Yu dɔn ɛva yɛri se pɔsin we gɛt injury na in spɛnal kɔd kin gɛt ay
blɔd prɛshɔn wantɛm wantɛm , in ed kin at bad bad wan, ɛn ɔda tin dɛn we kin apin to am? Dis na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl Autonomic Dysreflexia, ɔ AD fɔ shɔt. Nɔ wɔri, if yu no bɔt dis, yu kin kɔntrol am.
Wetin na AD?
Fɔ tɔk am simpul wan, Autonomic Dysreflexia (AD) na abnɔmal, siriɔs riakshɔn na di nervɔs sistɛm we de kɔntrol sɔm pan di ɔtomatik wok dɛm na yu bɔdi (wi kɔl dis di Autonomic
Nervous System ). I tan lɛk big shɔk to sɔntin we smɔl. Dis
kin bi mɔ pan pipul dɛm wae dɔn gɛt damej pan di spaynal kɔd, di nerve kɔd insay di spayna . dis risk de hכy if damej de na di כp chεst, wi se T6 lεvεl (Sixth Thoracic Vertebrae) כ pas dat. Naw yu kin de wɔnda wetin na dis tɔraks spayna. Dat min se, di midul pat na wi spayna. Dis na di pat we lɔng pas ɔl frɔm di nɛk te to di ɛnd pan di rib dɛn. i gεt 12 vεrbra dεm, T1 to T12. Di men sayn fɔ AD na we
di blɔd prɛshɔn go ɔp wantɛm wantɛm ( haypatɛyshɔn ) . Apat frɔm dis, ed we de at bad bad wan na big sayn bak. Bɔku tɛm, AD kin fɔs apia tu to tri mɔnt afta di spɛnal injuri ɛn di shɔk we kin kɔmɔt frɔm am (Spinal Shock, Neurogenic Shock) dɔn stɔp. Bɔrku pipul kin gɛt dis sik bɔrku tɛm na dɛn layf. Dɛn se sɔm pipul dɛn, mɔ di wan dɛn we gɛt damej pas di T6 lɛvɛl, kin gɛt am te to 40 tɛm insay di de. Dɛn kin kɔl dis AD bak sɔm ɔda nem dɛm, ɛn yu dɔktɔ kin kɔl am bak wan pan dɛn nem ya: Ɔtonomik Hyperreflexia, Hypertensive
Autonomic Crisis, Sympathetic Hyperreflexia.
Lɛ wi lan smɔl bɔt wi Autonomic Nervous System.
Okay, naw mek wi luk wetin na dis Autonomic Nervous System. Dis na di pat na wi bɔdi we de kɔntrol bɔku tin dɛn we wi nɔ de tink bɔt dɛn. Tin dɛn lɛk aw yu de blo,
aw yu at de bit ,
yu blɔd prɛshɔn , ɛn aw yu de digest. Dis tan lɛk di ɔtomɛtik sistɛm na wi bɔdi. tri men pat dεm de fכ dis כtonom nεv sεstem:
- Sympathetic Nervous System (SNS): Na dis kin mek wi rɛdi fɔ ɛnitin we kin apin to wi we gɛt prɔblɛm ɛn we kin mek wi gɛt prɔblɛm. na di sistεm we de trigεr di ‘fεt-כ-flay’ rεspכns.
- Parasympathetic Nervous System (PNS): Dis de du di opozit to wetin di sympathetic de du. dat min se i de mek di bכdi kol εn i de εp wit di prכsεs fכ ‘rεst εn daygεst’.
- Enteric Nervous System (ENS): Dis na di tin we de mεnεj wi dijestiv prכsεs fכs.
Aw AD kin kam?
