Yu dɔn yɛri bɔt wan sik we kin afɛkt di wayt pat na yu bren (White Matter Disease)? Lɛ wi tɔk bɔt am!

Sɔntɛnde, yu kin fil lɛk se yu mɛmori de wɔs smɔl as yu de ol? Ɔ yu kin fil lɛk se yu nɔ balans smɔl we yu de waka ɔ du tin? Dɛn tin ya kin bi nɔmal tin dɛn we kin kam wit di ej. Bɔt sɔmtɛm, rizin kin de biɛn dɛn sik ya we yu fɔ tek tɛm smɔl. Wɛl, tide wi go tɔk bɔt wan kɔndishɔn we de afɛkt di wayt tin na wi bren.

Wetin na dis sik we de afɛkt di wayt pat dɛm na di bren (White Matter Disease)?

Fɔ tɔk am simpul wan, na jɛnɛral wɔd fɔ damej ɛn chenj to di wayt tin na wi bren. Tink bɔt dis wayt tin lɛk wan nɛtwɔk we gɛt "hayway" we de kɔnɛkt difrɛn pat dɛn na wi bren to dɛnsɛf, ɛn bak di bren ɛn di spɛnal kɔd. Prɔblɛm kin bigin we dɛn "hayway" ya kin pwɛl.

sכmtεm dεn kin kכl dis kכ ndyushכn sεribra sכm s כm bכdi sik כ maykrovaskul sik . I kin apin we pɔsin de ol ɛn chenj na di blɔd vesel dɛn na di wayt tin na di bren. I kin bi smɔl, i kin smɔl, ɔ i kin rili bad .

We yu wayt tin dɔn pwɛl, i kin bi wayt tin lɛsin . Dɔktɔ dɛn kin si dɛn tin ya as brayt spat dɛn we dɛn kin yuz magnɛtik rɛsɔnans imej (MRI) skan na di bren. Sɔmtɛm dɛn lɛsin ya nɔ kin mek ɛni big big sayn, ɛn i "nɔmal" fɔ gɛt sɔm pan dɛn as wi de ol. Bɔt sɔm lɛsin dɛn kin pwɛl impɔtant "hayway" dɛn na di bren, we kin mek prɔblɛm wit mɛmori, balans, ɛn waka .

Jɛnɛral wan, pipul dɛm wae gɛt mɔr wayt matta lɛsin (dat na, mɔr wayt mat sik) kin gɛt mɔr simptom dɛm .

Dis wayt mat sik gɛt strɔng fɔ du wit di tin dɛn we kin mek pɔsin gɛt di sik we de mek pɔsin in at ɛn di blɔd . Risach pipul dɛm biliv se na bayɔmakɛr wae de sho se pɔrsin gɛt strok, dis maynia sik, ɛn disabled ɔlsay na yu layf.

Wetin rili na dis wayt tin?

Wait mat na big netwok fכ di nεv fayb dεm (akson dεm) na wi bren. Dis na di say we dɛn kin chenj di infɔmeshɔn ɛn di kɔmyunikeshɔn kin apin bitwin difrɛn pat dɛn na di bren. dεn kכl am "wayt mat" biכs dεn nεv fayb dεm ya de rawnd wan protεktiv sεt we dεn k כl maylin . Na bikɔs ɔf da maylin de dis tisu kin gɛt in wayt kɔlɔ.

Yu bren gɛt grey mat na di say we de ɔp ɛn di dip pat dɛn. i de gεt in grey kכla frכm di sεl bכdi dεm na di nεv sεl dεm (nyuron dεm).

Fɔ mek wi wayt tin gɛt wɛlbɔdi, i nid gud blɔd ɛn tin dɛn we go mek i gɛt wɛlbɔdi .

Jɔs lɛk aw di gras we de na wi gadin nid wata, san layt, ɛn rɛk fɔ mek i luk fayn, na so di wayt tin we de na di bren kin pwɛl if i nɔ gɛt gud blɔd ɛn it.

If di blɔd nɔ bɔku (dɛn kin kɔl am ischemia ) ɛn di tin dɛn we de mek i nɔ gɛt bɛtɛ tin fɔ it, dat kin pwɛl dɛn nɛv fayv dɛn ya. Dɛn kin swel, brok, ɔ ivin day kpatakpata.

