Yu de fil bak se yu de ed de tɔn ɔ yu de fil layt? Dis kin bi Vertebrobasilar Insufficiency!

Sɔntɛnde, yu kin fil lɛk se yu de tɔn diziz, yu ed kin layt, ɔ yu nɔ kin balans we yu de waka? Sɔm pipul dɛn kin slɔp dɛn wɔd dɛn bak we dɛn de tɔk. Nɔ dismis dɛn sik ya as nɔmal tin. Dɛn kin bi sayn fɔ wan sik we de mek blɔd nɔ go na di bak pat na yu bren. Tide, wi go tɔk bɔt wan sik we dɛn kɔl Vertebrobasilar Insufficiency (VBI) .

Wetin na di vεrtebrobasilar insufisεns (VBI)?

Fɔ tɔk am simpul wan, vertebrobasilar insufficiency (VBI) na wan sik we di blɔd we de flɔ na di bak pat na yu bren de ridyus ɔ stɔp. Dis bak pat na wi bren de wok fɔ kɔntrol di balans ɛn muvmɛnt. So imajin us prɔblɛm dɛn kin kam if dis pat nɔ gɛt inof blɔd.

Bɔrku pipul dɛm wae gɛt VBI gɛt smɔl smɔl wɛl bɔdi prɔblɛm. Bɔt dis sik kin put yu pan mɔ risk fɔ gɛt strok ɔ transient ischemic attack (TIA) , we na wan sik we fiba mini-strok. Sɔmtɛm dis sik kin tranga ɛn kin mek pɔrsin gɛt disabled fɔ ɔl in layf ɔr ivin day. Na dat mek i impɔtant fɔ no bɔt dis.

Dɔktɔ dɛn kin trit dis kɔndishɔn fɔ VBI bay we dɛn kin advays fɔ chenj dɛn layf ɛn if nid de, dɛn kin gi dɛn mɛrɛsin. Bɔt if di sik stil de afta dɛn dɔn du dɛn tin ya, i kin nid fɔ du ɔpreshɔn.

Difrɛn kayn VBI dɛn de?

Yɛs, wan spɛshal kayn de. Dɛn kɔl am Transiɛnt Vɛrtebrobasilar Insufisɛns . Dis na tin we nɔ kin apin smɔl. Dis kɔndishɔn kin apin we yu tɔn ɔ twist yu ed. Dɔktɔ dɛn kin kɔl am bak:

• Sindrom we gɛt bɔw ɔnta
• Hed we de tɔn sinkɔp
• Rotashכnal vεrtebrobasilar insufisεns

Wetin kin apin pan dis kes na dat wan blɔd vesel we de kɛr blɔd go na di bren kin blok fɔ sɔm tɛm we dɛn tɔn di ed.

Udat kin gɛt VBI mɔ?

Yu de pan big risk fɔ gɛt VBI if yu dɔn pas 50 ia ɛn yu gɛt dɛn kɔndishɔn ya:

• If yu gɛt korona at sik ɔ periferik at sik (PAD) , we na prɔblɛm wit di at we de gi blɔd to di at ɛn di ɔgan dɛn we de fa lɛk di leg ɛn an.
• If yu gɛt dayabitis mɛllitus .
• If pɔsin na di famili dɔn gɛt VBI bifo (a hereditary link).
• If yu gɛt ay blɔd prɛshɔn (Hypertension) ɔ yu gɛt ay kɔlɔstrel lɛvɛl na yu blɔd .
• If yu gɛt histri fɔ smok.
• Fat, dat min se if pɔsin fat bad bad wan.
• If yu gɛt fat (plek) insay yu blɔd vesel, dat min se yu gɛt atherosclerosis .
• If di lɛvɛl we di lipid dɛn de na di blɔd go ɔp, dɛn kin kɔl am hyperlipidemia .

di kadioembolik kכndishכn dεm we kin blכk wan blכd vesel de inkrεs bak di risk fכ VBI. Fɔ ɛgzampul:

• Atrial fibrillation (Afib) (na wan sik we de mek pɔsin in at ritm) .
• Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt
• Infεkshכn na di insay layn na di at (infεkshכn εndokarditis) .
• vεrbral atεri dεsεkshכn ( tεar na di wכl fכ wan vεntrikul at we de kכri bכdi to di bren) .

Statistikin, man dɛn kin gɛt VBI tu tɛm pas uman dɛn. Dis sik kin bɔku bak pan sɔm etnik grup dɛn.

Aw kɔmɔn tin na VBI?

Dɛn se lɛk 25% pan di pipul dɛn we dɔn pas 70 ia, ɔ lɛk wan pan ɛvri 4 ia, kin gɛt VBI. So dis nɔto sɔntin we pɔsin nɔ yɛri bɔt atɔl.

Wetin na di men tin dɛn we kin mek pɔsin gɛt VBI?

Di men tin we kin mek pɔsin gɛt VBI bɔku tɛm na wan sik we dɛn kɔl atherosclerosis . As wi bin dɔn tɔk, dis na we di fat (plek) we gɛt kɔlɔstrel ɛn kalsiɔm kin gɛda insay di blɔd vesel dɛn, we kin mek dɛn smɔl ɛn mek di blɔd nɔ flɔ. I tan lɛk dɔti we de stɔp na wata paip.

Ɔda rizin dɛn de we kin apin:

• Penetrating artery disease ( we di blɔd vesel dɛn we rili smɔl na di bren de blok) .
• pulmonary embolism (wan bכdi we de kכlכt na di lכng – dis kin gεt indaykt ifekt) .
• vεrbral atεri dεsεkshכn ( tεar fכ di wכl fכ di vεrbral atεri) .

Rizin dɛn de bak we nɔ kin apin so ɔltɛm:

• Blɔd sik dɛn (Coagulopathies) .
• Drug adikshɔn
• Fibromuscular dysplasia (FMD) (di blɔd vesel dɛn wɔl nɔ de gro fayn fayn wan) .
• Maygren ed pen – Sɔm siriɔs maygren kin gɛt fɔ du wit di sik.

Wetin na di sayn dɛm fɔ VBI?

Pɔsin wae gɛt VBI kin gɛt wan ɔr mɔr pan dɛn sik ya. Dɛn tin ya kin apin wantɛm wantɛm ɛn dɔn afta sɔm tɛm, ɔ dɛn kin kɔntinyu fɔ de.

• Bεlεns prכblεm : diziz, fil lεk tin dεn de spin rawnd yu ( vertigo ). Imajin, if yu de fil diziz ivin we yu jɔs tinap, aw yu go fil we yu de waka?
• Kɔnfyushɔn, we pɔsin nɔ de no natin ( delirium ).
• I nɔ izi fɔ swɛla it ( dysphagia ).
• Sik dɛm wae de afɛkt muvmɛnt ɛn kɔdineshɔn ( ataxia) .) - I tan lɛk se yu nɔ ebul fɔ waka, i at fɔ kɔntrol yu an ɛn fut.
• Dabl vishɔn ɔ i nɔ de si fayn igen.
• Wantɛm we yu nɔ de no natin ( syncope ).
• Yu nɔ de fil fayn na wan pat pan yu bɔdi.
• Slurring ɛn slurring fɔ wɔd dɛn we yu de tɔk ( dysarthria ).
• Wantɛm we yu nɔ gɛt kɔnshɛns ɛn fɔdɔm na grɔn (drɔp atak).
• I nɔ ebul fɔ kɔntrol di urine (Urinary incontinence).
• Nɔs ɛn vɔmit.

Impɔtant: If yu gɛt ɛni wan pan dɛn sik ya, mɔ if dɛn kam wantɛm wantɛm ɛn kam bak, mek shɔ se yu go to dɔktɔ, bikɔs dɛn kin bi sayn fɔ se yu dɔn gɛt strok.

Aw dɔktɔ dɛn kin no se pɔsin gɛt VBI?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Dɔn, dɛn go du wan ɛgzam pan dɛn bɔdi. Apat frɔm dat, dɛn kin du sɔm ɔda tɛst dɛn fɔ no di rayt kɔndishɔn.

• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:
• CT skan (kɔmpyuta tomografi skan) ɔ MRI (magnetic resonance imaging) de tek pikchɔ fɔ di blɔd vesel dɛn we de biɛn yu bren. Dis kin ɛp fɔ si if ɛnitin dɔn blok ɔ pwɛl di blɔd vesel dɛn.
• Angiography: Dis na tɛst we dɛn kin yuz ɛkstrem rayt fɔ chɛk yu blɔd vesel dɛn (arteries). Sɔntɛnde, dɛn kin put spɛshal wata (kɔntrast day) insay di vein dɛn fɔ mek dɛn pikchɔ ya.
• CTA (computed tomography angiography) ɔ MRA (magnetic resonance angiography): Dɛn tɛst ya kin mek yu blɔd vesel dɛn rili klia, tri-dimɛnshɔnal (3D) pikchɔ dɛn.
• Echocardiogram (Echo): Dis tan lɛk ɔltra saund skan fɔ di at. i de chεk aw di at in chεmba dεm εn di valv dεm de wok, εn aw di at de pכmp bכdi (pumping action).
• Ilɛktrokardiogram (ECG ɔ EKG): Dis de sho aw yu at de wok wit ilɛktrik. I kin no ɛnitin we nɔ rayt na yu at bit.
• Holter monitor: Dis na smɔl tin we yu kin wɛr na yu bɔdi fɔ 24 to 48 awa. I de kɔntinyu fɔ rayt di ilɛktrik wok we yu at de du we yu de du nɔmal tin dɛn.
• Prothrombin time (PT) ɛn partial thromboplastin time (PTT) blɔd tɛst: Dɛn blɔd tɛst ya de mɛzhɔ di tɛm we i tek fɔ mek yu blɔd klɔt.

