So yɛbɛka cryptogenic stroke ho asɛm?

Yɛn nyinaa suro kakra bere a yɛte asɛmfua "stroke" no, ɛnte saa? Ɛyɛ biribi a ɛsɛ sɛ wosuro ankasa. Efisɛ, sɛ mogya ntini bi a ɛkɔ yɛn amemene mu no siw mpofirim anaasɛ ɛpae a, nneɛma a ebetumi asi no yɛ aniberesɛm koraa. Nanso, ɛtɔ mmere bi a nnuruyɛfo mpo ntumi nhu ɔkwan pɔtee a wɔfaa so anaa nea enti a saa akisikuru yi bae. Ɛno nti na, wɔfrɛ akisikuru a nea ɛde ba no mu nna hɔ ankasa sɛ "cryptogenic stroke." Ɛnnɛ, yɛbɛka eyi ho asɛm akɔ akyiri kakra .

Dɛn ne cryptogenic stroke?

Sɛ yɛbɛka no tiawa a, cryptogenic stroke yɛ akisikuru a wontumi nhu nea ɛde ba. Eyi nso yɛ nea ɛne ischemic stroke yɛ ade koro no ara. Eyi kyerɛ sɛ mogya ntini bi a ɛde mogya kɔ amemene no mu no, biribi siw ano, kyerɛ sɛ, esiw ano.

Mpɛn pii no, sɛ ischemic stroke ba a, wobetumi ahu akwahosan tebea bi a ɛde reba, sɛ nhwɛso no, mogya mmoroso, asikreyare, anaa srade a ɛkɔ soro. Nanso, wɔ cryptogenic strokes fam no, ɛyɛ den sɛ wubehu nea ɛde ba pefee saa. Aduruyɛ mu asɛmfua "cryptogenic" kyerɛ "a wonnim mfiase."

Te sɛ akisikuru foforo biara no, cryptogenic stroke yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu. Ebetumi akum obi. Sɛ wo anaa obi a wo ne no wɔ akisikuru ho sɛnkyerɛnne a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Dodow a wohu yare no ntɛm na wɔsa wo yare no, dodow no ara na ɛda adi sɛ wubegye obi nkwa. Sekan biara ho hia.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya cryptogenic stroke?

Cryptogenic stroke ho sɛnkyerɛnne te sɛ ``Ischemic Stroke.'' Hwɛ sɛ saa sɛnkyerɛnne ahorow yi te sɛ nea wunim anaa:

• Mmerewa anaa obubuafo wɔ anim ne nipadua no fã biako (paralysis). Fa no sɛ mpofirim ara woantumi anhinhim wo nsa anaa wo nan bi.
• Ɔkasa a ɛyɛ den anaasɛ wontumi nkasa (Aphasia). Ɛyɛ den sɛ wobɛhyehyɛ nsɛmfua.
• Ɔkasa yɛ nea ɛyɛ mmerɛw na ɛyɛ mmerɛw (Dysarthria).
• Ntini a ɛwɔ anim no fã biako no yera. Ɛtɔ mmere bi a, wobetumi atwe ano no akɔ ɔfã biako.
• Mpofirim ara, nkatede ahorow no dwumadi yɛ mmerɛw anaasɛ ɛyera. Ɛno kyerɛ nneɛma te sɛ nea wohu, nea wɔte, hua, nea wɔsɔ hwɛ, ne nea wɔde wɔn nsa ka.
• Anisoadehu bɛyɛ nea wontumi nhu anaasɛ anisoadehu mmɔho abien (Diplopia).
• Kari a wɔhwere, wontumi nnantew yiye, ne obi a ɔyɛ mmerɛw (ataxia).
• Adwene a ɛyɛ basaa (vertigo) anaasɛ atenka a ɛte sɛ nea ɔretwa ne ho (vertigo).
• Akisikuru ne ɔfe.
• Kɔn a ɛyɛ den.
• Mpofirim ara, nkate sesa, anaa nipasu sesa.Onipa a na ɔwɔ hɔ ara no bo fuw anaa ne bo fuw mpofirim.
• Basabasayɛ anaa basabasayɛ.
• Ɛte sɛ nea ɛyɛ fit (akisikuru).
• Nkae a ɛyera (Amnesia).
• Tiyɛ (tiyɛ), tiyɛ a emu yɛ den a ɛtaa ba mpofirim.
• Mehwere m’adwene na mehwe ase.
• Ebia wobɛtɔ koma mu mpo.

Dɛn ne kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru? Kae sɛ WOBETUMI YƐ NTAM !

Akisikuru betumi ada sɛnkyerɛnne ahorow adi. Sɛnea ɛbɛyɛ na woahu sɛ wo anaa wo dɔfo bi renya akisikuru a, ɛho hia sɛ wokae Borɔfo nsɛmfua yi: YƐ NTAM . Ma yɛnhwɛ nea wɔkyerɛ:

• B - Kari pɛ: Hwɛ sɛ wobɛhwere mpofirim . Hwɛ sɛ onipa no ntumi nnyina pintinn mpofirim anaasɛ ontumi nnantew anaa.
• E - Aniwa: Hwɛ sɛ aniwa a ɛyera mpofirim, anaasɛ nsakrae aba aniwa mu wɔ aniwa biako anaa abien no nyinaa mu , te sɛ aniwa a ɛyɛ kusuu anaa aniwa abien.
• F - Anim: Hwɛ sɛ anim no fã biako bɛhwe ase bere a woreserew no . Afei nso, hwɛ sɛ nnompe tu fi ano no ntwea so anaa.
• A - Abasa: Srɛ wɔn sɛ wɔmma wɔn nsa abien no nyinaa so . Sɛ wɔn akisikuru a, wɔbɛbɔ mmɔden sɛ wɔbɛbrɛ wɔn nsa biako ase akɔ soro te sɛ biako, anaasɛ wɔbɛsensɛn fam.
• S - Ɔkasa: Hwɛ sɛ kasa mu yɛ den, ɛyɛ den sɛ wɔbɛhyehyɛ nsɛmfua, anaasɛ sɛ wɔrekasa a, nsɛm a wɔka no ano yɛ den .
• T - Bere: Bere som bo sen asetra wɔ ha! Sɛ wohunu saa nsɛnkyerɛnneɛ yi bi a, hwehwɛ mmoa ntɛm ara, i.e. frɛ 1990. Sɛ ɛbɛyɛ yie a, hwɛ wo dɔn anaa wo fon na kae berɛ a saa nsɛnkyerɛnneɛ yi hyɛɛ aseɛ. Sɛ woka kyerɛ wo duruyɛfo saa bere yi a, ɛbɛboa no ma wahu ayaresa a eye ma wo.

Dɛn ne nneɛma a ɛde cryptogenic stroke ba?

Sɛ yɛbɛka nokware a, nnuruyɛfo da so ara ntumi nka nea ɛde cryptogenic stroke ba ankasa. Ɛno ne ɔhaw kɛse a ɛwɔ eyi ho.

Nnipa dodow no ara a wɔwɔ ``ischemic stroke'' no wɔ tebea bi a ɛboa ma ɛba. Nhwɛsoɔ:

• Ntini a ɛma mogya tu
• Atherosclerosis ne ntini ahorow a ɛyɛ den
• Koma a ɛbɔ daa, a ɛkyerɛ sɛ koma no hwere ne nnyigyei wɔ ɔkwan pɔtee bi so (Atrial Fibrillation) .
• Koma mu dɛmdi ahorow bi a wonya fi awo mu, sɛ nhwɛso no, ntokuru a ɛda atria anaa ventricles ntam (Atrial Septal Defects, Ventricular Septal Defects) .

Saa tebea horow yi betumi ama obi anya cryptogenic strokes, nanso nnuruyɛfo ntumi nka no pen.Ɛtɔ da bi a, wubetumi anya cryptogenic stroke mpo a asiane ahorow yi mu biara nni mu.

