Yu pikin gɛt prɔblɛm wit in yay muvmɛnt? Lɛ wi tɔk bɔt Duane Syndrome!

Yu dɔn ɛva notis se i nɔ kin izi fɔ sɔm pikin dɛn fɔ tɔn dɛn yay na di sem say? Ɔ i tan lɛk se dɛn tɔn wan yay to di nos ɛn di ɔda yay tɔn to di yes. I nɔmal fɔ mek mama ɛn papa dɛn rili wɔri we dɛn si sɔntin lɛk dis, mɔ we i apin to dɛn pikin. Duane Syndrome, wae wi go tɔk bɔt tide, na wan sik wae kin kam wit di muvmɛnt wae di yay de muv. Fɔ tɔk am simpul wan, dis na wan kayn strabismus.

Wetin na Duane Syndrome? Yu go ebul fɔ ɛksplen am smɔl mɔ?

Okay, mek wi ɛksplen dis smɔl mɔ simpul wan. Pɔsin we gɛt Duane Syndrome kin gɛt prɔblɛm fɔ tɔn in yay to di sayd, dat na, to di sayd na in nos ɛn to di sayd na in yes. I kin bi wan yay, i kin bi ɔl tu yay. Apat frɔm we i nɔ kin izi fɔ tɔn dɛn yay ya to di sayd, sɔm pipul dɛn kin gɛt prɔblɛm bak fɔ luk ɔp ɛn dɔŋ.

Wan ɔda tin na dat di yay dɛn nɔ de mach dɛnsɛf, dɛn de luk sayd, ɛn ivin di yay bɔl dɛn kin muv difrɛn we we dɛn de tray fɔ muv di yay. di men rizin fכ dis na biכs di nεv dεm (cranial nerves) we de kכntro di mכsul dεm na wi yay nכ de wok fayn. Imajin, i tan lɛk se yu nɔ ebul fɔ tɔn di stiarin na motoka na ɛni say.

כl di kes dεm, bitwin 80% εn 90%, dis kכndyushכn de afekt כnli wan yay (yunilateral). Dɛn dɔn si bak se di lɛft yay kin afɛkt mɔ .

Ɔda nem dɛn de fɔ dis?

Yɛs, sɔm ɔda nem dɛn de we dɛn kin yuz fɔ Duane Syndrome. Nɔ wɔri if yu dɔktɔ se wan pan dɛn nem ya, dɛn ɔl na di sem kɔndishɔn.

• Duane ritrakshɔn sindrom
• Ay ritrakshɔn sindrom
• Ritrakshɔn sindrom ɔ kɔngenital ritrakshɔn sindrom
• Duane radial ray sindrom we gɛt di sik
• Stilling-Turk-Duane sindrom we gɛt di sik

I fayn fɔ no dɛn nem ya, bikɔs sɔntɛnde dɛn nem ya kin de na di mɛdikal rɛkɔd.

Sɔm kayn Duane Syndrome de?

Yes, jɔs lɛk aw wi de tɔk bɔt it, tri men kayn Duane syndrome de. Dɛn kɔl dɛn tayp 1, tayp 2, ɛn tayp 3. Naw lɛ wi luk ɛni wan pan dɛn wan bay wan.

Tayp 1 Duane sindrom

Dis na di kayn we we kɔmɔn pas ɔl , we de mek 78% pan ɔl di wan dɛn we gɛt Duane sindrom.

If yu ɔ yu pikin gɛt di fɔs kayn, i nɔ kin izi fɔ tɔn di yay na do, dat na, to di yes.. Bɔt yu kin tɔn yu yay to di sayd we yu nos de. bכt we yu du dat, di opin usay di yay de sכm sכm, εn di aybol kin sho se i ``retract''. Sɔmtɛm i kin tan lɛk bak se dɛn pul di yay na di sayd we yu nos de (esotropia).

Tayp 2 Duane sindrom

Dis na de kayn wae nɔr kin pasmak , wae kin mek lɛk 7% pan pipul dɛm wae gɛt dis sik.

