Yu paralayz na wan an ɔ yu leg? Mek wi tok abaut (Monoplegia)!

Yu dɔn ɛva fil wantɛm wantɛm lɛk se yu paralayz ɛn yu nɔ ebul fɔ muv yu an ɔ yu fut? Ɔ yu nɔ bin ebul fɔ kɔntrol wan pan yu an ɔ leg smɔl smɔl? Dis kin rili mek pɔsin fred. So tide wi go tɔk bɔt dis kɔndishɔn, wan mɛdikal kɔndishɔn we dɛn kɔl ``Monoplegia``.

Wetin na `(Monoplegia)`? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, `(Monoplegia)` min se wan an ɔ wan leg na yu bɔdi dɔn paralayz ɔl. Dat min se yu nɔ ebul fɔ muv da an ɔ leg de fɔ yusɛf. wi kin yus wan wod lεk "paralysis" fכ dis, bכt na `(Monoplegia)`, na wan limb nכmכ de afekt. Sɔmtɛm dis sik kin bi fɔ sɔm tɛm, dat min se i kin bɛtɛ afta sɔm tɛm. Bɔt bɔku tɛm, `(Monoplegia)` na pɔrmɛnt kɔndishɔn.

Wetin mek dis de apin? Wetin de apin insay wi bɔdi?

Tink bɔt am, wi bɔdi na wɔndaful mashin. I gɛt `(Nervous System)`, dat na, wan nervous system. Dis na lεk di "kכntrol rum" na wi bכdi. di mεsej dεm we de kכmכt na di bren, lεk ilektrikal mεsej dεm, de go to di כda pat dεm na di bכdi tru dis nεv sεstem. if wi want fכ muv wan an כ lif wan leg, dis mεsej fכ go frכm di bren tru di `Spinal Cord`, dεn along di rilevεnt nεv rכt dεm, nεv dεm, εn afta dat to di `mכsul dεm`.

Naw luk, wetin kin apin if damej ɔ disrɔpshɔn de sɔmsay na dis mɛsej rod, dat na, na di bren, spɛshal kɔd, di nɛv rut, ɔ di nɛv dɛnsɛf? Dɔn da mɛsej de nɔ kin go to di mɔsul dɛn fayn fayn wan. Na da tɛm de da an ɔ leg de paralayz, dat na, `(Monoplegia)` de apin. Na wan rili kɔmpleks prɔses, nɔto so? Na dat mek bɔku ples dɛn de we kin mek dis apin.

Wetin na di sayn dɛm fɔ `(Monoplegia)`? Aw yu no am?

Di men ɛn klia simptom fɔ ``Monoplegia'' na we yu nɔ ebul fɔ muv wan an ɔ leg. Bɔt apat frɔm dis, yu kin notis ɔda sayn dɛn bak na yu an ɔ yu leg we gɛt di sik:

• Fɔ fil lɛk se yu finga dɛn de kɔl: Yu finga ɔ yu fut finga dɛn kin kɔl insay ɛn kɔl we yu nɔ ivin no.
• di mכsul tכn we de lכs: I kin fil lεk se di an/leg dכn "gכt lכs" εn i nכ gεt trεnk.
• di mכsul tכn we de inkrεs: sכmtεm di mכsul dεm kin stiff εn fil "rכk-had".
• Mɔsul dɛn kin swɛt ɔ stif: Wantɛm wantɛm, di mɔsul dɛn kin fil lɛk se dɛn de shek shek, dɛn de shek shek, ɔ jɔs de fil tayt.

Di we aw dɛn sik ya kin apia kin difrɛn bak frɔm wan pɔsin to ɔda pɔsin. Fɔ ɛgzampul, if yu gɛt injury ɔ yu gɛt strok, dɛn sayn ya kin apin wantɛm wantɛm.Bɔt pan wan sik we dɛn bɔn wit lɛk Sɛribra Palsi, dɛn sik ya kin kam smɔl smɔl ɛn smɔl smɔl.

Wetin na di men tin dɛm we kin mek pɔsin gɛt `(Monoplegia)`?

As wi bin dɔn tɔk bifo tɛm, dis sik kin kam bikɔs ɔf di damej sɔmsay na di nervɔs sistɛm. Lɛ wi luk di men tin dɛn we kin mek wi gɛt dis sik:

• Sεribra Palsi : Dis na di mכst kכmכn tin wae de mek yu gεt Monoplegia. Dis na wan sik wae de involv di nervous system. I kin apin we di pat dɛn na di bren we de kɔntrol di mɔsul dɛn nɔ de divɛlɔp fayn ɔ we dɛn dɔn pwɛl. Dis sik kin de frɔm we dɛn bɔn am.
• Traumatik bren injury: Dis kin apin if di ed wund bad bad wan, lɛk we aksidɛnt apin, we kin mek di bren pwɛl.
• di spεnal kכd injuri: if di spεnal kכd na di bak dכn pwεl pan aksidεnt, di nεv mεsej dεm we de pas tru am kin intarap, we kin mek i gεt ``Monoplegia''.
• Injuri to di an ɔ leg we di sik afɛkt: Sɔntɛnde, bad bad injury to wan big nerve na wan an ɔ leg kin bi bak wan kɔz.
• Infεkshכn: Sɔm infεkshכn, lεk polio, kin pwεl di nervos sistεm εn mek dis kכndyushכn.
• Strɔk ɛn rupchɔ anɛrizm: Dɛn tin ya kin mek di blɔd flɔ to wan pat na di bren stɔp, ɛn dis kin mek di sɛl dɛn na da pat de day, ɛn dis kin mek pɔsin gɛt wan sik.
• Infεkshכn dεm na di spεnal kכd כ bren: Baktri כ vayral infεkshכn dεm na di bren כ spεnal kכd na dεn bak kin mek am.
• Tכmכro dεm na di spεnal kכd כ bren: dεn tכmכro dεm ya kin mek di nεv dεm pwεl.

כda komplikashכn dεm we kin apin bikoz fכ `(Monoplegia)`

Monoplegia kin kam wit ɔda wɛl bɔdi prɔblɛm, ɛn i impɔtant fɔ no bɔt dɛn wan ya bak.

• Blɔd klɔt: Risk de fɔ mek blɔd klɔt na di an ɔ leg we paralayz, bikɔs di blɔd nɔ de flɔ fayn. Dip Vein Thrombosis (DVT), we na wan sik we de mek blɔd klɔt na di dip vein dɛn na di leg, kin rili denja.
• Disabiliti: We yu lɔs wan an ɔ leg, dat kin mek i nɔ izi fɔ du tin dɛn we yu de du ɛvride, we min se sɔm kayn disabiliti kin apin.
• Mental hεlth εshyu: Wae yu liv wit lכng tεm kכndyushכn lεk dis kin mek yu gεt mental strεs. Kɔndishɔn lɛk pwɛl hat ɛn wɔri kin apin.

Nɔ fil se yu wangren de na di tɛm lɛk dis. I impɔtant fɔ mek yu gɛt ɛp frɔm yu fambul dɛn, yu padi dɛn, ɛn ivin dɔktɔ dɛn.

Aw dɔktɔ dɛn kin no di sik `(Monoplegia)`?

If yu gɛt dɛn sik ya, we yu go to dɔktɔ, dɛn go aks yu kwɛstyɔn dɛn fɔs. Yu dɔn gɛt ɛni injury we yu jɔs gɛt, ɛn we yu fɔs notis dɛn sayn ya. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi. Apat frɔm dat, dɛn kin du tɛst dɛn lɛk dis fɔ ɛp fɔ no di rayt tin we kin mek dɛn du dis:

• X-ray: Chɛk fɔ si if yu bon dɔn pwɛl.
• `(Computed tomography - CT) scan` (CT scan): Tek wan klia pikchɔ fɔ di bren ɔ di spɛshal kɔd.
• Magnɛtik rɛsɔnans imej (MRI) skan: Dis kin gi bɔku tin dɛn bak bɔt di bren, di spɛnal kɔd, ɛn di nɛv dɛn.
• Ilɛktromayogram (EMG): Dis tɛst de chɛk if ilɛktrik signal dɛn de sɛn frɔm di nɛv dɛn to yu mɔsul dɛn ɛn if di mɔsul dɛn de ansa dɛn.

Wetin na di tritmɛnt dɛm fɔ `(Monoplegia)`?

Fɔ tɔk tru, naw, no mɛrɛsin nɔ de fɔ wan sik we dɛn kɔl monoplegia. Bɔt dɔktɔ dɛn kin tray fɔ trit di rizin we mek yu gɛt dis sik ɛn kɔntrol di sayn dɛn we yu gɛt fɔ mek yu liv bɛtɛ layf.

Bɔku tritmɛnt dɛn de we yu kin pik:

1. Tɛrapi

• Fizik tritmɛnt: Dis kin ɛp fɔ mek yu an/leg we paralayz gɛt trɛnk, ebul fɔ chenj, ɛn muv fayn fayn wan. Dɛn kin yuz difrɛn ɛgzampul dɛn ɛn difrɛn tin dɛn fɔ du dis.
• Ɔkupeshɔn tɛrapi: Dis tritmɛnt de ɛp yu fɔ du ɛvride wok, lɛk fɔ drɛs, it, ɛn rayt, bak fɔ yusɛf.
• Saykotɛrapi: Dis "tɔk thɛrapi" de ɛp yu fɔ dil wit de saykilɔjik chalenj dɛm (lɛk wae yu gɛt pwɛl hat, vɛks, ɛn nɔr gɛt op) wae kin kam wit pɔrsin wae gɛt disabled, ɛn de ɛp yu fɔ no ɛn chenj aw yu de fil ɛn aw yu de biev we nɔr fayn.

2. Divays dɛn we de ɛp pipul dɛn

Yu dɔktɔ kin tɛl yu fɔ yuz tin dɛn lɛk dɛn tin ya fɔ ɛp yu fɔ muv ɛn du wok dɛn:

• Wan wilchia
• Krɔch dɛn
• Wan spɛshal skutɛr

3. Di mɛrɛsin dɛn we dɛn kin yuz

Dipen pan yu kɔndishɔn, dɛn kin gi yu mɛrɛsin fɔ kɔntrol sɔm pan di sayn dɛm:

• Di tin dɛn we de mek pɔsin nɔ fil pen
• Di tin dɛn we de mek di mɔsul dɛn rilaks
• sכmtεm dεn kin yus wan injεkshכn we dεn kכl ``Botulinum toxin`` fכ trit di mכsul dεm we de spam כ we di an/leg dεm de twitch.

4. Ɔpreshɔn

Na smɔl tɛm nɔmɔ, dɔktɔ dɛn kin se bak fɔ du ɔpreshɔn fɔ kɔrɛkt sɔm tin dɛn we nɔ kin apin na di bɔdi (fɔ ɛgzampul, if dɛn pinch wan nerv).

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ ``Stroke'' (e.g., wan say na yu fes de drɔp wantɛm wantɛm, yu nɔ ebul fɔ tɔk, yu an nɔ de wok fayn), ɔ if yu sɔprayz se yu gɛt siriɔs injuri na yu ed, nɛk, ɔ yu spayna,Wantɛm wantɛm, kɔl 1990 (Sri Lankan Ambulance Service) ɔ go na di imejensi rum we de nia yu.

Apat frɔm dat, go to yu dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• If yu gɛt swɛt ɔ tingling ɔltɛm na yu an ɔ yu fut.
• If di mɔsul wik de kɔntinyu ɔ i de kam ɛn go.
• If yu nɔ ebul fɔ muv yu mɔsul dɛn wantɛm wantɛm.

Wetin a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt ``Monoplegia'', yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya. Dɛn tin ya go ɛp yu fɔ ɔndastand de sik ɛn tɛl yu bɔt aw fɔ trit yu tumara bambay.

• "Dɔkta, mi `(Monoplegia)` kɔndishɔn na fɔ shɔt tɛm ɔ fɔ ɔltɛm?"
• "Aw long i go tek mi fo muv dis arm/leg bak?"
• "Us tritmɛnt we yu de kɔmɛnt we fit mi pas ɔl?"
• "Us tritmɛnt ɔ ɛp divays dɛn de we kin ɛp mi kɔndishɔn?"
• "Us kɔmplikɛshɔn a fɔ no mɔ bɔt?"
• "Yu go rikɔmɛnd `(Fizik tɛrapi)` ɔ `(Ɔkupeshɔn tɛrapi)` mɔ fɔ mi?"

Wetin na di lukin-grɔn fɔ di kɔndishɔn `(Monoplegia)`?

di prכgnosis fכ monoplegia dipכnt pan di kכz εn di siriכs fכ di kכndyushכn. Sɔmtɛm de sik kin bɛtɛ smɔl as tɛm de go. Bɔt bɔku pipul dɛn kin stil paralayz sote go. Bɔt di rayt tritmɛnt kin mek di sik nɔ bɔku ɛn i kin mek in layf bɛtɛ.

Wetin na di difrɛns bitwin `(Monoplegia)` ɛn `(Monoparesis)`?

Pan ɔl we dɛn tu wɔd ya fiba smɔl, smɔl difrɛns de.

• Monoplegia na wae yu nɔr de muv yu wan pan yu an ɔr leg bay yusɛf.
• Monoparesis na we yu lɔs ɔl pat pan yu ebul fɔ muv wan an ɔ leg. Dat min se yu nɔ de lɔs yu trɛnk kpatakpata, yu jɔs wik smɔl.

Fɔ tɔk am simpul wan, na ``Monoplegia'' layf nɔ de atɔl, we insay ``Monoparesis'' sɔm layf de, bɔt i wik.

Wetin na di difrɛns bitwin `(Monoplegia)` ɛn `(Hemiplegia)`?

I impɔtant fɔ no dis bak.

• Monoplegia na wan sik we de mek pɔsin nɔ ebul fɔ waka ɛn we kin afɛkt wan an nɔmɔ (wan an ɔ wan leg).
• εmiplejia na we wan say na di bכdi lכs kכmplit (e.g., di rayt an, di rayt leg, εn i kin bi se di rayt say na di fes).

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

Monoplegia na wan sik wae de chenj in layf. Yu kin gɛt fɔ chenj di we aw yu de du yu ɛvride wok – ivin if yu paralayz na fɔ shɔt tɛm. Na nɔmal tin fɔ fil difrɛn kayn filin (sɔri, vɛks, frayd) bɔt dis.

Bɔt, di tin we impɔtant pas ɔl na fɔ mɛmba se tritmɛnt dɛn de we go ɛp fɔ pul di sayn dɛm fɔ dis sik ɛn mek yu kwaliti fɔ liv bɛtɛ. Tɔk to yu dɔktɔ fɔ no us opshɔn dɛn de fɔ yu. Nɔ ɛva fil lɛk se na yu wangren de na dis waka.

` monoplegia, paralayz, lɔs pan an, lɔs pan leg, nyurolɔjik sik, sɛribra palsi, tritmɛnt