"Dis bak pen don stat bak... A no fit sidon o tinap..." Dis na tori we plenti pipul fo awa kontri rili sabi. Bak pen na tin we de mek pɔsin vɛks bad bad wan. Wetin kin mek i vɛks mɔ na we i nɔ kin bɛtɛ pan ɔl we dɛn de tray ɔl kayn mɛrɛsin ɛn tritmɛnt. If yusɛf de sɔfa wit dis prɔblɛm, dis atikul go rili impɔtant to yu.
Wetin mek sɔm tritmɛnt dɛn nɔ kin wok? Nyu tin dɛn we dɛn dɔn fɛn de tɛl di stori
Wan big stɔdi we dɛn jɔs du, sho sɔntin we rili sɔprayz. Dat min se, pan di tɛn tritmɛnt dɛn we wi kin yuz fɔ mek pɔsin gɛt bak pen, na wan nɔmɔ kin rili wok. Imajin aw da pasɛnt de smɔl!
Dɛn pipul ya we de stɔdi bɔt dis bin tɔk se pan ɔl we sɔm tritmɛnt dɛn kin mek pɔsin fil fayn, bɔku tɛm i nɔ kin izi fɔ sɔm tɛm ɛn i nɔ kin rili izi fɔ am. Infakt, if yu mɛzhɔ pen pan skel we na 100, dɛn tritmɛnt ya we dɛn se kin wok fayn, kin jɔs ridyus di pen smɔl, lɛk 4 to 8 poɛnt.
Si di tebul dɔŋ ya fɔ sɔm pan de tritmɛnt dɛm wae de woke, ɛn sɔm wae nɔr de woke.
| Nature of pen | Sɔm tritmɛnt we bin de wok fayn | Tritmɛnt dɛn we nɔ kin rili wok fayn |
|---|---|---|
| Akyu Bak Pen (we nɔ go te pas 12 wiks) | NSAID (Nonsteroidal Anti-inflammatory Drugs) tayp pen kil. Fɔ ɛgzampul: Ibuprofen, Diklɔfenak. | Ɛksesaiz, Glucocorticoid (Cortisone) injɛkshɔn, Asɛtaminofɛn (Paracetamol). |
| Bak pen we nɔ de dɔn (i kin las fɔ pas 12 wiks) | Ɛksesaiz, spɛshal manipuleshɔn tɛrapi, tep, sɔm antidipreshan, kapsaysin plasta. | Antibayɔtik ɛn anestetik lɛk Lidocaine. |
Wetin mek bak pen kin bɔku ɛn i nɔ kin izi fɔ trit?
Bak pen na wan big tin wae kin mek pɔrsin gɛt disabled ɔlsay na di wɔl. Dis na bikɔs bak pen kin gɛt bɔku tin dɛn ɛn i kin kɔntinyu fɔ de. If de tritmɛnt wae yu de gɛt nɔr de target di ɔndalayn kɔz fɔ yu pen, de pen kin kɔntinyu ɔr kin kam bak as tɛm de go.
Fɔ tɔk am simpul wan, tu men kayn bak pen de:
1. Spɛshal bak pen: Dis kin apin bikɔs ɔf wan chenj we pɔsin kin no klia wan na di bɔdi, lɛk we di spayna brok ɔ we di spayna stɛnɔsis .
2. Nɔn spɛshal Bak Pen: I sɔprayz fɔ no se 85-95 pan 100 kes dɛm de fɔdɔm insay dis kategori. Dis min se no wan patikyula tin nɔ de we kin mek pɔsin gɛt bak pen. Bɔku tin dɛn we gɛt fɔ du wit dɛnsɛf kin mek i apin.
Dis na di tin we impɔtant pas ɔl: fɔs mit wit yu dɔktɔ fɔ no us kayn bak pen yu gɛt. Dɔn, una ɔl tu go disayd us tritmɛnt we go fayn fɔ una.
So wetin wi de du? Wetin na di rayt we?
If yu gɛt ‘nɔ-spɛsifi k’ bak pen, na fayn ples fɔ bigin:
Wetin fɔ du fɔs
Fɔs, tɔk to yu dɔktɔ ɛn if i tɛl yu fɔ tek am, yu kin tek wan mɛrɛsin we dɛn kɔl NSAID we de mek yu fil pen fɔ shɔt tɛm. Bɔt dis rili impɔtant:
Wonin: NSAID (e.g., Ibuprofen, Diclofenac) nɔ fayn fɔ ɔlman. If yu gɛt histri fɔ blɔd na yu intestinal, gastritis, at sik, kidni sik, ɔr ay blɔd prɛshɔn, yu fɔ rili tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin.
Di mɛrɛsin dɛn we de mek pɔsin fil pen na jɔs fɔ sɔm tɛm nɔmɔ. Na di sem tɛm, i impɔtant fɔ mek yu plan fɔ bigin fɔ du yu nɔmal tin dɛn bak smɔl smɔl, fɔ waka, fɔ de wit ɔda pipul dɛn, ɛn ɔda tin dɛn.
