Ðe ʋu si me ʋu sina tona sue aɖe dze dziwò kpɔa? Woyɔa esia be TIA (Transient Ischemic Attack)!

Èse nu tso Transient Ischemic Attack ( TIA ) ŋu kpɔa? Ðewohĩ aɖi nusi wɔ nuku vie na wò. Kpuie ko la, ele abe ɣeyiɣi kpui aɖe ƒe ʋusɔgbɔdɔ ene . Eyae nye be woxea mɔ na ʋu ƒe sisi yi míaƒe ahɔhɔ̃ ƒe akpa aɖe hena ɣeyiɣi aɖe eye emegbe wògatrɔna va nɔa nɔnɔme si sɔ me. Esia nye nusi ŋu wòle be míatsi dzi ɖo ŋutɔŋutɔ, elabena ate ŋu anye nusi doa ŋgɔ na ʋusɔgbɔdɔ gã aɖe. Eyata, egbea míele nu ƒom tso TIA ŋu le mɔ si gɔme miate ŋu ase nu.

Nuka tututue nye TIA?

TIA, abe alesi megblɔe va yi ene, nye ʋu ƒe sisi yi wò ahɔhɔ̃ ƒe akpa aɖe ƒe nutsotso hena ɣeyiɣi aɖe. Ele abe tsi ƒe pɔmpi si xea mɔ hena ɣeyiɣi aɖe eye wògaʋuna ake ene. Ne wotso ʋu ƒe sisi la, ahɔhɔ̃menugbagbeviwo mekpɔa ɔksidzin kple nunyiame o. Emegbe lãmenugbagbevi mawo dzudzɔa dɔwɔwɔ hena ɣeyiɣi aɖe, eye ɣeaɖewoɣi la, wodzea gbegblẽ gɔme. Esiae nye nusi míeyɔna be `(Ischemia)`.

Woyɔa esia zi geɖe be TIA. Eɖi ``ischemic stroke'' ŋutɔ, si nye ʋusɔgbɔdɔ si ʋu ƒe sisi hena vɛ. Dzesiawo sɔ le wo ame evea siaa gome. Gake vovototo vevitɔe nye be TIA ƒe dzesiwo nu yina keŋkeŋ le gaƒoƒo 24 me (zi geɖe le aɖabaƒoƒo ʋɛ aɖewo me).

Nu vevitɔ kekeake: TIA nye atikewɔwɔ kpata, abe ʋusɔgbɔdɔ ene! Elabena míate ŋu anyae kple kakaɖedzi nenye be TIA alo ʋusɔgbɔdɔe ne dzesiawo dze egɔme o. Eyata ne wò alo ame aɖe si nènya kpɔ ʋusɔgbɔdɔ ƒe dzesiwo (le kpɔɖeŋu me, eƒe susu meganɔa dɔme o, nuƒoƒo ƒe ŋutetemanɔamesi, mo ƒe ŋeŋe, nukpɔkpɔ ƒe tɔtrɔ) la, ele be nàƒo ka na 1990 (Sri Lanka’s emergency ambulance service) enumake. Ne wò dzesiawo nu fa vie hã la, mègalala nàbu eŋu be, “Oo, esia menyo o.” TIA ate ŋu anye nuxlɔ̃amedzesi hafi ʋusɔgbɔdɔ gã aɖe nadzɔ!

TIA alo “mini stroke” – ŋkɔ kae nye nyuitɔ?

Ame geɖe yɔa TIA hã be “mini-strokes.” Gake menye ŋkɔ si sɔ tututue nye ema o. TIA menye “mini,” alo sue ɣesiaɣi o. Ɣeaɖewoɣi la, ate ŋu agblẽ nu le ahɔhɔ̃a ƒe akpa si lolo wu ŋu. Nu vevitɔe nye be ʋusɔgbɔdɔ ŋutɔŋutɔ ate ŋu adzɔ le aɖabaƒoƒo, gaƒoƒo, alo ŋkeke ʋɛ aɖewo me le TIA megbe.

