Yu dɔn ɛva fil pen we yu nɔ go ebul fɔ bia na wan say na yu fes, lɛk ilɛktrik shɔk, we yu de brus yu tit, sheb yu tit, ɔ jɔs we briz de blo? Dis kayn pen wae kin kam ɛn go insay sɔm sɛkɔn, bɔt da tɛm de, kin mek yu fil lɛk se yu nɔr de fil fayn, go dɔn mek yu fil bad bad wan ɛn wɔri. Tide wi go tɔk bɔt dis sik wae de afɛkt bɔrku pipul dɛm, bɔt dɛn nɔr no bɔrku bɔt am.
Wetin na dis Tic Douloureux?
Fɔ tɔk am simpul wan, Tic Douloureux na wan sik we dɛn kɔl `trigeminal neuralgia` . Dis na di kɔndishɔn we pɔsin kin gɛt shap, stab ɔ ilɛktrik shɔk pen na wan say na in fes bikɔs ɔf prɔblɛm wit di trigeminal nerve, di men nerve we de gi wi fes sɛns. Dis pen kin so bad dat sɔmtɛm di fes kin twitch we i nɔ want we di pen kin apin. Dat na di minin fɔ di Inglish wɔd "tik".
Dis pen kin de frɔm sɔm sɛkɔn to sɔm minit. Bɔt dɛn atak ya kin apin bɔku tɛm insay di de. Di strenj tin na dat we pen nɔ de, nɔ tingling ɔ ɔda prɔblɛm de na di fes.
Trigeminal Neuralgia na wan pan di tin dɛm wae kin mek pɔrsin fil pen pasmak. So if yu gɛt dis kayn pen, nɔ ignore am.
Bɔrku pipul kin gɛt dis pen na wan say nɔmɔ na dɛn fes, na dɛn jaw, dɛn chɛst, ɔr lip. Di pen kin so bad dat sɔm pipul dɛn kin fred fɔ tɔk, it, ɔ ivin drink wata we dɛn atak dɛn.
Wetin na di kɔz fɔ dis bad bad pen?
Pan ɔl we i nɔ pɔsibul fɔ tɔk klia wan wetin na di rizin fɔ dis, bɔku pipul dɛn de we pipul dɛn kin tink bɔt dis.
Di tiori we bɔku pipul dɛn gri wit na dat wan blɔd vesel (we kin bi at) na di bren kin kɔmprɛs pan di trigeminal nɛv, we kin mek di nɛv pwɛl. Tink bɔt am lɛk se wata paip de krɔs we dɛn put wet pan am. As tɛm de go, dis kɔmpreshɔn de pwɛl di kɔva we de protɛkt di nerv, we dɛn kɔl di maylin sheath . I tan lɛk di insuleshɔn we de na ilɛktrik waya we de west. afta dat di nεv kin bi haypa sεnsitiv εn i kin bigin fכ sεnd pen signal to di bren fכ nכ rizin.
Apat frɔm dat, di bren tumbu, sɔm tin dɛn we nɔ kin apin na di bon dɛn na di skel, ed injury frɔm aksidɛnt, infɛkshɔn, ɛn Multiple Sclerosis ( MS) kin mek pɔsin gɛt sik.)` kin mek yu fil pen bak bay we i de damej di trigeminal nerve.
Wetin rili na di sayn dɛn we de sho se pɔsin gɛt dis sik?
