Yu de tek mɛrɛsin fɔ siriɔs sik? Yu dɔn bigin fɔ yɛri sɔntin we de ring na yu yes wantɛm wantɛm we yu de tek dɛn kayn mɛrɛsin dɛn de, ɔ yu dɔn bigin fɔ fil diziz ɛn nɔ balans we yu de waka? Bɔku tɛm wi kin tink se na di sik kin mek dɛn tin ya. Bɔt sɔntɛnde, di mɛrɛsin we yu de tek kin bi di kɔz. Na dat wi kin kɔl Ototoxicity na mɛrɛsin. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Fɔ tɔk am simpul wan, wetin na Ototoxicity?
We yu yɛri di wɔd ototoxicity, i kin tan lɛk se na big tin. Bɔt di minin we i min rili simpul.
Oto min yes, ɛn pɔyzin min pɔyzin. In ɔda wɔd, wi kin kɔl am ototoxicity
we sɔm mɛrɛsin dɛn de pwɛl yu yes . I tan lɛk se yu de "pɔyzin di yes." Wi insay yes gɛt rili dilik sɛns sɛl dɛn we de ɛp wi fɔ yɛri ɛn kɔntrol wi balans. Sɔm mɛrɛsin dɛn, mɔ we dɛn tek am bɔku bɔku wan, kin pwɛl dɛn sɛns sɛl ya. Dis na we yu bigin fɔ yɛri, yɛri difrɛn sawnd dɛn na yu yes (tinnitus), ɛn fil se yu nɔ de balans.
Di bɛst tin na dat if dɛn no dis sik kwik kwik wan , bɔku tɛm dɛn kin chenj am wans dɛn dɔn stɔp ɔ chenj di mɛrɛsin we de mek i gɛt am. Bɔt if dɛn kech am tu let, i kin pwɛl di yes fɔ ɔltɛm.
Us mɛrɛsin ɛn kemikal dɛn we kin mek pɔsin gɛt ɔtotoksisiti?
Naw, dɛn dɔn no pas 200 ɔtotoksik drɔgs. Bɔrku pan dɛn tin ya kin yuse fɔ trit siriɔs sik lɛk kansa, bad bad infɛkshɔn, ɛn at sik. Pan ɔl we dɛn mɛrɛsin ya impɔtant fɔ sev pipul dɛn layf, i impɔtant fɔ no bɔt di bad tin dɛn we dɛn kin du. Di tebul we de dɔŋ ya de sho di men mɛrɛsin ɛn kemikal dɛn we de mek dis prɔblɛm.
| Drug/Kɛmikal Tayp | Ɛgzampul dɛn ɛn not dɛn |
|---|
| Aspirin we dɛn kin yuz | If yu tek am fɔ lɔng tɛm, i kin mek yu nɔ yɛri fayn ɛn i kin mek yu yes ring (tinnitus). |
| Mɛrɛsin dɛn we gɛt kinin | If yu tek bɔku mɛrɛsin fɔ malaria lɛk Kloroquine ɛn Quinidine, dat kin afɛkt di we aw yu de yɛri ɛn balans fɔ sɔm tɛm. |
| Loop Diuretiks we dɛn kin yuz fɔ mek di bɔdi | Bɔku tɛm, mɛrɛsin dɛn lɛk Furosemide ɛn Torsemide, we dɛn kin yuz fɔ pul wata na di bɔdi, kin gɛt prɔblɛm fɔ sɔm tɛm. |
| Aminoglycoside Antibaytik dɛn we dɛn kin yuz | Dɛn tin ya na pawaful antibayɔtik lɛk Gentamicin, Amikacin, Kanamycin, we dɛn kin gi fɔ siriɔs baktriyal infɛkshɔn. Dɛn na wan men tin we kin mek pɔsin gɛt ɔtotoksisiti. |
| Drug dɛn we de mek pɔsin nɔ gɛt kansa | di kεmothεrapi dεm lεk Cisplatin εn Carboplatin kin damej di sεnsitiv sεl dεm na di yes bak we i de kil di kεnsar sεl dεm. |
| Envayrɔmɛnt Kwɛmyuɛl dɛn | If yu gɛt tin dɛn lɛk mɛkuri, lid, ɛn kabon monoksayd, dat kin mek yu yɛri fayn bak fɔ ɔltɛm. |
Udat dɛn de pan denja mɔ?
Nɔto ɔlman we de tek dis mɛrɛsin go gɛt ɔtotoxicity, bɔt sɔm pipul dɛn kin gɛt mɔ risk.
- Fɔ tek mɔ pas wan ɔtotoksik mɛrɛsin di sem tɛm: Fɔ ɛgzampul, di risk kin bɔku we yu tek wan lɔp diuretik ɛn wan aminoglycoside antibayɔtik togɛda.
- Pipul wae gɛt prɔblɛm wit dɛn kidni : Na di kidni dɛn kin pul dɛn mɛrɛsin ya na di bɔdi. If di kidni dɛn nɔ de wok fayn, di mɛrɛsin kin de na di bɔdi fɔ lɔng tɛm, ɛn dis kin mek di yes pwɛl mɔ ɛn mɔ .
- Di doz ɛn aw fɔ tek di mɛrɛsin : Di risk de go ɔp as di doz fɔ di mɛrɛsin de go ɔp ɛn di tɛm we dɛn de tek di tritmɛnt de go ɔp.
If yu absoliutli must tek wan mɛrɛsin wae de sev yu layf lɛk dis,
tɔk to yu dɔktɔ bɔt di risk fɔ ototoxicity bifo yu bigin tritmɛnt.Wetin na di sayn dɛm fɔ ɔtotoksisiti?