Vovototo vevi eve bubuwo le ʋusɔgbɔdɔ kple TIA dome:

1. Zi geɖe la, TIA nu yina le eɖokui si. Ema fia be dzesiawo nu yina. Gake ʋusɔgbɔdɔ ya mewɔa esia o. Ehiã be woadae.

2. Ne ʋusɔgbɔdɔ le ŋuwò la, woate ŋu akpɔ eƒe dzesiwo le MRI-mɔ̃ dzi. Ne wò dzesiawo nu yi hã la, nusiwo gblẽ le wò ahɔhɔ̃ ŋu la gakpɔtɔ li. Le TIA me la, zi geɖe la, vovototo boo aɖeke menɔa MRI ŋu o.

Nukae nye TIA ƒe dzesiwo?

TIA ƒe dzesiwo ɖi ʋusɔgbɔdɔ ƒe dzesiwo ŋutɔ. Esiawo dometɔ ɖeka alo esi wu nenema ate ŋu adzɔ le ɣeyiɣi ɖeka me:

• Ŋusẽ ƒe vɔvɔ alo lãmetutudɔ le ŋutilã ƒe akpa ɖeka (Hemiplegia): Tsɔe be kasia mète ŋu kɔ alɔ alo afɔ ɖe dzi o, alo nèse le ɖokuiwò me abe ɖe nèbɔbɔ ɖe axa ɖeka ene ne èle zɔzɔm.
• Nuƒoƒo sesẽ alo ŋutetemanɔamesi (Aphasia): Nyawo wɔwɔ sesẽ, nya si nèdi be yeagblɔ la gbɔgblɔ, alo nya si gblɔm ame bubuwo le gɔmesese mete ŋu o.
• Nuƒoƒo kukɔ alo nuƒoƒo ƒuƒlu (Dysarthria): Ne wole nu ƒom la, nyawo me mekɔna o, abe ɖe aɖe tsi ene.
• Mo ƒe akpa ɖeka ƒe ŋusẽmanɔamesi alo eƒe gege ɖe anyi: Ne èle ahuhɔ̃e me kpɔm la, nu ƒe dzogoe si le akpa ɖeka la trɔna ɖe anyi eye wòwɔna na wò abe ɖe wòsesẽna be woatu ŋku ene.
• Seselelãme ƒe bu kpata le sidzenu ɖeka alo esi wu nenema me (nukpɔkpɔ, nusese, ʋeʋẽ, vivisese, asikaka ame ŋu ): Nukpɔkpɔ, nusese, ʋeʋẽ, alo vivisese ƒe bu kpata.
• Nukpɔkpɔ si me mekɔ o alo nukpɔkpɔ eve (Diplopia): Nu eve kpɔkpɔ zi ɖeka, alo nukpɔkpɔ si me kɔ o.
• Dadasɔ ƒe bu alo ŋutilã ƒe ʋuʋu sesẽ (Ataxia): Ewɔna na wò abe ɖe nèle ʋuʋum ne èle zɔzɔm ene, eye esesẽna be nàɖu wò abɔwo kple afɔwo dzi.
• Vertigo: Taɖuame alo ta ƒe tsatsam ƒe seselelãme .
• Aɖuɖɔtoe kple ʋuʋudedi : Ne èse le ɖokuiwò me be yeƒe dɔgbo le tɔtrɔm, eye àte ŋu ase le ɖokuiwò me be yeaɖe aɖuɖɔ.
• Kɔ ƒe sesẽ: Esesẽna be woatrɔ kɔ, esesẽna.
• Seselelãme ƒe malikenyenye kple amenyenye ƒe tɔtrɔ: Dzikudodo kpata, avifafa ƒe afakaka, alo nuwɔna ƒe tɔtrɔ.
• Tɔtɔ alo zitɔtɔ: Mete ŋu dea dzesi nusi le dzɔdzɔm o, esena le eɖokui me be yetɔtɔ.
• Ŋkuɖodzinyawo: Màte ŋu aɖo ŋku nusi dzɔ dzi o, eye màte ŋu aɖo ŋku nusi nèwɔ ɣeyiɣi kpui aɖe va yi dzi o.
• Taɖuame (zi geɖe la, edzɔna kpata eye wòsẽna): Taɖuame si nu sẽ kpata.
• Alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ: Ame ƒe tagbɔ bu kpata.

Ne dzesi siawo dometɔ aɖe le ŋuwò la , mègaŋe aɖaba ƒu wo dzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nukae hea TIA vɛ?

Nusiwo gbɔ TIA kple `(Ischemic stroke)` siaa tsona la sɔ le akpa gãtɔ me. Esiawoe nye:

• Ʋuka me ʋu ƒe sisi: Ʋuka aɖe dzɔna le ʋuka aɖe me le ahɔhɔ̃a me eye wòxea mɔ nɛ.
• Ʋuka si do le ŋutilãa ƒe akpa bubu ƒe akpa aɖe gbã hezɔa mɔ yia ahɔhɔ̃a me (Thromboembolism): Kpɔe ɖa le susu me be ʋuka aɖe si dzɔ le dzia me alo le ʋuka gã siwo le kɔ me (Carotid arteries), si gbã, zɔ mɔ kple ʋua, eye wòtsi ʋuka sue aɖe me le ahɔhɔ̃a me.
• Lacunar stroke: Ʋuka sue ŋutɔ siwo le ahɔhɔ̃a me ƒe xexe.
• Cryptogenic TIA: Cryptogenic gɔmee nye “nu ɣaɣla.” Esia fia be nusi gbɔ wòtso si dze ƒã aɖeke mele TIA aɖewo ŋu o.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Nu geɖe li siwo ate ŋu ana TIA nadze ame dzi alo ana wòadzi ɖe edzi. Míeyɔa afɔku siawo be afɔkuwo.

• Ʋusɔgbɔdɔ (Hypertension): Esiae nye afɔku vevitɔ kple sesẽtɔ kekeake si ate ŋu ana ame naxɔ TIA. Esia tae míegblɔna ɣesiaɣi be nàɖu wò ʋu ƒe sisi dzi.
• Suklidɔ ƒomevi evelia: Suklidɔlélawo hã ate ŋu axɔ TIA.
• Atamazazã (vevietɔ atamanono alo atamanono): Sigaretnono kple atamanono kpɔa ŋusẽ gã aɖe ɖe esia dzi.
• Atrial Fibrillation (Afib): Esia nye dzi ƒe tsotso si mesɔ o (Arrhythmia). Le esia me la, ate ŋu anye be ʋu manɔ sisim nyuie le dzia ƒe xɔ ɖeka me o eye ate ŋu anɔ tsitrenu. Esia wɔnɛ be ʋu ƒe sisi nɔa bɔbɔe. Ʋuka siawo ate ŋu azɔ mɔ ayi ahɔhɔ̃a me eye woatsi.
• Esi nèxɔ ʋusɔgbɔdɔ alo TIA va yi: Ne èxɔ ʋusɔgbɔdɔ alo TIA va yi la, anɔ eme be TIA bubu gadze ŋuwò.

Afɔku bubuwo:

• Dzidɔ kple dzidɔ va yi (vevietɔ nyitsɔ laa): Ame siwo ŋu dzidɔ le kple amesiwo ŋu dzidɔ dze la le afɔku gã aɖe me.
• Lãmetsi si sɔ gbɔ (Hyperlipidemia): Le ʋumemi gbegblẽ (LDL cholesterol) ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi ta la, esiawo ate ŋu aƒu gbe ɖe ʋukawo me eye woana ʋukawo natsi. Woyɔa esia be ``Atherosclerosis``.
• Lolo akpa alo lolo akpa: Lolo akpa hã le afɔku me wu.
• Atike vɔ̃ɖiwo zazã (si me modzakaɖetikewo hã le) kple ahanono fũu akpa ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee.
• Ƒe: Ne míele tsitsim la, ʋukawo megate ŋu trɔna ɖe nɔnɔme vovovowo ŋu o le susu vovovowo ta. Esia ate ŋu ana ʋukawo natsi, ʋukawo natsi, eye TIA nadze ame dzi.

Nukawoe nye kuxi siwo ate ŋu ado tso TIA me?

