Akisikuru a ɛka w’amemene no fã ketewaa bi? (Cerebellar Stroke) Momma yensua ho ade.

So woate nka pɛn sɛ wo ho ayɛ wo yaw, wo nan so ntumi nnyina, anaasɛ wokasa mpofirim? Ɛtɔ mmere bi a yesusuw sɛ eyinom yɛ nneɛma a ɛfata, nanso ɛtɔ mmere bi a ebetumi ayɛ amemene mu akisikuru ho sɛnkyerɛnne . Mma ɛnhaw wo, yɛbɛka eyi ho asɛm nnɛ.

Dɛn ne amemene mu akisikuru?

Sɛ yɛbɛka no tiawa a, amemene mu akisikuru yɛ akisikuru a ɛka amemene a ɛyɛ yɛn amemene no fã bi. Nnipa binom nso frɛ no ``Cerebellum Stroke'' tiawa.

Susuw ho hwɛ, amemene no fã titiriw a ɛwɔ yɛn ti akyi, bɛn baabi a akyi berɛmo no ne amemene no di nkitaho no. Saa ɔfã ketewa yi boa yɛn ma yɛnantew, tu mmirika, yɛyɛ yɛn akwaa ho adwuma, ma yɛn nipadua no kari pɛ, yesua nneɛma foforo a yɛyɛ, ne nsusuwii ahorow bi mpo. Enti, sɛ akisikuru bi ba a ɛsɛe amemene yi a, saa tumi ahorow yi betumi aka koraa.

Amemene mu akisikuru ba bere a mogya ntini bi a ɛde mogya kɔ amemene no mu no siw esiane mogya a ɛtɔ gu nipadua no mu nti , anaasɛ bere a saa ntini no mu paapae na mogya tu no .

Dɛn ne amemene mu akisikuru ho sɛnkyerɛnne?

Amemene mu akisikuru ho sɛnkyerɛnne betumi ayɛ soronko kakra a egyina nea ɛde ba no so. Nanso, sɛnkyerɛnne ahorow a ɛtaa ba no bi ne:

• Sɛ wote nka sɛ worehwere wo nipadua so tumi, wohintiw (Ataxia): Wohintiw bere a wonam, te sɛ obi a wabow nsa, na ɛyɛ den sɛ wubedi wo akwaa so.
• Wosow: Nsa ne nan a ɛwosow a wontumi nni so .
• Ɛyɛ den sɛ wobɛnantew: Worentumi nnantew yiye.
• Adwene a ɛyɛ wo yaw anaa Vertigo: Ebetumi ayɛ te sɛ nea biribiara a atwa wo ho ahyia no redi akɔneaba.
• Tiyɛ: Tiyɛ a emu yɛ den betumi aba.
• Anisoadehu a ɛyɛ kusuu: Sɛ wontumi nhu ade yiye.
• Aniwa a ɛkɔ ntɛmntɛm a wontumi nni so (Nystagmus).
• Basabasayɛ anaa basabasayɛ.
• Anim ne nipadua a ɛyɛ mmerɛw wɔ nipadua no fã biako (Hemiparesis) anaasɛ obubuafo (Hemiplegia).
• Ntini a ɛwɔ anim no fã biako a ɛyera.
• Yɛn nkatede a ɛyera mpofirim anaasɛ ɛyɛ mmerɛw (a yehu ade, yɛte asɛm, yɛte hua, yɛte dɛ, yɛde yɛn nsa ka).
• Nsɛmfua a wɔbɔ no basabasa bere a wɔrekasa, a ɛte sɛ nea wɔka no kasa (Dysarthria).

Nea ɛho hia: Ebia amemene mu akisikuru ho sɛnkyerɛnne ahorow bi te sɛ adwenemhaw, tiyɛ, ne kari a yɛnkari pɛ, betumi ayɛ te sɛ nneɛma a ɛnyɛ den sɛ yebebu yɛn ani agu so. Mmom,Mma w’ani ngu saa sɛnkyerɛnne ahorow yi so, titiriw sɛ epue mpofirim a.

Ade foforo nso ne sɛ yɛn amemene no fã biako na ɛhwɛ nipadua no fã foforo so. Eyi kyerɛ sɛ sɛ amemene no benkum so akisikuru a, wobɛte yare no ho sɛnkyerɛnne nka wɔ nifa so. Sɛ nifa so sɛe a, sɛnkyerɛnne no bɛda adi wɔ benkum so.

