Wi go tɔk bɔt Chronic Traumatic Encephalopathy (CTE), we na wan sik we de na di bren we pɔsin kin gɛt we i wund in ed bɔku tɛm?

Wi ed dɛn rili valyu ɛn dɛn kin fil bad, nɔto so? Bɔt sɔntɛnde, we wi de ple spɔt, fɔdɔm, ɔ gɛt ɔda aksidɛnt, wi kin gɛt smɔl wund ɛn brus na wi ed. Yu go dɔn yɛri se we dɛn kayn tin ya apin to wi ed, nɔto jɔs wan ɔ tu tɛm, bɔt ɔltɛm, fɔ lɔng lɔng tɛm, i kin pwɛl wi bren. Dat na wan pan dɛn siriɔs, lɔng tɛm kɔndishɔn wae wi go tɔk bɔt tide, chronic traumatic encephalopathy, ɔr CTE fɔ shɔt.

Wetin na CTE (Krɔnik Traumatik Ɛnsɛfalopati)?

Fɔ tɔk am simpul wan, CTE na wan sik we de ambɔg di bren we pɔsin kin blo bɔku tɛm na di ed ɛn we pɔsin kin kɔnkyushɔn. I kin chenj di we aw difrɛn pat dɛn na yu bren de wok ɛn tɔk to dɛnsɛf. I tan lɛk mashin we de wok fayn fayn wan we de go hayway wantɛm wantɛm. Dipen pan aw di damej ɛn di pat dɛn na di bren we i afɛkt, i kin rili siriɔs.

Mek wi brok dɔŋ di minin fɔ di nem CTE smɔl:

• Kronik: Dis min se CTE nɔto sɔntin we de divɛlɔp ɛn go insay shɔt tɛm, bɔt na sik we de te fɔ lɔng tɛm .
• Trauma: Dis min se i gɛt fɔ du wit injury ɔ trauma .
• Ɛnsɛfalopati: Dis na wɔd we dɛn pul frɔm tu Grik wɔd dɛn. Di wɔd min "sik we de na di bren."

So, we wi put ɔl dis togɛda, wi ɔndastand se CTE na wan sik we kin de na di bren we kin te we pɔsin kin gɛt injuri na in ed ɔltɛm.

Udat de pan ay risk fɔ gɛt CTE?

CTE kin divɛlɔp pan ɛnibɔdi we dɔn sɔstayn kɔnkyushɔn. Bɔt i nɔ kin apin wan nɛt. Fɔ bɔku pipul dɛn, i kin tek sɔm ia, ivin bɔku bɔku ia, fɔ mek dɛn si di sik. Tipikli, pipul dɛm wae gɛt CTE dɔn gɛt kɔnkyushɔn fɔ lɔng lɔng tɛm. Dis risk kin bɔku mɔ pan pɔshɔnal atlet dɛn.

Tink bɔt am, pipul dɛn we kin ple spɔt lɛk bɔksin, MMA (miks martial arts), rɔgbi, ɛn futbɔl. Ɔmɔs tɛm dɛn kin bit dɛn na dɛn ed? Dɔn bak, sɔm sojaman dɛn de pan denja bikɔs dɛn gɛt fɔ dil wit tin dɛn lɛk bɔm.

Bɔt na di tin ya. Nɔto ɔlman we de ple spɔt na skul lɛvɛl de divɛlɔp am. Di avrej ej fɔ di wan dɛn we dɛn no se gɛt CTE na lɛk 42-43 ia. Dat min se i jɔs de sho smɔl leta.

If wi luk klia wan smɔl bɔt udat de pan denja pas ɔl:

• Pipul dɛn we de praktis kɔmbat spɔt: Bɔksin, miks martial arts (MMA), ɛn tradishɔnal martial arts lɛk taekwondo ɛn judo dɛnsɛf de pan denja.
• Pipul dɛn we de ple kɔntakt spɔt: mɔ spɔt lɛk futbɔl (Amɛrikan), ays ɔki, ɛn rɔgbi.
• Pipul dɛn we de du tin dɛn na strit: pipul dɛn we de rayd baysikul, rɔla blad, sketbɔd (di risk kin bɔku if dɛn nɔ wɛr ɛlmɛt).
• Di wan dɛn we de wok na di sojaman dɛn: Di wan dɛn we kin gɛt bɔm ɛn ɔda kayn bad bad injuri dɛn na dɛn bren.

