He aha ka Transient Ischemic Attack? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka transient ischemic attack (TIA), he pani manawa ʻole ia o ke kahe koko i kahi ʻāpana o kou lolo. E noʻonoʻo iā ia ma ke ʻano he "mini-stroke" e hoʻoulu ai i nā hōʻailona stroke-like akā ʻaʻole ia e hōʻino mau i ka ʻiʻo lolo.

ʻOiai ʻo nā TIA e mau wale nō i nā minuke a i nā hola a hoʻopau loa nā hōʻailona, he mau hōʻailona ʻōlelo nui lākou. Ke hāʻawi nei kou kino iā ʻoe i kahi ʻōlelo aʻo e pono ai kekahi mea e nānā ʻia ma mua o ka loaʻa ʻana o kahi stroke ʻoi aku ka nui.

He aha ka Transient Ischemic Attack?

Hana ʻia ka TIA i ka wā e pani ʻia ai ke kahe koko i kou lolo, ma kahi mea liʻiliʻi o ke koko e hana ʻia ma kahi ʻē aʻe o kou kino a hele i kou lolo.

ʻO ka ʻokoʻa nui ma waena o ka TIA a me ka stroke, ʻo ia ka lōʻihi a me ka hōʻino. Hoʻopau loa nā hōʻailona TIA i loko o 24 mau hola (pinepine i ka manawa koke), ʻoiai nā strokes e hoʻoulu ai i nā hopena mau. Eia naʻe, pono nā ʻano ʻelua i ka nānā ʻana i ka lāʻau lapaʻau koke.

Ke kapa nei nā poʻe loea lapaʻau i nā TIA he "warning strokes" no ka mea, pinepine lākou i mua o nā strokes maoli. Ma kahi o hoʻokahi i ʻekolu mau kānaka e loaʻa ana i ka TIA e loaʻa i kahi stroke i loko o hoʻokahi makahiki inā waiho ʻia me ka ʻole o ka lapaʻau.

He aha nā Hōʻailona o ka Transient Ischemic Attack?

Hoʻohālikelike nā hōʻailona TIA i nā hōʻailona o kahi stroke akā nalowale loa. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka pono o nā hōʻailona manawa pōkole i ka nānā ʻana i ka lāʻau lapaʻau koke.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Ka nāwaliwali a i ʻole ka ʻeha ʻole ma kekahi ʻaoʻao o kou maka, lima, a i ʻole wāwae
• Ka pilikia i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo, me nā huaʻōlelo ʻōlelo ʻole
• Ka nalowale koke ʻana o ka ʻike ma kekahi a i ʻole nā ​​maka ʻelua, a i ʻole ka ʻike pālua
• Ke poʻo ʻeha nui me ka ʻole o ke kumu i ʻike ʻia
• Ke pohihihi, ka nalowale ʻana o ke kaulike, a i ʻole nā ​​hiolo koke
• Ka huikau a i ʻole ka pilikia i ka hoʻomaopopo ʻana i nā kauoha maʻalahi

Hiki i nā hōʻailona ʻaʻole maʻamau akā nui nō hoʻi ke komo pū me ka nalowale koke ʻana o ka lohe, ka pilikia i ka ʻai ʻana, a i ʻole nā ​​pilikia hoʻomanaʻo manawa pōkole. Pinepine nā hōʻailona e ulu koke mai a hiki ke hele mai a hele aku.

E hoʻomanaʻo i ka acronym FAST: Face drooping, Arm weakness, Speech difficulty, Time to call emergency services. ʻOiai inā me he mea lā e hoʻomaikaʻi nā hōʻailona, pono nō ʻoe i ka loiloi lapaʻau koke.

He aha nā Kumu o ka Transient Ischemic Attack?

Hana ʻia nā TIA i ka wā e pani ʻia ai kekahi mea i ke kahe koko i kou lolo. ʻO ke kumu maʻamau loa, he mea liʻiliʻi o ke koko e hana ʻia ma kahi ʻē aʻe o kou kino a hele i kou lolo.

