Smɔl smɔl blɔd vesel dɛn na di bren we de blok (Microvascular Ischemic Disease): Lɛ wi tɔk bɔt dis!

Yu kin fɔgɛt smɔl smɔl tin dɛn bak as yu de ol? Yu tink se i nɔ kin izi fɔ yu fɔ kip yu maynd na wan ples? Sɔntɛnde yu kin tink se dɛn tin ya na nɔmal sayn dɛn we de sho se pɔsin dɔn ol, bɔt sɔntɛnde, ɔda wɛlbɔdi rizin kin de biɛn dis. Wɛl, tide wi go tɔk bɔt wan sik we de afɛkt di smɔl smɔl blɔd vesel dɛn na wi bren. dis dεn kכl am `(Maykrovaskul Ischemic Disease)`. Lɛ wi si wetin na dis, udat kin gɛt am, ɛn wetin na di sayn dɛm.

Wetin na dis (Maykrovaskul Ischemic Disease)? Fɔ tɔk am simpul wan...

fכ simpul wan, `(Microvascular Ischemic Disease)` na jεnarכl nem fכ wan grup fכ difrεn chenj dεm we de apin na di sכm sכm, dilik bכdi bכdi (wi kכl dεn ya `(maycrovessels)`) na yu bren. Jɔs lɛk aw wata paip kin lɔk as i de ol, dɛn blɔd vesel dɛn ya kin chenj smɔl smɔl bak. Dipen pan aw dɛn chenj ya kin tranga, yu kin gɛt difrɛn prɔblɛm dɛn. I kin bi sɔntin we smɔl lɛk fɔ gɛt prɔblɛm fɔ kɔnsɛntret, ɔ i kin bi siriɔs tin lɛk `(strok)`.

Bɔku ɔda nem dɛn de we dɛn kin yuz fɔ dis sik. Sɔntɛm yu dɔn yɛri dɛn nem ya:

• ``Sεribral sכm sכm vessel sik (CSVD)''.
• ``Krכnik maykrovaskul ischemik sik''.
• ``Smɔl vessel ischemic sik''.

I nɔ mata us nem yu kɔl am, na di sem tin i de tɔk bɔt.

Udat dɛn dis kin afɛkt mɔ?

Dis kכndyushכn we dεn kכl ``Microvascular Ischemic Disease`` dεn kin si am mכst pan di ol pipul dεm. Man ɛn uman kin gɛt am. De tin wae impɔtant pas ɔl na dat de risk fɔ gɛt dis sik kin go ɔp wae pɔrsin de ol.

Jɔs tink bɔt, we dɛn ol 50 ia, lɛk 5% pan pipul dɛn kin gɛt dis sik. Bɔt pan di wan dɛn we dɔn pas 90 ia, dɛn kin se lɛk wan ɔndrɛd pasɛnt (100%) pan ɔl pipul dɛn gɛt dis sik te to sɔm mak. Dis min se i kin rili kɔmɔn as wi de ol.

Dis kin so kɔmɔn dat dɛn kin tɔk se na in kin mek lɛk 45% pan pipul dɛm wae gɛt dis maynia sik, wae kin mɛk pɔrsin mɛmba smɔl smɔl, ɛn 25% pan pipul dɛm wae kin gɛt strok. So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

di men tin we de mek `(Microvascular Ischemic Disease)` na di tik we di wכl dεm na di sכm sכm bכdi vεsul dεm na di bren de tik, εn di fεt we de kכmכt insay dεm, we de mek `(plaque build-up)`. I tan lɛk rɔst we de mek insay ol wata paip dɛn. Bɔt masta sabi bukman dɛn nɔ rili no wetin mek dis kin apin. Bɔt dɛn dɔn si se bɔku tin dɛn de we kin afɛkt dis.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? Tek tɛm if yu gɛt dɛn tin ya!

We pɔsin ol na di men tin we kin mek i gɛt prɔblɛm. Wi nɔ go ebul fɔ kɔntrol am. Bɔt sɔm ɔda wɛlbɔdi prɔblɛm dɛn de we kin mek pɔsin gɛt `(Microvascular Ischemic Disease).` Dɛn wan ya na:

• Kidni sik we nɔ de mɛn:If yu gɛt prɔblɛm wit yu kidni, dis risk kin bɔku.
• Dayabitis: Pipul wae gɛt shuga kin gɛt dis sik bak, bikɔs dayabitis kin pwɛl dɛn blɔd vesel in jɛnɛral.
• Ay blɔd prɛshɔn: Ɛspɛshali if yu blɔd prɛshɔn na 140/90 mm Hg (arterial hypertension) ɔ pas dat, i kin put bɔku prɛshɔn pan di smɔl smɔl blɔd vesel dɛn na di bren.
• Ay kɔlɔstrel: We di kɔlɔstrel lɛvɛl na di blɔd go ɔp, chans de fɔ mek i gɛda insay di blɔd vesel dɛn ɛn blok.
• Snor ɛn obstructive sleep apnea: Dis na siriɔs prɔblɛm bak pas aw yu go tink. If yu nɔ blo fayn na nɛt, dat kin mek di bɔdi nɔ gɛt bɔku ɔksijɛn, ɛn dis nɔ kin fayn bak fɔ di blɔd vesel dɛn.
• Smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok: Smok na tin we kin mek pɔsin gɛt ɔlmost ɛvri sik. I kin pwɛl di blɔd vesel dɛn dairekt wan.

If yu gɛt wan ɔ mɔ pan dɛn tin ya, i go fayn fɔ mek yu tek tɛm smɔl.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi no dis?

Sɔntɛnde, dɔktɔ dɛn kin kɔl dis sik ``Maykrovaskul Ischemic Disease'' ``saylent disease.'' Dat na bikɔs sɔm tɛm dɛn de in simptom dɛn kin so klia dat i kin izi fɔ mis. Dɔn bak, pipul dɛn kin ignore dɛm, tink se na nɔmal chenj dɛm wae kin kam wit ol pipul dɛm.

Bɔt pan sɔm pipul dɛn we dɔn ol, dɛn sik ya kin kɔmɔt frɔm smɔl to siriɔs. Bikɔs dis sik kin afɛkt bɔku bɔku sistɛm dɛn na di bɔdi, di sayn dɛm kin rili brayt. Lɛ wi tek wan luk pan wetin dɛn bi:

di chenj dεm we de apin na di urinary sistεm:

• I nɔ izi fɔ kɔntrol di urine (urinary incontinence): Fɔ tɔk am simpul wan, fɔ lɔs sɔm urine we yu nɔ no.
• Urinary urgency: Di nid fɔ pis kwik kwik wan .

Di chenj dɛn we de apin na di we aw pɔsin de tink (Cognition):

• Dimɛnshɔn: Na wae pɔrsin kin mɛmba smɔl smɔl ɛn nɔr kin izi fɔ du ɛvride woke.
• I nɔ izi fɔ pe atɛnshɔn pan sɔntin: I nɔ izi fɔ pe atɛnshɔn pan sɔntin.
• Mild cognitive impairment: I nɔ kin izi fɔ disayd ɛn ɔndastand tin.
• Kɔnfyushɔn wantɛm wantɛm, fil lɛk se yu de lɔs yu maynd (delirium): Dis kin kam wantɛm wantɛm.

di chenj dεm we de apin na di nεv sεstem (Nyurolכji):

• I nɔ izi fɔ swɛla it ɔ wata (dysphagia): Fɔd kin fil lɛk se i de stɔp.
• Nɔ ebul fɔ kɔntrol di mɔsul dɛn na di fes fayn fayn wan: I kin tan lɛk se wan say na di fes de drɔp.
• Kray ɔ laf wantɛm wantɛm, we yu nɔ ebul fɔ kɔntrol fɔ natin (pseudobulbar affect):Dis kin bi wan tin we rili strenj.
• Fɔ slɔr wɔd dɛn we yu de tɔk, slɔr fɔ tɔk (dysarthria): lɛk se di tɔŋ dɔn swɛt.

Di chenj dɛn we de apin na di maynd wɛlbɔdi:

• Wae yu de wɔri: Fɔ fil se yu nɔr de fil fayn ɔr yu de fred.
• Apathy: Na stet we yu de bost wit ɔltin .
• Pwɛl hat: Na filin wae de fil bad ɛn pwɛl hat.
• Taya ɔltɛm, taya: Na filin fɔ taya ilɛk wetin yu du.
• Fɔ vɛks kwik pan smɔl tin, nɔ gɛt peshɛnt (Irritability) .

Prɔblɛm dɛn we pɔsin kin gɛt we i de slip:

• Difrɛn prɔblɛm dɛn we kin mek pɔsin slip .
• Nɔ slip fayn na nɛt, prɔblɛm wit inshɔm .

Prɔblɛm dɛn we pɔsin kin gɛt we i de waka:

• Fɔ lɔs balans we yu de waka, fɔ gɛt prɔblɛm fɔ balans .
• Fɔ fɔdɔm ɔ fɔdɔm bɔku tɛm .
• Wan waka we dɛn kin shuffling .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i rili impɔtant fɔ tɔk to dɔktɔ bɔt am.

Aw dɛn kin no dis sik? Us tɛst dɛn dɛn kin du?

Dɔktɔ dɛn kin yuz MRI (Magnetic Resonance Imaging) skan fɔ no dis sik. Dis na tɛst we nɔ de mek pɔsin fil pen. I de yuz big magnet, redio wev, ɛn kɔmpyuta fɔ tek pikchɔ dɛn we rili klia bɔt yu bren.

Pɔsin we gɛt ``Maykrovaskul Ischemic Disease'' kin gɛt difrɛn chenj dɛn na in bren. Dɔktɔ dɛn kin luk fɔ tin dɛn lɛk dis na MRI pikchɔ dɛn:

• Sεribra maykroblid na smɔl blɔd vesel dεm na di bren we de blɔd . Dis na rili smɔl smɔl blɔd dɛn.
• If di wayt tin we de na di bren dɔn pwɛl. Dɛn say dɛn ya we dɔn pwɛl kin tan lɛk brayt wayt spat dɛn na di skan. Dɛn kɔl dɛn tin ya wayt matta haypaintensiti.
• If sכm sכm, nכn-nyurolכjik lεsin dεm de na di bren (lacunar infarct) we nכ de sho big nyurolכjik simptom dεm. Dɛn tin ya tan lɛk smɔl smɔl say dɛn we dɔn pwɛl.

We dεn fכnshכn dεn tin ya pan MRI skan, di dכkta kin no if yu gεt ``Microvascular Ischemic Disease'' כ nכ yu gεt.

Yu tink se dɛn kin chenj dis sik ɛn mɛn am kpatakpata?

Dis na smɔl tin we kɔmplikt. insay di fכs stej dεm fכ ``Microvascular Ischemic Disease'', i kin pכsibul fכ ``rivεs'' sכm pan di chenj dεm we dεn dכn apin na di bren to sכm tεm. Dat min se, dɛn kin tɔn di tin we de apin smɔl fɔ mek i bɛtɛ.

Bɔt, dis sik kin gɛt wan kayn we we de go bifo. As tɛm de go, dɛn chenj ya kin bi tin we pɔsin nɔ go ebul fɔ chenj.

Na dat mek i impɔtant fɔ no dis kwik kwik wan ɛn kɔntrol di tin dɛn we kin mek pɔsin gɛt dis sik.

So wetin na di tritmɛnt fɔ dis?

Naw, nɔr patikyula tritmɛnt nɔr de fɔ Maykrovaskul Ischemic Disease. Di men gol fɔ di tritmɛnt dɛm wae de naw na fɔ ridyus yu risk factor dɛm ɛn fɔ mek yu nɔr gɛt ɔr delay fɔ gɛt siriɔs prɔblɛm lɛk dimɛnshɔn ɛn strok.

Bikɔs ɔlman in risk factor difrɛn, de tritmɛnt plan kin difrɛn frɔm pɔrsin to ɔda pɔrsin. Dat min se dɛn go mek di tritmɛnt fɔ yu. Jɛnɛral wan, di tritmɛnt kin inklud:

• Fɔ gɛt fayn fayn abit dɛn: Tin dɛn lɛk fɔ du ɛksɛsayz ɛn fɔ it tin dɛn we gɛt bɔku tin fɔ it.
• Fɔ lɛf fɔ smok kpatakpata.
• Fɔ tek mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ, fɔ kɔntrol di kɔlɔstrel, ɛn fɔ kɔntrol di blɔd shuga.

Yu dɔktɔ go chɛk yu ɛn tɛl yu us tritmɛnt plan we bɛtɛ fɔ yu.

Aw a go ridyus dis risk?

Dis na di tin we impɔtant pas ɔl. I rili impɔtant fɔ wok wit yu dɔktɔ fɔ no wetin na yu patikyula risk factor ɛn mek wan plan we fit dɛn.

Na sɔm we dɛn fɔ ɛp fɔ ridyus di prɔblɛm:

• Fɔ fala di it we fayn: Ridyus sɔl, sɛtyuret fat, ɛn shuga as yu ebul. It mɔ vɛjitebul, frut, ɛn ɔyl we gɛt difrɛn tin dɛn we de mek yu bɔdi fayn.
• Du difrɛn ɛksesaiz dɛn: Pik ɛksesaiz dɛn we go mek yu balans, trɛnk, ɛn yu at ɛn blɔd wɛlbɔdi. I fayn fɔ gɛt ɛp frɔm pɔsin we de mɛn yu bɔdi ɔ pɔsin we de tren yu fɔ ɛp yu fɔ disayd us ɛgzampul dɛn we sef ɛn we fit fɔ yu.
• Tek pat pan program dɛm wae de ɛp yu fɔ lɛf fɔ smok: Sɔpɔt grup dɛm wae gɛt sayɛns ɔr wan wan advays kin ɛp yu.
• Yuz tɛknik fɔ ridyus strɛs ɛn rilaks: Tin dɛn lɛk fɔ tink gud wan ɛn yoga kin ɛp fɔ dis.

Pan ɔl we i kin tan lɛk se i nɔ izi fɔ put dɛn tin ya insay yu layf, dɛn go briŋ bɔku bɛnifit to yu wɛlbɔdi as tɛm de go.

Aw a go no if a de pan denja?

Fɔ no if yu de pan denja, yu nid fɔ pe atɛnshɔn to yu sayn dɛm. I impɔtant bak fɔ mek yu de chɛk yu ɔltɛm ɛn fɔ mek yu blɔd wok. Kip trak fɔ yu kɔlɔstrel lɛvɛl ɛn blɔd prɛshɔn. If yu gɛt ɔndalayn kɔndishɔn lɛk dayabitis ɔ kidni sik, i impɔtant bak fɔ kɔntrol dɛn.

Yu tink se dis tin we de apin denja? Wetin go apin afta dat?

If dɛn nɔ trit am, Maykrovaskul Ischemic Disease kin mek i gɛt siriɔs prɔblɛm dɛn we kin ivin mek pɔsin in layf de pan denja, lɛk strok ɛn bad bad kɔgnitiv dɛklin.

Bɔt if yu fala yu dɔktɔ in yon tritmɛnt plan, yu kin kɔntrol aw dis sik de wɔs ɛn liv wɛl bɔdi layf, fɔ yusɛf. So, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn ɛn nɔ fred.

Ustɛm a fɔ go to dɔktɔ?

If yu fil lɛk se yu nɔ ebul fɔ du ɛni wan pan di tin dɛn we de dɔŋ ya wantɛm wantɛm ɔ smɔl smɔl, mek shɔ se yu go to dɔktɔ fɔ mek dɛn chɛk yu.

• Di ebul fɔ kɔntrol di urine.
• Di ebul fɔ mɛmba tin dɛn.
• Ebul fɔ tink klia wan.

Nɔ ɔndastand chenj dɛn lɛk dis.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

Pipul wae gɛt `(Microvascular Ischemic Disease)` kin gɛt strok. So, if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya wantɛm wantɛm, yu fɔ go na imejensi rum (ER) wantɛm wantɛm.

• Diziz, we pɔsin kin fil we i de spin na in ed .
• Nɔ ebul fɔ tɔk .
• Nɔ ebul fɔ balans ɔ fɔ wok togɛda, lɛk we yu de waka .
• Wan say na di bɔdi we nɔ gɛt bɛtɛ trɛnk ɔ we wik .
• Di ed we kin at bad bad wan .
• Yu nɔ de si fayn na wan ɔ ɔl tu yay .

Dɛn tin ya kin bi sayn fɔ se yu gɛt strok, so fɔ gɛt tritmɛnt kwik kwik wan we yu nɔ west yu tɛm, dat kin sev yu layf.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Dis kכndyushכn we dεn kכl ``Microvascular Ischemic Disease,'' kin afekt sכm pipul dεm sכm pipul dεm sכmtεm εn כda wan dεm bad bad wan. I kin mek yu chenj di we aw yu de fil, i nɔ kin izi fɔ tink, ɛn i kin mek yu nɔ ebul fɔ waka.

Bɔt di bɛst tin na dat, bay we yu no ɛn adrɛs yu patikyula risk factor dɛm, yu kin kɔntrol ɔr minimiz dɛn kɔmplikɛshɔn ya, we go alaw yu fɔ liv wɛl bɔdi layf.

So, tɔk to yu dɔktɔ ɛn mek yu yon plan we go wok fɔ yu. Nɔ fred, fɔ no ɛn fɔ tek di rayt step na di tin we impɔtant pas ɔl!

` Blɔd vesel dɛm na di bren, ol wɛl bɔdi, strok, dimɛnshɔn, ay blɔd prɛshɔn, dayabitis, kɔlɔstrel