Yu no bɔt di sik we dɛn kɔl Cauda Equina Syndrome? Lɛ wi tɔk bɔt am!

Oh my, somtaims wi get bak pen, no bi so? Bɔt sɔm bak pen nɔ kin fayn fɔ ple. Tide wi go tɔk bɔt wan kɔndishɔn we siriɔs smɔl, bɔt i rili impɔtant fɔ no bɔt. Dɛn kɔl dis Cauda Equina Syndrome. dis na rili imejensi kכndyushכn we de kכz fכ di kכmpreshכn fכ di nεv dεm na di lכw pat pan wi spayna.

Wetin na di sik we dɛn kɔl Cauda Equina Syndrome?

Fɔ tɔk am simpul wan, Cauda Equina Syndrome na wan sik we wan grup pan di nerve rut dɛm we de na di bays pan wi spayna kin kɔmprɛs. dis nεv rכt dεm de luk lεk כs in tel, na dat mek dεn kכl am ‘cauda equina’, we kכmכt frכm di Latin wכd fכ 'כs in tel'. Imajin, na dɛn nerv ya de ɛp fɔ muv ɛn fil na wi leg, ɛn bak di wok we wi urinary bladder ɛn intestines de du.

Dɛn nerv dɛn ya jɔs tan lɛk di pawa layn dɛn we de gi pawa to wi os ɛn shɔp dɛn. Dɛn nɛv ya kin sɛn ɛn gɛt ilɛktrik signal ɔlsay na wi bɔdi. Imajin wetin go apin if big big briz kam wantɛm wantɛm ɛn wan ol tik branch fɔdɔm ɛn nak pawa layn? Dɛn go krɔs am, ɛn di os dɛn we de na da eria de nɔ go gɛt pawa igen, nɔto so? Na so di cauda equina nerve kin krɔs. Dɔn di ‘kɔrɛnt’ we de go na wi leg, blad, ɛn insay wi bɔdi kin ambɔg. Jɔs lɛk aw di pawa kɔmni kam kwik kwik wan ɛn pul di tik ɛn mek di layn fayn, insay dis sityueshɔn bak, dɔktɔ dɛn nid fɔ intavyu kwik kwik wan ɛn pul di krɔsh, ɔ damej kin apin fɔ ɔltɛm.

Dis na imejensi?

Yɛs, fɔ tru! Dɛn kin tek di sik we dɛn kɔl Cauda equina syndrome as mɛdikal imejensi . I nɔ kin mek yu layf de pan denja, bɔt if yu nɔ trit yu fayn, i kin mek yu bɔdi pwɛl sote go, ɛn sɔntɛm i kin ivin mek yu paralayz. So if yu gɛt ɛni wan pan dɛn sik ya , yu fɔ go to dɔktɔ wantɛm wantɛm . If yu du ɔpreshɔn kwik kwik wan, dat kin ɛp fɔ pul bɔku pan di sik dɛn ɛn mek i nɔ pwɛl sote go.

Yu tink se kayn tin dɛn de we kin apin to dis?

Yɛs, dɔktɔ dɛn dɔn no tu men kayn sik we dɛn kɔl cauda equina syndrome:

1. Inkomplit Cauda Equina Syndrome (CES-I): Dis na we yu nɔ de fil se yu fɔ pis ɔ poop kwik kwik wan. In ɔda wɔd dɛn, yu nɔ de fil lɛk se yu fɔ go tɔylɛt. Bɔt yu kin stil gɛt sɔm kɔntrol pan yu blad ɛn yu bɔdi. Dis kכndyushכn de afekt bכt 40% pan di pipul dεm we gεt cauda equina syndrome.

2. Komplit Kauda Equina Sindrom (CES-R): .Dis na we yu gɛt ɔl tu di ritɛnshɔn fɔ urine ɛn/ɔ stɔl, ɔ inkɔntinɛns. Dis min se yu nɔ kin ebul fɔ pis ɔ yu nɔ kin ebul fɔ stɔp. Dis kin afɛkt lɛk 60% pan pipul dɛm, ɛn na de sik wae kin pasmak.

Aw kɔmɔn tin dis?

