Minor stroke? Magpagamot kaagad

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ANG minor strokes at “mini-strokes,” o transient ischemic attacks (TIAs), ay nangangailangan ng maagang medical attention, tulad rin ng major strokes, ngunit hindi gaanong naging matagumpay ang public education campaign sa United Kingdom para kumbinsihin ang publiko na mabilis na aksiyunan ito.

“Although the campaign worked well for behavior after more major stroke, patients were still slow to act on, or ignored completely, the symptoms of minor events,” sinabi ni Dr. Peter M. Rothwell mula sa John Radcliffe Hospital, University of Oxford.

“It was almost as though the messages from the campaign about major stroke had falsely reassured them that the more minor event that they had experienced was probably nothing to worry about,” ani Rothwell, senior author ng study sa epekto ng kampanya.

“If you have a minor ‘warning’ event, the risk of a more major stroke over the next week is about 10 percent if you are not treated,” aniya sa isang email. “However, that risk is reduced by 80 percent if simple medical treatments are started urgently.”

Kung mayroon kang biglaan, temporary neurological symptoms na hindi mo naranasan dati, ipinapayo niya na, “Don’t delay. . . get checked.”

Sinabi rin niya na, “The most important immediate thing that you can do yourself if you have a ‘TIA’ is to take an aspirin (same as is advised after a suspected heart attack). Take an aspirin and seek medical attention.”

Tiningnan ng grupo ni Rothwell ang impact ng Face, Arm, Speech, Time (FAST) public education campaign sa posibilidad na magpapagamot ang mga pasyente sa loob ng tatlong oras ng mga sintomas.

Nagbabala ang kampanya na, “When stroke strikes, act FAST. Face: has it fallen on one side? Arms: can they raise them? Speech: is it slurred? Time: if you notice any of these signs, it’s time to call (for an ambulance).”

Hindi gaanong karaniwan ang facial weakness, arm symptoms at speech disturbance sa mga tao na mayroong minor stroke o TIA kaysa mga nagkaroon ng major stroke, at halos 35 porsiyento ng mga pasyente na may TIAs na hindi humingi ng medical attention ang mayroong mga senyales na ito.

Bago ang kampanya, halos 68% ng mga tao na mayroong major stroke ang nagpagamot sa loob ng tatlong oras; matapos ang FAST campaign tumaas ito sa 81 porsiyento, ayon sa report sa JAMA Neurology.

“Campaigns rightly stress the need to seek emergency medical attention if you have signs of a major stroke,” ani Rothwell. “The symptoms of TIA and minor stroke are very similar – but just less severe and more transient (often lasting only minutes). Current campaigns would really only need to add that message at the end of the TV advertisement or poster – ‘and don’t ignore symptoms that might be a small ‘warning stroke’ either – that is an emergency, too.’”

“For any of the stroke symptoms, major, minor, or transitory, time remains of the essence,” sinabi ni Dr. Victor Loh mula sa National University Health System, Singapore, na kamakailan ay idinetalye ang outpatient management ng TIA, ngunit hindi kasama sa pag-aaral.

“Perhaps after the primary message of needing to head to hospital within the time window for patients with major stroke, the secondary message needs to be emphasized: that even if symptoms are mild or transitory, early review and intervention can drastically reduce the risk of a major stroke,” aniya sa email.

-Reuters