Yu tink se i at fɔ tɔn yu yay to wan say? Dis na prɔblɛm wit di siks nerve? Lɛ wi lan bɔt Siks Nɛv Palsi!

Sɔntɛnde yu kin fil lɛk se yu wan yay de na sayd, dat min se i nɔ kin izi fɔ mek yu tɔn am? Ɔ yu kin si ɔltin insay tu ples wantɛm wantɛm? Tin dɛn lɛk dis nɔto nɔmal tin. Di rizin fɔ dis kin bi sɔm wikɛd tin na yu siks kraynia nɛv. Wi kin kɔl dis Siks Nɛv Palsi. Nɔ wɔri, wi go tɔk bɔt dis ditayli.

Wetin na Siks Nɛv Palsi?

Fɔ tɔk am simpul wan, Siks Nɛv Palsi na wan sik we kin kam bikɔs wan spɛshal nerve dɔn pwɛl we kin ɛp wi fɔ tɔn wi yay na do (to di sayd). Dɛn kin kɔl dis nɛv bak di Abducens Nɛv . Dis kin mek di yay nɔ ebul fɔ muv, ɛn dis kin mek i nɔ pɔsibul fɔ mek dɛn kɔntinyu fɔ de alaynɛd.

Yu no se 12 pe kranial nerves de we de konekt dairekt to wi bren? Dat min se tu pan ɛni kayn, wan na ɛni say, na di lɛft ɛn wan na di rayt. dis siks pe fכ di kraynia nεv dεm na in de kכnekt to di lateral rεktus mכsul na wi yay, we na jכs di mכsul we de tכn di yay kכmכt na do . dis mכsul na in de εp di lεft yay fכ luk lεft εn di rayt yay fכ luk rayt. So, insay di siks nεv dεm we nכ de wok fayn, di signal dεm we de travul tru dis nεv de intarap, εn di mכsul we de tכn di yay kכmכt na do de wik כ i nכ de wok.

bכku tεm, dis kכndyushכn kin afekt wan yay nכmכ (wi kin kכl am yunilateral), bכt sכmtεm i kin afekt כl tu di yay dεm (baylatarכl).

Aw dis sik kin kɔmɔn?

Siks Nɛv Palsi nɔ rili kɔmɔn so. Ɔlsay na di wɔl, dɛn kin ripɔt bitwin 350,000 ɛn 900,000 nyu wan dɛn we gɛt dis sik ɛvri ia. Ivin na kɔntri lɛk Amɛrika, na 15,000 to 37,000 nyu wan dɛn nɔmɔ dɛn kin gɛt ɛvri ia.

Ɛnibɔdi kin divɛlɔp dis. Bɔt de risk kin bɔrku smɔl, mɔr lɛk afta yu dɔn ol 50. Dis risk kin bɔku mɔr as yu de ol. Risach dɔn sho se pipul dɛn we ol bitwin 60 ɛn 75 ia kin gɛt dis sik.

Wetin na di sayn dɛm fɔ dis?

Naw lɛ wi si wetin na di sayn dɛm fɔ Sixth Nerve Palsy. Di men tin na dat di yay nɔ kin ebul fɔ muv fayn ɛn di yay nɔ kin ebul fɔ kip togɛda. Dis na wae mek de ɔda sayn dɛm kin sho. Sɔm sayn dɛm kin jɔs bi bikɔs ɔf dis nerve dysfunction, ɛn kin gɛt sayn dɛm bak wae gɛt fɔ du wit ɔda mɛrɛsin wae kin kam wit am.

