Yala ba walima fa kɔrɔba dɔ bɛ aw ka denbaya kɔnɔ min gɛnɛgɛnɛ dimi bɛ a la wa? Walima n’a sɔrɔ e yɛrɛ bɛ ka tɔɔrɔ o dimi fɛ wa? Minnu b’a dɔn, olu b’a dɔn ko gɛnɛgɛnɛ dimi bɛ mɔgɔ dimi cogo min na, o min b’a to a ka gɛlɛn ka yele ɛrɛzɛnsun dɔ kan, ka taama dɔɔnin kɛ, walima ka taa batoso dɔ la. Hali ni aw bɛ fura suguya caman ta ani ka tulu suguya caman kɛ a la, tuma dɔw la o dimi tɛ ban. O cogo la, an bɛna kuma furakɛli fɛɛrɛ kɛrɛnkɛrɛnnen dɔ kan, dɔgɔtɔrɔw bɛ min fɔ.
N’an y’a fɔ cogo nɔgɔman na, Genicular Nerve Block ye mun ye?
A ka nɔgɔn kosɛbɛ. Ɲɛgɛnɛsiraw balili ye dimimadafura pikiri ye farikolo yɔrɔ caman kɛrɛfɛ minnu bɛ dimi ci i gɛnɛgɛnɛ ma. I n’a fɔ yeelenbɔlan fagali cogo min na, nin pikiri in bɛ "nɛrɛmuguma" minnu bɛ dimi ta ka bɔ i gɛnɛgɛnɛ na ka taa i kunkolo la, olu datugu waati dɔɔni. O bɛ lafiya di aw ma waati dɔɔni dimi ma. Tuma dɔw la, o lafiya bɛ se ka mɛn.
Sisan an ka nin gɛnɛgɛnɛ in lamini nɛrɛmugumaw lajɛ. An gɛnɛgɛnɛ tilalen don bolow ye minnu bɛ bɔ nɛrɛba caman na walasa u ka baara kɛ ka ɲɛ. O nɛrɛmugu kunbabaw ye:
- Senkɔni-nɛrɛmugu
- Nɛrɛ min bɛ sɔrɔ peroneal (nɛrɛmuguma) la min ka ca
- Nɛrɛmugu min bɛ wele ko saphenous
- Tibial nɛrɛmugu
- Nɛrɛ min bɛ wele ko Obturateur
Bolo misɛnnin minnu bɛ Bɔ o nɛrɛmuguw la gɛnɛgɛnɛ lamini na, olu bɛ Weele ko "Genicular Nerves". Daɲɛ "Genicular" kɔrɔ kɔrɔ ye ko "min bɛ tali kɛ gɛnɛgɛnɛ na." O nɛrɛmuguw de bɛ dusukunnataw ci gɛnɛgɛnɛ na, kɛrɛnkɛrɛnnenya la dimi, ka taa kunsɛmɛ na. Dɔgɔtɔrɔw bɛ nin Genicular nerve naani ninnu de laɲini kosɛbɛ ni u bɛ nin pikiri in kɛ.
1. Ɲɛgɛnɛsiraw (SLGN) .
2. Ɲɛgɛnɛsiraw (SMGN) .
3. Ɲɛgɛnɛsiraw (IMGN) .
4. Ɲɛgɛnɛsiraw (ILGN) .
Nka fɛn fitinin dɔ bɛ yan. Dɔgɔtɔrɔw bɛ pikiri saba dɔrɔn de kɛ nin naani ninnu na. U tɛ pikiri kɛ laban na , n’o ye Inferolateral genicular nerve (ILGN) ye . O sababu ye ko o nɛrɛmuguma bɛ gɛrɛ kosɛbɛ Common peroneal nerve la, o min nafa ka bon an senw lamagacogo la. Ni a pikiri ma ɲɛ, a bɛ se ka kɛ sababu ye ka bana dɔ lase sen ma min tɛ se ka kɔrɔta, o kɔrɔ ye ko fɛn dɔ i n’a fɔ (Sen jigincogo) , o la u bɛ u yɛrɛ tanga o nɛrɛmuguma ma walasa ka lakana.
Nin furakɛli in bɛnnen don jɔn ma kosɛbɛ?
