Wetin yu go du if blɔd vesel na yu bren blok? Mek wi no bɔt ‘Thrombotic Stroke’!

Yu dɔn ɛva yɛri bɔt strok we kin apin we blɔd nɔ de go na di bren? Sɔntɛnde, yu nɔ kin ebul fɔ tɔk igen wantɛm wantɛm, ɔ yu kin fil lɛk se yu nɔ ebul fɔ kɔntrol wan say na yu bɔdi. Dis na wetin wi kin kɔl ‘thrombotic stroke.’ Dis na imejensi we de mek yu layf de pan denja, so i impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk no wetin fɔ ɛkspɛkt.

Wetin na ‘Trɔmbotik Strɔk’? Lɛ wi fɛn ɔltin simpul wan!

Fɔ tɔk am simpul wan, trombotic stroke na strok we kin apin we blɔd klɔt (thrombus) fɔm insay wan blɔd vesel na yu bren ɛn blok am. Tink bɔt am lɛk dɔti we de stɔp na wata paip ɛn stɔp di wata fɔ flɔ. Dis blɔd we de klɔt de mek sɔm pat dɛn na di bren nɔ gɛt di blɔd we dɛn nid, we min ɔksijɛn ɛn tin dɛn we de mek dɛn gɛt tin fɔ it. Di bren sɛl dɛn nɔ kin ebul fɔ liv if ɔksijɛn nɔ de fɔ lɔng tɛm, ɛn if dat apin, dɛn sɛl dɛn de kin bigin fɔ day.

eni strok we kכz fכ blok bכdi lεk dis dεn kכl am ‘ischemic stroke’. ‘Thrombotic stroke’ na spɛshal kayn ‘ischemic stroke’.

Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja. So if yu ɔ pɔsin we yu sabi de gɛt dɛn sik ya, kɔl 911 wantɛm wantɛm ɛn kɔl ambulans, ɔ kɛr dɛn go na di ɔspitul we de nia yu kwik kwik wan. Mɛmba se ɛvri sɛkɔn impɔtant. Di kwik we yu gɛt tritmɛnt, na di mɔ yu go ridyus yu bren we de pwɛl ɛn sev yu layf.

Wetin na di sayn dɛm fɔ ‘thrombotic stroke’?

Di simptom dɛm fɔ trombotic strok kin rili fiba di wan dɛm fɔ ɔda kayn ischemic strok. Wan ɔ mɔ pan dɛn tin ya kin apin wantɛm wantɛm, ɛn dɛn nɔ kin wɔn am :

• dabl vishכn (diplopia) na we di vishכn na wan yay de blכr wan wan.
• Wan ed we kin at wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia.
• We yu nɔ ebul fɔ kɔntrol di mɔsul dɛn na wan say na di fes, lɛk we yu mɔt de drɔp ɔ we yu nɔ ebul fɔ lɔk wan yay fayn fayn wan.
• Nyu biginin nɔs ɛn vɔmit.
• Pas aut / Fɔ mek yu nɔ ebul fɔ waka.
• Fɔ tɔk smɔl smɔl we yu de tɔk, lɛk se yu de tɔk smɔl smɔl, ɛn fɔ tɔk smɔl smɔl (Dysarthria).
• Wan ɔ mɔ pan yu sɛns dɛn we yu nɔ de fil wantɛm wantɛm. Dis min se tin dɛn lɛk fɔ si, fɔ yɛri, fɔ smɛl, fɔ test, ɛn fɔ tɔch kin lɔs wantɛm wantɛm.
• I nɔ izi fɔ tɔk, ɔ nɔr ebul fɔ fɛn di wɔd dɛm fɔ tɔk, ɔr ivin lɔs fɔ tɔk kɔmplit wan (aphasia).
• I nɔ izi fɔ waka, fil lɛk se di bɔdi dɔn lɔs in balans, lɛk se i nɔ de stɛp na grɔn fayn (unsteady gait).
• Nɔto fɔ ansa ɛnitin. Sɔntɛm, nɔbɔdi nɔ go ansa we pɔsin tɔk ɔ tɔch pɔsin.
• Paralayz ɔ wik we wan say na di fes ɛn bɔdi (rayt ɔ lɛft say).

