Yu smɔl pikin kin bigin fɔ twitch wantɛm wantɛm? Dis na wetin wi min wit Infantile Spasms? Lɛ wi fɛn ɔndastand!

Yu dɔn ɛva notis se yu smɔl pikin de shek shek wantɛm wantɛm ɛn stif? I go mɔs bi se dis kin apin bɔku tɛm insay di de. Yu kin de wɔnda if dis na nɔmal tin ɔ if na patikyula sik we kin afɛkt bebi dɛn. Na dat wi go tɔk bɔt tide. dis kכndyushכn dεn kכl am `(Infantile Spasms)`. Lɛ wi si wetin na in, wetin mek i kin apin, wetin na di sayn dɛm, aw fɔ no am, ɛn wetin na di tritmɛnt dɛm.

Wetin na dis (Infantile Spasms)?

Fɔ tɔk am simpul wan, `(Infantile Spasms)` na wan kayn epilepsy we kin apin to pikin dɛn we nɔ rich wan ia yet, dat na, ɔnda 12 mɔnt . Epilepsy na wan kכndyushכn (`nyurכlכjik dizכrd`) we de kכz fכ wan abnכmal prכblεm wit di ilektrikal aktiviti na yu pikin in bren. we dεn `(Infantile Spasms)` dεm ya apin, di pikin in bכdi, spεshal wan in bכdi, in ed, nεk, in an dεm, εn in leg dεm kin tayt wan wan εn i kin lεk se i de jכk.

Dɛn kɔntrakshɔn ya kin las fɔ shɔt tɛm, lɛk wan ɔ tu sɛkɔn . bכt dεn kin apin insay wan siriכs, we min se wan kכntrikshכn de kam εn afta dat כda wan afta 5 כ 10 sekכnd, כ insay wan `kכlכsta`. Imajin se bebi de kik bɔku tɛm insay wan row. Bɔku tɛm, dɛn kɔntrakshɔn ya kin kam afta di pikin dɛn wek frɔm slip .

Di tin we sɔri na dat, bɔku pikin dɛn we de sɔfa wit dis sik kin dɔn ɔlrɛdi delay fɔ divɛlɔp, ɔ dɛn kin gɛt am leta. Dat min se di pikin de let fɔ du tin dɛn we fit in ej.

Wetin na di difrɛns bitwin (Infantile Spasms) ɛn (Wɛst Sindrom)?

Naw yu kin de wɔnda wetin na dis ``Wɛst Sindrom''. Sɔntɛnde, dɔktɔ dɛnsɛf kin kɔl am dis. ``Wɛst Sindrom'' na wan kɔlekɛshɔn fɔ di sayn dɛm. Dat na:

• Wi gɛt dis ``Infantile Spasms'' we wi de tɔk bɔt.
• wan abnכmal patεn de na di bren in ilektrikal wev fכm we dεn kכl `(Hypsarrhythmia)`. (Dis detekt bay wan `(EEG)` test, wi go tok boht am leta).
• divεlכpmεnt dilay dεm de כ di lכs fכ di abiliti dεm we bin de bifo (`divεlכpmεnt rεgrεshכn`).

כltu, nכto כl pikin we gεt `(Infantile Spasms)` fכ gεt `(West Syndrome).` Dat min se i pכsibul fכ gεt `(Infantile Spasms)` we nכ gεt εni divεlכpmεnt dilay.

Wetin na di difrɛns bitwin spasm ɛn seizure?

Yɛs, dis na impɔtant kwɛstyɔn. `(Infantile Spasms)` na rili wan kayn sik we de mek pɔsin sik. ``Seizure`` na wan ilektrikal aktiviti we de apin we dεn nכ de kכntro bitwin di bren sεl dεm. Dis kin mek di mכsul dεm stif fכ sכm tεm, chenj dεn muvmεnt, bihayvya, εn chenj dεm we nכ sכmtεm we dεn de fil. Nɔto ɔl di sik dɛn we kin mek pɔsin sik kin bi di sem.

