Oh, susuw nea ɛbɛba sɛ mogya a ɛkɔ w’amemene mu no gyae mpofirim a, susuw ho hwɛ? Ɛyɛ tebea a asiane wom paa. Yɛfrɛ eyi ischemic stroke . Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ebetumi de nkwa ato asiane mu. Saa tebea yi ma amemene mu nkwammoaa wuwu, na sɛ ɛba saa a, nipadua no dwumadi a saa nkwammoaa no di so no betumi ayera. Ischemic Stroke yɛ bɛyɛ 80% wɔ stroke nyinaa mu wɔ wiase. Enti, ɛho hia paa sɛ wo ne w’adɔfo hu eyi ho asɛm.
Enti, dɛn ne ``Ischemic Stroke'' ho sɛnkyerɛnne?
Ischemic stroke ho sɛnkyerɛnne betumi ayɛ soronko a egyina amemene no fã a ɛka no so. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba:
- Anim anaa nipadua no fã biako a wɔte nka sɛ obi ayɛ mmerɛw anaasɛ wabubu .
- Ɔkasa a ɛyɛ den, anaasɛ kasa a ɛyera koraa (Aphasia) .
- Ɔkasa bɛyɛ nea ɛyɛ mmerɛw na wontumi mmɔ nsɛmfua yiye (Dysarthria) .
- Ntini a ɛwɔ anim no fã biako a wontumi nni so.
- Ɛnyɛ hwee sɛ wobɛhwere wo hua, wo dɛ, wo nsa a wode bɛka, anaa wo te asɛm mpofirim anaasɛ wobɛma ayɛ kɛse.
- Anisoadehu a ɛyɛ kusuu anaasɛ aniwa abien (Diplopia) .
- Nipadua a ɛmma ɛnyɛ adwuma yiye, nea entumi nte nneɛma ase yiye, ne hintidua (Ataxia) .
- Sɛ wote nka sɛ n’adwene atu afra.
- Akisikuru ne ɔfe.
- Kɔn a ɛyɛ den.
- Nsakrae a ɛba mpofirim wɔ adwene anaa nipasu mu.
- Sɛ́ wobɛte nka sɛ n’adwene atu afra na wo ho ntɔ wo.
- Sɛ obi nya akisikuru.
- Amnesia yɛ obi a obi ntumi nkae ade.
- Ti a ɛyɛ yaw a emu yɛ den mpofirim.
- Sɛ wobɛhwere n’adwene na woahwe ase.
- Sɛ obi hwe ase kɔ koma mu.
Kɔkɔbɔ nsɛnkyerɛnne - kae sɛ YƐ NTƐM!
``Ischemic Stroke'' betumi anya sɛnkyerɛnne ahorow. Sɛ wopɛ sɛ wuhu sɛ biribi a ɛte sɛɛ reto wo anaa obi a wunim no a, kae nsɛm yi YƐ NTAM .
- B - Kari pɛ: Hwɛ sɛ mpofirim ara wobɛhwere wo kari pɛ .
- E - Aniwa: Hwehwɛ aniwa biako anaa abien no nyinaa a ɛyera mpofirim, anaasɛ nsakrae biara a ɛba aniwa mu.
- F - Anim: Serew na hwɛ sɛ anim no fã biako bɛhwe ase anaa .
- A - Abasa: Ma wo nsa mmienu no nyinaa so. Hwɛ sɛ ebia basa biako kɔ fam wɔ ɔkwan a ɛnteɛ so anaasɛ ɛte sɛ nea ɛyɛ mmerɛw anaa.
- S - Kasa: Hwɛ sɛ ɔkasa no yɛ mmerɛw anaasɛ ɛyɛ den sɛ wobɛma nsɛmfua no ayɛ yiye.
- T - Bere: Bere yɛ ade titiriw - frɛ mmoa ntɛm ara (sɛ wowɔ Sri Lanka a, frɛ 1990)Sɛ ɛbɛyɛ yiye a, yɛ dɔn anaa telefon so kyerɛwtohɔ a ɛkyerɛ bere a wo sɛnkyerɛnne ahorow no fii ase. Sɛ woka kyerɛ wo duruyɛfo saa bere yi a, ɛbɛboa wɔn ma wɔapaw ayaresa a eye sen biara ama wo.
