Yu dɔn ɛva fil lɛk se yu nɔ ebul fɔ kɔntrol wan say na yu bɔdi wantɛm wantɛm, yu nɔ de tɔk fayn, ɔ yu nɔ ebul fɔ si fɔ smɔl tɛm, bɔt ɔltin kam bak to nɔmal insay sɔm minit? We yu gɛt ɛkspiriɛns lɛk dis, bɔku pipul dɛn kin tink se, "O... i go mɔs bi se na taya." Bɔt dis nɔto sɔntin we yu fɔ ɛva tek am layt. Dis kin bi sayn fɔ wɔn yu, denja fɔ mek yu gɛt siriɔs strok we kin afɛkt yu layf. Tide, wi go tɔk bɔt dis kɔndishɔn wae bɔrku pipul nɔr kin no bɔt, bɔt i rili impɔtant. Dat na TIA, ɔ Transiɛnt Ischemik Atak.
Wetin na TIA rili?
Fɔ tɔk am simpul wan, TIA (Transient Ischemic Attack) na paralayz fɔ sɔm tɛm. Wi bren sɛl dɛn nid ɔksijɛn ɛn tin dɛn we go mek wi ebul fɔ wok. Dɛn kin gɛt dɛn tin ya frɔm di blɔd. If blɔd vesel we de kɛr blɔd go na wan pat na di bren blok fɔ smɔl tɛm, da pat de nɔ de gɛt blɔd. Wi de kɔl dis `(Ischemia)`. Dis tɛm ya, di wok we di bɔdi de du we da pat de na di bren de kɔntrol kin stɔp fɔ sɔm tɛm. Bɔt insay TIA, di blɔk we dis blɔd vesel kin blok na fɔ shɔt tɛm . Insay sɔm minit ɔ sɔm awa, di blɔk kin kɔmɔt ɔtomɛtik wan, ɛn blɔd kin go bak na di bren. Di sayn dɛm bak kin dɔn.
Di tin we impɔtant pas ɔl na dat, TIA jɔs tan lɛk strok ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm. Bikɔs we di sik bigin, nɔbɔdi nɔ go ebul fɔ no if dis na TIA we go wɛl insay sɔm minit ɔ big strok we go afɛkt yu layf. So nɔ west wan minit.
Yu tink se di nem "Mini-Stroke" nɔ rayt?
Bɔku tɛm dɛn kin kɔl TIA dɛn "mini-strokes," bɔt dat nɔto nem we rili kɔrɛkt. "Mini" de mek wi tink bɔt sɔntin we smɔl ɛn we nɔ de du bad. Bɔt wan TIA kin afɛkt wan big pat na di bren. Dɔn bak, TIA kin mek yu gɛt big big strok insay sɔm minit, awa, ɔ sɔm dez.
Tu men difrɛns de bitwin TIA ɛn big strok:
1. Wan TIA go stɔp fɔ insɛf. Bɔt strok nɔ go stɔp ɛn i nid fɔ trit am.
2. Bikɔs di bren kin pwɛl fɔ ɔltɛm we pɔsin gɛt strok, yu kin si am klia wan pan MRI skan. Bɔt bikɔs di bren we nɔ de pwɛl ɔltɛm nɔ kin apin pan TIA, we dɛn du MRI skan afta di sik dɔn dɔn, dɛn nɔ kin sho ɛni difrɛns.
Wetin na di sayn dɛm fɔ TIA?
Di sayn dɛm fɔ TIA kin rili fiba di wan dɛm wae gɛt strok. Dɛn sayn ya kin kam wantɛm wantɛm, ɛn dɛn nɔ kin wɔn pɔsin . Wan ɔ mɔ pan dɛn sayn ya kin apin di sem tɛm.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Wik/paralayz na wan say na di bɔdi (Hemiplegia) . | Wan say we yu de fil lɛk yu an, yu leg, ɔ yu fes, yu nɔ gɛt bɛtɛ trɛnk ɔ yu gɛt wet. As if yu go pas aut. |
| I nɔ izi fɔ tɔk (Aphasia / Dysarthria) . | Yu kin kɔnfyus bɔt wɔd dɛn, yu nɔ kin ebul fɔ no wetin fɔ tɔk, ɔ yu kin fil lɛk se yu de tɔk smɔl smɔl we yu de tɔk. |
| Pul na wan say na di fes | We a tray fɔ smayl, wan say na mi mɔt kin pul dɔŋ. A nɔ ebul fɔ kɔntrol mi fes mɔsul dɛn. |
| Prɔblɛm dɛn we pɔsin kin si (Diplopia) . | Wantɛm wantɛm yu nɔ de si na wan yay ɔ yu tu yay, yu nɔ de si fayn, ɔ yu de si tu tin wan tɛm. |
| I nɔ kin izi fɔ waka ɛn nɔ kin balans (Ataxia) . | Wantɛm wantɛm, a kin fil lɛk se a de tɔn diziz, a nɔ ebul fɔ waka fayn, ɛn i kin tan lɛk se a de shek shek. |
| Wantɛm wantɛm, ed we kin at bad bad wan | Wan ed we kin at bad bad wan wantɛm wantɛm, we yu nɔ ɛva si dis kayn tin na yu layf, fɔ no rizin. |
| Kɔnfyushɔn ɛn i nɔ izi fɔ ɔndastand | I kin at fɔ ɔndastand wetin ɔda pipul dɛn de tɔk, ɛn wantɛm wantɛm yu fɔgɛt tin dɛn lɛk usay yu de ɛn di tɛm. |
Wetin mek dis TIA kin apin?
