Sɔntɛnde yu kin fil bad bad wan we yu an dɛn de shek, we yu nɔ ebul fɔ ivin ol wan kɔp ti fayn? Ɔ pɔsin we yu sabi gɛt dis sik? Nɔr wɔd nɔr de fɔ tɔk bɔt de pen ɛn diskɔmfɔt wae yu kin fil wae yu nɔr ebul fɔ du ivin simpul tin lɛk fɔ sayn dɔkyumɛnt ɔr put sɔm it na yu mɔt. Bɔku tɛm, sɔm pipul dɛn kin gɛt fridɔm frɔm di mɛrɛsin dɛn we dɛn kin gi fɔ dis, bɔt fɔ ɔda pipul dɛn, dɛn mɛrɛsin dɛn de nɔ kin wok. So di nɛks tin na tin dɛn lɛk ɔpreshɔn na di bren. Bɔt udat nɔ de fred we i kam pan ɔpreshɔn? Bɔt nɔ fred, tide wi go tɔk bɔt di layt ɛn wɔndaful tritmɛnt we fɔ dis trem we dɛn kin du we dɛn nɔ du ɔpreshɔn, we dɛn nɔ kɔt ɛnitin.
Wetin na MR-gayd fɔs ɔltrasɔund?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt fɔ tru, i rili simpul. Fɔ tɔk am simpul wan, na tritmɛnt we de jɔyn tu teknɔlɔji dɛn.
1. MR (Magnetic Resonance) Imaging: Dis na di MRI skan we yu go dɔn no. I tan lɛk wan map we rili klia we de sho di rod ɛn bildin dɛn we de insay wi bren. Dɔktɔ dɛn kin luk dɛn MRI pikchɔ dɛn ya ɛn fɛn di rayt say insay di bren fɔ trit, te to di milimita . I kin ɛp dɛn bak fɔ mek shɔ se ɔltin de go fayn we dɛn de du di tritmɛnt.
2. Fokus Ultrasound: Ultrasound na ay frikshɔn sawnd wev we wi nɔ kin yɛri. Jɔs lɛk we yu bin smɔl, yu bin de put di san pan pepa ɛn bɔn am. Dis teknɔlɔji de mek pas 1,000 sawnd wev dɛn di sem tɛm pan wan smɔl tin we de insay di bren. Na di say nɔmɔ we dɛn sawnd bim dɛn ya de fos kin wam, ɛn dis kin pwɛl di prɔblɛm sɛl dɛn we de de. I sɔprayz fɔ no se di wɛl bɔdi sɛl dɛn we de rawnd dɛn nɔ de ambɔg.
Dat min se, if yu nɔ opin di ed, dɛn kin sɛn sawnd wev frɔm do ɛn dɛn kin trit am nɔmɔ usay prɔblɛm de insay di bren.
Udat dis tritmɛnt gud fɔ? Fɔ us kayn sik dɛn?
Naw, di US Food and Drug Administration (FDA) dɔn gri fɔ dis tritmɛnt fɔ tu sik dɛn.
- Essential tremor: Dis na wan sik wae bɔrku pipul kin gɛt wae kin mek dɛn an, ed, ɔr vɔys shek. Di shek we dɛn kin shek kin tranga mɔ we dɛn de tray fɔ du sɔntin. Dis tritmɛnt de fɔ pipul dɛm wae nɔr kin ebul fɔ kɔntrol dɛn tret wit mɛrɛsin .
- Pakinson sik wae de mek pɔrsin kin shek: Pan ɔl wae dis sik kin gɛt bɔrku sayn dɛm, fɔ sɔm pipul dɛm, de shek shek na di men sayn. Dis tritmɛnt fayn bak fɔ dɛn kayn pipul ya.
Impɔtant: Dis tritmɛnt de naw na di risach faz fɔ ɔda nyurolɔjik sik dɛm (e.g. multiple sclerosis, epilepsy), so i nɔ kin fayn fɔ ɔlman.
Aw dis we ya de mek pɔsin nɔ shek?
Dis na stori we rili intrestin. Wan pat de na wi bren we dɛn kɔl thalamus . Dis na lɛk di men tɛlifon ɛkshɛnj sɛnta na wi kɔntri. di mכtalman εn sεns signal dεm frכm difrεn pat dεm na di bכdi de sεnd to כda pat dεm na di bren frכm ya.
Pipul wae gɛt impɔtant trem ɛn Pakinsin sik kin gɛt smɔl prɔblɛm na di sɛrkyut dɛm na di thalamus. Na dat mek dɛn kin sɛn di rɔng sayn dɛn ɛn di an dɛn kin bigin fɔ shek.