Nɔto ɔl dɛn tɛst ya go nid fɔ du. Yu dɔktɔ go disayd us tɛst fɔ ɔda bay di sayn dɛm ɛn di kɔndishɔn we yu gɛt.

Aw dɛn kin trit VBI?

Bɔku tritmɛnt dɛn de we yu kin gɛt. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay di sik we yu gɛt.

1. Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:

Bɔrku tɛm, de fɔs tin wae yu fɔ tray na fɔ ridyus de sik bay wae yu de chenj sɔm kayn layf.

• Mek yu gɛt wɛl bɔdi wet: Fɔ fat na di men tin we kin mek yu gɛt bɔku sik dɛn.
• Kɔntrol kɔlɔstrel bay we yu chenj di it we yu de it: I rili impɔtant fɔ ridyus di it dɛn we gɛt bɔku ɔyl ɛn fat.
• Ɛksesaiz: Ivin sɔntin we simpul lɛk fɔ waka fɔ 30 minit insay di de kin mek big difrɛns.
• Fɔ lɛf fɔ smok: Dis na sɔntin we yu fɔ du fɔ tru.

2. Mɛrɛsin dɛn (mɛrɛsin dɛn): .

Di dɔktɔ kin gi yu mɛrɛsin fɔ kɔntrol wɛlbɔdi prɔblɛm.

• Mɛrɛsin dɛn we de kɔntrol aw blɔd de klɔt: Lɛk aspirin.
• Blɔd prɛshɔn kɔntrol mɛrɛsin.
• Mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku.
• Di mɛrɛsin fɔ kɔntrol dayabitis.

3. Ɔpreshɔn:

If yu chenj di we aw yu de liv yu layf ɛn di mɛrɛsin we yu de tek nɔ mek di blɔd go bak, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn.

• Carotid endarterectomy: dis involv fכ כpכt fכ pul di fεt dεposit (plak) frכm wan big bכdi we de na di nεk (di carotid artery).
• Korona angioplasty ɛn stent: If blɔd vesel na di at blok, dɛn kin put mɛtal mɛsh (stɛnt) wit smɔl balyɔn insay fɔ mek di vessel big.
• Korona at baypas ɔpreshɔn: Dɛn kin chenj di blɔd vesel we dɔn pwɛl na di at wit wan wɛlbɔdi blɔd vesel we dɛn tek frɔm ɔda pat na di bɔdi.
• di vεrbral atεri rεkכnstrכkshכn: Na כpεrayshכn de ripεr di damej pan di vεrbral atεri dεm we de kכri bכdi to di bren.

Tritmɛnt fɔ Transiɛnt VBI:

As tritmɛnt fɔ di VBI kɔndishɔn we wi bin dɔn tɔk bɔt bifo tɛm, we kin apin we yu de tɔn di ed:

• Wan nɛk bres ɔ kɔla.
• Mɛrɛsin dɛn we dɛn kin yuz.
• I kin pɔsibul fɔ ɔpreshɔn, sɔntɛm ivin ɔpreshɔn we nɔ kin ambɔg di spayna .

Aw yu go ridyus di risk fɔ gɛt VBI?

If yu fala dɛn advays ya, yu kin ridyus yu risk fɔ gɛt VBI bad bad wan:

• It fayn it: It mɔ vɛjitebul, frut, ɛn it dɛn we gɛt fayv. Ridyus ɔyl, shuga, ɛn sɔl.
• Fɔ du ɛksasaiz ɔltɛm.
• Fɔ kɔntrol di lɛvɛl we di kɔlɔstrel de.
• If yu gɛt ɔda wɛlbɔdi prɔblɛm, lɛk ay blɔd prɛshɔn ɔ dayabitis, kɔntrol am fayn fayn wan akɔdin to dɔktɔ advays.
• Fɔ lɛf fɔ smok.

Dɛn tin ya kin ɛp fɔ protɛkt yusɛf frɔm VBI nɔmɔ, bɔt bɔku ɔda sik dɛn bak.

Wetin na di wɛlbɔdi stet fɔ pɔsin we gɛt VBI? (Autluk) .