We yu kɔmpia am wit di tonic-clonic ɔ grand mal seizures we wi kin tink bɔt we wi tink bɔt seizures, dɛn infantile spasm ya kin shɔt pasmak. di pikin in spam kin las fכ wan כ tu sεkכnd, bכt i kin kam insay kכlכsta. Ɔda kayn sik kin las fɔ ɛnisay frɔm 30 sɛkɔn to lɛk tu minit.

Wetin na di difrɛns bitwin Infantile Spasms ɛn Startle Reflex?

dis na sכmtin bak we de kכnfyus bכku mama εn papa dεm, biכs di we aw ``Infantile Spasms'' de apin kin tan lεk di we aw pikin dεn kin twitch.

di pikin dεm kin sכt (dεn kכl am bak di Moro rεflεks) we dεn yεri lawd nכys כ we dεn muv dεn wan wan. Dɔn di pikin kin trowe dɛn ed bak, i kin spre dɛn an ɛn fut big big wan, ɛn tɔn dɛn ed ɔp. Sɔntɛnde, dɛn kin kray, dɔn dɛn kin pul dɛn an ɛn fut bak to dɛn bɔdi.

Bɔt insay `(Infantile Spasms)` nɔ de kayn ɛksternal kɔz de . Dat min se di spam nɔ kin apin bikɔs ɔf sawnd ɔ ɔda tin. Di ɔda wan na dat `(Infantile Spasms)` kin kam insay klasta . Dat min se, wan de kam, dɔn ɔda wan, ɛn ɔda wan. Nɔmal spasm nɔ kin las so lɔng. Dɔn bak, we di pikin in yay kin rol, ɔ i kin tan lɛk se i de kray . Dɛn tin ya nɔ kin bɔku pan nɔmal spasm.

Na us ej pikin dɛn kin bigin fɔ gɛt spam?

di dכkta dεm se 90% pan di `(Infantile Spasms)` dεn kin no pan pikin dεm we nכ rich 12 mכnt, dat na fכ pikin dεm we nכ rich wan ia yet. I kin mɔs bi bitwin di ej fɔ 4 ɛn sɛvin mɔnt . Bɔt sɔntɛnde pikin dɛn we dɔn pas 12 mɔnt kin gɛt dis kayn spam bak. insay dat, dεn kin klas am as `(Epileptic Spasms)`.

Aw dis sik kin kɔmɔn?

Dis nɔr kin rili kɔmɔn, bɔt i nɔr kin de bak. dεn εstimat se lεk wan pan 2,000 to 4,000 pikin dεm kin afekt dis kכndyushכn (Infantile Spasms).

Wetin na di sayn dɛm fɔ Infantile Spasms?

We dɛn kɔntrakshɔn ya kam, yu pikin in bɔdi kin stiff wantɛm wantɛm, ɔ i kin jɔk. I kin jɔs las fɔ sɔm sɛkɔn dɛn. Di pikin kin arch in bak, bɛn in an, in leg, ɛn ed fɔ go bifo. as wi bin se, dεn kכntrikshכn dεm ya kin kam insay wan kכlכsta, wan afta di כda, wit 5-10 sεkכnd brek.

Afta dɛn dɔn kik am ɔ kik am sɔm tɛm, di pikin kin vɛks ɛn kray. Bɔt nɔto ɔltɛm dat kin apin.

Sɔntɛnde dɛn `(Infantile Spasms)` ya kin kam pan rili subtly . Sɔntɛm wi nɔ go ivin no dɛn izi wan. Dɛn kayn sayn dɛn ya we nɔ klia na:

• Rol yu yay.
• Pɔsin we de fil pen na di bɛlɛ.
• Chin muvmɛnt dɛn.
• Grimacing we yu de mek yu fes.
• Hed de nɔd in ed.

If di pikin de shek shek bikɔs ɔf sɔntin we nɔ fayn na di pikin in bren, bɔku tɛm i kin afɛkt wan say nɔmɔ na di bɔdi. Ɔ i kin tan lɛk se dɛn pul di ed ɔ di yay na wan say.

di tin we impɔtant pas ɔl na dat dis kik kin apin mɔ afta di pikin wek frɔm slip . I nɔ kin apin so ɔltɛm we di pikin de slip.

