Yu smɔl pikin kin gɛt ed pen ɔltɛm? (Headches in Children) Lɛ wi tɔk bɔt dis!

Yu tink se bɔku tɛm yu pikin kin gɛt ed pen? I rili kɔmɔn fɔ mek smɔl pikin dɛn gɛt ed pen. Sɔmtɛm dɛn kin kam wit smɔl fiva ɔ kol. Bɔt we dɛn kɔntinyu fɔ de ɔ dɛn kin tranga, na nɔmal tin fɔ lɛ wi as mama ɛn papa wɔri. So tide, lɛ wi tɔk bɔt ed pen na pikin, dat na, `(Headaches in Children)`.

Wetin na ed we de at? Wetin mek pikin dɛn kin gɛt am?

Fɔ tɔk am simpul wan, ed we de at na pen na yu pikin in ed ɔ in fes. Na lɛk 25% pan di yɔŋ pikin dɛn ɛn lɛk 75% pan di big pikin dɛn, we ol lɛk 10-12 ia, kin gɛt ed we de at. infakt, wan bad bad ed pen we dεn kכl ``Maygrεn'' na wan pan di 5 men kayn ed pen dεm we dεn kin si pan pikin dεm. Yu go sɔprayz fɔ no se i pas 150 kayn ed we de at! Bɔt nɔ wɔri, lɛ wi tɔk bɔt di men kayn dɛn.

Wetin na di men kayn ed we pikin dɛn kin gɛt?

Dɛn kayn ed pen ya kin jɔs sheb to 4 men kategori.

1. Maygren we kin kam

Dis na di ed we kin at pas ɔl. Maygren na bad bad ed pen we kin apin bɔku tɛm insay di mɔnt. If na so i bi, di pikin nɔ go ebul fɔ si di layt ɔ yɛri di sawnd . Apat frɔm dis, yu kin gɛt nɔs ɛn vɔmit. Maygren kin kɔmɔt frɔm in mama ɛn papa. 60% pan di pipul dɛm wae gɛt maygren gɛt famili mɛmba (mama, papa, brɔda ɛn sista dɛm) wae gɛt dis sik.

2. Tɛnshɔn ed pen

Dis na wan kayn tin bak we kin rili kɔmɔn. Bɔku difrɛn we dɛn de fɔ dis:

• Episodic tension headache : Dis kin apin less dan 15 dez insay di mɔnt.
• Krɛse tɛnsiɔn ed pen: If yu gɛt dis ed pen fɔ pas 15 dez insay di mɔnt.
• Tεnshכn ed we de at ɛvride: Ɛd we de at we de apin ɛvride.
• Ed pen we nɔ de go bifo: Dis kin apin ɛvride ɔ bɔku tɛm insay di mɔnt, bɔt di ɔda sayn dɛm ( nɔs , vɔmit , fɔ fil fɔ noys na do) fɔ maygren nɔ kin bɔku.

3. Miks ed pen sindrom/Kronik maygren/Transfɔm maygren

Dis na kכmbaynshכn fכ כl tu di ``Maygrεn'' εn ``Krכnik nכn-prכgrεsiv tεnshכn ed pen''. If yu pikin gɛt ed pen fɔ pas 15 dez insay di mɔnt, ɛn i gɛt sayn dɛm bak fɔ ``Maygren'', i kin bi dis kayn ed pen.

4. Ɛd we de at we pɔsin prɛs ɔ infεkshɔn na di bren (`Traction and inflammatory headaches`) .

Dis kayn ed we de at na sɔntin we wi fɔ tek tɛm wit.. Bikɔs dɛn tin ya kin apin bikɔs ɔf mɛrɛsin ɔ injuri na di pikin in bren. I kin bi sɔntin lɛk bren tumbu ɔ blɔd we de kɔmɔt na di bren. Bɔt mɛmba se, ed pen nɔ kin bɔku bikɔs ɔf dɛn kayn siriɔs tin ya.

Aw kɔmɔn tin fɔ mek pikin dɛn ed pen? Na sɔntin we wi fɔ wɔri bɔt?