Udat dɛn kin gɛt dis wayt matta sik pas ɔlman?

Pan ɔl we i kin kam pan ɛnibɔdi, i kin bɔku pan pipul dɛn we dɔn pas 60 ia ɛn di wan dɛn we gɛt sik dɛn we de ambɔg dɛn at ɛn blɔd .

Sɔm yɔŋ pipul dɛn, fɔ ɛgzampul, di wan dɛn we gɛt sik lɛk maygren , kin gɛt sɔm wayt tin dɛn we dɛn kin du we dɛn de du MRI skan na dɛn bren. Bɔt wit di ej ɛn di inkris pan di risk factor dɛm we dɛn nɔ kin kɔntrol fɔ gɛt sik na di at ɛn di blɔd, di nɔmba fɔ dɛn lɛsin ya kin go ɔp.

Sɔm pipul dɛn kin gɛt dis sik bak bikɔs ɔf di tin dɛn we kin mek dɛn gɛt dis sik .

Aw dis sik kin kɔmɔn?

Wait matta sik na wan sik wae kin pasmak , wae kin afɛkt pas af pan pipul dɛm wae dɔn pas 60 ia.

Wetin na di sayn dɛm fɔ dis wayt matta sik?

Na sɔm sayn dɛm wae kin apun pan dis kayn tin:

• Prɔblɛm dɛn fɔ mɛmba .
• We yu de waka sloslo .
• Balans ishu ɛn fɔdɔm ɔltɛm .
• I nɔ izi fɔ du tu ɔ mɔ tin dɛn wan tɛm , fɔ ɛgzampul, fɔ waka we yu de tɔk.
• Mud swing , kɔndishɔn lɛk pwɛl hat .
• I nɔ izi fɔ kɔntrol di urine (urinary incontinence) .

Dɛn sayn ya kin bɔrku pan pipul dɛm wae gɛt mɔr sik.

Bɔt mɛmba se bɔku pan dɛn sayn ya kin kam bikɔs ɔf nɔmal chenj dɛm wae kin kam wit ol pipul dɛm, ɔr ɔda mɛrɛsin lɛk at at sik , nyuropathy wae gɛt fɔ du wit dayabitis, Alzaima dimɛnshɔn, ɔr nɔr kin slip . Bɔt if dɛn sayn ya de sho ɛn wɔs kwik kwik wan, na tin we de mek wi wɔri.

Sɔntɛnde, dɛn kin no bɔt wayt mat sik wan wan we dɛn de du MRI na di bren fɔ ɔda rizin. Sɔm pipul kin gɛt am bɔt nɔr kin sho ɛni sayn (asymptomatic). I bɛtɛ fɔ tɔk to yu dɔktɔ fɔ no if yu sik na bikɔs ɔf wayt matta sik ɔ na ɔda tin.

Wetin kin mek dis sik we dɛn kɔl wayt matta sik?

Di wan dɛn we de stɔdi bɔt dis sik stil de chɛk di sik ɛn di tin dɛn we kin mek i sik. Naw, dɛn biliv se di blɔd we de go na di nerve fibers we de na di wayt tin fɔ lɔng tɛm na in de mek am.Dis na bikɔs dɛn fayv ya kin pwɛl.

As wi de ol, wi at dɛn kin stif ɛn nɔ kin ebul fɔ elastik . Dis kin mek di blɔd nɔ flɔ to di nɛv dɛn na di bren ɛn pwɛl di wayt tin.

I kin kam bak wit wan sik we dɛn kɔl atherosclerosis . dis na we di plek kin kam insay wi at dεm as tεm de go, we kin mek di at in wכl dεm tik εn at. Dis kin afɛkt ɛni at na di bɔdi, ivin di at we de na di bren.

If yu gɛt tin dɛn we kin mek yu gɛt prɔblɛm wit yu at ɛn yu blɔd, lɛk ay blɔd prɛshɔn, ay blɔd shuga bikɔs ɔf dayabitis, ay kɔlɔstrel na di it, ɛn smok , kin mek di nɔmba fɔ di wayt tin dɛn we de na yu bren bɔku.

