Yu pikin bin fɔdɔm we i bin de ple? Sɔntɛm yu slip ɛn fɔdɔm pan yu bayk ɛn nak yu ed sɔnsay? Most of di taim, wi no de pe plenti atenshon to tins laik dis, tink se, "Oh... na jos likl bump." Bɔt sɔntɛnde, ivin we yu wund smɔl na yu ed, dat kin mek yu gɛt siriɔs tin we go afɛkt yu layf. Tide, wi de tɔk bɔt wan sik wae kin apun na dis kayn tɛm, ɛn kin rili denja if dɛn nɔr trit am kwik. Insay mɛrɛsin, wi kin kɔl dis Epidural Hematoma, ɔ EDH fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na Epidural Hematoma (EDH)?
Tink bɔt wi bren as sɔntin we rili valyu ɛn we nɔ kin pwɛl. Wi strɔng skel de de fɔ protɛkt am. Bɔt bitwin di skel ɛn di bren, tri ɔda layers de we de protɛkt am. Wi kin kɔl dɛn tin ya di meninges. pan dɛn tri layers ya, di layt we tik pas ɔl, jɔs ɔnda di skel, dɛn kɔl am dura mater.
Naw, we yu gɛt had blo na yu ed, wan blɔd vesel we de insay di skel, wan at ɔ sɔm tɛm dɛn wan vein, kin brok. We i brok, blɔd kin bigin fɔ lik kɔmɔt. dis bכdi de kכlekt na di sכmכl spεs bitwin di sכkul εn di dura mater, we na di כta kכva na di bren. dis bכdi we de kכl dεm dεn kכl am `Epidural Hematoma (EDH)`.
Fɔ tɔk am simpul wan, i tan lɛk se wata de lik bitwin di plasta layt ɛn di wɔl ɛn i de swel lɛk bɔbul. As dis blɔd klɔt de gro smɔl smɔl, i kin bigin fɔ push insay, dat na, to wi bren. Dis push kin mek yu bren pwɛl. Dis na wan bad bad sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
dis kכndyushכn dεn kכl am bak `Extradural Hematoma`. jεnarali, dεn kin kכl dis bak `Traumatic Brain Injury (TBI)`, we na injuri na in bren we i injuri na yu ed.
Aw siriɔs dis tin de apin?
Yes, `Epidural Hematoma (EDH)` na siriɔs sik we kin mek pɔsin in layf de pan denja . If dɛn nɔ trit am wantɛm wantɛm, i kin mek in bren pwɛl fɔ ɔltɛm ɔ i kin ivin day. Ripɔt dɔn sho se na lɛk 15% pan di pipul dɛm wae gɛt dis sik kin day. So, i nɔ go ɛva fayn fɔ tek pɔsin we wund in ed smɔl.
Mɛmba ɔltɛm se ɛni ed injuri, ilɛksɛf i smɔl, i kin rili bad. Go to dɔktɔ wantɛm wantɛm, mɔ if di we aw pɔsin de biev chenj afta di aksidɛnt.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we dis sik kin apin to ɛnibɔdi we gɛt injury na in ed, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.
- Yɔŋ pipul dɛm: Dis sik kin mɔna yɔŋ pipul dɛm.
- Pipul wae gɛt skel fraktrɛshɔn: Dis risk kin bɔrku pan aksidɛnt wae de skel brok.
- Pipul dɛn we de ple spɔt: Pipul dɛn we de ple spɔt, mɔ baysikul, sketbɔd, rɔgbi, ɛn kriket, kin gɛt bɔku aksidɛnt.
- Kar aksidɛnt: Dis sik kin kam bikɔs pɔsin in ed wund we pɔsin gɛt motoka ɔ motoka aksidɛnt, ɛn dis kin apin mɔ na Sri Lanka.
- Man dɛm: Man dɛm kin gɛt EDH lɛk 4 tɛm pas uman dɛm.
Dis sik nɔ kin apin to pikin dɛn we nɔ rich tu ia yet ɛn pipul dɛn we dɔn pas 60 ia.
Wetin na di sayn dɛm fɔ dis? Aw fɔ no am?
