ʻO nā kumu pilikia o ka maʻi maʻi e pono e ʻike i nā wahine a pau

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ʻO 4 a.m. ma ke kakahiaka i Nowemapa 2014, a ʻo Merideth Gilmor, he mea hoʻolaha hoʻolaha e pani ana i nā mea haʻuki e like me Maria Sharapova, ke kakali nei i ka hope e hiamoe. Ua hoʻomaka koke ka lā, me kāna holo maʻamau ʻewalu mile. A laila ua hele ʻo ia a me kāna kāne i ka male a kāna hoaaloha maikaʻi loa, kahi a lāua i moe ai i ka pō "pāʻina e like me nā hōkū pōhaku," i ʻōlelo ʻo ia. I kona hoʻi ʻana i kona lumi hōkele, ua mākaukau ʻo ia e hāʻule i kahi moe a hoʻokuʻu i waho. Akā i kāna hana ʻana pēlā, ua manaʻo ʻo ia i kekahi mea ʻē. "ʻAʻole au e poina ia mea; ua like ia me kaʻu i hoʻōho ʻana i kahi dandelion nui ma luna o koʻu ihu. "Ua hiki iaʻu ke lohe, akā ʻaʻole hiki iaʻu ke kamaʻilio a ʻaʻole hiki iaʻu ke neʻe."

ʻO Gilmor, a laila he 38 mau makahiki wale nō, ua loaʻa kahi maʻi nui loa.

He pilikia ulu

Ma kahi mamao o Gilmor. "Ua piʻi aʻe ka maʻi ahulau i nā wahine ʻōpio," wahi a Philip B. Gorelick, MD, ke alakaʻi lapaʻau ma ka Mercy Health Hauenstein Neuroscience Center ma Grand Rapids, MI. Ma waena o 1988 a hiki i 1994 a me 1999 a 2004, ua hoʻonui ʻia ka maʻi maʻi maʻi i nā wahine mai 35 a 54 mau makahiki; ʻaʻohe hoʻololi o nā kāne, wahi a Gorelick. ʻOiai ʻo ia kekahi o nā maʻi lapaʻau ʻelima maikaʻi loa ʻaʻole i manaʻo ʻia e nā wahine ʻōpio, ma ka laulā, ma kahi o 10 ka nui o nā hahau i loaʻa i nā poʻe ʻōpio ma mua o 50. (Kekahi helu haʻalulu: ʻO ka maʻi maʻi maʻi e pepehi i ʻelua mau wahine e like me ka maʻi maʻi umauma i kēlā me kēia makahiki.)

"He mea paʻakikī ke ʻike inā ke piʻi nei ka maʻi maʻi, a i ʻole mākou e ʻoi aku ka maikaʻi ma ka ʻike ʻana i ka hahau ʻana i nā ʻōpio ʻōpio," wahi a Caitlin Loomis, MD, he loea kōkua o ka neurology ma ke kula ʻo Yale School of Medicine, a he neurologist ma Yale -Halemai Hou. Akā, manaʻo ʻo Gorelick e maʻa mau ka maʻi maʻi, ma kahi ʻāpana no ke kahe koko kiʻekiʻe a me ke kiʻekiʻe o ka cholesterol kiʻekiʻe, ʻelua mau kumu pilikia no ka hahau ʻana, e hoʻopilikia ana i nā wahine he nui i nā makahiki ʻōpio. (Ua ʻike anei ʻoe aia kahi loulou ma waena o ka insomnia a me ke koko kiʻekiʻe?)

ʻOiai ke ulu nei ka ʻike i ka pilikia, no ka mea, ʻoi aku ka maʻamau o ka hahau ʻana i nā poʻe ʻelemakule, nui nā kānaka-kauka i hoʻokomo ʻia-ʻaʻole ʻike i nā hōʻailona ke loaʻa i nā wahine ʻōpio. Ma kahi o 13 pākēneka o nā poʻe ʻeha i ʻike hewa ʻia, e like me kahi noi ʻana i loko o ka puke pai ʻIkepili. Akā ua ʻike nā kānaka noiʻi he 33 pakeneka ka nui o ka ʻike hewa ʻana o nā wahine, a ʻo ka poʻe ma lalo o 45 mau makahiki he ʻehiku mau manawa e hāʻawi ʻia i kahi kuhi hewa.

A he mea hōʻino loa kēlā: I kēlā me kēia 15 mau minuke hele ka mea ʻeha me ka loaʻa ʻole o ka lāʻau e hoʻohui i hoʻokahi mahina o ke kīnā ʻole i ko lākou manawa hoʻōla, e like me ka noiʻi ʻana i Kaʻi ʻana.

ʻO ka mea pōmaikaʻi, ua ʻike ke kāne a Gilmor i kāna mau ʻōuli-palalysis palalysis i kona alo, huikau, kamaʻilio kū ʻole i ka haʻi-ma ke ʻano he hahau. "Ua lohe au iā ia e kāhea ana iā 911, a manaʻo wau, Pono wau e ʻaʻahu. Akā ʻaʻole hiki iaʻu ke hoʻoneʻe i koʻu mau lālā, "i ʻōlelo ai ʻo ia. Ma ka haukapila, ua hōʻoia ke kauka i ka mea a kāna kāne i makaʻu ai: Ua loaʻa ʻo ia i kahi maʻi ischemic, ʻo ia ka helu ma kahi o 90 pakeneka o nā maʻi maʻi āpau a loaʻa kahi mea, maʻamau he clot. , ālai i kahi moku e hāʻawi ana i ke koko i ka lolo. (Hemorrhagic hahau, ma ka ʻaoʻao ʻē aʻe, ke hana ke kahi koko i ka waimaka a haki paha.)

ʻAʻole i pōmaikaʻi ʻo Carolyn Roth. I ka makahiki 2010, he 28 wale nō ʻo ia i ka wā i hoʻomohala ai ʻo ia i kāna hōʻailona hōʻailona mua: ʻeha nui ma kona ʻāʻī ma hope o ka huakaʻi i ka hale haʻuki. Ua kākau ʻo ia ma ke ʻano he ʻiʻo huki. Ua hiki iā ia ke wehewehe aku i nā kiko-e like me ka daimana i ʻōpua i kāna hihiʻo ke kalaiwa ʻo ia i ka home i kēlā pō a me ka ʻāʻī o ka ʻāʻī nāna i mālama iā Tylenol i ka lā aʻe aʻe.

ʻO ka hope, i ke kakahiaka aʻe ua hopohopo ʻo ia e kāhea i kona makuakāne, nāna i lawe iā ia i ka haukapila. Ua komo ʻo ia ma kahi o ka hola 8 a. "Ua ʻike koke lākou, no ka mea ʻaʻole pane koʻu mau maka i ka mālam," i ʻōlelo ʻo ia. Akā ua paʻa ʻo ia. ʻOiai ua ʻike ʻo ia i ka ʻeha, nausea, huikau, a me ka pōʻino o ka ʻike, ʻaʻole ʻo ia i ʻike i kekahi o nā hōʻailona "maʻamau", e like me ka lolo ʻaoʻao hema. Ma muli paha o ka dissection a i ʻole ka waimaka i loko o ke aʻa, ʻo ia ka hopena o kekahi ʻano ʻeha e like me ka ulia kaʻa a i ʻole ka huehue ikaika. (Kekahi mau hōʻailona-e like me kēia mau hōʻailona hōʻailona kiʻekiʻe-ʻaʻole pono ʻoe e haʻalele.)

"I ka wā e pili ana i ka hoʻōla hahau ʻana, he mea nui ka manawa," wahi a Loomis. "Hoʻohana wale ʻia kekahi mau lāʻau lapaʻau ke hāʻawi ʻia i loko o ka pukaaniani ʻekolu a 4.5 mau hola, no laila pono e lawe ʻia nā mea i hōʻeha ʻia i ka haukapila i ka hikiwawe a loiloi koke ʻia."

Ka hopena

ʻOkoʻa ka hoʻōla hahau no kēlā me kēia mea maʻi. "Pili ka nui i ka nui o ka hahau a me ka wahi i ka lolo," e ʻōlelo ana ʻo Loomis. A ʻoiai ʻoiaʻiʻo he ala lōʻihi a lohi hoʻi ka hoʻōla ʻana, i kūʻē i ka mea a ka poʻe e manaʻoʻiʻo ai, ʻaʻole pono ka hahau i kahi ʻōlelo no ke kīnā o ke ola holoʻokoʻa. He ʻoiaʻiʻo loa ia no nā poʻe maʻi ʻōpio, ka mea a Loomis i ʻōlelo ai e hana ʻoi aku ka maikaʻi ma mua o nā maʻi kahiko i ka wā e pili ana i ka hoʻomaʻamaʻa kino a me ka rehab. (Ke pili nei kekahi mau pilikia olakino i nā kāne a me nā wahine.)

Ua ʻōlelo ʻo Gilmor lāua ʻo Roth ua laki lāua i ka loaʻa o nā hana maʻalahi i hiki ai iā lāua ke hoʻomaha maha. "He mea nui ka hiamoe i ka hoʻomaka, ʻoiai ke hoʻāʻo nei kou lolo e hoʻoponopono iā ia iho. Lōʻihi ka manawa," wahi a Roth. Ma hope o ka hala ʻana o kekahi mau mahina mai ka hale hoʻoikaika kino e hoʻi hou ai, ua hoʻomaka ʻoi ʻo ia i ka hoʻoikaika kino. "E hana wau i kekahi hoʻoikaika kino i kēia manawa - ua holo wau i ka marathon o New York City ma 2013!" ia nei. (Ke noʻonoʻo nei i ka holo? E nānā i 17 mau mea e manaʻo ai i ka holo ʻana i kāu Marathon mua.)

Hoʻomaikaʻi pū ʻo Gilmor i kāna ʻōnaehana kākoʻo-ʻo kāna mau kauka, i kapa ʻia ʻo ia ʻo "Stroke Squad" (ʻo Loomis kekahi o lākou), ʻohana, nā mea kūʻai aku, nā hoa hana, a me nā hoaaloha-me kona hoʻōla ʻana. "Ua hoʻāʻo wau e ʻike i ka ʻakaʻaka i nā mea āpau, aʻu i manaʻo ai ua kōkua," wahi āna. Ma waho aʻe o ka hoʻomaʻamaʻa kino, ʻo Gilmor, ka mea e ʻike mau ana i ka nāwaliwali ma kona ʻaoʻao hema, hoʻomaka mālie ʻo ia i ka piʻi pōhaku me kāna keiki i ala e kūkulu hou ai i kona ikaika.

Akā ʻo ka holo ʻana kāna pahuhopu hope loa. "Ua'ōlelo mai kaʻu keiki iaʻu, 'Mama, manaʻo wau eʻoi aku ka maikaʻi ke hiki iāʻoe ke holo hou.' ʻOiaʻiʻo, ʻo ia kaʻu e like ai, 'ʻAe-pono wau e holo!'" wahi a Gilmor. Ke hoʻomaʻamaʻa nei ʻo ia no ka 2015 New York City Marathon, a ʻoiaʻiʻo, ua hoʻopau ʻo ia i 14 mau mile ka lōʻihi.

"ʻAʻole maʻalahi, ke hoʻāʻo nei e holo i ka marathon," wahi a Gilmor. "Akā, hele wale ʻoe i nā kapuaʻi pēpē. ʻO kaʻu manaʻo holoʻokoʻa i kēia manawa: Pono ʻoe e hala i kāu mau kala ʻana. Makaʻu paha ʻoe, akā pono ʻoe e ʻoi aku ka nui ma mua o ka makaʻu."

He aha kāu e hiki ai ke hana i kēia manawa

ʻAʻohe mea hiki iā ʻoe ke hana e hōʻoiaʻiʻo ʻaʻole loa ʻoe e loaʻa i ka hahau. Akā hiki i kēia mau hoʻolālā ʻehiku ke kōkua i ka hōʻemi ʻana i kāu pilikia-a kākoʻo i nā mea ola o kēia manawa.

1. E ike i na hoailona a pau: He wahi maikaʻi ka acronym FAST e hoʻomaka ai. Kū ia no ka hāʻule ʻana o ka maka, nāwaliwali o ka lima, ka paʻakikī o ka ʻōlelo, a me ka manawa e kāhea aku ai iā 911-e uhi ana i nā hōʻailona nui o ka hapa nui o nā hahau. "Akā e ʻōlelo wau i ka mea nui e hoʻomanaʻo ai inā hoʻololi koke kekahi i mua o kou mau maka, e loaʻa i ke kōkua," wahi a Dr. Loomis. Ma waho aʻe o nā hōʻailona FAST, hikiwawe ka hoʻomohala ʻana i nā pilikia ʻike, hiki ʻole ke kamaʻilio a kū pololei paha, ʻōlelo ʻino, a i ʻole ke ʻano like ʻole o ke kanaka maʻamau he hōʻailona ia o ka hahau ʻana.

2. E makaʻala i kekahi mau lāʻau lapaʻau: Manaʻo nā kauka o Gilmor ua hoʻokiʻekiʻe ʻia kona pilikia no ka loaʻa ʻana o ka hahau ma muli o ke ʻano o ka mālama hānau ʻana āna i lawe ai. "ʻO kēlā me kēia kaohi hormonal e loaʻa ai ka estrogen, me nā pila o ka hānau hānau ʻana, nā pāhoʻi, a me nā apo wahine, e hoʻonui ai i kou makaʻu no ka hana ʻana i kahi ʻōpala," wahi a Loomis. ʻO ka maʻamau, ʻōpala kēlā mau clots i kahi aa, ʻaʻole kahi aʻa. Akā inā he mau kumu ʻē aʻe kāu, e like me ke koko kiʻekiʻe, makemake paha ʻoe e kamaʻilio me kāu ob-gyn e pili ana i ka hoʻololi ʻana i ka kaohi hānau. (Hoʻokahi ka mea kākau i ke kumu e lawe ʻole ai ʻo ia i ka Pill.)

3. Mai hoʻowahāwahā i ka ʻāʻī o ka ʻāʻī: Ma kahi o 20 pakeneka o na hahau ischemic i na kanaka makua ma lalo o 45 makahiki-me Roth's-ma muli o ka wehe 'ana i ke a'a o ka cervical, a i 'ole ka haehae o na aa koko e alakai ana i ka lolo, noi'i ma. ʻO ka Open Neurology Journal hōʻikeʻike. ʻO ka ulia kaʻa, ka ʻū a i ʻole ka luaʻi ʻana, a me ka wili ʻana a i ʻole nā ​​​​huehue hikiwawe ke kumu i kēia mau waimaka. Wahi a Loomis, ʻaʻole ia he manaʻo ʻaʻole pono ʻoe e haʻalele i ka yoga (ma hope o nā mea a pau, he mau miliona ka poʻe e wili a hoʻopaʻa i ko lākou mau poʻo i kēlā me kēia lā a ʻaʻohe mea e hiki mai), akā pono ʻoe e nānā pono i kou manaʻo ma hope o ka hana ʻana i kekahi mea e hoʻoneʻe koke ai i ka ʻāʻī. Inā loaʻa iā ʻoe ka ʻeha nui a nausea paha, a i ʻole e ʻike i nā pilikia o ka ʻike ma hope, e hele i kahi kauka.

4. E kikoo aku: Ua lohe ʻoe i nā ʻōlelo aʻo e pili ana i ka hōʻoia ʻana e kū i luna a kikoo i kou lele ʻana. ʻO nā manawa kūpono, ua nānā ʻole ʻoe iā lākou-ʻoiaʻiʻo inā ʻoe ma kahi noho window. Akā hiki i ka lele ʻana ke hoʻoulu i ke koko e loko i kou mau wāwae, me ka hoʻonui ʻana i kou makaʻu i ka hana ʻana i nā clots i hiki ke neʻe i kou lolo, wahi a Loomis. (Manaʻo nā kauka ʻo Gilmor he holo mokulele i hala iho nei, hui pū ʻia me kāna hoʻohana Pill, ʻo ia ka mea i hoʻokumu i kāna maʻi hahau.

5. E mālama i nā kapu i kēia mau helu: E hōʻoia i ka lawe mau ʻana i ke koko a me ka cholesterol, a inā hoʻomaka nā helu e kolo i ka ʻāpana "kiʻekiʻe aʻe ma mua o ka maʻamau", e nīnau i kāu kauka i kāu mea e hana ai e hoʻihoʻi i lalo, wahi a Gorelick. Hoʻopilikia ke koko kiʻekiʻe i nā kīʻaha koko, a hiki i ka cholesterol kiʻekiʻe ke hoʻonui i kou kūlana o ka ulu ʻana i kahi clot.

6. Hoʻopili i ka meaʻai olakino puʻuwai: Paipai ʻo Loomis i ka papaʻai Mediterranean, i hōʻike ʻia e hōʻemi ai i ka maʻi maʻi ʻōpū. "He kiʻekiʻe i nā iʻa, nā nati, a me nā mea kanu, a haʻahaʻa i nā ʻiʻo ʻulaʻula a me nā mea palai," wahi āna. E hoʻomaka me kēia mau meaʻai Mediterranean Diet. ʻO ka ʻai ʻana i kēia ʻano meaʻai maʻemaʻe e kōkua pū iā ʻoe e mālama i ke kaumaha olakino, a ʻo Gorelick lāua ʻo Loomis i ʻae ai ʻo ia kekahi o nā ala maʻalahi e hōʻemi i kou pilikia o ka hahau ʻana.

7. Kākoʻo i nā mea pakele: Inā ʻaʻole ʻoe i hoʻopili ʻia e ka hahau, ʻaʻole pono ʻoe e nānā i kahi lōʻihi e ʻike ai i kahi kanaka i loaʻa i kēlā me kēia 'Ōleloʻo Loomis, "ʻO ka hahauʻana he hanana hoʻololi i ke ola e hiki ke paʻakikī ke loaʻa, ma ke kino, a me ka naʻau. I mea e kākoʻo ai i nā mea pakele, ua hoʻolauna wale ka National Stroke Association i kā lākou neʻe ʻana o Come Back Strong. Nui nā ala e komo ai: hoʻololi i kāu kiʻi ʻaoʻao i ka hōʻailona Come Back Strong, hāʻawi kālā, a i ʻole e komo i ka hanana Comeback Trail ma Sepatemaba 12-e hoʻolaʻa i kahi ala kūloko i kahi mea ola maʻi maʻi āu i ʻike ai, a hele i loko. hanohano o kona ala e ola'i ia la.

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