Ɔda tin dɛn we kin mek yu gɛt wayt matta lɛsin

eni prכsεs we de mek chenj na di kεmikכl kכmכshכn fכ di nεv fayb dεm we di maylin kכba, damej, כ ridyus bכdi saplai (ischemia), kin apia lεk wayt mat lεshכn pan MRI skan.

Pan ɔl we wayt matta sik na wan kɔlekɛshɔn fɔ wayt matta lɛsin dɛm we kin kam wit vaskul prɔblɛm, yu kin gɛt smɔl wayt matta lɛsin dɛm bak fɔ ɔda rizin dɛm. fכ egzampl, dεn kin si dεn lεsin dεm ya pan demyelinating inflammatory disorders lεk multiple sclerosis (MS) εn insay jεnεtik kכndishכn dεm lεk leukodystrophy .

Bɔku tɛm, dɔktɔ dɛn lɛk nyurolɔjis ɛn nyuroraydiɔlɔjis kin ebul fɔ no difrɛns bitwin wayt mat sik ɛn ɔda tin dɛn we kin mek pɔsin gɛt lɛsin bay di say we dɛn de na di bren we dɛn du MRI skan. Sɔntɛnde, dɛn kin nid fɔ du ɔda tɛst fɔ no di rayt tin we kin mek di wayt tin dɛn we dɛn si pan MRI skan.

Aw dɛn kin no dis wayt matta sik?

Di men we fɔ no dis sik na wit magnɛtik rɛsɔnans imej (MRI) skan fɔ di bren . MRI skan na tɛst we nɔ de mek pɔsin fil pen ɛn we de mek yu si rili klia pikchɔ dɛn bɔt difrɛn pat dɛn na di bɔdi. Di MRI mashin de yuz big magnet, redio wev, ɛn kɔmpyuta fɔ mek dɛn pikchɔ dɛn ya we gɛt difrɛn difrɛn tin dɛn, ɛn dɛn nɔ de yuz ɛni raytin (nɔ gɛt ɛkstrem rayt).

Bren MRI skan kin ɛp dɔktɔ dɛn fɔ si aw yu bren wayt tin dɔn pwɛl ɛn fɔ no if yu gɛt wayt tin sik.

Wait matta chenj dεm de sho lεk lεsin dεm pan MRI. Dɛn kin rayt dɛn wayt tin ya chenj difrɛn we dɛn na MRI ripɔt:

• Sεribra כ sabkכrtikכl wayt mat sik כ lεsin dεm.
• Maykrovaskul sik.
• Nɔn-spɛsifi k wayt mat chenj.
• T2 haypaintensiti (injuri).

Sɔntɛnde, yu dɔktɔ kin si sayn dɛm fɔ wayt matta sik bay di rizɔlt fɔ MRI skan we yu bin gɛt fɔ ɔda sik. Ɔda tɛm, yu dɔktɔ kin ɔda fɔ mek dɛn du MRI if dɛn nɔ ebul fɔ fɛn ɔda klia rizin fɔ yu sik dɛn, lɛk prɔblɛm wit balans ɛn mɛmba.

Pan ɔl we ɔda tɛst dɛn de we dɛn kin du fɔ tek pikchɔ, lɛk CT skan (Computed Tomography scans) , magnɛtik rɛsɔnans imej (MRI) gɛt di bɛst imej kwaliti ɛn sɛnsitiviti fɔ no if pɔsin gɛt wayt matta sik.

We yu dɔktɔ de no se yu gɛt dis sik, yu kin du nyurolɔjik ɛgzam bak fɔ no if yu gɛt di sik.

Bikɔs wayt matta sik gɛt fɔ du wit di tin dɛn we kin mek yu gɛt di sik we de mek yu at ɛn blɔd, yu dɔktɔ kin ɔda bak fɔ mek dɛn du blɔd tɛst lɛk dɛn wan ya fɔ no if yu gɛt prɔblɛm:

• Komprεhεnsiv mεtabolik panεl .
• Lipid panɛl (luk di kɔlɔstrel lɛvɛl dɛn).
• Glycosylated hemoglobin test (HbA1c) (luk Dayabitis stetɔs).

Aw dɛn kin trit dis wayt matta sik?

