Sɔntɛnde, yu kin fil lɛk se yu an dɛn de shek smɔl? Pan ɔl we fɔ shek yu an we yu de ol wan kɔp ti ɔ tray fɔ rayt sɔntin na nɔmal tin, sɔntɛnde i kin bi sayn fɔ se yu gɛt mɔ sik. Dis kin mek yu nɔ fil fayn, shem, ɛn ivin strɛs. So tide, lɛ wi tɔk bɔt dis trem, ɔ wetin na mɛrɛsin kɔl `(Tremor)`, insay simpul wɔd.
Wetin rili na Tremor?
Fɔ tɔk am simpul wan, we yu de shek shek na we yu nɔ want fɔ muv wan pat na yu bɔdi we yu nɔ ebul fɔ kɔntrol . Dɛn kin fil lɛk se dɛn de shek ɔ dɛn de shek shek. Fɔ sɔm pipul dɛn, dɛn kin rili saful, bɔt fɔ ɔda pipul dɛn, dɛn kin so bad dat dɛn nɔ kin ivin ebul fɔ du di wok dɛn we dɛn kin du ɛvride.
Dis tret kin apin na wan ɔr mɔr pat na di bɔdi. Dɛn kin si am mɔ na di an. Bɔt i kin apin bak na dɛn say ya:
- An dɛn
- Leg dɛn
- Ɛd, nɛk, ɔ fes
- Voys (vokal kɔd dɛn) .
- Trɔnk
Infakt, wi ɔl gɛt wan rili smɔl shek we wi bɔdi de shek, we i nɔ go ebul fɔ no. dis dεn kכl am ``Pysiologic Tremor''. If yu ol yu an dɛn bifo yu, yu go si se dɛn nɔ stil stil. Dis na nɔmal tin. Bɔt we yu de drink kɔfi, we yu taya, ɔ we yu de wɔri bad bad wan, yu kin notis dis nɔmal tret smɔl.
Trem kin impɔtant pan mɛrɛsin we i de ambɔg yu ɛvride layf . Fɔ ɛgzampul, if i afɛkt di we aw yu de it, drɛs, waka, ɔ sayn wan pepa, na sɔntin we yu fɔ wɔri bɔt.
Wetin na di men kayn we aw pɔsin kin shek?
Dɔktɔ dɛn kin sheb tu men kayn we aw pɔsin kin shek, bay aw i kin apin. Fɔ ɔndastand dis mɔ, luk di tebul we de dɔŋ ya.
| Tayp fɔ Trem | Aw dat kin apin? (Aw i kin apin?) |
|---|---|
| Resting Tremor we yu de rɛst | Dis kin apin we wan pat na di bɔdi dɔn rɛst ɔltogɛda, we nɔ gɛt ɛni wet. Imajin se yu sidɔm na chia, yu an de rɛst pan di chia armrest, ɛn yu an bigin fɔ shek, na dis kayn. |
| Akshɔn Tremɔrɔ | Dis kin apin we yu yuz yu mɔsul dɛn fɔ du sɔntin. Fɔ ɛgzampul, if yu an de shek shek we yu es yu an ɔ briŋ wan glas wata na yu mɔt, na dis kayn tin. |
Sɔbtayp dɛn fɔ Akshɔn Trem
Fכnshכnal tremכr dεn divayd am mכr to sεvεra sכbtayp dεm:
- Postural Tremor: Tremor we kin apin we yu ol wan patikyula pozishɔn. Fɔ ɛgzampul, we yu de ol di an dɛn bifo yu.
- Isometric Tremor: Tremor we de apin we di mכsul tεns, we nכ de muv. Fɔ ɛgzampul, we yu ol ebi ebi bag na di sem pozishɔn.
- Kinetic Tremor: Tremor we kin apin we yu de mek muvmɛnt. Fɔ ɛgzampul, we yu de es yu an ɛn tray fɔ tɔch yu nos.
Wetin go de mek dis shek shek?
Fɔ de shek shek na sayn, nɔto sik, so i kin gɛt bɔku tin dɛn.
- Di sayn dɛm fɔ drink rɔm ɛn fɔ lɛf fɔ drink rɔm.
- Tumɔs dɛn na di bren .
- Sɔm mɛrɛsin dɛn we yu kin tek.
