Yala nin pikiri kɛrɛnkɛrɛnnen in kɛli kɔ la, o bɛ se ka dimi mada wa? An ka kunnafoni sɔrɔ Stellate Ganglion Block kan.

Yala dimi basigilen bɛ aw kɔ la, aw kunkolo la, aw bolokɔni na walima aw disi sanfɛla la min tɛ ban ni fura ye wa? Tuma dɔw la, nin dimi suguya in sababu bɛ se ka kɛ gɛlɛya fitinin ye an farikolo la. Bi, an bɛna kuma furakɛli fɛɛrɛ kɛrɛnkɛrɛnnen dɔ kan, min ni tɔw tɛ kelen ye dɔɔnin, dɔgɔtɔrɔw bɛ min kɛ o ko suguw la. O bɛ Weele ko ‘Stellate Ganglion Block’. Hali n’a tɔgɔ bɛ Se ka Kɛ ko a ka gɛlɛn dɔɔnin, an k’a Faamu dɔrɔn nin bɛ min Kɛ.

Stellate Ganglion Block (SGB) ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Stellate Ganglion Block (SGB) ye anestezi fura pikiri ye. Nka nin tɛ pikiri basigilen si dɔrɔn ye. A bɛ pikiri kɛ an kɔ la nɛrɛmuguma kulu kɛrɛnkɛrɛnnen dɔ la, kɛrɛnkɛrɛnnenya la an ka kumakan kɛsu fan fila bɛɛ la. O nɛrɛmugu kulu in bɛ Weele ko ‘Stellate Ganglion’.

Kunba fila bɛ nin boloci in tali la:

1. Walasa ka dimi gɛlɛn dɔw lajɔ, dimi basigilen dɔw kunkolo, kɔ, bolokɔniw sanfɛla ani disi sanfɛla la.

2. Joli ka taa bolow la, o kɔrɔ ye ka joli bolicogo ɲɛ.

Okey, donc nin stellate ganglion ye mun ye?

Ganglion ye nɛrɛmuguma kulu ye minnu bɛ na ɲɔgɔn fɛ, i n’a fɔ tɛrɛn gari cɛtigɛyɔrɔ, nɛrɛmugu cikanw bɛ ci yɔrɔ min na ka taa ɲɛfɛ.

Stellate ganglion ye o nɛrɛmuguma sugu dɔ ye. A bɛ sɔrɔ an kɔ ɲɛfɛ, kɔkolo jukɔrɔ dɔrɔn, kɔkili fɔlɔ kɛrɛfɛ. An bɛ nin ɲɔgɔnna ganglions sɔrɔ an kɔ fan fila bɛɛ la. Daɲɛ ‘stellate’ kɔrɔ ye ‘i n’a fɔ dolow’. O kɔrɔ ye ko nin nɛrɛmuguma in cogoya bɛ Se ka Kɛ i n’a fɔ dolow cogoya.

Nin nɛrɛ kulu in bɛ ‘Sympathique Nervous System’ la, o min ye an ka Autonomic Nervous System dɔ ye. N’an y’a fɔ cogo nɔgɔman na, nin ye an farikolo ka ‘kɛlɛ walima boli’ cogoya ye, o kɔrɔ ye ko sigida min b’an labɛn ka kɛlɛ walima ka boli kɔrɔtɔko la, n’an sirannen don walima n’an bɛ jɔrɔ. A sen bɛ fɛn caman na, an farikolo bɛ minnu mara k’a sɔrɔ an ma miiri olu la, i n’a fɔ dusukun tantanni, tansiyɔn, ani sumaya. O la, hinɛ-nɛrɛ cikan minnu bɛ taa kunkolo, kɔ, bolokɔniw ani disi sanfɛla la, olu fanba bɛ ci o stellate ganglion in fɛ.

Yala nin Stellate Ganglion in bɛ bɛɛ la wa?

O fana bɛ mɔgɔ kabakoya dɔɔnin. Tiɲɛ na, o stellate ganglion in tɛ sɔrɔ bɛɛ farikolo la. Walasa o ganglion in ka Kɛ, nɛrɛmuguma kulu fla minnu bɛ an kɔ la, n’olu ye `kɔnɔnabara duguma-ganglion` ni `bara-kɔnɔna fɔlɔ`, olu ka kan ka Fàra ɲɔgɔn kan.

Nka, diɲɛ kɔnɔ mɔgɔw 80% dɔrɔn de bɛ yenO nɛrɛmuguma fla ninnu bɛ Nà ɲɔgɔn fɛ o cogo la ka Kɛ stellate ganglion ye. 20% tɔw la, ninnu labɛncogo tɛ kelen ye, u faralen don ɲɔgɔn kan.

