Sɔntɛnde, we wi jɔs sidɔm, wan mɔsul na wi bɔdi kin shek shek wantɛm wantɛm, nɔto so? Sɔntɛm wi de kam slip ɛn wek wit jɔk. Tin dɛn lɛk dis kin apin to ɔlman. Bɔt if dis mɔsul twitch kɔntinyu, if i ambɔg di tin dɛn we pɔsin kin du ɛvride, i kin bi sayn fɔ sɔm mɛrɛsin. So tide, lɛ wi tɔk bɔt wetin na dis ‘Myoclonus’, wetin de mek wi gɛt am, ɛn ustɛm wi fɔ wɔri bɔt am.
Wetin na Mayoklɔnɔs?
Fɔ tɔk am simpul wan, Myoclonus na wan ɔ mɔ mɔsul dɛn we de jɔk ɔ spasm wantɛm wantɛm, we i nɔ want, ɛn we de shɔt tɛm. I kin tan lɛk ilɛktrik shɔk ɛn i kin las fɔ smɔl pat pan sɛkɔn. I kin afɛkt jɔs wan mɔsul na di an, leg, sholda, wes, bak, ɔ fes, ɔ i kin afɛkt bɔku mɔsul dɛn wan tɛm.
Ivin pɔsin we gɛt wɛlbɔdi kin gɛt dis sɔm tɛm na in layf. Bɔt sɔntɛnde, i kin bi sayn bak fɔ sɔm siriɔs sik dɛn we pɔsin kin gɛt.
Mayoklɔnɔs kin apin tu men we dɛn:
- Pozitiv myoklonus: Dis na we di mכsul dεm de kכntrakt wan wan.
- Negativ myoklonus: Dis na we di mɔsul dɛn kin rilaks wantɛm wantɛm. Na mεdikal, dεn kin kכl am bak ``Asterixis''. I de sho se i de shek shek we i de flap in an.
Wetin na di men tin dɛn we kin mek pɔsin gɛt Mayoklɔn?
Bɔku tin dɛn de we kin mek pɔsin gɛt mayokan. Sɔm kin rili kɔmɔn ɛn dɛn kin ɛkspɛkt. Bɔt ɔda wan dɛn kin kam bikɔs ɔf mɛrɛsin we kin afɛkt difrɛn sistɛm dɛn na wi bɔdi. Masta sabi bukman dɛn kin sheb dɛn tin ya we kin mek pɔsin gɛt dis sik to 4 men grup dɛn.
Nɔmal, fisiɔlɔjik kɔz dɛm (Physiological Myoclonus) .
dis na tכp dεm we nכ de du mayoklon we nכmal prכsεs dεm na wi bכdi de kכz. No rizin nɔ de fɔ mek wi fred dis.
- Hiku: Dis na wan kayn Myoclonus bak. Bɔt if i kɔntinyu fɔ de fɔ pas tu dez, i go fayn fɔ mek yu go to dɔktɔ.
- Slip myoclonus/Hypnic jerks: Di bɔdi de jɔk wantɛm wantɛm , ɔ we yu de kam slip ɔ we yu de kam fɔ wek. Dis kin apin to bɔku pipul dɛn.
- Startle reflexes: We wi fred ɔ sɔprayz wantɛm wantɛm, wi bɔdi kin jɔk we wi nɔ ebul fɔ kɔntrol.
Myoclonus we kin kam bikɔs ɔf ɛpilepsi
Dɛn mɔsul dɛn ya kin apin wit sɔm kayn epilepsy kɔndishɔn. dis kכndyushכn kin kכmכn spεshal wit `(myoclonic seizures)`. i kin bi bak wit kכndishכn dεm lεk `(Lennox-Gastaut syndrome)` εn `(juvenile myoclonic epilepsy)`.
As wan sayn fɔ ɔda mɛdikal kɔndishɔn (Secondary Myoclonus) .
if mayokan de apin as simptom fכ כda sik, dεn kכl am ‘Sεkכndari Mayoklonus’. Bɔku tin dɛn de we kin mek pɔsin du dis. Lɛ wi lan mɔ bɔt am frɔm di tebul we de dɔŋ ya.
