Yu de shek bak we yu nɔ ebul fɔ kɔntrol? Dis kin bi Sɛribɛl Dijɛnɛreshɔn!

Sɔntɛnde, yu kin fil lɛk se yu nɔ ebul fɔ kɔntrol yu bɔdi igen? Yu kin fil lɛk se yu de swɛla we yu tinap ɔ waka, ɔ yu kin fil lɛk se yu wɔd dɛn de swɛ we yu de tɔk? Dɛn tin ya nɔto jɔs random tin. Sɔntɛm na bikɔs ɔf prɔblɛm we de na wan smɔl pat na wi bren. Na dat wi go tok abaut tide.

Wetin na Sɛribɛl Dijɛnɛreshɔn? Lɛ wi ɔndastand am simpul wan!

Okay, fɔs lɛ wi luk wetin na dis sɛribɛl . Wan smɔl pat de na yu bren, we de dɔŋ smɔl, we wi kɔl di sɛribɛl . I smɔl, bɔt i de du bɔku wok we rili impɔtant. Tink bɔt dis, i de kɔntrol yu balans , i de ɛp yu fɔ tinap ɛn waka we yu nɔ de shek shek, i de mek yu tɔk klia wan, ɛn i de mek yu an ɛn fut dɛn wok fayn.

Naw, wetin na degeneration ? Fɔ tɔk am simpul wan, dijeneshɔn na di damej ɔ day smɔl smɔl we di nɛv sɛl dɛn na di sɛribɛl de day. so, di sεribεl dεjεnεreshכ n na wan kכndyushכn we di nεv sεl dεm na di sεribεl dεm de pwεl εn dεn nכ kin ebul fכ wok fayn fayn wan.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Bɔku rizin dɛn kin de fɔ dis kayn tin. Lɛ wi luk di men wan dɛn.

1. Fɔ drink rɔm pasmak ɛn fɔ nɔ gɛt bɛtɛ tin fɔ it

Dis na di men rizin we dɛn kin si bɔku tɛm. We wi drink tumɔs rɔm, wi bɔdi nɔ kin gɛt di vaytamɛn B1 we dɛn kɔl thiamine . Dis kin bi bikɔs wi nɔ kin gɛt am bɛtɛ frɔm it, ɔ i kin bi bikɔs di bɔdi nɔ ebul fɔ tek am. Thiamine rili impɔtant fɔ di wok we di bren sɛl dɛn de du. We i de go dɔŋ, di bren sɛl dɛn kin bigin fɔ pwɛl.

2. Nyurodijɛnɛraytiv Dizayd

Sɔm sik dɛn de we kin mek di nɛv sɛl dɛn we de na wi spɛnal kɔd ɛn difrɛn pat dɛn na wi bren, mɔ di sɛribɛl, kin day smɔl smɔl.

• Ataxia na wan big sik wae gɛt dis kayn sik. I kin bi se i nɔ kin ebul fɔ kɔntrol di bɔdi ɛn i nɔ kin ebul fɔ wok togɛda.
• Multiple System Atrophy na ɔda kayn sik.
• Wan sik wae nɔr kin bɔrku wae dɛn kɔl Creutzfeldt-Jakob Disease kin bi bak wan sik wae kin kam wit am.
• Sɔntɛnde, di sik we dɛn kɔl multiple sclerosis (MS) kin afɛkt dis.

Sɔm pan dɛn nervɔs sistɛm sik ya kin kɔmɔt frɔm am , we min se dɛn kin pas frɔm mama ɛn papa to pikin dɛn tru jin. Sɔm kin de bak we dɛn de liv.

