Dis na denja blɔd we de klɔt na di ed? Yu tink se dis kin bi Cavernous Sinus Thrombosis?

Yu dɔn ɛva gɛt smɔl injuri na yu fes ɔ yu gɛt prɔblɛm wit yu sayn we mek yu ed at bad bad wan? Yu dɔn ɛva gɛt yay we swel ɛn i nɔ izi fɔ si? Sɔntɛnde, wi nɔ kin pe atɛnshɔn to dɛn tin ya, bɔt dɛn kin rili denja ɛn wi nid fɔ gɛt tritmɛnt kwik kwik wan. Tide wi de tɔk bɔt wan siriɔs sik we bɔku pipul dɛn nɔ no bɔt, we dɛn kɔl Cavernous Sinus Thrombosis .

Wetin na dis kavɛn sayn trombosis?

Fɔ tɔk am simpul wan, Cavernous Sinus Thrombosis na we blɔd klɔt de fɔm na di smɔl smɔl say dɛn we de insay yu ed, spɛshal wan biɛn yu yay, ɔnda yu bren we dɛn kɔl di ‘Cavernous Sinus’ . Tink bɔt dɛn sayn ya lɛk smɔl smɔl kev dɛn usay bɔku vein dɛn kin kam togɛda. Bɔku pan di men vein dɛn we de pul blɔd na yu fes ɛn yu bren de rɔn tru dɛn wan ya. di ‘Jugular Vein’, we na wan big vein na yu nεk, de kכnekt bak to dεn kכvכn sayn dεm ya. So, if blɔd klɔt fɔm na dis vein (bɔku tɛm na infɛkshɔn kin mek am), di blɔd kin blok di blɔd we de kɔmɔt na yu bren. Dis kin rili denja, bikɔs i kin mek yu bren, yu yay, ɛn yu nerv dɛn pwɛl fɔ lɔng tɛm. Dis na wan sik wae kin mek yu layf de pan denja if yu nɔr trit am kwik.

Aw dis sik kin kɔmɔn?

Fɔ tru, dis sik we dɛn kɔl Cavernous Sinus Thrombosis nɔ kin bɔku. Dat min se, i nɔto sɔntin we pipul dɛn kin si bɔku tɛm. I at fɔ tɔk ɔmɔs kes dɛn kin ripɔt ɛvri ia, i so smɔl. Bɔt di gud nyus na dat, afta dɛn dɔn fɛn antibayɔtik , di nɔmba fɔ pipul dɛn we de ripɔt bɔt dis sik dɔn go dɔŋ bad bad wan. Bikɔs di infekshɔn dɛn, we na di men tin we kin mek dɛn blɔd klɔt, dɛn kin mɛn wit antibayɔtik, naw dɛn infɛkshɔn dɛn de nɔ kin rili siriɔs.

Wetin na di sayn dɛm fɔ dis? Aw fɔ no am?

De tin wae denja pasmak pan dis na wae de sik kin wɔs kwik kwik wan. Wan pan di men sayn dɛm wae kin kam fɔs na wae yu ed kin at bad bad wan. Dis nɔ tan lɛk nɔmal ed we de at. Na wan we nɔ kin stɔp ivin afta yu dɔn tek mɛrɛsin fɔ mek yu fil pen, ɛn i kin wɔs de go de go bifo. I kin kam wantɛm wantɛm ɛn bad bad wan, ɔ i kin bɔku smɔl smɔl fɔ sɔm dez. Dɛn kin fil dis pen mɔs arawnd wan yay, rawnd ɔl tu yay, ɔr biɛn di yay.

dis simptom dεm kin kכz fכ inkrεs prεshכn insay di kכva sayn bikoz fכ bכdi kכlכt. Tek tɛm si if yu gɛt dɛn sayn ya:

• Na bad bad, shap ed pen we nɔ de go ivin afta yu tek mɛrɛsin.
• Wan ɔ leta ɔl tu yay dɛn kin swel, sɔntɛnde yu kin fil se yu yay dɛn kin bɔl.
• di aylid dεm we de dכp, lεk se di yay dכn haf-af (`droopy eyelids`).
• Fɔ fil bad bad pen we yu de tray fɔ muv wan ɔ ɔl tu yay.
• I nɔ ebul fɔ muv wan ɔ ɔl tu di yay, we de stɔp na wan say.
• Blurred vision, we yu nɔ de si klia wan.
• We yu de si dɛbul.
• Yu nɔ de fil fayn ɔ yu nɔ de fil fayn na yu fes, mɔ we de rawnd di yay.
• I rili wam.
• Sɔm pipul dɛn kin gɛt sik we dɛn kɔl seiz.

I rili impɔtant: If dɛn nɔ trit am, di kavɛn sayn trombosis kin wɔs smɔl smɔl, ɛn dis kin mek di pɔsin kɔnfyus ɛn slip. Dis kin mek pɔsin kɔma ɛn ivin day. So, i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu notis dɛn sik ya, bifo di sik go bifo te to dis.

Aw dis kin apin kwik kwik wan?

Tipikli, cavernous sinus thrombosis kin apin 5 to 10 de afta infεkshכn we dεn nכ trit na yu fes כ skel (fכ egzampl, sayn, tut, כ yes). Di fɔs sayn na ed we de at. Di sayn dɛm na di yay (lɛk fɔ swel, fɔ bɔl) kin kam wantɛm wantɛm, jɔs afta di ed pen, ɔ i kin kam smɔl smɔl.

Wetin kin mek dis apin? Wetin mek dis de apin?

Tink bɔt am dis we. Yu gɛt smɔl smɔl tin na yu fes, sɔntɛm na di sayd we yu nos de, ɔ na yu ɔp lip. Ɔ yu gɛt tut we de at. Yu nɔ de pe atɛnshɔn tumɔs to am, yu de tink se, ‘Na jɔs smɔl tin, i go go fɔ insɛf.’ Bɔt, wan baktri infɛkshɔn na da smɔl ples de bɔku tɛm kin mek pɔsin gɛt dis denja sik we dɛn kɔl Cavernous Sinus Thrombosis . Dat min se, i kin kam as kɔmplikeshɔn fɔ wan infɛkshɔn.

Wetin kin apin na dis: Di blɔd we de na yu kava sayn veins de klɔt fɔ tray fɔ stɔp di infɛkshɔn fɔ mek i nɔ go skata. Na difens mɛkanism fɔ di bɔdi. Bɔt bifo dis blɔd klɔt fɔ stɔp di infekshɔn fɔ skata, i kin trap di infekshɔn. Dɔn di blɔd kin stɔp fɔ kɔmɔt na di bren. dis kin mek di prεshכn we de insay di kכva sayn de go כp, we kin mek di sayn dεm we wi bin dכn tכk bכt.

De kayn infεkshכn wae de afekt dis mכr na:

• Sayn infεkshכn (sinusitis). Infεkshכn dεm na di kכva dεm we de rawnd di nos.
• Bɔyl ɔ furuncles we de fɔm ɔnda di skin na di fes, mɔ rawnd di nos ɛn di ɔpa lip.
• Tit we gɛt absɛs.
• Iya infεkshכn, spεshal wan midul ia infεkshכn.

כl di kes dεm, lεk 70% pan di kes dεm, di kכz na di baktri dεm `Staphylococcus aureus` . Dis na wan baktri we rili kɔmɔn. apat frכm dat, כda kayn baktri dεm εn sכm kayn fכn dεm kin mek infεkshכn dεm bak we kin mek yu gεt kכvεn trombosis. Dis biɛn tɛm, dɛn dɔn ripɔt bɔku kes dɛm we gɛt cavernous sinus thrombosis we gɛt fɔ du wit `COVID-19` infɛkshɔn.

Na smɔl tɛm nɔmɔ, dis blɔd klɔt kin fɔm bikɔs ɔf bad bad injuri na in ed, pas infɛkshɔn.

Aw dɔktɔ dɛn kin no bɔt dis?

I kin tranga smɔl fɔ no am, bikɔs in sayn dɛm kin tan lɛk ɔda kɔmɔn tin dɛm lɛk wae yu gɛt ay infekshɔn, maygren, ɔr ɔda kayn nyurolɔjik sik dɛm.

Bɔt, bay di sayn dɛn we yu gɛt, mɔ if yu gɛt infekshɔn na yu fes ɔ sayn naw ɔ yu dɔn gɛt am i nɔ tu te yet, yu dɔktɔ kin tink se yu gɛt cavernous sinus thrombosis .

Dɛn kin du wan ɔ mɔ pan dɛn tɛst ya fɔ kɔnfirm di sik:

• Test dɛn fɔ tek imej.
• MRI (Magnetic Resonance Imaging): Dis de mek yu si di bren ɛn di say we di kava na di sayn klia wan, we rili impɔtant fɔ no if blɔd de klɔt.
• `CT` (Computed Tomography) scan: Dis kin luk bak fɔ blɔd klot ɛn sayn dɛm fɔ infɛkshɔn.
• MRV (Magnetic Resonance Venogram with MRI): Dis na di mכst sεnsitiv we fכ no dis sik. Insay dis MRV, di dɔktɔ kin injɛkt wan spɛshal wata (kɔntrast day) insay yu vein. Dɔn di MRI kin si klia wan di blɔd we de flɔ ɛn di blɔk we de na di vein dɛn.
• Bakterial kɔlchɔ tɛst. Yu dɔktɔ go tɛst yu blɔd ɔ ɔda wata we de na yu bɔdi (lɛk wata we de kɔmɔt na yu sayn ɔ pus we de kɔmɔt na wund) fɔ si if baktri ɔ ɔda patɔjɛns de we de mek yu gɛt di sik. Dis kin ɛp fɔ no di rayt baktri dɛm ɛn gi yu di rayt antibayɔtik.
• Spinal tap / lumbar pankchɔ. dis tεst kin si if di infεkshכn dכn spre to di mεmbran dεm we de kכba di bren εn di spεnal kכd (mεninges). If i dɔn gɛt, dɛn kin kɔl am mɛningaytis . Meningitis na wan denja kɔmplikeshɔn we de kam wit kavɛn sayn trombosis. Insay dis tɛst, di dɔktɔ kin put wan tint nidul na yu bɔdi we de dɔŋ ɛn tek wan sɛmpul pan di wata we de na yu spɛshal wata. Dɛn kin tɛst di wata fɔ si if i gɛt baktri ɛn ɔda sayn dɛn we de sho se i gɛt di sik.

Impɔtant: Bikɔs cavernous sinus thrombosis na sik we de mek pɔsin in layf de pan denja, we de go bifo kwik kwik wan, di dɔktɔ kin bigin fɔ trit am bay we i sɔprayz bifo dɛn no di sik ful wan. Bikɔs ɛvri sɛkɔn de kɔnt na ya.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Yɛs, tritmɛnt kwik ɛn di rayt we kin kɔntrol dis sik ɛn sev pipul dɛn layf. Bɔt if dɛn delay di tritmɛnt, di sik kin wɔs. I go mɔs bi se dɛn go admit yu na di ɔspitul in intensiv kia yunit (ICU).Dɛn go admit yu. Dɔn di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn kin wach yu gud gud wan 24 awa ɛvride.

Dɛn tin ya na di men tritmɛnt dɛn:

• Antibayɔtiks. Dis na di men tritmɛnt. Yu dɔktɔ go bigin yu fɔ tek ay doz intravenɔs (IV) antibayɔtik fɔ kil di infekshɔn we de mek di blɔd klɔt. As wi bin dɔn tɔk, dis na tin we kin tek bɔku tɛm, so dɛn kin gi yu antibayɔtik bifo di tɛst fɔ no if yu gɛt di sik kin sho di rayt tin we mek yu gɛt di sik (baktri ɔ fɛns). Fɔ mek yu de na di say we sef, dɛn go gi yu bɔku bɔku antibayɔtiks we kin kil bɔku bɔku baktri dɛm (espɛshali kɔmɔn baktri dɛm lɛk S. aureus) . Leta, we di kɔlchɔ rizɔlt dɔn kam bak, dɛn kin chenj yu to wan antibayɔtik we fit mɔ. Yu go nid fɔ kɔntinyu dis tritmɛnt na ɔspitul fɔ sɔm wiks.
• Di tin dɛn we de mek blɔd tan (anticoagulants). Dɛn kin gi yu tin dɛn we de mek yu blɔd tan (blɔd tan) lɛk ɛprin fɔ mek di blɔd nɔ big, fɔ mek i sɔlv smɔl smɔl, ɛn fɔ mek nyu blɔd nɔ fɔm.
• Dɛn kin gi antikoagulant (blɔd thinners) insay di bɛlɛ ɔ ɔnda di bɔdi. Yu go nid fɔ tek dɛn blɔd tin ya insay pil fɔ sɔm mɔnt afta di fɔs tritmɛnt.
• Kɔtikosterɔyd dɛn. Yu dɔktɔ kin gi yu stɛroyd fɔ ridyus di swel ɛn inflamɛns we kin mek yu gɛt prɛshɔn insay yu sayn dɛn. Bɔt dɛn kin gi dɛn tin ya afta yu dɔn bigin fɔ tek antibayɔtik fɔ kɔntrol di infekshɔn ɛn di infekshɔn dɔn ɔnda kɔntrol.
• Ɔpreshɔn. Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ klin usay di infekshɔn kɔmɔt (e.g., sayn infɛkshɔn, tut abses) ɛn pul ɛni pus ɔ ɔda wata we dɔn gɛda. Dis kin ɛp fɔ kɔntrol di infekshɔn kwik kwik wan.

Wetin wi go ɛkspɛkt if dis apin? Wetin na di prɔblɛm dɛn we kin apin?

Bifo dɛn fɛn antibayɔtik, bɔku tɛm di kavɛn sayn trombosis bin de kil pɔsin. Bɔt naw, wit di advans we dɛn dɔn mek pan mɛdikal sayɛns, pas 70% pan di pipul dɛm wae gɛt dis sik kin liv. Dat na big big tin we dɛn dɔn du.

Bɔt ivin if dɛn nɔ day, bɔku pipul dɛn kin gɛt prɔblɛm dɛn bikɔs dis na tin we kin afɛkt di bren ɛn di nerv dɛn. fכ egzampl, lεk 20% pan di pipul dεm we de rεkכva frכm di kכvεn sayn trombosis kin kכntinyu fכ gεt prכblεm fכ si (we dεn nכ de si fayn, dεn de blaynd) εn nyurolכjik prכblεm (fεs sכmtεm, i at fכ muv dεn yay) .

Ɔda prɔblɛm dɛn we kin apin na:

• Di ed we kin at bad bad wan bɔku tɛm.
• Wan ɔ ɔl tu di yay dɛn nɔ de si klia wan.
• Epileptic seizures we de kɔntinyu fɔ de.
• Meningitis (infεkshכn pan di mεmbran dεm we de kכba di bren).
• Sepsis (we infεkshכn de spre to di bכdi).

Wan ɔda tin na dat, we yu gɛt cavernous sinus thrombosis, i kin put yu pan denja fɔ gɛt ɔda denja blɔd klot, lɛk blɔd we de klɔt na yu leg ( Deep Vein Thrombosis - DVT ), blɔd we de klɔt we de travul go na yu lɔng ( Pulmonary Embolism - PE ), ɔ blɔd we de fɔm ɔdasay na yu bren ( Stroke ).

