Yu dɔn ɛva notis, ɔ ɛkspiriɛns se yu mɔsul dɛn kin tayt, twitch, ɔ stɔp na wan pozishɔn wantɛm wantɛm? Sɔntɛnde, dis kin mek yu nɔ fil fayn ɛn i kin ivin mek yu fil pen. Wi kin kɔl dis kɔndishɔn ``Dystonia.`` Pan ɔl we i kin tan lɛk se na mɔsul prɔblɛm, di prɔblɛm rili de na wi bren ɔ wi nervɔs sistɛm. Lɛ wi tɔk mɔ bɔt dis, nɔto so?
Wetin rili na Dystonia?
Fɔ tɔk am simpul wan, dystonia na wan sik we de ambɔg di nervɔs sistɛm. I kin bi se di mɔsul dɛn kin kɔntrakt we yu nɔ want ɛn we kin apin we yu nɔ kɔntrol ɔ tray. di wɔd "dystonia" kɔmɔt frɔm di Latin wɔd dɛn "dys" (rɔng/defective) ɛn di Grik wɔd "tonos" (mɔsul tɛnsiɔn). I min se di mכsul dεm de kכntrakt kכrekt, nכ kכrekt.
Wetin na di difrɛns bitwin Dystonia ɛn Dyskinesia?
Pan ɔl we i tan lɛk se dɛn tu wɔd ya fiba smɔl, smɔl difrɛns de.
- Dyskinesia: Dis na Grik wɔd bak. "Kinesia" min "muvmɛnt." Diskinesia min muvmεnt dεm we de apin kכrekt, we nכ fכ apin. Dis na muvmɛnt dɛn we yu nɔ want , dat na, we yu de muv di mɔsul dɛn we de apin we yu nɔ ebul fɔ kɔntrol am.
- Distonia: Dis na wan kayn diskɛnisia. Insay distonia, di mɔsul dɛn kin tɛns fɔ lɔng tɛm . I kin tan lɛk se yu de na difrɛn say dɛn, i kin dipen pan us pat na yu bɔdi.
Udat kin gɛt distɔnia?
Dipen pan de kɔz fɔ dystonia, e kin afɛkt ɛnibɔdi. Sɔm tin wae kin mek yu gɛt dis sik kin bi wae yu dɔn ol, dat min se dɛn kin afɛkt yu we yu bɔn yu ɔr wae yu smɔl. Ɔda pipul dɛn kin gɛt di sik leta we dɛn dɔn liv.
Pan ɔl we risach dɔn sho se na lɛk 300,000 pipul dɛn na Amɛrika nɔmɔ gɛt distɔnia, masta sabi bukman dɛn biliv se di rial nɔmba kin bɔku pas dat. Bikɔs dystonia kin kam difrɛn kayn we, sɔmtɛm i nɔ kin izi fɔ no di kɔrɛkt wan.
Aw dystonia kin afɛkt mi bɔdi?
Dystonia na wan sik wae de kam pan yu bren wae de afɛkt di we aw yu bren de kɔntrol yu bɔdi in mɔsul dɛm. I kin afɛkt difrɛn mɔsul ɔr mɔsul grup dɛn difrɛn we dɛn. Eksakt aw ɛn wetin mek dis kin apin stil na smɔl mistek.
Distonia simptom kin wɔs wae yu taya, strɛs, ɔr if yu de drink tin lɛk kafinɛ ɔr rɔm.
Sɔm kayn dystonia kin kam bikɔs ɔf di jɛnɛtik muteshon ɔr kɔndishɔn dɛm wae kin ambɔg sɔm pat dɛm na di bren fɔ wok. Dis kin mek di sɛl dɛn we dɛn afɛkt nɔ de wok fayn. Dɔn di rɔng signal dɛn kin go to di mɔsul dɛn, we kin mek dɛn gɛt distonia.
Distonia kin kam bak bikɔs ɔf injury ɔr ɔda mɛrɛsin wae kin ambɔg di bren fɔ wok. Sɔm pan dɛn kɔndishɔn ya kin bi tru imej skan. Bɔt sɔmtɛm dystonia kin apin witout ɛni wan pan dɛn tin ya.
Wetin na di sayn dɛm wae de sho se yu gɛt Dystonia?
di men sayn fכ dystonia na we di mכsul dεm de muv we yu nכ want . Bɔku tɛm, dɛn muvmɛnt ya:
- E nɔr kin fayn, sɔmtɛm e kin mek yu fil pen, ɛn kin fil lɛk se yu gɛt ilɛktrik shɔk.