- Sɔm mɛrɛsin sik dɛm wae dɛn kin trit. Ɛgzampul dɛn: Tayrɔyd we de wok pasmak (Hyperthyroidism), Lɔw blɔd shuga (Hypoglycemia), Calcium ɔ magnesium we nɔ de.
- Sik dɛm wae gɛt fɔ du wit di nervɔs sistɛm, lɛk Pakinsin sik ɛn Multiple Sclerosis (MS) .
- Strok .
- Siriɔs injuri dɛn na ed (Traumatic Brain Injuries) .
Sɔm mɛrɛsin dɛn we kin mek pɔsin shek
Sɔm mɛrɛsin kin mek pɔsin shek ɔ i kin mek pɔsin shek we i dɔn de, bɔku.
- Sɔm mɛrɛsin fɔ asma (e.g. Albuterol) .
- Mεdikeshכn fכ sכm mental sik dεm (e.g. Lithium, Fluoxetine) .
- Atorvastatin fɔ mek yu gɛt ay kɔlɔstrel
- Kɔtikosterɔyd dɛn
- Amiodarone fɔ at sik
I rili impɔtant: If yu de tek dis kayn mɛrɛsin ɛn yu de shek shek, nɔ ɛva stɔp fɔ tek am fɔ yusɛf. Mek shɔ se yu tɔk to yu dɔktɔ fɔ advays.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ we de shek shek, i go aks yu sɔm kwɛstyɔn dɛn fɔs ɛn du yu bɔdi ɛgzam.
- Yu tink se di tret bin bigin wantɛm wantɛm, ɔ i bin de go ɔp smɔl smɔl?
- Us pat dɛn na di bɔdi de shek?
- Yu tink se di shek shek kin bɔku wit sɔm tin dɛn we yu de du ɔ we yu de rɛst?
- I kin bɔku wit tin dɛn lɛk kɔfi ɛn strɛs, ɔ i kin go dɔŋ we yu pe atɛnshɔn pan ɔda tin?
Dɔn, dɛn go du wan nyurolɔjik ɛgzam . Dis go tɛst yu balans ɛn riflɛks fɔ no mɔ bɔt di kayn we aw yu de shek.
Dɛn kin du bɔku ɔda tɛst dɛn fɔ no di rayt tin we mek i apin:
- Blɔd tɛst dɛn
- Test fɔ yu urine
- EMG ɛn Nɛv Kɔndɔkshɔn Stɔdi dɛn
- CT ɔ MRI skan fɔ di bren
Big big Tremor Sindrom dɛn
Bɔku men mɛrɛsin dɛn de we dɔktɔ dɛn kin no bɔt di we aw pɔsin kin shek.
| Sindrom we pɔsin kin gɛt | Diskripshɔn ɛn di kwaliti dɛn we pɔsin gɛt |
|---|---|
| Impɔtant Tremor | Di tin we kin apin we pɔsin kin shek shek pas ɔl. Di men sayn na we yu tu an dɛn de shek we yu de du sɔntin. Nɔ ɔda nyurolɔjik sayn nɔ de. I kin afɛkt di ed, vɔys, ɛn leg bak. |
| Sɛribɛla Tremɔrɔ | Bɔku tɛm, na slo , big big shek. Di tret kin wɔs we yu de kam fɔ dɔn wan akshɔn (e.g., fɔ opin domɔt). I kin kam bikɔs di sɛribɛl na di bren dɔn pwɛl. |
| Dystonic Tremor we dɛn kɔl | Wan trem we nɔ de ɔltɛm ɛn we de jɔk. I kin stɔp we dɛn muv di an ɔ di leg. I kin kam bikɔs di basal ganglia dɛn na di bren dɔn pwɛl. |
| Ɔtostatik Tremɔrɔ | di mכsul dεm na di leg dεm kin kכntrakt kwik kwik wan we yu tinap. Dis kin stɔp we yu sidɔm ɔ waka. Dis na tin we nɔ kin apin so ɔltɛm. |
| Wan sik we dɛn kɔl Parkinsonian Tremor | Dɛn kin si am pan pas 70% pan di wan dɛm wae gɛt Pakinsin. I kin bi bak di fɔs sayn fɔ sho se yu gɛt dis sik. Dɛn kin si am mɔ we yu de rɛst (Resting Tremor). I kin bigin na wan an ɔ sayd, ɛn leta i kin spre to ɔl tu di say dɛn. |
| Fכnshכnal (Saykojεnik) Tremכr | Dis kin bi ɛni kayn we aw pɔsin kin shek. I kin bigin wantɛm wantɛm. I kin bɔku we yu de pe atɛnshɔn pan am, ɛn i kin go dɔŋ we yu tink bɔt ɔda tin. I kin bi bikɔs ɔf tin dɛn we de apin to pɔsin in maynd. |
Wetin na di tritmɛnt fɔ tret?