So, e fayn fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin kam wit yu sik. I impɔtant bak fɔ no di wɔnin sayn dɛm fɔ di kɔmplikeshɔn dɛm so dat yu go ebul fɔ avɔyd dɛn ɛnitɛm we i pɔsibul.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm ɛn nɔ go te:

• Shap ed pen we nɔ de go ivin afta yu tek mɛrɛsin fɔ mek yu fil pen, ɛn i de wɔs ɛn wɔs.
• If di ed we de at de kam wit pen we de wɔs we yu ledɔm ɔ bɛn.
• If wan ɔ ɔl tu di yay dɛn bigin fɔ fil pen, swel, rɛd, ɔ bul.
• If yu fil se yu sik bad bad wan, yu wik, ɔ yu de slip bad bad wan.
• If yu gɛt prɔblɛm fɔ blo.
• If yu gɛt ay fiva, yu de kol, ɛn yu de shek shek.

Simptom dɛm lɛk dis kin sho se wan imejensi kin de apin.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt dis sik, yu kin fil wɔri. Bɔt, fɔ mek yu maynd fil fayn ɛn ɔndastand yu sik ɛn tritmɛnt klia wan, nɔ fɔgɛt fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin rili a gɛt? Aw siriɔs dis na?
• Us kayn tritmɛnt a nid? Aw lɔng i go tek?
• Wetin na di bad tin dɛn we dɛn tritmɛnt ya kin du?
• Aw lɔng a go gɛt fɔ de na ɔspitul?
• Wetin na di chans fɔ mek a gɛt lɔng tɛm kɔmplikeshɔn frɔm dis blɔd we de klɔt? Wetin na dɛn? Yu tink se dɛn go ebul fɔ stɔp dɛn?
• Us chenj dɛn a go gɛt fɔ mek na mi ɛvride layf bikɔs ɔf dɛn prɔblɛm dɛn ya?
• Wetin na di chans fɔ mek a gɛt dis kɔndishɔn bak? Wetin a fɔ du fɔ mek i nɔ apin?
• Us tin dɛn a nid fɔ tek kia ɔf afta a dɔn go na os?

Di ansa to dɛn kwɛstyɔn ya go rili impɔtant to yu.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

I kin mek yu fred fɔ no se sɔntin we kɔmɔn lɛk sayn infɛkshɔn ɔ smɔl bɔmp na yu fes kin mek yu blɔd klɔt we go mek yu day. Cavernous sinus thrombosis — na bכdi we de fכm na yu fes כ ed fכ ansa to infεkshכn — na tru tru wan kכndyushכn we nכ kin apin. So, e nɔr kin izi fɔ mek yu ed pen ɔr yu yay pen na sayn fɔ sɔmtin wae siriɔs pasmak. I kin bi sayn fɔ sɔntin we nɔ siriɔs.

Bɔt di impɔtant tin fɔ mɛmba ɔltɛm na fɔ trit ɛni infɛkshɔn – ilɛksɛf i tan lɛk se i smɔl – kwik ɛn fayn. Tek tɛm mɔ pan di infɛkshɔn dɛn we kin apin na di fes, nos, mɔt, ɛn yay eria. Dis kayn tritmɛnt kwik kin ɛp fɔ mek dis kayn siriɔs sik nɔ kam. So, i go fayn fɔ mek yu go to dɔktɔ if yu gɛt ɛnitin we nɔ kɔmɔn, ilɛksɛf na smɔl tin. Pe atɛnshɔn to di sayn dɛn we yu bɔdi de gi yu!

` Cavernous Sinus Thrombosis, Blɔd klot na di bren, Skalp infεkshɔn, Fes infεkshɔn, Sivɛri ed pen, Swel na di yay, Antibaytik, Nyurolɔjik dizayd