De tin wae de denja ɛn wae nɔr de pan dis kayn tin na de way de sik kin sho. Bɔrku tɛm, bɔt nɔto ɔlman, yu kin si dis patɛn:
1. Fɔs, yu nɔ kin no natin: Wantɛm afta yu wund yu ed, yu nɔ kin no natin fɔ sɔm sɛkɔn ɔ minit.
2. Lucid Interval: Dɔn, yu kin gɛt kɔnshɛns bak, yu kin tɔk nɔmal lɛk se natin nɔ bad, ɛn yu kin fil fayn fɔ sɔm awa. Wi de kɔl dis tɛm di `Lucid Interval`. Dis na di tɛm we denja pas ɔl ɛn we de mek pipul dɛn nɔ no di tru . Bikɔs if yu kɛr di pɔsin go na os ɛn tink se i fayn, dat kin bi big prɔblɛm.
3. I kin pwɛl kwik kwik wan: Afta sɔm awa, we di blɔd we dɔn gɛda insay kin bigin fɔ prɛs di bren, di sikman in kɔndishɔn kin wɔs wantɛm wantɛm. Dɛn kin lɔs kɔnshɛns bak ɛn ivin go na kɔma.
Apat frɔm dis men patɛn, dɛn sik ya kin apin insay sɔm minit to awa afta di aksidɛnt.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Di ed we de at bad bad wan | I nɔ tan lɛk nɔmal ed we de at, i kin bi bad bad ed we pɔsin nɔ go ebul fɔ bia. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit we nɔ gɛt klia rizin. |
| Wan yay dɔn big. | If yu luk di pupil dɛm na di tu yay dɛm, yu go si se wan big pas di ɔda wan. Dis na sayn fɔ prɛshɔn pan di bren. |
| Kɔnfyus | Yu nɔ de mɛmba usay yu de, ustɛm i de, ɛn wetin apin, ɛn yu nɔ kin fil fayn. |
| Stori twist | Dɛn nɔ kin ebul fɔ kɔl wɔd dɛn klia wan. |
| Diziz ɛn layt ed | Wan say na di bɔdi, fɔ ɛgzampul, di rayt an ɛn di leg, kin fil lɛk se i de lɔs in layf. |
If di situeshɔn go wɔs...
If di blɔd nɔ stɔp ɛn dɛn nɔ trit am, di prɛshɔn we de pan di bren go bɔku ɛn di sayn dɛn go wɔs.
- Di sik dɛn we kin mek pɔsin sik
- I nɔ kin izi fɔ yu fɔ blo
- Di bren we nɔ de wok fayn
- Kɔma stet
- Day na di ɛnd
Wetin kin mek dis apin?
Di men tin we kin mek pɔsin gɛt injuri na in ed . כlmost 75% pan di EDH kes dεm de kam wit wan sכkul frakshכn. di tin we kin mek di bכdi kin brok pas כl na we di tεmporal bon brok, spεshal wan oba di yes, we kin mek di midul mεninjεal atεri, we na wan bכdi we de pas tru am, pwεl.
Bɔt nɔr kin bɔrku, dis sik kin apun fɔ ɔda rizin wae nɔr kin gɛt ɛni denja.
- Infεkshכn/absεs
- Di prɔblɛm dɛn we kin mek pɔsin blɔd klɔt (Coagulopathy) .
- Tumɔs dɛn na di bren we gɛt ɛmoraji
- Vaskul malfɔmeshɔn dɛn
Aw dɔktɔ dɛn kin no bɔt dis?
We dɛn kɛr pɔsin go na ɔspitul afta i wund in ed, mɔ if i gɛt di sayn dɛn we wi bin dɔn tɔk bɔt, dɔktɔ dɛn go du bɔku tɛst dɛn kwik kwik wan.
- CT scan (Computed Tomography): Dis na di men ɛn fastest we fɔ du am. I tan lɛk we yu tek tri-dimɛnshɔnal (3D) ɛkstrem pikchɔ we de insay di ed. Dis kin si klia wan usay di blɔd klɔt de, in saiz, ɛn ɔmɔs prɛshɔn i de put pan di bren.
- MRI skan (Magnetik Rizɔnans Imej): .Dis na tɛst bak fɔ luk insay di bren. I kin ditayli pas CT skan, bɔt bɔku tɛm na di fɔs skan we dɛn kin du we ɛnitin apin.
