Yu an dɛn kin shek we yu pik kɔp, pik pen fɔ rayt, ɔ ivin es yu an fɔ sho pɔsin sɔntin? Dis kin mek yu shem smɔl ɛn sɔntɛnde i kin mek yu shem. Bɔku pipul dɛn kin tink se dis na nɔmal tin we kin mek pɔsin ol. Bɔt i kin bi bak wan sik we dɛn kɔl Essential Tremor . Tide, wi go tɔk bɔt dis ditayli, insay rili simpul langwej we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Essential Tremor?
Essential Tremor na wan muvmɛnt disɔda wae de afɛkt di nervɔs sistɛm. I kin mek sɔm pat dɛn na wi bɔdi, mɔ wi an dɛn, shek we wi nɔ ebul fɔ kɔntrol. Yu nɔ go ebul fɔ stɔp di shek bay wilful. Bɔrku tɛm, i kin afɛkt di an ɛn an, bɔt pan sɔm pipul dɛm, i kin afɛkt di ed, vɔys, ɛn ɔda pat dɛm na di bɔdi bak.
Pan ɔl we i nɔ kin bi big prɔblɛm fɔs, dis sik kin wɔs smɔl smɔl as tɛm de go. We dis kin apin, i pɔsibul fɔ mek yu nɔ ebul fɔ du ivin simpul tin dɛn we yu kin du ɛvride lɛk fɔ it, drink, ɛn drɛs fayn. Dis kin mek bɔku pipul dɛn at pwɛl ɛn dɛn kin shem fɔ fes di sosayti.
Wetin na di difrɛns bitwin Essential Tremor ɛn Parkinson’s disease?
Bɔrku pipul kin frayd wae dɛn yɛri di wɔd "shaking hands" ɛn tink se, "Oh, a gɛt Parkinson's ?" Pan ɔl we dɛn tu tin ya na tin dɛn we kin mek pɔsin shek, big difrɛns de bitwin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Ficha we de sho se yu kɔmpia am | Impɔtant Tremor | Dis sik we dɛn kɔl Parkinson |
|---|---|---|
| Di we aw pɔsin kin shek shek | I kin apin we yu de du wan akshɔn (e.g., fɔ ol kɔp, rayt). | I kin apin we yu de rɛst (e.g., sidɔm na chia wit yu an pan yu hip). Di trem de dכn wit di aktiviti. |
| Di pat dɛn na di bɔdi we dɛn afɛkt | Mɔs pan dɛn na an, ed ɛn vɔys. | Bɔku tɛm di an, di leg, di bɔdi, ɛn di fes. |
| Ɔda sayn dɛn we de sho se yu gɛt dis sik | Ɔda nyurolɔjik sayn dɛm nɔ kin bɔku. | Ɔda sayn dɛm lɛk fɔ muv sloslo, yu bɔdi stif, ɛn prɔblɛm wit balans kin bɔku. |
| Di pikin we kɔmɔt frɔm am | Bɔku tɛm i kin mɔs bi se dɛn kin gɛt am frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn (jɛnɛtiks). | Jɛnɛral wan, di jɛnɛreshɔn ɛritashɔn nɔ kin bɔku. |
Udat kin gɛt dis sik? Aw i kɔmɔn?
Essential Tremor kin kam pan ɛnibɔdi, bɔt i kin apin mɔr as yu de ol. I kin bigin fɔ bigin mɔ pan yɔŋ pipul dɛn we ol bitwin 10-19 ia ɛn bitwin 50-59 ia.
Di impɔtant tin na dat i kin rɔn na famili . Na dat mek sɔm tɛm dɛn kin kɔl am "familial tremor." If yu mama, papa, ɔr yu fambul we de nia yu gɛt dis sik, yusɛf gɛt mɔ chans fɔ gɛt dis sik.
Dis nɔ kin apin so ɔltɛm lɛk aw yu go tink. Dɛn se lɛk 1% pan di pipul dɛm na di wɔl gɛt dis sik. Na lɛk 5% pan pipul dɛm wae dɔn pas 60 ia kin sɔfa wit dis sik.
Nature ɛn di sayn dɛm fɔ tret
Di men sayn fɔ dis sik na dat yu an dɛn kin shek we yu de yuz am fɔ du sɔntin. Dis tret kin kam insay tu men we dɛn:
- Akshɔn Tremor: Dis na di kayn we we dɛn kin gɛt mɔ. I min se di tret kin apin we yu de du wan akshɔn (e.g., fɔ rich fɔ wan glas wata, fɔ sayn wan dɔkyumɛnt).
- Postural Tremor: Dis na we wan pat pan di bɔdi de shek we i de ol wan patikyula pozishɔn. Fɔ ɛgzampul, fɔ shek we yu de ol di an dɛn stret bifo yu.
Essential Tremor kin afɛkt ɔl tu di say dɛm na di bɔdi, bɔt bɔku tɛm wan say na di bɔdi kin shek pas di ɔda wan. Apat frɔm di an dɛn, di shek shek kin afɛkt di ed bak (lɛk fɔ shek frɔm wan say to ɔda say ɔ ɔp ɛn dɔŋ), vɔys (lɛk fɔ tɔk wit vɔys we de shek shek), ɛn fes.
Di impɔtant tin na dat dis tret nɔ denja ɔ i nɔ de mek pɔsin in layf de pan denja. Bɔt as tɛm de go, i kin rili afɛkt yu kwaliti layf, ɛn dis kin mek i nɔ izi fɔ du di wok dɛn we yu de du ɛvride .
Wetin na di rizin fɔ dis?
Dɔktɔ dɛn nɔ dɔn fɛn ɛni patikyula rizin yet fɔ dis, bɔt dɛn biliv se na bikɔs ɔf chenj dɛn we de apin na sɔm pat dɛn na di bren, mɔ di sɛribɛl we de kɔntrol di muvmɛnt.
As wi bin dɔn tɔk, di jenɛtiks de ple big pat. Fɔ lɛk af pan pipul dɛm wae gɛt dis sik, na inherit. Fɔ tɔk am simpul wan, if wan pan yu mama ɛn papa gɛt di jin fɔ di sik, yu gɛt lɛk 50% chans fɔ gɛt am ɛn gɛt di sik.
Dis nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin.
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ go no dis sik mɔ bay we i lisin to yu sayn dɛm ɛn du nyurolɔjik ɛgzam. No patikyula tɛst nɔ de we go kɔnfirm dis “yes” ɔ “nɔ” wantɛm wantɛm.
So, wan pan di men tin dɛn we di dɔktɔ want fɔ du na fɔ mek shɔ se yu nɔ gɛt ɔda sik dɛn we go mek yu shek. Dis kin gɛt fɔ du wit sɔm tɛst dɛn, lɛk:
- Blɔd tɛst : Dɛn tin ya kin ɛp fɔ pul ɔda tin dɛn, lɛk tayroyd prɔblɛm ɛn Wilson in sik.
- CT skan ɔ MRI skan: Dɛn tin ya impɔtant fɔ mek shɔ se nɔ gɛt ɛni bren tumbu ɔ ɔda strɔkchɔral prɔblɛm.
- Jɛnɛtik tɛst: Sɔntɛnde, dɛn kin du dis if dɛn tink se na tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.
Wetin na di tritmɛnt dɛn?
Nɔr mɛrɛsin nɔr de fɔ impɔtant trem, bɔt fayn tritmɛnt dɛn de wae kin ɛp fɔ kɔntrol di sayn dɛm ɛn mek yu layf izi.
- Mɛrɛsin: Di mɛrɛsin dɛn we dɛn kin yuz mɔ na beta-blɔk lɛk `Propranolol` ɛn anti-ɛpileptik drɔgs lɛk `Primidone`. Dɛn tin ya kin rili ridyus di shek we pɔsin kin shek.
- Adaptive devices: Difrɛn divays dɛn de we kin ɛp fɔ kɔntrol di we aw pɔsin de shek, lɛk di tin dɛn we dɛn kin yuz fɔ kɔt we ebi ɛn di tin dɛn we kin mek pɔsin nɔ shek.
- Botulinum toxin injεkshכn dεm:We yu injekt dis vaysin insay di mɔsul dɛn we de mek pɔsin shek, i kin mek dɛn mɔsul dɛn de wik fɔ sɔm tɛm ɛn i kin mek di mɔsul dɛn nɔ shek smɔl.
- Dip bren stimulashɔn: Dis na ɔpreshɔn we dɛn kin put insay wan smɔl tin we kin sɛn ilɛktrik signal to wan patikyula say na di bren we de mek pɔsin shek. Dis kin blok di faulty signals we de mek di tremors.
- Fɔs ɔltrasɔund: Dis na di mɔdan tritmɛnt we bak. Na ya, di sawnd wev dɛn we gɛt ay frikshɔn de go na wan rili smɔl say na di bren we de mek di pɔsin shek, ɛn dis kin pwɛl da tisu de.
Impɔtant wɔnin
Sɔm pipul dɛn kin si se we dɛn drink smɔl rɔm, dat kin mek dɛn nɔ shek fɔ sɔm tɛm. Bɔt nɔ yuz rɔm as tritmɛnt fɔ dis fɔ ɛni rizin. I kin mek yu gɛt siriɔs prɔblɛm dɛn lɛk fɔ drink rɔm. Dɔn bak, rɔm kin miks wit sɔm pan di mɛrɛsin dɛn we dɛn kin yuz fɔ dis. So tɔk to yu dɔktɔ bɔt dis ɔnɛs wan.
Aw yu de kia fɔ yusɛf?
Wae yu de liv wit dis sik, sɔm tin de wae yu kin du fɔ yusɛf.
1. Bi ɔnɛs wit yu dɔktɔ: Nɔ shem fɔ tɛl yu dɔktɔ bɔt yu sik dɛn ɛn aw dɛn de afɛkt yu layf. Na da tɛm de nɔmɔ i go ebul fɔ gi yu di rayt tritmɛnt.
2. Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am: Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl am, di rayt tɛm. Nɔ stɔp fɔ tek yu mɛrɛsin fɔ yusɛf. Sɔm mɛrɛsin kin mek yu gɛt sayd ɛfɛkt if yu stɔp fɔ tek dɛn wantɛm wantɛm.
3. Nɔ tek tin dɛn we de mek yu shek mɔ ɛn mɔ: Fɛn ɔut we yu de shek shek mɔ ɛn mɔ. Bɔrku pipul dɛn kin gɛt mɔr shek wae dɛn kin gɛt tin lɛk strɛs, taya, ɛn wɔri . Dɔn bak, drink we gɛt kafinɛ lɛk kɔfi , kin afɛkt dis. Stay away frɔm dɛn tin ya as yu ebul.
4. Gɛt ɛp frɔm teknɔlɔji: Di tin dɛn we wi bin dɔn tɔk bɔt fɔ ɛp yu kin mek yu layf izi pasmak. Chek dɛn fɔ si dɛn.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt shek shek we yu nɔ ɛksplen, go mɔs go to dɔktɔ. Dɔn bak, if yu dɔn ɔlrɛdi de tek mɛrɛsin ɛn yu sik dɛn de wɔs, ɔ yu de gɛt prɔblɛm wit di sayd ɛfɛkt dɛn we yu de tek frɔm yu mɛrɛsin, go to yu dɔktɔ bak.
Essential Tremor nɔr kin bi wan sik wae nid fɔ gɛt tritmɛnt kwik kwik wan. So, nid nɔ de fɔ go na ETU (Imejɛnsi Tritmɛnt Yunit). Bɔt if spɛshal kes de we yu nid fɔ no bɔt, yu dɔktɔ go advays yu bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Essential Tremor na wan nyurolɔjik kɔndishɔn wae de pat dɛm na yu bɔdi, lɛk yu an, ed, ɔr yu vɔys, de shek we yu nɔr ebul fɔ kɔntrol we yu de du sɔm akshɔn.
- Dis na kɔmplit difrɛn tin frɔm Pakinsin sik, so nɔr frayd fɔ Pakinsin jɔs bikɔs yu an dɛn de shek.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn am ɔl, dɛn kin kɔntrol di sik dɛn fayn fayn wan wit mɛrɛsin ɛn ɔda tritmɛnt dɛn ɛn pipul dɛn kin liv nɔmal layf.
- Mek shɔ se yu go to dɔktɔ we sabi du di wok fɔ no di rayt tin we mek yu de shek shek ɛn fɔ gɛt di tritmɛnt we fit yu pas ɔl.
- Nɔ shem ɔ ayd am. Dis na kɔmɔn sik wae kin ambɔg bɔrku pipul dɛm ɔlsay na di wɔl, ɛn yu kin gɛt ɛp fɔ gɛt di rayt tritmɛnt.
Impɔtant Tremor, trem, an trem, Parkinson, nyurolɔjik sik, trem na Sinhala, impɔtant trem tritmɛnt
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