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február 28th, 2010
A szélütés olyan gyorsan kialakuló bénulás, amelyet valamilyen agyi keringési zavar okoz. A stroke kezelése azért sürgős, mert a szélütés minden órájában megközelítőleg 700 km idegpálya és 2 millió idegsejt pusztul el.
A szélütés a második leggyakoribb halálok, világszerte több millió halálesetet okoz évente. Ez azt jelenti, hogy minden hatodik másodpercben valaki szélütést kap a világon. Nagyon fontos, hogy minél előbb megkezdjék az úgynevezett vérrögoldó kezelést, hiszen az orvosoknak mindössze 4,5 órájuk van arra, hogy megmentsék a beteget a haláltól vagy a tartós bénulástól. Azonban hazánkban az akut stroke-os betegeknek csak töredéke részesül azonnali vérrögoldásban. Új technikák új lehetőségek is „dörömbölnek” az ajtón.
Az egyetlen hatékony kezelés az érelzáródást okozó vérrög feloldása, mely – az utóbbi vizsgálatok tanulsága szerint – csak 4,5 órán belül biztosítja a túlélést. Éppen ezért nagyon fontos, ha valaki a stroke tüneteit észleli – hirtelen kialakuló féloldali végtag gyengeség; bénulás, zsibbadt arcfél; hirtelen kialakuló beszédértési zavar, szóformálási nehézség; hirtelen bekövetkező kettőslátás, látótérkiesés, látásvesztés vagy csökkenő látásélesség; hirtelen szédülés, koordinációs zavarok; a térérzékelés hirtelen elveszítése, memóriazavar – azonnal hívja a mentőket. Ha túl sok idő telik el, a kezelés szövődményei jelentősebbek lesznek, mint a kezelésből fakadó haszon.
Ma, hazánkban az összes szélütésnek mintegy 1%-t tudják csak vérrögoldó kezeléssel gyógyítani. Ezt a számot a jövőben mindenképpen tovább kell növelni, hogy egyre kevesebb legyen a tragédiák száma. Hatékonyabb szervezéssel, a lakosság felvilágosításával, és a stroke kialakulása és a kezelési idő közötti idő lerövidítésével (pl. a direkt CT-be való szállítás engedélyezésével, a beteg-utak lerövidítésével) jó eséllyel szállhatunk harcba az agyi-érkatasztrófák ellen.
Kategória Februári híreink