Di men ɛn wangren sayn fɔ dis sik na pen. Bɔt da pen de gɛt sɔm spɛshal tin dɛn. Lɛ wi si wetin dɛn bi.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Nature of pen | Wan pen we pɔsin kin fil wantɛm wantɛm, we shap, we pɔsin nɔ kin ebul fɔ bia, lɛk we pɔsin chuk am wit sɔd, gɔn shot, ɔ ilɛktrik shɔk. |
| Di ples usay di pen kin apin | Bɔku tɛm na wan say nɔmɔ na di fes. Bɔrku tɛm i kin apin na di chɛst, jaw, tit, gɔm, ɔ lip eria. Na smɔl tɛm nɔmɔ, i kin apin rawnd di yay. |
| Di tɛm we di pen kin tek | Dɛn atak ya kin las fɔ shɔt tɛm, frɔm sɔm sɛkɔn to lɛk tu minit, bɔt dɛn kin apin bɔku tɛm insay di de ɔ ivin bɔku bɔku tɛm. |
| Di tin dɛn we kin mek pɔsin fil pen | Di pen kin kam bay we yu tɔch wan trig pɔynt na di sem say na di fes we di pen de. Ɛgzampul: fɔ tɔk, fɔ laf, fɔ brus yu tit, fɔ was yu fes, fɔ sheb yu fes, fɔ mek yu mek-ap, fɔ de na kol briz, fɔ it ɔ drink sɔntin. |
| Pen patna | Pen atak kin te fɔ wik ɔr mɔnt wan tɛm. Afta dat, yu kin go fɔ sɔm mɔnt ɔ ivin ia ɛn yu nɔ kin fil pen. Bɔt as tɛm de go, di pen kin kam bak. |
Di tin we impɔtant pas ɔl na dat, dis sik nɔ de afɛkt di we aw pɔsin de te, di we aw i de yɛri, ɔ di we aw di fes mɔsul dɛn de wok. Dis min se na wan sik we nɔ de mek pɔsin fil pen nɔmɔ .
Ustɛm i go fayn fɔ mek yu go to dɔktɔ?
- If di mɛrɛsin we yu dɔktɔ dɔn gi yu nɔ ebul fɔ kɔntrol di pen , mek shɔ se yu go to yu dɔktɔ bak.
- If yu gɛt ɛni nyu sayn apat frɔm di pen (e.g., yu fes de swɛ, yu nɔ de yɛri, yu de tɔn ed , yu de si chenj), yu fɔ tɛl yu dɔktɔ bak. Bikɔs tic douloureux na wan sik wae de jɔs mek pɔrsin fil pen, nyu sayn dɛm kin bi sayn fɔ ɔda mɛrɛsin sik.
Ustɛm yu want fɔ go na ETU?
If yu gɛt sɔm kayn sik lɛk fiva, flush , ɔr yu ed de tɔn bad bad wan wit de pen, dat kin bi sayn fɔ se yu gɛt mɔr sik. If na so i bi, i go fayn fɔ go na ɔspitul in imejensi rum (ETU) kwik kwik wan. Dɔn bak, if yu nɔ ebul fɔ bia di pen ɛn yu nɔ ebul fɔ rich to yu dɔktɔ, i go fayn fɔ go na di ETU.
Aw yu go fɛn dis, Dɔktɔ?
Nɔr wan patikyula tɛst nɔr de fɔ no dis sik. Yu dɔktɔ go mek di diagnosis bay di we aw yu tɔk bɔt di sik dɛn we yu gɛt, fɔ chɛk yu bɔdi , ɛn fɔ pul ɔda tin dɛn we go mek yu fes pen .
1. Diskripshɔn fɔ di sayn dɛm: Di pen we tan lɛk ilɛktrik shɔk we yu de tɔk bɔt, di we aw i kin apin, ɛn di tin dɛm we kin mek i gɛt dis sik go gi di dɔktɔ gud tin fɔ no bɔt dis sik.
2. Fɔ chɛk yu bɔdi: Bɔku tɛm , dɛn nɔ kin si ɛni abnɔmal tin we dɛn de chɛk pɔsin we gɛt tic douloureux. Bɔt if sɔntin de lɛk we pɔsin in fes nɔ de fil fayn ɔ we i nɔ de yɛri igen, di dɔktɔ go sɔprayz se i gɛt ɔda sik dɛn. Dɔn bak, yu kin fɛn tin dɛn lɛk sayn infɛkshɔn, tit infɛkshɔn, ɛn temporomandibular joyn (TMJ) prɔblɛm we yu de chɛk yu bɔdi.
3. Skan: CT ɔ MRI skan na di bren kin chɛk fɔ si if blɔd vesel ɔ tumor de prɛs pan wan nɛv. Dɛn tɛst ya kin ɛp bak fɔ pul ɔda tin dɛn we kin mek pɔsin in fes pen.
Wetin na di tritmɛnt dɛm fɔ dis?
