Yu de wɔri bɔt di blɔd vesel dɛn we de na yu bren? Lɛ wi tɔk bɔt Sɛribrovaskyuɛl Disease

Yu dɔn ɛva fil se yu ed de tɔn ɔ yu nɔ no natin na wan say na yu bɔdi? Yu kin ivin gɛt prɔblɛm fɔ tɔk. Dis kin kam bikɔs yu gɛt prɔblɛm wit di blɔd vesel dɛn na yu bren. Nɔ wɔri, tide wi go tɔk bɔt wan sik we dɛn kɔl sɛribrovaskul sik, we na wan kayn sik na yu bren.

Wetin na Sɛribrovaskyuɛl Sik? Lɛ wi ɔndastand am rili simpul wan.

Fɔ tɔk am simpul wan, dis na wan jenɛral nem fɔ wan grup pan sik dɛn we kin afɛkt di blɔd vesel dɛn na di bren. ‘Cerebro’ min yu bren. ‘Vascular’ min blɔd vesel dɛm, dat na di at ɛn vein dɛm we de kɛr blɔd na wi bɔdi. So, ‘sεribrovaskul sik’ de tכk bכt sik dεm we de rilet to di bכdi vεsεl dεm na di bren. Dɔn gɛt am?

Tu men tin de we kin apin bikɔs ɔf dis sik we de na di sεribra vaskul.

1. di bכdi we de fכm na di bren we de fכm dεn dכn: Wi de kכl dis fכ mεdikal ‘ischemia’. Dis kin apin we wan blɔd vesel kin blok.

2. Blidi we de bכn insay di bren: dεn kכl dis ‘εmoraji’. Dis kin apin we blɔd vesel bɔs.

Dɛn tu kɔndishɔn ya kin gɛt fɔ du wit di siriɔs sik we wi kin kɔl ‘strok’ . Strɔk kin apin bikɔs ɔf sik dɛn we de na di blɔd vesel dɛn na di bren, lɛk bɔku ɔda vaskul sik dɛn.

I rili impɔtant fɔ mek if yu ɔ pɔsin we de nia yu gɛt strok, yu fɔ mek blɔd go bak na yu bren kwik kwik wan. If nɔto dat, di bren sɛl dɛn kin day kwik kwik wan, ɛn dis kin mek pɔsin gɛt disabled fɔ ɔltɛm ɔ day. So, dɛn fɔ trit dis lɛk se na imejensi.

Wetin na dɛn blɔd vesel ya we de afɛkt di bren?

כl tu di atεri dεm εn di vein dεm kin afekt pan sεribra vaskul sik dεm. Bɔku men blɔd vesel dɛn we de gi blɔd to wi bren kin gɛt dɛn sik ya mɔ:

• Carotid arteries: Dɛn blɔd vesel ya de na di fɔs pat na yu nɛk. Bɔrku pipul dɛn gɛt wan karotid at na ɔl tu di rayt ɛn lɛft say.
• di vεrbral atεri dεm: dεn blכd vesel dεm ya de na di bak pat na yu nεk. Bɔku pipul dɛn gɛt wan na ɛni say na dɛn nɛk, na di rayt ɛn lɛft say.

Dis na di men blɔd vesel dɛn we de kɛr blɔd go na di bren. So if ɛni blɔk ɔ prɔblɛm de na dɛn vessel ya, i go gɛt big impak pan di wok we di bren de du.

Yu tink se difrɛn kayn dis sik de?

yes, difrεn kayn sik dεm de we de fכl insay di kεtכgכri fכ ‘sεribrovaskul sik’. ‘Stroke’ na di wan we kɔmɔn pas ɔl pan dɛn tin ya ɛn na di kayn we we ɔlmost ɔl wi dɔn yɛri bɔt. Bɔt, nɔto dis nɔmɔ. Lɛ wi luk sɔm ɔda ɛgzampul dɛn, nɔto so?

