Lɛ wi lan bɔt kɔmpreshɔn na di sɛvikal spɛshal kɔd (Cervical Myelopathy) .

Sɔntɛnde yu kin wek na mɔnin wit yu nɛk we stif ɛn pen we kin mek i nɔ izi fɔ tɔn yu ed? Ɔ yu kin fil lɛk se yu an dɛn de swɛt ɔ yu wik? Sɔntɛnde, dɛn tin ya kin las fɔ wan ɔ tu dez ɛn afta dat dɛn kin go. Bɔt if dɛn sik ya kɔntinyu, i kin bi sayn fɔ wan sik we dɛn kɔl Sɛvikal Maylopati. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na Sɛvikal Maylopathy?

Fɔ tɔk am simpul wan, Sɛvikal Maylopati na we dɛn kɔmprɛs di spɛshal kɔd na yu nɛk. Jɔs lɛk aw wata paip kin kɔmprɛs ɛn di wata kin stɔp fɔ flɔ, we wi kɔmprɛs wi spɛnal kɔd, di nɛv mɛsej dɛn we de pas insay de kin ambɔg. Dis kɔmpreshɔn kin apin fɔ difrɛn rizin dɛn. I kin bi bikɔs ɔf injury na in nɛk, wan tumor, ɔ wan herniated disk.

Wan kayn tin de we kin apin mɔ we dɛn kɔl Cervical Spondylotic Myelopathy . Bɔku tɛm, dis kin apin as wi de ol. Jɔs lɛk di ɔda pat dɛn na wi bɔdi, di bon dɛn, di disk dɛn, ɛn di ligamɛnt dɛn na di nɛk kin wik smɔl smɔl ɛn dɛn nɔ kin ebul fɔ chenj igen. Dɛn chenj ya na de tin wae kin mek pɔrsin gɛt dis sik. I tan lɛk se di wɔl dɛn na wan ol os de wik smɔl.

Aw dis sik kin kɔmɔn?

Infakt, dis na wetin dɛn kɔl Sɛvikal Spɔndilɔtik Maylopati. If yu luk pan sɔm kɔntri dɛn na di wɔl, bɔku bɔku pipul dɛn kin go na ɔspitul wit dɛn sik ya ɛvri ia. Dis kɔndishɔn nɔ de na Sri Lanka sɛf. Dis kin apin mɔ pan pipul dɛm wae dɔn pas 40-50 ia.

Wetin na di sayn dɛm fɔ dis?

Okay, naw lɛ wi luk us simptom yu kin gɛt wit sɛvikal maylopathy. Dɛn tin ya kin difrɛn smɔl frɔm wan pɔsin to ɔda pɔsin, bɔt sɔm sayn dɛn de we kin apin:

• Nɛk pen ɔr stif: Dis na di fɔs tin wae bɔrku pipul kin fil. I nɔ tan lɛk se dɛn jɔs dɔn swɛt dɛn nɛk, bɔt na pen we kin de ɔltɛm, sɔm tɛm dɛn kin de mɔ ɛn mɔ.
• Di an ɛn finga dɛn kin swɛla ɔ swɛt: I kin tan lɛk se yu de swɛt, ɔ lɛk se ant dɛn de kray rawnd. Dis kin apin na jɔs wan an ɔ na ɔl tu an.
• Wiknɛs na di mɔsul dɛm na yu an ɛn an: I nɔ kin izi fɔ yu fɔ du tin dɛn we bin izi trade. Fɔ ɛgzampul, yu kin fil wik na yu an we yu de opin wata bɔtul ɔ es ebi ebi tin.
• Nɔ balans we yu de waka, i nɔ kin izi fɔ waka: I kin tan lɛk se yu nɔ de step na grɔn fayn, ɔ yu kin fil lɛk se yu de slip ɛn fɔdɔm. Fɔ sɔm, di we aw dɛn de waka kin chenj bak.
• Difεlεnt wit fayn mכtalman skil dεm:Fɔ ɛgzampul, dis min se i kin at fɔ du smɔl smɔl tin dɛn we nɔ izi fɔ du, lɛk fɔ bɔtin shirt, fɔ rayt wit pen, fɔ yuz kɔtlɛri, ɔ fɔ put ki na domɔt. I kin ivin tan lɛk se tin dɛn na yu an jɔs de fɔdɔm na grɔn.

