Nukae nye Pontine Stroke? Mina míaƒo nu tso eŋu tsitotsito!

Ðewohĩ èse "ʋusɔgbɔdɔ," nɔnɔme si nana ame ƒe lãme ʋuʋuna, alo? Mí katã míenya be enye nu vevi aɖe ŋutɔ. Egbea míele nu ƒom tso ʋusɔgbɔdɔ ƒomevi aɖe si ŋu afɔku le nenema ke, gake ɖewohĩ womeƒoa nu tsoe boo o, si ŋu wòle be nànya nu tsoe ŋu. Woyɔa ema be Pontine Stroke . Esia nye nusi gblẽa nu le ahɔhɔ̃a ŋu. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nuka tututue nye Pontine Stroke?

Kpuie ko la, Pontine Stroke nye ʋu ƒe sisi yi míaƒe ahɔhɔ̃ ƒe akpa vevi aɖe ŋutɔ si woyɔna be "Pons" ƒe tɔtɔ. Bu eŋu kpɔ ko, ʋuka aɖewo li siwo tsɔa ʋu yia míaƒe ŋutilã ƒe akpa sia akpa, eye nenema kee wòle le ahɔhɔ̃a hã gome. Eyata ne ʋuka aɖe si tsɔa ʋu yia pons la xe la, lãmenugbagbevi siwo le afima mekpɔa oxygen kple nunyiame o. Ɣemaɣie nɔnɔme sia dzɔna. Esia nye ʋusɔgbɔdɔ ƒomevi aɖe , si nye ʋusɔgbɔdɔ si me nane si le abe ʋu ƒe sisi ene xea ʋuka aɖe. Mɔxexe sia ate ŋu adzɔ kpata, alo ate ŋu ava do vivivi le ɣeyiɣi aɖe megbe.

Fifia ɖewohĩ èle eŋu bum be nukae nye "Pons" sia hã. Enye míaƒe ahɔhɔ̃meka ƒe akpa gãtɔ kekeake . Ahɔhɔ̃a le abe míaƒe ŋutilã ƒe mɔ̃ si dzi wokpɔna ene. Dɔ vevi aɖewo hã le Pons-awo si. Pons la kpena ɖe ame ŋu le gbɔgbɔ, mo ƒe lãmekawo ƒe dɔwɔwɔ, ŋku ƒe ʋuʋu, kple dadasɔ dzi ɖuɖu me.

Pontine stroke nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me, eyata atikewɔwɔ kaba le vevie.

Woyɔa esia be nu bubu, ɖewohĩ èse nu tso eŋu kpɔ:

• Ahɔhɔ̃mekawo ƒe ʋuʋu alo ahɔhɔ̃mekawo ƒe ʋuʋu
• Pons ƒe ʋusɔgbɔdɔ alo ʋuka me ʋu ƒe sisi

Aleke gbegbee Pontine Stroke bɔe?

Ʋusɔgbɔdɔ nye dɔléle si bɔ ŋutɔ, gake ne wotsɔe sɔ kple ʋusɔgbɔdɔ ƒomevi bubuwo la, Pontine Stroke mebɔ vie o.

Pontine strokes nyea ischemic strokes katã ƒe 7% lɔƒo le xexeame. Le kpɔɖeŋu me, le United States ɖeɖe dzaa la, dɔléle sia ɖea fu na ame siwo ade 48,000 ƒe sia ƒe. Eyata, xexlẽme ɖedzesi aɖee nye ema, alo?

Nukae nye Pontine Stroke ƒe dzesiwo?

Esiae nye akpa vevitɔ. Pontine Stroke ƒe dzesiwo ate ŋu ato vovo vie tso ʋusɔgbɔdɔ ƒe dzesi bubu siwo ŋu míese nu tsoe zi geɖe gbɔ. Eyata enyo be nànya esia.

