Sɔntɛnde wi kin gɛt bɛlɛ pen we nɔ kin go wit simpul pil. Ɛspɛshali pan kes dɛm lɛk pankrias kansa ɔ pankrias, di pen kin rili at fɔ bia. So tide wi go tɔk bɔt wan spɛshal tritmɛnt we dɛn kin yuz fɔ kɔntrol dɛn kayn bad bad pen ya.
Wetin na Siliak Plɛks Blɔk?
Fɔ tɔk am simpul wan, dis na injɛkshɔn we dɛn kin gi fɔ kɔntrol di pen. insay wi bεlε, na di כp pat, wan ples de we dεn kכl ‘celiac plexus’ usay bכku nεv dεm de gεt. I tan lɛk wan nerv mɛsej sɛnta na wi bɛlɛ. di pen signal dεm we de kכmכt frכm כgan dεm lεk wi liva, bεlε, pankrias, gal blad, intestines de go na di bren tru dis nεv kכlכsta.
so, insay wan `Celiac Plexus Block`, dεn injεkt wan dכg insay dis nεv bכndεl, fכ sכm tεm כ fכ stכp di pen signal dεm fכ go na di bren. I tan lɛk se yu de ‘kɔt’ fon kɔl bɔt pen. Dis na `nɛv blɔk` tritmɛnt.
Us ɔgan dis nεv bכndεl kכnekt to?
- Di gal blad we de na di bɔdi
- Intestinal dɛn
- Liva
- Pankrias we de na di bɔdi
- Bɛlɛ
We sɔntin nɔ go fayn wit dɛn ɔgan ya ɛn dɛn nerv ya kɔmprɛs, bad bad pen kin apin.
Wetin na di yus dɛm fɔ dis tritmɛnt?
Bɔrku tɛm dɛn kin yuse dis tritmɛnt fɔ siriɔs, pɔrsin wae de fil pen na yu bɛlɛ wae nɔr kin izi fɔ kɔntrol wit ɔda mɛrɛsin wae de mek yu fil pen.
| Mɛdikal kɔndishɔn | Aw tritmɛnt kin ɛp |
|---|---|
| Kansa na di pankrias | Tumɔs dɛn we gɛt kansa kin prɛs pan da nɛv bɔndɛl de. Dis tritmɛnt kin ridyus di bad bad pen we kin apin. |
| Pankriaytis we gɛt sik | Dis tritmɛnt de ɛp fɔ pul di bad bad pen na di ɔpa bɛlɛ ɛn bak we pankrɛyayt kin kam wit. |
Bɔrku pipul dɛm wae dɛn kin no se gɛt pankrias kansa dɔn ɔlrɛdi gɛt siriɔs pen. Dɔktɔ dɛn kin gi yu strɔng pen kil fɔ dis. Bɔt dɛn mɛrɛsin ya kin mek yu gɛt bad bad tin dɛn lɛk we yu nɔ de mɛmba, we yu nɔ gɛt bɛlɛ, ɛn we yu nɔ de fil fayn . Sɔntɛnde, ivin afta yu dɔn tek dɛn mɛrɛsin ya, di pen nɔ kin kɔmɔt kpatakpata. insay dis kayn kes, di `Celiac Plexus Block` kin rili yusful.
Aw yu fɔ rɛdi fɔ dis?
Yu dɔktɔ go advays yu bɔt di tin dɛn we yu fɔ du bifo dis tritmɛnt. Dɛn go ɔltɛm tɔk tin dɛn lɛk:
- Fɔ stɔp sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn lɛk fɔ mek yu blɔd tan , kin mek yu stɔp fɔ tek dɛn sɔm dez bifo yu gɛt tritmɛnt. Bɔt, nɔ ɛva stɔp fɔ tek dɛn if yu dɔktɔ nɔ advays yu.
- Nɔ it ɛn drink: Dɛn go aks yu fɔ stɔp fɔ it ɛn drink fɔ sɔm awa bifo di tritmɛnt. I bɛtɛ fɔ gɛt ɛmti bɛlɛ we dɛn de anestez am.
