Yu gɛt dis kayn nerve pen (Neuropathic Pain)? Lɛ wi tɔk bɔt am!

Sɔntɛnde, yu kin fil strenj pen ɔ yu bɔdi swɛ fɔ no rizin? Lɛk ilɛktrik shɔk, ɔ bɔn, ɔ chukchuk? Dɛn tin ya nɔto jɔs tin dɛn we pɔsin kin imajin. Dɛn kɔl dis pen na di nerve, ɔ nyuropatik pen . Lɛ wi tɔk bɔt dis smɔl smɔl tide, bikɔs i kin afɛkt bɔku pipul dɛn.

Wetin na Nyuropatik Pen?

Fɔ tɔk am simpul wan, pen na di nerv na pen we wi nervɔs sistɛm nɔ de wok fayn ɔ we dɔn pwɛl. Yu no se wi gɛt dis nɛtwɔk fɔ nerv ɔlsay na wi bɔdi? Dɛn tan lɛk waya dɛn we de kɛr infɔmeshɔn ɔlsay na wi bɔdi. Dis nεv sεstem de sheb to tu men pat dεm. Wan pan dɛn na di sɛntral nervɔs sistɛm . Dis kin inklud wi bren, wi spɛnal kɔd, ɛn wi nerv dɛn. Di ɔda wan na di peripheral nervous system . Dɛn nɛv ya de ɔlsay na wi bɔdi, ivin wi an ɛn fut dɛn, finga dɛn, ɛn ivin di ɔgan dɛn we de insay wi.

So, we sɔntin pwɛl dɛn nerve fiber ya, dɛn kin bigin fɔ sɛn di rɔng signal to wi pen sɛnta dɛn. Na da tɛm de wi kin fil dis pen we wi nɔ kin ebul fɔ bia wit na di nerve. Sɔntɛnde, nɔto di say nɔmɔ we di nerv dɛn dɔn pwɛl, bɔt wi sɛntral nervɔs sistɛm kin chenj bak. dis dεn kכl am ``sεntri sεnsitayzεshכn'' insay mεdikal tεm dεm.

Yu kin dɔn yɛri di wɔd `Nyuropathy`. I min se wan ɔ mɔ nerv dɛn de ambɔg ɔ chenj di wok we dɛn de du. Yu no se lɛk 30% pan dɛn `nyuropathy` kɔndishɔn ya na dayabitis mɛlitɔs . Bɔt, bɔku bɔku ɔda sik dɛn de we kin mek pɔsin gɛt dis. Fɔ ɛgzampul, sik dɛm lɛk `shingles`, `HIV/AIDS`, ɛn alcohol use disorder kin afɛkt dis bak.

Wetin na di sayn dɛm fɔ dis nerve pen?

Nɔrv pen nɔr kin fil di sem fɔ ɔlman, bɔt sɔm kɔmɔn sayn dɛm de:

• Pen we yu de fil fɔ insɛf: Sɔntɛnde dis kin fil lɛk se yu de bɔn, yu de chuk yu wit sɔd, ɔ yu gɛt ilɛktrik shɔk. Sɔm pipul kin gɛt numbness ɔr kin gɛt "pin ɛn nidul" sɛns.
• Allodynia: Dis na tin we strenj smɔl. Imajin, if yu gɛt saful briz we de blo na yu skin, ɔ sɔmbɔdi tɔch yu saful wan, ɔ sɔntin we nɔmal wan nɔ kin mek yu fil pen, yu kin fil bɔku pen. Na dat na allodynia. Na we pɔsin kin fil bad fɔ tɔch .
• Hyperalgesia we pɔsin kin gɛt:Wetin kin apin pan dis kes na dat, sɔmtin wae kin at smɔl, lɛk fɔ chuk yu wit smɔl nidul, kin bi pen wae yu nɔr kin ebul fɔ bia. Dat min se, i kin at pas aw i fɔ at .
• Hypoalgesia: Dis na di kɔmɔn tin. Sɔntin we nɔmal fɔ mek yu fil pen, lɛk fɔ chuk yu nidul, kin mek yu nɔ fil pen , ɔ sɔntɛm nɔ kin fil pen atɔl.
• Dysesthesia: Dis min se yu kin gɛt tin dɛn we nɔ kɔmɔn, we nɔ kin fayn, ɛn sɔntɛnde yu kin fil pen fɔ no rizin. Sɔm pipul kin fil lɛk se wom de kray insay dɛn bɔdi, ɔ lɛk se wata drɔp de fɔdɔm.
• Inshɔmnia: Bɔrku pipul kin gɛt prɔblɛm fɔ slip bikɔs ɔf dis pen. We dɛn nɔ de slip fayn, di pen kin mek pɔsin strɛs bak.

