Yu bren de fil lɛk se i nɔ de wok fayn? I kin bi Mɛtabolik Ɛnsɛfalopati!

Sɔntɛnde, yu kin fil se yu kin kɔnfyus we yu nɔ ebul fɔ ɛksplen, yu nɔ kin mɛmba bɛtɛ, ɛn yu kin chenj yu abit, lɛk se yu nɔto di sem pɔsin we yu bin de du trade? Ɔ sɔntin lɛk dis dɔn apin to pɔsin na yu famili ɔ yu padi? Wan pan di men rizin we mek dɛn tin ya kin apin na bikɔs sɔm ɔda mɛrɛsin dɛn na wi bɔdi kin afɛkt di we aw di bren de wok fayn. Tide wi go tɔk bɔt dis kayn sik, dat na `(Metabolic Encephalopathy)` . Nɔ fred, wi go tɔk bɔt dis simpul wan, insay wan we we yu go ɔndastand.

Wetin na `(Mɛtabolik Ɛnsɛfalopati)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `(Metabolic Encephalopathy)` na wan bren disɔda we kin kam bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn na yu bɔdi. Bɔku tin dɛn de we kin mek dis apin, bɔt bɔku pan dɛn tin ya kin afɛkt di we aw yu de du tin mɔ . Tink bɔt am, wi bɔdi tan lɛk big mashin. Dis mashin nid ɛnaji fɔ wok. Dat ɛnaji de kɔmɔt frɔm di tin dɛn we wi de it ɛn drink. wi kכl `(Mεtabolism)` di kεmikכl prכsεs we de tכn dεn tin ya to enεji.

So, we di bren nɔ de wok fayn dis we, i kin rili afɛkt di we aw yu de fil, aw yu de tink, ɛn aw yu de mɛmba. Sɔntɛnde, yu kin ivin lɔs kɔnshɛns (kɔma) .

Dis rili impɔtant, bikɔs ɔl dɛn `(Mɛtabolik Ɛnsɛfalopati)` kɔndishɔn ya rili nid fɔ gɛt mɛrɛsin . If dɛn nɔ trit dis, dis kin mek pɔsin in layf de pan denja, ɔ ivin mek in bren pwɛl sote go . So, i rili impɔtant fɔ mek wi no bɔt dis.

Wetin na di men kayn `(Mɛtabolik Ɛnsɛfalopati)`?

Wi kin si tu men kayn dis `(Mɛtabolik Ɛnsɛfalopati)`:

1. Acute Metabolic Encephalopathy: Dis kin apin we yu bɔdi nɔ gɛt inof vaytamɛn, ɔksijɛn, ɔ glukɔs (shuga). Tink bɔt am lɛk se motoka in injin nɔ de wok we in ɔyl dɔn.

2. Toxic Metabolic Encephalopathy: Dis kin kam bikɔs ɔf di ɔgan dɛn we nɔ de wok fayn, lɛk di kidni ɔ di liva, ɔ di ɔgan dɛn we nɔ de wok fayn. Dis min se pɔyzin tin dɛn kin gɛda na di bren bikɔs dɛn nɔ kin pul di dɔti tin dɛn we de na di bɔdi fayn fayn wan.

Aw dis sik kin kɔmɔn?

Dis kכndyushכn, we dεn kכl ``Mεtabolik εnsefalopathy,'' de kכmכn bכku pan pipul dεm we ``krεs sik'' bikoz fכ wan siriכs כndalayn hεlth kכndyushכn. Dis min se pɔrsin wae dɔn ɔlrɛdi gɛt ɔda siriɔs sik kin gɛt dis sik.

Wetin na di sayn dɛm fɔ dis? Aw wi de fil?

De fɔs sayn wae yu go gɛt na:Di wok we pɔsin kin du fɔ no bɔt sɔntin gɛt fɔ du wit di ebul we pɔsin ebul fɔ tink . Dɛn na:

• Kɔnfyushɔn ɛn disorientation: Fɔ fil lɛk yu nɔr ebul fɔ mɛmba usai yu de, ustɛm na, udat yu bi, ɔr udat de arawnd yu. Yu kin ivin fil lɛk se yu ed dɔn blank wantɛm wantɛm.
• Memori lɔs: Yu kin fɔgɛt ivin di tin dɛn we dɔn apin dis biɛn tɛm. Sɔntɛm yu nɔ go mɛmba wetin yu bin de du na mɔnin bay ivintɛm.
• Pɔsin kin chenj in pasɔnaliti: Fɔ ɛgzampul, pɔrsin wae bin de fil bad trade kin bigin fɔ vɛks ɔltɛm, ɔr kin gɛt mɔr pwɛl hat. Sɔm pipul dɛn kin ivin kwayɛt bad bad wan.