Sekan biara ho hia! Sɛ wususuw sɛ woanya ɔyare a ɛma obi hwe ase a, kɔ ayaresabea ntɛm ara a ntwentwɛn wo nan ase.
Dɛn na ɛde ``Ischemic Stroke'' ba?
Sɛ yɛbɛka no tiawa a, ``Ischemic Stroke'' ba bere a biribi twa mogya a ɛkɔ w'amemene mu no mu. Nnuruyɛfo frɛ eyi ``Ischemia.'' ``Ischemia'' kyerɛ sɛ nkwammoaa nnya mogya a ɛdɔɔso na wowuwu. Sɛ eyi to amemene no a, ``Ischemic Stroke'' ba. Mpɛn pii no, nea ɛde ba titiriw ne mogya a ɛtɔ.
Mogya a ɛyɛ mmerɛw betumi ayɛ saa kwan yi so esiane akwahosan tebea ahorow nti. Nhwɛso ahorow bi ne:
- Atherosclerosis yɛ bere a ntini no mu yɛ teateaa na ɛyɛ den, na esiw mogya kwan. Ɛte sɛ efĩ akɔhyɛ nsu paipu mu.
- Mogya a ɛtwetwe mogya mu ɔhaw ahorow.
- Atrial fibrillation yɛ yare a ɛma koma no bɔ ntɛmntɛm.
- Koma mu dɛmdi a wonya fi awo mu te sɛ ntokuru a ɛwɔ koma no mu (Atrial septal defects anaa Ventricular septal defects).
- Tebea bi a wɔfrɛ no ``Microvascular ischemic disease`` betumi aba bere a mogya ntini nketenkete a ɛwɔ amemene no mu no asiw.
Dɛn ne `(Ischemic Stroke)` ahorow?
``Ischemic Stroke'' ahorow titiriw abien na ɛwɔ hɔ:
1. Thrombotic strokes: Eyi ne bere a mogya a ɛtɔ gu amemene no mu no . Nnuruyɛfo frɛ saa adeyɛ yi thrombosis.
2. Embolic strokes: Eyi ba bere a mogya a ɛtɔ (embolism) a ɛba nipadua no mu mmeae afoforo (a ɛtaa ba koma no mu) fa mogya ntini no mu na ɛkɔhyɛ ntini bi a ɛwɔ amemene no mu mu no.
Momma yɛnsua "mini stroke" a wɔfrɛ no `(Transient Ischemic Attack - TIA)` nso ho ade
`(Transient Ischemic Attack)` anaa `(TIA)` te sɛ akisikuru, nanso sɛnkyerɛnne no kɔ bere tiaa bi akyi (mpɛn pii no wɔ nnɔnhwerew 24 mu) . Wɔsan frɛ no ``mini-stroke``. Nanso mma ɛnkɔ efisɛ ɛyɛ ketewaa. `(TIA)` taa yɛ kɔkɔbɔ sɛnkyerɛnne a emu yɛ den ansa na akisikuru kɛse a ɛtra hɔ daa aba . Ɛho hia sɛ obi a wanya `(TIA)` hwehwɛ ayaresa a egye ntɛmpɛ ntɛm ara sɛnea obetumi.
Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?
Obiara betumi anya ``Ischemic Stroke''. Nanso nnipa binom wɔ asiane kɛse mu. Wɔne:
- Nnipa a wɔadi boro mfe 65.
- Nnipa a wofi Afrika (eyi mfa Sri Lanka ho kɛse, nanso eye sɛ wubehu).
- Nnipa a wɔnom sigaret anaa wɔde tawa anaa nicotine afoforo di dwuma (te sɛ vaping).
- Nnipa a wɔde nnubɔne a mmara mma ho kwan di dwuma.
Afei nso, nnipa a wɔwɔ akwahosan tebea horow bi wɔ asiane kɛse mu:
- Wɔn a wɔwɔ mogya mmoroso (Hypertension) fam no .
- Wɔ wɔn a mogya mu srade dɔɔso (Hyperlipidemia) fam no .
- Wɔn a nsanom agye wɔn adwene (`Alcohol use disorder`).
- Wɔn a wɔwɔ Asikreyare a Ɛto so Abien no fam no .
- Nhwehwɛmu bi wɔ hɔ a ɛkyerɛ sɛ wɔn a wɔadi kan anya COVID-19 no nso wɔ asiane bi mu.
Ɔkwan bɛn so na nnuruyɛfo hu eyi?
Oduruyɛfo bɛka akyerɛ wo yiye sɛ wowɔ ``Ischemic Stroke`` bere a wɔayɛ wo ``Neurological exam`` ne nhwehwɛmu afoforo pii akyi nkutoo. Sɛ wɔde wo ba baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu a, nnuruyɛfo a wɔwɔ hɔ no betumi ahu eyi.
Sɔhwɛ ahorow pii wɔ hɔ a wubetumi ayɛ de asi so dua sɛ ebia woanya ``Ischemic Stroke``:
- `(CT scan)` (CT scan): Eyi twa amemene no mfonini.
- Electrocardiogram (EKG): Wɔhwɛ sɛnea koma no anyinam ahoɔden yɛ adwuma.
- `(MRI)` (MRI): Eyi nso tumi twa amemene no ho mfonini a ɛkɔ akyiri.
- Electroencephalogram (EEG): Wɔhwɛ sɛnea amemene no anyinam ahoɔden asorɔkye no te.
- Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ mogya a ɛtwetwe ne asikre dodow.
Dɛn ne ayaresa a wɔde sa eyi?
Ade a ɛho hia sen biara bere a wɔresa ``ischemic stroke'' ne sɛ wɔbɛsan de mogya akɔ amemene no mu ntɛm ara sɛnea wobetumi . Nnuruyɛfo yɛ eyi ntɛm de tew asiane a ɛwɔ hɔ sɛ amemene no bɛsɛe daa na wɔawuwu no so.
Akwan a wɔfa so sa yare ntɛmntɛm
Ayaresa abien a wɔtaa de di dwuma ne:
1. Thrombolytic therapy: Eyinom yɛ nnuru a ɛma mogya no yɛ mmerɛw. Mpɛn pii no, sɛ sɛnkyerɛnne ahorow no fi ase wɔ nnɔnhwerew anan ne fã akyi wɔ akisikuru no akyi nkutoo a, na nnuruyɛfo de eyinom ma. Nea enti a ɛte saa ne sɛ wobetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtu obi wɔ ne mu a asiane wom no ayɛ kɛse.
2. Thrombectomy: Eyi yɛ oprehyɛn a wɔyɛ. Oduruyɛfo a ɔyɛ oprehyɛn no de afiri ketewaa bi a ɛyɛ tratraa (catheter) hyɛ ntini bi a ɛwɔ wo nipadua mu baabi foforo (mpɛn pii no wɔ w’asen mu) mu na ɔkyerɛ kwan kɔ mogya a ɛwɔ w’amemene mu no mu. Afei wɔtwe mogya a ɛtɔ no fi mu (te sɛ `vacuum') anaasɛ wɔbubu mu asinasin na woyi fi hɔ.
Ayaresa afoforo
Ebia wubehia ayaresa afoforo te sɛ:
- Nnuru a ɛma mogya yɛ mmerɛw: Wɔfrɛ eyinom nnuru a ekum mogya a ɛtwetwe mogya. Saa nnuru yi mma wo mogya ntumi nkɔ ntɛmntɛm. Ebia nnuruyɛfo bɛma wo nnuru yi bere a woanom nnuru a ɛma mogya tu awie no.
- Oxygen ayaresa: Sɛ obi anya ɔyare a ɛma obi hwe ase a, amemene no nnya oxygen a ɛdɔɔso. Enti nnuruyɛfo betumi ama wo mfiri bi a ɛfa wo hwene mu na ɛma wunya mframa pa pii. Eyi ma ɛyɛ mmerɛw sɛ wobɛhome na ɛboa ma mframa pa san ba amemene no mu.
- Mogya mu asikre a wɔde di dwuma:Nnuruyɛfo taa hwɛ wo mogya mu glucose dodow na aboa w’amemene no yiye.