Wetin mek wi kin gɛt dis kayn pen na wi nerv? Wetin na di tin dɛn we kin mek i apin?

Bɔrku rizin kin de fɔ dis nerve pen. Lɛ wi luk di men wan dɛn:

• Alcohol use disorder: Pipul wae de drink pasmak kin gɛt nerve damage ɛn pen lɛk dis.
• Dayabitis: Dayabitis na prɔblɛm we bɔku pipul dɛn na Sri Lanka gɛt. Yu no se if yu nɔ kɔntrol am fayn, i kin mek yu nerv pwɛl ɛn i kin mek yu fil pen lɛk dis? Na dat mek pipul dɛn we gɛt dayabitis fɔ tek tɛm ɔltɛm bɔt di shuga we de na dɛn blɔd, mɔ dɛn fut.
• Facial nerve conditions: Sɔntɛnde dis pen kin kam bak bikɔs ɔf sik dɛm wae kin afɛkt di fes nerve dɛm.
• HIV/AIDS: Dis sik kin afɛkt di nervɔs sistɛm bak ɛn mek pɔsin fil pen.
• Sentral nervous system disorder: Fɔ ɛgzampul, sik dɛm lɛk strok, Parkinson’s disease, ɛn multiple sclerosis (MS) kin mek yu nerves pen bak.
• Komplex rijinol pen sindrom: Dis na tin bak we de mek yu nerv pen.
• Shingles: Mizl na ɔda tin we kin mek pɔsin gɛt dis sik. I kin apin pan pipul dɛm wae dɔn gɛt chikinpoks we dɛn bin smɔl. Dis rash we de mek pɔsin fil pen, we kin kam wit blista, kin te sɔntɛnde fɔ mɔnt ɔ ivin ia.

Apat frɔm dis, ɔda rizin dɛn de:

• Kimotɛrapi mɛrɛsin: Sɔm kansa mɛrɛsin lɛk cisplatin, paclitaxel, ɛn vincristine kin mek di nerv dɛn pwɛl bak.
• Radiation therapy: Radiation therapy fɔ kansa kin mek yu nerv pen bak.
• Lɔs fɔ wan limb `(Amputation):`We dɛn ɔpreshɔn wan limb, phantom limb pen kin apin. Dis na pen bak na di nerve.
• di spεnal nεv kכmpreshכn כ inflameshn: Dis pen kin apin bak if di nεv dεm na wi spayna kכmprεs.
• Trauma ɔ ɔpreshɔn we kin mek di nerve damej: Di nerve damej kin apin afta big aksidɛnt ɔ ɔpreshɔn.
• Tumɔs we de prɛs pan di nerv dɛm: If tumor fɔm sɔmsay na di bɔdi ɛn prɛs pan wan nerv, dat kin mek yu fil pen bak.

Aw dɔktɔ dɛn kin no dis?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt yu mɛdikal istri ɛn afta dat dɛn go du yu bɔdi ɛgzam. If di dɔktɔ sɔspɛkt se yu gɛt damej na yu nerve, dɛn go luk fɔ di sayn dɛm we gɛt fɔ du wit di nerve pen. Dɔn dɛn go tray fɔ fɛn di men tin we mek dɛn du dis. Sɔntɛnde, dɛn kin nid bak fɔ du blɔd tɛst ɛn skan.

Wetin na di tritmɛnt dɛm fɔ dis?

Naw lɛ wi luk di tritmɛnt dɛm fɔ dis nerve pen. Fɔ tru, di tritmɛnt fɔ dis kin dipen pan di ɔndalayn kɔz ɛn yu sayn dɛm. Yu dɔktɔ go mek wan tritmɛnt plan we go wok fɔ yu.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ trit di sik we de ɔnda am: Fɔ ɛgzampul, if tumbu de we de prɛs pan wan nɛv, dɛn kin yuz redyushɔn tɛrapi ɔ ɔpreshɔn fɔ mek di tumbu smɔl.
• Fɔ mek pɔsin nɔ fil pen .
• Mentɛn di wok we yu de du .
• Mek yu layf bɛtɛ .

Bɔrku tɛm, dɛn kin nid fɔ gɛt kɔmbayn tritmɛnt fɔ kɔntrol dis nerve pen, pas fɔ jɔs wan tritmɛnt. Dɛn tritmɛnt ya kin bi:

Mɛrɛsin dɛn we dɛn kin yuz

• Ɔva-di-kɔnta (OTC) pen rilijɔn: Mɛrɛsin lɛk asetaminofɛn ɛn ibuprofen kin ɛp wit sɔm smɔl pen.
• Antiseizure mεdikeshכn: Dɛn nɔr no εksεkεkt wae mek dεn mεrεsin ya de woke fayn fayn wan fɔ nerv pen, bɔt sɔm pipul dεn kin si dεn kin bכku ɛp. Dɛn kin tink se dɛn mɛrɛsin ya kin ambɔg di bɔdi in pen signal dɛm.
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad:Naw yu go de tink se, ‘O, a gɛt nerv pen, wetin mek dɛn de gi mi mɛrɛsin fɔ pwɛl at?’ Infakt, wɔri ɛn pwɛl hat kin mek di nerve pen wɔs. Dɔn bak, dɛn dɔn si se sɔm mɛrɛsin dɛn we de mek pɔsin in at pwɛl kin ɛp fɔ mek di nerv dɛn nɔ fil pen. Dis min se dɛn mɛrɛsin ya kin mek pɔsin nɔ fil pen ɛn strɛs di sem tɛm.
• Tritmɛnt dɛn we yu kin put pan pɔsin: Yu kin put krim, ɔntmɛnt, ɔ pat we gɛt lidokɛyn ɔ kapsaysin dairekt na di say we yu de fil pen. Dɛn tin ya kin mek pɔsin nɔ fil pen fɔ sɔm tɛm.

Ɔda tritmɛnt dɛn

• Nεv blכk: Dis na tritmεnt dεm we dεn kin gi as injεkshכn. Dɛn kin gi dɛn nia di nerve we de mek pɔsin fil pen ɔ di grup we de na di nerv. Dis kin mek bak di pen nɔ bɔku fɔ sɔm tɛm.
• Fizik tritmɛnt: Dis kin ɛp fɔ ridyus di stiffness ɛn diskɔmfɔt we kin kam bikɔs ɔf di nerve pen. I kin ɛp bak fɔ mek di bɔdi mek natura l kemikal dɛn we de mek pɔsin nɔ fil pen. Dis inklud difrɛn we dɛn fɔ masaj ɛn ɛksesaiz.
• Ɔpreshɔn: Sɔntɛnde, ɔpreshɔn kin ɛp bak fɔ mek yu nɔ gɛt pen na yu nerv. Dɔktɔ we de du ɔpreshɔn kin fri, ripɛnt, ɔ ivin pul sɔm nɛf dɛn.
• Saykolojik advays: Apat frɔm mɛrɛsin, yu kin bɛnifit bak frɔm saykolojik advays. Dis kin ɛp yu fɔ bia wit di strɛs we yu kin gɛt we yu de fil pen na yu nerv.

If dɛn tritmɛnt ya nɔr de pul yu nerve pen, yu dɔktɔ kin tɛl yu fɔ trit yu lɛk fɔ mek yu spɛnal kɔd, fɔ mek yu gɛt peripheral nerve, ɔ fɔ mek yu bren. Yu dɔktɔ go tɔk to yu bɔt di gud ɛn bad tin dɛn we dɛn tritmɛnt ya gɛt.

Yu tink se we dɛn de fɔ mek yu nɔ gɛt pen na yu nerv?

Pan ɔl we wi nɔ kin ebul fɔ mek wi nɔ gɛt pen na di nerve ɔltɛm, sɔm tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• If yu de smok, lɛf fɔ smok. Dis na di bɛst tin we yu go ebul fɔ du.
• Krio ɛksesaiz ɔltɛm we go fayn fɔ yu.
• Put bɔku fresh frut, vɛjitebul, ligɛm, ɔl gren, ɛn tin dɛn we nɔ gɛt bɔdi (lɛk fish ɛn chukchuk) insay yu it.
• If yu de drink rɔm, nɔ fɔ drink am.
• If yu gɛt dayabitis, chɛk yu blɔd shuga ɔltɛm, ɛn tek kia ɔf yu fut spɛshal. Ivin smɔl wund kin bi big prɔblɛm.

Aw siriɔs dis tin de apin? Wetin go apin tumara bambay?

Sɔntɛnde, i nɔ kin izi fɔ mɛn di pen na di nerve, bɔt bɔku tɛm i nɔ kin mek pɔsin in layf de pan denja.Di bɛst rizɔlt kin bi bay we yu sɔpɔt yu maynd, sɔshal, ɛn filin wit wɛl bɔdi wit rihabiliteshɔn. Di men tin ya na fɔ kɔntrol pen ɛn mek yu gɛt bɛtɛ layf, wit di ɛp we pɔsin we sabi bɔt pen kin gi, yuz di we dɛn we wi dɔn tɔk bɔt.

Ustɛm wi fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛn we de sho se yu gɛt prɔblɛm wit yu nerv, go to dɔktɔ:

• Fɔ mek pɔsin nɔ ebul fɔ du natin
• Tingling
• Di mɔsul dɛn we wik
• Fɔ fil lɛk se yu bɔdi de shek shek we yu nɔ ebul kɔntrol (Uncontrolled twitching) .
• If tin dɛn we de na yu an de fɔdɔm bɔku tɛm na grɔn `(Frequently dropping objects)`

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt bad bad pen, yu swɛ, ɔ yu wik, ɛn i tan lɛk se i de wɔs kwik kwik wan, yu fɔ go na di imejensi rum we de nia yu wantɛm wantɛm. Dɛn tin ya kin bi sayn dɛn we de sho se di nerv dɛn dɔn pwɛl bad bad wan. Ɔda siriɔs sayn dɛn na:

• Fast ɔ i nɔ de rit ɔltɛm
• Chenj na yu batrum abit (e.g., i nɔ kin izi fɔ yu fɔ pis) .
• Diziz ɔ fɔdɔm

Aw dis pen kin fil in jɛnɛral?

Bɔrku pipul kin tɔk bɔt pen na di nerve as wae pɔrsin de chuk am, chuk am, ɔr de bɔn . Sɔm kin ivin fil lɛk se ilɛktrik shɔk.

Wetin na di kayn pen we kin kam pan pɔsin in nerve?

Pan ɔl we bɔku kayn nerve pen de, di nyuropathy we gɛt fɔ du wit dayabitis de mek na 30% nɔmɔ pan ɔl di kes dɛm.

Narv pen kin kam ɛn go, ɔr kin bi pen ɔltɛm, wae nɔr kin bia. I kin bi smɔl ɔ i kin rili bad. I kin afɛkt ɛni pat na di bɔdi. Pan ɔl we bɔku tɛm, di pen we yu de fil na yu nerve nɔ kin denja, i kin afɛkt yu kwaliti layf. If yu gɛt bad bad pen na yu nerv, ɔ if di pen nɔ go, mek shɔ se yu go to dɔktɔ. I kin no di tin we kin mek yu gɛt dis sik ɛn tɛl yu us tritmɛnt we fayn fɔ yu.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt tide, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt nyuropatik pen.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt dɛn kayn sik ya, ɛn nɔr jɔs ignore dɛm. Sɔmtɛm, dis kin bi sayn fɔ ɔda ɔndalayn kɔndishɔn. So, i rili impɔtant fɔ fɛn di rayt tin ɛn bigin fɔ trit am kwik kwik wan.

Mɛmba se nɔto yu wangren de. Bɔku dɔktɔ ɛn tritmɛnt dɛn de we kin ɛp fɔ gɛt dɛn kayn tin ya. Nɔ fred, kɔntinyu fɔ strɔng, ɛn fes dis.

` Nεv pen, nyuropatik pen, Nyuropatik Pen, Nεv dizכrd, Dayabitis, Numbness, Inflameshכn