Apat frɔm dɛn men tin ya, ɔda sayn dɛn kin apin, lɛk:

• Nɔs ɛn vɔmit
• Taya ɛn Nɔ ebul fɔ slip
• Mental hεlth kכndyushכn lεk pwεl hat sik
• Delirium: Na wae pɔrsin nɔr kin no natin wantɛm wantɛm, wit filin fɔ lɛ pɔrsin nɔr de fil fayn ɛn nɔr gɛt minin pan di tin dɛm wae de arawnd am.
• Hallucinations: Na di ɛkspiriɛns we pɔsin kin si, yɛri, ɔ fil tin dɛn we nɔ rili de.
• Di we aw pɔsin kin shek shek
• Di sayn dɛm wae de sho se yu gɛt ɛpilepshi (we yu de fil lɛk yu sik) .
• I nɔ kin izi fɔ yu fɔ blo
• Nɔr kin no natin ɔr kin kɔma

Sɔntɛnde, dɛn sayn ya kin apin wantɛm wantɛm, wantɛm wantɛm . Bɔt fɔ sɔm pipul dɛn, dɛn sik ya kin bigin smɔl smɔl . Bɔt if yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, mɛmba fɔ go to dɔktɔ wantɛm wantɛm .

Wetin mek dis kin apin? Wetin na di tin dɛm we kin mek pɔsin gɛt `(Mɛtabolik Ɛnsɛfalopati)`?

di men kכz fכ `(Mεtabolism)` na wan כndalayn mεdikal kכndyushכn we de afekt yu `(Mεtabolism)` prכsεs . as wi bin dכn se, mεtabolism na di kεmikכl prכsεs we de kכnvכlt di tin dεm we wi de it εn drink to εnεji. Dis ɛnaji impɔtant fɔ mek wi bren wok fayn fayn wan. Bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn, di balans pan di kemikal dɛn we de na yu blɔd kin ambɔg. dis de mek di bren nכ de gεt di nyutriεnt dεm εn כksijεn we i nid, we de mek di simptom dεm fכ `(Mεtabolic Encephalopathy)`.

Sɔm pan de mɛrɛsin wae kin kam wit dis na:

• Dayabitis: Dis min se di blɔd shuga lɛvɛl tu ay (Hyperglycemia) ɔ tu smɔl (Hypoglycemia) we yu nɔ gɛt kɔntrol.
• At we nɔ de wok fayn
• Kidni we nɔ de wok fayn
• Liva sik ɔ liva we nɔ de wok fayn
• Malnutrition (we nɔ gɛt di tin dɛn we di bɔdi nid) .
• Pankriaytis we gɛt sik
• Sepsis (na wan bad bad sik we de skata ɔlsay na di bɔdi) .
• Vasculitis (we de mek di blɔd vesel dɛn wam) .

Dɔn bak, Metabolic Encephalopathy kin kam bikɔs yu it sɔm pɔyzin tin dɛn . Fɔ ɛgzampul:

• Fɔ yuz rɔm pasmak
• Ɛvi mɛtal pɔyzin we pɔsin kin gɛt we i it ebi ebi mɛtal lɛk lid
• Sɔm mɛrɛsin ɔ ɔda mɛrɛsin dɛn we dɛn kin tek we dɛn nɔ gɛt dɔktɔ advays

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Yu kin gɛt ay risk fɔ gɛt `(Mɛtabolik Ɛnsɛfalopati)` if yu:

• If yu gɛt wan sik we de ambɔg di bɔdi we de afɛkt sɔm bɔdi sistɛm dɛn wan tɛm. (Fɔ ɛgzampul, wan sik we de ambɔg di wan ol bɔdi, lɛk dayabitis)
• If yu gɛt bɔku bɔku mɛrɛsin (Comorbidities) di sem tɛm. (Fɔ ɛgzampul, we pɔsin gɛt dayabitis ɛn ay blɔd prɛshɔn)
• If yu dɔn pas 65 ia.
• If yu dɔn gɛt prɔblɛm wit yu ebul fɔ tink (cognitive impairment), lɛk wae yu nɔr de mɛmba fayn fayn wan, yu nɔr kin ebul fɔ lan nyu tin, yu nɔr kin ebul fɔ disayd fɔ du tin, ɛn yu nɔr kin ebul fɔ kɔdinɛt aw yu de tink.
• If yu gɛt disɔda fɔ yuz sɔbstans.

