Wetin kin apin to di bren we yu hit yu ed - Lɛ wi lan bɔt Traumatic Brain Injury (TBI)!

Yu dɔn ɛva tink bɔt wetin kin apin to yu bren we yu nak yu ed tranga wan, ɔ we sɔntin nak yu ed wund? Sɔntɛnde, dɛn kayn tin ya kin rili siriɔs pas aw yu tink. Tide wi go tɔk bɔt dis kayn we aw pɔsin kin wund na in skel, we na wan sik we dɛn kɔl Traumatic Brain Injury (TBI) . Dis na siriɔs mɛrɛsin we kin rili afɛkt di we aw wi bren de wok.

Wetin rili na Traumatik Bren Injuri (TBI)?

Fɔ tɔk am simpul wan, traumatik bren injuri (TBI) na damej pan di bren we pɔsin blo bad bad wan na di ed, jolt, ɔ sɔntin we go insay di skel ɛn go insay di bren. Tink bɔt am dis we: jɔs lɛk aw kokonat de fɔdɔm frɔm ay klif ɛn di wata we de insay de kɔmɔt, wi bren sɛf de insay di skel, so if yu nak yu ed tranga wan, di bren kin hit di insay pat pan di skel. Ɔ, if sɔntin we shap nak yu ed, i kin go insay di skel ɛn pwɛl di bren.

Dis sik wae dɛn kɔl TBI, na wan big tin wae kin mek pɔrsin day ɛn gɛt disabled fɔ lɔng tɛm na kɔntri dɛm lɛk Amɛrika. I kin mek yu gɛt wɛlbɔdi prɔblɛm fɔ shɔt tɛm ɛn fɔ lɔng tɛm. Dat min se i kin afɛkt ɔltin we yu de du na yu layf. Bɔt di gud nyus na dat, tritmɛnt dɛn de fɔ am. Di tin we impɔtant pas ɔl na dat, we dɛn de fɔ mek dɛn kayn aksidɛnt ya nɔ apin.

Bɔku tɛm wi kin yɛri bɔt ed injuri lɛk dis na Sri Lanka, nɔto so? Fɔ fɔdɔm pan baysikul, fɔ nak yu ed we yu de ple spɔt, motoka aksidɛnt... ɔl dɛn tin ya kin mek yu gɛt TBI. So, i rili impɔtant fɔ mek wi no bɔt dis.

Aw kɔmɔn tin fɔ TBI?

Dis na rili wan sik wae kin pasmak pas aw yu kin tink. Fɔ ɛgzampul, insay 2020, i pas 214,000 pipul dɛn na Amɛrika nɔmɔ we dɛn bin put na ɔspitul bikɔs dɛn gɛt TBI. Ɛn i pas 69,000 pipul dɛn we day bikɔs ɔf prɔblɛm dɛn we gɛt fɔ du wit TBI. So dis nɔto sɔntin we wi fɔ tek am layt.

Wetin na di kayn traumatik bren injury (TBI)?

Dɔktɔ dɛn kin sheb dɛn TBI ya to tu men kayn:

1. TBI we de go insay: Dis na we sɔntin we shap (lɛk bulɛt, nɛf, ɔ wan pat pan mɛtal) go insay yu skel ɛn pwɛl di bren tisu. Sɔntɛnde dɔktɔ dɛn kin kɔl dis ``Open TBI''.

2. Non-penetrating/Blunt TBI: Dis kin apin we yu hit yu ed tranga wan, we de mek di bren muv ɔ twist insay di skel. Dɔktɔ dɛn kin kɔl dis bak ``Closed head TBI'' ɔ ``Blunt TBI''. Dis kin apin we motoka aksidɛnt, fɔdɔm, blo na in ed, bɔm, ɔ blo na in ed we i de ple spɔt.

Apat frɔm dat, dɔktɔ dɛn kin kɔl bak di TBI sik dɛn we nɔ kin izi, we kin smɔl, ɛn we kin rili bad .

• Mild TBI: 1. .Dis na di kayn we we kɔmɔn pas ɔl, we de mek pas 75% pan ɔl di TBI dɛn. Sɔntɛnde dɔktɔ dɛn kin kɔl dis mild TBI kɔnkyushɔn . Bɔt pan ɔl we i nɔ kin at fɔ du, i kin mek wi gɛt bɔku prɔblɛm dɛn we kin de fɔ lɔng tɛm. Pɔsin we gɛt smɔl TBI kin gɛt prɔblɛm fɔ go bak to di tin dɛn we i kin du ɛvride, lɛk fɔ go wok.
• Mɔdarɛt ɛn Siva TBI: Dɛn tu tin ya kin mek yu gɛt bɔku prɔblɛm dɛn we kin mek yu gɛt wɛlbɔdi fɔ lɔng tɛm.

