Bak pen na kɔmɔn prɔblɛm na wi kɔntri. Sɔntɛnde, we yu rɛst smɔl, we yu nɔ bɛn ɛn du natin, i kin go. Bɔt sɔntɛnde, wi nɔ kin ebul fɔ bia di pen, dɔn wi kin gɛt fɔ go to dɔktɔ. So we yu go to dɔktɔ, yu kin gɛt wan big kwɛstyɔn na yu maynd, ‘O, dɛn go tɛl mi fɔ tek ɛkstrem rayt naw? Ɔ a go gɛt fɔ du MRI?’ Bɔku pipul dɛn kin fred fɔ dɛn tɛst ya. Insay dis atikul, wi go tɔk bɔt us kayn tɛst we dɔktɔ kin du fɔ no wetin mek yu de fil pen na yu bak, ɛn if ɔlman nid dɛn tɛst ya.
Di fɔs tin we di dɔktɔ go aks yu (yu mɛdikal istri) .
We yu go to dɔktɔ, di fɔs tin we i kin du na fɔ nɔ gi yu mɛrɛsin ɔ ɔda tɛst fɔ yu. I kin tɔk to yu fɔs, aks yu sɔm kwɛstyɔn dɛn, ɛn tray fɔ no bɔku tin dɛn we i ebul fɔ no. Yu kin de wɔnda, "Wetin mek yu de aks mi bɔt mi kɔf, fiva, ɛn bɛlɛ we a gɛt ed pen?" Bɔt ɔl dɛn kwɛstyɔn ya rili impɔtant fɔ no wetin mek yu de fil pen na yu bak.
Imajin, Dɔktɔ, dɛn go aks yu tin dɛn lɛk dis:
- Aw di pen bigin? Yu tink se i bin fil lɛk se yu bak "snap" wantɛm wantɛm we yu es sɔntin we ebi? Ɔ yu tink se di pen bin de wɔs smɔl smɔl ɛvride?
- Wetin kin mek di pen wɔs/wɔs? Aw de pen kin bi wae yu de bɛn bifo, sidɔm, tinap, ɔr slip na nɛt? We yu du ɛnitin, dat kin mek di pen wɔs?
- Dis pen dɔn ɛva apin bifo?
- Yu dɔn gɛt ɛni ɔda sik dis biɛn tɛm? Fɔ ɛgzampul, kɔf, fiva, i nɔ kin izi fɔ pis, bɛlɛ at , ɛn ɔda tin dɛn Sɔntɛnde, yu kin gɛt bak pen bikɔs ɔf infekshɔn ɔdasay na di bɔdi.
- If yu na uman, yu kin yɛri bak bɔt blɔd we nɔ kɔmɔn, pen, ɔ wata we de kɔmɔt na yu vagina. dis na biכs sכm pεlvik kכndyushכn kin mek yu bak fil pen.
Fɔ tɔk am simpul wan, dɛn ansa ya go ɛp di dɔktɔ fɔ no mɔ bɔt yu sik. So , i rili impɔtant fɔ mek wi tɔk di tru ɛn nɔ ayd ɛnitin.
Neks, di ɛgzam fɔ di bɔdi.
Afta we di dɔktɔ aks yu kwɛstyɔn, i go chɛk yu. Dɛn kɔl dis fɔ chɛk yu bɔdi . di men tin ya na fכ chεk fכ eni damej כ kכmpreshכn pan di nεv dεm we de rכn frכm yu bak to yu leg dεm.
- Test fɔ waka: Dɛn go aks yu fɔ waka pan yu il fɔ shɔt distans, dɔn yu fɔ waka wit yu fut finga dɛn. Dis kin mek yu no aw yu mɔsul dɛn gɛt trɛnk ɛn aw yu nerv dɛn de wok.
- Riflɛks tɛst: Di dɔktɔ go tap di bak pat pan yu ni ɛn yu anklɛ wit rɔba hama. If di nerv dεm de wok fayn, yu leg go jכk כtomatik dis tεm.
