Bɔku tɛm yu kin gɛt bak pen? Sɔntɛm yu kin fil bak wan tin we de mek yu swɛt dɔŋ yu leg dɛn. Bɔt imajin, wit dis bak pen, yu kin gɛt prɔblɛm wantɛm wantɛm fɔ pis ɔ fɔ pul dɔti, ɔ yu nɔ ebul fɔ kɔntrol dɛn? Dis na rili nɔto sɔntin we yu go jɔs ignore. Dis kin bi wan rili siriɔs, imejensi mɛdikal kɔndishɔn we nid fɔ gɛt ɔpreshɔn kwik kwik wan. Dis na wetin wi de tɔk bɔt tide.
Wetin na di sik we dɛn kɔl Cauda Equina Syndrome?
Fɔ tɔk am simpul wan, dis na sik we nɔ kin apin so ɔltɛm bɔt we rili siriɔs. Na di bɔt ɔf wi spayna ɔ spɛnal kɔd, wan bɔndɛl na di nɛv rut dɛn de. dis bכndεl fכ nεv dεm shep lεk כs in tel, so dεn kכl am "Cauda Equina" insay Latin. dis nεv dεm de sεnd εn rεsכp mεsej to εn frכm di כgan dεm na wi leg, fut, εn pεlvik כgan dεm.
Cauda Equina Syndrome (CES) kin apin we dεn kכmprεs dis nεv bכndεl fכ sכm rizin. Dɛn kin tek dis as ɔspitul imejensi . If di tritmɛnt delay, di damej we di nerv dɛn dɔn pwɛl nɔ go ebul fɔ chenj. Dis min se di tu leg dɛn kin paralayz fɔ ɔltɛm , ɛn i pɔsibul fɔ lɛ yu nɔ ebul fɔ kɔntrol di blad ɛn di bɔdi fɔ ɔltɛm.
Dis kכndyushכn kin apin wan wan (akyu) כ divεlכp as tεm (krεs). Bɔt i rili impɔtant fɔ go to dɔktɔ jɔs afta yu si di sayn dɛn.
Wetin na de tin wae kin mek pɔrsin gɛt Cauda Equina Syndrome?
Pan ɔl we dis sik kin apin mɔ to big pipul dɛn, i kin apin bak to pikin dɛn we nɔ bɔn fayn ɔ we dɔn gɛt siriɔs injuri na dɛn spayna. Di men tin dɛn we kin mek i apin na:
- Wan hεnia disk na di lכw bכk, we de prεs pan wan nerv, na di kכmכn kכz.
- Stɛnɔsis we de na di spaynal .
- Tumɔs ɔ kansa na di spayna.
- Infεkshכn, swεla, blɔd, כ frakshכn na di spayna.
- Spinal injuri frɔm siriɔs aksidɛnt (e.g., motoka aksidɛnt, fɔdɔm frɔm ayt, gɔn shot wund).
- difεkt dεm we dεn bכn, fכ egzampl, arteriovenous malformation (AVM).
- Wan kɔmplikeshɔn afta dɛn dɔn ɔpreshɔn dɛn bak.
- Wan kɔmplikeshɔn we dɛn kin gɛt we dɛn de anestez di spɛnal.
Rɛd Flag Simptom dɛm fɔ dis kɔndishɔn
I nɔ kin izi fɔ no dɛn sayn ya, bikɔs dɛn kin tan lɛk ɔda sik dɛn. Bɔt if yu gɛt wan ɔ mɔ pan di "Rɛd Flag Simptom dɛm" we de dɔŋ ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) ɔ go to dɔktɔ wantɛm wantɛm.
Nɔ jɔs de na os tink se dis na nɔmal bak-ak. Taym na di men tin na ya.
| Di sayn we de sho se di sik de | Diskripshɔn ɛn ɛksplen |
|---|---|
| Sadul Anɛstɛsia | Dis na di men ɛn denja pas ɔl . Imajin se we yu rayd ɔs, di pat dɛn na yu bɔdi we dɛn prɛs pan di sadul. Dat min se yu bɔt, di insay shɔl, ɛn di say we de rawnd yu jɛnɛral dɛn go fil smɔl ɔ i nɔ go fil fayn. I kin tan lɛk se dɛn dɔn anestez dɛn say dɛn de. |
| Prɔblɛm dɛn we de wit di urinary ɛn bowel kɔntrol | Yu kin fil wantɛm wantɛm se yu nid fɔ pis ɔ fɔ pis ɛn yu nɔ kin ebul fɔ stɔp (incontinence). Ɔ yu kin fil se yu nɔ ebul fɔ pis ɔ pul dɔti ivin we yu de tray fɔ pis ɔ pul dɔti (retention). Yu kin lɔs di filin bak se yu nid fɔ pis. |
| Siriɔs bak pen ɛn leg pen | Sciatica na wan kayn pen wae kin fil lɛk ilɛktrik shɔk dɔŋ di leg, i kin tranga pas aw nɔrmal bak pen. Dis pen kin de na ɔl tu di leg dɛn. |
| Wik ɔ swɛt na di leg dɛn | Yu kin fil lɛk se yu leg ɔ wan pan dɛn de go swɛ. I nɔ kin izi fɔ yu fɔ grap na chia, ɔ yu kin stɔp we yu de waka. Yu kin fil bak se yu leg ɛn yu fut de bɔn, ɔ yu kin fil lɛk se ant de waka. |
| Prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs | Wantɛm wantɛm, i nɔ kin ebul fɔ du mami ɛn dadi biznɛs ɔ i nɔ kin fil fɔ du mami ɛn dadi biznɛs igen. |
Aw dɔktɔ kin fɛn dis?
