Yu smɔl pikin gɛt strok? (Pediatric Stroke) Nɔ wɔri, lɛ wi no bɔt dis!

Wi ɔl dɔn yɛri se big pipul dɛn kin gɛt strok . Bɔt yu no se pan ɔl we i nɔ kin apin so ɔltɛm, wi smɔl pikin dɛn, frɔm pikin dɛn we dɛn jɔs bɔn to pikin dɛn we nɔ rich 18 ia yet, kin gɛt dis sik bak, we dɛn kɔl Pediatric Stroke . Ivin if yu de wɔri smɔl we yu yɛri dis, nɔ wɔri. If dɛn tɛl yu gud gud wan bɔt dis, yu kin du di tin dɛn we yu nid kwik kwik wan.

Wetin na Pikin dɛn we gɛt Strɔk?

Fɔ tɔk am simpul wan, strok na sik we kin apin we blɔd nɔ de flɔ to wan pat na wi bren. I tan lɛk wetin kin apin we wi wata hita dɔn dɔn. Di bren kin gɛt in ɔksijɛn frɔm blɔd. So if di blɔd stɔp, di bren sɛl dɛn kin bigin fɔ day. Dis na imejensi we kin mek pɔsin in layf de pan denja.

Dis kin apin to big pipul ɛn pikin dɛn bak. Wi kin kɔl am ‘ Pediatric Stroke ’ we i kin apin to pikin we nɔ rich 18 ia yet.

• Pɛrinatal strok: Sɔm pikin dɛn kin bɔn wit dis sik.
• Dεn wan dεm we kin apin insay di fכs 28 de dεm we dεn de liv: Dat na dεn wan dεm we kin apin to pikin dεm we dεn bכn bכn.
• Ɛn afta dat di wan dɛn we kin apin te to di ej 18: dɛn wan ya wi kin kɔl ‘childhood stroke’.

Bɔrku tɛm, de tin wae kin mek pɔrsin gɛt at sik, prɔblɛm wae de kam wit blɔd we nɔ de rɔtin, ɛn ɔda tin dɛm Sɔntɛnde, i kin kam bikɔs ɔf aksidɛnt we kin mek di ɔksijɛn nɔ de na di bren, ɔr sɔm kayn tin dɛm wae kin apin we dɛn bɔn am .

Wetin na di men kayn polio?

Jɔs lɛk big pipul dɛn, wi smɔl pikin dɛn kin gɛt tri men kayn paralayz:

• Ɛmoraji strok: Dis kin apin we wan blɔd vesel na di bren bɔs ɛn blɔd. Tink bɔt am lɛk wata paip we de bɔs ɛn lik wata.
• Ischemic stroke: Dis na we blɔd klɔt de blok wan blɔd vesel na di bren, we de blok blɔd flɔ. I tan lɛk dɔti we de blok wata paip.
• Transient Ischemic Attack (TIA): Dis na lεk ‘mini strok’. Wan blɔd we de klɔt kin stɔp na wan blɔd vesel na di bren fɔ shɔt tɛm, dɔn i kin kɔmɔt na di say we i de ɛn di blɔd kin kam bak lɛk aw i bin de. De sik kin las fɔ sɔm tɛm ɛn afta dat i kin go. Bɔt dis na rili impɔtant wɔnin sayn bak we de sho se big big strok pɔsibul.

Aw kɔmɔn tin dis?

Infakt, strok we pikin dɛn kin gɛt nɔ kin apin so ɔltɛm . So nid nɔ de fɔ mek wi fred we nɔ nid fɔ du dat. Di wan dɛn we de stɔdi bɔt dis bin tɔk se dis sik kin apin to wan ɔ tu pan ɛvri 100,000 pikin dɛn we nɔ rich 18 ia yet ɛvri ia. Na lɛk wan pan ɛvri 3,500 pikin dɛn we dɛn jɔs bɔn kin gɛt strok we dɛn de bɔn pikin . Bɔt i nɔ kin izi fɔ gi di rayt nɔmba, bikɔs sɔntɛnde i nɔ kin izi fɔ no di sik.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt polio? Aw dɛn go ebul fɔ no dɛn?

