Dɛn ne Lacunar Stroke? Momma yɛnka ho asɛm tiawa!

Ɛnnɛ yɛrebɛka tebea bi a emu yɛ den a ɛho hia paa sɛ yɛma yɛn ani da hɔ ho asɛm. Ebia woate akisikuru ho asɛm. Akisikuru ahorow a ɛtaa ba no mu biako ne akisikuru a ɛyɛ lacunar. Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a ɛba bere a mogya a ɛtɔ gu mogya ntini ketewaa bi mu wɔ amemene no mu no. Ɛte sɛ nsu paipu a asiw a esiw nsu a ɛsen no kwan.

Lacunar stroke ba bere a mogya a ɛkɔ mogya ntini ketewaa bi a ɛwɔ amemene no mu tɔnn mu no gyae, anaasɛ mogya a ɛtwetwe no siw ano, na ɛsɛe amemene no fã no. Eyi yɛ akisikuru bi a wɔfrɛ no ischemic stroke . Ɛtɔ mmere bi a nnuruyɛfo frɛ no lacunar infarction. Asɛmfua ‘infarction’ kyerɛ sɛ, sɛ ntini bi a ɛwɔ nipadua no mu hwere ne mogya a, saa ntini no wu. Akisikuru yɛ biribiara a ɛtwa mogya a ɛkɔ amemene no mu no mu.

Eyi yɛ aduruyɛ mu ntɛmpɛ a ɛde nkwa to asiane mu , te sɛ akwanhyia. Enti sɛ wo anaa obi a wunim no rehu ɔyare a ɛma obi hwe ase ho sɛnkyerɛnne a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara . Dodow a wudu ayaresabea ntɛm na wufi ase sa yare no, dodow no ara na hokwan a wowɔ sɛ wubegye wo nkwa no yɛ kɛse. Sekan biara ho hia.

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

Lacunar stroke ho sɛnkyerɛnne te sɛ ischemic stroke ahorow afoforo no ara pɛ. Eyinom mu biako anaa nea ɛboro saa betumi aba prɛko pɛ:

• Mmerewa anaa anim ne nipadua no fã biako a wɔte nka .
• Ɔkasa a ɛyɛ den, nsɛmfua a wɔde di dwuma ɔkwammɔne so, ne ɛtɔ mmere bi a kasa a wɔhwere koraa (yɛfrɛ eyi ‘aphasia’ ).
• Ɔkasa a ɛyɛ mmerɛw, kasa a ɛyɛ den (wɔfrɛ eyi ‘dysarthria’ ).
• Ntini a ɛmma wontumi nni anim no fã biako (te sɛ nea wɔretwe ano no akɔ ɔfã biako).
• Yɛn nkatede anum no mu biako anaa nea ɛboro saa a ɛyɛ mmerɛw anaasɛ ɛyera mpofirim (a yehu ade, yɛte ade, yɛte hua, yɛte dɛ, yɛka).
• Anisoadehu a ɛyɛ kusuu, aniwa abien ( diplopia ).
• Kari a wɔhwere ne sɛnea wontumi nni akwaa so, te sɛ obi a wabow nsa ( ‘Ataxia’ ).
• Sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ wo ho ayɛ wo hyew.
• Akisikuru ne ɔfe.

Sɛ wususuw sɛ woanya ɔyare a ɛma obi hwe ase a, kae ‘YƐ NTAM’ kwan yi!

Ɛboa sɛ wobɛkae Engiresi nkyerɛwde yi a ɛkyerɛ ‘YƐ NTƐM’ yi na ama woahu ntɛm sɛ wo anaa wo dɔfo bi renya kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase no. Momma yɛnhwɛ nea wɔyɛ:

• B ma Kari pɛ: Hwɛ sɛ ebia wo kari pɛ mpofirim anaa. So ɛyɛ den ma wo sɛ wubegyina hɔ anaasɛ wobɛnantew?
• E ma Aniwa: Hwɛ sɛ ebia aniwa biako anaa abien no nyinaa ayera mpofirim, ɛyɛ kusuu, anaa nsakrae bi ba anaa.
• F ma Anim: Ka kyerɛ wɔn sɛ wɔnserew. Hwɛ sɛ ɛte sɛ nea wɔn anim fã biako anaa abien no nyinaa ahwe ase anaa. So wɔatwe wɔn ano akɔ ɔfã biako?
• A ma Abasa: Ka kyerɛ wɔn sɛ wɔmma wɔn nsa abien no nyinaa so. Sɛ wɔreyɛ akisikuru a, ebia wɔn nsa biako bɛhwe fam a wontumi nkura biako no mu.
• S ma Ɔkasa: Hwɛ sɛ worekasa a, worekasa, anaasɛ ɛyɛ den sɛ wubenya nsɛmfua a ɛfata bere a worekasa no. So wubetumi akasa pefee bere a wobisa wo sɛ ka kasamu a ɛnyɛ den no?
• T ma Bere: Bere yɛ ade titiriw! Sɛ wuhu saa sɛnkyerɛnne ahorow yi mu biara a , hwehwɛ mmoa ntɛm ara, a ɛkyerɛ sɛ wobɛfrɛ 1990. Sɛ ɛbɛyɛ yiye a, hyɛ bere a wo sɛnkyerɛnne ahorow no fii ase no nsow denam wo dɔn anaa wo fon a wobɛhwɛ so. Sɛ woka kyerɛ wo duruyɛfo bere a wo yare no ho sɛnkyerɛnne fii ase a, ebetumi aboa no ma wɔasi ayaresa a eye ma wo ho gyinae.

Momma yɛnsua ‘Mini-Stroke’ nso ho ade?

Ɛtɔ da bi a , ‘Transient Ischemic Attack’ anaa ‘TIA’ betumi aba. Nnipa binom nso frɛ eyi sɛ ‘Mini-Stroke’. Eyi ne bere a wowɔ sɛnkyerɛnne ahorow a ɛte sɛ akisikuru, nanso ɛkɔ bere tiaa bi akyi (mpɛn pii no wɔ nnɔnhwerew 24 ntam). Nanso, eyi yɛ kɔkɔbɔ a anibere wom a ɛkyerɛ sɛ ebia akisikuru ankasa bɛba nnansa yi ara. Obi a wanya TIA nso hia ayaresa ntɛm ara. Ɛnyɛ adwene pa sɛ wubebu w’ani agu so kɛkɛ.

Dɛn na ɛde lacunar stroke ba?

Lacunar strokes, sɛnea madi kan aka no, fi mogya a ɛtɔ siw mogya ntini ketewaa bi a ɛwɔ w’amemene mu tɔnn no mu. Amemene no mmeae yi yɛ mmeae a ɛho hia a ɛhwɛ yɛn nkatede (nkate, anisoadehu, ne nea ɛkeka ho) ne yɛn kankyee te sɛ Basal Ganglia ne Thalamus .

Akwahosan tebea horow pii wɔ hɔ a ebetumi ama mogya ayɛ mmerɛw na ama obi anya lacunar stroke. Nhwɛsoɔ:

• Mogya mmoroso (Hypertension): Eyi ne asiane titiriw ne nea emu yɛ den sen biara . Sɛ wunim sɛ wo mogya mmoroso a, ɛho hia sɛ wudi so.
• Mogya mu srade dodow a ɛkɔ soro (Hyperlipidemia): Sɛ srade ‘bɔne’ kɔ soro a, ebetumi akɔhyɛ mogya ntini mu na asiw mu.
• Ntini a ɛma mogya tu: Nnipa binom wɔ su a ɛma wɔn mogya tu ntɛmntɛm.
• COVID-19 yareɛ: Eyi nso tumi ne mogya a ɛtwetwe wɔ nsɛm bi mu.
• Nyarewa a ɛsɛe nipadua mu ntini: Sɛ nhwɛso no, wɔ ɔyare mmoawa a emu yɛ den te sɛ sepsis , mu no, ntini a awu asinasin betumi aboaboa ano wɔ mogya no mu na atu kwan akɔ amemene no mu na akɔtra.

Kae sɛ mogya mmoroso ne lacunar stroke tamfo kɛse. Wo ne wo duruyɛfo nka wo mogya mmoroso ho asɛm na bɔ mmɔden sɛ wobɛma ayɛ nea ɛfata.

Hena na ɔwɔ asiane kɛse sɛ obenya lacunar stroke?

Obiara betumi anya lacunar stroke, nanso nnipa binom wɔ asiane kɛse mu. Eyinom bi ne:

• Nnipa a wɔadi boro mfe 65.
• Nnipa a wofi Abibifo abusua mu (ebia eyi fa awosu ne asetra mu sikasɛm ho).
• Nnipa a wɔnom sigaret anaa wɔde nneɛma afoforo a nicotine wom di dwuma (e.g. vaping).
• Nnipa a wɔde nnubɔne di dwuma.

Afei nso, nnipa a wɔwɔ ayaresa tebea horow bi wɔ asiane kɛse mu:

• Nnipa a wɔwɔ awosu mu nsakrae wɔ ‘NOTCH3’ awosu mu abɔde mu (eyi ne tebea bi a ɛntaa nsi a wɔfrɛ no CADASIL wɔ abusuabɔ).
• Nnipa a koma no ntumi nyɛ adwuma yiye te sɛ atrial fibrillation (a ebetumi ama mogya atɔ wɔ koma no mu).
• Asanom a wɔnom ho haw.
• Wɔ wɔn a wɔwɔ ‘atherosclerosis’, yare a ɛma mogya ntini afasu yɛ den na ɛyɛ den no fam.
• Asikreyare (Asikreyare).

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

Oduruyɛfo bi behu sɛ ebia wowɔ lacunar stroke denam wo sɛnkyerɛnne ahorow a ɔbɛsan ahwɛ mu, ntini mu nhwehwɛmu a ɔbɛyɛ , nipadua mu nhwehwɛmu a ɔbɛyɛ, ne nhwehwɛmu titiriw afoforo kakraa bi a ɔbɛyɛ so. Sɛ wɔde wo kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu a, nnuruyɛfo a wɔwɔ hɔ no betumi ahu saa yare yi.

Nnuruyɛfo de nhwehwɛmu te sɛ eyinom di dwuma de si so dua sɛ woanya lacunar stroke:

• Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ mogya a ɛtwetwe ho haw, asikreyare, ne srade dodow.
• CT scan: Eyi betumi atwa amemene no mfonini na ahu ntɛm ara sɛ mogya retu anaasɛ mogya ntini bi asiw.
• EEG (EEG - Electroencephalogram): Ɛhwɛ sɛnea amemene no anyinam ahoɔden yɛ adwuma (ebia ɛho behia wɔ tebea horow bi mu).
• ECG (Electrocardiogram): Hwɛ sɛ koma no bɔ a ɛnteɛ na ɛkyerɛ sɛ obi anya komayare anaa.
• MRI: Eyi betumi ama amemene no ho mfonini a emu da hɔ na ɛkɔ akyiri. Eyi ho hia yiye na ama wɔatumi asusuw sɛnea amemene no sɛe a ɔyare a ɛma obi hwe ase de ba no ho pɛpɛɛpɛ.

Dɛn ne ayaresa ahorow a wɔde sa lacunar stroke?

Ade a ɛho hia sen biara bere a wɔresa lacunar stroke ne sɛ wobɛma mogya asan akɔ amemene no mu ntɛmntɛm sɛnea wubetumi. Nnuruyɛfo yɛ eyi ntɛm ara sɛnea wobetumi efisɛ ɛtew asiane a ɛwɔ hɔ sɛ amemene no bɛsɛe koraa na wawu no so.

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sa yare:

• Thrombolytic therapy: Eyinom yɛ nnuru a ɛma mogya a ɛtɔ gu nipadua no mu no tew. Wɔtaa de ma wɔ nnɔnhwerew anan ne fã akyi bere a yare no ho sɛnkyerɛnne afi ase no, efisɛ sɛ wɔde ma akyiri yi a, asiane kɛse wɔ hɔ sɛ mogya a ɛyɛ hu bɛtɔ nipadua no mu.
• Mfiri a wɔde twa thrombectomy: Eyi yɛ oprehyɛn a wɔde yi mogya a ɛretu no fi hɔ. Oduruyɛfo a ɔyɛ oprehyɛn no de afiri ketewaa bi a ɛyɛ tratraa (catheter) hyɛ mogya ntini bi a ɛwɔ wo nipadua no mu baabi foforo mu na ɔde hyɛ mogya a ɛwɔ w’amemene mu no mu. Afei wɔnom mogya a ɛtɔ no prɛko pɛ anaasɛ wɔbubu mu asinasin na wɔtwe fi mu. Nanso, wɔ lacunar stroke pii mu no, ebia mogya ntini a ɛka no no sua dodo sɛ wɔbɛyɛ saa thrombectomy yi. Wo duruyɛfo ne oprehyɛn ho ɔbenfo bɛkyerɛ wo nea eye ma wo tebea no.