Dis sik nɔr kin bɔrku. Masta sabi bukman dɛn se if yu luk di wɔl, i kin afɛkt lɛk wan pan ɔl 30,000 pipul dɛn ɔ wan pan ɛvri 100,000 pipul dɛn insay wan ia. dεn εstimat bak se di cauda equina syndrome de mek lεk 3% pan כl di spεnal disk hεnia dεm.

Wetin na dɛn denja sayn ya?

Okay, naw lɛ wi si wetin na di simptom dɛm fɔ cauda equina syndrome. If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu rili nid fɔ go na ɔspitul wantɛm wantɛm .

• Sivεr pen na di lכw bכk εn/כ leg (lεk sciatica). I kin kam wantɛm wantɛm ɛn i nɔ go ebul fɔ bia.
• Wiknɛs na di leg dɛn. Sɔntɛm i nɔ kin izi fɔ yu fɔ tinap ɔ waka, ɛn yu kin ivin fil lɛk se yu tu leg dɛn de go swɛ.
• di tin dεm we nכ kin fil lεk fכ sכmtεm sכmtεm, bכn, כ tingling (paresthesia) na di bak pat pan di leg dεm, di bכtכm dεm, di hip εria, εn di insay thigh dεm (saddle area). I kin fil lɛk se dɛn de put di leg fɔ slip, ɔ i kin dɔn swɛla.
• Urinary ɛn/ɔ fecal incontinence. Yu kin lik yu urine ɔ stɔl we yu nɔ no.
• Difεlεns fכ pas urine (urinary retention). Pan ɔl we yu want fɔ pis, yu nɔ go ebul fɔ pis, ɔ yu kin jɔs ebul fɔ pis smɔl smɔl.
• Di chenj dɛn we kin apin wantɛm wantɛm pan di we aw pɔsin de fil bɔt mami ɛn dadi biznɛs.

If yu notis ɛni wan pan dɛn sayn ya, duya go to dɔktɔ wantɛm wantɛm ɛn nɔ de te. Bikɔs tritmɛnt kwik na di bɛst we fɔ mek yu nɔ gɛt siriɔs prɔblɛm.

Yu kin waka wit dis kɔndishɔn?

Dis nɔr kin izi fɔ tɔk fɔ tru, bikɔs i kin dipen pan us sayn yu gɛt. Sɔm pipul dɛn nɔ kin gɛt prɔblɛm fɔ waka wit dis sik. Bɔt fɔ ɔda pipul dɛn, mɔ if dɛn wik bad bad wan ɔ dɛn leg dɛn kin swɛla , fɔ waka kin tranga. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu bigin fɔ gɛt di sik.

Wetin kin mek dis apin?

di men tin we mek di cauda equina syndrome, lεk aw a bin tεn bifo, na dat di cauda equina nerve rut dεm, we de na di bכtכm pat pan wi spayna (L1 to L5 vεrbrae), na sכmtin de kכmprεs.

di tin we kin mek dis apin pas ɔl na we di lכmba disk we de hεnia . dis disk dεm we lεk jεli de wok lεk kushכn bitwin di vεrbra dεm. We disk bɔl kɔmɔt, i kin prɛs di nɛv rut dɛn.

apat frכm dat, sכm כda rizin dεm kin de we mek dεn nεv rכt dεm ya kin kכmprεs:

• Infεkshכn: εgzampl dεm na di epidural absεs, disaytis, εn mεningaytis.
• Injury dɛn we de na di lɔwa bak.
• di lכmba spεnal stεnosis: Dis na we di pasεj we di nεv dεm na di spayna de sכmtεm sכmtεm sכmtεm sכmtεm.
• Pɔstɔparetiv lɔmba spayna ɔpreshɔn kɔmplikeshɔn dɛn.
• di bכdi de kכlכt rawnd di spεnal kכd (Spinal epidural hematoma).
• Ɛmoraji we kin kɔmɔt na di spayna.
• Spinal lεsin ɔ tכmכro dεm.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn nɔ trit dis sik fayn, ɔ if dɛn delay fɔ trit am, i kin mek dɛn nerv dɛn de pwɛl fɔ ɔltɛm. If dis apin, siriɔs prɔblɛm dɛn kin apin we go de na yu layf , lɛk:

• Di disfɔkshɔn pan mami ɛn dadi biznɛs.
• Kכmplit lכs di blad כ di bכwel kכntrכl.
• Paralayz na di leg dɛn.