Us siriɔs tin kin apin if dɛn nɔ trit am?

If dɛn nɔ trit am kwik ɛn fayn, Mɛtabolik Ɛnsɛfalopathy kin mek pɔsin in layf de pan denja . I kin kam bak wit siriɔs, lɔng tɛm ifɛkt lɛk:

• Di bren we de pwɛl ɔltɛm.
• Kכmplit lכs כf kכnsεns (Kכma) εn in kכmplikεshכn dεm.

Dis na di rizin we mek i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho, ɛn nɔ de te. If yu no am kwik kwik wan, dat kin mek yu nɔ gɛt bad bad tin dɛn we go apin to yu.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

Dɔktɔ go no if pɔsin gɛt mɛtabolik ɛnsɛfalopati bay we i du ɛgzam pan in bɔdi , ɛgzam fɔ di nyurolɔjik , ɛn ɔda spɛshal tɛst dɛn . Dɛn tɛst ya go ɛp yu dɔktɔ fɔ pul ɔda tin dɛn we de mek yu gɛt di sem kayn sik (i.e., fɔ pul ɔda tin dɛn we de apin) ɛn no ustɛm di ɔgan ɛn sistɛm dɛn na yu bɔdi de afɛkt.

Dɛn tɛst ya kin bi:

• Blɔd tɛst: Dɛn tin ya kin chɛk bɔku tin, lɛk di shuga na di blɔd, di ilɛktrɔlayt lɛvɛl, ɛn di liva ɛn kidni we de wok.
• Test fɔ yu urine:Dis kin chɛk bak fɔ ɛni abnɔmal tin na di bɔdi.
• ilektroεnsεfalografi (EEG): dεn kin yuz dis fכ rεkכd di ilektrikal aktiviti na di bren. I kin no ɛni abnɔmal tin we de apin na di bren.
• lכmba pankshכn: Dis involv fכ tek sכm sכm sכm sεribrospεnal fכluid frכm di spεnal kanal εn tεst am. Dis kin ɛp fɔ chɛk fɔ tin dɛn lɛk bren infɛkshɔn.
• CT skan ɔ MRI: Dɛn kayn skan ya kin luk aw di bren tan ɔ fɔ si if ɛnitin dɔn pwɛl di bren.

Aw dɛn kin trit am? Wetin na di tritmɛnt dɛn?

Di tritmɛnt fɔ mɛtabolik ɛnsɛfalopati de pe atɛnshɔn fɔ kɔntrol di ɔndalayn kɔndishɔn ɔ ɔgan disfɔkshɔn we de mek yu gɛt di sik ɛn fɔ manej di sayd ɛfɛkt ɛn simptom dɛm we de kam wit di ɛnsefalopati. Dɛn tritmɛnt ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin, bɔt dɛn kin gɛt:

• Fɔ gi vaytamɛn ɔ ɔda tin dɛn we di bɔdi nid. (Fɔ ɛgzampul: vaytamɛn dɛn lɛk thiamine)
• Gi sɔm patikyula mɛrɛsin dɛn. (Wi go tok abaut dis in a bit)
• Fɔ chenj wetin yu de it ɛn drink: Fɔ ɛgzampul, nɔ fɔ drink bɔku wata if yu gɛt sik na yu kidni, ɔ fɔ it tin dɛn we nɔ gɛt bɔku prɔtin if yu gɛt liva sik.
• Rihabiliteshɔn tritmɛnt dɛm lɛk ɔkupeshɔn tɛrapi (fɔ ɛp yu fɔ go bak to di tin dɛm we yu de du ɛvride), kɔgnitiv bihayvya tɛrapi (fɔ prɔblɛm wit yu tink ɛn bihayvya), ɛn/ɔ tɔk tɛrapi (fɔ prɔblɛm wit yu fɔ tɔk).
• Plasmapheresis: dis na spεshal we dεn de pul di bad tin dεm (e.g., tכxin, antibodies) frכm di bכdi.
• Dayalaysis: Dɛn kin yuz dis tritmɛnt fɔ pul dɔti tin dɛn na di bɔdi fɔ di wan dɛn we gɛt kidni we nɔ de wok fayn.
• Ɔgan transplant: Insay sɔm bad bad kes dɛm, fɔ ɛgzampul if di liva ɔ kidni dɔn pwɛl kpatakpata, i kin nid fɔ transplant ɔgan.

