Wetin na Pɔntin Strɔk? Lɛ wi tɔk bɔt am ditayli!

Yu go mɔs dɔn yɛri bɔt "strok," wan kɔndishɔn we kin mek pɔsin paralayz, nɔto so? Wi ɔl no se na tin we rili siriɔs. Tide wi go tɔk bɔt wan kayn strok we ikwal denja, bɔt sɔntɛm dɛn nɔ kin tɔk bɔt bɛtɛ, we yu fɔ no bɔt. Dɛn kɔl dat wan Pɔntin Strɔk . Dis na sɔntin we kin afɛkt di bren. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin rili na Pɔntin Strɔk?

Fɔ tɔk am simpul wan, Pɔntin Strɔk na we i de ambɔg di blɔd we de flɔ to wan rili impɔtant pat na wi bren we dɛn kɔl "Pons" . Jɔs tink bɔt am, at dɛn de we kin kɛr blɔd go na ɔl di pat dɛn na wi bɔdi, ɛn na di sem tin kin apin to di bren. so, if wan at we de kכri bכdi go na di pons gεt blכk, di sεl dεm we de de nכ de gεt כksijεn εn nyutriεnt. Na da tɛm de dis kɔndishɔn kin apin. Dis na wan kayn ischemic stroke , we na strok we wan blɔd vesel de blok bay sɔntin lɛk blɔd we de klɔt. Dis blɔk kin apin wantɛm wantɛm, ɔ i kin kam smɔl smɔl as tɛm de go.

Naw yu kin de wɔnda wetin dis "Pons" bi. Na di big pat pan wi bren stem . Di bren stem tan lɛk di kɔntrol rum na wi bɔdi. Di Pons gɛt sɔm rili impɔtant wok dɛn bak. Di Pons de ɛp fɔ kɔntrol di we aw yu de blo, di fes mɔsul dɛn we de wok, di yay muvmɛnt, ɛn balans.

Pɔntin strok na mɛrɛsin we kin mek pɔsin in layf de pan denja, so i impɔtant fɔ gɛt tritmɛnt kwik kwik wan.

Dɛn kɔl dis ɔda tin, yu go dɔn yɛri bɔt am:

• Brens stem strok ɔ infarkshɔn
• Pons strok ɔ infarkshɔn

Aw kɔmɔn tin na Pɔntin Strɔk?

Strɔk na sik we kin rili bɔku, bɔt we yu kɔmpia am wit ɔda kayn strok, Pɔntin Strɔk nɔ kin bɔku smɔl.

di pontin strok dεm de mek bכt 7% pan כl di ischemic strok dεm na di wכl. Fɔ ɛgzampul, na Amɛrika nɔmɔ, na lɛk 48,000 pipul dɛn kin gɛt dis sik ɛvri ia. So, dat na wan impɔtant nɔmba, nɔto so?

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt Pontin Stroke?

Dis na di impɔtant pat. De sayn dɛm fɔ Pontine Stroke kin difrɛn smɔl frɔm de ɔda strok simptom dɛm wae wi kin yɛri bɔt. So i fayn fɔ no bɔt dis.

Pɔntin Strɔk kin mek yu gɛt wan ɔ mɔ pan dɛn sayn ya:

