Yu dɔn ɛva gɛt di ɛkspiriɛns fɔ smɛl smel we nɔ rili de, fɔ no rizin? Sɔntɛm na di smel we rɔba we dɔn bɔn, it we dɔn rɔtin, ɔ fɔ sɔm pipul dɛn, na fayn sɛnt lɛk sɛnt. Dis na wetin wi de kɔl `Phantosmia` pan mɛrɛsin, we na we wi de smɛl smɛl dɛn we nɔ rili de. Pan ɔl we dis na smɔl strenj ɛkspiriɛns, natin nɔ de fɔ fred, lɛ wi tɔk bɔt am ditayli.
Wetin rili na Phantosmia?
Fɔ tɔk am simpul wan, phantosmia na di we aw pɔsin de si smel we nɔ rili de. Wan ɔda nem fɔ dis na "olfactory hallucinations." Yu kin fil dɛn smel ya na jɔs wan nos, ɔ yu kin fil dɛn na ɔl tu di nos. Sɔntɛnde, dɛn kin fil dɛn smel ya ɔltɛm, ɛn ɔda tɛm dɛn nɔ kin fil bɔku.
Imajin, yu de na di living rum na os, natin nɔ de bɔn, nɔbɔdi nɔ de smok sigrɛt, bɔt wantɛm wantɛm yu de smɛl tabak we dɔn bɔn. Na dat na wetin dis. Bɔrku tɛm, dis nɔr kin siriɔs, ɛn i go bɛtɛ fɔ insɛf afta sɔm tɛm. Bɔt, nɔr kin bɔrku , dis kin bi sayn fɔ siriɔs sik lɛk Pakinsin sik, strok, ɔr bren tumbu. Na dat mek i impɔtant fɔ no bɔt dis.
Aw dis sik kin kɔmɔn?
Phantosmia nɔ rili kɔmɔn so. bitwin 10% εn 20% pan di sik dεm we de afekt wi olfaktכri sistεm, dat na di sεns fכ smεl, dεn ripot dεm as Phantosmia. Dis min se i nɔ kin apin to ɔlman.
Wetin na di sayn dɛm fɔ dɛn "missing smells" ya?
Di smel we phantosmia kin gɛt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛn, i kin bi fayn smel, lɛk di smel we di kek we dɛn jɔs dɔn mek kin smɛl. Bɔt fɔ bɔku pipul dɛn, i kin bi smel we nɔ fayn . Na sɔm ɛgzampul dɛn ya:
- Di smel we rɔba de bɔn
- Di smel we dɔti de mek
- Di smel fɔ it we dɔn pwɛl
- Di smel fɔ bred we dɛn dɔn bɔn
- Di smel we tabak smok de mek
- Di smel we wan kemikal de mek
- Wan mɛtal smel
- Wan stayl, musty smel.
Sɔntɛnde, yu kin notis wan strenj smel we yu nɔ no bɔt we yu nɔ ɛva smɛl bifo. Dis smel kin de kɔntinyu, ɔ i kin kam ɛn go.
Wetin mek wi kin smɛl dɛn strenj smel dɛn ya? Wetin na di rizin dɛn?
Bɔku rizin dɛn kin de fɔ dis. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
Di tin dɛn we dɛn kin si bɔku tɛm:
- Kold: We yu gɛt di kɔmɔn kol, yu nos kin blok ɛn di sɛl dɛn we de no smɛl kin afɛkt.
- Sayn infεkshכn: Dis kכndyushכn kin kכz bak bay infεkshכn na di ay kכva (saynus) dεm we de rawnd di nos.
- Infεkshכn dεm we de na di כp rεspiretכri: כda infεkshכn dεm we de involv di trot εn nos.
- Alɛji dɛn:Sɔm pipul dɛn kin gɛt prɔblɛm wit dɛn nos bak bikɔs dɛn gɛt alɛji to tin dɛn lɛk dɔst ɛn pɔlin, we kin mek dɛn gɛt phantosmia.
- Nasal polyps: Smɔl smɔl tin dɛn we de gro insay di nos kin blok di sɛns fɔ smɛl.