Dis tritmɛnt involv fɔ dayrɛkt di ɔltra saund bim prɛsishɔn to di say we di fɔlt signal dɛn de ɛn mek wan smɔl lɛsin de. I tan lɛk we yu ɔf wan switch we nɔ fayn. Di sayn dɛn we nɔ fayn kin stɔp fɔ flɔ, ɛn i kin lɛf smɔl fɔ lɛ di shek shek go dɔŋ ɔ i kin stɔp kpatakpata.
Step-by-step tritmɛnt prɔses
Okay, naw lɛ wi si wetin kin apin we dɛn dɔn du dis tritmɛnt. Natin nɔ de fɔ wɔri bɔt, nɔ kɔt ɔ brus nɔ de.
1. Aw fɔ pripia: Di mɔnin we dɛn de du di tritmɛnt, dɛn go sheb yu ia ɔlsay. Dis na bikɔs di ɔltra saund wev dɛn nid fɔ de nia yu skel. Dɔn, dɛn go de wach yu at rit ɛn blɔd prɛshɔn.
2. Ɛd Fram: Dɛn go put spɛshal freym na yu ed fɔ mek yu ed nɔ muf ivin smɔl. Insay dis tɛm, dɛn go gi yu smɔl mɛrɛsin tru wan vein fɔ ɛp yu fɔ nɔ fil fayn.
3. Insay di MRI mashin: Dɔn dɛn go sɛn yu insay di MRI mashin. Yu nɔ go ebul fɔ muv yu ed bikɔs ɔf di freym we dɛn tay pan yu ed. Di dɔktɔ dɛn go tek skan pan yu bren ɛn pik di rayt say fɔ trit.
4. Test: Bifo yu bigin fɔ trit yu, di mɛdikal tim go aks yu fɔ drɔ sɛklɔ, rayt yu nem, ɔ du sɔm tin dɛn wit yu finga. Dis go mek yu no aw yu de shek shek bad bad wan.
5. Fɔ bigin di tritmɛnt: Na naw di rial wok kin bigin. Fɔs, dɛn kin sɛn ɔltrasɔund wev dɛn we nɔ gɛt bɔku ɛnaji to di target fɔ mek shɔ se i de na di rayt ples. Afta dɛn dɔn kɔnfɔm am wit MRI, di ɛnaji kin go ɔp smɔl smɔl.
6. Yu ansa: Yu de wek wen yu de du ol dis. Yu kin tɔk to di mɛdikal tim. Dɛn go aks yu ɔltɛm aw yu de fil. Dɛn go aks yu bak fɔ du di sem tin dɛn we yu bin de du bifo, lɛk fɔ drɔ ɛn rayt. Yu go notis se di shek we de shek de go dɔŋ rayt de.
7. Imejɛnsi stɔp bɔtin: Imejɛnsi stɔp bɔtin de na yu an we yu kin prɛs di wan ol tritmɛnt. If yu fil ɛnitin we nɔ fayn, di tritmɛnt go stɔp jɔs afta yu prɛs am.
8. Ɛnd: .We dɛn dɔn kɔntrol di trem fayn fayn wan, dɛn kin sɛn ɔltra saund wev dɛn di rayt intensiti fɔ mak di target kɔmplit wan. di כl prכsεs de tek lεk 3-4 awa. Afta dat, dɛn kin pul ɔl di gadget dɛn na yu ed ɛn transfa yu to wan ɔbzhɔveshɔn wɔd.
Rizult ɛn bɛnifit ɛn prɔblɛm dɛn
Di bɛst tin bɔt dis tritmɛnt na dat yu kin si di rizɔlt wantɛm wantɛm. Risach dɔn sho se bɔku pipul dɛn de shek shek kin ridyus bay 50% - 60% ɔlmost wantɛm wantɛm.
| Wetin na di bɛnifit dɛn we dis tritmɛnt de gi? | Wetin dat min? |
|---|---|
| No kot nɔ de. | Dɛn nɔ kin kɔt di skin ɔ dɛn kin chuk di skel. So, no wund ɔ stich nɔ de. |
| No ikwipmɛnt ɛntrɛ | Nɔtin nɔ de lɛk ilɛktrɔd dɛn we dɛn kin put insay di bren. |
| Nɔ redioaktiviti nɔ de. | Dis na sawnd wev, nɔto raytin lɛk ɛkstrem rayt. |
| Nɔ kɔmplit anestesia nɔ de. | I nɔ de knock yu kɔmɔt kpatakpata. Yu wek, so yu kin si di tin dɛn we kin apin wantɛm wantɛm. |
| Low risk fɔ gɛt infɛkshɔn | Bikɔs dɛn nɔ kɔt am, i nɔ de fɔ mek blɔd kɔmɔt ɔ wund infɛkshɔn. |
Yu tink se ɔltin fayn? No sayd ɛfɛkt nɔ de?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm sayd ɛfɛkt ɛn risk dɛn de, bɔt bɔku pan dɛn na fɔ shɔt tɛm nɔmɔ .
