Yu dɔn ɛva fil lɛk se wan say na yu fes, sɔntɛm ɔnda yu yay, de shek shek we yu nɔ ebul fɔ kɔntrol? Yu kin si am na di miro, bɔt yu nɔ ebul fɔ stɔp am. I rili nɔ kɔmfyut. Sɔm pipul dɛn kin kɔl am lip twitching. Tide wi de tɔk bɔt wan sik we dɛn kɔl hemifacial spasms, we nɔ kin fayn fɔ bɔku pipul dɛn, bɔt bɔku tɛm i nɔ kin denja.
Wetin na di sayn dɛm fɔ dis sik?
Bɔku tɛm, i kin bigin rili sloslo. Fɔs, yu yay, mɔ yu aylid we de dɔŋ, jɔs bigin fɔ shek. I kin go fɔ sɔm tɛm, dɔn i kin kam bak. Yu kin tink se, "O, dis na jɔs twitch." Bɔt as tɛm de go, dis twitch kin go ɔp smɔl smɔl. Di twit we kin bigin na yu yaylid kin spre to yu chɛst, dɔn yu lip. Afta sɔm tɛm,
di wan ol mɔsul dɛn we de na wan say na yu fes kin bigin fɔ shek shek we yu nɔ ebul fɔ kɔntrol am. Sɔntɛnde, di twitch kin so bad dat i kin ivin tan lɛk se dɛn de pul yu mɔt na wan say.
Imajin aw i go fil if yu de pan impɔtant tɔk ɔ tɔk to pɔsin ɛn wantɛm wantɛm wan say na yu fes bigin fɔ twitch lɛk dis. I rili nɔ kɔmfyut, nɔto so?
Nɔr pen nɔr de wae gɛt fɔ du wit dis sik. Bɔt pɔsin we de sɔfa wit dis kin rili shem ɛn nɔ kin fil fayn we i de spɛn tɛm wit ɔda pipul dɛn. Dis tayt, wae kin kam ɛn go fɔs, kin
de ɔltɛm as de sik de wɔs. Dɛn sayn ya kin bɔrku, mɔr lɛk wae yu taya ɔr strɛs.
Wetin mek dis de apin? Wetin na di rizin fɔ dis?
Fɔ tɔk am simpul wan, di men rizin fɔ dis na bikɔs blɔd vesel de prɛs wan nerv we de kɔntrol wi fes mɔsul dɛn (fes nerve). Lɛ wi ɔndastand dis smɔl mɔ simpul wan. Imajin se we pɔsin put in fut pan wata paip, di wata we de flɔ kin ambɔg. Wan nerve (facial nerve) de we de kɔmɔt na di bren stem ɛn ɛp wi fes mɔsul dɛn fɔ muv, smayl, ɛn tɔk. We blɔd vesel we de go nia dis nɛv prɛs pan dis nɛv, dat na, i bigin fɔ prɛs, ilɛktrik signal dɛn we nɔ nid kin bigin fɔ pas tru di nɛv. Bikɔs ɔf dɛn sayn dɛn de, yu fes mɔsul dɛn kin bigin fɔ shek shek we yu nɔ ebul fɔ kɔntrol am. Bɔt nɔto ɔltɛm dis kin bi di rizin. Na sכm tεm, dis kכndyushכn kin apin bak bikoz fכ wan kכz lεk aksidεnt to di fes nεv כ wan bren tכmכro.
Udat dɛn de pan denja mɔ?
Dis na rili wan sik we nɔ kin apin so ɔltɛm. I kin afɛkt ɛnibɔdi, man ɔ uman, pan ɛni ej. Bɔt sɔm statystik dɛn sho se i kin apin mɔ pan uman dɛn, mɔ we
dɛn ol bitwin 40 ɛn 79 ia.I kin mɔs pan uman dɛn we dɔn ol ɛn we dɔn ol. Dɛn dɔn si bak se i kin bɔku smɔl pan pipul dɛn na Eshia pas di kɔntri dɛn we de na di Wɛst.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, i go tek tɛm luk yu fɔs ɛn luk aw di twitch de. If yu tink se dis na Hemifacial Spasm, di nɛks tin we yu fɔ du na fɔ du
MRI (Magnetic Resonance Imaging) skan . Dis MRI skan de du tu men tin: 1.
Kɔnfɛm di kɔz: As a bin dɔn tɔk, dis skan kin si klia wan if blɔd vesel de we de gi di nerve. 2.
Rul ɔut ɔda sik dɛn: Dis skan kin kɔnfɔm bak se nɔ ɔda siriɔs sik dɛn lɛk bren tumor ɔ Multiple Sclerosis we de mek dɛn gɛt dɛn sik ya. So, MRI skan na impɔtant tin fɔ no bɔt dis sik.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔku fayn tritmɛnt dɛn de fɔ dis sik. Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu bay aw i siriɔs ɛn wetin mek yu sik.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|
| Botox injɛkshɔn dɛn | Dis na di tritmɛnt we pipul dɛn lɛk pas ɔl ɛn we kin wok fayn pas ɔl. I min fɔ injɛkt smɔl smɔl mɛrɛsin we dɛn kɔl Botulinum Toxin insay di mɔsul dɛn we de twit. Dis kin mek di mɔsul dɛn nɔ ebul fɔ waka fɔ sɔm tɛm ɛn i kin mek di mɔsul dɛn nɔ de shek shek. Dis tritmɛnt nid fɔ ripit ɛvri sɔm mɔnt. |
| Maykrovaskul Dikɔmpreshɔn Ɔpreshɔn | Dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pipul dɛn we gɛt siriɔs sik we nɔ dɔn ansa to Botox injɛkshɔn. Insay dis ɔpreshɔn, dɔktɔ we de du ɔpreshɔn kin put wan smɔl tin we tan lɛk spɔnj bitwin di nɛv ɛn di blɔd vesel we de prɛs di nerv fɔ mek di prɛshɔn nɔ bɔku. Pan ɔl we dis na tin we kin rili wok fayn, lɛk ɛni ɔpreshɔn, dɛn kin yuz am as sɛkɔn tin bikɔs i kin gɛt sɔm prɔblɛm dɛn. |
| Di mɛrɛsin dɛn we dɛn kin yuz | Sɔntɛnde, mɛrɛsin wae de mek pɔrsin nɔr de fil fayn lɛk Carbamazepine ɛn Clonazepam, wae dɛn kin yuse fɔ trit epilepsy, kin ɛp fɔ kɔntrol dɛn sik ya te to sɔm mak. |
Ɔda rizin dɛn de we mek pɔsin in fes kin drɔp?
Yɛs. Nɔto ɔl di fes twitch na Hemifacial Spasm. Afta yu dɔktɔ luk di MRI, if no big prɔblɛm nɔ de, i go tink bak bɔt ɔda tin dɛn we kin mek dɛn gɛt dɛn sik ya.
- If yu it pasmak kafinɛ: If yu it pas 400 miligram kafinɛ ɛvride frɔm tin dɛn lɛk kɔfi ɛn ti, yu mɔsul dɛn kin kramp.
- Di sayd ɛfɛkt dɛm fɔ sɔm mɛrɛsin dɛm: Mɔsul dɛn kin twit (fasciculation) kin apin as sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛm.
- Stret ɛn taya : Dɛn tin ya na di men tin wae kin mek pɔrsin gɛt prɔblɛm lɛk aw yu yay kin strɛs.
- Bell’s palsy : Dis na we di fes mכsul dεm wik כ paralayz fכ sכm tεm.
- Parkinson’s disease : Tremor lɛk dis kin apin as wan pan de sayn dɛm fɔ dis sik.
- di hכmon imbalans: I kin kכz bak bay di כmon dεm we de chenj na di bכdi.
- Multiple sclerosis: Na sik we de afɛkt di nervɔs sistɛm.
So,
pas fɔ no yusɛf , if yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ fɔ no di rayt tin we mek yu gɛt dis sik.
Mɛsej we dɛn kin kɛr go na os
- If wan say na yu fes de shek shek we yu nɔ ebul fɔ kɔntrol, i kin bi se yu gɛt ɛmifes spasm. Bɔrku tɛm dis nɔr kin denja, bɔt i impɔtant fɔ no am kɔrɛkt wan.
- Di men tin we kin mek dis apin na di blɔd vesel we de prɛs pan wan fes nerve.
- Bɔku tɛm, dɛn kin nid fɔ du MRI skan fɔ mek dɛn no di sik kɔrɛkt wan.
- Tritmɛnt dɛn de we rili fayn fɔ dis, lɛk Botox injɛkshɔn ɛn ɔpreshɔn.
- Nɔ ɛva ignore wan sayn lɛk dis. Fɔ tru, yu go si yu dɔktɔ.Gɛt advays.
Hemifacial Spasm Sinhala, Fes twitching, Lip twitching, Ay twitching, Fes nerve, Botox tritmɛnt, Maykrovaskyuɛl Dikɔmpreshɔn
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