Imajin if yu bin de du yu nɔmal wok ɛn wantɛm wantɛm, we yu nɔ wɔn yu, yu gɛt di wɔs ed we yu dɔn ɛva gɛt. Na bin di pen we bin rili bad pas ɔl di ɔda pen dɛn na yu layf. Di pen go rich in mak insay sɔm sɛkɔn dɛn. Insay mɛrɛsin, wi kin kɔl dis sɔdɛn, siriɔs ed pen "Thunderclap Headache." Dis nɔto jɔs ɛni ed we de at. Bɔku tɛm, dis na siriɔs wɔnin we wi bɔdi de gi wi. RCVS na wan pan dɛn kayn tin ya we de gi dis kayn wɔnin.
Fɔ tɔk am simpul wan, wetin na RVCS?
di ful nem fכ RCVS na Rivεrsibl Sεribra Vasokonstrikshכn Sεndrכm . Di nem kin tan lɛk se i lɔng smɔl ɛn i kɔmplikt, bɔt lɛ wi kip am simpul.
- Rivεrsibl: min "dεn kin rivεs." Dis min se di sik nɔ de sote go ɛn dɛn kin mɛn am if dɛn trit am fayn .
- Sεribra: min "we de fכ di bren."
- Vasoconstriction: min "di sכmtεm we di bכdi de sכmtεm כ kכnstrikt."
Fɔ tɔk am simpul wan, RCVS na wan sik we di blɔd vesel dɛn na di bren kin tayt, kɔnstrikt, ɛn blok wantɛm wantɛm . Bɔt dis kin chenj if dɛn trit am di rayt we.
Imajin wan wata paip. Wetin go apin if wi swɛt wan pat pan di paip? I de stɔp di wata fɔ flɔ, nɔto so? Di sem tin kin apin to di blɔd vesel dɛn na wi bren. we dεn blכd vεsul dεm ya tayt wan wan (wi kכl dis ``vasospasm''), di bren nכ de gεt di bכdi we i nid. Dis na di rizin we mek wi kin gɛt dɛn bad bad ed pen we kin fil lɛk laytin. Dis sik kin sho bak sɔmtɛm sɔm kayn sayn dɛm lɛk maygren, strok, ɔr blɔd na di bren .
I rili impɔtant: "Thunderclap Headache", we na wan we kin bigin wantɛm wantɛm, bad bad ed we kin fil lɛk di wɔs ed we yu dɔn ɛva gɛt, na mɛdikal imejensi . Dis kin bi sayn fɔ se blɔd de kɔmɔt insay di bren. If yu ɔ pɔsin we yu sabi gɛt dis kayn ed we de at, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɛn nɔ de te.
Wetin na di sayn dɛm fɔ RCVS?
RCVS kin mek yu gɛt difrɛn kayn sayn dɛm bikɔs ɔf di blɔd we nɔ de flɔ na di bren. De men sayn na wae yu ed de at bad bad wan, bɔt ɔda sayn dɛm de bak.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| "Thunderclap" ed we de at | Wan bad bad ed pen we kin bigin wantɛm wantɛm, we kin rich in mak insay sɛkɔn, ɛn i kin kam bak insay wan ɔ 4 wik. |
| Di sɛnsitiviti we de go ɔp | Intolerans to brayt layt (`(Photophobia)`) ɛn lawd nɔys (`(Phonophobia)`). |
| Ɔda tin dɛn we de apin | Nɔs ɛn vɔmit, yu de si chenj (we yu de si blɔk, yu de si tu tɛm), yu mɔsul dɛn wik na wan pat na di bɔdi, yu kɔnfyus. |
| Siriɔs simptom dɛn | Sizhɔ, prɔblɛm fɔ tɔk ɔ ɔndastand wetin ɔda pipul dɛn de tɔk (`(Aphasia)`). |
Sɔntɛnde, RCVS kin mek blɔd kɔmɔt bitwin di bren ɛn di skel. dis dεn kכl am `(Subarachnoid Hemorrhage - SAH)`. Dis na rili siriɔs mɛdikal imejensi bak. Apat frɔm di sayn dɛm we wi dɔn tɔk bɔt, SAH kin sho dɛn simptom ya bak:
- Nεk stiffness, mכsul dεm de pen na di nεk εn sholda dεm.
- Chenj pan bihayvya ɛn mud (fɔ vɛks fɔ no rizin).
- Wan pat na di bɔdi we nɔ gɛt bɛtɛ trɛnk.
Wetin na di tin dɛm we de ɛp fɔ mek RCVS divɛlɔp?
Pan ɔl we dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt RCVS, dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik.
Bɛlɛ ɛn bɔn pikin
di mכst kכmכn εn mכst kכmכn risk fכ RCVS na bεlε. di risk kin hכy pasmak insay di fכs siks wik afta i bכn (postpartum). Dɔktɔ dɛn biliv se di chenj we di ɔmon dɛn kin chenj we uman gɛt bɛlɛ kin ɛp fɔ du sɔntin. RCVS kin apin ivin we kɔmplikɛshɔn nɔ de lɛk prɛeklampsia, we na wan ay blɔd prɛshɔn we kin apin we uman gɛt bɛlɛ.
