Yu yay de chenj? Dis kin bi prɔblɛm wit di nɔmba 4 nerve! (Fɔs Nɛv Palsi / Troklia Nɛv Palsi)

Yu dɔn ɛva fil lɛk se wan yay ay smɔl pas di ɔda wan? Ɔ yu kin fil lɛk se yu de si tin dɛn na tu say, mɔ we yu de luk dɔŋ, rid buk, ɔ go dɔŋ stej? If dis dɔn apin to yu, i kin bi prɔblɛm wit yu fɔs kraynia nɛv. Lɛ wi tɔk bɔt am smɔl.

Wetin na dis nɔmba 4 nerve palsy? (Fɔs Nɛv Palsi ɔ Troklia Nɛv Palsi)

Fɔ tɔk am simpul wan, Fɔs Nɛv Palsi (ɔ Trochlear Nerve Palsy) na wan sik we de mek wan prɔblɛm de na di nɔmba 4 nerve na wi bren (we dɛn kin kɔl bak trochlear nerve) we kin mek prɔblɛm wit di muvmɛnt we di yay ɛn di we aw wi de si ɔp ɛn dɔŋ. i kin afekt wan yay nכmכ (unilateral) , bכt sכmtεm i kin afekt di tu yay dεm (baylateral).

Tink bɔt am lɛk kamɛra. Smɔl mɔsul dɛn de we de ɛp wi fɔ muv dis kamɛra ɔp, dɔŋ, ɛn go na di sayd dɛn. we dis fכs nεv de wok fayn fayn wan, wan spεshal mכsul insay di yay (di `superior oblique muscle`) we i de kכntro de εp wi f כ luk dכn . Dɔn bak, dis nɛv ɛn mɔsul de ɛp wi fɔ muv wi yay nia di nos ɛn fa frɔm di nos. So, if prɔblɛm de wit dis nerve, na da tɛm de dɛn prɔblɛm ya we de mek pɔsin si ɛn muv in yay kin kam.

Aw dis sik kin kɔmɔn?

Fɔ tru, dis nɔmba 4 nerve dysfunction nɔto so kɔmɔn . Statistikin sho se na kɔntri lɛk Amɛrika, dis sik kin kam pan lɛk 5 pipul dɛn pan ɛvri 100,000 pipul dɛn ɛvri ia. Dat min se na lɛk 17,100 nyu pasɛnt dɛn kin kam ɛvri ia. Sɔntɛm pipul dɛn kin gɛt dis sik na Sri Lanka bak, bɔt i nɔ kin izi fɔ fɛn di rayt statystik.

Wetin na di sayn dɛm fɔ dis?

Okay, naw lɛ wi si us sayn dɛn kin apin if prɔblɛm de wit dis nɔmba 4 nerve.

• Fɔ si tu tin, mɔ ɔp ɔ dɔŋ (`vɛtikal diplopia`): Dis na di men sayn. I tan lɛk se yu si wan pikchɔ pan ɔda wan. Sɔm pipul dɛn kin gɛt dis ɔltɛm, ɛn ɔda wan dɛn kin gɛt am nɔmɔ we dɛn de luk na sɔm say dɛn.
• twist ɔ twist vishɔn (`torsional diplopia`): I kin fil lɛk se di wɔl tilt smɔl. Tin dɛn lɛk wɔl ɛn domɔt kin tan lɛk se dɛn tilt smɔl instead fɔ stret.
• Prɔblɛm fɔ si we yu de luk dɔŋ: Dis kin afɛkt bɔku pipul dɛn. Fɔ ɛgzampul:
• We yu de rid buk, yu kin si tu ɔ tri lɛta dɛn wan tɛm, ɔ yu kin kɔnfyus.
• We a go dɔŋ di stej , a nɔ kin si di stɛp dɛn fayn ɛn a kin fil lɛk se a nɔ de balans igen.
• We yu de it, yu nɔ go ebul fɔ si wetin de na yu plet fayn fayn wan.
• Tilt yu ed to wan say fɔ mek yu nɔ muv yu yay ɔ yu nɔ gɛt prɔblɛm wit yu yay:Bɔku tɛm, dis kin apin we pɔsin nɔ no. We yu tray fɔ put yu yay pan wan ples, yu kin si klia wan we yu tilt yu ed to wan say, ɛn yu bɔdi kin yus to am. Sɔntɛnde, if yu gɛt di abit fɔ tilt yu ed frɔm we yu smɔl, dat kin bi rizin bak fɔ dis.
• Strabismus (krɔs yay): Dis na we di yay nɔ de pɔynt na di sem say. Strabismus kin sho difrεn we dεm we di fכs kraynia nεv nכ de wok fayn:
• `Hypertropia`: Dɛn kin tɔn wan yay ɔp. Fɔ di pɔsin we de wach, i tan lɛk se wan yay ay pas di ɔda wan.
• `Esotropia`: wan כ tu yay dεn de tכn insay (to di nos). Wi se "krɔs yay".

Impɔtant: If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu go to dɔktɔ fɔ advays. Dɛn tin ya nɔto tin dɛn we wi fɔ jɔs ignore.

Wetin mek dis nɔmba 4 nerve dysfunction kin apin?

Dis disfכnkshכn kin kכz fכ eni kכndyushכn כ ivent we kin pwεl di fכs nεv. Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula tin we mek i sik. wi kכl dis ``idiopathic fכs nεv palsi``.

Di tin dɛn we kin mek pɔsin bɔn (`Kɔnjɛnital Fɔs Nɛv Palsi`) .

Bɔku tɛm, di men tin we kin mek dis nɔmba 4 nerve nɔ de wok fayn na wan sik we dɛn bɔn wit . Bɔt di wan dɛn we de stɔdi bɔt dis stil nɔ dɔn rili no wetin mek i kin apin. dכkta dεn kin kכl dis bak `congenital superior oblique palsy.` Dis `superior oblique` de tכk bכt di mכsul we di fכs nεv we wi bin dכn tכk bכt de kכntro.

bכku pipul dεm we gεt dis kכndyushכn dεn bכn wit wan fכs nεv we nכ de (di `trochlear nerve`), כ di `superior oblique` mכsul we da nεv de kכntro wik (`atrophied`). Ɔda wan dɛn gɛt wɛlbɔdi 4 nerve, bɔt di tɛndon na da mɔsul de nɔ de wok fayn.

Pan ɔl we dis sik kin de frɔm we dɛn bɔn am, sɔntɛnde di pikin nɔ kin sho ɛni sayn, ɔ i kin jɔs gɛt sɔm kayn sayn dɛn we nɔ kin rili klia . Dɛn sayn ya kin kam fɔ no mɔr smɔl smɔl as dɛn de ol. So, bɔrku pipul dɛm wae gɛt dis sik frɔm we dɛn bɔn dɛn, dɛn kin no se dɛn gɛt dis sik we dɛn smɔl ɔr we dɛn yɔŋ.

Bikɔs ɔf di injuri dɛn we de na di ed

Bikɔs wi nɔmba 4 nerve de travul fa fawe insay di ed, i kin izi fɔ mek i pwɛl we i gɛt trauma na di ed . di fכs nerve dysfunction we dεn kin gεt kin kכmכt fכ motoka aksidεnt εn sכpכt lεk bכksin. insay dεn kayn kes dεm ya, we di ed jכk wan wan εn stכp (a `whiplash` muvmεnt), di nεv kin pwεl. כltu, sכmtεm ivin we i lεk se i sכm sכm sכm ed injuri kin pwεl di `trochlear` nεv.

Yu tink se ɔda rizin dɛn de?

Yɛs, ɔda wɛlbɔdi prɔblɛm dɛn de we kin pwɛl ɛn mek di nɔmba 4 nerve nɔ wok fayn. Dɛn tin ya nɔ kin bɔku, bɔt dɛn impɔtant fɔ no bɔt:

• Blɔd vesel sik: Dɛn kin pwɛl di blɔd vesel, mɔ bikɔs ɔf tin dɛn lɛk dayabitis .
• Prεshכn frכm wan tכmכro we de rawnd am: fכ egzampl, sכm kayn tכmכro dεm we de fכm na di bren (lεk mεningioma).
• inkrεs prεshכn insay di sכkul (`Inkrεs intrakranial prεshכn`).
• `Lyme disease`: Na sik we tik kin pas.
• Guillain-Barré syndrome: Na wan sik wae de afekt di nervous system.
• Shingles (hεpi zoster) kin apin afta chikinpoks.
• Aksidɛntal injuri we dɛn de du ɔpreshɔn pan in bren.

Aw yu no dis?

Bɔku tɛm, dɔktɔ dɛn kin no dis nɔmba 4 nerve dysfunction bay we dɛn luk yu sayn dɛm ɛn du sɔm simpul tɛst dɛm, lɛk fɔ luk aw yu de si ɛn aw yu yay de muv.

Yu go mɔs nid fɔ go to ay dɔktɔ (ɔftalmɔlɔjis) ɔ nyurolɔjis fɔ no dis fɔ tru. Di dɔktɔ go aks yu us prɔblɛm dɛn we yu gɛt fɔ si, ɛn if dɛn kin bɛtɛ ɔ wɔs we yu luk na sɔm say dɛn. Dɛn go mek yu luk difrɛn tin dɛn ɛn aks yu fɔ tɔk bɔt aw dɛn tan to yu.

If yu sik de kam afta yu dɔn wund yu ed, bɔku tɛm yu dɔktɔ go tɛl yu fɔ du sɔntin lɛk fɔ du MRI skan na yu bren .

Wetin na di tritmɛnt dɛn?

De tritmɛnt wae rayt fɔ yu go dip pan de kɔz fɔ yu fɔs nerve dysfunction. If na injury ɔ damej mek i kam, bɔku tɛm di sik go bɛtɛ fɔ insɛf insay siks mɔnt as di nerve de wɛl .

te di nɔmba 4 nerve wɛl, yu kin nid fɔ wɛr prism ayglas fɔ kɔrɛkt yu si tu tɛm. If dɛn tin ya nɔ ɛp, fɔ wɛr ay pat oba di yay we di sik afɛkt kin ɛp bak.

If yu sik nɔr bɛtɛ afta siks mɔnt, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn . dis kin involv fכ riples di wik supεriכr oblique mכsul wit כda ay mכsul we de wok mכr. Dis kin ɛp fɔ kɔrɛkt di prɔblɛm dɛn we de mit yu yay.

Yu dɔktɔ go ɛksplen ɔl dɛn tritmɛnt opshɔn ya ɛn di ditel dɛn to yu as dɛn gɛt fɔ du wit yu sik.

Aw lɔng i go tek fɔ mek i wɛl? / Wetin na di tumara bambay?

Bɔrku pan di kes dɛm wae dɛn kin gɛt di fɔs nerve dysfunction kin sɔlv fɔ dɛnsɛf as tɛm de go, bɔrku tɛm insay siks mɔnt . Ivin we dɛn nid fɔ du ɔpreshɔn, bɔku tɛm di sakrifays kin fayn.

Bɔt yu dɔktɔ kin gi yu di bɛst aidia bɔt wetin fɔ ɛkspɛkt, bay di patikyula tin we de apin to yu.

Yu tink se dɛn go ebul fɔ stɔp dis?

Sɔm tin dɛn we kin mek di nɔmba 4 nerve nɔ wok fayn, lɛk di wan dɛn we dɛn bɔn wit, dɛn nɔ kin ebul fɔ avɔyd. Bɔt wi kin du tin dɛn fɔ ridyus di prɔblɛm we de mek di nɔmba 4 nerve pwɛl bay we wi nɔ gɛt injury na di ed. Dɛn tin ya na:

• Yuz sitbɛlt ɔltɛm we yu de rayd motoka ɛn yuz sef motoka sit fɔ yu pikin.
• We yu de wɛr ɛlmɛt we yu de rayd baysikul ɔ motoka, ɔ ple spɔt we gɛt fɔ du wit pɔsin we de rɔsh.
• If yu gɛt smɔl pikin ɔ smɔl pikin na yu os, i impɔtant fɔ `childproof` di os ɛnvayrɔmɛnt fɔ dɛn . Dis min se dɛn fɔ stɔp di say dɛn we dɛn kin fɔdɔm ɔ nak dɛn ed di we we denja.
• Fɔ mek say we sef fɔ liv fɔ di wan dɛn we yu lɛk we gɛt prɔblɛm wit balans ɔ we de pan big risk fɔ fɔdɔm .

Ustɛm a fɔ go to dɔktɔ?

I impɔtant fɔ kip yu dɔktɔ in fɔlɔp visit. Dis na fɔ mek dɛn go ebul fɔ wach yu kɔndishɔn ɛn mek chenj to yu tritmɛnt if nid de. Fɔs nerve dysfunction nɔto imejensi. Bɔt na sik we dɛn nid fɔ no di rayt we ɛn trit am fayn fayn wan.

Bɔku tɛm wi nɔ kin tink bɔku bɔt wi vishɔn te sɔntin go rɔng. We sɔntin lɛk dis apin, layf kin chaos smɔl. Bɔt di gud nyus na dat bɔku tɛm i kin trit ɛn fɔ shɔt tɛm nɔmɔ . Bɔt, i impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ gɛt diagnosis ɛn tritmɛnt. Dɔn yu dɔktɔ kin tɛl yu fɔ si tin dɛn we go ɛp yu fɔ si tin klia wan te yu nɔmba 4 nerve wɛl, ɛn if nid de, gi yu ɔda tritmɛnt.

So, na sɔm impɔtant tin dɛn we wi fɔ mɛmba:

Okay, na di men pɔynt dɛn we wi nid fɔ tek tɛm tink bɔt frɔm wetin wi dɔn tɔk bɔt:

• Fɔs Nɛv Palsi na prɔblɛm wit wan nerve we de ɛp yu fɔ luk dɔŋ.
• Di men sayn dɛm na fɔ si tin tu tu (espɛshali we yu de luk dɔŋ) , yu nɔ de si fayn, ɛn yu de tilt yu ed fɔ ajɔst yu si.
• De tin wae kin mek dis kin kam kin bi wae pɔrsin bɔn, ɔr kin kam wit tin dɛm lɛk wae pɔrsin gɛt ed injury .
• If yu gɛt sɔm sayn dɛn, go mɔs go to dɔktɔ. Nɔ jɔs wet.
• Bɔrku tɛm dis sik kin bɛtɛ as tɛm de go , ɔr tritmɛnt kin gi gud rizulyt.
• Sɔm tin dɛn we kin mek pɔsin gɛt dis sik, yu kin avɔyd if yu nɔ wund yu ed.

So, if yu ɔr pɔrsin wae yu sabi gɛt dɛn kayn sik ya, nɔr panik ɛn go to dɔktɔ. Di kwik we yu no am, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.

` Fכs Nεv Palsi, Troklia Nεv Palsi, dכbl vishכn, diplopia, strabismus, ay muvmεnt, kraynia nεv, kכnεnital palsi