Ke ne ʋuka aɖe si yi ahɔhɔ̃a me xe ya ɖe? Mina míaƒo nu tso embolic stroke ŋu!

Nukae dzɔna ne ʋuka aɖe si ƒo ƒu ɖe míaƒe ŋutilã ƒe teƒe aɖe la gbã eye wòtsi ʋuka aɖe me le míaƒe ahɔhɔ̃ me? Enye susu dziŋɔ aɖe, alo? Ẽ, esiae nye nusi míeyɔna be ‘embolic stroke’. Esia nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ne nane si le abe esia ene dzɔ la, sɛkɛnd ɖesiaɖe le vevie, eyata atikewɔwɔ kaba ale si nàte ŋui ye nye nu vevitɔ kekeake.

Nukae nye embolic stroke? Mina míase egɔme bɔbɔe.

Kpuie ko la, embolic stroke nye ne ʋu ƒe sisi alo nu bubu aɖe (míeyɔa esia be ‘embolism’ ) ge ɖe ʋuka aɖe si tsɔa ʋu yia ahɔhɔ̃a me me, si na ʋu ƒe sisi yi ahɔhɔ̃a ƒe akpa aɖe tɔ, si gblẽ nu le akpa ma ŋu. Esia le hatsotso gãtɔ si woyɔna be ‘ischemic stroke’ me. Bu eŋu abe gbeɖuɖɔ kakɛ aɖe si ge ɖe tsi ƒe pɔmpi me eye wòtɔ te tsi si le sisim ene. Le afisia la, ‘embolism’ sia, si gɔmee nye ʋu ƒe sisi, dzɔna zi geɖe le ʋuka gã aɖe me le ŋutilãa ƒe akpa bubu, ɖewohĩ le dzia me, eye wòɖea eɖokui ɖa tso afima, zɔa mɔ to ʋukawo me eye wòtsia ʋuka sue aɖe si le ahɔhɔ̃a me la me. Ekema ahɔhɔ̃a ƒe akpa si ʋuka ma nana ʋu la mexɔa ɔksidzin kple nunyiame o.

Nukawoe nye embolic stroke ƒe dzesiwo?

Dzesiawo sɔ kple ʋusɔgbɔdɔ ƒomevi bubuwo. They can come on suddenly , eyata ele vevie be wò kple wò lɔlɔ̃tɔwo mianɔ ŋudzɔ ɖe wo ŋu.

• Aphasia nye nɔnɔme si me nuƒoƒo ƒe ŋutete me gblẽna alo buna keŋkeŋ. Ðewohĩ màte ŋu ase nya si gblɔm wole gɔ̃ hã gɔme o.
• Nukpɔkpɔ ƒe blukɔ kpata , ŋku eve ƒe nukpɔkpɔ (Diplopia), alo ŋku ɖeka alo evea siaa ƒe nukpɔkpɔ ƒe bu.
• Tɔtɔ kple tɔtɔ ƒe seselelãme kpata , afisi nèle kple gaƒoƒo si wònye be.
• Le dɔléle sesẽ aɖewo me la , ame ƒe susu meganɔa nu ŋu kura o (Coma).
• Vertigo nye seselelãme be yele tsatsam eye yemegada asɔ o .
• Taɖuame sesẽ kpata . Esia to vovo na taɖuame si sɔ eye ate ŋu anye nusi womate ŋu ado dzi atsɔ o.
• Ŋkuɖodzinyawo gbɔ kpɔkpɔ nye ŋkuɖoɖonudzi ƒe bu kpata .
• Nuwɔna ƒe tɔtrɔ kpata , abe dzikudodo alo dzikudodo ko ene.
• Aɖuɖɔtoe kple ʋuʋudedi .
• Sese le eɖokui me be kɔ le sesẽm .
• Be woahe wo ahadze anyi manyamanyae .
• Having a fit (Alɔ̃madɔmadɔ) .
• Nuƒoƒo si me mekɔ o kple nyawo yɔyɔ nyuie ƒe ŋutetemanɔamesi (Dysarthria).
• Sidzenuwo abe nukpɔkpɔ, nusese, ʋeʋẽ, vivisese, kple asikaka nu ŋu dzi ɖeɖe kpɔtɔ kpata alo woƒe bu keŋkeŋ .
• Mo alo ŋutilã ƒe akpa ɖeka ƒe ʋuʋu, ʋuʋudedi, alo gbɔdzɔgbɔdzɔ .

Nukawoe nye nuxlɔ̃amedzesi siwo fia be embolic stroke? Ðo ŋku edzi be ‘ÐE NU KABA’!

Ele vevie be nàɖo ŋku gɔmesese si le Eŋlisigbe me nya siwo nye ‘BE FAST’ ŋu dzi be nàde dzesii nenye be wò alo ame aɖe si nènya la le ʋusɔgbɔdɔ lém. Sɛkɛnd ɖesiaɖe le vevie le ɣeyiɣi sia me! Zi alesi nèwɔ nu kaba la, zi nenemae nu siwo nàte ŋu agblẽ la dzi ɖena kpɔtɔnae.

• B - Dadasɔ: Kpɔe ɖa be kasia wò dadasɔ alo ne èkli nu esime nèle zɔzɔm.
• E - Ŋkuwo: Kpɔe ɖa be mègate ŋu kpɔa nu kpata o, mègakpɔa nu nyuie o, alo nèkpɔa nu zi eve hã .
• F - Mo: Ko alɔgbɔnu eye nàkpɔe ɖa. Kpɔe ɖa be mo ƒe akpa ɖeka ɖiɖi alo edze abe ɖe wohe ene hã.
• A - Abɔwo: Do ​​abɔ eveawo ɖe dzi yi ŋgɔ. Ne ʋusɔgbɔdɔ le ŋuwò la, alɔ ɖeka mate ŋu akɔ ɖe dzi nyuie o eye ate ŋu adze anyi alo ate ŋu asesẽ be nàlée ɖe dzi.
• S - Nuƒoƒo: Kpɔe ɖa be wò alo ame kemɛa ƒe nuƒoƒo me mekɔ o, nya siwo sɔ tiatia sesẽna nɛ, alo gɔmesese sesẽ hã .
• T - Ɣeyiɣi: Ɣeyiɣi nye nu vevitɔ! Ne ède dzesi dzesi siawo dometɔ aɖe la , ƒo ka na 911 enumake eye nàxɔ dɔnɔdzikpɔʋu . Ne anya wɔ la, lé ŋku ɖe wò gaƒoɖokui alo telefon ŋu be nàɖo ŋku ɣeyiɣi si me wò dzesiawo dze egɔme dzi. Ne ègblɔe na ɖɔkta ɣemaɣi la, anɔ bɔbɔe na wo be woatia atike nyuitɔ kekeake.

Nukae hea embolic stroke vɛ?

Nu vevitɔ si hea ʋuka me ʋu ƒe sisi vɛ enye, abe alesi míegblɔe va yi ene , ‘embolism’ . Esia fia be ʋu ƒe sisi (zi geɖe la, ya ƒe kuɖɔ, ami, alo nu bubu aɖe) si dzɔna le teƒe ɖeka le ŋutilãa me la gbãna le afima, zɔa mɔ toa ʋukawo me, eye wòtsia ʋuka aɖe me le ahɔhɔ̃a me.

Dɔléle geɖe li siwo ate ŋu ana ʋu nado:

• Atrial Fibrillation: Esia nye nɔnɔme si me dzia ƒe akpa siwo le etame (atria) metsia nyuie o, ke boŋ woƒona kabakaba eye womewɔa nu ɖe ​​ɖoɖo nu o. Esia wɔnɛ be ʋu ƒoa ƒu ɖe dzia me, si wɔnɛ be wònɔa bɔbɔe be ʋu nado. Esiawoe nye esiwo ate ŋu agbã wu eye woazɔ mɔ ayi ahɔhɔ̃a gbɔ.
• Ʋukawo ƒe ʋuʋu: Esia nye ne ami siwo le abe ʋumemi ene ƒoa ƒu ɖe ʋukawo (ʋukawo) me, si wɔnɛ be ʋukawo ƒe gliwo sesẽna hetsia. Ami siawo (plaques) ate ŋu agbã eye woaxe ʋuka siwo le ahɔhɔ̃a me.
• Ʋu ƒe sisi ƒe kuxiwo: Ame aɖewo ate ŋu alɔ̃ be yewoƒe ʋu natsi bɔbɔe, le domenyiŋusẽfianu alo dɔléle bubuwo ta.
• Dɔléle aɖewo, abe COVID-19 ene, hã dzia ʋu ƒe sisi ƒe afɔkua ɖe edzi.
• Dɔlékui siwo nana lãmenugbagbeviwo kuna . Le kpɔɖeŋu me, le sepsis , me la, dɔlékui sesẽ aɖe, dɔlékuiwo alo lãkusi kuku kakɛwo ate ŋu age ɖe ʋua me eye woazɔ mɔ ayi ahɔhɔ̃a me. Esia ate ŋu adzɔ le dzitodzito me dɔlékuiwo (infective endocarditis) hã me.

A mini-stroke - embolic ɣeyiɣi kpui aɖe ƒe ʋusɔgbɔdɔ ƒe amedzidzedze (TIA) .

Ɣeaɖewoɣi la, ʋumenugbagbeviɣidɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIA), si wogayɔna be ʋusɔgbɔdɔ sue aɖe, ate ŋu adzɔ. Esia sɔ kple ʋusɔgbɔdɔ, le esi ʋu si yia ahɔhɔ̃a me la nu tsona hena ɣeyiɣi aɖe. Gake zi geɖe la, dzesiawo nu tsona le aɖabaƒoƒo ʋɛ aɖewo va ɖo gaƒoƒo ɖeka alo eve me ne ʋumenugbagbeviɣia le ʋuʋum alo le tsatsam eye wòdo le nusi xe mɔa me. Gake esia nye nuxlɔ̃amedzesi be èle afɔku gã aɖe me be ʋusɔgbɔdɔ gã aɖe nadze dziwò le etsɔme . Ðewohĩ ahiã be woakpɔ atike na amesi ŋu TIA le enumake be wòanya nusi gbɔ wòtso eye wòadze atikewɔwɔ gɔme be wòaxe mɔ ɖe ʋusɔgbɔdɔ gã aɖe nu.

Amekawoe le afɔku gã me be woaxɔ embolic stroke?

Amesiame ate ŋu axɔ embolic stroke, gake ame aɖewo ya le afɔku me wu:

• Le ameyibɔwo gome.
• Le amesiwo xɔ wu ƒe 65 gome (afɔkua dzina ɖe edzi ne ame tsi).
• Le amesiwo noa atama alo zãa atama/nicotine-nu bubuwo (e.g., vapers, chewers) gome. Sigaretnono gblẽa nu le ʋukawo ŋu eye wònana ʋu sina tona.
• Le amesiwo zãa atike vɔ̃ɖiwo (vevietɔ cocaine kple amphetamines) gome la .

Azɔ hã, amesiwo ŋu atikewɔwɔ me nɔnɔme aɖewo le la le afɔku gã aɖe me:

• Le amesiwo noa aha fũu akpa gome (Ahanono ƒe kuxi).
• Le amesiwo ŋu suklidɔ le gome la . Suklidɔ ate ŋu agblẽ nu le ʋukawo ŋu.
• Le amesiwo ŋu ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) le gome la . Ne womeɖu esia dzi o la, ate ŋu agblẽ nu le ʋukawo ŋu ɣeyiɣi didi.
• Le amesiwo ŋu ʋumemi sɔ gbɔ ɖo (Hyperlipidemia) le ʋu me gome la . Esia hea ‘ʋukawo ƒe ʋuʋu’ vɛ.
• Ame siwo ŋu dzidɔ le (e.g. atrial fibrillation, dzitodzito me kuxiwo, dzidɔ si woxɔ va yi).

Aleke woawɔ ade dzesi embolic stroke? (Dɔléle ƒe dzesi) .

Ðɔkta aɖe agblɔ nusi tututu embolic stroke nye na wò. Ne èyi kɔdzi la, nu gbãtɔ si wowɔnae nye be woabia wò dzesiwo, abe esime wodze egɔme ene. Emegbe wowɔa ahɔhɔ̃mekawo ƒe dodokpɔ . Esia léa ŋku ɖe wò nuƒoƒo, nukpɔkpɔ, ŋusẽ, kple wò susuŋudɔwɔwɔ ŋu. Wowɔa ŋutilãmedɔdada bliboa kple dodokpɔ ʋɛ bubuwo hã.

Wozãa dodokpɔ siawo tɔgbe tsɔ ɖoa ​​kpe ʋusɔgbɔdɔ dzi:

• Ʋudodokpɔ: Kpɔ nuwo abe ʋu ƒe sisi ƒe kuxiwo, sukli ƒe agbɔsɔsɔ, kple ʋumemi ene ɖa.
• CT scan: Esia ɖea ahɔhɔ̃a ƒe foto eye ate ŋu anya kaba ne ʋu le dodom alo ʋuka aɖe xe (ischemic stroke).
• MRI scan: Esia naa nɔnɔmetata siwo me kɔ wu CT scan. Ekpena ɖe ame ŋu wòkpɔa nusiwo tututu gblẽ le ahɔhɔ̃a ŋu.
• ECG (Electrocardiogram - EKG) dodokpɔ: Esia doa dzia ƒe elektrikŋusẽ ƒe dɔwɔwɔ kpɔna be dzia ƒe ʋuʋu ƒe kuxiwo abe dzitodzito ƒe ʋuʋu ene hã.
• EEG (Electroencephalogram - EEG) dodokpɔ: Woate ŋu awɔ esia hã atsɔ akpɔ ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ, elabena woate ŋu atɔtɔ nɔnɔmewo abe alɔ̃madɔmadɔ ene ɣeaɖewoɣi kple ʋusɔgbɔdɔ.
• Carotid Ultrasound: Be woalé ŋku ɖe ami siwo le kɔa me kple ʋuka vevi siwo le kɔ me (carotid arteries) ƒe ʋuʋu ŋu hã.
• Echocardiogram: Dzitodzito me dodokpɔ si wowɔna to ultrasound dzi. Be woalé ŋku ɖe ʋu ƒe sisi le dzitodzito me kple ʋuka me kuxiwo ŋu hã.

Nukawoe nye atike siwo wozãna na embolic stroke?

Nu vevitɔ kekeake ne wole ʋuka me ʋu ƒe sisi dam enye be woana ʋu nagaɖo ahɔhɔ̃a me kaba ale si woate ŋui . Ðɔktawo wɔa esia kaba ale si woate ŋui elabena esia ate ŋu aɖe ahɔhɔ̃a ƒe gbegblẽ tegbee dzi akpɔtɔ eye wòaɖe amewo ƒe agbe gɔ̃ hã. Nya aɖe li si gblɔna be, "Ɣeyiɣi nye Ahɔhɔ̃," si fia be ɣeyiɣi ɖesiaɖe si va yi ɣeyiɣi manɔmee la, ahɔhɔ̃ me lãmenugbagbeviwo kuna.

Atikewɔwɔmɔnu vevi eve li siwo wozãna zi geɖe:

• Ʋuka me ʋu ƒe sisi ƒe atikewɔwɔ: Esiawo nye ʋu ƒe sisi ƒe atikewo (e.g., Alteplase). Wodoa atike siawo ɖe ʋuka aɖe me be woatsɔ alɔ ʋu si le ƒoƒom la eye wòana ʋu nagate ŋu azɔ. Zi geɖe la, ne èva ɖo kɔdzi le gaƒoƒo ene kple afã (gaƒoƒo 4.5) me tso esime ʋusɔgbɔdɔ ƒe dzesiwo dze egɔme ko hafi ɖɔktawo naa esiawo . Wo nana emegbe ate ŋu ana ʋu nado le ahɔhɔ̃a me nadzi ɖe edzi.
• Mɔ̃ɖaŋununya ƒe ʋukawo ɖeɖe ɖa: Esia nye dɔdamɔnu si menye amekoko o si me wozãa mɔ̃ tɔxɛ aɖe tsɔ ɖea ʋuka si me ʋu le la ɖa. Amekola (interventional neuroradiologist) tsɔa mɔ̃ sue aɖe si le tsɛ (catheter) dea ʋuka gã aɖe si le akɔta alo alɔnu me eye wòdonɛ yia ʋu ƒe sisi le ahɔhɔ̃a me le X-ray ƒe mɔfiafia te. Emegbe wozãa mɔ̃ aɖe si le abe lãgbalẽ ene si woyɔna be stent retriever alo suction catheter tsɔ xɔa ʋumenugbagbeviɣia. Zi geɖe la, woate ŋu awɔ esia le gaƒoƒo 6 me tso esime ʋusɔgbɔdɔ ƒe dzesiwo dze egɔme, gake woate ŋu awɔe vaseɖe gaƒoƒo 24 le go aɖewo me. Esia nyo wu na amesiwo ʋu ƒo ɖe ʋuka gã aɖe me.

Tsɔ kpe ɖe eŋu la, ate ŋu ahiã be woawɔ atike bubuwo:

• Ʋu ƒe sisi kple sukli ƒe agbɔsɔsɔ dzi ɖuɖu: Wò ɖɔktawo alé ŋku ɖe wò ʋu ƒe sisi kple sukli ƒe agbɔsɔsɔ ŋu edziedzi be wòakpe ɖe wò ahɔhɔ̃ ŋu wòahaya. Be woaɖe ahɔhɔ̃a ƒe gbegblẽ dzi akpɔtɔ la, woate ŋu aŋlɔ atike na wò be wòaɖe wò ʋu ƒe sisi dzi akpɔtɔ alo (le go aɖewo me) wòadoe ɖe dzi.
• Ʋumenugbagbeviɣitikewo: Ʋumenugbagbeviɣitikewo (e.g. Warfarin, Apixaban) alo ʋumenugbagbeviɣitikewo(Ex: Aspirin, Clopidogrel) Atike siwo xea mɔ na ʋu ƒe ƒoƒo bɔbɔe. Le nusi gbɔ ʋusɔgbɔdɔa tso nu la, ahiã be nàyi atike siawo nono dzi le ʋumenugbagbeviɣidɔdada vɔ megbe be nàxe mɔ ɖe ʋusɔgbɔdɔ bubu nu.
• Endarterectomy alo stent dede: Ne carotid ʋuka siwo le kɔ me la xaxa vevie le ami siwo le kɔ me ta (carotid stenosis) la, woate ŋu awɔ dɔ na ami siwo le kɔa me (endarterectomy) alo woate ŋu ade stent to ʋukaa me be wòaʋu. Esia ate ŋu aɖe ʋu ƒe sisi bubu (embolism) ƒe afɔkua dzi akpɔtɔ.
• Dzoxɔxɔ si nu mesẽ o si woɖo koŋ ɖo: Le go aɖewo me la, ɖɔktawo ate ŋu aɖe wò ŋutilã ƒe dzoxɔxɔ dzi akpɔtɔ vie dedie. Numekuku aɖewo ɖee fia be esia ate ŋu akpe ɖe ame ŋu wòaɖe ahɔhɔ̃ ƒe gbegblẽ dzi akpɔtɔ le ʋusɔgbɔdɔ me kple emegbe, gake esia menye atike si wozãna ɖaa haɖe o.
• Oxygen zazã: Le ʋusɔgbɔdɔ me la, ahɔhɔ̃a mekpɔa oxygen si sɔ o. Ne oxygen ƒe agbɔsɔsɔ le wò ʋu me mesɔ gbɔ o la, ɖɔktawo ate ŋu ana oxygen bubu wò to ŋɔti me mɔ̃ alo motsyɔnu dzi. Esia wɔnɛ be gbɔgbɔ nɔa bɔbɔe eye wòkpena ɖe ŋuwò wòɖoa oxygen ɖe wò ŋutilã kple ahɔhɔ̃ me.

Aleke nuwo gbugbɔgaɖɔɖo le embolic stroke megbe le?

Stroke rehab nye atikewɔwɔ ƒe akpa vevi aɖe ŋutɔ. Ele vevie be nàtrɔ ɖe tɔtrɔ siwo vaa wò ahɔhɔ̃ kple ŋutilã me le ʋusɔgbɔdɔ megbe ŋu eye wò ŋutete si bu la nagasu asiwò alesi nàte ŋui. Wotrɔ asi le ɖɔɖɔɖo ƒe ɖoɖoa ŋu na wò koŋ, le wò nuhiahiãwo nu. Esia ate ŋu abia be atikewɔlawo abe:

• Lãmesẽnyawo gbɔ kpɔkpɔ: Do ŋusẽ wò lãmekawo, nàda asɔ nyuie wu, eye nàgate ŋu azɔ azɔli ahazã wò abɔwo kple afɔwo.
• Dɔwɔwɔ ƒe atikewɔwɔ: Ekpena ɖe ŋuwò nèsrɔ̃a alesi nàgawɔ wò gbesiagbedɔwo (abe nuɖuɖu, awudodo, kple tsilele ene) le ɖokuiwò si ake. Ekpena ɖe ŋuwò hã be nàwɔ aƒeme kple dɔwɔƒedɔwo dedie, vevietɔ esiwo hiã be nàʋuʋu wò ŋutilã nyuie.
• Nuƒoƒo ƒe atikewɔwɔ: Ekpena ɖe ŋuwò be wò gbegbɔgblɔ kple nuƒoƒo ƒe ŋutetewo nagasu asiwò alo nàna wòanyo ɖe edzi (Aphasia, Dysarthria). Enaa hehe wò hã be nàɖu lãmeka siwo kpena ɖe ŋuwò nèƒoa nu, gbɔa ya, ɖua nu, eye nèmia nu (Dysphagia) dzi.
• Cognitive rehab: Na wò ŋkuɖoɖonudzi, susu ƒe dɔwɔwɔ, kuxiwo gbɔ kpɔkpɔ ƒe ŋutete, kple susu ƒe ŋutete bubuwo nanyo ɖe edzi (ne ʋusɔgbɔdɔ gblẽ nu le ŋuwò).
• Tagbɔdɔlélawo ƒe aɖaŋuɖoɖo hã ate ŋu ahiã, elabena ebɔ be ame nalé blanui, dzimaɖitsitsi, kple seselelãme ƒe tɔtrɔ le ʋusɔgbɔdɔ megbe.

Mɔnukpɔkpɔ kawoe li be woatsi agbe le embolic stroke me?

Ame siwo tsi agbe le ʋusɔgbɔdɔ me ƒe xexlẽme le dzidzim ɖe edzi gbesiagbe, esi míele atike yeye siwo le kabakaba wu dim. Gake ɣeyiɣi ɖeka meli si woatsɔ ahaya alo nyagblɔɖi aɖeke meli si awɔ dɔ na amesiame o.

Eŋutinunyalawo gblɔ be amesiwo ŋu embolic stroke le dometɔ siwo ade 80% nɔa agbe ɣleti ɖeka ya teti . Le wò ʋusɔgbɔdɔ gbãtɔ megbe la, afɔku si le eme be nàgaxɔ ʋusɔgbɔdɔ ake la dzina ɖe edzi. Ame siwo ƒe ʋusɔgbɔdɔ zi geɖe la ƒe agbetsitsi dzi ɖe kpɔtɔ. Esia tae wòle vevie ŋutɔ be woaxe mɔ ɖe ʋusɔgbɔdɔ bubu nu.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso embolic stroke me?

Amesiame ƒe ŋutilã wɔa nui le mɔ vovovowo nu ne embolic stroke. Nusi nàte ŋu akpɔ mɔ na (`nyagblɔɖi`) nɔ te ɖe nu geɖe dzi:

• Aleke gbegbee nèxɔ atike kabae nye si .
• Ahɔhɔ̃a ƒe akpa kawoe wògblẽ nu le kple afisi wògblẽ nu le .
• Wò ƒexɔxɔ kple wò lãmesẽ bliboa (eɖanye atikewɔwɔ ƒe nɔnɔme bubuwo le ŋuwò o).
• Aleke gbegbe nèkpɔa gome le gbugbɔgaɖɔɖo ƒe ɖoɖoa me nyuie .

Ate ŋu axɔ ɣleti geɖe va ɖo ƒe ɖeka alo esi wu nenema hafi ame akpa gãtɔ nahaya vaseɖe afi aɖe. Ðewohĩ ahiã be ame aɖewo nanɔ agbe kple nuwɔametɔwo tegbee. Wò ɖɔkta agblɔ nusi nàkpɔ mɔ na na wò. Woakpe ɖe ŋuwò nàɖo taɖodzinuwo kple mɔkpɔkpɔ siwo asɔ na wò lãmesẽ kple nɔnɔmea na wò hayahaya.

Aleke míawɔ axe mɔ ɖe embolic stroke nu?

Mɔ nyuitɔ si dzi nàto axe mɔ ɖe ʋuka me ʋu ƒe sisi kple ʋuka me ʋu ƒe sisi nue nye be nàlé wò lãmesẽ bliboa me ɖe asi eye nàɖu wò afɔkuwo dzi . Dze agbagba nàwɔ nusiawo:

• De kame edziedzi (aɖabaƒoƒo 30 ya teti ŋkeke 5 le kwasiɖa me).
• Ƒo nuɖuɖu si da sɔ nyuie, si me nunyiame le (atikutsetse, amagbe, mɔli, kple nuku blibo siwo me fibre le wu, dze, sukli, kple ami ʋɛ aɖewo). Lé lolo si sɔ me ɖe asi. Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ ɖe nuɖuɖu ŋuti ɖoɖo abe Mediterranea-ƒua ƒe nuɖuɖu ene dzi .
• Lé ŋku ɖe wò ʋu ƒe sisi, ʋumemi, kple sukli ƒe agbɔsɔsɔ ŋu edziedzi eye nànɔ wo dzi ɖum . No wò atikewo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.
• Dzudzɔ atamanono keŋkeŋ eye nàƒo asa na teƒe siwo ame bubuwo noa atama le.
• Ðe ahanono dzi kpɔtɔ alo dzudzɔ enono keŋkeŋ.
• Ne dzidɔ abe dzitodzito me ʋuʋu ene le ŋuwò la, ke xɔ atike nyuitɔ na wò.

Kpɔ ɖɔkta ƒe sia ƒe (alo abe alesi wò ɖɔkta kafui ene) be woado wò kpɔ . Dɔléle kple kuxi geɖe siwo ate ŋu ahe embolic stroke vɛ la va dona le ɣeyiɣi aɖe megbe. Woate ŋu ana wò dzi nadze eme gɔ̃ hã. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàde dzesi nuxlɔ̃amedzesiwo ahakpɔ wo dzi hafi woadzi wò ʋusɔgbɔdɔ ƒe afɔku ɖe edzi.

Aleke malé be na ɖokuinye le embolic stroke megbe?

Haya kple gbugbɔgaɖɔɖo le ʋusɔgbɔdɔ megbe ate ŋu anye nusi xɔa ɣeyiɣi didi. Ne mia kple wò ɖɔkta miewɔ ɖoɖo ɖe atikewɔwɔ ŋu ko la, milé eme ɖe asi nyuie alesi miate ŋui. Le goawo katã me la, ele be:

• Kpɔ egbɔ be yede yeƒe ɖɔɖɔɖo kple atikewɔwɔ ƒe klass bubuwo . Wɔ kamedede siwo wò atikewɔlawo naa wò le aƒeme. Gblɔe na wò atikewɔlawo ne èse le ɖokuiwò me be yemevo le ye ɖokui me o alo be yemele dedie le nane wɔwɔ me o. Gbugbɔgaɖɔɖo nye dɔ sesẽ wɔwɔ, gake mehiã be nànɔ vevesese alo vevesese me ɣesiaɣi o.
• Bu wò susu ƒe lãmesẽ hã ŋu kpɔ . Blanuiléle kple dzimaɖitsitsi bɔ ŋutɔ le ʋusɔgbɔdɔ megbe. Enye nusi sɔ be woabu nuwo abe, "Nukatae nusia dzɔ ɖe dzinye?" "Ðe nye hã maganɔ abe tsã enea?" Blanuiléle alo dziɖeleameƒo menaa nègbɔdzɔna alo doa kpo nu o. Wò susu ƒe lãmesẽ le vevie abe alesi wò ŋutilã ƒe lãmesẽ le vevie ene. Ne èse le ɖokuiwò me be yehiã kpekpeɖeŋu be yeakpɔ nane le yeƒe hayahayaɣi la, ƒo nu kple ɖɔkta alo susumedɔdala (aɖaŋuɖola, tagbɔdɔdala). Kpekpeɖeŋu si tso ƒometɔwo kple xɔlɔ̃wo gbɔ hã le vevie ŋutɔ le ɣeyiɣi sia me.
• No wò atikewo pɛpɛpɛ, ɖe game dzi, eye nàno wo le agbɔsɔsɔ si sɔ me . Esia le vevie ŋutɔ ne èle ʋumenugbagbeviɣitikewo, ʋusɔgbɔdɔ, ʋumemi, alo suklidɔtikewo zãm. Ele vevie be nàɖe ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ le etsɔme, eye wò atikewo nono abe alesi wò ɖɔkta gblɔ na wò ene akpe ɖe wò ŋutilã ŋu wòahaya.

Ɣekaɣie wòahiã be magayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ake?

Ne èsusu be ʋusɔgbɔdɔ bubu aɖe le ye ŋu (ɖo ŋku edzi be NÀWƆ KABA!) , ƒo ka na 911 alo xexlẽdzesi si le mia gbɔ kpata enumake . Afɔku si le kuxi sesẽwo kple ku me la lolo wu ne ʋusɔgbɔdɔ gadze dziwò . Mègahe ɖe megbe le kpekpeɖeŋu biabia alo xɔ si me wowɔa dɔ kpata le me yiyi me o.

Ame siwo ŋu ʋuka me ʋu ƒe sisi le la le afɔku me be woaxɔ kuxi sesẽwo, abe:

• Ʋu ƒe sisi le afɔ ƒe ʋuka goglowo me (Deep vein thrombosis - DVT): avuvu, abi, vevesese le afɔ me.
• Dzidɔ: Akɔtave, gbɔgbɔ sesẽ.
• Aklãdɔ: Asrã, kɔdzi, gbɔgbɔ sesẽ (vevietɔ le amesiwo nu mimi sesẽna gome la, nuɖuɖu ate ŋu age ɖe lãkusi me - Aspiration Pneumonia).
• Aklã me ʋu ƒe sisi: Gbɔgbɔtsixe kpata, akɔtave, kple dzi ƒe tsotso kabakaba. Esia ate ŋu atso ʋu ƒe sisi si do le DVT me gbɔ.
• Having a fit (Alɔ̃madɔmadɔ).

Ne èkpɔ kuxi siawo ƒe dzesiwo la, ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake alo yi xɔ si me wowɔa dɔ kpata le.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne ʋusɔgbɔdɔ dze dziwò vɔ la, nyabiase geɖe ate ŋu anɔ mia kple wò ƒomea si. Mègavɔ̃ be yeabia wò ɖɔkta tso wo ŋu o.

• "Nukatae ʋusɔgbɔdɔ sia dze dzinye? Afikae ʋu ƒe sisi (embolism) la dzɔ ɖo?"
• "Dɔléle alo kuxi kae he esia vɛ?"
• "Nukae nye nye afɔku be ʋusɔgbɔdɔ agadze ŋunye?"
• "Atike kawoe wòle be mayi edzi anɔ nonom, aleke mawɔ ano wo? Nukae nye woƒe nugbegblẽ le ame ŋu?"
• "Tɔtrɔ kawoe wòle be mawɔ le nye gbesiagbegbenɔnɔ me? Nuwo abe nuɖuɖu, kamedede, kple bubuawo ene."
• "Ɣeyiɣi didi kae wòahiã be mawɔ ɖɔɖɔɖodɔ?"
• "Ðe mate ŋu aku ʋu eye magayi dɔmea? Ɣekaɣie wòanye?"

"Ame ƒe ʋusɔgbɔdɔ ate ŋu atrɔ wò agbenɔnɔ. Gake mefia be menye wòe o. Ðo ŋku edzi nàtsɔ kafukafu ana ɖokuiwò ɖe alesi gbegbe nèle dzidzedze kpɔm le wò gbugbɔgaɖɔɖo kple hayahaya me ta. Ne mese le eɖokui me ɣesiaɣi o hã la, dzidzedzekpɔkpɔ sue ɖesiaɖe sɔ be nàɖu azã."

Ðo dze kple wò ɖɔktawo tso nusi nàte ŋu awɔ be nàxe mɔ ɖe ʋusɔgbɔdɔ bubu nu le etsɔme ŋu. Woate ŋu akpe ɖe ŋuwò nàtrɔ asi le wò gbesiagbedɔwo ŋu be wòaɖe afɔku si le eme be nàgaxɔ ʋusɔgbɔdɔ ake dzi akpɔtɔ. Mègavɔ̃ be yeabia nya o. Wòe nye ɖokuiwò kple wò lãmesẽ taʋlila nyuitɔ kekeake , eye gome le asiwò be nàse nusianu si wogblɔ na wò gɔme.

Nu aɖewo siwo mesusu be wole vevie na wò (Take-Home Message) .

Enyo, eyata mina míalé ŋku ɖe nusiwo dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo ŋu ko.

• Embolic stroke nye ne ʋu ƒe sisi si dzɔna le ŋutilãa ƒe akpa bubu (zi geɖe le dzia me) va ge ɖe ʋuka aɖe me le ahɔhɔ̃a me. Esia nye atikewɔwɔ kpata!
• Lé ŋku ɖe dzesi siwo nye ‘BE FAST’ ŋu (dasɔ ƒe bu, nukpɔkpɔ ƒe tɔtrɔ, mo ƒe ŋeŋe, alɔnu ƒe ʋuʋu, nuƒoƒo si me mekɔ o). Ne èkpɔ dzesi siawo la , ƒo ka na 1990 enumake . Ɣeyiɣi nye nu vevitɔ.
• Ʋusɔgbɔdɔ, suklidɔ, dzidɔ (vevietɔ dzitodzito me ʋuʋu), ʋumemi ƒe agbɔsɔsɔ fũ, kple atamanono nye nu vevi siwo ate ŋu ahe esia vɛ.
• Ele vevie ŋutɔ be woadze atikewɔwɔ gɔme kaba ale si nàte ŋui. Ʋuka me ʋu ƒe sisi ƒe atikewɔwɔ kple ʋuka me ʋu ƒe sisi le mɔ̃ dzi ye nye atike vevitɔwo.
• Gbugbɔgaɖɔɖo le vevie le ʋusɔgbɔdɔ megbe. Nuƒoƒo ƒe atikewɔwɔ, ŋutilãmedɔdada, dɔwɔwɔ ƒe atikewɔwɔ, kple susuŋudɔwɔwɔ ƒe atikewɔwɔ ate ŋu akpe ɖe esia ŋu.
• Be woaxe mɔ ɖe ʋusɔgbɔdɔ bubu nu la, ele vevie ŋutɔ be nàwɔ tɔtrɔ le agbenɔnɔ si le lãmesẽ me (nuɖuɖu nyui, kamedede edziedzi , atamanono dzudzɔ keŋkeŋ, kple ahanono dzi ɖeɖe kpɔtɔ) eye nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi pɛpɛpɛ.
• Menye wò ɖeka koe o . Ðɔktawo, atikewɔlawo, ƒometɔwo, kple xɔlɔ̃wo li siwo ate ŋu akpe ɖe ŋuwò le mɔzɔzɔ sia me. Bia nusianu wò ɖɔkta, bia kpekpeɖeŋu. Susu ƒe lãmesẽ le vevie abe alesi ŋutilã ƒe lãmesẽ le vevie ene.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na mi, xɔlɔ̃ lɔlɔ̃awo. Nɔ lãmesẽ me eye amesiame nakpɔ dzidzɔ!

` Embolic stroke, ʋusɔgbɔdɔ, ʋusɔgbɔdɔ, ahɔhɔ̃ me ʋusɔgbɔdɔ, ʋu ƒe sisi, ʋukawo ƒe xexe, ʋusɔgbɔdɔ ƒe dzesiwo, ʋusɔgbɔdɔ ƒe atikewɔwɔ