Dɛn sayn ya kin bigin wantɛm wantɛm, ɔr kin bɔku smɔl smɔl as tɛm de go.
Di fɔs sayn dɛn
- Tinnitus: Dis na di fɔs sayn we bɔku pipul dɛn kin notis. Sawnd we de kɔntinyu na di yes, lɛk "ringing..." ɔ "ringing."
- Sɔm kayn we fɔ yɛri: Fɔ fil lɛk se dɛn nɔ de yɛri wɔd dɛn klia wan we dɛn de tɔk to am nɔmal wan.
Simptom dɛm wae kin apun wae de sik tranga
- Imbalans : Fɔ fil se yu nɔ de stedi we yu de waka, lɛk se yu nɔ balans.
- Vertigo : Na filin wae yu ɔr di tin dɛm wae de arawnd yu de spin.
- Oscillopsia: Yu nɔ de si fayn ɔ yu de fil se yu de jomp we yu de shek yu ed.
- Fɔ ful-ɔp na di yes: Na filin lɛk se di yes ful-ɔp wit briz.
- I nɔ izi fɔ waka: I nɔ izi fɔ waka na dak, fɔ waka wit yu fut apat fɔ mek yu balans.
- Ed we de at ɛn taya pasmak.
Di kayn sik wae dɛn kin gɛt kin difrɛn difrɛn wan fɔ no if di damej na wan yes ɔr ɔl tu di yes dɛm, ɛn aw di damej kin apin kwik kwik wan.
Aw fɔ no dis sik?
If yu gɛt ɛni wan pan di sayn dɛm we wi dɔn tɔk bɔt, tɔk to yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek. I go mɔs bi se i go sɛn yu to dɔktɔ we sabi aw fɔ yɛri ɛn balans, ɔ
to dɔktɔ we de mɛn pipul dɛn we de yɛri . Dɛn go rɔn tɛst fɔ kɔnfirm di diagnosis.
- Odiometrik tɛst: Fɔ tɛst di lɛvɛl dɛn fɔ di sawnd wev dɛn we yu kin yɛri ɛn we yu nɔ kin yɛri.
- di כditory Brainstem Response (ABR) tεst: I de chεk if di signal dεm frכm di insay yes to di bren de wok fayn fayn wan.
- Otoacoustic Emissions (OAE) test: I de tεst di wok we di sεns sεl dεm na di insay yes de du. (Dɛn kin yuz dɛn ABR ɛn OAE tɛst ya mɔ fɔ no if yɔŋ pikin dɛn gɛt prɔblɛm wit dɛn yɛri.)
- Bεlεns tεst: dεn tεst ya de mכsu yu bכdi in bεlε bay we dεn de mכsu tin dεm lεk aw yu yay de muv (Electronystagmogram) εn yu ebul fכ tinap pan difrεn sεf (Posturography).
Aw dɛn kin trit am?
Di bɛst tritmɛnt na fɔ stɔp di mɛrɛsin we de mek yu fil bad ɔ chenj to ɔda mɛrɛsin,
lɛk aw yu dɔktɔ tɛl yu . Bɔrku tɛm, di sayn dɛm go kam bak.
Di tin we impɔtant pas ɔl: Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ fɔs, bikɔs di mɛrɛsin kin impɔtant fɔ yu layf.
Bɔt if dɛn nɔ ebul fɔ stɔp di mɛrɛsin ɔ if di yes dɔn pwɛl fɔ ɔltɛm, tritmɛnt dɛn de we go ɛp yu fɔ kɔntrol ɛn liv wit di prɔblɛm dɛn. 1.
Ɛp fɔ yɛri: Dɛn tin ya we yu kin wɛr insay ɔ ausayd di yes, kin ɛp yu fɔ yɛri di sawnd dɛn we de rawnd yu fayn fayn wan. 2.
Kɔklia Implant: Dɛn kin ɔspitul dɛn divays ya pan pipul dɛn we nɔ de yɛri bad bad wan we tu bad fɔ mek dɛn ebul fɔ ɛp dɛn wit ɛp fɔ yɛri. 3.
Balans Tεrapi / Vεstibular Rihabiliteshכn: Dis na di sem lεk fysiothεrapi fכ bεlε. Wan dɔktɔ we de mɛn yu bɔdi kin tich yu difrɛn ɛgzampul dɛn fɔ mek yu tinap fayn, fɔ waka, ɛn fɔ wok togɛda fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Ototoxicity na di damej we sɔm mɛrɛsin dɛn kin mek to di dilik sɛl dɛn we de insay di yes.
- If yu gɛt ringin na yu yes (tinnitus) ɔ yu ed de tɔn we yu de tek strɔng mɛrɛsin fɔ sik dɛn lɛk kansa ɔr bad bad infɛkshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ stɔp ɔ chenj di doz fɔ yu mɛrɛsin dɛn we yu nɔ gɛt dɔktɔ advays fɔ ɛni rizin.
- If yu no dis sik kwik kwik wan, dat kin mek yu nɔ yɛri fayn fɔ ɔltɛm ɔ yu nɔ gɛt prɔblɛm wit yu balans.
- If yu tink se yu gɛt pɔyzin bikɔs yu gɛt kemikal we de na di say we yu de, go to dɔktɔ wantɛm wantɛm. If nid de, yu kin gɛt mɔ infɔmeshɔn frɔm di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Ototoxicity, we yu nɔ de yɛri fayn, mɛrɛsin sayd ɛfɛkt, tinnitus, diziz, yu nɔ de yɛri, sayd ɛfɛkt, cisplatin, aminoglycoside, ring na di yes
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt