Bɔku tɛm yu kin gɛt ed we de at? Ɔ yu kin fil wantɛm wantɛm se yu nɔ de balans ɔ yu nɔ de balans we yu de waka? Wan spɛshal tɛst de we dɔktɔ kin du fɔ no wetin mek dɛn tin ya apin. Tide wi de tɔk bɔt dis spɛshal tɛst we dɛn kin du pan di nervɔs sistɛm, we de wok lɛk di kɔntrol rum na wi bɔdi, dat na, nyurolɔjik ɛgzam. Nɔ fred we yu yɛri dis nem, i rili simpul.
Fɔ tɔk am simpul wan, wetin na nyurolɔjik ɛgzam?
Fɔ tɔk am simpul wan, dis na ɛgzam fɔ yu bɔdi we dɔktɔ kin du fɔ chɛk aw yu bren, yu spɛnal kɔd, ɛn yu nerv dɛn de wok fayn fayn wan. Jɔs lɛk aw di dɔktɔ de chɛk di injin na motoka, na so di dɔktɔ de chɛk di tin dɛn we yu bɔdi de kɔntrol. Dis na di bɛst we fɔ no if prɔblɛm de wit yu nervɔs sistɛm.
Di infɔmeshɔn frɔm dis tɛst go ɛp yu dɔktɔ fɔ disayd us tɛst (lɛk skan) yu nid fɔ du nɛks. Dɛn tɛst ya kin difrɛn difrɛn wan bay di sayn dɛm wae yu gɛt. So yu nɔ go ebul fɔ du di sem tɛst dɛn we yu padi bin du. Sɔmtɛm dis tɛst kin tek sɔm tɛm, bikɔs wi nervɔs sistɛm na wan rili kɔmpleks sistɛm.
If yu dɔn ɔlrɛdi de gɛt tritmɛnt fɔ wan nervɔs sistɛm kɔndishɔn, bɔku tɛm yu dɔktɔ go du dis tɛst fɔ chɛk if di tritmɛnt de wok fayn.
Udat nid fɔ du dis tɛst?
If yu gɛt wan ɔ mɔ pan dɛn kɔmɔn sayn ya, yu dɔktɔ kin tɛl yu fɔ du nyurolɔjik ɛgzam. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Yu ed kin at ɔltɛm | Wan bad bad ed we de at we nɔ de chenj, we difrɛn frɔm di nɔmal ed we de at. |
| Diziz ɛn i nɔ kin izi fɔ waka | Fɔ fil lɛk se di rum de spin, yu nɔ de balans we yu de waka, ɛn yu de fil lɛk yu ed de tɔn. |
| Di an ɛn fut dɛn kin swɛla ɔ nɔ kin fil fayn | Fɔ fil se yu an, yu fut, ɔ pat pan yu fes de swɛt, ɔ yu fil se da pat de nɔ gɛt layf. |
| Vishɔn kin chenj | Wantɛm we yu nɔ de si fayn, yu nɔ de si yu tu yay, yu nɔ ebul fɔ tɔn ɔl tu yu yay dɛn na wan say. |
| Di mɛmori ɛn di we aw pɔsin de biev kin chenj | Memori lɔs, nɔr de rɛst, kɔnfyushɔn, chenj na bihayvya wae nɔr ɛksplen. |
| I nɔ izi fɔ tɔk | Slɔr wɔd, nɔ ebul fɔ put wɔd togɛda (Dysarthria ɔ Aphasia), nɔ ebul fɔ ɔndastand wetin dɛn de tɔk. |
| Gɛt fit | I nɔ kin no natin wantɛm wantɛm ɛn di bɔdi kin shek ɔ ɔda tin dɛn we nɔ kɔmɔn. |
| Stet dɛn we pɔsin nɔ no natin | Dip stet dɛm wae yu nɔr de no natin, lɛk fɔ kɔma. |
Jɔs bikɔs yu gɛt sayn lɛk dis nɔr min se yu gɛt siriɔs sik. Bɔt i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to tin dɛn lɛk dis. I fayn fɔ go to dɔktɔ ɛn no wetin mek i apin.
Wetin di dɔktɔ kin du we dɛn de du di ɛgzam?
Okay, naw mek wi si wetin de hapun fo dis test. I gɛt bɔku pat dɛn. Dɔktɔ, dipen pan yu sayn dɛm, yu kin du sɔm ɔ ɔl dɛn pat ya.
Fɔs, di dɔktɔ go aks yu sɔm kwɛstyɔn dɛn. Dɛn go aks yu bɔrku kwɛstyɔn bɔt yu sik, ustɛm dɛn bigin, aw yu de fil, ɔda sik dɛm wae yu gɛt, ɛn de mɛrɛsin wae yu de tek. Dɔn, dɛn go bigin fɔ chɛk di bɔdi.
| Inspekshɔn sɛkshɔn | Tin dɛn we dɛn kin aks yu fɔ du ɛn tin dɛn we dɛn kin tɛst yu fɔ |
|---|---|
| Mental Status/Kɔgnishɔn | Dis na fɔ chɛk aw yu de mɛmba, aw yu de tink, ɛn aw yu de pe atɛnshɔn. Di dɔktɔ go aks yu kwɛstyɔn dɛn bɔt di de, di tɛm, ɛn usay yu de. I go aks yu fɔ ripit sɔm wɔd dɛn. I go aks yu fɔ du simpul kɔlkyulɛshɔn. |
| Kranial Nɛv dɛn | 12 nerves de we de ron dairekt frɔm wi bren to wi fes, yay, ɛn yes. Fɔ si if dɛn tin ya de wok fayn, di dɔktɔ go tɛl yu fɔ rol yu yay bifo ɛn biɛn, skrach yu fes, stik yu tɔng, ɛn luk sɔntin. I go shayn flashlayt ɛn wach aw di blak ring na yu yay de biev. |
| Muvmɛnt, Balans & Kɔdinɛshɔn | Dis na di say we dɛn kin tɛst if di bren kin ebul fɔ tɔk to di mɔsul dɛn fayn fayn wan. Dɛn kin tɛl yu fɔ lɔk yu yay ɛn tɔch yu nos wit yu finga. Dɛn de mek yu muv yu an ɛn yu fut. Dɛn kin tɛl yu fɔ waka na wan stret layn, fɔ waka pan yu il. |
| Riflɛks dɛn | Yu go mɔs dɔn si dis bifo. Di dɔktɔ tek wan smɔl rɔba malet ɛn tap yu ni, yu ɛlb, ɔ ɔda say dɛn. Dɔn i de wach yu an ɛn fut dɛn we de muf fɔ dɛnsɛf. Dis de sho aw di nεv mεsej dεm de travul kwik εn fayn fayn wan. |
| Sɛns Ɛgzam | Dis na di say we dɛn kin tɛst yu fɔ si if yu kin fil tin lɛk fɔ tɔch, pen, ɛn tɛmpracha. Dɛn go aks yu fɔ lɔk yu yay ɛn aks if yu kin fil wan kɔtɔn na yu skin. Dɛn kin chuk yu wit smɔl nidul fɔ si if yu kin fil pen. Dɛn go tɛst if yu kin fil sɔntin we wam ɔ kol na yu skin. |
| Ɔtonomik Nɛvɔs Sistɛm | Dis kin kɔntrol tin dɛn we wi nɔ ebul fɔ kɔntrol. Dat min tin dɛn lɛk fɔ blo, at rit, ɛn blɔd prɛshɔn. Di dɔktɔ kin aks yu kwɛstyɔn dɛn bɔt aw fɔ kɔntrol yu bɔdi ɛn blad. I kin mɛzhɔ yu blɔd prɛshɔn bak as yu de chenj yu pozishɔn. |
Aw yu kin chɛk if yu nɔ no natin?
If pɔsin nɔ no natin afta we i wund in ed, lɛk we i gɛt aksidɛnt, dɔktɔ dɛn kin yuz spɛshal we fɔ no aw di pɔsin in bren de wok. Dɛn kɔl am di Glasgow Kɔma Skel (GCS) . I de luk pan:
- Yu de opin yu yay?
- Yu de tɔk?
- Yu de muv yu an ɛn fut dɛn akɔdin to wetin dɛn tɔk?
bay we dεn skor dεn rispכns dεm ya, dεn kin gεt wan aidia fכ di kayn we aw di bren de damej.
Us sik dɛn kin no wit dis tɛst?
Dis tɛst na di fɔs ɛn impɔtant tin fɔ du fɔ no if pɔsin gɛt sik. Wit di infɔmeshɔn we dɛn kin gɛt frɔm dis, di dɔktɔ kin saspek wan patikyula mɛrɛsin.
- Strɔk: Na wan sik we kin apin we blɔd flɔ to di bren stɔp ɔ wan blɔd vesel na di bren bɔs.
- Infεkshכn: Infεkshכn dεm we de afekt di bren εn spεnal kכd, lεk mεningayt כ εnεfalaytis.
- Muvmɛnt Disorder: Na sik wae kin afɛkt aw bɔdi de muv, lɛk Pakinsin sik.
- Nyurodijɛnɛraytiv Disɔda: Na sik dɛm wae kin mek pɔrsin nɔr de mɛmba fayn ɛn in bren nɔr de woke fayn smɔl smɔl, lɛk Alzaima sik.
- Epilepsy ɛn Seizure Disorders: Na fit we kin kam bikɔs ɔf abnɔmal ilɛktrik aktiviti na di bren.
- Multiple Sclerosis: Na sik we kin kam bikɔs di kɔva we de protɛkt di nerv dɛn dɔn pwɛl.
- Di sik wae de kam wit ed pen: Na bad bad ed wae de at lɛk maygren.
- Traumatic Brain Injury: Di damej na di ed we aksidɛnt kin mek.
Aw a kin pripia bifo di tɛst?
Dis nɔ nid fɔ pripia bɔku, bɔt we yu du dɛn tin ya, i go mek tin izi fɔ yu ɛn di dɔktɔ.
1. Klos: Wear fayn klos we nɔ fit bikɔs di dɔktɔ go nid fɔ muv yu an ɛn fut dɛn.
2. Rayt di infɔmeshɔn: Rayt di sayn dɛm we yu gɛt pan smɔl pepa.
- Ustɛm di sayn dɛn bigin?
- Aw i kin fil? (e.g., bɔn? tingling?)
- Ustɛm i kin bɔku?
- If yu du sɔntin bɔt am, dat go mek i nɔ bɔku?
3. Di ditel dɛn bɔt mɛrɛsin:Tek di ditel dɛm bɔt ɔl di mɛrɛsin dɛm wae yu de yuse (inklud di mɛrɛsin dɛm fɔ ɔda sik dɛm).
4. Ol ripɔt: If yu gɛt ɛni tɛst ripɔt we yu bin dɔn gɛt bifo, kam wit am.
We yu rɛdi lɛk dis, yu nɔ go fɔgɛt ɛnitin. I izi bak fɔ mek di dɔktɔ gɛt klia pikchɔ bɔt yu.
Wetin kin apin afta di tɛst?
Bɔku tɛm, jɔs afta di ɛgzam dɔn, di dɔktɔ go tɔk to yu bɔt wetin i tink ɛn wetin i dɔn si.
If di tɛst rizɔlt nɔ nɔmal, we min se dɛn tink se prɔblɛm de, di dɔktɔ go ɔda fɔ mek dɛn du ɔda tɛst fɔ no mɔ bɔt di tin we mek i gɛt prɔblɛm. Dɛn kayn tɛst dɛn ya na:
- Blɔd Tɛst: Chɛk fɔ ɔda tin dɛn we kin mek yu gɛt prɔblɛm, lɛk we yu nɔ gɛt bɛtɛ vaytamɛn.
- Imajin Stɔdi: Dɛn tin ya kin tek klia pikchɔ bɔt di bren ɔ di spɛnal kɔd. Fɔ ɛgzampul , MRI (Magnetic Resonance Imaging) ɔ CT (Computed Tomography) skan dɛn .
- EEG (Electroencephalogram): Dis de tɛst di ilɛktrik wok we yu bren de du. Dis kin ɛp mɔ fɔ no bɔt tin dɛn lɛk we pɔsin kin gɛt sik.
- EMG (Electromyogram) ɛn Nerve Conduction Studies: Dɛn tin ya de chɛk aw yu nerve ɛn mɔsul dɛn de wok fayn fayn wan.
- Lumbar Puncture: Dis involv fכ tek wan sεmpl fכ di wata we de rawnd di spεnal kכd frכm yu spayna. Dis impɔtant fɔ no infɛkshɔn lɛk mɛningaytis.
Na afta dɛn tɛst ya nɔmɔ di dɔktɔ go tɛl yu di rayt tin bɔt yu mɛrɛsin ɛn bigin di tritmɛnt we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Nyurolɔjik ɛgzam nɔto natin fɔ fred. Na rutin fyzikal ɛgzam we de chɛk di wɛlbɔdi fɔ yu nervɔs sistɛm.
- Nɔr ignore sɔm sayn dɛm lɛk wae yu de ed de at ɔltɛm, yu de ed de tɔn, yu an ɛn yu bɔdi nɔr de fil fayn, ɛn yu nɔr de mɛmba fayn fayn wan. Dɛn tin ya kin bi di fɔs sayn dɛm fɔ sho se yu gɛt sik.
- We yu go fɔ chɛk, rayt di ditel dɛm bɔt yu sik ɛn di mɛrɛsin dɛm wae yu de tek. I go rili ɛp di dɔktɔ.
- Dis tɛst nɔmɔ nɔ kin ebul fɔ no ɔl di sik, bɔt na di fɔs tin we impɔtant pas ɔl na di joyn fɔ no di sik kɔrɛkt wan.
- If yu gɛt ɛni dawt bɔt ɛni sayn, mek shɔ se yu go to yu dɔktɔ fɔ advays.
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