Ua loaʻa anei iā ʻoe kahi mini-stroke? Ua kapa ʻia kēia he TIA (Transient Ischemic Attack)!

Ua lohe paha ʻoe i kahi Transient Ischemic Attack ( TIA )? He mea kupanaha paha ia iā ʻoe. I ka ʻōlelo maʻalahi, ua like ia me kahi hahau manawa pōkole . ʻO ia hoʻi, ua kaupalena ʻia ke kahe o ke koko i kahi ʻāpana o ko kākou lolo no kekahi manawa a laila hoʻi i ka maʻamau. He mea kēia e pono ai kākou e hopohopo nui, no ka mea, hiki ke lilo i mea mua i kahi hahau nui. No laila, i kēia lā e kamaʻilio mākou e pili ana i ka TIA ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka TIA?

ʻO ka TIA, e like me kaʻu i ʻōlelo ai ma mua, he wā pōkole ia e hoʻopau ai i ke kahe koko i kahi ʻāpana o kou lolo. Ua like ia me kahi paipu wai e ālai ʻia no kekahi manawa a laila wehe hou. Ke ʻoki ʻia ke kahe koko, ʻaʻole loaʻa i nā ʻāpana lolo ka oxygen a me nā meaʻai. A laila e pau ka hana ʻana o kēlā mau ʻāpana no kekahi manawa, a i kekahi manawa hoʻomaka lākou e hōʻino ʻia. ʻO kēia ka mea a mākou e kapa nei he `(Ischemia)`.

Ua kapa pinepine ʻia kēia he TIA. Ua like loa ia me ka "ischemic stroke", ʻo ia hoʻi ka hahau ʻana i hoʻokumu ʻia e kahi ʻūpā koko. Ua like nā hōʻailona no nā mea ʻelua. Akā ʻo ka ʻokoʻa nui, ʻo ia ka nalowale loa ʻana o nā hōʻailona o ka TIA i loko o 24 mau hola (pinepine i loko o kekahi mau minuke).

ʻO ka mea nui loa: He pilikia olakino ka TIA, e like me ka hahau ʻana! No ka mea, ʻaʻole hiki iā mākou ke ʻike maopopo inā he TIA a he hahau paha ke hoʻomaka nā hōʻailona. No laila, inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i nā hōʻailona o ka hahau ʻana (no ka laʻana, nalowale ka ʻike, hiki ʻole ke ʻōlelo, kūlou ka maka, loli ka ʻike ), pono ʻoe e kāhea koke iā 1990 (ka lawelawe ambulance pilikia o Sri Lanka). ʻOiai inā emi iki kāu mau hōʻailona, ​​​​mai kali a noʻonoʻo, "Auē, ua maikaʻi kēia." Hiki i ka TIA ke lilo i hōʻailona hōʻailona ma mua o ka hiki ʻana mai o kahi hahau nui!

ʻO wai ka inoa kūpono no ka TIA a i ʻole "mini stroke"?

He nui ka poʻe e kapa ana i nā TIA he "mini-strokes." Akā, ʻaʻole kēlā ka inoa kūpono. ʻAʻole mau ka TIA he "mini," a liʻiliʻi paha. I kekahi manawa hiki iā ia ke hoʻopilikia i kahi ʻāpana nui o ka lolo. ʻO ka mea nui, hiki i kahi hahau maoli ke hana i loko o nā minuke, nā hola, a i ʻole nā ​​lā ma hope o ka TIA.

Aia ʻelua mau ʻokoʻa koʻikoʻi ma waena o ka hahau a me ka TIA:

1. ʻO ka maʻamau, e nalowale ana ka TIA ma kāna iho. ʻO ia hoʻi, e nalowale ana nā hōʻailona. Akā, ʻaʻole e nalowale ka hahau ʻana. Pono e mālama ʻia.

2. Inā loaʻa iā ʻoe kahi hahau, hiki ke ʻike ʻia nā hōʻailona o ia mea ma kahi scan MRI. ʻOiai inā e pau ana kāu mau hōʻailona, ​​​​aia nō ka pōʻino i kou lolo. I loko o kahi TIA, ʻaʻohe ʻokoʻa nui ma kahi MRI.

