Adu! Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl `(CNS Vasculitis)`? Sɔntɛm di nem tan lɛk se i kɔmplikt smɔl, bɔt nɔ wɔri. Tide wi go tɔk bɔt am rili simpul wan, di we we yu go ɔndastand. Wetin na `(CNS Vasculitis)`, wetin mek i kin apin, wetin na di sayn dɛm, aw dɛn kin no am, ɛn tritmɛnt de?
Wetin na `(CNS Vasculitis)`? Fɔ tɔk am simpul wan...
fכ simpul wan, `(CNS Vasculitis)
` na wan kכndyushכn we di bכdi vεsul dεm we de gi bכdi to di bren εn spεnal kכd (di nεv kכd insay di spεnal kכd) kin swεla כ
inflam. Tink bɔt am lɛk wata paip we kin blok, ɛn we dɛn blɔd vesel dɛn ya kin swel, blɔd kin go na di bren ɛn di spɛnal kɔd igen. Dis na wetin de kɔz difrɛn prɔblɛm dɛn. Sɔntɛnde dɔktɔ dɛn kin kɔl dis `(Praymari Angiitis na di Sɛntral Nɛvɔs Sistɛm)` ɔ `(Granulomatous Angiitis)`. Pan ɔl we dɛn nem dɛn de kɔmplikt smɔl, di men tin we wi fɔ ɔndastand na dat dis na inflamɛns we de afɛkt di blɔd vesel dɛn na di sɛntral nɛvɔ sistɛm. wi sεntri nεv sεstem `(CNS)` lεk di kכntrol rum na wi bכdi. Di tin dɛm we wi de du wit kɔnshɛns, tink bɔt am, yu de rid dis atikul, nɔto jɔs tin dɛm lɛk fɔ yuz yu finga ɛn tɔk, bɔt tin dɛm we wi nɔ de du we wi nɔ no lɛk fɔ blo ɛn at rit, na dis sɛntral nɛvɔ sistɛm de kɔntrol am. So yu kin imajin aw i kin bi siriɔs if sik afɛkt am.
Yu tink se kayn `(CNS Vasculitis)` de?
Yes, dכkta dεn sheb CNS Vasculitis to tu men tכp dεm: 1.
Praymari CNS Vasculitis: Dis na we di inflameshn fכ dεn blכd vessel dεm ya de apin insεf, we nכ de fכ eni כda mεdikal kכndyushכn. Dis min se dɛn nɔ go ebul fɔ fɛn ɔda sik as pɔsin we de mek i sik.
. di kכndishכn dεm we de mek di bכdi inflameshn, spεshal wan
כtoimyun sik dεm (dat na sik dεm we wi bכdi in difεns sistεm de atak wi כwn sεl dεm) εn sכm infεkshכn dεm na dεn mεn kכz dεm.
Wetin na di sayn dɛm fɔ `(CNS Vasculitis)`?
Di sayn dɛm fɔ CNS Vasculitis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Dɔn bak, dɛn sayn ya kin apin wantɛm wantɛm ɔ dɛn kin kam smɔl smɔl. Sɔm pan di men sayn dɛm na:
- Sivɛri ed pen : Dis nɔr tan lɛk nɔmal ed pen, i kin bi fɔ lɔng tɛm, bad bad ed pen.
- Fɔgɛt ɔr nɔr de fil fayn: Yu kin fɔgɛt tin wantɛm wantɛm, yu kin gɛt prɔblɛm fɔ pe atɛnshɔn, ɛn yu kin wɔri.
- Numbness , chenj na di sɛns dɛm:Tin dεm lεk fכ sכmtεm na di limb dεm εn chenj na di we aw tin de fil we dεn tכch dεm kin apin.
- Fɔ fil se yu bɔdi wik: De bɔdi kin fil lɛk se yu nɔ gɛt layf ɛn yu taya.
- Vision impairment : Yu kin si fayn fayn wan, ɛn sɔm tɛm dɛn kin si wan tin as tu (dabul vishɔn).
- Seizures : Yu kin lɔs yu kɔnshɛns wantɛm wantɛm ɛn yu kin gɛt kɔnvulshɔn.
- Kɔndishɔn wae kin kam wae yu bren swel (Encephalopathy): Dis kin mek yu fil chenj wantɛm wantɛm, chenj yu bihayvya, ɔr ivin fɔdɔm.
Impɔtant: If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Wetin na di poshubul kɔmplikeshɔn dɛm fɔ CNS Vasculitis?
If yu gɛt dis sik, yu blɔd vesel dɛn kin swel ɛn tik. Dis kin mek i nɔ izi fɔ mek blɔd pas dɛn. As tɛm de go, di inflamɛns we dis sik kin mek, we na CNS Vasculitis, kin pwɛl yu bren ɔ yu spɛnal kɔd ɛn mek yu gɛt
siriɔs prɔblɛm dɛn we kin mek yu layf de pan denja . Di men wan dɛn na:
Ɔl dɛn tin ya kin nid fɔ gɛt mɛrɛsin kwik kwik wan. If yu gɛt sayn fɔ strok ɔ yu tink se yu gɛt blɔd vesel na yu bren we dɔn bɔs, go na ɔspitul wantɛm wantɛm ɔ kɔl 911.
Wetin mek dis `(CNS Vasculitis)` kin apin? Wetin na di tin dɛn we kin mek i apin?
Dɛn kin tek CNS Vasculitis
as ɔtoimyun sik . Fɔ tɔk am simpul wan, ɔtoimyun sik na we di imyun sistɛm we dɛn se go protɛkt wi bɔdi, mistek bigin fɔ atak wi yon sɛl dɛn. I tan lɛk se wi yon ami de atak in yon pipul dɛn. Pipul dεm we gεt
praymar CNS Vasculitis de divεlכp am fכ no rizin we dεn no (idiopathic).
Sεkכnd CNS Vaskulεt kin apin wit כda kכndyushכn dεm we de mek inflameshn na di bכdi. Ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf ɛn sɔm infɛkshɔn kin mek i apin. Na sɔm ɛgzampul dɛn ya:
- Lupus we gɛt di sik
- Granulomatosis wit Polyangiitis
- Eosinofilik Granulomatosis wit Polyangiitis (EGPA) .
- Maykroskɔpik Polyangiitis
- Di sik we dɛn kɔl Behçet in Sindrom
- Di sik we dɛn kɔl Sjögren in Sindrom
- Vayral infεkshכn (e.g. Epstein-Barr Virus , Varicella-Zoster Virus - di vayrɔs we de mek pɔsin gɛt chukchuk ɛn hεpi) .
- Baktri infεkshכn dεm (e.g. Tubakulosis, Sifilis) .
Udat de pan ay risk fɔ gɛt CNS Vasculitis?
Dis kכndyushכn we dεn kכl `(CNS Vasculitis)` kin afekt εnibodi. Bɔt dɛn dɔn si se
man dɛn kin gɛt am mɔ. Dɔn bak, dis sik kin mɔs apin
arawnd di ej 50. Bɔt i impɔtant fɔ mɛmba se i kin apin pan ɛni ej.
Aw dɔktɔ dɛn kin no dis sik `(CNS Vasculitis)`?
Dɔktɔ go no se yu gɛt CNS Vasculitis bay we i go chɛk yu ɛn du sɔm tɛst dɛn. I go aks yu bɔt yu sik dɛn lɛk di fɔs tɛm we yu notis dɛn. Tɛl yu dɔktɔ if yu sik kin kam ɛn go, apin sɔm tɛm dɛn na di de, ɔr kin bɔku ɔr kin go dɔŋ wit sɔm tin dɛm wae yu kin du. fכ no di CNS Vasculitis kin bi sכmtεm
wan prכsεs fכ "difrεnt diagnosis." Dis min se yu dɔktɔ go pul ɔda, mɔ kɔmɔn tin dɛn we kin de mek yu gɛt di sik bifo yu sɔprayz se CNS Vasculitis. Yu kin nid fɔ du tɛst dɛn lɛk:
- MRI Skan we dɛn kin du
- CT Skan we dɛn kin du
- Angiogram (na spɛshal tɛst fɔ di blɔd vesel dɛn) .
- bayopsi (sכmtεm dεn kin tek sכm sכm tisu frכm di bren כ spεnal kכd fכ tεst) .
Yu kin nid bak fɔ go to
dɔktɔ we de mɛn yu bɔdi, we na dɔktɔ we spɛshal fɔ mɛn sik dɛn we gɛt fɔ du wit inflamɛns.
`(CNS Vasculitis)` Identifikeshɔn Mak dɛn
"Mak" na sayn dɛm fɔ wan sik we yu kin si na yu blɔd ɔ yu bɔdi tru lɛbɔraytri tɛst. Yu dɔktɔ kin du tɛst lɛk dis fɔ luk fɔ sayn dɛm fɔ CNS Vasculitis:
- Blɔd tɛst: Chɛk fɔ si if yu gɛt tin dɛn lɛk anemia.
- ESR test: Fכ luk fכ sayn dεm fכ inflameshn na di bכdi.
- C-reactive protein (CRP) test: Luk fכ mak dεm fכ inflameshn we di liva de rilis.
- Lumbar Puncture or Spinal Tap: I de tεst yu sεribra spεnal fכluid fכ si if yu gεt εlevεt wayt blכd sεl kכnt.
Wetin na di tritmɛnt dɛm fɔ `(CNS Vasculitis)`?
Yu dɔktɔ go tɛl yu bɔt tritmɛnt dɛn we go kɔntrol di inflamɛns.
Di tin we impɔtant pas ɔl fɔ trit CNS Vasculitis na fɔ stɔp di damej we di kɔndishɔn de du to yu bren ɔ spɛnal kɔd. Bɔrku pipul dɛn go nid fɔ tek wan kɔmbayn
kɔtikosterɔyd (strɔng mɛrɛsin dɛm wae de ridyus inflamɛns) ɛn
immunosuppressants. Fɔs, yu go nid fɔ tek di mɛrɛsin we pasmak. Leta (bɔku tɛm afta sɔm mɔnt), yu dɔktɔ kin ridyus di mɛrɛsin ɔ di injɛkshɔn ɔltɛm. Dɔktɔ dɛn go tray fɔ mek yu go na
wan rɛmishɔn stej usay yu simptom dɛn nɔ bɔku (ɔ nɔ gɛt ɛni simptom atɔl). If yu gɛt sɛkɔndari CNS Vasculitis, yu go nid bak fɔ tek difrɛn tritmɛnt fɔ kɔntrol di ɔndalayn kɔndishɔn. Yu dɔktɔ go ɛksplen dis to yu.
Ustɛm a fɔ go to mi dɔktɔ?
Pe atɛnshɔn gud wan to yu sayn dɛm ɛn notis ɛni chenj. If i tan lɛk se yu sik de wɔs ɔr de wɔs, tɛl yu dɔktɔ wantɛm wantɛm. If yu fil se yu tritmɛnt nɔ de ɛp yu lɛk aw yu go want, tɛl yu dɔktɔ bɔt dat bak. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ go to yu dɔktɔ ɛn if yu nid fɔ du blɔd tɛst ɔ ɔda tɛst.
If yu gɛt ɛni wan pan dɛn sik ya, go na imejensi rum wantɛm wantɛm, ɔ kɔl 911:- If yu tink se yu gɛt sayn dɛm fɔ strok ɔr yu bren aneurism rupture.
- If yu gɛt prɔblɛm fɔ blo.
- If yu vishɔn de wɔs wantɛm wantɛm, ɔ if yu nɔ de si fayn wantɛm wantɛm.
Wetin a fɔ ɛkspɛkt if a gɛt `(Sɛntral Nɛvɔs Sistɛm Vaskulaytis)`?
Naw, no mɛrɛsin nɔ de fɔ CNS Vasculitis. Bɔt bɔrku pipul kin go na
remission, ɔr wan tɛm fɔ remission , afta dɛn dɔn fɛn wan kɔmbayn mɛrɛsin wae de woke fɔ dɛm. Sɔm pipul kin go fɔ sɔm mɔnt ɔr ivin sɔm ia wae dɛn nɔr kin gɛt sɔm kayn sik, dɔn de sik kin kam bak. CNS Vasculitis kin mek yu
layf shɔt.I nɔ gɛt big impak. Bɔt i at fɔ tɔk fɔ tru. Bikɔs `(CNS Vasculitis)` kin mek siriɔs kɔmplikeshɔn lɛk strok ɛn aneurism. If dɛn kayn prɔblɛm ya kin apin, i kin izi fɔ mek i day kwik pas di avɛrej pɔsin. If yu de wɔri bɔt yu wɛl bɔdi ɔ aw `(CNS Vasculitis)` de afɛkt yu layf, tɔk to yu dɔktɔ bɔt am.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Na nɔmal tin fɔ fil frayd we yu yɛri bɔt ɛni kɔndishɔn we de afɛkt di sɛntrɔl nɛvɔ sistɛm (CNS). I kin mek yu fred mɔ we yu kam fɔ no se yu yon imyun sistɛm de atak yu bren ɛn yu spɛnal kɔd.
Bɔt di gud nyus na dat bɔku pipul dɛm wae gɛt CNS Vasculitis kin fɛn wan kɔmbayn mɛrɛsin wae kin ɛp fɔ kɔntrol di sik. Wae yu dɔn bigin tritmɛnt wae de woke fɔ yu, yu dɔktɔ kin ɛp yu fɔ ridyus di impak wae yu sik kin gɛt pan yu layf.
E nɔr kin ɛva bi bad tin fɔ aks kwɛstyɔn bɔt yu wɛl bɔdi. Tɔk to yu dɔktɔ bɔt ɛni dawt ɔ wɔri we yu gɛt. Dɛn go ansa ɔl yu kwɛstyɔn dɛn, ɛp yu fɔ fil se yu gɛt kɔnfidɛns bɔt wetin de apin insay yu bɔdi, ɛn ɛp yu fɔ fil fayn bɔt aw fɔ manej am.
Di tin we impɔtant pas ɔl na fɔ mek yu nɔ gɛt wanwɔd ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
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