Yu ed de fil tayt? I kin bi tɛnsiɔn ed-aks!

Sɔntɛnde yu kin fil lɛk se dɛn tay tayt band rawnd yu ed, yu fɔrɛst ɛn yu chɛst tayt? Yu kin fil pen lɛk se pɔsin de swɛt yu ed? Dɔn yu kin gɛt tɛnsiɔn ed pen . Pan ɔl we dis na nɔmal tin fɔ bɔku pipul dɛn, i kin mek sɔm pipul dɛn vɛks smɔl. So lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

Wetin na Tɛnshɔn Ɛd-aks?

Fɔ tɔk am simpul wan, tɛnsiɔn ed pen na ed we de at we yu kin fil lɛk se dɛn tay tayt band rawnd yu ed, we kin mek yu fɔrɛst ɛn yu tɛmpul dɛn prɛs ɛn prɛs yu. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis ``tɛnshɔn-tayp ed-aks.'' Fɔ tru, bɔku tin dɛn de we kin mek dis apin. Sɔntɛnde, wi nɔ kin ebul fɔ avɔyd ɔl dɛn tin ya. Bɔt di gud nyus na dat, apat frɔm tin dɛn we wi kin du fɔ mek i nɔ gɛt am, if simpul tritmɛnt dɛn na os nɔ ɛp, mɛrɛsin ɛn ɔda tritmɛnt dɛn de we dɔktɔ dɛn kin gi fɔ ridyus di prɛshɔn we dɛn ed pen ya kin gɛt.

Ɛni kayn we de fɔ dis ed we de at?

Yɛs, dɔktɔ dɛn kin klas dɛn ed pen ya bay aw yu kin gɛt am. Tri men kayn dɛn de:

• Infrequent episodic: Na dis kayn, yu kin gɛt ed pen wan de insay di mɔnt ɔr less.
• Tayp we kin apin ɔltɛm: Insay dis kayn, ed kin at frɔm wan to fɔtin dez insay di mɔnt, fɔ lɛk tri mɔnt.
• Kronik: Dis na likl mo trobul. If yu gɛt ed we de at fɔ pas fayvtin dez insay di mɔnt, fɔ lɛk tri mɔnt, i kin fɔdɔm insay dis kategori.

Yu tink se Tɛnshɔn Ɛd-aks kɔmɔn tin?

Fɔ tru, na yɛs. Tεnshכn Hεd pen na di mכst kכmכn praymar ed pen . Risach pipul dεn εstimat se mכr dan 70% pan pipul dεm kin gεt dis episodic tεnshכn ed pen. Dɛn kin tɔk bak se i kin bɔku smɔl pan uman dɛn .

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm kin difrɛn smɔl frɔm wan pɔrsin to ɔda pɔrsin, bɔt bɔrku pipul dɛn kin tɔk bɔt de pen wae kin kam wae pɔrsin gɛt tɛnsiɔn ed pen lɛk dis:

• Yu kin fil lɛk se yu de prɛs yu ɔltɛm ɛn yu de fil pen .
• I kin tan lɛk se sɔmbɔdi de swɛt di tu say dɛn na mi ed togɛda.
• Di mɔsul dɛn na mi nɛk ɛn mi sholda dɛn kin fil tayt, lɛk se dɛn de swɛt dɛn .
• Sɔm pipul dɛn kin fil bak smɔl we dɛn de si layt ɛn nɔys we de shayn .

Dɛn sayn ya kin kam smɔl smɔl ɛn smɔl smɔl. Dɛn kin las fɔ lɛk 30 minit so ɛn afta dat dɛn kin go. Bɔt sɔntɛnde, di pen kin te fɔ wan wik. Fɔ di wan dɛm wae gɛt de krɛse tɛnsiɔn ed pen wae wi bin dɔn tɔk bɔt, e kin fil lɛk se dɛn de liv wit de pen ɛn prɛshɔn wae dis ed pen kin gɛt ɔltɛm.

Wetin mek wi kin gɛt tɛnsiɔn ed pen? Wetin na di tin dɛn we kin mek i apin?