Nea ɛka eyi ho no, ebia wubehia ayaresa afoforo:

• Nnuru a ɛma mogya yɛ mmerɛw: Nnuru a ekum mogya a ɛtwetwe mogya no mma wo mogya ntumi nkɔ ntɛmntɛm. Wobetumi de eyinom nso ama wɔ thrombolytic therapy akyi.
• Mogya mmoroso a wobɛhwɛ so: Nnuruyɛfo kyerɛw nnuru ma wo na ama woatumi asiw wo nhyɛso ano na ama ayɛ nea ahobammɔ wom.

So ahosiesie ho hia wɔ akisikuru akyi?

Yiw, koraa! Nsiesiei yɛ ayaresa fã a ɛho hia yiye wɔ ɔyare a ɛma obi hwe ase akyi. Saa ayaresa a wɔde siesie wo ho yi boa wo ma woyɛ nsakrae wɔ nsakrae a aba w’amemene ne wo nipadua mu esiane ɔyare a ɛma obi hwe ase nti no mu. Ebia wubehia mmoa na ama woasan anya tumi a na wowɔ ansa na worenya ɔyare no, anaasɛ woayɛ nsakrae wɔ dɛmdi foforo asetra mu. Ebia wubehia ayaresa ahorow yi biako anaa nea wɔaka abom:

• Ɔkasa mu ayaresa: Eyi betumi aboa ma wo kasa ho nimdeɛ, ɔkwan a wofa so kasa, na woadi ntini a ɛboa wo ma wokasa, home, didi, na womene no so. Mpɛn pii no, nnuru a ekum mogya nkwammoaa a ɛma mogya tu ho hia wɔ lacunar stroke akyi.
• Apɔw-mu-teɛteɛ: Eyi betumi aboa ma wo ntini mu ayɛ den, ama wo kari pɛ, na woasan de wo nsa ne wo nan adi dwuma bio.
• Adwuma mu ayaresa: Eyi boa wo ma woyɛ wo da biara da dwumadi ahorow dwoodwoo, titiriw nnwuma a ɛhwehwɛ sɛ wokanyan wo ho yiye (e.g., adidi, ntadehyɛ, akyerɛw).
• Cognitive rehab: Eyi boa ma wo nkae, w’adwene a wode si biribi so, ne w’adwene mu tumi afoforo tu mpɔn.

Nkwa nna bɛn na wodi bere a obi anya lacunar stroke akyi? So ebetumi aba sɛ obi ho bɛtɔ wo koraa?

Nnipa dodow a wonya nkwa wɔ akisikuru mu no renya nkɔanim, esiane ayaresa a wɔatu mpɔn na ɛyɛ ntɛmntɛm nti. Nanso ɛyɛ den sɛ yɛbɛka no pen sɛ ebia nhyehyɛe anaa anidaso biako wɔ hɔ a ɛbɛma obi ho atɔ no.

Mpɛn pii no, lacunar strokes (ne ‘ischemic strokes’ ahorow afoforo) nya nkwa kɛse sen hemorrhagic strokes , a mogya a ɛtɔ wɔ amemene no mu na ɛde ba no. Nanso ɛno nkyerɛ sɛ wobɛtra ase akyɛ asen afoforo.

Ɛsono sɛnea obiara nipadua yɛ n’ade wɔ akisikuru ho. Nea "recovery completely" kyerɛ ma wo no betumi ayɛ soronko wɔ nea ɛkyerɛ ma obi foforo no ho. Ebia wobɛsan ayɛ w’amemene ne wo nipadua no dwumadi koraa, nanso ebia wubenya dɛmdi foforo anaa soronko nso wɔ lacunar stroke akyi.

