Na nɔmal tin fɔ mek yu swɛt sɔm tɛm. Bɔt if yu si se wan say na yu fes lɛk yu yay, yu chɛst, ɔ yu lip de shek shek we yu nɔ ebul fɔ kɔntrol, na sɔntin we yu fɔ wɔri bɔt. Dɛn kin kɔl dis sik we dɛn kɔl Hemifacial Spasm. Wae e kin bi smɔl tin wae de mɔna yu, gud tritmɛnt de so notin nɔr de fɔ wɔri bɔt. Lɛ wi tɔk bɔt am ditayli.
Fɔ tɔk am simpul wan, wetin na Ɛmifashial Spasm?
Hemifacial Spasm na nyurolɔjik kɔndishɔn we de mek di mɔsul dɛn na wan say na yu fes de twitch bɔku bɔku tɛm ɛn we yu nɔ ebul fɔ kɔntrol. Dis kin wɔs as tɛm de go.
- "Hemifacial" min "af pan di fes."
- "Spasm" min "mכsul de twit."
Dis sik kin mɔs bi pan big pipul dɛm wae ol bitwin 40 ɛn 60. Dɔn bak, uman dɛm kin gɛt dis sik lɛk tu tɛm pas man dɛm.
Dɛn kin kɔl dis bak di muvmɛnt disɔda we kin apin na di periferik nɛvɔ sistɛm na wi bɔdi.
Men kayn hemifacial spasm de?
Yɛs, tu men kayn dis de, i kin dipen pan aw de sik kin go bifo as tɛm de go.
1. Primary Hemifacial Spasm: Insay dis kayn spasm, di twit de bigin na di mכsul dεm we de rawnd di yay dεm. Smɔl smɔl, fɔ sɔm mɔnt ɔ ivin ia, i kin go na di ɔda pat we de dɔŋ na di fes.
. Fɔs, i kin kam ɛn go, bɔt leta i kin de ɔltɛm.
Wetin na di sayn dɛm fɔ dis sik?
Di men sayn na we di mɔsul dɛn na wan say na yu fes de shek shek we yu nɔ ebul fɔ kɔntrol. Dis kin apin mɔ na di lɛft say pas di rayt say. I nɔ kin izi fɔ mek i afɛkt ɔl tu di say dɛn na di fes.
Na dis na aw di sayn dɛm kin bigin ɛn go bifo:
- I kin bigin wit wan blink na yu yay. Dis kin kam ɛn go.
- Afta sɔm tɛm, di yay kin lɔk insɛf .
- Neks, yu kin fil lɛk se yu aybrɔw dɛn de gro bay insɛf .
- Leta, di mɔsul dɛn we de dɔŋ di fes sɛf kin bigin fɔ tayt. Dis kin mek di mɔt pul to wan say .
- As tɛm de go, di mɔsul dɛn na wan say na di fes kin strɛch fɔ ɔltɛm.
Bɔku tɛm, dɛn spam ya nɔ kin mek pɔsin fil pen. Bɔt, dɛn kin rili nɔ fil fayn ɛn shem we yu de na pɔblik. Stret, taya, it, ɛn wɔri kin kam bak.Dɛn sayn ya kin wɔs pan tɛm lɛk dis. Sɔm pipul dɛn kin gɛt dɛn kayn spam ya ivin we dɛn de slip , we kin mek dɛn nɔ slip fayn.
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 "tik" sawnd na di yes
- I de pen na yu yes
- Yu nɔ de yɛri fayn (espɛshali sɛkɔndari) .
Wetin mek dis de apin? Wetin na di rizin dɛn?
di men tin we de mek di εmifayal spam na we i de prεshכn fכ di fes nεv fכ lכng tεm (di sεvin kraynia nεv), we na wan big nεv we de kכntro di fes muvmεnt dεm.
Imajin wetin go apin if dɛn swɛt wan blɔd vesel we de rɔn rayt nia dis men nɛv we de kɔntrol aw wi fes de muv? I tan lɛk ston we de fɔdɔm pan wata paip. Dɔn di sayn dɛn we de kɔmɔt na da nɛv de go ambɔg. di protεktiv kכva fכ di nεv (di `myelin sheath`) go dכn pwεl. Bikɔs ɔf dɛn sayn dɛn ya we kin ambɔg, di mɔsul dɛn go bigin fɔ shek shek we dɛn nɔ want.
dis na di men tin we de mek di praymari hεmifashal spam .
Sɛkɔndari Ɛmifashial Spasm kin kam bikɔs ɔf prɛshɔn pan di fes nɛv bikɔs ɔf ɔda mɛdikal kɔndishɔn ɔ kɔz. Sɔm pan di tin dɛn we kin mek i apin na:
- Wan injuri nia di fes nerve
- Kɔndishɔn dɛn lɛk Bɛl in palsi
- Damej na di bren stem bikoz fכ kכndishכn lεk mכltipl sklεrosis כ strok
- di prכblεm dεm wit di bכdi vεsul dεm na di bren, fכ egzampl `bren aneurism`
- Infεkshכn dεm na yu yes lεk otitis mεdia
- di tכmכro dεm we de divεlכp na di parotid gland, i kin bi kεnsar כ nכn kansa
- Struktכral prכblεm dεm na di lכw pat pan di sכkul
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, dɔktɔ go fɔs chɛk yu bɔdi ɛn du yu nyurolɔjik ɛgzam.