Sɔm pan de sayn dɛm wae big pipul kin gɛt wae dɛn gɛt strok kin apun to yɔŋ pipul dɛm bak. Dɛn sayn ya na:

• Wan chenj kin apin wantɛm wantɛm pan di we aw pɔsin de biev ɔ di we aw i de tink .
• Di chenj we pɔsin kin yɛri ɛn si kin apin.
• Fɔ fil ɔ fil wik na wan say na di bɔdi (Hemiparesis) .
• I nɔ izi fɔ tɔk ɛn ɔndastand wɔd dɛn (Aphasia) .
• I nɔ izi fɔ swɛla (Dysphagia) .
• We yu de waka, i kin tan lɛk se yu de swɛla na wan say ɛn waka awkwardly (ataxia) .

Imajin, if yu pikin slur in wɔd dɛn wantɛm wantɛm afta i dɔn ple, ɔ fil lɛk se i nɔ ebul fɔ muv in an ɔ leg... If na so i bi, yu fɔ go to dɔktɔ wantɛm wantɛm.

Bɔt, pikin dɛn we rili yɔŋ, mɔ di pikin dɛn we dɛn jɔs bɔn ɛn pikin dɛn we de smɔl we nɔ ebul fɔ tɔk fayn yet, nɔ kin sho dɛn sayn ya we klia. Bifo dat, dɛn kin si tin dɛn lɛk:

• Di sik dɛn we kin mek pɔsin sik. Dis na di sayn wae de sho se yu gɛt paralayz pan yɔŋ pikin dɛm.
• A gɛt bad bad ed we de at.
• Vɔmit, nɔs.
• I kin taya ɛn slip ɔltɛm.
• Fiva fɔ natin.

Dɛn sayn ya kin de bak pan ɔda sik dɛm, so e kin tranga fɔ tink wantɛm se na strok. Bɔt if yu si sɔntin lɛk dis, mɔ if yu fil lɛk se yu fit, yu fɔ rili go to dɔktɔ.

Wetin mek yɔŋ pikin dɛn kin gɛt paralayz? Wetin na di tin dɛn we kin mek i apin?

Bɔku tɛm, strok kin apin we di blɔd nɔ de flɔ na di bren. Dis kin bi bikɔs blɔd de klɔt (ischemic stroke) ɔ we blɔd vesel bɔs insay di bren (hemorrhagic stroke) .

Bɔku patikyula rizin dɛn de we mek dis sik kin apin to yɔŋ pikin dɛn:

• Sɔm tin dɛn we kin apin we pɔsin bɔn wit di blɔd vesel dɛn na di bren: Fɔ ɛgzampul , wan sik we dɛn kɔl Arteriovenous Malformation (AVM) . Insay dis kɔndishɔn, di blɔd vesel dɛn na di bren kin tan lɛk, ɛn dis kin mek dɛn bɔs ɛn blɔd. Bɔku tɛm, dɛn tin ya na tin dɛn we dɛn kin bɔn wit.
• At sik we dɛn kin bɔn wit: Sɔm pikin dɛn kin bɔn wit sɔm at prɔblɛm dɛn. Dɛn at sik ya kin mek bak di risk fɔ gɛt strok.
• Sik dɛn we gɛt fɔ du wit blɔd: Fɔ ɛgzampul , pikin dɛn we gɛt wan sik we dɛn kɔl Sikl Sɛl Disease kin gɛt blɔd klɔt. Dɔn bak, sik dɛn we de mek blɔd nɔ klɔt izi wan (e.g. Ɛmofilia ) kin mek bak blɔd kɔmɔt na di bren.

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ waka?

Sɔm pikin dɛn kin gɛt smɔl prɔblɛm fɔ gɛt paralayz pas ɔda wan dɛn. Dɛn kayn tin ya we kin mek pɔsin gɛt prɔblɛm na:

• Di at bit we nɔ de bit ɔltɛm (Aritmia) .
• Hat sik we dɛn bɔn wit(Hat sik we dɛn bɔn wit) .
• di כksijεn we nכ de na di bren we dεn bכn am (Sεribral haypoksia) .
• Shuga.
• Di ay blɔd prɛshɔn.
• Fɔ fat min se yu tu big.
• Kɔndishɔn dɛn we di blɔd kin klɔt izi wan (Thrombophilia) ɔ kɔndishɔn dɛn we di blɔd nɔ kin klɔt izi wan (Hemophilia) .
• Sivɛri ed ɔ nɛk injuri (Traumatic Brain Injury - TBI) .
• Dis risk kin hεvi smɔl bak fɔ pikin dεm wae gɛt sɔm kayn jεnεtik kכndyushכn, fכ egzampl , Down syndrome .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin paralayz?