3. Kɔndishɔn dɛn we kin apin we pɔsin gɛt kansa (Paraneoplastic Syndromes) .

Dis na smɔl kɔmplikɛt stori. We sɔm pipul dɛn gɛt kansa sɛl, dɛn imyun sistɛm kin tray fɔ fɛt di kansa. Bɔt sɔntɛnde, dis imyun sistɛm kin mistek bigin fɔ atak di sɛl dɛn we gɛt wɛlbɔdi na di bren. We di sɛribɛl dɔn pwɛl, wi kin kɔl am Paraneoplastic Syndromes . Dis kכndyushכn kin kכmכn bכku pan pipul dεm we gεt kεnsar lεk bכdi kεnsar, ovarian kεnsar, uterin kεnsar, big pipul dεm we dεn kכl Hodgkin’s Lymphoma, εn sכm sכm sεl lכng kεnsar.

Udat dɛn kin afɛkt mɔ pan dis sik?

Pan ɔl we i nɔ pɔsibul fɔ tɔk di rayt we udat go gɛt dis, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.

• Fɔ ɛgzampul, dɛn kin si di paraneoplastic kɔndishɔn we wi bin dɔn tɔk bɔt smɔl mɔ pan uman dɛn we dɔn pas 50 ia.
• Bɔt in jɔnal, man dɛn kin gɛt prɔblɛm wit balans ɛn kɔdineshɔn as dɛn de ol.
• Dɛn kin si di sɛribra atrofi we kin kam bikɔs ɔf rɔm ɔr nɔr gɛt bɛtɛ tin fɔ it na di midul ej, mɔ pan pipul dɛm wae dɔn yuse rɔm fɔ lɔng tɛm.
• Dis kכndyushכn kin apin bak pan pikin dεm we gεt sכm sik dεm we dεn kin gεt frכm pikin dεm.

"Dis kayn bren atrofi nɔ kin kɔmɔn so. Nɔr to 1% pan pipul dɛm wae gɛt kansa kin gɛt paraneoplastic kɔndishɔn. Bɔt, alcohol-induced bren atrophy kin kɔmɔn smɔl."

Wetin na di sayn dɛm wae wi fɔ pe atɛnshɔn to?

De sayn dɛm fɔ dis sik kin difrɛn smɔl frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm kɔmɔn sayn dɛm de:

• Lɔs fɔ balans (Balance problems) , fil fɔ diziz ɔr de spin (Vertigo ɔ diziz). I kin fil bak lɛk se yu de rɔl na grɔn.
• Fɔ fil se yu nɔ gɛt trɛnk na yu mɔsul (Hypotonia) . Di an ɛn fut dɛn kin fil se dɛn nɔ gɛt layf ɔ dɛn kin fil lɛk se dɛn nɔ ebul fɔ waka.
• Prɔblɛm wit yu yay: Fɔ si tu tin wan tɛm (dɛn si tu tɛm), yu yay de muv kwik kwik wan, we yu nɔ de kɔntrol (nystagmus).
• we yu nכ ebul fכ kכdכn di muvmεnt dεm na di limb dεm fayn fayn wan (Ataxia) . Fɔ ɛgzampul, we yu es yu an fɔ gɛt kɔp, yu an kin shek, ɔ yu nɔ kin ebul fɔ ol di kɔp fayn.
• Prɔblɛm dɛn we de wit fayn fayn motoka skil dɛn . Tin dɛm lɛk fɔ at fɔ ol yu ed ɔp stret, nɔr ebul fɔ yuz yu an ɔr leg fayn fayn wan.
• Fɔ shek ɔ shek di an ɛn fut dɛn we yu de tray fɔ du sɔntin .
• Waka we nɔ stedi ɔ we nɔ gɛt wanwɔd wit waka big, we yu de shek frɔm wan say to di ɔda say, ɛn waka wit yu tu leg dɛn we yu dɔn spre wayd .

Apat frɔm dɛn sayn ya, pipul dɛm wae gɛt paraneoplastic kɔndishɔn kin gɛt sɔm ɔda sayn dɛm, mɔr lɛk:

• di dכn mεmכri, di abiliti fכ rizin, εn di abiliti fכ tink `(Dementia)`.
• Di tɔk kin slo ɛn nɔ kin tɔk fayn (Dysarthria) .

