Yu dɔn ɛva gɛt bad bad ed we nɔ bin de go fɔ sɔm dez? Ɔ yu kin fil wantɛm wantɛm se yu bɔdi de go swɛ, wit tin dɛn lɛk fɔ fɔgɛt ɛn fɔ swɛ? Sɔntɛnde, dɛn tin ya kin bi sayn fɔ siriɔs sik, ilɛksɛf wi nɔ pe atɛnshɔn to dɛn bɛtɛ. Tide, wi go tɔk bɔt wan sik we kɔmplikt smɔl, bɔt we rili impɔtant we de afɛkt wi bren ɛn spɛnal kɔd.
Wetin na dis (CNS Vasculitis)? Lɛ wi ɔndastand am rili simpul wan?
Fɔ tɔk am simpul wan, CNS Vasculitis na inflamɛns na di blɔd vesel dɛn na wi sɛntral nɛvɔ sistɛm (CNS), dat na di bren ɛn di spaynal kɔd. Jɔs lɛk we wi gɛt injuri sɔnsay na wi bɔdi, di blɔd vesel dɛn we de gi blɔd to di bren ɛn spɛshal kɔd kin swel frɔm insay. sכmtεm dכkta dεn kin kכl dis ``primary angiitis fכ di sεntri nεv sεstem ''. wan ɔda nem na ``granulomatous angiitis''.
Tink bɔt am, wi sɛntral nervous system tan lɛk di kɔntrol sɛnta fɔ wi ɔl bɔdi. Ɔl wetin wi de du wit kɔnshɛns, frɔm we wi de yuz yu finga fɔ rid dis atikul, to ɔltin we wi nɔ no, lɛk fɔ blo ɛn at rit, na in dɛn de kɔntrol ya. So wetin kin apin if prɔblɛm de wit di blɔd vesel dɛn na dis kayn impɔtant ples? Na dat mek wi nid fɔ wɔri bɔt dis sik.
Men kayn CNS Vasculitis de?
Yɛs, dɔktɔ dɛn dɔn no tu men kayn dis:
1. Praymari CNS Vaskulaytis: Dis kin apin in wan, we nɔ gɛt ɛni ɔda sik. Dat min se, dɛn nɔ go ebul fɔ fɛn ɔda sik as pɔsin we de mek i sik.
2. Sεkכndari CNS Vaskulεt: Dis kin apin wit כ as a rizulεt fכ כda mεdikal kכndyushכn. Fɔ tɔk am simpul wan, i kin kam bikɔs ɔf wan sik we de mek pɔsin in bɔdi wam ɔ ɔda sik we de ɔdasay na di bɔdi. כtoimyun sik dεm ( i.e., sik dεm we wi bכdi in כwn difεns sistεm de wok agens wi) εn infεkshכn dεm na di mכst kכmכn kכz fכ dis sεkכnd tכp.
Wetin na di sayn dɛm fɔ dis sik? Aw wi kin no am?
De sayn dɛm fɔ CNS Vasculitis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm kɔmɔn sayn dɛm de:
- Bɔrku ed pen wae kin teik lɔng tɛm: Dis na de fɔs sayn wae kin kam na bɔrku pipul dɛn maynd. I nɔ tan lɛk ed we de at ɔltɛm, bɔt i kin tranga smɔl ɛn i kin las fɔ sɔm dez.
- Fɔgɛt ɔ kɔnfyus: Yu kin fɔgɛt tin wantɛm wantɛm ɛn fil lɛk se yu nɔ de tink.
- Yu nɔ kin fil fayn, yu kin fil lɛk se yu nɔ kɔmɔn, ɔ yu kin chenj we yu tɔch yu: Yu an ɛn fut dɛn kin fil lɛk se yu nɔ gɛt natin, ɛn yu nɔ kin fil natin we yu tɔch dɛn.
- Fɔ fil wik na yu bɔdi: Na fɔ fil se yu nɔ ebul fɔ du ɛnitin, yu nɔ want fɔ du ɛnitin.
- Yu nɔ de si fayn: yu nɔ de si fayn, sɔntɛnde yu kin ivin si tu tɛm.
- Di sayn dɛm fɔ epilepsy (Seizures): I kin kam fɔ lɛ yu nɔ no natin wantɛm wantɛm ɛn yu kin gɛt kɔnvulshɔn.
- Ɛnsɛfalopati: Dis kin mek yu maynd chenj, aw yu de biev, ɛn sɔntɛnde yu kin ivin pas.
If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Bikɔs dɛn tin ya kin bi sayn dɛn bak fɔ ɔda sik dɛn, i rili impɔtant fɔ no ustɛm na di prɔblɛm.
Wetin na di poshubul kɔmplikeshɔn dɛm fɔ CNS Vasculitis?
Dis sik kin mek di blɔd vesel dɛn swel ɛn big, ɛn dis kin mek i nɔ izi fɔ mek blɔd pas dɛn. As tɛm de go, dis inflamɛns kin pwɛl di bren ɛn spɛshal kɔd, ɛn dis kin mek i gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja. Di men wan dɛn na:
- Strɔk we pɔsin kin gɛt
- Transiεnt ischemic atak dεm (dεn kin kכl am bak "mini-strok") .
- Bren aneurism (bulges we kin brok di blɔd vesel dɛn na di bren) .
Ɔl dɛn prɔblɛm ya kin nid fɔ go na dɔktɔ kwik kwik wan. If yu si sayn dɛm fɔ strok ɔ yu bren anɛrizm we dɔn brok, go na ɔspitul wantɛm wantɛm ɔ kɔl 1990 (ambulans).
Wetin na di tin dɛn we kin mek pɔsin gɛt CNS Vasculitis?
(CNS Vasculitis) na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Fɔ tɔk am simpul wan, di we aw wi bɔdi de fɛt, we na di sojaman dɛn we dɛn se go protɛkt wi frɔm sik, kin mistek bigin fɔ atak wi yon sɛl dɛn. Wetin kin apin ya na dat di difɛns sistɛm kin atak wi yon blɔd vesel dɛn.
- Pipul dεm we gεt praymar CNS vaskulεt de divεlכp am witout spεsifi k kכz, dat na, ``idiopathically.`` I nכ posbul fכ tכk εksεkshכn wetin kכz am.
- Sεkכndari CNS Vaskulεt kin apin wit כda sik dεm we de mek di bכdi inflameshn. Ɔda ɔtoimyun sik dɛm ɛn sɔm infɛkshɔn kin mek i apin. Na sɔm ɛgzampul dɛn ya:
- `Lupus`
- ``Granulomatosis wit polyangiitis''.
- ``Eosinofilik granulomatosis wit polyangiitis (EGPA)''.
- `Maykroskopik polyangiitis`
- `Behçet in sindrom`
- `Sjögren in sindrom`
- Vayrɔs infɛkshɔn: Epstein-Barr vayrɔs, varicella-zoster vayrɔs (di vayrɔs we kin mek pɔsin sik lɛk chikinpoks ɛn hεpi) .
- Baktri infεkshכn: Tubakulosis, Sifilis
Udat de pan denja fɔ gɛt dis sik?
(CNS Vasculitis) Pan ɔl we ɛnibɔdi kin gɛt am, i kin bɔku pan man dɛn. Pan ɔl we i kin bɔku pan pipul dɛn we ol lɛk 50 ia, dis sik kin apin pan ɛni ej.
Aw dɔktɔ dɛn kin no se yu gɛt CNS Vasculitis?
Dɔktɔ go no dis sik bay we i go chɛk yu bɔdi ɛn du sɔm spɛshal tɛst dɛn. I go aks yu bɔt yu sik dɛn lɛk di fɔs tɛm we yu notis dɛn. Tɛl yu dɔktɔ if yu sik dɛn kin kam ɛn go (`recur`), ɛn if dɛn kin wɔs pan sɔm tɛm dɛn na di de ɔ we dɛn de du sɔm tin dɛn.
sכmtεm fכ no se yu gεt CNS Vasculitis kin bi wan prכsεs fכ kכl כda kכndyushכn dεm (difrεnt diagnosis) . Dis min se bifo yu no bɔt dis sik fayn fayn wan, yu dɔktɔ go du sɔm tɛst fɔ mek shɔ se yu nɔ gɛt ɔda, mɔ kɔmɔn sik. Yu go nid fɔ du dɛn tin ya:
- MRI (Magnetik Rɛsɔnans Imej) .
- `CT skan` (Kɔmpyut tomografi) .
- Angiogram (na spɛshal ɛkstrem raytin fɔ di blɔd vesel dɛn) .
- Bayopsi (we dɛn tek wan pat pan di tisu fɔ mek dɛn chɛk am) .
Yu kin nid bak fɔ go to dɔktɔ we de mɛn yu bɔdi, we na dɔktɔ we spɛshal fɔ mɛn sik dɛn we de mek yu bɔdi wam .
Wetin na di mak dɛm wae de ɛp fɔ no CNS Vasculitis?
"Makers" na sayn dɛm fɔ wan sik. Yu dɔktɔ kin fɛn dɛn tin ya na yu blɔd ɔ ɔda wata na yu bɔdi tru lɛbɔtri tɛst. Na sɔm tɛst dɛm wae yu dɔktɔ kin yuse fɔ luk fɔ sayn dɛm fɔ CNS Vasculitis:
- Blɔd tɛst fɔ chɛk if blɔd nɔ de na di bɔdi.
- ESR tεst (εrythrocyte sedimentation rate): Na mak fכ inflameshn na di bכdi.
- C-reactive protein (CRP) test: I de chεk fכ inflammatory mak dεm we di liva de rilis.
- Lumbar pancture: Tek wan sεmpl fכ yu sεribra spεnal fכluid εn chεk fכ hεy wayt blכd sεl kכnt.
Wetin na di tritmɛnt dɛm fɔ dis?
Yu dɔktɔ go mɔs tɛl yu fɔ yuz tritmɛnt dɛn we go kɔntrol di inflamɛns. Di tin we impɔtant pas ɔl we yu de trit CNS Vasculitis na fɔ stɔp di damej we i de kɔz to yu bren ɛn spɛshal kɔd. Bɔku pipul dɛn go nid fɔ tek wan kɔmbayn mɛrɛsin we dɛn kɔl kɔtikosterɔyd (wan kayn mɛrɛsin we de ridyus di inflamɛns) ɛn immunosuppressants (drɔg dɛn we de stɔp di imyun sistɛm) .
Fɔs, dɛn go gi yu mɔ doz fɔ di mɛrɛsin. Leta (bɔku tɛm afta sɔm mɔnt), yu dɔktɔ kin ridyus di injɛkshɔn ɛn di doz. Yu dɔktɔ dɛm de tray fɔ mek yu go na ``rɛmishɔn`` stej usay yu simptom dɛm nɔr bɔku ɔr dɔn go ɔlsay.
If yu gɛt sɛkɔndari CNS vasculitis, yu go nid fɔ tek difrɛn tritmɛnt fɔ kɔntrol di ɔndalayn kɔndishɔn, we yu dɔktɔ go ɛksplen to yu.
Ustɛm a fɔ go to dɔktɔ?
Kip trak fɔ yu sayn dɛm. If yu notis ɛni chenj, rayt am. Tɛl yu dɔktɔ wantɛm wantɛm, mɔ if i tan lɛk se yu sik de kam bɔku tɛm ɔ i rili bad pas aw i bin de bifo. Tɛl yu dɔktɔ bak if i tan lɛk se ɛni tritmɛnt nɔ de wok ɔ nɔ de wok fayn lɛk aw i bin de wok trade.
Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ go to yu dɔktɔ, du blɔd tɛst, ɔ du ɔda tɛst.
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, go na ɔspitul wantɛm wantɛm ɔ kɔl 1990:
- If yu tink se yu de gɛt sayn dɛn fɔ strok ɔ yu bren anɛrizm we dɔn brok .
- If yu gɛt prɔblɛm fɔ blo.
- I nɔ bad if yu vishɔn wɔs wantɛm wantɛm, ɔ if yu nɔ de si fayn wantɛm wantɛm.
If a gɛt (Central Nervous System Vasculitis), wetin a fɔ ɛkspɛkt?
No mɛrɛsin nɔ de fɔ CNS Vasculitis. Bɔt bɔku pipul dɛn kin go fɔ lɔng tɛm fɔ lɛ dɛn nɔ gɛt sik afta dɛn dɔn fɛn wan kɔmbayn mɛrɛsin we go wok fɔ dɛn. Sɔm pipul kin go fɔ sɔm mɔnt ɔr ia wae dɛn nɔr kin gɛt sɔm kayn sik, na fɔ gɛt de sik kam bak.
CNS Vasculitis nɔ kin gɛt big impak pan yu layf we yu de liv. Bɔt, i at fɔ tɔk fɔ tru. Bikɔs CNS Vasculitis kin mek siriɔs kɔmplikeshɔn lɛk strok ɛn aneurism. If dɛn kayn prɔblɛm ya kin apin, di chans fɔ day kin bɔku pas aw i kin day.
If yu gɛt wɔri bɔt yu wɛl bɔdi ɔ aw CNS Vasculitis de afɛkt yu layf, tɔk to yu dɔktɔ.
Eni sik wae de afekt yu sentral nervous system (CNS) kin mek yu frayd. Ɛspɛshali we yu no se yu yon imyun sistɛm de atak yu bren ɛn yu spɛnal kɔd. Bɔt di gud nyus na dat bɔku pipul dɛn we gɛt CNS Vasculitis kin fɛn wan kɔmbayn mɛrɛsin we de kɔntrol am. Wae yu dɔn fɛn di rayt tritmɛnt fɔ yu, yu dɔktɔ kin ɛp yu fɔ ridyus di impak wae yu sik kin gɛt pan yu layf.
Mɛmba se, i nɔ kin ɛva bi bad tin fɔ aks kwɛstyɔn bɔt yu wɛlbɔdi. Tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu. I go ansa ɔl yu kwɛstyɔn dɛn, gi yu kɔnfidɛns pan wetin de apin insay yu bɔdi, ɛn ɛp yu fɔ manej am.
Di mɛsej we impɔtant pas ɔl fɔ kɛr go na os
(CNS Vasculitis) na siriɔs sik bɔt dɛn kin trit am. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw yu notis di sik ɛn tek di tritmɛnt we dɛn dɔn tɛl yu fɔ du. We yu de liv wit dis sik, i rili impɔtant fɔ mek yu gɛt gud padi biznɛs wit yu dɔktɔ. If yu fala dɛn advays ɛn tɛl dɛn bɔt ɛni chenj we yu de gɛt, yu go ebul fɔ liv fayn fayn wan wit dis sik. Nɔ ɛva fred, nɔto yu wan de. If yu gi yu di rayt mɛrɛsin, yu kin ebul fɔ kɔntrol dis sik fayn fayn wan.
` CNS Vaskulεt, sεntri nεv sεstem, inflameshn pan bכdi vεsul dεm, bren, spεnal kכd, כtoimyun sik dεm, ed we de at
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