Lɛ wi lan mɔ bɔt paralayz, nɔto so?

Yu dɔn ɛva tink bɔt aw i go tan lɛk if yu nɔ ebul fɔ muv yu an ɔ yu leg wantɛm wantɛm, ɔ if yu fil lɛk se wan pat na yu bɔdi de lɔs in layf smɔl smɔl? I rili at fɔ imajin, nɔto so? dis na di stet we wi nכ ebul fכ muv wi mכsul dεm we wi want, we wi kכl `` Paralysis '' insay mεdikal sayns. Dis kin apin bikɔs ɔf sɔm prɔblɛm na wi nervɔs sistɛm. Bikɔs, di nɛv dɛn de gi di signal se wi mɔsul dɛn nid fɔ muv. So, we yu paralayz , yu nɔ go ebul fɔ muv sɔm pat dɛn na yu bɔdi. Mek wi tok abaut dis in likl mo ditel , okay?

Wetin rili na paralayz?

Fɔ tɔk am simpul wan, paralayz na we yu nɔ ebul fɔ kɔntrol di mɔsul dɛn na yu bɔdi bay wilful, dat na fɔ yusɛf. Dis kin bi bikɔs ɔf wi nervɔs sistɛm. Tink bɔt am lɛk kebul we de kɛr mɛsej dɛn frɔm wi bren to wi mɔsul dɛn. If prɔblɛm de sɔmsay na dis kebul, di mɛsej nɔ de go tru fayn. Na da tɛm de di mɔsul dɛn kin stɔp fɔ wok, we min se pɔsin kin paralayz . Dis paralayz kin afɛkt ɛni pat na di bɔdi. Dɔn bak, tu men we dɛn de fɔ du dis:

• Patɛl paralayz / Paresis: Dis na we yu kin kɔntrol sɔm mɔsul dɛm, bɔt i at fɔ kɔntrol ɔda wan dɛm. I nɔ paralayz ɔl, bɔt i kin fil wik.
• Kɔmplit paralayz: Insay dis kes, yu nɔ go ebul fɔ kɔntrol ɛni mɔsul na di eria.

Dɔn bak, dipen pan usay di nervɔs sistɛm dɔn pwɛl, dɛn kin sheb paralayz to tu kayn:

• `Flaccid paralysis`: pan dis, yu mכsul dεm de wik bכku εn limp, lεk klos we nכ gεt layf.
• Spastik paralayz: Dis na we di mכsul dεm de stif εn de twitch bכku tεm (spasticity). Fɔ tɔk di kɔrɛkt tin, di mɔsul dɛn kin jɔs kɔntrakt ɛn twitch lɛk aw dɛn want.

Aw kɔmɔn tin fɔ paralayz ?

Yu no se na Amɛrika nɔmɔ, dɛn kin ripɔt se na lɛk 5.4 milyɔn pipul dɛn, ɔ lɛk wan pan ɛvri fifti pipul dɛn, gɛt sɔm kayn paralayz? Sɔm gud nyuz de. Sɔm pipul dɛn kin gɛt dis paralayz fɔ sɔm tɛm , ɛn as tɛm de go, dɛn kin wɛl smɔl smɔl ɔ dɛn kin wɛl ɔltogɛda. fכ egzampl, insay wan kכndyushכn we dεn kכl `Bεl in palsi`, di mכsul dεm na di fes kin paralayz fכ sכm tεm, bכt bכku tεm dεn kin kam bak. `Palsy` na wan sik wae de mek yu paralayz ɛn shek. כltu, ` Pεrmanεnt paralayz` min se yu nכ go nεva ebul fכ kכntro yu mכsul dεm igen. Dat min se yu nɔ go ebul fɔ rivɛns di kɔndishɔn.

Wetin na di difrɛn kayn paralayz?

Wi kin klas dis bak akɔdin to di eria we di paralayz afɛkt.