- Rikɔrɛkt (especially wit trem).
- Di tɛm we di tɛm kin tek kin difrɛn. Sɔm kin las fɔ sɛkɔn ɔ minit ɛn afta dat dɛn kin lɔs. Ɔda wan dɛn kin las fɔ sɔm mɔnt.
- I tek wan twistin ɛn pul nature. Dis kin mek pɔsin tan lɛk se i de na strenj pozishɔn.
- Di mɔsul dɛm we di sik afɛkt kin rili bad we dɛn yuz dɛn.
sכm difrεns kin de pan di simptom dεm dipכnt pan usay na di bכdi di dystonia de afekt. Fayv men we dɛn de we de sho se di sik kin apin:
- Distonia we de fos
- Distonia we gɛt sɛgmɛnt
- Distonia we gɛt bɔku bɔku tin dɛn
- Ɛmidistonia `(Ɛmidistonia)`
- Jɛnɛralized distonia
Lɛ wi luk ɛni wan pan dɛn wan ya.
Distonia we de fos
Dis na we wan pat pan yu bɔdi nɔmɔ kin afɛkt. Masta sabi bukman dɛm se dis kayn sik kin kam lɛk tɛn tɛm pas ɔda wan dɛm. I kin prɛzɛnt difrɛn we dɛn, i kin dipen pan di pat pan di bɔdi we i afɛkt:
- Aylid dɛn: Blepharospasm. Dis kin so bad dat sɔm pipul dɛn kin gɛt fɔ fos dɛn yay fɔ lɔk.
- Jaw: Dɛn kin grind di tit (Bruxism).
- An ɔ an: Di mɔsul dɛn de twitch ɔ tayt. Dɛn kin kɔl dis bak ``rayta in kramp'' ɔ ``myuzishɛn in kramp.'' Di wan dɛn we de ple gɔlf ɛn kriket kin kɔl am ``di yips.'' Imajin yu an de stif ɛn nɔ ebul fɔ rayt, ɔ yu finga dɛn de kɔmɔt na kɔntrol we yu de ple sɔntin lɛk vaylin.
Distonia we gɛt sɛgmɛnt
Dis na we tu ɔ mɔ pat dɛn na di bɔdi we de nia dɛnsɛf kin afɛkt. Fɔ ɛgzampul, difrɛn pat dɛn na di fes, di ed ɛn nɛk, ɔ di an ɛn di ɔp an. Wan gud ɛgzampul fɔ dis na di sɛvikal dystonia . Dis kin afɛkt di mɔsul dɛn na di ed ɛn nɛk. Wan ɔda ɛgzampul na wan sik we dɛn kɔl Meige syndrome . Dis kin afɛkt sɔm pat dɛn na di fes.
Distonia we gɛt bɔku bɔku tin dɛn
Dis kin afɛkt tu ɔ mɔ pat dɛn na di bɔdi we nɔ gɛt natin fɔ du wit dɛnsɛf . Fɔ ɛgzampul, dystonia kin afɛkt ɔl tu di an dɛn. Tardive dyskinesia we pɔsin kin gɛtDis na ɛgzampul bak fɔ wan sik we de afɛkt sɔm pat dɛn na di bɔdi we nɔ gɛt natin fɔ du wit dɛnsɛf.
Ɛmidistonia `(Ɛmidistonia)`
Di wɔd "hemi" kɔmɔt frɔm di Grik wɔd fɔ "af." So dis min se na wan say nɔmɔ na yu bɔdi (we na di rayt ɔ di lɛft) de afɛkt. Tink bɔt di mɔsul dɛn na yu raytan ɔ rayt say na yu fes we de muv we yu nɔ ebul fɔ kɔntrol. Strɔk na wan men tin we kin mek pɔsin gɛt ɛmidystonia.
Jɛnɛralized distonia
Dis kin afɛkt yu leg ɛn yu trɔnk (di men pat na yu bɔdi we de kɔnɛkt yu an, yu leg, ɛn ed) ɔ yu wan ol bɔdi . Dis na wetin kin apin we distonia de kam bifo. we fכkal distonia bi jεnaral dystonia, di simptom dεm de spre frכm di limb dεm to di trכnk.
Wetin na de tin wae kin mek pɔrsin gɛt distɔnia?
