Pikiri min bɛ kɛ ka aw gɛnɛgɛnɛ dimi? An ka kuma nin Genicular Nerve Block in kan!

Yala a ka gɛlɛn i fana ma ka yele ɛrɛzɛnsunw kan, ka taama dɔɔni, walima ka don o don baaraw kɛ k’a sababu kɛ gɛnɛgɛnɛ dimi ye wa? N’a sɔrɔ aw ye dimimadafura ta, ka taa farikoloɲɛnajɛ la, ka fɛn suguya caman kɛ, nka aw gɛnɛgɛnɛ dimi ma ban. N’o don, bi an bɛna kuma furakɛli kɛrɛnkɛrɛnnen dɔ kan, dɔgɔtɔrɔ bɛ se ka min fɔ aw ye. O bɛ wele ko ‘Genicular Nerve Block’.

N’an y’a fɔ cogo nɔgɔman na, Genicular Nerve Block ye mun ye?

Tiɲɛ na, a ka nɔgɔn kosɛbɛ. Genicular nerve block ye dimimadafura pikiri ye farikolo yɔrɔ kɛrɛnkɛrɛnnen dɔ la min bɛ i gɛnɛgɛnɛ lamini na min bɛ dimi lase i kunkolo ma. Nin pikiri in bɛ gɛnɛgɛnɛ dimi lajɔ dɔɔni dɔɔni. Tuma dɔw la, o lafiya bɛ se ka mɛn. A ka ca a la, a bɛ kɛ ni sigida lafiyalan ni stɛroyidi faralen ye ɲɔgɔn kan.

An gɛnɛgɛnɛ kolotugudaw bɛ dɛmɛ ni nɛrɛmuguma caman ye. Olu la, nɛrɛmuguma bolofara belebele damadɔ bɛ jɛnsɛn gɛnɛgɛnɛ lamini na. O nɛrɛmugu misɛnnin ninnu ye an bɛ minnu Weele ko ‘Nɛrɛmuguma Jɛnkulu’. Kɛrɛnkɛrɛnnenya la, dɔgɔtɔrɔw bɛ nɛrɛ minnu laɲini nin furakɛli in na, olu ye ninnu ye:

• Nɛrɛ min bɛ wele ko superolateral nerve geniculaire (SLGN) .
• Nɛrɛmuguma (SMGN) .
• Nɛrɛmuguma inferomedial geniculaire (IMGN) .

Nin furakɛli in senfɛ, hali ni nin ɲɔgɔnna farikolojidɛsɛ wɛrɛ bɛ yen (Inferolateral genicular nerve - ILGN), a tɛ pikiri kɛ. O bɛ kɛ barisa a bɛ gɛrɛ kosɛbɛ nɛrɛmuguba wɛrɛ la (Nerve Peroneal) min nafa ka bon an senw lamagacogo la, o la o bɛ kɛ walasa ka a tiɲɛni bali.

Nin boloci in bɛ kɛ tuma jumɛn?

Kunba fila bɛ yen minnu b’a to baara bɛ kɛ ni Genicular Nerve Block ye.

1. Gɛnɛgɛnɛ dimi basigilen : Ni gɛnɛgɛnɛ dimi bɛ aw la kabini waati jan, kɛrɛnkɛrɛnnenya la ka a sababu kɛ bana dɔ ye i n’a fɔ Gɛnɛgɛnɛ koloci, ani ni dimi ma kunbɛn ni furakɛlicogo kɔrɔw ye (i n’a fɔ dimimadafura ni farikoloɲɛnajɛ), aw ka dɔgɔtɔrɔ bɛ se ka nin pikiri in fɔ.

2. Dimi kama gɛnɛgɛnɛ opereli kɔfɛ : Anestezikɛlaw bɛ nin pikiri in kɛ ka dimi jugumanba kunbɛn sani gɛnɛgɛnɛ opereliba ka kɛ ani a kɔfɛ, i n’a fɔ gɛnɛgɛnɛ bɛɛ lajɛlen sɛgɛsɛgɛli. O bɛ di ka fara anestezi basigilen kan.

Aw ka kan ka mun kɛ sani aw ka furakɛli kɛ?

A ka c’a la, o tɛ labɛn caman wajibiya. Nka, a dɔw la, dɔgɔtɔrɔ bɛ se k’a latigɛ ka hakiliɲagamifura di aw ma walasa ka aw dɛmɛ ka aw lafiya, o kɔrɔ ye ko aw bɛna sunɔgɔ dɔɔni. O cogo la, aw bɛ laadi ko aw kana dumuni kɛ walima ka fɛn si min fo lɛri 6-8 sani furakɛli ka kɛ. A nafa ka bon fana ka mɔgɔ sɔrɔ min bɛ taa ni i ye so furakɛli kɔfɛ.

Nka, aw ka dɔgɔtɔrɔ bɛna laadilikan jɛlenw di aw ma o ko la. I ka tugu o cikanw kɔ tigitigi. Aw kana siran ka ɲininkali o ɲininkali kɛ aw bolo.

Mun bɛ kɛ ni aw ye boloci kɛ?