Susu vevitɔ si ta TIA nye atikewɔwɔ kpatae nye be enye nuxlɔ̃amedzesi be ʋusɔgbɔdɔ gbɔna . Ame siwo ŋu TIA le la dometɔ siwo ade 20% axɔ ʋusɔgbɔdɔ le ŋkeke 90 me. Eye ʋusɔgbɔdɔ mawo ƒe afã dzɔna le TIA ƒe ŋkeke eve gbãtɔwo me . Esia tae wòle vevie ŋutɔ be woawɔ atike na ame enumake.

Aleke wowɔna dea dzesi TIA? (Dɔléle ƒe dzesi) .

Ðɔkta aɖe dea dzesi TIA to mɔnu vovovowo tsɔtsɔ ƒo ƒui me.

• Atikewɔwɔ ŋutinya: Míabia nya wò tso wò lãmesẽnyawo, dɔléle siwo nèkpɔ va yi, kple dzesi siwo le ŋuwò fifia ŋu.
• Lãmesẽ kple ahɔhɔ̃mekadodokpɔ: Esia ate ŋu akpe ɖe ɖɔktaa ŋu wòanya nu geɖe tso wò dzesiwo ŋu, vevietɔ ne dzesiwo gakpɔtɔ le ŋuwò le dodokpɔa wɔɣi.
• Nɔnɔmetatawo ƒe fotoɖeɖe:
• Woate ŋu awɔ CT-dɔdamɔnu le miniti ʋɛ aɖewo me. Ate ŋu anya kaba ne ʋu le dodom le ahɔhɔ̃a me. Ne ele la, woate ŋu adze atikewɔwɔ gɔme enumake.
• MRI-dɔdamɔnu ate ŋu ana nànya kakaɖedzitɔe nenye be ʋusɔgbɔdɔ alo TIA le ŋuwò. Esia le alea elabena ne wò dzesiawo nu yi keŋkeŋ gɔ̃ hã la, ne nu gblẽ le ahɔhɔ̃a ŋu la, adze le MRI la dzi. Ne ewɔe la, ke enye ʋusɔgbɔdɔ. Zi geɖe la, TIA meɖea nusiwo gblẽ nenema gbegbe fiana o.

Le wò dzesiwo kple lãmesẽkuxi bubu ɖesiaɖe si wò ɖɔkta susui nu la, woate ŋu abia be woawɔ dodokpɔ bubuwo. Wò ɖɔkta aɖe nusiwo nye dodokpɔ siawo kple nusita wole wo wɔm la me.

Aleke wowɔa atike na TIA?

Le gɔmesese nu la, TIA nye ɣeyiɣi kpui aɖe ƒe nuwɔna. Gake efia hã be ʋusɔgbɔdɔ – si menye ɣeyiɣi kpui aɖe ko o, ke boŋ nu sesẽ – ateŋu adzɔ. Ema fia be dɔléle si na TIA la dada ate ŋu axe mɔ ɖe ʋusɔgbɔdɔ nu.

Zi geɖe la, ɖɔktawo ɖoa aɖaŋu be woada dɔléle siawo kaba eye woawɔ adãtɔe. Esia le alea elabena ʋusɔgbɔdɔ nye dɔléle si nu sẽ wu sã, si ate ŋu ade ame ƒe agbe afɔku me. Ʋusɔgbɔdɔ hã dada sesẽ. Ne woda dɔ nɛ gɔ̃ hã la, ʋusɔgbɔdɔ ate ŋu agblẽ nu le ame ŋu tegbee alo aku gɔ̃ hã.

Atikewɔwɔ vevi siwo woatsɔ axe mɔ ɖe ʋusɔgbɔdɔ nu le TIA megbee nye:

• Atikewo
• Dɔdamɔnu siwo wotu ɖe catheter dzi
• Amekoko

Atike siwo woatsɔ axe mɔ ɖe ʋusɔgbɔdɔ nu le TIA megbe

Atike geɖe li siwo ate ŋu akpe ɖe ame ŋu woada nɔnɔme siwo hea TIA vɛ alo kpena ɖe eŋu eye woaxe mɔ ɖe TIA alo ʋusɔgbɔdɔ le etsɔme nu.