Pɔsin we gɛt di sɛkɔn kayn nɔ kin ebul fɔ tɔn in yay insay, dat na, to in nos . Bɔt dɛn kin tɔn di yay to di yes. Bɔt we dɛn du dat, di say we di yay de opin kin smɔl lɛk di fɔs wan, ɛn i kin tan lɛk se di aybɔl de go insay. Dɛn pipul ya kin gɛt dɛn yay we dɛn tɔn na do, to di yes (ɛkzotropia).

Tayp 3 Duane sindrom

Dis kayn kin afɛkt lɛk 15% pan ɔl di sik pipul dɛm.

Pɔsin we gɛt tayp 3 nɔ kin ebul fɔ tɔn in yay na ɔl tu di say dɛn, insay ɛn na do . Dɔn bak, we yu si am frɔm difrɛn angul dɛn, i kin tan lɛk se di ay sɔkɛt dɔn smɔl ɛn i kin tan lɛk se di aybɔl de go insay.

Dis klasification impɔtant fɔ mek dɔktɔ dɛn plan fɔ trit am ɛn ɔndastand aw di sik tan.

Aw kɔmɔn tin na Duane Syndrome?

Akɔdin to sɔm statystik na Amɛrika, lɛk 4% pan di pipul dɛm, ɔr lɛk 13 milyɔn pipul dɛm, gɛt sɔm kayn strabismus. Dɛn se bitwin 1% ɛn 5% pan di wan dɛm wae gɛt dis sik gɛt Duane syndrome.

Wan ɔda tin na dat dis sik kin bɔku smɔl pan uman dɛn .

Wetin na di sayn dɛm fɔ dis? Yu tink se yɔŋ pikin dɛnsɛf kin si dɛn tin ya?

Yɛs, yu kin si sɔm pan di sayn dɛm fɔ Duane syndrome ivin pan yɔŋ bebi dɛm. Lɛ wi si wetin na di men sayn dɛm:

• Nɔrmal ed tilt: Sɔm pipul dɛm wae gɛt Duane syndrome kin tilt dɛn ed to wan say fɔ tray fɔ kip dɛn yay stret. Tink bɔt am lɛk se yu de tilt yu ed we yu de luk pikchɔ we de hang na di wɔl.
• Strabismus: Sɔntɛnde, bɔt nɔto ɔltɛm, i kin tan lɛk se dɛn tu yay dɛn nɔ de sho di sem say .
• Amblyopia ɔ les yay: Dɛn kin kɔl dis bak "lɛs yay." As di bren de yus to di bɛtɛ yay, i kin bigin fɔ ignore di signal dɛn we de kɔmɔt na di yay we gɛt di sik. Dis kin mek i nɔ de si fayn na da yay de as tɛm de go.
• wan yay de sho se i smɔl pas di ɔda wan: Dis kin bi bikɔs di aybɔl de smɔl.
• fכ muv di yay dεm כp כ dכn we yu de luk na wan patikyula dairekshכn: dεn kכl dis ``up-shooting'' כ ``down-shooting''. I kin tan lɛk se di yay dɛn de jomp ɔp ɔ dɔŋ wantɛm wantɛm.

If yu si dɛn sik ya na yu pikin, i rili impɔtant fɔ rili go to dɔktɔ we de mɛn yu yay fɔ advays.

Pipul wae gɛt Duane Syndrome kin gɛt ɔda kayn mɛrɛsin?

Pan ɔl we nɔto ɔltɛm, sɔntɛnde, Duane syndrome kin kam wit ɔda wɛlbɔdi prɔblɛm dɛn. Sɔm pan dɛn tin ya na:

• Di prɔblɛm dɛn we pɔsin kin gɛt we i de yɛri
• Goldenhar syndrome: Dis na wan sik wae de mek yu fes, yes, ɛn spayna nɔr de woke fayn.
• Prɔblɛm wit yu spayna ɔ yu vεrbra

Apat frɔm dat, ɔda tin dɛn we kin apin na di yay kin apin wit di sik we dɛn kɔl Duane syndrome. Fɔ ɛgzampul:

• Katarakt: Dis min se di lens na di yay go klawd.
• Microphthalmos: Insay dis kes, di yay kin smɔl pasmak.
• Nystagmus: Dis na we di yay dɛn de muv kwik kwik wan ɛn we dɛn nɔ ebul fɔ kɔntrol.
• Krokodail tears syndrome: Dis kin gɛt fɔ du wit wan sik we de mek pɔsin in fes nɔ de wok fayn we dɛn kɔl Bɛl in palsi. Insay dis kɔndishɔn, wata kin kɔmɔt we yu de it ɔ drink sɔntin.

So, we dɛn no se Duane syndrome de, dɔktɔ dɛn kin chɛk bak fɔ ɔda kayn sik dɛn we tan lɛk dis.

Wetin na de tin wae kin mek pɔrsin gɛt Duane Syndrome?

Duane syndrome na wan sik we pɔsin kin gɛt frɔm in jɛnɛtiks, bɔt nɔto ɔltɛm pɔsin kin gɛt am . Dɛn prɔblɛm ya we de mek wi yay de muv, lɛk aw wi bin dɔn tɔk, bikɔs ɔf prɔblɛm dɛn we de wit di kraynia nɛv dɛn we de kɔntrol aw wi yay de muv.

sכmtεm dεn dכn fכnshכn se pikin dεm we mama dεm we dεn gεt di drog thalidomide we dεn bεlε kin gεt Duane sεndrכm sכmtεm (dεn nכ de yuz di dכg fכ dis igen).

Na lɛk 10% pan di pipul dɛm wae gɛt Duane syndrome gɛt ɔda famili mɛmba dɛm wae gɛt dis sik bak. pan dis kayn famili kes dεm, dεn tu yay dεm kin afekt (baylaterally).

if dεn gεt Duane sεndrכm, na we pikin gεt wan vεryכnt fכ di jin dεm `CHN1`, `MAFB`, כ `SALL4` frכm dεn mama εn papa. dis patεn fכ inhεrit dεn kכl am `autosomal dominant` . Dis min se i kin apin ilɛksɛf na man ɔ uman, ɛn ivin if na wan mama ɔ papa nɔmɔ gɛt di sik, di pikin kin gɛt am.

Yu tink se Duane Syndrome kin pas?

Nɔ, nɔto so atɔl. Duane syndrome nɔto sik we pɔsin kin gɛt. Dat min se, i nɔ de skata frɔm wan pɔsin to ɔda pɔsin lɛk kol ɔ flu. So no rizin nɔ de fɔ mek wi fred am.

Aw dɛn kin no se pɔsin gɛt Duane Syndrome?

Yu dɔktɔ, mɔ wan dɔktɔ we de mɛn yu yay, go tek wan kɔmplit mɛdikal istri ɛn tek tɛm chɛk yu yay. Dɛn go mɛzhɔ ɔmɔs wata de na yu yay ɛn aw fa yu kin tɔn dɛn frɔm wan say to di ɔda say.

Di dɔktɔ kin ɔda bak fɔ mek dɛn du tɛst fɔ chɛk fɔ ɔda tin dɛn we kin gɛt fɔ du wit Duane syndrome.

Wan ɔda sik de we dɛn kɔl siks kraynia nɛv palsi, we rili fiba Duane sindrom, bɔt i nɔ kin apin so. Di dɔktɔ go tray bak fɔ no difrɛns bitwin dɛn tu tin ya.

Aw dɛn kin trit Duane Syndrome?

Di tritmɛnt we yu kin gɛt kin dipen pan yu ej, aw di sik bad, ɛn ɛni ɔda mɛrɛsin we yu go gɛt.