Bikɔs dɛn sik ya kin apin wantɛm wantɛm, i rili impɔtant fɔ pe atɛnshɔn to dis.

Wonin sayn dɛm fɔ strok: Mɛmba fɔ ‘BI FAST’!

Fɔ no if yu ɔ pɔsin we yu lɛk de gɛt strok, mɛmba dɛn Inglish lɛta ya we min ‘BI FAST’. Lɛ wi si wetin dɛn min:

• B - Bεlεns: Chεk fכ bכku bכku bכku bכku wan כ we i nכ stedi we yu de waka.
• E - Ay: Luk fɔ si we yu nɔ de si wantɛm wantɛm, yu nɔ de si fayn, ɔ yu de si tu tɛm na wan ɔ ɔl tu yay.
• F - Fes: Aks di pɔsin we de wach fɔ smayl. Si if i tan lɛk se wan say na di fes de drɔp ɔ drɔp.
• A - Am: Aks dɛm fɔ es dɛn tu an stret bifo dɛn. Si if wan an fɔdɔm ɔ i tan lɛk se i wik, i nɔ ebul fɔ es ay ay lɛk di ɔda wan.
• S - Tɔk: Si if yu wɔd dɛn kin jɔyn, if i nɔ kin izi fɔ yu fɔ pik di rayt wɔd dɛn, ɔ if yu nɔ ebul fɔ tɔk atɔl. Si if yu kin tɔk simpul sɛntɛns kɔrɛkt wan we dɛn aks yu.
• T - Taym: Taym rili, rili valyu! Tray fɔ mɛmba ustɛm dɛn sik ya bigin. If i pɔsibul, luk wach ɔ fon ɛn rayt di tɛm. Dis go ɛp dɔktɔ dɛn fɔ pik di tritmɛnt. If yu gɛt ɛni wan pan dɛn sik ya, kɔl 1990 wantɛm wantɛm ɛn nɔ de te!

Wetin na di tin dɛm wae kin mek pɔrsin gɛt ‘thrombotic stroke’?

Wi no naw se ‘thrombotic stroke’ na we wan blɔd vesel we de insay yu bren blok. ‘Thrombus’ na di mεdikal tεm fכ bכdi kכlכt. ‘Trombosis’ na di prכsεs we bכdi de fכm. So, ‘thrombotic stroke’ na ‘thrombus’, we min strok we blɔd klɔt kin mek.

Bɔku wɛlbɔdi prɔblɛm dɛn de we kin mek blɔd klɔt dis we:

• Atherosclerosis (we di atεri wכl dεm de at/kכl): Dis na we kכlestכl εn fεt de bכku insay wi bכdi vεsul dεm, we de mek di at dεm wכl dεm de tik εn at sכmtεm, we de mek di pasεj fכ bכdi sכmtεm sכmtεm. I tan lɛk se rɔst de bɔku insay wan ol wata paip. Dɛn say dɛn ya we smɔl kin mek blɔd klɔt mɔ.
• Atrial Fibrillation: Dis na wan sik we di at nɔ de bit ɔltɛm. Bikɔs di at nɔ de bit fayn, blɔd kin kam insay di at, we kin travul go na di bren ɛn blok di at.
• Di prɔblɛm dɛn we kin mek pɔsin nɔ ebul fɔ klɔt:Sɔm pipul dɛn kin gɛt di abit fɔ mek dɛn blɔd klɔt izi wan, frɔm we dɛn bɔn dɛn ɔ bikɔs ɔf sik dɛn we kin kam leta.
• Covid-19: Dɛn dɔn si bak se Covid-19 infɛkshɔn kin mek di blɔd klɔt bɔku pan sɔm kes dɛm.
• Ay blɔd prɛshɔn (Hypertension): Ay blɔd prɛshɔn kin pwɛl di blɔd vesel ɛn i kin mek di blɔd klɔt insay dɛn bɔku.
• di ay kכlestכl (Hyperlipidemia): As di kכlestכl lεvεl de go כp, di risk fכ gεt atεrosklεrosis de go כp.
• Infεkshכn: Blכd kכlכt kin fכm bak bikoz fכ tin dεm lεk sכm baktri כ fכn infεkshכn, sεpsis, εn at valv infεkshכn.

Lɛ wi lan bak bɔt ‘Transient Ischemic Attack’ (TIA).