TIA ɛn strok na di sem tin dɛn kin mek pɔsin gɛt am. Di men tin we kin mek i apin na we wan blɔd vesel we de gi blɔd to di bren kin blok fɔ sɔm tɛm. Bɔku we dɛn de we dis kin apin:
- Trombosis: We kכlestכl εn כda tin dεm de kכlכp na di wכl dεm na di bכdi we de na di bren (dεn kכl dis atεrosklεrosis), bכdi kin fכm εn blכk di bכdi.
- wan klot we dεn fכm כdasay de travul go na di bren (Thromboembolism): Imajin wan bכdi we de fכm insay wan big bכdi we de fכm na di at כ nεk (di ``carotid artery``), i de brok, i de travul wit di bכdi, εn i de stכk insay wan sכm bכdi na di bren. Dis risk kin hεvi pan pipul dεm wae gεt wan kכndyushכn we dεn kכl ``Atrial fibrillation``, we na di at bit we nכ de bit.
- Lacunar stroke: Dis kכndyushכn kin kכz bak we di bכdi sכm sכm bכdi dεm we de dip insay di bren de blok.
- TIA we nɔ ɛksplen (Cryptogenic TIA): Sɔntɛnde, pan ɔl we dɛn dɔn du bɔku tɛst, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ TIA.
Udat de pan ay risk fɔ gɛt TIA?
Sɔm pipul dɛn kin gɛt TIA pas ɔda wan dɛn. Dɛn kɔl dɛn tin ya risk factors. Sɔm pan dɛn tin ya wi kin ebul fɔ kɔntrol.
| Risk factor | Aw i kin afɛkt |
|---|---|
| Ay blɔd prɛshɔn (Hypertension) . | Dis na di men ɛn denja pas ɔl fɔ mek yu gɛt dis sik. Di ay blɔd prɛshɔn kin pwɛl di blɔd vesel dɛn ɛn i kin mek dɛn blok mɔ ɛn mɔ. |
| Dayabitis `(Tayp 2 Dayabitis)` | We di blɔd shuga go ɔp, di blɔd vesel dɛn kin pwɛl, ɛn dis kin mek di blɔd klɔt mɔ ɛn mɔ. |
| Fɔ smok | Smok kin mek di blɔd tik, i kin pwɛl di wɔl dɛn na di blɔd vesel dɛn, ɛn i kin mek di blɔd prɛshɔn go ɔp. |
| Ay kɔlɔstrel `(Hyperlipidemia)` | Bad kɔlɔstrel (LDL) we de na di blɔd kin de na di wɔl dɛn na di blɔd vesel dɛn, ɛn smɔl smɔl i kin mek dɛn smɔl ɛn lɔk. |
| At sik (especially `Atrial fibrillation`) . | If yu at bit ɔltɛm, dat kin mek blɔd klɔt insay di at ɛn travul go na di bren. |
| Fat pasmak (we yu bɔdi de wet mɔ ɛn mɔ) . | We yu gɛt bɔku bɔku bɔdi, gɛt fɔ du wit ay blɔd prɛshɔn, dayabitis, ɛn kɔlɔstrel. |
| We pɔsin de ol | Di risk kin go ɔp as di blɔd vesel dɛn nɔ kin ebul fɔ chenj we i de ol. |
Aw TIA denja?
Di men rizin we mek TIA na imejensi na bikɔs na di prɛkursɔ fɔ big strok. We TIA apin, yu bɔdi kin sɛn big wɔnin to yu, se, "Prɔblɛm de wit di blɔd we de flɔ to di bren, du sɔntin bɔt dis kwik kwik wan, ɔ i kin bi bad bad tin."
Mɛmba se, lɛk 20% pan di pipul dɛm wae gɛt TIA go gɛt big big strok insay di nɛks 90 dez. Af pan dɛn go gɛt am insay di fɔs tu dez! Dat min se di nɛks 48 awa fɔ wan TIA rili impɔtant.
Aw dɔktɔ kin no se pɔsin gɛt TIA?
