Yu de fil dis difrɛns na yu yay? Mek wi tɔk bɔt Papilledema!

Sɔntɛnde yu kin gɛt ed pen , fil lɛk se yu nɔ de si yu yay wantɛm wantɛm? Ɔ sɔntɛnde yu kin si tin dɛn tu? If yu gɛt dɛn sik ya, i kin bi sayn fɔ wan sik we dɛn kɔl papilledema. Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Wetin na Papilledema?

Fɔ tɔk am simpul wan, papilledema na we di optik disk we de na yu ɔl tu yay dɛn de swel . dis kin k כz fכ inkrεs intrakranial prεshכn . Imajin, wata de rawnd wi bren ɛn dɔŋ di spɛshal kɔd. Wi kin kɔl dis Sɛribrospinal Fluid (CSF) . Dis wata de mek ɔltɛm ɛn di bɔdi de tek am bak. Dis na wetin de protɛkt wi bren fɔ mek i nɔ bounce rawnd ɛn frɔm smɔl aksidɛnt dɛn. I tan lɛk di `shock absorbers` dɛn we de na motoka. naw, if dis `CSF` fluid nכ de absכp fayn fayn wan εn i de kכlכp, כ if i bil insay di bren fכ sכm כda rizin, di prεshכn insay di sכkul de inkrεs sכmtεm sכmtεm. Dis prɛshɔn we de bɔku kin mek di optik nɛv , we de kɔnɛkt di yay ɛn di bren, kɔmprɛs ɛn in rut we na di optik disk kin swel. di optik disk na di say we di optik nεv de go insay di yay. כltu, we di prεshכn insay di sכkul de inkrεs , baylatarכl papilεdema de apin. dis min se di optik nεv rכt dεm na di tu yay dεm de swel. כltu, if di optik nεv rכt na wan yay nכmכ (yunilateral) swel, wi kכl am `optik disk εdima` . dis kin bi fכ di prεshכn we de insay di sכkul we de go כp. Di tin we impɔtant pas ɔl na dat dɛn kin tek dis sik we dɛn kɔl papilledema as mɛdikal imejensi . Bikɔs di prɛshɔn we de go ɔp insay di skel na siriɔs tin we kin mek pɔsin in layf de pan denja sɔntɛnde.

Udat dɛn kin afɛkt mɔ pan dis papilloedema kɔndishɔn?

Dis sik we dɛn kɔl papilloedema , kin apin mɔ pan uman dɛn. I kin apin mɔ to uman dɛn we ol bitwin 20 ɛn 44 ia we gɛt bɔdi mas indeks (BMI) we na 25 ɔ mɔ, we gɛt bɔku bɔku bɔdi smɔl, ɔ we gɛt BMI we pas 30 ɔ mɔ, we fat . Dɛn dɔn kam fɔ no se pan ɛvri 100,000 pipul dɛn na da grup de, na lɛk 13 pipul dɛn kin gɛt dis sik. Bɔt, na kɔntri lɛk Amɛrika, dis sik nɔ kin apin so. Dɛn kin ripɔt am pan less dan wan pan ɛvri 100,000 pipul dɛm (0.9) pan di ɔl pipul dɛm. So, nɔto sik we de ambɔg ɔlman, bɔt na sɔntin we dɛn fɔ tek tɛm tink bɔt ilɛksɛf udat gɛt am.

Wetin na di sayn dɛm fɔ dis papilloedema kɔndishɔn?

Sɔmtɛm yu nɔr kin gɛt ɛni sayn (symptomatic).Papilledema kin apin. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin si:

• Ed we de at: Dis na di men sayn we de sho se yu de fil. Di ed pen we kin kam wit papilledema kin fil mɔ we yu fɔs grap na mɔnin ɔ we yu ledɔm . I kin fil lɛk se dɛn de swɛt yu ed frɔm insay.
• Transient visual obscurations: Dis na wan rili spɛshal sayn. Wantɛm wantɛm , fɔ shɔt tɛm, lɛk 5 to 15 sɛkɔn, wan yay (wan say) ɔ ɔl tu di yay dɛn (baylatɛral) kin blɔk, grey, ɔ blak . Dis fiba di mun we de kɔba di san we di san de iklips. Dis kin apin bɔku tɛm we yu chenj yu pozishɔn, fɔ ɛgzampul, we yu tinap ɔ sidɔm.
• Dכbl vishכn (Diplopia): we di prεshכn we de insay di sכkul go כp kin afekt di nεv dεm we de kכntro di mכsul dεm we de muv di yay (cranial nerve palsy) sכmtεm . Dis na we i tan lɛk se wan tin na tu.
• Nɔs ɛn vɔmit: Dɛn sayn ya kin apin wit ed we de at.
• Ɔda nyurolɔjik sayn dɛm : Sɔm pipul dɛm kin gɛt prɔblɛm bak fɔ waka ɛn chenj na dɛn maynd.

Mɛmba se if dɛn nɔ trit dis sik fayn, smɔl smɔl yu kin si am bad bad wan as tɛm de go.

Imajin, wan yɔŋ uman de we nem Nimali. I dɔn ɔvawej smɔl. Fɔ sɔm mɔnt, i dɔn de gɛt bad bad ed we i wek na mɔnin. Sɔntɛnde, jɔs afta i wek, in yay kin blak fɔ sɔm sɛkɔn. I bin tink se na jɔs taya. Bɔt wan de, i bigin fɔ si tin dɛn tu we dɛn wantɛm wantɛm. Na da tɛm de i bin fred ɛn go si dɔktɔ. Na we di dɔktɔ chɛk in yay nɔmɔ i kam fɔ no se i gɛt papiloedema.

Wetin kin mek pɔsin gɛt papiloedema?

As wi bin dɔn tɔk bifo tɛm, papilledema kin kam bikɔs di prɛshɔn we de insay di skel de bɔku . So, sɔm rizin dɛn de we mek dis prɛshɔn kin bɔku:

• Malignant hypertension : If yu gɛt ay blɔd prɛshɔn we yu nɔ ebul fɔ kɔntrol , i kin bi wan rizin fɔ dis.
• Tumɔs: Sɔm kayn tumbu dɛn we kin kam insay ɔ rawnd di bren kin mek pɔsin gɛt mɔ prɛshɔn.
• Infεkshכn, blɔd, ɔ swel/inflameshɔn na di bren ɛn mɛninges: If infεkshɔn, blɔd, ɔ inflamɛns de na di bren ɔ di mɛmbran dɛm we de kɔba di bren ɛn spɛshal kɔd (mɛninges), dat kin mek bak di prɛshɔn go ɔp.
• Sεribra venכs sayn trombosis:If blɔd klɔt fɔm insay wan big blɔd vesel (vein) na di bren, i kin mek bak di CSF fluid nɔ flɔ, we kin mek di prɛshɔn go ɔp.
• Iron-deficiency anemia: Dɛn dɔn si bak se dis kin gɛt fɔ du wit am sɔntɛnde.
• Sɔm mɛrɛsin dɛn: We yu yuz sɔm mɛrɛsin dɛn, dat kin afɛkt dis bak. Fɔ ɛgzampul, dɛn dɔn ripɔt bak se Retin-A ɛn retinoids (mɛrɛsin dɛn we gɛt fɔ du wit vaytamɛn A), fɔ it pasmak vaytamɛn A, tetrasayklin antibayɔtik, COVID-19 infɛkshɔn, ɛn kɔtikosterɔyd (stɛroyd mɛrɛsin) dɛn bak gɛt fɔ du wit dis.
• Idiopathic Intracranial Hypertension (IIH): Sɔntɛnde di prɛshɔn insay di skel kin go ɔp, bɔt dɛn nɔ kin fɛn klia kɔz. di wכd ``idiopathic`` min ``fכ no kכz.`` Dis ``IIH`` kכndyushכn kin kכmכn spεshal fכ yכng, fat uman dεm.

Yu tink se na frɔm in mama ɛn papa dɛn kin gɛt papiloɛdima?

Nɔ, papiloedema nɔto sik we pɔsin kin gɛt frɔm in mama ɛn papa .

Yu tink se maygren kin mek yu gɛt papilledema?

Nɔ, papilledema nɔ kin apin bikɔs ɔf maygren. Bɔt pɔsin we gɛt papilledema kin gɛt ed we kin tan lɛk maygren ed we kin at. So i impɔtant fɔ no ustɛm i bi.

Aw yu kin no di kɔrɛkt we aw yu gɛt papilledema?

If yu gɛt sɔm sayn dɛm lɛk ed we de at ɛn we yu de si chenj, dɛn kin no se yu gɛt papilledema we yu go to dɔktɔ. Yu yay dɔktɔ go fɔs chɛk yu yay. I kin du spɛshal tɛst dɛn, lɛk fɔ tɛst pɔsin we i de si . Dɔn i kin luk fɔ swɛlin na yu optik disk. If i tan lɛk se di optik disk dɔn swel, dɛn go rifer yu fɔ mek dɛn tek yu pikchɔ . Bɔku tɛm, dis na MRI (Magnetic Resonance Imaging) skan . Dis kin luk fɔ tumbu ɔ blɔd na di bren. Sɔntɛnde, yu dɔktɔ kin ɔda bak fɔ mek dɛn pank di lumbar (spinal tap) . dis kin chεk fכ prεshכn insay di sכkul εn fכ infεkshכn na di sεribrospεnal fכluid (CSF). Apat frɔm dat, dɛn kin du blɔd tɛst fɔ chɛk fɔ si if i gɛt tin dɛn lɛk di ayron lɛvɛl.

Aw dɛn kin no aw di papilledema siriɔs?

Dɔktɔ dɛn kin yuz wan we we dɛn kɔl Frisén skel fɔ no aw di papilledema siriɔs. I gɛt bɔku stej dɛn.

• Gret 0: di optik nεv rכt nכmal, bכt di ed dεm kin sho blכr sכmtεm.
• Insay ay stej dɛn lɛk Gret V:di כl optik nεv rכt dεn swεla εn i de bכl. Di swɛlin so bad dat di blɔd vesel dɛn we de pan ɛn we de kɔmɔt na di nerve rut nɔ de si klia wan.

Fɔ tɔk am simpul wan, dɛn stej ya de sho aw di swɛlin rili bad.

Aw dɛn kin trit papiloedema?

Di tritmɛnt fɔ papilledema dipen pan di kɔz .

• If papilledema na bikɔs di intrakranial prɛshɔn (IIH) dɔn go ɔp we dɛn nɔ ɛksplen:
• Yu dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl carbonic anhydrase inhibitor, lɛk acetazolamide . Dis mεdisin de εp fכ ridyus di prodakshכn fכ CSF fכluid εn i de lכs di prεshכn.
• I de ɛp yu bak fɔ gɛt wɛlbɔdi wet . Dis na sɔlv we go tek lɔng tɛm.
• If dɛn we ya nɔ ebul fɔ ridyus di prɛshɔn, dɔktɔ dɛn kin tɛl dɛn fɔ du ɔpreshɔn fɔ ridyus di prɛshɔn we de insay di skel. fכ egzampl, shunt na tכb we de alaw di sεribrospεnal fכluid (CSF) fכ drεn to כda say.

• If papilloedema apin fɔ ɔda rizin:
• Di dɔktɔ go trit di men tin we mek i apin . Fɔ ɛgzampul, dɛn go trit wan bren tumbu, dɛn go kɔntrol di ay blɔd prɛshɔn, ɛn dɛn go trit wan infekshɔn wit mɛrɛsin.

Di tin we impɔtant pas ɔl na fɔ trit papilledema kwik, bikɔs if dɛn nɔ trit am, i kin mek wan ɔ ɔl tu di yay dɛn nɔ de si fayn fayn wan (blayndnɛs).

Yu tink se di risk fɔ gɛt papilloedema kin ridyus?