• Aspirin: Esiae nye atike si ɖɔktawo ŋlɔna na ame wu. Ekpena ɖe ame ŋu be wòaxe mɔ ɖe ʋusɔgbɔdɔ nu to ʋu ƒe sisi ƒe afɔkua dzi ɖeɖe kpɔtɔ me. Wozãa Clopidogrel (Plavix®), Ticagrelor (Brilinta®), kple Aggrenox (si nye aspirin kple dipyridamole ƒe ƒuƒoƒo) hã hena esia wɔwɔ.
• Ʋusɔgbɔdɔtikewo: Esiawo ɖea ʋukawo me ʋu ƒe sisi dzi kpɔtɔna. Kpɔɖeŋu aɖewoe nye `(Calcium channel blockers)`, `(ACE inhibitors)`, `(Angiotensin II receptor blockers – ARBs)`, `(Diuretics)` (atike siwo nana nètoa aɖuɖɔ geɖe me).
• Statin ƒomeviwo:Esiawo nye atike siwo ɖea ʋumemi dzi kpɔtɔna. Woɖea ʋumemi gbegblẽ (LDL cholesterol) ƒe agbɔsɔsɔ si le ʋua me dzi kpɔtɔna koŋ. LDL ʋumemi siae nye nusi ƒoa ƒu ɖe ʋukawo me, si nana wotsia ʋukawo me eye wòhea ʋukawo ƒe ʋuʋu vɛ. Atorvastatin (Lipitor®) kple Rosuvastatin (Crestor®) nye atike nyanyɛ siwo le hatsotso sia me.
• Ʋu ƒe ʋuʋu / Anticoagulants: Atike siawo nana wòsesẽna be ʋua natsi. Esia ɖea afɔku si li be ʋuka aɖe nadzɔ eye wòatsi ʋuka aɖe me le ahɔhɔ̃a me dzi kpɔtɔna. Kpɔɖeŋu aɖewoe nye `(Warfarin – Coumadin®)`, `(Apixaban – Eliquis®)`, `(Rivaroxaban – Xarelto®)` alo `(Dabigatran – Pradaxa®)`. Woateŋu aŋlɔ atike siawo na wò ne `(Atrial Fibrillation)` (dzi ƒe tsotso si mesɔ o) le ŋuwò alo ne ʋu ƒo ɖe wò dzi me.

Dɔdamɔnu siwo wotu ɖe catheter dzi

Endovascular procedures fia atikewɔwɔ ɖesiaɖe si zãa dɔwɔnu tsɛ siwo le abe mɔ̃ ene siwo wotsɔ dea ʋuka me to lãɖeɖe sue aɖe ŋutɔ me le ŋutigbalẽa me. Endovascular gɔmee nye “le ʋuka me.” Dɔdamɔnu siawo daa kuxi siwo le ʋukaa ŋutɔ me, eye mehiã be woawɔ dɔ gã aɖeke na ame o.

Zi geɖe la, wowɔa esiawo ɖe wò ``Carotid ʋukawo'' dzi. Eyae nye ʋuka vevi siwo tsɔa ʋu tso dzia me yia ahɔhɔ̃a me. ``Carotid arteries'' siawo ƒe kpuiƒe (stenosis) ateŋu ahe TIA alo ʋusɔgbɔdɔ vɛ.

Endovascular dɔdamɔnu aɖewo siwo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe ʋusɔgbɔdɔ nu le TIA megbe lae nye esi:

• Endovascular thrombectomy: Esia nye dɔdamɔnu si ɖea ʋu ƒe sisi ɖa. Esia ʋua ʋukaa eye wònana ʋu gazɔna yia ahɔhɔ̃a me.
• Stent: Esia bia be woatsɔ stent, si nye mɔ̃ si le abe lãgbalẽ ene, ade ʋuka me. Stent la kpena ɖe ʋukaa ƒe akpa si xaxa la ŋu wòʋuna, si wɔnɛ be ʋu te ŋu sina bɔbɔe.
• Angioplasty: Esia bia be woatsɔ catheter (tube) si me wotsɔa ʋuƒo aɖe blanae. Woate ŋu akɔ ʋuƒo sia me be wòakeke ʋuka si xaxa la ɖe enu.

