Yu tink se wan yay kin blok we yu tɔn yu yay to di sayd? Lɛ wi tɔk bɔt Internuclear Ophthalmoplegia (INO)!

Yu dɔn ɛva notis, ɔ ɛkspiriɛns se we yu tray fɔ luk na wan say, i tan lɛk se wan pan yu yay de luk di ɔda say instead fɔ luk da say de? Ɔ yu tink se wan yay kin stɔp na di midul ɛn na di ɔda yay nɔmɔ kin muf go na di sayd? Dis kin mek yu wɔri smɔl ɛn nɔ kin mek yu fil fayn. Tide wi go tɔk bɔt wan pɔsibul kɔz fɔ dis, we na wan kɔndishɔn we dɛn kɔl `Internuclear Ophthalmoplegia` ɔ `(INO)`. Nɔ wɔri, lɛ wi ɛksplen am simpul wan.

Wetin na INO? (Wetin na INO?)

Fɔ tɔk am simpul wan, `Internuclear Ophthalmoplegia (INO)` na di mεdikal tεm fכ wan kכndyushכn we wan pan yu yay dεm (sכmtεm dεn tu yay dεm) nכ de tכn kכmplit wan na da dεyshכn de we yu de tray fכ luk na di sayd. Fɔ ɛgzampul, if yu tray fɔ luk na di rayt say, yu lɛft yay go stɔp na di midul, i nɔ go pas yu nos. Ɔ if yu tray fɔ luk na di lɛft, yu rayt yay de luk.

if wi analכz di minin fכ dis nem sכmtεm, "Internuclear" de tכk bכt di we aw di nεv sεntr dεm (nyuklios) de wok tכgeda. "Ophthalmoplegia" de tכk bכt di paralayz na di yay mכsul dεm. so, insay `(INO)`, sכm damej de pan wan spεshal nεv path (dεn kכl am `Medial Longitudinal Fasciculus`) we de kכmכt frכm di bren we de kכdכn di muvmεnt dεm na wi yay. Dis nerve pathway tan lɛk di waya sistɛm na os. Wi nɔ kin pe atɛnshɔn tumɔs to am te i de wok fayn, bɔt na we sɔntin nɔ apin to am nɔmɔ wi kin no se i valyu.

INO kin afɛkt wan yay nɔmɔ (yunilatɛral INO) ɔ ɔl tu di yay dɛn di sem tɛm (baylatɛral INO).

Impɔtant: Sɔmtɛm dis ``INO'' kɔndishɔn kin bi sayn fɔ siriɔs, layf de pan denja, lɛk strok. If yu ɔ pɔsin we yu sabi gɛt dɛn yay chenj ya wit di sayn dɛm fɔ strok (e.g., yu yaylid we de drɔp, yu an ɔ yu leg nɔ de fil fayn, i nɔ izi fɔ tɔk), yu fɔ kɔl 911 wantɛm wantɛm ɛn go na ɔspitul.

Sɔm pipul dɛn kin wɛl ɔltogɛda frɔm INO. Bɔt sɔm pipul dɛn kin gɛt dis sik fɔ di res ɔf dɛn layf. di lεng tεm we i tek fכ rεkכva de dipכnt bכku pan di כndalayn kכz fכ INO.

Wetin na di sayn dɛm fɔ INO? (Wetin na di sayn dɛm fɔ INO?)

Di men ɛn klia sayn na dat wan yay nɔ de tɔn fayn we i de luk na di sayd. Apat frɔm dat, dɛn tin ya kin apin:

• Dabl vishɔn (Diplopia): dis kin notis mɔ we yu luk na di sayd. Fɔ sɔm pipul dɛn, i kin apin bak we dɛn de luk ɔp. Imajin, wetin yu go du if yu de waka na strit ɛn wantɛm wantɛm yu si ɔltin tu? I nɔ go rili fil fayn, nɔto so?
• Yu nɔ de si fayn ɔ yu nɔ de si fayn: Tin dɛn we bin de klia trade kin tan lɛk se dɛn nɔ de si fayn.
• Diziz: Bikɔs di yay nɔ de wok togɛda, balans prɔblɛm kin apin ɛn kin fil lɛk diziz.
• Sɔntɛnde, dɛn kin si we di yay de muv kwik kwik wan (nystagmus) we nɔ gɛt natin fɔ du wit di say we yu de si.

Wetin mek INO kin apin? Wetin na di tin dɛn we kin mek i apin?

As a bin dɔn tɔk, IOP kin kam bikɔs di Medial Longitudinal Fasciculus (MLF), we na wan nerve fiber tract we de kɔntrol aw wi yay de muv, dɔn pwɛl. dis MLF de kכri di nεv dεm we de kכntro di muvmεnt fכ wi ed εn yay dεm (inklud di tכd kraynia nεv, di Oculomotor nεv). I tan lεk wan komplεks "kεbul sistεm" na wi bכdi.

Sɔm pipul dɛn kin gɛt INO afta dɛn dɔn gɛt strok we kin pwɛl di bren stem. di bren stεm na di pat pan di bren we de dכn we de kכnekt wi bren to di spεnal kכd (di sistεm fכ di nεv fayb dεm we de rכn dכn di spayna). Dis na wan impɔtant pat pan wi sɛntral nervɔs sistɛm.

Sɔm men rizin dɛn:

Na sɔm pan di men rizin dɛn we kin mek `(INO)`:

• Multiple Sclerosis (MS): Dis na sik we de afɛkt di nervɔs sistɛm.
• Strɔk: Strɔk we kin afɛkt di bren stem spɛshal wan.
• Ɛmoraji: Blɔd de kɔmɔt insay di bren.
• Arteriovenous Malformation (AVM): Na tin we kin apin we pɔsin bɔn wit di blɔd vesel dɛn na di bren.
• Ɛnsɛfalaytis: Na inflamɛns na di bren we kin kam bikɔs ɔf difrɛn infekshɔn dɛn, lɛk Laym sik, HIV infɛkshɔn, ɛn Hɛpi Zɔsta (di vayrɔs we kin mek pɔsin gɛt chukchuk ɛn shingles).
• Traumatic Brain Injuries (TBI) na di bren injuri we pɔsin kin gɛt we i wund bad bad wan na in ed .
• Autoimyun sik dεm: Na sik dεm we de atak di bכdi in כwn sεl dεm, lεk lupus εn Sjögren’s syndrome.

Aw dɛn kin no bɔt INO?

Dɔktɔ go no INO mɔ bay we i de chɛk in bɔdi. I go luk yu yay ɛn wach aw dɛn de muv. Dɛn go aks yu fɔ luk frɔm wan say to di ɔda say, ɔp ɛn dɔŋ. Dis go ɛp fɔ no if wan yay de muv we nɔ gɛt wanwɔd wit di ɔda wan.

Sɔmtɛm, if yu gɛt wan sik lɛk strok ɔr yu ed wund, yu kin no dis sik bay aksidɛnt wan we dɛn de du tɛst da tɛm de.

Us tɛst dɛn dɛn kin du?

Yu dɔktɔ kin nid fɔ du wan ɔ mɔ pan dɛn skan ya fɔ no if di nerve path we dɛn kɔl Medial Longitudinal Fasciculus (MLF) dɔn pwɛl:

• MRI skan (MRI - Magnɛtik Rɛsɔnans Imej) .
• CT skan (CT - Kɔmpyuta Tomografi skan) .

If dɛn skan ya nɔ gi klia infɔmeshɔn, di dɔktɔ kin tɛl yu fɔ du ɔda tɛst dɛn:

• Blɔd tɛst: Dɛn tin ya kin no if pɔsin gɛt infɛkshɔn ɔ ɔda prɔblɛm dɛn we kin afɛkt di bren.
• Spinal Tap / Lumbar Puncture: Dis involv fכ tek sεmpl fכ di wata we de rawnd yu bren εn spεnal kכd (sεribrospεnal fכluid). Dis kin ɛp mɔ fɔ no if pɔsin gɛt infɛkshɔn.