- Maygren: Sɔm pipul dɛm wae gɛt maygren kin gɛt dɛn kayn ɔda kayn smel ya bifo ɔr wae dɛn ed de at.
- Fɔ tek sɔm mɛrɛsin dɛn: Dis kin apin bak as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn we yu de tek.
- We yu gɛt pɔyzin kemikal: We yu gɛt pɔyzin kemikal lɛk lid ɛn mɛkuri na dat bak kin mek yu gɛt am.
- Tit ɛn gɔm prɔblɛm: I kin kam bak wit tin dɛn lɛk gam sik ɛn yu mɔt we dray.
- Smok: Dis risk kin pasmak bak fɔ pipul dɛm wae de smok.
- Afta COVID-19 infection: Bɔku pipul dɛn dɔn ripɔt se dɛn dɔn gɛt dɛn chenj ya na dɛn sɛns fɔ smɛl, inklud dɛn nɔ de smɛl, ivin afta dɛn dɔn wɛl frɔm COVID.
Rare bɔt dɛn kin wɔri bɔt tin dɛn we kin mek i apin:
Dɛn tin ya siriɔs smɔl, bɔt mɛmba se dɛn nɔ kin bɔku .
- Dis sik we dɛn kɔl Parkinson
- Bren tumor
- Strok
- Trauma na ed
- Epilepsy we pɔsin kin gɛt
- Dis sik we dɛn kɔl Alzaima
- Nyuroblastoma (na wan kayn kansa we kin apin to yɔŋ pikin dɛn) .
De tin wae impɔtant pas ɔl na fɔ no udat de kɔz dɛn sik ya if yu gɛt dɛn. Fɔ dis, i impɔtant fɔ go to dɔktɔ fɔ advays.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go tray fɔs fɔ no wetin de mek yu blo bad. Na we yu fɛn di tin we de mek yu gɛt dis sik nɔmɔ yu go ebul fɔ trit am fayn.
Di dɔktɔ go chɛk yu nos, yu yes, yu ed, ɛn yu nɛk. Apat frɔm dat, dɛn go aks yu kwɛstyɔn bɔt dɛn sayn ya:
- Us smel yu de smɛl?
- Aw lɔng dis smel dɔn de?
- Yu kin fil am na wan nos ɔ ɔl tu?
Kwɛstyɔn dɛn lɛk dis kin ɛp di dɔktɔ fɔ no mɔ bɔt yu sik.
Us kayn tɛst yu kin du?
Sɔntɛnde, dɛn kin nid fɔ du ɔda tɛst fɔ no di rayt tin we mek i apin. Na sɔm pan di tɛst dɛn we dɛn kin du:
- Nasal endoscopy: Dis na we dɔktɔ put wan tint, fleksibul tiub (we dɛn kɔl ɛndoskop, we gɛt smɔl kamɛra ɛn layt) insay yu nos fɔ chɛk yu nos pasej ɛn sayn dɛn. Dis kin ɛp fɔ chɛk fɔ ɛni prɔblɛm insay yu nos.
- Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dɛn tin ya na CT skan ɛn MRI skan. Dɛn kayn skan ya kin tek pikchɔ fɔ di say dɛn we de insay di ed lɛk di bren fɔ si if ɛnitin de we nɔ fayn.
- Ilɛktroɛnsɛfalogram (EEG): Dis na tɛst we nɔ de mek yu fil pen ɛn we nɔ gɛt wan prɔblɛm, we de sho aw yu bren de wok wit ilɛktrik. I kin ɛp fɔ no ɛni prɔblɛm we gɛt fɔ du wit di bren, lɛk ɛpilepshi.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt fɔ phantosmia dipen pan di ɔndalayn kɔz .
- If dis kin kam wit tin dɛm lɛk kol, alɛji, ɔr sayn infɛkshɔn, di smel go stɔp wans di ɔndalayn kɔndishɔn dɔn wɛl.
