Yu ɔ ɛnibɔdi na yu famili gɛt sik we dɛn kɔl seizure disorder? If na so i bi, yu dɔktɔ go dɔn tɛl yu mɛrɛsin fɔ am. Tide wi go tɔk bɔt di mɛrɛsin dɛm wae dɛn kin gi fɔ kɔntrol dɛn sik ya. Wi kin kɔl dɛn tin ya ‘Antiseizure mɛrɛsin’. Yu kin dɔn yɛri bak bɔt dɛn tin ya as ‘Anticonvulsants’. So lɛ wi si wetin na dɛn mɛrɛsin ya, aw dɛn de wok, ɛn wetin wi nid fɔ tek tɛm wit we wi de yuz dɛn.
Fɔ tɔk am simpul wan, wetin na di mɛrɛsin dɛn we dɛn kin gi fɔ dis fit? (Wetin na Antiseizure Medications?)
Dis na spɛshal mɛrɛsin dɛn we pɔsin kin tek nɔmɔ we dɔktɔ tɛl am. Dɛn men wok na fɔ stɔp ɛn kɔntrol aw di sik kin bigin.
Tink bɔt wi bren lɛk ilɛktrik sistɛm. di nεv sεl dεm (nyurכn dεm) we de insay de sεnd infכmeshכn to dεn wan dεm bay we dεn de yuz sכm sכm sכm ilektrikal signal dεm. Seizure kin apin we di ilɛktrik aktiviti na di bren kin chaotic wantɛm wantɛm, we kin mek ilɛktrik storm we nɔ kin kɔntrol. Dis na wae mek pɔrsin wae gɛt dis sik nɔr kin no natin, kin bigin fɔ twitch, ɛn bigin fɔ si ɔr fil strenj tin dɛm.
Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik kin wok bay we dɛn de kɔntrol dis abnɔmal ilɛktrik aktiviti na di bren. Dat min se dɛn kin mek di ilɛktrik storm kol ɛn mek di bren wok bak lɛk aw i bin de wok.
Wetin mek dɛn nɔ de kɔl dɛn tin ya ‘Anticonvulsants’ naw?
Trade, dɛn bin de kɔl dɛn mɛrɛsin ya ‘Anticonvulsants’. ‘Kɔnvulshɔn’ de tɔk bɔt di jɔk we di an ɛn fut dɛn de jɔk we pɔsin fit, ɔ we i tan lɛk se i de sik. Bɔt di impɔtant tin we wi nid fɔ no na dat nɔto ɔl fit de mek pɔsin jɔk.
Sɔm kayn fit de wae yu kin lɔs yu kɔnsɛntreshɔn fɔ sɔm tɛm, de luk wan ples, ɔr kin du tin smɔl strenj. Insay dɛn kayn tin ya, di limb dɛn nɔ de jɔk.
So, bikɔs di wɔd ‘anticonvulsant’ nɔ de kɔba ɔl kayn fit, dɔktɔ dɛn naw de yuz wan nem we kɔrɛkt fɔ dɛn mɛrɛsin ya: ‘antiseizure medication’.
Wetin dɛn kin yuz dɛn mɛrɛsin ya fɔ?
Dɛn kin gi dɛn mɛrɛsin ya mɔ fɔ kɔntrol fit we pɔsin kin gɛt we i gɛt ɛpilepshi ɛn ɔda tin dɛn we kin mek i gɛt sik. Dɛn kin gi dɛn bak fɔ mek i nɔ fit afta dɛn dɔn ɔpreshɔn di bren.
Bɔt wetin kin sɔprayz na dat, dɛn nɔ kin jɔs yuz dɛn drɔgs ya fɔ fit. Dɔktɔ dɛn kin gi dɛn bak fɔ bɔku ɔda sik dɛn. Wi kin kɔl dɛn ‘ɔf-lɛbul’ yus ya. Dat min se, pan ɔl we dɛn bin dɔn gri fɔ di mɛrɛsin fɔs fɔ fit, ɛkspiriɛns dɔn sho se i fayn bak fɔ ɔda kɔndishɔn dɛn, so dɛn kin gi dɛn fɔ dɛn wan dɛn de bak.
| Apat frɔm fit, ɔda mɛrɛsin dɛn we dɛn kin gi dis mɛrɛsin fɔ |
|---|
| - Wɔri |
| - Fɔ mek yu nɔ gɛt maygren |
| - Bipolar disɔda |
| - Nyuropatik pen - (e.g., inflameshn εn numbness na di leg dεm bikoz fכ dayabitis) |
| - Fibromyalgia - (pen we de apin ɔlsay na di bɔdi) . |
| - Na sik we dɛn kɔl Parkinson |
So nɔr sɔprayz if yu dɔktɔ gi yu dis mɛrɛsin fɔ ɔda sik lɛk dis.