Aw kɔmɔn tin dis kin apin?

Infakt, masta sabi pipul dɛn nɔ no bɛtɛ bɛtɛ wan aw CTE kɔmɔn. Wan rizin na dat naw, no way nɔr de fɔ bi 100% shɔ se pɔrsin gɛt dis sik wae i stil de alayv. Dɔktɔ dɛn kin sɔprayz, bɔt dɛn nɔ kin tɔk fɔ tru if dɛn nɔ chɛk di bren we dɛn de du ɔtopsi.

Wetin pas dat, de sayn dɛm fɔ CTE kin rili fiba ɔda sik dɛm na yu bren lɛk Alzaima ɛn frɔntotemporal dimɛnshɔn , so sɔmtɛm i kin at fɔ no difrɛns bitwin dɛn tu.

Wetin na di sayn dɛm fɔ CTE?

Di simptom dɛm fɔ CTE kin divɛlɔp sloslo, smɔl smɔl i kin go ɔp as tɛm de go. I nɔ kin izi fɔ tɔk ustɛm dɛn kin bigin ɔ aw dɛn kin go bifo kwik kwik wan.

Sɔm pan de sik wae kin kam pan pɔrsin na:

• I nɔ kin izi fɔ kɔnsɛntret ɛn tink bɔt wan tin (wi kin kɔl dis bak ``mild cognitive impairment'').
• Di ed we kin at bɔku tɛm .
• Sɔt tɛm mɛmori lɔs (nɔ kin mɛmba wetin dɛn jɔs du ɔ tɔk).
• Di chenj we pɔsin de biev: Tin dɛn lɛk fɔ vɛks wantɛm wantɛm, fɔ vɛks te i bɔn.

Apat frɔm dis, ɔda sayn dɛn kin sho:

• Pwɛl hat (fɔ fil sɔri, nɔr intres pan ɛnitin).
• Difikulti fɔ plan ɛn ɛksɛkutiv wok dɛn fayn fayn wan (`(Executive dysfunction)`).
• Slurring of speech, fɔ tɔk smɔl smɔl.
• Tremכr na di limb dεm εn di mכsul dεm we dεn nכ de kכntrol (dεn kכl am bak ``Parkinsonism'', we sכm kayn we lεk di sik dεm we de sho se di Pakinsin gεt).
• I tan lɛk se yu nɔ balans we yu de waka, yu de stɛdi.
• Lכs כf kכdכnayshכn fכ di limb dεm (`(Ataxia)`).
• Di agresiv bihayvya we de go ɔp.
• Tin fɔ tink bɔt fɔ du bad to yusɛf, fɔ tink bɔt fɔ kil yusɛf ɔ fɔ tray fɔ kil yusɛf.

Impɔtant: If yu ɔ pɔsin we yu sabi de tink bɔt dɛn tin ya, duya go fɛn ɛp wantɛm wantɛm. Kɔl dɔktɔ, padi, ɔ imejensi nɔmba.

Wetin kin mek pɔsin gɛt CTE?

Tu men tin dεm de we de kכntribyut fכ divεlכpmεnt fכ CTE.

1. Ripit injuri na yu ed:

Dɛn kin tek dis as di men tin we kin mek pɔsin gɛt CTE. Di impɔtant tin na dat nɔto ɔl injuri nid fɔ mek pɔsin `knock out`.Ivin smɔl smɔl bɔmp ɛn brus kin gɛda fɔ lɔng tɛm fɔ mek dis sik. Tink bɔt am lɛk we yu de nak wɔl wit hama bɔku tɛm. Wan hit nɔ go du bɔku, bɔt di mɔ yu kɔntinyu fɔ hit, na di mɔ di wɔl go pwɛl.