He aha nā hōʻailona o kahi TIA?

Ua like loa nā hōʻailona o ka TIA me nā hōʻailona o ka hahau ʻana. Hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau mea i ka manawa like:

• Ka nalowale o ka ikaika a i ʻole ka lolo ma kekahi ʻaoʻao o ke kino (Hemiplegia): E noʻonoʻo koke ʻaʻole hiki ke hāpai i kahi lima a wāwae paha, a i ʻole e like me ʻoe e hilinaʻi ana i kekahi ʻaoʻao i ka wā e hele ana.
• Paʻakikī a hiki ʻole paha ke ʻōlelo (Aphasia): Paʻakikī ke hana ʻana i nā huaʻōlelo, hiki ʻole ke ʻōlelo i kāu mea e makemake ai e ʻōlelo, a i ʻole hiki ʻole ke hoʻomaopopo i ka mea a haʻi e ʻōlelo nei.
• ʻŌlelo kūpikipiki a ʻōlelo pahee paha (Dysarthria): I ka wā e ʻōlelo ai, ʻaʻole maopopo nā huaʻōlelo, me he mea lā ua paʻa ke alelo.
• Ka nalowale ʻana o ke kaohi a i ʻole ke kūlou ʻana o kekahi ʻaoʻao o ka maka: Ke nānā aku i loko o ke aniani, e huli ana ke kihi o ka waha ma kekahi ʻaoʻao i lalo a manaʻo ʻia he paʻakikī ke pani i ka maka.
• Ka nalowale koke ʻana o ka ʻike ma kekahi a ʻoi aku paha mau manaʻo (ʻike, lohe, honi, ʻono, hoʻopā ): Ka nalowale koke ʻana o ka ʻike, ka lohe, ke honi, a i ʻole ka ʻono.
• ʻIke pōwehiwehi a ʻike pālua paha (Diplopia): ʻIke ʻana i ʻelua mau mea i ka manawa hoʻokahi, a i ʻole ka ʻike pōwehiwehi.
• Ka nalowale o ke kaulike a i ʻole ka paʻakikī i ka hoʻoneʻe ʻana i ke kino (Ataxia): Manaʻo ia e like me ʻoe e luliluli ana i ka wā e hele ana, a he paʻakikī ke kaohi i kou mau lālā.
• Vertigo: He manaʻo o ka poniuniu a i ʻole ka milo ʻana i loko o ke poʻo .
• Ka luaʻi a me ka luaʻi ʻana : Manaʻo e like me ka huli ʻana o kou ʻōpū, a makemake paha ʻoe e luaʻi.
• ʻOʻoleʻa o ka ʻāʻī: He paʻakikī ke hoʻohuli i ka ʻāʻī, he ʻoʻoleʻa ke ʻano.
• Ka paʻa ʻole o ka naʻau a me nā loli o ke ʻano: Huhū koke, uē ʻana, a i ʻole nā ​​​​loli o ke ʻano.
• Huikau a hoʻonāukiuki paha: ʻAʻole hiki ke hoʻomaopopo i ka mea e hana nei, manaʻo nui ʻia.
• Amnesia: ʻAʻole hiki iā ʻoe ke hoʻomanaʻo i ka mea i hana ʻia, a ʻaʻole hiki iā ʻoe ke hoʻomanaʻo i kāu mea i hana ai i kahi manawa pōkole i hala.
• ʻEha poʻo (ʻo ka maʻamau koke a koʻikoʻi): He ʻeha poʻo koke a koʻikoʻi.
• Nāwaliwali a i ʻole ka nawaliwali ʻana: Poho koke ka ʻike.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , ​​​​mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau.

He aha ke kumu o ka TIA?

