Wetin na Lacunar Stroke? Lɛ wi tɔk bɔt am simpul wan!

Tide wi go tɔk bɔt wan siriɔs kɔndishɔn we rili impɔtant fɔ no bɔt. Sɔntɛm yu dɔn yɛri bɔt pɔsin we gɛt strok. Wan pan di kayn strok we pipul dɛn kin gɛt na lacunar stroke. Fɔ tɔk am simpul wan, dis na tin we kin apin we blɔd kin klɔt na wan rili smɔl blɔd vesel na di bren. I tan lɛk wata paip we dɔn blok we de stɔp wata fɔ flɔ.

Lacunar stroke kin apin we di blɔd we de flɔ to wan smɔl blɔd vesel we de dip insay di bren stɔp, ɔ blɔd kin blok, we kin mek da pat de na di bren pwɛl. Dis na wan kayn strok we dɛn kɔl ischemic stroke . Sɔntɛnde, dɔktɔ dɛn kin kɔl am lacunar infarction. di wɔd ‘infarction’ min se we wan tisu na di bɔdi lɔs in blɔd saplai, da tisu de day. Strɔk na ɛnitin we de ambɔg di blɔd we de go na di bren.

Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja , jɔs lɛk aksidɛnt. So if yu ɔ pɔsin we yu sabi de gɛt sayn dɛn fɔ strok, kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm . Di kwik we yu go na ɔspitul ɛn bigin fɔ trit yu, na di mɔ yu go gɛt chans fɔ sev yu layf. Ɛni sɛkɔn kin kɔnt.

Wetin na di sayn dɛm wae de sho se yu gɛt lacunar stroke?

Di simptom dɛm fɔ lacunar strok kin rili fiba ɔda kayn ischemic strok. Wan ɔ mɔ pan dɛn tin ya kin apin wan tɛm:

• Fɔ fil se yu wik ɔ yu nɔr de fil fayn na wan say na yu fes ɛn yu bɔdi.
• I nɔ kin izi fɔ tɔk, fɔ slɔr wɔd, ɛn sɔm tɛm dɛn kin lɔs fɔ tɔk kɔmplit wan (wi kin kɔl dis ‘aphasia’ ).
• Slurred tok, stuttering (dεn kכl dis ‘dysarthria’ ).
• di mכsul kכntrol we de lכs na wan say na di fes (lεk we dεn de pul di mכt na wan say).
• Di wik ɔ lɔs wan ɔ mɔ pan wi fayv sɛns dɛm (we de si, yɛri, smɛl, test, tɔch).
• Blɔr vishɔn, dɛbul vishɔn ( diplopia ).
• di bεlε we i de lכs εn i nכ ebul fכ kכntrכl di limb dεm, lεk pכsin we dכn dכn ( ‘Ataxia’ ).
• Fɔ fil se yu de tɔn diziz ɔ yu de fil bad.
• Nɔs ɛn vɔmit.

If yu saspek se yu gɛt strok, mɛmba dis ‘BI FAST’ we!

I fayn fɔ mɛmba dɛn Inglish lɛta ya we min ‘BI FAST’ fɔ no kwik if yu ɔ pɔsin we yu lɛk de gɛt di wɔnin sayn dɛm fɔ strok. Lɛ wi tek wan luk pan wetin dɛn bi:

• B fɔ Balans: Si if yu lɔs yu balans wantɛm wantɛm. I nɔ kin izi fɔ yu fɔ tinap ɔ fɔ waka?
• E fɔ Ay: Si if yu nɔ de si wantɛm wantɛm, yu nɔ de si fayn, ɔ chenj na wan ɔ ɔl tu yay.
• F fɔ Fes: Aks dɛn fɔ smayl. Si if i tan lɛk se wan ɔ ɔl tu di say dɛn na dɛn fes de drɔp. Dɛn kin pul dɛn mɔt na wan say?
• A fɔ Am: Aks dɛn fɔ es dɛn tu an. If dɛn de gɛt strok, wan an kin fɔdɔm ɛn nɔ ebul fɔ ol di ɔda wan ɔp.
• S fɔ Tɔk: Chek if yu de tɔk bad, yu de tɔk smɔl smɔl, ɔ i nɔ izi fɔ fɛn di rayt wɔd dɛn we yu de tɔk. Yu kin tɔk klia wan we dɛn aks yu fɔ tɔk simpul sɛntɛns?
• T fɔ Taym: Taym na di men tin! If yu notis ɛni wan pan dɛn sik ya , go to ɛp wantɛm wantɛm, we min se yu fɔ kɔl 1990. If i pɔsibul, notis di tɛm we yu sik bigin bay we yu luk yu wach ɔ fon. If yu tɛl yu dɔktɔ ustɛm yu sik bigin, dat kin ɛp dɛn fɔ disayd us tritmɛnt go fayn fɔ yu.