Wetin na di sayn dɛm fɔ TBI?

If yu gɛt TBI, dat min se dɛn dɔn hit yu ed sɔmsay ɛn dɛn dɔn muf ɔ twist yu bren insay yu skel. We dis kin apin, yu bren kin pwɛl ɛn di blɔd vesel dɛn na yu bren kin wund. TBI kin mek di kemikal chenj dɛn na yu bren, ɛn dis kin mek di bren sɛl dɛn nɔ de wok fayn.

Di sayn dɛm fɔ TBI kin difrɛn difrɛn wan fɔ no if i smɔl, i smɔl, ɔ i siriɔs. Bɔt ɛni TBI kin mek yu gɛt sɔm sayn dɛn. Dɛn tin ya kin bi prɔblɛm wit yu bɔdi, i nɔ kin izi fɔ tink ɛn mɛmba, ɛn prɔblɛm dɛn we yu kin gɛt wit ɔda pipul dɛn ɔ we yu de fil. Big pipul ɛn pikin dɛn kin gɛt di sem kayn sayn dɛn. Bɔt if yɔŋ pikin gɛt TBI, i kin gɛt sɔm sayn dɛn lɛk i nɔ kin izi fɔ it ɔ gi in mama in bɛlɛ, ɔ i kin kray we i nɔ ebul fɔ kɔntrol ilɛksɛf dɛn kɔrej am.

Simptom dɛm fɔ wan Mild TBI

Di sayn dɛm fɔ wan mild TBI kin difrɛn. Dɛn kin apia jɔs afta di wund, sɔm dez afta dat, ɔ ivin afta wan wik. Yu nɔ go notis kɔnekshɔn bitwin di ed injury ɛn di diskɔmfɔt we yu de fil. Dɔn bak, di sayn dɛm kin chenj as di bren de wɛl.

Bɔku men kayn sayn dɛn de we de sho se yu gɛt dis sik:

Prɔblɛm dɛn we kin apin na yu bɔdi:

• Nɔs ɛn vɔmit
• Diziz ɔ yu nɔ de balans
• Ed de at
• Nɔ ebul fɔ luk layt (i tan lɛk se yu yay dɛn de tɔn blu) .
• Taya, fil se yu wik
• Fɔ ɛgzampul, prɔblɛm dɛn we pɔsin kin si we i nɔ de si fayn

Prɔblɛm dɛn we yu kin gɛt we yu de tink ɔ mɛmba:

• Kɔnfyus
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu
• I nɔ izi fɔ tink klia wan
• Fɔ shɔt tɛm we yu nɔ de mɛmba tin
• Fɔ fil lɛk se ɔltin de apin sloslo, lɛk se yu de sloslo.
• Grogginess we pɔsin kin gɛt

Sɔshial ɔ imɔshɔnal prɔblɛm dɛn:

• Wɔri
• Fɔ wɔri ɔltɛm
• Di we aw pɔsin kin vɛks

Prɔblɛm dɛn we pɔsin kin gɛt we i de slip:

Wan smɔl TBI kin afɛkt yu slip bak. Dis kin bi se i nɔ kin izi fɔ slip, fɔ slip smɔl pas aw i kin slip, ɔ fɔ slip pas aw i kin slip.

Simptom dɛm fɔ wan Modaret ɔ Siviɔs TBI

Lɛk mild TBI, di sayn dɛm fɔ mɔdaret ɔ siriɔs TBI kin chenj as tɛm de go.

Prɔblɛm dɛn we kin apin na yu bɔdi:

Dɛn tin ya kin rili siriɔs, fɔ ɛgzampul:

• Nɔbɔdi nɔ kin no natin. Wan mɔdaret TBI kin las fɔ pas 30 minit ɛn less dan 24 awa. Wan siriɔs TBI kin las fɔ pas 24 awa.
• Kɔma
• Wiknɛs na di an ɛn leg
• Prɔblɛm dɛn wit balans ɛn kɔdineshɔn
• Prɔblɛm fɔ yɛri ɔ fɔ si
• Di chenj dɛn we de apin na di we aw pɔsin de fil, lɛk fɔ tɔch pɔsin

