yu don si sohmbodi geht "fit" sote? Ɔlman kin fred we dɛn si tin dɛn lɛk we dɛn bɔdi de twit ɛn nɔ kin no natin, nɔto so? Bɔku tɛm wi kin kɔl dis kɔndishɔn epilepsy. So, wetin rili na ɛpilepshi? Wetin mek dis kin apin? Yu tink se i denja? Tide wi go tɔk bɔt ɔl dis rili simpul wan, insay wan we we yu go ɔndastand.
Wetin rili de apin insay di bren?
Fɔ ɔndastand dis, lɛ wi tek wan smɔl ɛgzampul. Imajin se wi bren tan lɛk ilɛktrik sistem we de na os. di sεl dεm (nyuron dεm) na di bren de sεnd mεsej to dεn wan dεm tru sכm sכm ilektrikal signal dεm. Ɔltin kin apin insay wan we we rili ɔganayz, we gɛt ritm.
כltu, insay pכsin we gεt εpilepshכn in bren, dis ilektrikal signal sistεm de ‘sכt-sכt’ wan wan. Sεl dεm we de na wan כ mכr pat dεm na di bren kin bigin fכ faya wan wan we dεn nכ kin kכntro, we kin mek i gεt ilektrikal signal dεm we pasmak. Lɛk laytin storm. Na da tɛm de wi kin gɛt wan sik we dɛn kɔl seizure . Dis ilɛktrik distɔblɛshɔn kin mek pɔsin nɔ no natin, i kin twitch, ɛn chenj di we aw i de biev.
Fɔ tɔk am simpul wan, epilepsy nɔto jɔs sik. Na wan krεse sik wae de apin na di ilektrikal aktiviti na di bren. Wan sik we pɔsin kin gɛt nɔ min se pɔsin gɛt epilepsy. If epilepsy de ripit ripit, e kin bi epilepsy.
Us kayn sik dɛn de we kin mek pɔsin sik?
We bɔku pan wi kin tink bɔt ‘fit’, wi kin tink bɔt wan bad bad kɔndishɔn usay wi kin fɔdɔm na grɔn, kɔnvul, ɛn drɔl. Bɔt yu no se bɔku kayn sik dɛn de we kin mek pɔsin sik? Dɛn kin sheb dɛn tin ya to tu men kategori: wan de bay usay na di bren di sik bigin.
| Kategori fɔ seizure | Diskripshɔn ɛn di simptom dɛm |
|---|---|
| 1. Fɔkal Ɔnset Siiz | Dɛn tin ya kin bigin na wan patikyula say na wan say na di bren. Tu kayn dis de bak. Fokal Aware Seizure: • SMƆL TƆK: Dis tɛm, di pɔsin kin no bɔt am ɛn i kin fil tin dɛn we de apin rawnd am. • SMƆL TƆK: Tin, lɛk na wan an ɔ leg. • SMƆL TƆK: Wantɛm wantɛm, yu kin fil wan strenj smel ɔ teist. • SMƆL TƆK: Fɔ fil lɛk se yu de si layt bifo yu yay, yu de tɔn diziz. Fכkal Impεrεd Awareness Seizure: • SMƆL TƆK: Dis tɛm, yu kin lɔs yu kɔnshɛns smɔl, ɔ yu nɔ kin no bɔt di tin dɛn we de arawnd yu. • SMƆL TƆK: Fɔ luk blank wan. • SMƆL TƆK: Fɔ ripit di sem tin bak ɛn bak, lɛk fɔ purs yu lip, fɔ rɔb yu an, ɔ fɔ blink yu yay. |
| 2. Sik we de spre ɔlsay na di bren wan tɛm (Generalized Onset Seizures) . | Dɛn tin ya kin afɛkt ɔl tu di say dɛn na di bren wan tɛm. Di kayn dɛn we wi kin si bɔku tɛm na dis kategori. Absence Seizures we pɔsin kin gɛt: • SMƆL TƆK: Dis kin apin to yɔŋ pikin dɛm. Wantɛm wantɛm, dɛn kin stɔp wetin dɛn de du fɔ sɔm sɛkɔn dɛn ɛn de luk dɛn blak wan. I tan lɛk se dɛn dɔn go na drim wɔl. Bɔku pipul dɛn kin mistek fɔ se dis na de drim. Tonik-Klɔnik Sizhɔ: . • SMƆL TƆK: Dis na di ‘fit’ we wi ɔl sabi (ol nem Grand Mal). • SMƆL TƆK: Wantɛm wantɛm, yu nɔ kin no natin ɛn fɔdɔm na grɔn. Fɔs, yu bɔdi de stiff (Tonic phase), dɔn yu bɔdi de bigin fɔ twitch (Clonic phase). • SMƆL TƆK: Tɔng-tipping, salivation, ɛn urine/feces pan klos kin apin. Dis kin te bitwin 1-5 minit. Atonic Seizures: Di wan dɛn we de mek pɔsin sik: • Dɛn kin kɔl dis bak ‘Drop Seizure’. Di bɔdi in mɔsul dɛn nɔ gɛt pawa igen wantɛm wantɛm ɛn yu fɔdɔm na grɔn, lɛk pɔpet we in strɛch dɛn dɔn brok. Mayoklɔnik Sizhɔ: . • SMƆL TƆK: Na wan an, yu leg, ɔ wan ol bɔdi de jɔk wantɛm wantɛm, lɛk se laytin dɔn slap am. Dis kin las fɔ shɔt tɛm, lɛk wan ɔ tu sɛkɔn. |
Wetin na di tin dɛn we kin mek pɔsin gɛt sik?