• di mכsul dεm we de na wan say na di bכdi wik (hεmiparesis). I kin tan lɛk se wan limb de go numb.
• Wik ɔ drɔp na wan ɔ ɔl tu di say dɛn na di fes (facial nerve palsy). Sɔntɛnde, dɛn kin pul di mɔt na wan say.
• Di tin dɛn we nɔ kɔmɔn na wan say na di fes. I kin tan lɛk se i nɔ gɛt bɛtɛ trɛnk ɔ i kin tan lɛk se ant de waka rawnd.
• abnכmal sens dεm na wan say na di bכdi (hεmisensכri lכs).
• I nɔ izi fɔ tɔk, fɔ tɔk smɔl smɔl (dysarthria). I tan lɛk se wɔd dɛn kin tandul.
• I nɔ izi fɔ swɛla (dysphagia). I nɔ kin izi fɔ swɛla it ɛn drink.
• I nɔ kin izi fɔ yu fɔ blo.
• Lɔs fɔ balans, i nɔ izi fɔ waka (ataxia). I tan lɛk se yu gɛt diziz.
• Diziz, na filin fɔ spin rawnd yu (vertigo).
• I nɔ de yɛri fayn igen.
• Kray ɔ laf we yu nɔ ebul fɔ kɔntrol (pseudobulbar affect). Dis na sɔm kayn strenj sayn, wae min se yu kin kray wae yu nɔr fil bad ɔr laf wae yu nɔr fil fayn.
• Lɔs ɔl di 4 limb dɛm (quadriplegia).
• Nɔbɔdi nɔ kin no natin.

Di sayn dɛm wae gɛt fɔ du wit di yay ɛn di vishɔn kin inklud bak:

• dכbl vishכn, spεshal wan we yu de luk na di sayd (bikoz fכ siks nεv palsi).
• di ay muvmεnt dεm we dεn nכ de kכntrol kwik kwik wan (nystagmus).
• I nɔ ebul fɔ muv ɔl tu di yay dɛn na di sem say di sem tɛm (conjugate gaze palsy).
• Prɔblɛm dɛn we de mek pɔsin blink.

If yu ɔ pɔsin we de nia yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ kwik kwik wan ɛn nɔ go te, bikɔs Pontine Stroke na sik we de mek yu layf de pan denja ɛn we kin mek yu gɛt damej we yu nɔ go ebul fɔ chenj.

Yu tink se kayn Pontin Stroke de?

Yes, difrεn kayn Pontine Stroke de, i dipכnt pan di say we di bכdi de fכlכ to difrεn pat dεm na di pons. De sik kin difrɛn smɔl difrɛn wan fɔ ɛni kayn sik, bɔt bɔrku pan de sik kin kam. Dɔktɔ dɛn kin gi dɛn nem bay usay di pɔn dɛn de.

Fɔ ɛgzampul:

• di mεdial pכntin strכk: dis kin apin we di bכdi fכ fכlכ stכp na di midul pan di pons. di simptom dεm kin bi we yu wik na wan say na di bכdi, di yay mכsul dεm wik, εn we i nכ ebul fכ muv di yay frכm wan sayd to di sayd (horizontal gaze palsy).
• Lateral pontine stroke: Dis kin apin na wan say na di pons. di simptom dεm kin bi fכ sכmtεm na di כpכsite sayd na di bכdi (hεmisensכri lכs) εn lכs fכ bεlε (ataxia). I kin bi wan say ɔ baylatarɛl.
• Caudal pontine stroke: Dis kin afɛkt di bak pat pan di pons. Facial nerve palsy, yu nɔ de yɛri fayn, ɛn vertigo na kɔmɔn sayn dɛm.

Wetin kin mek pɔsin gɛt Pɔntin Strɔk?

As wi bin dɔn tɔk, dis kin apin we di blɔd we de go na di pons dɔn blok. Tu men rizin dɛn de fɔ dis blok:

1. Smɔl at sik: If yu gɛt ay blɔd prɛshɔn ɔ dayabitis fɔ lɔng tɛm, di smɔl smɔl blɔd vesel dɛn we de na di pons kin pwɛl. As tɛm de go, di blɔd kin stɔp fɔ flɔ, ɛn as tɛm de go, wan vein kin blok ɔltogɛda, ɛn dis kin mek pɔsin gɛt strok. Dis na di tin we kin mek pɔsin gɛt dis sik.

2. Big at atεrosklεrosis: Atεrosklεrosis na we fεt dεposit (plak) de kכmכt sכmtεm insay di bכdi in bכdi, we de mek dεn at. we dis kayn plek de bil insay di big at dεm we de kכri bכdi to di bren (e.g., di vεrbral atεri , basilar atεri ), i kin blכk di bכdi fכ fכlכ to di sכm at dεm na di pons.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Pontin Stroke?

