Yu pikin in an ɛn fut dɛn de shek shek we i nɔ want? Yu tink se na Sydenham Chorea i go bi?

Yu smɔl pikin dɔn bigin fɔ muv in an ɛn bɔdi dɛn wantɛm wantɛm di we we strenj? Sɔntɛnde, i kin tɔk smɔl smɔl we i de tɔk? Ɔ yu de si am wantɛm wantɛm de smayl ɛn mek fes? As mama ɔ papa, i nɔmal fɔ mek yu fil bad bad wan we yu si dɛn tin ya. Bɔt rizin kin de fɔ ɔl dis. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya. Dat na wan kɔndishɔn we dɛn kɔl `Sydenham Chorea`.

Wetin na `Sydenham Chorea`?

Fɔ tɔk am simpul wan, `Sydenham Chorea` na wan muvmɛnt disɔda na di nervɔs sistɛm we kin apin pan pikin dɛm. i de kכz spεshal wan bay wan baktri infεkshכn we dεn kכl `(Grup A beta-hεmolytic Streptococcus)`. Yes, yes, yu gεs am rayt, dis na di sem baktri we de mek strep trot εn rεumatik fiva.

Naw yu kin de tink se, "Aw dis kin apin wit trot infεkshכn?" Na dis kin apin... Wi bɔdi in imyun sistɛm de fɔ protɛkt wi frɔm sik. כltu, we dis `(Streptococcus)` baktri dεm go insay di bכdi, sכm pikin dεm in imyun sistεm kin kכnfyus sכmtεm. Dat min se instead fɔ atak jɔs di baktri dɛm, i mistek bigin fɔ atak sɔm pat dɛm na di bren we gɛt wɛlbɔdi bak. Dis kin apin mɔ fɔ di pat dɛn na di bren we de kɔntrol di muvmɛnt.

Di Grik wɔd "Chorea" min "dans." So di nem kɔmɔt frɔm di jɔk ɛn jɔk we dɛn pikin ya kin gɛt we dɛn nɔ want, we kin rɔn kwik kwik wan, ɛn we nɔ kin jɔs jok, we kin tan lɛk se dɛn de dans. Sɔntɛnde, dɛn muvmɛnt ya kin ivin ambɔg di tin dɛn we di pikin kin du ɛvride.

dis kכndyushכn kin apin pan pikin dεm afta dεn dכn gεt ``strep trot'' כ ``rεumatik fiva.'' Dis na di mכst kכmכn fכm fכ kכria na pikin dεm we kכz fכ εksternal kכz.

Aw dis sik kin kɔmɔn?

Infakt, na divɛlɔp kɔntri dɛn lɛk Nɔt Amɛrika ɛn Yurop, di wan dɛn we gɛt Sydenham Chorea dɔn rili smɔl naw. Di rizin fɔ dis na bikɔs dɛn kin gi antibayɔtik kwik kwik wan fɔ pipul dɛn we gɛt trot na dɛn kɔntri dɛn de. Bɔt na di divɛlop kɔntri dɛn lɛk wi yon, dɛn kin stil si dis sik bikɔs sɔntɛnde di we aw dɛn kin trit am difrɛn ɛn nɔto ɔlman kin gɛt tritmɛnt kwik kwik wan.

Udat dɛn kin gɛt dis sik mɔ?

Dɛn kin si am mɔ pan pikin dɛn we ol bitwin 5 ɛn 15. I kin bɔku bak pan gyal pikin dɛn smɔl pas bɔy pikin dɛn. I nɔ kin apin so ɔltɛm pan pikin dɛn we nɔ rich 5 ia ɔ pan big pipul dɛn.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

Pikin dɛn we gɛt Sydenham Chorea kin gɛt wan sik we dɛn kɔl PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). PANDAS na wan ɔtoimyun nyurosaykayatrik dizayd we gɛt fɔ du wit strɛptokɔk infɛkshɔn. Bɔt dɛn stil nɔ gri pan di dɔktɔ dɛn if strep infɛkshɔn rili de mek pɔsin gɛt PANDAS. Pikin dɛn we gɛt PANDAS kin gɛt sɔm sayn dɛn lɛk:

• Di chenj we pɔsin de biev ɛn di we aw i nɔ de pe atɛnshɔn.
• Di tin dɛn we kin mek pɔsin fil bad.
• Muvmɛnt ɔ sawnd dɛn we nɔ de na di wɔl wantɛm wantɛm (tiks).

Nɔto dat nɔmɔ, bɔt di we aw wi imyun sistɛm de ansa dis strɛptokɔk infɛkshɔn kin afɛkt ɔda ɔgan dɛn bak, lɛk di skin, di jɔyn dɛn, ɛn di at. Fɔ ɛgzampul:

• Atraytis we pɔsin kin gɛt
• Inflameshɔn na di insay layn na di at (endocarditis) .
• Di sik we de mek pɔsin gɛt at valv

Impɔtant: Dis na di rizin we mek dɛn kin advays pikin we gɛt Sydenham Chorea fɔ mek dɔktɔ we de mɛn di at go chɛk am.

Wetin na di ekzak kɔz fɔ `Sydenham Chorea`?

as wi bin dכn se, di men kכz fכ dis na di abnכmal rispכns we di imyun sistεm de gi to baktri infεkshכn wit `(Grup A beta-hεmolytic Streptococcus)`. Fɔ tɔk am simpul wan, wi yon difɛns sojaman dɛn (immune cells) kin mistek atak sɔm pat dɛn na wi yon bren. Ɛspɛshali di eria na di bren we de kɔntrol di muvmɛnt. Insay di blɔd fɔ pipul dɛn we gɛt `Sydenham Chorea`, dɛn dɔn fɛn spɛshal `(antibodies)` (antibodies) na di blɔd fɔ pipul dɛn we gɛt `Sydenham Chorea`.

Wetin na di sayn dɛm fɔ `Sydenham Chorea`?

Dɛn sayn ya kin apin ɛnisay na di pikin in bɔdi. Sɔntɛnde, dɛn kin apia wantɛm wantɛm ɛn dɛn kin wɔs we di pikin taya.

Di tin dɛn we pɔsin kin du wit in bɔdi:

• Di limb ɛn bɔdi de jɔk ɛn flay rawnd we dɛn nɔ gɛt ɛni aim, kwik kwik wan, ɛn randomly. We yu si dis, i tan lɛk se di pikin rili nɔ de rɛst ɛn i de du bad.
• Inability at wok, tin de fɔdɔm frɔm an.
• I nɔ izi fɔ ol sɔntin tranga wan na yu an.
• Fɔ rɔb yu an dɛn togɛda.
• We pɔsin nɔ de rɛst.
• Di chenj dɛn we de apin na di fes wantɛm wantɛm (lɛk we yu kray smɔl).
• Fɔ stɔp ɛn fɔdɔm we yu de waka.

I nɔ izi fɔ tɔk:

• Slurring of speech, fɔ tɔk smɔl smɔl.
• Wɔd dɛn we de bɔn wantɛm wantɛm, ala, ɛn ɔda tin dɛn.

Di kayn we aw pɔsin de tink ɛn di we aw i de fil:

• Fɔ wɔri, fɔ fred.
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.

Imajin, we wan pikin we nem Amila kam bak na os frɔm skul, in mama notis se in an raytin de rɔtin pas aw i kin bi, ɛn in an dɛn kin shek we i de rayt. Ivin na klas, i nɔ de sidɔm stil we di ticha se i go, i jɔs de dans. We i kam na os, i nɔ kin ivin ebul fɔ put di rays na in mɔt fayn wit spun ɛn i kin rɔn kɔmɔt. If yu si sɔntin lɛk dis, yu fɔ rili go to dɔktɔ.

Ustɛm di sayn dɛn kin bigin?

Dis na smɔl spɛshal kes. Di sayn dɛm nɔ kin apin wantɛm afta yu gɛt trot infɛkshɔn (strep trot) ɔr rεumatik fiva. Sɔm pikin dɛn nɔ kin bigin fɔ gɛt dɛn sayn ya fɔ `Sydenham Chorea` te dɛn ol lɛk 6 mɔnt .

Aw yu kin no bɔt dis?

Dɔktɔ go aks yu pikin bɔt dɛn sik ɛn aks am if dɛn dɔn gɛt Grup A beta-ɛmolaytik Streptococcus infɛkshɔn trade. Dis min se dɛn go aks if dɛn dɔn gɛt trot we nɔ tu te yet, infɛkshɔn na dɛn skin, ɔ dɛn jɔyn pen.

Dɔn, dɛn kin du blɔd tɛst fɔ chɛk fɔ si if dɛn gɛt antibodi dɛn fɔ di strep baktri dɛm. Dis kin rili ɛp fɔ no if pɔsin gɛt di sik. If dɛn kɔnfyus se yu pikin gɛt Sydenham Chorea, dɛn kin du at tɛst (bɔku tɛm na ɛkokardiogram) bak fɔ chɛk fɔ si if di at valv dɛn dɔn pwɛl ɔ if i gɛt prɔblɛm dɛn lɛk ɛndokarditis.

Aw dɛn kin trit Sydenham Chorea?

Di bɛst tritmɛnt fɔ yu pikin go dipen pan aw di sik dɛn kin rili bad. Sɔntɛnde, if de sik nɔr kin so, dɛn nɔr kin nid spɛshal tritmɛnt. Bɔt di dɔktɔ go kɔntinyu fɔ wach di pikin.

Tritmɛnt fɔ mɔdaret ɛn siriɔs `Sydenham Chorea`:

Pikin dɛn we gɛt smɔl to siriɔs sik kin bɛnifit if dɛn tek mɛrɛsin.

• Stɛroyd-tayp mɛrɛsin dɛn: Dɛn wan ya kin ɛp fɔ pul di antibodi dɛn we dɛn dɔn mek di rɔŋ we na di bɔdi.
• Ɔda mɛrɛsin dɛn: Sɔntɛnde, dɛn kin nid fɔ tek ɔda mɛrɛsin dɛn. Pan ɔl we dɛn kin yuz dɛn mɛrɛsin ya mɔ fɔ ɔda sik dɛn, dɛn kin yuz dɛn bak sef wan fɔ Sydenham Chorea. Dɛn tin ya na:
• Antikonvulsant: Ɛgzampul na drɔgs lɛk valproic acid ɛn carbamazepine. Dɛn tin ya kin ɛp fɔ mek di nerve impuls dɛn stebul.
• Antisaykotiks: Fɔ ɛgzampul, haloperidol. Dɛn tin ya kin kɔntrol tiks, lɛk fɔ jɔk muvmɛnt ɛn fɔ ala wantɛm wantɛm.
• Dopamine depleters: Wan ɛgzampul fɔ dis na wan mɛrɛsin we dɛn kɔl Tetrabenazine. Dis de kɔntrol di muvmɛnt dɛn we pɔsin nɔ want.

Mɛmba se ɔl dɛn mɛrɛsin ya de fɔ yu nɔmɔ if yu gi yu mɛrɛsin. Nɔ ɛva yuz dɛn mɛrɛsin ya if yu nɔ gɛt dɔktɔ advays.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Yɛs, te to sɔm mak. Tritmɛnt we de insay di rayt tɛm ɛn di rayt we (antibiotics) fɔ ``Strep throat`` (trot infection) ɛn ``rheumatic fiver`` (rheumatic fiver) kin ridyus di risk fɔ gɛt ``Sydenham Chorea``.

Ɛn bak, .If yu pikin gɛt Sydenham Chorea, dɔktɔ dɛn kin se yu fɔ kɔntinyu fɔ tek antibayɔtik te di pikin big (sɔntɛm te i ol 21 ia ɔ ivin pas dat) fɔ mek i nɔ gɛt strɛp infɛkshɔn bak ɛn fɔ mek i nɔ gɛt at sik. Di gol fɔ lɔng tɛm na fɔ mek di at valv dɛn nɔ pwɛl ɔltɛm we kin kam bikɔs ɔf at sik.

Wetin na di fiuja fɔ pikin dɛn we gɛt `Sydenham Chorea`? (Prɔgnosis) .

Sɔntɛm yu go gladi fɔ yɛri dis. Bɔku pikin dɛn kin wɛl ɔlsay insay 3 to 6 mɔnt. Bɔt, na smɔl nɔmba kin gɛt di sik fɔ te 2 ia.

כda tin na dat sכmtεm dεn simptom ya kin kam bak leta na layf, spεshal wan we uman dεn de tek bכn kכntrכl pils we gεt di כmon `(estrogen)` כ bεlε. So, if yu bin dɔn gɛt `Sydenham Chorea` bifo, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt am.

Aw ɛvride layf de wit dis sityueshɔn?

Pikin dɛn we gɛt smɔl to siriɔs sik kin gɛt prɔblɛm fɔ du tin dɛn we dɛn kin du ɛvride. Imajin aw dɛn muvmɛnt ya we pɔsin nɔ want kin ambɔg skul wok, ple, ɛn hang out wit padi dɛn. Wan pan de chalenj dɛm fɔ liv wit Sydenham Chorea na wae de sik kin kam wantɛm wantɛm ɛn kin waks ɛn stɔp ɔl di de. Dis kin mek i nɔ izi fɔ tek pat pan di nɔmal tin dɛn we pɔsin kin du we i smɔl.

Sydenham Chorea na wan akwyayz nyurolɔjik disɔda we kin apin afta yu gɛt infɛkshɔn wit Grup A beta-ɛmolaytik Streptococcus. I kin mɔs bi na di divɛlop kɔntri dɛn, usay pikin dɛn nɔ kin gɛt di rayt antibayɔtik tritmɛnt fɔ strep infɛkshɔn. Ivin afta dɛn dɔn trit dɛn fayn, smɔl nɔmba pan pikin dɛn kin gɛt at sik ɛn ɔda prɔblɛm dɛn we dɛn dɔn day. Bɔt bɔku pikin dɛn kin wɛl kpatakpata ɛn dɛn nɔ kin gɛt ɛni prɔblɛm.

Mɛmba as sɔmari (Tek-Home Message) .

• Sydenham Chorea na wan muvmɛnt dizayd we kin kam bikɔs wi bɔdi in imyun sistɛm nɔ kin ansa wan baktri (streptococcus) we kin mek wi gɛt trot infɛkshɔn ɛn rεumatik fiva.
• Dɛn kin si dis mɔ pan pikin dɛn we ol bitwin 5-15 ia, mɔ di gyal pikin dɛn.
• Yu kin si sɔm sayn dɛm lɛk fɔ muv yu an ɛn fut dɛn we yu nɔ want, fɔ tɔk fayn, ɛn fɔ chenj di we aw yu de biev.
• If yu trit di trot infɛkshɔn kwik ɛn fayn, dat kin ɛp fɔ mek dis nɔ apin.
• Bɔku pikin dɛn kin wɛl ɔlsay, bɔt sɔm kin gɛt prɔblɛm dɛn lɛk at sik, so i impɔtant fɔ mek dɛn de wach dɛn fɔ lɔng tɛm na di mɛrɛsin.
• If yu pikin gɛt ɛni wan pan dɛn sik ya, nɔ panik ɛn go to dɔktɔ we sabi du di wok wantɛm wantɛm. If yu no di sik kwik kwik wan ɛn trit yu pikin, dat kin ɛp fɔ mek i wɛl kwik kwik wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, mek shɔ se yu tɔk to yu famili dɔktɔ ɔ dɔktɔ we de mɛn pikin dɛn. Dɛn go ebul fɔ ɛksplen mɔ ɛn ɛp yu.

`Sydenham in chorea, strep trot, rεumatik fiva, nyurolכjik dizayd, muvmεnt dizayd, pikin dεm, antibaytik