Wetin na Sɛribra Ɛdima? Lɛ wi lan bɔt dis denja kɔndishɔn insay simpul wɔd dɛn!

Yu dɔn ɛva fil wan strenj prɛshɔn, ebi, ɔ wan strenj pen insay yu ed? Sɔmtɛm wi kin tink se na jɔs nɔmal ed pen, bɔt nɔr kin bɔrku, e kin bi sɔmtin wae siriɔs smɔl. So, wan kכndyushכn we wi כl nid fכ no εn kכnsεn sכmtεm na sεribral εdima , כ lεk aw dכkta dεn kכl am, ``Sεribral εdima.'' Wetin na dis εksakεt, wetin mek dis kin apin, εn bכku כda tin dεm we wi go tכk bכt tide.

Wetin na di sɛribra ɛdima? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `(Sɛribral Ɛdima)` na we tumɔs wata kin gɛda insay wi bren tisu, we kin mek di bren swel ɔl ɔ sɔm pat pan am. Naw imajin, wi ed tan lɛk strɔng kokonat shel. Wi bren de insay am, i protɛkt am. Bɔt dis ed nɔ kin ebul fɔ bɔku ɛn smɔl. so we di bren swel, dat na we di bren tisu swel bikoz fכ dat εksyכ s fכs wata, di prεshכn insay di sכkul, we dכkta dεn kכl `(Intracranial Pressure)` כ `(ICP)`, de inkrεs bכku bכku wan.

Di tin we impɔtant pas ɔl na dat, di bren we de swel na siriɔs tin we nid fɔ go to dɔktɔ kwik kwik wan . If dɛn nɔ trit am fayn, i kin mek i day.

Dis sik kin apin to ɛnibɔdi, frɔm smɔl pikin to big pipul, bikɔs ɔf aksidɛnt ɔ sik.

Wetin na di men kayn we aw yu bren kin swel?

Di bren swel kin apin difrɛn we dɛn. Bɔku men kayn dɛn de:

1. Vasojenik Ɛdima

Dis na di kayn we we dɛn kin yuz mɔ . Dis kayn swel kin kam pan tin dɛm lɛk tumor na di bren. Wetin kin apin ya na dat wata kin lik kɔmɔt na di blɔd vesel dɛn na di bren, ɛn dis kin mek dɛn lik.

2. Sεlyul εdima

Dɛn kin kɔl dis bak `(Saytotoksik Ɛdima)`. Bɔrku tɛm dis kin bi bikɔs ɔf wan bad bad injuri na di ed, lɛk `(Traumatic Brain Injury)` ɔ wan kɔndishɔn lɛk `(Stroke)`. Na ya, we di bren sɛl dɛn nɔ gɛt inof blɔd ɔ ɔksijɛn, swɛlin kin apin insay di sɛl dɛn.

Apat frɔm dɛn tu men kayn ya, ɔda kayn dɛn de we nɔ bɔku:

• Osmotic Edema: Dis kayn kin apin bikɔs ɔf di kɔndishɔn lɛk Dayabitis-rilayt Ketoacidosis ɔ di lɔw sodium lɛvɛl na di bɔdi (Hyponatremia).
• Intastitial Edema: yu kin si dis kayn swεla bikoz fכ kכndishכn dεm lεk `(Hydrocephalus)` (akyumyuleshכn fכ wata na di bren) εn `(Meningitis)` (meningitis).

Aw kɔmɔn tin fɔ mek yu bren swel?

Difrɛn rizin dɛn kin mek yu bren swel, so na wan sik we dɛn kin trit na ɔspitul. Dat min se i impɔtant fɔ mek wi no bɔt dis.

Wetin na di sayn dɛm fɔ dis bren swel?

If di swɛlin smɔl, yu nɔ go gɛt ɛni sayn. Bɔt if di sayn dɛn kin apin, dɛn kin gɛt:

• Ed pen: Dis difrɛn frɔm nɔmal ed pen ɛn i kin tranga.
• Drɔb ɔr nɔr kin izi fɔ tink: Yu nɔr kin ebul fɔ tink gud wan ɛn yu kin fil fɔ slip ɔltɛm.
• Di chenj we yu de biev: Yu kin notis se yu pɔsin kin chenj, lɛk we yu vɛks ɔ vɛks wantɛm wantɛm.
• Nɛk pen ɔ stif: I kin at fɔ tɔn di nɛk, we kin mek yu fil pen.
• Vɔmit: Vɔmit, mɔ na mɔnin.
• Seizures : Yu kin lɔs yu kɔnshɛns wantɛm wantɛm ɛn yu kin gɛt kɔnvulshɔn.
• Prɔblɛm fɔ si: yu de si tu tɛm, yu nɔ de si fayn.
• I nɔ izi fɔ tɔk: I nɔ de tɔk fayn, i nɔ ebul fɔ tɔk klia wan.
• Prɔblɛm fɔ mɛmba tin dɛn: Fɔ fɔgɛt tin dɛn.
• Di blɔd prɛshɔn we de go ɔp wantɛm wantɛm.
• I nɔ kin izi fɔ yu fɔ blo.
• Wik.
• Nɔbɔdi nɔ kin no natin.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm . Nɔ west tɛm.

Wetin kin mek yu bren swel?

Jɔs lɛk aw difrɛn tin dɛn de we kin mek wi bɔdi swel na ɔda pat dɛn na wi bɔdi, na so difrɛn tin dɛn de bak we kin mek wi bren swel. Dis kin bi bikɔs ɔf injury na di bren insɛf, infɛkshɔn, ɛn inflammatory kɔndishɔn. Na sɔm pan di tin dɛn we kin mek i apin:

• Traumatic Brain Injury: Imajin se sɔmbɔdi fɔdɔm frɔm bayk ɛn nak in ed, ɔ bɔl nak am we i de ple kriket. Dɛn kayn aksidɛnt ya kin mek di bren swel.
• Bren Kansa.
• Ketoacidosis we gɛt fɔ du wit dayabitis.
• Eklampsia na siriɔs sik we kin apin we uman gɛt bɛlɛ.
• Ɛnsɛfalaytis.
• Ɛmorajik Strɔk.
• Liva fεil we de afekt di bren (Hepatic Encephalopathy).
• di akyumyuleshכn fכ wata na di bren (Hydrocephalus).
• Ischemic stroke (paralysis we kin kam we wan blɔd vesel blok).
• Meningitis we gɛt di sik.
• Pɔyzin we kin kɔmɔt frɔm tin dɛn lɛk drɔgs, pɔyzin, ɔ we snek bit.
• Toxoplasmosis ɔ ɔda infɛkshɔn dɛn na di bren.
• di bכdi de kכlכt na di vein dεm na di bren (Venous Sinus Thrombosis).
• Altitude Sickness: Dɛn kɔl dis ``High-Altitude Cerebral Edema - HACE''.

Yu tink se di bren we de swel kin pas?

Nɔ, mɛningayt nɔto sɔntin we yu kin kech frɔm ɔda pɔsin, ɛn nɔto sɔntin we yu kin gi ɔda pɔsin. Bɔt sɔm sik dɛn we pɔsin kin gɛt kin mek pɔsin gɛt mɛningɔyt . Fɔ ɛgzampul:

• Meningitis we gɛt di sik
• Ɛnsɛfalaytis
• Toksoplasmosis `(Tɔksoplasmosis)`

Sɔntɛnde, ivin smɔl smɔl infɛkshɔn lɛk saynsaytis, pan ɔl we i nɔ kin apin so ɔltɛm, i kin mek di pus gɛda insay di skel, we kin mek di bren swel.

Wetin na de risk factor fɔ dis sik?

Sɔm tin dɛn de we kin mek pɔsin gɛt prɔblɛm we kin afɛkt di we aw di bren kin swel. Pipul wae gɛt shuga kin gɛt bɔrku risk fɔ gɛt bren swel bikɔs ɔf tin dɛm lɛk ``Dayabetes-related Ketoacidosis'' ɔr infεkshɔn. Dɛn se pikin dɛn kin gɛt bɔku prɔblɛm pas big pipul dɛn we gɛt dayabitis. Pipul wae gɛt kansa ɔr dɛn imyun sistɛm wae wik kin gɛt bɔrku risk fɔ gɛt bren swel bak.