Di men sayn dɛm na dɛn wan ya:

• Strabismus: Dɛn nɔ kin ebul fɔ tɔn di yay we gɛt di sik fayn fayn wan, we kin mek i tan lɛk se di yay nɔ alaynɛd ​​fayn wit ɔda pipul dɛn. di yay we afekt kin tan lεk bak se i tכn insay (esotropia) .
• Dabl vishɔn (Diplopia): .Dis na de fɔs sayn wae bɔrku pipul kin notis. We yu de luk tin dɛn we de fa ɔ we yu de tray fɔ luk di say we di sik afɛkt, di tu vishɔn dɛn kin bɔku. we yu luk di כda say (di sayd we nכ afekt), dis de dכn sכmtεm (if na wan yay nכmכ de afekt).
• Chenj aw yu de tinap fɔ si klia wan: Pipul dɛn we gɛt siks nerve dysfunction, we nɔ kin ebul fɔ tɔn wan ɔ ɔl tu yay na wan patikyula say, kin praktis fɔ tɔn dɛn ed ɔ bɔdi fɔ luk na da say de. Dis kin ɛp dɛn fɔ avɔyd di dɛbul vishɔn we di yay de shek shek.
• Nɔs ɛn vɔmit: Dis na jɔs tu pan di sayn dɛm we kin apin bikɔs yu de si chenj. Dɛn kin kam bak wit ɔda mɛrɛsin sik dɛm wae kin mek dis nyurolɔjik disfɔkshɔn.
• Pen: Ay pen ɛn ed kin at we yu de strɛs yu yay fɔ lɔng tɛm ɔ we yu gɛt prɔblɛm wit yu yay fɔ lɔng tɛm.

Wetin mek dis siks nerve (Abducens Nerve) nɔ de wok?

Wεl, wetin mek dis siks nεv (abducens nerve) kin bi dysfunctional lεk dis? Bɔku rizin dɛn kin de. Dis sik kin kam frɔm ɛnitin wae de pwɛl dis nerve. Yu no, pat pan dis nerve de rɔn tru wi bren. So, sik dɛm wae kin afɛkt di bren kin afɛkt dis nerve bak.

Sɔntɛnde, dɛn nɔ kin ebul fɔ no di rayt tin we mek i du dat. Wi kin kɔl dɛn kes ya idiopathic . Bɔt bɔku tɛm, dɔktɔ dɛn kin fɛn di tin we kin mek i sik ɛn trit am. Lɛ wi luk di men tin dɛn we kin mek wi du dis.

1. Injuri dɛn

Imajin if yu hit yu ed sɔmsay, ɔ if yu gɛt aksidɛnt... dis siks nerve we de rawnd wi bren kin pwɛl. Fɔ ɛgzampul:

• Kɔnkyushɔn ɛn Traumatik Bren Injuri (TBI ) .
• Skul we de brok brok
• Wund dɛn we de go insay di ed, lɛk frɔm shap wɛpɔn ɔ bulɛt

2. Infɛkshɔn dɛn

Maykro כganism dεm lεk vayrus εn baktri dεm kin atak wi nεv sεstem. Dis siks nerve kin afɛkt bak. Fɔ ɛgzampul:

• Hɛpi zosta vayrɔs (na dis kin mek yu gɛt shingles) .
• Epstein - Barr vayrɔs (dis na wetin de mek mononucleosis ɔ ‘mono’) .
• Meningitis ( mɛningɔyt ) .
• Saytomɛgalovayrɔs (CMV ) .
• Laym sik
• Sifilis we dɛn kɔl Sifilis
• Fɔngal ɔ parasayt infɛkshɔn
• If wan infεkshכn na yu yes ( otitis media ) spre כ i bכku
• Infεkshכn εn swεla na di tisu dεm we de rawnd di yay ( orbital cellulitis ) .

Sɔntɛnde, sɔm layf vaysin dɛn we dɛn kin gi fɔ mek pɔsin nɔ gɛt infɛkshɔn kin mek bak siks nerve nɔ de wok fayn fɔ sɔm tɛm. If na so i bi, i go wɛl fɔ insɛf.

3. Prɔblɛm dɛn we gɛt fɔ du wit di blɔd we de kɔmɔt na di blɔd

If blɔd nɔ de flɔ na wi bren, i kin afɛkt dis siks nerve. If blɔd nɔ de flɔ, wan sik we dɛn kɔl ischemia kin apin. Dis min se we di sɛl dɛn nɔ gɛt bɛtɛ blɔd, dɛn nɔ de wok igen. If dis ischemia kin tranga ɔ i kin te fɔ lɔng tɛm, dɛn sɛl dɛn de kin day.

di prכblεm dεm we kin mek di siks nεv dεn nכ de wok fayn na:

• di bכdi fכ fכlכ fayn fayn wan tru di sכm sכm bכdi we de gi bכdi to di siks nεv ( microvascular ischemia ) .
• Strok ɛn Transiɛnt Ischemik Atak (TIAs ) .
• Bren anɛrizm dɛn
• Blɔd we de kɔmɔt insay di bren ( Intracranial hemorrhages ) .

