Yu dɔn ɛva fil lɛk se yu de shek shek wantɛm wantɛm rawnd yu yay ɔ yu chɛst we yu de laf ɔ tɔk to pɔsin, ɔ we yu de fil taya smɔl? Dis we aw di mɔsul dɛn we de na wan say na yu fes kin twit we yu nɔ ebul fɔ kɔntrol kin mek yu vɛks ɛn shem smɔl. Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal tin, sɔntɛnde i kin bi mɛdikal imejensi. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na Hemifacial Spasm (HFS).
Wetin rili na Ɛmifashial Spasm?
Fɔ tɔk am simpul wan, Hemifacial Spasm (HFS) na wan nyurolɔjik kɔndishɔn we kin mek yu mɔsul dɛn twitch we yu nɔ want na wan say na yu fes. Dis na sayn wae kin wɔs as tɛm de go.
If yu luk wetin di nem min, “Hɛmi” min “af.” “Fes” min “we gɛt fɔ du wit fes.” “Spasm” min “spasm na di mɔsul dɛn.” So “Hemifacial Spasm” min “mɔsul spasm na af pat na di fes.”
Dis sik kin bigin wae pɔrsin dɔn big, bitwin 40 ɛn 60 ia.Dɔkta dɛn kin kɔl am peripheral movement disorder. dat min se na prכblεm wit di pεriferal nεv sεstem, we na di pat pan di nεv sεstem we de ausayd wi bren εn spεnal kכd.
Hemifacial Spasm na wan sik we nɔ kin apin so ɔltɛm, ɛn uman dɛn kin gɛt dis sik tu tɛm pas man dɛn.
Yu tink se men kayn tin dɛn de we kin mek pɔsin gɛt dis sik?
Yɛs, tu men kayn dis de, i kin dipen pan aw de sik kin kam as tɛm de go. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Tayp fɔ di Ɛmifashial Spasm | Aw di sayn dɛm kin sho |
|---|---|
| Praymari Ɛmifashial Spasm | pan dis kayn we, di mכsul dεm we de rawnd di yay dεm kin bigin fכ twitch fכs. I kin tek sɔm mɔnt ɔ ia fɔ mek di twitch go na di mɔsul dɛn we de dɔŋ di fes. |
| Sɛkɔndari Ɛmifashial Spasm | insay dis kes, di mכsul dεm we de twitch na di כp εn lכw pat dεm na di fes de bigin lεk di sem tεm. Pan ɔl we dis twit kin kam ɛn go fɔs, i go bigin fɔ apin mɔ ɛn mɔ as tɛm de go. |
Wetin na di sayn dɛm wae de sho se yu fes de flash?
Di men sayn fɔ dis sik na we di mɔsul dɛn na wan say na di fes de shek shek. Dis na tin we wi nɔ want (wi nɔ go ebul fɔ kɔntrol am). Dis twitch kin apin mɔ na di lɛft say pas di rayt say. Bɔt nɔto ɔltɛm dis twit kin apin na ɔl tu di say dɛn na di fes.
Di fɔs sayn kin bigin wit di aylid we de shek shek. Dis kin kam ɛn go. As tɛm de go, di sayn dɛm kin go bifo to:
- Fɔ blink we yu nɔ want: I tan lɛk we yu de blink, bɔt wi nɔ ebul fɔ kɔntrol am.
- Aybrɔw liftin: Di aybrɔw kin go ɔp ɔtomɛtik bikɔs ɔf di strok.
- Di swɛlin na di fes we de dɔŋ: Dis kin mek dɛn pul di mɔt na wan say.
- Fɔ afɛkt ɔl di mɔsul dɛn na wan say na di fes: Sɔntɛnde, dis twitch kin kɔntinyu ɛn nɔ kin stɔp.
Di impɔtant tin na dat dis mɔsul spasm nɔ kin mek pɔsin fil pen. Bɔt we yu de na pɔblik, i kin mek yu nɔ fil fayn ɛn shem.
Dɛn sayn ya kin wɔs pasmak wae pɔrsin gɛt tin lɛk strɛs, taya, it, ɛn wɔri. I sɔprayz fɔ no se dɛn atak ya kin apin bak we yu de slip. Dis kin ivin mek sɔm pipul dɛn nɔ ebul fɔ slip.
Ɔda sayn dɛn we de sho se yu gɛt dis sik
Sɔm pipul dɛn kin gɛt ɔda tin dɛn apat frɔm dɛn men sayn ya.
- Fɔ yɛri "klik" sawnd insay di yes.
- I de pen na yu yes.
- I nɔ de yɛri fayn (espɛshali na sɛkɔndari HFS).
Wetin mek dis de apin? Wetin na di rizin dɛn?
di men tin we kin mek di εmifayal spam na fכ prεshכn fכ lכng tεm pan wan pan wi fes nεv dεm (di sεvin kraynia nεv). Bɔt sɔm ɔda tin dɛn kin de we kin mek pɔsin gɛt dis prɛshɔn.