- Nɔ smok: If yu na pɔsin we de smok, i go fayn fɔ lɛ yu lɛf fɔ smok, bikɔs i kin mek yu gɛt prɔblɛm dɛn mɔ ɛn mɔ.
- Fɔ rɛdi motoka: Dis na ɔutpatient prosidur. Dis min se yu kin go na os di sem de. Bɔt bikɔs yu nɔ go ebul fɔ drayv afta di prɔsidyu, yu go nid fɔ kam wit pɔsin fɔ drayv yu go na os.
Wetin kin apin we dɛn de trit am?
Dɛn kin fala dɛn tin ya we dɛn de du dis tritmɛnt:
1. Fɔs, fɔ mek yu kol, dɛn go gi yu smɔl mɛrɛsin (sedative) insay wan vein na yu an. Dis go mek yu fil rilaks, bɔt i nɔ go mek yu slip ɔl.
2. Dɔn dɛn go mek yu ledɔm na yu bɛlɛ pan tebul. Dɛn go put wan pilo ɔnda yu hip. If yu nɔ kin fil fayn fɔ ledɔm da we de, dɛn kin mek yu ledɔm na yu bak.
3. Dɛn kin klin di say we dɛn injɛkshɔn fayn fayn wan wit wan antisɛptik sɔlvushɔn.
4. Neks, dɛn kin gi smɔl injɛkshɔn fɔ lokal anestetik. Dis tɛm ya, yu kin fil se yu de chuk yu smɔl smɔl.
5. Dɔn, dɛn kin put nidul ɛn put spɛshal day (kɔntrast day) insay. Yu kin si dis day pan ɛkstrem rayt, CT skan, ɔ ɛndoskopik ɔltra saund. Dis kin mek di dɔktɔ si di rayt say fɔ injɛkt di mɛrɛsin.
6. We dɛn dɔn fɛn di rayt say, dɛn kin injɛkt wan mɛrɛsin we de mek pɔsin fil pen ɔ stɛroyd insay di nɛv bɔndɛl.
7. Sɔntɛnde, if yu want fɔ stɔp di pen fɔ lɔng tɛm, dɛn kin put wan kemikal we dɛn kɔl alkol ɔ fɛnol fɔ mek sɔm pan di nerv dɛn nɔ wok. dis dεn kכl am `nyurolaytik prosidכs`.
Bɔku tɛm, di wan ol tin we dɛn kin du kin tek lɛk wan awa so. Bɔt di injɛkshɔn insɛf kin tek sɔm minit nɔmɔ. Tɛm de fɔ pripia bifo tɛm ɛn lɛk 30 minit fɔ wach afta di tritmɛnt.
Wetin kin apin afta dɛn dɔn trit am? Ɛn wetin na di bɛnifit dɛn we wi kin gɛt?
Yu kin bigin fɔ fil sɔm kayn fridɔm insay 30 minit afta di tritmɛnt. Dɛn go de wach yu fɔ at le 30 minit bifo dɛn sɛn yu na os. Yu go ebul fɔ go na os insay lɛk wan awa so. Bɔt, duya mɛmba fɔ mek ɔda pɔsin drayv yu.
Dis tritmɛnt kin ridyus di pen we yu nid fɔ tek ɔltɛm, ɛn dis kin mek bak di sayd ɛfɛkt dɛn we dɛn mɛrɛsin dɛn de gɛt.
Di men bɛnifit dɛn we dis kin gɛt na:
- Fɔ kɔntrol di bad bad bɛlɛ pen we de kɔntinyu fɔ de.
- Ridyus pan brek-bruk pen.
- Ridyus di amount of di ɔral pen kil.
Ɛni bad bad tin dɛn de we kin apin to am?
Siriɔs prɔblɛm dɛn we kin kam wit dis tritmɛnt nɔ kin bɔku . Bɔt sɔm smɔl smɔl sayd ɛfɛkt dɛn kin apin. Yu dɔktɔ go tɛl yu bɔt ɔl dɛn tin ya bifo yu gɛt tritmɛnt.
| Tayp fɔ di sayd ɛfɛkt | Tin dɛn we kin apin |
|---|---|
| Di sayd ɛfɛkt dɛn we dɛn kin si bɔku tɛm | |
| Di say we dɛn de injɛkshɔn | Brus, swel, ɔ sɔri |
| Ɔda | Daya (abdominal pen), blɔd prɛshɔn we de dɔŋ, vɔmit |
| Siriɔs kɔndishɔn dɛn we kin apin smɔl smɔl | |
| Riakshɔn ɛn damej | Alɛji to anestetik ɔ day, di nerve damej, kidni ɔ ɔda ɔgan damej, blɔd we nɔ de flɔ to di spaynal kɔd, delay fɔ ɛmti it frɔm di bɛlɛ (gastroparesis) . |
| Ɔda siriɔs tin dɛn we kin apin | Paralayz (bikɔs ɔf di spɛshal kɔd we dɔn pwɛl), di sik we de mek pɔsin sik |
Aw lɔng i go tek fɔ mek i wɛl? Aw lɔng a go ebul fɔ bi pɔsin we nɔ gɛt pen?
Yu kin go bak to nɔmal tin dɛn we yu kin du insay 24 to 48 awa afta yu dɔn gɛt tritmɛnt. Bɔt nɔ drayv, ɛksesaiz, ɔ es ebi ebi tin fɔ di fɔs 24 awa. Yu kin it ɛn drink nɔmal wan.
De tɛm wae i kin tek fɔ mek yu nɔr gɛt pen kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
- If yu yuz mɛrɛsin fɔ mɛn pen ɛn stɛroyd kin mek yu nɔ fil pen fɔ tri to siks mɔnt . Sɔntɛm dɛn go nid ɔda injɛkshɔn tumara bambay.
- Bɔt if yu yuz di `nyurolaytik` we (injekt sɔntin lɛk rɔm), di pen rilif kin las fɔ lɔng tɛm , sɔntɛm ivin fɔ ɔltɛm.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn gɛt tritmɛnt, kɔl yu dɔktɔ we yu nɔ go te.
- Di sayn dɛm wae de sho se yu blɔd prɛshɔn dɔn dɔŋ lɛk wae yu de tɔn ed, yu de fɔdɔm, ɛn yu de tɔsti pasmak.
- I nɔ kin izi fɔ yu fɔ blo .
- Sayn dɛm fɔ se yu gɛt di sik, lɛk fɔ rɛd, pus, ɔ fiva na di say we dɛn injekt am.
- Di leg dɛn we de swɛla, we de swɛt, ɔ we de swɛla .
Pen na tin we kin mek pɔsin in layf de pan denja. Yu nɔ go ebul fɔ grap na bed ɔ spɛn tɛm wit di wan dɛn we yu lɛk bikɔs ɔf di pen. Ivin if yu tek mɛrɛsin wae de mek yu fil pen, yu nɔr kin fil fayn bikɔs ɔf di sayd ɛfɛkt dɛm. So if yu pen de ambɔg yu ɛvride layf, tɔk to yu dɔktɔ bɔt nyu tritmɛnt lɛk di Celiac Plexus Block.
Mɛsej we dɛn kin kɛr go na os
- Celiac Plexus Block na spɛshal injɛkshɔn tritmɛnt we dɛn kin yuz fɔ kɔntrol bad bad bɛlɛ pen we kin kam bikɔs ɔf tin dɛn lɛk pankrias kansa ɔ inflamɛns.
- dis de blok di transmishכn fכ di pen signal dεm to di bren, we de gi pen rilif.
- Dis kin bi sef prosidur ɛn dɛn kin du am we yu nɔ de na ɔspitul.
- Siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm, bɔt if yu gɛt sɔm sayn dɛn lɛk we yu de tɔn, yu nɔ kin ebul fɔ blo, ɔ yu leg dɛn kin swɛla, tɛl yu dɔktɔ wantɛm wantɛm.
- Dis tritmɛnt kin rili ɛp fɔ mek yu liv bɛtɛ layf ɛn i kin mek yu nɔ yuz mɛrɛsin fɔ mek yu fil pen.
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