Wetin go apin if di blɔd we de go na yu bren stɔp? (Ischemic Stroke) Lɛ wi lan mɔ bɔt am.

Oh, imajin wetin go apin if di blɔd we de flɔ na yu bren stɔp wantɛm wantɛm? Na tin we rili denja. Wi kin kɔl dis ischemic strok . Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja. Dis sik kin mek di bren sɛl dɛn day, ɛn if dat apin, di bɔdi wok we dɛn sɛl dɛn de kɔntrol kin lɔs. Ischemic Stroke de mek lɛk 80% pan ɔl di strok dɛm na di wɔl. So, i rili impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk no bɔt dis.

So, wetin na di simptom dɛm fɔ ``Ischemic Stroke''?

Di sayn dɛm fɔ ischemic strok kin difrɛn difrɛn wan dipen pan di pat pan di bren we i afɛkt. Bɔt sɔm sayn dɛn de we kin apin:

• Na wan say na yu fes ɔ yu bɔdi we yu de fil we yu nɔ ebul fɔ waka ɔ we yu nɔ ebul fɔ waka.
• I nɔ izi fɔ tɔk, ɔ i nɔ ebul fɔ tɔk igen (Aphasia) .
• Di tɔk kin bi slɔp ɛn dɛn nɔ kin ebul fɔ kɔl wɔd dɛn fayn fayn wan (Dysarthria) .
• Nɔ ebul fɔ kɔntrol di mɔsul dɛn na wan say na di fes.
• I nɔ bad fɔ lɛ yu lɔs ɔ mek yu sɛns fɔ smɛl, test, tɔch, ɔ yɛri wɔs wantɛm wantɛm.
• Blɔr vishɔn ɔ dabl vishɔn (Diplopia) .
• Di bɔdi nɔ de wok fayn, i nɔ kin ebul fɔ ɔndastand tin fayn, ɛn i kin stɔp (Ataxia) .
• Fɔ fil se yu gɛt diziz.
• Nɔs ɛn vɔmit.
• Wan nɛk we stif.
• Di chenj we pɔsin kin chenj wantɛm wantɛm na di we aw pɔsin de fil ɔ di pɔsin we i bi.
• Fɔ fil se yu kɔnfyus ɛn yu nɔ de rɛst.
• Fɔ gɛt wan sik we de mek pɔsin sik.
• Amnesia na wae pɔrsin nɔr de mɛmba ɔltɛm.
• Wan ed we kin at bad bad wan wantɛm wantɛm.
• Fɔ lɛ yu nɔ no natin ɛn fɔdɔm.
• Fɔdɔm insay kɔma.

Wonin sayn dɛm - mɛmba fɔ BI FAST!

``Ischemic Stroke'' kin gɛt difrɛn kayn sayn dɛm. Fɔ no if sɔntin lɛk dis de apin to yu ɔ pɔsin we yu sabi, mɛmba dɛn wɔd ya BI FAST .

• B - Balans: Si if yu lɔs yu balans wantɛm wantɛm .
• E - Ay: Luk fɔ si we yu nɔ de si wantɛm wantɛm na wan ɔ ɔl tu yay, ɔ ɛni chenj na yu yay.
• F - Fes: Smayl ɛn si if wan say na di fes de drɔp .
• A - Arms: Rays yu tu an. Si if wan an de drɔp abnɔmal ɔ i tan lɛk se i wik.
• S - Tɔk: Si if di tɔk slɔp ɔ if i at fɔ mek di wɔd dɛn rayt.
• T - Tɛm: Taym na di men tin - kɔl fɔ ɛp wantɛm wantɛm (if yu de na Sri Lanka, kɔl 1990)If i pɔsibul, kip wan wach ɔ fon rɛkɔd fɔ di tɛm we yu sik bigin. If yu tɛl yu dɔktɔ dis tɛm, dat go ɛp dɛn fɔ pik di bɛst tritmɛnt fɔ yu.

Ɛvri sɛkɔn impɔtant! If yu tink se yu gɛt strok, go na ɔspitul wantɛm wantɛm ɛn nɔ de te.

Wetin kin mek pɔsin gɛt ``Ischemic Stroke''?

Fɔ tɔk am simpul wan, ``Ischemic Stroke'' kin apin we sɔntin ambɔg di blɔd flɔ to yu bren. dכkta dεn kכl dis ``Ischemia.'' ``Ischemia'' min se di sεl dεm nכ de gεt inof bכdi εn dεn de day. we dis apin to di bren, wan ``Ischemic Stroke'' de apin. Bɔku tɛm, di men tin we kin mek i apin na we blɔd kin rɔtin.