Endarterectomy ɖeɖeɖa

Le nɔnɔme siwo me womate ŋu awɔ dɔ na ame to catheter dzi o me la, woate ŋu awɔ dɔ na ame be wòakeke ʋukawo ɖe enu. Esia ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe TIA alo ʋusɔgbɔdɔ bubu nu. Kpɔɖeŋu aɖee nye amekoko si woyɔna be carotid endarterectomy. Esia bia be woaʋu ʋuka gã aɖe le kɔa me (carotid artery), woaɖe ʋuka si me ʋu sina tona la ɖa, eye woadzi ʋu ƒe sisi ɖe edzi.

Nɔnɔme bubu siwo ate ŋu ana TIA nadze ame dzi la dada

Woate ŋu abu atikewɔwɔ bubuwo hã ŋu le wò atikewɔwɔ ƒe nɔnɔme bubuwo nu. Le kpɔɖeŋu me, wò dzi alo ahɔhɔ̃mekawo (ahɔhɔ̃ me ʋukawo) ŋuti nunyala bibiwo ƒe ƒuƒoƒo ate ŋu akpɔe be nɔnɔme aɖe si woyɔna be patent foramen ovale (PFO) gbɔe wò TIA alo ʋusɔgbɔdɔ tso. PFO nye do aɖe si le gli ŋu si ma dzia ƒe xɔ eve siwo le ete la dome. Esia ate ŋu ana ʋukawo nazɔ mɔ ayi ahɔhɔ̃a me. Ðewohĩ wò ɖɔkta aɖo aɖaŋu be nàtu doa be wòaɖe ʋusɔgbɔdɔ ƒe afɔkua dzi akpɔtɔ.

Ðe woate ŋu axe mɔ ɖe TIA nua?

Ɣeaɖewoɣi ate ŋui, gake menye ɣesiaɣie o. Nusiwo woate ŋu axe mɔ na gbɔe TIA akpa gãtɔ tsona. Gake ɣeaɖewoɣi la, TIAwo ate ŋu adzɔ le susu siwo womate ŋu akpɔ do ŋgɔ o, siwo womele mɔ kpɔm na o hã ta.

Nu geɖe li nàte ŋu awɔ atsɔ aɖe ʋusɔgbɔdɔ si nye ʋusɔgbɔdɔ si ʋu ƒe sisi hena vɛ dzi akpɔtɔ. Togbɔ be esia maxe mɔ ɖe ʋusɔgbɔdɔ nu keŋkeŋ o hã la, ate ŋu aɖe wò afɔkua dzi akpɔtɔ. Nu siwo nàte ŋu awɔ:

• Kpɔ wò dɔnɔdzikpɔla gbãtɔ zi ɖeka ya teti le ƒea me be woado wò kpɔ bliboe. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi kuxi siwo ate ŋu anɔ ame ŋu dzesi aɖeke manɔmee, abe ʋusɔgbɔdɔ kple suklidɔ ene.
• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Kpɔ nyuie le nusi nèɖuna kple nunono ŋu (wò ƒomea ƒe ɖɔkta aɖo aɖaŋu na wò le esia ŋu).
• Ne èzãa atamanuwo la, dzudzɔ wo zazã (alo mègadze wo zazã gɔme le gɔmedzedzea me o).
• Ne èzãa aha sesẽ la, ke se ɖe enu. Mègazã atike bubuwo atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
• No atike si ɖɔktaa ŋlɔ na wò abe alesi tututu wògblɔe ene.
• Na wò dɔléle siwo nɔa anyi didi (e.g. ʋusɔgbɔdɔ, suklidɔ, ʋumemi ƒe agbɔsɔsɔ) nanɔ anyi.

Nukae nàkpɔ mɔ na ne TIA le ŋuwò?

TIA le abe ɣeyiɣi kpui aɖe ƒe ʋusɔgbɔdɔ ene. Ne èkpɔ dzesi siawo esime nèle nane wɔm la, ate ŋu asesẽ na wò be nàɖe dzi ɖi eye dzesiawo dzi aɖe akpɔtɔ alo nu ayi. Gake dzesiawo ate ŋu atrɔ kaba ne ègadze nusi wɔm nènɔ la gɔme ake.