| Di tin we kin mek pɔsin gɛt dis sik | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Sik dεm we di bכdi in imyun sistεm de atak in yon sεl dεm. Fɔ ɛgzampul: (Celiac disease) . |
| Kεmikכl imbalans na di bכdi | Kidni ɔ liva sik, tayroyd prɔblɛm, vaytamɛn ɔ minral we nɔ de, ɛn ilɛktrɔlayt we nɔ balans . |
| Bren lɛsin dɛn | Damej pan di bren tisu bikɔs ɔf di ɔksijɛn we nɔ de (sɛribra haypoksia) ɔ strok. |
| Di sik dɛn we de mek pɔsin nɔ gɛt bɛtɛ bren | Fɔ ɛgzampul: dis maynia sik wae gɛt fɔ du wit (Alzheimer’s disease) , (Lewy body dementia) , ɛn (Parkinson’s disease) . |
| Di prɔblɛm dɛn we kin apin we pɔsin gɛt jɛnɛtiks | Sik dεm we dεn kin kכz fכ DNA mכtεshכn we dεn kin gεt frכm mama εn papa. Fɔ ɛgzampul: (Krabbe sik) , (Wilson sik) . |
| Infεkshכn dεm | Vayral ɔ baktri infɛkshɔn we kin afɛkt di bren ɔ di nervɔs sistɛm. Fɔ ɛgzampul: (Herpes simplex virus) , (Lyme sik) .. |
| Nav ɔ spɛnal kɔd injuri | Aksidɛnt kin ambɔg di kɔmyunikeshɔn bitwin di bren ɛn di pat dɛn na di bɔdi, ɛn dis kin mek dɛn pat dɛn de wok fɔ dɛnsɛf. |
| Mɛrɛsin ɛn drɔgs | Dis kin kam bikɔs dɛn tek drɔgs we dɛn nɔ tek dɔktɔ in prɛskrishɔn (lɛk rɔm, kɔkɛyn, heroin). I kin kam bak bikɔs ɔf di mɛrɛsin dɛn we dɔktɔ gi am, lɛk di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ɛpilepshɔn, mɛrɛsin we de mek pɔsin in at pwɛl , mɛrɛsin fɔ blɔd prɛshɔn, ɛn antibayɔtik . |
| Pɔyzin ɛn pɔyzin dɛn | If yu it ebi ebi mɛtal dɛn lɛk lid, manganɛs, mɛkuri. Pɔyzin dɛn lɛk peshɛnt sayd (e.g. methyl bromide ). |
Essential Mayoklɔnɔs we impɔtant
Dis na jεnεtik kכndishכn we de pas frכm jεnereshכn to jεnereshכn. Bɔrku tɛm, e nɔr kin kɔz ɛni bad tin ɛn nɔr kin wɔs as tɛm de go. Bɔt we yu drink rɔm, dat kin mek yu notis dɛn mɔsul dɛn ya we de shek shek smɔl.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Mayoklɔnɔs na sɔntin we kin apin wantɛm wantɛm, we nɔ gɛt ɛni wɔnin. So di kayn mayokan we wi bin dɔn tɔk bɔt bifo tɛm, we dɛn kɔl fysiological ɛn essential myoclonus, nɔ kin ebul fɔ stɔp.
Bɔt wi kin kɔntrol di mayoklɔn kɔndishɔn dɛn we ɔda sik dɛn (sɛkɔndari) ɛn ɛpilepsi (ɛpileptik) kin kam wit te to sɔm mak.
- Nɔ yuz drɔgs: Nɔ yuz drɔgs we dɔktɔ nɔ tɛl yu fɔ du. Dɔn bak, if yu gɛt dɛn sik ya afta yu dɔn tek wan mɛrɛsin we dɔktɔ gi yu, tɛl yu dɔktɔ wantɛm wantɛm. Dɛn de fɔ ɛp yu, nɔto fɔ jɔj yu. So, i impɔtant fɔ mek yu sef ɛn di rayt tritmɛnt fɔ tɛl dɛn bɔt ɔl wetin yu dɔn yuz.
- Protɛkt yu nervɔs sistɛm: If yu yuz sef tin dɛn lɛk ɛlmɛt ɛn sit bɛlt, dat kin mek yu nɔ gɛt injury na yu bren ɛn yu spɛnal kɔd.
- Manej di sik dɛm we nɔr de mɛn: If yu gɛt krɛse sik lɛk ɛpilepsi ɔr tayroyd sik, fɔ fala yu dɔktɔ in instrɔkshɔn ɛksaktɔli kin ɛp fɔ mek yu nɔr gɛt ɔr ridyus di mayoklɔnɔs.
Ustɛm wi fɔ go to dɔktɔ?
Wan kɔmɔn spasticity nɔ nid tritmɛnt. Bɔt if dɛn mɔsul dɛn ya we de spam nɔ de chenj, mɔ if dɛn de ambɔg yu ɛvride ɔ slip, yu fɔ rili go to dɔktɔ.
Mɛmba se, nid nɔ de fɔ panik bɔt sɔntin lɛk nɔmal rash. Bɔt if dɛn rash ya kɔntinyu, i kin bi sayn fɔ sɔntin we siriɔs, so i go fayn fɔ mek yu go to dɔktɔ.
If yu tink se yu dɔn it pɔyzin, go na ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Ɔda spɛshal kayn we dɛn we de mek di mayokan
sεvεra כda spεshal fכm dεm de fכ myoklonus, we de כnli apin insay sכm ej grup dεm כ insay spεshal we dεm.
Benign neonatal slip mayoklɔnɔs
Dis na wan sik we kin afɛkt pikin dɛn we dɛn jɔs bɔn. Dɛn pikin ya kin gɛt jɔk wantɛm wantɛm na dɛn an ɛn bɔdi ɔ bɔdi we dɛn de slip. Pan ɔl we dis kin tan lɛk ɛpilepshi we yu luk am fɔs, ilɛktroɛnsɛfalogram (EEG) nɔ de sho ɛni ɛpilepshɔn. dis nכ de du bad to di pikin εn i kin dכn kכmplit we i rich 6 mכnt.
Midul ia mayoklɔnɔs
dis na we wan mכsul we dεn kכl di tεnsor tympani insay yu yes de kכntrakt we yu nכ ebul fכ kכntrכl. Nɔmal wan, dis mɔsul kin kɔntrakt we wi de tɔk, it, ɔ laf fɔ protɛkt di insay yes. Bɔt insay dis kes, dis mɔsul kin kɔntrakt di rɔng tɛm, ɛn dis kin mek wan sawnd we de klik ɔ pop ɔltɛm insay di yes. Dis kin mek pɔsin vɛks, bɔt i nɔ denja. Dɛn kin trit am wit ɔpreshɔn ɔ ɔda we dɛn.
Opsoklɔn-mayoklɔn sindrom (OMS) .
Opsoclonus na we di mכsul dεm we de kכntro di dairekshכn fכ di yay dεm we nכ want. OMS na wan kayn tin we nɔ kin apin so ɔltɛm we ɔl tu di yay dɛn kin twitch ɛn di bɔdi mɔsul dɛn kin twitch togɛda. Sɔntɛnde, i kin apin we wi imyun sistɛm mistek atak wi yon nervɔs sistɛm. pan pikin dεm, dis imyun rεspכns kin kכz fכ wan kayn bren kεnsar we dεn kכl nyuroblastoma. Na big pipul, dis sik kin gɛt fɔ du wit kansa na dɛn lɔng, bɔdi, ɔ ovarian.
Palatal myoklonus we de na di bɔdi
dis na wan kayn mayokan we de afekt di mכsul dεm na di sכft palata insay wi mכt. Dis kin mek yu gɛt wan ɔnusual ‘klik’ sawnd na di yes. Dis kin bi frɔm ɛritaj ɔr sayn fɔ sɔm kayn bren damej. Bɔrku tɛm, dɛn kin kɔntrol dis sik wit mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Myoclonus na we di mɔsul dɛn kin twitch wantɛm wantɛm. Tin dɛn lɛk fɔ twitch ɛn fɔ slip na nɔmal tin ɛn nɔ bad.
- Bɔt if dis mɔsul dɛn we de shek shek nɔ de chenj, i kin apin bɔku tɛm, i kin tranga, ɔ i kin ambɔg yu ɛvride layf, dat kin bi sayn fɔ ɔda mɛrɛsin.
- We dis kayn tin apin, nɔ ignore am, ɛn fɔ tru, go to yu dɔktɔ.
- Di tritmɛnt dipen pan di tin we mek i apin, ɛn na yu dɔktɔ nɔmɔ go ebul fɔ no.
- Fɔ tɔk ɔnɛs wit yu dɔktɔ bɔt di mɛrɛsin ɔ ɔda tin dɛn we yu de tek rili impɔtant fɔ mek yu no di sik kɔrɛkt wan ɛn fɔ mek yu gɛt sef tritmɛnt.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn kin gi Metoprolol Tartrate / Lopressor tablɛt fɔ?
Dis na di mכst saksesful εn pawaful, fast-aktin ‘at pil’ na di wכl (Cardioselective Beta-blocker)! Na ‘Tartrate’, so i de absɔb kwik kwik wan insay di bɔdi we dɛn tek am. Dɔktɔ dɛn kin yuz am fɔ kɔntrol siriɔs ‘High Blood Pressure’, angina, ɛn mɔ as di fɔs layn drɔg fɔ sev di pɔsin in layf insay di mɔnt dɛn afta ‘Hat Atak’.
💬 Aw dis instant hat pil (Metoprolol Tartrate) de mek yu blɔd prɛshɔn ɛn at taya?
We at atak apin, di at kin bit fast bikɔs ɔf di mɛsej we dɛn kɔl ‘adrenaline (Epinephrine)’ we dɛn kin sɛn frɔm di bren. as dis pil go insay di bכdi so, i de go strεt to di at we de kam day we nכ gεt כksijεn, εn 100% pan di get dεm we adrenaline de kam tru (Beta-1 Receptors) de blok/klos, εn fכs lכk. Bikɔs no we nɔ de fɔ mek di mɛsej pas, di at kin jɔs slo ɛn bigin fɔ bit we i de rɛst. Dɔn di lod we de pan di at kin go dɔŋ ɛn di pɔsin we sik kin sev frɔm day.
💬 Wetin mek dɛn se nɔ fɔ stɔp fɔ tek dis mɛrɛsin (Lopressor) wantɛm wantɛm? Wetin na di risk dɛm (Blak Bɔks Wɔnin)?
If yu tek dis pil fɔ mɔnt ɛn afta dat yu ‘stɔp wantɛm wantɛm’, ɔl dɛn adrenaline riseptɔ dɛn we dɔn blok go opin wantɛm wantɛm we yu nɔ go ebul fɔ kɔntrol! Dɔn, insay sɔm minit, yu go gɛt bad bad at atak ɛn yu at go stɔp (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) we kin kil pɔsin sote yu kin day! Dɔn bak, dis pil kin slo yu at tumɔs ɛn mek yu ed de tɔn/slip pasmak/nɔ de slip pasmak/taya.
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