay chan het te nen chi can nghi ngoi.”

“Chong mat do tien dinh, ngu mot lat se khoi.”

“Dot quy nhe thi khong can cap cuu.”

“Uong thuoc bo nao la du.”

Nhung cach xu tri nay co the lam cham thoi gian dieu tri va bo lo co hoi phong ngua dot quy nang.

Phan biet dot quy nhe voi mot so benh ly khac

Cac dau hieu nhu te tay, chong mat, noi kho hoac dau dau co the xuat hien trong nhieu benh ly khac nhau. Tuy nhien, dot quy thuong co mot so dac diem dang chu y:

Khoi phat rat dot ngot.

Trieu chung thuong khu tru o mot ben co the.

Co the kem meo mieng, noi kho hoac mat thi luc.

Xay ra o nguoi co yeu to nguy co nhu tang huyet ap, dai thao duong, roi loan mo mau, hut thuoc hoac rung nhi.

Co the xuat hien khi nguoi benh dang nghi ngoi, khong nhat thiet phai van dong.

Chong mat do roi loan tien dinh, ha duong huyet, dau nua dau hoac chen ep than kinh cung co the gay bieu hien tuong tu. Tuy nhien, khong the phan biet chac chan chi dua vao cam giac. Nguoi benh can duoc bac si kiem tra.

Nguyen nhan va yeu to nguy co cua dot quy nhe

Tang huyet ap

Tang huyet ap keo dai lam ton thuong thanh mach, thuc day xo vua va tang nguy co tac hoac vo mach mau nao.

Roi loan mo mau

Cholesterol va cac chat beo bat thuong co the tich tu trong thanh dong mach, lam hep long mach va hinh thanh cuc mau dong.

Dai thao duong

Duong huyet cao lau ngay gay ton thuong mach mau, lam tang nguy co dot quy va cac benh tim mach.

Rung nhi va benh tim

Rung nhi co the khien mau u dong trong buong tim, hinh thanh cuc mau dong. Cuc mau dong co the di chuyen len nao va gay tac mach.

Hut thuoc la

Cac chat trong thuoc la lam co mach, ton thuong noi mac mach mau va thuc day hinh thanh huyet khoi.

Thua can, beo phi va it van dong

Loi song it van dong, an nhieu muoi, chat beo bao hoa, do an che bien san va tang can keo dai co the lam tang huyet ap, roi loan duong huyet va mo mau.

Tien su dot quy hoac thieu mau nao thoang qua

Nguoi tung bi TIA hoac dot quy co nguy co tai phat cao hon neu khong dieu tri va kiem soat yeu to nguy co.

Tuoi cao va tien su gia dinh

Nguy co dot quy tang theo tuoi. Nguoi co nguoi than tung bi dot quy som cung nen chu dong kiem tra suc khoe tim mach va mach mau.

Can lam gi khi nghi ngo dot quy nhe?

Khi phat hien nguoi than co dau hieu nghi ngo, can thuc hien cac buoc sau:

Goi cap cuu hoac dua nguoi benh den co so y te gan nhat co kha nang cap cuu dot quy.

Ghi nho thoi diem trieu chung bat dau hoac thoi diem cuoi cung nguoi benh con binh thuong.

Cho nguoi benh nam hoac ngoi o tu the an toan, dau hoi nang neu phu hop.

Noi long quan ao, giu nguoi benh thong thoang.

Theo doi y thuc, nhip tho va kha nang van dong.

Mang theo danh sach thuoc dang su dung, benh an va ket qua xet nghiem neu co.

Neu nguoi benh roi loan nuot, khong cho an uong de tranh sac.

Khong nen lam gi?

Khong tu y cho nguoi benh uong aspirin hoac thuoc chong dong.

Khong tu y dung thuoc ha huyet ap nhanh.

Khong cho an, uong khi nguoi benh lo mo hoac kho nuot.

Khong xoa bop, bam huyet hoac cham cuu thay cho cap cuu.

Khong de nguoi benh tu lai xe.

Khong cho trieu chung tu het.

Khong tu ket luan la roi loan tien dinh, ha duong huyet hoac met moi.

Trong mot so truong hop, dung thuoc khong dung co the lam tang nguy co chay mau hoac gay bien chung nghiem trong.

Chan doan dot quy nhe bang phuong phap nao?

Tuy tinh trang, bac si co the thuc hien:

Kham than kinh

Bac si danh gia suc co, cam giac, phan xa, ngon ngu, kha nang phoi hop van dong, thi luc va muc do tinh tao.

Chup CT nao

CT nao thuong duoc su dung trong cap cuu de phat hien xuat huyet nao va loai tru mot so nguyen nhan khac. Trong giai doan som, CT co the chua the hien ro vung nhoi mau nho.

Chup cong huong tu nao

MRI co the giup phat hien ton thuong thieu mau nao nho hoac ton thuong som ma CT chua nhin thay. Khong phai nguoi benh nao cung can chup MRI ngay; bac si se can nhac theo tinh trang.

Sieu am mach mau

Sieu am Doppler dong mach canh hoac cac mach mau lien quan co the giup phat hien hep, xo vua hoac bat thuong dong chay.

Dien tim va sieu am tim

Cac kiem tra nay giup tim nguyen nhan tu tim, chang han nhu rung nhi, roi loan nhip hoac mot so benh ly cau truc tim.

Xet nghiem mau

Bac si co the chi dinh kiem tra:

Duong huyet.

Cong thuc mau.

Chuc nang dong mau.

Mo mau.

Chuc nang gan, than.