Ed we de at kin rili kɔmɔn pan pikin dɛn. Na lɛk 20% pan di pikin dɛn we ol bitwin 5 ɛn 17 ia se dɛn kin gɛt ed we de at. Di kayn ed we kin at pas ɔl na dis ej grup na tɛnsiɔn ed pen (lɛk 15%) ɛn maygren (lɛk 5%). Bɔku mama ɛn papa dɛn kin wɔri se, "Mi pikin in ed pen bikɔs ɔf wan bren tumbu?" Bɔt di tru tin na dat, lɛs dan 3% pan di ed we de at kin kam bikɔs ɔf siriɔs mɛrɛsin. Bɔku pan di ed we pikin dɛn kin gɛt kin kam bikɔs dɛn gɛt strɛs ɛn aw dɛn kin liv dɛn layf.

Us kayn pikin dɛn kin gɛt ed pen mɔ?

If pɔsin we de nia yu pikin in famili (mama, papa, brɔda ɛn sista dɛn) kin gɛt ed pen bɔku tɛm, yu pikin kin gɛt ed pen bak. Semweso, pikin dɛn we gɛt bɔku strɛs kin gɛt ed pen bak bɔku tɛm.

Yu tink se ed we de at kin afɛkt pikin in bren? Yu tink se i go mek yu bren pwɛl?

Dis na kwɛstyɔn we bɔku mama ɛn papa dɛn kin aks. Nɔ, nɔmal ed we de at nɔ de mek ɛni bad tin apin to di pikin in bren. Dɛn nɔ kin gɛt ɛni bad tin fɔ du to di pikin in bren. So nɔ wɔri bɔt am.

Difrɛns de bitwin ed we de at pan pikin dɛn ɛn ed we de at pan big pipul dɛn?

Yɛs, sɔm smɔl chenj dɛn de:

• Bɔku tɛm, pikin dɛn ed we de at nɔ kin las lɛk aw big pipul dɛn kin at (i kin te frɔm tu to 72 awa).
• Pikin dɛn kin fil di pen ɔlsay na dɛn ed, ɛn i nɔ kin izi fɔ lɛ i de na wan say na dɛn ed lɛk big pipul dɛn.
• Pikin dɛn kin gɛt mɔ bɛlɛ at, nɔs, ɛn vɔmit wit ed we kin at.

Wetin na di sayn dɛm fɔ pikin dɛm we gɛt ed we de at?

Di sayn dɛm kin difrɛn difrɛn wan bay di kayn ed we di pikin gɛt.

Akyu ed pen

De sayn dɛm fɔ dis bigin wantɛm wantɛm, ɛn nɔr bɔrku tɛm lɛf.

• Wan shap pen we de mek pɔsin chuk.
• Pen na yu ed, yu nɛk, ɔ yu fes .

Akyu ed pen ɔ maygren we kin kam bak

Dis kayn ed we kin at kin te fɔ wan ɔ tu awa, ɛn bɔku tɛm i kin apin tu, tri, ɔ 4 tɛm insay di mɔnt.

• Pen na di fɔs pat pan di ed ɔ na di tu say dɛn.
• Paleness na di skin (`Pallor`).
• Bɛlɛ de at, nɔs, ɛn vɔmit.
• Fɔ vɛks, fɔ vɛks.
• Fɔ fil we yu de fil na do, nɔys, ɛn sɔm smel dɛn.
• Diziz we pɔsin kin gɛt .
• Fiva.
• Di vishɔn we nɔ klia .
• Fɔ fil se yu de slip mɔ pas aw yu kin fil.

Krεse ed pen wae nɔr de go bifo ɔr Tεnshɔn ed pen

Dis na ed wae kin kam ɛvride, ɔr kin kam ɔltɛm, ɔr kin kam ɛn go fɔ lɔng tɛm. Bɔt dɛn nɔ kin mek pɔsin gɛt nyurolɔjik sayn dɛn. If yu gɛt dɛn ed pen ya fɔ pas 15 dez insay di mɔnt, if dɛn so bad dat yu nɔ go ebul fɔ go skul, ɔ if yu de yuz mɛrɛsin ɔltɛm, yu fɔ rili go to spɛshal dɔktɔ we de mɛn ed pen.

• Wan pen we de bit, we de kɔnstrikt, lɛk se dɛn tay bɛlt akɔdin to di fɔɛd.

Ed we de at we de go bifo we nɔ de dɔn

Wetin kin apin pan dis kes na dat di frɛkuɛns fɔ ed pen kin go ɔp smɔl smɔl ɛn di kayn we aw di ed kin at kin bɔku smɔl smɔl.

• Di frɛkuɛns we pɔsin kin gɛt ed pen kin bɔku smɔl smɔl.
• Smɔl smɔl, di kayn we aw di ed de at kin bɔku.

Impɔtant: If dɛn `(Chronic progressive headaches)` ya kam wit ɔda nyurolɔjik simptom dɛm (fɔ ɛgzampul, yu nɔ de balans we yu de waka, yu de si chenj), i kin bi sayn fɔ siriɔs sik lɛk `Hydrocephalus`, `Inflammation of the brain`, ɔ `Tumor`. So, if yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pikin dɛn ed at?

Bɔku tin dɛn kin de we kin mek pikin dɛn ed at. Sɔm pan dɛn na:

• Kɔmɔn sik, fɔ ɛgzampul, fiva, kol, ɛn ɔda infɛkshɔn.
• Sayn infεkshכn.
• Trot de at.
• Infεkshכn dεm na di yes.
• Trauma na ed.
• Strɛs.
• Wɔri.
• Pwɛl at.
• Mental tɛnsiɔn.
• Fɔ ɛksesaiz pasmak (fɔ ɛgzampul, pan atlet dɛn).
• Di tin dɛn we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs:
• Meningitis (infεkshכn כ swel na di mεmbran dεm we de kכba di bren εn di spεnal kכd).
• Ɛnsɛfalaytis (we de swel na di bren).
• Ɛmoraji (blɔd we de kɔmɔt na di bren).
• wan bren tכmכro (`Tכmכr` - wan mas fכ abnכmal tisu).

Yu tink se ed we de at na sayn fɔ sho se pikin gɛt dayabitis?

Ɛd we de at nɔto kɔmɔn sayn fɔ gɛt dayabitis. Bɔt ed kin at if di pikin in blɔd shuga lɛvɛl smɔl (`Lɔw blɔd shuga`) . Lɔw blɔd shuga kin bi sayn bak fɔ gɛt dayabitis.

Aw dɔktɔ dɛn kin no if pikin dɛn gɛt ed we de at?

Fɔ no wetin mek yu pikin in ed at, di dɔktɔ go tek tɛm chɛk yu pikin. Dɛn go luk fɔ tin dɛn lɛk:

• Yu gɛt fiva?
• Yu tink se blɔd prɛshɔn ay?
• Yu tink se di mɔsul dɛn wik?
• Yu kin gɛt prɔblɛm wit balans we yu de waka?
• Yu gɛt prɔblɛm wit yu yay?

Di dɔktɔ go aks yu ɛn yu pikin kwɛstyɔn dɛn bak. I kin fayn fɔ mek yu rayt yu pikin in ed we de at bifo yu go to dɔktɔ. Di dɔktɔ kin aks kwɛstyɔn dɛn lɛk:

• Ustɛm di ed we bin de at bin bigin?
• Aw lɔng yu dɔn gɛt dis ed we de at?
• Aw ɔltɛm yu kin kam?
• Wan patikyula tin de we kin mek pɔsin in ed at? (e.g. sכm it dεm, sכm situeshכn dεm, fyzikal aktiviti, mεdikeshכn dεm)
• Yu tink se ɛni ɔda pɔsin na di famili gɛt ed we de at lɛk dis?
• Ɛni ɔda sayn dɛn de we nɔ kin izi fɔ yu we yu nɔ gɛt ed we de at? (e.g., wik, yu de si chenj, yu nכ de lכs kכnsεns)
• Yu nɔ ebul fɔ go skul bikɔs yu ed de at? Yu de mek trɔbul na skul?
• Aw di ed we de at dɔn afɛkt yu pikin in layf ɛvride? I dɔn te we i de na bed? I nɔ ebul fɔ ple wit in padi dɛn?
• Usay di pen de?
• Aw di pen kin fil? (e.g., tayt, throbbing, prɛshɔn-layk)
• Aw lɔng di pen dɔn de?
• Wetin yu go du fɔ mek yu nɔ fil pen?
• Us tɛm pan di de, di ed kin at?
• Yu tink se di ed we de at kin bigin wantɛm wantɛm?
• Ɛni wɔnin sayn (`Aura`) de bifo di ed at? (e.g., yu de si chenj, yu de si layt bifo yu yay, yu de sכmtεm sכmtεm sכmtεm)
• Us ɔda sayn dɛn kin kam wit di ed we de at? (e.g., wik, nכs, sεnsitiv to layt/sawnd, lכs fכ it, chenj dεm we yu de biev)
• Us tritmɛnt dɛn yu dɔn tray na os? (mɛrɛsin, ays pak, fɔ ɔf di layt dɛn)
• Yu dɔn si ɔda dɔktɔ dɛn? Yu dɔn si wan dɔktɔ we sabi bɔt ed we de at?

Us tɛst dɛn kin du fɔ no wetin de mek pɔsin in ed at?

Sɔntɛnde, yu dɔktɔ kin ɔda fɔ du imej tɛst lɛk dis fɔ ɛp fɔ no wetin mek yu ed de at:

• Wan MRI (Magnetic Resonance Imaging) we dɛn kin yuz fɔ skan.
• `MRA (Magnetic Resonance Angiography)` - dis de luk di bכdi vεsul dεm na di bren.
• Wan `CT skan (Kɔmpyut Tomografi)` tɛst.

Bɔt nɔto ɔl di ed we de at kin nid fɔ du dɛn skan ya. Di dɔktɔ go disayd if dɛn nid fɔ de ɔ nɔ nid fɔ de.

Aw fɔ trit pikin ɛn smɔl pikin dɛn we gɛt ed we de at?

We dɔktɔ dɛn de trit pikin dɛn ed we de at, dɛn kin tink bɔt dɛn tin ya:

• Di pikin in ej.
• Tayp fɔ ed we de at.
• Aw ɔltɛm yu kin gɛt ed we de at?
• Di tin we kin mek pɔsin in ed at.

Fo men kayn tritmɛnt de. Yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tin ya:

• Di mɛrɛsin dɛn we dɛn kin yuz.
• Ɛd-aks ɛdyukeshɔn.
• Di we aw pipul dɛn de liv dɛn layf kin chenj.
• Manejmɛnt fɔ strɛs.

Di mɛrɛsin dɛn we dɛn kin yuz

Yu pikin kin nid dɛn mɛrɛsin ya fɔ di tin dɛn we de mek i at ɛn di kayn we aw i de at:

• Di sayn dɛm wae de mek pɔrsin fil fayn: Dɛn kin ridyus di sayn dɛm lɛk ed we de at, nɔs, ɛn vɔmit. εgzampl: Ibuprofen (e.g., Advil®, Motrin®), Naproxen (e.g., Aleve®), Asetaminofen (e.g., Tylenol®, Panadol®). Yuz dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu.
• Abortive therapy: Dɛn fɔ tek dɛn mɛrɛsin ya di fɔs sayn fɔ se yu gɛt maygren. Dɛn kin ɛp fɔ mek yu nɔ gɛt maygren simptom lɛk pen, nɔs, ɛn fɔ fil lɛk layt. Apat frɔm di tin dɛn we dɛn kin bay we dɛn kin sɛl pen, dɛn kin yuz mɛrɛsin dɛn we dɛn kɔl triptan (e.g., sumatriptan ɛn frovatriptan) bak fɔ dis. Dɛn tin ya kin de bak wit dɔktɔ in prɛskrishɔn nɔmɔ.
• Prɛventiv tritmɛnt: Dɛn kin yuz dɛn mɛrɛsin ya fɔ mek yu nɔ gɛt ed pen we kin apin bɔku tɛm, lɛk tɛnsiɔn ed pen, maygren, ɔ we dɛn jɔyn dɛn tu tin ya. If yu tek dis mɛrɛsin ɛvride, dat kin ɛp fɔ mek yu nɔ gɛt bɔku ed pen ɛn i kin rili bad. Di bɛst mɛrɛsin fɔ yu pikin go dipen pan di ɔndalayn kɔz fɔ di ed pen ɛn ɔda tin dɛn. Fɔ ɛgzampul, sɔmtɛm dɛn kin yuse mɛrɛsin lɛk antidipreshan (fɔ pwɛl hat), antihistamin (fɔ alɛji), ɛn beta-blɔka (fɔ ay blɔd prɛshɔn) fɔ mek yu nɔ gɛt ed pen. Dɛn mɛrɛsin ya nɔr kin jɔs yuse fɔ de ɔndalayn kɔndishɔn, bɔt bak bikɔs sɔmtɛm dɛn kin ɛp fɔ gɛt ed we de at.

Ɛd-aks ɛdyukeshɔn

Di dɔktɔ go tɛl yu pikin bɔt sɔm tin (`Triggers`) we kin mek ed at wɔs. Kɔmɔn `Triggers` inklud:

• Lak fɔ slip.
• Sɔm it dɛn.
• Drink dɛn we gɛt kafinɛ (ti, kɔfi, soda).
• Chɔklɛt.
• Fɔd dɛn we gɛt `Nitrates` (prosɛs mit - sosish, ham, bekin, pepperoni, hot dog).
• Chiz dεm we dεn kin stכr (fud dεm we gεt `Tyramine`, fכ egzampl sכm kayn chiz pan pizza).
• Fɔd dɛn we gɛt `MSG (Monosodium Glutamate)` (flavoring agent).

Di we aw pipul dɛn de liv dɛn layf kin chenj

Ɛd kin at bak bikɔs ɔf di we aw pɔsin de liv in layf. Fɔ mek yu nɔ gɛt bɔku ed pen, tek tɛm du dɛn tin ya:

• Gɛt at le 8 awa gud slip ɛvri nɛt.
• Drink at le 6-8 glas wata wan de.
• It tri men it dɛn we gɛt fayn fayn tin dɛn fɔ it ɛvride.
• Kardio eksasaiz - Dis min se yu fɔ du ɛksɛsayz we gud fɔ di at (e.g. fɔ waka, rɔn, bayk) fɔ at le 45 minit tri tɛm insay di wik.
• Rɛst ɛn rilaks.

Manejmɛnt fɔ strɛs

Tɛknik fɔ rilaks kin ɛp fɔ ridyus di pen ɛn/ɔ frɛkuɛns we ed kin at. Tin dɛn lɛk dis kin ɛp:

• Dip dip briz ɛgzampul dɛn.
• Fɔ mek pɔsin gɛt maynd ɛn fɔ tink gud wan (`Mindfulness` ɔ `Meditation`).
• Mental imej rilaks.
• Lisin to myusik (`Myuzik tɛrapi`).
• Fɔ advays pɔsin.

Udat go trit mi pikin in ed we de at? A fɔ go to spɛshal pɔsin?

Yu pikin in famili dɔktɔ kin rifer yu to dɛn kayn spɛshal dɔktɔ ya, if nid de:

• Spɛshal pɔsin we sabi bɔt ed we de at.
• Ɔftalmɔlɔjis (fɔ prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de si).
• Iya, nos ɛn trot spɛshal pɔsin (ENT spɛshal - fɔ balans prɔblɛm).
• Gastroenterologist (fɔ prɔblɛm wit bɛlɛ).
• Saykolojist (ɔ Saykayatrist - fɔ mental strɛs ɛn imɔshɔnal prɔblɛm).

Wetin na di tin dɛn we go apin to pikin dɛn we gɛt ed we de at tumara bambay?

Di ed we de at kin afɛkt di pikin in skul wok, homwok, ɛn ɛvride layf. Bɔt fɔ avɔyd di tin dɛn we kin mek di pikin gɛt ed at ɛn fɔ gɛt di rayt tritmɛnt kin rili ɛp fɔ mek di pikin in layf bɛtɛ.

Ustɛm dɛn kin sɛn di pikin bak na skul/de kea?

