yu geht prohblem lek dis wit wan at na yu nek? (Vertebral Artery Dissection) Lɛ wi lan bɔt am.

Yu dɔn ɛva fil se yu nɛk tayt, yu ed de at, ɔ yu si tu tin wantɛm wantɛm na wan yay? Pan ɔl we dɛn tin ya kin tan lɛk simpul tin, sɔntɛnde, sɔntin kin de we rili siriɔs biɛn dɛn. Wan pan dis kayn tin we wi go tɔk bɔt tide na ``Vertebral Artery Dissection``.

Wetin na Vɛrbral Atɛri Disekshɔn?

Fɔ tɔk am simpul wan, dis na we wan big at we de na di bak pat pan yu nɛk, along yu spayna, we de kɛr blɔd go na yu bren – we dɛn kɔl di vεrbral at – de kray frɔm insay. lεk we wan pat pan klos de te, wan כ mכr layεr dεm na di atεri wכl kin te. Dis na rili wan tin wae kin mek pɔrsin gɛt strok pan yɔŋ pipul dɛm , wae nɔr rich 45 ia, pas fɔ ol pipul dɛm.

So wetin na dis vεrbral atεri?

Imajin, na di bak pat na yu nɛk, tu blɔd vesel dɛn de we de rɔn go ɔp yu spayna. Wi kin kɔl dɛn di vertebral arteries. Di men wok we dɛn kin du na fɔ gi klin blɔd we gɛt ɔksijɛn to yu bren ɛn yu spɛnal kɔd . I tan lɛk wata paip, bɔt i kɔmplikt pas dat.

Dis atεri gεt tri men layεr dεm:

• Intima : Dis na di layt we de insay, we de nia di blɔd we de flɔ.
• Media : Dis na di midul layt. I de ɛp di blɔd fɔ go na wan say.
• Adventitia : Dis na di layt we de na do pas ɔl. Na in de gi di blɔd vesel in shep ɛn trɛnk.

Aw dis disɛkshɔn kin afɛkt yu wɛlbɔdi?

Naw imajin, lɛk aw a bin se, we di layt we de insay di at de kray, blɔd kin bigin fɔ lik bitwin di tu layt dɛn we dɛn kɔl intima ɛn di midia. Dɔn di blɔd kin gɛda de ɛn swel lɛk smɔl balyɔn. Dis blɔd we dɛn dɔn gɛda kin stɔp de ɛn mek blɔd klɔt . Dis blɔd we de klɔt kin mek di blɔd nɔ flɔ insay di at, ɛn i kin ivin blok am kpatakpata. di at kin swel bak (dilate).

Di tin we kin apin we dis kin mek pɔsin denja pas ɔl na we pɔsin kin gɛt strok :

• Ischemic stroke : Dis kin apin we di blɔd klɔt big fɔ blok di blɔd we de go na di bren ɔl ɔ sɔm pat pan am. Sɔntɛnde, wan pat pan di blɔd kin brok ɛn travul go dɔŋ di blɔd we de go na di bren ɛn lod insay wan smɔl at.
• εmorayjik strכk : Dis kin apin we כl di tri layεr dεm na di atεri wכl chεr. Dɔn blɔd kin bigin fɔ lik kɔmɔt na di at, instead fɔ kɔmɔt na di bren. if dis kray wata go dip insay di bren, bכdi kin lik insay di spεs we de rawnd di bren – wi kin kכl am subarachnoid hemorrhage – כ i ​​kin bכn insay di bren tisu.

Udat kin gɛt mɔ di vɛrbral at disɛkshɔn?