We yu go na ɔspitul wit di sayn dɛm fɔ TIA, dɔktɔ dɛn go tray fɔs fɔ no if na TIA, big strok, ɔ ɔda sik. Dɛn go yuz dɛn tɛst ya:
1. Fɔ aks yu fɔ di ditel dɛm: Fɔ aks yu bɔt yu sik, aw lɔng dɛn dɔn de, ɛn us ɔda sik yu gɛt fɔ gɛt aidia bɔt yu sik.
2. Fɔ chɛk yu bɔdi ɛn yu nervɔs sistɛm: Dɛn kin tɛst yu bɔdi trɛnk, balans, tɔk, ɛn vishɔn fɔ tray fɔ no us pat pan di bren de afɛkt.
3. Skan dɛn:
- CT (Kɔmpyut Tomografi) Skan: .Dis kin tek pikchɔ fɔ di bren insay sɔm minit. I kin chɛk mɔ fɔ si if blɔd de kɔmɔt na di bren.
- MRI (Magnetic Resonance Imaging) Scan: Dis kin mek yu si klia wan bɔt di bren tisu. MRI skan rili impɔtant fɔ no kɔrɛkt wan bitwin TIA ɛn strok we gɛt damej fɔ ɔltɛm.
apat frכm dis, dεn kin du at tεst lεk ``(ECG)``, ``(Echocardiogram)``, εn bכdi tεst dεm bak fכ fכnshכn di kכz.
Aw dɛn kin trit TIA dɛn?
Bikɔs TIA na fɔ shɔt tɛm, no patikyula tritmɛnt nɔ de fɔ am da tɛm de. Bɔt di men gol fɔ tritmɛnt na fɔ mek i nɔ gɛt big big strok tumara bambay. Dat min se fɔ trit di ɔndalayn prɔblɛm we mek di TIA.
Di mɛrɛsin dɛn we dɛn kin yuz
- Anticoagulants: Dɛn kin gi mɛrɛsin lɛk aspirin fɔ ridyus di risk fɔ mek blɔd klɔt. Dɛn kin gi ɔda mɛrɛsin dɛn lɛk klopidogrel bak.
- Blɔd prɛshɔn mɛrɛsin: If yu blɔd prɛshɔn ay, dɛn go gi yu mɛrɛsin fɔ kɔntrol am.
- Drug dεm we de dכn kכlestכl (Statins): Drug dεm lεk Atorvastatin כ Rosuvastatin de ridyus di lεvεl fכ bad kכlestכl na di bכdi.
- Anticoagulants: If yu gɛt wan sik lɛk atrial fibrillation, dɛn kin gi yu strɔng mɛrɛsin lɛk Warfarin ɛn Apixaban fɔ mek blɔd nɔ klɔt.
Ɔda tritmɛnt dɛn
sכm tεm dεm, if di men bכdi we de na di nεk (di `carotid artery`) dכn bכku bכku wan, dεn kin yuz difrεn mεtכd dεm fכ mek i nכmal bak.
- di εndovaskul prosidכs dεm: dεn de pas sכmכl kateshכn tru wan blכd vεsεl εn dεn de blכk di blכk wit wan tin we lεk balכn (angioplasty) כ dεn de put wan tin we lεk stent fכ kip di bכdi opin.
- Ɔpreshɔn: Sɔntɛnde dɛn kin du ɔpreshɔn we dɛn kɔl carotid endarterectomy fɔ pul di kɔlɔstrel we de insay di blɔd vesel ɛn klin di vessel.
Wetin yu fɔ du if yu gɛt TIA?
De impɔtant tin wae yu fɔ mɛmba frɔm dis atikul na dis: If yu ɔr pɔrsin wae yu sabi gɛt ɛni wan pan dɛn sayn dɛm wae wi dɔn tɔk bɔt fɔ paralayz, nɔr delay fɔ wan minit.
Nɔ wet te yu fil se, "Oh... dis go bɛtɛ insay smɔl tɛm." Ivin if de sik dɔn go insay sɔm minit, nɔr ignore dɛm. Kɔl ambulans wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
Mɛmba se tɛm na bren sɛl dɛn. Ɛni minit we pas kin mek mɔ damej.
Mɛsej we dɛn kin kɛr go na os
- TIA na paralayz fɔ sɔm tɛm, bɔt na tin we rili denja fɔ mek pɔsin gɛt siriɔs strok.
- Di sayn dɛm fɔ TIA (we yu gɛt wan say na di bɔdi, i nɔ izi fɔ tɔk, yu fes de drɔp) na di sem tin lɛk di wan dɛm we yu gɛt we yu gɛt strok. Di wangren difrɛns na dat dɛn kin go insay sɔm minit ɔ awa.
- Nɔ ɛva ignore di sayn dɛm wae dɔn dɔn. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di men gol fɔ trit TIA na fɔ mek yu nɔ gɛt big strok tumara bambay. Fɔ du dis, fala yu dɔktɔ in instrɔkshɔn ɛn mɛrɛsin dɛn di rayt we.
- If yu kɔntrol ay blɔd prɛshɔn, dayabitis, ɛn kɔlɔstrel, nɔ smok, ɛn fala wɛlbɔdi layf, dat kin mek yu nɔ gɛt TIA ɛn strok.
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