Aw dis mɛrɛsin de wok insay di bɔdi?
Dis na tin we kɔmplikt smɔl, bɔt lɛ wi kip am simpul. As a bin dɔn tɔk bifo tɛm, fit na we i nɔ de kɔntrol di ilɛktrik signal dɛn we de kɔmɔt na di nyuron dɛn na di bren. I tan lɛk se ɔlman we de na trafik de blo dɛn ɔn wan tɛm.
Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik kin kɔntrol dis sik insay tu men we dɛn:
1. Fɔ kɔntrol ilɛktrik get dɛn: Nɛv sɛl dɛn gɛt smɔl smɔl get dɛn we de ɛp dɛn fɔ mek ilɛktrik signal. Dɛn kɔl dɛn tin ya ayɔn chanɛl. Sɔm mɛrɛsin dɛn kin wok bay we dɛn kin lɔk dɛn get dɛn ya fɔ sɔm tɛm, ɛn dis kin mek dɛn nɔ mek di ilɛktrik signal dɛn we pasmak.
2. fכ kכntro di kεmikכl mεsej dεm: di nεv sεl dεm de kכmכnik wit dεn wan dεm tru kεmikכl mεsej dεm we dεn kכl ``nyurotransmitta dεm.'' sכm mεsej dεm de mek di nεv sεl dεm (tεl dεm fכ wok tranga wan), we כda wan dεm de inhεbit di nεv sεl dεm (tεl dεm fכ kכl dכn). dis mεdikeshכn dεm de wok bay we dεn de inkrεs di mεsej dεm we de mek dεn kכl (e.g. ``GABA'') εn dεn de ridyus di כva aktiviti na di bren.
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya kin mek di bren nɔ de wok pasmak ɛn i kin mek i gɛt kol at.
Aw lɔng a nid fɔ tek di mɛrɛsin?
Dis na sɔntin we kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Na yu dɔktɔ disayd am. Bɔku tin dɛn kin afɛkt am.
- Di kayn fit we yu gɛt.
- Aw bɔku mɛrɛsin yu de yuz?
- Aw lɔng i dɔn pas we yu bigin fɔ tek di mɛrɛsin we yu nɔ gɛt fit?
- Yu gɛt ɛni ɔda nyurolɔjik sik?
- Di stetɔs fɔ yu EEG tɛst ripɔt dɛn.
Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ yu mɛrɛsin fɔ yusɛf. If yu stɔp fɔ tek di mɛrɛsin wantɛm wantɛm, yu sik kin rili bad pas aw yu bin de fil bifo. I kin mek pɔsin in layf de pan denja. So, go to yu dɔktɔ bifo yu du ɛnitin.
Wetin na di bad tin dɛn we di mɛrɛsin kin du?
Lɛk ɛni mɛrɛsin, dɛn mɛrɛsin ya kin gɛt sayd ɛfɛkt. Bɔt, dɛn nɔ kin afɛkt ɔlman. Sɔm pipul dɛn kin wɛl fayn fayn wan ɛn nɔr kin gɛt ɛni sayd ɛfɛkt. Dis na sɔm pan di sayd ɛfɛkt dɛm we kin apin.
- Ed de at
- Taya, we pɔsin kin slip
- Diziz we pɔsin kin gɛt
- Di vishɔn we nɔ klia
- Vɔmit
- We yu de gɛt mɔ wet ɔ yu de lɔs
- Di we aw pɔsin de fil kin chenj
If yu gɛt dis, nɔr frayd fɔ tɔk to yu dɔktɔ. Yu kin ebul fɔ kɔntrol di sik bay we yu chenj di doz fɔ yu mɛrɛsin ɔr chenj to ɔda mɛrɛsin.
Wan ɔda tin: Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik kin mek pɔsin gɛt ɔstioporosis we dɛn yuz am fɔ lɔng tɛm. So yu dɔktɔ go tɛl yu fɔ tek kalsiɔm ɛn vaytamɛn D sɔpɔtmɛnt.
Risk ɛn tin dɛn we yu fɔ no bɔt
Pan ɔl we bɔku pan dɛn mɛrɛsin ya nɔ bad, sɔm siriɔs prɔblɛm dɛn de we wi fɔ no bɔt, bɔt we nɔ kin apin so ɔltɛm.
Siriɔs bɔt rili rare kɔmplikeshɔn dɛn
Dɛn tin ya rili nɔ bɔku, bɔt i fayn fɔ no.
- Stevens-Johnson syndrome: wan bad bad alɛji na di skin.
- Liva damej (Liva nɔ wok):
- di ifekt dεm pan di bכdi sεl dεm (Aplastic anemia, Agranulocytosis):
Insay dis kayn tin, if yu gɛt sɔm sayn dɛn lɛk we yu gɛt rɔsh na yu skin, fiva, ɔ yu trot we de at, go to dɔktɔ wantɛm wantɛm.
Prɔblɛm wit ɔda mɛrɛsin dɛn (Drug Interactions) .
Dis rili impɔtant. Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik, mɔ di wan dɛn we dɔn ol, kin miks wit ɔda mɛrɛsin dɛn we wi kin tek. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud di mɛrɛsin dɛn fɔ ɔda sik dɛn, mɛrɛsin dɛn we de mek yu fil pen, vaytamɛn dɛn, Sinhala mɛrɛsin dɛn, ɛn Ayurveda mɛrɛsin dɛn).
Drug toxiciti we de mek pɔsin gɛt pɔyzin
If yu tek mɔ mɛrɛsin pas aw dɛn tɛl yu fɔ tek am, ilɛksɛf na mistek ɔ bay wilful, i kin gɛt pɔyzin. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
Di sayn dɛn we de sho se pɔsin gɛt pɔyzin:
- Big big kɔnfyushɔn
- Nystagmus (we nɔ kin ebul fɔ kip di yay na wan ples) .
- I nɔ izi fɔ waka, i nɔ izi fɔ waka (Ataxia) .
- Di briz kin slo ɛn shalo.
If yu gɛt dɛn sik ya, yu fɔ go wantɛm wantɛm na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu. Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ no mɔ bɔt dɛn kayn tɛm dɛn de.
Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf
Stɔdi dɔn sho se sɔm pipul dɛn (we na rili smɔl nɔmba) we de tek dis mɛrɛsin kin gɛt smɔl risk fɔ tink bɔt fɔ kil dɛnsɛf. If yu ɔ yu pikin de tink bɔt dɛn tin ya, nɔ ignore dɛn ɛn tɔk to yu dɔktɔ wantɛm wantɛm.
Dis mɛrɛsin sef we uman gɛt bɛlɛ?
Dis na kwɛstyɔn we bɔku mama dɛn gɛt. Di disayd fɔ tek mɛrɛsin fɔ fit we uman gɛt bɛlɛ fɔ tek tɛm rili. Di advays we di dɔktɔ gi naw na dat di prɔblɛm dɛn we kin apin we pɔsin stɔp di mɛrɛsin we i gɛt bɛlɛ pas di prɔblɛm dɛn we kin apin to di pikin we i tek di mɛrɛsin .
Bikɔs, if fit apin we uman gɛt bɛlɛ, i kin ambɔg di mama ɛn di pikin we nɔ bɔn yet. So if yu de op fɔ bɔn pikin, tɔk to yu dɔktɔ bifo yu gɛt bɛlɛ . Dɔn yu dɔktɔ kin pik di mɛrɛsin ɔ di doz we nɔ bad fɔ yu ɛn di pikin. sכm mεdisin dεm (e.g. `Valproic acid`) kin mek di pikin bכku bכku risk we i bεlε. So, i go fayn fɔ mek yu plan bifo tɛm.
Mɛsej we dɛn kin kɛr go na os
- Antiseizure mεdikeshכn dεm de wok bay we dεn de kכntrכl abnכmal ilektrikal aktiviti na di bren.
- Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ dis mɛrɛsin if yu dɔktɔ nɔ advays yu. I kin rili denja.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
- If sayd ɛfɛkt apin, nɔ fred fɔ tɔk to yu dɔktɔ.
- Ovados (Toxicity) na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu de plan fɔ gɛt bɛlɛ, i rili impɔtant fɔ tɔk bɔt am wit yu dɔktɔ bifo tɛm.
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