Nea wubetumi ahwɛ kwan no gyina nneɛma pii so:

• wo mfe a woadi.
• Hwɛ sɛnea wɔsaa ɔyare a ɛma obi hwe ase no ntɛmntɛm.
• W’akwahosan nyinaa.

Nnipa dodow no ara gye asram pii ansa na wɔn ho atɔ wɔn. Wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ wohwɛ kwan. Ɔbɛboa wo ama woagyina w’ankasa akwahosan so de wo botae ahorow ne akwanhwɛ ahorow a ɛbɛma woanya ahoɔden asi hɔ.

So wobetumi asiw lacunar stroke ano?

Yiw, ɛte saa koraa! Akwahosan pa a wobenya wɔ ne nyinaa mu ne ɔkwan a eye sen biara a wɔbɛfa so asiw lacunar stroke ano. Bɔ mmɔden sɛ wobɛyɛ saa nneɛma yi:

• Ma wo mogya mmoroso, srade dodow, ne aduruyɛ mu tebea afoforo (sɛ nhwɛso no, asikreyare) nni hɔ. Fa wo nnuru sɛnea wo duruyɛfo akyerɛ wo no.
• Di nnuan a ahoɔden wom pii (nhabannuru, nnuaba, atoko, ne fiber). Kura mu duru a ɛfata a ɛfata wo mu.
• Sɛ wonom sigaret a, gyae. Twe wo ho fi nneɛma afoforo a nicotine wom ho.
• Nya apɔw-mu-teɛteɛ daa. Yɛ biribi te sɛ anyɛ yiye koraa no simma 30 a wobɛnantew da biara.

Yɛ aduruyɛ mu nhwehwɛmu afe biara (anaasɛ sɛnea wo duruyɛfo kamfo kyerɛ no). Nyarewa ne ɔhaw pii a ebetumi de lacunar stroke aba nkakrankakra bere a bere kɔ so no. Ebia worenhu sɛnkyerɛnne biara. Wo duruyɛfo betumi aboa wo ma woahu kɔkɔbɔ nsɛnkyerɛnne yi ntɛm na waboa wo ma woadi ho dwuma.

Meyɛ dɛn hwɛ me ho bere a mabɔ me yare awie no?

Sɛ wobɛsan anya ahoɔden afi ɔyare a ɛma obi hwe ase mu na woafa nhyehyɛe ahorow a wɔde siesie wo ho mu a, ɛnyɛ mmerɛw, ɛyɛ adwuma pii. Sɛ wo ne wo duruyɛfo no ayɛ ayaresa ho nhyehyɛe wie a, di akyi yiye sɛnea wubetumi. Mpɛn pii no, ɛsɛ sɛ woyɛ nea edidi so yi:

• Fa wo nnuru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ. Eyi ho hia titiriw sɛ worenom nnuru a ɛma mogya tu a. Ɛho hia sɛ wotew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo daakye no so, na sɛ wonom nnuru sɛnea wo duruyɛfo akyerɛ wo no a, ɛbɛboa ma wo nipadua no ayɛ yiye.
• Kɔ so yɛ wo rehab ne ayaresa afoforo nhyehyɛe. Sɛ biribi ma wo ho nyɛ wo dɛ anaasɛ wunni ahobammɔ a, ka kyerɛ wo duruyɛfo no. 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. W’adwene mu akwahosan ho hia te sɛ wo nipadua akwahosan ara pɛ. Sɛ wote awerɛhow anaa wo ho yeraw wo a, ɛmma wonyɛ mmerɛw anaa wonyɛ huammɔdi. Sɛ wote nka sɛ biribi ahyɛ wo so bere a wo ho retɔ wo a, wo ne wo duruyɛfo anaa adwenemyare ho ɔfotufo bi nkasa .

Nnuan ne anonne bɛn na ɛsɛ sɛ mekwati?

Ebia wo duruyɛfo bɛkyerɛ sɛ fa nnuan bi ka w’aduan ho anaasɛ yi fi hɔ. Ebia ɔbɛkamfo akyerɛ nso sɛ yɛ nsakrae nketenkete wɔ wo da biara da dwumadi mu na aboa ma woadi w’ayaresa tebea horow ho dwuma na/anaasɛ asiane a ɛwɔ hɔ sɛ wobɛte mogya a ɛbɛtɔ daakye wɔ lacunar stroke akyi no so.

Nnuan a wɔtaa tu fo sɛ wɔnkwati ne:

• Nsaden
• Nsã a caffeine wom (sɛ wubetumi atew tii ne kɔfe a wonom so a, ɛbɛyɛ papa) .
• Nnuan a asikre pii wom (nnuan a ɛyɛ dɛ, anonne) .
• Nnuan a nkyene (sodium) pii wom (tew nkyene a ɛwɔ nnuan mu so, kwati nnuan a wɔayɛ a nkyene pii wom) .
• Nnuan a wɔayam
• Nnuan a wɔayɛ no yiye (e.g. soseji, nam a wɔayam, nnuan a wɔakyekyere) .

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

Sɛ wote nka sɛ worenya ɔyare foforo a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara. Ɛda adi sɛ ɔyare foforo a ɛma obi hwe ase no de nsɛnnennen a emu yɛ den ne owu mpo bɛba. Mma nntwentwɛn wo nan ase sɛ wobɛhwehwɛ mmoa anaasɛ wobɛkɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.

Nnipa a wɔanya lacunar stroke no wɔ asiane kɛse mu sɛ wobenya nsɛnnennen a emu yɛ den kɛse. Nhwɛsoɔ:

• Deep Vein Thrombosis (DVT) (mogya a ɛtɔ wɔ nan no ntini a emu dɔ mu) .
• Koma mu yare
• Ahurututu mu yare
• Pulmonary embolism ( mogya a ɛtɔ wɔ mogya ntini bi mu wɔ ahurututu mu) .
• Akisikuru a ɛma obi ho kyere no

Sɛ wuhu saa nsɛnnennen yi mu biara ho sɛnkyerɛnne a, ɛsɛ sɛ wofrɛ adwumayɛbea 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, ntwentwɛn wo nan ase sɛ wubebisa nsɛm biara a wowɔ. Nneɛma bi a ebia wobɛpɛ sɛ wubisa ni:

• ‘Ɛhe ankasa na minyaa saa lacunar stroke yi wɔ m’amemene mu?’
• ‘Ɔyare anaa ɔhaw bɛn na ɛde eyi bae?’
• ‘Aduru bɛn na mihia, na ɔkwan bɛn so na ɛsɛ sɛ mede di dwuma?’
• ‘Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ me da biara da asetra mu?’
• ‘Dɛn bio na ɛsɛ sɛ meyɛ na amma merennya akisikuru bio?’
• ‘M’ahosiesie nhyehyɛe no bɛkɔ so bere tenten ahe? Dɛn na metumi ahwɛ kwan sɛ ebefi mu aba?’

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Lacunar stroke (a wɔsan frɛ no ‘lacunar infarct’) yɛ tebea a ɛka mogya ntini nketenkete a ɛwɔ w’amemene mu tɔnn no, nanso ebetumi anya w’akwahosan so nkɛntɛnso kɛse. Ɛno nti na ɛho hia sɛ wɔyɛ nhwehwɛmu daa no. Wo duruyɛfo betumi aboa wo ma woahu akwahosan ho haw ahorow (te sɛ mogya mmoroso, srade, ne asikreyare) a ɛma asiane a ɛwɔ hɔ sɛ wubenya akisikuru no yɛ kɛse bere a bere kɔ so no na woadi ho dwuma. Wo ne wo duruyɛfo nkasa mfa akwan pa a wobɛfa so adi asiane ahorow a woahu no ho dwuma ho.

Bere a wo ho retɔ wo wɔ akisikuru mu no, mma wo werɛ mmfi sɛ wubedi nkɔso nketenkete a woanya mpo ho afahyɛ. Nna bi wɔ hɔ a ebia worente nka, nanso nkonimdi biara fata sɛ wudi ho afahyɛ. Wubetumi de adwumaden a wode ayɛ wo ahosiesie no hoahoa wo ho.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Lacunar Stroke, Lacunar Infarct, Lacunar Infarct, Akisikuru, Mogya a Ɛtwetwe, Mogya Nhyɛso a Ɛkɔ Anim, Akisikuru Nsɛnkyerɛnne