- Blɔd tɛst: Sɔntɛnde dɛn kin du blɔd tɛst bak fɔ si if prɔblɛm de we blɔd kin klɔt.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Epidural hematoma na wan mɛdikal imejensi we kin nid ɔpreshɔn wantɛm wantɛm . If dɛn nɔ pul di prɛshɔn we de pan di bren, di bren kin pwɛl fɔ ɔltɛm ɔ i kin day. Di disayd fɔ mek dɛn du ɔpreshɔn, na bikɔs ɔf tin dɛn lɛk:
- Di pɔsin we sik gɛt bad bad ed we de at.
- di dεklin fכ di bren (di mεmכri lכs, kכnfyushכn).
- Dɛn bin fɛn wan big blɔd klot (hematoma) pan di CT skan.
Ɔpreshɔn
Tu men we dɛn de fɔ du ɔpreshɔn.
1. Craniotomy ɛn Hematoma Evacuation: Dis na di tin we dɛn kin du mɔ. We dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin pul wan smɔl pat pan di skel fɔ sɔm tɛm ɛn pul di blɔd we de insay di bɔdi kpatakpata. Dɛn kin no di blɔd vesel ɛn stɔp am, ɛn dɛn kin tay di pat we dɛn pul na di skel bak wit smɔl pin.
2. Bɔr Ɔl: Wan ɔda we na fɔ drɔ wan ɔ mɔ smɔl ol dɛn na di skel ɛn pul di blɔd tru dɛn. Dis we ya kin ridyus di prɛshɔn pan di bren kwik kwik wan. Sɔntɛnde, dɛn kin lɛf wan tiub na in ples fɔ sɔm dez afta di ɔpreshɔn fɔ pul ɛni blɔd we kɔntinyu fɔ gɛda.
Kɔnsɔvativ Tritmɛnt
Sɔntɛnde, if di blɔd we de klɔt rili smɔl, i nɔ de put tumɔs prɛshɔn pan di bren, ɛn di pɔsin nɔ de gɛt siriɔs sik, dɔktɔ dɛn kin disayd nɔ fɔ du ɔpreshɔn. If na so i bi, dɛn kin kip di pɔsin na di intensiv kia yunit (ICU) ɛn dɛn kin wach am gud gud wan wit CT skan ɔltɛm fɔ si if di blɔd we de klɔt de big. Wi bɔdi kin tek smɔl smɔl blɔd bak as tɛm de go.
Ɔda tritmɛnt dɛn
afta dεn du di כpεrayshכn, dεn kin gi mεdikeshכn dεm lεk ``mannitol, hypertonic saline`` fכ ridyus di swel εn prεshכn na di bren. Dɔn bak, bikɔs i kin izi fɔ mek pɔsin sik afta i wund in ed, sɔntɛnde dɛn kin gi am mɛrɛsin fɔ mek i nɔ gɛt am.
If ɛnitin dɔn pwɛl di bren, i kin nid fɔ gɛt tritmɛnt fɔ rihabiliteshɔn lɛk fizik tɛrapi, ɔkupeshɔn tɛrapi, ɛn tɔk tɛrapi fɔ ɛp di pɔsin fɔ wɛl.
Wetin na di difrɛns bitwin Epidural ɛn Subdural Hematoma?
Yu kin dɔn yɛri bak bɔt `Subdural Hematoma`. Pan ɔl we dɛn ɔl tu de blɔd na di bren, klia difrɛns de bitwin dɛn tu. Dis na impɔtant tin bak fɔ no.
| Di kwaliti we pɔsin gɛt | Epidural Ɛmatoma (EDH) we gɛt di sik. | Subdural Ɛmatoma we dɛn kɔl Subdural |
|---|---|---|
| Sayt we dɛn kin pul blɔd | bitwin di sכkul εn di כta mכst kכva na di bren (dura mater). | Bitwin di Dura Mater ɛn di sɛkɔn kɔva ɔnda am (Arachnoid). |
| Di blɔd vesel we de mek | Bɔku tɛm na bikɔs ɔf wan at we dɔn brok. Blɔd kin kɔmɔt kwik kwik wan . | Bɔku tɛm na bikɔs ɔf wan vein we dɔn rɔtin. Blɔd kin kɔmɔt smɔl smɔl . |
| Di sayn dɛn we de sho se di sik kin apin | I kin apia kwik kwik wan (insay sɔm awa) afta di aksidɛnt. | I kin apia sloslo (ivin afta sɔm dez ɔr wik). |
| Bɔku tɛm, i kin apin | Fɔ yɔŋ pipul dɛn, na aksidɛnt usay di skel kin brok. | Kכmכn pan ol pipul dεm (di bren de shrink as i de ol, we de mek vasoconstriction) . |
| Di rit we pɔsin kin gɛt bak | Di rit we dɛn kin mɛn kin bɔku if dɛn no di sik ɛn trit am kwik . | Di rεt we de day pas di wan we de fכ Epidural Hematoma. |
Wetin fɔ du if pɔsin we dɔn bit dɛn ed gɛt dɛn sik ya?
Dis na di pat we impɔtant pas ɔl. If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sayn ya afta i dɔn nak dɛn ed, .Tek am go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU) ɛn nɔ de te.
- If yu lɔs kɔnshɛns (ivin fɔ wan sɛkɔn) .
- If yu gɛt bad bad ed we de at
- If di stori get tangled
- If yu fil se yu kɔnfyus ɔ yu de slip
- If pɔsin de vɔmit
- If di blak ring dɛn na di tu yay dɛn nɔ di sem (if wan big) .
- If yu gɛt diziz ɔ yu nɔ kin ebul fɔ waka
- If wan say na di bɔdi fil se i nɔ gɛt layf
- If wan sik we dɛn kɔl seizure apin
Mɛmba se, wan impɔtant sayn fɔ `Epidural Hematoma` na dat di kɔndishɔn kin wɔs afta yu dɔn wund yu ed, ɛn afta dat i kin bɛtɛ fɔ sɔm tɛm. So nɔ jɔs de na os ɛn tink se, "I fayn naw." Fɔ tru, yu go si dɔktɔ.
Yu nɔ tink se dɛn go ebul fɔ stɔp aksidɛnt dɛn lɛk dis?
Wi nɔ kin ebul fɔ mek aksidɛnt nɔ apin 100% pan di tɛm, bɔt bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Wear ɛlmɛt: We yu de rayd motoka, baysikul, ɔ ple spɔt lɛk rɔgbi ɔ kriket, mek shɔ se yu wɛr ɛlmɛt we gɛt di rayt standad.
- Wear sit bɛlt: Wear sit bɛlt ɛnitɛm we yu de insay motoka.
- Yuz sef ikwipmɛnt: Wear di rayt sef ɛlmɛt if yu de wok na say dɛn we ay, na kɔnstrɔkshɔn industri, ɔ na ɛni wok we go mek yu ed de pan denja.
- Nɔ dayv na say dɛn we yu nɔ no: Nɔ dayv na riva ɛn strim dɛn we yu nɔ no, bikɔs rɔk ɔ ɔda tin dɛn kin de we go ambɔg yu.
Mɛsej we dɛn kin kɛr go na os
- Epidural Hematoma (EDH) na wan siriɔs sik we kin mek pɔsin in layf de pan denja we blɔd kin gɛda bitwin di skel ɛn di ɔda pat we de kɔba di bren, ɛn dis kin mek di bren prɛshɔn.
- Wan pan de sayn dɛm wae denja pasmak wae pɔrsin gɛt kɔnkyushɔn na wae pɔrsin nɔr no natin fɔ shɔt tɛm, dɔn yu kin wɛl fɔ sɔm awa, dɔn de sik kin wɔs wantɛm wantɛm (Lucid Interval).
- Bɔrku ed pen, vɔmit, big blak yay, kɔnfyushɔn, ɛn nɔr de tɔk fayn na sayn dɛm wae yu fɔ pe atɛnshɔn to kwik kwik wan.
- Nɔ ignore ɛni ed injuri, ilɛksɛf i smɔl. If yu gɛt ɛni wan pan dɛn sayn ya we wi dɔn tɔk bɔt, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If dɛn no di blɔd we dɔn rɔtin kwik kwik wan ɛn dɛn du ɔpreshɔn pan am, di chans fɔ mek i wɛl ful wan kin rili bɔku. Di delay kin mek pɔsin in layf de pan denja.
- Protɛkt yu ed frɔm dɛn kayn siriɔs aksidɛnt dɛn de bay we yu yuz ɛlmɛt ɛn sit bɛlt we de protɛkt yu.
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