Blɔd klɔt kin fɔm dis we bikɔs ɔf difrɛn wɛlbɔdi kɔndishɔn dɛn. Sɔm ɛgzampul dɛn na:

• Atɛrosklɛrosis na we di at dɛn kin smɔl ɛn stif, ɛn dis kin mek di blɔd nɔ ebul fɔ flɔ. I tan lɛk dɔti we de stɔp na wata paip.
• Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt.
• Atrial fibrillation na sik we di at nɔ de bit ɔltɛm.
• di at dεm we dεn bכn wit lεk ol dεm na di at (Atrial septal defects כ Ventricular septal defects).
• wan kכndyushכn we dεn kכl ``Microvascular ischemic disease`` kin apin we di sכm sכm bכdi vεsul dεm na di bren de blok.

Wetin na di kayn `(Ischemic Stroke)`?

Tu men kayn ``Ischemic Stroke'' de:

1. Thrombotic stroke: Dis na we blɔd kin klɔt insay di bren . Dɔktɔ dɛn kɔl dis prɔses trombosis.

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Lɛ wi lan bak bɔt di "mini strok" we dɛn kɔl `(Transient Ischemic Attack - TIA)`

`(Transient Ischemic Attack)` ɔ `(TIA)` tan lɛk strok, bɔt di sayn dɛm kin go afta sɔm tɛm (bɔku tɛm insay 24 awa) . Dɛn kin kɔl am bak ``mini-strok``. Bɔt nɔ lɛf am bikɔs i smɔl. Bɔku tɛm, `(TIA)` na strɔng wɔnin sayn bifo big, pɔrmɛnt strok apin . I impɔtant fɔ mek pɔsin we dɔn gɛt `(TIA)` go to imejensi mɛrɛsin kwik kwik wan.

Udat de pan big risk fɔ gɛt dis?

Ɛnibɔdi kin gɛt ``Ischemic Stroke''. Bɔt sɔm pipul dɛn kin gɛt mɔ prɔblɛm. Dɛn na:

• Pipul dɛn we dɔn pas 65 ia.
• Pipul we kɔmɔt na Afrika (dis nɔ rili impɔtant to Sri Lanka, bɔt i fayn fɔ no).
• Pipul dɛn we de smok ɔ yuz ɔda kayn tabak ɔ nikotin (lɛk vaping).
• Pipul dɛn we de yuz drɔgs we nɔ rayt.

Dɔn bak, pipul dɛm wae gɛt sɔm kayn wɛl bɔdi prɔblɛm kin gɛt bɔrku risk:

• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn (Hypertension) .
• Fɔ di wan dɛn we gɛt ay kɔlɔstrel na dɛn blɔd (Hyperlipidemia) .
• Fɔ di wan dɛn we gɛt adikshɔn to rɔm (`Alcohol use disorder`).
• Fɔ di wan dɛn we gɛt Tayp 2 Dayabitis .
• Stɔdi de we sho se di wan dɛn we bin dɔn gɛt COVID-19 bifo, dɛnsɛf de pan sɔm risk.

Aw dɔktɔ dɛn kin no bɔt dis?

Dɔktɔ go jɔs tɛl yu fɔ tru if yu gɛt ``Ischemic Stroke`` afta dɛn dɔn gi yu ``Neurological exam`` ɛn sɔm ɔda tɛst dɛm. If dɛn kɛr yu go na di imejensi rum, di dɔktɔ dɛn we de de kin no bɔt dis.

Bɔku tɛst dɛn de we yu kin du fɔ kɔnfɔm if yu dɔn gɛt ``Ischemic Stroke``:

• `(CT scan)` (CT scan): Dis de tek pikchɔ fɔ di bren.
• Ilɛktrokardiogram (EKG): Dɛn kin wach di ilɛktrik wok we di at de du.
• `(MRI)` (MRI): Dis kin tek ditayl pikchכ dεm bak fכ di bren.
• ilektroεnsεfalogram (EEG): dεn de mכnitor di bren in ilektrikal wev patεn.
• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk prɔblɛm wit blɔd we de klɔt ɛn di shuga lɛvɛl.

Wetin na di tritmɛnt fɔ dis?

di mכst imכtant tin we yu de trit ``ischemic stroke'' na fכ mek di bכdi fכ fכlכ bak na di bren kwik kwik wan . Dɔktɔ dɛn kin du dis kwik kwik wan fɔ mek di bren nɔ pwɛl ɛn day fɔ ɔltɛm.