Dɔn bak, sɔm pipul dɛm wae gɛt sɛribra palsi kin gɛt ɔda tin dɛm lɛk:

• Atɛnshɔn-Dɛfisit/Haypa Aktiviti Disɔda (ADHD) .
• Ɔtizm Spɛktrum Disɔda
Skizofrenia-imɔshɔnal `(Skizofrenia)`

Aw dɔktɔ dɛn kin no dis?

If yu gɛt dɛn sik ya, we yu go to dɔktɔ, dɛn go fɔs aks yu bɔku kwɛstyɔn bɔt yu sik. Wetin na yu sayn dɛm, aw dɛn kin tranga, aw dɛn kin afɛkt di tin dɛm wae yu kin du ɛvride, ɛn if ɛnibɔdi na yu famili dɔn gɛt dis sik.

Dɔn, di dɔktɔ go tɛl yu fɔ du sɔm tɛst dɛn fɔ no if yu gɛt di sik:

• MRI (Magnetic Resonance Imaging) skan ɔ CT (Computed Tomography) skan: Dɛn tin ya kin tek rili klia pikchɔ dɛn bɔt di bren ɛn in tisu dɛn. If di bren atrofi de, dεn skan dεm ya kin sho aw di sεribεl dεm dכn shrink εn shrink. Dɛn kin no bak ɔda prɔblɛm dɛn lɛk we pɔsin gɛt tumbu na in bren, ɔ sayn dɛn we de sho se pɔsin gɛt strok.
• Spinal Tap / Lumbar Puncture: di wata we de rawnd wi bren εn spεnal kכd dεn kכl am Sεribrospinal Fluid (CSF) . Dɛn kin tek smɔl sampul pan dis wata ɛn tɛst am. Sɔntɛnde, dɛn kin yuz di tin dɛn we de insay dis wata fɔ no wan ɔtoimyun disɔda, lɛk paraneoplastic syndrome.
• Blɔd Tɛst: Sɔntɛnde dɛn kin chɛk di lɛvɛl we di antibodi dɛn de na di blɔd. Dɛn antibodi ya kin go ɔp pan pipul dɛm wae gɛt kansa ɛn paraneoplastic kɔndishɔn.
• Jɛnɛtik Tɛst: If di dɔktɔ tink se dis na tin we pɔsin kin gɛt frɔm in mama ɛn papa, i kin du jenɛtik tɛst bak.

Yu tink se kɔmplit mɛrɛsin de fɔ dis? Wetin na di tritmɛnt dɛn?

Fɔ tɔk tru, naw, no mɛrɛsin nɔ de fɔ mek pɔsin gɛt sɛribra palsi. Bɔt, di tritmɛnt dipen pan di tin we mek i apin. Dɛn kin gɛt mɛrɛsin bak fɔ ɛp fɔ kɔntrol sɔm pan de sik dɛn (lɛk fɔ shek, i nɔ kin izi fɔ waka, ɛn diziz).

• Tritmɛnt fɔ paraneoplastik kɔndishɔn dɛn:
• Kansa tritmɛnt: Kimotɛrapi , Rɛdieshɔn Tɛrapi .
• Di tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik .
• Imyunotɛrapi .
• Dɛn kin jɔyn ɔpreshɔn fɔ pul di kansa tumbu, wit kemotɛrapi ɛn redyushɔn tɛrapi.

• Tritmɛnt fɔ di sik dɛn we pɔsin kin gɛt we i de drink rɔm:
• Stɔp fɔ drink rɔm kpatakpata. Dis na di tin we impɔtant pas ɔl.
• di chenj dεm we yu de it: Yu nid fכ ad mכr it dεm we gεt thiamine εn כda B vaytam in dεm (e.g., ful gren, sכft mit, fish) to yu it.
• Fɔ tek tin dɛn we dɛn kɔl thiamine .