Naw lɛ wi luk wetin kin apin we yu gɛt AD. We yu spayna dɔn pwɛl, dɔŋ di say we yu wund, yu simpatik nɛvɔ sistɛm (SNS) de wok. As if di SNS de ansa se yu de pan denja. dis kin mek di bכdi we de na yu lכw bכdi (lεk yu lεg, bεlε) kin kכnstrikt (dεn kכl dis vasokonstrikshכn). Dis kin mek yu blɔd prɛshɔn go ɔp wantɛm wantɛm. Nɔmal wan, we yu blɔd prɛshɔn go ɔp lɛk dis, yu parasympathetic nervous system (PNS) de wok, we de mek di blɔd vesel dɛn big (dɛn kɔl dis vasodilation), we de mek yu blɔd prɛshɔn kam bak to nɔmal. Wi kin kɔl dis prɔses di baroreflex. כltu, fכ pכsin we gεt spεnal injuri, dis parasympathetic mεsej nכ kin travul dכn frכm di pכynt we i injuri. So, wetin kin apin na dat di bכdi vεsul dεm de כnli dilayt na di כp pat na di bכdi (abov di injuri). dis na di rizin, biכs di bכdi vεsul dεm na di lכw pat na di bכdi de kכntinyu fכ kכnstrikt (bikoz fכ di akshכn we di SNS de du), di bכdi prεshכn de stil hכy we denja.
I impɔtant fɔ ɔndastand dis: Dis na wae mek pɔrsin wae gɛt AD kin gɛt difrɛn sayn dɛm na difrɛn pat dɛm na in bɔdi di sem tɛm. fכ egzampl, di skin we de oba di lεvεl fכ di lεshכn (lεk di fes, nεk, εn an) kin rεd εn swet. Bɔt di skin we de dɔŋ di lɛsin (lɛk di bɛlɛ we de dɔŋ ɛn di leg) kin blɛs, kol, ɛn dray.
Udat dɛn kin gɛt AD?
if yu luk udat gεt AD mכst, na dεn wan dεm we gεt spεnal kכd damej
na כ oba di T6 lεvεl (di siks tכraks vεrbra) . Bɔt nɔto ɔlman kin gɛt am. Yu no se wi spɛshal kɔd tan lɛk wan rod we de kɛr mɛsej dɛn frɔm di bren ɔlsay na di bɔdi. di vεrbra dεm (bak bon dεm) de protεkt am. Bɔrku tɛm, spɛshal injury kin apin pan aksidɛnt, we dis spayna brok bay wan strɔng blo. Dɔn di bon dɛn we brok kin kɔmprɛs di spɛshal kɔd, ɛn dis kin pwɛl di nɛf dɛn we de na da say de.
di risk fכ divεlכp AD de inkrεs wit di lεvεl we di spεnal kכd de damej εn aw di damej de siriכs (lεk we i rכp kכmplit). dεn εstimat se lεk 90% pan di pipul dεm we gεt spεnal kכd injuri na di sεvikal spayna כ hεy tכraks spayna go gεt AD. pan tap dat, bεlε uman dεm we gεt spεnal injuri na T6 כ pas dat kin gεt patikyula risk fכ gεt AD we dεn de bכn pikin. So, wi fɔ tink bɔt dis bak. Wetin na di sayn dɛm fɔ AD?
Di sayn dɛm fɔ AD kin difrɛn smɔl frɔm wan pɔrsin to ɔda pɔrsin, bɔt bɔrku tɛm dɛn kin kam wantɛm wantɛm. Di fɔs big sayn na we yu gɛt siriɔs ed we de at we yu de bit. Dis kin kam bikɔs di blɔd prɛshɔn kin go ɔp wantɛm wantɛm. Apat frɔm dat, AD kin mek yu gɛt dɛn sik ya bak:- We yu de swet pasmak pas di lɛvɛl we yu de fil pen na yu bak.
- di at rit we de slo pas aw i nכmal (dεn kכl dis bradycardia).
- di skin we de rεd oba di lεsin na di bak εn di skin we de fכm, dray we de dכn di lεshכn.
- Goosebumps na di bɔdi bikɔs ɔf bak pen.
- Kol skin.
- Nasal kɔnjɛshɔn.
- Nɔs, fɔ vɔmit.
- Di vishɔn we nɔ klia.
- Fɔ fil se yu de wɔri bad bad wan ɛn yu de fred.
Impɔtant: If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan. Dis kin bi imejensi.
