Yu dɔn ɛva tink bɔt wetin go apin if wan smɔl blɔd vesel na wi bren blok wantɛm wantɛm? Na dat wan siriɔs kɔndishɔn we dɛn kɔl MCA strok (Middle Cerebral Artery Stroke) na. Di nem de mek yu fred smɔl, nɔto so? Bɔt nɔ wɔri. Wi go tɔk bɔt ɔltin simpul we we yu go ɔndastand. I tan lɛk we yu mek yu bɛst padi ɔ yu fambul ɛksplen sɔntin to yu.
Wetin na MCA Stroke?
Fɔ tɔk am simpul wan, MCA strok na wan sik we de mek yu nɔ ebul fɔ waka bikɔs wan blɔd vesel na yu bren we dɛn kɔl Middle Cerebral Artery (MCA) . Tink bɔt dis midul sɛribra at na wan pan di men blɔd vesel dɛm we de gi blɔd to wi bren. Fɔ tɔk di kɔrɛkt tin, i kin kɔnɛkt to di karotid at we de na wi nɛk ɛn gi blɔd to di pat dɛn na di bren we de ɛp wi fɔ yuz wi sɛns, muv wi bɔdi, ɛn tɔk. Bɔku pan di strok kin apin na dis blɔd vesel we dɛn kɔl MCA.
So, aw dis MCA strok kin apin? di rizin fכ dis na biכs wan bכdi we de kכlכt de stכk insay dis midul sεribra at. Jɔs lɛk we wan dɔti kin stɔp na wata paip, di wata kin stɔp fɔ flɔ, we dis blɔd vesel kin blok, di blɔd kin stɔp fɔ flɔ to di pat dɛn we gɛt fɔ du wit di bren. Dɔn di sɛl dɛn we de na dɛn pat dɛn de kin bigin fɔ day. Na dat kin mek di pɔsin gɛt di strok.
Wetin na di sayn dɛm fɔ MCA strok?
Bɔku sayn dɛn de we de sho se pɔsin gɛt MCA strok. Bɔku tɛm, dɛn tin ya kin apin wantɛm wantɛm. Si if dɛn sayn ya kin tan lɛk se yu sabi:
- Wik ɔ swɛt na wan say na yu fes ɔr bɔdi: Yu kin fil lɛk se wan say nɔr de swɛt. Ɔ yu nɔ go ebul fɔ muf da say de atɔl.
- Wantɛm we di sɛns nɔ de wok fayn ɔ i nɔ de wok igen: Sɛns lɛk fɔ si, fɔ yɛri, fɔ smɛl, fɔ teist, ɛn fɔ tɔch kin dɔn wantɛm wantɛm ɔ nɔ kin wok fayn.
- Fɔ tɔk fayn ɔ fɔ tɔk smɔl smɔl (dysarthria): Nɔ ebul fɔ kɔl wɔd dɛn klia wan.
- I nɔ kin izi fɔ tɔk ɔ i nɔ kin ebul fɔ tɔk atɔl (aphasia): I nɔ kin izi fɔ fɛn wɔd, ɔ i nɔ kin ebul fɔ tɔk atɔl.
- Neglect: Dis na di lef sayd we dɛn kin fɔgɛt dis we. Dat min se, pipul dɛn nɔ de notis tin dɛn na di lɛft say, ɛn nɔbɔdi nɔ de wɔri bɔt da say de.
- Lɔs fɔ balans ɔ i nɔ kin izi fɔ muv (ataxia): I kin stɔp we yu de waka, i nɔ kin izi fɔ ol tin.
Naw luk, wi bren dɔn sheb to tu say, lɛft ɛn rayt. dis MCA at de branch bak εn de gi bכdi to di tu say dεm na di bren. Di impɔtant tin na dat wan say na di bren de kɔntrol di ɔda say na di bɔdi. Dat min se, if di strok afɛkt di lɛft say na di bren, di sayn dɛm go apia na di rayt say na di bɔdi. If di rayt say na di bren dɔn pwɛl, di sayn dɛn go sho na di lɛft say na di bɔdi.
Bɔku pipul dɛn kin gɛt prɔblɛm fɔ tɔk (aphasia) if di lɛft say na dɛn bren paralayz .I kin apin. If pɔsin gɛt rayt-sayd paralayz, i kin apin we pɔsin nɔ de tek di lɛft say na di bɔdi.
Wetin na di wɔnin sayn dɛm fɔ MCA strok?
Bikɔs MCA strok kin gɛt difrɛn sayn dɛm, i impɔtant fɔ mɛmba di akɔdin BI FAST fɔ no we yu ɔ pɔsin we yu lɛk de kam gɛt strok.
- B - Balans: Chɛk fɔ si if yu balans dɔn lɔs wantɛm wantɛm .
- E - Ayz: Chεk f כ sכdεn lכs כ chenj na di vishכn na wan כ tu yay.
- F - Fes: Smayl ɛn si if wan ɔ ɔl tu di say dɛn na yu fes de drɔp .
- A - Arms: Rays yu tu an. If yu gɛt paralayz, yu nɔ go ebul fɔ es wan an ɔp, ɔ i kin wik sote i go fɔdɔm.
- S - Tɔk: Si if di tɔk nɔ fayn ɔ if i at fɔ pik di rayt wɔd dɛn .
- T - Taym: Taim na di essence - get helep as soon as possible! If i pɔsibul, mɛmba di tɛm we yu sik bigin bay we yu luk yu wach, fon, ɔ ɔda tin fɔ kip yu tɛm. If yu tɛl dɔktɔ ustɛm yu sik bigin, dat kin ɛp dɛn fɔ pik di bɛst tritmɛnt.
Impɔtant: If yu si ɛni wan pan dɛn BI FAST sayn ya, kɔl ambulans (na wi kɔntri, 1990) ɔ go na ɔspitul wantɛm wantɛm, ɛn nɔ de te. Bikɔs insay strok, tɛm na layf!
Transiɛnt Ischemik Atak (TIA) .
Sɔntɛnde , transiɛnt ischemic atak (TIA) kin apin. Sɔm pipul dɛn kin kɔl dis "mini-stroke." Dis tan lɛk strok, bɔt de sik kin go afta sɔm tɛm. Bɔt dis na sayn we rili siriɔs fɔ wɔn pɔsin . Pɔsin we dɔn gɛt TIA de pan big risk fɔ gɛt ful-blɔd strok insay di nɛks tɛm. So, pɔsin we dɔn gɛt TIA fɔ gɛt imejensi mɛrɛsin bak kwik kwik wan.
Wetin na di tin dɛn we kin mek pɔsin gɛt MCA strok?
MCA strok na wan kayn ischemic strok . As wi bin dɔn tɔk, dɛn kin apin we yu midul sɛribra at (MCA) kin blok bikɔs ɔf wan blɔd we de klɔt. Sɔm wɛlbɔdi prɔblɛm dɛn de we kin mek yu gɛt mɔ blɔd klɔt. Dɛn tin ya na:
- di ay kכlestכl (hyperlipidemia): di kכlestכl lεvεl na di bכdi de go כp.
- Di prɔblɛm dɛn we kin mek dɛn blɔd klɔt: Sɔm pipul dɛn kin gɛt di abit fɔ mek dɛn blɔd klɔt izi wan.
- Atherosclerosis: Fat kin de na di wɔl dɛn na di blɔd vesel, we kin mek dɛn smɔl ɛn at.
- Atrial fibrilɛshɔn: .di at bit we nɔ de bit ɔltɛm na di atria dɛn na di at. Di risk kin bɔrku if dis sik na bikɔs ɔf slip apnea, mɔr lɛk wae yu de slip.
- At difεkt: fכ egzampl, kכndyushכn dεm lεk atrial septal dεfekt εn vεntrikulכr septal dεfekt .
Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Ɛnibɔdi kin gɛt strok , bɔt sɔm grup dɛn kin gɛt mɔ risk. Dɛn tin ya na:
- Pipul dɛm we de smok ɔ yuz ɔda tabak/nikotin prɔdak dɛm (e.g. vaping).
- Pipul dɛn we dɔn pas 65 ia.
- Pipul dɛn we de yuz drɔgs fɔ ɛnjɔy dɛnsɛf ɔ we dɛn nɔ gi dɛn mɛrɛsin.
- Pipul dɛn we gɛt prɔblɛm fɔ gɛt wɛlbɔdi savis ɔltɛm.
- If pɔsin na di famili dɔn gɛt strok bifo.
- Pipul wae nor de get enof physical exercise.
Dɔn bak, di risk fɔ paralayz kin bɔku if yu gɛt sɔm kayn wɛlbɔdi prɔblɛm dɛn:
- Ay blɔd prɛshɔn (haypa prɛshɔn) .
- Ay kɔlɔstrel (haypa lipidemia) .
- Covid-19 (COVID-19) infεkshכn
- Shuga
- Dizayd fɔ yuz rɔm
- Fat
Aw dɛn kin no se pɔsin gɛt MCA strok?
Dɔktɔ kin no se pɔsin gɛt MCA strok bay we i de du nyurolɔjik ɛgzam , ɛgzam fɔ in bɔdi, ɛn sɔm ɔda tɛst dɛn. If dɛn kɛr yu go na di imejensi rum wit ambulans, di dɔktɔ dɛn we de de kin no bak se yu gɛt strok.
Yu dɔktɔ go yuz tɛst lɛk dis fɔ no if yu dɔn gɛt strok:
- CT skan we dɛn kin du
- CT angiogram we dɛn kin du
- Ilɛktrokardiogram (EKG) .
- MRI we dɛn kɔl MRI
- Magnɛtik rɛsɔnans angiogram (MRA) .
- Sεribra angiogram
- Blɔd tɛst dɛn
Wetin na di tritmɛnt fɔ MCA strok?
Yu dɔktɔ dɛn go tray fɔ mek blɔd go bak na yu bren kwik kwik wan fɔ mek yu bren nɔ pwɛl ɛn day fɔ ɔltɛm.
Dɔktɔ dɛn kin du tin fɔ brok ɔ pul di blɔd we dɔn klɔt.
- Dɛn kin gi yu mɛrɛsin dɛn we de mek yu trombolytic , lɛk tissue plasminogen activator (tPA) .
- Yu kin nid ɔpreshɔn bak (bɔku tɛm na mɛkanikal thrombectomy) fɔ brok ɛn pul di blɔd we dɔn klɔt.
- Dɔktɔ dɛn go gi yu mɛrɛsin bak fɔ kɔntrol yu blɔd prɛshɔn.
I rili impɔtant: If yu tink se yu gɛt strok, go to dɔktɔ wantɛm wantɛm. Sɔm tritmɛnt (lɛk tPA) dɛn kin jɔs gi am insay sɔm tɛm afta di strok bigin.
Yu dɔktɔ dɛn go tɛl yu ustɛm di tritmɛnt dɛn we go fayn fɔ yu ɛn wetin fɔ ɛkspɛkt.
Rihabiliteshɔn afta midul sɛribra at strok
Rihabiliteshɔn na rili impɔtant pat pan strok tritmɛnt. Yu nid fɔ gɛt rihabiliteshɔn fɔ ɛp yu fɔ ajɔst to di chenj dɛn we de apin na yu bren ɛn bɔdi afta yu dɔn gɛt strok. Yu kin nid ɛp fɔ mek yu ebul fɔ du di tin dɛn we yu bin dɔn du trade ɔ fɔ ajɔst to di nyu disabled we yu gɛt. Dis kin min fɔ mek dɛn jɔyn dɛn tin ya:
- Cognitive rehab: I de ɛp fɔ mek yu mɛmba, fɔ pe atɛnshɔn, ɛn ɔda tin dɛn we yu de tink bɔt.
- Spich therapy: I de ɛp fɔ gɛt bak ɔ impɔtant langwej ɛn tɔk skil dɛm, ɛn bak fɔ kɔntrol di mɔsul dɛm we de ɛp yu fɔ tɔk, blo, it, ɛn swɛla.
- Occupational therapy: I de ɛp yu fɔ du di wok dɛn we yu de du ɛvride sef wan, mɔ di wok dɛn we yu nid fɔ muv fayn fayn wan na yu bɔdi.
- Fizik tritmɛnt: I de ɛp fɔ mek di mɔsul dɛn strɔng, fɔ mek yu balans fayn, ɛn fɔ yuz yu an ɛn fut bak.
Wetin na di layf we pɔsin kin liv afta i gɛt MCA strok?
I nɔ kin izi fɔ mek masta sabi pipul dɛn no di rayt we aw pɔsin kin liv afta dɛn dɔn gɛt MCA strok. Strɔk kin kil yu, mek yu gɛt disabled fɔ ɔltɛm, ɛn i kin afɛkt aw lɔng yu go liv (layf ɛkspɛkteshɔn). Bɔt, no wan saiz-fit-ɔl recovery schedule ɔ outluk nɔr de.
Prognosis fכ midul sεribra atεri strכk
Wetin yu kin ɛkspɛkt (prognosis) afta MCA strok de dipen pan sɔm tin dɛm:
- Aw yu bin gɛt tritmɛnt kwik kwik wan.
- Yu ɔl wɛlbɔdi biznɛs.
- yu ej.
Bɔrku pipul kin tek at le sɔm mɔnt fɔ wɛl. Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt. Dɛn go ɛp yu fɔ sɛt gol ɛn ɛkspɛkteshɔn fɔ yu wɛl bɔdi we fit fɔ yu wɛlbɔdi ɛn kɔndishɔn.
Yu tink se dɛn kin mek pɔsin nɔ gɛt strok na di midul sɛribra at?
Di bɛst we fɔ ridyus yu risk fɔ gɛt MCA strok na fɔ gɛt gud ɔvalayn wɛlbɔdi. Jɛnɛral wan, tray fɔ du dɛn tin ya:
- Lɛf fɔ smok.
- Kɔntrol yu blɔd prɛshɔn, kɔlɔstrel, ɛn ɛni wɛlbɔdi prɔblɛm we yu go gɛt.
- It fayn it dɛn ɛn mek yu gɛt wɛlbɔdi wet.
- Du ɛksɛsayz ɔltɛm.
Si dɔktɔ ɛvri ia (ɔ lɛk aw yu dɔktɔ se). Bɔrku wɛl bɔdi prɔblɛm wae kin mek yu gɛt MCA strok kin kam as tɛm de go. Sɔm nɔ kin mek yu notis ɛni sayn. Fɔ ɛgzampul, bɔku pipul dɛn we gɛt ay kɔlɔstrel ɔ ay blɔd prɛshɔn nɔ kin fil natin te dɛn no se dɛn gɛt dis sik. Yu dɔktɔ kin ɛp yu fɔ no ɛn kɔntrol ɛni wɔnin sayn bifo dɛn mek yu gɛt strok.
Fɔ wɛl ɛn rihabiliteshɔn afta yu gɛt strok na bɔku wok. We yu ɛn yu dɔktɔ dɔn dɔn di tritmɛnt plan, fala am gud gud wan. Jɛnɛral wan, yu fɔ du dɛn tin ya:
- Tek yu mɛrɛsin dɛn kɔrɛkt wan. If yu tek yu mɛrɛsin lɛk aw yu dɔktɔ tɛl yu, dat go ɛp yu bɔdi fɔ wɛl.
- Go na yu rihab ɛn ɔda tritmɛnt apɔntinmɛnt dɛn. Tɛl yu tritmɛnt pipul dɛm if ɛnitin de mek yu fil nɔr sef ɔr nɔr de fil fayn. Rihabiliteshɔn tranga, 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 rili kɔmɔn afta yu dɔn gɛt strok. We yu fil bad ɔ yu at pwɛl, dat nɔ de mek yu wik ɔ yu want fɔ lɛf fɔ du am. Yu filin wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi gɛt wɛlbɔdi. If yu fil se yu nid ɛp fɔ tɔk bɔt sɔntin we yu de wɛl, tɔk to yu dɔktɔ ɔr pɔsin we de gi advays bɔt yu maynd .
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?
If yu tink se yu gɛt ɔda strok , kɔl 911 (ɔ yu lokal imejensi nɔmba) wantɛm wantɛm. Wan ɔda strok kin kil pɔsin ɔ mek i gɛt siriɔs prɔblɛm dɛn. Nɔ delay fɔ aks fɔ ɛp.
Pipul wae dɔn gɛt strok kin gɛt bɔrku risk bak fɔ gɛt ɔda siriɔs prɔblɛm. Ɛgzampul dɛn:
- Wan blɔd we de klɔt na di lɔng dɛn (Pulmonary embolism) .
- At atak
- Di sik dɛn we kin mek pɔsin sik
- Nyumonia
- Dip Vein Trombosis (DVT) we de mek pɔsin gɛt sik .
If yu tink se yu gɛt 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?
- Us ɔda mɛrɛsin dɛn a nid ɛn aw a fɔ tek dɛn?
- Us ɔda kayn rihabiliteshɔn a nid?
- Wetin na mi risk fɔ gɛt ɔda strok tumara bambay?
- Ɛni sɔpɔt savis ɔ risɔs de we yu kin rɛkɔmɛnd?
Wetin na di difrɛns bitwin MCA strok ɛn ACA strok?
MCA strok ɛn ACA (Anterior Cerebral Artery) strok na ɔl tu di kayn strok. Di difrɛns na di blɔd vesel na di bren we de afɛkt. MCA na yu midul sɛribra at. I de branch na ɔl tu di say dɛn na yu bren. Yudi Anterior Cerebral Artery (ACA) de na di fכs pat pan di sכkul. "Anterior" min fכnt insay mεdikal tεm dεm. Nɔ lɛk MCA strok, ACA strok kin afɛkt di kɔntrol ɛn yus fɔ yu leg dɛn.
Dɛn tu kayn strok ya kin gɛt di sem tin ɛn di sem sayn dɛm, ɛn dɛn ɔl tu kin kil pɔsin. Yu nɔ go ebul fɔ no di difrɛns bitwin dɛn tu te dɔktɔ yuz imej tɛst fɔ no us blɔd vesel dɔn blok ɔ pwɛl. If yu tink se yu gɛt sayn dɛn fɔ ɛni wan pan dɛn kayn strok , kɔl 911 wantɛm wantɛm.
Fɔ dɔn, wan impɔtant mɛsej
di midul sεribra atεri (MCA) na wan pan di big bכdi we de kכri fכ fresh bכdi go na yu bren. Na dat mek strok we de blok am kin rili pwɛl am. Bɔt yu kin ebul fɔ wɛl. Ivin if yu fɔ adap to nyu disabiliti ɔ lan bak sɔm muvmɛnt dɛm we yu bin de ebul fɔ du trade, yu stil na yusɛf.
Rihabiliteshɔn afta ɛni strok na bɔku wok. Sɔm dez go izi pas ɔda de dɛn, bɔt mɛmba fɔ sɛlibret yu prɔgrɛs. Ivin smɔl smɔl win dɛn stil na win. Tɔk to yu dɔktɔ ɔr tritmɛnt pipul dɛm bɔt aw yu wɛl bɔdi joyn de go. Dɛn kin ɛp yu fɔ tink bɔt aw fa yu dɔn kam pan wan de we nɔ izi, ɛn dɛn kin de fɔ sɔpɔt yu. Nɔ wɔri, nɔto yu wan de!
` MCA strok, bren blɔd vesel blok, strok simptom, strok prɛvɛnshɔn, BI FAST Sinhala, midul sɛribra at, strok rikavari Sinhala
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