Bɔrku tɛm, bɔrku pikin dɛm wae gɛt strok kin wɛl ɔl. Dat na rili gud nyus. Bɔt dipen pan us pat na di bren we di strok afɛkt, sɔm pikin dɛn kin gɛt chenj dɛn fɔ ɔltɛm.

• Fɔ ɛgzampul, wi kin gɛt wikɛd tin dɛn ɔltɛm na di we aw wi de tink ɛn tɔk .
• Wi kin wik ɔltɛm na di sayd na di bɔdi we di paralayz afɛkt.
• Di chenj dɛn we pɔsin kin si fɔ ɔltɛm kin apin bak.
• Dɔn bak, pikin dɛn we dɔn gɛt strok kin gɛt mɔ risk fɔ gɛt ɛpilepsi leta.

Na dat mek i rili impɔtant fɔ go fɛn tritmɛnt kwik ɛn fɔ du di rayt we fɔ du rihabiliteshɔn program.

Aw dɛn kin no se pɔsin gɛt polio? Us tɛst dɛn dɛn kin du?

Infakt, sɔntɛnde, fɔ no se yɔŋ pikin dɛn gɛt paralayz kin tranga smɔl . Bikɔs, lɛk aw wi bin dɔn tɔk, nɔto ɔltɛm di sayn dɛn kin sho klia wan. So sɔm pikin dɛn nɔ kin gɛt tritmɛnt wantɛm wantɛm. Sɔntɛnde, dɔktɔ dɛn kin no we dɛn si se pikin nɔ de gro fayn , ɛn dɛn kin tink se, ‘O, sɔntɛm dis pikin bin dɔn gɛt paralayz bifo.’

Fɔ mek yu no di sik, di dɔktɔ go aks yu fɔs bɔt di sik dɛn we yu pikin gɛt. Dɔn dɛn go chɛk di pikin. Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• CT scan (Computed Tomography scan): Dis kin tek pikchɔ na di ed fɔ si if blɔd de kɔmɔt na di bren ɔ if blɔd dɔn pwɛl wan pat pan di bren. Dis na tɛst we kin apin kwik kwik wan.
• CT angiogram: Dis de chɛk aw blɔd de pas na di at, di blɔd vesel dɛn, ɛn di bren.
• MRI skan (Magnetic Resonance Imaging): Dis na di tɛst we kin rili fil fɔ no if pɔsin gɛt strok. MRI kin mek dɔktɔ dɛn si klia wan aw di bren tan ɛn di blɔd vesel dɛn.
• MRA (Magnetic Resonance Angiogram): Dis kin luk bak aw blɔd de flɔ.

Apat frɔm dɛn men tɛst ya, dɛn kin du ɔda tɛst fɔ no wetin mek di paralayz ɛn fɔ luk fɔ ɔda prɔblɛm dɛn (espɛshali we pɔsin kin gɛt sik) we kin apin:

• Echocardiogram (Echo): dis de egzamin di strכkchכ fכ di pikin in at.
• EEG (Ilektroɛnsɛfalogram): .Dɛn kin du dis tɛst fɔ no if di pikin gɛt fit.
• Blɔd tɛst: Chɛk fɔ blɔd disɔda lɛk siklɔs sik ɔ ɔda tin dɛn we kin afɛkt di blɔd we de klɔt.
• Jɛnɛtik tɛst: Dɛn kin du dis tɛst if dɛn tink se na wan jenɛtik kɔndishɔn na in mek di paralayz.

Aw dɛn kin trit pikin dɛn we nɔ ebul fɔ waka?

Paralayz na imejensi we kin mek pɔsin in layf de pan denja. So, if pikin sho sayn dɛm fɔ paralayz, dɛn fɔ kɛr am go na di ɔspitul imejensi rum we de nia am ɛn nɔ de te, ɔ dɛn fɔ kɔl 1990. Di tɛm fɔ bigin tritmɛnt rili impɔtant.

Di tritmɛnt kin difrɛn difrɛn wan bay di kayn paralayz:

• Fɔ strok we blɔd klɔt (ischemic stroke): Bɔku tɛm, dɔktɔ dɛn kin gi mɛrɛsin (thrombolytics) fɔ sɔlv di blɔd we dɔn klɔt, ɔ sɔntɛnde dɛn kin pul di blɔd we dɔn klɔt tru wan we we dɛn kɔl thrombectomy ɛn mek di blɔd go bak na di bren.
• Fɔ strok we blɔd de kɔmɔt na di bren (hemorrhagic stroke): I kin nid fɔ du ɔpreshɔn fɔ stɔp di blɔd.

Ɛvri ɔspitul gɛt wan patikyula we aw dɛn kin du am, we dɛn kɔl Stroke Protocol , we dɛn kin fala fɔ pikin dɛn we gɛt strok. Dis na aw dɛn kin no di sik ɛn bigin fɔ trit am kwik kwik wan.

Apat frɔm dɛn men tritmɛnt ya, dɔktɔ dɛn kin yuz ɔda mɛrɛsin dɛn:

• Di mɛrɛsin dɛn we de mek pɔsin nɔ rɔtin .
• If di pikin gɛt fit, dɛn go gi dɛn mɛrɛsin fɔ mek i nɔ gɛt sik fɔ kɔntrol am.

Aw lɔng i kin tek fɔ mek i wɛl? Aw di rihabiliteshɔn de?

Ɔl pikin kin wɛl difrɛn we ɛn di tɛm we i kin tek kin difrɛn. Afta we di pikin gɛt strok, i go mɔs nid fɔ go na wan program fɔ mɛn pikin dɛn we gɛt strok . I kin dipen pan di pikin in sik, dɛn kin gɛt tritmɛnt frɔm wan tim we gɛt spɛshal pipul dɛn. Dɛn tin ya na:

• Wan dɔktɔ we de mɛn pikin dɛn nyurolɔji .
• Wan dɔktɔ we de mɛn pikin dɛn at .
• Dɔktɔ we spɛshal pan sik dɛn we de na di blɔd, bon mɛrɔ, ɛn limf sistɛm (Pediatric hematologist) .
• Wan dɔktɔ we de mɛn pikin dɛn nyurosɔjɛn.
• Fisikal thɛrapist – Ɛksesaiz di say we di bɔdi afɛkt.
• Speech-language pathologist (SLP) – de ɛp fɔ tɔk ɛn swɛla.
• Occupational therapist – Praktis fɔ du ɛvride wok fɔ yusɛf.

Wetin na di chans fɔ sev frɔm polio?

As di wan dɛn we de stɔdi bɔt pikin dɛn polio dɔn si, di mɔ we dɛn no di sik, na di mɔ i go afɛkt di tin dɛn we kin apin to pɔsin in wɛlbɔdi.Bɔku pikin dɛn we dɔn gɛt ischemic strok kin sev. Bɔt dɛn kin de pan denja fɔ gɛt ɔda strok, mɔ if dɛn gɛt at sik ɔ dɛn blɔd nɔ de rɔtin.

Yu tink se dɛn kin mek pɔsin nɔ gɛt polio?

Sεribra palsi kin apun fכ difrεn rizin dεm. Sɔm pan dɛn na tin dɛn we dɛn kin bɔn wit. So no we nɔ de fɔ mek wi nɔ gɛt sɔm tin dɛn we wi kin bɔn wit. If yu pikin gɛt sik, tɔk to yu dɔktɔ bɔt am ɛn gɛt advays bɔt aw fɔ mek yu pikin gɛt wɛlbɔdi.

If yu pikin gɛt tin dɛn lɛk Arteriovenous Malformation (AVM) , Congenital heart disease , ɔ Sickle Cell Disease , dɔktɔ dɛn go trit dɛn sik dɛn de. Dɛn tritmɛnt ya kin ɛp fɔ ridyus di risk fɔ gɛt strok tumara bambay. Sɔm pikin dɛn kin nid bak fɔ du sɔvɛlayshɔn tɛst ɔltɛm fɔ si if dɛn gɛt mɔ prɔblɛm fɔ gɛt strok.