Pontine Stroke ate ŋu ahe dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema vɛ:

• Lãmetsi siwo le ŋutilã ƒe akpa ɖeka ƒe gbɔdzɔgbɔdzɔ (hemiparesis). Ewɔna nam abe abɔ kple afɔ aɖe le ʋuʋum ene.
• Mo ƒe akpa ɖeka alo evea siaa ƒe gbɔdzɔgbɔdzɔ alo eƒe gege ɖe anyi (mo ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie). Woate ŋu ahe nua ayi axa ɖeka ɣeaɖewoɣi.
• Seselelãme siwo mebɔ o le mo ƒe akpa ɖeka. Ate ŋu ase le eɖokui me abe ɖe wòtsi dzodzodzoe alo abe anyidiwo le zɔzɔm ene.
• Seselelãme siwo mesɔ o le ŋutilã ƒe akpa ɖeka (hemisensory loss).
• Nuƒoƒo sesẽ, kuku (dysarthria). Edze abe nyawo va le tsatsam ene.
• Nu mimi sesẽ (dysphagia). Nuɖuɖu kple nunono mimi sesẽ.
• Yagbɔgbɔ sesẽ.
• Dadasɔ ƒe bu, azɔlizɔzɔ sesẽ (ataxia). Abe ɖe taɖuame ene.
• Taɖuame, seselelãme be yele tsatsam le ye ŋu (vertigo).
• Tosese ƒe dɔmawɔmawɔ nyuie.
• Avifafa alo nukoko si dzi womate ŋu aɖu o (pseudobulbar affect). Esia nye dzesi si wɔ nuku vie, si fia be àte ŋu afa avi evɔ màlé blanui alo ako nu evɔ màse le ɖokuiwò me be yekpɔ dzidzɔ o.
• Afɔ eneawo katã ƒe bu (quadriplegia).
• Ame ƒe susu meganɔa ame ŋu o.

Dzesi siwo do ƒome kple ŋkuwo kple nukpɔkpɔ hã ate ŋu anye:

• Nukpɔkpɔ eve, vevietɔ ne wole ŋku lém ɖe axadzi (le lãmeka adelia ƒe dɔmawɔmawɔ nyuie ta).
• Ŋku ƒe ʋuʋu kabakaba si dzi womeɖu o (nystagmus).
• Ŋutete manɔanyi be woaʋuʋu ŋku eveawo ɖe mɔ ɖeka dzi le ɣeyiɣi ɖeka me (conjugate gaze palsy).
• Kuxi siwo le ŋkuʋuʋu me.

Ne wò ŋutɔ alo ame aɖe si te ɖe ŋuwò kpɔ dzesi siawo dometɔ aɖe la, ele be nàyi atikewɔƒe enumake kaba, elabena Pontine Stroke nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me si ate ŋu agblẽ nu le ame ŋu si womate ŋu atrɔ o.

Ðe Pontine Stroke ƒomevi aɖewo lia?

Ẽ, Pontine Stroke ƒomevi vovovowo li, le afisi ʋu sina yia pons ƒe akpa vovovowo le nu. Dzesiawo ate ŋu ato vovo vie le ƒomevi ɖesiaɖe nu, gake dzesiawo dometɔ geɖe bɔ. Ðɔktawo nɔa te ɖe afisi pons-awo le dzi yɔa ŋkɔ wo.

Le kpɔɖeŋu me:

• Medial pontine stroke: Esia dzɔna ne ʋu ƒe sisi tɔ le pons titina. Zi geɖe la, dzesiawo dometɔ aɖewoe nye gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka, ŋku ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ, kple ŋkuwo ƒe ŋutete be woaʋuʋu tso axa ɖeka ayi axa bubu (horizontal gaze palsy).
• Lateral pontine stroke: Esia dzɔna le pons ƒe akpa ɖeka. Dzesiawo ate ŋu anye ŋutilã ƒe akpa si tsi tre ɖe eŋu ƒe lãmetutudɔ (hemisensory loss) kple dadasɔ ƒe anyimanɔmanɔ (ataxia). Ate ŋu anye akpa ɖeka alo akpa eve.
• Caudal pontine stroke: Esia gblẽa nu le pons ƒe megbe ŋu. Mo ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie, tosese ƒe dɔmawɔmawɔ nyuie, kple taɖuame nye dzesi siwo bɔ.