I nɔ tu te afta dɛn kik ya bigin, yu go ebul fɔ notis ɔda chenj dɛn na yu pikin:

• Divεlכpmεnt maylston dεm lεk fכ rכl ova, sidon, nilכl, εn bכb dεn de lכs.
• Di we aw pipul dɛn kin tɔk to ɔda pipul dɛn kin go dɔŋ, ɛn di we aw pipul dɛn kin laf nɔ kin bɔku .
• Ɔltɛm, i kin fred, ɔ i kin sɛt mɔt ɔltɛm.

If i pɔsibul, tek yu pikin vidio we i gɛt dɛn spam ya. Dɔn yu kin sho dɛn to yu dɔktɔ we de mɛn pikin dɛn. i impɔtant fɔ no dɛn ``Infantile Spasms'' ya kwik kwik wan. If yu tink se yu pikin de gɛt dɛn spam ya, go to dɔktɔ kwik kwik wan.

Aw ɔltɛm pikin dɛn kin gɛt spam?

Bebi kin gɛt te to 100 sik dɛn we de mek i sik insay wan de. Bɔt ɛni pikin kin afɛkt difrɛn we. So, if yu notis se yu pikin de sik, ilɛksɛf na jɔs wan ɔ tu tɛm insay di de, i go fayn fɔ mek yu tɔk to dɔktɔ kwik kwik wan .

Wetin na di tin dɛn we kin mek pɔsin gɛt Infantile Spasms?

Bɔku tin dɛn de we kin mek pikin dɛn gɛt spam. Sayɛnsman dɛn dɔn no se i pas 200 wɛlbɔdi prɔblɛm dɛn we kin mek dɛn gɛt dɛn. Bɔt na lɛk wan pat pan tri pan di kes dɛm, dɔktɔ dɛn nɔ kin ebul fɔ fɛn di rayt tin we mek i apin.

Dis strok kin bi bikɔs ɔf wan abnɔmal tin na di pikin in bren, ɔ i kin bi bikɔs ɔf prɔblɛm we de ɔlsay na di bren.

Sɔm pan di men rizin dɛn na:

• Bren damej ɔr infεkshɔn: Dis strok kin kam bikɔs ɔf ɛni kayn bren injury. di men kכz dεm na `(Hypoxic-ischemic encephalopathy)` (we min se di bren nכ de gεt inof כksijεn כ bכdi fכ lכng tεm), `(Meningitis)` (meningitis), εn `(Perinatal stroke)` (we min strכk we de apin di mid כf di pikin in bεlε εn insay di fכs mכnt afta dεn bכn am).
• di bren divεlכpmεnt prכblεm dεm: dis kin kכz fכ plεnti abnכmal tin dεm na di sεntri nεv sεstem (bren εn spεnal kכd) we de apin we di pikin de divεlכp na di bεlε. fכ egzampl, kכndishכn dεm lεk `(Fכkal kכtikal displasia)`, `(Lissencephaly)`, `(Holoprosencephaly)` εn `(Aicardi syndrome)`. i kin kכz bak bay di abnכmal bכdi vεsul dεm na di pikin in bren (`(Arteriovenous malformations)`).
• Jin we kin chenj: Naw sayɛnsman dɛn de tɔk se bɔku pan di jin dɛn we kin chenj na di jin kin gɛt sɔntin fɔ du wit di we aw pikin dɛn kin spam. Sɔm ɛgzampul dɛn na Trisomy 21 (Down syndrome), Tuberous sclerosis, Miller-Dieker syndrome, ɛn CDKL5 dɛfisiɛns disɔda.
• di mεtabolik kכndishכn dεm: di inbכn mistek dεm fכ mεtabolism (IEM) kin mek dis kכndyushכn bak. dis na jεnεtik kכndishכn dεm we de blכk di mεtabolik path dεm we de brok dכn di it we wi de it εn prodyuz εnεji. Na smɔl tɛm nɔmɔ, we yu nɔ gɛt vaytamɛn B6, dat kin mek yu gɛt dis sik bak.

