Yu smɔl pikin in nɛk tilt to wan say? Mek wi tok abaut torticollis!

Yu dɔn ɛva notis se yu pikin in ed de tilt to wan say, ɔ dɛn chin tɔn to di ɔda say? Sɔntɛnde, mama ɛn papa dɛn kin wɔri smɔl we dɛn smɔl pikin tan lɛk dat. Wetin na di rizin fɔ dis, dis na sɔntin we siriɔs? Na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl torticollis. Dis na sɔntin we bɔku mama dɛn kin gɛt. So, lɛ wi lan mɔ bɔt am witout fred.

Wetin na Tɔtikolis?

Fɔ tɔk am simpul wan, tɔtikolis na wan sik we di mɔsul dɛn na yu pikin in nɛk kin mek dɛn ed twist ɛn tilt to wan say. I kin tan lɛk se dɛn dɔn twist dɛn nɛk di kayn we we nɔ kɔmɔn. Di tap pat pan dɛn ed kin tilt to wan say, ɛn dɛn chin kin tilt to di ɔda say. Dɛn kin kɔl dis bak ‘wryneck’. Di wɔd ‘torticollis’ kɔmɔt frɔm di Latin wɔd ‘tortus’, we min ‘twisted’, ɛn ‘collum’, we min ‘nɛk’. So i min ‘twisted neck’ .

Dis na rili wan tin we kin apin to bebi ɛn smɔl pikin dɛn. Bɔku tɛm, i nɔ kin bi natin fɔ wɔri bɔt. Tu men kayn tɔtikɔlis de:

1. Tכtikolis we dεn bכn: Dis min se dis kכndyushכn de we dεn bכn am.

2. Acquired Torticollis: Dis kin apin afta dεn bכn am, sכmtεm insay fכ mכnt afta dεn bכn di pikin כ leta.

Smɔl mɔ bɔt Congenital Torticollis

dis kayn tכtikolis we dεn kכl kכnεjital tכtikolis, na di tכkכlis we kכmכn pas כl na di pikin dεm. di bεst pat na dat, i nכ kin mek di pikin fil εni pen . Yu nɔ go ivin notis am te sɔm wiks afta dɛn bɔn yu pikin. Yu kin jɔs notis dis sik we yu pikin de kɔntrol in ed smɔl smɔl, we min se dɛn nɛk de strɔng.

Lɛ wi lan bak bɔt Acquired Torticollis.

di כda kayn, we dεn kin gεt tכtiko, kin apin insay di fכs fכ to 6 mכnt dεm we di pikin de liv כ leta. I kin apia wantɛm wantɛm ɔ i kin bigin fɔ gro smɔl smɔl. Sɔntɛnde, di tɔtikɔlis we dɛn kin gɛt nɔ kin du bad ɛn i go go fɔ insɛf. Bɔt sɔntɛnde, i kin bi sayn fɔ se yu gɛt mɔ siriɔs wɛlbɔdi prɔblɛm. Na dat mek i impɔtant fɔ no bɔt am.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt torticollis?

Naw lɛ wi si us sayn dɛn pikin kin sho if i gɛt tɔtikɔlis. Dɛn simptom ya kin mɔs pan di kayn we aw dɛn bɔn am, bɔt pan di kayn we we pɔsin kin gɛt, ɔda sayn dɛn kin de bak.

• yu pikin in ed de tilt to wan say εn di chin de tכn to di כda say. Dis na di men sayn we de sho se yu gɛt dis sik.
• I nɔ kin izi fɔ di pikin fɔ tɔn in ed ɛn nɛk.Si. I tan lɛk se di nɛk in rɛnj fɔ muv nɔ bɔku. Fɔ ɛgzampul, we yu pɔynt tɔys, i kin tɔn in nɛk izi wan to wan say, bɔt nɔ want fɔ tɔn am to di ɔda say.
• I tan lɛk se wan pan di pikin in sholda dɛn ay pas di ɔda wan .
• Di mɔsul dɛn na di nɛk kin fil stif ɔ tayt .
• Sɔntɛnde, i kin tan lɛk se di nɛk mɔsul dɛn dɔn swel.
• Wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Dis nɔ kin apin to ɔl di pikin dɛn, bɔt sɔm kin apin.
• Asymmetrical fes ficha dɛn.

Insay tכtikolis we dεn kin gεt, dεn simptom ya kin kam wit כda simptom dεm, fכ egzampl:

• As wi bin dɔn tɔk, i nɔ kin izi fɔ tilt di ed ɛn tɔn di nɛk.
• Sɔntɛnde dis kin kam wit bad bad pen na yu nɛk . Di pikin kin kray bɔku tɛm ɛn i nɔ kin rɛst.
• Di ed we de shek shek.
• Ɛd we de at (pan ɔl we dis kin at fɔ ɛksplen to yɔŋ pikin dɛn, yu kin no bay aw dɛn de biev).

Wetin mek dis torticollis kin apin? Wetin na di tin dɛn we kin mek i apin?

Okay, naw yu go mɔs de wɔnda wetin mek dis kin apin to dɛn smɔl pikin ya. Lɛ wi luk di rizin dɛn we mek i apin. Di rizin fɔ dis kin difrɛn difrɛn wan bay di kayn we.

Di tin dɛn we kin mek pɔsin gɛt Tortikolis we dɛn bɔn wit

Bɔrku tɛm, di tכtikolis we yu bɔn kin kam bikɔs wan mɔsul na yu pikin in nɛk kin shɔt we dɛn kɔl di sternocleidomastoid muscle (SCM) . di SCM na tu big, imכtant mכsul dεm na di tu say dεm na wi nεk. dεn de kכnekt to di stεnכm εn klavikul na di bak pat pan di ed. Tink bɔt dis, dɛn mɔsul ya de ɛp wi fɔ tɔn wi nɛk, bɛn wi nɛk, ɛn tilt wi ed to wan say. So if wan pan dɛn tu mɔsul ya shɔt fɔ sɔm rizin, dɛn go pul di nɛk na da say de, ɛn di ed go tɔn to di ɔda say.

Risach pipul dɛn stil nɔ shɔ wetin mek dis mɔsul kin shɔt pan sɔm bebi dɛn. Bɔt na sɔm pan di rizin dɛn we dɛn tink se i go bi:

• di posishכn we yu pikin de insay di bεlε kin afekt dis. I kin stɔp na wan say bikɔs i nɔ gɛt ples na di bɛlɛ.
• dis kin bi abn כmal divεlכpmεnt fכ di SCM mכsul.
• di pikin in nεk mכsul kin gεt blכd (hεmatoma) , we lεk sכm sכm brus, εn di mכsul kin sכt as i de hεl.
• i kin bi biכs di pikin in mכsul tisu dεm nכ de tik (fibrosis) .
• I kin bi bikɔs ɔf wan prɔblɛm we nɔ kin apin we dɛn bɔn pikin we dɛn kɔl Klippel-Feil syndrome , we di pikin in bɛlɛ na in nɛk kin jɔyn togɛda.

Di tin dɛn we kin mek pɔsin gɛt Torticollis

Bɔrku tɛm na yuWit swel na di pikin in trot . dis swel de mek di tisu dεm we de rawnd di pikin in כp spayna de lכs. dis kin mek di vεrbra dεm muv sכmtεm kכmכt na dεn nכmal posishכn. dis kin mek di nεk mכsul dεm spasm εn di ed kin tilt to wan sayd.

Dis swel kin kam bikɔs ɔf:

• Infεkshכn , fכ egzampl, trot infεkshכn כ tכnsilaytis.
• Ivin injuri , ivin smɔl aksidɛnt na di nɛk.
• Sɔntɛnde i nɔ kin pɔsibul fɔ fɛn rizin .