No mɛrɛsin nɔ de na os fɔ dis pen. Dɛn fɔ rili fɛn tritmɛnt ɔnda di gayd we dɔktɔ de gayd am. Bɔku tɛm, dɛn kin ebul fɔ kɔntrol di pen fayn fayn wan wit mɛrɛsin. Na smɔl tɛm nɔmɔ dɛn kin nid fɔ du ɔpreshɔn.
Di mɛrɛsin dɛn we dɛn kin yuz
Antikonvulsant na di men mɛrɛsin wae dɛn kin yuse fɔ kɔntrol dis pen. Dɛn drɔgs ya de wok bay we dɛn de stɔp di trigeminal nerve we dɔn pwɛl fɔ sɛn signal dɛn we nɔ nid fɔ mek i fil pen.
- Men mɛrɛsin: Di mɛrɛsin we dɛn kin yuz mɔ na `Carbamazepine (Tegretol). Apat frɔm dat, dɛn dɔn yuz drɔgs dɛn lɛk `Oxcarbazepine (Trileptal)`, `Gabapentin (Neurontin)`, ɛn `Lamotrigine (Lamictal)` bak fayn fayn wan.
- Di sayd ɛfɛkt dɛm: Dɛn kin stat dɛn mɛrɛsin ya wit smɔl doz. Dɛn kin inkrisayz di doz smɔl smɔl te dɛn kɔntrol di pen. Sɔm sayd ɛfɛkt lɛk fɔ slip, diziz, fɔ si tu tɛm, ɛn fɔ nɔs kin apin.
- Ɔda mɛrɛsin dɛn: Fɔ di wan dɛn we nɔ de ansa di mɛrɛsin dɛn we wi dɔn tɔk bɔt ɔ we gɛt siriɔs sayd ɛfɛkt, di mɔsul rilaksant Baclofen (Lioresal) ɛn, sɔm tɛm dɛn, Pimozide (Orap) kin ɛp. Dɛn dɔn sho bak se bɔtɔk injɛkshɔn kin mek pɔsin nɔ fil pen bad bad wan.
Impɔtant: Sɔm pan dɛn mɛrɛsin ya kin afɛkt yu blɔd sɛl ɛn yu liva fɔ wok. So, i impɔtant fɔ mek yu de du blɔd tɛst ɔltɛm lɛk aw yu dɔktɔ tɛl yu. Nɔ bigin ɔ stɔp fɔ tek dɛn mɛrɛsin ya we yu nɔ go to yu dɔktɔ fɔ ɛni rizin.
Ɔpreshɔn
If mɛrɛsin nɔ de kɔntrol di pen ɔ di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt nɔ kin bia, dɛn kin tink bɔt fɔ du ɔpreshɔn. Dis kin min fɔ go to dɔktɔ we de mɛn nyuro. difrεn opshכn dεm de, frכm simpul prכsidכm dεm lεk fכ injεkt lokal anεsthεtik insay di nεv to kכmpleks כpεrayshכn dεm we de opin di bren. Pan ɔl we kɔmpleks ɔpreshɔn kin mek pɔsin fil fayn fɔ lɔng tɛm, dɛn kin gɛt bɔku prɔblɛm dɛn.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Na ɔnfɔni, no we nɔ de fɔ mek tic douloureux nɔ apin.
Mɛsej we dɛn kin kɛr go na os
- Tic douloureux (Trigeminal Neuralgia) na wan sik wae de mek yu fil bad bad wan, bɔt nɔr to sik wae kin mek yu bɔdi pwɛl fɔ lɔng tɛm ɔr kin mek yu layf de pan denja. Na wan sik wae kin de pan pen nɔmɔ.
- Bɔku tɛm, di tin we kin mek pɔsin fil dis pen na we di blɔd vesel de prɛs pan wan nerve.
- Di diagnosis kin bi mɔ bay di sayn dɛm wae yu gɛt.
- Klose to ɔltɛm, dɛn kin ebul fɔ kɔntrol dis pen fayn fayn wan wit mɛrɛsin ɔ ɔpreshɔn.
- If yu gɛt dɛn sik ya, nɔr panik, nɔr delay, go to kwalifay dɔktɔ ɛn gɛt di rayt tritmɛnt. Da we de, yu go ebul fɔ liv nɔmal ɛn kɔmfyut layf bak.
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