Nukae hea Pontine Stroke vɛ?

Abe alesi míegblɔe va yi ene la, esia dzɔna ne ʋu si yi pons la xe. Susu vevi eve tae woxe mɔ sia ɖo:

1. Ʋuka suewo ƒe dɔléle: Ne ʋusɔgbɔdɔ alo suklidɔ le ŋuwò ɣeyiɣi didi aɖe la, ʋuka sue siwo le pons me ate ŋu agblẽ. Le ɣeyiɣi aɖe megbe la, woate ŋu axe mɔ ɖe ʋu ƒe sisi nu, eye mlɔeba la, ʋuka aɖe ate ŋu axe keŋkeŋ, si ana ame naxɔ ʋusɔgbɔdɔ. Esiae nye nusi gbɔ wòtsona wu.

2. Ʋuka gãwo ƒe ʋukawo ƒe ʋuʋu: Ʋukawo ƒe ʋuʋu nye ami siwo le ʋukawo me (plaque) ƒe ƒoƒo ɖe ʋukawo me vivivi, si wɔnɛ be wosẽna. Ne ʋuka sia ƒomevi ƒo ƒu ɖe ʋuka gã siwo tsɔa ʋu yia ahɔhɔ̃a me (e.g., vertebral artery , basilar artery ), ate ŋu axe mɔ na ʋu ƒe sisi yi ʋuka sue siwo le pons me.

Nukawoe nye afɔku siwo ate ŋu ana ame naxɔ Pontine Stroke?

Afɔku vevi siwo le Pontine Stroke me la sɔ kple esiwo le ischemic stroke bubuwo me. Woawoe nye ʋusɔgbɔdɔ kple suklidɔ . Nɔnɔme siawo evea siaa ate ŋu agblẽ nu le wò ʋukawo ŋu, eye ʋuka siwo le pons la hã le eme.

Afɔku bubuwoe nye:

• Sigaretnono.
• Lãmetsi si sɔ gbɔ ɖe ʋua me.
• Dzidɔ si woyɔna be ischemic heart disease ( dzidɔ si tsoa ʋuka siwo le dzia me ƒe xexe me) ƒe ŋutinya si nɔ ame si tsã.
• Hypercoagulable nɔnɔmewo.
• Vasculitis ƒe dɔléle.

Ne afɔku siawo dometɔ aɖe le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be atikewɔwɔ ƒe ɖoɖo si wona wò la le dɔ wɔm nyuie.

Aleke wokpɔa Pontine Stroke ƒe dɔlélea?

Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò la, ele be nàyi xɔ si me wowɔa dɔ kpata le (ETU) me kaba ale si nàte ŋui. Le afima la, ɖɔkta aɖe awɔ dodokpɔ geɖe atsɔ anya Pontine Stroke eye wòalé ŋku ɖe wò lãmesẽ ŋu. Esiawo ate ŋu anye:

• Wò ʋu ƒe sisi kple dzi ƒe tsotso me dzodzro .
• Wò gbɔgbɔ (gbɔgbɔ ƒe dɔwɔwɔ) me dzodzro .
• Lãmesẽdodokpɔ kple atikewɔwɔ ŋutinya .
• Ahɔhɔ̃mekawo ƒe dodokpɔ. Esia ate ŋu ade dzesi dzesi siwo ɖe dzesi le ʋusɔgbɔdɔ ŋu eye woabu akɔnta le ahɔhɔ̃a ƒe akpa si ŋu wògblẽ nu le.
• Ahɔhɔ̃ ƒe nɔnɔmetatawo dodokpɔ.Le kpɔɖeŋu me, CT-dɔdamɔnu kple/alo MRI-dɔdamɔnu . Dodokpɔ siawo ate ŋu aɖo kpe edzi nenye be ʋusɔgbɔdɔa le pons me.

Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ akpɔ wò lãmesẽ ƒe akpa bubuwo, abe ʋudodokpɔ kple EKG (ECG) ene .