Wetin na di tritmɛnt dɛm fɔ INO?

Di tritmɛnt fɔ (INO) dipen pan di kɔz. Yu dɔktɔ go trit di ɔndalayn kɔz pas fɔ trit di sik insɛf.

Imajin, if di kɔz fɔ `(INO)` na strok ɔ sik lɛk multiple sclerosis `(MS)`, i kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm – sɔntɛm fɔ ɔl yu layf.

If di `(INO)` na infεkshכn kכz am, di `(INO)` kכndishכn go כlwayz impruv wans dεn trit di infεkshכn.

Sɔntɛnde, if di sayn dɛn nɔ de chenj, yu dɔktɔ kin gi yu injɛkshɔn fɔ botulinum pɔyzin fɔ mek di mɔsul dɛn we de rawnd yu yay rilaks. dis kin εp fכ ridyus dכbl vishכn (diplopia) εn invכlכntary ay twitch (nystagmus).

Yu dɔktɔ go ɛksplen to yu us tritmɛnt yu nid ɛn wetin yu go ɛkspɛkt frɔm di tritmɛnt.

Yu tink se dɛn kin mek INO nɔ apin?

Infakt, i nɔ kin izi fɔ mek dɛn nɔ gɛt dis sik ɔltogɛda bikɔs di tin dɛn we kin mek pɔsin gɛt am (lɛk imejensi, infɛkshɔn) we kin mek i apin wantɛm wantɛm ɛn we pɔsin nɔ bin de ɛkspɛkt.

Bɔt in jɔnal, i rili impɔtant fɔ wɛr aywea we de protɛkt yu ɛn di rayt tin fɔ protɛkt yusɛf we yu de wok wit tul ɔ du tin dɛn we go mek yu wund yu ed ɔ yu yay. Dis go go sɔm we fɔ mek dɛn nɔ gɛt traumatik bren injuri, we na wan pan di tin dɛn we kin mek pɔsin gɛt INO.

Ustɛm dɛn fɔ chɛk di yay?

We yu de chɛk yu yay ɛn yu yay ɔltɛm, yu yay dɔktɔ kin no ɛni prɔblɛm kwik kwik wan. Di frɛkuɛns we dɛn kin du fɔ chɛk yu yay kin difrɛn wit yu ej:

• Pipul dɛn we nɔ rich 40 ia yet: Ɛvri 5 ɔ 10 ia.
• Pipul dɛn we ol bitwin 40 ɛn 54 ia: Ɛvri 2 ɔ 4 ia.
• Pipul dɛn we ol bitwin 55 ɛn 64 ia: Ɛvri 1 to 3 ia. (Di ɔrijinal atikul bin gɛt typo as 55-54, dɛn fɔ kɔrɛkt am as 55-64)
• Pipul dɛn we ol 65 ia ɔ pas dat: Ɛvri ia ɔ ɛvri 2 ia.

Bɔt if yu gɛt wan sik lɛk dayabitis we de afɛkt di we aw yu bren de kɔntrol yu yay, yu go nid fɔ chɛk yu yay bɔku tɛm pas dis. Aks yu yay dɔktɔ aw ɔltɛm yu nid fɔ chɛk yu yay.

Wetin pɔsin we gɛt INO kin ɛkspɛkt?

Sɔntɛnde, INO kin bi prɔblɛm fɔ sɔm tɛm, bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn ɔlsay na dɛn layf. Ɔl dis dipen pan wetin mek di INO divɛlɔp fɔs. INO kin te fɔ lɔng tɛm pan tin dɛm lɛk multiple sclerosis (MS) ɔ sɔm ɔtoimyun sik dɛm.

Pipul dεm we de divεlכp `(INO)` bikoz fכ wan infεkshכn kin rεkכva afta di infεkshכn kכl, εn nכn ifekt dεm de fכ lכng tεm.

If yu dɔn gɛt strok, blɔd kɔmɔt, ɔ yu bren injury bad bad wan, ɔ if yu gɛt multiple sclerosis (MS), yu go gɛt sɔm sayn dɛn fɔ lɔng tɛm. Aw yu yay ɛn yu si fayn fayn wan de dipen pan aw lɔng dɛn bin dɔn kɔt di blɔd we de go na yu bren ɛn yu nerv dɛn.

Tɔk to yu dɔktɔ fɔ no mɔ bɔt wetin fɔ ɛkspɛkt ɛn aw fɔ kɔntrol yu sik dɛn.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ jɔs afta yu notis ɛni chenj na yu yay ɔ yu yay.

Dɔn bak, if yu gɛt ɛni wan pan dɛn sayn ya , go na ɔspitul imejensi rum wantɛm wantɛm:

• If yu nɔ ebul fɔ muv yu yay.
• If yu lɔs yu vishɔn wantɛm wantɛm (tɔtal ɔ pat pan am).
• If yu gɛt siriɔs ay pen.
• If yu bigin fɔ si nyu flash ɔ flota bifo yu yay.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng dis ifɛkt go las na mi yay?
• Yu tink se mi vishɔn go chenj fɔ ɔltɛm?
• Us kayn tritmɛnt a nid?
• Aw ɔltɛm a fɔ mek dɛn chɛk mi yay tumara bambay?

Wetin na di difrɛns bitwin INO ɛn Strabismus?

(INO) de kכz fכ di damej pan di nεv path we dεn kכl di Medial Longitudinal Fasciculus (MLF) εn di nεv dεm we de kכntro di yay muvmεnt.

Strabismus na jεnarכl tεm fכ eni kכndyushכn we dεn nכ kin kip di yay dεm de pכynt na di sem dεyshכn. Nɔmal wan, di siks mɔsul dɛn we de kɔntrol wi yay muvmɛnt kin wok togɛda fɔ tɔn ɔl tu di yay dɛn na di sem say. Pipul wae gɛt strabismus kin gɛt prɔblɛm fɔ kɔntrol dɛn yay muvmɛnt bikɔs ɔf sɔm kɔndishɔn wae kin afɛkt dɛn mɔsul dɛm de. So, strabismus na nyurolɔjik prɔblɛm, ɛn strabismus na wan brayt, bɔku tɛm mɔskul kɔndishɔn.

Wetin na Pseudo-INO? (Wetin na Pseudo-INO?)

`Pseudo-INO` (we min "false INO") de sho bak simptom dεm we fiba `(INO)`. Bɔt na difrɛn tin we kin afɛkt di yay.

Di men tin we kin mek pɔsin gɛt `Pseudo-INO` na wan sik we dɛn kɔl Myasthenia Gravis. dis `(Myasthenia Gravis)` de mek di mכsul dεm wik ɔlsay na di bכdi. If dis wikɛd tin afɛkt di mɔsul dɛn we de rawnd di yay, yu nɔ go ebul fɔ kɔntrol di we aw di yay de muv. If yu gɛt ɛni nyu mɔsul we wik, go to dɔktɔ.

Mɛsej we dɛn kin kɛr go na os

Internuclear ophthalmoplegia (INO) na wan sik we de afɛkt di ebul we yu yay dɛn ebul fɔ muv fayn fayn wan togɛda. Bɔrku tɛm, i kin kam bikɔs ɔf siriɔs mɛrɛsin ɔr aksidɛnt. Ilɛk wetin mek yu gɛt di sik, yu dɔktɔ kin ɛp yu fɔ fɛn di rayt tritmɛnt fɔ yu. Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt we yu de travul. If dɛn go to dɔktɔ kwik kwik wan ɛn gɛt di rayt tritmɛnt, dɛn kin ebul fɔ kɔntrol dis sik.

` intanyukliar ɔftalmoplejia, INO, ay muvmεnt, dכbl vishכn, diplopia, strok, kraynia nεv dεm