Sɔm pipul dɛn kin gɛt dis sik fɔ no rizin. Bɔt if yu gɛt sɔm kayn wɛlbɔdi prɔblɛm, yu kin gɛt am smɔl. Si if dɛn tin ya de afɛkt yu bak:

• Smok : Dis na sɔntin we de opin di domɔt fɔ bɔku sik dɛn.
• sכm jεnεtik kכndishכn dεm : fכ egzampl , sistik mεdial nεkrכsis , Ehlers-Danlos syndrome , Marfan syndrome , εn osteogenesis imperfecta kin mek di wכl dεm na di bכdi vεsul dεm wik.
• Fibromuscular dysplasia : Dis na di kכndyushכn we di abnכmal sεl dεm de gro na di at dεm.
• Ay blɔd prɛshɔn : Ay blɔd prɛshɔn, mɔ na di at we de kɔnɛkt di lכng ɛn at (arterial hypertension).
• Polycystic kidney disease : Na sik we de mek sist na di kidni.
• Vasculitis : Na inflamɛns na di blɔd vesel dɛn.

Ɔda tin dɛn de we kin mek pɔsin gɛt prɔblɛm?

Yɛs, na fɔ tru. Dis disekshכn kin apin bak bikoz fכ sכm injuri dεm na di nεk. Dis kin apin mɔ we di nɛk de na say we i dɔn pasmak ɔ we di nɛk de muf kwik kwik wan wantɛm wantɛm . Tink bɔt tin dɛn lɛk dis:

• Aksidɛnt dɛn we kin apin na motoka.
• Sɔm tritmɛnt dɛn na di nɛk, lɛk fɔ ajɔst di kayropraktik ɛn fɔ masaj dip tisu na di nɛk, kin ɛp. Bɔt, dɛn tin ya nɔ kin wok fɔ ɔlman, ɛn prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
• Fɔ opin di mucus bay we yu klem yu jaw lawd wan.
• We dɛn de du yoga, dɛn kin ol di nɛk ɔp ɛn tɔn am fɔ lɔng tɛm.
• I tan lɛk se yu de peint siling, de wok ɔltɛm wit yu nɛk we yu bɛn.
• Cardiopulmonary resuscitation (CPR) na di tritmɛnt we dɛn kin gi if di at rɔsh wantɛm wantɛm.
• Fɔ sniz lawd wan.
• Fɔ vɔmit.
• Betin spɔt (`Wrestling`).
• Fɔ es ebi ebi wet.
• Ɛni ɔda tin we go mek pɔsin wund in nɛk.

Strok kin apin bak bikɔs ɔf ɔda at disɛkshɔn?

Yɛs, we wan at we de na yu nɛk rɔtin, wi kin kɔl am sɛvikal at we dɛn kɔt . dis inklud di vεrbral at dεm we wi jכs tכk bכt, εn di tu karotid at dεm we de rכn along di fכnt pan yu nεk. If ɛni wan pan dɛn at ya kɔmɔt, i kin mek di blɔd nɔ go na di bren, ɛn dis kin mek pɔsin gɛt strok .

Wetin na di rial risk fɔ gɛt strok?

Fɔ tɔk tru, dis na bikɔs ɔf di vεrbral ɔ karotid atεri dεsεkshɔn.Di ɔl risk fɔ gɛt strok nɔ bɔku. Ischemic strok dεm de mek lεk 2% pan כl di strכk dεm. Bɔku pan di ischemic strok dɛn kin kɔmɔt frɔm wan sik we dɛn kɔl atherosclerosis . Dis na we di wɔl dɛn na di at kin tik ɛn smɔl bikɔs ɔf ɔda tin dɛn we kin mek pɔsin gɛt sik, lɛk fɔ smok, ay blɔd prɛshɔn, ay kɔlɔstrel, ɛn dayabitis.

Bɔt dis na di impɔtant tin: Vɛrbral at we dɛn kin kɔt na di men tin we kin mek yɔŋ ɛn midul ej pipul dɛn gɛt strok. I kin mek yu gɛt strok te to 25%, ɔ wan pan ɔl 4 pipul dɛm na dis ej grup.

Wetin na di sayn dɛm we de sho se dɛn dɔn kɔt di vertebral artery?

Yu nɔ go gɛt ɛni sayn fɔs. Bɔt if wan at bɔs ɔ blɔd klɔt mek blɔd nɔ go na di bren, yu kin gɛt sayn dɛn we de sho se yu gɛt strok .

