Yu leg dɛn kin shek we yu tinap? Yu fil se yu de lɔs yu balans? I kin bi Ɔtostatik Trem!

Yu dɔn ɛva fil lɛk se yu leg dɛn de go swɛ, shek, ɔ yu nɔ de balans we yu tinap, mɔ we yu tinap fɔ lɔng tɛm? Bɔt if, i sɔprayz fɔ no se dis diskɔmfɔt dɔn stɔp we yu sidɔm ɔ waka, yu kin gɛt wan kɔndishɔn we dɛn kɔl ``Orthostatic Tremor''. Dis kin bi strenj wɔd fɔ yɛri, bɔt lɛ wi tɔk bɔt am simpul wan.

Wetin na `(Orthostatic Tremor)`? Fɔ put am rili simpul wan...

Fɔ tɔk am simpul wan, Ɔtostatik Tremɔr na wan sik we nɔ kin apin so ɔltɛm we yu de mek di mɔsul dɛn na yu leg dɛn kɔntrakt kwik kwik wan (shɛk) we yu tinap. Dis tret kin mek yu fil nɔ stedi we yu tinap, yu nɔ balans, ɛn fil lɛk se yu de kam fɔdɔm. Bɔt i sɔprayz fɔ no se dis shek shek kin stɔp ɔ dɔn kpatakpata we yu de waka, sidɔm, ɔ ledɔm pan sɔntin.

Dis sik kin kam pan pipul dɛm wae dɔn pas 60. Bɔt sɔm risach dɔn sho se e kin afɛkt ɛnibɔdi wae ol frɔm 13 to 85 ia. Jɔs tink, dɔktɔ dɛn fɔs fɛn ɛn diskrayb dis kɔndishɔn we dɛn kɔl ``Orthostatic Tremor'' insay 1984. So dat min se na rili nyu sik. Dɔktɔ dɛn stil de lan bɔku tin bɔt am.

Wetin na di sayn dɛm fɔ dis? Aw yu de fil?

Di men sayn wae pipul dɛm wae gɛt `(Orthostatic Tremor)` kin ripɔt bɔrku tɛm na wae dɛn nɔr kin stedi wae dɛn kin fil wae dɛn tinap. Dat min se, dɛn kin fil se di grɔn de shek, ɔ dɛn bɔdi nɔ balans. Bɔt, dɛn nɔ kin fil dis kayn prɔblɛm we dɛn sidɔm ɔ waka. If dɛn sidɔm ɔp frɔm we dɛn tinap, bigin fɔ waka, ledɔm pan sɔntin lɛk wɔl, ɔ ledɔm, dis shek, da nɔ stedi de, kin ridyus bad bad wan ɔ i kin dɔnawe wit am kpatakpata.

Fɔ mek dis nɔ stebul, yu nɔ no se yu kin tray fɔ mek yu leg dɛn apat smɔl, lɛk se yu de tɔch di grɔn wit yu fut finga dɛn . Tink bɔt am lɛk se yu tinap na bɔs ɔ tren ɛn yu de tray tranga wan fɔ mek yu balans.

Bɔku tɛm, yu nɔ go notis ɔ ivin no se yu leg dɛn de shek kwik kwik wan we yu tinap. Yu kin jɔs fil di nɔ stedi ɔ di lɔs fɔ balans we a bin tɔk bɔt. Bɔt if yu put yu an dɛn na yu shɔl ɔ yu bɔdi, yu go fil se di mɔsul dɛn de kɔntrakt kwik kwik wan, lɛk wev . Bɔku tɛm, dis shek we pɔsin kin shek nɔ kin mek i fil pen. Bɔt as tɛm de go, pen kin de na di mɔsul dɛn na di leg.

Sɔm pipul dɛm wae gɛt ``Primary Orthostatic Tremor'' (wi go tɔk bɔt dis leta) kin gɛt trem bak na dɛn an ɔr trɔnk apat frɔm dɛn leg. Bɔt dɛn nɔ kin gɛt ɛni ɔda nyurolɔjik sayn.

Di kayn we aw ``Orthostatic Tremor'' kin tranga kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin bigin fɔ shek jɔs afta dɛn tinap. Fɔ ɔda pipul dɛn, di shek kin bigin afta we dɛn tinap fɔ sɔm minit. Fɔ bɔku pipul dɛn, di shek we dɛn kin shek kin bɔku smɔl smɔl as tɛm de go.

Wetin mek dis `(Orthostatic Tremor)` kin apin? Wetin na di tin dɛn we kin mek i apin?

infakt, dכkta εn risechכr dεm stil de stכdi ``Orthostatic Tremor'', so dεn nכ no di εksakεt kכz yet. sכm masta sabi pipul dεm biliv se na wan vεryכnt fכ כda kayn tremכr we dεn kכl ``Essential Tremor''. כda pipul dεn biliv se ``Orthostatic Tremor'' na komplit difrεnt, indipεndεnt kכndishכn.