Aw dɛn kin no bɔt Infantile Spasms?

Yu pikin in dɔktɔ go aks yu bɔt yu pikin in sik ɛn in mɛdikal histri, ɛn i go du ɛgzam fɔ yu bɔdi bak.

Dɔn dɛn kin sɛn yu pikin to dɔktɔ we de mɛn pikin dɛn nyurolɔg ɔ dɔktɔ we de mɛn pipul dɛn we gɛt ɛpileptɔlɔji. dεn go du εlektroεnεsεfalogram (EEG) fכ kכnfכm if di pikin de gεt infantil spasm. Dɛn kin du ɔda tɛst dɛn bak fɔ no di rizin.

Bikɔs bɔku bɔku tin dɛn kin de we kin mek pɔsin gɛt `Infantile Spasms`, i kin at smɔl fɔ mek dɔktɔ dɛn fɛn di tin we kin mek i apin.

Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?

di dכkta de mεnli du wan ``Electroencephalogram - EEG'' tεst fכ kכnfכm if ``Infantile Spasms'' de.

EEG de mכsu εn rεkכd di ilektrikal signal dεm na yu pikin in bren. we dεn du EEG, wan tεknishian kin put sכm sכm mεtal plet dεm (ilεktroyd) pan di pikin in skel. Dɛn kin kɔnɛkt dɛn ilɛktrɔd dɛn ya to wan mashin. Di mashin de gi di dɔktɔ infɔmeshɔn bɔt aw di pikin in bren de wok. i bεst if di pikin gεt sik we i de du di EEG εn dεn kin rεkכd di tεm bitwin di sik dεm. Dɔktɔ dɛn kin luk fɔ wan patikyula EEG patɛn we dɛn kɔl hypsarrhythmia. Dis patɛn na sɔntin we rili spɛshal. Dis na di rizin we mek bɔku tɛm i kin izi fɔ dɔktɔ dɛn fɔ no di kɔrɛkt we aw pikin dɛn kin gɛt spam.

Di dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst fɔ no wetin mek dis shek shek:

• magnεtik rεsכnans imej (MRI) skan fכ di bren: MRI skan na tεst we nכ de fil pen we kin mek rili klia pikchכ dεm fכ di tisu dεm εn strכkchכ dεm na yu pikin in bren. MRI kin yuz big magnet, redio wev, ɛn kɔmpyuta fɔ mek dɛn pikchɔ dɛn ya we gɛt difrɛn difrɛn tin dɛn. I nɔ de yuz ɛkstrem rayt. MRI kin ɛp yu dɔktɔ fɔ no wetin de mek yu pikin de sik.
• Jɛnɛtik ɛn mɛtabolik tɛst: If yu pikin in MRI nɔmal, bɔku tɛm yu dɔktɔ go du ɔda tɛst dɛn, lɛk jenɛtik ɛn mɛtabolik tɛst fɔ tray fɔ no wetin mek di sik de mek i sik. Bɔku tɛm, dɛn tɛst ya kin nid fɔ tek blɔd, urine, ɔ spaynal wata.

Aw dɛn kin trit Infantile Spasms?

Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ stɔp ɔ kɔntrol di strok . Di ɔda wan na fɔ trit di tin we mek di pɔsin gɛt di strok , if i pɔsibul.

Di men tritmɛnt dɛm wae dɛn kin gi fɔ stɔp ɔr mɛn di sik na:

• Adrɛnokɔtikotropik ɔmon (ACTH): .ACTH na ɔmon we yu pituitary gland de mek. I kin gɛt big impak pan aw yu bɔdi kin biev we yu strɛs. we ACTH kכmכt, di adrenal gland dεm de stimulate fכ prodyuz di "strεs hכmon" kכtisol. ACTH, we dɛn kin yuz fɔ mɛn pɔsin we gɛt sik we de mek pɔsin sik, na ɔmon we dɛn mek. Dɛn kin gi am as injɛkshɔn. Dɛn kin gi di fɔs fɔs dos dɛn na di ɔspitul. Dɔn di dɔktɔ go tek tɛm wach yu pikin fɔ si if i gɛt ɛni bad bad tin we go apin to yu. Bikɔs ACTH injɛkshɔn go kɔntinyu fɔ lɛk siks wiks, yu dɔktɔ go tɛl yu aw fɔ gi di injɛkshɔn to yu pikin na os.
• Oral prednisolone: ​​Dis mεdikeshכn na wan sεntetik fכm fכ wan kכtikostεroyd כmon we di adrenal gland dεm de mek. I de wok fayn fɔ trit pikin dɛn we gɛt spasm. Dɛn kin yuz am we i nɔ izi fɔ gɛt ACTH.
• Vigabatrin (`Vigabatrin - Sabril®`): Dis na wan mɛrɛsin we de mek pɔsin nɔ gɛt kɔnvuls. Dɛn kin gi am bay mɔt as pil ɔ wata.

If yu pikin nɔ de du dɛn ɔmon tritmɛnt ya ɔ Vigabatrin, ɔda tritmɛnt dɛn de:

• Di ketogenic it we dɛn kin it.
• Ɔda mɛrɛsin dɛn we de mek pɔsin nɔ fil bad.
• if di kכz fכ `Infantile Spasms` na prכblεm na wan ples na di bren (`focalized lesion`), dεn kin rεkomεnd fכ du εpilepsy כpεrayshכn.

Sɔntɛnde, i nɔ kin izi fɔ trit di Infantile Spasms. Sɔm pikin dɛn kin nid fɔ ripit di tritmɛnt ɔ di sɛkɔn tritmɛnt. Tru di tritmεnt, i kin nid fכ mכnitor di pikin in bren aktiviti bay we dεn de du EEG tεst ripit fכ si if di tritmεnt de wok.

If di dɔktɔ ebul fɔ no wetin mek di pikin de mek trɔbul, dɛn fɔ trit da tin de if i pɔsibul. Dis kin inklud ɔpreshɔn ɔr targeted therapy fɔ wan ɔndalayn jenɛtik ɔ mɛtabolik kɔndishɔn.

divεlכpmεnt dilay εn rεgrεshכn na kכmכn wit Infantil Spasm. di pikin in mεdikal tim go sכgεst di tεrapi dεm we go εp fכ divεlכpmεnt as mכch as i pכsibul.

Wetin na di sayd ɛfɛkt dɛm we dɛn kin gɛt we dɛn de trit pikin dɛn we gɛt spam?

Bɔku sayd ɛfɛkt dɛn de we pɔsin kin gɛt we i gɛt adrenocorticotropic hormone (ACTH) tritmɛnt:

• Ay blɔd prɛshɔn (Hypertension).
• Wik di imyun sistεm (`(Immunosuppression)`).
• Swɛlin (bɔku tɛm na di fes).
• Nɔ rɛst ɛn vɛks.
• Ɔlsa na di bɛlɛ ɛn/ɔ di intestinal.
• di glukכs we de kכmכt na di urine.

Posisibul sayd ifekt dɛm fɔ `Vigabatrin` tritmɛnt:

• Narrowing of di field of vision we nɔ go ebul fɔ chenj.
• Vɛks.

Bikɔs ɔf dɛn sayd ɛfɛkt ya, yu pikin in dɔktɔ go tɔk to yu fɔ no di bɛst tritmɛnt we yu go yuz. Dɛn go wach yu pikin bak gud gud wan fɔ si if dɛn sayd ɛfɛkt ya kin apin.

Wetin na di prɔgnosis fɔ Infantile Spasms?

di fכs fכ dis kכndyushכn, כ di `prognosis`, dipכnt pan sεvεra tin dεm:

• Di kɔz fɔ `(Infantile Spasms)`.
• If dɛn kin trit di tin we mek i apin.
• Aw kwik dɛn bin no di pikin ɛn bigin fɔ trit am.
• if di pikin dכn rich di divεlכpmεnt maylston dεm bifo di kik dεm bigin.

כlmost 50% pan di pikin dεm we gεt infantil spasm kin gεt lכng tεm divεlכpmεnt εn nyurolכjik prכblεm. Ivin if di spam dεm stכp, bכku pikin dεm kin gεt כda kayn sik dεm we dεn kin sכk εn εpilepsy.

Bɔt if dɛn no di sik ɛn trit am kwik ɛn fayn, di ɔltin we dɛn go si kin fayn . Pikin dεm we mit di divεlכpmεnt maylston dεm bifo dεn bigin fכ sik kin divεlכp nכmal wan.

Aw a go kia fɔ mi pikin we gɛt infantil spasm?

If yu pikin gɛt ``Infantile Spasms'', yu fɔ fala di dɔktɔ in instrɔkshɔn fɔ ɛp am:

• Gi ɔl di mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ gi am.
• Rif to divεlכpmεnt asesmεnt εn tεrapi dεm.
• Go to ɔl di fɔlɔp mɛdikal visit dɛn.

Infantile Spasm kin mek yu gɛt prɔblɛm wit yu maynd, nyurolɔjik, ɛn/ɔ sɛns. Bɔrku pikin dɛm wae gɛt Infantile Spasms kin gɛt prɔblɛm wit dɛn divɛlɔpmɛnt ɛn dɛn kin nid ɛp fɔ du tin dɛm ɛvride ɔlsay na dɛn layf.

Yu pikin in mɛdikal tim kin ansa yu kwɛstyɔn dɛn ɛn gi yu sɔpɔt. Dɛn kin ebul bak fɔ dayrɛkt yu to sɔpɔt grup dɛn na yu eria ɔ na di Intanɛt.

Ustɛm a fɔ go to mi pikin in dɔktɔ bɔt di spam we pikin dɛn kin gɛt?

If dɛn dɔn no se yu pikin gɛt Infantile Spasms, dɛn go nid fɔ go to dɛn mɛdikal tim ɔltɛm fɔ mek shɔ se di tritmɛnt de wok. Dɛn go nid bak fɔ gɛt ilɛktrɔɛnsɛfalogram (EEG) tɛst fɔ wach aw di bren de wok ɔlsay na di tritmɛnt.

If yu tink se yu pikin gɛt Infantile Spasms, bɔt dɛn nɔ no yet, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan .

i nכmal fכ fil wכri we yu pikin nכ de akt nכmal כ nכ de mit di divεlכpmεnt maylston dεm. Yu sabi yu pikin di bɛst we . if yu tink se yu pikin de gεt spasm - wan sכdεn, stif, twitch sεns, bכku tεm na kכlכsta - tכk to dכkta kwik kwik wan. If i pɔsibul, tek wan fim bɔt di spasm. Yu kin sho am to di dɔktɔ. if yu no di ``Infantile Spasms'' kwik kwik wan i kin mek yu gεt bεtεh autkam .

Tin dɛn we wi fɔ mɛmba frɔm dis stori (Take-Home Message)

Okay, so na sɔm tin dɛn ya fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Infantile Spasms na wan kayn bad bad epilepsy we kin apin to pikin dɛn we nɔ rich 12 mɔnt yet.
• If yu pikin twitch ɛn stiff wantɛm wantɛm, mɔ we i de insay grup afta i wek , nɔ tek am layt .
• dis difrεn frכm di pikin in nכmal stכt rεflεks.
• If i pɔsibul, tek vidio di kɔntrakshɔn dɛn ɛn sho dɛn to di dɔktɔ .
• If yu no di pikin kwik kwik wan ɛn trit am, dat kin gɛt big impak pan di pikin in divɛlɔpmɛnt tumara bambay.
• If yu notis ɛni chenj na yu pikin in bihayvya, smayl, ɔ divɛlɔpmɛnt, tɔk to yu dɔktɔ bɔt dat bak.
• Dis kin rili mek dɛn mama ɛn papa dɛn ɔl tu strɛs. So, we yu de fala di dɔktɔ in instrɔkshɔn dɛn di rayt we, gɛt sɔpɔt fɔ yusɛf. Nɔ wɔri, di dɔktɔ dɛn go ɛp yu.

` Infantil Spasm, epilepsy, pikin twitch, kɔnvulshɔn, Wɛst Sindrom, infantil ɛpilepsi, EEG, MRI