‘transient ischemic attack’ dεn kin kכl am bak ‘mini-stroke’ bay sכm pipul dεm. I tan lɛk se pɔsin gɛt strok, bɔt di sayn dɛn we pɔsin kin gɛt na fɔ shɔt tɛm nɔmɔ. Dɛn sayn ya kin dɔn insay lɛs 24 awa, bɔrku tɛm insay sɔm minit. Di sayn dɛm fɔ TIA tan lɛk di wan dɛm wae de sho se yu gɛt strok.

TIA nɔto jɔs smɔl tin. Na rili siriɔs wɔnin! Pɔsin wae dɔn gɛt TIA kin gɛt bɔrku risk fɔ gɛt rial strok insay di nɛks tɛm. So, if di sayn dɛm fɔ TIA apin, ivin if i nɔ de igen, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Udat de pan ay risk fɔ gɛt ‘thrombotic stroke’?

Pan ɔl we ɛnibɔdi kin gɛt trombotik strok, sɔm pipul dɛn kin gɛt mɔ risk:

• Pipul wae dɔn pas 65. De risk kin go ɔp wit di ej bikɔs ɔf di chenj na di blɔd vesel dɛm.
• Dɛn dɔn si bak se sɔm etnik grup dɛn ɔlsay na di wɔl de pan denja pasmak. (Di ɔrijinal atikul menshɔn "Blak" pipul dɛm; i bɛtɛ fɔ jenɛral dis fɔ wan Sri Lankan ɔdiɛns pas nɔmɔ dɛn de sayt spɛshal lokal data.)
• Fɔ di wan dɛn we de smok ɔ yuz ɔda tin dɛn we gɛt tabak/nikotin (lɛk vaping). Smok kin rili ambɔg di blɔd vesel dɛn.
• Fɔ di wan dɛn we de yuz drɔgs we nɔ rayt.

Dɔn bak, pipul dɛm wae gɛt sɔm kayn wɛl bɔdi prɔblɛm kin gɛt bɔrku risk:

• Fɔ di wan dɛn we de drink pasmak (Alcohol use disorder).
• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn (Hypertension).
• Fɔ pipul dɛn we gɛt dayabitis. Dayabitis kin pwɛl di blɔd vesel dɛn bak.

Aw dɔktɔ dɛn kin no se pɔsin gɛt ‘thrombotic stroke’?

If yu saspek se yu gɛt strok, dɔktɔ dɛn go fɔs du nyurolɔjik ɛgzam. Dis min se dɛn go chɛk yu mɛmori, tɔk, trɛnk, ɛn balans. Dɛn go du fizik ɛgzam ɛn sɔm ɔda tɛst dɛn bak. If dɛn kɛr yu go na di imejensi rum, di dɔktɔ dɛn we de de go bigin dɛn tɛst ya wantɛm wantɛm.

Dɛn kin yuz tɛst lɛk dis fɔ kɔnfirm se pɔsin gɛt strok:

• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk prɔblɛm wit blɔd we de klɔt, di shuga lɛvɛl, ɛn di kɔlɔstrel lɛvɛl.
• di carotid ultrasound: dis de εp fכ si if eni blכk de na di men bכdi vεsul dεm na di nεk (carotid arteries).
• CT skan ɛn/ɔ CT angiogram: Dis kin tek pikchɔ dɛn fɔ di bren ɛn i kin no kwik kwik wan if blɔd de kɔmɔt, blɔd dɔn klot, ɔ di bren dɔn pwɛl. CT angiogram kin si klia wan aw di blɔd vesel dɛn de.
• Echocardiogram: Dɛn kin du dis tɛst fɔ chɛk aw di at de wok ɛn if blɔd de na di at.
• MRI ɛn/ɔ MRI angiogram: Dis kin tek ditayla pikchɔ dɛn bak fɔ di bren ɛn di blɔd vesel dɛn. I kin sho klia wan se di bren dɔn pwɛl pas CT skan.

Wetin na di tritmɛnt dɛm fɔ ‘thrombotic stroke’?

Di tin we impɔtant pas ɔl we yu de trit trombotik strɔk na fɔ mek blɔd go bak na di bren kwik kwik wan. Dɔktɔ dɛn kin tray fɔ du dis fɔ mek dɛn nɔ gɛt bɔku prɔblɛm wit in bren fɔ ɔltɛm, fɔ gɛt nyu disabled, ɛn fɔ mek dɛn nɔ day.