Sɔntɛm ɔda rizin dɛn de:

• Gastroesophageal reflux disease (GERD) na wan kכndyushכn we di bεlε asid de kam כp insay di εsophagus. Yu kin si dis bak pan yɔŋ bebi dɛn.
• Prɔblɛm dɛn we pɔsin kin si . If yu nɔ de si fayn na wan yay, yu go nid fɔ tɔn yu ed to wan say fɔ si wit di bɛtɛ yay.
• As riakshɔn to sɔm mɛrɛsin dɛn .
• Bikɔs ɔf di ska tisu.
• Wan at at sik na di nεk, we dεn kכl sεvikal spכndylosis (dis kin kכmכn pan big pipul dεm, i nכ kin apin pan pikin dεm).
• Sandifer syndrome na wan kayn tin we nɔ kin apin so ɔltɛm we di nɛk mɔsul dɛn kin spam wit GERD.
• Grisel’s syndrome na ɔda sik we nɔ kin apin so ɔltɛm. Dis na kɔmplikeshɔn we kin apin afta yu gɛt infɛkshɔn na yu ed ɛn nɛk ɔ afta yu dɔn ɔpreshɔn yu yes, nos, ɛn trot (ENT).

Aw dɔktɔ kin no se i gɛt tɔtikɔlis?

If yu gɛt ɛni dawt bɔt yu pikin in nɛk, nɔ panik ɛn fɔs go to dɔktɔ we de mɛn pikin dɛn ɔ dɔktɔ we de mɛn pikin dɛn. Di dɔktɔ go du fɔs fɔ chɛk di pikin in bɔdi . I go chɛk fɔ si aw fa di pikin in ed twis ɔ tilt. I go fil di nɛk bak fayn fayn wan, i go luk fɔ ɛni mɔsul we swel ɔ tayt, ɔ fɔ da swɛlin we tan lɛk pis we a bin dɔn tɔk bɔt. I go chɛk bak di say we di pikin in nɛk de muv.

Dipen pan aw di sik tranga, ɔr if dɛn tink se ɔda tin de mek yu gɛt dis sik, yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst. Fɔ ɛgzampul:

• Wan ɛkstrem rayt na di nɛk . Dis kin chɛk fɔ prɔblɛm wit di bon dɛn na di nɛk.
• Wan CT skan (Computed Tomography - CT scan) fɔ di ed ɛn nɛk.
• wan MRI skan (Magnetic Resonance Imaging - MRI skan) fכ di ed εn nεk. Dɛn kayn skan ya kin mek yu si klia wan bɔt di mɔsul dɛn ɛn di sɔft tisu dɛn.

Aw dɛn kin trit Torticollis?

Di gud nyus na dat, bɔrku tɛm, dɛn kin trit dis sik, wae dɛn kɔl kɔngenital torticollis.Dɛn kin trit am wit ɛksesaiz fɔ strɛch ɛn chenj di pozishɔn. Yu go fil fri we yu yɛri dis, nɔto so?

Yu dɔktɔ ɔ pɔsin we de mɛn yu pikin go tich yu aw fɔ strɛch yu pikin in nɛk mɔsul dɛn. כl wetin yu fכ du na fכ tכn yu pikin in ed sכmtεm to di כda say εn tilt am tכwεd di sכlda we de agens di sayd we dεn tilt. Yu fɔ du dis torticollis ɛgzampul bɔku tɛm insay di de. As tɛm de go, yu kin mek dɛn muvmɛnt ya bɔku smɔl smɔl. Tink bɔt am as pɔsin we ɔmbul ɛn lɛk pɔsin, lɛk we yu de ol flawa. Nɔ ɛva pres te i at.

We wi de tɔk bɔt aw pɔsin kin chenj in pozishɔn:

• we yu de put yu pikin na slip (nap ɛn slip), tɔn yu pikin in ed to di ɔda say, dat na di say we dɛn tilt. Bɔt yu nɔ fɔ ɛva put yu pikin fɔ slip pan in bɛlɛ, bikɔs dis kin mek i gɛt mɔ sik we dɛn kɔl sudden infant death syndrome (SIDS). Ɔltɛm put yu pikin na slip we yu de fes ɔp.
• We yu pikin wek, we yu de ple wit am, put di tɔys dɛn di kayn we we i go ebul fɔ tɔn in ed to di ɔda say. Fɔ ɛgzampul, if yu pikin nɔ lɛk fɔ tɔn in ed to di rayt say, yu kin tɔk to am frɔm di lɛft say ɛn sho am di tɔys dɛn.
• "Tכmmy tεm" na we yu pikin de tכn to in bεlε we i de wek. Dis kin ɛp fɔ mek di nɛk mɔsul dɛn strɔng. Dis impɔtant bak fɔ pikin dɛn we gɛt tɔtikɔlis.