Di prɔgnosis fɔ pɔsin we gɛt VBI kin dipen pan sɔm tin dɛn:

• Di mak we di bren dɔn afɛkt (di siriɔs nyurolɔjik dɛfisit) .
• If yu bin dɔn gɛt strok bifo.
• Ej.
• Ɛni ɔda prɔblɛm dɛn de we gɛt fɔ du wit wɛlbɔdi biznɛs?

If VBI kin tranga, i kin mek pɔsin gɛt disabled ɛn ivin day. Bɔt if dɛn no am kwik ɛn trit am fayn, dɛn kin gɛt rili gud tin dɛn.

VBI kin mek i gɛt lɔng tɛm ifɛkt?

Bɔrku pipul dɛm wae gɛt smɔl smɔl sik kin ebul fɔ kɔntrol dɛn sik wit chenj na dɛn layf ɛn mɛrɛsin. Bɔt if di sik bad bad wan, dɛn kin nid fɔ gɛt sɔm mɔnt, ivin fɔ lɔng tɛm fɔ mek dɛn gɛt wɛlbɔdi.

Sɔm pan di kɔmplikeshɔn dɛm (prɔblɛm dɛm) we kin apin bikɔs ɔf VBI na:

• Blɔd we de klɔt na di leg - Dip Vein Thrombosis (DVT) .
• Blɔd we de klɔt na di lɔng dɛn - Pulmonary Embolism .
• Di wata we nɔ de na di bɔdi ɛn i nɔ kin izi fɔ swɛla.
• I nɔ kin izi fɔ yu fɔ blo.
• Paralayz ɔ yu nɔ de fil fayn.
• Inflameshɔn na di bɛlɛ ( gastritis ).
• At atak ( mayokardial infarkshɔn) .
• Infεkshכn dεm na di lכng.
• Prɛshɔn injuri / bedsɔs.
• Strɔk ɔ transiɛnt ischemic atak (TIA) .
• I nɔ de si fayn igen.

VBI kin kam bak afta tritmɛnt?

di rεkכrεshכn rεt fכ VBI de bitwin 10% εn 15%. Dis min se ivin if yu wɛl, chans de fɔ mek i kam bak. So, i impɔtant fɔ kɔntinyu fɔ fala wetin yu dɔktɔ tɛl yu ɛn kɔntinyu fɔ liv fayn layf.

If a gɛt VBI, aw a go tek kia ɔf misɛf?

If dɛn no se yu gɛt VBI, i impɔtant fɔ lan bɔt di difrɛn tin dɛn we kin ɛp yu we yu de wɛl. Yu kin nid ɛp fɔ du tin dɛn lɛk:

• Blad ɛn bɔdi trenin.
• Advays bɔt aw fɔ it tin dɛn.
• Fɔ mek shɔ se sef na os.
• Fɔ tich aw fɔ du wok dɛn we dɛn kin du ɛvride.

Dɛn kayn tritmɛnt ya kin ɛp yu:

• Occupational therapy: Fɔ tich yu aw fɔ du ɛvride wok fɔ yusɛf.
• Fyzikal tritmɛnt: I de mek di bɔdi muv, trɛnk, ɛn balans fayn.
• Spich therapy: I de ɛp fɔ mek yu nɔ ebul fɔ tɔk ɛn fɔ swɛla.

Yu kin nid bak fɔ ɛp nɔs fɔ kia fɔ yu na os fɔ wach aw yu de wɛl.

Tek-Home Message: Wetin wi lan frɔm dis?

Okay, so, di vertebrobasilar insufficiency (VBI) we wi bin tɔk bɔt tide.Na wan sik wae de mek blɔd nɔr de go bak na di bren. Dis kin mek yu gɛt sɔm sayn dɛm lɛk wae yu de tɔn ed, yu nɔr kin ebul fɔ kɔntrol yu bɔdi, ɛn yu nɔr kin ebul fɔ tɔk. di men tin we kin mek di bכdi kin blo na di bכdi we de blok bay fεt dεm (atherosclerosis).

Nɔ wɔri! Bɔrku tɛm, dɛn kin kɔntrol dis sik wit chenj na yu layf ɛn mɛrɛsin. Sɔm pipul dɛn kin ivin nid fɔ du ɔpreshɔn.

If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Si dɔktɔ wantɛm wantɛm fɔ advays. If yu no dɛn kwik kwik wan, dat kin ɛp yu fɔ trit dɛn izi wan ɛn mek yu nɔ gɛt mɔ siriɔs sik.

Tin dɛm lɛk ɔkupeshɔn tɛrapi, fyzikal tritmɛnt, ɛn tɔk tritmɛnt kin ɛp fɔ mek yu layf izi fɔ yu ɛvride. Stay wit wɛlbɔdi!

` Vεrtebrobasilar Insufisεns, VBI, Sεribra ischemia, Diziz, Paralayz, TIA, Atεrosklεrosis, Strok