Pɔrsin wae gɛt epilepsy nɔr kin gɛt sik ɔltɛm. Bɔt sɔm tin dɛn kin mek yu gɛt mɔ sik fɔ gɛt sik. Wi kin kɔl dɛn tin ya we kin mek pɔsin want fɔ du sɔntin . Dɛn tin ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Fɔ lɛf fɔ tek mɛrɛsin: Dis na di men rizin. If yu nɔ tek di mɛrɛsin we di dɔktɔ gi yu di rayt tɛm, chans de fɔ mek yu gɛt sik.
- Nɔ slip: Tin dɛn lɛk we yu nɔ de slip ɛn we yu de tray pasmak kin afɛkt di bren.
- Stress: De sik kin kam bak wae yu de fil lɛk wae yu de prɛs yu pasmak ɛn wae yu de wɔri.
- Sik ɛn fiva: We infekshɔn kam insay di bɔdi ɛn fiva kam, di bren wok kin chenj.
- Brayt layt: Layt dɛn we de flash, sɔm vidio gem dɛn, ɛn tɛlivishɔn sho dɛn kin afɛkt sɔm pipul dɛn.
- Alkol ɛn drɔgs:If yu drink rɔm, mɔ we yu de drink rɔm, dat kin mek yu gɛt sik.
- כmon chenj dεm na uman dεm: sכm uman dεn kin gεt sik wit hכmon chenj dεm we kכnεkt wit dεn mεnstral saykl.
- Sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin fɔ kol ɛn alɛji (e.g., di wan dɛm wae gɛt diphenhydramine) kin nɔr fɔ gi pipul dɛm wae gɛt maygren.
Wetin na di tin dɛn we kin mek pɔsin gɛt maygren?
Bɔrku tɛm, lɛk 70% pan di kes dɛm, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ maygren. Bɔt sɔm tin dɛn de we dɛn dɔn no bɔt.
- Jɛnɛtiks: If pɔsin na di famili gɛt maygren, smɔl risk de fɔ mek ɔda pipul dɛnsɛf gɛt am. Bɔt i nɔ min se dɛn go rili divɛlɔp dɛn.
- Injury na yu ed: If yu wund yu ed bad bad wan, lɛk we yu gɛt motoka aksidɛnt ɔ we yu fɔdɔm, dat kin pwɛl yu bren ɛn mek yu kɔnkyushɔn.
- Bren infεkshכn: Dis kכndyushכn kin kכz fכ infεkshכn lεk εnεfalaytis εn mεningaytis, we de pwεl di bren.
- Strɔk ɛn Bren Tumɔs: We di blɔd nɔ de flɔ to di bren bikɔs ɔf strok ɔ we di bren tumor de divɛlɔp, di bren sɛl dɛn kin pwɛl ɛn i kin bigin fɔ gɛt sik.
- Kכmplikεshכn dεm we dεn bכn pikin: Mizl kin kכz bak we di כksijεn nכ de na di bren we dεn bכn am, כ fכ sכm prכblεm dεm wit di bren divεlכpmεnt.
Aw dɛn kin no dis?
If yu gɛt sik we de mek yu sik, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. I go aks yu ɛn ɛnibɔdi we si di sik fɔ tɔk bɔt wetin apin.