Wetin mek dis kin afɛkt di leg dɛn bak?

Naw yu go de tink se, ‘If prɔblɛm de na di nɛk, wetin mek i de afɛkt di leg dɛn bak?’ I tan lɛk dis. Wi spɛshal kɔd tan lɛk wan men rod na di nervɔs sistɛm we de rɔn ɔlsay na wi bɔdi. na along dis rod we di mεsej dεm we de kכmכt na di bren de travul go na di an dεm, di leg dεm, εn כlsay na di bכdi. So, wen dis men rod get jam fo nek, i kin disrupt di mesej dem we de go dong to di leg dem tu. I tan lɛk se tɛlifon waya de brok na wan ples, ɛn di wan ol layn stɔp fɔ wok.

Wetin kin mek dis apin?

Okay, mek wi luk naw wetin de mek di sεvikal spεnal kכd kכmpreshכn. Na sɔm tin dɛn we kin afɛkt dis:

• Bon Spurs: As wi de ol, sכm sכm bon spur dεm (lεk spayna) kin divεlכp pan wi vεrbra. dis kin kכmprεs di spεnal kכd.
• Herniated Disk: Di disk bitwin wi vεrbra dεm na kushכn we lεk jεli. Sɔntɛnde i kin bɔl kɔmɔt ɛn prɛs pan di spɛshal kɔd.
• di spεnal kanal we de na di nεk we dεn bכn sכmtεm (Narrow Cervical Canal): sכm pipul dεn kin bכn wit dis kanal we sכmtεm sכmtεm. If na so i bi, ivin smɔl chenj kin izi fɔ mek pɔsin kɔmpreshɔn.
• Rimatɔyd Atraytis: Dis na inflammatory kɔndishɔn bak we kin afɛkt di jɔyn dɛn. i kin afekt di joyn dεm na di nεk bak εn kכmprεs di spεnal kכd.
• Spondylolisthesis: Dis na we wan vεrbra de slip fכ go bifo oba כda wan. dis kin kכmprεs di spεnal kכd bak.
• Spinal Degeneration: Dis na di men tin we de mek di Cervical Spondylotic Myelopathy we wi bin dɔn tɔk bɔt. di chenj dεm na di spayna kin apin wit di ej.
• Spinal Stenosis: di spεnal kanal de sכmtεm bikoz fכ difrεn rizin dεm.
• Traumatik Injury: Dis sik kin apin bak bikɔs ɔf bad bad injury na in nɛk, lɛk motoka aksidɛnt ɔr fɔdɔm.
• Tכmכro: Na tכmכro we de fכm pan כ nia di spεnal kכd kin kכmprεs di spεnal kכd.

Sεvikal Spondylotic Myelopathy, spεshal wan, na di nכmal chenj dεm na di spayna na wi nεk we wi de ol. Jɔs lɛk aw di domɔt ɛn winda dɛn na wi os kin pwɛl as tɛm de go, na so di we aw di pat dɛn na wi spayna de wok ɛn di we aw dɛn mek am kin chenj bak. dis de mek di rod fכ di spεnal kכd sכm, we de put prεshכn pan am. Dis na tin we pɔsin kin du we i ol.

Udat dɛn kin gɛt dis sik mɔ?

Dis sik we dɛn kɔl Cervical Myelopathy kin apin pan ɛni ej, bɔt sɔm stɔdi dɔn sho se i kin apin mɔ to pipul dɛn we dɔn pas 30 ia, mɔ di wan dɛn we kɔmɔt na Eshia.

Cervical Spondylotic Myelopathy kin afɛkt ɛnibɔdi, bɔt i kin mɔs pan man ɛn pipul dɛn we dɔn pas 40. Di avɛrej ej fɔ no di sik na lɛk 64 ia.

Wetin kin apin if dɛn nɔ trit am?

If dɛn nɔ trit dis sik fayn, di sayn dɛn kin wɔs smɔl smɔl. If dis apin, prɔblɛm dɛn lɛk:

• Pen we rili bad.
• Bowel ɛn Bladder Dysfunction: Dis min se i nɔ kin izi fɔ pul di dɔti, pis, ɛn nɔ kin ebul fɔ kɔntrol insɛf.
• Nɛv Damej: Dis kin bi fɔ ɔltɛm.
• I nɔ kin izi fɔ waka: I nɔ kin balans igen, i kin fɔdɔm ɔltɛm, ɛn i kin wik tumɔs fɔ waka.
• Yu nɔ de yuz yu finga, an, ɛn an: Yu nɔ go ebul fɔ du wok wit yu an.
• Paralayz: If i tranga, sɔm pat dɛn na di bɔdi kin paralayz.