- כltu, if phantosmia kכz fכ nyurolכjik (i.e. bren-rεlatεd) kכndyushכn, di tritmεnt kin kכmplikt sכmtεm. Ivin da tɛm de, di tritmɛnt kin difrɛn difrɛn wan bay di rayt tin we mek i sik. Fɔ ɛgzampul, pɔsin we gɛt epilepsy kin nid fɔ tek mɛrɛsin ɔ ɔpreshɔn. Sɔmbɔdi we gɛt bren tumbu kin nid kemotɛrapi ɛn/ɔ redyushɔn tɛrapi.
We di dɔktɔ dɔn fɛn di men tin we mek yu gɛt di sik, i go gi yu di rayt tritmɛnt.
Tin dɛn de we yu kin du na os?
Yɛs, sɔm pipul dɛm wae gɛt phantosmia kin gɛt fridɔm wit dɛn tin ya wae dɛn kin du na os:
- Nasal irigashɔn: Yuz neti pɔt ɔ salin sɔlvushɔn frɔm famasi fɔ rins yu nos pasej. Dis go ɛp fɔ pul ɛni dɔti ɛn klin di say dɛn we dɛn kin pas.
- Nasal spray: Yu kin yuz nasal spray we gɛt ɔksimɛtazɔlin fɔ mek yu nɔs nɔ bɔku. Dɛn tin ya de na di kɔwnta na famasi dɛn. Bɔt i nɔ fayn fɔ yuz dɛn sprɛy ya ɔltɛm , ɛn i bɛtɛ fɔ go to dɔktɔ if yu de yuz dɛn fɔ pas sɔm dez.
Yu tink se dɛn go ebul fɔ stɔp dis?
Bikɔs bɔku tɛm, phantosmia na sayn fɔ ɔda sik, i nɔ kin izi fɔ mek dɛn nɔ gɛt phantosmia ɔltogɛda if dɛn nɔ ebul fɔ avɔyd di ɔndalayn kɔndishɔn. Bɔt we yu dɔn no wetin kin mek yu gɛt phantosmia, yu kin du tin fɔ ridyus di prɔblɛm we yu gɛt.
Aw fɔ ridyus di prɔblɛm?
Dɛn tin ya kin ɛp fɔ ridyus di risk fɔ gɛt phantosmia:
- If yu de smok, stɔp.
- If yu tink se na wan mɛrɛsin wae yu de tek kin kam wit dis sik, tɔk to yu dɔktɔ bɔt am ɛn si if yu kin chenj to ɔda mɛrɛsin.
- If yu gɛt alɛji, kɔntrol am.
- Go to tritmɛnt kwik kwik wan if yu gɛt kol ɔ ɔda sik.
- If yu gɛt prɔblɛm wit yu tit ɔ yu gam, mek dɛn trit dɛn.
- Was yu an ɔltɛm ɛn kɔntinyu fɔ klin. Dis kin mek di risk fɔ gɛt di sik nɔ bɔku.
Yu tink se dis tin go go? Aw lɔng i go las?
Bɔku tɛm, phantosmia na fɔ shɔt tɛm nɔmɔ . I kin go fɔ insɛf insay sɔm wiks. Bɔt if na bikɔs ɔf nyurolɔjik prɔblɛm, di sayn dɛn kin las fɔ lɔng tɛm smɔl. If yu kɔntinyu fɔ gɛt dɛn strenj smel ya fɔ pas sɔm wiks, yu fɔ rili go to dɔktɔ.
Aw lɔng dis kin te kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. If na bikɔs ɔf sɔmtin lɛk kol ɔr infekshɔn, i go go wans de sik dɔn. Bɔt if na prɔblɛm wit di nervɔs sistɛm, dɛn sik ya kin las fɔ lɔng lɔng tɛm.
Ustɛm a fɔ go to dɔktɔ?
If yu dɔn de gɛt dɛn strenj smel ya fɔ pas tri wiks , yu fɔ rili tɔk to dɔktɔ. Bɔrku tɛm, phantosmia go go wans dɛn dɔn trit di ɔndalayn kɔndishɔn. Bɔt if nɔto so, i impɔtant fɔ fɛn di rizin.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
If yu ɔ pɔsin we yu sabi gɛt phantosmia, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Wetin mek a kin smɛl dɛn strenj smel dɛn ya?
- Aw lɔng dis go las?