If dɛn we ya nɔ wok, yu dɔktɔ go sɛn yu to spɛshal dɔktɔ .

Dɛn kin se dɛn fɔ tek fizik tritmɛnt fɔs. Ɔda spɛshal pipul dɛn na:

• Fiziatrist: Dɛn wan ya na dɔktɔ dɛn we spɛshal pan Fizikal Mɛdisin ɛn Rihabiliteshɔn (PM&R).
• Pediatric Neurologist: Dɛn wan ya na dɔktɔ dɛn we spɛshal pan pikin dɛn bren, spɛshal kɔd, ɛn nerve disɔda.
• Ɔtpidik Sɔjɔn: Dɛn dɔktɔ ya na dɔktɔ dɛn we spɛshal pan di bon dɛn, di jɔyn dɛn, ɛn di mɔsul ɛn skel sistɛm. sכmtεm, if nכ impruvεnt nכ de afta 6-12 mכnt we dεn dכn εksεsayz, dεn kin nid כ pεraysh כn fכ mek di pikin in SCM mכsul lεng. Bɔt, dis nɔ kin apin so ɔltɛm.

Dɛn kin trit di tɔtikolis we dɛn dɔn gɛt bay di ɔndalayn kɔndishɔn ɛn fɔ ridyus di simptom dɛm. Di tritmɛnt kin inklud:

• Antibayɔtik if infekshɔn de.
• Botulinum toxin injεkshכn fכ rilaks tayt nεk mכsul dεm (dis nכ kin apin bak).
• Ɔt tɛrapi .
• Masaj .
• Nek bres ɔ kɔla.
• Fizik tritmɛnt .

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Torticollis?

Naw, no we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt tortikollis we dɛn bɔn wit. Na tin dεm we de apin we di pikin de insay di bεlε de kכz am. Bɔt, if dɛn trit di pikin kwik kwik wan , dat kin mek di pikin in sik nɔ go wɔs. I kin mek bak dɛn nɔ nid fɔ du ɔpreshɔn leta.

"Start tכtikolis εksεsayz kwik kwik wan, we min se insay fכ mכnt dεm we dεn bכn di pikin (bכku tεm insay 2-3 mכnt). If yu du dat i kin mek i nכ gεt di posisibul fכ lכng tεm kכmplikεshכn dεm bak."

If yu avɔyd tin dɛn lɛk infɛkshɔn we de mek yu gɛt tɔtikɔlis, dat kin mek yu nɔ gɛt da kayn tɔtikɔlis de.

Wetin a fɔ ɛkspɛkt if mi pikin gɛt tɔtikɔlis?

Torticollis na wan sik we kin apin to bebi ɛn yɔŋ pikin dɛn. Bɔku tɛm dɛn kin trit am bay we dɛn jɔs strɛch di pikin in nɛk ɛn chenj in pozishɔn. Yu fɔ si se yu pikin in kɔndishɔn dɔn rili impɔtant insay sɔm mɔnt. if dεn stat tritmεnt kwik, dat na, insay di fכs 6 mכnt, mכr dan 90% pan di pikin dεm kin bכn kכmplit wan εn dεn nכ de gεt εni prכblεm we go de fכ lכng tεm.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tɔtikɔlis?

If pikin gɛt tɔtikolis, ɛn dɛn nɔ trit am fayn, di mɔsul dɛn nɔ kin muv fayn, we kin mek in fes nɔ fayn/asimɛtri . Dis min se wan say kin flat smɔl, ɔ di yay ɛn yes kin nɔ alaynɛd ​​smɔl.