Aleke wodaa Pontine Stroke ƒe dɔléleae?

Taɖodzinu vevitɔ si le Pontine Stroke dada ŋue nye be woagbugbɔ ʋu aɖo pons la me. Esia le alea elabena ʋu ƒe sisi kabakaba ate ŋu axe mɔ na nusiwo agblẽ tegbee alo aɖe ʋusɔgbɔdɔa ƒe sesẽ dzi akpɔtɔ ya teti. Le afisia hã la, ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò la, ele vevie be nàɖo kɔdzi kaba ale be nàte ŋu axɔ atike na wò kaba.

Be ʋu nagate ŋu azɔ la, zi geɖe la, wonaa atike ƒomevi aɖe si woyɔna be thrombolytics . Esiawo wɔa dɔ to ʋu si le ƒoƒom la ɖeɖeɖa me. Azɔ hã, ne ʋuka gã aɖe xe la, woate ŋu awɔ amekoko si woyɔna be mechanical thrombectomy atsɔ aɖe ʋuka si me ʋu sina tona la ɖa.

Dɔdamɔnu ƒe taɖodzinu bubuwoe nye:

• Mɔxexe ɖe kuxiwo nu. Wò atikewɔlawo ƒe ƒuƒoƒoa azã atikewɔmɔnu bubuwo atsɔ axe mɔ ɖe kuxi vovovowo nu alo ada wo.
• Gbugbɔgaɖɔɖo be woatsɔ ada lãmekawo ƒe nugbegblẽ le ame ŋu alo kuxiwo.
• Mɔnu siwo woatsɔ axe mɔ ɖe ʋusɔgbɔdɔ bubu nu zazã , abe atikewo, nuɖuɖu ƒe tɔtrɔ, kple kamedede geɖe wu ene.

Pontine ƒe Ʋusɔgbɔdɔ ƒe Gbugbɔgaɖɔɖo

Gbugbɔgaɖɔɖo nye ame geɖe siwo ŋu ʋusɔgbɔdɔ le ƒe hayahaya ƒe akpa vevi aɖe. Le wò dzesiwo nu la, esia ate ŋu ato mɔ vovovowo dzi:

• Nuƒoƒo ƒe dɔdamɔnu: Esia kpena ɖe ŋuwò be wò gbegbɔgblɔ kple nuƒoƒo ƒe ŋutete gadzena, eye wòɖua lãmeka siwo kpena ɖe ŋuwò nègbɔa ya, ɖua nu, noa nu, eye wòmia nu la dzi.
• Lãmesẽnyawo gbɔ kpɔkpɔ: Esia ate ŋu akpe ɖe ŋuwò be wò abɔwo kple afɔwo zazã nanyo ɖe edzi alo woagazã wo ake. Ate ŋu akpe ɖe ame ŋu le nuwo abe dadasɔ ƒe kuxiwo kple lãmekawo ƒe gbɔdzɔgbɔdzɔ hã me.
• Dɔdamɔnu: Esia nana hehe wò ahɔhɔ̃ be wòakpe ɖe ŋuwò nàwɔ gbesiagbedɔwo, abe nuɖuɖu kple nuzazãwo kple awudodo ene.
• Sidzenuwo ƒe hehenana ake: Esia kpena ɖe ŋuwò be nàgbugbɔ ana hehe wò sidzenuwo alo aʋã wò. Le kpɔɖeŋu me, woana hehe wò be nàde dzesi asikaka ame ŋu, ʋuʋu, nyaƒoɖeamenu, kple dzoxɔxɔ ƒomevi vovovowo.
• Sidzedze ƒe atikewɔwɔ:Esia ate ŋu akpe ɖe ŋuwò ne ŋkuɖoɖonudzi ƒe kuxiwo le ŋuwò. Ate ŋu akpe ɖe ŋuwò hã ne esesẽ na wò be wò susu nanɔ dɔ siwo nète ŋu wɔna tsã la ŋu.

Nukae nye ŋgɔdonya na amesiwo ŋu Pontine Stroke le?