- Mild intentional hypothermia: Ɛtɔ mmere bi a nnuruyɛfo betumi ama wo nipadua mu hyew akɔ fam kakra dwoodwoo. Eyi betumi aboa ma amemene no sɛe bere a obi anya akisikuru ne bere a wabɔ akisikuru no so atew. Nanso, wɔntaa nyɛ eyi, wɔ nsɛm titiriw nkutoo mu.
So ɛsɛ sɛ yɛma yɛn ani da hɔ nso wɔ stroke rehab ho?
Stroke rehab ho hia yiye wɔ stroke akyi. Ɛma wunya ahoɔden pii de gyina asetra ano bio. Ɛboa wo ma wosakra wo ho ma ɛne nsakrae a aba w’amemene ne wo nipadua mu esiane akisikuru no nti no hyia. Ebia ɛsɛ sɛ wosan nya nea na woyɛ kan no anaasɛ wosakra wo ho ma wo ne dɛmdi foforo tra ase. Wobetumi de ayaresa ho animdefo ahorow mmoa ayɛ eyi:
- Ɔkasa mu ayaresa: Eyi boa ma wo kasa, kasa, ne ntini a ɛboa wo ma wokasa, home, didi, na womene no tu mpɔn.
- Apɔw-mu-teɛteɛ: Eyi boa ma ntini ahorow no mu yɛ den, ɛma kari pɛ, na ɛsan de akwaa ahorow di dwuma bio.
- Adwuma mu ayaresa: Eyi boa wo ma woyɛ da biara da nnwuma dwoodwoo, titiriw nnwuma a ɛhwehwɛ sɛ wokanyan wo ho yiye (e.g., atade a wobɛbɔ, akyerɛw).
- Nkate mu ayaresa: Eyi boa ma adwene mu nimdeɛ te sɛ nkae, adwene a wɔde si biribi so, ne ɔhaw ahorow ano aduru ho nimdeɛ tu mpɔn.
Yɛbɛyɛ dɛn atumi abɔ yɛn ho ban afi saa `(Ischemic Stroke)` yi ho?
Akwahosan pa a wubenya wɔ ne nyinaa mu ne ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya ischemic stroke no so. Bɔ mmɔden sɛ wobɛyɛ saa nneɛma yi:
- Ma wo mogya mmoroso, srade dodow , ne akwahosan tebea biara a wowɔ (te sɛ asikreyare) nni hɔ yiye.
- Di aduan a ahoɔden wom (te sɛ Mediterranea aduan a nhabannuru, nnuaba, atoko, ne aburow pii wom) na kura mu duru a ɛfata a ɛfata wo.
- Gyae sigaretnom koraa na twe wo ho fi mmeae a wohome sigaret wusiw.
- Yɛ apɔw-mu-teɛteɛ daa. Biribi a ɛyɛ mmerɛw te sɛ nantew simma 30 da biara mpo ye.
- To nsa no ano hye anaasɛ gyae koraa .
Anyɛ yiye koraa no, kɔ oduruyɛfo nkyɛn pɛnkoro afe biara (anaasɛ mpɛn dodow a wo duruyɛfo kamfo kyerɛ) kɔhwɛ no. Tebea horow pii a ebetumi ama obi anya ischemic stroke betumi aba bere tenten na asɛe a wunhu mpo. Nnipa pii a wɔwɔ mogya mmoroso ne srade a ɛkɔ soro no nhu sɛnkyerɛnne biara. Wo duruyɛfo betumi aboa wo ma woahu kɔkɔbɔ nsɛnkyerɛnne yi ntɛm, adi ho dwuma, na wɔatew asiane a ɛwɔ hɔ sɛ wobɛbɔ wo ho ban daakye no so.
Dɛn ne anidaso a ɛwɔ hɔ sɛ obi bɛsan atɔ no?
Ɛyɛ den sɛ yɛbɛka sɛnea wɔn ho bɛtɔ wɔn a ɛfata obiara. `(Ischemic Stroke)` betumi akum obi na ɛde dɛmdi a ɛtra hɔ daa aba. Nanso ɛnyɛ obiara na ɔwɔ bere anaa akwanhwɛ koro. Dodow a wonya ayaresa ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wɔn ho bɛtɔ no no yɛ kɛse.