Prɔblɛm dɛn we yu kin gɛt we yu de tink ɔ mɛmba:

TBI we smɔl ɔ we rili bad kin mek yu gɛt sɔm sayn dɛn lɛk:

• Kɔnfyus
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu
• I nɔ izi fɔ tink klia wan
• Fɔ shɔt tɛm we yu nɔ de mɛmba tin
• I nɔ kin izi fɔ tɔk to ɔda pipul dɛn
• Grogginess we pɔsin kin gɛt

Sɔshial ɔ imɔshɔnal prɔblɛm dɛn:

TBI we smɔl ɔ we rili bad kin mek yu gɛt sɔm sayn dɛn lɛk:

• Wɔri
• Fɔ wɔri ɔltɛm
• Di we aw pɔsin kin vɛks
• Sɔri-at, rigrɛt
• Pwɛl at
• Vɛks
• Agreshɔn we pɔsin kin du
• I nɔ izi fɔ kɔntrol di we aw pɔsin de biev
• Fɔ wok wit rɛklɛs pas aw i kin wok

Wetin na di prɔblɛm dɛn we kin kam wit TBI?

Mild, moderate, ɛn siriɔs TBI kin mek difrɛn kɔmplikɛshɔn dɛn.

If yu gɛt smɔl TBI, ɛn yu nɔ gi yu bren inof tɛm fɔ wɛl, yu go gɛt wan sik we go mek yu layf de pan denja we dɛn kɔl sɛkɔn-impakt sindrom . Dis na we di bren de swel wantɛm wantɛm ɛn di bren tisu de shift frɔm wan ples to ɔda ples.

Modaret ɔ siriɔs TBI kin mek yu gɛt lɔng tɛm kɔnsikuns, lɛk:

• Bren de blɔd
• Di sik dɛn we kin mek pɔsin sik
• Di bren we de pwɛl ɔltɛm ɛn disabiliti
• Shot di layf span

Apat frɔm dat, mɔdaret ɔ siriɔs TBI kin mek di risk fɔ gɛt tin dɛn lɛk:

• Dis sik we dɛn kɔl Alzaima
• Wɔri
• Chronic Traumatic Encephalopathy (CTE) (na sik wae kin kam pan pipul dɛm wae kin gɛt bɔrku bɔrku pan dɛn ed, lɛk atlet dɛm) .
• Pwɛl at
• Dizayd we de mek pɔsin muv
• Pɔst-Traumatik Strɛs Disɔda (PTSD) .

Aw dɛn kin no se pɔsin gɛt TBI?

If yu tink se yu gɛt smɔl TBI, yu dɔktɔ go chɛk yu ɛn aks yu bɔt yu sik dɛn. Dɛn go tray bak fɔ no wetin mek di pɔsin wund. Dɛn kin du tɛst dɛn lɛk:

• Nyurolɔjik ɛvalueshɔn
• Test dɛn fɔ tek imej. Dɛn kin du CT skan ɔ MRI fɔ chɛk if blɔd de kɔmɔt ɔ swel na di bren.
• Blɔd tɛst dɛn

If yu gɛt TBI we smɔl ɔ we rili bad, i go mɔs bi se yu dɔktɔ go tɛl yu fɔ du blɔd tɛst ɛn CT skan fɔ no us mɛrɛsin yu nid wantɛm wantɛm.

Wetin na di tritmɛnt dɛm fɔ TBI?

Difrɛn tritmɛnt dɛn de fɔ mild ɛn mɔdaret/siriɔs TBI. Sɔm patikyula tritmɛnt kin difrɛn difrɛn wan bay aw yu sik.

Tritmɛnt fɔ mild TBI

If yu gɛt smɔl TBI, dɔktɔ dɛn kin tɛl yu fɔ du dɛn tin ya:

• Rɛst: Dis na di tin we impɔtant pas ɔl. Yu nid fɔ gi yu bren tɛm fɔ wɛl.
• Nɔn -NSAID pen kil dɛm we yu kin tek we yu nɔ gɛt dɔktɔ in prɛskrishɔn (e.g. paracetamol. Bɔt i bɛtɛ fɔ aks yu dɔktɔ.)
• Dɛn kin chɛk yu ɔltɛm fɔ no if nyu sik dɛn de sho ɔ if di sik dɛn we dɔn de kin wɔs insay di nɛks wik.