Yɛs, yu kin ridyus di risk fɔ gɛt papilloedema bay we yu tek kia ɔf sɔm tin dɛn:

• Kɔntrol yu blɔd prɛshɔn (espɛshali fɔ mek yu nɔ gɛt ay blɔd prɛshɔn we denja - `malignant hypertension`).
• Mek yu gɛt wɛlbɔdi bɔdi wet . Fɔ fat kin bi wan pan di tin dɛn we kin mek yu gɛt dis, so i impɔtant fɔ kɔntrol yu wet.

Dɔn bak, fɔ chɛk yu yay ɔltɛm rili impɔtant . Jɔs lɛk ɛni sik, if yu no if yu gɛt am kwik kwik wan, na di bɛst tin we go apin .

Wetin kin apin if a gɛt papilloedema?

If yu ɛn yu dɔktɔ no dis sik kwik, bɔku tɛm di tin we kin apin kin fayn . Yu dɔktɔ go pe atɛnshɔn fɔ trit di prɔblɛm we de ɔnda yu. Bɔt mɛmba se i impɔtant fɔ trit papilledema bikɔs, apat frɔm di pɔtnɛshɛl fɔ mek yu nɔ si fayn, i kin mek ɔda nyurolɔjik ifɛkt dɛn bak.

Ustɛm a fɔ go to dɔktɔ bɔt papiloedema ɛn di tin dɛn we kin mek a gɛt am?

If yu gɛt nyu ed we de at we de wɔs, ɛn yu de gɛt nɔys ɛn vɔmit bak , yu fɔ go to dɔktɔ wantɛm wantɛm . Dɔn bak, if yu notis ɛni chenj na yu vishɔn, .If i de, yu fɔ sho am to dɔktɔ ɛn mek dɛn chɛk am.

Wetin na di difrɛns bitwin Papilledema ɛn Pseudopapilledema?

Pseudopapilledema na "fals" fכm fכ papilledema . Dis kin mek bak di optik disk kin tan lɛk se i de bɔl. Bɔt nɔto bikɔs di optik nɛv de swel. sכm pipul dεn kin bכn wit optik disk we de bulch sכmtεm, כ i kin lεk se na כda kכndyushכn dεm lεk optik disk drusen (dipכsit dεm we lεk kalsiכm na di optik disk). Bikɔs di tin dɛn we kin mek yu gɛt papilledema kin siriɔs, i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt chenj na yu yay, mɔ if yu gɛt ed we de at, nɔs, ɔ vɔmit.

So, wetin na di tin dɛn we wi fɔ mɛmba frɔm dis stori? (Mɛsej we dɛn kin tek go na os)

Okay, a op se yu naw geht beta andastan boht wetin wi bin de tok boht, Papilledema. Lɛ wi tɔk bak bɔt di tin dɛn we impɔtant pas ɔl:

• Papilledema na we di optik nεv rכt dεm na di tu yay dεm de swεla bikoz fכ di prεshכn we de insay di sכkul we de go כp .
• Dɛn kin sɔprayz se yu gɛt siriɔs ed pen (espɛshali na mɔnin), yu nɔ kin si fayn fɔ sɔm tɛm, yu kin si tu tɛm, yu nɔ kin fil fayn, ɛn yu kin vɔmit .
• Dis kin kam bikɔs ɔf difrɛn tin dɛn lɛk bren tumor, ay blɔd prɛshɔn, infɛkshɔn, sɔm mɛrɛsin dɛn, ɛn idiopathic hypertension (IIH) .
• If dɛn no di sik kwik kwik wan ɛn dɛn trit di tin we de mek i sik fayn fayn wan, dɛn go ebul fɔ si am fayn fayn wan. If di tritmɛnt delay, yu kin lɔs yu yay kpatakpata .
• If yu gɛt dɛn sik ya, nɔ west tɛm ɛn go to dɔktɔ .
• If yu gɛt wɛl bɔdi ɛn kɔntrol yu blɔd prɛshɔn, dat kin ɛp fɔ mek yu nɔ gɛt dis sik.

Yu yay dɛn rili valyu, so tek kia ɔf dɛn. If yu notis ɛnitin we nɔ kɔmɔn, nɔ ignore am. I fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.