Wetin na di tin dɛn we kin mek pɔsin gɛt AD?
di men tin we de mek AD na di spεnal kכd injuri we wi bin dכn tכk bכt. di כtonomik nεv sεstem fכ pipul dεm we gεt AD de כva rεspכnd to sכm stimuli dεm. כltεm, we di bכdi gεt wan bad bad tin we de mek i dכn dכn di lεvεl fכ di spεnal kכd injuri, di simpatik nεv sεstem de kכmכt bכku bכku wan, we de mek bכku bכku bכdi vεsul dεm kכntrakt (vasoconstriction). dis ‘noxious stimulus’ na enitin we rili de damej di tisu εn kin mek yu fil pen, bכt sכmtεm dεn nכ kin fil di pen. I kin bi ɛnitin frɔm it we yu nɔ go ebul fɔ skrach to we yu blad ful-ɔp. Apat frɔm di spɛnal kɔd injuri, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt AD, bɔt dɛn nɔ kin apin so ɔltɛm:- Intramedullary Astrocytoma - Na kansa we de na di sεntri nεv sεstem.
- Mɔltipɛl Sklɛrosis (MS).
- Di sik we dɛn kɔl Guillain-Barré Syndrome.
- Di sayd ɛfɛkt dɛn we sɔm mɛrɛsin dɛn kin gɛt.
- Bɔrku ed injury ɛn ɔda bren dizayd.
- Subarachnoid Hemorrhage (SAH) - blɔd we de kɔmɔt na di bren.
- Yuz drɔgs we nɔ rayt fɔ mek pɔsin fil fayn lɛk kɔkɛyn ɛn amfɛtamin.
Di tin dɛn we kin mek pɔsin gɛt AD
If yu de pan denja fɔ gɛt AD, i impɔtant fɔ no bɔt di tin dɛn we kin mek yu gɛt dis sik. Dis we ya, yu kin avɔyd dɛn ɛn trit dɛn kwik if AD simptom dɛn de. Bɔku tɛm, AD kin kam bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit:- Blada we de na di bɔdi.
- Bowel (dat min intestines).
- Kanda.
Di tin dɛn we kin mek pɔsin gɛt blad
Blada prɔblɛm na di men tin we kin mek pɔsin gɛt AD - dɛn kin mek lɛk 85% pan di wan dɛn we gɛt AD. Bɔrku tɛm, di kɔz na we di say we yu urine de flɔ tru, we kin mek yu blad ful-ɔp tumɔs (Bladder Distension). Dis kin bi bikɔs ɔf:- If yu put Foley kateta insay, i kin kink ɔ blok.
- Blada de spasm.
- Ston dɛn we de na di blad.
- Infεkshכn dεm na di Urinary Tract (UTIs).
sכmtεm, tεst dεm lεk sistoskopi כ urodaynamik tεst kin trigεr AD bak. Kɔz dɛn we gɛt fɔ du wit di big intestinal
Di big intestinal ɔ di bɔdi na di sɛkɔn tin we kin mek pɔsin gɛt AD. AD kin apin we di intestinal dεm strεch pasmak. Di rizin dɛn fɔ dis na:- Fekal impakshɔn.
- Banbɛlɛ.
- Flatulence, we de mek yu bɔdi wam.
- Ɛnimi dɛn.
- Yu fɔ pul yu bɔdi wit yu an.
Ɛn ɔda tin dɛn we kin mek pɔsin gɛt sik na di intestinal, fɔ ɛgzampul:- Rɔnbɛlɛ.
- Divɛrtikulayz.
- Di sik we dɛn kɔl Crohn in sik.
- Di fis dɛn we de na di anal.
- Ɛmɔroyd dɛn.
Tin dɛn lɛk dis kin mek yu gɛt AD bak. Di tin dɛn we kin mek pɔsin gɛt sɔntin fɔ du wit di skin
Prɔblɛm na di skin na di tɔd tin we kin mek pɔsin gɛt AD. Bɔku tin dɛn de we kin mek i apin:- Prεshכn injuri / Bedsore.
- Kɔt, brus.
- Skin rash dɛn we de kɔmɔt.
- Klos de tayt, snag, tu big.
- Wan it we pɔsin nɔ go ebul fɔ fil ɔ skrach.
- Di nel dɛn we dɔn gro insay di fut.
Aw yu go no if yu gɛt AD?
