Yu kin gɛt strok if yu gɛt dayabitis? Lɛ wi tɔk bɔt dis!

Yu gɛt dayabitis? Dɔn yu fɔ de wɔri ɔltɛm bɔt di shuga we yu gɛt na yu blɔd, nɔto so? Dat na rili gud tin. Bɔt wan pan di mɔr siriɔs tin dɛm wae kin apun bikɔs ɔf dayabitis na strok, ɔr lɛk aw wi kin se na Inglish , strok . Bɔku pipul dɛn nɔ no bɔt dis. So, tide wi go tɔk ditayli bɔt de rilayshɔn bitwin dayabitis ɛn strok, wetin i kin kɔz, ɛn di impɔtant tin, aw fɔ protɛkt yusɛf frɔm am. Na bikɔs dis kin rili impɔtant to yu ɛn di wan dɛn we yu lɛk.

Wetin na strok? Lɛ wi ɔndastand am simpul wan

Okay, lɛ wi fɔs luk wetin na strok. Fɔ tɔk am simpul wan, strok kin apin we wan blɔd vesel we de kɛr blɔd go na wi bren kin blok ɔ bɔs. Tink bɔt am lɛk wata paip we de stɔp fɔ flɔ. Wi bren sɛl dɛn nid ɔksijɛn ɛn tin dɛn we go mek wi ebul fɔ wok. Dɛn tin ya kɔmɔt frɔm di blɔd. So we di blɔd flɔ stɔp da we de, wan pat na di bren nɔ de gɛt ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it. Dɔn dɛn bren sɛl dɛn de kin bigin fɔ day.

Impɔtant: We di bren dɔn pwɛl, di bɔdi we di pat we dɔn pwɛl kin kɔntrol kin pwɛl.

Bɔku tin dɛn de we kin mek dis apin:

• I nɔ izi fɔ tɔk, ɔ nɔ ebul fɔ ɔndastand wetin dɛn de tɔk. Sɔntɛnde, wɔd dɛn kin tandul, ɛn dis kin mek i nɔ izi fɔ tɔk di rayt we.
• Di mɛmori we yu nɔ ebul fɔ mɛmba. Yu kin ivin fɔgɛt tin dɛn we yu sabi.
• Na wan say na di bɔdi nɔ de swɛla ɔ wik (dɛn kɔl dis paralayz). Fɔ ɛgzampul, wan say na di fes, an, ɔ leg kin paralayz.
• Fɔ gɛt bɔdi we de at.
• I nɔ kin izi fɔ kɔntrol di filin, ɔr kin fil bad ɔr pwɛl hat wantɛm wantɛm.
• I nɔ kin izi fɔ tink, fɔ pe atɛnshɔn, fɔ lan nyu tin dɛn, ɛn fɔ disayd fɔ du sɔntin.
• Sɔm bad bad tin dɛn kin apin , pɔsin kin ivin day.

Yu si aw dis tin rili siriɔs.

Wetin na de risk fɔ gɛt strok fɔ pipul dɛm wae gɛt shuga?

Naw lɛ wi luk aw i go izi fɔ mek pɔsin we gɛt dayabitis gɛt strok. Infakt, we yu kɔmpia am to pɔsin we nɔ gɛt dayabitis, pɔsin we dɔn big we gɛt dayabitis kin gɛt strok 1.5 tɛm mɔ . Dɔn bak, pipul dɛn we gɛt dayabitis kin day lɛk tu tɛm pas di wan dɛn we nɔ gɛt dayabitis. Dɛn statystik ya kin mek pɔsin fred smɔl, nɔto so? Bɔt nɔ wɔri, fɔ no bɔt dis na di fɔs tin we yu fɔ du.

Aw dayabitis kin mek pɔsin paralayz ?

Wetin mek dis kin apin? We wi gɛt dayabitis, wi bɔdi nɔ kin ebul fɔ yuz it fayn fayn wan. Yu bɔdi nɔ ebul fɔ mek wan ɔmon we dɛn kɔl insulin , ɔ i nɔ ebul fɔ yuz di insulin we i de mek fayn fayn wan. Dis insulin na di shuga we de insay di it we wi de it, we dɛn kɔl glukɔs., we de ɛp fɔ mek ɛnaji bay we i de go insay wi sɛl dɛn.

so, we insulin nכ de wok fayn, dis glukכs nכ de go insay di sεl dεm εn insted i de bכlכp insay di bכdi. We di blɔd shuga lɛvɛl bɔku lɛk dis fɔ lɔng tɛm, i kin pwɛl di blɔd vesel dɛn na wi bɔdi. I tan lɛk se rɔst de it bɔdi. Di wɔl dɛn na di blɔd vesel dɛn kin tik, dɛn kin smɔl, ɛn dɛn nɔ kin ebul fɔ chenj igen. Wi kin kɔl dis sik bak (atherosclerosis) . We dis kin apin, i kin izi fɔ mek di blɔd vesel dɛn blok ɔ bɔs. Dis kin bi mɔ fɔ di blɔd vesel dɛn we de go na di bren, we kin mek pɔsin gɛt strok.

Bɔrku big pipul dɛm wae gɛt shuga kin gɛt ɔda wɛl bɔdi prɔblɛm dɛm bak wae kin mek dɛn gɛt strok:

• di bכdi wet pasmak: Fεt de kכmכt, spεshal wan arawnd di bכdi. jεnarali dεn kin dεfεn hεlty wet as Bכdi Mas Indeks (BMI) bitwin 18.5 εn 24.9.
• At sik: Dayabitis na wan men tin bak we kin mek pɔsin gɛt at sik.
• Ay blɔd prɛshɔn: Dis kin pwɛl di blɔd vesel dɛn bak.
• Ay kɔlɔstrel: If di fat we de na di blɔd bɔku, dat kin mek bak di blɔd vesel dɛn lɔk.

We dɛn put ɔl dɛn tin ya togɛda, di risk fɔ mek pɔsin paralayz kin bɔku mɔ ɛn mɔ.

Wetin na di sayn dɛm fɔ paralayz wae gɛt dayabitis?

Wan tin we wi fɔ no ya na dat, di sayn dɛn we pɔsin kin gɛt we i gɛt strok we i gɛt dayabitis, tan lɛk di sayn dɛn we pɔsin kin gɛt we i gɛt nɔmal strok. Dis min se if yu si dɛn sayn ya, yu nid fɔ du sɔntin kwik kwik wan.

• Sɔm prɔblɛm dɛn we kin mek pɔsin tɔk: fɔ tɔk smɔl smɔl, fɔ nɔ ebul fɔ ɔndastand wetin dɛn de tɔk, fɔ nɔ ebul fɔ tɔk.
• Diziz, yu nɔ de balans we yu de waka, ɔ i nɔ izi fɔ waka.
• Wan bad bad ed we kin at wantɛm wantɛm: Dis nɔ kin tan lɛk nɔmal ed we kin at, bɔt na bad bad pen we kin kam wantɛm wantɛm.
• Kɔnfyushɔn we kin apin wantɛm wantɛm: I nɔ kin no natin, i nɔ kin gɛt ples ɛn tɛm igen.
• Prɔblɛm fɔ si: yu nɔ de si fayn wantɛm wantɛm, yu de si tu tɛm.
• Wik ɔ swɛt na wan say na di bɔdi: Fɔ ɛgzampul, fɔ drɔp na wan say na yu fes, nɔ ebul fɔ es yu an ɔ leg, fɔ fil se yu nɔ gɛt layf.

Pe atɛnshɔn! Paralayz na tin we kin apin to pɔsin we sik . If yu notis ɛni wan pan dɛn sayn ya, yu fɔ go na ɔspitul wantɛm wantɛm. Ɛni sɛkɔn we pas de mek di bren pwɛl mɔ ɛn mɔ. Na Sri Lanka, yu kin kɔl bak di 1990 Suwaseriya ambulans savis.

Aw fɔ no pɔsin we gɛt strok?

If yu tink se yu gɛt strok, dɔktɔ dɛn go du dɛn tin ya:

• Dɛn go chɛk if yu ebul fɔ muv yu fes mɔsul dɛn, yu an dɛn, ɛn yu leg dɛn fayn fayn wan.
• Dɛn go aks yu simpul kwɛstyɔn fɔ chɛk yu maynd, ɔr aks yu fɔ diskraib wan pikchɔ ɔ sɔntin.
• Dɛn go ɔda tɛst fɔ tek pikchɔ fɔ yu bren. Dis kin inklud fɔ du CT skan.wan – dat na, spεshal εks-ray tεst we kin tek kכros-sekshכnal pikchכ dεm fכ yu bren – כ MRI skan – tεst we de yuz magnεtik wev fכ tek ditayl pikchכ dεm fכ di bren – kin inklud.
• Yu kin gɛt tɛst lɛk ilɛktrokardiogram (ECG) fɔ chɛk yu at, ɛn tɛst lɛk ɔltra saund skan ɔ arteriogram fɔ chɛk yu blɔd vesel.

Dɛn tɛst ya kin sho bɔku tin, lɛk if strok de, if na so, us kayn, ɛn usay na di bren i kin afɛkt.

Aw dɛn kin trit pɔsin we gɛt dayabitis we kin mek pɔsin paralayz?

If dɛn no se pɔsin gɛt strok ɔ if pɔsin gɛt strok kwik kwik wan, sɔm tritmɛnt dɛn kin ɛp.

Kwik tritmɛnt

• Drɔg dɛn we de mek di blɔd nɔ klɔt: If di blɔd vesel blok, dɛn drɔgs ya kin ɛp fɔ sɔlv di blɔd ɛn mek di blɔd flɔ bak. Bɔt dɛn fɔ gi dɛn insay sɔm awa frɔm di tɛm we di sik bigin. Na dat mek i impɔtant fɔ go na di ɔspitul kwik kwik wan.
• Carotid Stenting: Sɔntɛnde di men blɔd vesel na di nɛk (carotid artery) kin blok. Dɛn kin put wan smɔl tin we tan lɛk mɛsh (stɛnt) insay fɔ mek di bɛlɛ opin.
• Carotid Endarterectomy: Dis na ɔpreshɔn bak we dɛn kin du if di karotid at dɛn blok bikɔs ɔf di fat we de na di bɔdi .

Rihabiliteshɔn

Sɔm pipul kin gɛt prɔblɛm fɔ lɔng tɛm afta dɛn dɔn gɛt strok. Rihabiliteshɔn tritmɛnt rili impɔtant fɔ mek dɛn go bak to nɔmal layf.

• Ɔkupeshɔn tɛrapi: I de ɛp yu fɔ lan fɔ du impɔtant wok dɛn ɛvride lɛk fɔ rayt ɛn drɛs fɔ yusɛf.
• Fizik tritmɛnt: Dɛn kin yuz ɛksɛsayz ɛn tritmɛnt fɔ mek di an ɛn leg dɛn gɛt trɛnk ɛn wok bak.
• Saikɔlɔjik kɔyl: De ɛp yu fɔ bia wit saykolojik prɔblɛm (lɛk pwɛl hat ɛn wɔri) wae kin kam bikɔs ɔf paralayz.
• Spich therapy: I de ɛp fɔ mek yu tɔk fayn if i afɛkt.

Dis rihabiliteshɔn prɔses kin tek sɔm tɛm ɛn i nid fɔ peshɛnt, bɔt i kin mek pɔsin go bifo bad bad wan.

Wetin na di rikavari stet fɔ pɔrsin wae dɔn paralayz bikɔs ɔf dayabitis?

Di kayn we aw pɔsin kin wɛl frɔm wan strok kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. I kin dipen pan bɔku tin, lɛk di kayn strok, aw di bren kin pwɛl, ɛn aw dɛn kin gɛt tritmɛnt kwik kwik wan. Sɔm pipul dɛn kin gɛt smɔl smɔl strok ɛn dɛn kin wɛl kwik kwik wan ɛn nɔ kin gɛt ɛnitin fɔ du wit dɛn fɔ lɔng tɛm. Ɔda pipul dɛn kin gɛt siriɔs strok we kin mek dɛn gɛt disabled fɔ ɔl dɛn layf.

Semweso, pan ɔl we sɔm pipul dɛn kin ebul fɔ go na os kwik kwik wan afta dɛn dɔn trit dɛn paralayz, ɔda wan dɛn kin nid fɔ de fɔ lɔng tɛm na ɔspitul ɔ na say usay dɛn de mɛn pipul dɛn we gɛt wɛlbɔdi.

A gɛt dayabitis, a kin ridyus di risk fɔ gɛt strok?

Yɛs, yu kin ebul! Dis na di pat we impɔtant pas ɔl na dis atikul. If yu gɛt dayabitis, bɔku tin dɛn de we yu kin du fɔ mek yu nɔ gɛt strok. Dis na jɔs sɔm smɔl chenj dɛn we yu kin mek na yu layf.

• Chek yu blɔd glukɔs lɛvɛl ɔltɛm. Tray fɔ kip am na wɛlbɔdi lɛvɛl (70-130 mg/dL bifo yu it, less dan 140 mg/dL tu awa afta yu it). Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.
• Chek yu blɔd prɛshɔn ɔltɛm. Tɛl yu dɔktɔ if yu gɛt ɛnitin fɔ wɔri bɔt. Tray fɔ kip am dɔŋ 140/90 mmHg.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans. Dis kin ɛp fɔ mek yu gɛt bɔku bɔku kɔlɔstrel ɛn mek yu gɛt wɛlbɔdi. Nɔ it bɔku ɔyl, sɔl, ɛn shuga, ɛn it mɔ vɛjitebul, frut, grɛn, ɛn it dɛn we gɛt fayv.
• Ɛksesaiz ɔltɛm. Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit ɛvride kin ɛp.
• Gɛt di slip we yu bɔdi nid. Slip at le 7-8 awa insay di de.
• Go to di dɔktɔ dɛn di rayt tɛm ɛn fala wetin dɛn tɛl yu fɔ du.
• Ridyus di sɔl we yu de ad to yu it. Dis go ɛp fɔ kɔntrol di blɔd prɛshɔn.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu, mɔ fɔ ridyus di fat na yu bɛlɛ.
• If yu de smok, stɔp wantɛm wantɛm. Dɔn bak, stɔp fɔ yuz tin dɛn we dɛn mek wit tabak.
• Tek ɔl di mɛrɛsin dɛn we dɛn dɔn tɛl yu jɔs lɛk aw yu dɔktɔ tɛl yu, ɛn di rayt tɛm.

If yu fala dɛn tin ya kɔrɛkt wan, yu nɔ kin jɔs protɛkt yusɛf frɔm di risk fɔ gɛt strok, bɔt yu kin protɛkt yusɛf frɔm bɔku ɔda prɔblɛm dɛn we kin kam wit dayabitis.

Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm? (Ɔ kɔl 1990?)

If yu gɛt dayabitis, i impɔtant fɔ mek yu ɛn yu famili no bɔt di sayn dɛm fɔ strok. If yu notis ɛni wan pan dɛn sik ya, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm.

• Sɔm prɔblɛm dɛn fɔ tɔk.
• Diziz, yu nɔ de balans we yu de waka, ɔ i nɔ izi fɔ waka.
• Wan bad bad ed we kin at wantɛm wantɛm.
• Kɔnfyushɔn we kin apin wantɛm wantɛm.
• I nɔ izi fɔ si, fɔ si wan tin ɔ tu tin.
• Wik ɔ swɛt na wan say na di bɔdi (e.g., fes, an, ɔ leg).

Yu kin yuz di akɔdin bak we se FAST fɔ mɛmba dɛn kwaliti dɛn ya.

Fes – Wan sayd na yu fes de drop? Yu tink se wan say kin twitch we yu smayl?

Am – We dɛn aks am fɔ es ɔl tu an, yu tink se wan an de drɔp?

Tɔk – Yu kin kɔnfyus we yu de tɔk? Yu nɔ ebul fɔ ivin tɔk wan simpul sɛntɛns kɔrɛkt wan?

Taym – If ɛni wan pan dɛn kwaliti ya de, .Nɔ west tɛm ɛn kɔl 1990 wantɛm wantɛm ɔ go na ɔspitul.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Pipul wae gɛt shuga kin gɛt bɔrku risk fɔ gɛt strok. I kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm ɛn disabled. Bɔt di gud nyus na dat yu kin ridyus dis prɔblɛm bad bad wan.

I impɔtant fɔ kɔntrol yu blɔd shuga, blɔd prɛshɔn, kɔlɔstrel lɛvɛl, ɛn yu bɔdi wet. Adopt layf we gɛt wɛlbɔdi. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

Tɔk to yu dɔktɔ bɔt yu strok risk ɛn aw fɔ avɔyd am. Nɔ wɔri, aw fɔ no ɛn proaktiv na di bɛst tin fɔ gɛt wɛlbɔdi layf. Mek yu fɛn di trɛnk fɔ gɛt wɛlbɔdi!

` Dayabitis, Paralayz, Strɔk, Dayabitis Mɛlitɔs, Bren Strok, Shuga Lɛvɛl, Blɔd Prɛshɔn, Kɔlestɔl, Wɛlbɔdi, Sri Lanka