Di pen na yu nɛk de rayt dɔŋ yu sholda ɔ yu an te to yu finga dɛn? Sɔntɛnde, yu an kin fil lɛk se i nɔ gɛt bɛtɛ trɛnk ɔ i kin wik? Sɔm kayn sik lɛk dis kin apin to bɔrku pipul dɛm. Tide, wi go tɔk bɔt wan spɛshal injɛkshɔn we kin bi wan sɔlv fɔ dis.
Fɔ tɔk am simpul wan, wetin na sɛvikal ɛpidural stɛroyd injɛkshɔn?
Nɔ fred di lɔng nem. Fɔ tɔk am simpul wan, dis na injɛkshɔn fɔ wan mɛrɛsin (wan stɛroyd) we de ridyus di swɛlin na wan smɔl ples we dɛn kɔl ‘epidural space’ insay yu nɛk, rawnd yu spaynal kɔd.
Di men tin fɔ dis na fɔ kɔntrol di pen we nɔ de dɔn we wan nerve rut na yu nɛk de kɔmprɛs ɛn swel. dis kכndyushכn na mεdikal kכl am ‘Sεvikal Radikulopati’ . Dis na de pen wae de travul frɔm yu nɛk dɔŋ yu an.
Mek a ɛksplen smɔl. Di wɔd ‘sɛvikal’ we de insay di nem kɔmɔt frɔm wan Latin wɔd we min ‘nɛk’. So, dεn kin injεkt dis vaysin na di nεk, nכto uman in sεviks. Di we aw di tu wɔd dɛn fiba, dat kin mek pipul dɛn kɔnfyus smɔl.
Okay, aw dis injɛkshɔn de ridyus pen?
Fɔ ɔndastand dis, lɛ wi fɔs luk di we aw wi nɛk tan.
yu sεvikal spayna de mek wit 7 sכm sכm bon dεm we dεn kכl vεrbra . Bitwin dɛn bon ya, lɛk shɔk absɔb, na disk dɛn we tan lɛk jɛlɛ we dɛn kɔl intavɛrbral disk . Dɛn tin ya we dɛn jɔyn togɛda, de protɛkt di spɛnal kɔd, we tan lɛk supamakit kebul we de rɔn dɔŋ frɔm yu bren.
So, na dis say di nεv dεm we de go na yu an, yu lεg, εn כlsay na yu bכdi de kכmכt na dis spεnal kכd. Sɔntɛnde, bikɔs ɔf wan hεnia disk, ɔ bikɔs ɔf chenj dεm we de apin as yu de ol, dis nεv rכt kin kכmprεs. We dɛn kɔmprɛs wan nerv, i kin swel ɛn bigin fɔ at.
Na da tɛm de dis injɛkshɔn kin bi impɔtant. Di dɔktɔ kin injɛkt dis stɛroyd dairekt insay di nɛv we dɔn swel ɛn we kin mek i vɛks.
- Wetin di stɛroyd de du? I de ridyus di swel we da nɛv de swel dairekt wan.
- Wetin kin apin we di swɛlin go dɔŋ? Di prɛshɔn we de pan di nerve kin ridyus.
- Wetin kin apin we di prɛshɔn dɔn go dɔŋ? Di pen ɛn swɛ we yu kin fil kin stɔp smɔl smɔl.
Fɔ tɔk am simpul wan, dis na fɔ rich di rut fɔ di prɔblɛm, fɔ put mɛrɛsin, fɔ ridyus di swel, ɛn fɔ gi di nerve chans fɔ wɛl. Bɔt mɛmba se bɔku tɛm, dis na jɔs fɔ sɔlv di prɔblɛm.Sɔm pipul dɛn nɔ kin fil ɛni pen we de mek dɛn fil pen frɔm dis.
Us kayn nεk prכblεm dεn de yuz dis vaysin fכ?
Dis vaysin na in dɛn kin yuz mɔ fɔ di kɔndishɔn we a bin dɔn tɔk bɔt we dɛn kɔl ‘Cervical Radiculopathy’. Dat na fɔ di sayn dɛm we kin kam bikɔs ɔf wan pinched nerve na di nɛk. Dɛn sayn dɛn de na:
- Pen we de rayt dɔŋ di nɛk, sholda, ɛn an
- Di an ɛn finga dɛn kin swɛla
- Wik we di mɔsul dɛm na di an wik (lɛk fɔ gɛt prɔblɛm fɔ ol sɔntin) .
- Wan tin we pɔsin kin fil we i de ting , lɛk we ilɛktrik shɔk
Dis dɔŋ ya na sɔm pan de men mɛrɛsin wae kin kam wit dɛn kayn sik ya.
| Di sik stetmɛnt | Fɔ ɛksplen am simpul wan |
|---|---|
| Disk we gɛt Hɛnia na di Sɛvikal | Hεnia disk na hεnia disk we de brok, we de mek di tin we lεk jεli insay de lik kכmכt εn prεs pan wan nerv we de nia am. Dis na di men tin we kin mek pɔsin gɛt pen na in nɛk. |
| Sεvikal Dεjεnεraytiv Disk Disiz | As wi de ol, di disk dεm bitwin di vεrbra dεm de west, we kin mek di nεv rכt dεm swel. |
| Sɛvikal Ɔstiɔ-arayt/Spɔndylosis | As wi de ol, chenj dɛn kin apin na di bon dɛn, di disk dɛn, ɛn di jɔyn dɛn na di nɛk. dis kin mek di spεs we de insay di spayna dכn εn mek di nεv dεm kכmprεs. |
| Stɛnɔsis we de na di sɛvikal Spinal | di spεnal kanal we de rכn tru di nεk de sכmtεm fכ difrεn rizin dεm. we di spes dכn dכn, mכr rum de fכ di nεv dεm fכ kכmprεs. |
Wetin yu fɔ du bifo yu gɛt dis vaysin?
Afta yu dɔktɔ disayd fɔ gi yu dis vaysin, i go gi yu sɔm spɛshal instrɔkshɔn dɛn, we yu fɔ fala.
- If yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, yu fɔ tɛl yu dɔktɔ, bikɔs dis we fɔ du dis kin nid fɔ yuz ɛkstrem rayt.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). I impɔtant mɔ fɔ tɛl yu dɔktɔ bɔt tin dɛn we de mek yu blɔd tan . Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez.
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo yu gɛt di vaysin.
- Bɔku tɛm, dɛn kin ɔda fɔ mek dɛn du MRI ɔ CT skan fɔ si ustɛm di prɔblɛm de.
- Dɛn go aks yu fɔ kam wit pɔsin fɔ kɛr yu go na os di de we dɛn gi yu di injɛkshɔn, bikɔs dɛn kin gi yu layt slip mɛrɛsin.
Wetin kin apin we dɛn gi di vaysin? Yu tink se i de mek pɔsin fil bad?
Dis prɔses kin tek bitwin 15 ɛn 30 minit . I rili impɔtant fɔ mek yu stil de as yu ebul insay dis tɛm.
Aw di prɔses de wok:
1. Pripia: Dɛn go chenj yu to ɔspitul gɔn ɛn le yu na yu bɛlɛ pan tebul.
2. Klin: Dɛn kin klin di say na di nɛk usay dɛn injɛkt di vaysin fayn fayn wan wit antisɛptik sɔlvushɔn. Dis kin mek di risk fɔ gɛt di sik nɔ bɔku.
3. Numbing: Neks, di dɔktɔ go injekt wan numbing mɛrɛsin na di say we dɛn injekt am bay we i yuz smɔl nidul. Dis go ɛp yu nɔ go fil bɔku pen we dɛn put di big nidul insay.
4. Fɔ put di nidul insay: Dɔn, wit di ɛp we wan spɛshal ɛks-ray mashin we dɛn kɔl fluoroscopy , di dɔktɔ de gayd di injɛkshɔn nidul fɔ go na di rayt say, nia di nɛv.
5. Injɛkshɔn: We di nidul dɔn de na di rayt ples, di dɔktɔ go tek tɛm injekt di stɛroyd. Sɔntɛnde, dɛn kin miks wan mɛrɛsin we de mek pɔsin nɔ fil fayn wit di stɛroyd.
6. Ɛnd: Afta di injɛkshɔn dɔn, dɛn go put smɔl plasta na di say we dɛn put di nidul, ɛn dɛn go de wach yu fɔ lɛk 30 minit bifo dɛn sɛn yu na os.
Aw di pen de?
Di mɛrɛsin we de mek yu nɔ fil fayn go fil lɛk se smɔl ant de sting yu. Yu kin fil prɛshɔn , yu kin fil lɛk yu de swɛt , yu kin bɔn , ɔ yu kin fil pen fɔ shɔt tɛm we dɛn gi yu di men injɛkshɔn. Bɔt ɛnitin we yu fil go go wans di injɛkshɔn dɔn.
If yu fil pen we yu nɔ go ebul fɔ bia, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Wetin kin apin afta yu gɛt di vaysin ɛn go na os?