- Leg raise test: Dɛn go aks yu fɔ ledɔm pan bed ɛn rayz wan leg stret ɔp. Dɛn kin aks yu fɔ du dis wit di dɔktɔ ɔ i nɔ ɛp yu. dis kin mεntal chεk fכ prεshכn pan di sciatic nerve, we na big nerve we de rכn frכm di bak dכn di leg.
- Sεns tεst: dεn go yuz sכm sכm tin lεk pin כ pepa klip fכ tכch difrεn εria dεm na yu leg εn aks se, "Yu fil εnitin?" Dis kin ɛp fɔ no if damej de pan di nɛv dɛm we de kɛr sɛns to yu leg dɛm.
- Ɔda tɛst dɛn: If yu dɔktɔ tink se yu gɛt siriɔs sik, dɛn kin chɛk yu bɛlɛ, yu bɛlɛ, ɔ yu rɛkɛt bak. If yu nɔ ebul fɔ kɔntrol yu blad ɛn yu bɔdi, mɔ if di nɛv dɛn we de dɔŋ di spayna dɔn pwɛl, dat kin bi wan rizin. Dɛn kin nid fɔ du dɛn tɛst ya fɔ no if pɔsin gɛt mɔ sik.
Yu tink se ɔlman nid fɔ gɛt ɛkstrem rayt ɔ MRI? - Imej tɛst dɛn
Dis na wetin bɔku pipul dɛn kin tink bɔt mɔ. Yu rili nid fɔ tek ɛkstrem rayt ɔ MRI we yu gɛt bak injuri?
Di ansa na, nɔ . Nɔto ɔlman nid dis kayn spɛshal tɛst wantɛm wantɛm we dɛn bigin fɔ gɛt bak pen. Infakt, lɛk 90% pan di pipul dɛm wae gɛt bak pen kin bɛtɛ insay wan mɔnt. So, pas nɔmɔ sɔm patikyula wɔnin sayn dɛn de (rɛd flag), i nɔ gɛt bɛtɛ bɛnifit fɔ du dɛn kayn tɛst ya insay di fɔs 4-6 wik.
Okay, so lɛ wi si wetin na dɛn tɛst ya ɛn us sityueshɔn dɛn de yuz dɛn.
| Nem fɔ di tɛst | Us sityueshɔn dɛn dɛn kin yuz am? | Impɔtant tin dɛn fɔ no |
|---|---|---|
| Nɔmal ɛks-ray | Dis nɔr kin rili yusful na di fɔs stej dɛm fɔ kɔmɔn bak-ak. Bɔt if yu dɔn gɛt trauma, yu dɔn pas 50 ia, yu gɛt wan sik we de mek yu bon tan lɛk ɔstioporosis, ɔ yu dɔn de tek stɛroyd fɔ lɔng tɛm, i go nid fɔ tek ɛkstrem rayt. | X-ray de sho bon dɛn nɔmɔ. dεn nכ de sho sכft tisu dεm lεk di disk dεm bitwin di vεrbra כ di nεv dεm. |
| MRI Skan we dɛn kin du | Dis na tɛst we rili advans ɛn we dia. I nɔ kin fayn fɔ di jenɛral bak pen. Bɔt dɛn kin du am if pɔsin we dɛn tink se gɛt siriɔs sik we go nid ɔpreshɔn (fɔ ɛgzampul, spɛshal infɛkshɔn, kansa, frakt, ɔ imejensi lɛk Cauda Equina Syndrome). Bɔrku tɛm dɛn kin tink bɔt fɔ fɛn de kɔz if de pen dɔn de fɔ pas 12 wik. | Prɔblɛm dɛn de bak we dɛn kin du MRI skan. ivin pan hεlty pipul dεm we nכ gεt bak pen, MRI skan kin sho bulging disk dεm bitwin di vεrbra dεm. We yu si sɔntin lɛk dis, yu kin tink se na dis kin mek yu fil pen ɛn yu kin yuz tritmɛnt we nɔ nid fɔ du dat. So, i rili impɔtant fɔ sho di MRI ripɔt to yu dɔktɔ ɛn aks fɔ advays pas fɔ tray fɔ ɛksplen am yusɛf. |
| Maylogram ɛn CT skan | Dis na tɛst we dɛn kin jɔs yuz pan rili patikyula kes dɛm, bɔku tɛm we dɛn de plan fɔ ɔpreshɔn. I min se dɛn injɛkt wan spɛshal day na di spayna ɛn du CT skan. | We dɛn dɔn mek MRI, di we aw dɛn de yuz dis tɛst dɔn go dɔŋ bad bad wan naw. |
Wetin na "Rɛd Flag"?