Kunba fila bɛ yen minnu b’a to baara bɛ kɛ ni cɛya ni musoya bloki ye.
1. Aw bɛ gɛnɛgɛnɛ dimi kuntaalajan lajɔ
Ni gɛnɛgɛnɛ dimi bɛ aw la kabini waati jan, o ye bana ye an bɛ min wele ko (Gɛnɛgɛnɛ dimi basigilen) . O bɛ se ka kɛ gɛnɛgɛnɛ joginni ye walima a ka ca a la (Gɛnɛgɛnɛ koloci) , o ye gɛnɛgɛnɛ joginni ye. Ni aw ye farikoloɲɛnajɛ kɛcogo kɛ, ka dimimadafura (AINE) ta, ani ka stɛroyi pikiri kɛ aw gɛnɛgɛnɛ na, nka dimi ma nɔgɔya, aw ka dɔgɔtɔrɔ bɛ se ka nin Genicular nerve block in fɔ.
Miiri k’a filɛ i ba gɛnɛgɛnɛw sɛgɛnna, a tɛ se ka sunɔgɔ ka ɲɛ su fɛ, a bɛ pɛrɛn dimi fɛ. Fura tali bɛ dɛmɛ don waati kunkurunnin dɔrɔn de kɔnɔ. Nin pikiri in bɛ se ka lafiyaba di o tigi ma.
2. Aw bɛ dimi kunbɛn gɛnɛgɛnɛ opereli kɔfɛ
Mɔgɔ dɔw ka kan ka Total Knee Arthroplasty , opereli min bɛ kɛ ka gɛnɛgɛnɛ kolotugudaw bɛɛ bila a nɔ na. Walasa ka dimi jugumanba kunbɛn min bɛ kɛ o opereliba sugu kɔfɛ, anestezikɛla walima operelikɛla bɛ o pikiri kɛ sani opereli ka kɛ. O bɛ di ka fara anestezi basigilen kan.
Aw ka kan ka mun kɛ sani aw ka boloci kɛ?
A ka c’a la, o tɛ labɛn caman wajibiya. Nka, a dɔw la, dɔgɔtɔrɔ bɛ se k’a latigɛ ka hakilisigifura dɔ di aw ma (lafiyafura nɔgɔman). Ni aw ye o kɛ, a bɛna ɲini aw fɛ aw ka sunɔgɔ lɛri 6 fo lɛri 8 ɲɔgɔn. A bɛna ɲini i fɛ fana i ka mɔgɔ dɔ bila ka taa ni i ye so , bawo i tɛna se ka bolifɛn ta o don na.
Nka, aw ka dɔgɔtɔrɔ bɛna o bɛɛ ɲɛfɔ aw ye ka jɛya. I ka tugu o cikanw kɔ tigitigi. Aw kana siran abada ka ɲininkali kɛ ni ɲininkali dɔw b’aw fɛ.
Mun bɛ kɛ boloci waati? An k’a lajɛ senfɛ-senfɛ.
A ka ca a la, o furakɛli bɛ kɛ kɛnɛyaso kɔkan. O kɔrɔ ye ko aw man kan ka to dɔgɔtɔrɔso la, wa aw bɛ se ka taa so ni a kɛcogo kɛra. A bɛ miniti 5 fo miniti 10 ɲɔgɔn Kɛ.