We dɛn de trit dis sik, dɔktɔ dɛn kin pe atɛnshɔn mɔ fɔ kɔntrol di sayn dɛn ɛn kɔntrol di tin dɛn we kin mek pɔsin gɛt di sik we de mek pɔsin gɛt di sik we de ambɔg di at ɛn di blɔd.

If yu trit di prɔblɛm dɛn we kin mek yu gɛt wɛlbɔdi, lɛk ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel, ɛn lɛf fɔ smok, dat kin ɛp fɔ mek yu nɔ gɛt mɔ wayt tin .

Pan ɔl we no tritmɛnt nɔ de fɔ mek wayt tin we dɔn ɔlrɛdi pwɛl, pipul dɛn we gɛt mɔ wɛlbɔdi prɔblɛm we dɛn nɔ kin kɔntrol kin gɛt mɔ wayt tin we dɔn pwɛl ɛn disabled.

Tritmɛnt fɔ wayt matta simptom dɛm

• Fizik tritmɛnt : Dis kin ɛp fɔ balans ɛn waka prɔblɛm wae kin kam wit wayt mat sik. I inklud bak fɔ tich ɛn trit pɔsin fɔ mek i nɔ fɔdɔm.
• Saykolojik kɔyl ɛn saykayatrik tritmɛnt : Fɔ mɛntɛl hεlth prɔblɛm lɛk pwɛl hat, yu kin kɔntrol de sik bay wae yu tɔk to sayɛnsman ɛn if nid de, yu kin gɛt mɛrɛsin fɔ mɛn pwɛl hat frɔm saykayatrist .
• Urinary incontinence : Bɔku tritmɛnt dɛn de fɔ dis, lɛk mɛrɛsin, chenj in layf, ɛn sɔm mɛrɛsin dɛn.

Di risk factor mɛnejɛmɛnt fɔ di sik we dɛn kɔl kadiovaskular

Fɔ manej di risk factor dɛm wae gɛt fɔ du wit di sik wae de kam wit di sik kin ɛp fɔ kɔntrol di mɔr prɔgrɛs fɔ wayt matta sik ɛn fɔ mek yu nɔr gɛt tin dɛm wae kin mek yu layf de pan denja lɛk strok.

Di tritmɛnt dɛm wae de ɛp fɔ kɔntrol di tin dɛm wae kin mek pɔrsin gɛt dis sik na:

• Mɛrɛsin ɛn chenj dɛn layf fɔ mek yu gɛt wɛlbɔdi blɔd prɛshɔn.
• Dayabitis mɛnejɛmɛnt (if yu gɛt dayabitis).
• Fɔ kɔntrol di kɔlɔstrel lɛvɛl tru mɛrɛsin ɛn chenj dɛn layf .
• Fɔ ɛksesaiz ɔltɛm .
• Nɔ smok .
• Fɔ avɔyd fɔ drink rɔm .
• Antiplatelet mεdikeshכn dεm (dεn na grup כf dεn dεm we de mek di bכdi sεl dεm nכ de stik togeda εn fכ mek bכdi kכlכt).
• Statin (ivin if yu kɔlɔstrel lɛvɛl nɔmal, dɛn tin ya kin ɛp fɔ ridyus di inflamɛns na di blɔd vesel dɛm).

Us kayn dɔktɔ dɛn kin trit dis wayt matta sik?

Dipen pan yu simptom ɛn kɔndishɔn, yu kin go to wan ɔr mɔ pan dɛn dɔktɔ ya fɔ trit di sayn dɛm fɔ wayt matta sik ɛn wach aw i de go:

• Nyurolɔjis
• Yu famili dɔktɔ (Praymari kia prɔvayda) .
• Fizik tɛrapist
• Ɔkupeshɔn tɛrapist
• Wan dɔktɔ we de mɛn bɔdi
• Wan dɔktɔ we de mɛn di at
• Wan dɔktɔ we de mɛn yurolɔg
• Saikɔlɔjis ɛn/ɔ Saykayatrist

Yu tink se dɛn kin ebul fɔ avɔyd dis wayt matta sik?

Stɔdi dɔn sho se pipul dɛm wae gɛt risk fɔ gɛt dis sik na dɛn at ɛn blɔd kin gɛt bɔrku risk fɔ gɛt wayt matta sik.