Mek wi lan bak abaut ‘Mini-Stroke’?

Sɔntɛnde , ‘Transient Ischemic Attack’ ɔ ‘TIA’ kin apin. Sɔm pipul dɛn kin kɔl dis bak ‘Mini-Stroke’. Dis na wae yu gɛt sayn dɛm wae fiba wae yu gɛt strok, bɔt dɛn kin go afta shɔt tɛm (bɔku tɛm insay 24 awa). Bɔt dis na siriɔs wɔnin fɔ se rial strok kin kam jisnɔ. Pɔsin we dɔn gɛt TIA nid bak fɔ go to dɔktɔ kwik kwik wan. I nɔ fayn fɔ jɔs ignore am.

Wetin kin mek pɔsin gɛt lacunar stroke?

Lacunar stroke, lɛk aw a bin dɔn tɔk, na bikɔs blɔd klɔt de blok wan smɔl blɔd vesel dip insay yu bren. Dɛn eria ya na di bren na di say we impɔtant sɛnta dɛn de we de kɔntrol wi sɛns (filin, vishɔn, ɛn ɔda tin dɛn) ɛn muvmɛnt, lɛk di Basal Ganglia ɛn Thalamus .

Bɔku wɛlbɔdi prɔblɛm dɛn de we kin mek blɔd klɔt ɛn mek pɔsin gɛt lacunar strok. Fɔ ɛgzampul:

• Ay blɔd prɛshɔn (Hypertension): Dis na di men ɛn siriɔs tin we kin mek pɔsin gɛt dis sik . If yu no se yu blɔd prɛshɔn ay, i rili impɔtant fɔ kɔntrol am.
• di bכdi kכlestכl lεvεl dεm we de go כp (Hyperlipidemia): We ‘bad’ kכlestכl de inkrεs, i kin dכn insay di bכdi vεsul dεm εn kכl dεm.
• Di prɔblɛm dɛn we kin mek dɛn blɔd klɔt: Sɔm pipul dɛn kin gɛt di abit fɔ mek dɛn blɔd klɔt izi wan.
• COVID-19 infection: Dis kin gɛt fɔ du bak wit blɔd we de klɔt insay sɔm kes dɛm.
• Infεkshכn dεm we de pwεl di bכdi tisu: fכ egzampl, insay wan bad bad infεkshכn lεk sepsis , di pat dεm we dεn day kin kכlekt insay di bכdi εn travul go na di bren εn lod.

Mɛmba se, ay blɔd prɛshɔn na di big ɛnimi fɔ lacunar stroke. Tɔk to yu dɔktɔ bɔt yu blɔd prɛshɔn ɛn tray fɔ mek i gɛt wɛlbɔdi.

Udat de pan ay risk fɔ gɛt lacunar stroke?

Ɛnibɔdi kin gɛt lacunar stroke, bɔt sɔm pipul dɛn kin gɛt mɔ risk. Dɛn tin ya na:

• Pipul dɛn we dɔn pas 65 ia.
• Pipul dɛm we kɔmɔt na Blak famili (dis kin gɛt fɔ du wit jɛnɛtik ɛn soshio-ikɔnomik tin dɛm).
• Pipul dɛm we de smok ɔ yuz ɔda tin dɛm we gɛt nikotin (e.g. vaping).
• Pipul dɛn we de yuz drɔgs.

Dɔn bak, pipul dɛm wae gɛt sɔm kayn mɛrɛsin kin gɛt bɔrku risk:

• Pipul dεm we gεt jεnεtik mכtεshכn na di ‘NOTCH3’ jin (dis de lεnk to wan rare kכndishכn we dεn kכl CADASIL).
• Pipul dεm wae gεt hat ritm irεgulεri lεk atrial fibrillation (we kin mek bכdi kכlכt fכm na di at).
• Dizayd fɔ yuz rɔm.
• Fɔ di wan dɛn we gɛt ‘atherosclerosis’, na sik we di wɔl dɛn na di blɔd vesel dɛn kin tik ɛn stif.
• Dayabitis (Dayabitis Mɛlitus).

Aw dɔktɔ dɛn kin no kɔrɛkt wan se pɔsin gɛt lacunar stroke?

