Yu kin fil pen ɔ bɔn we yu nɔ go ebul fɔ bia we yu klos de rɔb, we briz de blo, ɔ we yu padi de pat yu na yu sholda saful wan? If yu fil bad bad pen ivin frɔm wae yu tɔch yu smɔl smɔl wae nɔr rili de mek yu fil pen, yu kin gɛt dis sik. Tide wi de tɔk bɔt dis strenj, bɔt rili kɔmɔn, penful kɔndishɔn wae kin afɛkt bɔrku pipul dɛm, allodynia.
Wetin rili na Allodynia?
Fɔ tɔk am simpul wan, allodynia na di filin fɔ pen frɔm sɔntin we nɔmal wan nɔ kin mek yu fil pen. Imajin se bɔd in fɛda de tɔch yu skin. Nɔmal wan wi kin fil wan rili saful, fayn sɛns , nɔto so? Bɔt fɔ pɔsin we gɛt allodynia, i kin fil lɛk se i de fil shap shap pen, lɛk we pɔsin de chuk am wit nɛf.
Dɛn kin kɔl dis nyuropatik pen . Dis min se i nɔto prɔblɛm wit yu skin, bɔt na prɔblɛm wit di nervɔs sistɛm we de kɛr di sɛns fɔ pen to di bren. Bɔrku tɛm, na sayn fɔ ɔda sik. Fɔ ɛgzampul, dɛn kin si am wit tin dɛn lɛk dayabitis, hεpi, fibromyalgia, ɛn maygren.
Bɔrku pipul dɛm wae gɛt allodynia kin se dɛn skin kin fil "rili sɛnsitiv, lɛk se dɛn dɔn bɔn dɛn na di san." Fɔ sɔm pipul dɛm, dis pen kin fil lɛk naif, nidul, ɔr bɔn, lɛk se dɛn skin de bɔn.
Wetin na di men kayn Allodynia?
Dis kכndyushכn kin sheb to tri men tכp dεm dipכnt pan aw i de apin. Mek wi ɔndastand dis wit wan tebul.
| Tayp fɔ di Allodynia | Fɔ tɔk am simpul wan, na dis kin apin (Wetin i min simpul wan) |
|---|---|
| Dynamik Alɔdinia we dɛn kɔl | Pen we sɔntin de muf na di say we di skin de. Fɔ ɛgzampul, klos we de rɔb pan di bɔdi, bedshit we de nak di bɔdi. |
| Taktil Alɔdinia | Pen we pɔsin kin gɛt we i tɔch ɔ prɛs am smɔl smɔl. Fɔ ɛgzampul, we yu shek pɔsin in an, we pɔsin tɔch yu ed. |
| Tɛmral Alɔdinia we dɛn kɔl | Pen we kin kam bikɔs di tɛmpracha kin chenj smɔl. Fɔ ɛgzampul, we yu kɔmɔt na AC rum, ɔ we wan drɔp kol wata tɔch yu skin. |
Wetin mek dis de apin to wi? Wetin na di rizin?
di men rizin fכ dis na difεkt na di pen prכsεs na wi nεv sεstem. Wi de kɔl dis `Sɛntral Sɛnsitayzeshɔn`.
Tink bɔt yu bɔdi as say we gɛt ay sikyɔriti, ɛn yu nervɔs sistɛm na in sikyɔriti sistɛm. we yu tɔch sɔntin we wam, di sɛns dɛm na yu nervɔs sistɛm kin sɛn signal to yu bren we se, "Dɛnja!" Da tɛm de, di sikyɔriti sistem go ɔf, yu fil pen, ɛn yu pul yu an go. Dis na di nɔmal tin we kin apin.
Bɔt wan sik we pɔsin kin gɛt, aksidɛnt, ɔ sɔm mɛrɛsin dɛn kin mek dis difɛns sistɛm nɔ wok fayn. Dɔn, di alam kin bigin fɔ blo ivin we no denja nɔ de. Jɔs lɛk aw sikyɔriti alam de blo we tifman nɔ de kam. wan pis klos we de rכb pan di bכdi nכto denja, bכt di nεv sεstem we de disturb de misinterpret am as "danger" εn de sεnd pen signal to di bren. Na dat kin apin we pɔsin gɛt allodynia.
Kɔndishɔn dɛm wae kin mek yu gɛt allodynia
- Nyuropathy we gɛt fɔ du wit dayabitis
- Fibromyalgia we pɔsin kin gɛt
- Maygren we kin kam
- Pɔst-hɛpɛtik nyuraljia (pen afta hεpi infεkshɔn) .
- Mɔltipɛl Sklɛrosis (MS) .
- Komplex rijinol pen sindrom (CRPS) .