Akisikuru ketewaa bi anaa TIA (Transient Ischemic Attack - TIA) .

Ebia woate Transient Ischemic Attack (TIA) ho asɛm, ɛtɔ mmere bi a wɔfrɛ no "mini-stroke." Eyi te sɛ akisikuru, nanso nea efi mu ba no yɛ bere tiaa mu de. Nsɛnkyerɛnne no fi hɔ wɔ simma anaa nnɔnhwerew kakraa bi mu. Nanso, eyi yɛ kɔkɔbɔ a asiane wom paa! Obi a wanya TIA no wɔ asiane kɛse mu sɛ obenya akisikuru ankasa daakye a enni akyiri. Enti, sɛ wowɔ TIA a, ɛho hia sɛ wokɔ ayaresabea ntɛm ara.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya cryptogenic stroke pɛpɛɛpɛ?

Oduruyɛfo bi behu sɛ obi anya cryptogenic stroke denam ntini mu nhwehwɛmu ne nhwehwɛmu afoforo a ɔbɛyɛ so. Sɛ wɔde wo kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu a, ɛda adi sɛ nnuruyɛfo a wɔwɔ hɔ no behu sɛ wowɔ saa tebea yi.

Wɔde sɔhwɛ ahorow te sɛ eyinom di dwuma de kyerɛ sɛ ebia woanya akisikuru anaa:

• Mogya mu nhwehwɛmu
• CT scan a wɔde yɛ adwuma
• E.C.G. (Electrocardiogram - ECG) - Hwɛ sɛnea koma no yɛ adwuma
• E.E.G. (Electroencephalogram - EEG) - Hwɛ anyinam ahoɔden dwumadi a ɛwɔ amemene no mu
• MRI `(MRI)`
• Koma a Wɔde Hwɛ Bere Tenten (PCM) a wɔde hwɛ sɛ koma no bɔ a ɛnteɛ (Atrial Fibrillation - Afib) .

Saa nhwehwɛmu yi betumi aboa nnuruyɛfo ma wɔahu sɛ woanya ``ischemic stroke.'' Nanso, sɛ wɔantumi anhu nea ɛde ba pɔtee a, wɔkyekyɛ mu sɛ cryptogenic stroke.

Dɛn ne ayaresa ahorow a wɔde sa cryptogenic stroke?

Nnuruyɛfo taa sa nea ɛde akisikuru no ba. Nanso, esiane sɛ yennim nea ɛde cryptogenic strokes ba nti, ayaresa pɔtee biara nni hɔ.

Enti, wo duruyɛfo bɛhwɛ w’akwahosan so. Ebia wɔbɛma wo nnuru a ekum mogya a ɛtwetwe mogya, te sɛ aspirin, na ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so atew. Ebia wubehia nnuru nso na ama wo mogya mmoroso akɔ so ayɛ nea ahobammɔ wom.

Ɛho hia dɛn sɛ wɔbɛsan asiesie obi wɔ ɔyare a ɛma obi hwe ase akyi?

Nsiesiei yɛ ade titiriw a ɛbɛma obi ho atɔ no afi ɔyare a ɛma obi hwe ase mu. Wubehia ayaresa a wɔde bɛsan asiesie wo ho na aboa w’amemene ne wo nipadua ma wɔayɛ nsakrae wɔ nsakrae a aba no mu. Eyi betumi aboa wo ma woasan anya tumi a na wowɔ ansa na ɔyare no renya akisikuru no, anaasɛ woayɛ nsakrae wɔ dɛmdi foforo biara a wobɛtra ase no mu. Ebia wubehia ayaresa a edidi so yi mu biako anaa nea ɛboro saa:

• Apɔw-mu-teɛteɛ: Hyɛ ntini mu den, kari pɛ, na ɛsan yɛ adwuma wɔ akwaa mu.
• Adwuma mu ayaresa: Ɛboa wo ma woyɛ wo da biara da nnwuma dwoodwoo, titiriw nnwuma a ɛhwehwɛ sɛ wokanyan wo ho yiye.
• Ɔkasa mu ayaresa: Ɛboa ma kasa ne kasa ho nimdeɛ tu mpɔn, na ɛsan nso di ntini a ɛboa wo ma wokasa, home, di, na womene no so.
• Nkate mu ayaresa: Ɛboa ma nkae, adwene, ne adwene mu tumi afoforo tu mpɔn.