- Yu tink se a nid fɔ gɛt tritmɛnt fɔ ɔda sik we de ɔnda mi?
- Wetin na sɔm we dɛn we a go ebul fɔ ridyus dɛn sik ya?
- A nid fɔ go to ɔtolaryngologist (spɛshal dɔktɔ fɔ yes, nos, ɛn trot) ɔ ɔda spɛshal dɔktɔ?
Wetin na di difrɛns bitwin Phantosmia ɛn Parosmia?
Dɛn tu tin ya na tin dɛn we gɛt fɔ du wit di sɛns fɔ smɛl.
- Phantosmia na di sens we yu de smɛl sɔntin we nɔ rili de.
- Parosmia na di distɔrshɔn fɔ wan nɔmal smel, we kin mek pipul dɛn si am difrɛn we. Fɔ ɛgzampul, bifo yu smɛl kɔfi, yu kin smɛl sɔntin lɛk rɔba we dɔn bɔn.
Di tin dɛm wae kin mek dɛn tu sik ya kin rili fiba. di tritmεnt fכ כl tu di phantosmia εn parosmia dipכnt pan di כndalayn kכz.
Dis na mental sik?
Nɔ, phantosmia nɔto mɔ pan pɔsin in maynd sik. Bɔt wan wan tɛm, dɛn kin si phantosmia as sayn fɔ sɔm kayn maynd sik dɛn lɛk skizofrenia . Bɔt i nɔ kin apin so ɔltɛm.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
So, phantosmia na di we aw pipul dεn de si smεl dεm we nכ rili de. Bɔrku tɛm e kin gɛt fɔ du wit kɔmɔn tin dɛm lɛk kol, alɛji, ɛn sayn infɛkshɔn. Bɔt, nɔr kin bɔrku, e kin bi sayn fɔ wan siriɔs bren sik lɛk ɛpilepshi, strok, ɔr Alzaima sik.
If yu dɔn de gɛt bad bad briz fɔ pas sɔm wiks, nɔr ignore am ɛn go to dɔktɔ. Yu dɔktɔ kin no wetin de mek yu gɛt am ɛn tɛl yu fɔ gi yu di bɛst tritmɛnt. Nɔ wɔri, bɔku tɛm i kin trit!
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us kayn sik na Phantosmia (Phantosmia / Olfactory Hallucination)?
Phantom min 'gɔst/sɔntin we nɔ de'. I de tɔk bɔt nyurolɔjik kɔndishɔn we pɔsin de kɔntinyu fɔ smɛl wan strenj, akrid smel, di smel we rɔba de bɔn, di smel we mit we de rɔtin, ɔ sɔm ɔda strenj smel (a hallucination of smell) ivin we nɔ ɔda smel nɔ de na di envayrɔmɛnt (e.g., we i de na klin rum).
💬 Wetin mek wi de smɛl da we de we wi nɔ rili smɛl?
dis na mכr prכblεm wit wi bren ridin signal dεm pas nasal polyps/sinusitis prכblεm. Fɔ sɔm pipul dɛn, afta dɛn dɔn gɛt siriɔs ed trauma, bifo dɛn gɛt maygren, we dɛn gɛt tɛmporal lobe seizure, ɔ we wan vayrɔs lɛk Covid-19 dɔn pwɛl di nerv dɛn, di bren kin mek lay lay sɛns fɔ smɛl.
💬 Dis na mental sik? Yu tink se mɛrɛsin de fɔ dis?
Dis nɔto madnɛs ɔ mental sik. Dis na prɔblɛm wit di bɔdi we de mek pɔsin in nyurolɔjik. Bɔrku tɛm, dis smel kin go fɔ insɛf insay sɔm wiks. Bɔt if i kɔntinyu fɔ de, dɔktɔ dɛn (ENT Specialist/Neurologist) go mɔs du MRI skan ɛn chɛk fɔ si if yu gɛt bren tumbu. Dɛn kin kɔntrol dis fayn fayn wan wit stɛroyd drɔp ɔ anti-ɛpileptik drɔgs.
` Phantosmia, missing smell, sense of smell, olfactory disorder, nos sik, smel distorshon, olfactory hallucinations
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