• Paralayz we de na di say we dɛn de : .Dis kin afɛkt wan smɔl pat na di bɔdi. Dɛn kin si dis sik mɔr na di fes, an, fut, ɔr vokal kɔd.

• Jɛnɛral paralayz: Dis kin afɛkt wan big pat na di bɔdi. Dis kin sheb bak mɔ akɔdin to di kayn we aw di ifɛkt de:
• `Diplegia`: Dis na we di sem εria na di bכdi de paralayz na di tu say dεm. Fɔ ɛgzampul, yu tu an, tu leg, ɔ ɔl tu di say dɛn na di fes.
• `Hemiplegia`: Dis na we wan say na di bɔdi paralayz ɔl. Dat min se, di an ɛn di leg ɔl tu de na wan say. Imajin, lɛ wi se sɔmbɔdi gɛt `Stroke` ɛn dɛn rayt sayd paralayz, na so i bi.
• `Monoplegia`: Insay dis, na wan an ɔ wan leg nɔmɔ de paralayz.
• `Paraplegia`: Dis involv paralayz na di tu leg dεm. Sɔntɛnde, di bɛlɛ we de dɔŋ kin afɛkt bak.
• Kwadriplejia (ɔ Tetraplegia): Dis kin min se ɔl di 4 an ɛn fut dɛn kin lɔs ɛn bɔku tɛm di trɔnk kin lɔs. Pipul wae gɛt quadriplegia kin lɔs ɔl muvmɛnt dɔŋ dɛn nɛk bak.

Wetin na di sayn dɛm fɔ paralayz?

If yu gɛt paralayz, di men tin na dat yu nɔr kin ebul fɔ muv di pat pan yu bɔdi wae gɛt dis sik, sɔm ɔr ɔl pan am. Sɔntɛnde, i kin dipen pan di say we di wund de, yu kin lɔs filin na da eria de bak. Sɔm pipul dɛn kin bɔn wit paralayz, fɔ ɛgzampul wit tin dɛn lɛk sɛribra palsi. Strɔk ɛn spɛnal kɔd injuri kin mek pɔsin paralayz wantɛm wantɛm . Sɔm tin dɛn kin mek bak pɔsin paralayz smɔl smɔl . Insay dɛn kayn tin ya, yu kin gɛt sɔm sayn dɛn lɛk:

• Smɔl smɔl, di sɛns ɛn di kɔntrol we di mɔsul dɛn kin kɔntrol kin go dɔŋ.
• Mɔsul dɛn we de kramp.
• Tingling ɔ numbness na di limb dɛm.

Wetin na di tin dɛn we kin mek pɔsin paralayz?

As wi bin dɔn tɔk bifo tɛm, paralayz kin apin bikɔs ɔf prɔblɛm wit wi nervɔs sistɛm. Wi nervɔs sistɛm tan lɛk di mɛsej sɛnta na wi bɔdi. I de kɛr signal frɔm di bren ɔlsay na di bɔdi ɛn tɛl am wetin fɔ du. So if sɔntin dɔn pwɛl na dis nervɔs sistɛm, dɛn mɛsej dɛn de nɔ kin rich di mɔsul dɛn fayn fayn wan. Bɔrku tɛm, na wan bad bad injury ɔr wan mɛrɛsin wae kin pwɛl di mɔsul ɛn nerv dɛm. Strɔk ɛn spɛnal kɔd injuri na di tu men tin dɛn we kin mek pɔsin paralayz. Ɔda tin dɛn de we kin mek i apin, lɛk:

• sכm kכndishכn dεm de we dεn bכn am, fכ egzampl `Spina bifida`.
• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛfAwtoimyun sik na sik dɛm wae wi yone imyun sistɛm de woke agens wi yone bɔdi. Ɛgzampul dɛn: Multiple sclerosis (MS) ɛn Guillain-Barré sindrom.
• Bren injury, lɛk traumatik bren injury ɛn sɛribra palsi.
• Nyurolɔjik sik dɛm, fɔ ɛgzampul, Amyotrophic lateral sclerosis (ALS).

