Blɔd we de kɔmɔt wantɛm wantɛm insay di ed? (Subarachnoid Hemorrhage - SAH) Tide wi go tɔk bɔt am!

Yu dɔn ɛva gɛt ed we de at wantɛm wantɛm ɛn we tan lɛk se yu ed de bɔn, ɔ lɛk laytin dɔn nak yu? Sɔm pipul kin kɔl am "di wɔs ed pen na yu layf." Dis nɔto jok. Dis kin bi wan sik we rili denja. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn `(Subarachnoid Hemorrhage)` ɔ `(SAH)` . Dis na rili mɛdikal imejensi. So mek wi tok abaut dis fo likl mo ditel, fo simpul wod, okay?

Wetin na dis rili (Subarachnoid Hemorrhage)? Lɛ wi ɔndastand am simpul wan, nɔto so?

Fɔ tɔk am simpul wan, `(Subarachnoid Hemorrhage)` na we blɔd de kɔmɔt na di spes bitwin wi bren ɛn di tin we de kɔba di bren we de rawnd di bren . Tink bɔt dis, wi bren tan lɛk jwɛl we gɛt valyu. So fɔ protɛkt am, di tin dɛn we Gɔd mek dɔn gi wi tri layers we gɛt tin we tan lɛk tin we de kɔba am. Wi de kɔl dɛn wan ya `(Meninges)`. I tan lɛk di skin fɔ anɔynt, ɔ di difrɛn layers dɛn lɛk di husk fɔ kokonat.

Dɛn tri tin ya we dɛn kin kɔba na:

• Dura mater: Dis na di ɔda kɔva we strɔng smɔl jɔs ɔnda di skel.
• Arachnoid mater: Dis na di midul kɔva. Wan fayn fayn mɛmbran we tan lɛk spayda in wɛb.
• Pia mater: Dis na di tin we rili tan, we de insay di bren we de atak di bren insɛf.

naw, wetin de apin na dis `(Subarachnoid Hemorrhage)` na dat bכdi de kכmכt כ nda di arachnoid mεmbran na di midul (dat na, na di "sub-arachnoid" spεs). Dis kin rili denja, bikɔs dis blɔd kin put prɛshɔn pan di bren, ɛn di bren sɛl dɛn kin pwɛl. Na dat mek dɛn kin tek dis as mɛdikal imejensi.

Wetin na di difrɛns bitwin (Subarachnoid Hemorrhage) ɛn (Subdural Hematoma)?

Yu kin dɔn yɛri bɔt ɔda sik we dɛn kɔl ``Subdural Hematoma''. Dɛn ɔl tu de blɔd insay di bren. Di difrɛns na usay di blɔd de kɔmɔt .

• insay wan ``Subdural Hematoma'', bכdi de fכlכ insay di spεs we de dכn di כta mכst kכva, di ``dura mater'' we wi bin tכk bכt.
• insay subarachnoid hemorrhage, bכdi de fכlכ insay di spεs we de dכn di arachnoid mεmbran .

Sɔntɛnde, di sayn dɛm fɔ dɛn tu kin fiba, dɛn ɔl tu kin mek yu bren pwɛl, ɛn dɛn ɔl tu na tin dɛm wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

Udat kin gɛt mɔ chans fɔ gɛt SAH? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Dis kכndyushכn we dεn kכl ``Subarachnoid Hemorrhage,'' kin apin pan εnibodi. Bɔt i kin apin mɔ pan pipul dɛn we ol bitwin 40 ɛn 60 ia .

Hɛd trauma (SAH) kin mɔs pan ol pipul dɛm bikɔs ɔf di risk fɔ fɔdɔm ɛn lɔs balans as pipul dɛm de ol. Pan yɔŋ pipul dɛn, motoka aksidɛnt na di men tin we kin mek dɛn gɛt aksidɛnt.