Dɔktɔ go no if yu gɛt lacunar stroke bay we i go luk bak pan di sayn dɛn we yu gɛt, du nyurolɔjik ɛgzam , du fyzikal ɛgzam, ɛn du sɔm ɔda spɛshal tɛst dɛn. If dɛn kɛr yu go na di imejensi rum, di dɔktɔ dɛn we de de kin mek dis diagnosis.

Dɔktɔ dɛn kin yuz tɛst lɛk dis fɔ kɔnfirm se yu dɔn gɛt lacunar stroke:

• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk prɔblɛm wit blɔd we de klɔt, dayabitis, ɛn kɔlɔstrel lɛvɛl.
• CT skan: Dis kin tek pikchɔ fɔ di bren ɛn no kwik kwik wan if blɔd de kɔmɔt ɔ blɔd vesel dɔn blok.
• EEG (EEG - Electroencephalogram): I de chɛk di ilɛktrik aktiviti na di bren (i kin nid fɔ bi insay sɔm kes dɛm).
• ECG (Electrocardiogram): Chɛk fɔ si if yu at nɔ de bit ɔltɛm ɛn if yu gɛt sayn dɛn we de sho se yu gɛt at atak.
• MRI: Dis kin mek yu mek klia, mɔ ditayli pikchɔ dɛn bɔt di bren. Dis impɔtant fɔ no kɔrɛkt wan fɔ no di damej we di bren kin gɛt we pɔsin gɛt strok.

Wetin na di tritmɛnt fɔ lacunar stroke?

Di tin we impɔtant pas ɔl we yu de trit lacunar stroke na fɔ mek blɔd go bak na di bren kwik kwik wan. Dɔktɔ dɛn kin du dis kwik kwik wan bikɔs i kin mek di bren nɔ pwɛl ɛn day fɔ ɔltɛm.

Tu men we dɛn de fɔ trit pɔsin:

• Thrombolytic therapy: Dis na mɛrɛsin dɛn we de sɔlv di blɔd we de klɔt. Bɔrku tɛm dɛn kin gi dɛn insay 4 ɛn af awa afta di sik bigin, bikɔs if dɛn gi dɛn leta, i kin gɛt mɔ risk fɔ mek blɔd kɔmɔt insay di bɔdi we denja.
• Mechanical thrombectomy: Dis na ɔpreshɔn fɔ pul di blɔd we dɔn klɔt. Di dɔktɔ we de du di ɔpreshɔn kin put wan smɔl tin tiub (kateta) insay wan blɔd vesel we de ɔdasay na yu bɔdi ɛn trɛd am insay di blɔd we de na yu bren. Dɔn dɛn kin sok di klot wan tɛm ɔ brok am ɛn sok am. Bɔt pan bɔku lacunar strok, di blɔd vesel we afɛkt kin tu smɔl fɔ mek dɛn du dis trombectomy. Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go tɛl yu wetin bɛtɛ fɔ yu sityueshɔn.

Apat frɔm dis, yu kin nid ɔda tritmɛnt dɛn:

• Blɔd tin dɛn we de mek yu blɔd tan: Di mɛrɛsin dɛn we de mek yu blɔd nɔ rɔtin, de mek yu blɔd nɔ klɔt izi wan. Dɛn kin gi dɛn tin ya bak afta trombolytic therapy.
• Fɔ kɔntrol blɔd prɛshɔn: Dɔktɔ dɛn kin gi yu mɛrɛsin fɔ kɔntrol yu prɛshɔn ɛn fɔ mek i nɔ gɛt wan prɔblɛm.

Yu tink se fɔ rihabiliteshɔn impɔtant afta yu dɔn gɛt strok?

Yɛs, fɔ tru! Rihabiliteshɔn na rili impɔtant pat pan tritmɛnt afta yu dɔn gɛt strok. Dis rihabiliteshɔn tritmɛnt de ɛp yu fɔ ajɔst to di chenj dɛm we dɔn apin to yu bren ɛn bɔdi bikɔs ɔf di strok. Yu kin nid ɛp fɔ gɛt bak di abiliti dɛm we yu bin gɛt bifo di strok, ɔr fɔ ajɔst fɔ liv wit nyu disabled. Yu kin nid wan ɔ kɔmbayn pan dɛn tritmɛnt ya:

• Spich therapy: Dis kin ɛp fɔ mek yu sabi tɔk fayn fayn wan, di we aw yu de tɔk, ɛn kɔntrol di mɔsul dɛn we de ɛp yu fɔ tɔk, blo, it, ɛn swɛla. Bɔku tɛm, dɛn kin nid fɔ tek mɛrɛsin fɔ mek dɛn nɔ gɛt pletlet afta dɛn dɔn gɛt lacunar stroke.
• Fizik tritmɛnt: Dis kin ɛp fɔ mek yu mɔsul dɛn strɔng, yu balans fayn, ɛn yu kin yuz yu an ɛn fut bak.
• Ɔkupeshɔn tɛrapi: Dis kin 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 (e.g., it, drɛs, rayt).
• Cognitive rehab: Dis kin ɛp fɔ mek yu mɛmba, aw fɔ pe atɛnshɔn, ɛn ɔda tin dɛn we yu kin tink bɔt.

Wetin na di layf we pɔsin kin liv afta pɔsin gɛt lacunar stroke? Yu tink se i pɔsibul fɔ mek yu wɛl ɔltogɛda?

Di nɔmba fɔ pipul dɛm wae de sev frɔm strok de go ɔp, bikɔs ɔf di tritmɛnt dɛm wae dɛn dɔn impɔtant ɛn kwik kwik wan. Bɔt i at fɔ tɔk fɔ tru if wan saiz fɔ ɔlman de fɔ wɛl bɔdi ɔ aw fɔ si am.

Lacunar strok (ɛn ɔda kayn ‘ischemic stroke’) kin jɔs gɛt ay rit fɔ liv pas ɛmoraji strok , we kin kɔmɔt frɔm blɔd we de kɔmɔt na di bren. Bɔt dat nɔ min se yu go rili liv lɔng pas ɔda pipul dɛn.

Ɔlman in bɔdi kin ansa difrɛn we we pɔsin gɛt strok. Wetin "kɔmplit rikavari" min fɔ yu kin difrɛn frɔm wetin i min fɔ ɔda pɔsin. Yu kin gɛt ful wok bak na yu bren ɛn bɔdi, bɔt yu kin gɛt nyu ɔ difrɛn disabiliti bak afta yu dɔn gɛt lacunar strok.

Wetin yu kin ɛkspɛkt kin dipen pan bɔku tin dɛn:

• yu ej.
• Aw dɛn bin trit di strok kwik kwik wan.
• Yu ɔl wɛlbɔdi biznɛs.

Bɔrku pipul kin tek sɔm mɔnt fɔ wɛl. Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt. I go ɛp yu fɔ sɛt yu gol fɔ wɛl ɛn wetin yu de op fɔ bay yu yon wɛlbɔdi.

Yu tink se dɛn kin mek pɔsin nɔ gɛt lacunar stroke?

Yɛs, na so i bi! Fɔ mek yu gɛt gud ɔvalayn wɛlbɔdi na di bɛst we fɔ mek yu nɔ gɛt lacunar stroke. Tray fɔ du dɛn tin ya:

• Kip yu blɔd prɛshɔn, kɔlɔstrel lɛvɛl, ɛn ɔda mɛrɛsin kɔndishɔn (e.g., dayabitis) ɔnda kɔntrol. Tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ tek.
• It mɔ it dɛn we gɛt wɛlbɔdi (vɛjitebul, frut, ligɛm, ɛn fayv). Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• If yu de smok, stɔp. Stay away frɔm ɔda tin dɛn we gɛt nikotin.
• Du ɛksɛsayz ɔltɛm. Du sɔntin lɛk fɔ waka fɔ at le 30 minit insay di de.

Tek mɛdikal chɛk-ap ɛvri ia (ɔ lɛk aw yu dɔktɔ se). Bɔrku sik ɛn prɔblɛm wae kin mek pɔrsin gɛt lacunar stroke kin kam smɔl smɔl as tɛm de go. Yu nɔ go notis ɛni sayn fɔ di sik. Yu dɔktɔ kin ɛp yu fɔ no dɛn wɔnin sayn ya kwik ɛn ɛp yu fɔ kɔntrol dɛn.

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

Fɔ wɛl frɔm strok ɛn go tru rihabiliteshɔn program nɔr izi, na bɔku wok. We yu ɛn yu dɔktɔ dɔn mek wan tritmɛnt plan, fala am gud gud wan. Jɛnɛral wan, yu fɔ du dɛn tin ya:

• Tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek. Dis impɔtant mɔ if yu de tek mɛrɛsin we de mek yu blɔd tan. I 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 fɔ wɛl.
• Kip yu rihab ɛn ɔda tritmɛnt apɔntinmɛnt dɛn. Tɛl yu thɛrapist 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. Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. We yu fil bad ɔ wɔri, dat nɔ de mek yu wik ɔ yu nɔ ebul fɔ du natin. If yu de fil se sɔntin de ambɔg yu we yu de wɛl, tɔk to yu dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd .

Us it ɛn drink dɛn a fɔ avɔyd?

Yu dɔktɔ kin tɛl yu fɔ ad ɔ pul sɔm it dɛn na yu it. I kin se bak fɔ mek smɔl chenj dɛn to yu ɛvride fɔ ɛp fɔ kɔntrol yu mɛrɛsin ɛn/ɔ fɔ ridyus yu risk fɔ gɛt blɔd klot tumara bambay afta yu gɛt lacunar strok.

Di it dɛn we dɛn kin advays fɔ avɔyd na:

• Rum
• Drink dɛn we gɛt bɔku kafin (i go bɛtɛ if yu ebul fɔ ridyus di ti ɛn kɔfi we yu de it) .
• Fɔ it dɛn we gɛt bɔku shuga (swit it, drink) .
• Fɔd dɛn we gɛt bɔku sɔl (sɔdiɔm) (ridyus sɔl we de na it, nɔ it tin dɛn we dɛn dɔn prosɛs we gɛt bɔku sɔl) .
• Fɔd dɛn we dɛn dɔn frɛsh
• Fɔd dɛn we dɛn dɔn prosɛs fayn fayn wan (e.g. sosish, mitbɔl, it dɛn we dɛn pak) .

Ustɛm a nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU) bak?

If yu fil se yu gɛt ɔda strok, kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm. Wan ɔda strok kin mek pɔsin gɛt siriɔs prɔblɛm ɛn ivin day. Nɔ delay fɔ go fɛn ɛp ɔ fɔ go na di imejensi rum.

Pipul wae dɔn gɛt lacunar stroke kin gɛt mɔr siriɔs kɔmplikeshɔn. Fɔ ɛgzampul:

• Dip Vein Thrombosis (DVT) (blɔd kin klɔt na di dip vein dɛn na di leg) .
• At atak
• Nyumonia
• Pulmonary embolism ( blɔd we de klɔt na wan blɔd vesel na di lɔng) .
• Di sik dɛn we kin mek pɔsin sik

If yu si ɛni wan pan dɛn prɔblɛm ya, 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 shem fɔ aks ɛni kwɛstyɔn we yu gɛt. Na sɔm tin dɛn we yu go want fɔ aks:

• ‘Usay ɛksaktɔli na mi bren a bin gɛt dis lacunar strok?’
• ‘Us sik ɔ prɔblɛm bin mek dis apin?’ i aks am.
• ‘Uskayn mɛrɛsin a nid, ɛn aw a fɔ yuz am?’ i aks am.
• ‘Us chenj dɛn a nid fɔ mek na mi layf ɛvride?’
• ‘Wetin ɔda tin a fɔ du fɔ mek a nɔ gɛt ɔda strok?’ i aks am.
• ‘Aw lɔng mi rihabiliteshɔn program go las? Us rizulyt a go ɛkspɛkt?’

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Lacunar stroke (dεn kin kכl am bak ‘lacunar infarct’) na wan kכndyushכn we de afekt di sכm sכm blɔd vesel dεm we de dip insay yu bren, bכt i kin gεt big impak pan yu hεlth. Na dat mek i impɔtant fɔ mek yu de chɛk yu ɔltɛm. Yu dɔktɔ kin ɛp yu fɔ no ɛn kɔntrol yu wɛlbɔdi prɔblɛm dɛn (lɛk ay blɔd prɛshɔn, kɔlɔstrel, ɛn dayabitis) we kin mek yu gɛt strok as tɛm de go. Tɔk to yu dɔktɔ bɔt di bɛst we fɔ mɛn di prɔblɛm dɛn we yu dɔn no.

As yu de wɛl frɔm strok, nɔ fɔgɛt fɔ sɛlibret ivin di smɔl smɔl tin dɛn we yu dɔn mek. Sɔm dez yu nɔ go fil lɛk am, bɔt ɛni sakrifays we yu gɛt, i fayn fɔ sɛlibret. Yu kin proud fɔ di had wok we yu put fɔ yu rihabiliteshɔn.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Lacunar Stroke, Lacunar Infarct, Lacunar Infarct, Stroke, Blɔd Klɔt, Ay Blɔd Prɛshɔn, Strɔk Simptom dɛm