Wetin na di prɔblɛm dɛn we kin apin we pɔsin paralayz?

Paralayz kin afɛkt di mɔsul dɛm we wi de blo ɛn di at rit. I kin afɛkt ɔda bɔdi sistɛm dɛn bak na di say we di sik afɛkt. Dipen pan di kayn paralayz, yu kin de pan denja fɔ:

• I nɔ izi fɔ blo, kɔf ɛn nyumonia .
• Blɔd klɔt ɛn dip vein trombosis ( DVT ).
• I nɔ izi fɔ tɔk ɔ swɛla ( Dysphagia ).
• Pwɛl hat ɛn Wɔri Wɔri .
• Erectile dysfunction ɛn ɔda prɔblɛm dɛn we kin apin to man dɛn we gɛt fɔ du wit mami ɛn dadi biznɛs.
• Ay blɔd prɛshɔn (Autonomic dysreflexia) ɔ lɔw blɔd prɛshɔn (Orthostatic hypotension) ɛn at sik.
• Urinary incontinence ɛn lɔs fɔ kɔntrol di bɔdi.
• Prɛshɔn injuri / Bedsɔ ɛn blɔd pɔyzin (Sepsis).

Impɔtant: Nɔto ɔlman go gɛt dɛn kayn prɔblɛm ya, bɔt i impɔtant fɔ no bɔt dɛn so dat yu go go to dɔktɔ kwik kwik wan.

Aw fɔ no se pɔsin dɔn paralayz?

We yu go to dɔktɔ, i go chɛk yu ɛn aks yu bɔt ɛni aksidɛnt we yu dɔn gɛt. If yu paralayz de kam smɔl smɔl, i go aks am aw lɔng yu dɔn gɛt dis prɔblɛm. Fɔ no mɔ, yu dɔktɔ kin ɔda wan ɔ mɔ pan dɛn tɛst ya:

• X-ray tɛst: Fɔ si if di bon dɛn dɔn brok ɛn di nerv dɛn dɔn pwɛl.
• Imej tɛst: Dɛn kin du CT skan ɔ MRI fɔ luk fɔ sayn dɛn we de sho se pɔsin gɛt strok, in bren dɔn pwɛl, ɔ in spɛshal kɔd dɔn pwɛl. Wan ful-bɔdi imej skan kin luk pan bon dɛn, mɔsul dɛn, ɛn tisu dɛn.
• Maylogram: Dis de chɛk fɔ si if di spɛshal kɔd ɛn di nɛv dɛn dɔn pwɛl.
• Ilɛktromayogram (EMG): Dis de tɛst di ilɛktrik wok we di nɛv ɛn mɔsul dɛn de du.
• ``Spinal tap (Lכmba pankshכn)'':Dis kin min fɔ tek spaynal wata ɛn chɛk am fɔ si if i gɛt infɛkshɔn, inflammatory kɔndishɔn, ɛn sik dɛn lɛk multiple sclerosis (MS).

Yu tink se i pɔsibul fɔ mek pɔsin wɛl we i paralayz?

Infakt, naw, no mɛrɛsin nɔ de fɔ mek pɔsin paralayz sote go. Bɔt, sɔm tɛmporari paralayz kɔndishɔn lɛk Bɛl in palsi kin sɔlv as tɛm de go we dɛn nɔ gɛt tritmɛnt. Sɔntɛnde, dɛn kin si sɔm impɔtant tin dɛn, mɔ insay di fɔs ia.

Aw dɛn kin kɔntrol ɔ trit pɔsin we paralayz?