Tu men we dɛn de fɔ trit pɔsin:

1. mεkanikal thrombectomy: Dis involv fכ pul di bכdi we de kכlכt bay we dεn de yuz sכm sכm tכn tכb (kateta). Dɔktɔ kin put di tiub insay wan vein we de na yu an ɔ yu groin ɛn trɛd am insay di blɔd we de na yu bren. Dɔn di dɔktɔ kin pul di blɔd wantɛm wantɛm ɔ i kin brok am ɛn pul di pat dɛn. Dɛn kin du dis tritmɛnt insay 24 awa afta di sik bigin.

2. Thrombolytic therapy: Dis na mɛrɛsin dɛn we de sɔlv di blɔd we de klɔt. Bɔt dɛn kin jɔs gi dɛn mɛrɛsin ya insay 4 ɛn af awa (4.5) awa afta di sik bigin. Na dat mek dɛn se tɛm na di men tin.

Apat frɔm dɛn men tritmɛnt ya, yu kin nid ɔda tritmɛnt dɛn:

• Di we aw yu de kɔntrol di blɔd shuga: We yu kip di glukɔs we yu gɛt na yu blɔd, dat kin ɛp yu bren fɔ wɛl.
• Di tin dɛn we de mek blɔd tan:Bɔku tɛm, yu go nid fɔ tek mɛrɛsin dɛn we de mek yu nɔ gɛt pletlet, lɛk aspirin. If yu gɛt atrial fibrillation ɔ yu gɛt dizayd we de mek yu blɔd klɔt, dɛn kin gi yu strɔng mɛrɛsin dɛn we de mek yu blɔd blɔd. Dɛn tin ya kin mek di blɔd klɔt bak.
• Endarterectomy: Dis na ɔpreshɔn fɔ pul di plek we de na di blɔd vesel dɛn we smɔl ɔ we dɔn blok. Dis kin mek ɔda blɔd klɔt nɔ bɔku.
• Mild intentional hypothermia: Sɔntɛnde, dɔktɔ dɛn kin sef fɔ mek yu bɔdi wam smɔl. Dis kin mek yu bren nɔ pwɛl we yu gɛt strok ɛn afta yu dɔn gɛt strok.
• Ɔksijɛn tɛrapi: Afta yu dɔn gɛt strok, di bren nɔ kin gɛt bɛtɛ ɔksijɛn. So dɔktɔ dɛn kin gi yu ɛkstra ɔksijɛn tru wan tiub we dɛn kin put na yu nos. Dis kin mek am izi fɔ blo ɛn ɛp yu bɔdi fɔ gɛt mɔ ɔksijɛn to yu bren.
• Stent: Stent na wan rili smɔl tiub we tan lɛk mɛsh we dɛn kin put insay blɔd vesel ɛn ɛp fɔ mek i opin, we kin mek blɔd flɔ izi wan.

Aw impɔtant fɔ rihabiliteshɔn afta yu dɔn gɛt trombotik strok?

Rihabiliteshɔn rili impɔtant afta yu dɔn gɛt strok. Strɔk kin mek yu bren ɛn yu bɔdi chenj. Rihabiliteshɔn tritmɛnt kin ɛp yu fɔ ajɔst to dɛn chenj dɛn de, gɛt bak di tin dɛn we yu bin dɔn du trade, ɔ lan fɔ liv wit nyu disabiliti. Yu kin nid wan ɔ kɔmbayn pan dɛn tritmɛnt ya:

• Cognitive rehab: Dis kin ɛp fɔ impɔtant yu maynd skil dɛm lɛk yu mɛmori, atɛnshɔn span, ɛn skil fɔ sɔlv prɔblɛm.
• Ɔkupeshɔn tɛrapi: Dis tritmɛnt de ɛp yu fɔ du yu wok dɛn we yu de du ɛvride sef wan, mɔ di wok dɛn we yu nid fɔ muv fayn fayn wan (e.g., it, drɛs, rayt).
• Fyzikal tritmɛnt: Dis kin ɛp fɔ mek di mɔsul dɛn na di bɔdi strɔng, fɔ mek di bɔdi balans fayn, ɛn fɔ yuz di an ɛn leg dɛn bak.
• Spich therapy: Dis tritmɛnt de ɛp yu fɔ gɛt yu langwej ɛn tɔk bak, ɛn i de ɛp yu fɔ kɔntrol di mɔsul dɛm we de ɛp yu fɔ tɔk, blo, it, ɛn swɛla.