Yuz sɔm mɛrɛsin ɛn drɔgs
Sɔm mɛrɛsin ɛn drɔgs we kin afɛkt wi blɔd sistɛm kin mek wi gɛt RCVS.
| Di kayn drɔg/sɔbstans | Ɛgzampul dɛn |
|---|---|
| Mɛrɛsin fɔ pwɛl hat | Ɛspɛshali SSRI tayp drɔgs (`(Sɛlektiv Sɛrotonin Riuptek Inhibitɔ dɛn)`). |
| Mɛrɛsin fɔ mɛn maygren | Triptan ɛn mɛrɛsin dɛn we gɛt ergot. |
| Drug dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik | Mɛrɛsin dɛm wae de ridyus di imyuniti wae dɛn kin gi fɔ sɔm sik dɛm. |
| Di tin dɛn we de mek pɔsin want fɔ du sɔntin ɛn drɔgs | Drug dɛn lɛk amfetamin, kɔkɛyn, marijuana, nikotin pat, ɛnaji drink, LSD, ɛn MDMA. |
Ɔda wɛlbɔdi prɔblɛm dɛn
Sɔm mɛdikal kɔndishɔn dɛn kin mek bak di risk fɔ gɛt RVCS.
- Maygren: Pipul wae gɛt maygren kin gɛt RCVS.
- di blɔd kalsiɔm lɛvɛl go ɔp (Hypercalcemia): We di kalsiɔm lɛvɛl na di blɔd go ɔp, di blɔd vesel dɛn kin ambɔg di wok we di blɔd de du.
- כmon dεm: dεn sכspεkt se di כmon εstrojen de involv insay dis. Dis na di rizin we mek dis sik kin bɔku pan uman dɛn.
- sik dεm we de kכmכt na di bεlε: sik dεm we de mek tכmכro dεm we de prodyuz εksyכs adrenaline כmon, lεk ``Pheochromocytoma``.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt RCVS?
Trade, dɔktɔ dɛn bin de tink se RCVS na sik we nɔ bad, we nɔ de du bad, bɔt nyu risach dɔn sho se nɔto ɔltɛm dis kin bi.
Na lɛk 30% pan di wan dɛn we gɛt RCVS kin lɛf wit sɔm smɔl smɔl disabiliti fɔ ɔltɛm (fɔ ɛgzampul, sɔm mɔsul dɛn wik, prɔblɛm wit balans we dɛn de waka). Na lɛk 8% kin gɛt mɔ siriɔs, lɔng tɛm prɔblɛm.
Apat frɔm dat, mɔ siriɔs prɔblɛm kin kam insay sɔm dez afta di fɔs simptom dɛn dɔn sho.
- Ischemic Stroke: Na strok we kin kam bikɔs di blɔd vesel we de gi blɔd to di bren kin blok.
- Bren blɔd: Na kɔndishɔn we fiba SAH.
- Epilepsy (`(Sɛiz)`).
Dis na di rizin we mek wi kin tɔk bɔku tɛm se i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ed we de at wantɛm wantɛm. If yu gɛt tritmɛnt kwik kwik wan, dat kin mek yu nɔ gɛt bɔku pan dɛn siriɔs prɔblɛm ya.
Aw dɛn kin no se pɔsin gɛt RCVS?
We yu go na di Imejɛnsi Dipatmɛnt (ETU), dɔktɔ dɛn kin fala sɔm tin dɛn fɔ no bɔt dis sik.
1. Fɔ chɛk yu bɔdi ɛn yu nervɔs sistɛm: Apat frɔm we yu aks bɔt di sik dɛn we yu gɛt, dɛn go tɛst yu nervɔs sistɛm fɔ wok (e.g., aw yu de tɔk, aw yu de si, aw yu bɔdi balans).
2. Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ luk fɔ tin dɛn lɛk prɔblɛm wit blɔd we de klɔt, infɛkshɔn, ɛn we nɔ balans na di bɔdi in sɔl.
3. Imej Skan: Dɛn skan ya na dɛn impɔtant pas ɔl fɔ no if pɔsin gɛt RCVS. dεn kin "luk" insay di bren εn no di prכblεm εria dεm.
Us kayn skan dɛn ya dɛn kin du?
- CT Scan (`(Computed Tomography - CT scan)`): yu kin yuz wan skan we dεn kכl `(CT angiogram)` fכ si di kכndishכn fכ di bכdi vεsul dεm na di bren. CT skan rili impɔtant fɔ no kwik kwik wan se yu gɛt strok, bikɔs ɛvri sɛkɔn kin kɔnt we yu de trit strok.
- MRI skan (Magnetic Resonance Imaging - MRI scan): Na skan we dεn kכl Magnetic Resonance Angiogram - MRA kin sho klia wan di kכnstrikshכn fכ di bכdi vεsul dεm (vasospasm) εn di ifekt dεm we de kכmכt pan di bren.
- Transkranial Doppler ultrasound: dis de mכsu di spid we di bכdi de fכlכ tru di bren εn i kin gi yu aidia fכ if di bכdi vεsul dεm dכn blכk.
