Yu dɔn ɛva gɛt bad bad pen na yu nɛk ɔ ed wantɛm wantɛm we yu nɔ bin ivin ebul fɔ imajin? Yu go dɔn tink se, "I go mɔs bi se na jɔs wan sprain " ɔ "A gɛt maygren." Bɔt sɔntɛnde, wan bad bad pen lɛk dis, mɔ pan yɔŋ pɔsin, kin bi sɔntin we pɔsin fɔ wɔri bɔt. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya, wan sik we nɔ kin bɔku bɔt we rili impɔtant bɔt wɛlbɔdi biznɛs we dɛn kɔl Sɛvikal Atiri Disekshɔn.
Fɔ tɔk am simpul wan, wetin na Sɛvikal Atiri Disɛkshɔn?
Okay, mek wi put dis simpul wan. Yu gɛt big big blɔd vesel dɛn (arteries) na yu nɛk. Dɛn tin ya tan lɛk di men at dɛn we de kɛr ɔksijɛn ɛn tin dɛn we de mek yu bɔdi fayn to yu bren. fכ bi prεsis, di carotid atεri dεm we de na di tu say dεm na yu nεk, εn di vεrbral atεri dεm we de na di bak pat na yu nεk, insay yu vεrbral dεm.
Naw tink bɔt wata paip. Di wɔl dɛn mek am wit bɔku layers, nɔto so? Semweso, di wɔl dɛn na wi blɔd vesel dɛnsɛf gɛt bɔku layers. Cervical Artery Dissection na we wan pan di insay layεr dεm na da bכdi vεsεl wכl de te כ krak.
Dis na in rili de mek yu gɛt strok pan yɔŋ ɛn midul ej pipul dɛm, so i rili impɔtant fɔ no bɔt dis.
Aw dis tin kin afɛkt yu wɛlbɔdi?
Okay, naw yu geht kweshon, "Aw smohl tear na nerve kin mek yu geht strok?" Na so i kin apin.
1. wata we de fכm: fכs, wata de apin na di insay layt na di bכdi.
2. Blɔd lik: Blɔd kin bigin fɔ lik tru dis kray wata insay di layers na di vessel wall. dis kin mek di vessel wכl swel εn i kin rεdכks di spεs insay di vessel.
. Jɔs lɛk aw blɔd kin klɔt fɔ stɔp fɔ blɔd we wi skin wund.
4. Risk: Di tin we denja pas ɔl na dat dis blɔd klɔt kin brok fri ɛn travul wit di blɔd to di bren, ɛn blok wan smɔl blɔd vesel na di bren.
5. Strɔk: We dɛn kɔt di blɔd we de go na di bren dis we, di bren sɛl dɛn kin bigin fɔ day we dɛn nɔ gɛt ɔksijɛn. Na dat wi kin kɔl ischemic stroke .
Fɔ tɔk am simpul wan, if smɔl wata we de na di blɔd vesel na di nɛk, i kin mek blɔd klɔt we kin mek di blɔd nɔ de go na di bren, ɛn dis kin mek i gɛt siriɔs strok.
Wetin go dɔn de mek dis apin?
No wan rizin nɔ de fɔ dis. Sɔntɛnde, i kin apin fɔ no rizin. Bɔt in jɔnal, sɔm men rizin dɛn de we kin mek i gɛt am. Lɛ wi luk dɛn klia wan.
| I pɔsibul fɔ mek i du dat | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Trauma na di nɛk ɔ ed | Dis na di tin we kin mek pɔsin gɛt dis sik. Fɔ ɛgzampul, i kin kam bikɔs in nɛk kin jɔk wantɛm wantɛm (wiplash) we motoka aksidɛnt apin, spɔt aksidɛnt, ɔ we pɔsin fɔdɔm wantɛm wantɛm. |
| Wantɛm wantɛm, i kin muv kwik kwik wan | Tin dɛm lɛk fɔ muv yu nɛk kwik kwik wan lɛk fɔ rayd rɔla kɔsta, sɔm kayropraktik tritmɛnt dɛm (nɔto ɔl, bɔt risk kin de), ɛn fɔ rɔta yu nɛk wantɛm wantɛm. |
| Aktiviti dɛn we de mek di bɔdi strɛs | Dis kin apin bak we di bɔdi strɛs, lɛk frɔm we i de es ebi ebi wet, we i de du ɛksɛsayz pasmak, we i de kɔf tranga wan, we i de snis, ɔ we i de vɔmit bɔku tɛm. |
| Kɔnɛktiv Tisu Disɔda dɛn | Sɔm pipul dɛn kin gɛt tin dɛn we dɛn kin gɛt we kin mek di wɔl na dɛn blɔd vesel wik, ɛn dis kin mek dɛn brok ivin if dɛn wund smɔl. Ɛgzampul dɛn: Ehlers-Danlos sindrom , Fibromuscular dysplasia , Marfan sindrom . |
| Ɔda tin dɛn we kin mek pɔsin gɛt wɛlbɔdi | Ay blɔd prɛshɔn, atrɔsklerɔsis, ɛn smok kin mek bak di prɔblɛm kin bɔku. |
Wetin na di sayn dɛm fɔ dis sik?
De tin wae de frayd bɔt dis na dat sɔmtɛm de sik kin fil lɛk nɔrmal trot wae de at ɔr ed de at. So bɔku pipul dɛn kin ignore am. Sɔm pipul dɛn kin ivin gɛt dis sik fɔ te to wan mɔnt bifo dɛn no se dɛn gɛt dis sik.
Dɛn kin sheb di sayn dɛm to tri men kategori.
| Kategori fɔ di simptom dɛn | Di tin dɛn we pɔsin kin si |
|---|---|
| Pen na ed ɔ nɛk |
|
| Simptom dɛm we tan lɛk strok | Dɛn sayn ya kin apin we di blɔd we de go na di bren dɔn go dɔŋ.
|
| Di sik we dɛn kɔl Horner’s syndrome | Dis nɔ kin apin to ɔlman. Dɛn sayn ya kin apin we di nerv dɛm na wan say na di fes afɛkt.
|
I rili impɔtant: If yu gɛt bad bad pen na yu nɛk ɔ ed wantɛm wantɛm, wit wan ɔ mɔ pan di sayn dɛn we tan lɛk strok we wi dɔn rayt ɔp, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Taym na di men tin na ya.
Di we aw fɔ no di sik ɛn di we aw dɛn de trit am
Aw fɔ no dis?
We yu tɛl yu dɔktɔ bɔt yu sik dɛn, if i sɔprayz se dis sik, i go tɛl yu fɔ du sɔm spɛshal skan dɛn fɔ kɔnfirm am.
- CT Angiography (CTA): Dis na spɛshal kayn CT skan. I de yuz wan kɔntrast day fɔ injɛkt insay di blɔd vesel dɛn, ɛn mek klia pikchɔ dɛn fɔ di blɔd vesel dɛn. I kin ɛp fɔ no ɛni kray wata, blok, ɔ blok.
- MR Angiography (MRA): Dis na we fɔ tek pikchɔ fɔ di blɔd vesel dɛn we dɛn de yuz MRI skan. Dɛn kin yuz dis bak fɔ chɛk aw di blɔd vesel dɛn de.
Aw dɛn kin trit am?
Yu go sɔprayz fɔ yɛri dis. Bɔku tɛm, di wata we de kɔmɔt na dis blɔd vesel kin wɛl insɛf as tɛm de go . So di men gol fɔ tritmɛnt na fɔ ridyus di risk fɔ gɛt strok te di kray wata wɛl. Dat min se fɔ mek di blɔd we de klɔt nɔ fɔm.
Dɔktɔ dɛn kin yuz tu kayn mɛrɛsin mɔ fɔ dis:
1. Antiplatelet drɔgs: Dɛn wan ya de wok bay we dɛn de mek di blɔd pletlɛt dɛn nɔ stik togɛda ɛn mek blɔd klot. Aspirin ɛn Clopidogrel na di mɛrɛsin dɛn we dɛn kin yuz mɔ na dis kategori.
2. Anticoagulant drugs: Dɛn kin kɔl dɛn tin ya "blood thinners." Dɛn kin mek di blɔd nɔ klin. Heparin (we dɛn kin gi as injɛkshɔn) ɛn Warfarin (we dɛn kin tek as pil) de insay dis kategori.
Yu dɔktɔ go disayd us tritmɛnt we bɛtɛ fɔ yu.
Sɔntɛnde, if di mɛrɛsin nɔ wok ɔ if di blɔd vesel dɔn pwɛl bad bad wan, dɛn kin yuz wan tin we dɛn kɔl stent . Dis min se yu fɔ put wan smɔl tin we tan lɛk mɛsh insay di blɔd vesel fɔ mek i opin.
Wetin go apin afta dat? Ɛn aw dɛn go ebul fɔ avɔyd am?
Aw di rεcovery de go in jεnarכl?
Dis na di bɛst nyus. Disekshɔn fɔ di Sɛvikal AtɛriBɔku pipul dɛn kin wɛl fayn fayn wan. Di blɔd vesel we dɔn rɔtin kin wɛl insay 3 to 6 mɔnt. Insay dis tɛm, i impɔtant fɔ tek di mɛrɛsin lɛk aw di dɔktɔ tɛl yu ɛn fɔ go na di klinik fɔ chɛk-ap di rayt tɛm.
Wetin dɛn kin du fɔ ridyus di prɔblɛm?
If yu de pan denja fɔ dis sik (fɔ ɛgzampul, if yu gɛt kɔnektiv tisu sik), sɔm tin dɛn de we yu kin du fɔ ridyus yu risk:
- Nɔ put tin dɛn we go mek yu nɛk strɛs: Fɔ ɛgzampul, nɔ ol yu nɛk na wan pozishɔn fɔ lɔng tɛm, lɛk we yu de peint siling.
- Nɔ muv kwik kwik wan: I bɛtɛ fɔ mek yu de fa frɔm tin dɛn lɛk rɔla kɔsta ɛn spɔt dɛn we gɛt fɔ du wit fɔ jɔk yu nɛk bak ɛn biɛn.
- Nɔ es ebi ebi wet: Nɔ es wet we de put bɔku strɛs pan yu bɔdi.
- It tin dɛn we go ɛp yu at: It it we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku frut ɛn vɛjitebul.
- Ɛksesaiz ɔltɛm: Bɔt aks yu dɔktɔ us ɛksesaiz dɛn we go fayn fɔ yu.
- Kɔntrol yu blɔd prɛshɔn: If yu gɛt ay blɔd prɛshɔn, tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.
- Nɔ smok kpatakpata.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva ignore wan wan, we nɔ kɔmɔn, we gɛt siriɔs nɛk ɔ ed pen (espɛshali biɛn di yay).
- Cervical Artery Dissection na we pɔsin kin te na di wɔl na di blɔd vesel na di nɛk, ɛn na di men tin we kin mek pɔsin gɛt strok, ivin pan yɔŋ pipul dɛn.
- If yu gɛt siriɔs ed pen ɛn sɔm sayn dɛm lɛk fɔ de na wan say na yu bɔdi, i nɔ izi fɔ tɔk, ɔ yu de si chenj, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Bɔku tɛm dis sik kin sɔlv fɔ insɛf, ɛn di men gol fɔ tritmɛnt na fɔ mek i nɔ gɛt strok.
- I rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du, tek di mɛrɛsin dɛn we dɛn gi yu, ɛn fɔ chɛk yu ɔltɛm.
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