• Arteriovenous malformation (AVM): Dis na di kכndyushכn we di atεri dεm (vεsεl dεm we de kכri gud bכdi) εn vein dεm (vεsεl dεm we de kכri bad bכdi) nכ de miks insay di bren.
• Bren aneurysm: Na blɔd vesel we wik na di bren we de bɔl lɛk balyɔn. Dis kin rili denja bikɔs if i bɔs, i kin mek blɔd kɔmɔt na di bren.
• blɔd we de kɔmɔt na di bren, blɔd we de kɔmɔt na di bren / Ɛmoraji we de insay di bren: Dis inklud ɛni blɔd we de kɔmɔt insay di bren.
• Carotid artery disease / Carotid artery stenosis: di carotid artery na di nεk, we wi bin dכn tכk bכt, de blok bay we di fεt εn כda tin dεm de dכn.
• di sεvikal atεri dεsεkshכn: di bכdi de lik bitwin di layεr dεm na di atεri wכl na di nεk, we de mek di at de chεr כ i de blכk.
• Rivεrsibl sεribra vasokonstrikshכn sεndrכm: Na kכndyushכn we di bכdi vεsul dεm na di bren kin kכnstrikt wan wan εn dεn kin kam bak to nכmal. Bɔt dis kin mek pɔsin in ed at fɔ sɔm tɛm.
• Subarachnoid hemorrhage (SAH): bכdi de bכn insay di tכn mεmbran dεm we de rawnd di bren. Bɔku tɛm dis kin apin we wan anɛrizm brok.
• Transient ischemic attack (TIA) ɔ mini-strok: Dis tan lɛk smɔl strok. Di blɔd we de flɔ na di bren kin stɔp fɔ sɔm tɛm, ɛn di sayn dɛn kin apin ɛn nɔ de igen afta sɔm tɛm. Bɔt i nɔ fayn fɔ lɛ yu nɔ pe atɛnshɔn to am bikɔs i kin bi di fɔs tin we go mek yu gɛt big big strok.
• Hereditary hemorrhagic telangiectasia (HHT): Dis na jεnεtik sik we de pas tru jεnereshכn. Insay dis, di blɔd vesel dɛn de divɛlɔp abnɔmal wan na difrɛn pat dɛn na di bɔdi.
• Moyamoya sik: Dis na wan sik we nɔ kin apin so ɔltɛm we di men at we de na di bren de blok smɔl smɔl, ɛn bɔku smɔl smɔl branch vein dɛn we wik kin kam insay in ples.

Bɔku ɔda kɔndishɔn dɛn de we tan lɛk dis. I nɔ nid fɔ go dip bɔt ɛni wan pan dɛn, bɔt i impɔtant fɔ ɔndastand se dɛn difrɛn tin ya kin afɛkt di blɔd vesel dɛn na di bren.

Udat dɛn kin gɛt dis sik mɔ?

Infakt, ɛnibɔdi, ilɛksɛf i ol, kin gɛt sik we de na in bɔdi. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl. Fɔ ɛgzampul, dis prɔblɛm kin bɔku we pɔsin de ol . Dɔn bak, sɔm tin dɛn we kin mek pɔsin gɛt jɛnɛtiks kin ɛp fɔ du sɔntin.

Insay kɔntri dɛn lɛk Amɛrika, di sik we de na di bɔdi na wan pan di men tin dɛn we kin mek pɔsin in bren pwɛl we kin mek i day. Na di nɔmba fayv tin bak we kin mek pipul dɛn day. Na Amɛrika nɔmɔ, i pas 160,000 pipul dɛn we dɔn day bikɔs ɔf dis sik insay 2020. Wi nɔ go ebul fɔ ɔndastand dis tin we de apin na Sri Lanka bak.

Wetin na di rizin dɛn we mek dis kayn tin de apin?

Difrɛn tin dɛn kin de we kin mek pɔsin gɛt sik we de mek pɔsin in bɛlɛ. Na sɔm pan di men tin dɛn we kin mek i apin:

• bכdi kכlכt de fכm insay wan bכdi vεsεl na di bren: dεn kכl dis ‘trombosis’. Bɔku tɛm dis kin apin na say dɛn we di blɔd vesel dɔn ɔlrɛdi smɔl ɔ we nɔ de ɔltɛm.
• bכdi we de fכm כdasay na di bכdi de travul go na di bren: dεn kכl dis ‘εmbolism’. I kin apin mɔ we blɔd we de klɔt na di at de travul go na di bren.
• Ɛmoraji: Bɔku tɛm dis kin apin wit ay blɔd prɛshɔn we dɛn nɔ ebul fɔ kɔntrol.
• Atherosclerosis: Lɛk rɔst we de fɔm na wata paip, fat we de bɔku insay di blɔd vesel dɛn, we kin mek dɛn lɔk.
• Prɔblɛm dɛn we de na di blɔd vesel dɛn na di bren: I kin kam bak bikɔs ɔf sɔm prɔblɛm dɛn we dɛn bɔn wit.
• Traumatik bren injuri (TBI): We pɔsin gɛt bad bad injuri na in ed bikɔs ɔf aksidɛnt, i kin mek i gɛt prɔblɛm bak wit di blɔd vesel dɛn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi kin no dɛn?

Di sayn dɛm fɔ di sik we de na di sεribra vaskul kin difrεn dipכnt pan us pat pan di bren de afɛkt. Bɔt sɔm kɔmɔn tin dɛn de we kin apin wantɛm wantɛm:

• Prɔblɛm fɔ balans: Wantɛm wantɛm i nɔ ebul fɔ waka, i kin stɔp.
• Delirium: We yu nɔ de no natin, yu nɔ de si yu ples.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Yu nɔ de si fayn: Wantɛm we yu nɔ de si, yu de si tu tɛm, ɔ wan say na yu yay we de dak.
• Paralayz ɔ wik na wan say na di bɔdi ɔ in fes.
• Wantɛm, bad bad ed pen: Dis nɔr tan lɛk nɔmal ed pen, i kin bi siriɔs ed pen lɛk aw yu nɔr ɛva gɛt na yu layf.
• I nɔ izi fɔ tɔk ɔ ɔndastand wetin dɛn tɔk (Aphasia).
• Slɔri tɔk / Dysarthria.
• Chenj na di sens na wan say na di bɔdi ɔr fes: yu nɔr de fil fayn ɔ yu nɔr de fil fayn.

Di American Stroke Association dɔn mek wan shɔt we we dɛn kɔl FAST fɔ ɛp yu fɔ no dɛn sik ya kwik kwik wan. I impɔtant fɔ mɛmba dis:

* F – Fes we de drɔp: Si if wan say na di fes de drɔp we dɛn aks di pɔsin fɔ smayl.

* A – Arm wik: We dɛn aks yu fɔ es ɔl tu yu an, si if wan an drɔp dɔŋ.

* S – Difikulti fɔ tɔk: Si if di wɔd dɛn de slɔp ɔ if i at fɔ tɔk we dɛn aks am fɔ tɔk simpul sɛntɛns.

* T – Taym fɔ kɔl 1990: If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go na ɔspitul wantɛm wantɛm. Na bikɔs ɛvri sɛkɔn impɔtant!

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

Sɛribrovaskul sik na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.So, e fayn fɔ gɛt diagnosis kwik kwik wan. Dɔktɔ go aks yu fɔs bɔt yu mɛdikal istri. Dɔn dɛn go du wan ɛgzam pan dɛn bɔdi. Dɛn go luk fɔ dɛn tin ya mɔ:

• Mental stet: Yu de no ɛn no bɔt di tin dɛn we de arawnd yu?
• di yay muvmεnt εn vishכn: di ay muvmεnt dεm we nכ nכmal, chenj dεm na di vishכn.
• Wik ɔ paralayz.
• Di sεns de dכn כ abnכmal tin dεm.
• Difrɛn tin dɛn we pɔsin kin tɔk: ɔda wɔd dɛn, fɔ ɔndastand, fɔ gi nem.
• Lɔs fɔ balans ɛn kɔdineshɔn.
• Diziz ɔ fil lɛk se di rum de spin (Vertigo).

Afta dɛn tɛst ya, if di dɔktɔ tink se i gɛt sik we de na di bɔdi, i kin ɔda fɔ mek dɛn du mɔ spɛshal tɛst dɛn. Na sɔm ɛgzampul dɛn ya:

• Sɛribra angiografi: Na ɛkstrem rayt ɛgzamin fɔ di blɔd vesel dɛn na di bren.
• Coronary computed tomography angiogram (CT Angiogram): Na CT skan fɔ luk di blɔd vesel dɛm.
• Ilɛktrokardiogram (EKG): I de chɛk aw di at de wok.
• MRI (Magnetic Resonance Imaging): Gɛt ditayla pikchɔ dɛn bɔt di bren.
• Spinal tap/Lumbar pancture: Insay sɔm spɛshal kes dɛm.

Dɛn tɛst ya kin ɛp yu dɔktɔ fɔ no wetin mek yu gɛt yu sɛribra vaskul sik. Dipen pan yu kɔndishɔn, yu kin nid fɔ du mɔ tɛst.

Aw fɔ trit am? Nɔ wɔri, we dɛn de!

Di tritmɛnt fɔ di sik we de na di bɔdi kin difrɛn difrɛn wan bay di patikyula kɔndishɔn we yu gɛt. De tin wae impɔtant pas ɔl na fɔ bigin tritmɛnt kwik kwik wan afta di sik bigin. Dis na di tɛm we yu kin mek yu bren nɔ pwɛl bɛtɛ.

Bɔku tɛm, dɔktɔ dɛn kin trit yu wit mɛrɛsin. Dɛn tin ya kin wok bay we dɛn kin mek di blɔd flɔ fayn fayn wan na di bren. Dɛn mɛrɛsin ya kin bi:

• Blɔd prɛshɔn mɛrɛsin dɛn.
• Blɔd tin dɛn we de mek yu bɔdi tan / Anticoagulants.
• Drug dɛn we de mek di kɔlɔstrel nɔ bɔku.
• Blɔd shuga mɛrɛsin: Fɔ pipul dɛn we gɛt dayabitis.

If yu blɔd vesel dɛn dɔn blok bad bad wan, yu go nid fɔ du ɔpreshɔn. Sɔm kayn ɔpreshɔn dɛn ya na:

• Carotid angioplasty: Di dɔktɔ we de du ɔpreshɔn kin put wan tin we tan lɛk balɔ insay yu at ɛn blo am fɔ mek di at we dɔn blok big.
• Carotid endarterectomy: Di dɔktɔ we de du di ɔpreshɔn de kɔt yu carotid artery ɛn pul di fat dɛposit (plaque) we dɔn gɛda insay.
• Karotid stent: Di ɔspitul kin put wan smɔl mɛtal mɛsh tyub (stɛnt) insay yu karotid at fɔ mek di blɔd flɔ fayn fayn wan.
• Kateta-dayrɛkt mɛkanikal thrombectomy: Di dɔktɔ we de du ɔpreshɔn kin put kateta (wan tin tiub) insay di at ɛn put wan tin tru am fɔ pul di blɔd we dɔn klɔt.

Aw wi go avɔyd dis? Aw wi go ridyus di prɔblɛm?

Dis na di pat we impɔtant pas ɔl. If yu fala wɛl bɔdi layf, dat kin rili ridyus yu risk fɔ gɛt sik na yu bɔdi. Tink bɔt dɛn tin ya:

• Kɔntrol ay blɔd prɛshɔn (Hypertension): If yu gɛt ay blɔd prɛshɔn, tek di mɛrɛsin we yu dɔktɔ tɛl yu. Chek yu blɔd prɛshɔn ɔltɛm.
• It fayn it we nɔ gɛt bɔku sɔl, ɔyl, ɛn kalori: It mɔ vɛjitebul, frut, ligɛm, ɛn it dɛn we gɛt bɔku fayv.
• Ɛksesaiz ɔltɛm: Du sɔntin lɛk fɔ waka ɔ rɔn fɔ at le 30 minit ɛvride.
• Limit ɔ stɔp fɔ drink rɔm ɔltogɛda.
• Nɔ smok kpatakpata: Dis rili impɔtant.
• Nɔ yuz ɔda drɔgs.
• Mek yu gɛt wɛlbɔdi bɔdi wet.
• Kɔntrol yu blɔd shuga ɛn kɔlɔstrel lɛvɛl.
• Ridyus strɛs: I fayn fɔ tink gud wan, fɔ du yoga, ɛn tin dɛn we yu lɛk fɔ du.
• Gɛt mɛdikal chɛk-ap ɔltɛm.
• If yu gɛt tin dɛn lɛk at we nɔ de wok fayn, tek mɛrɛsin we de mek yu blɔd tan lɛk aw yu dɔktɔ tɛl yu.
• If yu de tek ɔmon riplesmɛnt tɛrapi (HRT) afta yu dɔn menɔpauz, tɔk to yu dɔktɔ bɔt di bad tin dɛn we kin apin ɛn di bɛnifit dɛn we blɔd kin gɛt.

Ɔda tin dɛn de we kin mek pɔsin gɛt prɔblɛm?

In jɛnɛral, yu kin gɛt bɔrku risk fɔ gɛt sik na yu bɔdi if yu gɛt dɛn kayn tin ya:

• Shuga.
• Di ay blɔd prɛshɔn.
• Kɔlestɔl we bɔku.

Apat frɔm dat, dɛn tin ya kin mek pɔsin gɛt sɔm kayn sik dɛn we de na di bɔdi:

• If yu gɛt bɛlɛ: Di risk fɔ mek blɔd klɔt na di vein dɛn na di bren (sɛribra venɔs trombosis) kin bɔku we yu gɛt bɛlɛ.
• If yu gɛt wan sik we yu kin gɛt frɔm yu mama ɛn papa (we yu bɔn wit yu bɔdi): Dis kin mek yu gɛt bɔku sik dɛn we yu kin gɛt na yu bren lɛk di anɛrizm na yu bren.
• If yu dɔn gɛt bad bad injuri na yu ed (traumatic brain injury).
• If yu de tek Ɔmon Riplesmɛnt Tɛrapi (HRT): If yu dɔn ɔlrɛdi gɛt atherosclerosis ɔ carotid artery disease, HRT kin mek yu gɛt strok.

Wetin yu go ɛkspɛkt if yu gɛt dis sik?

Pipul dεm wae dεn mεnεj sεribrovaskul sik kin bכku tεm kin bכku bכku tεm rεkכvεshכn εn liv nכmal layf. Bɔt sɔm tɛm dɛn de, di sik kin mek pɔsin day ɔ i kin gɛt disabled sote go. Sɔm pan di prɔblɛm dɛn we kin apin na:

• I nɔ izi fɔ fɛn wɔd dɛn (Aphasia).
• Di prɔblɛm dɛn we kin mek pɔsin nɔ ebul fɔ waka.
• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Paralayz ɔ wik na in fes, an, ɔ leg.
• Sɔmtɛm ɔ pɔrmɛnt mental disabiliti.
• I nɔ izi fɔ tink ɛn rizin (Cognitive impairment).

Wetin na di chans fɔ mek i wɛl?

As wi bin dɔn tɔk, sɔm pipul dɛn kin wɛl bak, ɛn ɔda wan dɛn kin gɛt disabled ɔltɛm. If yu gɛt sik we de na yu sɛribra vaskul, di chans fɔ mek yu wɛl dipen pan:

• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Di kayn we aw di sik kin tranga ɔ di sayz we di strok gɛt.
• Us pat na di bren bin afɛkt?
• Tayp fɔ di sik we de na di sɛribra vaskul.

So, i rili impɔtant fɔ go to dɔktɔ as yu notis di sayn dɛm.

Aw a kin kia fɔ misɛf?

As pɔrsin wae gɛt cerebrovascular disease, yu kin kɔntinyu fɔ kia fɔ yusɛf bay wae yu du dɛn tin ya:

• Fɔ fala wɛlbɔdi layf (as wi bin dɔn tɔk, tin dɛn lɛk fɔ it fayn, fɔ du ɛksɛsayz, ɛn nɔ fɔ smok).
• Fɔ tek di kɔrɛkt mɛrɛsin fɔ di ɔndalayn mɛdikal kɔndishɔn (e.g., blɔd prɛshɔn, dayabitis, kɔlɔstrel).

If yu bren dɔn afɛkt di sik we de ambɔg yu bren, yu kin nid fɔ gɛt rihabilitetiv tritmɛnt fɔ ɛp yu:

• Occupational therapy: Trenin fɔ gɛt skil bak fɔ du di wok dɛn we pɔsin kin du ɛvride.
• Fizik tritmɛnt: I de ɛp fɔ mek di bɔdi muv bak, trɛnk, ɛn balans bak.
• Saikɔlɔjik tritmɛnt: E kin ɛp wit de strɛs ɛn sɔri-at wae kin kam wit dis sik.
• Spich therapy: I de ɛp fɔ pul di prɔblɛm dɛn we i kin gɛt fɔ tɔk ɛn fɔ swɛla.

Ustɛm yu fɔ go to dɔktɔ? Aw yu go no if ɛnitin apin we nɔ izi fɔ yu?

Kɔl 1990 wantɛm wantɛm! If yu gɛt ɛni sayn fɔ se yu gɛt aksidɛnt na yu sɛribra vaskul (espɛshali we yu gɛt strok), kɔl 1990 (ambulans) ɔ go na di ɔspitul we de nia yu ɛn nɔ de te. Mɛmba di FAST we wi bin dɔn tɔk bɔt.

Dɔn bak, if yu de gɛt sayd ɛfɛkt frɔm yu tritmɛnt dɛn ɔ if yu nɔ de si rizɔlt afta sɔm tɛm, tɔk to yu dɔktɔ bɔt dat bak. I kin tɛl yu ɔda tritmɛnt dɛn we go ɛp yu.

Mɛmba as sɔmari (Tek-Home Message) .

Sεribrovaskul sik na jεnarכl tεm fכ kכndyushכn dεm we de afekt di blכd vesel dεm we de gi blɔd to yu bren. Dis kin mek di bren pwɛl bay we i de ridyus di ɔksijɛn we i de gɛt. Di wan wae kin kam pan dɛn kayn tin ya na strok. I kin inklud ɔda tin dɛm bak lɛk bren aneurism, bren blɔd, carotid artery disease, ɛn transient ischemic attack (TIA), we dɛn kin kɔl bak mini strok.

Di sayn dɛm kin bi wae yu nɔr de balans, yu nɔr de si fayn, yu ed kin at bad bad wan, ɛn yu nɔr kin ebul fɔ tɔk . Dɔktɔ dɛn kin trit di sik wit mɛrɛsin ɛn ɔpreshɔn. Yu kin ridyus yu risk bak bay we yu chenj yu layf, lɛk fɔ du ɛksɛsayz ɛn fɔ ridyus strɛs.

Pan ɔl we di sik we de na di bɔdi kin mek pɔsin gɛt disabled ɛn ivin day, if dɛn trit dɛn kwik kwik wan ɛn mɛn dɛn fayn fayn wan, bɔku pipul dɛn kin wɛl ɛn liv nɔmal, ful layf. So, e fayn fɔ no bɔt de sik ɛn go to tritmɛnt kwik kwik wan.

` sεribrovaskul sik, strok, bren, blɔd vesel, ay blɔd prɛshɔn, kɔlɔstrel, dayabitis, Sinhala mεdikal atikul, paralayz, bren sik