Kwik tritmɛnt we dɛn kin yuz

Tu tritmɛnt dɛn we dɛn kin yuz bɔku tɛm na:

1. Thrombolytic therapy: Dis na drɔgs we de mek di blɔd tan. Bɔku tɛm, dɔktɔ dɛn kin jɔs gi dɛn tin ya if di sik bigin insay 4 ɛn af awa afta di strok. Dis na bikɔs dɛn kin mek di blɔd we de mek pɔsin blɔd insay di bɔdi we denja.

2. Thrombectomy: Dis na ɔpreshɔn we dɛn kin du. Di dɔktɔ we de du di ɔpreshɔn kin put smɔl tin tiub (kateta) insay wan vein ɔdasay na yu bɔdi (bɔku tɛm na yu groin) ɛn gayd am to di blɔd we de klɔt na yu bren. afta dat dεn kin sכk di klot kכmכt (lεk `vεkyum') כ brok am insay pis εn pul am.

Ɔda tritmɛnt dɛn

Yu kin nid ɔda tritmɛnt dɛn lɛk:

• Di tin dɛn we de mek blɔd tan: Dɛn kɔl dɛn tin ya antikɔagulɛnt. Dɛn mɛrɛsin ya kin mek yu blɔd nɔ klot izi wan. Dɔktɔ dɛn kin gi yu dɛn mɛrɛsin ya afta yu dɔn tek mɛrɛsin we de mek yu blɔd tan.
• Ɔksijɛn tɛrapi: We pɔsin gɛt strok, di bren nɔ kin gɛt bɛtɛ ɔksijɛn. So dɔktɔ dɛn kin gi yu wan tin we go pas na yu nos ɛn gi yu ɛkstra ɔksijɛn. Dis kin mek i izi fɔ blo ɛn i kin ɛp fɔ mek ɔksijɛn kam bak na di bren.
• Di we aw dɛn de kɔntrol di blɔd shuga:Dɔktɔ dɛn kin chɛk yu blɔd glukɔs ɔltɛm fɔ ɛp yu bren fɔ wɛl.
• Mild intentional hypothermia: Sɔntɛnde, dɔktɔ dɛn kin sef fɔ mek yu bɔdi wam smɔl smɔl. Dis kin ɛp fɔ ridyus di bren damej we pɔsin gɛt strok ɛn afta i dɔn gɛt strok. Bɔt dɛn nɔ kin du dis bɔku tɛm, na spɛshal kes dɛn nɔmɔ dɛn kin du.

Wi fɔ no bak bɔt strok rihab?

Stroke rehab na impɔtant tin afta yu dɔn gɛt strok. I de gi yu bɔku trɛnk fɔ fes layf bak. I de ɛp yu fɔ ajɔst to di chenj dɛn we dɔn apin to yu bren ɛn bɔdi bikɔs ɔf di strok. Yu kin nid fɔ gɛt di tin dɛn we yu bin dɔn du trade ɔ fɔ adap fɔ liv wit nyu disabled. Dɛn kin du dis wit di ɛp we difrɛn tritmɛnt pipul dɛn kin gi:

• Speech therapy: Dis kin ɛp fɔ mek yu ebul fɔ tɔk fayn, langwej, ɛn kɔntrol mɔsul dɛm we de ɛp yu fɔ tɔk, blo, it, ɛn swɛla.
• Fyzikal tritmɛnt: Dis kin ɛp fɔ mek di mɔsul dɛn strɔng, fɔ mek dɛn balans fayn, ɛn fɔ yuz dɛn an ɛn fut dɛn bak.
• Ɔkupeshɔn tɛrapi: Dis kin ɛp yu fɔ du ɛvride wok sef wan, mɔ di wok dɛn we yu nid fɔ muv fayn fayn wan (e.g., fɔ bɔtin shirt, rayt).
• Kɔgnitiv tɛrapi: Dis kin ɛp fɔ mek yu gɛt bɛtɛ maynd lɛk fɔ mɛmba, fɔ pe atɛnshɔn, ɛn fɔ sɔlv prɔblɛm.

Aw wi go protɛkt wisɛf frɔm dis `(Ischemic Stroke)`?