Tritmɛnt fɔ mɔdaret ɔ siriɔs TBI

Modaret ɔ siriɔs TBI na mɛdikal imejensi. Dɔktɔ dɛn kin du ɔpreshɔn dɛn lɛk:

• Ridyus di prɛshɔn we de insay di skel.
• If na TBI we de go insay (we min se sɔntin brok tru di skel ɛn go insay di bren tisu), pul ɛnitin we de insay di skel.
• Rimov di blɔd we de klɔt.
• Ripa di fraktrɔs dɛn na di skel.
• Instכl monita dεm we kin mכsu prεshכn εn כksijεn lεvεl insay di bren.

Dɔktɔ dɛn kin gi yu mɛrɛsin dɛn bak lɛk dɛn wan ya:

• Di mɛrɛsin dɛn we dɔktɔ gi pɔsin fɔ mek i nɔ fil pen.
• Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik.
• Mεdikeshכn dεm we de mek blכd kכlכt na di vein dεm (venous thromboembolism).
• Stimulants we de mek pɔsin de wach mɔ.
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad.
• Mɛrɛsin fɔ wɔri (Anxiolytics).

Afta yu dɔn wɛl afta dɛn dɔn ɔpreshɔn yu, i go mɔs bi se yu go bigin fɔ gɛt tritmɛnt fɔ rihabiliteshɔn. Di gol fɔ rihabiliteshɔn na fɔ mek yu ebul fɔ du tin dɛn we yu de du ɛvride ɛn ɛp yu fɔ manej prɔblɛm dɛn lɛk fɔ tɔk to pipul dɛn ɔ fɔ gɛt prɔblɛm wit yu maynd. Yu kin gɛt tritmɛnt dɛn lɛk:

• Fizik tɛrapi
• Ɔkupeshɔn tɛrapi
• Tɛrapi fɔ tɔk
• Tɛrapi fɔ di we aw pɔsin de blo
• Saykolojik tɛrapi fɔ ɛp wit ɛni prɔblɛm wit in maynd ɔr maynd wɛl bɔdi

I pɔsibul fɔ ful-ɔp fɔ wɛl frɔm TBI?

I rili dipen pan di tin we de apin to yu. Ɛvri TBI kin gɛt prɔblɛm dɛn. Sɔntɛnde, TBI kin gɛt ɛfɛkt fɔ lɔng tɛm. If yu gɛt TBI, aks yu dɔktɔ wetin yu kin ɛkspɛkt.

Impɔtant: Ɔlman in wɛl bɔdi difrɛn, so nɔr kɔmpia yusɛf to ɔda pipul dɛm. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

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

Yu nɔ go ebul fɔ avɔyd ɔltin we kin mek yu gɛt TBI. Bɔt tin dɛn de we yu kin du fɔ protɛkt yu ed ɛn fɔ mek yu nɔ gɛt TBI. Na sɔm pan dɛn:

• Ridyus yu risk fɔ fɔdɔm: If yu pas 65 ia, yu de pan big risk fɔ fɔdɔm. Tink bɔt fɔ put hanrɛl na stej ɛn mek klia ɛn sef rod dɛn rawnd yu os (fɔ ɛgzampul, fɔ pul rug, lɔng ilɛktrik kɔd, ɛn smɔl smɔl tin dɛn we go mek yu trip).
• Ple sef wan: Wear tin fɔ protɛkt yusɛf (lɛk ɛlmɛt) if yu de ple kɔntakt spɔt, rayd baysikul, ɔ rayd motoka.
• Fasten yu sit bɛlt: We yu de drayv, fast yu sit bɛlt ɛn mek shɔ se ɔda pipul dɛn we de wit yu de wɛr sit bɛlt bak. We yu de travul wit smɔl bebi ɛn pikin dɛn, kip dɛn na motoka sit ɔ bɔsta sit ɔltɛm.

A gɛt wan mild TBI. Aw a go tek kia ɔf misɛf?

Bɔrku pipul dɛm wae gɛt mild TBI kin bɛtɛ wae dɛn rɛst fɔ sɔm dez. If yu gɛt smɔl TBI, yu kin tek kia ɔf yusɛf bay:

• Nɔ du tin dɛn we go mek yu ed ɛn yu bren wund bak.
• If yu gɛt ed we de at, aks yu dɔktɔ us mɛrɛsin yu kin yuz fɔ mɛn yu pen ɛn ustɛm fɔ yuz dɛn.
• Gɛt bɔku rɛst. Yu bren nid tɛm fɔ mek i wɛl. If yu gɛt prɔblɛm fɔ slip, tɔk to yu dɔktɔ bɔt tin dɛn we yu go du fɔ mek yu slip fayn.