- Nɔs ɛn ed we de at (we dɛn de trit am) .
- Di finga dɛn ɔ di lip dɛn kin swɛ fɔ sɔm tɛm
- Smɔl klɔmsi we yu de waka, balans prɔblɛm (tɛmporari) .
- I nɔ izi fɔ tɔk ɔ swɛla (fɔ shɔt tɛm nɔmɔ) .
Bɔku prɔblɛm dɛn de bak we kin apin fɔ lɔng tɛm .
- Tremor kin kam bak sɔm mɔnt ɔr ia afta dɛn dɔn trit am.
- Sɔntɛnde di tret nɔ kin stɔp atɔl .
- Na rεsכr kes dεm (lεk 10-15% pan pipul dεm), di mכsul dεm we wik εn sכmtεm kin de fכ sכmtεm .
Di tin we impɔtant pas ɔl: Dis tritmɛnt de jɔs kɔntrol di sayn dɛm we de sho se pɔsin de shek, bɔt i nɔ de mɛn di sik we de ɔnda am (essential tremor ɔ Parkinson’s). I nɔ de stɔp di sik fɔ go bifo.
Udat dis tritmɛnt nɔ fayn fɔ?
Dis tritmɛnt nɔ fayn fɔ ɔlman. I nɔr fayn fɔ pipul dɛm wae gɛt dis sik:
- Pipul dεm we gεt mεtal divays dεm na dεn bכdi (e.g. peshכn, spεnal rod, jכyn implant) biכs dεn de du dis insay MRI mashin.
- Pipul dɛn we gɛt big big skata na dɛn ed.
- Pipul dɛn we gɛt bren tumor.
- Pipul dɛn we gɛt kidni we nɔ de wok fayn ɛn we de du dayalaysis .
- Pipul wae gɛt siriɔs mɛrɛsin ɔr infekshɔn wae nɔr kin ebul fɔ kɔntrol.
- Pipul wae nɔr kin ebul fɔ de stil na di sem pozishɔn fɔ 3-4 awa.
- Pipul wae nɔr kin ebul fɔ stɔp fɔ tek antiplatelet ɔ anticoagulation therapy .
So, aw yu go no if dis tritmɛnt fayn fɔ yu?
Dis na di tin we impɔtant pas ɔl. Yu nɔ go ebul fɔ disayd bɔt dis yu wan. Yu fɔ tɔk to yu nyurolɔjis bɔt dis.
Jɛnɛral wan, yu kin bi gud kandidet fɔ dis, .
- If dɛn dɔn no kɔrɛkt wan se yu gɛt Essential Tremor ɔ Tremor-dominant Parkinson’s disease .
- If di mɛrɛsin we dɛn dɔn gi yu nɔ de kɔntrol yu tret .
- If dis tret de ambɔg yu ɛvride wok (lɛk fɔ it, rayt, drink wata) te yu nɔ ebul fɔ du dɛn .
Yu dɔktɔ go chɛk yu gud gud wan, du ɔda tɛst dɛn if nid de, ɛn ɛksplen to yu if dis tritmɛnt, ɔ ɔda tritmɛnt lɛk Dip Bren Stimulation (DBS), na di bɛst fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- MR-guided focused ultrasound na wan mכdan tritmεnt fכ an tremכr we dεn kin du witout כpεrayshכn כ insishכn.
- Dis involv fɔ yuz MRI teknɔlɔji fɔ fɛn di rayt say na di bren ɛn fɔ trit da say de nɔmɔ wit ɔltra saund sawnd wev.
- Di rizulyt dɛn kin si ɔlmost wantɛm wantɛm. I nɔ bad fɔ bɔku pipul dɛn.
- Dis go kɔntrol di tret, bɔt i nɔ go mɛn di sik ɔltogɛda.
- Apat frɔm di bɛnifit dɛn we dis tritmɛnt de gi, sɔm bad tin dɛn de bak ɛn sɔm bad bad tin dɛn we kin apin to am.
- Na yu ɛn yu dɔktɔ nɔmɔ go disayd if dis tritmɛnt fayn fɔ yu, so mek shɔ se yu tɔk to dɛn bɔt am.
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