Nɔto jɔs bak-aks! Lɛ wi lan bɔt di imejensi kɔndishɔn we dɛn kɔl Cauda Equina Syndrome (CES)?

Wetin yu go du if yu bak gɛt bad bad pen wantɛm wantɛm, yu leg dɛn swɛt, ɛn yu nɔ ebul fɔ kɔntrol yu? Yu go tink se, ‘Dis nɔto jɔs nɔmal bak-ak,’ nɔto so? Tide wi de tɔk bɔt wan siriɔs sik wae nid fɔ pe atɛnshɔn kwik kwik wan, bɔt nɔrbɔdi nɔr de tɔk bɔt am bɔrku, wae dɛn kɔl Cauda Equina Syndrome (CES). Pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, i rili impɔtant fɔ no bɔt am bikɔs if i apin, i kin nid fɔ gɛt ɔpreshɔn kwik kwik wan, so i rili impɔtant fɔ no bɔt am.

Fɔ tɔk am simpul wan, wetin na Cauda Equina Syndrome (CES)?

Fɔ ɔndastand dis, lɛ wi fɔs luk wi spayna. na di bכtכm pat pan wi spayna, wan bכndεl nεv dεm de we de kכmכt dכn frכm di spεnal kכd. I tan lɛk ɔs in tel, so dɛn kɔl am di 'Cauda Equina', we na Latin fɔ "ɔs in tel." dis nεv dεm de sεnd εn rεsכp sεns dεm to εn frכm wi leg, fut, εn pεlvik כgan dεm.

Cauda Equina Syndrome (CES) na wan kכndyushכn we di nεv bכndεl we shep lεk "כs in tel," de kכmprεs bad bad wan fכ sכm rizin. Dis kɔmpreshɔn de mek di nɛf dɛn pwɛl.

Wetin mek dis de apin? Wetin na di tin dɛn we kin mek pɔsin gɛt CES?

Dis kכndyushכn kin bכku pan big pipul dεm, bכt i kin apin bak pan pikin dεm we dεn bכn wit dεn spayna dεm כ pikin dεm we dεn gεt bכku injuri na dεn spayna. Di men tin dɛn we kin mek i apin na:

• Di disk we de brok bad bad wan na di lכw bכdi: Dis na di mכst kכmכn tin we kin mek i apin.
• Stɛnɔsis we de na di spaynal .
• Tumɔs ɔ kansa we kin apin na di spayna.
• Infεkshכn, swεla, blɔd, ɔ frakshכn na di spayna.
• As kɔmplikeshɔn fɔ spɛshal injuri frɔm siriɔs aksidɛnt, lɛk motoka aksidɛnt, fɔdɔm, ɔ wund wit gɔn.
• sכm kכndyushכn dεm we de we dεn bכn am, lεk wan abnכmal kכnεkshכn bitwin di bכdi vεsul dεm ( Arteriovenous Malformation ).
• Wan kɔmplikeshɔn afta dɛn dɔn ɔpreshɔn dɛn bak.
• as komplikashכn fכ spεnal anεsthεsia (dis nכ kin bכku).

Stay wach! Dis na di wɔnin sayn dɛm fɔ CES

Sɔntɛnde, i kin at fɔ no bɔt CES. De sik kin difrɛn frɔm pɔrsin to ɔda pɔrsin ɛn kin apun difrɛn we. De sayn dɛm kin tan lɛk ɔda sik dɛm, so i kin izi fɔ mek pipul dɛn nɔ ɔndastand dɛn. If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm. If i pɔsibul, go dairekt to ɔspitul in Imejɛnsi Dipatmɛnt (ETU).

Difrɛns bitwin Kɔmplit ɛn Inkɔmplit CES

Dɔktɔ dɛn kin sheb dis sik to tu kayn, i kin dipen pan aw i kin afɛkt yu urinary ɛn bowel control.

• CES we nɔ kɔmplit: Insay dis kes, yu kin fil se yu nid fɔ pis, bɔt i kin at smɔl. Sɔntɛm yu nɔ go ebul fɔ ɛmti yu blad ɔltogɛda. Bɔt yu stil gɛt sɔm kɔntrol. If yu gɛt ɔpreshɔn ali na dis tɛm, yu gɛt bɛtɛ chans fɔ mek yu wɛl ful wan.
• Kɔmplit CES: Insay dis kes, i kin lɔs kɔmplit wan fɔ kɔntrol di urinary ɛn fecal. Nɔr filin nɔr de fɔ se yu nid fɔ pis (ritenshɔn). Ivin we dɛn du ɔpreshɔn afta dɛn dɔn rich dis stej, i kin at fɔ mek di nerv dɛn we dɔn pwɛl.

Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik bigin, ɔlsay na yu layf.

Aw fɔ no di sik?

We yu mit dɔktɔ, i go du dɛn tin ya.

1. Mɛdikal histri: Aks bɔt yu sayn dɛm, aw dɛn bigin, ɛn ɔda wɛl bɔdi prɔblɛm dɛm.

2. Fɔ chɛk yu bɔdi: Dɛn go tɛst yu leg fɔ si if yu gɛt trɛnk, yu de fil, ɛn if yu gɛt riflɛs.

3. MRI skan: Dis na di bɛst we fɔ no if pɔsin gɛt CES. I de yuz magnɛtik fil fɔ mek klia tri-dimɛnshɔnal (3D) pikchɔ dɛn bɔt yu spayna ɛn nerv dɛn. Dis kin sho di rayt say we di nerv dɛn kin pinch.

4. Ɔda tɛst dɛn: If MRI nɔ de, dɛn kin du Myelogram (X-ray ɔ CT skan we dɛn kin injɛkt spɛshal wata na di spaynal kɔd) ɔ tɛst dɛn we de sho aw di nerv dɛn de wok lɛk EMG/NCS bak.

Wetin na di tritmɛnt dɛn?

Di wangren tritmɛnt we kin wok fayn fɔ CES na we dɛn kin du ɔpreshɔn pan am kwik kwik wan fɔ pul di kɔmprɛs nav. Dɛn kɔl dis ɔpreshɔn Lumbar Laminectomy .

Apat frɔm ɔpreshɔn, ɔda tritmɛnt dɛn kin nid fɔ du am, i go dipen pan di tin we mek dɛn du am:

• Kɔtikosterɔyd: Dɛn kin gi ay doz stɛroyd mɛrɛsin fɔ ridyus di swɛlin we de rawnd di nɛv dɛn.
• Antibayɔtik: If di kɔz na infekshɔn, dɛn kin gi am antibayɔtik.
• Radieshɔn ɔ kemotɛrapi: If di tin we kin mek i gɛt kansa, dɛn kin nid fɔ du dɛn tritmɛnt ya afta dɛn dɔn du di ɔpreshɔn.

Livin wit CES ɛn rihabiliteshɔn

Ivin afta dɛn dɔn du di ɔpreshɔn, sɔm prɔblɛm dɛn kin kɔntinyu fɔ de dipen pan di damej we di nerv dɛn dɔn pwɛl. Dat na di nature of CES. If dat apin, di tin we impɔtant pas ɔl na fɔ lan fɔ liv wit di chenj dɛn. Bɔku pipul dɛn de we sabi du di wok ɛn di we aw dɛn de du tin we go ɛp yu.

• Fizik Tɛrapist: I de ɛp fɔ mek di leg dɛn gɛt trɛnk bak ɛn lan fɔ waka.
• Ɔkupeshɔn Tɛrapist: I de tich yu di tɛknik ɛn ikwipmɛnt dɛn we yu nid fɔ du ɛvride wok fɔ yusɛf.
• Kɔntinɛns Advaysa: Advays bɔt sɔlvishɔn fɔ urinary ɛn bowel kɔntrol prɔblɛm dɛn (e.g., yuz kateshɔn, spɛshal pad).
• Kɔnsul: I kin ɛp fɔ kɔntrol di strɛs ɛn pwɛl hat wae kin kam wae yu gɛt imejensi ɔr siriɔs tin lɛk dis.

Di sɔpɔt we yu famili de gi yu bak rili impɔtant pan dis waka. Dɔn bak, fɔ jɔyn sɔpɔt grup wit ɔda pipul dɛn we de go tru dis kayn tin kin rili ɛp yu fɔ gɛt trɛnk.