Bikɔs yu kin fil wɔri ɛn kɔnfyus dis tɛm, yu mɛdikal tim go trit yu na ɔspitul, na say we kwayɛt, we nɔ gɛt strɛs, ɛn we sef . Dɛn go bak, if i sef fɔ yu, sɛdyul tɛm fɔ mek yu kɔmɔt na bed ɛn muv rawnd smɔl ɔnda dɛn sɔpɔt fɔ avɔyd kɔmplikeshɔn (e.g., blɔd klot, bed s) we kin apin we yu rɛst fɔ lɔng tɛm na bed.

Us kayn mɛrɛsin dɛn kin yuz?

Di kayn mɛrɛsin we yu dɔktɔ go gi yu go dipen pan wetin mek yu gɛt di sik. Sɔm pan di mɛrɛsin dɛm wae dɛn kin yuse fɔ trit ɛn kɔntrol di sayn dɛm wae de sho se pɔrsin gɛt Metabolic Encephalopathy na:

• Bεnzodiazepin (fכ kכndishכn dεm lεk wεri, εpilepshכn) εn/כ opiate antagonist dεm (e.g. Naloxone - fכ drog pכyzin)
• Glucocorticoids (wan kayn stεroyd - fכ kכndyushכn dεm lεk bren swεla) .
• Thiamine (Vitamin B1 - spεshal fכ εnεsefalopati we de rilet to alkol) .
• Lactulose (fɔ pul pɔyzin lɛk amonia na di bɔdi if yu gɛt ɛnsefalopathy we yu gɛt liva sik) .
• Antiepileptic drɔgs lɛk Levetiracetam ɔ Valproic acid
• Antisaykotik mεdikeshכn na mεdikeshכn dεm we dεn gi fכ kכntrכl di mental simptom dεm (e.g., `Delirium`, `Hallucinations`).

Yu tink se tritmɛnt dɛn kin mek pɔsin gɛt bad bad tin dɛn?

Na tru se lɛk ɔl di tritmɛnt dɛn, sɔm bad bad tin dɛn de we kin apin . Dɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn kin mek pɔsin slip ɔ in ed kin tɔn. Yu wɛlbɔdi tim go wach yu gud gud wan fɔ dɛn sayd ɛfɛkt ya we yu de gɛt tritmɛnt ɛn dɛn go ajɔst yu tritmɛnt if nid de. If yu gɛt ɛni kwɛstyɔn bɔt yu tritmɛnt plan, di tɛm fɔ wɛl, ɔ aw yu de fil, nɔ shem fɔ tɔk to yu dɔktɔ.

Aw kwik i go wɛl? Yu tink se na di sem tin fɔ ɔlman?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Pipul wae gɛt sɔm kayn sik, lɛk ``Mɛtabolik Ɛnsɛfalopati'', kin wɛl insay wan ɔ tu de, ɛn dɛn bren kin wok bak to nɔmal, if dɛn no di sik kwik ɛn trit di kɔz fayn fayn wan .

Bɔt sɔmtɛm, mɔ if di tritmɛnt delay, di sik we de ɔnda am rili bad, ɔ sɔm bren dɔn pwɛl, sɔm pipul dɛn nɔ kin wɛl ɔl. Dɛn kin nid tritmɛnt ɛn sɔpɔt fɔ lɔng tɛm, sɔntɛm fɔ ɔl dɛn layf. So i bɛtɛ fɔ no di sik ɛn bigin fɔ trit am kwik kwik wan.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Yu fiuja, dat na, yu rikɔva rit, dipen mɔ pan tu tin dɛn:

1. Aw kwik yu gɛt tritmɛnt afta yu sik dɔn bigin.

2. Wetin na di ɔndalayn kɔz fɔ di kɔndishɔn `(Mɛtabolik Ɛnsɛfalopati)` ɛn aw bɔku dɛn kin kɔntrol am ?

If dɛn trit am kwik, di tin dɛn we kin apin kin rili fayn . Bɔrku pipul dɛn kin kam bak to ɔlmost nɔrmal mental funkshɔn afta tritmɛnt. כltu, lεk aw wi bin dכn tכk, insay sכm kayn we dεm, `(Mεtabolic Encephalopathy)` kin mek di bren damej fכ כltεm, we kin ivin kil. If di kɔndishɔn mek yu bren pwɛl, yu kin nid fɔ gɛt sɔpɔt fɔ ɔl yu layf ɛn fɔ gɛt tritmɛnt fɔ rihabiliteshɔn (e.g., fyzikal tɛrapi, tɔk tɛrapi).