| Taabolo minnu bɛ kɛ | Mun de bɛ ka kɛ? |
|---|---|
| 1. Labɛnni | Aw bɛna bila dilan kɛrɛnkɛrɛnnen dɔ kan ni aw bolo kɔrɔtalen don. Barajuru fitini dɔ bɛna bila gɛnɛgɛnɛ diminnen jukɔrɔ ani aw gɛnɛgɛnɛ bɛna kɔrɔta dɔɔni. Ni a mago bɛ a la, aw bɛ se ka kɔgɔji dɔ pikiri kɛ aw bolo la walasa ka hakiliɲagamifura di aw ma. |
| 2. Fari saniyacogo | Gɛnɛgɛnɛ lamini fari bɛ saniya ka ɲɛ ni banakisɛfagalan ye. |
| 3. Farikolo sɔgɔsɔgɔninjɛ | Sani pikiri kunba ka kɛ, pikiri fitini (local anestesi) bɛ kɛ walasa ka yɔrɔ in sɔgɔsɔgɔ. O waati la, i bɛ se ka sɔgɔsɔgɔ dɔɔni dɔɔni, i n’a fɔ ntumu ye i kin. |
| 4. Ka yɔrɔ ɲuman sɔrɔ | Dɔgɔtɔrɔ bɛ baara kɛ ni minɛn kɛrɛnkɛrɛnnenw ye walasa ka nɛrɛmuguma yɔrɔ tigitigi dɔn. O bɛ se ka kɛ ni ultrasound scan ye walima ni X-ray suguya dɔ ye min bɛ wele ko fluoroscopie . O bɛ i n’a fɔ ka i gɛnɛgɛnɛ kɔnɔna lajɛ telewisɔn ɲɛkisɛ fɛ. O b’a to pikiri bɛ se ka kɛ yɔrɔ bɛnnen na tigitigi. |
| 5. Boloci kunba | A kɛlen kɔ ka yɔrɔ ɲuman sɔrɔ, dɔgɔtɔrɔ bɛ dimimadafura pikiri kɛ nɛrɛmuguma kɛrɛfɛ. |
| 6. Kɔlɔsili | Pikiri kɛlen kɔfɛ, aw bɛna aw kɔlɔsi miniti 15-30 ɲɔgɔn walasa ka a dɔn ni fura bɛ baara la ani ni kɔlɔlɔ wɛrɛ tɛ aw la. O kɔfɛ, i bɛna sɔn ka taa so. |
Nin boloci in nafa ye mun ye?
Aw bɛ se ka nafa caman sɔrɔ cɛya ni musoya sɔgɔsɔgɔninjɛ la.
- Dimi madali: Dimi bɛ ban waati dɔɔni walima laala kudayi, o bɛ a to aw bɛ se ka aw ka don o don baara kɛ nɔgɔya la .
- Funu dɔgɔyali : Nɛrɛmugu funu bɛ dɔgɔya, o bɛ u dɛmɛ ka kɛnɛya.
- Opereli kɔfɛ dimi fura: Dimi fura ɲuman don gɛnɛgɛnɛ opereli kɔfɛ.
- Fura wɛrɛ min bɛ se ka kɛ mɔgɔ minnu tɛ se ka opereli kɛ: Minnu tɛ se ka gɛnɛgɛnɛ opereli kɛ ka a sababu kɛ kɛnɛya gɛlɛya wɛrɛw ye, o ye fɛɛrɛ ɲuman ye dimi madali la.
Min nafa ka bon, o ye ko bɛɛ tɛ nɔ kelen sɔrɔ. Mɔgɔ dɔw bɛ lafiya sɔrɔ lɛrɛ damadɔ kɔnɔ. Dɔ wɛrɛw fɛ, a bɛ se ka dɔgɔkun fila kɛ walasa furakisɛ ka baara kɛ tiɲɛ na. A ka c’a la, mɔgɔ dɔw tɛna lafiya foyi sɔrɔ fewu.
Ni aw ka dimi dɔgɔyara kosɛbɛ pikiri in kɔfɛ, aw ka dɔgɔtɔrɔ bɛ se ka Genicular Nerve Ablation (GNA) fɔ aw ye, o min ye fɛɛrɛ nata ye.Furakɛli dɔ bɛ se ka fɔ min bɛ wele ko GNA. A bɛ baara kɛ ni radiofrequence ye walasa ka o nɛrɛmuguma ninnu bali ka baara kɛ waati jan kɔnɔ. A ka ca a la, GNA furakɛli bɛ se ka dimi mada kalo 18 ɲɔgɔn kɔnɔ.
Yala farati walima gɛlɛya dɔw bɛ nin ko in na wa?
Kurukuru walima dimi dɔw bɛ se ka kɛ pikiri kɛyɔrɔ la, nka a ka ca a la o bɛ ban tile fila kɔnɔ.
Gɛlɛyabaw man ca , nka i n’a fɔ boloci suguya bɛɛ, farati dɔw bɛ yen minnu nafa ka bon ka a dɔn.
- Banakisɛ sɔrɔli pikiri kɛyɔrɔ la.
- Joli bɛ bɔ pikiri kɛyɔrɔ la.