Risach pipul dɛn stil de tray fɔ no di rayt tin we mek i apin. Sɔm pipul dɛn biliv se tɛnsiɔn ed pen kin bigin we di mɔsul dɛn bitwin yu ed ɛn nɛk kin tɛns , ɛn leta di mɔsul dɛn na yu skel kin tɛns. Di men rizin we mek di mɔsul dɛn kin tayt ɔltɛm na bikɔs dɛn kin strɛs ɔ dɛn kin gɛt prɔblɛm wit dɛn maynd .

Ɛn sɔm ɔda rizin dɛn kin afɛkt dis:

• Nɛk strɛs: Na strɛs we kin apin na di nɛk mɔsul dɛm we yu sidɔm fɔ lɔng tɛm de rid buk ɔ nyuspepa, ɔ we yu ol di fon bitwin yu nɛk ɛn sholda we yu de tɔk. Tink bɔt am, sɔm pipul dɛn kin ol dɛn fon tayt tayt wan na dɛn sholda we dɛn de wok, tin dɛn lɛk dat.
• Ay strɛs: Ay strɛs we kin apin we yu de luk kɔmpyuta skrin fɔ lɔng tɛm ɔ we yu de luk dɔkyumɛnt fɔ lɔng tɛm we yu nɔ tek briŋ.
• Temporomandibular joint disorder ( TMJ ): If yu gɛt ɛni prɔblɛm wit yu jaw joyn, dat kin bi bak wan kɔz.
• Dijeneretiv at at sik na yu nɛk .
• Slip dizayd: Kɔndishɔn lɛk wae pɔrsin nɔr kin slip fayn ɔr wae pɔrsin nɔr kin ebul fɔ slip fayn.
• Wɔri .
• Pwɛl at .

Imajin, Niluka de spɛn ɔl di de bifo di kɔmpyuta na di ɔfis. We i kam bak na os afta wok, in nɛk ɛn in ed ɔl tu kin at. Bɔku tɛm, i kin gɛt tɛnsiɔn ed pen. Di rizin fɔ dis kin bi bikɔs i sidɔm na di sem pozishɔn fɔ lɔng tɛm ɛn strɛch in yay.

Us prɔblɛm dɛn dis kin mek?

Tɛnshɔn ed pen we nɔ de dɔn, we kin las fɔ sɔm wik ɔ mɔnt, kin gɛt bɔku impak pan yu kwaliti fɔ liv . Fɔ ɛgzampul, yu kin gɛt prɔblɛm fɔ pe atɛnshɔn pan yu wok ɛn famili wok bikɔs yu gɛt fɔ dil wit di prɛshɔn we de kam ɔltɛm we di ed de at.I kin tranga. I kin ambɔg wi ɛvride layf.

Aw dɔktɔ go no fɔ tru se dis na tɛnsiɔn ed we de at?

We yu go to dɔktɔ, i go aks yu bɔt yu mɛdikal histri ɛn di sik dɛn we yu gɛt naw. Dis min se dɛn kin aks yu kwɛstyɔn dɛn lɛk:

• Aw ɔltɛm yu kin gɛt dɛn sik ya?
• Us tɛm pan de yu kin fil dɛn sik ya mɔ?
• Us kayn tin kin mek dɛn sik ya wɔs?
• Yu kin fil fri we yu tek mɛrɛsin fɔ mek yu fil pen we yu nɔ de bay na di famasi?

Sɔntɛnde, yu dɔktɔ kin ɔda fɔ mek dɛn du CT (Computed Tomography) skan ɔ fɔ mek dɛn du Bren MRI (Magnetic Resonance Imaging) skan fɔ chɛk fɔ ɔda siriɔs tin dɛn we de apin.

Wetin na di tritmɛnt fɔ dis?

Di tritmɛnt opshɔn dɛn kin difrɛn fɔ di kayn tɛnsiɔn ed we yu gɛt. Fɔ ɛgzampul, if yu gɛt ed we de at ɔltɛm, yu dɔktɔ kin tɛl yu fɔ yuz mɛrɛsin fɔ mek yu nɔ gɛt pen. Dɛn tin ya na:

• Acetaminophen (e.g. Tylenol®) – Dis na di paracetamol we wi ɔl no.
• Aspirin we dɛn kin yuz
• Ibuprofεn (e.g. Advil®, Motrin®) .
• Naproksen sɔdiɔm (e.g. Aleve®) .

Bɔt if yu gɛt tɛnsiɔn ed we de at, yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk dɛn wan ya:

• Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik: Fɔ ɛgzampul, Gabapentin (Neurontin®) ɔ Topiramate (Topamax®, Topiragen®). Dɛn tin ya kin ɛp bak fɔ ridyus di pen.
• Sɔm mɛrɛsin fɔ pwɛl hat, lɛk Amitriptyline, kin ɛp bak fɔ pul pen.
• Ɔda tritmɛnt dɛm: Tin dɛm lɛk bayɔfidbak, mɛditeishɔn, ɔr kɔgnitiv bihayvya tɛrapi (CBT) fɔ ɛp fɔ kɔntrol strɛs.
• Fizik tritmɛnt: Dis kin ɛp fɔ slip apnia ɛn temporomandibular joint disorder (TMJ).

Ɛni sayd ɛfɛkt de we di tritmɛnt kin gɛt?

Di sayd ɛfɛkt ɛn kɔmplikeshɔn kin difrɛn difrɛn wan bay di tritmɛnt. Bɔt wan kɔmɔn sayd ɛfɛkt we pɔsin kin gɛt we i de yuz mɛrɛsin fɔ mɛn pen we dɛn nɔ kin bay ɔ we dɛn kin gi pɔsin fɔ mek i gɛt tɛnsiɔn na we i kin gɛt ed we kin at bak ɔ we pɔsin kin yuz mɛrɛsin pasmak .

Ribaund ed pen na we yu kɔntinyu fɔ yuz ed pen mɛrɛsin ɛn gɛt ed pen bak. Na dat mek dɔktɔ dɛn advays se yu nɔ fɔ yuz mɛrɛsin fɔ mɛn pen fɔ pas 10 dez insay ɛni mɔnt . Dis na tin we rili impɔtant fɔ mɛmba.

Wetin yu kin ɛkspɛkt if yu gɛt tɛnsiɔn ed we de at?

If yu, lɛk bɔrku pipul, gɛt episodik tɛnsiɔn ed pen, yu kin manej am wit ɔva-di-kɔnta pen rilivu ɛn fɔ ridyus strɛs. Bɔt fɔ di wan dɛn we gɛt tɛnsiɔn ed we nɔ de dɔn, yu kin nid fɔ tek antidipreshan ɔ tek pat pan tritmɛnt lɛk bayɔfidbak.

Aw yu go pul dis ed we de at? Aw yu kin mek i nɔ apin?

Fɔ kɔntrol strɛs na di bɛst we fɔ mek yu nɔ gɛt tɛnsiɔn ed pen. De bɛst we fɔ kɔntrol strɛs na fɔ put tin dɛn we izi fɔ put insay yu ɛvride layf ɛn we de mek yu fil fayn. Na sɔm ɛgzampul dɛn ya:

• Masaj tɛrapi: Gɛt layt masaj if i pɔsibul.
• Ɛksesaiz ɔltɛm: Dis kin min fɔ waka fɔ at le 30 minit insay di de, fɔ du yoga, ɛn ɔda tin dɛn.
• Fɔ rɛst fayn: Fɔ slip fayn fɔ 7-8 awa insay wan de rili impɔtant.
• Simpul tin dɛn lɛk fɔ lisin to siŋ we yu lɛk, fɔ tɔk to yu padi, ɔ fɔ blo sɔm dip dip wan fɔ mek yu maynd klin kin ɛp.

Aw fɔ pul ed we de at kwik kwik wan?

Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen kin ɛp fɔ mek yu gɛt tɛnsiɔn ed wan wan tɛm. Simpul tin dɛn de bak we yu kin du na os. Fɔ ɛgzampul, if yu put ɔt wata bɔtul ɔ ays pak na yu ed ɛn nɛk, dat kin ɛp sɔm pipul dɛn.

Ustɛm a fɔ go to dɔktɔ?

Tɛnshɔn ed pen nɔ kin mek pɔsin in layf de pan denja . Bɔt sɔntɛnde, dɛn kin bi sayn fɔ ɔda siriɔs mɛrɛsin , ɔr sayn fɔ se wan sik we dɔn de de de wɔs. So, if yu gɛt ed we de at ɛn ɛni wan pan dɛn sayn ya, mek shɔ se yu go to dɔktɔ:

• If yu gɛt fiva wit yu nɛk we stif .
• If yu gɛt pen ɔ yu gɛt sɔri-at na yu tɛmpul ɔ yu jaw, lɛk we yu de it ɔ kɔm yu ia.
• If yu gɛt fiva we pas 103 digri F (39.4 digri sɛlshiɔs) ɛn we nɔ de go dɔŋ .
• If yu dɔn pas 50 ia , ɛn yu ed pen difrɛn frɔm aw i kin at, ɛn i kin apin mɔ.
• If yu gɛt ed pen we kin apin nɔmɔ we yu ledɔm na bed ɔ we yu grap (positional headache) .
• If yu gɛt kansa ɔ wan sik we de mek yu ebul fɔ fɛt yusɛf , ɛn i tan lɛk se yu ed de at mɔ ɛn mɔ ɛn i de kam tranga.
• If yu fil se yu nɔ ebul fɔ du natin ɔ yu wik .

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

Yu gɛt ed we kin at wantɛm wantɛm ɛn we kin wɔs kwik kwik wan.If yu gɛt ed we de at, yu fɔ rili go na di Imejɛnsi Rum (ER). Dɔn bak, go to dɔktɔ wantɛm wantɛm if yu gɛt ed we de at wit dɛn sayn ya:

• Tin dɛn we pɔsin nɔ de tink bɔt, we i nɔ de tɔk fayn, ɔ we i wik .
• Chenj de na yu vishɔn ɔ yu ebul fɔ tɔk .
• Tin dɛn lɛk fɔ wik, fɔ slip, fɔ kɔnfyus, ɔ fɔ lɛf fɔ balans .
• Fɔ fil se yu nɔ ebul fɔ blo fayn .

Na tɛm lɛk dis, nɔ delay, go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek a kin gɛt dis tɛnsiɔn ed pen?
• Us kayn tritmɛnt di dɔktɔ kin tɛl mi fɔ du?
• A go gɛt fɔ liv wit dis tɛnsiɔn ed-aks sote go?

Sɔm impɔtant tin dɛn fɔ bɔku pipul dɛn (Take-Home Message) .

Tεnshכn ed pen kin bigin na di mכsul dεm na yu nεk εn sכlda dεm, εn bכku tεm i kin bכku tεm we yu strεs כ כda prכblεm. Dɔn yu kin fil wan dɔl pen na yu fɔɛd, lɛk se sɔmbɔdi de prɛs yu ed wit in an.

If yu gɛt dis sik, e kin bi tɛnsiɔn ed pen. I kin bi ed we de at wan wan tɛm ɔ ed we de at ɔltɛm. Bɔt if yu gɛt sayn dɛn fɔ tɛnsiɔn ed pen , i impɔtant fɔ tɔk to dɔktɔ . I go aks yu kwɛstyɔn dɛn ɛn tray fɔ no wetin mek yu de gɛt dɛn sik ya. If na di men tin we de mek yu strɛs, yu dɔktɔ go tɛl yu bɔt aw yu go chenj yu layf ɛn ɔda tin dɛn we yu go du fɔ mek yu nɔ strɛs. Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ tek mɛrɛsin ɔ fɔ mek yu gɛt tritmɛnt fɔ yu bɔdi. Tek kia of yu helt, no sofa yu wan.

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