Mun na Stellate Ganglion Block bɛ kɛ? Bana jumɛnw de kama?

Dɔgɔtɔrɔw bɛ nin furakɛli in kɛ kunba fila de kama.

1. Walasa ka bana sɛgɛsɛgɛ: Aw bɛ a dɔn ni dimi dɔw bɛ sɔrɔ hinɛ farikolojidɛsɛ baara fɛ, an kofɔlen don ka tɛmɛ. O bɛ wele ko `dimi min bɛ sɔrɔ hinɛ fɛ (SMP)`.

2. I n’a fɔ furakɛli: Aw bɛ dimi suguya caman, farikolojidɛsɛ ani joli-sira-funu gɛlɛyaw kɔlɔsi.

Tablo min bɛ duguma, o bɛ bana dɔw jira, furakɛli in bɛ kɛ ka caya minnu na.

Ka fara o kan, nin furakɛli in bɛ kɛ fana bana dɔw la i n’a fɔ `Scleroderme`, `Orofacial pain`, `Atypical chest pain`, ani `Ménière ka bana`.

Yala nin fana bɛ kɛ hakili kɛnɛyako la wa?

Ɔwɔ, nin ye barokun ye mɔgɔ caman bɛ ka kuma min kan sisan. Sɛgɛsɛgɛliw bɛ senna kabini san 1990, kɛrɛnkɛrɛnnenya la SGB tali hakilibana dɔ furakɛli kan min bɛ wele ko Post-Traumatic Stress Disorder (PTSD) .

Nka o kalan ninnu nɔfɛkow bɛ ɲagami ɲɔgɔn na. Mɔgɔ dɔw ye dɔ bɔ kosɛbɛ PTSD taamasiɲɛw la, ka sɔrɔ dɔw ma yeli si ye. O la, baarada minnu bɛ i n’a fɔ U.S. Food and Drug Administration, olu ma sɔn SGB ma foroba la ka kɛ PTSD furakɛli ye. Nka ni furakɛli wɛrɛw (ladilikan, fura tali) ma ɲɛ, dɔgɔtɔrɔ bɛ se ka baro kɛ o kan ni banabagatɔ ye, ka a di a ma i n’a fɔ furakɛli ‘min tɛ sɛbɛnfura kan’.

Kɔsa in na, ɲininiw daminɛna SGB nɔfɛkow kan hakilibana wɛrɛw la, i n’a fɔ degun ni jɔrɔnanko.

Nin Stellate Ganglion Block in bɛ kɛ cogo di?

Miiri k’a filɛ, dɔgɔtɔrɔ dɔ ye nin fura in sɛbɛn i ye. O kɔ, dɔgɔtɔrɔso walima dɔgɔtɔrɔso la, nin ɲɔgɔnna dɔ bɛ kɛ:

1. Labɛnni: Fɔlɔ, a bɛna ɲini i fɛ i ka i ɲɛda kɔrɔta dilan kan. Walasa ka aw dusu saalo ani ka aw lafiya, aw bɛ se ka lafiyafura nɔgɔman dɔ di aw ma (lafiyafura) jolisira fɛ (IV).

2. Saniyali : Dɔgɔtɔrɔ bɛna pikiri bɛna kɛ yɔrɔ min na aw kɔ la ka ɲɛ ni banakisɛfagalan ye.

3. Pikiri fɔlɔ (sɔgɔsɔgɔninjɛ): .O kɔfɛ, sigida lafiyalan dɔɔni pikiri bɛ kɛ o yɔrɔ la ni pikirijikɛlan finmanba ye. O bɛna aw dɛmɛ aw kana pikiri nata dimi dɔn.

4. Pikiri kunba : O kɔfɛ, anestezi kunba bɛ pikiri kɛ. Nka nin tɛ jateminɛ dɔrɔn ye. Dɔgɔtɔrɔ bɛ `Ultrasound` scan walima X-ray suguya kɛrɛnkɛrɛnnen dɔ kɛ min bɛ wele ko `Fluoroscopy` , ka pikirijikɛlan sira lajɛ ɛkran kan, o kɔfɛ dɔrɔn pikiri bɛ kɛ ni pikiri bɛ kɛ ni pikirijikɛlan bɛ nɛrɛmuguma kɛrɛfɛ tigitigi min bɛ wele ko stellate ganglion. O bɛ dɔ bɔ a pikiri kɛli la yɔrɔ jugu la.

a ka c' a la , o baara bɛɛ tɛ miniti 30 bɔ .

