Yu de gɛt difrɛn prɔblɛm dɛn na yu bɔdi? Sɔntɛm yu nɔ ebul fɔ waka wantɛm wantɛm, yu an ɛn fut dɛn kin shek shek, yu kin gɛt sik we de mek yu sik, ɔ i nɔ kin izi fɔ yu fɔ tɔk. Bɔt we yu si bɔku dɔktɔ dɛn, du tɛst ɛn ivin skan, dɛn ɔl kin se yu nɔ sik? Yu de fil bad bad wan bikɔs ɔf dis? Nɔbɔdi nɔ ɔndastand yu prɔblɛm, ɔda pipul dɛn tink se yu de akt? If na so i bi, nɔ wɔri. Nɔto yu wan de. Tide wi de tɔk bɔt wan sik wae bɔrku pipul wae kin gɛt dis kayn tin kin gɛt, bɔt e nɔr kin izi fɔ no. Dat na Functional Neurological Disorder, ɔ FND fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na FND (Functional Neurological Disorder)?
Tink bɔt yu bren lɛk di hadwɔd fɔ kɔmpyuta. Di nervɔs sistɛm tan lɛk di waya dɛn we de kɔnɛkt to da kɔmpyuta de. Dɛn tu tin ya de wok pafɛkt wan. Dat min se if yu du CT skan ɔ MRI skan, natin nɔ bad wit yu bren. Ɔltin gɛt wɛlbɔdi.
So usay di prɔblɛm de?
Di prɔblɛm de na di softwe we de wok na di kɔmpyuta. Dat min se, smɔl prɔblɛm de na di mɛsej sistɛm we de kɛr infɔmeshɔn bitwin di bren ɛn di bɔdi. di mɛsej dɛm we di bren de sɛn to di bɔdi, ɛn di mɛsej dɛm we di bɔdi de gɛt frɔm di bren, nɔ de chenj fayn fayn wan. Jɔs lɛk we di fon signal lɔs, di kɔl kin brok ɛn di sawnd kin chenj. Bikɔs ɔf dis signal glitch, yu bɔdi kin rili bigin fɔ sho sɔm sayn dɛn.
Dis na rial sayn dɛm. Yu nɔ de imajin dɛn. Bɔt bikɔs pɔsin we kɔmɔt na do nɔ ebul fɔ si di rizin fɔ dis, dɛn kin tink se yu jɔs de mek lɛk se yu de mek am. Dis kin rili mek yu fil pen.
Dɛn bin de kɔl dis Kɔnvɛnshɔn Disɔda. Wetin mek di nem chenj?
Trade, dɔktɔ dɛn bin de tink se dis na jɔs prɔblɛm wit in maynd. Dat min se, dεn bin tink se tin dεm lεk strεs, sad, εn traumatik εkspiriεns dεn "kכnvכlt" to fכshal simptom dεm. Na dat mek dɛn bin de kɔl am ``Kɔnvɔshɔn Disɔda.''
Bɔt nyu risach dɔn sho naw se i kɔmpleks pas dat. spεshal skan dεm lεk fכnshכnal MRI (fMRI) de sho chenj dεm na di bren aktiviti fכ pipul dεm we gεt FND. Dɔn bak, nɔto ɔlman we gɛt FND dɔn gɛt wan bad bad tin ɔ wan bad bad injuri na in bren. So, dɛn nɔ de yuz di ol nem igen.
Us sayn dɛm wae pɔrsin wae gɛt FND kin gɛt?
FND simptom dɛn kin kam wantɛm wantɛm. Dɛn kin ambɔg yu bak di tin dɛn we yu de du ɛvride. Sɔmtɛm, de sik kin wɔs wae yu de tink bɔt dɛn, ɔr kin go wae yu de pe atɛnshɔn pan ɔda tin.
Na sɔm pan de sayn dɛm wae kin kam pan dis sik.
| Kategori fɔ di simptom dɛn | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Stet dɛn we tan lɛk sik (PNES) . | Dɛn tin ya kin tan lɛk ɛpilepshi. Sɔntɛm yu kin gɛt kɔnvulshɔn ɛn yu nɔ kin no natin. כltu, di bren tεst (Electroencephalogram - EEG) de ripot nכmal. Dɛn kɔl dɛn tin ya (Psychogenic Non-Epileptic Seizures - PNES) . |
| Prɔblɛm dɛn we kin apin we pɔsin de muv di bɔdi | I kin shek, di bɔdi kin shek, i nɔ kin izi fɔ waka, ɛn i nɔ kin ebul fɔ kɔntrol in bɔdi igen. Dɛn tin ya kin fil lɛk se dɛn de apin we yu nɔ ebul fɔ kɔntrol. |
| Prɔblɛm dɛn we gɛt fɔ du wit di fayv sɛns dɛn | Prɔblɛm fɔ si, yɛri, smɛl, teist, ɛn tɔch. Fɔ ɛgzampul, i kin bi se i nɔ kin si fayn wantɛm wantɛm, i kin si tu tɛm, i nɔ kin yɛri fayn, ɔ i kin mek sɔm pat dɛn na di bɔdi nɔ gɛt bɛtɛ trɛnk. |
| Prɔblɛm fɔ tink ɛn mɛmba | Bren fɔg, fɔgɛt wantɛm wantɛm wetin yu bin de tɔk we yu de tɔk, fɔgɛt wɔd, fɔgɛt usay yu put impɔtant tin dɛn. I kin at bak fɔ mek wi kɔntinyu fɔ pe atɛnshɔn pan sɔntin. |
| Diziz ɛn balans | Fɔ fil lɛk se yu de flɔt na bot, pas fɔ fil lɛk yu ed de tɔn. Yu kin lɔs yu balans we yu tinap. |
| Pen | Bɔdi de pen, shap shap pen we yu de chuk yu, we yu de bɔn. Dis pen kin de ɔltɛm ɔr kin kam ɛn go. Maygren kin apin bak bɔku tɛm. |
Apat frɔm dat, yu kin si dɛn tin ya bak:
- Fɔ fil ɔltɛm fɔ taya pasmak ɛn nɔ gɛt trɛnk.
- I nɔ izi fɔ tɔk ɔ fɔ tɔk smɔl smɔl .
- Kכndish כn dεm lεk mכsul dεm we wik כ paralayz.
- I nɔ izi fɔ swɛla sɔntin.
Wetin mek FND de divɛlɔp? Wetin na di tin dɛn we kin afɛkt am?
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt FND. Bɔt wi no se na prɔblɛm we de wit di we aw dɛn kin sɛn mɛsej bitwin di bren ɛn di bɔdi kin mek i apin. If yu yuz di sem kɔmpyuta ɛgzampul we wi bin dɔn tɔk bɔt, di hadwae ɛn waya ɔl fayn, bɔt smɔl "glitch" de na di softwe.
Dis prɔblɛm de chenj di we aw di bren de sɛn ɛn gɛt mɛsej. In ɔda wɔd, di bren de rɔn "rɔng program." di tritmεnt involv fכ pul dis rכng program εn "ritren" di bren εn di nεv sεstem so dat di mεsej dεm go fכ fכlכ fayn fayn wan bak.
Di impɔtant tin na dat, nɔtin na yu bɔdi nɔ "broken" ɔ "irreparably damaged." Di prɔblɛm na jɔs di wok we i de du.
Trig fɔ FND simptom dɛm
Sɔm tin ɔr sityueshɔn kin mek FND simptom dɛn apia wantɛm wantɛm.
- Difrɛn kayn sik dɛn we kin mek pɔsin gɛt sik
- Maygren we kin kam
- Aksidɛnt we pɔsin kin gɛt we i gɛt bɔdi ɔ we i wund
- Siriɔs strɛs ɔ tin dɛn we kin mek pɔsin fil bad
sכmtεm, afta trig lεk dis, di bren kin "stכk" pan da simptom de, lεk wan disk we brok we de spin na di sem ples. Di masta sabi pipul dɛn biliv se dis patɛn kin mek pɔsin gɛt FND.
Aw dɔktɔ dɛn kin no if pɔsin gɛt FND?
Fɔ no FND kin bi wan triki prɔses, bikɔs di sayn dɛm kin tan lɛk bɔku ɔda nyurolɔjik kɔndishɔn dɛm, we kin mek i nɔ izi fɔ no di tu apat.
Yu kin gɛt fɔ go to bɔku dɔktɔ dɛn ɛn du bɔku tɛst dɛn. Dis kin rili taya ɛn mek yu at pwɛl. Sɔm kin ivin tɛl yu se yu sik de “ɔl na yu maynd.” Bɔt yu dɔktɔ go mek yu no se yu sik na rial tin ɛn yu de du di rayt tin.
Tipikli, wan tim we gɛt bɔku difrɛn tin dɛn, we gɛt nyurolɔjis, saykayatrist, ɛn fizik thɛrapist, kin wok togɛda fɔ no if pɔsin gɛt FND.
Test dɛn fɔ no if pɔsin gɛt di sik
Dipen pan yu sayn dɛm, yu dɔktɔ kin ɔda fɔ du tɛst lɛk dis:
- Blɔd tɛst dɛn
- CT skan we dɛn kin du
- EEG tɛst
- Ilɛktrɔmayogram (na tɛst we de sho aw di mɔsul dɛn de wok) .
