We wi hit wi ed sɔmsay, wi kin tink se, "O, na jɔs smɔl bɔmp," bɔt sɔntɛnde i kin siriɔs pas dat. Ɛspɛshali we tin dɛn lɛk ed pen , vɔmit, ɛn prɔblɛm fɔ tɔk kam sɔm dez afta yu ed wund, i nɔ fayn fɔ tink jɔs. Dis kin bi siriɔs sik wae gɛt fɔ du wit di bren. Tide wi de tɔk bɔt Subdural Hematoma, wan denja sik we wi ɔl nid fɔ no bɔt.
Fɔ tɔk am simpul wan, wetin na dis Subdural Hematoma?
Fɔ tɔk am simpul wan, dis na we blɔd kin gɛda bitwin di tin dɛn we de protɛkt wi bren. Tink bɔt am, wi bren na ɔgan we rili dilik. difrεn layεr dεm de insay di sכkul fכ protεkt am. wetin de apin insay dis na we wan dilik bכdi we de כnda di ‘dura’ mεmbran, we de כnda di sכkul bכt na do na di bren tisu, de rכp εn bכdi de kכlekt.
Dis blɔd nɔ kin apin insay di bren, bɔt i kin apin na do na di bren. Bɔt di prɔblɛm de ɔdasay . Di skel tan lɛk bɔks we dɛn lɔk ɛn we at. So dis blɔd kin bigin fɔ gɛda, ɛn di bren kin bigin fɔ prɛs. Dis prɛshɔn we de bɔku kin rili denja. Dis prɛshɔn kin pwɛl di bren, mek pɔsin nɔ no natin, ɔ i kin ivin put in layf pan denja.
Dis difrɛn frɔm di epidural hematoma?
Yɛs, dɛn ɔl tu de blɔd na dɛn ed, bɔt smɔl difrɛns de. insay epidural hematoma, di bכdi kin kכlekt oba di dura mεmbran we wi bin tכk bכt, we min se i de nia di sכkul. Bɔku tɛm, i kin nid fɔ blo am bad bad wan. Ɛn bɔku tɛm, in sayn dɛn kin apin kwik kwik wan. Bɔt, wan sabdural ɛmatoma kin bɔku mɔ.
Tri men kayn we de fɔ dis blɔd:
di sכbdural εmatoma dεm kin sheb to tri men tכp dεm bay aw dεn de divεlכp kwik kwik wan. Dis impɔtant fɔ ɔndastand, bikɔs di sayn dɛm ɛn aw i kin tranga kin dipen pan di kayn.
| Di kayn ɛmatoma we dɛn kɔl hematoma | Taym ɛn di tin dɛn we Gɔd mek | Di sayn dɛm we dɛn kin si bɔku tɛm |
|---|---|---|
| Akyu Sabdural Ɛmatoma (Imejɛnsi) . | Insay sɔm minit ɔ awa afta i dɔn wund bad bad wan na in edBlɔd kin apin kwik kwik wan. Dis na di kayn we we denja pas ɔl. | Kɔnfyushɔn, nɔ kin no natin, nɔs, vɔmit. I impɔtant fɔ go to dɔktɔ wantɛm wantɛm. |
| Subakut Sabdural Hεmatoma (subakut kכndishכn) . | Blɔd kin apin kwik kwik wan. Di sayn dɛm kin sho sɔm dez ɔr wiks afta yu dɔn wund yu ed. | Ed we de at bad bad wan, vɔmit, ɛn kɔnfyushɔn de go ɔp smɔl smɔl. Dis na tin bak we de mek pɔsin denja. |
| Kronik Subdural Ɛmatoma (di sik we kin de fɔ lɔng tɛm) . | I kin rili kɔmɔn pan pipul dɛn we dɔn ol. As di bren de ol, i kin smɔl smɔl, ɛn dis kin mek smɔl smɔl blɔd vesel dɛn strɛch ɛn blɔd smɔl smɔl, ivin if i wund smɔl. Di sayn dɛm kin kam fɔ sɔm wiks . | Kɔnfyushɔn, mɛmori lɔs, prɔblɛm fɔ waka, lɔs balans. Bɔrku tɛm dɛn kin mistek kɔl sayn dɛm wae de sho se pɔrsin dɔn ol ɔr gɛt dis maynia sik. |
Us sayn dɛn yu fɔ wach fɔ?
di simptom dεm fכ sabdural hεmatoma de difrεn dipכnt pan di rεt we di bכdi de bכn. Sɔntɛnde, yu kin lɔs kɔnshɛns jɔs afta yu dɔn wund yu ed. Bɔt sɔmtɛm, yu nɔ kin gɛt ɛni sayn fɔ sɔm dez, ɛn afta dat, yu kin sho leta.
Jɛnɛral wan, kip yu yay pan dɛn kwaliti ya:
- Wan bad bad ed we de at we nɔ de chenj
- Kɔnfyushɔn , chenj na di we aw yu de waka
- Nɔs ɛn vɔmit
- Slip pasmak, taya ɔltɛm
- Wik na wan say na di bɔdi (especially di sayd we de agens di ed injuri) .
- difrεns pan di sayz fכ di pupil dεm na di tu yay dεm
- I nɔ izi fɔ tɔk ɔ fɔ tɔk smɔl smɔl
- Di mɛmori we yu nɔ ebul fɔ mɛmba
- Di sik dɛn we kin mek pɔsin sik
- Vishɔn kin chenj
If yu gɛt ɛni wan pan dɛn sik ya, ilɛksɛf na wan de ɔ wan wik afta yu dɔn wund yu ed, nɔ west tɛm ɛn go to dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) . Dis kin bi tin we kin mek pɔsin day ɔ day.