Wetin wi go du fɔ mek dis nɔ apin?

Infakt, nɔto ɔl di kes dɛm wae gɛt Metabolic Encephalopathy kin bi wae dɛn kin avɔyd, bikɔs sɔm ɔndalayn kɔndishɔn kin kam wantɛm wantɛm. Bɔt tin dɛn de we yu kin du fɔ ridyus yu risk ɛn fɔ mek yu gɛt yu jenɛral wɛlbɔdi :

• It fayn it ɛn balans it (it mɔ vɛjitebul, frut, ɛn ɔl gren, ɛn ridyus it dɛn we gɛt shuga ɛn fat).
• Drink inof wata ɔl di de (stay hydrated).
• Ɛksesaiz ɔltɛm (ivin sɔntin lɛk fɔ waka fɔ 30 minit insay di de na gud tin).
• Fɔ mek yu bren wok: Mek yu bren wok bay we yu de rid buk, kɔmplit pazl, lan nyu tin, ɛn du tin dɛn we de tich yu.
• If yu gɛt sik dɛn we nɔ de mɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, fala wetin yu dɔktɔ tɛl yu fɔ kɔntrol dɛn fayn fayn wan.

Ustɛm wi fɔ go to dɔktɔ?

Dis rili impɔtant. If yu ɔr pɔrsin wae de nia yu gɛt ɛni wan pan de sayn dɛm wae de sho se yu gɛt `(Metabolic Encephalopathy)` (lɛk fɔ kɔnfyus, fɔ mɛmba, fɔ chenj yu bihayvya, ɛn fɔ gɛt dis maynia sik wae wi bin dɔn tɔk bɔt), go to dɔktɔ kwik kwik wan, nɔr de te .

Sɔm tin dɛn kin bi we pɔsin kin gɛt prɔblɛm wit di mɛrɛsin . Ɛspɛshali if yu gɛt ɔndalayn kɔndishɔn lɛk dayabitis, liva sik, ɔ kidni sik, yu dɔktɔ kin tɛl yu fɔ go na di imejensi rum na ɔspitul wantɛm wantɛm if yu gɛt dɛn sik ya. If yu gɛt tritmɛnt kwik kwik wan, dat kin mek big difrɛns.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dis fɔ mek yu ɔndastand yu sik klia wan:

• "Us kayn `(Encephalopathy)` kɔndishɔn mek di simptom dɛm we mi/wi pasɛnt gɛt?"
• "Wetin bi di men rizin we de fo dis?"
• "Us kayn tritmɛnt plan yu de rɛkɔmɛnd?"
• "Wetin na di poshubul sayd effekt dɛm fɔ dɛn tritmɛnt ya?"
• "Aw lɔŋ mi/wi pasɛnt go nid fɔ de na ɔspitul fɔ tritmɛnt?"
• "Aw lɔŋ i go tek fɔ ful-ɔp fɔ wɛl? Us kayn rihabiliteshɔn ɔ tritmɛnt tritmɛnt go nid?"
• "Wetin bi di tins we wi nid to tek kia espeshali afta wi go haus?"

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Metabolic Encephalopathy na wan sik wae de mek pɔrsin frayd, nɔr gɛt wan dawt bɔt am. If dɛn nɔr no am ɔr trit am kwik, de sik kin afɛkt yu bren fɔ ɔltɛm.

Bɔt, di tin we impɔtant pas ɔl na dat, if yu go to dɔktɔ jɔs lɛk aw yu notis di sik, bɔku pipul dɛn go wɛl ful wan. If yu trit di rizin we mek yu gɛt di rayt we, yu bren kin wok bak lɛk aw i bin de wok.

De rihabiliteshɔn we yu nid afta tritmɛnt go ɛp yu fɔ go bak kwik kwik wan to yu ɛvride wok ɛn liv nɔmal layf. So, yu go bigin fil fayn kwik kwik wan, pan yu maynd ɛn yu bɔdi.

If yu gɛt ɛni kwɛstyɔn bɔt yu tritmɛnt plan ɔr di sik sɛf, nɔr frayd ɔr shem fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu.

` Mεtabolik εnsefalopati, bren sik, mεtabolism, bren fכnshכn, kכnfyushכn, mεmכri lכs, simptom dεm, tritmεnt