Hemorrhagic Stroke: Lɛ wi tɔk bɔt dis denja kɔndishɔn!

Oh, imajin wetin go apin if wan smɔl blɔd vesel we de insay yu ed, dat na, insay yu bren, bɔs wantɛm wantɛm? I rili de mek pɔsin fred fɔ tink bɔt am, nɔto so? Dis na wetin wi kɔl ‘hemorrhagic stroke ’, we na wan sik we de mek pɔsin paralayz we blɔd vesel bɔs insay di bren ɛn blɔd de kɔmɔt. Dis na rili tin we kin mek pɔsin in layf de pan denja, we kin apin kwik kwik wan. "Ɛmoraji" na wɔd we dɔktɔ dɛn kin yuz, fɔ tɔk am simpul wan, fɔ blɔd we de kɔmɔt sɔmsay insay di bɔdi.

We blɔd bigin fɔ flɔ insay di bren dis kayn we, di bren nɔ kin gɛt inof blɔd ɔ ɔksijɛn. So di bren nɔ kin ebul fɔ wok. Nɔto dat nɔmɔ, bɔt di ɛkstra prɛshɔn we de insay di ed kin pwɛl di bren sɛl dɛn ɛn ivin kil dɛn. Dis kayn strok (hemorrhagic stroke) kin rili siriɔs bikɔs di sayn dɛm kin apin kwik ɛn i kin wɔs kwik kwik wan. If yu nɔ gɛt mɛrɛsin kwik, yu kin mek yu bren pwɛl sote go ɛn ivin day. If yu tink se yu ɔ pɔsin we yu de wit gɛt strok , kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm. Di tin we impɔtant pas ɔl na fɔ kɛr di pɔsin go na ɔspitul kwik kwik wan ɛn bigin fɔ trit am. Ɛvri sɛkɔn de kɔnt na ya.

Wetin na di sayn dɛm fɔ ‘ɛmoraji strok’?

We ɛmoraji strok apin, wan ɔ mɔ sayn dɛn kin apia wan tɛm. Na sɔm pan dɛn:

• Tɛndklap ed pen: Na wan ed we kin at wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia, ɛn we kin at bad bad wan.
• Fɔtofɔbia: Yay kin blu we yu de pan brayt layt ɔ san layt.
• Diziz ɔ vertigo.
• I nɔ kin izi fɔ ɔndastand wetin ɔda pipul dɛn se ɔ i nɔ kin izi fɔ tɔk (Aphasia).
• Wɔd dɛn kin slɔp ɛn di tɔk nɔ kin klia (Dysarthria).
• Wan-sayd wik ɔ paralayz.
• Sεns כgan dεm lεk fכ si, yεri, εn tכch de lכs dεn wok.
• Nek stiffness, difikulti fɔ bɛn.
• Vɔmit ɛn nɔs .
• Di fit de kam (Seizures).
• Fɔ pas ɔ fɔdɔm.
• Kɔma.

Wetin na di wɔnin sayn dɛm fɔ ‘ɛmoraji strok’?

Dis paralayz kin mek yu gɛt difrɛn kayn sayn dɛm. Fɔ no if yu ɔ pɔsin we yu lɛk gɛt dis sik, BI FASTMɛmba di akɔdin. Dɛn mek am bay we dɛn jɔyn di fɔs lɛta dɛn na sɔm Inglish wɔd dɛn.

• B - Balans : Si if yu los yu balans wan wan. I tan lɛk se yu nɔ go ebul fɔ tinap wansay.
• E - Ayz: Si if wan ɔ tu yay nɔ de si wantɛm wantɛm, ɛn if chenj de.
• F - Fes: Tray fɔ smayl. Si if i tan lɛk se wan say ɔ ɔl tu di say dɛn na yu fes de drɔp.
• A - Arms: Tray fɔ es ɔl tu yu an. If yu paralayz , yu nɔ go ebul fɔ es wan an, fɔdɔm, ɛn wik bad bad wan.
• S - Tɔk: Si if di tɔk slɔp ɔ if i at fɔ mek di wɔd dɛn rayt.
• T - Taym: Taym na di men tin - luk fɔ ɛp wantɛm wantɛm. If i pɔsibul, luk na wach ɔ fon ɛn notis di tɛm we yu sik bigin. If yu tɛl dɔktɔ ustɛm yu sik bigin, dat kin ɛp dɛn fɔ disayd us tritmɛnt go fayn fɔ yu.