Bɔku tɛm, di tritmɛnt fɔ paralayz kin gɛt fɔ du wit fyzikal tritmɛnt, wok tritmɛnt, ɛn fɔ tɔk. Dɛn rihabiliteshɔn savis ya na fɔ ɛp pipul dɛn fɔ ajɔst to dɛn paralayz, fɔ gi ɛksesaiz, ɛn fɔ gi dɛn divays dɛn we go ebul fɔ adap ɛn ɛp fɔ ɛp dɛn fɔ du di wok dɛn we dɛn de du ɛvride. Dɛn tin ya kin ɛp pipul dɛm wae gɛt paralayz fɔ liv fɔ dɛnsɛf ɛn gɛt bɛtɛ kwaliti layf. Ɔda tritmɛnt dɛn kin dipen pan wetin mek yu paralayz ɛn aw i kin afɛkt yu. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya wit rihabiliteshɔn:

• `Adaptive equipment`: Ikwipmɛnt we de ɛp pipul dɛn fɔ it dɛnsɛf ɛn drayv motoka.
• Di tin dɛn we pɔsin kin yuz fɔ ɛp: Wilchia, Skuta, Krɔch ɛn Ken.
• Ɔtotik/prostɛtik divays dɛn: Fɔ ɛgzampul, bres.
• Teknɔlɔji we de yuz vɔys: Yuz kɔmpyuta, layt sistem, ɛn tɛlifon.
• Tritmɛnt fɔ kɔmplikeshɔn dɛm we de mek pɔsin paralayz, fɔ ɛgzampul, spastisiti ɛn prɔblɛm wit yu urinary.

Aw fɔ mek pɔsin nɔ paralayz?

Spinal kɔd injuri na di men tin we kin mek pɔsin paralayz. So, na sɔm tin dɛm wae yu kin du fɔ ridyus yu risk fɔ gɛt injury na yu spɛnal kɔd:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka. Mek shɔ se yɔŋ pikin dɛn de yuz motoka sit ɔ bɔsta sit fayn fayn wan.
• Chek di dip we di wata de bifo yu jomp insay di wata.
• Nɔ drayv we yu dɔn drink rɔm ɔ yu tek drɔgs, ɛn nɔ travul wit pɔsin we dɔn chak.
• Fɔ fala di tin dɛn we yu fɔ tek tɛm wit we yu de ple spɔt ɔ we yu de du ɔda tin dɛn. Fɔ ɛgzampul, wɛr ɛlmɛt we yu de ple spɔt ɔ we yu de rayd baysikul. Mek sɔmbɔdi ɛp yu we yu de du tin dɛn lɛk jimnastik, ɛn yuz kusɛn mat usay nid de.
• Nɔ ɛva muv pɔsin we yu tink se gɛt ed , nɛk, ɔ bak injury. Kɔl 1990 wantɛm wantɛm (if na Sri Lanka) ɔ di rayt imejensi savis.

Wetin na di prɔgnosis fɔ pipul dɛm wae gɛt paralayz?

Fɔ lan fɔ liv wit paralayz kin tranga. I kin chenj yu layf, di tin dɛn we yu de du, ɛn ivin di we aw yu de tink bɔt yusɛf. Dɛn chenj ya kin mek yu gɛt prɔblɛm wit yu maynd ɛn pwɛl at. So tɔk to yu dɔktɔ bɔt aw fɔ gɛt sɔpɔt, pan yu bɔdi ɛn aw yu de fil. As tɛm de go ɛn we dɛn de rihabilite, bɔku pipul dɛn we gɛt paralayz kin ajɔst to dɛn kɔndishɔn. Bɔrku pipul kin liv indipɛndɛnt, aktif layf wit dɛn paralayz. Pipul wae gɛt quadriplegia (we kin lɔs ɔl dɛn 4 an ɛn fut) kin nid ɛp frɔm ɔda pipul dɛm ɔlsay na dɛn layf, bɔt dɛn kin stil kip dɛn maynd aktif.