If di pen kɔntinyu fɔ de...
If di pen dɔn de fɔ sɔm wik ɔ mɔnt, wi nid fɔ tink difrɛn we. Di mɛrɛsin dɛn we de mek pɔsin fil pen kin jɔs stɔp di pen, dɛn nɔ kin mɛn di prɔblɛm we de ɔnda am.
"Di bɛst tin we wi kin du fɔ ɛni pasɛnt we de fil pen na fɔ fɛn di tin we de mek i fil pen ɛn trit da kɔz de."
Fɔ ɛgzampul, tink bɔt pɔsin we sidɔm na di sem pozishɔn ɔl di de. we dεn du dis, bכku prεshכn de pan di sakroiliak jכint dεm, we de kכnεkt di spayna εn hip bon dεm. Dis kin mek yu gɛt bak pen. Insay tɛm lɛk dis, simpul ɛksesaiz dɛn we go ɛp fɔ mek dɛn jɔyn dɛn de kam bak to alaynɛshɔn kin gi yu bɔku rilif.
If simpul tritmɛnt dɛm lɛk dis nɔr de pul di pen, yu dɔktɔ kin tink bɔt mɔ kɔmpleks tritmɛnt dɛm wae nɔr kin izi fɔ yu.
- Radiofrequency Ablation: I de ɔt ɛn inaktiv di nerv dɛm we de kɛr pen.
- Spinal Cord Stimulator: Na smɔl tin we dɛn kin put insay di spayna ɛn blok di sayn dɛn we de sho se pɔsin de fil pen.
- כpεrayshכn: fכ kכrekt strכkchכral prכblεm dεm na di disk כ bon dεm na di spayna.
Fɔ pik di bɛst tritmɛnt fɔ yu
Frɔm ɔl dis, wi ɔndastand se "wan-sayz-fit-ɔl" we fɔ du bak pen nɔ de wok. Di bɛst tin fɔ du na fɔ pik di bɛst tritmɛnt we go spɛshal fɔ di pɔsin ɛn we fit dɛn.
Tin dɛn lɛk MRI skan kin rili ɛp pan dis. MRI kin no ivin prɔblɛm dɛn we nɔ klia wit di disk dɛn, di nerv dɛn, ɛn di spayna.
Tink bɔt pɔsin lɛk dis:
Wan man we ol 40 ia de. I gɛt dijeneretiv disk sik, i gɛt bɔku bɔku bɔdi, ɛn i gɛt saykolojik trauma frɔm sɔntin we bin dɔn apin to am trade.
Wan tritmɛnt nɔ go du fɔ pɔsin lɛk dis. Di dɔktɔ kin tink bɔt ɔl dɛn tin ya ɛn tɛl am se dɛn fɔ trit am togɛda.
- Fizik Tɛrapi: Fɔ mek di mɔsul dɛn strɔng ɛn fɔ mek dɛn ebul fɔ chenj mɔ.
- Kɔnsul: Fɔ manej di rilayshɔn bitwin trauma ɛn pen.
- Fɔ lɔs yu wet: Fɔ mek yu nɔ gɛt bɔku prɛshɔn na yu bak.
- if nid de, spεshal injεkshכn כ כda tritmεnt dεm we de tכk to di spεnal disk dεm.
Dis we ya, di we we go wok fayn pas ɔl na fɔ tek ɔltin we gɛt fɔ du wit yu sik togɛda ɛn mek wan tritmɛnt plan we go wok fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Bak pen na kɔmpleks prɔblɛm. Wan tritmɛnt nɔ kin wok fɔ ɔlman.
- Bɔku pan di tritmɛnt dɛn we dɛn kin yuz kin mek dɛn nɔ gɛt bɛtɛ wɛlbɔdi fɔ sɔm tɛm nɔmɔ ɛn dɛn nɔ kin gɛt bɛtɛ wɛlbɔdi.
- Di fɔs tin fɔ du na fɔ go to dɔktɔ we sabi du di wok ɛn no di men tin we de mek yu fil pen ɛn aw i tan (spɛshal ɔ nɔ patikyula).
- Nɔ abop pan mɛrɛsin dɛn nɔmɔ we de mek yu fil pen. Ɛksesaiz, tritmɛnt fɔ yu bɔdi, ɛn chenj di we aw yu de liv yu layf rili impɔtant.
- Tɛl yu dɔktɔ bɔt yu ɔda mɛrɛsin dɛn bifo yu tek ɛni mɛrɛsin, mɔ di NSAID mɛrɛsin dɛn we de mek yu fil pen.
- Bɔku tɛm, wan tritmɛnt plan we dɛn mek fɔ yu, we dɛn jɔyn bɔku tritmɛnt dɛn, na in kin wok fayn pas ɔl. Tɔk opin wan wit yu dɔktɔ bɔt dis.
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