Distɔnia kin kam bikɔs yu bren nɔr de wok fayn. dis kin involv wan pat pan di bren we dεn kכl di `Basal Ganglia` . dis na grup we de kכnεkt difrεn pat dεm na di bren εn we de kכdכn aw dεn pat dεm de wok togeda.
Masta sabi bukman dɛn kin sheb di tin dɛn we kin mek pɔsin gɛt dystonia to tri men grup dɛn:
- Praymari distɔnia: Distonia na di men tin we kin mek dis apin. I kin bi idiopathic, we min se dɛn nɔ go ebul fɔ fɛn ɛni kɔz. Masta sabi pipul biliv se i kin bi bak se wan jenɛtik kɔmpɔnɛnt de, we min se i kin rɔn na famili.
- Sεkɔndari distonia: Insay dis kayn we, di dystonia na sayn fɔ ɔda sik ɔr prɔblɛm.
- "Dystonia plus" kכndishכn dεm: Dis na sik dεm na di nεv sεstem. Pan ɔl we dystonia na di men sayn, ɔda sayn dɛn de bak.
Sɔm tin dɛn we kin mek pɔsin gɛt sɛkɔndari distonia
Dis kin apin fɔ difrɛn rizin dɛn:
- Tumɔs dɛn na di bren
- Ɔda sik dɛm na yu bren (e.g. epilepsy, Parkinsonism, Parkinson’s disease)
- Sεribral haypoksia (especially fכ di nyu bכbi dεm we dεn nכ bin gεt כksijεn we dεn bכn dεm) .
- Mɛrɛsin dɛn (drɔg dɛn we dɛn gi pɔsin ɔ we nɔ rayt) .
- Jɛnɛtik sik dɛm (e.g. Wilson in sik, Huntington in sik) .
- Infεkshכn dεm (e.g., εnεfalaytis) .
- Di kɔndishɔn dɛn we de na di mɛtabolik
- Strok
- Pɔyzin tin dɛn (e.g. kabɔn monoksayd pɔyzin, manganɛs pɔyzin) .
- Traumatik bren injuri dɛn
Distonia nɔto sik we pɔsin kin gɛt. Yu nɔ go ebul fɔ kech am frɔm ɔda pipul dɛn, ɛn yu nɔ go ebul fɔ sheb am to ɔda pipul dɛn.
Aw dɛn kin no se pɔsin gɛt Dystonia?
Dɔktɔ, bɔku tɛm na nyurolɔjis, kin no if yu gɛt distonia bay di sayn dɛm we yu gɛt, ɛgzam fɔ yu nyurolɔjik, ɛn difrɛn mɛrɛsin tɛst dɛm. Sɔntɛnde, i nɔ kin izi fɔ no bɔt distɔnia bikɔs bɔku ɔda tin dɛn kin kam wit dɛn sik ya. So, i impɔtant fɔ pul ɔda tin dɛn we kin apin, bikɔs sɔm pan dɛn kin bi mɛdikal imejensi we kin mek pɔsin in layf de pan denja.
Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt distɔnia?
difrεn labכtכri, diagnostik, εn ``imajin`` tεst dεm kin du fכ chεk fכ dystonia. Di tɛst dɛm wae dɛn kin ɔda kin dipen pan yu sik dɛm ɛn di mɛdikal kɔndishɔn dɛm wae yu dɔktɔ sɔspɛkt. Na sɔm pan di tɛst dɛn we dɛn kin du:
- Blɔd tɛst: Dɛn tin ya kin no bɔku tin, lɛk prɔblɛm wit di imyun sistɛm ɛn pɔyzin (espɛshali mɛtal lɛk kɔpa ɛn manganɛs).
- CT skan (Kɔmpyuta tomografi skan) .
- EEG (Electroencephalogram): Na tεst we de mכsu di ilektrikal aktiviti na di bren.
- EMG (Electromyogram): Na tεst we de luk aw signal dεm de travul tru di nεv dεm.
- Test fɔ di jenɛtiks
- MRI skan (MRI - Magnɛtik rɛsɔnans imej) .
- PET skan (Positron emission tomografi skan) .
- Spinal tap / Lumbar pankchɔ
Apat frɔm dis, dɛn kin du ɔda tɛst dɛn. So, i go fayn fɔ aks yu dɔktɔ us tɛst dɛn we fit fɔ yu sik. Dɔn yu kin gɛt di kɔrɛkt infɔmeshɔn we fit yu sik.
Aw dɛn kin trit distɔnia? Yu tink se dɛn go ebul fɔ mɛn am kpatakpata?
No mɛrɛsin nɔ de fɔ mɛn distɔnia, bɔt dɛn kin trit am . Bɔrku tritmɛnt kin dip pan de kɔz de sik ɛn de sayn dɛm wae yu gɛt. Yu dɔktɔ go ebul fɔ ɛp yu fɔ disayd us tritmɛnt we go fayn fɔ yu.
Yu dɔktɔ kin tɛl yu fɔ avɔyd fɔ drink kafin ɛn rɔm, bikɔs dɛn tin ya kin mek sɔm pipul dɛn gɛt di sik we dɛn kɔl dystonia wɔs.
Us kayn mɛrɛsin ɔ tritmɛnt dɛn kin yuz?
Di tritmɛnt fɔ dystonia de dipen pan de kɔz ɛn yu patikyula sayn dɛm. Di tritmɛnt dɛn we dɛn kin yuz na:
- Dip bren stimulashɔn (DBS): Dis na ɔpreshɔn we dɛn kin du. Dɛn kin put ilɛktrɔd dɛn na yu bren. Dɛn ilɛktrɔd ya kin gi wan smɔl ilɛktrik kɔrɛnt to wan patikyula pat na yu bren. Dis kin ɛp wit di sayn dɛm fɔ dystonia. Dis na di ɔspitul we dɛn kin yuz mɔ ɛn we kin wok fɔ di dystonia.
- Di mɛrɛsin dɛn we dɛn kin yuz:Dipen pan wetin de mek yu gɛt dystonia, dɛn kin trit am wit mɛrɛsin. Di mɛrɛsin (wan ɔ mɔr) we dɛn go gi go dipen pan di sayn dɛm ɛn di ɔndalayn kɔz (if ɛni wan de) fɔ di dystonia.
- Botulinum toxin injection: Botulinum toxin – we bɔku pipul dɛn sabi wit di brand nem Botox® – we dɛn injekt am na di rayt eria i kin blok di nerve signal fɔ wik, sɔmtɛm mɔnt. dis kin mek di signal dεm we de mek dystonia nכ rich di mכsul dεm. dis na gud tritmεnt fכ fכkal dystonia εn sכm simptom dεm fכ segmental dystonia.
- Fyzikal, woke ɛn tɔk tritmɛnt: We distɔnia kin kam bikɔs ɔf sɔm kayn wɛl bɔdi prɔblɛm, dɛn tritmɛnt ya kin ɛp pɔrsin fɔ ajɔst to ɔr wɛl frɔm distonia.
De kɔmplikeshɔn ɛn sayd ɛfɛkt dɛm wae kin kam frɔm tritmɛnt kin dipen pan sɔm tin dɛm, lɛk di tritmɛnt we dɛn kin du. Yu dɔktɔ kin chɛk yu sik ɛn ɛksplen wetin yu go ɛkspɛkt.
Aw a go tek kia ɔf misɛf ɛn kɔntrol mi sik dɛn?
Distonia na prɔblɛm wit di nervɔs sistɛm. Dis min se yu nɔ go ebul fɔ no ɛn trit am yusɛf. Distɔnia kin gɛt fɔ du bak wit siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, so i impɔtant fɔ go to dɔktɔ wantɛm wantɛm .
De tɛm wae e kin tek fɔ mek yu fil fayn ɛn wɛl afta yu dɔn gɛt tritmɛnt kin dipen pan bɔrku tin, lɛk wetin mek yu dystonia bigin, aw e tranga, us tritmɛnt yu bin gɛt, ɛn us ɔda wɛl bɔdi prɔblɛm yu gɛt. Yu dɔktɔ kin tɛl yu ustɛm i go tek fɔ mek yu fil fayn ɛn wɛl.
Wetin na de lukin-grɔn fɔ dystonia? Wetin a go ɛkspɛkt if a gɛt am?
De luk fɔ dystonia de dipen pan bɔrku tin, lɛk de kɔz, de ej wae yu gɛt am, usai na yu bɔdi de sik kin apun, yu wɛl bɔdi histri, ɛn de tritmɛnt wae yu kin gɛt. Yu dɔktɔ kin tɛl yu fayn fayn wan bɔt aw yu go si yu sik.
- Praymari dystonia ɔutluk: Jɛnɛral wan, if praymari dystonia de divɛlɔp ali na layf, di lukin-grɔn nɔ kin fayn. dis na biכs praymar distonia kin kכmכt frכm fכkal (insay wan εria) to jεnaralisεd (ova di כl bכdi). Di kwik we yu de gɛt dis sik na yu layf, na di mɔ i go skata. di luk fכ fכkal dystonia na rili gud biכs i de afekt כnli wan limited εria na di bכdi.
- Sεkכnd dystonia autluk: Dis kin dipכnt bכku pan di כndalayn kכndishכn. If di ɔndalayn kɔndishɔn na tin we pɔsin kin trit ɛn we pɔsin kin chenj, di prɔgnosis go bɛtɛ. Bɔt if na wan sik we nɔ de mɛn, di prɔgnosis nɔ kin fayn. Bɔt sɔm kayn tin dɛn de we dɛn kin ebul fɔ kɔntrol ɛn mɛn distonia pan ɔl we sɔm sik dɛn we nɔ de mɛn.
Wae praymari dystonia de divεlכp, na wan kכndyushכn we de fכ yu layf. Dɛn kin trit am, bɔt i nɔ go ebul fɔ wɛl ɔl, ɛn i nɔ go bɛtɛ fɔ insɛf .
Sεkɔndari distonia kin bi wan sik wae de kam fɔ shɔt tɛm. I dipen pan di men tin we mek i apin. I kin apin mɔ wit tin dɛm lɛk infɛkshɔn, injury, ɛn sɔm mɛrɛsin dɛm.
Aw a go ridyus di risk fɔ gɛt dystonia, ɔ fɔ mek a nɔ gɛt am ɔltogɛda?
Distonia kin apun wae yu nɔr bin de ɛkspɛkt, so yu nɔr kin ebul fɔ avɔyd am. Yu nɔr kin ridyus yu risk fɔ gɛt praymari dystonia, sɛf. I kin kɔmɔt frɔm ɔda pɔsin ɔ i kin divɛlɔp fɔ no rizin.
Bɔt yu kin mek yu nɔr gɛt ɔr ridyus de risk fɔ gɛt sɔm pan de tin dɛm wae kin mek yu gɛt sɛkɔndari dystonia . Na sɔm tin dɛn we yu kin du:
- It fayn it ɛn kɔntinyu fɔ gɛt wɛlbɔdi wet. Bɔrku sik dɛm wae gɛt fɔ du wit yu blɔd blɔd ɛn yu at wɛl bɔdi, mɔr lɛk strok, kin pwɛl sɔm pat dɛm na yu bren ɛn mek yu gɛt dystonia.
- Nɔ ignore infɛkshɔn. Dɛn nid fɔ trit di sik dɛn we de na di yay ɛn yes kwik kwik wan. If dɛn infɛkshɔn ya skata to di bren, dɛn kin bi siriɔs trɛtin. Infεkshכn kin mek di bren inflamεshכn (εnεfalaytis), we kin mek yu gεt dystonia.
- Wear tin dɛn fɔ protɛkt yusɛf. Traumatik bren injury kin pwɛl yu bren ɛn mek yu gɛt dystonia.
- Manej yu wɛlbɔdi kɔndishɔn. Fɔ lɔng tɛm lɛk tayp 2 dayabitis, ay blɔd prɛshɔn, ɛn ɛpilepshi kin mek ɔr kin mek ɔda sik dɛn we kin mek pɔsin gɛt dystonia.
Aw a go tek kia ɔf misɛf?
If yu gɛt distɔnia, sɔm tin dɛn de we yu kin du fɔ kia fɔ yusɛf:
- Nɔ it kafinɛ ɛn rɔm pas yu dɔktɔ tɛl yu fɔ drink am. Dɛn tin ya kin mek di dystonia simptom dɛn wɔs.
- Manej yu strɛs. Wae yu de wɔri ɛn strɛs kin mek dystonia wɔs. Yu kin ridyus dis risk bay wae yu du tin dɛm lɛk fɔ tink gud wan, fɔ tren fɔ rilaks, ɛn fɔ du ɛksɛsayz.
- Nɔ du tin dɛn we de mek yu sik dɛn wɔs. Sɔm kayn dystonia kin apin mɔr sɔm tɛm. If yu avɔyd dɛn tɛm dɛn de, if i pɔsibul, dat kin ɛp fɔ mek yu nɔ gɛt di kayn sik we yu gɛt.
- Lan aw fɔ kɔntrol yu sik.difrεn kayn dystonia dεm kin mεnεj wit "sεns trik dεm." Wan ki wɔd fɔ dis na "geste antagoniste" (wan Frɛnch wɔd we min "ɔpɔzit jes"). Dɛn kayn jεs ya kin mek di dystonia simptom dεm fayn fɔ sɔm tɛm. Bɔt masta sabi bukman dɛn nɔ shɔ wetin mek dis kin apin. fכ egzampl, we yu tכch di chin כ di sayd na di fes kin εp fכ ridyus di simptom dεm fכ sεvikal dystonia (wan kכndyushכn we de afekt di mכsul dεm na di nεk). Yu dɔktɔ kin si if yu de ansa dɛn kayn we ya ɛn tich yu aw fɔ yuz dɛn.
- Tek yu mɛrɛsin kɔrɛkt wan. If yu de tek mɛrɛsin fɔ dystonia, tek am lɛk aw dɛn tɛl yu fɔ tek am. If yu stɔp di mɛrɛsin wantɛm wantɛm, i kin mek di dystonia simptom dɛn wɔs ɔ i kin mek ɔda bad bad tin dɛn apin.
Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go to pɔsin fɔ kia fɔ mi kwik kwik wan?
If yu gɛt dystonia, yu fɔ gɛt fɔl-ɔp visit lɛk aw yu dɔktɔ tɛl yu. Si yu dɔktɔ if yu sik chenj ɔr de wɔs, mɔr lɛk if dɛn de ambɔg yu ɛvride layf. Dɔn bak, go to yu dɔktɔ if mɛrɛsin ɔ ɔda tritmɛnt nɔ wok, ɔ if yu gɛt sayd ɛfɛkt dɛn we yu nɔ go ebul fɔ bia ɔ we de ambɔg yu.
Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?
If yu gɛt ɛni wan pan di sayn dɛm wae kin sho se yu gɛt strok, yu fɔ go na di imejensi rum. Mɛmba fɔ kɔl 1990 (Sri Lanka in imejensi ambulans savis) fɔ no if yu gɛt strok, ɛn mɛmba fɔ se FAST .
- F (Fes): Yu tink se wan say ɔ ɔl tu di say dɛn na di fes kin drɔp we di pɔsin de tray fɔ smayl?
- A (Arm): We di pɔsin tray fɔ es in tu an, yu tink se wan an kin hang dɔŋ?
- S (Speech): Di pɔsin kin tɔk klia wan ɛn ɔndastand wetin ɔda pipul dɛn de tɔk?
- T (Tɛm): If pɔsin gɛt dɛn sik ya, kɔl 911 wantɛm wantɛm! Strɔk na rɔn we pɔsin de rɔn wit tɛm. Fɔ trit yu kwik na di bɛst we fɔ gɛt gud tin ɛn fɔ mek yu wɛl.
Dystonia na wan sik wae de kam na yu bren wae de mek yu mɔsul dɛm de muv wae yu nɔr ebul fɔ kɔntrol. Difrɛn tin kin kam wit am, frɔm wae pɔrsin kin gɛt frɔm in mama ɛn papa te to sik wae de kam fɔ shɔt tɛm.
Sɔm tin dɛn we a tink se impɔtant fɔ yu (Take-Home Message)
So, a op se yu ɔndastand wetin wi dɔn de tɔk bɔt wit Dystonia. Mɛmba se pan ɔl we dis na kɔmplikɛt sik, nɔto yu wangren de .
- If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, nɔ shem fɔ go to dɔktɔ . Di kwik we dɛn no se i gɛt am, na di mɔ i izi fɔ trit.
- Nɔto ɔl di dystonia na di sem, so tɔk to yu dɔktɔ fɔ no us tritmɛnt fayn fɔ yu sik.
- Sɔntɛnde, fɔ mek smɔl chenj dɛn na yu layf (lɛk fɔ stɔp fɔ it kafin ɛn rɔm, ɛn fɔ ridyus strɛs) kin ɛp fɔ kɔntrol di sayn dɛm.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am. Nɔ stɔp fɔ tek am fɔ yusɛf.
Wi op se dis infɔmeshɔn go fayn fɔ yu. Stay wit wɛlbɔdi!
` Dystonia, Nɛvɔ sistɛm disɔda, Mɔsul kɔntrakshɔn, Muvmɛnt we yu nɔ want, Bren kɔndishɔn, Dyskinesia, Dystonia, Nɛvɔ sistɛm disɔda, Mɔsul kɔntrakshɔn, Muvmɛnt we yu nɔ want, Bren kɔndishɔn, Dyskinesia











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