4. sistεmik, inflammatory εn mεtabolik kכndishכn dεm we de afekt mכltipכl bכdi sistεm dεm

Sɔm mεdikal kכndyushכn dεm wae de afekt mכltipכl bכdi sistεm dεm kin mek כ kכntribyut bak fכ siks nεv dεm nכ de wok fayn. Ɛgzampul dɛn:

• Tayp 2 dayabitis - Dis kin rili kɔmɔn na wi kɔntri naw, nɔto so?
• Di sik we de ambɔg di at ɛn di blɔd
• Ay blɔd prɛshɔn ( Ay blɔd prɛshɔn - Ay blɔd prɛshɔn ) .
• Wernicke-Korsakoff sindrom we gɛt di sik
• Mɔltipɛl sklɛrosis (MS ) .
• Lupus sik ( Lupus-Sistemik Lupus Ɛritɛmatosɔs ) .
• Amyloidosis we dɛn kɔl am
• Sarkoidosis we pɔsin kin gɛt
• Tayrɔyd sik dɛn

5. Blɔd dizayd, kansa ɛn tumbu

Sɔm sik dɛn we kin afɛkt di blɔd vesel dɛn kin mek di prɛshɔn go ɔp insay di skel, we kin kɔmprɛs ɛn pwɛl di siks nerve. כda kayn tכmכro dεm we de divεlכp insay di bren kin kכmprεs dis nεv bak. Ɛgzampul dɛn:

• Lukimiya
• Limfoma we dɛn kɔl Limfoma
• Trɔm dɛn na di bren (we gɛt kansa ɛn we nɔ gɛt wan prɔblɛm) .
• Kansa we de mɛtastas to di bren

6. Ɔda nyurolɔjik kɔndishɔn dɛn

Bɔrku ɔda sik dɛm wae gɛt fɔ du wit di nervɔs sistɛm kin mek dis siks nerve dysfunction. Ɛgzampul dɛn:

• Maygren ɛn klasta ed pen
• Idiopatik intrakranial haypatεnshכn (high intrakranial prεshכn we dεn nכ no kכz) .
• Hydrocephalus (we wata kin gɛda na di bren) .
• Chiari malfɔmeshɔn
• Arteriovenɔs malfɔmeshɔn (AVM ) .
• Sεribrospεnal fכluid (CSF) de lik

7. Di we aw dɛn de du mɛrɛsin

Di abducens nerve kin afɛkt ɔ damej bak bay sɔm mɛrɛsin ɔ prosidur dɛm. Na sɔm ɛgzampul dɛn ya:

• di spεnal tap (Lumbar pancture ): dis kin mek di prεshכn insay di sכkul dכn sכmtεm, we kin mek di siks nεv dεm nכ de wok fayn. nכmal wan, wi bren de fכt insay sεribrospεnal fכluid (CSF). we dis wata lεvεl dכn dכn, di bren kin sag sכmtεm εn prεs pan di tisu dεm we de כnda di bren, inklud di abducens nεv.
• Epidural anesthesia : Dis de pul wata bak na di spayna lεk aw wi bin dכn tכk bכt εn i kin mek di siks nεv dεm nכ de wok fayn.
• Tritmεnt dεm lεk bren כpεrayshכn כ rεdyushכn tεrapi: dεn kin pwεl dis nεv bak we dεn de afekt di εria dεm we de nia di bren.

Wetin na di risk factor dɛm fɔ dis?