Dɛn ne kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya amemene mu akisikuru?

Seesei yenim sɛ amemene mu akisikuru betumi de sɛnkyerɛnne ahorow aba. Sɛ wopɛ sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase wɔ wo anaa wo dɔfo bi mu a, kae asɛmfua tiawa `YƐ NTAM` . Eyi ho hia yiye:

• B - Kari pɛ: Hwɛ sɛ mpofirim ara wo kari pɛ na wote nka sɛ worebɛhwe ase anaa.
• E - Aniwa: Hwehwɛ aniwa a ɛyera mpofirim, aniwa a ɛyɛ kusuu, anaa nsakrae biara a ɛba aniwa biako anaa abien no nyinaa mu.
• F - Anim: Bɔ mmɔden sɛ wobɛserew. Hwɛ sɛ ɛte sɛ nea anim no fã biako anaa abien no nyinaa ahwe ase anaa.
• A - Abasa: Ma wo nsa mmienu no nyinaa so. Sɛ wo ho yɛ wo yaw a, ebia worentumi mma wo nsa biako so, anaasɛ ɛbɛyɛ mmerɛw kɛse na ahwe ase.
• S - Kasa: Hwɛ sɛ kasa a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛpaw nsɛmfua, anaasɛ ɛyɛ den sɛ wobɛka asɛm.
• T - Bere: Bere yɛ ade titiriw! Sɛ wuhu saa sɛnkyerɛnne yi bi a, hwehwɛ mmoa ntɛm ara (frɛ ambulance). Sɛ ɛbɛyɛ yiye a, hyɛ bere a yare no ho sɛnkyerɛnne no fi ase no nsow denam wo dɔn anaa wo fon a wobɛhwɛ so. Sɛ woka kyerɛ oduruyɛfo bere a wo yare no ho sɛnkyerɛnne fii ase a, ebetumi aboa no ma wɔasi ayaresa a eye ma wo ho gyinae.

Dɛn ne bere tiaa mu Ischemic Attack (TIA)?

Bere tiaa mu ischemic attack (TIA), a ɛtɔ mmere bi a wɔfrɛ no "mini-stroke" te sɛ akisikuru, nanso ne nkɛntɛnso yɛ bere tiaa mu de. Mpɛn pii no, sɛnkyerɛnne ahorow no fi hɔ wɔ nnɔnhwerew kakraa bi mu. Nanso, wɔtaa yɛ kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ akisikuru a edi mũ rebɛba. Obi a wanya TIA hia ayaresa a egye ntɛmpɛ ntɛm ara sɛnea obetumi. Frɛ 911 ntɛm ara.

Dɛn na ɛde amemene mu akisikuru ba?

Amemene mu akisikuru ahorow abien na ɛwɔ hɔ, na ɛsono nea ɛde ba.

1. Ischemic Strokes: Eyinom ba bere a mogya a ɛtɔ siw mogya ntini bi a ɛwɔ amemene no mu no. Akwahosan tebea horow a ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse no bi ne:

• Mogya mmoroso (Hypertension) .
• mogya mu srade a ɛkɔ soro (Hyperlipidemia) .
• Atherosclerosis / ntini no afasu a ɛyɛ den
• Ntini a ɛma mogya tu
• Atrial fibrillation (titiriw bere a efi nna mu ahomegye a ɛyɛ den na ɛde ba no) .
• Mogya ntini a ɛsɛe fi ahodwiriw mu, te sɛ ti a opira anaa kar akwanhyia.
• Koma mu dɛmdi a wonya fi awo mu (sɛ nhwɛso no, Atrial Septal Defect, Ventricular Septal Defect) .

2. Mogya a Ɛma Atɔre: Mogya ntini bi a ɛwɔ amemene no mu a ɛpaapae anaasɛ ɛtetew na ɛde eyinom ba . Eyi betumi afi:

• Mogya mmoroso (Hypertension) (titiriw sɛ wontumi nni so na ɛkɔ so yɛ kɛse anaasɛ ɛwɔ hɔ bere tenten a).
• Amemene mu akisikuru
• Amemene mu ntini a ɛma mogya tu
• Moyamoya yare (ne tebea foforo biara a ɛma mogya ntini a ɛwɔ amemene no mu yɛ mmerɛw).