Mɛmba se if yu gɛt ɛni wan pan dɛn BI FAST sayn ya, i kin bi strok. So nɔ west tɛm ɛn go na ɔspitul wantɛm wantɛm.

Lɛ wi lan bak bɔt wan mini-strok (Transient Ischemic Attack - TIA).

Sɔntɛnde, wan sik kin de we dɛn kɔl ‘mini-stroke’, we dɔktɔ dɛn kin kɔl ‘transient ischemic attack’ ( TIA ) . Dis tan lɛk strok, bɔt di sayn dɛn kin dɔn afta sɔm tɛm. Bɔt dis na wɔnin we rili siriɔs ! Pɔsin we dɔn gɛt TIA de pan rili ay risk fɔ gɛt big big strok insay di nɛks tɛm. So, i impɔtant fɔ mek pɔsin we dɔn gɛt TIA go to dɔktɔ kwik kwik wan.

Wetin na di tin dɛm wae kin mek dis ‘ɛmoraji strok’?

Fɔ tɔk am simpul wan, ɛnitin we de pwɛl di blɔd vesel dɛn na yu bren ɛn mek dɛn bɔs kin mek dis apin. Di ay blɔd prɛshɔn (haypa prɛshɔn) na di men ɛn kɔmɔn tin we kin mek dis apin. Dis risk kin pasmak if yu blɔd prɛshɔn rili ay, ɔr if yu nɔr de kɔntrol am fɔ lɔng tɛm.

Na sɔm ɔda rizin dɛn ya:

• di bren aneurism na di b כdi we de na di bren we de bulge כ bulge lεk balכn. Dɛn tin ya kin wik ɛn bɔs wantɛm wantɛm.
• Tumɔs dɛn na di bren.
• Moyamoya sik: Insay dis, di men blɔd vesel dɛm we de gi blɔd to di bren kin blok, ɛn smɔl nyu blɔd vesel dɛn kin fɔm, bɔt dɛn kin wik bad bad wan.
• sεribra amyloid angiopathy: Insay dis, wan protin de dכn na di wכl dεm na di bכdi vεsul dεm na di bren, we de wik.
• Di wund dɛn we pɔsin kin gɛt na in ed.
• Dɛn dɔn si se sɔntɛnde COVID -19 infɛkshɔn kin bi wan tin we kin mek dis apin.
• Sɔntɛnde, afta wan ischemic strok we blɔd klɔt na di bren, blɔd kin bigin fɔ kɔmɔt na da say de.

Dɛn kayn ‘ɛmoraji strok’ de?

Yɛs, tu we dɛn de we blɔd kin flɔ insay di bren lɛk dis:

1. Intracerebral hemorrhage: Dis na we wan blɔd vesel we de insay di bren de bɔs. Dɔn di blɔd kin gɛda insay di bren tisu ɛn mek prɛshɔn. Tink bɔt am lɛk wata balyɔn we de bɔs insay.

2. Subarachnoid hemorrhage: wan tin we de protεkt wi bren we dεn kכl di arachnoid membrane de rawnd wi bren. di spεs bitwin dis mεmbran εn di bren dεn kכl am di subarachnoid spεs. If wan blɔd vesel we de pas na dis brok, di blɔd kin gɛda na dis ples. Dis kin put prɛshɔn pan di bren frɔm insay di skel.

Udat de pan big risk fɔ gɛt dɛn tin ya?

