Patient Testimonial
Captain Khachit Hapnanon shares his experiences with transient cerebral ischemia, warning signs of paralysis.
"While I walking, exercising around the evening at my home as usual. After walking only 3-4 hundred meters, I felt tired faster than ever but I thought that it was because of the hot weather, so I took a rest for about 10 minutes but I’m still tired, so I decided to stop walking so as not to force myself...
When it's time for food. I can eat 2-3 times, put a spoon, and sit back and watch TV. But in truth I felt tired After a while, my wife came to talk and asked several questions, which my wife had already wondered, why did not answer correctly As for me, I don't know what to answer, but I feel dizzy as I sleep, but when I close my eyes, I'm tired ...
My wife told me to go to the doctor. While I’m standing up, my fingertips trembled. The left hand is completely numb, the index finger, middle finger and ring finger become numb, so I massage myself. But soon the arms were numbed to the shoulders. So I started to notice that this is a classic case of paresis. I had a history of large blood vessels, brain blockage at the neck last year. It’s Make me wonder to be the same again. Which may have a fat cube or something to fill ... but while waiting for the car to pick up for about 2 minutes, the numbness disappears. As soon as it disappeared, I’m not falling asleep anymore, my eyes lit up immediately… "
Dr. Ariya Thima, MD. Brain and nervous system specialist of Ramkhamhaeng Hospital
After the patient visits as well as "Electromagnetic waves" or MRI Scan and I know that ... The veins previously detected have narrowed 50% ... is a "transient ischemic attack" or TIA, so many symptoms appear, but they disappear in just 5-10 minutes. Regarded as a warning sign of paralysis by narrowing of blood vessels in the left hemisphere Which is the communication control center. Causing the patient to speak or answer questions that are not relevant. Also, the patient had a history of diphtheria arteriosclerosis. If it is slightly narrowed, either in the brain or the neck. Treatment with antiplatelet drugs, along with saline and blood pressure-lowering drugs In which case, fortunately, the fat flakes are not very large, so they melt on their own. By causing a temporary ischemic brain and self-healing What is joyful is that I was not alone at the time of the symptoms.
Statistically, about 10% of patients will have a recurrence in the first 72 hours, so I have to tell myself that TIA is a warning sign of paralysis. Therefore, if it occurs after 5-10 minutes, then it is advisable to go to the hospital as soon as possible.
"Mr. Huat Tang Sittikorn, who is 71 years old, told me that he had diabetes for 37 years. While the foot wound just happened a few years ago, with his daughter Ms. Siriporn helping to burden him. Taking care of the wound itself, brought him to the clinic and hospital. At first, the wound was only on the thumb but it treats for a year and still hasn't healed. And there are still more wounds until 4 toes have been amputated and the wound is beginning to spread to the fifth finger."
His relatives were seen on TV shows that at Ramkhamhaeng Hospital, there is a technique to widen blood vessels to help heal diabetic wounds. Therefore hurriedly brought him to contact for treatment immediately.
After Dr. Suthat accepted him for a thorough examination. Explained that it is caused by veins in the legs, which means the end of the blood vessel is blocked causing the blood to not flow to the toe. Therefore causing the wound that occurs that cannot be healed And the nerves in that area will not be perceived. He does not feel pain in the wound. And brought him to the color injection to see the condition of the peripheral vascular. It was found that the stenosis area was below the knee, and his veins or blood vessels had already become completely blocked by 2 of the 3 and the remaining ones were clogged at intervals. Includes 2 positions, each of which is 8 cm and 12 cm long.
Our doctors inserting the balloon into the blood vessels up to the constricted position and pumping air into it, inflating the balloon all around, resulting in immediate inflation of the blocked blood vessel, allowing blood to reach the toe. In time to survive the amputation of the remaining toe.
I have had symptoms of facial nerve inflammation in the fifth pair for about 5 years, but in the last three months, the symptoms started to get worse. From the long lower lip to the lower ear area. Very sore. At first, it feels like teething, sore teeth. At first, I thought that it might be a dream of decay. Or having teeth-related symptoms but not
The disease is related to everyday life such as eating, talking, or just opening your mouth, drinking coffee, drinking water, or taking a shower, stroking your hand on your face, and it hurts sorer and sorer than giving birth. This disease so decided to undergo surgery because 3 months of weight lost 10 kg.
I want to tell people who think they may have fifth neuropathy if they touch their face or that the wind blows. Or if you rubbed your hand on the cheek and hurt You don't have to wait for it to chew or can't open your mouth. Or waiting for the tooth to be extracted To hurry to see a doctor.
And then had asthma, a congenital disease. Which has to spray a bronchodilator every day. Used to consult a doctor at another hospital. Cannot perform surgery Until seeing Dr. Methi At Ramkhamhaeng Hospital, And he said that it could be dissected without any side effects. And not dangerous so decided to have surgery at Ramkhamhaeng Hospital.
Asst. Prof. Methee Wongsirisuwan Neurosurgeon Doctor
Pain in the face like being electrocuted. Treatment by separating the blood vessels that reach the fifth nerve by surgery. Nowadays, advances in medical technology have enabled laparoscopic surgery. Allows the size of the wound behind the ear to be 2 inches without any need to shave. Just separate some of the hair around the back of the ear to keep the wound clean. The surgery takes about an hour. To separate the blood vessels that reach the nerves apart. Then block the medical material so that it doesn't come back to touch the nerve again. After a few days, Most patients can go home.