Apat frɔm dat, dɛn kin du tu men tɛst dɛn.
1. EEG (Electroencephalography): Dis min se yu de ataya sכm sכm sכm sεns dεm na yu ed εn rεkכd di ilektrikal patεn dεm na yu bren. If yu gɛt epilepsy, i kin no sɔm tin dɛn we nɔr fayn.
2. Bren Skan: Test lεk MRI (Magnetic Resonance Imaging) skan kin chεk fכ sayn dεm fכ damej insay di bren, lεk tכmכro, ska, כ strok.
Wetin na di tritmɛnt dɛn?
Mizl nɔto sɔntin fɔ fred, bikɔs na sik we pɔsin kin kɔntrol bɔku bɔku wan.
Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik
Di men tritmɛnt na mɛrɛsin we de mek pɔsin nɔ gɛt kɔnvuls. Na lɛk 70% pan di sik pipul dɛn kin kɔntrol dɛn sik we dɛn kin gɛt kɔmplit wan wit mɛrɛsin. Yu dɔktɔ go pik di rayt mɛrɛsin fɔ yu bay di kayn sik we yu gɛt, yu ej, ɛn ɔda tin dɛn we yu gɛt. Di tin we impɔtant pas ɔl na fɔ nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
Diet Tɛrapi
Fɔ sɔm pikin dɛn, mɔ di wan dɛn we nɔ de tek mɛrɛsin fayn, dɔktɔ kin tɛl dɛn fɔ it spɛshal it lɛk di ketogenic diet . Dis na it we gɛt bɔku fat ɛn we nɔ gɛt bɔku kabɔhaydrɛt.
Ɔpreshɔn
Fɔ pipul dɛm wae gɛt sik wae nɔr de kɔntrol wit mɛrɛsin ɛn wae kin bigin na wan say na dɛn bren, ɔpreshɔn na opshɔn. Dis involv fɔ pul di abnɔmal pat na di bren usay di sik kin bigin. Pan ɔl we dis nɔ pɔsibul fɔ ɔlman, i kin rili fayn fɔ di rayt pɔsin.
Taym we wi nid fɔ tek tɛm
Bɔrku tɛm, wan sik kin stɔp fɔ insɛf insay 1-2 minit, bɔt sɔm tɛm, yu nid fɔ go na ɔspitul wantɛm wantɛm.
Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm:
* If di sik de te pas 5 minit.
* If wan sik dɔn ɛn ɔda wan kam bifo yu kɔnshɛns bak.
* If yu gɛt prɔblɛm fɔ blo di tɛm we yu de sik.
* If wan sik we dɛn kɔl seizure mek pɔsin gɛt siriɔs injury.
* If uman we gɛt bɛlɛ ɔ pɔsin we gɛt dayabitis gɛt sik we dɛn kɔl seizure.
Wan wɔd bɔt SUDEP
Dis kin tan lɛk se yu de mek yu fred, bɔt i impɔtant fɔ no. SUDEP (Sudden Unexplained Death in Epilepsy) na wae pɔrsin wae gɛt epilepsy day wantɛm wantɛm ɛn nɔr gɛt ɛnitin fɔ du wit am. Dis na tin we nɔ kin apin so ɔltɛm. Pipul wae nɔr kin kɔntrol fayn fayn wan kin gɛt bɔrku risk. Di bɛst we fɔ ridyus dis prɔblɛm na fɔ tek yu mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu ɛn kɔntrol di we aw yu de sik.
Mɛsej we dɛn kin kɛr go na os
- Epilepsy nɔto mental sik ɔr sɔntin fɔ shem fɔ. Na wan nyurolɔjik kɔndishɔn na di bren.
- Bɔrku pipul kin kɔntrol dɛn sik wae de mɛk dɛn sik fayn fayn wan wit mɛrɛsin ɛn liv nɔrmal layf.
- I impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ dɔn tɛl yu fɔ tek di rayt tɛm ɛn di rayt doz. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin fɔ yusɛf.
- Fɔ no di tin dɛm wae de mek yu sik ɛn avɔyd dɛm as yu ebul (e.g., slip, strɛs mɛnejɛmɛnt).
- If yu gɛt dis maynia sik, e fayn fɔ mek yu fambul ɛn yu tayt padi dɛn no bɔt am so dat dɛn go ɛp yu pan imejensi.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, tɔk bɔt am opin wan wit yu dɔktɔ.
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