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沈意清
2017.11.23 舉杯喝水難 羅東博愛醫院提醒可能是腦中風
2017.11.23 舉杯喝水難 羅東博愛醫院提醒可能是腦中風
2017.11.23 舉杯喝水難 羅東博愛醫院提醒可能是腦中風
By
沈意清
Senior Account Executive
・
Yilan County, Taiwan
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手無力,連喝水舉杯都困難,很有可能就是「腦中風」!羅東博愛醫院舉辦「腦中風病友座談會」,家屬提問腦中風病患照護問題,現場有神經內科曾弘斌主任、復健師、營養師、護理師、社工師列席為民眾解答,還有放射診斷科薛懷正醫師介紹腦中風的原因及後續治療方式,讓病友和家屬受益良多。 羅東博愛醫院近日舉辦「106年腦中風病友座談會」,邀請放射診斷科薛懷正醫師介紹腦中風與治療方式。薛醫師首先說明中風可分為出血型、缺血型兩種,出血性腦中風是因為腦血管破裂,在腦內形成血塊,而缺血性腦中風是因血管內阻塞導致腦部供血區域缺氧壞死,一旦缺血時間越久,腦細胞的壞死率就越高,若是大範圍的中風除影響病人生活外,也會拖累家人。 薛懷正醫師進一步說明為什麼血管狹窄會中風,因為一開始膽固醇會塞在血管週邊,久了就會堆積越多,血管會慢慢變狹窄,但腦部依然需要足量的血液,所以身體會努力讓血流維持正常,在血管越來越狹窄情況下,又需維持一定的血流通過,壓力就會大到血管的內壁摩擦出血,形成血栓。倘若血液在流動的過程中,把血塊沖到其他地方,就會造成阻塞性中風,另一可能情況是,當血塊太大,也會造成血液阻塞,血液流不過而造成中風。 若是血塊流至較為末端的血管,有一項新技術叫「動脈取栓術」,這個手術分為抽吸型跟支架型,利用導管將抽吸管或支架至阻塞處將血栓取出,相較於傳統的注射血栓溶解劑,可以更有效的取出血栓,改善腦部循環。 想要改善頸動脈狹窄,第一個方法是開刀,也就是「頸動脈內膜切除手術」,是將血管切開前使用止血夾固定血管並快速將斑塊剝除,缺點就是需要傷口復原的時間。第二個方法是「頸動脈支架置放術」裝設頸動脈支架,將支架放入並撐開血管,就像安裝心導管一樣,不用把頸動脈剖開。 本次座談會上病友家屬宋先生也分享家人腦中風案例,媽媽原本是位開朗、風趣喜愛參加社區活動的長輩,後來因為身體上的病痛變得不愛出門。某日他觀察到媽媽越來越不愛喝水,原因是左手無力舉起水杯,驚覺不對勁馬上送媽媽就醫診治,並確診為「腦中風」。宋先生慶幸自己平時有注意一些健康資訊,才能及時將媽媽送到醫院急救,宋媽媽一度覺得自己會拖累兒子和媳婦,想法變得消極、甚至想要輕生,但經兒子、媳婦全心照護,且積極參與腦中風病友會,現在宋媽媽和義工們已經約定,要好好復健未來想和志工們一起回饋社會。
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沈意清
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Published: Apr 29th 2019
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