• Sɔm pipul dɛn nɔr kin nid tritmɛnt: Sɔm pipul dɛm wae gɛt Duane syndrome nɔr nid ɛni spɛshal tritmɛnt. Dɛn jɔs nid fɔ kɔntinyu fɔ go to ay dɔktɔ ɛn mek dɛn chɛk dɛn yay.
• Tritmɛnt fɔ Les Ay (Amblyopia): If yu gɛt les yay bak, yu kin tray fɔ mek da yay de si fayn bay we yu kɔba di gud yay wit pat ɛn mek di yay we wik wok tranga wan. Dis tan lɛk fɔ aks pikin we gɛt sɛns na klas fɔ tinap na sayd fɔ sɔm tɛm ɛn gi di ɔda pikin chans.
• Ɔpreshɔn: If di sik we dɛn kɔl Duane syndrome rili bad, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di ay mɔsul dɛn fayn. Dis ɔpreshɔn nɔ kin ebul fɔ fiks di nerve prɔblɛm, bɔt i kin ɛp fɔ rialayn di ay mɔsul dɛm, ridyus di abnɔmal ed tilt, kip di yay stret we yu de luk stret bifo, ɛn kɔntrol di ɔp-shut/dɔwn-shut.

Mɛmba se nɔto ɔlman nid ɔpreshɔn. Dat na yu dɔktɔ fɔ disayd.

Yu tink se dɛn kin ebul fɔ avɔyd di sik we dɛn kɔl Duane Syndrome?

Dis tɛm, no we nɔ de fɔ mek dɛn nɔ gɛt Duane syndrome. Dɛn nɔ de yuz di drɔg thalidomide, we kin mek pɔsin gɛt Duane syndrome (wit bɔku ɔda sik dɛn we dɛn kin bɔn we dɛn bɔn pikin), igen. So nid nɔ de fɔ fred am.

If a gɛt Duane Syndrome, wetin a fɔ ɛkspɛkt?

Sɔm pipul dɛm wae gɛt Duane syndrome kin tɔn dɛn ed smɔl, dɛn kin si fayn fayn wan, ɛn liv nɔrmal layf. Sɔntɛnde, i kin nid fɔ du ɔpreshɔn, lɛk aw wi bin dɔn tɔk.

If yu gɛt ɔda sik wit Duane syndrome, yu dɔktɔ go trit da sik de bak.

Dɛn kin tɛl yu bak fɔ wɛr glas fɔ mek yu si fayn ɛn/ɔ kɔrɛkt di say we yu yay de.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• A fɔ go to pɔsin we de advays mi bɔt jɛnɛtiks? (Especially if sɔmbɔdi na di famili gɛt dis kɔndishɔn, ɔ if a de ɛkspɛkt mɔ pikin dɛn).
• Ɛni tin dɛn de we kin ɛp pɔsin fɔ si?

Bɔku tɛm, dɔktɔ go no se pikin gɛt Duane syndrome insay di fɔs 10 ia we i dɔn liv. If yu gɛt ɛnitin fɔ wɔri bɔt aw yu de si ɔ aw yu pikin de si, go to dɔktɔ wantɛm wantɛm. Yu dɔktɔ kin ɛp yu fɔ disayd di bɛst tritmɛnt fɔ Duane syndrome ɛn trit amblyopia if i de.

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

Okay, so, fɔ sɔma di Duane Syndrome we wi dɔn de tɔk bɔt, mɛmba dɛn tin ya:

• Duane syndrome na wan sik we dɛn bɔn wit we kin mek i nɔ izi fɔ tɔn di yay frɔm wan say to di ɔda say.
• Dis nɔto sik we pɔsin kin pas.
• Di sayn dɛm na we yu de tɔn di ed to wan say, yu de swɛt, ɛn yu nɔ de si fayn na wan yay.
• Tri kayn dis de, ɛn sɔmtɛm i kin kam wit ɔda wɛl bɔdi prɔblɛm.
• Di tritmɛnt kin bi fɔ wach, fɔ pat di yay we les, ɔ fɔ ɔpreshɔn. Nɔto ɔlman nid ɔpreshɔn.
• Di tin we impɔtant pas ɔl na dat if yu ɔ yu pikin gɛt dɛn sik ya, nɔ fɔ panik ɛn go to dɔktɔ we de mɛn yu yay fɔ gɛt di rayt advays ɛn tritmɛnt.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ!

Duane sindrom, strabismus, di ay kɔndishɔn we dɛn bɔn wit, di yay we de muv, les yay, amblyopia, prɔblɛm wit yu yay