Dɛn ne nea ebetumi aba sɛ wobɛsan anya ahoɔden afi cryptogenic stroke mu?

Esiane sɛ yennim nea enti a saa akisikuru yi ba ankasa nti, ɛyɛ den sɛ yɛbɛka ɔkwan pɔtee a wobɛfa so anya ahoɔden afi cryptogenic akisikuru mu. Na esiane sɛ ɔkwan biara nni hɔ a wobɛfa so akyerɛ sɛnea wo nipadua bɛyɛ n’ade wɔ ɔyare a ɛma obi hwe ase ho nti, wontumi mfa hokwan a wowɔ sɛ wo ho bɛtɔ wo no ntoto afoforo ho.

Cryptogenic strokes betumi akum obi na ɛde dɛmdi a ɛtra hɔ daa aba. Nea wubetumi ahwɛ kwan wɔ akisikuru akyi (wo ``nkɔmhyɛ'') gyina nneɛma pii so:

• Amemene no afã horow bɛn na ɛkaa no?
• Hwɛ sɛnea wo nsa kaa ayaresa ntɛmntɛm.
• W’akwahosan nyinaa.

Abenfo bu akontaa sɛ bɛyɛ nnipa baanan biara a wɔanya cryptogenic stroke no mu biako benya akisikuru foforo. Wo duruyɛfo no ne wo bɛkasa afa nea wobɛhwɛ kwan ho. Ɔbɛboa wo ma wode botaeɛ ne akwanhwɛ a ɛbɛma wo ho atɔ wo a ɛfata w’akwahosan ne mprempren tebea no asi w’ani so.

So wobetumi asiw cryptogenic stroke ano?

Esiane sɛ yennim nea ɛde eyi ba nti, ɔkwan pa a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya cryptogenic stroke no so ne sɛ wobɛkɔ so akura w’akwahosan nyinaa mu. Bɔ mmɔden sɛ wobɛyɛ saa nneɛma yi:

• Ma wo mogya mmoroso, srade a ɛwɔ wo mu, ne akwahosan tebea afoforo so.
• Sɛ wonom sigaret a, gyae. Eyi yɛ biribi a ɛsɛ sɛ woyɛ koraa.
• Di nnuan a ahoɔden wom na ma wo mu duru yɛ nea ɛfata.
• Nya apɔw-mu-teɛteɛ daa . Anyɛ yiye koraa no, sɛ obi nantew simma 30 kɛkɛ da biara mpo ye.
• Kɔ aduruyɛ mu nhwehwɛmu pɛnkoro afe biara (anaasɛ sɛnea wo duruyɛfo kamfo kyerɛ no). Akwahosan tebea horow pii a ɛma asiane a ɛwɔ hɔ sɛ wubenya akisikuru no yɛ kɛse no ba bere a bere kɔ so no. Wo duruyɛfo betumi aboa wo ma woahu kɔkɔbɔ nsɛnkyerɛnne yi ntɛm na woadi ho dwuma ansa na abɛyɛ asiane a ɛbɛma woanya ɔyare a ɛma obi hwe ase.

Wobɛyɛ dɛn ahwɛ wo ho bere a woanya cryptogenic stroke akyi?

Sɛ obi ho bɛtɔ wo na woasan asiesie wo ho wɔ akisikuru akyi a, ɛnyɛ mmerɛw, na ebetumi ayɛ adwuma pii. 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:

• Nom w’aduru no wɔ bere ano. Sɛ wonom w’aduru sɛnea wo duruyɛfo ka kyerɛ wo no a, ɛbɛboa ma wo nipadua no ayɛ yiye.
• Hwɛ hu sɛ wobɛkɔ rehab ne ayaresa nhyehyɛe afoforo. Sɛ biribi ma wote nka sɛ wo ho nyɛ wo dɛ anaasɛ wunni ahobammɔ a, ka kyerɛ wo duruyɛfo. Rehab yɛ den, nanso ɛnsɛ sɛ wote ɛyaw anaasɛ wo ho nyɛ wo dɛ bere nyinaa.
• Mma wo werɛ mmfi w’adwene mu akwahosan. Adwenemhaw ne dadwen abu so kɛse wɔ akisikuru akyi. Sɛ wote awerɛhow anaa wo ho yeraw wo a, ɛmma wonyɛ mmerɛw anaa woadi nkogu. W’adwene mu akwahosan ho hia te sɛ wo nipadua akwahosan ara pɛ. Sɛ biribi haw wo bere a wo ho retɔ wo a, wo ne wo duruyɛfo anaa adwenemyare ho ɔfotufo bi nkasa .
• Yɛ nhyehyɛe a wode bedi akyi. Ɛho behia sɛ wokɔ ntini ho ɔyaresafo ne/anaasɛ w’abusua oduruyɛfo a wotaa yɛ no nkyɛn bio. Nnuruyɛfo no bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wosan ba kɔhwɛ wo.

Bere bɛn na ɛsɛ sɛ wohwehwɛ ayaresa a egye ntɛmpɛ?

Sɛ wususuw sɛ worenya akisikuru foforo a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Asiane a ɛwɔ hɔ sɛ akisikuru foforo betumi akum obi anaasɛ ɛde dɛmdi a emu yɛ den aba no dɔɔso mpo. Mma nntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa.

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

• Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ
• Koma a Ɛyare
• Mogya a ɛtɔ wɔ nan no ntini a emu dɔ mu (Deep Vein Thrombosis - DVT) .

Sɛ wuhu ɔhaw a ɛte sɛɛ ho sɛnkyerɛnne a, frɛ adwumayɛbea a wɔhwɛ ntɛmpɛ so ntɛm ara anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka wɔ akisikuru akyi, titiriw sɛ wonnim nea ɛde ba a. Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• Asiane bɛn na ɛwɔ me sɛ mɛsan anya akisikuru bio?
• So ɔkwan bi wɔ hɔ a wobɛfa so ahu nea ɛde saa akisikuru yi bae?
• Sɛ mesan nya akisikuru bio a, sɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Bere bɛn na ɛsɛ sɛ meba bɛhwɛ wo bio?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Akisikuru betumi ayɛ osuahu a ɛsakra asetra ankasa. Titiriw sɛ ɛyɛ cryptogenic stroke, baabi a wontumi nhu nea ɛde ba biara a, ebetumi ayɛ ɔhwe kɛse ama koma no. Nanso kae sɛ ɛnyɛ wo nkutoo na wowɔ.Wo nnuruyɛfo ne ayaresa ho animdefo bɛboa wo ma woayɛ nsakrae wɔ nsakrae a ɛba wo nipadua mu no mu. Wɔbɛkyerɛ wo kwan ma woayɛ nneɛma a kan no na w’ani gye ho wɔ akwan foforo so, na wode mmerɛwyɛ foforo biara atra ase.

Mma wo werɛ mmfi sɛ wubedi nkɔso ketewaa biara a wubenya bere a wo ho retɔ wo no ho afahyɛ. Ɛyɛ akwantu a emu yɛ den, na nna bi bɛte nka sɛ enye koraa sen afoforo. Nanso, anammɔn biara a wobɛtu no fata. Wo ayaresa ho animdefo wɔ hɔ sɛ wɔbɛboa wo. Ka nea ɛhaw wo kyerɛ wɔn, na wɔbɛboa wo ma woadi saa nsɛnnennen no so. Nea ehia paa ne sɛ wobɛkɔ so ayɛ den!

` Cryptogenic Stroke, Stroke, Paralysis, Amemene mu Akisikuru, Akisikuru Nsɛnkyerɛnne, YƐ NTAM