Ua like like nā kumu o ka TIA a me ka `(Ischemic stroke)`. Eia kēia mau mea:

• Thrombosis: Hoʻokumu ʻia kahi ʻaʻa koko i loko o kahi kīʻaha koko i loko o ka lolo a ālai iā ia.
• ʻO kahi ʻāpana o kahi ʻaʻa koko i hana ʻia ma kahi ʻē aʻe o ke kino e haki a hele i ka lolo (Thromboembolism): E noʻonoʻo i kahi ʻaʻa koko i hana ʻia i loko o ka puʻuwai a i ʻole i loko o nā kīʻaha koko nui ma ka ʻāʻī (Carotid arteries), e haki, hele pū me ke koko, a paʻa i loko o kahi kīʻaha koko liʻiliʻi ma ka lolo.
• Hahau Lacunar: He ālai ʻana o nā kīʻaha koko liʻiliʻi loa i loko o ka lolo.
• TIA Cryptogenic: ʻO Cryptogenic ke ʻano o "kumu huna." ʻO ke ʻano kēia ʻaʻohe kumu maopopo o kekahi mau TIA.

He aha nā kumu pilikia no kēia maʻi?

Nui nā kumu e hiki ai ke hoʻoulu a hoʻonui paha i ka likelika o kahi TIA. Kāhea mākou i kēia mau mea pilikia.

• Ke koko kiʻekiʻe (Hypertension): ʻO kēia ke kumu nui a ikaika loa no ka hoʻomohala ʻana i kahi TIA. ʻO ia ke kumu e ʻōlelo mau ai mākou e mālama i kou koko ma lalo o ke kaohi.
• ʻO ka maʻi diabetes ʻano 2: ʻO ka poʻe me ka maʻi diabetes e pili ana i ka hoʻomohala ʻana i ka TIA.
• Ka hoʻohana ʻana i ka paka (ʻoi aku ka puhipaka a i ʻole ka vaping): He hopena nui ka puhipaka a me ka vaping i kēia.
• ʻO ka Atrial Fibrillation (Afib): He ʻano puʻuwai ʻē kēia (Arrhythmia). I kēia, ʻaʻole paha e kahe pono ke koko i loko o kekahi keʻena o ka puʻuwai a hiki ke kū i ke kūlana paʻa. ʻO kēia ka mea e maʻalahi ai ke kūkulu ʻia ʻana o nā ʻōpū koko. Hiki i kēia mau ʻōpū koko ke hele i ka lolo a paʻa.
• Ma hope o ka loaʻa ʻana o kahi hahau a i ʻole TIA ma mua: Inā ua loaʻa iā ʻoe kahi hahau a i ʻole TIA ma mua, ʻoi aku ka nui o ka loaʻa ʻana o kahi TIA ʻē aʻe.

Nā kumu pilikia ʻē aʻe:

• Maʻi puʻuwai a me ka hāʻule puʻuwai ma mua (ʻoi aku ka mea hou loa): ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi puʻuwai a me ka poʻe i loaʻa i ka hāʻule puʻuwai.
• ʻO ke kolesterol kiʻekiʻe (Hyperlipidemia): Ma muli o ka piʻi ʻana o ka pae o ka kolesterol maikaʻi ʻole (LDL cholesterol) i loko o ke koko, hiki ke waiho ʻia kēia mau mea i loko o nā kīʻaha koko a hoʻohaiki i nā kīʻaha koko. Ua kapa ʻia kēia ʻo "Atherosclerosis".
• Ke kaumaha nui a momona paha: ʻOi aku ka nui o ka pilikia o ka poʻe momona.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau (me nā lāʻau lapaʻau leʻaleʻa) a me ka inu ʻana i ka waiʻona nui me ka ʻole o ke aʻo ʻana a ke kauka.
• Makahiki: I ko kākou ʻelemakule ʻana, lilo nā kīʻaha koko i mea palupalu no nā kumu like ʻole. Hiki i kēia ke alakaʻi i ka atherosclerosis, ka haiki ʻana o nā kīʻaha koko, a me kahi TIA.

He aha nā pilikia e hiki ke loaʻa mai kahi TIA?