Ustɛm pipul dɛn we gɛt TBI fɔ go na di imejensi rum?

If yu gɛt TBI, go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• If di ed we de at nɔ go dɔn, ɔ if i de wɔs.
• If di vɔmit nɔ stɔp.
• Tɔk we nɔ de tɔk fayn.

If yu de kia fɔ pɔsin we gɛt TBI, go to dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn tin ya:

• Dɛn nɔ no natin, ɛn yu nɔ go ebul fɔ wek dɛn.
• If dɛn gɛt kɔnvulshɔn.
• If yu notis, di blak pupil na wan pan dɛn yay big pas di ɔda wan fa fawe.

Sɔmbɔdi we de nia mi gɛt mɔdaret ɔ siriɔs TBI. Aw a go ɛp dɛn?

If yu de kia fɔ pɔrsin wae gɛt TBI, yu kin nid sɔpɔt ɛn gayd fɔ aw fɔ ɛp am fɔ bil in layf bak. Na sɔm advays dɛn ya:

• Lan aw TBI kin afɛkt dɛn. We yu no wetin fɔ ɛkspɛkt, dat go ɛp yu fɔ sɔpɔt di pɔsin we yu lɛk bɛtɛ bɛtɛ wan we dɛn de gɛt prɔblɛm dɛn.
• Ɛnkɔrej dɛn fɔ tek pat pan di tritmɛnt.
• Du ɔl wetin yu ebul fɔ ɛp dɛn fɔ rɛst fayn fayn wan.
• Tek kia of yusɛf bak.Fɔ kia fɔ pɔsin we gɛt siriɔs TBI kin rili taya ɛn strɛs. Aks yu pɔsin we yu lɛk in dɔktɔ bɔt di savis ɛn program dɛm we go ɛp yu fɔ gɛt sɔm tɛm fɔ rɛst.
• Join wan sɔpɔt grup. If yu gɛt kɔnekshɔn wit pipul dɛm wae ɔndastand wetin yu de go tru, dat kin ɛp yu fɔ fil lɛk se yu nɔr de yu wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt smɔl TBI, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn TBI a gɛt?
• A go nid ɔpreshɔn ɔ tritmɛnt?
• Ustɛm a go wɛl?
• Ustɛm a go ebul fɔ go bak na wokples ɔ skul?

If yu de kia fɔ pɔsin we gɛt siriɔs TBI, yu kin aks yusɛf dɛn kwɛstyɔn ya:

• Wetin na di tritmɛnt dɛn we yu kin gɛt?
• Us kayn rihabiliteshɔn dɛn go nid?
• Wetin na di chans fɔ mek dɛn wɛl?
• Aw a go ɛp dɛn fɔ dil wit dis prɔblɛm?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Traumatic brain injury (TBI) , we na siriɔs ed injury, kin mek pɔsin in layf de pan denja pan di wɔs kes dɛm. Bɔt ivin wan smɔl TBI kin chenj yu layf. TBI kin apin we yu nak yu ed ɔ sɔntin na yu ed. Dɛn tin ya kin mek yu gɛt prɔblɛm fɔ shɔt tɛm ɔ fɔ lɔng tɛm, ɛn dɛn kin afɛkt ɔltin na yu layf. TBI kin chenj di we aw yu de tink, biev, fil, ɛn lan. I kin afɛkt bak aw yu ebul fɔ wok ɛn mek padi biznɛs wit ɔda pipul dɛn.

Bɔku tin kin kam wit TBI, lɛk we pɔsin fɔdɔm we i nɔ bin de tink se i go fɔdɔm, we i gɛt motoka aksidɛnt, ɛn we i de fɛt wit ɔda pipul dɛn. No garanti nɔ de fɔ se yu go ebul fɔ avɔyd ɔltin we kin mek yu gɛt TBI. Bɔt yu kin du tin dɛn fɔ ridyus di prɔblɛm we yu gɛt. If yu de wɔri se yu kin de pan denja fɔ gɛt TBI, aks dɔktɔ bɔt aw fɔ protɛkt yusɛf ɛn yu bren frɔm TBI. Yu ed na tin we valyu, ɛn na yu wok fɔ kia fɔ am.

` TBI, bren injuri, ed injuri, kɔnkyushɔn, skel injuri, bren damej, nyurolɔjik dizayd