Di men tin dɛm wae kin mek pɔrsin gɛt Pontin Stroke na di sem tin wae kin kam wit ɔda ischemic stroke. Dɛn tin ya na ay blɔd prɛshɔn ɛn dayabitis . Dɛn tu tin ya kin pwɛl yu blɔd vesel dɛm, inklud di blɔd vesel dɛm na di pons.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Fɔ smok.
• Di bɔku bɔku kɔlɔstrel we de na di blɔd.
• Fɔ gɛt histri bɔt ischemic hat sik ( at sik we kin kam bikɔs di at dɛn kin blok na di at).
• Stet dɛn we gɛt haypa koagulɛbl.
• Vaskulaytis we gɛt di sik.

If yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt prɔblɛm, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se di tritmɛnt plan we dɛn dɔn gi yu de wok fayn fayn wan.

Aw dɛn kin no se pɔsin gɛt Pɔntin Strɔk?

If yu gɛt sayn fɔ strok, yu fɔ go na imejensi rum (ETU) kwik kwik wan. Na de, dɔktɔ go du bɔku tɛst fɔ no if yu gɛt Pɔntin Strɔk ɛn chɛk yu wɛlbɔdi. Dɛn tin ya kin bi:

• Fɔ chɛk yu blɔd prɛshɔn ɛn yu at rit .
• Fɔ chɛk aw yu de blo (we yu de blo) .
• Fɔ ɛgzamin in bɔdi ɛn fɔ du mɛrɛsin istri .
• Wan nyurolɔjik ɛgzam. Dis kin no di sayn dɛm we de sho se pɔsin gɛt strok ɛn no us pat pan di bren dɔn afɛkt.
• Tɛst dɛn we dɛn kin du fɔ tek pikchɔ dɛn na di bren.Fɔ ɛgzampul, CT skan ɛn/ɔ MRI skan . dis tεst dεm kin kכnfכm if di strכk de na di pons.

Yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ chɛk ɔda tin dɛn we gɛt fɔ du wit yu wɛlbɔdi, lɛk fɔ tɛst yu blɔd ɛn fɔ du EKG (ECG) .

Aw dɛn kin trit Pɔntin Strɔk?

Di praymar gol fɔ tritmɛnt fɔ Pɔntin Strɔk na fɔ mek di blɔd flɔ bak to di pons. Dis na bikɔs if yu blɔd flɔ bak kwik kwik wan, dat kin mek yu nɔ pwɛl fɔ ɔltɛm ɔ at ɔl i kin mek di strok nɔ bad. Bak, if yu gɛt sayn dɛm fɔ strok, i impɔtant fɔ go na ɔspitul kwik kwik wan so dat yu go gɛt tritmɛnt kwik kwik wan.

Fɔ mek blɔd go bak, dɛn kin gi wan kayn mɛrɛsin we dɛn kɔl trombolytics . Dɛn tin ya kin wok bay we dɛn kin sɔlv di blɔd we dɔn klɔt. Dɔn bak, if big vein blok, dɛn kin du ɔpreshɔn we dɛn kɔl mɛkanikal trombektomi fɔ pul di blɔd we dɔn klɔt.

Ɔda gol dɛn fɔ tritmɛnt na:

• Fɔ mek dɛn nɔ gɛt prɔblɛm dɛn. Yu mɛdikal tim go yuz ɔda tritmɛnt fɔ mek yu nɔ gɛt ɔ trit difrɛn prɔblɛm dɛn.
• Rihabiliteshɔn fɔ trit di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛn we de na di nervɔs sistɛm.
• Yuz sɔm kayn we fɔ mek yu nɔ gɛt ɔda strok , lɛk fɔ tek mɛrɛsin, fɔ chenj di it we yu de it, ɛn fɔ mek yu bɔdi wok mɔ ɛn mɔ.