Na dat mek wi kin kip de tɔk aw i impɔtant fɔ go to dɔktɔ as yu notis di sayn dɛm. Nɔ delay fɔ wan sɛkɔn!

Aw dɔktɔ dɛn kin no bɔt dis?

Dɔktɔ go no se yu gɛt cauda equina syndrome bay we i du ɛgzam fɔ yu bɔdi, ɛgzam fɔ yu nyurolɔjik, ɛn sɔm tɛst dɛn. Di dɔktɔ go aks yu bɔt yu mɛdikal istri ɛn chɛk if yu ebul fɔ du dɛn tin ya:

• Stand op.
• sidɔm dɔŋ
• Walk in il
• Waka pan tip fut
• Lean fɔ go bifo.
• Lean bak.
• Bɛnd to di sayd dɛn
• Stret yu leg ɛn es yu leg.

Dis infɔmeshɔn kin ɛp yu dɔktɔ fɔ gɛt gud aidia bɔt aw yu bɔdi de stebul, aw yu de fil, aw yu gɛt trɛnk, aw yu de riflɛs, aw yu spɛnal de alaynɛd, ɛn aw yu de muv. Sɔntɛnde yu dɔktɔ kin du rɛktal ɛgzam bak fɔ chɛk aw yu anal mɔsul dɛn de, bikɔs dɛn nɛv ya kin afɛkt da eria de bak.

Us kayn tɛst yu kin du?

Yu dɔktɔ kin ɔda fɔ mek dɛn du imej tɛst lɛk dɛn wan ya fɔ luk yu bon dɛn, yu nerv rut dɛn, ɛn yu spɛnal kɔd:

• Magnetic Resonance Imaging (MRI): Dis na di bɛst tɛst fɔ no dis sik. I de sho klia wan di nεv dεm εn di sכft tisu dεm.
• Kɔmpyuta Tomografi (CT skan): .If dɛn nɔ ebul fɔ du MRI kwik, dɛn kin yuz dis bak.
• Maylogram: Insay dis, dɛn kin injɛkt spɛshal day insay di spɛshal wata ɛn tek ɛkstrem rayt ɔ CT skan. yu kin si di εria dεm we di nεv dεm de kכmprεshכn klia wan.

Aw yu kin klas dis?

Yu dɔktɔ kin klas yu cauda equina syndrome as akyu ɔr krɛse. Dis klasification go sho us kayn tritmɛnt yu nid.

• Acute cauda equina syndrome: Di sik kin bigin wantɛm wantɛm ɛn i kin wɔs kwik kwik wan. I go mɔs bi se yu go nid fɔ gɛt ɔpreshɔn insay 24 to 48 awa afta di sik bigin.
• Chronic cauda equina syndrome: Yu sik dɔn de fɔ lɔng tɛm. Yu kin dɔn gɛt de sik fɔ lɔng tɛm bifo yu go fɔ tritmɛnt, ɔr yu kin gɛt pwɛl hat fɔ ɔltɛm bikɔs ɔf de sik.

Wetin na di tritmɛnt dɛn?

Sɔdɛn (akyu) simptom dɛm fɔ cauda equina syndrome nid fɔ gɛt ɔpreshɔn kwik kwik wan . Wan dɔktɔ we de du ɔpreshɔn kin rilis di nerve rut dɛn we dɛn dɔn pinch so dat dɛn go kam bak to nɔmal. Dɛn kɔl dis ɔpreshɔn lumbar laminectomy . Fɔ tɔk am simpul wan, i de pul di tin we mek di nerve pinch (lɛk di disk we dɔn slip).