Apat frɔm dat, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt SAH. Dɛn na:

• Fɔ gɛt aneurysm we nɔ brok na yu bren ɔ ɔdasay na yu bɔdi (aneurysm na blɔd vesel we de bulge lɛk balyɔn).
• Fɔ gɛt histri bɔt wan bren anɛrizm we bin dɔn brok bifo.
• Fɔ smok tabak. (Dis na di kɔz fɔ bɔku sik dɛn, nɔto so?)
• Fɔ gɛt ay blɔd prɛshɔn (Hypertension). (Wi se "hay prɛshɔn").
• sכm jεnεtik kכndishכn dεm, fכ egzampl, kכnektiv tisu sik dεm lεk ``Fibromuscular dysplasia (FMD)`` εn ``Ehlers-Danlos syndrome``.
• Fɔ gɛt wan sik na yu kidni we dɛn kɔl ``(Polycystic kidney disease)''.
• Yuz drɔgs lɛk kɔkɛyn ɛn/ɔ mɛtamfɛtamin.
• Fɔ drink rɔm pasmak.
• Yuz tin dɛn we de mek blɔd tan lɛk Warfarin (Dɛn fɔ yuz dɛn tin ya ɔnda dɔktɔ in advays nɔmɔ).
• If pɔsin na yu famili dɔn gɛt aneurysm (dat min se i gɛt strɔng famili histri).

Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn risk factor ya, i nɔ min se yu go rili gɛt SAH. Bɔt i min se yu risk de bɔku. So, i rili impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin na di sayn dɛm fɔ dis denja sik? Aw yu no am?

Di men ɛn denja simptom fɔ subarachnoid ɛmoraji na di "thunderclap headache" we wi bin dɔn tɔk bɔt. Dis na wan bad bad ed we kin at wantɛm wantɛm. I kin fil lɛk se sɔntin de bɔn insay yu ed. Bɔku pipul dɛn kin se, "A nɔ ɛva gɛt ed pen lɛk dis na mi layf."

If yu gɛt siriɔs ed we de at wantɛm wantɛm lɛk dis, mɔ if yu gɛt ɛni wan pan di ɔda sayn dɛn we de dɔŋ ya, duya kɔl 911 (1990 Suwaseriya na Sri Lanka) we yu nɔ de te, ɔ go na di imejensi rum we de nia yu kwik kwik wan. Dis kin sev yu layf!

Ɔda sayn dɛn we de sho se yu gɛt dis sik na:

• I nɔ kin no bɛtɛ ɛn i nɔ kin izi fɔ lɛ i wek.
• Nɔs ɛn vɔmit.
• Fɔ fil se yu nɛk stif, i nɔ izi fɔ bɛn yu nɛk (Stiff neck) .
• Fɔ fil lɛk se yu de lɔs yu layf wantɛm wantɛm.
• di mכd εn pכsin de chenj (e.g., agitεshכn, iritabiliti).
• Diziz we pɔsin kin gɛt .
• Fɔtofobia (we yu yay kin fil we yu de si brayt layt) .
• Mɔsul pen , mɔ na di nɛk ɛn sholda.
• Wan pat na di bɔdi we nɔ gɛt bɛtɛ trɛnk.
• Fɔ gɛt fit (seizure) `(Seizures)` .
• di chenj dεm we yu de si : yu de si tu, blak spat dεm na di vishכn, yu de lכs di vishכn fכ sכm tεm na wan yay.

If wan ɔ mɔ pan dɛn sayn ya kam wit da bad bad ed we de at, chans de fɔ mek i bi ‘SAH’.

Wetin mek dis (Subarachnoid Hemorrhage) kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Tu men rizin dɛn de we mek di blɔd we de kɔmɔt na di blɔd kin apin.

1. Hɛd trauma: Dis na di tin we kin mek pɔsin gɛt prɔblɛm pas ɔl. Fɔ ɛgzampul, we pɔsin fɔdɔm bad bad wan ɔ we i gɛt motoka aksidɛnt, dat kin mek pɔsin blo bad bad wan na in ed.

2. Ruptured brain aneurysm: Dis na wan tin bak we kin mek i apin bad bad wan. As wi bin dɔn tɔk, aneurism na wik ples na di wɔl na di blɔd vesel na di bren we de bulge lɛk balyɔn. if i bכs wan wan, bכdi de fכlכ dεrekt insay di spεs כnda di arachnoid mεmbran. dis na di kכz fכ 85% pan di sכdεn anεvrizm rupchכ (SAH) we nכ gεt ed injuri.