Mpɛn pii no, nea efi mu ba a ɛyɛ papa sen mogya a ɛtɔ kɔ nipadua no mu. Nanso ɛno nkyerɛ sɛ wo ho bɛtɔ wo ntɛm, ɛbɛyɛ ntɛm, anaa eye.
Bere tenten ahe na ebegye ansa na asa?
Ɛsono sɛnea obiara nipadua yɛ n’ade wɔ akisikuru ho. Nea wubetumi ahwɛ kwan (`nkɔmhyɛ` no) gyina nneɛma pii so:
- ``Ischemic Stroke'' bɛn na na wowɔ?
- W’amemene no afã horow bɛn na ɛkaa?
- Hwɛ sɛnea wo nsa kaa ayaresa ntɛmntɛm.
- W’akwahosan nyinaa.
Nnipa dodow no ara ho tɔ wɔn wɔ akisikuru mu wɔ asram kakraa bi mu. Wɔn ho tɔ no dodow no ara wɔ asram abiɛsa kosi asia a edi kan wɔ ɔyare a ɛma obi hwe ase no akyi. Nanso, yare no ho sɛnkyerɛnne ne nea efi mu ba no betumi atra hɔ afe biako anaa nea ɛboro saa. Akisikuru nso betumi ama woadi dɛm daa na nsakrae aba ɔkwan a wode wo nipadua di dwuma no mu.
Wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ wohwɛ kwan. Ɔbɛboa wo ma wode botae ahorow ne akwanhwɛ ahorow a ɛfata w’akwahosan ne wo tebea asi hɔ.
Meyɛ dɛn hwɛ me ho bere a mabɔ me yare awie no?
Sɛ obi ho bɛtɔ wo na woasan asiesie wo ho wɔ akisikuru akyi no yɛ adwuma kɛse. Wo bɔhyɛ ne mmoa a w’abusua de ma no ho hia yiye. Sɛ wo ne wo duruyɛfo no ayɛ ayaresa ho nhyehyɛe wie a, di akyi yiye sɛnea wubetumi.
- Nom wo nnuru no yiye na fa bere ano, titiriw sɛ worenom nnuru a ɛma mogya tu a. Eyi ho hia na ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ daakye no so atew, na sɛ wonom nnuru sɛnea wo duruyɛfo ka kyerɛ wo no a, ɛbɛboa nso ma wo nipadua no ayɛ yiye.
- Hwɛ hu sɛ wobɛkɔ wo rehab ne ayaresa nhyehyɛe afoforo. Sɛ biribi ma wo ho nyɛ wo dɛ anaasɛ wunni ahobammɔ a, ka kyerɛ w’ayaresafo. Sɛ wobɛsan asiesie wo ho yɛ adwumaden, nanso ɛnsɛ sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ bere nyinaa.
- Susuw w’adwene mu akwahosan nso ho. Adwenemhaw ne dadwen taa ba bere a obi anya akisikuru akyi. Sɛ wote awerɛhow, abasamtu, anaa abufuw nka a, ɛnkyerɛ sɛ woayɛ mmerɛw anaa woadi nkogu. Saa nkate ahorow no yɛ nea ɛfata. W’adwene mu akwahosan ho hia te sɛ wo nipadua akwahosan ara pɛ. Sɛ worepere sɛ wubesi biribi ho gyinae bere a wo ho retɔ wo a, wo ne wo duruyɛfo anaa adwenemyare ho ɔfotufo bi nkasa . Ebetumi ayɛ mmoa kɛse.
Nnuan ne anonne bɛn na ɛsɛ sɛ miyi fi hɔ ?
Ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa nnuan bi ka w’aduan ho anaasɛ yi fi hɔ. Ebia ɔbɛka akyerɛ wo nso sɛ yɛ nsakrae nketenkete wɔ wo da biara da dwumadi mu na aboa ma woadi w’akwahosan ho dwuma, anaasɛ wobɛtew asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ bio wɔ ischemic stroke akyi no so.