A ka ca a la, o ye wale fitinin ye min bɛ kɛ kɛnɛyaso kɔkan, sanni ka kɛ dɔgɔtɔrɔso la. O kɔrɔ ye ko aw bɛ se ka taa so pikiri kɛlen kɔfɛ dɔɔni. Fɛn min bɛ kɛ furakɛli waati la, o filɛ nin ye:

• Aw bɛna kɛ ka aw da dilan kɛrɛnkɛrɛnnen dɔ kan, ka barajuru fitini dɔ bila gɛnɛgɛnɛ dimilen jukɔrɔ ani ka aw gɛnɛgɛnɛ kɔrɔta dɔɔni.
• Fura bɛ se ka di aw ma IV sira fɛ walasa ka aw dɛmɛ ka aw lafiya.
• O kɔ, dɔgɔtɔrɔ bɛna aw gɛnɛgɛnɛ fari saniya ka ɲɛ ni banakisɛfagalan ye.
• O kɔfɛ, sigida lafiyalan pikiri fitini dɔ bɛ kɛ walasa ka pikiri bɛna kɛ yɔrɔ min na, o yɔrɔ ka sɔgɔsɔgɔ. Nin waati in na, aw bɛ se ka sɔgɔsɔgɔ dɔɔni ye ni pikirijikɛlan donna.
• O kɔ, dɔgɔtɔrɔ bɛ baara kɛ ni sɛgɛsɛgɛlikɛlan kɛrɛnkɛrɛnnen ye i n’a fɔ ultrasound walima fluoroscopie , a bɛna nɛrɛmuguma yɔrɔ tigitigi sɔrɔ ka fura pikiri kɛ.
• A laban na, fura pikiri bɛ kɛ ka surunya o nɛrɛmuguma na ni a bɛ se ka kɛ.

O kɛcogo bɛɛ bɛ miniti 5 fo miniti 10 dɔrɔn de ta. O kɔfɛ, aw bɛ se ka lafiɲɛ dɔɔni ka taa so.

Nafa ni farati jumɛnw bɛ o la?

Nafaw

Nafa caman bɛ yen minnu bɛ se ka sɔrɔ nin furakɛli in na:

• Dimi lajɔli waati dɔɔni walima waati jan kɔnɔ , o bɛ a to don o don baaraw kɛli ka nɔgɔn.
• Nɛrɛ minnu bɛ dimi bila mɔgɔ la, olu funu bɛ dɔgɔya, o bɛ u dɛmɛ ka kɛnɛya.
• Ka lafiya ɲuman sɔrɔ dimi na opereli kɔfɛ.
• Dimi madali fɛɛrɛ ɲuman don mɔgɔ minnu tɛ se ka gɛnɛgɛnɛ opereli kɛ ka a sababu kɛ kɛnɛyako gɛlɛya wɛrɛw ye.

Farati minnu bɛ a la

I n’a fɔ furakɛli fɛɛrɛ tɔw bɛɛ, farati dɔw bɛ o la, nka gɛlɛya jugumanw man teli ka sɔrɔ.

• A bɛ se ka funu dɔɔni walima kurukuru dɔɔni kɛ pikiri kɛyɔrɔ la. A ka c’a la, o bɛ ban tile kelen walima tile fila kɔnɔ.
• A man teli, fɛn minnu bɛ se ka kɛ, olu ye:
• Banakisɛ sɔrɔli pikiri kɛyɔrɔ la.
• Joli bɛ bɔ o yɔrɔ la.
• Fura pikiri kɛli joli sira la bala la.
• Fura pikiri kɛli gɛnɛgɛnɛ na bala la.
• A man teli, ni fura in taara farikolo yɔrɔ wɛrɛ la min bɛ a kɛrɛfɛ (Common Peroneal Nerve), bana dɔ bɛ se ka sɔrɔ min bɛ wele ko ‘sen jiginni’ , sen tɛ se ka kɔrɔta ka bɔ senkɔni na.

Boloci nɔ bɛ mɛn waati joli kɔnɔ?

O ye gɛlɛya ye min bɛ mɔgɔ caman kan. Tiɲɛ na, lafiya min bɛ sɔrɔ o la, o bɛ se ka danfaraba don mɔgɔ ni mɔgɔ cɛ. Mɔgɔ dɔw bɛ se ka lafiya sɔrɔ tile damadɔ kɔnɔ, dɔw bɛ se ka lafiya sɔrɔ dɔgɔkun caman kɔnɔ, kalo caman kɔnɔ, walima san kelen yɛrɛ kɔnɔ. Ni a kɛra ɲɔgɔn fɛ, aw bɛ se ka lafiya makɔnɔ kalo 3 ɲɔgɔn kɔnɔ. Nka, a bɛ se ka kɛ ko mɔgɔ dɔw tɛna lafiya si sɔrɔ fewu.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Boloci kɛlen kɔfɛ, ni taamasiɲɛ kura dɔw bɛ aw la, misali la, banakisɛ taamasiɲɛw i n’a fɔ funu, bilenni, walima kurukuru pikiri kɛyɔrɔ la, walima ni aw ye jeninida, sɔgɔsɔgɔninjɛ walima fangadɔgɔya ye min tɛ deli ka kɛ , aw bɛ dɔgɔtɔrɔ ladɔnniya joona.

Ni haminanko walima siga bɛ aw la furakɛli in na, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la kɛnɛ kan. A bɛna i ka ɲininkaliw bɛɛ jaabi.