Thursday 6 July 2017

TIA Day 1

Bihun sabar je lah
36 yo no make up face
Inilah bekfas aku dekat wad pagi  ni, bihun kurang garam. So far aku ok je cuma rasa letih. Tadi my boss, si Chemba boss & our colleagues datang melawat aku. Meriah bukan main wad dibuatnya sampai kena sound nurse.

Aku ok tak? Alhamdulillah aku ok2 je.

Macam biasa la duduk wad, nanti ada la orang nak amik darah ko.. cek tekanan darah. Kol 7 cam tu nurse datang kemas katil.. time tu boleh la kalau nak mandi ke apa ke.. masa kat wad besalin dulu aku mandi awal takut kang tak sempat mandi dah terberanak.. haha. Kat sini aku mandi kol 10 tadi.. nasib baik ada air panas.. hahahaha

Apa penyakit aku actually? TIA tu cuma suspekted, belum definite sebab aku kena buat MRI, ultrasound dan echo dulu. Apa tu TIA?

Menurut si wiki @https://en.wikipedia.org/wiki/Transient_ischemic_attack

"A transient ischemic attack (TIA) is a transient episode of neurologic dysfunction caused by ischemia (loss of blood flow) – either focal brain, spinal cord, or retinal – without acute infarction (tissue death). TIAs have the same underlying cause as strokes: a disruption of cerebral blood flow (CBF), and are often referred to as mini-strokes. Symptoms caused by a TIA resolve in 24 hours or less"

Simptom?
Symptoms can vary widely across people, and across brain regions. The most frequent symptoms include temporary loss of vision (typically amaurosis fugax); difficulty speaking (aphasia); weakness on one side of the body (hemiparesis); and numbness or tingling (paresthesia), usually on one side of the body. Impairment of consciousness is very uncommon. There have been cases of temporary and partial paralysis affecting the face and tongue of the afflicted. The symptoms of a TIA are short-lived and usually last a few seconds to a few minutes; most symptoms disappear within 60 minutes. Some individuals may have a lingering feeling that something odd happened to the body. Dizziness, lack of coordination or poor balance are also symptoms related to TIA. Symptoms vary in severity.

Penyebab?
The most common cause of a TIA is an embolus that occludes an artery in the brain. This usually arises from a dislodged atherosclerotic plaque in one of the carotid arteries (i.e. two of the four major arteries supplying the brain) or from the vertebral-basilar arteries. Another common cause is from a thrombus (i.e. a blood clot) that has originated from the (usually left) atrium of the heart due to atrial fibrillation.[citation needed] In a TIA, the blockage period is very short-lived and hence there is no permanent damage.[5] The cholesterol build-up is gradual and eventually narrows the lumen. With time, blood flow to that side of the brain is reduced and a stroke may occur as a result. In other cases, cholesterol particles from the atherosclerotic plaque may suddenly break off and enter the brain. In some people, these fragments come off from the heart and go to the brain. This often happens during a heart attack or an infection of the valves.[citation needed] [6]
Other reasons include excessive narrowing of large vessels resulting from an atherosclerotic plaque and increased blood viscosity caused by some blood diseases. TIA is related to other medical conditions such as hypertension, heart disease (especially atrial fibrillation), migraine, hypercholesterolemia, and diabetes mellitus
Diagnosis
TIA will usually be diagnosed after a doctor performs a history and a physical exam. There are several radiological tests that are done to evaluate patients who have had a TIA. These include a CT scan or an MRI of the brain, ultrasound of the neck, or an echocardiogram of the heart. In most cases, the source of atherosclerosis is usually identified with an ultrasound.