2. di akyumyuleshכn fכ di misfold protin dεm na di bren:

di protin dεm na kεmikכl mכlikul dεm we rili imכtant na wi bכdi. dεn protin dεm ya nid fכ εvri wan wok. wan spɛshal kayn prɔtin de we dɛn kɔl ‘tau’ na wi bren. dis ‘tau’ protin de wok lεk sכpכt fכ di bren sεl dεm.

Fɔ mek prɔtin wok fayn, i nid fɔ de di rayt shep. Jɔs lɛk aw ki nid fɔ fit insay lɔk. bכt, bikoz fכ dεn ripit injuri dεm ya na di ed, dεn `(tau)` protin dεm ya de chenj dεn shep εn stכp fכ wok fayn fayn wan. afta dat dεn diz כrd `(tau)` protin dεm de bigin fכ kכmכt na difrεn ples dεm na di bren. Lɛk dɔti. na so, if yu si dεn `(tau)` protin dεm ya de akumulet insay wan spεsifi k patεn, dεn de kכnfכm CTE naw we dεn de du כtopsi.

Aw ɛksaktɔli dɛn kin no CTE?

Dis na smɔl tin we kɔmplikt. Naw, no we nɔ de fɔ kɔnfɔm wit 100% shɔ se pɔsin gɛt CTE we i stil de alayv. Di wangren we na fɔ tek di bren tisu sɛmpul dɛn afta i day ɛn chɛk dɛn ɔnda maykroskɔp.

Bɔt dɔktɔ dɛn kin luk pan pɔsin in sik, di histri bɔt injuri na in ed, tɛst pan in bɔdi ɛn nyurolɔjik, ɛn mek gɛs se, "Dis pɔsin kin gɛt CTE." Wi kin kɔl dat ``presumptive diagnosis.''

We dɔktɔ dɛn sɔprayz se CTE, dɛn kin ɔda fɔ du sɔm tɛst fɔ no ɔda tin dɛn we de apin. Pan ɔl we dɛn tɛst ya nɔ kin ebul fɔ no CTE dairekt wan, dɛn kin ɛp fɔ pul ɔda tin dɛn we kin mek pɔsin gɛt CTE. Dɛn tɛst ya na:

• CT skan dɛn we dɛn kin du
• MRI skan dɛn we dɛn kin du
• PET skan dɛn we dɛn kin du
• tεst dεm we involv fכ tek wata frכm di spεnal kכd (dεn kכl dis ``Lumbar pancture'' כ ``Spinal tap'')

Yu tink se tritmɛnt de fɔ dis? Yu tink se dɛn kin mɛn am?

I sɔri fɔ no se naw, no mɛrɛsin nɔ de fɔ CTE. Dis na di bren we de pwɛl sote go.

Bɔt dɛn kin trit sɔm pan di sayn dɛm wae kin kam pan pɔrsin. Fɔ ɛgzampul, tritmɛnt dɛn de fɔ wae pɔrsin nɔr de mɛmba fayn, wae pɔrsin de chenj in bihayvya, ɛn wae pɔrsin gɛt pwɛl hat. Wetin na dɛn tritmɛnt dɛn de ɛn aw dɛn go gi dɛn go dipen pan bɔku tin, lɛk aw yu de si yu sik ɛn yu wɛl bɔdi istri. So, yu dɔktɔ na di bɛst pɔsin fɔ gi yu advays bɔt dis.

Apat frɔm dat, sɔm layf abit dɛn de we go bɛnifit fɔ di jenɛral bren wɛlbɔdi, ɛn i impɔtant bak fɔ fala dɛn.

Aw dɛn go ebul fɔ ridyus di prɔblɛm? Yu tink se dɛn go ebul fɔ stɔp am?