Yu fɔ no bɔt dɛn kwaliti dɛn ya:

• Ataxia : We yu nɔ de balans we yu de waka ɔ tinap, yu nɔ ebul fɔ du di wok fayn fayn wan.
• Diziz we pɔsin kin gɛt.
• I nɔ de yɛri fayn igen.
• Dabl vishɔn.
• Nɛk pen (bɔku tɛm na wan say).
• Di ed we de at bad bad wan.
• Fɔ tɔk smɔl smɔl (Dysarthria).
• Vertigo - Na filin fɔ spin.

Aw yu go no if yu gɛt vertebral artery dissection?

Di bɛst tɛst fɔ no di rayt tin we de apin na magnɛtik rɛsɔnans angiografi (MRA) . dis kin kam togεda wan MRI skan wit wan tεknik we dεn kכl angiografi fכ tek rili klia pikchכ dεm fכ yu vεrbral atεri dεm. Dis kin mek dɔktɔ dɛn ebul fɔ no kwik kwik wan usay di disɛkshɔn de, aw i bad, ɛn aw lɔng i dɔn de.

Bɔt dis MRA tɛst nɔ de ɔlsay ɛn i nɔ izi fɔ du. So, bɔku tɛm, dɔktɔ dɛn kin no dis sik wit CT skan (`Computed Tomography - CT scan`) ɔ CT angiography (`CT angiography`) . Bɔku tɛm, dɛn tin ya kin de pan di fɔs tɛst dɛn we dɛn kin du we pɔsin kam insay.

Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ du kɔmɔn angiografi . Dis min se yu fɔ put wan tin, lɔng tiub (kateta) tru yu an ɔ yu groin, injekt spɛshal day (kɔntrast day), ɛn tek ɛkstrem pikchɔ fɔ si aw di blɔd de flɔ insay di at, aw di blɔd de kɔmɔt, ɛn usay di lɛsin de.

Aw dɛn kin trit dis?

Bɔrku tɛm, dɛn disɛkshɔn kɔndishɔn ya go wɛl fɔ dɛnsɛf as tɛm de go. Bɔt fɔ mek yu nɔ gɛt bɔku blɔd, dɛn kin gi yu mɛrɛsin dɛn we de mek yu blɔd tan.Dis na di men tritmɛnt dɛn. Fɔ ɛgzampul, dɛn kin gi dɛn aspirin , ɔda mɛrɛsin dɛn (lɛk Plavix®) , heparin we gɛt wata, ɔ warfarin tablɛt dɛn.

Bɔt if di disɛkshɔn dɔn spre dip dip wan insay di bren, ɔ if yu dɔn gɛt ɛmoraji strok , i nɔ go fayn fɔ gi dɛn blɔd tin ya. Yu dɔktɔ go tɛl yu fɔ du ɔda tritmɛnt dɛn.

Wetin fɔ du if di nɔmal tritmɛnt nɔ wok fayn?

If dat apin, yu go nid fɔ du wan prɔsidyu. Dɛn kin yuz dɛn we ya bak fɔ pipul dɛn we dɔn gɛt ɛmoraji strok .

di prosidur dεm fכ disεkshכn di vεrbral atεri dεm na dεn wan ya:

• εndovaskul εmbolizεshכn : lεk aw wi bin dכn tכk, dεn de put tin tכb dεm (kateta dεm) tru di an כ di groin, insay di εria we dεn dεsεkshכn, εn dεn injεkt εmbolik ejen כ sכm sכm mεtal kכyl dεm. di pat pan di at we nכ nכmal de sial wit dis mεtirial כ di kכyl dεm. Dis kin mek di blɔd nɔ flɔ tru am.
• Angioplasty : dis kin min bak fכ yuz tin tכb dεm (kateta) fכ go na di say we dεn dכn disεkshכn εn fכ inflate wan spεshal balכn fכ rεpa di pat we dεn tכn pan di at.
• intrakranial stεnt : dis kin involv bak fכ put wan tin tכb (kateta) insay di εria we di dεsεkshכn de εn put wan mεtal divays we lεk mεsh (dεn kכl am stent) insay di at. Dis kin mek di at in wɔl strɔng. Dɛn nɔ kin du dis fɔ ɔlman, na fɔ di wan dɛn nɔmɔ we dɛn dɔn pik. Bɔku tɛm, dɔktɔ dɛn kin du ɔl tu di angioplasty ɛn stent togɛda.
• Ɔpreshɔn : Fɔ di wan dɛn we nɔ ebul fɔ du di endovaskyuɛl prɔsidyu we wi bin dɔn tɔk bɔt, i kin nid fɔ gɛt ɔpreshɔn. We dɛn de du ɔpreshɔn, dɔktɔ dɛn kin yuz smɔl smɔl mɛtal klip dɛn fɔ lɔk di pat we nɔ de na di at.

Wetin na de rεt fɔ wɛl bɔdi fɔ pipul dɛm wae gɛt dis sik?

Bɔku pipul dɛn kin wɛl kpatakpata . Bɔt yu kin stil de pan denja fɔ gɛt di sem kayn disɛkshɔn tumara bambay. Bɔt da risk de kin go dɔŋ as tɛm de go.

Aw e tan lεk fכ liv wit vεrbral atεri dεsεkshכn?

Dɔktɔ dɛn go de wach yu ɔltɛm te yu shɔ se dis dɔn wɛl ɔl. Bɔku tɛm, yu go gɛt magnɛtik rɛsɔnans angiografi (MRA) ɛvri tri to siks mɔnt.Dɛn go aks yu fɔ du sɔm tɛst dɛn. Yu go nid bak fɔ kɔntinyu fɔ tek tin dɛn we de mek yu blɔd tan dis tɛm. Pipul wae de pan big risk fɔ gɛt disɛkshɔn tumara bambay go nid fɔ si dɛn dɔktɔ fɔ lɔng lɔng tɛm fɔ gɛt advays (`fɔl-ap kia`).

Wetin a nɔ fɔ du afta dɛn dɔn kɔt di vertebral artery?

Yu kin du ɛksɛsayz, bɔt yu fɔ de fa frɔm tin dɛn lɛk:

• Ɛksesaiz dɛn we yu kin du bay we yu put yu bɔdi wet pan yu an, lɛk fɔ push-ap ɛn pul-ap.
• we yu de es di wet pas 25-30 paund (we yu de es 11-13.5 kg).
• Fɔ es di wet dɛn ɔp di ed.
• Kɔntakt spɔt.
• Rayd pan rayd dɛn we de muv fast lɛk rɔla kɔsta.
• Fɔ mek kayrɔprakt tɔch yu ed/nɛk.
• Masaj di nɛk tranga wan.
• Tin dɛn lɛk fɔ dayvɔs na di skay.
• Ɔda tin dɛn we kin mek pɔsin in spid go ɔp/dɔn wantɛm wantɛm.
• "Plank" pozishɔn (`Plank pozishɔn`). (Bɔt apat frɔm dat, no prɔblɛm nɔ de fɔ du yoga ɔ Paylet, as lɔng as i nɔ de put prɛshɔn pan di nɛk).
• Nɔ du ɛnitin we go mek di nɛk snap bak wantɛm wantɛm (whiplash injury), ɔ ɛnitin we go mek di nɛk kɔntinyu fɔ go ɔp (hyperextension).

Mɛsej we dɛn kin kɛr go na os

Vεrbral Atεri Disεkshכn na we dεn de te na di wכl na di bכdi we de na di bak pat na yu nεk. I nɔ kin rili mek pɔsin gɛt strok . Bɔt if i du dat, fɔ trit yu kwik kwik wan (bɔku tɛm na tin dɛn we de mek yu blɔd tan ɔ dɛn kin du am) kin sev yu layf. Mεdikal tritmεnt εn kכntinyu fכ de wach dεn mεdikal kin εp pipul dεm wae gεt dis kכndyushכn fכ avכyd kכmplikεshכn. So, if yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, duya go to dɔktɔ wantɛm wantɛm. Dat na di tin we impɔtant pas ɔl.

` Vεrbral Atεri Disεkshכn, strכk, paralayz, nεk pen, ed pen, diziz, bכdi vεsεl rכp