Fɔ gɛt gud ɔvalayn wɛlbɔdi na di bɛst we fɔ ridyus yu risk fɔ gɛt ischemic strok. Tray fɔ du dɛn tin ya:

• Kip yu blɔd prɛshɔn, di kɔlɔstrel lɛvɛl , ɛn ɛni wɛlbɔdi prɔblɛm we yu gɛt (lɛk dayabitis) kɔntrol gud gud wan.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it (lɛk di it we dɛn kin it na Mɛditarenian, we gɛt bɔku vɛjitebul, frut, ligɛm, ɛn ɔl gren) ɛn mek yu gɛt wɛlbɔdi wet we fit yu.
• Lɛf fɔ smok kpatakpata ɛn nɔ de nia say dɛn we yu de blo sigrɛt smok.
• Ɛksesaiz ɔltɛm. Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit insay di de, fayn.
• Limit ɔ stɔp fɔ drink rɔm ɔltogɛda .

Si dɔktɔ wan tɛm insay di ia (ɔ ɔltɛm we yu dɔktɔ se) fɔ mek dɛn chɛk yu. Bɔrku tin wae kin mek yu gɛt ischemic strok kin kam as tɛm de go ɛn wɔs wae yu nɔr ivin no. Bɔrku pipul dɛm wae gɛt ay blɔd prɛshɔn ɛn ay kɔlɔstrel nɔr kin gɛt ɛni sayn. Yu dɔktɔ kin ɛp yu fɔ no dɛn wɔnin sayn ya kwik kwik wan, kɔntrol dɛn, ɛn ridyus yu risk fɔ gɛt strok leta.

Wetin na di op fɔ mek i wɛl?

E tranga fɔ se wan rεkɔvεshɔn rεt wae fayn fɔ ɔlman. `(Ischemic Stroke)` kin kil pɔsin ɛn mek pɔsin gɛt disabiliti fɔ ɔltɛm. Bɔt nɔto ɔlman gɛt di sem tɛm fɔ wɛl ɔ di sem tin we dɛn de op fɔ. Di kwik we dɛn de gɛt di tritmɛnt, na di mɔ di chans fɔ mek i wɛl.

Ischemic strok kin gɛt bɛtɛ autkam pas ɛmoraji strok. Bɔt dat nɔ min se yu go ebul fɔ wɛl, i go izi fɔ yu, ɔ i go bɛtɛ.

Aw lɔng i go tek fɔ mek i wɛl?

Ɔlman in bɔdi kin ansa difrɛn we we pɔsin gɛt strok. wetin yu kin εkspεkt (di `prognosis`) dipכnt pan sεvεra tin dεm:

• Us kayn ``Ischemic Stroke'' yu bin gɛt?
• Us pat dɛn na yu bren i bin afɛkt?
• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Yu ɔl wɛlbɔdi biznɛs.

Bɔrku pipul kin wɛl frɔm strok insay sɔm mɔnt. Bɔrku pan di wɛl bɔdi kin kam bak insay di fɔs tri to siks mɔnt afta di strok. Bɔt di sayn dɛm ɛn di sayd ɛfɛkt dɛm kin te fɔ wan ia ɔr mɔr. Strɔk kin mek bak yu gɛt disabled fɔ ɔltɛm ɛn chenj di we aw yu de yuz yu bɔdi.

Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt. I go ɛp yu fɔ sɛt gol fɔ wɛl ɛn ɛkspɛkteshɔn dɛn we fit yu wɛlbɔdi ɛn kɔndishɔn.

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

Fɔ wɛl ɛn fɔ rihabilite afta yu gɛt strok na bɔku wok. Yu kɔmitmɛnt ɛn di sɔpɔt we yu famili de gi yu rili impɔtant. We yu ɛn yu dɔktɔ dɔn mek wan tritmɛnt plan, fala am gud gud wan.

• Tek yu mɛrɛsin dɛn kɔrɛkt wan ɛn di rayt tɛm, mɔ if yu de tek tin dɛn we de mek yu blɔd tan. Dis impɔtant fɔ ridyus di risk fɔ mek yu blɔd klɔt tumara bambay, ɛn if yu tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu, dat go ɛp yu bɔdi bak fɔ wɛl.
• Mek shɔ se yu go na yu rihab ɛn ɔda tritmɛnt apɔntinmɛnt dɛn. Tɛl yu tritmɛnt pipul dɛm if ɛnitin de mek yu nɔr fil fayn ɔr nɔr sef. Rihabiliteshɔn na tranga wok, bɔt yu nɔr nid fɔ de pan pen ɔr nɔr de fil fayn ɔltɛm.
• Tink bɔt yu maynd wɛlbɔdi bak. Pwɛl hat ɛn wɔri kin apin afta yu dɔn gɛt strok. We yu fil bad, yu at pwɛl, ɔ yu vɛks, dat nɔ min se yu wik ɔ yu dɔn win. Dɛn filin dɛn de na nɔmal tin. Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. If yu de tray tranga wan fɔ mek yu maynd bɔt sɔntin we yu de wɛl, tɔk to yu dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd . I kin rili ɛp wi.