Pontin Stroke Rihabiliteshɔn

Rihabiliteshɔn na impɔtant pat fɔ wɛl bɔdi fɔ bɔrku pipul dɛm wae dɔn gɛt strok. Dis kin dipen pan yu sayn dɛm, dis kin tek bɔrku kayn we:

• Spich therapy: Dis kin ɛp yu fɔ gɛt yu langwej ɛn tɔk bak, ɛn kɔntrol di mɔsul dɛm we de ɛp yu fɔ blo, it, drink, ɛn swɛla.
• Fizik tritmɛnt: Dis kin ɛp yu fɔ mek yu an ɛn yu leg dɛn ebul fɔ yuz yu an ɛn yu fut fayn fayn wan ɔ yu kin yuz am bak. I kin ɛp bak wit tin dɛm lɛk wae yu gɛt prɔblɛm wit yu balans ɛn yu mɔsul dɛm wik.
• Occupational therapy: Dis kin tren yu bren bak fɔ ɛp yu fɔ du ɛvride wok, lɛk fɔ it wit tin dɛn ɛn fɔ drɛs.
• Sɛns ri-edyukeshɔn: Dis kin ɛp fɔ tren yu sɛns bak ɔ fɔ mek yu sɛns. Fɔ ɛgzampul, dɛn go tren yu fɔ no difrɛn kayn we dɛn we yu de tɔch, we yu de shek shek, we yu de prɛs, ɛn we yu de wam.
• Kɔgnitiv tɛrapi: .Dis kin ɛp yu if yu gɛt prɔblɛm wit yu mɛmori. I kin ɛp bak if i nɔ izi fɔ yu fɔ pe atɛnshɔn pan di wok dɛn we yu bin de ebul fɔ du trade.

Wetin na di prɔgnosis fɔ pipul dɛm wae dɔn gɛt Pontin Stroke?

De luk fɔ pɔrsin wae dɔn gɛt Pontin Stroke fɔ wɛl kin dipen pan sɔm tin dɛm. Dɛn tin ya na:

• Us pat pan di pons bin afɛkt di strok?
• Di kayn we aw di strok kin tranga.
• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Yu ɔl wɛlbɔdi biznɛs ɛn yu ej.

fכ egzampl, strכk dεm we de afekt wan sayd nכmכ pan di pons (yunilateral) jεnarali gεt bεtε rεkכvεshכn autkam pas strכk dεm we de afekt כl tu di sayd dεm (baylatarכl) εn dεn wan dεm we afekt di bak pan di pons (kכdal).

Yu mɛdikal tim go gi yu gud aidia bɔt aw yu go wɛl afta yu dɔn gɛt Pɔntin Strɔk. Gɛt ɛp frɔm yu padi dɛn ɛn aks dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.

Wetin na di tin dɛm wae pɔrsin kin gɛt fɔ lɔng tɛm wae pɔrsin kin gɛt pɔrsin wae gɛt Strɔk?

Pɔntin Strɔk kin mek sɔm prɔblɛm dɛn we go de fɔ lɔng tɛm ɔ we go de sote go. dis na biכs di bren stem we inklud di pons na imכtant bren strכkchכ we gεt bכku imכtant wok dεm. Yu risk fɔ gɛt kɔmplikeshɔn de dipen pan bɔku tin dɛm, lɛk di kayn ɛn di kayn we aw di Pɔntin Strɔk de tranga.

Di prɔblɛm dɛn we kin apin kin bi:

• Di bren we de pwɛl ɔltɛm.
• Tiub fכ it kin nid fכ it biכs fכ difεlεnt fכ it.
• Lɔs di urinary control (urinary incontinence), we nid fɔ yuz urinary catheter.
• Di mɔsul dɛn kin wik fɔ lɔng tɛm, we kin mek i kin fɔdɔm bɔku tɛm.
• Dipreshɔn we pɔsin kin gɛt afta i dɔn gɛt strok.
• di komplikashכn dεm we kin kכmכt frכm di bed rεst fכ lכng tεm, fכ egzampl, bed sכr dεm εn dip vein trombosis (DVT).
• Disabiliti fɔ lɔng tɛm.
• Sindrom we dɛn kin lɔk insay. Insay dis, yu nɔ go ebul fɔ kɔntrol ɛni ɔda tin na yu bɔdi pas fɔ muv yu yay, bɔt yu de no.
• Aspiration nyumonia, mɔ pan pipul dɛm wae gɛt pseudobulbar palsy ɔ locked-in syndrome, kin kam wae it ɔr drink kin kam insay di aywe.
• Day.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu (ɔ pɔsin we de nia yu) dɔn gɛt Pontin Stroke, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn Pontin Stroke a bin gɛt?
• Us wok dɛn na di bren ɛn bɔdi we di strok bin afɛkt?
• Aw mi wɛlbɔdi go tan lɛk? Wetin na di nɛks tin dɛn we a fɔ du fɔ kia fɔ mi?
• Us kayn rihabiliteshɔn we a nid?
• Wetin a go ebul fɔ du insay di nɛks sɔm mɔnt dɛn?
• Wetin a go ɛkspɛkt insay wan ia?
• Us skil dɛn mi ɛn di wan dɛn we a lɛk nid fɔ kia fɔ mi?
• Us savis ɛn tin dɛn de fɔ ɛp mi ɛn di wan dɛn we a lɛk?
• Wetin na di tin dɛn we kin mek a gɛt ɔda strok?

Aw fɔ mek yu nɔ gɛt Pɔntin Strɔk?

Dɛn nɔ kin ebul fɔ stɔp pɔntin strok ɔltɛm. Bɔt yu kin wok wit yu dɔktɔ fɔ kɔntrol di tin dɛn we kin mek yu gɛt strok. Di strateji dɛn fɔ manej kin inklud:

• Kɔntrol yu blɔd prɛshɔn, aim fɔ 140/90 mmHg ɔ smɔl pas dat. Yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin ɛn/ɔ chenj di tin dɛn we yu de du ɛn di tin dɛn we yu de it.
• Tritmɛnt fɔ ay kɔlɔstrel (dyslipidemia), fɔ ɛgzampul, fɔ mek yu bɔdi wok mɔ ɛn mɔ, fɔ chenj yu it, ɛn/ɔ fɔ tek statin mɛrɛsin.
• Manej di dayabitis, aim fɔ kip A1C na 7% ɔ less.
• Fɔ lɛf fɔ smok, we dɛn kin ɛp bay we dɛn de tɔk ɛn tek nikotin riplesmɛnt tritmɛnt (NRT) .
• Fɔ mek chenj dɛn na yu it plan, fɔ ɛgzampul, fɔ fala di DASH it ɔ di Mɛditarenian it .
• Yu fɔ du tin dɛn ɔltɛm fɔ at le 40 minit insay di de, tri to 4 dez insay di wik.
• Fɔ kip ɔ fɔ gɛt wɛlbɔdi wet.
• If yu gɛt atrial fibrillation (Afib) (we yu at nɔ de bit ɔltɛm), tek tin dɛn we de mek yu blɔd tan (anticoagulants) lɛk aspirin ɔ warfarin .

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Pɔntin Strɔk kin tɔn yu layf ɔpsayd insay wan wantɛm. So, i impɔtant fɔ no bɔt in sik dɛn ɛn fɔ go na ɔspitul kwik kwik wan if yu ɔ pɔsin we yu sabi gɛt dis sik. Layf afta yu gɛt strok kin rili tranga ɛn kin chenj pan we yu nɔr kin imajin. Nɔ fɔgɛt fɔ aks fɔ sɔpɔt frɔm yu mɛdikal tim ɛn di wan dɛm we yu lɛk we yu de travul fɔ wɛl. Mɛmba se fɔ du sɔntin kwik kwik wan ɛn di rayt tritmɛnt kin mek big difrɛns.

`Pontin strok, bren strok, strok simptom, strok tritmɛnt, pons, bren stem, nyurolɔjik sik, imejensi kia