Dɔn, bɔku tɛm dɛn kin se dɛn fɔ du MRI skan fɔ mek dɛn nɔ no ɔda siriɔs tin dɛn we de mek pɔsin gɛt di sik ɛn fɔ no di rayt tin we mek di ɛmifayal spam. insay di praymar tכp, dεn kin fכnshכn di bכdi we de kכmprεs di nεv pan di MRI.
sכmtεm dεn simptom dεm ya kin lεk כda kכndyushכn dεm, lεk `blepharospasm` (wan kכndyushכn we na di aylid dεm nכmכ de twitch) כ `kכmpleks pat pan mכtalman sik dεm` (wan kayn εpilepshכn). If na so i bi, di dɔktɔ kin du wan tɛst bak we dɛn kɔl EMG (Electromyography) if dɛn want fɔ no wetin i bi.
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 twitch. Bɔrku tritmɛnt opshɔn dɛn de fɔ di kɔz ɛn aw i siriɔs.
| Di we aw dɛn kin trit am | Aw i de wok | Tin dɛn we wi fɔ tek tɛm wit |
|---|---|---|
| Botulinum toxin (Botox®) injεkshכn dεm | Dis na di fɔs layn tritmɛnt we dɛn kin yuz mɔ. Dis injεkshכn de wok bay we i de mek di mכsul dεm we de twitch sכft εn wik fכ sכm tεm. | Dɛn kin gi dis vaysin ɛvri 3-4 mɔnt . Sɔmtɛm sayd ɛfɛkt dɛn lɛk fɔ mek yu yay nɔ fil fayn ɛn yu yaylid dɛn we de drɔp kin apin. |
| Di mɛrɛsin dɛn we dɛn kin tek bay mɔt | Dis opshɔn de fɔ di wan dɛn we nɔ want injɛkshɔn ɔ ɔpreshɔn. Dɛn kin yuz mɛrɛsin dɛn lɛk mɛrɛsin fɔ mek pɔsin nɔ gɛt sik (carbamazepine, gabapentin) ɛn tin dɛn we de mek pɔsin rilaks di mɔsul dɛn (baclofen) fɔ dis. | Dɛn tin ya nɔr kin woke fɔ ɔlman, ɛn dɛn kin kam wit sayd ɛfɛkt lɛk fɔ slip ɛn taya. |
| Ɔpreshɔn | Dis na di wangren tin we go sɔlv dis sik fɔ ɔltɛm. dis כpεrayshכn we dεn kכl ``Maykrovaskul dεkכmpreshכn,'' de involv fכ pul di bכdi we de prεs pan di nεv εn put sכm sכm kushכn bitwin am. | Dis na fɔ pipul dɛn nɔmɔ we gɛt siriɔs sik ɛn we Botox injɛkshɔn nɔ bin dɔn wok fayn fɔ dɛn. Sɔm risk dɛn de we gɛt fɔ du wit ɔpreshɔn (e.g., yu nɔ de yɛri fayn, yu fes in nerv de pwɛl). |
Yu tink se Hemifacial Spasm na denja kɔndishɔn?
Hemifacial spasm insɛf nɔ denja fɔ yu bɔdi. Bɔt di ɔndalayn mɛdikal kɔndishɔn we kin mek i gɛt am na.(e.g. wan bren tumor) kin bi denja. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.
Apat frɔm dat, dis sik kin afɛkt di kwaliti fɔ liv.
- Slip distɔblɛshɔn
- Prɔblɛm dɛm wae de kam pan pɔrsin in maynd lɛk wae yu de wɔri bɔt ɔda pipul dɛm, wae yu de wɔri, ɛn wae yu gɛt pwɛl hat
- Aksidɛnt we kin apin bikɔs yu yay kin lɔk insɛf, lɛk we yu de drayv
So, if yu bigin fɔ gɛt fes we de shek shek, nɔ ignore am ɛn tink se, ‘Dis kin jɔs bi sɔntin.’ I rili impɔtant fɔ rili go to dɔktɔ ɛn no di tin we mek yu gɛt am.
Dis sik nɔ kin bɛtɛ fɔ insɛf. Bɔt dɛn dɔn ripɔt se i kin sɔlv insɛf pan lɛk 10% pan di kes dɛm. Dɛn nɔ no yet ustɛm dis kin apin.
Hemifacial Spasm na rili anɔynt kɔndishɔn we de ambɔg ɛvride layf. Na nɔr fayn filin fɔ fil lɛk yu nɔr ebul kɔntrol yu bɔdi. Bɔt di bɛst tin na dat naw, tritmɛnt dɛn de we rili fayn fɔ am. If yu fil bak se wan say na yu fes de shek shek ɔltɛm, ɛn i tan lɛk se i de wɔs, yu go mɔs go to dɔktɔ. I kin chɛk yu, fɛn di rizin, ɛn gi yu di bɛst tritmɛnt plan fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Hemifacial Spasm na wan nyurolɔjik kɔndishɔn we kin mek yu gɛt mɔsul dɛn we nɔ kin kɔntrol na wan say na yu fes.
- Bɔku tɛm, dis kin apin bikɔs blɔd vesel de prɛs pan wan fes nerve, bɔt i kin kam bak bikɔs ɔf ɔda mɛrɛsin dɛn.
- Pan ɔl we dis nɔ de mek pɔsin fil pen, i kin rili ambɔg wi ɛvride layf. Stret kin mek di sik wɔs.
- Botox injɛkshɔn na tritmɛnt we rili wok ɛn we bɔku pipul dɛn kin yuz. Fɔ siriɔs kes dɛm, ɔpreshɔn na opshɔn bak as sɔlv fɔ ɔltɛm.
- If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ we yu nɔ fɔ pe atɛnshɔn to dɛn ɛn fɔ mek dɛn no di sik ɛn tritmɛnt di rayt we.
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