Bɔrku tɛm, dis sik kin apin randomly, wae nɔr kin gɛt ɛni patikyula kɔz. Bɔt, dɛn nɔ kin ripɔt bɔku tɛm se i kin apin to pipul dɛn na di famili. Fɔ ɛgzampul, pan twin pikin dɛn, brɔda ɛn sista dɛn, ɔ mama ɛn papa ɛn pikin. So, di wan dɛn we de stɔdi bɔt dis de luk if di tin dɛn we de mek pɔsin gɛt jɛnɛtiks, lɛk di we aw pɔsin kin chenj, kin ɛp fɔ du sɔntin.

Yu tink se kayn `(Orthostatic Tremor)` de?

Yes, dɔktɔ dɛn kin sheb `(Orthostatic Tremor)` to tu men kayn:

1. Primary Orthostatic Tremor: Dɛn kin kɔl dis bak idiopathic. Dis min se wi nɔ no di rayt tin we mek i apin. Pipul wae gɛt praymar ɔrtɔstatik trem nɔr kin gɛt ɛni ɔda sik na dɛn nervɔs sistɛm.

2. Sεkɔndari Ɔtostatik Tremכr: Dis kin kam wit ɔda mεdikal kכndyushכn. Stɔdi dɔn sho se sɛkɔndari ɔtostatik trem kin bi bikɔs ɔf difrɛn kayn mɛrɛsin. Sɔm pan dɛn tin ya na:

• Graves’ disease (na sik we de na di tayroyd gland) .
• Trauma na ed
• `Multiple Sclerosis (MS)` (na sik we de afɛkt di nervɔs sistɛm)
• `Parkinsonism` (na wan sik wae de mek yu gɛt sayn dɛm wae fiba dis sik)
• Restless Legs Syndrome (na wan sik wae de mek yu leg nɔr de rεst) .
• damej pan sכm pat dεm na di bren (e.g., Pontin εn midbren lεsin dεm) .
• Spinal kɔd lɛshɔn dɛn
• `Stiff pɔsin sindrom`
• Vitamin B12 we nɔ de

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt dɛn kayn sik ya. Nɔ fɔ no yusɛf.

Aw yu kin no dis ɛksaktɔli? (Diagnosis) .

Fɔ no if yu gɛt ɔrtɔstatik trem, yu dɔktɔ go aks yu fɔs bɔt yu sik dɛn ɛn di mɛrɛsin histri. Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi ɛn wan ɛgzam fɔ di nyurolɔjik fɔ no aw ɛn ustɛm di shek shek de apin.

insay sכm spεshal sεntr dεm, dεn kכnfכm `(Orthostatic Tremor)` diagnosis bay `Surface EMG (Electromyography)`dεn kin du wan tεst we dεn kכl ‘mכsul εlektromayografi’. Bɔt sɔmtɛm, pipul dɛm wae sabi bɔt muvmɛnt disɔda (Movement Disorders Specialists) kin no dis bay di klinik sayn dɛm. wan ‘EMG’ tεst de ases di hεlth εn di wok we yu skel mכsul dεm de du εn di nεv dεm we de kכntro dεm. Mɔ spesifik wan, i involv fɔ put smɔl ‘sɛns’ dɛn na di skin na yu leg ɛn mɛzhɔ di ilɛktrik aktiviti we yu mɔsul dɛn de du.

Yu dɔktɔ kin tɛl yu bak fɔ du ɔda tɛst dɛn – lɛk blɔd tɛst ɛn imej tɛst (e.g., MRI skan) – fɔ pul ɔda tin dɛn we kin mek yu shek.

Bɔt i sɔri fɔ no se bikɔs Ɔtostatik Trem na wan sik we nɔ kin apin so ɔltɛm, sɔntɛnde dɔktɔ dɛn kin misdiagnose am as ɔda tin. Na mɔtalman, dɛn kin kɔnfyus am wit Functional Tremor (dɛn kin kɔl am bak Psychogenic Tremor), we na wan muvmɛnt dizayd we kin kam wit tin lɛk strɛs. So, fɔ gɛt kɔrɛkt diagnosis kin tranga smɔl.

Wetin na di tritmɛnt dɛn? Yu tink se dɛn kin mɛn am?

No mɛrɛsin nɔ de fɔ Ɔtostatik Trem. Bɔt sɔm mɛrɛsin dɛn de we kin ɛp fɔ kɔntrol yu sik dɛn, dat na fɔ mek yu nɔ shek ɛn nɔ stedi.