Apat frɔm dɛn tu men rizin ya, sɔm ɔda rizin dɛn de we nɔ kin apin so ɔltɛm:

• Blɔd we de kɔmɔt na wan say we tandul na di blɔd vesel dɛn. dis dεn kכl am ``Arteriovenous malformation (AVM)``.
• Sɔm prɔblɛm dɛn we kin mek pɔsin gɛt blɔd.
• Yuz tin dɛn we de mek blɔd tan (we dɛn yuz am we yu nɔ gɛt dɔktɔ advays).
• Yuz drɔgs lɛk kɔkɛyn ɛn/ɔ mɛtamfɛtamin.

Aw dɔktɔ dɛn kin no bɔt dis? Us tɛst dɛn kin du?

If, afta yu dɔn rivyu yu simptom dɛm ɛn fɔs ɛgzamin, dɔktɔ sɔspɛkt se yu gɛt ``Subarachnoid Hemorrhage'', i go ɔda ``CT scan'' (Computerized Tomography scan) wantɛm wantɛm.

CT skan kin tek ditayli pikchɔ dɛn fɔ di tisu dɛn na wi bɔdi. CT skan na di bren na wan we we rili fayn fɔ si if SAH de. Sɔntɛnde, CT angiography (CTA) skan, we kin min fɔ injɛkt spɛshal wata insay wan vein, kin luk bak aw di blɔd vesel dɛn de.

Bɔt if na rili smɔl SAH, ɔ if i apin lɛs tu wiks bifo, dɛn nɔ go no am bay CT skan. If na so i bi, di dɔktɔ go nid fɔ du sɔm ɔda tɛst dɛn.

Dɛn na:

• lכmba pankshכn: dis involv fכ put wan nidul we rili tכn insay yu lכw bכk εn tek sεmpl fכ di wata we de rawnd yu bren εn spεnal kכd (dεn kכl am sεribrospεnal fכluid - CSF). afta dat dεn de tεst dis fכs fכ xanthochromia (we i de sho se i yכlכ). If i de, i kin min se yu gɛt SAH.
• Bren magnetic resonance imaging (MRI): Dis kin chɛk bak fɔ si if di bren dɔn blɔd i nɔ tu te yet.

Wae dɛn dɔn no se yu gɛt SAH, tritmɛnt na ɔspitul kin bigin wit fɔ fɛn ɛn trit di kɔz, ɛn bak fɔ manej ɛni kɔmplikeshɔn we kin kam. Bikɔs pas 80% pan di SAH dɛm we nɔ gɛt ed injuri na wan aneurism, bɔku tɛm dɔktɔ dɛn kin du wan tɛst we dɛn kɔl sɛribra angiogram, we kin tek pikchɔ fɔ di at dɛn na di bren, ɛn trit di aneurism.

Wetin na di tritmɛnt dɛm fɔ dis? Aw lɔng i go tek fɔ mek i wɛl?

Subarachnoid hemorrhage na imejensi we kin mek pɔsin in layf de pan denja ɛn dɛn kin trit am na ɔspitul in intensiv kia yunit (ICU) , usay pipul dɛn sabi bɔt nyurolɔjik sik dɛn. Di men gol dɛm fɔ tritmɛnt na fɔ:

• Fɔ sev yu layf.
• No wetin mek di blɔd de kɔmɔt ɛn trit am.
• Fɔ mek di sik nɔ kam pan pɔsin.
• fכ mek di kכmplikεshכn dεm nכ de (e.g. Vasospasm - kכnstrikshכn fכ di bכdi vεsul dεm, Hydrocephalus - fכ akyumyuleshכn fכ wata na di bren, di bren dεm we de pwεl fכ tεm).

Di tritmɛnt dɛm wae de sev layf ɛn tritmɛnt wae fɔ kɔntrol di sik kin inklud:

• Laif sɔpɔt sistɛm dɛn.
• Fɔ put tiub insay fɔ mek di prɛshɔn we de na di bren nɔ bɔku.
• Di we dɛn fɔ protɛkt di say we dɛn de blo.
• Mɛrɛsin fɔ ridyus di swel we de insay di skel.
• Mɛrɛsin we dɛn kin gi insay di bɛlɛ fɔ kɔntrol blɔd prɛshɔn.
• Mɛrɛsin fɔ mek yu nɔ gɛt vasospasm.
• Penkiller fɔ ed pen ɛn anti-anxiety mɛrɛsin.
• Mɛrɛsin fɔ mek yu nɔ gɛt ɔ trit di pɔsin we fit.