Mun bɛ kɛ pikiri kɛlen kɔfɛ?

Pikiri kɛlen kɔfɛ, aw bɛna to kɛnɛyaso kɔnɔ waati dɔ kɔnɔ. A ka ca a la miniti 40 fo miniti 60 ɲɔgɔn, dɔgɔtɔrɔso baarakɛla walima dɔgɔtɔrɔ bɛna aw ka bana kɔlɔsi (tansiyɔn, dusukun tantanni). Ni fɛn bɛɛ dafara, cikanw bɛna di aw ma aw ka kan ka tugu minnu kɔ so kɔnɔ, ka sɔrɔ ka sɔn ka taa so.

Nin furakɛli in nafa ka bon cogo di? A bɛ mɛn waati joli kɔnɔ?

Jaabi kelen tɛ nin ɲininkali in na bawo a bɛ danfaraba don mɔgɔ ni mɔgɔ cɛ.

• Mɔgɔ dɔw fɛ, dimi bɛ ban o yɔrɔnin bɛɛ pikiri kɛlen kɔfɛ, nka dimi bɛ se ka segin lɛri damadɔ kɔfɛ ni anestezi bɛ ban.
• Dɔ wɛrɛw bɛ dimi mada tile walima dɔgɔkun caman kɔnɔ. O waati kɔnɔ, u bɛ se k’u ka dimimadafura dɔgɔya ani ka u sen don baara dɔw la i n’a fɔ farikoloɲɛnajɛw.

A ka ca a la, pikiri kelen man teli ka lafiya dafalen di. Walasa ka lafiya kuntaalajan sɔrɔ, a ka kan ka pikiri kɛ ka tugu ɲɔgɔn na, o kɔrɔ ye ko aw ka kan ka o kɛ siɲɛ caman. Tuma dɔw la, i bɛ se ka nɔ sɔrɔ siɲɛ fila dɔrɔn kɔnɔ, ka sɔrɔ dɔw fana ka kan k’o kɛ ka tɛmɛ siɲɛ tan kan. Nka kibaru duman ye ko ni kalan kelen-kelen bɛɛ kɛra, dimi madali kuntaala bɛ se ka caya .

Yala kɔlɔlɔ walima farati dɔw bɛ o la wa?

I n’a fɔ a bɛ kɛ cogo min na furakɛli suguya bɛɛ la, kɔlɔlɔ misɛnniw bɛ a la ani gɛlɛya jugumanw man ca kosɛbɛ.

A ka ca a la, taamasiɲɛ minnu fɔra sanfɛ, olu bɛ ban pewu lɛri damadɔ kɔnɔ, nka gɛlɛya jugumanbaw fana bɛ yen minnu man teli ka sɔrɔ .

• Banakisɛfagalanw
• Joli bɔli ka a sababu kɛ pikirijikɛlan sɔgɔli ye joli sira dɔ la (misali la, joli sira fɛ) .
• Tiɲɛni minnu bɛ kɛ nɛrɛmuguma wɛrɛw la (nɛrɛmuguma, ɲɛgɛnɛsiralabanaw segin-segin) .
• Fogonfogon tiɲɛni (Pneumothorax) .
• Tiɲɛni bɛ kɛ sɔgɔsɔgɔninjɛ, dumunikɛminɛn walima fiɲɛbɔyɔrɔ la

Nin ko ninnu kɛli seko ka dɔgɔn kosɛbɛ, kɛrɛnkɛrɛnnenya la ni dɔgɔtɔrɔ ŋana dɔ ye furakɛli in kɛ ni fɛɛrɛ ye i n’a fɔ ultrasound.

Ne ka kan ka dɔgɔtɔrɔ wele cogo jumɛnw na?

Aw seginnen kɔ so pikiri kɛlen kɔfɛ, ni taamasiɲɛ kura dɔw bɛ aw la walima ni aw bɛ siga gɛlɛya dɔw la , aw bɛ dɔgɔtɔrɔ wele joona. Kɛrɛnkɛrɛnlenyala:

• Ni pikiri kɛyɔrɔ fununa, ka bilen, walima farigan (banakisɛ taamasiɲɛw).
• Ni dumuni munumunu gɛlɛya bɛ to sen na lɛri damadɔ kɔfɛ.
• Ni ninakili ka gɛlɛn aw ma.

Aw kana siran walima ka sigasiga nin furakɛli in na. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la kɛnɛ kan. Fɛn min nafa ka bon kosɛbɛ, o ye ka i haminankow bɛɛ lamɛn ani ka desizɔn ta min bɛ bɛn i ma.