Yu gɛt wan at we dɔn rɔtin na yu nɛk? (Cervical Artery Dissection) Lɛ wi lan bɔt am.

If wi gɛt bad bad pen na wi nɛk ɔ ed wantɛm wantɛm, ɔ if yɔŋ pɔsin gɛt sayn dɛn we fiba strok, wi kin wɔri smɔl, nɔto so? Sɔntɛnde, wan siriɔs tin we kin mek dɛn tin ya apin na wan sik we dɛn kɔl rupchɔ at we de na di nɛk. Lɛ wi tɔk bɔt dis ditayli ɛn jɔs tide.

Wetin na di Sεvikal Atεri Disεkshכn?

Fɔ tɔk am simpul wan, we dɛn kɔt di sɛvikal at na we wan ɔ mɔ layers na di wɔl na di blɔd vesel dɛn, ɔ di at dɛn we de na wi nɛk, rɔtin ɔ brok. I tan lɛk se smɔl bɔs na wata paip.

Yu no, tu kayn at we rili impɔtant de na wi nɛk.

1. Carotid arteries: Na dεn at dεm ya we de gi bכdi to di fכnt pat na wi bren.

2. Vεrbral atεri dεm: dεn ya de gi bכdi to di bak pat na di bren εn wi spεnal kכd.

so, if wata de na wan pan dεn at dεm ya, na dat wi kin kכl `Sεvikal Atεri Disεkshכn`. Di tin we siriɔs pas ɔl na ya na dat dis kin bi wan big tin we kin mek pɔsin gɛt strok, mɔ pan yɔŋ pipul dɛn ɛn pipul dɛn we dɔn ol .

Aw dis tin kin afɛkt yu wɛlbɔdi?

Imajin, we da at in wɔl de brok, sɔm blɔd kin bigin fɔ lik tru da brek de bitwin di layers na di wɔl. Dis kin mek blɔd klɔt de. Di tin we denja pas ɔl na dat, if dis blɔd klɔt brok fri ɛn blok wan smɔl blɔd vesel na di bren, i kin kɔt blɔd flɔ to wan pat pan di bren ɛn mek pɔsin strok, mɔ ischemic strok.

Fɔ tɔk am simpul wan, we wan at brok, blɔd kin klɔt, ɛn if i travul go na di bren, i kin mek pɔsin gɛt strok.

Wetin mek dis de apin? Wetin na di rizin dɛn?

No wan rizin nɔ de fɔ dis. Bɔku tin dɛn kin apin we gɛt fɔ du wit dis.

1. Trauma to di ed ɔ nɛk

Bɔku tɛm, di men tin we kin mek dis apin na aksidɛnt ɔ wund na in ed ɔ nɛk. Fɔ ɛgzampul:

• Injury na yu nɛk (lɛk whiplash) we yu gɛt motoka aksidɛnt.
• Fɔ gɛt hit tranga wan na yu nɛk we yu de ple spɔt.
• Wan fɔdɔm wantɛm wantɛm.

2. I kin kam bak bikɔs sɔm pipul dɛn taya (Non-traumatic causes) .

Sɔntɛnde, dis kin apin we nɔ gɛt ɛni big denja.

• Fɔ tray pasmak we yu de es sɔntin we ebi. Imajin se yu go na di jim ɛn wantɛm wantɛm yu de tray fɔ es bɔku bɔku wet.
• biכs fכ di prεshכn we de pan di at dεm na di nεk we yu de kכf, sniz, כ vכmit lawd wan.

3. Kɔnektiv tisu dizayd

di kכnektiv tisu dεm na wi bכdi na wan kayn tisu we de εp fכ ol tin dεm lεk bon dεm, kכtilaj, skin, εn bכdi vεsul dεm togeda. Sɔm jɛnɛtik sik dɛn de we kin mek dis kɔnektiv tisu wik. Pipul dεm wae gεt dis kayn sik dεn tu de pan hכy risk fכ gεt `Sεvikal Atεri Disεkshכn`. Na sɔm ɛgzampul dɛn ya:

• Ehlers-Danlos sindrom we gɛt di sik
• Fibromuskular displasia we pɔsin kin gɛt
• Marfan sindrom we gɛt di sik
• Osteogenesis we nɔ pafɛkt

Dɛn sik ya kin mek bak di wɔl dɛn na di blɔd vesel dɛn wik, ɛn dis kin mek dɛn kin brok kwik kwik wan.

4. Spɛsifi k Nɛk Trauma

Dɛn tin ya difrɛn smɔl frɔm di nɔmal injury.

• Nek Sprain ɛn Strain: As wi bin dɔn tɔk, wiplash kɔndishɔn kin apin we motoka aksidɛnt apin.
• Fɔ ol yu nɛk na di sem pozishɔn fɔ lɔng tɛm: Fɔ ɛgzampul, pɔsin we de peint siling wit in ed tilt ɔp fɔ lɔng tɛm.
• Wantɛm wantɛm, kwik kwik wan we yu de muv yu nɛk: We yu de rayd tin dɛn lɛk rɔla kɔsta, ɔ we yu de du sɔm kayropraktik nɛk manipuleshɔn (i impɔtant fɔ mek pɔsin we kwalifay du dɛn tin ya).
• Fɔ es ɛn kɛr ebi ebi tin dɛn: Ɛspɛshali we dɛn nɔ du am di rayt we.

5. Sik dɛn we dɛn jɔs dɔn gɛt

Dis sik kin apin bak wae wi taya bikɔs ɔf sɔm sik dɛm.

• Bɛlɛ de at we yu de vɔmit ɔltɛm: Dis tɛm ya, dɛn kin put prɛshɔn pan di at dɛn we de na di nɛk.
• Infεkshכn dεm we de na di rεspiretכri lεk fiva εn kol wit kכf we de kכf.

6. Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm

Sɔm ɔda tin dɛn kin mek di prɔblɛm kin bɔku:

• Atherosclerosis: Dis na we di fεt dεm de bכku insay di atεri wכl dεm, we de mek di at dεm sכmtεm sכmtεm.
• Ay blɔd prɛshɔn: Dis kin mek di at dɛn prɛshɔ ɔltɛm.
• Smok: Smok kin rili bad fɔ di blɔd vesel dɛn.

Wetin na di sayn dɛm fɔ dis? Aw yu no am?

Bɔku tɛm, i nɔ kin pɔsibul fɔ no klia wan se dɛn dɔn kɔt di sɛvikal at te lɛk wan mɔnt afta di sik bigin. Bɔt sɔm men kayn sayn dɛn de we de sho se yu gɛt dis sik.

1. Siriv, wan wan ed pen ɔ nɛk pen

Dis na di sayn wae kin kam pan pɔrsin. Dis pen nɔ tan lɛk nɔmal ed we de at.

• I kin bigin wantɛm wantɛm.
• I nɔ de disappear, i de kɔntinyu fɔ de.
• Bɔku tɛm, di pen kin apin na wan say na di ed (espɛshali biɛn wan yay) ɔ na wan say na di nɛk .
• I kin fil lɛk se yu gɛt ed we de at we yu de kɔl klasta , maygren , ɔ ed we de at we yu de at ( tɛnda ed pen na bad bad ed we de kam wantɛm wantɛm, lɛk laytin we de blo).

2. Di sik we dɛn kɔl Horner’s syndrome

Dis kin afɛkt di we aw wi yay ɛn wi fes kin muv fɔ wisɛf. Di sayn dɛm na:

• Aylid dɛn we de drɔp.
• Di pupil na wan yay smɔl pas di ɔda yay.
• Di swet we de go dɔŋ ɔ we nɔ de na wan say na di fes.

dis `Horner's syndrome` kin afekt כnli wan say na di ed.

3. Simptom dɛm we tan lɛk strok

Dɛn sayn ya kin apin we wan pat pan di bren nɔ de gɛt inof blɔd. Dɛn kin tek dɛn tin ya as imejensi ɛn dɛn fɔ aks fɔ dɔktɔ wantɛm wantɛm.

• I nɔ izi fɔ waka, fɔ stɛp (ataxia).
• Lכs bεlε na di bכdi (Bεlεns prכblεm).
• Di vishɔn we nɔ klia.
• Diziz we pɔsin kin gɛt.
• Dabl vishɔn (Diplopia).
• Yu an ɔ yu leg kin swɛla ɔ wik.
• I nɔ izi fɔ tɔk / Dysarthria ɔ Aphasia. (Slurred speech, nɔ ebul fɔ tɔk klia wan)
• Fɔ fil lɛk se tin de spin rawnd yu (Vertigo).

Udat dɛn fɔ wɔri mɔ bɔt dis?

Cervical Artery Dissection kin bi smɔl triki fɔ no di sik. Bɔt if yu gɛt wan ɔ mɔ pan di sayn dɛm we wi dɔn tɔk bɔt, mɔ if yu gɛt sɔdɛn, siriɔs nɛk/ed pen wit di sayn dɛm fɔ strok, yu fɔ rili tɛl yu dɔktɔ. Yu dɔktɔ kin sɔprayz dis ɛn du di tɛst dɛn we yu nid.

Aw dɔktɔ dɛn kin no bɔt dis?

Spɛshal tɛst dɛn de fɔ si if dis sik de.

• CTA Scan (Computed Tomography Angiography - CTA): Dis kin tek ditayla pikchɔ dɛn fɔ di blɔd vesel dɛn.
• MRA Scan (Magnetic Resonance Angiography - MRA): Dis na ɔda advans skan we dɛn kin yuz fɔ si di blɔd vesel dɛn.

Dɛn skan ya kin si klia wan if wata de na di at ɔ if blɔd dɔn fɔm.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)

Di gud nyus na dat bɔku pan dɛn at ya kin wɛl fɔ dɛnsɛf as tɛm de go. Bɔt, tritmɛnt impɔtant fɔ mek yu nɔ gɛt siriɔs sik lɛk strok.

Di men tritmɛnt dɛn na mɛrɛsin dɛn we de mek blɔd nɔ klɔt:

• Antiplatelet therapy: Dɛn kin du dis fɔ mek di pletlɛt dɛn we de na di blɔd nɔ gɛda togɛda ɛn mek blɔd klot. εgzampl dεm fכ dis na drog dεm lεk `Aspirin` εn `Clopidogrel`.
• Anticoagulant mεdikeshכn dεm: dεn kin kכl dεm bak "blood thinners." Dɛn kin mek di blɔd nɔ klin. Dɛn kin gi heparin as injɛkshɔn, ɛn dɛn kin gi Warfarin as pil.

Di dɔktɔ go disayd uswan pan dɛn mɛrɛsin ya fɔ gi ɛn fɔ aw lɔng, bay aw yu sik.

Wetin fɔ du if di nɔmal tritmɛnt nɔ wok fayn?

Na smɔl tɛm nɔmɔ, if mɛrɛsin nɔmɔ nɔ ebul fɔ kɔntrol di sik, dɛn kin yuz stent.Dɛn kin nid fɔ du ɔpreshɔn bak. Stent na smɔl mɛsh tyub we dɛn kin put insay di at, mek di wata we dɔn rɔtin fayn, mek di at in wɔl strɔng, ɛn mek blɔd go fayn fayn wan.

Aw fɔ protɛkt yusɛf frɔm dis kayn tin? (Prɛvenshɔn) .