Di rihabiliteshɔn prɔses kin tranga smɔl, bɔt di rizɔlt dɛn kin fayn.

Wetin na di chans fɔ sev frɔm ‘thrombotic stroke’?

Bɔt gud tin na dat, as dɛn de mek nyu tritmɛnt dɛn we de mek pɔsin gɛt strok kwik kwik wan, di nɔmba fɔ pipul dɛn we de sev we dɛn gɛt strok de bɔku. Bɔt e nɔr izi fɔ tɔk wetin na di rayt tɛm fɔ wɛl ɔ aw fɔ si ɔlman.

Trombotic stroke (ɛn ɔda kayn ischemic stroke) kin jɔs liv pas ɛmoraji strok, we kin kam bikɔs di blɔd vesel we bɔs na di bren. Bɔt dat nɔ min se yu go ebul fɔ liv pas ɔda pipul dɛn. Ɔlman in bɔdi kin ansa difrɛn we we pɔsin gɛt strok, so i nɔ kin izi fɔ mek dɔktɔ dɛn gi di rayt prɔgnosis we go wok fɔ ɔlman.

Wetin na di prɔgnosis?

Us kayn tin yu go ebul fɔ tink bɔt, i kin dipen pan bɔku tin dɛn:

• Aw yu bin gɛt tritmɛnt kwik kwik wan.
• Us pat dɛn na di bren bin pwɛl?
• Aw yu ɔl gɛt wɛlbɔdi?

Bɔku tɛm, i kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Fɔ sɔm, i kin tek lɔng tɛm. Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt. Nɔ wɔri, dɛn go ɛp yu fɔ sɛt ɛn ajɔst di gol dɛm fɔ wɛl we go fayn fɔ yu.

Yu tink se dɛn kin mek pɔsin nɔ gɛt trombotik strok?

Yɛs, yu kin ebul! Fɔ mek yu gɛt gud ɔvalayn wɛlbɔdi na di bɛst we fɔ mek yu nɔ gɛt trombotik strok ɛn di blɔd we de mek yu nɔ gɛt am. Tray dɛn tin ya:

• It tin dɛn we go mek yu gɛt wɛlbɔdi. It mɔ frut, vɛjitebul, ɔl gren, ɛn fayv. Ridyus ɔyl, sɔl, ɛn shuga. Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• Ɛnjɔy fɔ du ɛksɛsayz ɔltɛm. Du sɔm kayn ɛksɛsayz we de mek yu swet, at le 30 minit insay di de, 5 dez insay di wik.
• Kip yu kɔlɔstrel lɛvɛl, blɔd prɛshɔn, ɛn ɔda wɛlbɔdi prɔblɛm dɛn (lɛk dayabitis) ɔnda kɔntrol. Tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu.
• If yu de smok, stɔp fɔ smok kpatakpata. If yu nid ɛp fɔ lɛf fɔ wok, go to dɔktɔ ɔ frɔm program dɛn we de gi dis.

Si dɔktɔ wan tɛm insay di ia (ɔ lɛk aw yu dɔktɔ se) fɔ mek dɛn chɛk yu wɛlbɔdi kɔmplit wan. Bɔrku wɛl bɔdi prɔblɛm wae kin kam wit ‘thrombotic stroke’ kin kam smɔl smɔl. Sɔntɛm yu nɔ go notis dɛn sayn dɛn. So, di mɛdikal tɛst kin no dɛn kayn wɔnin sayn ya kwik kwik wan ɛn kɔntrol dɛn.

Aw a kin tek kia ɔf misɛf afta a gɛt ‘thrombotic stroke’?