ʻO ke kumu nui he pilikia olakino ka TIA no ka mea he hōʻailona ia e hōʻike ana e hiki mai ana kahi hahau . Ma kahi o 20% o ka poʻe i loaʻa i ka TIA e loaʻa i ka hahau i loko o 90 mau lā. A ʻo ka hapalua o kēlā mau hahau e hana ʻia i loko o nā lā ʻelua mua o ka TIA. ʻO ia ke kumu he mea nui loa ka loaʻa koke ʻana o ka lāʻau.

Pehea e ʻike ʻia ai kahi TIA? (Diagnosis)

Hoʻoponopono ke kauka i kahi TIA ma ka hoʻohui ʻana i kekahi mau ʻano hana.

• Mōʻaukala lapaʻau: E nīnau mākou iā ʻoe e pili ana i kou kūlana olakino, nā maʻi i hala, a me nā hōʻailona o kēia manawa.
• Ka hoʻokolokolo kino a me ka neurological: Hiki i kēia ke kōkua i ke kauka e aʻo hou e pili ana i kāu mau hōʻailona, ​​​​ʻoiai inā loaʻa iā ʻoe nā hōʻailona i ka manawa o ka hoʻokolokolo ʻana.
• Nā kiʻi kiʻi:
• Hiki ke hana ʻia kahi scan CT i loko o kekahi mau minuke. Hiki iā ia ke hoʻoholo koke inā he kahe koko i loko o ka lolo. Inā he, hiki ke hoʻomaka koke ʻia ka lāʻau lapaʻau.
• Hiki i kahi scan MRI ke haʻi maopopo iā ʻoe inā ua loaʻa iā ʻoe kahi hahau a i ʻole kahi TIA. ʻO kēia no ka mea inā ua nalowale loa kāu mau hōʻailona, ​​​​inā he pōʻino i ka lolo, e ʻike ʻia ma ka MRI. Inā hana ia, he hahau ia. ʻAʻole hōʻike pinepine ka TIA i kēlā nui o ka pōʻino.

Ma muli o kāu mau hōʻailona a me nā pilikia olakino ʻē aʻe a kāu kauka e manaʻo nei, hiki ke kauoha ʻia nā hoʻokolohua ʻē aʻe. E wehewehe kāu kauka i ke ʻano o kēia mau hoʻokolohua a me ke kumu e hana ʻia ai.

Pehea e mālama ʻia ai kahi TIA?

ʻO ka TIA, ma ka wehewehe ʻana, he manawa pōkole. Akā ʻo ia hoʻi ke ʻano o ka hahau ʻana - ʻaʻole ia he manawa pōkole, akā he koʻikoʻi - hiki ke hana. ʻO ia hoʻi , ʻo ka mālama ʻana i ke kūlana i hoʻokumu ai i ka TIA hiki ke pale i ka hahau ʻana.

ʻO ka maʻamau, paipai nā kauka i ka mālama mua a me ka ikaika no kēia mau kūlana. ʻO kēia no ka mea he ʻano koʻikoʻi loa ka hahau ʻana a hoʻoweliweli i ke ola. He paʻakikī hoʻi ke mālama ʻia nā hahau. ʻOiai me ka mālama ʻana, hiki i nā hahau ke hōʻeha mau loa a i ʻole ka make.

ʻO nā lāʻau lapaʻau nui e pale ai i ka hahau ʻana ma hope o ka TIA:

• Nā lāʻau lapaʻau
• Nā kaʻina hana e pili ana i ka catheter
• ʻoki kino

Nā lāʻau lapaʻau e pale ai i ka hahau ma hope o ka TIA

Nui nā lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana i nā kūlana e hoʻokumu ai a kōkua paha i kahi TIA a pale i nā TIA a i ʻole nā ​​​​hahau e hiki mai ana.