Nnuan ne anonne a wɔtaa tu fo sɛ wonyi fi hɔ anaasɛ wɔtew so ne:
- Nnuan a nkyene (sodium) pii wom. (akutu, mpataa a ayow, sauce, nnuan a wɔakyekyere) .
- Nnuan a asikre pii wom (nsã a wɔde aduru ayɛ, keeki, bisket, toffee) .
- Nnuan a wɔayɛ no yiye ( te sɛ soseji, ham, nam a wɔayam) .
- Nnuan a wɔayam ne nnuan a trans fats wom (French fries, margarine ahorow bi) .
- Nsaden.
- Caffeine a wɔnom boro so (ɛyɛ papa sɛ wobɛma tii ne kɔfe anom nkuruwa kakraa bi da biara) .
Bere bɛn na ebehia sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ bio?
Sɛ wote nka sɛ worenya ɔyare foforo (sɛnea wɔaka ho asɛm wɔ BE FAST ) mu a, frɛ 911 (ambulance adwumayɛbea a ɛhwɛ ntɛmpɛ so) ntɛm ara, anaa kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu. Asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen a emu yɛ den ne owu no yɛ kɛse mpo sɛ wosan nya ɔyare a ɛma obi hwe ase bio a. Mma nntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa anaa wobɛkɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.
Obi a wanya ischemic stroke no wɔ asiane kɛse mu sɛ obenya nsɛnnennen a emu yɛ den kɛse. Nhwɛsoɔ:
- Ahurututu mu yare
- Mogya a ɛtɔ wɔ nan no ntini a emu dɔ mu (Deep Vein Thrombosis - DVT) .
- Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ
- Koma mu yare
- Akisikuru a ɛma obi ho kyere no
Sɛ wuhu saa nsɛnnennen yi ho sɛnkyerɛnne biara (sɛ nhwɛso no, ɛyɛ den sɛ wobɛhome, wo koko mu yaw, wo nan bi a ɛho ahonhon) a, ɛsɛ sɛ wofrɛ wɔn a wɔhwɛ ntɛmpɛ so anaasɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Sɛ wokɔ wo duruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi:
- Dɛn na ɛmaa me ho dwiriw me?
- Nneɛma bɛn na eye sen biara a metumi ayɛ de atew asiane a ɛwɔ hɔ sɛ mɛsan anya akisikuru bio no so?
- So eyi benya nkɛntɛnso bi wɔ me so bere tenten?
- Bere tenten ahe na mehia ahosiesie (`Stroke rehab`)?
- Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ me da biara da asetra mu (adidi, apɔw-mu-teɛteɛ, apɔw-mu-teɛteɛ)?
Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae
Akisikuru betumi ayɛ ade a ɛyɛ hu na ɛsakra asetra. Ɔkwan a eye sen biara a wobɛfa so asiw ischemic stroke ano ne sɛ wubehu kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya akisikuru na woadi asiane ahorow a ɛwɔ wo mu no so ansa na aba. Anyɛ yiye koraa no, kɔ wo duruyɛfo pɛnkoro afe biara na nya mmoa a wode bedi tebea biara a ɛma asiane a ɛwɔ hɔ sɛ wubenya akisikuru (te sɛ mogya mmoroso, asikreyare, anaa srade a ɛwɔ wo mu) no so.
Sɛ wowɔ akisikuru a, ebetumi ayɛ te sɛ nea wo wiase nyinaa asesa. Nanso woda so ara yɛ wo ho. Ahosan ne ahosiesie yɛ adwumaden, na ebetumi ayɛ akwantu tenten. Ebia nna bi bɛyɛ den asen afoforo. Nanso mma wo werɛ mmfi sɛ wubedi nkonim nketenkete a woadi, nneɛma atitiriw a wudu ho no ho afahyɛ. Ɛnyɛ wo nko ara, na wowɔ abusuafo, nnamfo, nnuruyɛfo, ne ayaresa ho animdefo a wɔbɛboa wo.
` Stroke, ischemic stroke, mogya a ɛtɔ wɔ amemene no mu, sɛnkyerɛnne, YƐ NTAM, stroke ayaresa, stroke siw ano

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