Risk de we uman gɛt bɛlɛ?

yes, sכmtεm di pikin kin gεt strכk (perinatal stroke) bikoz fכ di bכdi we de kכlכt we i bכn כ sכmtεm afta i bכn. Sɔm tin dɛn we di mama kin gɛt we i gɛt bɛlɛ kin mek di pikin gɛt mɔ prɔblɛm bak. Ɛgzampul dɛn:

• Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ .
• Preeclampsia na wan sik we de mek pɔsin gɛt ay blɔd prɛshɔn.
• di mεmbran dεm we de brok bifo tεm .

So, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt prɔblɛm dɛn we kin apin we yu gɛt bɛlɛ.

Wetin a go du fɔ mek mi pikin nɔ gɛt paralayz?

Tɔk to yu dɔktɔ bɔt aw yu pikin kin gɛt strok. Dɛn kin gi sɔm pikin dɛn mɛrɛsin fɔ mek dɛn nɔ gɛt blɔd, we kin ɛp fɔ mek dɛn nɔ gɛt strok.

Apat frɔm dat, if yu pikin de wɛl we i gɛt strok, du wetin yu dɔktɔ tɛl yu fɔ du. Gi ɔl di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ gi am. Di pikin:

• Yu nid fɔ ɛksesaiz fayn ɛn kɔntinyu fɔ du sɔntin.
• Yu nid fɔ it tin dɛn we gɛt fayn fayn tin dɛn (kɔntrol di risk fɔ gɛt ay kɔlɔstrel ɛn dayabitis).
• Yu nid fɔ slip fayn.

Ustɛm yu fɔ kɛr yu pikin go to dɔktɔ? Ustɛm yu fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Afta yu pikin gɛt strok, yu pikin kin nid tritmɛnt frɔm wan tim we gɛt spɛshal dɔktɔ dɛn. Mek shɔ se yu kɛr yu pikin go ɔl di apɔntinmɛnt dɛn wit di dɔktɔ. If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin in wɛlbɔdi ɔ in divɛlɔpmɛnt, mɔ if yu notis ɛni nyu sayn, kɔl yu dɔktɔ wantɛm wantɛm.

If yu pikin sho sayn dɛm fɔ strok, kɔl 911 ɔ kɛr dɛn go na di ɔspitul we de nia yu wantɛm wantɛm. Strok na imejensi. If yu gɛt tritmɛnt kwik kwik wan, dat kin ɛp yu fɔ mek yu pikin in wɛlbɔdi bɛtɛ.

Di tin dɛn we impɔtant pas ɔl we wi nid fɔ mɛmba

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu ɔndastand gud gud wan bɔt Pediatric Stroke . Mɛmba se dis na tin we nɔ kin apin so ɔltɛm. Bɔt, if i apin, i impɔtant fɔ du sɔntin kwik kwik wan.

• Di sayn dɛm fɔ paralayz pan yɔŋ pikin dɛm kin difrɛn frɔm di wan dɛm wae de pan big pipul dɛm. Yu fɔ no mɔ bɔt tin dɛn lɛk we pɔsin kin gɛt sik, we pɔsin kin chenj wantɛm wantɛm, ɛn we pɔsin kin wik na wan say na di bɔdi .
• If yu notis dɛn sayn ya, go to dɔktɔ we yu nɔ de te, ɔ kɔl 1990.
• If yu pikin gɛt ɛnitin we kin mek i gɛt prɔblɛm, lɛk at sik ɔ sik dɛn we gɛt fɔ du wit blɔd, tɔk to yu dɔktɔ ɔltɛm bɔt am ɛn gɛt di tritmɛnt we i nid.
• Nɔ fred. Awareness na di big tin we de mek pɔsin gɛt trɛnk. Di bɛst tin we yu go du fɔ yu pikin na fɔ no bɔt dɛn tin ya.

` Pikin Strok, Paralayz, Strok, Pikin, Bren Ɛmoraji, Blɔd Klɔt, Nyu Bɔn pikin, Pikin Wɛlbɔdi