Fɔ mek yu gɛt wɛl bɔdi layf rili impɔtant fɔ ridyus di prɔblɛm dɛn we kin kam wit strok. Bɔku tɛm, i kin fayn fɔ pik ɛksesaiz dɛn we go fit wetin yu ebul fɔ du ɛn kɔntinyu fɔ du ɛksɛsayz.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn fɔ strok, ɔ if yu tink se pɔsin dɔn gɛt injury na in ed , nɛk, ɔ bak, yu fɔ kɔl 1990 wantɛm wantɛm. Dɔn bak, go to dɔktɔ wantɛm wantɛm pan dɛn tin ya:

• I nɔ kin izi fɔ yu fɔ blo, fɔ swɛla, ɔ fɔ tɔk.
• I kin tan lɛk se di an ɛn fut dɛn kin swɛ ɔ sɔntin.
• di mכsul dεm we wik (i kin bi kכnstant כ kam εn go).
• Wantɛm wantɛm, yu nɔ ebul fɔ muv yu mɔsul dɛn.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Dis paralayz na fɔ shɔt tɛm ɔ fɔ ɔltɛm?
• A go ɛva ebul fɔ muv sɔm tɛm bak? If na so i bi, aw lɔng i go tek?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Us kayn tin dɛn fɔ muv ɔ fɔ ɛp mi we go ɛp mi?
• A fɔ wɔri bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?

Paralayz na tin we kin chenj in layf. Ivin we yu paralayz fɔ sɔm tɛm, dat kin afɛkt yu ebul fɔ du di tin dɛn we yu lɛk. If paralayz apin wantɛm wantɛm, i kin tranga fɔ ajɔst to big chenj dɛn we pɔsin kin chenj in layf. Yu dɔktɔ kin gayd yu fɔ di rihabiliteshɔn ɛn mental wɛlbɔdi savis dɛm we yu gɛt. Bɔrku pipul dɛm wae gɛt paralayz kin liv aktif layf wit ɛp ɛn di sɔpɔt wae dɛn pipul dɛm wae dɛn lɛk kin gi dɛn. So i impɔtant fɔ kɔntinyu fɔ strɔng.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so mek wi jos go ova som simpul tins we yu nid fo memba from wetin wi don tok abaut.

• Paralayz na we pɔsin nɔ ebul fɔ kɔntrol di mɔsul dɛn. Dis kin kam bikɔs ɔf prɔblɛm wit di nervɔs sistɛm.
• Dis kin bi sɔm pat ɔ kɔmplit, ɛn i kin bi fɔ shɔt tɛm ɔ fɔ ɔltɛm.
• Strɔk ɛn spɛnal kɔd injuri na di men tin we kin mek i apin, bɔt ɔda sik ɛn injury kin afɛkt am bak.
• Difrɛn tɛst dɛn de fɔ no if pɔsin gɛt paralayz, ɛn na di dɔktɔ kin disayd wetin dɛn bi.
• Pan ɔl we no difinitiv mɛrɛsin nɔ de fɔ pɔrmɛnt paralayz, rihabiliteshɔn savis lɛk fizik tɛrapi ɛn ɔkupeshɔn tɛrapi kin mek di kwaliti fɔ layf bɛtɛ.
• Di bɛst we fɔ mek yu nɔ paralayz na fɔ avɔyd aksidɛnt , mɔ di wan dɛn we de pwɛl di spɛnal kɔd.
• Pan ɔl we fɔ liv wit paralayz na prɔblɛm, if dɛn gɛt di rayt sɔpɔt ɛn tritmɛnt, bɔku pipul dɛn kin liv aktif layf.
• If yu si sayn dɛn we de sho se yu paralayz, go to dɔktɔ wantɛm wantɛm. Kwik tritmɛnt kin mek big difrɛns.

So, a op se dis infɔmeshɔn go ɛp yu. If yu ɔr pɔrsin wae yu sabi gɛt kwɛstyɔn bɔt dis sik, di bɛst tin fɔ du na fɔ tɔk to dɔktɔ. Nɔ wɔri, bɔku pipul dɛn de we go ebul fɔ ɛp!