If yu gɛt mɛdikal kɔndishɔn (lɛk di kɔnɛktiv tisu sik dɛm we wi bin dɔn tɔk bɔt) we de mek yu gɛt mɔ chans fɔ gɛt `Sɛvikal Atiri Disekshɔn`, i rili impɔtant fɔ mek yu chɛk-ap ɔltɛm wit spɛshal pɔsin we sabi bɔt di vaskul.

Ɔlman kin du dɛn tin ya fɔ ridyus dis risk:

• Nɔ kip yu nɛk na di sem pozishɔn fɔ tu lɔng (e.g., lɛk fɔ peint di siling).
• Nɔ muv yu nɛk ɛn ed wantɛm wantɛm, kwik kwik wan (rolakɔsta rayd, sɔm tɛknik dɛn fɔ manipul yu nɛk).
• Nɔ es ebi ebi wet wit yu tray pasmak.
• It tin we go ɛp yu at (we nɔ gɛt bɔku fat ɛn ɔyl, yu gɛt bɔku frut ɛn vɛjitebul).
• Ɛksesaiz ɔltɛm. (Ask yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu.)
• Kɔntrol yu blɔd prɛshɔn. If nid de, tek mɛrɛsin lɛk ACE inhibitors.
• Lɛf fɔ smok kpatakpata.

Wetin na di prɔgnosis? (Prɔgnosis) .

כl di kes dεm we dεn kכl di sεvikal atεri dεm kin hεl fayn fayn wan. Di at kin kam bak to in nɔmal. Dis we aw pɔsin kin wɛl kin tek tri to siks mɔnt .

Aw e bi fɔ liv wit dis sityueshɔn?

If yu gɛt di sɛvikal at we dɛn dɔn kɔt, yu go nid fɔ de chɛk yu ɔltɛm (lɛk fɔ skan) te yu dɔktɔ shɔ se i dɔn wɛl ɔl. Yu go nid bak fɔ kɔntinyu fɔ tek di antiplatelet ɔ anticoagulant mɛrɛsin dɛn we wi bin dɔn tɔk bɔt insay dis tɛm.

Pan ɔl we di sɛvikal at we dɛn kin kɔt na di men tin we kin mek pipul dɛn we ol bitwin 40 ɛn 60 ia gɛt strok, nɔto ɔlman we gɛt am go gɛt strok. Bɔrku pipul dɛn kin wɛl witout kɔmplikeshɔn wae dɛn du di rayt tɛst ɛn tritmɛnt. Di men gol fɔ trit di wan dɛn we gɛt di sik na fɔ mek dɛn nɔ gɛt strok.

Mɛsej we dɛn kin kɛr go na os

Cervical Artery Dissection na wan sik wae kin gɛt siriɔs sik, mɔr to yɔŋ pipul dɛm, bikɔs i kin mek dɛn gɛt strok.

>

If yu gɛt pen na yu nɛk/ed wantɛm wantɛm, bad bad wan, yu de fil pen biɛn yu yay, ɔ yu gɛt sɔm sayn dɛn we de sho se yu gɛt strok (i nɔ izi fɔ tɔk, yu an ɛn fut dɛn nɔ de fil fayn, i nɔ izi fɔ waka) , go to dɔktɔ wantɛm wantɛm.

>

Bɔku tin dɛn kin mek pɔsin gɛt dis sik, lɛk aksidɛnt, we pɔsin kin tray tranga wan, ɛn sɔm sik dɛn we pɔsin kin gɛt we i kam pan in jɛnɛtiks.

>

Bɔku tɛm, dɛn kin mɛn dis sik if dɛn trit am fayn ɛn if dɔktɔ de kia fɔ am. De tin wae impɔtant pas ɔl na fɔ du tin kwik kwik wan ɛn nɔr ignore de symptoms.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!

` Sεvikal Atεri Disεkshכn, Strok, Nεk Pen, Hεd pen, Blכd Vesεl dεm, Blכd Saplai to di Bren