Dien giai.

Cac xet nghiem khac tuy tinh trang.

Dieu tri va phong ngua dot quy nhe

Dieu tri phu thuoc vao nguyen nhan va nguy co tai phat. Bac si co the can nhac:

Thuoc chong ket tap tieu cau trong truong hop phu hop.

Thuoc chong dong neu co chi dinh, chang han mot so truong hop rung nhi.

Thuoc kiem soat huyet ap.

Thuoc dieu chinh mo mau.

Kiem soat duong huyet.

Dieu tri benh tim hoac hep dong mach canh.

Phuc hoi chuc nang neu con yeu, roi loan ngon ngu hoac mat thang bang.

Nguoi benh tuyet doi khong tu mua thuoc hoac tu phoi hop thuoc vi lua chon thuoc phu thuoc vao loai dot quy, nguy co chay mau, benh nen va ket qua chan doan.

Phong ngua dot quy tai phat

Sau khi duoc chan doan, nguoi benh can xay dung ke hoach phong ngua lau dai:

Do va kiem soat huyet ap thuong xuyen.

Kiem soat duong huyet neu mac dai thao duong.

Kiem tra va dieu tri roi loan mo mau.

Bo thuoc la.

Han che ruou bia.

Giam muoi trong che do an.

An nhieu rau xanh, trai cay phu hop, ca va thuc pham giau chat xo.

Han che thuc an nhieu dau mo, noi tang dong vat va thuc pham che bien san.

Duy tri can nang hop ly.

Van dong deu dan theo kha nang va huong dan cua bac si.

Ngu du giac, han che cang thang keo dai.

Dung thuoc dung don, khong tu ngung thuoc.

Tai kham dung lich.

Kiem tra tim mach neu co hoi hop, nhip tim khong deu hoac tien su rung nhi.

Kham va cap cuu dau hieu dot quy nhe tai Dak Lak

Khi co dau hieu meo mieng, yeu liet, noi kho, nhin mo, chong mat dot ngot hoac mat thang bang, nguoi benh can duoc dua den benh vien ngay, khong nen chi dat lich kham thong thuong neu trieu chung dang dien ra.

Nguoi dan tai Dak Lak co the tham khao Benh vien da khoa Thien Hanh hospital khi can kiem tra cac yeu to nguy co tim mach, huyet ap, duong huyet, roi loan mo mau hoac danh gia trieu chung than kinh. Trong tinh huong nghi ngo dot quy cap, can lien he cap cuu va lua chon co so co kha nang tiep nhan, chan doan hinh anh va xu tri dot quy phu hop.

Truoc khi den kham, nguoi benh hoac nguoi nha nen chuan bi:

The bao hiem y te va giay to tuy than.

Danh sach thuoc dang su dung.

Tien su tang huyet ap, dai thao duong, benh tim hoac dot quy.

Ket qua xet nghiem, chup chieu truoc day neu co.

Thoi diem bat dau xuat hien trieu chung.

Mo ta cu the cac bieu hien: yeu ben nao, noi kho, meo mieng, nhin mo hay chong mat.

Nen lien he truc tiep voi benh vien de xac nhan khoa tiep nhan, lich kham va kha nang thuc hien cac xet nghiem hoac chan doan hinh anh can thiet.

Cau hoi thuong gap ve dau hieu dot quy nhe

Dot quy nhe co can nhap vien khong?

Co the can. Ngay ca khi trieu chung da het, nguoi benh van nen duoc danh gia y te khan cap de xac dinh co phai con thieu mau nao thoang qua hay khong va phong ngua dot quy thuc su.

Te mot tay vai phut co phai dot quy khong?

Co the, dac biet neu trieu chung xuat hien dot ngot va chi xay ra o mot ben co the. Tuy nhien, te tay cung co the do chen ep than kinh, thoai hoa cot song hoac nhieu nguyen nhan khac. Can kham neu trieu chung bat thuong hoac tai dien.

Nguoi tre co bi dot quy nhe khong?

Co. Du nguy co tang theo tuoi, nguoi tre van co the bi dot quy do di dang mach mau, benh tim, roi loan dong mau, hut thuoc, su dung chat kich thich, tang huyet ap, beo phi hoac cac yeu to khac.

Het meo mieng va noi kho roi co can di vien khong?

Van can di vien. Trieu chung thoang qua co the la TIA, mot dau hieu canh bao nguy co dot quy trong thoi gian gan.

Chong mat co phai dau hieu dot quy khong?

Chong mat don thuan thuong khong du de ket luan dot quy. Tuy nhien, chong mat xuat hien dot ngot kem noi kho, nhin doi, yeu tay chan, mat thang bang hoac dau dau du doi can duoc cap cuu.

Ket luan

Dau hieu cua dot quy nhe tai Dak Lak co the bao gom meo mieng, yeu hoac te mot ben tay chan, noi kho, nhin mo, chong mat, mat thang bang, kho nuot, lu lan hoac dau dau du doi bat thuong. Nhung bieu hien nay co the keo dai trong thoi gian ngan roi tu het nhung van tiem an nguy co dot quy nghiem trong.

Khi nghi ngo dot quy, nguyen tac quan trong nhat la nhan biet nhanh – goi cap cuu – dua nguoi benh den benh vien cang som cang tot. Nguoi dan co the tham khao Benh vien da khoa Thien Hanh hospital de kiem tra va quan ly cac yeu to nguy co, dong thoi can lien he truc tiep de xac nhan quy trinh tiep nhan va kha nang xu tri cap cuu phu hop.