Ɛnibɔdi kin gɛt ɛmoraji strok, bɔt dɛn pipul ya kin gɛt mɔ risk:

• Pipul dɛn we dɔn pas 65 ia.
• Pipul dɛn we de smok (ɔ yuz ɔda kayn tabak).
• Pipul dɛn we de yuz drɔgs we nɔ rayt.

Dɔn bak, if yu gɛt ɛni wan pan dɛn wɛlbɔdi prɔblɛm ya we de afɛkt yu blɔd sistɛm, yu risk fɔ gɛt strok go bɔku:

• Ay blɔd prɛshɔn (Hypertension).
• Dizayd fɔ yuz rɔm.
• Ay kɔlɔstrel (Hyperlipidemia).
• Maygren ed pen, mɔ di wan dɛn we gɛt aura.
• Dayabitis (Dayabitis Mɛlitus).

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ kin no if pɔsin gɛt ɛmoraji strok bay we i de du nyurolɔjik ɛgzam ɛn du tɛst dɛn lɛk:

• CT scan: Dis na di wangren we fɔ chɛk kwik kwik wan fɔ si if blɔd de kɔmɔt na di bren.
• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk prɔblɛm wit blɔd we de klɔt ɛn di shuga lɛvɛl.
• ECG (Electrocardiogram - EKG): I de chɛk aw di at de wok.
• MRI: Dis kin ɛp fɔ si di bren mɔ ditayli.

Wetin na di men tritmɛnt fɔ ɛmoraji strok?

Di tu men tritmɛnt fɔ dis na mɛrɛsin ɛn ɔpreshɔn.

Mɛrɛsin fɔ ‘ɛmoraji strok’.

Dɔktɔ dɛn kin yuz difrɛn mɛrɛsin fɔ mɛn dis sik. Dɛn kin wok tu men we dɛn:

1. Fɔ mek blɔd klɔt kwik kwik wan: Bɔku pipul dɛn kin tink se blɔd klɔt na bad tin (infakt, blɔd kin klɔt kin denja). Bɔt fɔ mek blɔd klɔt na di we aw wi bɔdi kin stɔp fɔ blɔd. Dɔktɔ kin gi yu mɛrɛsin lɛk Vitamin K therapy ɔ Prothrombin complex concentrate fɔ ɛp yu bɔdi fɔ stɔp fɔ blɔd na yu bren.

2. Kɔntrol yu blɔd prɛshɔn: If yu kip yu blɔd prɛshɔn na say we sef, dat kin ɛp fɔ mek yu nɔ gɛt bɔku blɔd na yu bren. I de ɛp bak fɔ mek blɔd nɔ klɔt na di blɔd vesel dɛn we dɔn pwɛl. Yu dɔktɔ kin bigin yu fɔ tek IV (intravenous) mɛrɛsin dɛn we de mek yu blɔd prɛshɔn go dɔŋ.

Ɔpreshɔn fɔ ‘ɛmoraji strok’.

di bכdi we de kכlekt bikoz fכ strכk de put bכku prεshכn pan di bren tisu we de rawnd di bכdi we de bכn. If di prɛshɔn we de insay di skel (intrakranial prɛshɔn) go ɔp tumɔs, yu kin nid fɔ du ɔpreshɔn kwik kwik wan. Di dɔktɔ we de du di ɔpreshɔn go pul di blɔd we dɔn gɛda bak ɛn ridyus di prɛshɔn we de pan di bren.

Strɔk Rihabiliteshɔn

Rihabiliteshɔn na impɔtant pat fɔ trit pɔsin we gɛt ɛmoraji strok. I de ɛp yu fɔ ajɔst to di chenj dɛn we de apin na yu bren ɛn yu bɔdi. Yu kin nid fɔ gɛt bak di tin dɛn we yu dɔn lɔs ɔ lan fɔ liv wit nyu disabled. Yu kin nid wan ɔ kɔmbayn pan dɛn tritmɛnt ya:

• Spich therapy: Mek yu langwej ɛn tɔk fayn bak ɔ mek yu sabi tɔk fayn fayn wan. Dis kin ɛp fɔ kɔntrol di mɔsul dɛn we de ɛp yu fɔ tɔk, blo, it, ɛn swɛla.
• Fyzikal tritmɛnt: Fɔ mek di mɔsul dɛn strɔng, mek yu balans fayn, ɛn mek yu an ɛn fut wok bak.
• Occupational therapy: I de ɛp yu fɔ du yu wok dɛn we yu de du ɛvride sef wan, mɔ di wok dɛn we yu nid fɔ muv fayn fayn wan.
• Cognitive therapy: I de ɛp fɔ mek yu mɛmba, fɔ pe atɛnshɔn, ɛn ɔda tin dɛn we yu de tink bɔt.

Yu tink se dɛn go ebul fɔ mek pɔsin nɔ gɛt ɛmorayjik strok?

Fɔ mek yu gɛt wɛlbɔdi blɔd prɛshɔn na di impɔtant we fɔ mek yu nɔ gɛt ɛmoraji strok. If yu gɛt ay blɔd prɛshɔn, yu dɔktɔ kin ɛp yu fɔ kɔntrol am. Dɛn kin advays yu bɔt mɛrɛsin ɛn chenj dɛn we yu nid fɔ mek to yu ɛvride.

Ɔda tin dɛn na:

• Kip ɔda mɛrɛsin dɛn we yu gɛt (lɛk dayabitis ɛn kɔlɔstrel) ɔnda kɔntrol.
• It mɔ it dɛn we gɛt wɛlbɔdi ɛn mek yu gɛt wɛlbɔdi wet we fit yu.
• Ɛksesaiz fayn fayn wan.
• Tek mɛdikal chɛk-ap ɛvri ia (ɔ lɛk aw yu dɔktɔ tɛl yu fɔ du).
• If yu de smok, stɔp am wantɛm wantɛm.

Wetin na di tɛm we pɔsin kin liv afta i gɛt ɛmorajik strok?

I at fɔ tɔk ustɛm yu kin liv afta yu gɛt ɛmoraji strok ɛn wetin na di rit we pɔsin kin wɛl, bikɔs ɔlman in bɔdi ɛn in wɛlbɔdi stet difrɛn.

Paralayz kin kil pɔsin ɛn mek i gɛt disabled fɔ ɔltɛm, bɔt nɔr kin gɛt wan saiz fɔ ɔlman fɔ wɛl ɔ aw fɔ si am.

Ɛmoraji strok kin kil pɔsin pas ischemic strok, we kin apin bikɔs blɔd kin klɔt na di bren. Bɔt dat nɔ min se yu go mɔs gɛt bad bad tin we go apin to yu pas ɔda pipul dɛn.

Ɔlman in bɔdi kin ansa difrɛn we we pɔsin gɛt strok. Wetin yu kin ɛkspɛkt (prognosis) afta yu gɛt strok kin dipen pan sɔm tin dɛm:

• Us pat dɛn na di bren bin afɛkt?
• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Yu ɔl wɛlbɔdi biznɛs.

Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt. Dɛn go ɛp yu fɔ sɛt yu gol fɔ wɛl ɛn wetin yu de op fɔ bay aw yu gɛt wɛlbɔdi ɛn aw yu de fil.

Aw a kin tek kia ɔf misɛf afta a gɛt ɛmorajik strok?

Fɔ wɛl ɛn fɔ rihabilite afta yu gɛt strok nɔr kin izi. We yu ɛn yu dɔktɔ dɔn mek wan tritmɛnt plan, fala am gud gud wan. In jɔnal:

• Tek yu mɛrɛsin kɔrɛkt wan: If yu tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu, dat go ɛp yu bɔdi fɔ wɛl. Fɔ kɔntrol yu blɔd prɛshɔn rili impɔtant.
• Go to yu rihab ɛn ɔda tritmɛnt apɔntinmɛnt ɔltɛm: Tɛl yu thɛrapist dɛm if ɛnitin de mek yu nɔr fil fayn ɔr nɔr sef. Rihab na tin we at, bɔt yu nɔ nid fɔ de pan pen ɔ diskɔmfɔt ɔltɛm.
• Tink bɔt yu maynd wɛl bɔdi: Pwɛl hat ɛn wɔri kin kɔmɔn afta yu dɔn gɛt strok. We yu fil bad ɔ yu at pwɛl, dat nɔ min se yu wik ɔ yu nɔ ebul fɔ du natin. Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. If yu nid ɛp fɔ tɔk bɔt tin dɛn we yu de wɛl, tɔk to yu dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd .

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu fil lɛk se yu gɛt ɔda strok, kɔl 911 (ɔ di imejensi nɔmba) wantɛm wantɛm. Wan ɔda strok kin rili kil pɔsin ɔ mek i gɛt siriɔs prɔblɛm dɛn. Nɔ delay fɔ aks fɔ ɛp.

Pɔsin we dɔn gɛt strok kin gɛt ɔda siriɔs prɔblɛm dɛn bak, lɛk:

• Pɔlmonari ɛmbolizm.
• Wan at atak we pɔsin kin gɛt.
• di bכdi de kכlכt na di dip vein dεm na di lεg dεm (Dip vein thrombosis - DVT).

If yu tink se yu gɛt ɛni wan pan dɛn prɔblɛm ya, kɔl di imejensi savis wantɛm wantɛm ɔ go na imejensi rum.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Aw a go tek mi mɛrɛsin?
• Aw lɔng a go nid tɛrapi?
• Us chenj dɛn a nid fɔ mek na mi layf ɛvride?
• Us wɔnin sayn dɛn a fɔ luk fɔ we de sho se ɔda strok de kam?
• Ustɛm a fɔ kam si yu bak?

If yu gɛt ɛmoraji strok, dat kin afɛkt yu layf bad bad wan. Ɛnitin we go afɛkt yu bren fɔ ɔltɛm kin mek yu fred. If yu tink se yu de gɛt sayn dɛm fɔ strok, gɛt ɛp wantɛm wantɛm. Di kwik we dɔktɔ ebul fɔ no ɛn trit di sik, na di mɔ i go fayn.

Wae yu de na sef, stebul stet, rihabiliteshɔn kin bigin. Na tranga wok, bɔt i fayn fɔ du am. Nɔ ignore aw yu de fil, ɛn tɛl yu dɔktɔ ɛn tritmɛnt pipul dɛn bɔt aw yu at pwɛl. Yu wɛl kin kam insay smɔl smɔl tin dɛm, bɔt nɔ fɔgɛt fɔ sɛlibret ɛni sakrifays we yu gɛt.

Mɛsej we dɛn kin kɛr go na os

Ɛmoraji strok na wan sik we rili denja, we pɔsin kin gɛt we i kam pan blɔd vesel we de na di bren we bɔs. Di men tin we kin mek dis apin na di ay blɔd prɛshɔn.

Mɛmba di akɔdin BI FAST (Balance, Eyes, Face, Arms, Speech, Time) fɔ no di sayn dɛm kwik kwik wan. If yu gɛt ɛni wan pan di sayn dɛm , go na ɔspitul wantɛm wantɛm.

Di tritmɛnt inklud mɛrɛsin ɛn ɔpreshɔn. Rihabiliteshɔn (tɔk, bɔdi, wok, kɔgnitiv tɛrapi) rili impɔtant fɔ mek pɔsin wɛl.

Fɔ mek yu nɔ gɛt am, kɔntrol yu blɔd prɛshɔn, fala wɛlbɔdi layf, ɛn nɔ smok.

Nɔ fɔgɛt, insay sityueshɔn lɛk dis, ɛvri sɛkɔn kin kɔnt. If yu tek akshɔn kwik kwik wan, dat kin sev yu layf ɛn mek yu nɔ gɛt siriɔs injury.

` Paralayz, Blɔd na di Bren, Ɛmoraji Strok, Ay Blɔd Prɛshɔn, Strɔk Simptom, Strɔk Tritmɛnt, Rihabiliteshɔn