Us it ɛn drink dɛn a fɔ pul kɔmɔt ?

Yu dɔktɔ kin tɛl yu fɔ ad ɔ pul sɔm it dɛn na yu it. I kin tɛl yu bak fɔ mek smɔl chenj dɛn to yu ɛvride fɔ ɛp fɔ kɔntrol yu wɛlbɔdi prɔblɛm, ɔ fɔ ridyus yu risk fɔ gɛt ɔda blɔd klɔt afta yu gɛt ischemic strok.

Di it ɛn drink dɛn we dɛn kin advays fɔ pul ɔ ridyus na:

• Fɔd dɛn we gɛt bɔku sɔl (sɔdiɔm). (piklɔ, dray fish, sos, it dɛn we dɛn pak)
• Fɔd dɛn we gɛt bɔku shuga (drin we dɛn dɔn swit, kek, biskit, tɔfi) .
• Fɔd dɛn we dɛn dɔn prosɛs fayn fayn wan ( lɛk sosish, ham, mitbɔl) .
• Fried it ɛn it dɛn we gɛt trans fat (French fries, sɔm kayn majarin) .
• Rum.
• Fɔ it bɔku bɔku kafinɛ (i bɛtɛ fɔ lɛ yu nɔ drink ti ɛn kɔfi fɔ sɔm kɔp dɛn insay wan de) .

Ustɛm a go nid fɔ go na imejensi kia bak?

If yu fil lɛk se yu gɛt ɔda strok (as dɛn tɔk bɔt am na di BE FAST ) kɔl 911 (di imejensi ambulans savis) wantɛm wantɛm, ɔ go na di imejensi rum we de nia yu. Di risk fɔ gɛt siriɔs prɔblɛm ɛn day kin ivin bɔku if yu gɛt ɔda strok. Nɔ delay fɔ go fɛn ɛp ɔ fɔ go na di imejensi rum.

Pɔsin we dɔn gɛt ischemic strok de pan risk fɔ gɛt mɔ siriɔs prɔblɛm dɛn. Fɔ ɛgzampul:

• Nyumonia
• di bכdi de kכlכt na di dip vein dεm na di leg dεm (Deep Vein Thrombosis - DVT) .
• Pɔlmonari Ɛmbolizm
• At atak
• Di sik dɛn we kin mek pɔsin sik

If yu gɛt ɛni sayn fɔ dɛn prɔblɛm ya (e.g., i nɔ izi fɔ blo, yu chɛst de pen, yu leg de swel), yu fɔ kɔl di imejensi savis ɔ go na di imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Wetin mek a gɛt strok?
• Wetin na di bɛst tin dɛn we a kin du fɔ ridyus di prɔblɛm we a gɛt fɔ gɛt ɔda strok?
• Yu tink se dis go afɛkt mi fɔ lɔng tɛm?
• Aw lɔŋ a go nid rihabiliteshɔn (`Stroke rehab`)?
• Us chenj dɛn a nid fɔ mek na mi ɛvride layf (fɔ it, ɛksesaiz, wok aut)?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Strɔk kin bi sɔntin we kin mek pɔsin fred ɛn we kin chenj in layf. Di bɛst we fɔ mek yu nɔ gɛt ischemic strok na fɔ no di wɔnin sayn dɛm fɔ strok ɛn kɔntrol di tin dɛm we de mek yu gɛt prɔblɛm bifo i apin. Si yu dɔktɔ wan tɛm insay di ia ɛn gɛt ɛp fɔ kɔntrol ɛni prɔblɛm we go mek yu gɛt strok (lɛk ay blɔd prɛshɔn, dayabitis, ɔ kɔlɔstrel).

If yu gɛt strok, i kin tan lɛk se yu wan ol wɔl dɔn chenj. Bɔt yu stil na yusɛf. Rikɔvayshɔn ɛn rihabiliteshɔn na tranga wok, ɛn kin bi lɔng waka. Sɔm dez kin tranga pas ɔda de dɛn. Bɔt nɔ fɔgɛt fɔ sɛlibret di smɔl smɔl win dɛn we yu dɔn win, di maylston dɛn we yu dɔn rich. Nɔto yu wangren de, ɛn yu gɛt fambul dɛn, padi dɛn, dɔktɔ dɛn, ɛn pipul dɛn we de mɛn yu fɔ ɛp yu.

` Strok, ischemic strok, blɔd we de klɔt na di bren, di simptom dɛm, BI FAST, strok tritmɛnt, strok prɛvɛnshɔn