Afta dɛn dɔn du di ɔpreshɔn, di dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Tek mɛrɛsin fɔ mek yu ebul fɔ kɔntrol yu urinary ɛn yu bɔdi fayn fayn wan.
• Put wan tiub insay yusɛf fɔ ɛmti yu blad (sɛlf-kateshɔn).
• Tek pat pan fizik tɛrapi ɛksesaiz fɔ gɛt trɛnk bak afta dɛn dɔn ɔpreshɔn yu.
• Gɛt ɔkupeshɔn tɛrapi savis fɔ ɛp yu wit di wok dɛn we yu de du ɛvride.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Ɔlman kin wɛl difrɛn we. Yu kin bigin fɔ fil yu bɔdi ɛn yu fut bak insay sɔm dez afta dɛn dɔn du di ɔpreshɔn. Bɔt yu fɔ avɔyd fɔ du tin tranga wan te yu bɔdi wɛl bak, ɛn ivin fɔ waka wit tɛm. I kin tek sɔm wik, mɔnt, ɔ ivin ia fɔ mek yu ebul fɔ kɔntrol yu blad ɛn yu bɔdi bak afta dɛn dɔn du yu ɔpreshɔn. Yu dɔktɔ go ɛksplen to yu wetin fɔ ɛkspɛkt ɛn wetin na di nɛks tin dɛn we yu fɔ du fɔ mek yu wɛl. I impɔtant fɔ peshɛnt wit di tritmɛnt we yu de gi yu.

Yu tink se dɛn go ebul fɔ stɔp dis?

I nɔ pɔsibul fɔ mek dɛn nɔ gɛt ɔl di tin dɛn we kin mek pɔsin gɛt cauda equina syndrome. Sɔntɛnde, wi nɔ kin ebul fɔ kɔntrol tin dɛn lɛk aksidɛnt ɛn kansa. Bɔt tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku disk dɛn we kin slip, ɛn na dɛn tin ya kin mek yu nɔ slip. Na sɔm advays dɛn ya:

• Nɔ wɛr sus we gɛt ay il ɔltɛm. Dɛn kayn sus ya kin chenj di rayt say we yu spayna de.
• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak (lɛk sigrɛt). dis kin mek di disk dεm bitwin yu vεrbra dεm wik.
• Mek yu mɔsul dɛn strɔng. Aks yu dɔktɔ bɔt ɛksesaiz dɛn we go mek yu bak ɛn bɛlɛ mɔsul dɛn (kɔr mɔsul dɛn) strɔng.
• We yu de es wet, es am fayn fayn wan. If yu nid fɔ es sɔntin we ebi, bɛn yu ni ɛn kip yu bak stret, pas fɔ bɛn na yu wes.
• Praktis fɔ mek yu tinap fayn. If yu kɔntinyu fɔ tinap fayn, dat kin mek yu nɔ gɛt prɛshɔn pan yu spayna.
• Strɛch. Stret yu bɔdi wan wan tɛm, mɔ we yu sidɔm fɔ lɔng tɛm.

Dis kin afɛkt di layf we pɔsin kin liv?

Cauda equina syndrome nɔ de afɛkt yu layf dairekt wan. Dat min se i nɔ go kil yu kwik kwik wan. Bɔt di sayn dɛm ɛn di prɔblɛm dɛm wae kin kam kin gɛt bɔrku impak pan yu kwaliti fɔ liv. So, e fayn fɔ go to tritmɛnt jɔs lɛk aw yu notis di sayn dɛm.

Aw di we aw wi de si tin de apin?

Ɔpreshɔn kin mek di prɛshɔn we de pan yu nerv rut dɛn nɔ bɔku. If yu gɛt tritmɛnt kwik, yu kin mek yu nɔ pwɛl di nerv fɔ ɔltɛm. Bɔt i sɔri fɔ no se, dɔktɔ dɛn we de du ɔpreshɔn nɔ kin ebul fɔ rivɛns di damej we di nerv dɛn gɛt wans i dɔn apin. Afta dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go wach yu fɔ si aw di ɔpreshɔn go ɛn tɛl yu wetin na di nɛks tin dɛn we yu fɔ du na yu tritmɛnt plan. I nɔ mata wetin go apin, yu go mɔs nid fɔ gɛt lɔng tɛm rihabiliteshɔn fɔ trit ɛni pen we de kɔntinyu, yu nɔ go ebul fɔ kɔntrol yu blad/bɔwel, ɔ yu mɔsul dɛn wik.

Fɔ liv wit incontinence, sexual dysfunction, ɔr ɔda kɔmplikɛshɔn wae gɛt fɔ du wit cauda equina syndrome nɔr izi. Yu kin fil strɛs, pwɛl hat, ɔr wɔri dis tɛm. I kin afɛkt bak yu skul wok, wok, ɛn padi biznɛs wit yu padi ɛn fambul dɛn. Yu mɛdikal tim kin ɛp yu fɔ chenj di tin dɛn we yu de du ɛvride ɛn ajɔst to dis sik. Yu kin want bak fɔ go to mɛntɛl hεlth kɔlnɔ ɔr jɔyn sɔpɔt grup fɔ kɔnɛkt wit ɔda pipul dɛm wae dɔn gɛt dis kayn ɛkspiriɛns. Mɛmba se nɔto yu wangren de.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt dɛn sayn ya fɔ cauda equina syndrome, yu fɔ go na ɔspitul imejensi dipatmɛnt wantɛm wantɛm :

• Big pen na di lכw bכk (wantεm כ i kin de).
• I nɔ izi ɔ yu nɔ ebul fɔ kɔntrol di we aw yu de pis ɔ we yu de pul dɔti.
• I nɔ izi fɔ waka, di leg dɛn wik.
• Yu nɔ de fil fayn ɔ ɔda tin dɛn we nɔ kɔmɔn na di ɔp pat na di shɔl, di bɔdi, ɔ di say we di uman in bɛlɛ de.

If yu gɛt tritmɛnt kwik kwik wan, dat kin ɛp yu fɔ ridyus di prɔblɛm dɛn we yu go gɛt fɔ lɔng tɛm.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

Nɔ shek fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn cauda equina syndrome a gɛt?
• Na akyu ɔ i nɔ de mɛn?
• Aw kwik a nid ɔpreshɔn?
• Aw lɔng di ɔpreshɔn go tek?
• Aw lɔng a go gɛt fɔ de na ɔspitul afta dɛn dɔn du di ɔpreshɔn?
• A gɛt wan disk we gɛt hεnia? Ɔ na ɔda tin?
• Aw di we aw a go wɛl go tan lɛk afta dɛn dɔn du di ɔpreshɔn?

If yu gɛt sayn dɛm fɔ cauda equina syndrome, nɔr shem fɔ go na di imejensi rum. Pan ɔl we i kin mek yu fred, di mɔ yu gɛt tritmɛnt kwik kwik wan, na di mɔ yu nɔ go gɛt prɔblɛm wit yu bɔdi fɔ ɔltɛm (lɛk we yu nɔ ebul fɔ kɔntrol yu blad/bɔwel, yu paralayz).

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Okay, so Cauda Equina Syndrome na sɔm kayn siriɔs sik, bɔt na wan wae dɛn kin kɔntrol bɔrku wan wit tritmɛnt kwik kwik wan .

• Pe atɛnshɔn to di sayn dɛm: Nɔ ignore dɛm, mɔ if yu gɛt yu leg swɛt, wik, ɔ chenj pan blad/bɔwel kɔntrol wit bak pen.
• Ɔndastand se dis na imejensi: Dis na mɛdikal imejensi. If yu delay di tritmɛnt, dat kin mek yu nerv dɛn pwɛl mɔ.
• Si dɔktɔ kwik kwik wan: As yu notis di sayn dɛn so, go na ɔspitul kwik kwik wan.
• Di tɛm we pɔsin kin wɛl afta dɛn dɔn trit am: Ivin afta dɛn dɔn du di ɔpreshɔn, i kin tek sɔm mɔnt, ivin sɔm ia fɔ mek i wɛl ɔl. Insay dis tɛm, yu kin nid fɔ du tin dɛn lɛk fɔ ɛmti yu blad wit yu an. Nɔ shem fɔ tɔk to yu dɔktɔ bɔt aw fɔ pis ɛn fɔ pul dɔti. Yu mɛdikal tim go ɛp yu fɔ ajɔst ɛn manej yu layf ɛvride.
• Mental hεlth impɔtant bak: We yu de liv wit sik lεk dis, mental hεlth impɔtant lεk fyzikal hεlth. If nid de, aks fɔ advays frɔm mental wɛlbɔdi advays ɔ jɔyn sɔpɔt grup.

Wi op se yu go si se dis infɔmeshɔn go ɛp yu. Stay wit wɛlbɔdi!

Cauda Equina Syndrome, Bak pen, Nεv kכmprεshכn, Leg sכmtεm, Yurinary kכntrכl, Imejensi כpεrayshכn