Yu dɔn ɛva si pɔsin stret in an dɛn bifo dɛn, ɛn wantɛm wantɛm in an dɛn drɔp dɔŋ ɛn kam bak ɔp bak we i nɔ gɛt ɛni kɔntrol? I tan lɛk bɔtaflay we de flap in wing. I go mɔs bi se yusɛf dɔn ɛkspiriɛns dis. Dis nɔto nɔmal tin we pɔsin kin shek. Insay mɛrɛsin, wi kin kɔl am Asterixis. I nɔr rili bi sik, bɔt na sayn fɔ wan mɛdikal kɔndishɔn. So wetin mek dis kin apin? Dis na sɔntin we wi fɔ fred? Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin rili na Asterixis?
Fɔ tɔk am simpul wan, asteriksi na we yu de yuz mɔsul (fɔ ɛgzampul, we yu de ɛkstɛnd yu an fɔ go bifo), da mɔsul de rilaks fɔ smɔl tɛm. dis na biכs fכ wan rili sכm tεm we di signal dεm we de kכmכt frכm di bren.
Imajin se yu de push pan wan wɔl. Wetin go apin if di mɔsul dɛn na yu an rilaks wantɛm wantɛm fɔ lɛs wan sɛkɔn? Yu an de go bifo ɛn afta dat i de go bak usay i bin de? Asterixis na sɔntin lɛk dat. כda nem we wi kin gi dis na mεdisin na `(Negative myoclonus)`. Na ya, dɛn nɔ de yuz ``Negative'' insay di sɛns fɔ ``bad''. nכmal wan, we wan mכsul de twit, wi kin se ``(Positive myoclonus)``, we min ``increased activity.'' Wetin kin apin ya na dat wan mכsul we dכn כlrεdi aktif de stכp fכ sכm tεm, so dεn kכl am ``(Negative myoclonus)``, we min ``dikrεs aktiviti.''
dis kכndyushכn kin kכz fכ wan prכblεm we de afekt di bren dayrekt, כ i kin apin as sεkכnd kכndyushכn we de afekt di bren bikoz fכ prכblεm כdasay na di bכdi (e.g., liva, kidni).
Aw yu kin no pɔsin we gɛt asterix?
Bɔku tɛm, asterixis kin afɛkt ɔl tu di say dɛn na di bɔdi. Bɔt sɔntɛnde, i kin afɛkt wan say nɔmɔ ɔ pas wan say. Apat frɔm dis sayn, dɛn kin si bak sɔm sayn dɛm lɛk fɔ slip, kɔnfyushɔn, ɛn nɔr kin no bɔt ples ɛn tɛm .
Tu men we dɛn de we dɔktɔ go chɛk dis:
1. Palms-out method: Yu dɔktɔ go tɛl yu fɔ ol yu an dɛn stret bifo yu, palm dɛn de fes fa frɔm yu, lɛk se yu de blok wan wɔl we yu nɔ de si. Yu finga dɛn fɔ de ɔlsay. if yu ol dis posishכn fכ lεk 30 sekכnd εn yu an dεm wan wan ‘flap’ dכn εn afta dat yu kam bak כp we yu nכ kכntrol, i kin bi asteriksi.
2. Grip we: Insay dis we, dɛn kin aks yu fɔ ol di dɔktɔ in an tayt wit yu yon. We yu de du dat, di dɔktɔ go fil if yu grip de wik ɛn wik smɔl smɔl.
Di impɔtant tin na dat di sayn dɛm fɔ Asterixis nɔ kin si wantɛm wantɛm we dɛn de du dɛn tɛst ya. So, di dɔktɔ kin tɛl yu fɔ de na da pozishɔn de fɔ at le wan minit.