Nɔ wan tɛst nɔ de we go ebul fɔ no if pɔsin gɛt AD. So, dɔktɔ ɛn di wan dɛn we de kia fɔ yu go mɔs bays pan dɛn tin ya fɔ no if yu gɛt di sik:- Yu mɛdikal histri , mɔ di infɔmeshɔn bɔt wan bak injury.
- Yu blɔd prɛshɔn naw we yu kɔmpia am to yu nɔmal blɔd prɛshɔn. Jɛnɛral wan, if yu sistolik blɔd prɛshɔn pas 150 mmHg, ɔ lɛk 40 mmHg pas yu nɔmal lɛvɛl, dɛn kin tek am se na sayn fɔ AD.
- Di sayn dɛm , mɔ di ed we de at bad bad wan.
If yu gɛt AD simptom bɔt yu nɔr tink se yu gɛt spɛshal injury, yu dɔktɔ kin want fɔ du ful ɛgzamin fɔ yu nervous system ɛn du ɔda tɛst fɔ no wetin mek yu simptom. Dɛn tin ya kin bi:- Blɔd ɛn urine tɛst.
- CT skan (CT - Kɔmpyuta Tomografi skan) ɔ MRI skan (MRI - Magnɛtik Rɛsɔnans Imej skan).
- ECG (Ilektrokardiogram - EKG) we dɛn kɔl EKG.
- Spinal tap / Lumbar pankchɔ.
- Tilt-tebul tɛst.
- Test fɔ drɔgs.
- X-ray we dɛn kin du.
Aw dɛn kin trit AD?
Di fɔs tin we yu fɔ du fɔ trit AD na fɔ mek di pɔsin ledɔm, put in leg dɔŋ, ɛn pul ɛni klos we tayt. Dis kin ɛp fɔ mek di blɔd prɛshɔn go dɔŋ. Bɔku tɛm, AD kin go we dɛn pul di trig. So, di nɛks tin we yu fɔ du na fɔ no ɛn pul di tin we de mek yu gɛt am, if i pɔsibul, bifo yu gi yu mɛrɛsin. Fɔ ɛgzampul, na sɔm tin dɛn ya we yu dɔktɔ ɔ pɔsin we de kia fɔ yu kin du fɔ no ɛn kɔrɛkt di tin we kin mek yu gɛt dis sik:- Fɔ chɛk if di urine de flɔ fayn, ɔ fɔ fiks am.
- If pɔsin gɛt Foley kateshɔn, chɛk am fɔ si if i dɔn blok ɔ if i nɔ fayn ɛn fiks am.
- Test wan urine sample fɔ si if urinary tract infection (UTI) de, ɛn if na so, gi antibayɔtik.
- egzamin di rεktum fכ si if fεkal impakshכn de, εn if na so, pul di stכl.
Bɔrku pipul dɛm wae gɛt ɛkspiriɛns wit AD no dis gud gud wan ɛn dɛn rɛdi fɔ impruv wan tritmɛnt plan. Insay imejensi: If dɛn nɔ ebul fɔ fɛn di trig, ɛn di bɛsis tin dɛn we dɛn kin du nɔ mek di blɔd prɛshɔn go dɔŋ, dɛn nid fɔ gɛt tritmɛnt kwik kwik wan fɔ mek di blɔd prɛshɔn go dɔŋ. If dis kayn tin apin, kɔl 119 (ɔ di imejensi nɔmba we gɛt fɔ du wit am), ɔ go to dɔktɔ wantɛm wantɛm.
Dɔn dɛn go gi yu mɛrɛsin dɛn we de wok kwik kwik wan lɛk naytrɛt, haydralazin, labetalol, ɔ nifedipine fɔ mek yu blɔd prɛshɔn go dɔŋ. We yu de du tritmɛnt, yu mɛdikal tim go wach yu impɔtant sayn dɛm ɛn chɛk yu blɔd prɛshɔn ɔltɛm. Yu tink se dɛn kin mek dɛn nɔ gɛt AD?