Mɔkpɔkpɔ be amesi ŋu Pontine Stroke le ƒe hayahaya nɔ te ɖe nu geɖe dzi. Esiawo dometɔ aɖewoe nye:

• Pons ƒe akpa kae ŋu ʋusɔgbɔdɔa gblẽ nu le?
• Alesi ʋusɔgbɔdɔa nu sẽe.
• Aleke gbegbe nèxɔ atike kabae nye si.
• Wò lãmesẽ bliboa kple ƒe si nèxɔ.

Le kpɔɖeŋu me, zi geɖe la, ʋusɔgbɔdɔ siwo gblẽa nu le pons ƒe akpa ɖeka ko ŋu (afã ɖeka) la, woƒe hayahaya nyona wu ʋusɔgbɔdɔ siwo gblẽa nu le akpa evea siaa ŋu (afã eve) kple esiwo gblẽa nu le pons ƒe megbe (caudal) ŋu.

Wò atikewɔlawo ƒe ƒuƒoƒoa ana nàkpɔ alesi hayahaya anɔ le Pontine Stroke megbe. Di kpekpeɖeŋu tso xɔ̃wòwo gbɔ eye nàbia wo tso nya alo nya ɖe sia ɖe si ŋu nètsi dzi ɖo ŋu.

Nukae nye Pontine Stroke ƒe ŋusẽkpɔɖeamedzi ɣeyiɣi didi?

Pontine Stroke ate ŋu ahe kuxi geɖe siwo anɔ anyi didi alo esiwo anɔ anyi ɖaa vɛ. Esia le alea elabena ahɔhɔ̃meka, si me pons hã le, nye ahɔhɔ̃a ƒe wɔwɔme vevi aɖe si wɔa dɔ vevi geɖe. Afɔku si le wò be nàxɔ kuxiwo nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye Pontine Stroke ƒe ƒomevi kple eƒe sesẽme.

Kuxi siwo ate ŋu ado tso eme ate ŋu anye:

• Ahɔhɔ̃ ƒe gbegblẽ tegbee.
• Ðewohĩ ahiã be woana nuɖuɖu to mɔ̃ me le nuɖuɖu sesẽ ta.
• Aɖuɖɔtoe dzi ɖuɖu ƒe bu (aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie), si hiã be woazã aɖuɖɔtoe.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ ɣeyiɣi didi, si wɔnɛ be wòdzea anyi enuenu.
• Blanuiléle le ʋusɔgbɔdɔ megbe.
• Kuxi siwo dona tso aba dzi ɖiɖiɖeme ɣeyiɣi didi me, le kpɔɖeŋu me, abadzivɔwo kple ʋuka me ʋu ƒe sisi (DVT).
• Nuwɔametɔnyenye ɣeyiɣi didi.
• Dɔléle si nye Locked-in syndrome. Le esia me la, màte ŋu aɖu nu bubu aɖeke dzi le wò ŋutilã me o negbe ŋku ƒe ʋuʋu ko, gake èle ŋudzɔ.
• Aspiration pneumonia, vevietɔ le amesiwo ŋu pseudobulbar palsy alo locked-in syndrome le gome la, tsoa nuɖuɖu alo nunono si gena ɖe yaƒoƒomɔ̃a me gbɔ.
• Ku.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne wò (alo ame aɖe si te ɖe ŋuwò) xɔ Pontine Stroke la, anyo be nàbia nya siawo wò ɖɔkta:

• Pontine Stroke ƒomevi ka ƒomevie nɔ ŋunye?
• Dɔ kawoe ahɔhɔ̃ kple ŋutilã ƒe dɔwɔwɔ kpɔ ŋusẽ ɖe ʋusɔgbɔdɔa dzi?
• Aleke nye hayahaya anɔ? Nukawoe nye afɔɖeɖe siwo kplɔe ɖo le nye beléle me?
• Gbugbɔgaɖɔɖomɔnu ka ƒomevie mehiã?
• Nukae mate ŋu awɔ le ɣleti ʋɛ siwo gbɔna me?
• Nukae mate ŋu akpɔ mɔ na le ƒe ɖeka megbe?
• Aɖaŋu kawoe míehiã be mía kple nye lɔlɔ̃tɔwo nakpɔ dzinye?
• Subɔsubɔdɔ kple dɔwɔnu kawoe li siwo akpe ɖe mía kple nye lɔlɔ̃tɔwo ŋu?
• Nukawoe nye nusiwo ate ŋu ana maxɔ ʋusɔgbɔdɔ ake?

Aleke woawɔ axe mɔ ɖe Pontine Stroke nu?

Womate ŋu axe mɔ ɖe pontine ƒe ʋusɔgbɔdɔ nu ɣesiaɣi o. Gake àte ŋu awɔ dɔ kple wò ɖɔkta akpɔ nusiwo ate ŋu ana nàxɔ ʋusɔgbɔdɔ gbɔ. Dɔdzikpɔkpɔ ƒe mɔnuwo ate ŋu anye:

• Kpɔ wò ʋu ƒe sisi dzi, eye nàɖoe be yeanye 140/90 mmHg alo esi mede nenema o. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewo kple/alo nàtrɔ asi le wò dɔwɔna kple nuɖuɖu ŋu.
• Le kpɔɖeŋu me, ʋumemi si sɔ gbɔ (ʋumemi ƒe agbɔsɔsɔ si mebɔ o) dada , kamedede ƒe dzidziɖedzi, nuɖuɖu ƒe tɔtrɔ, kple/alo statin- tikewo zazã.
• Dzra suklidɔ dzi, eye nàɖoe be yeana A1C nanɔ 7% alo esi mede nenema o.
• Atamanono dzi ɖeɖe kpɔtɔ, si woate ŋu akpe ɖe eŋu to nuƒoƒo ƒe atikewɔwɔ kple nicotine ɖɔliɖɔli ƒe atikewɔwɔ (NRT) zazã me .
• Tɔtrɔwo wɔwɔ le wò nuɖuɖu ƒe ɖoɖoa ŋu, le kpɔɖeŋu me, DASH ƒe nuɖuɖu alo Mediterranea nuɖuɖu dzi wɔwɔ .
• Miwɔ kamedede edziedzi aɖabaƒoƒo 40 ya teti gbesiagbe, ŋkeke etɔ̃ va ɖo ene le kwasiɖa me.
• Kpekpeme si le lãmesẽ me me léle ɖe asi alo edzi.
• Ne dzitodzito me ʋu ƒe sisi (Afib) (dzi ƒe tsotso si mesɔ o) le ŋuwò la, no ʋumenugbagbeviɣitikewo (atike siwo tsia ʋumenugbagbeviɣidɔ nu) abe aspirin alo warfarin ene .

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Pontine Stroke ate ŋu atrɔ wò agbenɔnɔ le ɣeyiɣi kpui aɖe ko me. Eyata ele vevie be nànya eƒe dzesiwo eye nàyi kɔdzi kaba ne wò ŋutɔ alo ame aɖe si nènya la kpɔe. Agbenɔnɔ le ʋusɔgbɔdɔ megbe ate ŋu asesẽ ŋutɔŋutɔ eye ate ŋu atrɔ le mɔ siwo màsusui o nu. Mègaŋlɔ be be yeadi kpekpeɖeŋu tso wò atikewɔlawo kple wò lɔlɔ̃tɔwo gbɔ le wò hayahaya ƒe mɔzɔzɔa me o. Ðo ŋku edzi be afɔɖeɖe kaba kple atikewɔwɔ nyuitɔ ate ŋu ana tɔtrɔ gã aɖe nava.

`Pontine stroke, ahɔhɔ̃ me ʋusɔgbɔdɔ, ʋusɔgbɔdɔ ƒe dzesiwo, ʋusɔgbɔdɔ ƒe atikewɔwɔ, pons, ahɔhɔ̃ ƒe ke, ahɔhɔ̃medɔlélewo, beléle kpata