So, if yu gɛt sɔm kayn sik lɛk dis, i rili impɔtant fɔ lɛ yu nɔ pe atɛnshɔn to dɛn ɛn go to dɔktɔ wantɛm wantɛm.

Aw yu kin fɛn dis?

Okay, naw if yu gɛt dɛn sik ya, aw dɔktɔ go no se yu gɛt sɛvikal maylopathy?

Fɔs, di dɔktɔ go aks yu bɔt yu sik ɛn tek yu mɛdikal histri. Dɔn, dɛn go du ɛgzam fɔ dɛn bɔdi ɛn ɛgzam fɔ di nyurolɔjik. Insay dis tɛm, dɛn kin tɛst yu balans, riflɛks, ɛn fayn fayn motoka skil dɛm. If i pɔsibul, dɛn kin wach bak aw yu de waka fɔ si aw yu sik dɛn de afɛkt yu.

Apat frɔm dat, yu kin gɛt sɔm spɛshal imej tɛst dɛn bak fɔ luk insay yu spayna. Dɛn tin ya na:

• X-ray: Dɛn kin yuz dis fɔ chɛk fɔ si if ɛni chenj de na di bon dɛn, lɛk di bon spur.
• MRI Scan: Dis de mek yu si klia wan aw di sכft tisu dεm lεk di spεnal kכd, disk dεm, εn di nεv rכt dεm de. Yu kin no klia wan usay kɔmpreshɔn de ɛn di say we i de.
• CT skan: Dis kin gi yu bak ditayli imej fɔ di strɔkchɔ fɔ di bon dɛn.
• Maylogram tɛst: .insay dis, dεn kin put spεshal tin insay di spεnal kanal εn dεn kin du εks-ray כ CT skan. dis de mek dεn si di spεnal kכd kכmpreshכn εria dεm klia wan.

Yu tink se dɛn kin mɛn am kpatakpata?

Wan kwɛstyɔn we bɔku pipul dɛn kin aks na, yu tink se dɛn kin mɛn am kpatakpata? Fɔ tɔk tru, no kɔmplit mɛrɛsin nɔ de fɔ ɔl di tin dɛn we kin mek pɔsin gɛt sɛvikal maylopathy. Bɔt ɔpreshɔn kin ridyus di sayn dɛn bad bad wan, stɔp di sik fɔ wɔs, ɛn mek i nɔ gɛt prɔblɛm dɛn. Bɔt ivin afta tritmɛnt, bikɔs ɔf di chenj dɛn we de apin wit di ej, ɔda pat dɛn na di spayna kin afɛkt tumara bambay. Dis min se ilɛksɛf dɛn kɔrɛkt wan pat, chans de fɔ mek ɔda pat gɛt prɔblɛm, mɔ we yu de ol.

Wetin na di tritmɛnt dɛn?

Okay, naw lɛ wi si us tritmɛnt dɛn de fɔ dis. Tu men tritmɛnt dɛn de:

1. Manejmɛnt we nɔ gɛt ɔpreshɔn

2. Ɔpreshɔn Tritmɛnt

Bɔku tɛm, dɔktɔ go tray fɔs fɔ du tin dɛn we nɔ gɛt ɔpreshɔn fɔ kɔntrol di sik dɛn. Bɔt dis kin difrɛn difrɛn wan bay aw yu gɛt di sik ɛn wetin de mek yu gɛt am.

Manejmɛnt we nɔ gɛt ɔpreshɔn

Fɔ pipul dɛn we gɛt mild cervical myelopathy, dɔktɔ dɛn kin tɛl dɛn fɔ du dɛn tin ya:

• We yu wɛr Nɛk Bres: Dis kin mek di nɛk fil fayn ɛn i kin kɔntrol bak di nɛk we yu nɔ nid fɔ muv.
• Fizik Tɛrapi: Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksesaiz fɔ mek yu nɛk mɔsul dɛn strɔng, fɔ mek yu ebul fɔ chenj, ɛn fɔ mek yu tinap kɔrɛkt wan.
• Fɔ Tek Mɛrɛsin:
• Nɔnsterɔyd Anti-inflammatory Drugs (NSAID): Fɔ ɛgzampul, ibuprofen ɛn naproxen. Dɛn tin ya kin mek pɔsin nɔ fil pen ɛn i kin mek i nɔ swel.
• Kɔtikosterɔyd: Dɛn tin ya na pawaful tin dɛn we de mek pɔsin nɔ gɛt inflamɛns. Dɛn kin gi dɛn fɔ shɔt tɛm.
• Pen Riliva: Yu kin gi jenɛral pen reliever lɛk paracetamol ɔr wan wae strɔng pasmak.

Bɔt mɛmba se pan ɔl we dɛn tritmɛnt ya we nɔ de du ɔpreshɔn kin mek pɔsin nɔ gɛt di sik wantɛm wantɛm, dɛn nɔ kin mek pɔsin fil fayn fɔ lɔng tɛm ɔ i kin mek di spɛshal kanal we dɔn smɔl, big.

Ɔpreshɔn Tritmɛnt

If di kɔndishɔn fɔ Sɛvikal Maylopati rili bad, i min se:

• If bad bad pen de, .
• If di mɔsul dɛn wik, .
• If di an ɛn fut dɛn nɔ de fil fayn, .
• If yu gɛt prɔblɛm fɔ waka ɛn balans, .
• If i at fɔ du diliket wok, .

Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ mek yu nɔ kɔmprɛs di spɛnal kɔd.

Di kayn ɔpreshɔn we yu dɔktɔ go se fɔ du kin difrɛn difrɛn wan bay di sayn dɛn we yu gɛt, di wɛlbɔdi we yu gɛt, ɛn di ej we yu ol. Sɔm pan di tin dɛn we yu kin du na:

• Diskectomy: Dis kin min fɔ pul pat ɔ ɔl di disk we de mek di hεnia.
• Disk Riplesmɛnt: Dɛn kin put atifishal disk fɔ riples di disk we dɛn dɔn pul.
• Laminectomy: dεn de pul wan pat pan di vεrbral we dεn kכl ‘lamina’ fכ mek mכr spεs fכ di spεnal kכd.
• Laminoplasty: we dεn nכ pul di ‘lamina’, dεn de shep am bak fכ mek rum fכ di spεnal kכd.
• Spinal Fyushכn: Dis na di prכsidכm we de mek wan כ mכr vεrbra dεm stεbyul bay we dεn de fכs dεm tכgeda . Bɔku tɛm dɛn kin du dis wit di diskɛktɔmi.

Bifo dɛn du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn go ɛksplen to yu di prɔblɛm dɛn we kin apin so dat yu go disayd fɔ du di rayt tin.

Afta di ɔpreshɔn, yu go nid fɔ rɛst fɔ sɔm tɛm. Yu fɔ avɔyd fɔ es ebi ebi tin ɔ du tin dɛn we de mek yu tranga te yu dɔktɔ tɛl yu fɔ du dat. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt aw fɔ kia fɔ yusɛf ɛn ustɛm fɔ kam bak fɔ chɛk-ap.

Wetin go apin tumara bambay? (Autluk) .

Yu luk fɔ sɛvikal maylopathy de dipen pan di kɔz fɔ di sik. Dɛn kin trit di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi wit tritmɛnt dɛn we nɔto ɔpreshɔn, ɛn bɔku tɛm ɔpreshɔn kin gɛt gud tin fɔ du.

Bɔt if dɛn nɔ trit am, di sɛvikal maylopathy kin wɔs. If i siriɔs, i kin mek di nerv dɛn pwɛl fɔ ɔltɛm, we nɔ go ebul fɔ chenj. Dis kin mek yu gɛt prɔblɛm dɛn lɛk fɔ fil pen bad bad wan ɛn i nɔ kin izi fɔ muv.

So, if yu gɛt sayn dɛn we de sho se yu gɛt sɛvikal maylopathy, go to dɔktɔ wantɛm wantɛm. Dɛn go ɛp yu fɔ fɛn di bɛst tritmɛnt fɔ yu.

Aw lɔŋ yu kin liv wit dis sik? Aw kwik i go go bifo?

Sɔm pipul kin aks aw lɔng yu kin liv wit dis sik, ɛn aw i kin go bifo kwik kwik wan. Mild kes nɔr kin afɛkt yu layf, bɔt de sayn kin afɛkt yu kwaliti fɔ liv. If i siriɔs, kɔmplikeshɔn lɛk fɔ pwɛl di nerv fɔ ɔltɛm ɔ fɔ paralayz kin apin. So, di prɔgnosis fɔ ɛnibɔdi go difrɛn difrɛn wan dipen pan bɔku tin dɛm, lɛk in jenɛral wɛlbɔdi ɛn ej. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt yu sik.

Aw dis kin wɔs kwik kwik wan kin difrɛn bak fɔ di kɔz.Fɔ ɛgzampul, dis sik kin kam wantɛm wantɛm afta aksidɛnt, ɔ i kin kam smɔl smɔl as yu de ol. Yu dɔktɔ go luk yu simptom dɛm ɛn imej tɛst fɔ gi yu ``Prɛdikshɔn'' bɔt aw i go wɔs kwik ɛn wetin na yu risk fɔ gɛt kɔmplikeshɔn.

Yu tink se dɛn go ebul fɔ stɔp dis?

I nɔ pɔsibul fɔ mek dɛn nɔ gɛt ɔl di tin dɛn we kin mek pɔsin gɛt sɛvikal maylopathy. i at mכtalman fכ mek di spεnal kכd kכmpreshכn we di nεchכral chenj dεm na di bכdi de kכz we wi de ol, lεk sεvikal spondylotic myelopathy. Bɔt yu kin ridyus di risk fɔ mek yu wund bikɔs ɔf aksidɛnt. I impɔtant fɔ fala di tin dɛn we sef ɛn avɔyd fɔ du tin dɛn we gɛt bɔku prɔblɛm ɛn we de mek yu denja.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛn we de sho se yu gɛt sɛvikal maylopathy, lɛk di pen we yu bin dɔn tɔk bɔt na yu nɛk, yu nɔ de fil fayn, yu wik, ɛn i nɔ izi fɔ waka, yu fɔ rili go to dɔktɔ. Dɔn dɛn go du tɛst fɔ si if ɛni kɔmpreshɔn de na yu spɛnal kɔd.

If yu dɔn no se yu gɛt sɛvikal maylopathy, if yu sik dɛn de wɔs, ɔ if yu gɛt sayd ɛfɛkt frɔm tritmɛnt, tɛl yu dɔktɔ.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Usay na mi nɛk dis throbbing de apin?
• Us kayn tritmɛnt yu kin advays?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?
• Yu tink se a rili nid ɔpreshɔn?
• Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?

Di mɛsej we impɔtant pas ɔl fɔ kɛr go na os fɔ yu

di spεnal kכd we wi gεt de ple rili imכtant rol na di bכdi. We wi nɔ bin de ɛkspɛkt, bikɔs ɔf aksidɛnt ɔ bikɔs ɔf di natura chenj dɛn we wi de ol, dis spɛshal kɔd kin put am ɔnda prɛshɔn. Jɔs lɛk rod ɔ brij we dɛn kin yuz bɔku tɛm, as tɛm de go, i kin pwɛl. Dɛn nid bak fɔ mek dɛn kia fɔ dɛn ɛn kia fɔ dɛn fɔ mek dɛn ebul fɔ wok fayn fayn wan. Na di sem tin kin apin to wi bɔdi. Dis kia rili impɔtant, mɔ pan dis kes fɔ Sɛvikal Maylopati.

Dɔktɔ kin ɛp yu fɔ kɔntrol yu sik dɛn ɛn fɔ mek yu nɔ gɛt prɛshɔn pan yu spɛnal kɔd. Dis kin nid fɔ mek dɛn du ɔpreshɔn. We yu tink bɔt fɔ ɔpreshɔn yu nɛk kin mek yu fred, bɔt yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ protɛkt yu ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn. So, if yu gɛt sɔm sayn dɛn, nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm. If yu trit yu kwik kwik wan, dat kin mek yu gɛt bɛtɛ tin fɔ du.

` Nεk pen, Sεvikal Spondylotic Myelopathy, Spinal Kכd Kכmpreshכn, Numbness na di an dεm, Spayna, Nyuropati, Nεk pen, Sεvikal Spondylotic Myelopathy, Spinal Kכd Kכmpreshכn