Wetin mek dis Asterixis kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Bɔku rizin dɛn de we mek asterixsis kin apin. Di men rizin na bikɔs di impɔtant pat dɛn na wi bɔdi nɔ de wok fayn. Lɛ wi si wetin na dɛn rizin ya.
| Rizin kategori | Simpul ɛksplen |
|---|---|
| Liva ɛn kidni prɔblɛm | Di liva ɛn di kidni dɛn kin filta di pɔyzin dɛn we de kɔmɔt na wi blɔd. We dɛn ɔgan dɛn ya nɔ de wok fayn, dɛn pɔyzin dɛn de kin gɛda na di blɔd. Bikɔs dɛn pɔyzin ya kin rili fil bad to di bren, dɛn kin pwɛl di bren sɛl dɛn ɛn mek di bren nɔ wok fayn. Kɔndishɔn lɛk wae yu liva nɔr de woke fayn, yu kidni nɔr de woke fayn, ɛn yu gɛt sirosis kin mek dis . |
| Bren we dɔn pwɛl | Injury ɔ sik na di bren kin mek sɔm pat dɛn na di bren pwɛl (lɛsin). if dεn lεsin dεm ya afekt di pat dεm we de kכntro di mכsul dεm, asterixis kin apin. Insay dɛn kayn tin ya, dɛn kin jɔs si di sayn na wan say na di bɔdi. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Dis kכndyushכn kin kכz bak bay di chenj dεm we di kεmikכl kכmכshכn na di bכdi de chenj. Ɛgzampul dɛn: di blɔd shuga we nɔ de bɔku (haypoglycemia), di potassium we nɔ de (hypokalemia), di magnɛsium we nɔ de (hypomagnesemia), di at nɔ de wok fayn, ɛn di we aw i de blo fayn. Dɔn bak, wan sik we dɛn kin gɛt we dɛn kɔl Wilson sik, we kin mek kɔpa gɛda na di bɔdi, na in kin mek i sik. |
Asterixis we dɛn kin gɛt bikɔs ɔf drɔgs
Sɔntɛnde, asterixis kin apin bak fɔ sɔm tɛm as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn we wi kin tek. Dis risk kin pasmak pan pipul dɛm wae gɛt liva ɔr kidni prɔblɛm.
Na sɔm ɛgzampul dɛn ya:
- Antiepileptic drɔgs: mɔ di fenitoin. di asterixis we dis kin mek dεn kכl am bak "phenytoin flap". I kin kam bak wit drɔgs lɛk gabapentin, valproate, ɛn carbamazepine.
- Barbiturates we dɛn kin yuz
- Benzodiazepin dɛn we dɛn kin yuz
- Sɔm antibayɔtik dɛn
- Lithium (na drɔg we dɛn kin yuz fɔ mek pɔsin in maynd balans) .
- Metoclopramide (wan mɛrɛsin we de mek pɔsin nɔ vɔmit) .
Aw dɛn kin trit dis?
Nɔr dairekt mɛrɛsin nɔr de fɔ di sayn fɔ asterixis. Dɔktɔ dɛn kin tray fɔ fɛn di tin we mek i sik ɛn trit am di rayt we.
Fɔ ɛgzampul:
- If di kɔz na liva prɔblɛm, dɛn go trit am.
- If di kɔz na kidni prɔblɛm, dɛn go trit am.
- If di tin we mek di mɛrɛsin na di sayd ɛfɛkt we wan mɛrɛsin we dɛn de yuz gɛt, di dɔktɔ go disayd if fɔ chenj di mɛrɛsin ɔ fɔ ridyus di doz.
So, if yu gɛt asterix, di tin we impɔtant pas ɔl na fɔ fɛn di rayt tin we mek yu gɛt am ɛn bigin fɔ trit am. Dis nɔr kin ɛva bi tin wae yu kin trit na os fɔ yusɛf.
Wetin na di prɔblɛm dɛn we kin apin if dɛn nɔ trit dɛn?
Di big risk fɔ ignore asterixis na dat i kin mek yu gɛt siriɔs mɛrɛsin we kin mek yu layf de pan denja. If dɛn nɔ trit am, i kin mek in bren pwɛl sote go, lɛk fɔ lɛ i nɔ de tink, fɔ waka, ɛn fɔ yuz in an ɛn fut dɛn.