Dɛn ne nneɛma a ɛde asiane ba?

Obiara betumi anya akisikuru. Nanso, asiane a ɛwɔ wo mu no yɛ kɛse kakra sɛ wowɔ saa nneɛma yi a:

• Sɛ wonom sigaret anaa wode tawa anaa nicotine afoforo di dwuma (e.g. vaping).
• Sɛ woadi boro mfe 65 a.
• Sɛ woyɛ abibifo (esiane awosu ne asetra mu nneɛma bi nti).
• Sɛ wode nnubɔne di dwuma de gye w’ani anaasɛ womfa nnuru nkyerɛw wo.

Akwahosan tebea horow bi nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya ɔyare a ɛma obi hwe ase no ayɛ kɛse:

• Mogya mmoroso (Hypertension) .
• mogya mu srade a ɛkɔ soro (Hyperlipidemia) .
• Asikreyare (Asikreyare) .
• Dae mu ahomegye a ɛyɛ den
• Covid-19 (COVID-19) ne nyarewa afoforo bi.
• Asanom a wɔnom ho haw.

Ɔkwan bɛn so na wohu sɛ obi anya Cerebellar Stroke?

Oduruyɛfo bi nam nipadua mu nhwehwɛmu , ntini mu nhwehwɛmu, ne nhwehwɛmu titiriw afoforo pii so hu amemene mu akisikuru . Sɛ wɔde wo kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ETU) , nnuruyɛfo a wɔwɔ hɔ no betumi ahu eyi.

Sɛnea ɛbɛyɛ na woakyerɛ sɛ woanya akisikuru no, wo duruyɛfo de nhwehwɛmu ahorow te sɛ eyinom bedi dwuma:

• CT scan a wɔde yɛ adwuma
• MRI mfonini (MRI) .
• Electrocardiogram (EKG) a wɔde kyerɛw koma no .
• Ɛlektrɔnik amemene mu nhwehwɛmu (EEG) .
• Mogya mu nhwehwɛmu

Dɛn ne ayaresa ahorow a wɔde sa amemene mu akisikuru?

Ayaresa ko a wuhia no begyina amemene mu akisikuru ko a wowɔ so. Nnuruyɛfo bɛbɔ mmɔden sɛ wɔbɛma mogya asan akɔ w’amemene mu sɛnea ɛsɛ ntɛm ara sɛnea wobetumi.Ɛno ansa na asiane a ɛwɔ hɔ sɛ amemene no bɛsɛe daa ne owu no betumi atew.

• Sɛ akisikuru no yɛ ischemic a: Nnuruyɛfo bɛbɔ mmɔden sɛ wɔbɛpaapae anaasɛ wɔbɛpete mogya a ɛtɔ no. Ebia wɔbɛma wo nnuru a ɛma mogya ntini mu mogya tu . Tissue Plasminogen Activator (tPA) anaa Tenecteplase (TNK-tPA) yɛ nnuru a wɔtaa de di dwuma no bi. Ebia ɛho behia nso sɛ wɔyɛ wo oprehyɛn de bubu mogya a ɛtwetwe no (mfiri a wɔde twa thrombectomy) . Ebia wɔbɛma wo nnuru nso a ɛbɛma woatumi asiw wo mogya mmoroso ano.

• Sɛ akisikuru no yɛ mogyatɔw a: Nnuruyɛfo bɛbɔ mmɔden sɛ wobesiw mogya a ɛretu w’amemene no ano. Ebia wɔbɛma wo nnuru a ɛbɛma woatumi asiw mogya a ɛretu no so na woahwɛ wo mogya so. Ebia wɔbɛyɛ oprehyɛn nso de atew nhyɛso a ɛwɔ amemene no mu no so.

Nnuruyɛfo bɛkyerɛkyerɛ ayaresa ahorow a ɛfata wo ne nea wubetumi ahwɛ kwan afi ayaresa ahorow no mu akyerɛ wo.

Nneɛma a wɔsan yɛ no foforo wɔ Cerebellar Stroke akyi

Stroke rehab yɛ ade a ɛho hia yiye wɔ stroke ayaresa mu. Ɛsɛ sɛ wosan siesie wo ho na aboa wo ma woayɛ nsakrae wɔ nsakrae a ɛba w’amemene ne wo nipadua mu wɔ akisikuru akyi. Eyi betumi ayɛ nea edidi so yi a wɔaka abom:

• Apɔw-mu-teɛteɛ: Hyɛ ntini mu den, kari pɛ, na fa nsa ne nan di dwuma bio.
• Ɔkasa mu ayaresa: Sɛnea ɛbɛyɛ a wobɛsan de kasa ne kasa ho nimdeɛ atu mpɔn, na woadi ntini a ɛboa wo ma wokasa, home, didi, na womene no so.
• Cognitive rehab: Ma nkae, adwene, ne adwene mu tumi afoforo tu mpɔn.
• Adwuma mu ayaresa: Ɛboa wo ma woyɛ da biara da nnwuma dwoodwoo, titiriw nnwuma a ɛhwehwɛ sɛ wo nipadua no keka wo ho yiye.

Hokwan ahorow bɛn na ɛwɔ hɔ sɛ obi benya nkwa wɔ amemene mu akisikuru mu?

Ɛyɛ den ma abenfo sɛ wɔbɛka nkwagye dodow pɔtee a obi nya wɔ amemene mu akisikuru ho. Akisikuru biara betumi akum obi, ama woadi dɛm daa, na aka bere tenten a wobɛtra ase (nkwa nna). Bere nhyehyɛe anaa adwene biara nni hɔ a ɛfata obiara.

Ɛwom sɛ mpɛn pii no, nea efi ischemic strokes mu ba no ye sen hemorrhagic strokes , nanso ɛno nkyerɛ sɛ sɛ wowɔ ɔkwan biako so a, wo ho bɛtɔ wo ntɛm, ntɛm, anaasɛ eye. Ɛsono sɛnea obiara nipadua yɛ n’ade wɔ akisikuru ho.

So wobetumi asa Cerebellar Stroke koraa?

Nea wubetumi ahwɛ kwan (nkɔmhyɛ) wɔ amemene mu akisikuru akyi no gyina nneɛma pii so:

• Hwɛ sɛnea wo nsa kaa ayaresa ntɛmntɛm.
• Akisikuru bɛn na na wowɔ?
• W’akwahosan nyinaa.
• wo mfe a woadi.

Ɛsono sɛnea obi ho tɔ no koraa. Ebia wubetumi asan anya w’amemene no dwumadi ne sɛnea wotumi keka wo ho mfiase no koraa. Eyi taa gye asram pii. Nanso, wubetumi anya nkɛntɛnso a ɛtra hɔ kyɛ nso, te sɛ dɛmdi foforo anaa ahorow ahorow.

Wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ wohwɛ kwan. Wɔbɛboa wo ma wode botae ahorow ne akwanhwɛ ahorow a ɛfata ama w’akwahosan tebea soronko ne nokwasɛm ahorow asi hɔ.

So wobetumi asiw Cerebellum Stroke ano?

Akwahosan pa a wobɛkɔ so akura mu nyinaa ne ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wobɛkɔ amemene mu akisikuru so. Mpɛn pii no, bɔ mmɔden sɛ wobɛyɛ saa nneɛma yi:

• Di wo mogya mmoroso, srade dodow, ne akwahosan tebea biara a ebia wowɔ no so.
• Sɛ wonom sigaret a, gyae.
• Di nnuan a ahoɔden wom na ma wo mu duru yɛ nea ɛfata.
• Yɛ apɔw-mu-teɛteɛ daa.
• Nya nna pa.

Kɔ oduruyɛfo afe biara (anaasɛ sɛnea wo duruyɛfo kamfo kyerɛ no). Tebea horow pii a ebetumi ama amemene mu akisikuru aba bere a bere kɔ so no. Ebia ebinom mpo rentumi mfa yare no ho sɛnkyerɛnne mma. Sɛ nhwɛso no, nnipa pii a wɔwɔ mogya mmoroso anaa srade a ɛdɔɔso no nte biribiara nka kosi sɛ wobehu sɛ wɔanya bi. Wo duruyɛfo betumi aboa wo ma woakyere kɔkɔbɔ sɛnkyerɛnne biara na woadi ho dwuma ansa na ama asiane a ɛwɔ hɔ sɛ wubenya akisikuru no ayɛ kɛse.

Mɛyɛ dɛn ahwɛ me ho bere a akisikuru akyi?