Yu kin nid ɔpreshɔn bak fɔ trit SAH ɛn di tin we kin mek i apin:

• If na injury mek SAH, pul ɛni big blɔd we dɔn gɛda, ɔ ridyus di prɛshɔn pan di bren.
• if wan aneurism dכn rupchכ εn bi ``SAH'', ripa di aneurism.

Di lɔng tɛm we yu go de na ɔspitul go difrɛn difrɛn wan bay aw yu gɛt wɛlbɔdi. Bɔrku pipul dɛm wae gɛt SAH go de na ɔspitul fɔ 10 to 20 dez , i go dipen pan dɛn kɔndishɔn ɛn if dɛn nid fɔ gɛt rihabiliteshɔn.

Wetin wi kin du fɔ mek SAH nɔ de divɛlɔp?

כl di kes dεm we di subarachnoid hεmoraji de kכz fכ injuri na di ed εn/כ di bren anεrizm dεm we rכp. So, di bεst tin we wi kin du fכ avכyd fכ gεt subarachnoid εmoraji na fכ tray fכ kכntrכl di risk fכ dεn tu kכndyushכn ya.

Tek tɛm mek yu nɔ wund yu ed:

• Ɔltɛm wɛr ɛlmɛt we yu de rayd baysikul, motoka, ɔ ple spɔt dɛn we gɛt bɔku prɔblɛm.
• Ɔltɛm, yu fɔ drayv sef wan ɛn obe di lɔ dɛn we de na trafik.
• If yu kin fɔdɔm ɔltɛm, go to dɔktɔ we de mɛn yu bɔdi ɔ pɔsin we de mɛn yu wok fɔ lan aw fɔ mek yu nɔ fɔdɔm, ɛn fɔ mek yu os sef.

fכ ridyus di risk fכ divεlכp di bren anεrizm εn/כ fכ mek di anεrizm we de naw nכ bכs:

• Tɔk to yu dɔktɔ bɔt wetin yu kin du fɔ gɛt wɛlbɔdi. Bɔku tɛm, i go tɛl yu fɔ du dɛn tin ya:
• Kɔntrol di ay blɔd prɛshɔn (wit mɛrɛsin ɛn chenj dɛn layf).
• Nɔ smok.
• Ɛksesaiz ɔltɛm (bɔt nɔ fɔ es ebi ebi wet wan tɛm, bikɔs dis kin mek di anɛrizm bɔs).
• It di it we balans.
• If yu gɛt prɔblɛm wit rɔm ɔ drɔgs, aks fɔ ɛp. Nɔ yuz tin dɛn we de mek pɔsin fil fayn lɛk kɔkɛyn.

Wetin dɛn kin ɛkspɛkt afta dis kɔndishɔn? (Prognosis ɛn Kɔmplikɛshɔn dɛn)

di prכgnosis afta subarachnoid εmoraji de dipכnt pan di kכz, aw i siriכs, εn if כda kכmplikεshכn כ injuri de.

Dis na wan sik we rili siriɔs . Na lɛk af pan di pipul dɛn we gɛt SAH kin day wantɛm wantɛm . Fɔ di wan dɛn we ebul fɔ go na ɔspitul:

• Na lɛk wan pat pan tri pat de day na ɔspitul.
• Na lɛk wan pan ɔl tri pipul dɛn de liv wit sɔm kayn disabiliti.
• Na lɛk wan pat pan tri pat kin kam bak to dɛn nɔmal.

Di kɔmplikeshɔn dɛn we kin kam wantɛm wantɛm we SAH kin gɛt na:

• Fɔ gɛt fit (Seizures).
• Vasospasm (we de mek wan blɔd vesel na di bren smɔl, we de mek di blɔd nɔ flɔ).
• Blɔd bak afta di fɔs tritmɛnt.
• Hydrocephalus (we wata kin gɛda na di bren).
• Inkrεs intrakranial prεshכn.
• Bren hεnia.
• sεribra infarkshכn / ischemic strok de kכz bay we di bכdi de dכn to di bren.
• Day.