Esi wònye be TIA kple ʋusɔgbɔdɔ siaa ƒe dzesiwo sɔ ta la, ele be nàƒo ka na 911 enumake ɣesiaɣi. Mɔ aɖeke meli si dzi woato anya nenye be ʋusɔgbɔdɔ alo TIAe wònye le dzesiawo ƒe ɣeyiɣia me o.

Ɣeyiɣi didi kae TIA ate ŋu anɔ anyi?

Ɣeyiɣi didi si TIA anɔ anyi ate ŋu ato vovo. Le gɔmesese nu la, TIA mexɔa gaƒoƒo 24 o. Gake ƒã hafi TIA nanɔ anyi eteƒe nadidi nenema. Aɖabaƒoƒo ʋɛ aɖewo koe TIA akpa gãtɔ nɔa anyi.

Nukae nye mɔkpɔkpɔ na TIA?

Mɔkpɔkpɔ na TIA nɔ te ɖe nusi gbɔ wòtso kple nusi nèwɔ tso eŋu dzi koŋ. Ne womewɔ atike nɛ o la, afɔku si le ʋusɔgbɔdɔ me le ŋkeke 90 siwo gbɔna me – vevietɔ le ŋkeke eve gbãtɔ siwo le TIA megbe – lolo ŋutɔ.

Nukpɔsusua nyo wu ne èyi atikewɔƒe kpata enumake . Ðɔktawo ate ŋu aɖo kpe edzi nenye be TIA alo ʋusɔgbɔdɔ le ŋuwò, eye woanya nusi gbɔ wò TIA tso alo nusi na wòdzɔ. To mɔ sia dzi la, woate ŋu atso nya me le alesi woawɔ akpɔ kuxi si gbɔ wòtso gbɔe, kple nusi nàte ŋu awɔ atsɔ axe mɔ ɖe kuxi bubuwo nu.

Aleke wòle be malé be na ɖokuinye le TIA megbe?

Ne èxɔ atike vɔ la, ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi. Zi alesi nèwɔ ɖe mɔfiame mawo dzi nyuie la, zi nenemae wòanɔ bɔbɔe be nàƒo asa na TIA alo ʋusɔgbɔdɔ bubu xɔxɔ. Esi wònye be TIA ate ŋu adzɔ le susu vovovo geɖe ta la, alesi wòle be nàlé be na ɖokuiwò hã ate ŋu atrɔ.

Le goawo katã me la, nu siwo nàte ŋu awɔ atsɔ axe mɔ ɖe TIAwo nu alo aɖe afɔku si le eme be woaxɔ wo dzi akpɔtɔ la ke nye nu mawo ke siwo wòle be nàwɔ le TIA wɔwɔ vɔ megbe. Wò ɖɔkta ana mɔfiame tɔxɛwo wò ku ɖe nusi nàte ŋu awɔ kple nusi wòle be nàwɔ ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta? / Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ne èxɔ TIA ƒe atikewɔwɔ kpata vɔ la, ele be nàyi ɖɔkta gbɔ be wòakpɔ egbɔ. Wò ɖɔkta awɔ ɖoɖo ɖe sasrãkpɔ siwo akplɔe ɖo ŋu ne ehiã. Woakpe ɖe ŋuwò hã be nàlé ŋku ɖe wò dzesiwo ŋu ahakpɔ alesi wò atikewɔwɔa le dɔ wɔm nyuie.

Ne TIA nɔ ŋuwò kpɔ, eye dzesi mawo gadze egɔme ake la, ele be nàƒo ka na 1990 enumake eye nàyi xɔ si te ɖe ŋuwò le dɔnɔdzikpɔƒe si te ɖe ŋuwò kpata.

Nɔnɔme bubuwo ate ŋu anɔ ame si ŋu TIA le nyitsɔ laa. Ele be nàyi atikewɔƒe kpata ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe:

• Ʋu ƒe sisi le afɔwo ƒe ʋukawo me (Deep Vein Thrombosis – DVT) (fu, abibi, vevesese le afɔwo me) .
• Pulmonary Embolism (PE) (akɔtave kpata, gbɔgbɔ sesẽ) .
• Dzidɔ (akɔtave sesẽ, eƒe tete, vevesese si klẽna ɖe miame) .