Tɔk to yu dɔktɔ bɔt aw yu ed de at ɛn aw i kin at ɔltɛm. Dɛn kin se yu fɔ go na skul/de-kɛr. Dɔn bak, tɛl yu pikin in ticha ɛn di wan dɛn we de kia fɔ am bɔt di sik.

Aw fɔ mek pikin dɛn nɔ gɛt ed pen?

Yu kin ridyus di risk fɔ mek yu gɛt ed pen bay we yu avɔyd di tin dɛn we kin mek yu nɔ fil pen ɛn tek mɛrɛsin fɔ mek yu nɔ gɛt dis sik. Aks yu dɔktɔ bɔt di bɛst mɛrɛsin fɔ yu pikin.

Aw a go avɔyd tin dɛm we de mek mi pikin gɛt ed pen (`Triggers`)?

Evri pikin difrɛn, ɛn na so dɛn ``Triggers`` de. Wan gol na fɔ no wetin ``Triggers`` kin mek di ed at ɛn avɔyd dɛm fɔ mek yu nɔ gɛt ed pen. Agen, di ``Triggers`` we kɔmɔn pas ɔl na:

• Lak fɔ slip.
• Sɔm it dɛn.
• Drink dɛn we gɛt kafinɛ (ti, kɔfi, soda).

Yu tink se ed we de at kin dɔn we pikin dɛn de ol?

Di ed pen kin dɔn as yu pikin de ol, bɔt sɔntɛnde i kin kam bak leta.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ?

• If yu pikin kin gɛt ed pen bɔku tɛm pas wan wan tɛm.
• If di pikin in ed at bad bad wan.
• If yu pikin in ed pen wantɛm wantɛm.

Ustɛm a fɔ kɛr mi pikin go na di imejensi rum?

If yu gɛt ɛni wan pan dɛn sayn ya wit yu ed we de at, nɔ shek fɔ go na di imejensi rum wantɛm wantɛm:

* I nɔ go ebul fɔ no natin.

* Dayarɛa ɔ vɔmit we pɔsin nɔ go ebul fɔ stɔp.

* I nɔ de si ɔ i nɔ de si fayn.

* Kɔnfyushɔn, nɔ gɛt bɛtɛ kɔnshɛns.

* Fiva.

* Diziz we pɔsin kin gɛt.

* We pɔsin nɔ ebul fɔ du natin.

* I nɔ izi fɔ blo.

* Nεk stiffness (inability fכ bεnd di nεk).

* Ɛni chenj we de na di yes, trot, yay, ɔ nos.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ bɔt mi pikin in ed we de at?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn ed pen mi pikin gɛt?
• Wetin na di bɛst tritmɛnt?
• Wetin a fɔ rayt na mi ed-ak dayari?
• Wetin na di bɛst we fɔ mek mi pikin nɔ strɛs?
• Us tritmɛnt dɛn kin du na os?
• Us spɛshal pɔsin a fɔ si mi pikin fɔ?
• Wetin na di mɛrɛsin we fit pas ɔl?
• Wetin a fɔ tɛl mi pikin in ticha bɔt in kɔndishɔn?
• Wetin na di bɛst we we a go ebul fɔ ɛp mi pikin?

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Mɛmba se, i nɔ kin izi fɔ mek pikin gɛt ed we de at. Pan ɔl we dɛn kin de ɔltɛm, dɛn kin ambɔg dɛn, ɔ dɛn kin mek dɛn fil pen bad bad wan, ed nɔ kin mek in bren pwɛl sote go. Dɛn nɔ kin bi sayn bak fɔ se pɔsin gɛt tumbu na in bren. If yu pikin de sɔfa wit ed we de at, go to dɔktɔ wantɛm wantɛm. Dɔn bak, de wach yu pikin in mɛrɛsin ɛn aw i de chenj in layf. Yu ɛp impɔtant fɔ mek yu pikin gɛt di bɛst tritmɛnt.

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` Ɛd we de at, ed we de at pan pikin dɛn, Maygren, Tɛnshɔn ed we de at, tin dɛn we de mek pɔsin gɛt ed pen, tritmɛnt fɔ ed we de at, sik dɛn we pikin dɛn kin gɛt