We yu go na ɔspitul, di dɔktɔ go tek tɛm lisin to yu sayn dɛn. Dɔn i go chɛk yu bɔdi, mɔ di trɛnk, di we aw yu de fil, ɛn di we aw yu de fil na yu leg dɛn.
Bɔt fɔ kɔnfirm dis sik fɔ tru, i rili nid fɔ mek dɛn du MRI skan . MRI kin gɛt tri-dimɛnshɔnal (3D) imej dɛn fɔ di spayna ɛn di nɛv dɛn. afta dat dis kin sho di rayt say we di nεv kכmpreshכn de. If dɛn nɔ gɛt MRI, dɛn kin du ɛkstrem rayt ɔ CT skan we dɛn kɔl maylogram bak.
Aw fɔ trit am? Yu nid fɔ rɔsh?
If dɛn no se dis sik de, di tritmɛnt na fɔ du ɔpreshɔn wantɛm wantɛm fɔ mek di nerve we dɔn pinch kɔmɔt. Dɛn kɔl dis ɔpreshɔn lumbar laminectomy .
Mɛmba se, ɔpreshɔn insay 48 awa afta di sik bigin, i de gi di bɛst chans fɔ mek i nɔ gɛt damej fɔ ɔltɛm ɛn fɔ mek i wɛl.
Apat frɔm ɔpreshɔn, dɛn kin gi ɔda tritmɛnt dɛn dipen pan di tin we mek dɛn du am:
- Di mɛrɛsin dɛn we gɛt ay doz stɛroyd (kɔtikosterɔyd) fɔ ridyus di swɛlin.
- Antibayɔtik if di kɔz na infekshɔn.
- If di tin we mek i gɛt kansa, dɛn kin gi am redyushɔn ɔ kemotɛrapi afta dɛn dɔn du di ɔpreshɔn.
Ivin afta dɛn dɔn du di ɔpreshɔn, i kin dipen pan aw di nerv dɛn dɔn pwɛl, i nɔ kin wɛl ɔl. Bɔt i kin tek sɔm ia fɔ mek tin dɛn lɛk blad ɛn bɔdi kɔntrol kam bak to nɔmal.
Living wit CES - Wetin yu nid fɔ no?
If ɛnitin dɔn pwɛl fɔ ɔltɛm afta dɛn dɔn du di ɔpreshɔn, yu go gɛt fɔ lan fɔ liv wit di chenj dɛn. Sɔpɔt fɔ yu bɔdi ɛn aw yu de fil rili impɔtant fɔ yu we yu de travul.
Tɛl yu famili bɔt dis ɛn mek dɛn ɛp yu. Yu kin gɛt ɛp bak frɔm difrɛn pipul dɛn we sabi du dɛn wok, lɛk:
- Fizik Tɛrapist
- Ɔkupeshɔn Tɛrapist
- Seks Tɛrapist
- Kɔnsul ɔ Saykolojis
If yu gɛt prɔblɛm fɔ kɔntrol yu urine ɔ stɔl, dɛn tin ya kin ɛp:
- Ɛmpti yu blad ɔlsay yuz kateshɔn tri to 4 tɛm insay di de.
- Drink bɔku wata ɛn klin fɔ mek yu nɔ gɛt infekshɔn na yu urinary tract.
- If nid de, yuz glycerin suppositories ɔ enemas fɔ ɛp fɔ pas stɔl.
- Wear pad dɛn we de protɛkt yu.
Tɔk opin wan wit yu dɔktɔ bɔt ɔl dɛn tin ya. I go gi yu di gayd we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Cauda Equina Syndrome (CES) nɔto jɔs wan kɔmɔn bak-ak, na mɛdikal imejensi .
- If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu bɔdi nɔ gɛt bɛtɛ trɛnk rawnd yu bɔdi ɛn yu bɔdi (saddle anesthesia), yu nɔ ebul fɔ kɔntrol yu urinary/fecal, ɔ yu nɔ gɛt trɛnk na yu leg, go na ɔspitul wantɛm wantɛm .
- Di men tritmɛnt na fɔ ɔpreshɔn kwik kwik wan insay 48 awa. Di mɔ we dɛn de delay am, na di mɔ di chans fɔ mek i pwɛl sote go.
- Ivin afta dɛn dɔn du di ɔpreshɔn, i kin tek tɛm fɔ mek i wɛl. I impɔtant fɔ gi advays to dɔktɔ ɛn fɔ sɔpɔt di famili.
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