Idiopatik Intrakranial Haypatɛnshɔn (IH) .

Yu gɛt ed bak we yu nɔ go ebul fɔ bia ɛn yu de si chenj? Sɔntɛnde yu kin fil lɛk se yu yɛri ring na yu yes ɔ yu si tu tin na yu yay? Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal maygren, sɔntɛnde di tin we kin mek wi gɛt dis kin bi spɛshal tin we kin mek di prɛshɔn we de insay wi ed bɔku. Pan ɔl we dis kin tan lɛk se yu de mek yu fred smɔl, if yu ɔndastand am fayn ɛn trit am di rayt tɛm, yu go ebul fɔ kɔntrol am fayn fayn wan. Tide wi go tɔk bɔt dis sik we bɔku pipul dɛn nɔ no bɔt, bɔt i rili impɔtant fɔ no.

Fɔ tɔk am simpul wan, wetin na Idiopathic Intracranial Hypertension (IIH)?

Dis nem de soun komplikayt likl, no bi so? Lɛ wi brok am wɔd bay wɔd ɛn ɔndastand am.

• Idiopathic : Dis min "nɔto kɔz we dɛn no." Dis min se dɔktɔ dɛn stil de tray fɔ no di rayt tin we mek pɔsin gɛt dis sik.
• Intrakranial: Dis min "insay di skel."
• Haypatɛnshɔn: Dis min "hay blɔd prɛshɔn."

Fɔ tɔk am simpul wan, Idiopathic Intracranial Hypertension (IIH) na we di prɛshɔn de go ɔp insay di ed we nɔ gɛt ɛni kɔz we pɔsin kin si.

Tink bɔt am, wi bren nɔto jɔs sɔntin we de insay di skel. Wan spɛshal wata de rawnd am fɔ protɛkt am. Wi kin kɔl dis Sɛribrospinal Fluid (CSF) . dis CSF fluid na in de protεkt wi bren εn spεnal kכd fכ hit εn kכlכshכn. dis CSF wata de kכmכt כltεm insay wi bכdi, εn di bכdi de tek am bak. Jɔs lɛk aw tank ful-ɔp wit wata, ɛn wata de kɔmɔt na di ɔda say.

insay IIH, fכ sכm rizin, dis CSF fכluid de prodyuz tu mכch כ i nכ de riabzכp bak fayn fayn wan bak insay di bכdi. dis kin mek dis wata de kכmכt insay di sכkul εn sכmtεm i de inkrεs di prεshכn. Dis prɛshɔn we de go ɔp nɔ kin afɛkt wi bren nɔmɔ, bɔt i kin afɛkt di optik nɛv we de ɛp wi yay fɔ si.

Wetin na di sayn dɛm fɔ pɔrsin wae gɛt IIH?

Pɔsin wae gɛt dis sik kin gɛt difrɛn sayn dɛm. Bɔt dɛn tin ya na di men ɛn kɔmɔn sayn dɛm. Lɛ wi luk dis na tebul fɔ ɔndastand am klia wan.

Bikɔs dɛn kin si dɛn sayn ya bak pan ɔda sik dɛn, if yu gɛt sɔntin lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn go to advays.

Wetin mek dis sik kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

As wi bin dɔn tɔk, wi nɔ no di rayt tin we kin mek dis apin, bɔt di dɔktɔ dɛn biliv se dis prɛshɔn kin bi bikɔs di rod dɛn we de kɛr CSF wata kin blok ɔ di big vein dɛn (venous sinuses) na di bren kin smɔl.

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt am mɔ. Lɛ wi tek wan luk pan udat dɛn bi.

• uman dεm: Dis kכndyushכn kin bכku pan uman dεm pas man dεm, spεshal uman dεm we dεn ej fכ bכn pikin (bitwin 20-45 ia ol).
• Ɔvaweit: Pipul dɛn we gɛt bɔku bɔku bɔdi fɔ dɛn ayt, we min se di wan dɛn we gɛt Bɔdi Mas Indeks (BMI) we pas 30, kin gɛt bɔku bɔku prɔblɛm fɔ gɛt IIH. Risach pipul dɛn se if yu gɛt bɔku bɔku fat na di bɛlɛ ɛn di chɛst, dat kin mek i nɔ izi fɔ mek blɔd go dɔŋ to di bren, ɛn dis kin mek wata bɔku insay di bren.
• Heredity: Sɔm stɔdi dɔn sho se if sɔmbɔdi na di famili gɛt am, smɔl chans de fɔ mek ɔda pipul dɛnsɛf gɛt am. Bɔt, dɛn stil de du risach bɔt dis.

Yu tink se dis siriɔs tin? Yu tink se prɔblɛm dɛn kin apin?

Dis kin tan lɛk se i de mek pɔsin fred, bɔt IIH nɔto rili sik we de mek pɔsin in layf de pan denja. Dat min se i nɔ de kil yu.

Bɔt di men ɛn siriɔs prɔblɛm we kin apin to dis na we pɔsin nɔ de si fayn ɔltɛm. Dis na bikɔs di prɛshɔn we de go ɔp insay di ed de afɛkt wi optik nɛv dairekt wan. If dis nerve dɔn pwɛl fɔ lɔng tɛm, dɛn nɔ go ebul fɔ mek am bak. So, i kin apin we pɔsin nɔ de si fayn fɔ ɔltɛm.

Aw di dɔktɔ kin no dis sik klia wan?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn afta dat i go tɛl yu fɔ du sɔm tɛst fɔ no ɔda tin dɛn we kin gɛt di sem sayn dɛn.

• Egzam fɔ yu yay: Wan dɔktɔ we de mɛn yu yay go tek tɛm chɛk yu yay, mɔ fɔ chɛk if di optik nɛv dɔn swel. Dɛn go du wan vishɔnal fil tɛst bak fɔ chɛk fɔ blaynd ples dɛn na yu fil fɔ si.
• Bren skan: Dɛn kin ɔda fɔ mek dɛn du CT skan ɔ MRI skan fɔ mek shɔ se no ɔda siriɔs tin nɔ de we kin mek pɔsin gɛt sik, lɛk we i gɛt tumbu na di bren.
• Spinal tap / Lumbar pankchɔ: .Sɔm pipul dɛn kin fred we dɛn yɛri dis nem. Bɔt dis na rili impɔtant tɛst fɔ no if pɔsin gɛt di sik. Wetin yu de du na fɔ put smɔl nidul na di ɔda pat na di bak, pul smɔl pan da CSF wata we wi bin tɔk bɔt, ɛn mɛzhɔ in prɛshɔn. Dis prɛshɔn kin bɔku pas aw i kin bi pan pɔsin we gɛt IIH.

If dɛn du ɔl dɛn tɛst ya ɛn dɛn nɔ fɛn ɔda kɔz ɛn di CSF prɛshɔn bak ay, yu dɔktɔ go kɔnfirm se yu gɛt IIH.

Wetin na di tritmɛnt dɛm fɔ dis?

IIH tritmɛnt gɛt tu men gol dɛn. Wan na fɔ ridyus di prɛshɔn we de insay di bren. Di ɔda wan na fɔ mek i nɔ ebul fɔ si fayn igen. Dipen pan aw yu sik bad, yu dɔktɔ kin tɛl yu fɔ gi yu wan ɔ mɔ tritmɛnt.

Di mɛrɛsin dɛn we dɛn kin yuz

Bɔku tɛm, di tritmɛnt kin bigin wit mɛrɛsin.

• Mεdikeshכn dεm we de ridyus CSF prodakshכn: Dεn de gi mεdikeshכn dεm lεk acetazolamide כ topiramate fכ ridyus di bכdi in prodakshכn fכ CSF fכluid.
• Diuretics: Dɛn tin ya kin ɛp fɔ ridyus di blɔd prɛshɔn bay we dɛn kin pul di wata we pasmak na di bɔdi tru di urine.
• Pen kila: Dɛn kin gi jenɛral pen kil fɔ kɔntrol ed we de at.

If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de tek bɔn kɔntrol pils, yu fɔ rili tɛl yu dɔktɔ, bikɔs sɔm mɛrɛsin dɛn nɔ go fayn fɔ dɛn tin dɛn de.

Ɔpreshɔn

Insay siriɔs kes dɛm we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin, ɔ we kin rili afɛkt di we aw pɔsin de si, i kin nid fɔ du ɔpreshɔn.

• shunt ples: dis involv fכ alaw di εksyכs CSF fכ fכ fכlכ tru wan tin tכb to כda say, lεk di bכdi.
• di stent ples: If wan vein (venous sinus) na di bren dכn sכmtεm, dεn kin put wan sכm sכm tכb we lεk mεsh (stεnt) insay fכ mek i big. Dis kin mek di blɔd flɔ fayn ɛn di prɛshɔn kin ridyus.
• di optik nεv sεt fεnstrashכn: Dis na ay כpεrayshכn we involv fכ mek sכm sכm sכm ol dεm na di sכt we de rawnd di optik nεv, we de mek di CSF we dεn kכlכm de fכ dreyn.

Weyt Manejmɛnt

Dis na rili impɔtant step fɔ ɔl tu di tritmɛnt ɛn fɔ mek i nɔ gɛt di sik bak. If yu BMI pas 30, yu dɔktɔ go mɔs advays yu fɔ lɛf fɔ it bɔku bɔku it dɛn. Risach dɔn sho se if yu lɔs jɔs 5% to 10% pan yu bɔdi wet kin rili ɛp fɔ mek di IIH simptom dɛn bɛtɛ. I kin fayn fɔ wok wit pɔsin we sabi bɔt it fɔ ɛp yu wit dis.

Wetin kin apin afta dat? Aw a go liv wit dis?

If dɛn no di sik kwik kwik wan ɛn trit dɛn fayn, bɔku pipul dɛn we gɛt IIH kin liv nɔmal layf. Pan ɔl we no mɛrɛsin nɔ de fɔ mɛn am, na sik we pɔsin kin ebul fɔ kɔntrol.

Dis min se yu kin gɛt fɔ dil wit am fɔ di res ɔf yu layf. Sɔmtɛm de sik kin go ɛn kam bak. So i rili impɔtant fɔ fala yu dɔktɔ in tritmɛnt plan, mɔ fɔ kɔntrol yu wet.

Wae dɛn dɔn no se yu gɛt IIH, nɔ mis yu ɔltɛm fɔ fala yu dɔktɔ ɛn ɔftalmɔlɔjis. I impɔtant fɔ protɛkt yu yay.