I nɔ mata wetin de mek pɔsin gɛt sɛribra palsi, dɛn kin nid fɔ gɛt tritmɛnt dɛn lɛk fizik tɛrapi, ɔkupeshɔn tɛrapi, ɔ fɔ tɔk . Dɛn tin ya kin ɛp:

• Divεlכ p mכtalman skil dεm so dat yu go ebul fכ du di wok dεm we yu de du ɛvride yu wan.
• Strɔng di mɔsul dɛn ɛn mek di kɔdineshɔn bɛtɛ .
• Impruv di prɔblɛm fɔ swɛla, fɔ tɔk, ɛn fɔ sabi langwej .

Yu tink se dɛn go ebul fɔ stɔp dis?

Bɔrku tɛm kin avɔyd dis maynia sik wae kin kam pan pɔrsin wae gɛt rɔm bay wae pɔrsin nɔr de drink rɔm . Bɔt naw, nɔrbɔdi nɔr de we dɛn dɔn pruv fɔ mek yu nɔr gɛt ɔda kayn dis maynia sik.

Wetin go apin afta dat? Aw di tin go apin?

Di prɔgnosis fɔ dis sik de dipen pan di ɔndalayn kɔz.

• Sɔntɛnde, fɔ trit kansa, fɔ lɛf fɔ drink rɔm, ɔ fɔ chenj di tin dɛn we yu de it kin mek dis sik slo ɔ stɔp .
• Bɔt pan ɔda nyurodijɛnɛraytiv kɔndishɔn dɛm, di sik kin go bifo as tɛm de go pan difrɛn rit dɛm.

As di sik de go bifo, pipul dɛn nɔ kin ebul fɔ wok togɛda ɛn dɛn kin gɛt siriɔs disabled. Sɔntɛm dɛn go nid fɔ yuz wilchia ɔ ɔda tin fɔ ɛp dɛn fɔ waka. Dis kin ɛp bak fɔ mek i nɔ fɔdɔm. If dɛn nɔ ebul fɔ du tin dɛn we dɛn kin du ɛvride fɔ dɛnsɛf, dɛn kin lɔs dɛn ebul fɔ liv dɛn layf fɔ dɛnsɛf . Sɔm kin ivin de na bed.

If pikin dɛn gɛt dis sik, dɛn kin gɛt dilɛys fɔ divɛlɔp .

Ustɛm yu fɔ rili go to dɔktɔ?

If yu notis ɛni chenj ɔ prɔblɛm wit yu balans, tɔk, si, ɔ di tin dɛn we yu de du ɛvride, go to dɔktɔ wantɛm wantɛm . Sɔm pipul dɛn kin tink se dis na nɔmal chenj dɛn we dɛn de ol. Bɔt, dɛn kin bi sayn dɛn bak fɔ se yu gɛt mɔ siriɔs prɔblɛm. So if yu gɛt ɛnitin we de mɔna yu, i go fayn fɔ mek dɛn chɛk yu.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If yu ɔ sɔmbɔdi na yu famili gɛt sɛribra palsi, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us chenj na mi layf a kin mek fɔ liv fayn wit dis sik?
• Usay a go gɛt ɛp? (e.g. sɔpɔt grup dɛn)
• A fɔ bigin fɔ yuz fizik tritmɛnt, ɔkupeshɔn tɛrapi, ɔ fɔ tɔk?
• Wetin na di rut fɔ dis sik?
• Yu tink se dis sik go skata mɔ? If na so i bi, aw kwik?

Di tin we impɔtant pas ɔl we wi nid fɔ mɛmba!

Cerebellar Degeneration na wan sik wae de afekt di pat na wi bren wae de kontrכl bεlε, mכsul dεm muvmεnt, εn tכk. Dis kin mek i nɔ izi fɔ waka, tɔk, ɛn du ɛvride wok. Bɔku tin dɛn de we kin mek dis apin. Mεdikeshכn εn rihabiliteshכn kin εp fכ mεnεj di ifekt dεm we dis kכndyushכn de gi. So, e fayn fɔ go to dɔktɔ if yu gɛt sɔm sayn dɛn.

` Sεribra atrofi, sεribra dεjεnεreshכn, bren sik, lכs bεlε, difεlεns fכ waka, nyurolכjik sik dεm, yus fכ rɔm