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4<br />

06<br />

<strong>June</strong> 2016 Health Australia Samoa Newspaper<br />

STROKE ( CVA-Cerebrovascular Accident )<br />

Stroke is a medical<br />

emergency .<br />

It occurs when a<br />

part of the brain is damaged<br />

because it is deprived of blood<br />

supply and oxygen.<br />

Stroke is the third most common<br />

cause of death in Australia<br />

behind heart disease and cancer<br />

. It usually affects the over<br />

65 yr old group and can cause<br />

long lasting disabilities in terms of speech<br />

and movement.<br />

There are 2 main types of stroke :<br />

1. Ischaemic stroke<br />

2. Haemorrhagic stroke.<br />

The National Stroke Foundation recommends<br />

the F.A.S.T test as an easy way to<br />

remember the most common symptoms of<br />

stroke .<br />

Dr.Paniani Patu<br />

of a stroke but they are usually<br />

temporary lasting only a short<br />

time from a few minutes to a<br />

couple of hours and are reversible.<br />

It is important to seek medical<br />

help immediately when<br />

these warning signs happen as<br />

they can lead to a full stroke if<br />

ignored.<br />

The treatment of stroke /TIA<br />

involves urgent transfer to a hospital to ensure<br />

no further damage to the brain occurs.<br />

The management depends on the type<br />

of stroke using emergency measures with<br />

drugs and / or surgery .<br />

Modification of lifestyle-<br />

1. smoke cessation<br />

2. more physical activities<br />

3. moderating alcohol intake<br />

4. weight reduction<br />

5. Blood pressure and cholesterol control<br />

as well as diet management ie low in salt<br />

and saturated fats - may help slow the progression<br />

of damage to the blood vessel wall<br />

and prevent further strokes.<br />

Long term rehabilitation with speech pathologist<br />

and occupational therapist will help<br />

with physical and speech disabilities and<br />

assist with return to some level of functioning.<br />

Support and resources<br />

1 .www.brainfoundation.org.au<br />

2. www.strokefoundation.com.au<br />

3. www.heartfoundation.org.au<br />

F ( Face ) check the face and see if<br />

mouth has dropped.<br />

A ( Arms ) can they lift both arms ?<br />

S ( Speech ) Is their speech slurred and<br />

can they understand you ?<br />

T ( Time ) Time is critical .<br />

If you see any of these signs then most<br />

likely it is stroke and to call 000 straight<br />

away.<br />

The Risk factors for stroke .<br />

1. Age -the older you get the greater the<br />

risk<br />

2. Sex – men are more likely to be affected<br />

3. Blood Pressure<br />

4. Cholesterol<br />

5. Smoking cigarettes<br />

6. Diabetes<br />

7. Lack of physical exercises<br />

8. Atrial Fibrillation ( irregular heart beat )<br />

Warning Signs – TIA ( Transient Ischaemic<br />

Attack )<br />

TIA also called mini strokes occur when<br />

there is a temporary blood clot and part of<br />

the brain does<br />

not get the supply of blood it needs .<br />

The symptoms of TIA are similar to those<br />

Ole Stroke (CVA) ose fa’amai e oso<br />

faafuasei ma e tau leai ni faailoga e iloa ai<br />

ole a foufou mai.<br />

E mafua ona ua punitia ala toto ile faiai<br />

e se potopotoi toto e amata mai ile fatu poo<br />

ala toto tetele ile ua( neck) . E tasi foi lenei<br />

mafuaaga tele o tagata e maliliu i Ausetalia<br />

nei. E tele ina faatoa alia’i mai pea oo se<br />

tagata ile matua ole 65 pe sili atu foi o<br />

tausage ole soifua. E 2 ni vaega tetele ua<br />

vaevaeina iai le stroke e pei ona taua i luga.<br />

Ua faamatalina ele National Stroke<br />

Foundation a Ausetalia e faapea o auga o<br />

lenei faaletonu e faigofie ona taumateina<br />

pe afai e silasila i vaega nei<br />

1. Foliga – Face – ua pio le gutu<br />

2. Lima – Arms- ua pe le lima ma ua le<br />

mafai ona sii i luga<br />

3. Tautala – speech- ua sauea tala ma ua<br />

le malamama foi ini tala.<br />

4. Manaomia le faatopetope ole vili ole<br />

telefoni 000 mo se fesoasoani –time.<br />

E fautuaina ai a vaaia loa auga uma nei<br />

ise tagata e mautinoa lava le tulai mai ole<br />

stroke ma e manaomia loa le vave ona si’i<br />

ile falemai.<br />

L-R Minerva Patu; Faletua Michiko Ete-Lima; Faletua<br />

Senetenari Peleti Toailoa; Leota Tima Leavai (lawyer)<br />

Faa Samoaina ole Stroke – CVA<br />

O mafuaga ole CVA-<br />

1. tagata matutua ua oo atu ile 65<br />

tausaga le matutua<br />

2. e mafuli ile itupa o tamaloloa lenei<br />

faaletonu .<br />

3. maualuga le fua ole toto .<br />

4. maualuga le fua ole gao ile toto .<br />

5. malosi le ulaula tapaa<br />

6. faamai ole suka<br />

7. e le lava le faagaioi ma le faaafu ole<br />

tino .<br />

8. e le tata lelei le fatu ae tata feto’ito’i<br />

ona mafua ai lea ona maua potopotoi toto<br />

ile fatu<br />

ma agai atu ai ile faiai .<br />

TIA- Ole faailo lea e ta’u mai ai ole a<br />

foufou mai se stroke i tua atu ma e taua le<br />

faia oni siaki ole fatu ma isi ala toto tetele<br />

ole ua ( carotid US ) ina ia puipuia ai le<br />

tulai mai ose stroke e afaina tele ai le tino<br />

ma le tautala.<br />

O lenei faamai ole stroke / TIA e taua le<br />

vave togafitia ina ia puipuia ai le faateleina<br />

ole afaina ole faiai. E iai fualaau ma ta”otoga<br />

e manaomia pe a oso faafuasei mai .E iai foi<br />

tagata tausimai e gafa<br />

L-R Minerva Patu; Faletua Teki Uilelea; Toeaina Fatonu Rev Iosefa<br />

Uilelea (Lotofaga); Afioga Fiame Naomi Mataafa (Sui Palemia);<br />

Dr Seagaitumua Paniani Patu<br />

ma le togafitiga ma e fesoasoani lea mo<br />

le tautala ma le faamalosiina o aao pea le<br />

toe migoi.<br />

Ole togafitiga taua lava ole taofi lea ole<br />

tapaa- faaititia le tagofia ole ava malosi –<br />

faaititia le tino lapopo’a – faagaioi le tino<br />

ma faaafu i le tele o aso –faapea le faaititia<br />

o meaai oona ma le lololo.<br />

A fia maua nisi faamatalaga mo lou<br />

soifua maloloina ona faafesootai mai lea o :<br />

Dr Paniani S. Patu ile tuatusi fou ma le<br />

telefoni 0418 422 726 / (02) 9636 4611

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