Di tin dɛn we kin mek pɔsin gɛt sik na di at ɛn di blɔd na:

• Ay blɔd prɛshɔn (Hypertension) .
• Kɔlestɔl we ay (Hyperlipidemia, Dislipidemia) .
• Fɔ smok
• Dayabitis we dɛn nɔ kin kɔntrol fayn

Sɔm tin dɛn de we yu kin du fɔ kɔntrol aw dis sik de go bifo . Stɔdi dɔn sho se fɔ manej dɛn tin ya we kin mek pɔsin gɛt prɔblɛm, lɛk fɔ tek mɛrɛsin, fɔ chenj yu layf, ɛn/ɔ fɔ lɛf fɔ smok, kin ɛp fɔ mek nyu wayt tin dɛn we gɛt lɛsin nɔ kam.

Wetin na di prɔgnosis fɔ wayt matta sik?

Wait matta sik na wan brayt spɛktrum ɔf kɔndishɔn wae kin kɔmɔt frɔm smɔl to siriɔs pan MRI. De sayn dɛm wae gɛt fɔ du wit am kin kɔmɔt frɔm nɔr to wan wae bad. So, de luk fɔ wayt matta sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.

If dɛn dɔn no se yu gɛt wayt matta sik, i go fayn fɔ tɔk to yu nyurolɔjis bɔt wetin yu go ɛkspɛkt.

Ustɛm yu fɔ go to dɔktɔ bɔt wayt matta sik?

If dɛn dɔn no se yu gɛt wayt matta sik, i impɔtant fɔ go to yu praymari kia dɔktɔ ɔltɛm fɔ tɔk bɔt aw fɔ manej yu risk factors. Dipen pan aw yu wayt matta sik ɛn aw i tranga, ɛn aw yu de si am, yu kin nid fɔ go to ɔda spɛshal pipul dɛn bak.

If yu gɛt wayt matta sik, i impɔtant fɔ put yu at ɛn blɔd wɛlbɔdi fɔs. Fɔ ɛgzampul, if yu tek mɛrɛsin fɔ kɔntrol yu kɔlɔstrel ɛn blɔd prɛshɔn ɛn chenj yu layf, dat kin ɛp fɔ mek yu nɔ gɛt nyu wayt tin lɛsin ɛn nɔr gɛt bɔku prɔblɛm wit strok ɛn dis maynia sik. If yu gɛt ɛni kwɛstyɔn bɔt dis sik ɔr tin wae kin mek yu gɛt dis sik, aks yu dɔktɔ. Dɛn de ya fɔ ɛp.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi luk sɔm simpul tin dɛm fɔ mɛmba bɔt di Wait Mata Sik we wi bin tɔk bɔt:

• dis na damej pan di bren in wayt mat , lεk damej to di "road" dεm we de kכri infכmeshכn na di bren.
• Bɔrku tɛm i kin gɛt fɔ du wit ol pipul dɛm ɛn tin dɛm wae kin mek pɔrsin gɛt hat sik (hay blɔd prɛshɔn, dayabitis, kɔlɔstrel, smok).
• Di sayn dɛm kin bi wae pɔrsin nɔr kin mɛmba fayn, i nɔ kin izi fɔ waka, ɛn i nɔ kin ebul fɔ balans .
• Dɛn kin no am mɔ bay we dɛn de du MRI skan .
• Pan ɔl we dɛn nɔ go ebul fɔ pul di damej we dɛn dɔn ɔlrɛdi gɛt, dɛn kin ebul fɔ kɔntrol di sik bay we dɛn kɔntrol di tin dɛn we kin mek pɔsin gɛt dis sik ɛn trit di sayn dɛn .
• Fɔ tek kia ɔf at wɛl bɔdi rili impɔtant fɔ mek dis sik nɔ go bifo.

If yu gɛt ɛni wan pan dɛn sik ya, ɔ if yu want fɔ no mɔ bɔt dis, go mɔs go to dɔktɔ . Nɔr frayd, di tin wae impɔtant pas ɔl pan ɔl dis na fɔ no di rayt infɔmeshɔn ɛn tek di step dɛm wae yu nid.

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