Di fɔs mɛrɛsin we dɛn kin gi bɔku tɛm na `Clonazepam` (wan mɛrɛsin we de na di `(Benzodiazepine)` klas). Bɔt dis mɛrɛsin nɔ de wok fɔ ɔlman. So, ɔda ɔda mɛrɛsin dɛn de we dɛn kin yuz:

• `Gabapentin`
• `Primidɔn`
• `Propranolol`
• `Prɛgabalin`
• `Fɛnobarbital`

Tritmεnt dεm we de εp wit כda kayn trem kin εp bak wit di simptom dεm fכ ``Orthostatic Tremor''. Bɔt dis stil de na di risach stej. Dɛn kayn tritmɛnt ya na:

• Dip Bren Stimulashɔn (DBS) .
• Spinal Kɔd Stimulation

Bikɔs di wan dɛn we de du risach stil de stɔdi di Ɔtostatik Trem, yu kin ebul fɔ tek pat pan wan klinik trial. Aks yu dɔktɔ if dis na opshɔn fɔ yu.

Aw yu de liv wit dis sityueshɔn? Wetin yu go ɛkspɛkt?

Ɔtostatik Trem na prɔblɛm mɔ we yu tinap, bɔt i kin afɛkt yu kwaliti layf. Fɔ ɛgzampul, yu kin bigin fɔ avɔyd tin dɛn we yu fɔ tinap, lɛk fɔ shaw, wet na layn, du wok na os, ɔ kuk. Dis kin rili mek pɔsin vɛks.

Bɔt if yu chenj sɔm tin dɛn we yu de du ɛvride, dat kin mek i izi smɔl fɔ liv wit dis sik.Fɔ ɛgzampul, yuz shawa sit na di bafa, ɔ yuz wilchia we yu gɛt fɔ wet na layn. Wan ɔkupeshɔn thɛrapist kin ɛp yu fɔ fɛn we fɔ du ɛvride wok izi wan.

Bikɔs dis na tin we nɔ kin apin so ɔltɛm, sɔntɛnde i kin at fɔ mek ɔda pipul dɛn ɔndastand dis `(Orthostatic Tremor)`, ɛn bak fɔ mek dɔktɔ dɛn no am kɔrɛkt wan. So, i rili impɔtant fɔ mek di wan dɛn we yu lɛk sɔpɔt yu. If yu de gɛt mɛntɛl hεlth prɔblɛm lɛk `(Orthostatic Tremor)`, `(Anxiety)`, ɔr if yu fil lɛk se dɛn de ayd yu frɔm sosayti, nɔr shem fɔ go to mɛntɛl hεlth kɔlnɔ lɛk `(Psychologist)`. Dat go gi yu bɔku fridɔm.

Yu tink se we de fɔ mek dis nɔ apin?

Bɔt i sɔri fɔ no se, bikɔs wi nɔ no di rayt tin we kin mek pɔsin gɛt Ɔtostatik Trem, natin nɔ de we yu go du fɔ mek i nɔ apin.

Na we i kin tranga, na in wi kin no aw i valyu fɔ ebul tinap tranga wan ɛn nɔ gɛt ɛni prɔblɛm. Bikɔs Ɔtostatik Tremɔrɔ na wan sik we nɔ kin apin so ɔltɛm, di waka fɔ no di sik kɔrɛkt wan kin tek lɔng tɛm. Sɔntɛm yu go nid fɔ tɔk fɔ yusɛf ɛn fɛn infɔmeshɔn. Bɔt fɔ mek dɛn no di sik kɔrɛkt wan, i fayn fɔ tray tranga wan. Mɛmba se sɔm mɛrɛsin ɛn tin dɛn we de ɛp pɔsin fɔ muv kin mek i izi fɔ liv wit Ɔtostatik Trem.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Wel, a op se yu naw geht sohm aidia boht di ``Orthostatic Tremor'' we wi bin de tok boht.

Dis na sɔm kayn tin wae kɔmpleks ɛn nɔr kin bɔrku, bɔt if yu ɔndastand am ɛn sɔpɔt am fayn fayn wan, yu kin liv wit am fayn fayn wan.

Sɔm tin dɛn we yu fɔ mɛmba na:

• If yu fil se yu leg dɛn de shek ɔ yu fil lɛk se yu de lɔs yu balans we yu tinap, nɔ ignore am. Go to dɔktɔ.
• Na dכkta nכmכ kin se fכ sכri if dis na mild ``Orthostatic Tremor''.
• Tritmɛnt kin kɔntrol di sayn dɛm.
• Nɔto yu wan de. Gɛt ɛp frɔm yu fambul, padi dɛn, ɛn if nid de, pipul dɛn we sabi bɔt mental wɛlbɔdi biznɛs.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. I kin ɛksplen dis to yu bɛtɛ.

Ɔtostatik trem, trem, leg trem, at fɔ tinap, lɔs balans, nyurolɔjik dizayd, muvmɛnt disɔda