ʻO kekahi mau kūlana kumu e alakaʻi ai i ka TIA:

• Atherosclerosis (ka paʻakikī ʻana o nā arteries ma muli o ka hoʻoulu ʻana o ka plaque)
• Atrial fibrillation (ka puʻuwai ʻole e hiki ke hana i nā clots)
• Ke koko kiʻekiʻe e hōʻino ana i nā moku koko liʻiliʻi
• Ka maʻi maʻi e hoʻopilikia ana i ke olakino o nā moku koko
• Ke cholesterol kiʻekiʻe e hoʻopilikia ana i nā pilikia artery
• Ka maʻi carotid artery (ka hoʻoemi ʻana o nā arteries ʻāʻī)

ʻO nā kumu ʻaʻole maʻamau e komo pū me nā maʻi clotting koko, kekahi mau lāʻau lapaʻau, a i ʻole nā ​​kūlana maʻamau ʻole e like me ka arterial dissection. I kekahi manawa, hāʻule kahi ʻāpana liʻiliʻi o ka plaque mai ka paia artery a pani koke i ke kahe koko lolo.

I nā hihia maʻamau ʻole, hiki i nā TIA ke hopena mai ka anemia nui, ke koko haʻahaʻa loa, a i ʻole kekahi mau maʻi koko e hoʻopilikia ana i ke ʻano o ke kahe koko a me ke koko.

I ka wā e ʻike ai i ke Kauka no ka Transient Ischemic Attack?

Pono ʻoe e ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe kekahi hōʻailona stroke-like, ʻoiai inā me he mea lā e hele aku ana lākou. E kāhea i ka 911 a hele i ka lumi ulia kokoke loa koke.

Mai kali e ʻike inā hoʻi nā hōʻailona a i ʻole e ʻoi aku ka maikaʻi. ʻAʻole ka ʻano manawa pōkole o nā hōʻailona TIA e hoʻoliʻiliʻi i ko lākou koʻikoʻi. Hiki i ka loiloi lapaʻau wikiwiki ke kōkua i ka pale ʻana i kahi stroke i ka wā e hiki mai ana.

ʻOiai inā ʻoluʻolu loa ʻoe i ka wā e hōʻea ai ʻoe i ka haukapila, pono nā kauka e holo i nā ho'āʻo e hoʻomaopopo i ke kumu o kāu mau hōʻailona. Ke kōkua nei kēia loiloi e hoʻoholo i kou pilikia stroke a me ka lapaʻau kūpono.

He aha nā Kumu Pono no ka Transient Ischemic Attack?

Ke kōkua nei ka hoʻomaopopo ʻana i kāu mau kumu pilikia iā ʻoe e lawe i nā ʻanuʻu e pale aku ai i nā TIA a me nā strokes. ʻO kekahi mau mea hiki iā ʻoe ke kaohi, ʻoiai ʻaʻole hiki iā ʻoe ke kaohi i nā mea ʻē aʻe.

ʻO nā kumu pilikia āu e hiki ai ke hoʻololi:

• Ke koko kiʻekiʻe (ka mea nui loa i hiki ke kaohi ʻia)
• Ka puhipaka a i ʻole ka hoʻohana ʻana i ka paka
• Nā pae cholesterol kiʻekiʻe
• Ka maʻi maʻi a i ʻole ka prediabetes
• Ka momona a i ʻole ke kaumaha
• Ka hana kino ʻole
• Ka inu waiʻona nui
• Ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻo ka cocaine a i ʻole amphetamines

ʻO nā kumu pilikia āu e hiki ʻole ke hoʻololi, ʻo ia ka makahiki (piʻi ka pilikia ma hope o 55), ka wahine (ʻoi aku ka nui i nā kāne), ka lāhui (ʻoi aku ka nui i nā ʻAmelika ʻApelika), a me ka mōʻaukala ʻohana o ka stroke a i ʻole TIA.

Ke hoʻonui nei kekahi mau kūlana lapaʻau i ka pilikia, e like me ka maʻi naʻau, atrial fibrillation, sleep apnea, a me ka mōʻaukala ma mua o TIA a i ʻole stroke. Hiki i nā pīni hānau a me ka hoʻololi ʻana i ka hormone ke hoʻonui iki i ka pilikia i kekahi mau wahine.

He aha nā Pilikia Hiki ke Loaʻa o ka Transient Ischemic Attack?

ʻO ka pilikia koʻikoʻi loa o ka TIA, ʻo ia ka loaʻa ʻana o kahi stroke maoli. Me ka ʻole o ka lapaʻau kūpono, ma kahi o 10-15% o nā kānaka e loaʻa ana i ka TIA e loaʻa i kahi stroke i loko o ʻekolu mau mahina.

ʻOi aku ka nui o kou pilikia stroke i nā lā a me nā pule mua ma hope o ka TIA. ʻO ia ke kumu e koʻikoʻi ai ka nānā ʻana i ka lāʻau lapaʻau koke a me ka mālama mau ʻana no ka pale ʻana i nā pilikia i ka wā e hiki mai ana.

ʻO nā pilikia ʻē aʻe e hiki ke loaʻa, ʻo ia nā TIA hou, hiki ke hana inā ʻaʻole i mālama ʻia nā kumu kumu. Hiki i kekahi poʻe ke ʻike i ka hopohopo a i ʻole ka kaumaha ma hope o ka TIA, ʻoi aku hoʻi i ka wā e hoʻomaopopo ai i ka ʻoiaʻiʻo o ko lākou pilikia stroke.

ʻAʻole pinepine, hiki i nā TIA pinepine ke alakaʻi i nā loli noʻonoʻo iki i ka manawa, ʻoiai ʻoi aku ka liʻiliʻi o kēia ma mua o nā strokes maoli. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ia ka hoʻemi nui ʻana o ka lapaʻau kūpono i kēia mau pilikia.

Pehea e hiki ai ke pale ʻia ka Transient Ischemic Attack?

Hiki ke pale ʻia nā TIA he nui ma ka mālama ʻana i nā kumu pilikia a me ka hana ʻana i nā koho ola maikaʻi. ʻO nā ʻano like e pale aku ai i ka maʻi naʻau e kōkua pū kekahi i ka pale ʻana i nā TIA a me nā strokes.

ʻO nā ʻano pale koʻikoʻi:

• Mālama i ke koko kiʻekiʻe ma o nā lāʻau lapaʻau a me nā hoʻololi ola
• E haʻalele i ka puhipaka a pale aku i ka uahi lua
• Mālama i ka maʻi maʻi me ka mālama pono ʻana i ke kō koko
• E hoʻoikaika mau (ma kahi o 150 mau minuke o ka hana waena i kēlā me kēia pule)
• E mālama i ke kaumaha olakino
• E ʻai i ka meaʻai olakino naʻau waiwai i nā hua, nā mea kanu, a me nā huaola holoʻokoʻa
• E kaupalena i ka inu waiʻona
• E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻia

Inā loaʻa iā ʻoe ka atrial fibrillation, hiki i ka lawe ʻana i nā lāʻau lapaʻau lahilahi koko e like me ke kuhikuhi ʻia ke hoʻemi nui i kou pilikia TIA a me ka stroke. Ke kōkua nei nā nānā lapaʻau maʻamau i ka nānā ʻana a me ka hoʻoponopono ʻana i kāu papahana pale.

No nā kānaka me ka maʻi carotid artery, hiki ke kuhikuhi ʻia nā kaʻina hana e like me ka carotid endarterectomy a i ʻole stenting e hoʻomaikaʻi i ke kahe koko a pale aku i nā TIA i ka wā e hiki mai ana.

Pehea ka Diagnosis ʻana o ka Transient Ischemic Attack?

Hiki ke paʻakikī ka diagnosis ʻana o ka TIA no ka mea, pinepine nā hōʻailona e hoʻopau ʻia i ka wā e hōʻea ai ʻoe i ka mālama lapaʻau. E hilinaʻi kāu kauka i kāu wehewehe hōʻailona a me nā ho'āʻo like ʻole e hana i ka diagnosis.

E hoʻomaka kāu hui lapaʻau me ka mōʻaukala kikoʻī o kāu mau hōʻailona, ​​me ka wā i hoʻomaka ai lākou, pehea ka lōʻihi o ko lākou mau ʻana, a me ka mea āna i manaʻo ai. Ke kōkua nei kahi hoʻokolokolo kino a me ka neurological i ka loiloi ʻana i kou kūlana i kēia manawa.

ʻO nā ho'āʻo diagnostic maʻamau:

• CT scan a i ʻole MRI o kou lolo e kāpae i ka stroke a i ʻole nā ​​pilikia ʻē aʻe
• Carotid ultrasound e nānā i nā pilikia artery i kou ʻāʻī
• Electrocardiogram (ECG) e ʻike i nā pilikia puʻuwai
• Nā ho'āʻo koko e nānā i ka cholesterol, ke kō koko, a me ka hana clotting
• Echocardiogram e loiloi i ka hana naʻau a nānā i nā clots

I kekahi manawa, kauoha nā kauka i nā ho'āʻo hou aku e like me ka CT angiography a i ʻole MR angiography e kiʻi i nā kiʻi kikoʻī o nā moku koko i kou lolo a me kou ʻāʻī. Ke kōkua nei kēia e ʻike i nā wahi o ka hoʻoemi ʻana a i ʻole ka pani ʻana.

He aha ka Lapaʻau no ka Transient Ischemic Attack?

Ke nānā nei ka lapaʻau TIA i ka pale ʻana i nā strokes a me nā TIA i ka wā e hiki mai ana ma ka mālama ʻana i nā kumu kumu. E hoʻopilikino ʻia kāu papahana lapaʻau i kāu mau kumu pilikia a me nā kūlana lapaʻau.

ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia:

• Nā lāʻau antiplatelet (e like me ka aspirin a i ʻole clopidogrel) e pale aku ai i nā clots koko
• Nā lāʻau lapaʻau koko kiʻekiʻe e kaohi i ka hypertension
• Nā lāʻau lapaʻau cholesterol-lowering (statins) e hoʻemi i ka hoʻoulu ʻana o ka plaque
• Nā lāʻau lapaʻau maʻi maʻi e kaohi i ke kō koko
• Nā mea lahilahi koko (anticoagulants) inā loaʻa iā ʻoe ka atrial fibrillation

Pono kekahi poʻe i nā kaʻina hana ʻoki e like me ka carotid endarterectomy e wehe i ka plaque mai nā arteries ʻāʻī, a i ʻole carotid stenting e wehe i nā arteries hoʻoemi ʻia. Pinepine nā kaʻina hana e kuhikuhi ʻia no nā kānaka me ka maʻi carotid artery nui.

E hoʻoikaika pū kāu kauka i nā hoʻololi ola ma ke ʻano he ʻāpana o kāu papahana lapaʻau. ʻO kēia ke komo pū me nā hoʻololi meaʻai, nā ʻōlelo aʻo hoʻoikaika kino, ke kākoʻo haʻalele ʻana i ka puhipaka, a me nā ʻenehana hoʻokele kaumaha.

Pehea e lawe ai i ka mālama home i ka wā o ka ho'ōla ʻana mai TIA?

Ke nānā nei ka mālama home ma hope o ka TIA i ka lawe mau ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia a me ka hana ʻana i nā hoʻololi ola e pale aku ai i nā hanana i ka wā e hiki mai ana. ʻO kāu ho'ōla ʻana, ʻo ia ka pale ʻana ma mua o ka ho'ōla ʻana mai ka hōʻino.

E lawe i nā lāʻau lapaʻau āpau e like me ke kuhikuhi ʻia, ʻoiai inā ʻoluʻolu loa ʻoe. Hiki i ka nalo ʻana o nā lāʻau lahilahi koko a i ʻole nā ​​lāʻau lapaʻau koko kiʻekiʻe ke hoʻonui nui i kou pilikia stroke.

E nānā i kou koko kiʻekiʻe maʻamau inā loaʻa iā ʻoe ka hypertension. E mālama i kahi moʻolelo o nā helu e kaʻana like me kāu hui mālama ola. Nui nā hale kūʻai lāʻau lapaʻau a me nā kikowaena kaiāulu e hāʻawi ana i nā nānā koko kiʻekiʻe manuahi.

E makaʻala i nā hōʻailona ʻōlelo a ʻike i ka wā e ʻimi ai i ke kōkua koke. Inā loaʻa hou iā ʻoe kekahi hōʻailona stroke-like, e kāhea koke i ka 911 ma mua o ka kali ʻana e ʻike inā hoʻopau lākou.

E hana i kahi papahana ʻai olakino naʻau me nā hua, nā mea kanu, nā huaola holoʻokoʻa, a me nā protein liʻiliʻi. E kaupalena i ka sodium, nā momona saturated, a me nā meaʻai i hana ʻia. E noʻonoʻo e hui pū me kahi mea ʻai no ke alakaʻi pilikino.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā Kauka?

Ke kōkua nei ka hoʻomākaukau ʻana no kāu ʻaha kūkā e hōʻoia iā ʻoe e loaʻa i ka mālama piha loa. E lawe mai i kahi moʻolelo kikoʻī o kāu mau hōʻailona, ​​me ka manawa pololei a me nā hiʻohiʻona.

E kākau i nā lāʻau lapaʻau āpau āu e lawe nei i kēia manawa, me nā lāʻau lapaʻau over-the-counter a me nā mea hoʻohui. E komo pū i nā dosages a me ka pinepine o kāu lawe ʻana iā lākou. Ke kōkua nei kēia ʻike i kāu kauka e pale aku i nā pilina weliweli.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau. Hiki i nā kumuhana koʻikoʻi ke komo pū me kou pilikia stroke, nā hopena lāʻau lapaʻau, nā ʻōlelo aʻo ola, a me nā hōʻailona ʻōlelo e nānā ai.

E lawe mai i kahi lālā ʻohana a hoaaloha paha inā hiki. Hiki iā lākou ke kōkua i ka hoʻomanaʻo ʻana i ka ʻike i kūkākūkā ʻia i ka wā o ka ʻaha kūkā a hāʻawi i ke kākoʻo i ka wā e manaʻo ʻia ai he manawa kaumaha.

E hōʻiliʻili i kāu mau moʻolelo lapaʻau, ʻoi aku hoʻi i nā hopena ho'āʻo hou, ka mōʻaukala TIA a i ʻole stroke ma mua, a me ka ʻike e pili ana i nā kūlana naʻau a i ʻole nā ​​pilikia olakino pili.

He aha ka lawe nui e pili ana i ka Transient Ischemic Attack?

ʻO ka TIA, he hōʻailona ʻōlelo aʻo ia mai kou kino e pilikia ana ʻoe i kahi stroke. ʻOiai e nalowale koke nā hōʻailona, ​​ke waiho nei ka pilikia kumu a pono i ka nānā ʻana i ka lāʻau lapaʻau koke.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ia ka mālama nui ʻia ʻana o nā TIA, a hiki i ka mālama lapaʻau kūpono ke hoʻemi nui i kou pilikia i ka loaʻa ʻana o kahi stroke. Nui nā kānaka e ola mau ana i nā ola maʻamau, olakino ma hope o ka TIA me ka lapaʻau kūpono a me nā hoʻololi ola.

E noʻonoʻo i ka TIA ma ke ʻano he manawa e kaohi ai i kou olakino. Ma ka hana pū ʻana me kāu hui mālama ola a me ka hana ʻana i nā hoʻololi pono, hiki iā ʻoe ke hoʻomaikaʻi nui i kou nānā lōʻihi a me ka maikaʻi o ke ola.

Nā Nīnau Pinepine e pili ana i ka Transient Ischemic Attack

Hiki iā ʻoe ke loaʻa i ka TIA a ʻaʻole ʻike?

ʻAe, ʻike kekahi poʻe i nā hōʻailona TIA māmā loa a hiki iā lākou ke hoʻokuʻu ma ke ʻano he luhi, pohihihi, a i ʻole ka huikau manawa pōkole. Eia naʻe, pono kekahi hōʻailona neurological koke i ka loiloi lapaʻau, ʻoiai inā me he mea lā he mea liʻiliʻi a hoʻopau koke ʻia.

Pehea ka lōʻihi o nā hōʻailona TIA?

ʻO ka hapa nui o nā hōʻailona TIA e mau ana ma waena o kekahi mau minuke a i kekahi mau hola. Ma ke ʻano, pono e hoʻopau loa nā hōʻailona i loko o 24 mau hola. Eia naʻe, ʻoiai inā mau nā hōʻailona i nā minuke wale nō, pono nō ʻoe e ʻimi i ka mālama lapaʻau koke.

Hiki i ke kaumaha ke hoʻoulu i ka TIA?

ʻOiai ʻaʻole pololei ke kaumaha wale nō e hoʻoulu i nā TIA, hiki i ke kaumaha lōʻihi ke hoʻopilikia i nā kumu pilikia e like me ke koko kiʻekiʻe, nā puʻuwai ʻole, a me nā koho ola maikaʻi ʻole. ʻO ka mālama ʻana i ke kaumaha ma o nā ʻano hoʻoponopono olakino he ʻāpana koʻikoʻi ia o ka pale ʻana i ka TIA.

Ua palekana ka hoʻokele kaʻa ma hope o ka loaʻa ʻana o ka TIA?

ʻAʻole pono ʻoe e hoʻokele kaʻa koke ma hope o ka TIA a hiki i ka loiloi ʻia ʻana e ke kauka a hoʻomaʻemaʻe ʻia e hana pēlā. E loiloi kāu kauka i kou kūlana pilikino, me kou pilikia stroke a me nā hōʻailona mau, ma mua o ka ʻōlelo ʻana i ka wā palekana e hoʻomaka hou ai i ka hoʻokele kaʻa.

E loaʻa hou iaʻu ka TIA a i ʻole stroke?

Ke hilinaʻi nei kou pilikia i nā mea he nui, me kāu mau kūlana olakino kumu a me ka maikaʻi o kāu hahai ʻana i nā ʻōlelo aʻo lapaʻau. Me ka mālama lapaʻau kūpono a me nā hoʻololi ola, nui nā kānaka ʻaʻole loa e ʻike hou i ka TIA a i ʻole stroke. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomaopopo i kou pae pilikia kikoʻī.