Dɔktɔ dɛn kin kɔl "rɛd flag" wɔnin sayn dɛm we kin sho se yu gɛt siriɔs mɛrɛsin. If yu gɛt dɛn sik ya, yu dɔktɔ kin rifer yu wantɛm wantɛm fɔ mek dɛn du yu imajin tɛst.
- Wan pɔsin we fɔdɔm ɔ we gɛt siriɔs aksidɛnt.
- We yu de lɔs yu wet ɛn fiva we yu nɔ ebul fɔ ɛksplen.
- Nɔ ebul fɔ kɔntrol yu urine ɔ stɔl (Dis na rili siriɔs imejensi. Yu fɔ go wantɛm wantɛm na ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Smɔl smɔl i de mek yu nɔ de fil fayn ɔ yu de wik na di leg dɛn.
- Fɔ gɛt kansa trade.
Tɛst dɛn fɔ di Nɛv
Sɔntɛnde, mɔ if di pen nɔ de fɔ lɔng tɛm, dɛn kin du ɔda tɛst fɔ no ustɛm dɛn dɔn pwɛl wan nerv.
Dɛn kɔl am Ilɛktromayogram (EMG) . Insay dis tɛst, dɛn kin put smɔl smɔl ilɛktrɔd dɛn we tan lɛk nidul insay di mɔsul dɛn ɛn dɛn kin wach di ilɛktrik wok na kɔmpyuta skrin. Dis tɛst kin mek yu fil pen smɔl. Bɔt i kin ɛp di dɔktɔ fɔ no if wan nerve dɔn pwɛl ɔ if di prɔblɛm de na di mɔsul dɛn, ɛn i kin ɛp bak fɔ no aw di nerve dɔn pwɛl.
Mɛsej we dɛn kin kɛr go na os
- Bak pen kin rili kɔmɔn ɛn bɔku tɛm, i kin dɔn insay sɔm wiks if yu rɛst fayn ɛn simpul tritmɛnt.
- Nɔto ɛvri tɛm we yu gɛt bak pen, yu nid fɔ tek ɛkstrem rayt ɔ MRI. If yu yuz dɛn tin ya we yu nɔ nid, dat kin mek yu west mɔni ɛn mek yu strɛs we yu nɔ nid.
- Di fɔs tin we yu dɔktɔ go du na fɔ lisin to yu ɛn chɛk yu. Dat na di tin we impɔtant pas ɔl fɔ no if pɔsin gɛt di sik.
- Trust yu dɔktɔ in advays. If dɛn nid fɔ du tɛst, i go mɔs rifer yu fɔ am.
- If yu gɛt "rɛd flag" simptom dɛm, lɛk we yu nɔ ebul fɔ kɔntrol yu urinary/fecal, yu leg nɔ gɛt trɛnk wantɛm wantɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Nɔ tink se yu gɛt di sem sik jɔs bay we yu luk yu padi ɔ fambul in MRI ripɔt. Di tin we de apin to ɛnibɔdi difrɛn. Ɔltɛm tɔk bɔt yu tɛst rizɔlt wit yu dɔktɔ.
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