Tu men nerv dɛn de na ɛni say na wi fes. Dis nεv de stat na wi bren stεm εn i de branch aut along wan say na di fes. I de kɔntrol tin dɛn lɛk di mɔsul dɛn we de kɔntrol aw pɔsin de sho in fes, di saliva gland dɛn na di mɔt, di wata gland dɛn na di yay, ɛn di teist bɔd dɛn we de bifo tu-tɛd pan di tɔŋ.
Di tin dɛn we kin mek pɔsin gɛt dis sik kin difrɛn difrɛn wan bay di kayn HFS.
Di tin dɛn we kin mek pɔsin gɛt Praymari Ɛmifashial Spasm
Dis na di tin we kin mek pɔsin gɛt dis sik. Wetin kin apin ya na wan blɔd vesel we nɔ de na di say we i de.(blɔd vesel) de kam ɛn prɛs di fes nerve we wi bin tɔk bɔt. fכ dis kכmpreshכn, di protεktiv kכva (myelin sheath) fכ di nεv de sכmtεm sכmtεm. afta dat di nεv signal dεm nכ de travul fayn, dεn de misfaya εn di mכsul dεm de bigin fכ twitch.
Di tin dɛn we kin mek pɔsin gɛt Sɛkɔndari Ɛmifashial Spasm
Dis na we ɔda ɔndalayn kɔndishɔn ɔ prɔblɛm kin afɛkt di fes nerve. Sɔm pan di tin dɛn we kin mek i apin na:
- Aksidɛnt ɔ injuri nia di fes nerve.
- Bɛl in palsi kɔndishɔn.
- Damej na di bren stem, fכ egzampl, kכndyushכn lεk mכltipl sklεrosis כ strok.
- Prɔblɛm wit di blɔd vesel dɛm na di bren, lɛk di bren aneurism ɛn di blɔd vesel dɛm we nɔ gɛt kansa (angiomas).
- Prɔblɛm dɛn na di yes. Kכndishכn dεm lεk midul ia infεkshכn (otitis media), mastoiditis.
- di tכmכro dεm we de apin na di saliva gland dεm (parotid gland dεm).
- strכkchכral prכblεm dεm we de apin na di bak εn lכw pat pan di sכkul.
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, we yu go to dɔktɔ, i go fɔs chɛk yu bɔdi ɛn du nyurolɔjik ɛgzam.
Dɔn, bɔku tɛm dɛn kin se dɛn fɔ du MRI skan fɔ no ɔda tin dɛn we kin mek yu gɛt di sik ɛn fɔ no di rayt tin we kin mek yu gɛt HFS. Insay praymari HFS, MRI skan kin ɔltɛm no di abnɔmal blɔd vesel we de prɛs pan di nɛv.
sכmtεm dεn mכsul dεm ya kin lεk כda kayn fes spam (e.g. blepharospasm) כ sεiz. So, if yu dɔktɔ nɔ ebul fɔ no di kayn spasm kɔrɛkt wan, i kin tɛl yu fɔ du ilɛktromayografi (EMG) tɛst.
Wetin na di tritmɛnt dɛm fɔ dis?
Di men gol fɔ tritmɛnt na fɔ ridyus di frɛkuɛns ɛn di kayn we aw di fes kin flash. Di tritmɛnt we dɛn kin pik kin dipen pan di tin we mek di sik ɛn aw i siriɔs. Lɛ wi tek wan luk pan di men tritmɛnt opshɔn dɛm.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Botulinum toxin (Botox®) injεkshכn dεm | Dis na di fɔs layn tritmɛnt we dɛn kin yuz mɔ. I min fɔ gi injɛkshɔn fɔ mek di mɔsul dɛn we de mek di spam wik fɔ sɔm tɛm. I kin te fɔ 3-4 mɔnt, afta dat dɛn fɔ ripit di injɛkshɔn. |
| Mɛrɛsin dɛn we dɛn kin tek bay mɔt (pil) . | Dɛn kin gi dɛn tin ya to pipul dɛn we nɔ want Botox injɛkshɔn ɔ we nɔ kin ebul fɔ du ɔpreshɔn. Dɛn tin ya na mɛrɛsin dɛn lɛk antikonvulsant ɛn mɔsul rilaksant. |
| Ɔpreshɔn | Dis na di onli pɔrmanent sɔlvishɔn fɔ HFS. Wan ɔpreshɔn we dɛn kɔl Microvascular Decompression de pul di blɔd vesel we de prɛs di nerve ɛn put pad insay. Dis na fɔ di wan dɛn nɔmɔ we gɛt siriɔs sik. |
Botox Injεkshכn (Botulinum Toxin Injεkshכn) .
Dɛn kin tek bɔtɔks injɛkshɔn as di fɔs layn tritmɛnt fɔ HFS bikɔs i kin wok fayn ɛn i nɔ kin gɛt bɔku sayd ɛfɛkt. Di sayn dɛm kin ridyus insay tri to siks dez afta di injɛkshɔn. Bɔt di tin dɛn we kin apin kin las fɔ lɛk tri to 4 mɔnt so. Afta dat, yu go nid fɔ gɛt di injɛkshɔn bak fɔ kɔntrol di tiks.