Wetin na di lɔŋ tɛm kɔmplikeshɔn dɛm fɔ SAH?

Bikɔs blɔd we de kɔmɔt na di bren kin pwɛl di bren, i kin mek i gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm, ivin we go de sote go. Di prɔblɛm dɛn we kin apin fɔ lɔng tɛm na:

• Prɔblɛm dɛn na yu bɔdi: I kin slip ɛn taya bɔku tɛm, yu kin swɛla ɔ yu kin wik na yu bɔdi pat, i nɔ kin izi fɔ swɛla, yu nɔ kin balans.
• Kɔgnitiv kwɛshɔn dɛm: mɛmori prɔblɛm, i nɔ kin izi fɔ kɔnsɛntret, i nɔ kin izi fɔ plan ɛn du kɔmpleks wok dɛm.
• I nɔ izi fɔ tɔk: I nɔ de tɔk fayn ɔ i nɔ de tɔk sloslo. I nɔ izi fɔ fɛn di wɔd dɛn we yu nid.
• Mental hεlth εshyu: SAH na big layf trauma. E kin mek yu gɛt tin dɛm lɛk pwɛl hat, jɛnɛral wɔri, ɛn pɔst-traumatik strɛs disɔda (PTSD).

Difrɛn tritmɛnt dɛn de fɔ dɛn prɔblɛm ya we kin te fɔ lɔng tɛm. Fɔ ɛgzampul:

• Fizik tɛrapi.
• Ɔkupeshɔnal tɛrapi.
• Tɛrapi fɔ tɔk.
• Saykotɛrapi (tɔk tɛrapi).

Sɔm mɛrɛsin dɛn kin ɛp bak fɔ dis. If yu gɛt ɛni wan pan dɛn prɔblɛm ya, tɔk to yu mɛdikal tim.

If dɛn nɔ trit am, SAH gɛt 65% chans fɔ day insay wan ia. Bɔt if dɛn no di sik ɛn trit am fayn, di chans fɔ day insay wan ia kin ridyus to lɛk 18%.

If dɛn dɔn no se yu gɛt SAH, yu go nid fɔ si yu mɛdikal tim ɔltɛm fɔ wach yu wɛlbɔdi ɛn aw yu de go bifo. Yu kin nid bak fɔ gɛt tritmɛnt fɔ yu bɔdi, wok, ɛn/ɔ fɔ tɔk if prɔblɛm dɛn kam.

Mɛsej we dɛn kin kɛr go na os

Okay, so a op se yu dɔn ɔndastand gud gud wan naw bɔt wetin wi bin tɔk bɔt tide, `(Subarachnoid Hemorrhage).` Na sɔm pan di impɔtant tin dɛn fɔ mɛmba:

• Wan ed we de at wantɛm wantɛm, we rili bad, we tan lɛk tɛnda kin bi wan impɔtant sayn fɔ SAH.
• `(SAH)` na wan mɛdikal imejensi . If yu gɛt sɔm sayn dɛn, go to dɔktɔ fɔ ɛp yu ɛn nɔ de te.
• di ed injuri εn di bren anεrizm dεm we rכp na di men tin dεm we kin mek dis apin.
• Di risk fɔ gɛt SAH kin ridyus bay we dɛn kɔntrol di risk factor dɛm ɛn adopt sef layf stayl.
• Pan ɔl we dis sik siriɔs, chans de fɔ sev pipul dɛn layf ɛn liv gud layf tru tritmɛnt kwik kwik wan ɛn rihabiliteshɔn fayn fayn wan.

So, na fɔ no bɔt dis bak. If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, du sɔntin wantɛm wantɛm. Stay wit wɛlbɔdi!

` Subarachnoid Hemorrhage, SAH, Bren Bliding, Thunderclap Headache, Bren Aneurism, Bren Aneurism, Imejɛnsi Tritmɛnt, Ɛd Injuri, Bren Kɔva