If asterixis afɛkt di leg ɔ di trɔnk, i kin mek pɔsin fɔdɔm wantɛm wantɛm, we kin mek i wund bad bad wan.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ivin smɔl saspek se yu gɛt di sayn dɛm fɔ Asterix, yu fɔ rili go to dɔktɔ.
Bɔt if yu gɛt dɛn sik ya, tek am se na mɛdikal imejensi :
- If kɔnfyushɔn de na di maynd wit di sayn dɛm fɔ asterixis.
- If yu gɛt disorientation (we yu lɔs yu ples, yu tɛm, ɔ yu aydentiti ).
- If dɛn sho ɔda chenj dɛn na di maynd .
Dɛn sayn ya de sho se di bren dɔn rili afɛkt di we aw di bren de wok. So, if dɛn kayn tin ya apin , i rili impɔtant fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Asterixis nɔto sik. Na sayn wae de wɔn pɔrsin fɔ gɛt siriɔs sik wae kin afɛkt di liva, kidni, at, ɔr bren.
- If yu ɔ pɔsin we yu sabi de gɛt dis sayn we de mek yu an dɛn de flɔt, nɔ ɛva ignore am. Si dɔktɔ kwik kwik wan.
- If dis sayn de kam wit kɔnfyushɔn, slip, ɔr nɔr de mɛmba fayn, na imejensi. Go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Na dɔktɔ nɔmɔ fɔ no bɔt dis sik ɛn trit am. Nɔ tray fɔ trit ɔ no if yu gɛt di sik.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Macitentan / Opsumit tablɛt na wan mɛrɛsin we dɛn kin gi fɔ us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na wan mɛrɛsin we de wok fayn fayn wan (Endothelin Receptor Antagonist) we de trit ‘Pulmonary Arterial Hypertension (PAH),’ wan sik we kin kil pɔsin we di blɔd vesel dɛn we de kɔmɔt na di at to di lɔng dɛn kin smɔl/stif, ɛn di blɔd prɛshɔn we de insay dɛn vein dɛn de kin so ay dat i kin bɔs ɛn di pɔsin day. I de ‘Delay di sik fɔ go bifo’ ɛn de mek yu liv lɔng, pas fɔ jɔs de sho di sik!
💬 We yu de day bikɔs blɔd klɔt na yu lɔng, aw yu kin dilayt yu veins/kɔntrol di sik bay we yu tek dɛn pils ya (Macitentan)?
di bכdi vεsεl dεm na di lכng dεm dεn כda dεm fכ kכntrakt εn at (Fibrosis) bay wan denja kεmikכl na wi כwn bכdi we dεn kכl ‘Endothelin-1’! as dis pil go insay di bכdi, i de blכk 100% pan di chans fכ dat kεmikכl fכ tay di rεsεpכta dεm na di bכdi vεsul dεm (dεn tu ETA εn ETB rεsεpכta dεm - Dual blכk). nכto dat nכmכ, dis mεdisin de stכp di bכdi vεsul dεm fכ tik bay we i de go insay di sεl dεm na di lכng dεm (Tissue penetration).
💬 Wetin na di ‘Blak Bɔks Wɔnin’ we uman/man we de tek dis mɛrɛsin (Opsumit) fɔ no bɔt?
Di big denja na dat dis na tin we dɛn nɔ fɔ du fɔ ‘Mama dɛn we gɛt bɛlɛ’! If yu gɛt bɛlɛ we yu de drink dis, di pikin go mɔs gɛt difɔm (Major Birth Defects) ɛn day insay (mama dɛn fɔ de ɔnda REMS program). apat frכm dat, dis go fכ tru fכ mek ‘Dεkrεs sperm count / Infertility’ insay man dεm! Dɔn bak, sɔm pipul dɛn in ɛmoglobin (Anemia) kin drɔp bɔku ɛn mek dɛn gɛt anemia.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt