Bak pen na tin we de mek pɔsin vɛks bad bad wan, nɔto so? Sɔntɛnde dis pen kin go dɔŋ di leg dɛn. If yu de sɔfa bak wit dis prɔblɛm, yu dɔktɔ kin dɔn tɛl yu bɔt ‘Caudal Epidural Steroid Injection’. Yu go dɔn fred smɔl we yu yɛri da nem de, "O, a nɔ tink se i rayt fɔ injekt mɛrɛsin na yu bak." Bɔt nɔ wɔri, tide wi go tɔk bɔt dis simpul wan, insay ɔl di ditel dɛn.
Wetin na Kɔdal Ɛpidural Stɛroyd Injɛkshɔn?
Fɔ tɔk am simpul wan, dis na spɛshal injɛkshɔn fɔ mɛrɛsin we dɛn kin gi na di bɔt ɔf yu spayna, jɔs ɔp di telbon (coccyx). Di wɔd "caudal" min "tel sayd."
Imajin, di impɔtant nɛv dɛn we de kɔntrol bɔku tin dɛn na wi bɔdi de rɔn tru wi spɛnal kɔd. Smɔl ples de rawnd dɛn nɛv dɛn ya. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis di epidural spɛs . If fɔ sɔm rizin dɛn nɛv rut ya inflam ɔ kɔmprɛs, bad bad pen kin apin.
Dis na we wi de yuz dis injɛkshɔn. wetin dis injεkshכn de du na fכ injεkt wan anti-inflammatory mεdisin insay di epidural spεs, usay di nεv dεm we swel, we dεn pinch de. Fɔ dis, wi kin yuz wan kayn mɛrɛsin we dɛn kɔl stɛroyd ɔ kɔtikosterɔyd.
Nɔ fred fɔ gɛt injɛkshɔn na yu bak. Dis na tritmɛnt we sef, we nɔ kin tek bɔku pipul dɛn. Di tin we impɔtant pas ɔl na fɔ mek dɔktɔ we gɛt gud ɛkspiriɛns wit dis du am.
Ustɛm dɛn nid dis vaysin?
Dɛn kin yuse am mɔ fɔ pen we pɔsin kin gɛt we i pinch di nerve na di bak, we na wan sik we dɛn kɔl sciatica . Dis pen de travul frɔm di bak dɔŋ di leg dɛm. Bɔku tin dɛn de we kin mek pɔsin gɛt dis.
- Herniated Discs: di tin dεm we lεk jεli bitwin di vεrbra dεm de kכmכt εn prεs pan di nεv dεm.
- Dijeneretiv Disk Disease / Lumbar Spondylosis: di disk dεm bitwin di vεrbra dεm de west dכn wit di ej.
- di lכmbar spεnal stεnosis: di nεv kכmpreshכn bikoz fכ di sכmtεm we di spεnal kanal we di nεv dεm de travul tru.
- Spondylolisthesis: Wan vεrbra de slip fכ go bifo oba כda wan.
- Facet Joint Syndrome: Na disכda we de apin na di sכm jכint dεm we de kכnεkt di spayna.
- Failed Back Surgery Syndrome: I kin pen ɔltɛm afta dɛn dɔn ɔpreshɔn di bak.
Bɔku tritmɛnt dɛn de fɔ ɛni wan pan dɛn sik ya. Yu dɔktɔ go no if dis vaysin fayn fɔ yu kɔndishɔn.Yu nid fɔ tɔk to mi ɛn disayd.
Wetin yu fɔ du bifo yu gɛt di vaysin?
Bifo yu schedul wan de fɔ gɛt dis vaysin, yu dɔktɔ go tɔk to yu fɔ mek shɔ se i sef fɔ yu.
- Gi wan kɔmplit mɛdikal histri: Mek shɔ se yu tɛl wi bɔt ɛni ɔda mɛrɛsin we yu gɛt (lɛk dayabitis, ay blɔd prɛshɔn, glaukoma).
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn, sɔpɔtmɛnt, ɛn ivin tradishɔnal mɛrɛsin. I impɔtant mɔ fɔ tɛl yu dɔktɔ if yu de tek mɛrɛsin we de mek yu blɔd tan . Dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di vaysin.
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ, tɛl yu dɔktɔ: Di ɛkstrem rayt we dɛn kin yuz we dɛn de du dis tritmɛnt kin denja fɔ uman dɛn we gɛt bɛlɛ. So, tɛl yu dɔktɔ bɔt dat bak.
- Nɔ drayv: Wan ɔda impɔtant tin na fɔ mek sɔmbɔdi drayv yu go na os di de we dɛn gi yu di vaysin, bikɔs yu nɔ fɔ drayv fɔ 24 awa afta di vaysin.
Wetin kin apin we dɛn de gi di injɛkshɔn?
dis prכsεs kin tek lεk 15-30 minit. Lɛ wi tek wan step-by-step luk pan aw fɔ du dis.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| Fɔ pripia | Dɛn go chenj yu to ɔspitul klos ɛn put yu fes dɔŋ pan ɛkstrem tebul. Yu kin gɛt pilo ɔnda yu bɛlɛ fɔ mek yu fil fayn. |
| Fɔ klin di ples | di lכw bak usay dεn injεkt di vaysin dεn kin klin am fayn fayn wan wit antiseptik sכlushכn. |
| Mɛrɛsin we de mek pɔsin nɔ fil fayn | Bifo di men injεkshכn, dεn kin gi sכm injεkshכn (lokal anεsthεtik) fכ mek di skin na da εria de nכm. So yu nɔ go fil bɔku pen. |
| Fɔ kɔnfirm di rod | Di dɔktɔ kin yuz spɛshal ɛkstrem rayt mashin (fluoroscopy) fɔ si di rayt say usay dɛn fɔ put di nidul. Sɔntɛnde, dɛn kin injɛkt wan spɛshal wata we dɛn kɔl kɔntrast day fɔ mek pɔsin si di say mɔ. |
| Men vaksin we dɛn kin gi | we dεn kכnfכm di kכrekt ples, dεn injεkt wan stεroyd injεkshכn insay di epidural spεs. Yu kin fil se dɛn de push yu smɔl na dis tɛm. Di tin we impɔtant pas ɔl na fɔ stil de insay dis tɛm. |
| Fɔ dɔn di wok | We di injɛkshɔn dɔn, dɛn kin pul di nidul ɛn put smɔl plasta na di sayt. |
Afta di vaysin dɔn dɔn?
Bikɔs dis na ɔutpatient tritmɛnt, yu kin go na os di sem de. Bɔt we di injɛkshɔn dɔn, dɛn go de wach yu fɔ lɛk 15-20 minit bifo dɛn sɛn yu na os.
Go na os ɛn rɛst fɔ 24 awa. Nɔ du tin dɛn we de mek yu taya, nɔ fɔ es wet, ɔ fɔ drayv. Sɔm brus ɔ pen kin de na di say we dɛn injekt fɔ sɔm dez. Bɔrku pipul kin bigin fɔ fil fayn insay tu to tri dez. Bɔt fɔ sɔm pipul dɛn, dis kin tek wan wik.
Yu tink se bad tin dɛn de we kin apin to pɔsin ɛn we kin mek i sɔfa?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm kayn sayd ɛfɛkt ɛn risk kin de, bɔt siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
| Pozishɔn | Tɔk bɔt |
|---|---|
| Di sayd ɛfɛkt dɛn we dɛn kin ɛkspɛkt | |
| Di pen we de go ɔp fɔ sɔm tɛm | Di pen kin fil smɔl fɔ wan ɔ tu dez te di stɛroyd bigin fɔ wok. |
| Sɔri/bruiz na di say we dɛn injɛkshɔn | Dis go go insay sɔm dez. |
| Fɔ pipul dɛn we gɛt dayabitis | Stɛroyd kin mek di blɔd shuga go ɔp fɔ sɔm tɛm (haypa glycemia) fɔ sɔm awa ɔ dez. |
| Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm | |
| Sik we de prɛd | Jɛm dɛn we de go insay di say we dɛn injɛkshɔn. |
| Blɔd we de kɔmɔt | bכdi de bכn כ blכd kכlכt (hεmatoma) fכmeshכn rawnd di spayna. |
| Nɛv dɛn we dɔn pwɛl | Dis kin apin smɔl smɔl. |
| Sivɛri ed pen (Spinal Headache) . | I kin bi bikɔs ɔf smɔl lik we de na di spaynal wata. Dis kin apin pan less dan 1% pan di kes dɛm. |
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum (ETU) we de nia yu. Dis rili impɔtant.
- If yu gɛt siriɔs ed pen we kin wɔs we yu tinap ɔ sidɔm ɛn yu kin fil fri we yu ledɔm (dis kin bi sayn fɔ yu spɛnal ed pen).
- Fiva (dis kin bi sayn fɔ se yu gɛt infekshɔn).
- If yu fil se yu leg dɛn de swɛt ɔ yu wik (dis kin bi sayn fɔ se yu nerv dɛn dɔn pwɛl).
- Nɔ ebul fɔ kɔntrol di we aw yu de pis ɔ we yu de pul di dɔti (dis na rili siriɔs imejensi).
Mɛsej we dɛn kin kɛr go na os
- Caudal Epidural Steroid Injection na wan fayn ɛn sef tritmɛnt fɔ bak ɛn leg pen.
- Bɔku tɛm dis kin jɔs ɛp fɔ kɔntrol di pen, nɔto fɔ mɛn di sik ɔltogɛda. Bɔt di pen rilif go ɛp yu fɔ du yu nɔmal tin dɛn.
- Bifo yu trit yu, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu sik dɛn ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Yu fɔ no bɔt di denja sayn dɛm we kin apin afta yu dɔn trit yu (fiva, ed we kin at bad bad wan, yu leg kin swɛt, yu nɔ kin ebul fɔ kɔntrol yu bɔdi ɛn yu blad). If ɛni wan pan dɛn tin ya apin, go to dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis tritmɛnt, nɔ shek fɔ aks yu dɔktɔ.
Frequently Asked Questions (FAQ)
Afta di vaysin dɔn dɔn?
Bikɔs dis na ɔutpatient tritmɛnt, yu kin go na os di sem de. Bɔt we di injɛkshɔn dɔn, dɛn go de wach yu fɔ lɛk 15-20 minit bifo dɛn sɛn yu na os.
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