- Trijeminal nyuraljia (TN) .
- Dizayd fɔ yuz rɔm
- Vitamin D ɔ vaytamɛn B we nɔ de
- Sɔm tritmɛnt dɛn fɔ kansa (Kɛmotɛrapi, Radieshɔn tɛrapi) .
- Nεv dεm dεm afta aksidεnt (e.g., dεn kכt dip) כ כpεrayshכn (e.g., dεn pul wan limb) .
Aw yu go fɛn dis, Dɔktɔ?
We yu ripɔt bɔt dɛn kayn sik ya, di fɔs tin we yu dɔktɔ go du na fɔ aks bɔt yu kɔmplit mɛdikal istri ɛn chɛk yu.
- Aw di pen kin fil? (Stinging? Na bɔn?)
- Ustɛm i go bɔku?
- Wetin yu kin du fɔ mek yu nɔ fil pen?
- Us ɔda mɛrɛsin dɛn yu kin tek?
Afta dɛn aks yu kwɛstyɔn dɛn lɛk dis, dɛn go aks yu fɔ rayt di kayn pen we yu de fil frɔm 0 to 10. Afta dat, dɛn kin du sɔm tɛst fɔ no ustɛm di pen de mek yu fil.
- Blɔd tɛst (e.g. Kɔmplit Blɔd Kɔnt) .
- Test fɔ yu urine
- MRI ɔ CT skan tɛst dɛn
- Tεst dεm we de mכsu di nεv fכnshכn - EMG (Electromyogram) εn NCS (Nεv Kכndukshכn Stɔdi) .
No tritmɛnt nɔ de fɔ dis pen?
Fɔ tru, i de. di ki fכ tritmεnt na fכ no εn trit di כndalayn kכndyushכn we de mek di allodynia. Fɔ ɛgzampul, if na dayabitis mek i kam, i impɔtant fɔ kɔntrol di dayabitis fayn fayn wan.
If dɛn nɔ ebul fɔ fɛn ɛni rizin ɔ if di pen stil de pan ɔl we dɛn de trit di pen we de ɔnda am, difrɛn we dɛn de fɔ kɔntrol di pen. Yu dɔktɔ go pik di tritmɛnt plan we go fayn fɔ yu.
| Di we aw dɛn de trit am | Lɛ wi lan bɔt dis. |
|---|---|
| Medikeshɔn dɛn we dɛn kin yuz fɔ it | Sɔm patikyula mɛrɛsin dɛn de fɔ mek pɔsin gɛt pen na di nerve. Dɛn kin yuse mɛrɛsin lɛk Pregabalin, Gabapentin, ɛn sɔm mɛrɛsin wae de mek pɔrsin fil bad fɔ dis. Dɛn kin gi mɛrɛsin lɛk Triptan fɔ allodynia we maygren kin kam wit. |
| Mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn | Krim, loshan, ɔ pat dɛn de we yu kin put pan di say we yu de fil pen. Sɔm ɛgzampul dɛn na ɔntmɛnt dɛn we gɛt lidokɛyn ɛn kapsaysin. Dɛn tin ya kin mek di skin nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm ɛn i kin mek di pen nɔ bɔku. |
| Fizik Tɛrapi (PT) . | dis na wan prכsεs we dεn kכl ‘dεsεnsitayzεshכn’. Di dɔktɔ go tɔch yu skin fɔs saful wan, ɛn smɔl smɔl i go mek di prɛshɔn go ɔp. As tɛm de go, yu nervɔs sistɛm go yus fɔ tɔch am, ɛn di pen go dɔn. |
| Kɔnsɛl & Tɛrapi | Fɔ liv wit pen ɔltɛm kin mek yu taya na yu maynd. Kɔnsul na impɔtant tin fɔ kɔntrol di strɛs ɛn wɔri we dis kin kam wit. Mεtכd dεm lεk Cognitive Behavioral Therapy (CBT) de tich yu aw fכ dil wit pen. |
| Injɛkshɔn dɛn we dɛn kin gi | Dɛn kin gi injɛkshɔn lɛk nerve block fɔ mek di nerve ɔ nerve fiber we de mek di pen nɔ wok fɔ sɔm tɛm. |
| Ɔpreshɔn | If no ɔda tritmɛnt nɔ wok fayn, dɛn kin tink bɔt ɔpreshɔn lɛk Spinal Kɔd Stimulashɔn. dis involv fכ put sכmכl tin insay di spεnal kכd fכ blok di pen signal dεm fכ fכ rich di bren. |
Yu nɔ tink se dɛn go ebul fɔ stɔp dis tin?