Bɔku tɛm, afta dɛn dɔn ruul ɔut strok, dɛn kin nid fɔ du MRI/MRA skan fɔ kɔnfɔm RCVS.
Aw dɛn kin trit RCVS?
As di nem sho ("Reversible"), dis na kכndyushכn we dεn kin trit . Tu men gol dɛn de fɔ tritmɛnt.
1. Fɔ pul di kɔz: If dɛn kin no klia wan di kɔz fɔ di RCVS kɔndishɔn (e.g., wan patikyula mɛrɛsin), di fɔs tin we yu fɔ du na fɔ pul da kɔz de.
.
di kayn mεdikeshכn we dεn kin yus fכ dis na di kalsiכm chεnal blכk dεm (`(Calcium Channel Blockers - CCBs)`).Dɛn drɔgs ya de wok bay we dɛn de blok di kalsiɔm fɔ mek i nɔ go insay di smol smol mɔsul sɛl dɛn we de na di wɔl dɛn na di blɔd vesel dɛn. Dɔn di mɔsul dɛn kin rilaks, di blɔd vesel dɛn kin big bak, ɛn di blɔd kin go bak na di bren.
Na rεsכn kes dεm, we di sik nכ de rεspכnd to mεdikeshכn, dεn kin yuz wan prכsidכm we dεn kכl ``endovascular''. insay dis kes, dεn de pas wan vεri tכn tכb (``kateta'') tru wan bכdi vεsεl na di an כ leg to wan bכdi vεsεl na di bren, εn dεn de inflate wan balכn tru am (``angioplasty'') fכ mek di vεsεl we blכk big כ fכ gi mεdikeshכn dairekt.
Wetin fɔ ɛkspɛkt if dɛn fɔm RCVS?
If yu gɛt RCVS, di fɔs tin we yu go gɛt na we yu gɛt siriɔs ed we de at wantɛm wantɛm. Dis na mɛdikal imejensi ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan. Wae di tritmɛnt bigin, bɔrku pipul dɛn kin wɛl insay sɔm dez ɔr wik .
Bɔrku pipul dɛm (lɛk 80% - 85%) kin wɛl ɔlsay ɛn nɔr gɛt ɛni prɔblɛm fɔ lɔng tɛm . Na di bɛst tin bɔt dis sik. Na lɛk 10% kin gɛt smɔl smɔl prɔblɛm dɛn. Bɔt, smɔl risk de fɔ gɛt siriɔs prɔblɛm, lɛk di strok we wi bin dɔn tɔk bɔt, so fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
Wetin wi fɔ du fɔ mek RCVS nɔ kam bak?
If yu dɔn gɛt RCVS, yu dɔktɔ kin advays yu fɔ mek sɔm chenj dɛn na yu layf fɔ mek i nɔ kam bak.
- Fɔ stɔp di mɛrɛsin we mek yu gɛt RCVS: If na mɛrɛsin mek yu gɛt di sik, stɔp fɔ tek am lɛk aw yu dɔktɔ tɛl yu ɛn nɔ tek da mɛrɛsin de tumara bambay.
- Tek di mɛrɛsin dɛn we di dɔktɔ tɛl yu ɔltɛm: Tek di mɛrɛsin dɛn we yu tɛl yu fɔ tek di mɛrɛsin dɛn we yu dɔn tɛl yu fɔ du di rayt tɛm fɔ mek di sik nɔ kam bak.
- Nɔ yuz drɔgs we nɔ nid fɔ yuz am kpatakpata: Nɔ tek di tin dɛn we de mek di blɔd go fayn, mɔ di wan dɛn we de afɛkt di we aw yu blɔd de rɔn, lɛk marijuana.
- Kɔntrol kafinɛ ɛn ɛnaji drink dɛn: I fayn fɔ mek yu ridyus di we aw yu de drink ɔ lɛf fɔ drink dɛn tin ya ɔltogɛda.
Yu dɔktɔ go aks yu fɔ kam bak na di klinik fɔ wach yu kɔndishɔn. Mek shɔ se yu atɛnd dɛn apɔntinmɛnt dɛn de.
Mɛsej we dɛn kin kɛr go na os
- Wantɛm we kin bigin, bad bad ed pen ("Thunderclap Headache") na mɛdikal imejensi. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.
- RCVS na wan sik we kin apin we di blɔd vesel dɛn na di bren kin smɔl wantɛm wantɛm ɛn kɔnstrikt. Bɔt lɛk aw di nem sho, na sik we pɔsin kin chenj ɔltogɛda if dɛn trit am di rayt we .
- Dis kin apin mɔs afta dɛn bɔn pikin, bikɔs dɛn de yuz sɔm mɛrɛsin dɛn, ɔ i kin apin wit ɔda mɛrɛsin dɛn.
- If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt siriɔs prɔblɛm lɛk strok, ɛn bɔku pipul dɛn kin wɛl ful wan.
- Tɔk to yu dɔktɔ opin wan bɔt aw yu sik, aw yu go trit yu, ɛn aw yu go wɔri bɔt yu tumara bambay.
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