Smɔl smɔl sayd ɛfɛkt dɛn kin apin afta dis injɛkshɔn:
- Ay iritashɔn
- Aylid de drɔp
- Di fes wik fɔ sɔm tɛm
Medikeshɔn dɛn we dɛn kin yuz fɔ it
Di dɔktɔ kin gi yu mɛrɛsin dɛn lɛk dɛn wan ya:
- Antiepileptics lɛk kabamazepin ɔ gabapentin.
- Bεnzodiazepin dεm lεk klonazepam.
- Di tin dɛn we de mek di mɔsul dɛn rilaks lɛk baklɔfen.
Pan ɔl we dɛn mɛrɛsin ya kin ɛp fɔ mek di at nɔ rit, dɛn nɔ kin wok fɔ ɔlman. Dɔn bak, if yu yuz am fɔ lɔng tɛm, i kin mek yu gɛt sayd ɛfɛkt lɛk fɔ slip ɛn taya.
Ɔpreshɔn
As wi bin dɔn tɔk, di wangren we fɔ mɛn HFS fɔ ɔltɛm na fɔ ɔpreshɔn. Bɔt di dɔktɔ dɛn kin jɔs tɛl yu fɔ du dis if di sik rili bad ɛn di Botox injɛkshɔn nɔ wok.
Di ɔpreshɔn we dɛn kin du mɔ na di wan we dɛn kɔl maykrovaskyuɛl dikɔmpreshɔn . dis involv fכ rilis di bכdi we de kכmprεs di nεv frכm di nεv εn put wan sכmכl Teflon pad bitwin di tu.
If dis ɔpreshɔn dɔn wok fayn, yu nɔ go ɛva gɛt fɔ sɔfa wit HFS igen. Bɔt lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
- Riakshɔn dɛn we pɔsin kin gɛt we i de anestez.
- Di fes nerve de damej fɔ sɔm tɛm ɔ fɔ ɔltɛm.
- I nɔ de yɛri fayn.
- Sεribrospεnal fכluid (CSF) de lik.
Yu tink se dis na denja tin? A fɔ fred?
Nɔ, Ɛmifashial Spasm insɛf nɔ de ambɔg yu bɔdi wɛlbɔdi. כltu, sכmtεm di כndalayn mεdikal kכndyushכn we de mek am (e.g., bren tכmכro, bren stεm dεm we de damej) kin bi denja.
Na dat mek i impɔtant fɔ go to dɔktɔ jɔs afta yu dɔn si dɛn sik ya ɛn fɛn di rayt tin we mek yu gɛt dis sik.
Apat frɔm dat, yu kin gɛt prɔblɛm dɛn lɛk:
- Prɔblɛm dɛn we pɔsin kin gɛt we i de slip.
- Prɔblɛm dɛn we kin kam pan pɔsin in maynd, lɛk fɔ de wit ɔda pipul dɛn, fɔ wɔri, ɛn fɔ gɛt pwɛl hat.
- Fɔ lɔk yu yay we yu nɔ ebul fɔ kɔntrol fɔ lɔng tɛm. Dis kin denja if i apin, lɛk we yu de drayv.
Hemifacial Spasm na wan sik we kin rili anɔynt ɛn shem. Di filin we yu kin fil we yu nɔ ebul fɔ kɔntrol yu bɔdi nɔ kin fayn fɔ ɛnibɔdi. Bɔt di gud nyus na dat, fayn tritmɛnt dɛn de fɔ am, lɛk Botox injɛkshɔn, mɛrɛsin, ɛn ɔpreshɔn. If yu bak kin gɛt spam na yu fes bɔku tɛm ɛn yu kin fil se i de wɔs, yu go mɔs go to dɔktɔ. I go du di tɛst dɛn we yu nid ɛn gi yu di tritmɛnt plan we fit yu pas ɔl.
Mɛsej we dɛn kin kɛr go na os
- Hemifacial Spasm (HFS) na wan nyurolɔjik kɔndishɔn we de mek di mɔsul dɛn na wan say na yu fes de twitch we yu nɔ ebul fɔ kɔntrol.
- Bɔku tɛm, dis kin apin bikɔs blɔd vesel de prɛs pan wan fes nerve, bɔt ɔda siriɔs tin dɛn kin de bak.
- Pan ɔl we dis pen nɔ kin mek pɔsin fil pen, i kin afɛkt ɛvride layf ɛn maynd wɛlbɔdi.
- Tritmɛnt dɛn de we rili fayn fɔ dis, lɛk Botox injɛkshɔn, mɛrɛsin, ɛn ɔpreshɔn.
- If yu gɛt sɔm kayn sik lɛk dis, i rili impɔtant fɔ mek yu nɔ panik, bɔt fɔ go to dɔktɔ wantɛm wantɛm fɔ mek dɛn no di sik ɛn tritmɛnt fayn fayn wan.
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