Fɔ wɛl ɛn rihabilit afta yu gɛt strok nɔr izi, na big tray. Fɔ fala di tritmɛnt plan we yu ɛn yu dɔktɔ mek togɛda as klos as yu ebul. Jɛnɛral wan, tek kia ɔf dɛn tin ya:

• Mek shɔ se yu go na yu rihab ɛn ɔda tritmɛnt apɔntinmɛnt dɛn. If ɛnitin de mek yu nɔr fil fayn ɔr nɔr sef, tɛl yu tritmɛnt pɔrsin. Rihab na tin we at, bɔt yu nɔ nid fɔ de pan pen ɔltɛm.
• Nɔ fɔgɛt bɔt yu maynd wɛlbɔdi bak.Pwɛl hat ɛn wɔri kin rili kɔmɔn afta yu dɔn gɛt strok. Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. Nɔ tink se we yu fil bad ɔ wɔri, dat kin mek yu wik. If yu fil se yu nid ɛp fɔ mek yu wɛl, tɔk to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd .
• Tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek, di rayt tɛm, ɛn di rayt doz. Ɛspɛshali if yu de tek mɛrɛsin we de mek yu blɔd tan, mek shɔ se yu tek am kɔrɛkt wan. If yu tek yu mɛrɛsin kɔrɛkt wan impɔtant fɔ mek yu nɔ gɛt bɔku blɔd klot tumara bambay.

Ustɛm a nid fɔ go na di Imejɛnsi Dipatmɛnt (ETU) bak?

If yu tink se yu gɛt ɔda strok (lɛk di BE FAST simptom dɛm wae wi bin dɔn tɔk bɔt fɔs), kɔl 1990 witout delay, ɔr go na ɔspitul kwik kwik wan. If yu gɛt sɛkɔn strok, di risk fɔ gɛt siriɔs prɔblɛm ɛn lɔs layf kin bɔku.

Pɔsin we dɔn gɛt trombotik strɔk de pan denja fɔ gɛt ɔda siriɔs prɔblɛm dɛn lɛk:

• di bכdi kכlכt na di dip vein dεm na di leg dεm (Dip vein thrombosis - DVT) .
• At atak
• Pɔlmonari ɛmbolizm
• Nyumonia
• Epileptic kondishɔn/ sik dɛn we kin mek pɔsin sik

If yu gɛt dis kayn prɔblɛm, kɔl di imejensi savis ɔ go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Us chenj dɛn a nid fɔ mek na mi layf ɛvride?
• Wetin mek a bin gɛt dis strok?
• Usay na mi bren di blɔd klɔt bin fɔm?
• Us kayn mɛrɛsin a fɔ tek ɛn aw a fɔ tek dɛn?
• Wetin na mi risk fɔ gɛt ɔda strok? Wetin a go du fɔ ridyus am?

Fɔ dɔn, wetin fɔ mɛmba! (Mɛsej we dɛn kin tek go na os)

Pan ɔl we thrombotic stroke na tin we kin apin wantɛm wantɛm, di prɔblɛm dɛn we kin mek i gɛt am kin kam smɔl smɔl as tɛm de go. Na dat mek i impɔtant fɔ go to dɔktɔ wan tɛm insay di ia fɔ chɛk yu wɛlbɔdi. Da we de, yu kin no di sayn dɛn we de wɔn yu ɛn manej dɛn bifo blɔd klɔt ɛn mek yu gɛt strok. Tɔk to yu dɔktɔ bɔt yu risk fɔ gɛt strok. I kin ɛp yu fɔ kia fɔ yu ɔl yu wɛl bɔdi ɛn kɔntrol di tin dɛn we de mek yu gɛt prɔblɛm.

If yu dɔn gɛt strok ɛn yu de wɛl naw, gladi fɔ ɛvri smɔl impɔtant tin we yu mek pan yu wɛl bɔdi joyn.Sɔm dez go tranga pas ɔda de dɛn, bɔt yu fɔ proud fɔ yusɛf. Fɔ mek yu wɛl na big tin we yu fɔ tray fɔ du, ɛn yu fɔ rɛspɛkt yusɛf fɔ dat. Nɔ wɔri, nɔto yu wan de. Dɔktɔ dɛn, tritmɛnt pipul dɛn, fambul dɛn, ɛn padi dɛn de we go ɛp yu.

` Thrombotic Stroke, Thrombotic Stroke, Stroke, Blɔd Klɔt na di Bren, Strok Simptom dɛm, Strok Tritmɛnt, Stroke Prɛvenshɔn