Nya kawoe wòle be mabia ɖɔktaa?

• Ðe TIA alo ʋusɔgbɔdɔ le ŋunyea?
• Nukae nye nusiwo gbɔ wòtso/nu siwo gbɔ nye TIA tso alo kpe ɖe eŋu?
• Tɔtrɔ kawoe mate ŋu awɔ alo adi be mawɔ be maxe mɔ ɖe TIA alo ʋusɔgbɔdɔ bubu nu?
• Atikewɔwɔ kawoe li woatsɔ axe mɔ ɖe TIA alo ʋusɔgbɔdɔ bubu nu?
• Nu gbegblẽ kawoe wòle be manya nu tsoe siwo ate ŋu ado tso atikewo alo atikewɔwɔwo me?
• Dzesi bubu kawoe wòle be mayi xɔ si me wowɔa dɔ kpata le?

Aleke gbegbee TIA bɔe?

Le nyateƒe me la, TIA bɔ ŋutɔ. Eŋutinunyalawo gblɔ be wogblɔa TIA siwo ade 500,000 ƒe sia ƒe. Ke hã, kpeɖodziwo li siwo fia be xexlẽme sia sɔ gbɔ sãsãsã. Susu geɖewo tae wòle alea ɖo:

• TIA nye ɣeyiɣi kpui aɖe ko: Ðewohĩ amewo makpɔ nusi le dzɔdzɔm ɖe wo dzi adze sii o. Ne dzesiawo nu yi kaba la, ɖewohĩ womayi kɔdzi alo adi atikewɔlawo ƒe aɖaŋuɖoɖo o.
• TIA-wo megblẽa kpeɖodzi aɖeke ɖi o:Womate ŋu ade dzesi TIA le nɔnɔmetatawo ɖeɖe me ne ewu enu o. Ne ahɔhɔ̃a gblẽ la, ke ʋusɔgbɔdɔe, ke menye TIA o.
• Zi geɖe la, ʋusɔgbɔdɔ kplɔa TIA ɖo: Ʋusɔgbɔdɔ ate ŋu adzɔ le TIA megbe kpuie, gake ɖewohĩ womenya nusi TIA nye o.
• Nɔnɔme bubu geɖewo li siwo ɖi TIA (TIA mimics): Nɔnɔme geɖewo li siwo hea dzesi siwo ɖi ʋusɔgbɔdɔ, gake menye ʋusɔgbɔdɔ ŋutɔŋutɔ o. Ne ame aɖe yi kɔdzi la, ɖewohĩ manya wɔ be woanya nusi gbɔ eƒe dzesiwo tso o.

Mlɔeba la, nya siae wòle be magblɔ na mi (Take-Home Message) .

`(Transient Ischemic Attack – TIA)` ateŋu ava kpata eye wòadzo le miniti ʋee aɖewo megbe. Gake ate ŋu ahe tɔtɔ kple vɔvɔ̃ geɖe vɛ na wò susu. Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò eye wo nu yi le aɖabaƒoƒo ʋɛ aɖewo megbe gɔ̃ hã la, mègaŋe aɖaba ƒu edzi gbeɖe o! Efia be ehiã be woakpɔ atikewɔƒe enumake.

Ne TIA le ŋuwò la, ke afɔku gã aɖe le ŋuwò be ʋusɔgbɔdɔ nadze ŋuwò le ŋkeke 90 siwo gbɔna me. Azɔ hã, ʋusɔgbɔdɔ siwo katã dzɔna le TIA megbe ƒe afã dzɔna le ŋkeke eve gbãtɔawo me. Ne èxɔ atike enumake la, àte ŋu axe mɔ ɖe ʋusɔgbɔdɔ si nu sẽ wu nu. Ate ŋu axɔ wò agbe, axe mɔ ɖe nusiwo agblẽ nu le ŋuwò tegbee nu, eye wòaxe mɔ na ŋutete ƒe bu. Eyata, kpɔ nyuie le esia ŋu ŋutɔ. Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò kple wò lɔlɔ̃tɔwo.