- MRI we de wok (fMRI) .
- Wan kɔmplit nyurolɔjik ɛgzam
Dɛn kin du ɔl dɛn tɛst ya fɔ pul ɔda tin dɛn we de apin na yu bɔdi we kin mek yu gɛt di sik (e.g., ɛpilepsi, multiple sclerosis). If ɔl di tɛst rizɔlt nɔmal ɛn yu simptom dɛn kɔrɛkt wit FND, yu dɔktɔ kin kɔnfɔm di diagnosis fɔ FND.
Wetin na di tritmɛnt dɛm fɔ FND?
Bikɔs FND na kɔmpleks kɔndishɔn, dɛn nɔ go ebul fɔ mɛn am wit wan mɛrɛsin. Dɛn kin trit am bay we dɛn jɔyn difrɛn tritmɛnt dɛn. di men gol na fכ mek di signal sistεm bitwin di bren εn di bכdi kam bak.
| Di we aw dɛn kin trit am | Wetin kin apin? |
|---|---|
| Fizik Tɛrapi | Dis na impɔtant tin fɔ pipul dɛm wae gɛt prɔblɛm wit muvmɛnt (difikulti fɔ waka, trem). Wetin yu de du ya na fɔ tren di bren bak fɔ di kɔrɛkt we aw yu de muv. In ɔda wɔd dɛn, i tan lɛk we yu pul di rɔng softwe program ɛn instɔl di rayt wan. |
| Ɔkupeshɔnal Tɛrapi | Fɔ ɛp fɔ du ɛvride wok (e.g., drɛs, kuk) indipɛndɛnt wan bak. |
| Spich Tɛrapi | Tritmɛnt fɔ di prɔblɛm fɔ tɔk ɔ fɔ swɛla. |
| Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) . | I de ɛp yu fɔ ɔndastand aw yu tink, filin, ɛn bihayvya gɛt sɔntin fɔ du wit am. Dis kin ɛp yu fɔ no ɛn kɔntrol di we aw yu de tink we de mek di sik wɔs. |
| Mɛrɛsin we dɛn kin gi | No patikyula tritmɛnt nɔ de fɔ FND. Bɔt if yu gɛt ɔda tin dɛn lɛk pwɛl at, wɔri, ɔ pen we nɔ de dɔn, yu dɔktɔ kin gi yu mɛrɛsin fɔ trit dɛn. |
Yu kin gɛt op we yu de liv wit FND?
I rili pɔsibul. FND nɔto sik we de mek pɔsin in layf de pan denja. Bɔt i kin rili afɛkt yu kwaliti layf.
Fɔ wɛl nɔr kin bi di sem fɔ ɔlman. Sɔm pipul dɛn kin wɛl kwik kwik wan. Ɔda wan dɛn kin tek tɛm. Sɔntɛnde, di sik kin bɛtɛ ɛn afta dat i kin kam bak. Dat na pat pan di joyn. I nɔ min se yu dɔn fel.
Dɛn tin ya impɔtant fɔ mek yu gɛt sakrifays:
- Fɔ gɛt kɔrɛkt diagnosis kwik kwik wan.
- Fɔ mek yu gɛt gud padi biznɛs wit yu dɔktɔ ɛn di wan dɛn we de trit yu .
- Fɔ no ɛn manej di tin dɛm wae de mek yu strɛs wae de mek yu gɛt di sik.
- Start tritmɛnt kwik kwik wan .
Mɛmba se yu nid trɛnk fɔ go tru dis waka. Bɔt di tru tin we yu dɔn kam dis fa de sho aw yu strɔng. Yu nɔ nid fɔ sɔlv ɔltin wan tɛm. Ivin if na smɔl step, na pat pan di hiling joyn.
Mɛsej we dɛn kin kɛr go na os
- FND na rial prɔblɛm wit di we aw di bren de tɔk to di bɔdi. I nɔ de "jɔs insay yu ed."
- Yu simptom dɛm, dat na, de diskɔmfɔt wae yu de fil na yu bɔdi, na 100% rial. Jɔs bikɔs yu tɛst ripɔt nɔrmal nɔr min se yu nɔr gɛt dis sik.
- E kin tek tɛm fɔ gɛt kɔrɛkt diagnosis, bɔt nɔr giv ɔp. I impɔtant fɔ go to di rayt dɔktɔ.
- Di tritmɛnt na fɔ tren di bren bak. Tin dɛm lɛk fyzikal tritmɛnt ɛn saykotɛrapi rili impɔtant fɔ dis.
- Hiling nɔ kin apin wan nɛt, na prɔses. Gud de ɛn bad de go de. Bɔt kɔntinyu fɔ go bifo wit op.
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