Aw dɔktɔ dɛn kin no if pɔsin in bren swel?

Dɔktɔ go tɔk to yu ɛn di wan dɛn we de arawnd yu ɛn du yu nyurolɔjik ɛgzam. Yu mεdikal histri εn di sayn dεm kin εp yu dכkta fכ mek wan εdyukeshכn gεs. Bɔt fɔ mek yu rili shɔ, yu nid fɔ du CT skan ɔ MRI skan fɔ yu bren.

Us kayn tɛst dɛn go du?

Fɔ no if yu bren de swel ɛn fɔ no di tin we mek yu de swel, yu dɔktɔ kin tɛl yu fɔ du tɛst lɛk:

• CT Scan (Computed Tomography - CT Scan): dis de tek kכros-sekshכnal imej dεm fכ di bren.
• MRI Scan (Magnetic Resonance Imaging - MRI Scan): Dis na tεst bak we de tek ditayla imej dεm fכ di bren.
• Blɔd Tɛst: Dɛn tin ya kin ɛp fɔ chɛk fɔ tin dɛn lɛk infɛkshɔn ɛn dayabitis.

Aw dɛn kin trit di bren we de swel?

di men gol fכ trit di bren swel na fכ rεdכks di wata we dεn kכlכm na di bren tisu εn kכntrכl di swel. Dɛn kin du dis mɔ tru mɛrɛsin ɛn ɔpreshɔn.

Mɛrɛsin fɔ mek yu bren swel

Di mɛrɛsin dɛn we dɛn kin gi yu kin difrɛn, i kin difrɛn frɔm wetin mek yu bren swel. Yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:

• Kɔtikosterɔyd: Dis na mɛrɛsin dɛn we de ridyus di inflamɛns ɛn swel.
• Mannitol ɛn ɔda diuretics: Dɛn tin ya kin ɛp fɔ pul di wata we pasmak na di bɔdi.
• Hypertonic Saline: Dis na sɔntin bak we de ɛp fɔ pul wata na di bren ɛn ridyus prɛshɔn.
• Di tin dɛn we de mek di pɔsin fil fayn: Mek di pɔsin we sik nɔ gɛt wanwɔd ɛn kɔntrol di blɔd prɛshɔn bay we yu nɔ de du bɔku tin dɛn na in bren.
• Di tin dɛn we de mek pɔsin nɔ gɛt fiva.
• Blɔd Tinna: Nɔ mek blɔd nɔ klɔt.

Ɔpreshɔn fɔ mek yu bren swel

If i rili siriɔs, nyurosɔjɔn kin disayd fɔ du ɔpreshɔn lɛk:

• Craniectomy: Dis min se dɛn kin pul wan pat pan di skel fɔ mek dɛn nɔ gɛt prɛshɔn pan di bren.
• vεntrikulostomi: dεn de mek wan ol na wan vεntrikul na di bren εn dεn de put wan tכb fכ alaw fכ mek di sεribrospεnal fכl fכ kכmכt insay wan bag we de kכlekt am.
• Shunting: Dis kin min bak fכ muv di wata we pasmak frכm di bren to כda pat na di bכdi (fכ egzampl, di bכdi kכva) usay di bכdi kin tek am sef wan.
• Ɔpreshɔn fɔ pul wan bren lɛshɔn, lɛk tumbu.

Sayd ɛfɛkt/kɔmplikɛshɔn dɛm fɔ tritmɛnt

Bɔku tɛm, ɔpreshɔn kin mek pɔsin gɛt infɛkshɔn ɛn blɔd.

Mɛrɛsin kin mek pɔsin gɛt bad bad tin dɛn bak. Fɔ ɛgzampul, kɔtikosterɔyd dɛn:

• I kin mek pɔsin want fɔ it mɔ ɛn mɔ ɛn i kin gɛt mɔ wet.
• Di rεsistεns to infεkshכn dεm dεn dכn dכn.
• Akni we gɛt akni.
• Di we aw pɔsin de fil kin chenj.
• We pɔsin nɔ de rɛst.
• I izi fɔ mek pɔsin brus.

Frɔm `(Mannitol)` ɛn ɔda `(Diuretics)`:

• Di wata we nɔ de na di bɔdi.
• Kidni dɛn we dɔn pwɛl.

Yu kin wɛl we yu bren swel?

Di shɔt ansa na, yes, yu kin . Dɛn kin trit di bren we de swel. Bɔt i impɔtant fɔ trit di ɔndalayn kɔz ɛn bak di dairekt tritmɛnt fɔ di bren swel.

Wetin a go ɛkspɛkt if a gɛt bren tumbu?

di prכgnosis fכ rεkכvεshכn frכm di bren swel de dipכnt pan sεvεra tin dεm:

• Di tin we kin mek pɔsin swel.
• Yu ɔl wɛlbɔdi biznɛs.
• Aw kwik yu kin gɛt mɛrɛsin fɔ di swel.

I kin tek sɔm tɛm fɔ trit di swel ɛn di ɔndalayn kɔz. Apat frɔm dat, yu kin gɛt fɔ dil wit ɔda tin dɛn we dɔn mek yu swel.

Yu tink se dɛn kin mek di bren nɔ swel?

Pan ɔl we nɔto ɔl di bren swel dɛn kin avɔyd, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt:

• Gɛt dɔktɔ chɛk-ap ɔltɛm: Go to yu famili dɔktɔ ɛn du di tɛst dɛn we yu nid.
• Kɔntrol di sik dɛn we nɔ de dɔn lɛk dayabitis ɛn ay blɔd prɛshɔn fayn fayn wan.
• Yuz di mɛrɛsin dɛn jɔs lɛk aw di dɔktɔ tɛl yu.
• Tek tɛm we yu de ple spɔt we go mek yu ed wund: Tek tɛm we yu de ple spɔt we go mek yu kɔnkyushɔn.
• Wear sit bɛlt we yu de rayd motoka, ɛn wɛr ɛlmɛt we yu de rayd baysikul ɛn motoka.
• Gɛt di vaysin dɛn we yu nid ɛn fala ɔda prɛvɛntiv wɛlbɔdi prɔsis dɛm.
• Tek step fɔ mek yu nɔ gɛt di sik: nɔ de nia pipul dɛn we sik, was yu an fayn fayn wan.
• If yu de smok, tray fɔ lɛf fɔ smok. If pɔsin smok, dat kin mek i gɛt strok.

Ustɛm yu fɔ go to dɔktɔ bɔt aw yu bren de swel?

If yu gɛt ɛni kayn wund na yu ed, ivin smɔl wan, go to dɔktɔ wantɛm wantɛm . If yu nak yu ed we yu de ple spɔt, ɔ if yu gɛt kɔnkyushɔn, mek shɔ se yu go to dɔktɔ ɛn nɔ go bak fɔ ple spɔt te i gi yu di okay.

If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn yu de gɛt sayn dɛn we de sho se wata de bɔku ɔ swel na yu bren, go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ bɔt aw di bren de swel?

Yu kin gɛt kwɛstyɔn dɛn fɔ aks yu dɔktɔ bɔt aw yu bren de swel, lɛk:

• Wetin de mek mi bren swel?
• Us tritmɛnt dɛn yu kin advays?
• Aw yu kin trit di men tin we kin mek yu bren swel?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

sεribra εdima, כ ``Sεribral εdima'', na wan siriכs, we kin mek yu layf de pan denja. So, fɔ go to dɔktɔ jɔs afta yu si di sik, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn. I impɔtant bak fɔ no wetin mek di swel ɛn trit di sik we de ɔnda am. We wi de manej di sik dɛn we nɔ de mɛn fayn fayn wan ɛn tek di tin dɛn we go mek wi nɔ gɛt dis sik, wi kin ɛp fɔ mek wi nɔ gɛt sɔm pan di tin dɛn we kin mek wi bren swel. Tek kia ɔf yu wɛlbɔdi, bikɔs na di prɔpati we yu gɛt we valyu pas ɔl!

` Sεribral εdima, Intrakranial Prεshכn, Hεd Injuri, Bren Infεkshכn, Paralayz, Nyurolכjik Disiz