Afta yu go na os, yu kin fil pen smɔl usay dɛn put di nidul. Dis na nɔmal tin. I go go insay sɔm awa. If dɛn gi yu mɛrɛsin we de mek yu nɔ fil fayn, yu kin fil smɔl ɔ yu kin fil lɛk yu nɛk, yu sholda, ɔ yu an kin swɛt fɔ sɔm tɛm. Dat go go bak afta sɔm tɛm.
Di dɔktɔ go tɛl yu fɔ rɛst fɔ di ɔda de ɛn nɔ fɔ tray tranga wan .
Di tin we impɔtant pas ɔl na dat yu pen kin go ɔp smɔl fɔ di fɔs tu ɔ tri dez afta di injɛkshɔn. Nɔ wɔri bɔt dis. Dis na nɔmal tin. Di sterɔyd mɛrɛsin kin bigin fɔ wok insay tu to sɛvin dez . Afta dat, di pen go bigin fɔ stɔp.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis vaysin gɛt?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| I kin mek pɔsin nɔ fil pen fɔ sɔm tɛm. | Lɔw blɔd prɛshɔn, diziz. |
| Bikɔs di pen nɔ kin bɔku, i kin izi fɔ du ɛksɛsayz fɔ du fisiotɛrapi. | Siriv ed pen we kin kam bikɔs ɔf di spɛshal wata we de lik. |
| Dɛn kin du di wok dɛn we dɛn kin du ɛvride izi wan. | Infεkshכn na di say we di nidul de (rili rare). |
| Sɔntɛm, i nɔ go nid fɔ gɛt big big tritmɛnt lɛk ɔpreshɔn. | Alɛji riakshɔn to mɛrɛsin dɛn. |
| Blɔd ɔ di nerve damej bikɔs di nidul aksidɛntli go insay wan blɔd vesel (we nɔ kin apin so ɔltɛm). | |
| If yu inj yu bɔku tɛm, dat kin mek di bon ɔ di mɔsul dɛn na di spayna wik. |
Bɔku pan dɛn prɔblɛm ya nɔ kin apin so ɔltɛm . If dɔktɔ we gɛt ɛkspiriɛns ɛn we sabi du am du dis tritmɛnt, dat kin ridyus dis prɔblɛm mɔ.
Aw lɔng di bɛnifit we dis vaysin kin gɛt kin las?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin gɛt pen fɔ sɔm dez to sɔm mɔnt . Sɔm stɔdi dɔn sho se di pen kin te fɔ 12-24 mɔnt. Bɔt dis nɔ kin rili mek pɔsin fil fri fɔ ɔltɛm .
Bɔku dɔktɔ dɛn nɔ kin gi pas tu ɔ tri pan dɛn injɛkshɔn ya insay wan ia, bikɔs i nɔ fayn fɔ injekt stɛroyd tumɔs.
Ustɛm yu nid fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan di sayn dɛm we de dɔŋ ya afta yu dɔn gɛt di vaysin ɛn go na os, kɔl yu dɔktɔ kwik kwik wan. Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Siriv ed pen: Ɛspɛshali if di ed pen kin wɔs we yu tinap ɔ sidɔm ɛn i kin stɔp we yu ledɔm.
- Fiva: Dis kin bi sayn fɔ se yu gɛt infekshɔn.
- If yu fil se yu an nɔ de fil fayn ɔ yu de wik .
Dɔn, dis shot na jɔs wan tritmɛnt fɔ pen na yu nɛk. Yuz di tɛmporari rilif we i de gi, wit fizik tɛrapi ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd di nɛk strɔng na di bɛst we fɔ gɛt rilif fɔ lɔng tɛm. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- ‘Cervical Epidural Steroid Injection’ na spɛshal injɛkshɔn we dɛn kin gi fɔ ridyus di swɛlin na wan nerve, we dɛn kin yuz fɔ trit pen ɛn numbness we de rayt frɔm di nɛk dɔŋ to di an.
- Bɔku tɛm dis kin mek pɔsin fil fayn fɔ sɔm tɛm, ɛn dɛn kin yuz am fɔ go to ɔda tritmɛnt dɛn lɛk fɔ trit pɔsin in bɔdi.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek ɛn if yu gɛt bɛlɛ bifo yu gɛt tritmɛnt.
- Di pen kin go ɔp smɔl fɔ di fɔs sɔm dez afta di injɛkshɔn, bɔt dis na nɔmal tin.
- If yu gɛt siriɔs ed pen, fiva, ɔ yu an wik fɔ lɔng tɛm afta yu dɔn gi yu di vaysin, go to dɔktɔ wantɛm wantɛm.
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