Sɛ obi ho bɛtɔ no na wasan asiesie ne ho wɔ akisikuru akyi no betumi ayɛ adwuma a emu yɛ den. Sɛ wo ne wo duruyɛfo no wie ayaresa nhyehyɛe bi a, di akyi yiye sɛnea wubetumi. Mpɛn pii no, ɛsɛ sɛ woyɛ nea edidi so yi:

• Fa w’aduru no yiye: Sɛ wonom wo nnuru wɔ bere a ɛfata mu sɛnea wo duruyɛfo kyerɛ wo no a, ɛbɛboa ma wo nipadua no ayɛ yiye.
• Kɔ wo rehab ne ayaresa foforo a wobɛkɔ: Sɛ wote nka sɛ wo ho nni ahobammɔ anaasɛ wo ho nyɛ wo dɛ a, ka kyerɛ wo ayaresa ho animdefo. Rehab betumi ayɛ den, nanso ɛnsɛ sɛ wote ɛyaw anaasɛ wo ho nyɛ wo dɛ bere nyinaa.
• Susuw w’adwene mu akwahosan ho: Adwenemhaw ne dadwen taa ba bere a obi anya akisikuru akyi. Sɛ wote awerɛhow anaa abasamtu nka a, ɛmma wonyɛ mmerɛw anaa wompa abaw. W’adwene mu akwahosan ho hia te sɛ wo nipadua akwahosan ara pɛ. Sɛ wote nka sɛ wo ho ayɛ wo den bere a wo ho retɔ wo a, wo ne wo duruyɛfo anaa adwenemyare ho ɔfotufo bi nkasa .

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wote nka sɛ worenya ɔyare a ɛma obi hwe ase ho sɛnkyerɛnne bio aFrɛ 911 ntɛm ara. Sɛ wosan nya akisikuru bio a, asiane a ɛwɔ hɔ sɛ ebekum obi anaasɛ ɛde nsɛnnennen a emu yɛ den bɛba no yɛ kɛse mpo. Mma nntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa.

Nnipa a wɔanya akisikuru no wɔ asiane kɛse mu sɛ wobenya nsɛnnennen afoforo a emu yɛ den te sɛ:

• Koma mu yare
• Akisikuru a ɛma obi ho kyere no
• Ahurututu mu yare
• Mogya a ɛtɔ wɔ ntini a emu dɔ mu (Deep Vein Thrombosis - DVT) .
• Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ

Sɛ wuhu nsɛnnennen yi mu biara ho sɛnkyerɛnne a, ɛsɛ sɛ wofrɛ adwumayɛbea a wɔhwɛ ntɛmpɛ so ntɛm ara anaasɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ eyinom:

• Akisikuru bɛn na na mewɔ?
• Nnuru bɛn na mihia, na ɔkwan bɛn so na menom?
• Akwan bɛn na mihia?
• Asiane bɛn na ɛwɔ me sɛ daakye menya akisikuru bio?

Ɛtɔ mmere bi a, Cerebellar Strokes betumi de sɛnkyerɛnne ahorow a ɛnyɛ den sɛ wobebu ani agu so aba. Nanso obiara nnim wo nipadua no yiye nsen wo. Sɛ wote biribi a ɛyɛ soronko, ɛyɛ nwonwa, anaa wususuw sɛ worenya akisikuru a, hwehwɛ mmoa a egye ntɛmpɛ ntɛm ara. Dodow a nnuruyɛfo hu amemene mu akisikuru ntɛm na wɔsa no, dodow no ara na nea efi mu ba no ye.

Awiei koraa no, biribi a ɛsɛ sɛ yesusuw ho.

Ebia eyi bɛyɛ te sɛ nea ɛyɛ asɛm a wɔka no cliché, nanso tua wo ho ka wɔ nkɔso ketewaa biara a wubenya bere a wo ho retɔ wo no ho. Ahosan ba wɔ akwan horow pii so, na ɛfata sɛ wudi emu biara ho afahyɛ. Wo nnuruyɛfo ne ayaresa ho animdefo bɛboa wo ma woadu wo botae ahorow a ɛne sɛ wo ho bɛtɔ wo no ho.

` amemene mu akisikuru, amemene mu akisikuru, amemene mu akisikuru, akisikuru ho sɛnkyerɛnne, YƐ NTAM, stroke ayaresa, akisikuru a wosiw ano