Wetin yu nid fɔ du fɔ avɔyd CTE kpatakpataDi bɛst tin fɔ du na fɔ ridyus di risk fɔ wund ed ɛn kɔnkyushɔn as yu ebul. Sɔm simpul tin dɛn de we wi kin du fɔ du dis:

• Ple sef wan: We yu de ple spɔt dɛn we gɛt ay impak lɛk futbɔl ɛn rɔgbi , mek shɔ se yu wɛr di rayt tin fɔ mek yu sef (lɛk ɛlmɛt). I impɔtant bak fɔ avɔyd denja kɔlishin ɛn ple we yu nɔ put yusɛf ɔ ɔda pipul dɛn pan denja.
• Nɔ ple wit injuri: Ivin if yu nɔ bin lɔs kɔnshɛns afta yu gɛt injuri na yu ed, i denja fɔ ple wit di tink se, "A fayn, a fayn." Kɔnkyushɔn nɔr min se yu nɔr gɛt kɔnshɛns. If yu gɛt kɔnkyushɔn ɛn afta dat dɛn bit yu na yu ed bak, i kin rili denja.
• Wear ɛlmɛt we yu de rayd tu wil: Mek shɔ se yu wɛr ɛlmɛt we yu de rayd baysikul, rɔla blad, ɔ sketbɔd. I kin ridyus di risk fɔ wund ed ɛn kɔnkyushɔn bad bad wan.
• Wear sit bɛlt: Na motoka aksidɛnt na di men tin we kin mek pipul dɛn we nɔto atlet kin kɔnkyushɔn. If yu wɛr sit bɛlt, dat kin ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm wit yu ed we yu gɛt aksidɛnt.

Wetin pɔsin we gɛt CTE kin ɛkspɛkt?

As wi bin dɔn tɔk bifo tɛm, CTE na wan sik we de ambɔg di bren. Dat min se de sik kin wɔs as tɛm de go. Dis kin tek sɔm ia, ivin bɔku bɔku ia. Naw, masta sabi pipul dɛn nɔ gɛt ɛni we fɔ no ustɛm i go tek fɔ mek di bren nɔ wok fayn.

Aw lɔng dis tin go las?

CTE na wan sik we go de sote go, we go de fɔ ɔl in layf.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Akɔdin to di risach ɛn ɔndastandin we de naw, CTE insɛf nɔ de kil pɔsin dairekt wan. Bɔt i kin mek yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn we kin ambɔg yu wɛlbɔdi ɛn kwaliti layf bad bad wan. Fɔ ɛgzampul, yu nɔ go ebul fɔ du tin dɛn lɛk fɔ it, was, ɛn drɛs. Bɔku tɛm, dɛn kayn pipul ya kin gɛt fɔ de na say dɛn we dɛn kin kia fɔ dɛn fɔ lɔng tɛm, usay dɔktɔ dɛn kin de.

As di sik de go bifo, i kin at fɔ swɛla (dysphagia) , we kin mek yu gɛt nyumonia ɛn yu nɔ kin ebul fɔ blo fayn.

Aw yu de kia fɔ yusɛf?

We di sik bigin, yu kin tek kia ɔf yusɛf ɔnda di gayd fɔ dɔktɔ. Yu dɔktɔ go advays yu bɔt aw fɔ chenj yu layf fɔ kɔntrol yu sik dɛn. Bɔt as di sik de go bifo, i kin at fɔ du tin fɔ yusɛf. Bɔt i sɔri fɔ no se, wae yu sik dɔn rich wan patikyula lɛvɛl, yu kin si se i nɔr pɔsibul fɔ liv yu yone.

Wetin yu go du if yu want tin fɔ apin di we aw yu want?

If dɛn no se yu gɛt CTE (ɔ wan sik we tan lɛk dis we de mek yu gɛt bren sik) na di fɔs tɛm, i impɔtant fɔ tɔk to yu dɔktɔ, yu fambul, ɛn pipul dɛn we yu biliv we go ebul fɔ disayd fɔ yu impɔtant tin dɛn. Dis tɔk kin ɛp dɛn fɔ no wetin yu intres pan if yu nɔ ebul fɔ disayd fɔ yusɛf.

Dɛn kayn tɔk-tɔk ya kin mek pɔsin nɔ ebul fɔ tɔk smɔl ɛn i kin mek i nɔ izi fɔ tɔk. Bɔt i bɛtɛ fɔ gɛt dɛn kwik pas fɔ gɛt dɛn leta. Da we de, di wan dɛn we yu lɛk go no bifo tɛm wetin yu want. Dɛn nɔ go lɛf dɛn fɔ gɛs.