Sɔm pipul dɛn kin gɛt dis siks nerve dysfunction. Bɔku tɛm, ivin if di tin dɛn we wi dɔn tɔk bɔt nɔto di men tin we kin mek pɔsin gɛt dis sik, ɔda tin dɛn kin mek dis sik bigin. Ɛgzampul dɛn:

• Metabolik sik dɛm lɛk dayabitis ( Tayp 2 dayabitis ) .
• Sik dɛm wae de kam pan di blɔd prɛshɔn ( Hypertension ) .
• Inflammatory ɔ autoimyun sik dɛm, lɛk multiple sclerosis

Us prɔblɛm dɛn dis kin mek?

di komplikashכn dεm we di siks nεv dεn nכ de wok fayn de dipכnt bכku pan di כndalayn kכz εn di tritmεnt. Dɛn tin ya kin difrɛn bad bad wan, so yu dɔktɔ kin advays yu fayn fayn wan bɔt di prɔblɛm dɛn we kin apin to yu sik ɛn wetin yu kin du fɔ mek yu nɔ gɛt ɔ fɔ stɔp dɛn.

Ɛspɛshali if dis kin apin to yɔŋ pikin, wan tin we dɔktɔ dɛn kin tray fɔ avɔyd na wan sik we dɛn kɔl amblyopia. Wi kin kɔl dis bak ‘lɛzi yay’. Wetin kin apin pan dis na we di pikin in bren kin bigin fɔ pe atɛnshɔn smɔl smɔl pan wan yay nɔmɔ ɛn nɔ kin pe atɛnshɔn to di sayn dɛn we de kɔmɔt na di ɔda yay. Dɔn di yay we dɛn nɔ yuz kin chenj smɔl smɔl to wan say, ɛn dis kin mek di sik wɔs.

Aw dɛn kin no dis?

Dɔktɔ lɛk ɔftalmɔlɔjis , nyurolɔjist , ɔ nyuro-ɔftalmɔlɔjis kin yuz kɔmbayn we fɔ no if i gɛt Sixth Nerve Palsy. Dɛn we ya na:

• Test we yu de si: Dɔktɔ ɔ dɔktɔ we de mɛn yu yay go tɛst yu aw yu ebul fɔ muv yu yay insay sɔm we dɛn fɔ si if na di siks nerve nɔmɔ go afɛkt, bikɔs di siks nerve we nɔ de wok fayn kin apin we yu nɔ de wok fayn wit ɔda nerv dɛn we de nia yu, mɔ di wan dɛn we de kɔntrol di yay muvmɛnt.
• Lab test: Dis na di men we fɔ no if yu gɛt wan sik we yu kin no bay lab test, lɛk mɛtabolik sik, blɔd sik, ɔ infekshɔn. Dɛn kin chɛk yu blɔd glukɔs ɔ A1C lɛvɛl. Dɛn kin chɛk bak tin dɛn lɛk di lɛvɛl we di pletlɛt , di imyun sɛl dɛn, ɔ di antibodi dɛn we de na yu blɔd we de sho se yu gɛt ɔtoimyun sik.
• MRI skan (Magnetic Resonance Imaging - MRI): MRI skan impɔtant fɔ no if siks nerve dysfunction , mɔ fɔ pipul dɛn we nɔ rich 50 ia yet. Dis tɛst kin mek yu gɛt rili klia pikchɔ dɛn bɔt di tisu dɛn we de insay yu ed, inklud di abducens nerve ɛn di bren tisu we de rawnd. Dis kin ɛp fɔ pul ɔr nɔr gɛt siriɔs ɔr denja tin dɛm lɛk strok, kansa, ɔr tumbu.

Aw dɛn kin trit dis?

Bɔrku we de fɔ trit dis, ɛn bɔrku tɛm dɛn kin fɔdɔm insay tu kayn:

1. Wetin na di rizin fɔ dis inaktiviti, aw fɔ stɔp am?

2. Fɔ trit di ifɛkt dɛm fɔ dis disfɔkshɔn ɛn, if i pɔsibul, fɔ mek dɛn kam bak to nɔmal, if nid de.

Di men tin we kin mek i apin na di tin we kin mek i apin. Bɔt ɔda tin dɛn bak kin ɛp fɔ du dat. Bɔku tɛm, di siks nerve dysfunction kin sɔlv insɛf wans dɛn dɔn trit di ɔndalayn kɔz. Bikɔs bɔku tin dɛn de we kin mek yu no di bɛst tritmɛnt fɔ dis, yu dɔktɔ kin gi yu infɔmeshɔn bɔt di bɛst tritmɛnt fɔ yu. I kin mek di infɔmeshɔn to yu patikyula kɔndishɔn ɛn wetin yu nid.