Di tritmɛnt dipen pan di ɔndalayn kɔz fɔ di trem. Di shek we pɔsin kin shek bikɔs in bren dɔn pwɛl, i nɔ kin izi fɔ mɛn am kpatakpata. Bɔt bɔku tɛm, dɛn kin ebul fɔ kɔntrol ɔ mɛn di we aw pɔsin kin shek bikɔs ɔf mɛrɛsin, drɔgs, ɔ ɔda mɛrɛsin.
- Essential Tremor: Yu kin kɔntrol am wit mɛrɛsin lɛk Propranolol. If i siriɔs, dɛn kin yuz tritmɛnt dɛn lɛk `(Botox®)` injɛkshɔn ɔ `(Dip Bren Stimulation)`.
- Parkinsonian Tremor: Dɛn kin kɔntrol am wit mɛrɛsin fɔ Parkinson’s disease, lɛk Levodopa.
- Dystonic Tremor: Dɛn kin yuz tritmɛnt lɛk mɛrɛsin, Botox® injɛkshɔn, ɛn Dip Bren Stimulation.
- Functional Tremor: Fyzikal tritmɛnt ɛn saykotɛrapi rili impɔtant.
Tin dɛn we yu kin du na os
Apat frɔm tritmɛnt, yu kin tray dɛn tin ya fɔ mek i izi fɔ liv wit tret:
- If tin dɛn lɛk kɔfi ɛn rɔm de mek yu shek mɔ, ridyus ɔ stɔp am.
- Yuz tin dɛn we go ɛp yu lɛk spɛshal kɔtlɛri fɔ mek i izi fɔ du ɛvride.
- Pik klos dɛn we izi fɔ wɛr, lɛk klos dɛn we gɛt Vɛlkɔ instead fɔ wɛr bɔtin.
- Ridyus strɛs . Tin dɛn lɛk fɔ tink gud wan ɛn fɔ lisin to myuzik kin ɛp.
- Gɛt inof slip . If yu nɔ slip, dat kin mek sɔm tin dɛn we kin mek yu shek, wɔs.
- Join wan sɔpɔt grup wit pipul dɛm wae de go tru di sem tin lɛk yu. I go gi yu bɔku trɛnk na yu maynd.
Ɛnitɛm we yu want fɔ go to dɔktɔ
If yu fil ɛnitin lɛk dis, go mɔs go to dɔktɔ:
- If di tret de bɔku as tɛm de go.
- If i de ambɔg di tin dɛn we yu de du ɛvride .
- If dis de mek yu fil strɛs ɛn wɔri.
- If, apat frɔm di trem , ɔda nyurolɔjik simptom dɛm (e.g., mɛmori chenj, di bɔdi trɛnk we de dɔŋ) kin apin.
E nɔr kin fayn fɔ ɛnibɔdi fɔ fil lɛk se i nɔr de kɔntrol in bɔdi. So na nɔmal tin fɔ mek yu fil fred we yu gɛt tret. Bɔt mɛmba se fɔ no di rayt tin we de mek yu gɛt am, yu nid fɔ go to dɔktɔ. I kin rɔn di tɛst dɛn we yu nid ɛn gi yu di rayt tritmɛnt plan.
Mɛsej we dɛn kin kɛr go na os
- Fɔ shek shek nɔto sik, bɔt na sayn. I kin gɛt bɔku tin dɛn we kin mek i apin.
- Nɔto ɔl di we aw pɔsin de shek shek na sayn fɔ se pɔsin gɛt siriɔs sik, bɔt i impɔtant fɔ no di kɔrɛkt we aw i de shek.
- If yu de tek mɛrɛsin we de mek yu shek, nɔ ɛva stɔp fɔ tek am if yu nɔ gɛt dɔktɔ advays.
- Dɛn gɛt fayn tritmɛnt fɔ kɔntrol di we aw pɔsin de shek ɛn fɔ kɔntrol di sik dɛn we de sho se i de fil.
- If yu de wɔri bɔt aw yu de shek shek, nɔ de te ɛn go to yu dɔktɔ fɔ advays.
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