- fura pikiri kɛli joli sira dɔ la balawu la .
- fura pikiri kɛli gɛnɛgɛnɛ na bala la .
- Sennabɔli (se tɛ sen kɔrɔta) bɛ kɛ ni senkɔni sɔgɔsɔgɔninjɛ min bɛ kɛ tuma bɛɛ, an ye baro kɛ min kan ka tɛmɛ, o tiɲɛna.
Nin ko ninnu kɛli seko ka dɔgɔ kosɛbɛ barisa dɔgɔtɔrɔw bɛ baara kɛ ni fɛɛrɛ kuraw ye i n’a fɔ sɛgɛsɛgɛliw ani ka furakɛli in kɛ ni hakilisigi ye kosɛbɛ.
Yala ne bɛ se ka taama boloci kɛlen kɔfɛ wa?
Ɔwɔ, i bɛ se. Aw bɛ se ka bɔ so kɔnɔ furakɛli bannen kɔfɛ. Nka a ka fisa ka lafiɲɛ dɔɔni o don na. O kɔ, aw bɛ se ka segin aw ka baara kɛcogo kɔrɔw la.
O dimimadafura bɛna mɛn fo waati jumɛn?
O bɛ danfaraba don mɔgɔ ni mɔgɔ cɛ. Dimi madali bɛ se ka mɛn tile damadɔ, dɔgɔkun damadɔ, kalo damadɔ, walima san caman yɛrɛ. Nka, a ka ca a la, lafiya bɛ mɛn kalo 3 ɲɔgɔn kɔnɔ .
Tuma jumɛn na ne ka kan ka dɔgɔtɔrɔ wele?
ni taamasiɲɛ kuraw walima gɛlɛya kura dɔw bɛ aw la cɛya ni musoya sɔgɔsɔgɔninjɛ kɔfɛ , aw bɛ dɔgɔtɔrɔ wele o yɔrɔnin bɛɛ . Aw ye aw janto nin ko ninnu na kɛrɛnkɛrɛnnenya la:
- Ni pikiri kɛyɔrɔ bilennen don, ni a fununen don, walima ni a sumana (banakisɛ taamasiɲɛw).
- Ni basi bɛ to ka bɔ pikiri kɛyɔrɔ la.
- Ni aw bɛ a ye ko aw senw bɛ jenini, ka u sɔgɔsɔgɔ, walima ka fanga dɔgɔya kojugu.
Nin furakɛli in bɛ se ka kɛ fura ɲuman ye aw gɛnɛgɛnɛ dimi na. Nka, o nɔ tɛ kelen ye mɔgɔ kelen-kelen bɛɛ la. Ni haminanko walima siga bɛ aw la pikiri in na, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la kɛnɛ kan. A bɛna se k’i ka ɲininkaliw bɛɛ jaabi.
Take-Home cikan
- Genicular Nerve Block ye pikiri furakɛli ye min bɛ lafiya di gɛnɛgɛnɛ dimi basigilen ma, gɛnɛgɛnɛ lamini nɛrɛmuguma kɛrɛfɛ.
- O ka ɲi mɔgɔ minnu ka dimi ma ban furakɛli wɛrɛw fɛ (fura, farikoloɲɛnajɛ) ani dimi min bɛ kɛ gɛnɛgɛnɛ opereli kɔfɛ.
- Nin ye furakɛli nɔgɔman ye min bɛ se ka ban miniti 10 dɔrɔn kɔnɔ, wa aw bɛ se ka taa so k’a sɔrɔ aw ma to dɔgɔtɔrɔso la.
- A kɔlɔlɔw bɛ se ka ɲɔgɔn ta mɔgɔ ni mɔgɔ cɛ, wa ni a kɛra sababu ye ka dimi mada kalo 3 ɲɔgɔn kɔnɔ.
- Gɛlɛyaw farati ka dɔgɔn kosɛbɛ, nka ni taamasiɲɛ minnu tɛ deli ka kɛ aw la boloci kɛlen kɔfɛ, aw bɛ o fɔ aw ka dɔgɔtɔrɔ ye joona.
- Ni siga dɔ bɛ aw la, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ sani aw ka furakɛli kɛ ani ka aw haminankow bɛɛ ɲɛnabɔ.
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