• ʻAspirin: ʻO kēia ka lāʻau lapaʻau i kuhikuhi pinepine ʻia e nā kauka. Kōkua ia i ka pale ʻana i nā hahau ma ka hōʻemi ʻana i ka pilikia o nā ʻūpā koko. Hoʻohana ʻia ʻo Clopidogrel (Plavix®), Ticagrelor (Brilinta®), a me Aggrenox (kahi hui pū ʻana o ka aspirin a me dipyridamole) no kēia kumu.
• Nā lāʻau lapaʻau koko: Hoʻemi kēia i ke kaomi i loko o nā kīʻaha koko. ʻO nā laʻana e komo pū me nā `(Calcium channel blockers)`, `(ACE inhibitors)`, `(Angiotensin II receptor blockers – ARBs)`, `(Diuretics)` (nā lāʻau lapaʻau e hoʻomāhuahua ai i ka mimi).
• Nā ʻano o nā statins:He mau lāʻau hoʻohaʻahaʻa kolesterol kēia. Hoʻemi nui lākou i ka pae o ka cholesterol maikaʻi ʻole (LDL cholesterol) i loko o ke koko. ʻO kēia cholesterol LDL ka mea e waiho ana i loko o nā kīʻaha koko, e hoʻohaiki ana iā lākou a e hoʻoulu ai i ka atherosclerosis. ʻO Atorvastatin (Lipitor®) a me Rosuvastatin (Crestor®) nā lāʻau lapaʻau kaulana i kēia papa.
• Nā lāʻau hoʻokahe koko / Anticoagulants: Hoʻoikaika kēia mau lāʻau i ke koko e paʻakikī ke kāpili. Hoʻemi kēia i ka pilikia o ka hoʻokumu ʻia ʻana o kahi ʻaʻa koko a me ke paʻa ʻana i loko o kahi kīʻaha koko i loko o ka lolo. ʻO nā laʻana e like me `(Warfarin – Coumadin®)`, `(Apixaban – Eliquis®)`, `(Rivaroxaban – Xarelto®)` a i ʻole `(Dabigatran – Pradaxa®)`. Hiki ke kuhikuhi ʻia kēia mau lāʻau inā loaʻa iā ʻoe `(Atrial Fibrillation)` (kahi ʻano puʻuwai ʻē) a i ʻole inā he mau ʻaʻa koko i loko o kou puʻuwai.

Nā kaʻina hana e pili ana i ka catheter

ʻO nā kaʻina hana endovascular e pili ana i kekahi lāʻau lapaʻau e hoʻohana ana i nā mea hana lahilahi, e like me ka paipu i hoʻokomo ʻia i loko o kahi kīʻaha koko ma o kahi ʻoki liʻiliʻi loa i ka ʻili. ʻO ke ʻano o ka endovascular ʻo "i loko o kahi kīʻaha koko." Hoʻōla kēia mau kaʻina hana i nā pilikia i loko o ke kīʻaha koko ponoʻī, me ka ʻole o ka pono no ke ʻoki kino nui.

Hana pinepine ʻia kēia mau mea ma kou mau "ʻaʻa Carotid". ʻO ia hoʻi, nā kīʻaha koko nui e lawe i ke koko mai ka puʻuwai a i ka lolo. ʻO ka hāiki ʻana o kēia mau "ʻaʻa Carotid" (stenosis) hiki ke hana i kahi TIA a i ʻole ka hahau ʻana.

Eia kekahi mau kaʻina hana endovascular e hiki ke kōkua i ka pale ʻana i ka hahau ma hope o ka TIA:

• Endovascular thrombectomy: He hana kēia e wehe ai i ke koko. Wehe kēia i ke kīʻaha koko a hoʻihoʻi i ke kahe koko i ka lolo.
• Stenting: Pili kēia i ke kau ʻana i kahi stent, kahi mea like me ka mesh, i loko o kahi kīʻaha koko. Kōkua ka stent i ka mālama ʻana i ka ʻāpana haiki o ke kīʻaha koko e wehe ana, e ʻae ana i ke koko e kahe maʻalahi.
• Angioplasty: Pili kēia i kahi catheter (ʻōmole) me kahi pōpō e pili ana iā ia. Hiki ke hoʻopiha ʻia kēia pōpō e hoʻonui i ke kīʻaha koko i haiki.

Hoʻopau ʻia ka endarterectomy

I nā hihia kahi hiki ʻole ai ke kaʻina hana e pili ana i ka catheter, hiki ke hana ʻoki kino e hoʻonui i nā kīʻaha koko. Hiki i kēia ke kōkua i ka pale ʻana i kahi TIA a i ʻole ka hahau ʻana. ʻO kahi laʻana he ʻoki kino i kapa ʻia ʻo carotid endarterectomy. Pili kēia i ka wehe ʻana i kahi kīʻaha koko nui ma ka ʻāʻī (ke aʻa carotid), ka wehe ʻana i ka plaque, a me ka hoʻonui ʻana i ke kahe koko.

Ka mālama ʻana no nā kūlana ʻē aʻe e hiki ke kōkua i kahi TIA

Hiki ke noʻonoʻo ʻia nā lāʻau lapaʻau ʻē aʻe ma muli o kāu mau kūlana olakino ʻē aʻe. No ka laʻana, hiki i kāu hui loea puʻuwai a i ʻole cerebrovascular (ʻaʻa koko lolo) ke hoʻoholo ua hana ʻia kāu TIA a i ʻole ka hahau ʻana e kahi kūlana i kapa ʻia he patent foramen ovale (PFO). ʻO ka PFO kahi lua i loko o ka paia e hoʻokaʻawale ana i nā keʻena haʻahaʻa ʻelua o ka puʻuwai. Hiki i kēia ke ʻae i nā ʻōpū koko e hele i ka lolo. Hiki i kāu kauka ke ʻōlelo aku e pani i ka lua e hōʻemi i ka pilikia o ka hahau ʻana.

Hiki ke pale ʻia kahi TIA?

I kekahi manawa hiki, akā ʻaʻole i nā manawa a pau. Hoʻokumu ʻia ka hapa nui o nā TIA e nā kumu hiki ke pale ʻia. Akā i kekahi manawa hiki ke loaʻa nā TIA no nā kumu i manaʻo ʻole ʻia a i manaʻo ʻole ʻia.

Nui nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka ischemic stroke, ʻo ia hoʻi ka stroke i hoʻokumu ʻia e kahi clot koko. ʻOiai ʻaʻole paha kēia e pale loa i ka stroke, hiki iā ia ke hōʻemi i kou pilikia. Nā mea hiki iā ʻoe ke hana:

• E ʻike i kāu mea mālama ola mua ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no kahi nānā piha. Hiki i kēia ke kōkua i ka ʻike ʻana i nā pilikia e kū mai ana me ka ʻole o nā hōʻailona, ​​​​e like me ke koko kiʻekiʻe a me ka maʻi diabetes.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E makaʻala i kāu mea e ʻai ai a e inu ai (e aʻo aku kāu kauka ʻohana iā ʻoe ma kēia).
• Inā ʻoe e hoʻohana i nā huahana paka, e hoʻōki i ka hoʻohana ʻana iā lākou (a i ʻole mai hoʻomaka e hoʻohana iā lākou ma kahi mua).
• Inā ʻoe e hoʻohana i ka waiʻona, e kaupalena iā ia. Mai hoʻohana i nā lāʻau ʻē aʻe me ka ʻole o ke aʻo ʻana mai ke kauka.
• E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka e like me ke kuhikuhi ʻana.
• E mālama i kāu mau maʻi mau loa (e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol kiʻekiʻe).

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi TIA?

Ua like ka TIA me kahi hahau manawa pōkole. Inā ʻike ʻoe i kēia mau hōʻailona i kou wā e hana ana i kekahi mea, paʻakikī paha iā ʻoe ke hoʻomaha a hiki ke emi a nalowale paha nā hōʻailona. Eia nō naʻe, hiki ke hoʻi koke mai nā hōʻailona ke hoʻomau ʻoe i kāu hana.

ʻOiai ua like nā hōʻailona o ka TIA a me ka hahau ʻana, pono ʻoe e kāhea koke i ka 911. ʻAʻohe ala e ʻike ai inā he hahau ʻana a he TIA paha i ka manawa o nā hōʻailona.

Pehea ka lōʻihi e hiki ai i kahi TIA ke mau?

Hiki ke ʻokoʻa ka lōʻihi o ka manawa o kahi TIA. Ma ka wehewehe ʻana, ʻaʻole iʻoi aku ma mua o 24 mau hola ka lōʻihi o kahi TIA. Eia nō naʻe, he mea kakaikahi ka lōʻihi o kahi TIA. He mau minuke wale nō ka lōʻihi o ka hapa nui o nā TIA.

He aha ka manaʻo no kahi TIA?

ʻO ka nānā ʻana no kahi TIA e hilinaʻi nui ʻia i ke kumu a me kāu mea e hana ai e pili ana. Me ka ʻole o ka lāʻau lapaʻau, kiʻekiʻe loa ka pilikia o ka loaʻa ʻana o ka hahau ʻana i loko o nā lā 90 e hiki mai ana - ʻoi aku hoʻi i loko o nā lā ʻelua mua ma hope o ka TIA.

ʻOi aku ka maikaʻi o ka nānā ʻana inā ʻoe e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia . Hiki i nā kauka ke hōʻoia inā he TIA a he hahau paha kāu, a ʻike i ke kumu a i ʻole ka mea i kōkua i kāu TIA. Ma kēlā ʻano, hiki iā lākou ke hoʻoholo pehea e mālama ai i ka pilikia kumu, a me nā mea hiki iā ʻoe ke hana e pale aku ai i nā pilikia hou aʻe.

Pehea e mālama ai iaʻu iho ma hope o kahi TIA?

Ma hope o kou loaʻa ʻana o ka lāʻau lapaʻau, he mea nui loa ia e hahai i nā ʻōlelo a kāu kauka. ʻO ka ʻoi aku o kou hahai pono ʻana i kēlā mau ʻōlelo aʻoaʻo, ʻo ka nui o kou pale ʻana i ka loaʻa ʻana o kahi TIA a i ʻole ka hahau ʻana. ʻOiai hiki ke hana ʻia nā TIA no nā kumu like ʻole, hiki ke loli ke ʻano āu e pono ai e mālama iā ʻoe iho.

Ma keʻano laulā, ʻo nā mea like āu e hiki ai ke hana e pale aku i nā TIA a i ʻole e hōʻemi i kou pilikia o ka loaʻa ʻana o lākou, ʻo ia nā mea like āu e hana ai ma hope o ka TIA. E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ka mea hiki iā ʻoe ke hana a me ka mea pono e hana.

Āhea wau e ʻike ai i ke kauka? / Āhea wau e hele ai i ka lumi pilikia?

Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau ulia pōpilikia no ka TIA, pono ʻoe e ʻike i ke kauka no ka mālama ʻana. E hoʻonohonoho kāu kauka i nā kipa hahai e like me ka mea e pono ai. E kōkua pū lākou iā ʻoe e nānā i kāu mau hōʻailona a ʻike i ka maikaʻi o ka hana ʻana o kāu lāʻau lapaʻau.

Inā ua loaʻa iā ʻoe kahi TIA ma mua, a hoʻi hou kēlā mau hōʻailona, ​​​​pono ʻoe e kāhea koke i ka 1990 a hele i ka lumi pilikia kokoke loa.

Hiki i ke kanaka i loaʻa i ka TIA ke loaʻa i nā maʻi ʻē aʻe. Pono ʻoe e ʻimi i ke kōkua lapaʻau ulia pōpilikia inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• ʻO nā ʻūpā koko i loko o nā aʻa o nā wāwae (Deep Vein Thrombosis - DVT) (pehu, ʻulaʻula, ʻeha ma nā wāwae)
• ʻO ka Pulmonary Embolism (PE) (ʻeha koke o ka umauma, paʻakikī ka hanu ʻana)
• Hoʻouka puʻuwai (ʻeha nui o ka umauma, ʻūlū, ʻeha e pālahalaha ana i lalo i ka lima hema)

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

• Ua loaʻa iaʻu kahi TIA a i ʻole kahi hahau?
• He aha nā kumu/nā kumu i hoʻokumu a i kōkua paha i kaʻu TIA?
• He aha nā hoʻololi e hiki iaʻu ke hana a makemake paha e hana e pale aku i kahi TIA a i ʻole ka hahau ʻana?
• He aha nā lāʻau lapaʻau e loaʻa ana e pale aku ai i kahi TIA a i ʻole ka hahau ʻē aʻe?
• He aha nā hopena ʻaoʻao e pono iaʻu e makaʻala e hiki mai ana mai nā lāʻau lapaʻau a i ʻole nā ​​​​​​lāʻau lapaʻau?
• He aha nā hōʻailona ʻē aʻe e pono ai iaʻu e hele i ka lumi pilikia?

Pehea ka maʻamau o ka TIA?

He mea maʻamau loa ka TIA. Wahi a nā loea he 500,000 mau TIA i hōʻike ʻia i kēlā me kēia makahiki. Eia nō naʻe, aia nā hōʻike e hōʻike ana he ʻoi aku ka kiʻekiʻe o kēia helu. Aia kekahi mau kumu no kēia:

• He manawa pōkole ka TIA: ʻAʻole paha e ʻike ka poʻe i ka mea e hana nei iā lākou. Inā nalowale koke nā hōʻailona, ​​ʻaʻole paha lākou e hele i ka haukapila a ʻimi paha i ke kōkua lapaʻau.
• ʻAʻole waiho nā TIA i kekahi hōʻike:ʻAʻole hiki ke ʻike ʻia kahi TIA ma nā kiʻi imaging ma hope o kona pau ʻana. Inā he pōʻino o ka lolo, he hahau ia, ʻaʻole he TIA.
• Ma hope pinepine o nā TIA ka hahau ʻana: Hiki ke loaʻa kahi hahau ma hope koke iho o ka TIA, akā ʻaʻole paha lākou e ʻike i ke ʻano o ka TIA.
• Nui nā kūlana ʻē aʻe e like me nā TIA (TIA mimics): Nui nā kūlana e hoʻoulu ai i nā hōʻailona e like me ka hahau ʻana, akā ʻaʻole ia he hahau maoli. Ke hele ke kanaka i ka haukapila, ʻaʻole paha e hiki ke ʻike i ke kumu o kā lākou mau hōʻailona.

ʻO ka mea hope loa, eia kaʻu e ʻōlelo aku ai iā ʻoe (Leka Lawe-Home)

Hiki i ka `(Transient Ischemic Attack – TIA)` ke hiki koke mai a nalo i loko o kekahi mau minuke. Akā hiki iā ia ke hoʻoulu i ka nui o ka huikau a me ka makaʻu i loko o kou manaʻo. ʻOiai inā loaʻa iā ʻoe nā hōʻailona o ka hahau a nalo lākou i loko o kekahi mau minuke, mai hoʻowahāwahā iā ia! ʻO ia hoʻi, pono ʻoe i ke kōkua lapaʻau koke.

Inā loaʻa iā ʻoe kahi TIA, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka hahau ʻana i loko o nā lā 90 e hiki mai ana. Eia kekahi, ʻo ka hapalua o nā hahau āpau ma hope o ka TIA e hana ʻia i loko o nā lā ʻelua mua. Ma ka loaʻa koke ʻana o ka lāʻau lapaʻau, hiki iā ʻoe ke pale aku i kahi hahau ʻoi aku ka koʻikoʻi. Hiki iā ia ke hoʻopakele i kou ola, pale i ka hōʻino mau loa, a pale i ka nalowale o ka hiki. No laila, e makaʻala loa i kēia. Manaʻolana wau he mea pono kēia ʻike no ʻoe a me kāu poʻe aloha.