Di men tin dɛm wae kin mek pɔrsin gɛt dis sik ɛn de risk factor dɛm
Di men tin we kin mek pɔsin gɛt injuri na in ed . Dɛn tin ya kin bi:
- Fɔdɔm (espɛshali pan di wan dɛn we dɔn ol) .
- Aksidɛnt dɛn we kin apin na motoka
- Atak dɛn
- Spɔt aksidɛnt (e.g. bɔksin, rɔgbi) .
Apat frɔm dat, dis risk kin bɔrku fɔ sɔm pipul dɛm.
- Pipul dɛn we dɔn ol: As di bren kin smɔl smɔl as wi de ol, di blɔd vesel dɛn we de bitwin di bren ɛn di skel kin strɛch. Dis kin mek dɛn brok ɛn blɔd ivin if dɛn blo am smɔl.
- Pipul wae de tek blɔd thinner: Pipul wae de tek mɛrɛsin lɛk Warfarin ɛn Aspirin kin gɛt bɔrku blɔd ivin if dɛn gɛt smɔl aksidɛnt.
- Pipul dɛn we de drink pasmak: Rɔm kin mek dɛn bren shrinkage ɛn i kin mek dɛn fɔdɔm bɔku tɛm.
- yכŋ pikin dεm: Dis kכndyushכn kin apin pan kes dεm lεk "Shaken baby syndrome" כ bikoz fכ aksidεnt we dεn de bכn.
Aw yu go fɛn dis, Dɔktɔ?
Bɔku tɛm, we yu go na ɔspitul afta yu dɔn wund yu ed, di fɔs tin we yu dɔktɔ go du na fɔ ɔda fɔ mek dɛn du CT skan ɔ MRI skan na yu ed. Dɛn skan ya kin sho klia wan ɛni blɔd we de kɔmɔt insay yu skel. CT skan kin fast ɛn dɛn kin yuz am mɔ we tin apin we nɔ izi fɔ du. MRI skan kin gi mɔ ditayli infɔmeshɔn.
Aw dɛn kin trit am?
Di tritmɛnt dipen pan di kayn blɔd we de kɔmɔt ɛn di kayn we aw i de kɔmɔt, ɛn di kayn we aw di pɔsin de.
- Wach: If di blɔd rili smɔl ɛn di sayn dɛn nɔ rili bad, yu dɔktɔ kin disayd fɔ kip yu na ɔspitul fɔ mek dɛn wach yu ɛn nɔ gɛt ɔpreshɔn. Bɔt dɛn go kɔntinyu fɔ skan yu fɔ si if di blɔd de wɔs ɔ if i dɔn sɔlv fɔ insɛf.
- Ɔpreshɔn: If di blɔd big ɛn mek di bren prɛshɔn, i kin nid fɔ du ɔpreshɔn fɔ pul di blɔd.
- Burr hole trephination: Dis na fɔ drɔ smɔl ol na di skel ɔp di say we di blɔd dɔn gɛda, put wan tiub tru am, ɛn sok di blɔd kɔmɔt.
- Kraniɔtomi: If di blɔd big ɔ blɔd dɔn fɔm, dɛn kin pul wan smɔl pat pan di skel fɔ sɔm tɛm, dɛn kin pul di blɔd ɔlsay, ɛn dɛn kin tay di skel bak.
Di tin we impɔtant pas ɔl na dat na di dɔktɔ nɔmɔ go disayd if dis kin mɛn if dɛn nɔ du am ɔpreshɔn. Nɔ ɛva de na os we tin lɛk dis.
Aw fɔ rɔnawe pan dis sityueshɔn?
di bεst we fכ mek yu nכ gεt sכbdural εmatoma na fכ:Fɔ mek pɔsin nɔ gɛt injury na in ed .
- Ɔltɛm wɛr ɛlmɛt we yu de rayd baysikul ɛn motoka.
- We yu de rayd motoka, wɛr sit bɛlt .
- Yu fɔ no di say dɛn na yu os usay pipul dɛn kin slip ɛn fɔdɔm (e.g., batrum, stej), mɔ if ol pipul dɛn de. Mek dɛn sef.
- Kɔntrol di we aw yu de drink rɔm.
- If yu de tek mɛrɛsin we de mek yu blɔd tan, tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin we yu ivin gɛt smɔl aksidɛnt.
Mɛsej we dɛn kin kɛr go na os
- Subdural hematoma na wan rili siriכs kכndyushכn we kin apin afta yu ed injuri.
- I kin tek sɔm dez ɔr wik fɔ mek di sayn dɛn de sho afta yu dɔn wund yu ed, so na fɔ wach ɔltɛm.
- If yu gɛt sɔm sayn dɛn lɛk se yu ed de at bad bad wan, yu de vɔmit, yu kɔnfyus, ɔ yu nɔ ebul fɔ waka, go to dɔktɔ wantɛm wantɛm.
- Ɛspɛshali di wan dɛn we dɔn ol ɛn di wan dɛn we de tek blɔd tin fɔ tek tɛm wit dis, ivin afta dɛn dɔn fɔdɔm smɔl.
- Fɔ protɛkt yu ed na di bɛst we fɔ mek dis tin nɔ apin. Yu fɔ de sef ɔltɛm.
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