Apat frɔm da tɔk de, i fayn bak fɔ rayt wetin yu want ɛn wetin yu disayd fɔ du. Dis kin inklud ligal dɔkyumɛnt, tin dɛm lɛk wetin fɔ du if yu nɔr ebul fɔ kia fɔ yusɛf ɔr disayd bɔt yu wɛl bɔdi. Bɔku pipul dɛn kin yuz lɔya fɔ ɛp dɛn fɔ mek dɛn kayn dɔkyumɛnt ya.

Ustɛm a fɔ go to dɔktɔ?

If yu notis ɛni chenj na di we aw yu de tink, mɛmba, pe atɛnshɔn, ɔ di we aw yu de fil, ɔ di we aw yu de biev, mek shɔ se yu go to dɔktɔ.

Ustɛm yu fɔ go na imejensi rum?

If yu de tink bɔt fɔ du bad to yusɛf (insay yu de tink bɔt fɔ kil yusɛf) ɔ fɔ du bad to ɔda pipul dɛn, go to ɛp wantɛm wantɛm. Dɔn bak, if yu tink se pɔsin we yu sabi de pan da kayn denja de, mek dɛn no kwik kwik wan.

Fɔ gɛt ɛp we tin lɛk dis, yu kin:

• Hotlayn fɔ mek pipul dɛn nɔ kil dɛnsɛf na Sri Lanka (e.g. Sumitrayo 1333, CCCline 1926).
• Mental wɛlbɔdi savis na yu eria.
• 1990 (Suvaseriya) ɔ 119 (Polis Imejɛnsi Nɔmba). Yu kin kɔl dɛn nɔmba ya fɔ aks fɔ ɛp fɔ pɔsin we gɛt ɛnitin fɔ du wit am.

Wetin na di difrɛns bitwin di pɔst-kɔnkyushɔn sindrom (PCS) ɛn CTE?

Pan ɔl we sɔm pipul dɛn kin tink se "Post-concussion syndrome (PCS)" ɛn "Chronic Traumatic Encephalopathy (CTE)" na di sem tin, dɛn tin ya na tu difrɛn kɔndishɔn.

• PCS `(Post-concussion syndrome)`: Dis na wan kכndyushכn we de apin afta yu ed injuri `(concussion)`. I kin las fɔ sɔm wiks, sɔm mɔnt, bɔt i kin go as di bren de wɛl. wan lכng tεm PCS kכndishכn de bak, bכt insay da kes de, di `(tau)` protin we wi bin tכk bכt nכ de akumulet abnכmal wan na di bren.
• CTE (Chronic Traumatic Encephalopathy): Dis na wan sik we de go bifo na di bren we de go bifo ɛn we di prɔtin tau nɔ de gɛda fayn fayn wan.

Fɔ dɔn, mɛmba dis.

CTE na siriɔs sik wae kin kam wae yu blo yu ed ɔltɛm. I kin tek sɔm ia fɔ mek i gɛt am, ɛn na sik we kin mek di bren pwɛl sote go ɛn i kin wɔs as tɛm de go. Naw, no mɛrɛsin nɔ de fɔ mɛn am.

Bɔt, tin dɛn de we wi kin du fɔ mek dis nɔ apin. Di tin we impɔtant pas ɔl na fɔ protɛkt wisɛf frɔm bad bad, we dɛn kin bit wi ed ɔltɛm. I impɔtant mɔ fɔ yuz tin dɛn fɔ protɛkt yusɛf ɛn fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm we yu de ple spɔt ɔ we yu de du tin dɛn we de mek yu denja.

Risach bɔt dis sik stil de go bifo. tumara bambay, dɛn kin no mɔ bɔt aw dis sik kin apin, ɛn sɔntɛm ivin nyu tritmɛnt dɛn. So, lɛ wi ɔl tek tɛm fɔ protɛkt wi ed.

` CTE, bren sik, ed injuri, kɔnkyushɔn, tau protin, spɔt injuri, nyurolɔjik sik