Wan ɔda big prɔblɛm we kin apin na flat ed sindrom, we dɛn kin kɔl bak plagiocephaly. As yu no, di pikin in skel kin rili saf ɛn i kin izi fɔ mek i nɔ fayn. So, we dɛn prɛs wan say na di ed pan sɔntin fɔ tu lɔng (fɔ ɛgzampul, na bed, na krib), da prɛshɔn de kin mek da say de na di ed flat. dis na wetin kin apin we pikin dεm we gεt tכtikolis de ol dεn ed na wan say.

כlso, if dεn nכ trit am, i kin gεt sכm impak pan di pikin in mכtalman divεlכpmεnt.

Ustɛm a fɔ go to di dɔktɔ?

If yu pikin in kɔndishɔn nɔr bɛtɛ afta lɛk wan mɔnt wit di ɛksesaiz fɔ strɛch in nɛk ɛn chenj aw yu de tinap we yu de du na os, mek shɔ se yu go to yu dɔktɔ bak. Dɔn i kin disayd if dɛn nid fɔ gɛt ɔda tritmɛnt fɔ kɔrɛkt di prɔblɛm ɔ if yu fɔ sɛn dɛn to spɛshal pɔsin.

Ɛn bak, .

• If i tan lɛk se di pikin in nɛk pen de wɔs.
• If di pikin gɛt fiva.
• If di pikin nɔ gri fɔ it ɔ drink.
• If ɔda nyu sayn dɛn de sho.

If dis kayn tin apin, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.

Lɛ wi lan smɔl bɔt ɔda kayn tɔtikɔlis.

wi don de tok boht torticollis na bebi fo sכm tεm naw, bכt di kayn dεm de bak we de afekt big pipul dεm εn sכmtεm ivin big pikin dεm.

• Spasmodic Torticollis: Dis na wan kayn torticollis we kin apin pan big pipul. Dɛn kin kɔl am bak sɛvikal distonia . I kin kam bikɔs di nɛk mɔsul dɛn kin tayt (spasm) wantɛm wantɛm. Dis kin mek di ed twist wit pen to wan say. Di ed kin tilt bak fɔ go bifo ɔ bak we yu nɔ ebul fɔ kɔntrol am. No mɛrɛsin nɔ de fɔ dis fɔ ɔltɛm. Sɔntɛnde dɛn kin trit am wit botulinum toxin injɛkshɔn.

• Acute Torticollis: Dis na sɔntin we kin kam wantɛm wantɛm. If yu wek na mɔnin wit yu nɛk we stif ɛn pen na wan say, na dat i bi. Dis stiffness de mek di nek twist to wan sayd. I kin kam bikɔs di nɛk kin swɛt smɔl ɔ di mɔsul dɛn kin irita smɔl. Dis sik nɔr kin nid fɔ gɛt mɛrɛsin. Di tin dɛn we de mek pɔsin nɔ fil pen ɛn rɛst kin ɛp fɔ mek di sik nɔ kam.

Di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

I kin mek yu at pwɛl smɔl we yu si yu pikin in ed tilt to wan say. Bɔt mɛmba se, tɔtikolis, we na wan sik we bɔku pikin dɛn kin gɛt, nɔ kin mek dɛn fil pen. Ɛn, dɛn kin trit am wit ɛksesaiz fɔ strɛch yu nɛk ɛn chenj aw yu de tinap.

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ jɔs lɛk aw yu notis dis sik ɛn bigin fɔ trit yu kwik kwik wan. If yu du dat, yu pikin kin wɛl kwik kwik wan ɛn nɔ gɛt ɛni prɔblɛm fɔ lɔng tɛm. If yu nɔ si di impɔtant tin we yu de op fɔ gɛt wit di ɛgzampul ɛn ɔda tritmɛnt dɛn we yu de du na os, nɔ fɔgɛt fɔ go to dɔktɔ igen. Dɔn i kin si if yu pikin nid ɛni ɔda tritmɛnt. Yu kɔnsyusɔn ɛn kwik akshɔn na di bɛst mɛrɛsin fɔ yu pikin fɔ wɛl!

` Torticollis, wryneck, wryneck, congenital torticollis, akwyayz torticollis, SCM mכsul, pikin hεlth, nεk εksεsayz