Nɔto ɔltɛm i pɔsibul fɔ mek dɛn nɔ gɛt AD. Bɔt if yu gɛt spɛshal injuri, mɔ we pas di T6 lɛvɛl, dɛn tin ya kin ɛp fɔ mek yu nɔ gɛt AD:- Fɔ ɛmti di blad ɔltɛm ɛn tek tɛm mek i nɔ ful-ɔp.
- Fɔ kɔntrol di pen.
- Fɔ kia fɔ yu insay impɔtant fɔ mek yu nɔ gɛt stɔl blɔk ɛn mek yu nɔ gɛt kɔnstipɛshɔn.
- Fɔ kia fɔ yu skin fayn fayn wan impɔtant fɔ mek yu nɔ gɛt bed swɛt ɛn infɛkshɔn na yu skin.
- Fɔ mek yu nɔ gɛt urinary tract infection (UTIs).
Aw di AD sityueshɔn go tan lɛk? (Autluk) .
Di prɔgnosis fɔ AD kin jɔs fayn, bɔt na if dɛn tin ya apin:- If yu, di pɔsin we de kia fɔ yu, ɔ yu mɛdikal tim no dis kwik kwik wan.
- If dɛn bigin fɔ trit kwik kwik wan we dɛn de kɔrɛkt am kwik kwik wan.
- If yu ɛn/ɔ di wan dɛn we de kia fɔ yu no gud gud wan bɔt di sayn dɛm ɛn di tin dɛm we kin mek yu gɛt AD.
- If yu, di pɔsin we de kia fɔ yu, ɔ yu mɛdikal tim tek di rayt tin fɔ mek yu nɔ gɛt AD.
Bɔt, siriɔs AD kɔndishɔn we dɛn nɔ trit kwik ɛn fayn kin gɛt siriɔs kɔnsikuns. Fɔ ɛgzampul:- Bren damej bikɔs ɔf ay blɔd prɛshɔn (Hypertensive Encephalopathy).
- Strok.
- Di at we de mek di at nɔ de wok.
- Gɛt fit.
- Day.
Laki, pipul dɛn we kin day bikɔs ɔf AD nɔ kin bɔku. If yu de pan denja fɔ gɛt AD, wetin yu fɔ du?
Yu ɛn di wan dɛn we yu lɛk nid fɔ involv fɔ no di AD simptom dɛm. As yu bigin fɔ fil di sayn dɛm fɔ AD, sidɔm ɛn bigin fɔ trit yu. Yu kin fɔdɔm, wund yusɛf, ɔ yu nɔ kin no natin, so kɔl fɔ ɛp. If yu nɔr ebul fɔ fɛn trig, ɔr if de rayt tritmɛnt nɔr ɛp, pɔrsin fɔ kɔl 119 (ɔr di aprɔpriet imejensi nɔmba). I impɔtant bak fɔ kip wan Imejɛnsi Tritmɛnt Pak wit yu, if yu dɔktɔ dɔn gi yu am, ɛn wan liflet we gɛt infɔmeshɔn bɔt AD. Dis go ɛp ivin di wan dɛn we nɔ no bɔt AD. If yu dɔn gɛt AD simptom bifo, yu fɔ mek ɔl yu dɔktɔ, pipul dɛm wae de kia fɔ yu, ɛn pipul dɛm wae yu lɛk no bɔt yu sik. So dat if i apin bak, dɛn go no, ivin if yu nɔ gɛt tɛm fɔ aks fɔ ɛp. Mɛmba as sɔmari
Autonomic dysreflexia (AD) na wan sik wae kin mek pɔrsin in layf de pan denja. Bɔt di gud nyus na dat dɛn kin trit am – bɔku tɛm bay we dɛn pul ɔ chenj di trig. If yu de pan denja fɔ gɛt AD, i impɔtant fɔ mek yu ɛn di wan dɛn we yu lɛk lan ɔl wetin yu ebul bɔt am. Dɔn yu kin no di sayn dɛm ɛn gɛt tritmɛnt fɔ AD kwik kwik wan. Tɔk to yu mɛdikal tim bɔt aw fɔ avɔyd tin dɛn we kin mek yu nɔ gɛt dis sik. Dɛn rɛdi fɔ ɛp yu. Mɛmba se dis nɔto natin fɔ fred, fɔ no na di big big protɛkshɔn!
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