I nɔ go pɔsibul fɔ mek dɛn nɔ gɛt allodynia ɔltogɛda, bikɔs na sayn fɔ ɔda sik. כltu, wi kin ridyus di risk fכ divεlכp di men kכndyushכn dεm we de mek allodynia.
- Stay active: We yu de du ɛksɛsayz ɔltɛm, dat de mek yu nɔ strɛs, yu nɔ gɛt maygren, ɛn i de ɛp fɔ kɔntrol dayabitis.
- Mek yu gɛt wɛl bɔdi wet: Fɔ fat na big tin we kin mek yu gɛt dayabitis.
- Yu fɔ no bɔt yu famili istri: If ɛnibɔdi na yu famili gɛt sik dɛn lɛk dayabitis, MS, ɔ fibromyalgia, tɔk to yu dɔktɔ bɔt am.
- Gɛt di vaysin: Tek dɔktɔ advays bɔt aw fɔ gɛt di vaysin dɛn we yu nid fɔ protɛkt yu frɔm di hεpi vayrɔs.
- It fayn it: It it we gɛt bɔku frut ɛn vɛjitebul fɔ mek yu nɔ gɛt bɛtɛ vaytamɛn.
De tin wae impɔtant pas ɔl na, if yu gɛt dis kayn pen, nɔr ignore am. Nɔ tink se, "Dis na jɔs mental prɔblɛm." Dis na rial mεdikal kכndyushכn wae nid fכ trit.
Aw i nɔ kin izi fɔ lɛ yu fil pen, yu nɔ ebul fɔ ol yu pikin ɔ pɔsin we yu lɛk, yu nɔ ebul fɔ ivin wɛr klos? So if yu gɛt dɛn sik ya, mɔ if dɛn de ambɔg yu ɛvride, mek shɔ se yu go to dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- Allodynia na di sens we yu de fil bad bad wan we yu tɔch yu we nɔmal wan nɔ de mek yu fil pen.
- Dis nɔto saykilɔjik prɔblɛm, bɔt na rial pen we pɔsin kin gɛt we i nɔ fayn na di nervɔs sistɛm (Neuropathic Pain).
- Bɔku tɛm, dis kin apin as sayn fɔ ɔda mɛrɛsin, lɛk dayabitis, fibromyalgia, ɔ maygren.
- If yu gɛt dɛn kayn sik ya, nɔr ignore dɛm ɛn definitely go to yu dɔktɔ fɔ fɛn di kɔz ɛn gɛt tritmɛnt.
- Dis kכndyushכn kin kכntrol fayn fayn wan bay we dεn trit di כndalayn sik we de mek di pen εn yuz di tεknik dεm fכ mεnεj di pen.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin yuz Cholestyramine Resin / Questran pauda fɔ?
Dis nɔto rɛgyula kɔlɔstrel pil (Statin)! Dis na spɛshal kayn drɔg (Bile Acid Sequestrant) we dɛn kin gi fɔ ridyus ‘bad kɔlɔstrel (High LDL)’. Dɔktɔ dɛn kin yuz am bak fɔ stɔp ‘inbearable itching (Pruritus) of the body/skin’ wantɛm wantɛm bikɔs ɔf di liva sik/biliary obstruction ɛn fɔ kɔntrol sɔm bad bad dayarɛa kɔndishɔn dɛn.
💬 Aw dis pauda (Cholestyramine) de sɔlv bad kɔlɔstrel/stɔp am fɔ bil we yu drink am wit wata?
wi liva de mek nyu kכlestכl evride εn i de mek ‘bayl asid’, we de go na di intestinal dεm εn dεn de risaykul bak to di liva. we yu drink dis mεdisin, i de go na di intestinal dεm εn abzכp da ‘bile’ de lεk spכnj, kכlok am εn pas am aut wit yu stכl. We di bayl dɔn, di liva nɔ gɛt ɔda tin fɔ du pas fɔ tek di kɔlɔstrel/LDL we de na yu blɔd ɛn mek nyu bayl. Dat bayl go stɔp yu fɔ skrach yu bɔdi.
💬 Wetin na di denja dɛm we de anɔynt ɛn denja fɔ no bɔt we yu de tek dis mɛrɛsin (Questran)?
Di big prɔblɛm na dat dis kin mek yu gɛt siriɔs ‘Kɔnstipashɔn’! Sɔm pipul kin ivin gɛt fecal impaction. Di ɔda denja we denja pas ɔl na dat, pan ɔl we dis de na di insay, ‘ɛni ɔda pils (Painkillers, Thyroid, Vitamins)’ we yu tek nɔ go absɔb insay di blɔd! So, yu fɔ tek ɔda mɛrɛsin dɛn wan awa bifo ɔ 4 awa afta yu tek dis.
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