Fɔ bɔku pipul dɛn, dɛn nɔ nid fɔ gɛt bɛtɛ tritmɛnt ɔ dɛn nɔ nid ɛni tritmɛnt. If i tan lɛk se yu sik nɔ nid fɔ gɛt tritmɛnt fɔs, yu dɔktɔ ɔ pɔsin we sabi bɔt yu yay go tɛl yu fɔ go to yu fɔ fala yu. Na if i nid fɔ gɛt tritmɛnt fɔ glaukoma nɔmɔ. Bɔt bɔku tɛm, dɛn kin du tritmɛnt fɔ di bad tin dɛn we glaukoma, ɔ di sayn dɛn we pɔsin kin gɛt, kin du.

Fɔ trit di ifɛkt dɛm wae pɔrsin nɔr de du natin nɔr kin izi, bɔrku tɛm dɛn kin pe atɛnshɔn fɔ ridyus ɔr stɔp di sik dɛm. Sɔm tritmɛnt dɛm wae kin ɛp fɔ dis na:

• We yu wɛr ay pat ɔ filta: We yu kɔba wan yay, dat de mek yu nɔ si ɔl tu. Dis na bikɔs na di tin we pɔsin kin si frɔm wan yay nɔmɔ kin rich na di bren. Dipen pan yu sik, yu dɔktɔ kin se yu fɔ wɛr ay pat sɔntɛnde ɔ ɔltɛm. Filta dɛn de bak we pɔsin kin wɛr we dɛn kin tay pan ayglas, we kin wok di sem we bikɔs dɛn kin filta layt.
• OnabotulinumtoxinA injεkshכn: Dis mεdikeshכn kin blok signal fכ sכm tεm fכ travul tru di nεv dεm we dεn de trit. Dɛn kin injɛkt am nia sɔm nɛv dɛn fɔ mek di yay nɔ de shek shek.
• Ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt strabismus:Bɔku ɔpreshɔn dɛn de we kin ɛp fɔ mek di siks nerve nɔ wok fayn. sכm pan dεm de impruv di kכntrכl fכ di lateral rεktus mכsul we i wik. כda כpεrayshכn dεm de tek wan pat pan di mכsul na di כda say na yu yay (we de gεt signal frכm כda mכsul) εn fos am fכ wok lεk dis lateral rεktus mכsul.
• Prism kɔrɛkshɔn: Dɛn tin ya kin bi smɔl smɔl tin dɛn we gɛt bɔku layers we yu kin glu pan yu ayglas lens dɛn. Ɔ, dɛn kin mek yu ayglas lens dɛn wit prism kɔrɛkshɔn we dɛn bil insay dɛn. Wan prism de bɛn layt. We yu bɛn di rayt angul, i kin mek i izi fɔ mek yu yay pe atɛnshɔn ɛn si tin dɛn.

Kɔmplikeshɔn/sayd ifɛkt dɛn we dɛn kin gɛt we dɛn du ɔpreshɔn

Sɔntɛnde, di ɔpreshɔn we dɛn kin du wit strabismus kin mek dɛn nɔ kɔrɛkt ɔ kɔrɛkt di siks nerve dysfunction. If dis apin, bɔku tɛm dɛn kin kɔrɛkt di difrɛns wit prism kɔrɛkshɔn. Dis kin ɔl tu kɔmpɛns di ɔndakɔrɛkshɔn ɔ rivɛns di ɔvakɔrɛkshɔn.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di tɛm we pɔsin kin wɛl afta di tritmɛnt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu dɔktɔ kin tɛl yu wetin fɔ ɛkspɛkt bay di patikyula tin we de apin to yu.

Sɔm tritmɛnt dɛn kin wok wantɛm wantɛm, ɛn dis kin mek pɔsin nɔ gɛt di sik. Wan ɛgzampul bɔt dis na fɔ wɛr ay pat. I de blok di vishɔn na wan yay ɛn i de stɔp fɔ si wantɛm wantɛm na dɛn tu yay. prism kכrekshכn kin gi kwik rilif bak, bכt i kin tek de כ wik fכ fulכp fכ ajɔst to am - i dipכnt pan di kכrekshכn.

Wetin a fɔ ɛkspɛkt if a gɛt Sixth Nerve Palsy?

Siks Nɛv Palsi nɔr kin de pan denja fɔ wi layf, bɔt i kin ambɔg wi ɛvride layf. I kin ambɔg di wok we dɛn kin du na skul, wok, tin dɛn we wi lɛk fɔ du, ɛn di tin dɛn we dɛn kin du wit ɔda pipul dɛn. I kin mek yu nɔ fil fayn bak. Yu kin gɛt diziz, yu kin gɛt nɔys, ɛn yu ed kin at.

If yu gɛt sayn dɛm fɔ siks nerve dysfunction, mɔ di nɔ ebul fɔ tɔn yu yay na do (ɔ na ɛni say we yu de luk), yu fɔ rili go to dɔktɔ. Bɔku tɛm, dis na smɔl prɔblɛm. Bɔt sɔntɛnde, i kin kam bikɔs ɔf wan sik we rili siriɔs. Di bɛst we fɔ mek yu gɛt mɔ chans fɔ gɛt gud tin na fɔ gɛt diagnosis ɛn bigin tritmɛnt kwik kwik wan .

Aw lɔŋ Siks Nɛv Palsi kin las?

Aw lɔng dis kin las kin difrɛn. Fɔ sɔm tin dɛn lɛk maygren, i kin las fɔ sɔm awa. Fɔ ɔda tin dɛn, i kin las fɔ lɔng tɛm, frɔm tri to siks mɔnt. Sɔntɛnde, i kin bi wan sik we go de sote go. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt wetin go apin to yu ɛn wetin yu kin du fɔ stɔp di tɛm we i kin afɛkt yu, ɔ fɔ adap to di tin dɛn we i kin du.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Ɔl togɛda, di luk fɔ siks nerve dysfunction gud. Fɔ bɔrku pipul dɛm, na sɔm kayn sik wae kin sɔlv fɔ insɛf ɔr wit tritmɛnt fɔ di ɔndalayn kɔz.

Bɔt sɔm tɛm dɛn de, i kin bi bikɔs ɔf tin dɛn we rili siriɔs. Dis kin bi mɔ if de sik kin apin to pɔrsin wae nɔr rich 50 ia, ɛn/ɔr kin afɛkt ɔl tu in yay. Bɔt i fayn ɔltɛm fɔ go to dɔktɔ if yu gɛt sayn dɛn we de sho se yu gɛt siks nerve dysfunction. If yu no di sik kwik kwik wan ɛn trit yu kin mek difrɛns bitwin fɔ wɛl bɔdi ɛn fɔ lɔng tɛm (i kin bi fɔ ɔltɛm) ifɛkt.

Yu tink se dɛn kin ebul fɔ avɔyd Siks Nɛv Palsi?

Na sɔntin we kin apin wantɛm wantɛm ɛn we pɔsin nɔ bin de tink se i go apin. De ɔndalayn mɛdikal kɔndishɔn wae kin mek pɔrsin gɛt am nɔr kin kam ɔltɛm, ɛn sɔmtɛm dɛn nɔr kin ebul fɔ no di kɔz. So i nɔ pɔsibul fɔ mek dɛn nɔ du am kpatakpata. Bɔt sɔm tin dɛn de we wi kin du fɔ ridyus di risk fɔ mek i apin fɔ sɔm rizin dɛn. Fɔ ɛgzampul:

• Wear tin fɔ protɛkt yusɛf we nid de: If yu wund yu ed, mɔ we yu kɔnkyushɔn ɛn we yu bren bad bad wan , dat kin mek di siks nɛf nɔ wok fayn. Fɔ wɛr tin fɔ protɛkt yusɛf – mɔ ɛlmɛt, fɔ protɛkt yu ed, ɛn sit bɛlt – rili impɔtant fɔ mek yu nɔ gɛt dis kɔndishɔn.
• Manej yu krɛse sik: Sɔm sik, lɛk tayp 2 dayabitis ɛn ay blɔd prɛshɔn , yu kin kɔntrol. If nid de, yu dɔktɔ kin gi yu advays ɛn aw fɔ trit yu.
• Nɔ ignore infɛkshɔn: If yu gɛt sayn fɔ infekshɔn we nɔ de go afta sɔm dez, go to dɔktɔ. Baktri infεkshכn nid antibaytik fכ mek di infεkshכn nכ go bכku כ spred. Bɔt mɛmba se, antibayɔtik nɔ de wok pan vayrɔs, ɛn di vayrɔs infɛkshɔn fɔ klia fɔ dɛnsɛf ɔ wit sɔpɔt kia.

Aw a kin kia fɔ misɛf?

If yu gɛt Sixth Nerve Palsy, yu dɔktɔ go gayd yu fɔ no aw fɔ mɛn am ɛn di ɔndalayn kɔndishɔn (if ɛni wan de) we kin de mek yu gɛt am. I rili impɔtant fɔ fala dɛn instrɔkshɔn, mɔ we i kam pan aw fɔ kɔntrol yu sik dɛn. I impɔtant fɔ wɛr ay mask, filta, ɔ ɔda tin dɛn fɔ kɔrɛkt yu, bikɔs i kin ɛp yu fɔ wɛl kwik ɛn nɔ gɛt di sik dɛn we yu nɔ kin fil fayn.

Ustɛm a fɔ go to mi dɔktɔ, ɔ ustɛm a fɔ go to dɔktɔ?

Yu fɔ kɔntinyu fɔ gɛt fɔlɔp visit lɛk aw yu dɔktɔ tɛl yu fɔ wach di chenj dɛn we de apin na yu kɔndishɔn ɛn ajɔst yu tritmɛnt if nid de. Siks Nɛv Palsi nɔto imejensi, bɔt na sik we dɛn nid fɔ no kwik kwik wan ɛn trit am.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu go want fɔ aks yu dɔktɔ:

• Wetin na di tin we mek mi siks nerve dysfunction, ɛn ɛni tin de we pɔsin kin no bɔt ɔ tin dɛn we kin mek a ebul fɔ trit?
• Dis dɔn afɛkt ɔda kraynia nɛv dɛn ɔ di tisu dɛn we de nia de?
• Us sayn dɛn a fɔ ɛkspɛkt?
• Wetin a go du fɔ ridyus mi sik?
• Tritmɛnt dɛn de we go mek a nɔ gɛt di sik we a gɛt naw ɔ mek a wɛl kwik kwik wan?
• Wetin a kin du fɔ mek dis nɔ apin igen (fɔ kam bak)?

Fɔ dɔn, mɛmba (Take-Home Message) .

So, afta ɔl dis tɔk, yu go dɔn ɔndastand wetin na Siks Nɛv Palsi. Na nɔrtin fɔ frayd, bɔrku tɛm na fɔ shɔt tɛm, ɛn dɛn kin mɛn am wit tritmɛnt. Bɔt, lɛk aw wi bin dɔn tɔk, sɔntɛnde, sɔntin kin de we kin mek i rili siriɔs.

So, if yu si se i nɔ izi fɔ tɔn yu yay to wan say, if yu si wan ɔ tu, ɔ if yu gɛt ɛni wan pan di ɔda sayn dɛn we wi dɔn tɔk bɔt, duya go to dɔktɔ ɛn nɔ de te. If yu fɛn di tin we de mek yu gɛt am ɛn bigin fɔ trit yu kwik kwik wan, dat go ɛp yu fɔ wɛl kwik ɛn nɔ go gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm. Dɔn yu kin pe atɛnshɔn pan di impɔtant tin dɛn na layf ɛn nɔ go stɔp yu fɔ du wetin dis sik kin du to yu.

` Siks Nεv Palsi, Abducens Nεv Palsi, Ay twitching, Dכbl vishכn, Paralayz, Ay sik dεm, Nyurolכjik sik dεm