Yu dɔktɔ dɔn ɛva tɛl yu bɔt epidural? Sɔntɛm na fɔ bɔn pikin, ɔ ɔpreshɔn, ɔ bak pen. Na nɔmal tin fɔ fil smɔl fred ɛn shem fɔ gɛt injɛkshɔn nia yu spayna. Bɔt wetin na in rili? Yu tink se i sef? Wetin i de du? Nɔ wɔri, wi go tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na epidural?
Epidural na we yu injεkt wan mɛrɛsin we de mek yu fil pen na di ɛmti ples we de rawnd di nεv dεm na yu spayna. wi kכl dis spεs di 'epidural spεs'. Na so di nem kam.
Tink bɔt wi spayna lɛk tiub we gɛt bɔku waya dɛn we de rɔn tru am. insay dis tכb na di spεnal kכd. autsay dis tכb, dat na di εmpti spεs insay di spayna, dεn kכl am di epidural spεs. We dɛn injekt mɛrɛsin fɔ mɛn pen na dis ples, dɛn kin stɔp di pen sayn dɛn we de travul tru dɛn nɛf dɛn de to di bren fɔ sɔm tɛm.
Dɔktɔ dɛn kin yuz epidural pan difrɛn tin dɛn. Fɔ ɛgzampul:
- Kɔntrol di pen we pɔsin kin gɛt we i de bɔn pikin .
- Bifo yu du di ɔpreshɔn, mek dɛn gi yu anestezi .
- Riliv pen afta di ɔpreshɔn .
- Trit bak pen we kin kam bikɔs ɔf tin dɛn lɛk di disk we gɛt hεnia.
- Manej di pen we nɔ de dɔn .
Tu men kayn epidural de:
Dipen pan di rizin we mek wi gi epidural, tu men kayn de. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Di kayn epidural we dɛn kin yuz | Di men tin we dɛn want fɔ du | Aw lɔng di ifɛkt kin las? |
|---|---|---|
| Epidural Anestesia we dɛn kin yuz fɔ mɛn pipul dɛn | Dɛn kin yuz anestezi fɔ mek wan eria nɔ gɛt bɛtɛ trɛnk bay we dɛn nɔ de fil pen ɛn fil. Dɛn kin yuz dis mɔ we dɛn de bɔn pikin ɛn we dɛn de du ɔpreshɔn. | Di ifɛkt dipen pan di kayn mɛrɛsin we dɛn gi am. Bɔku tɛm, i kin las fɔ sɔm awa. |
| Epidural stεroyd injεkshכn (ESI) . | Dɛn kin yuz am fɔ kɔntrol di pen ɛn inflamɛns we nɔ de dɔn , dis kin min fɔ injɛkt wan kayn stɛroyd (kɔtikosterɔyd). | Dis kin rili ɛp. I kin kɔntrol di pen fɔ sɔm wik to mɔnt. |
Aw dis kin wok? Di we dɛn fɔ gi wan epidural
Di we aw epidural de wok kin difrɛn difrɛn wan bay di kayn we aw i de wok.
- wan epidural anestesia de blok di signal dεm frכm di nεv dεm we de fil pen to di bren fכ sכm tεm. I tan lɛk se yu dɔn ɔf switch. I kin ɔf dɛn nerv dɛn de fɔ sɔm tɛm.
- Epidural steroid injection involv fɔ injekt wan mɛrɛsin rawnd di inflamed nerve we de mek di pen. Dis kin mek di swel ɛn prɛshɔn pan di nerve nɔ bɔku, ɛn dis kin mek di pen nɔ de igen.
Dɔktɔ dɛn kin yuz bɔku we dɛn fɔ injɛkt dis mɛrɛsin.
Epidural dɛn we dɛn kin gi wan injɛkshɔn
Dis kin min se dɛn kin injɛkshɔn wan anestetik ɔ stɛroyd wan tɛm. Bɔku tɛm dis na aw dɛn kin gi stɛroyd injɛkshɔn fɔ bak pen.
Epidurals wit kateshɔn
dis involv fכ put wan tin, fleksibul tכb (kateta) insay di epidural spεs. Dis tiub de mek yu ebul fɔ gi sɔm dos dɛn fɔ mɛrɛsin di rayt tɛm ɛn di rayt amɔnt. Bɔku tɛm dɛn kin yuz dis we fɔ kɔntrol di pen we uman dɛn we gɛt bɛlɛ ɛn we dɛn de du ɔpreshɔn fɔ lɔng tɛm.
Epidural wit wan PCA
Afta sɔm ɔpreshɔn dɛn, dɛn kin put kateshɔn na yu epidural spɛs, ɛn dɛn kin kɔnɛkt wan smɔl pɔmp to am. Yu prɛs wan bɔtin pan dis, ɛn yu kin injɛkt yusɛf wit sef mɛrɛsin we yu dɔktɔ dɔn tɛl yu, ɛnitɛm we yu nid am. Dɛn kɔl dis sikman-kɔntroled analjɛsia (PCA).
Kɔmbayn spɛshal-ɛpidural (CSE) .
Dis min se yu fɔ gi wan miksɔp pan wan anestetik ɛn wan stɛroyd tru wan kateshɔn. Bɔku tɛm dɛn kin yuz dis we fɔ kɔntrol di pen we dɛn de bɔn pikin. Dɛn kin kɔl am bak ‘walking epidural’, bɔt bɔku pipul dɛn nɔ kin rili ebul fɔ waka. Bɔt dɛn kin stil ebul fɔ muv rawnd bikɔs dɛn gɛt sɔm sɛns na dɛn leg.
Aw yu kin pripia bifo yu du epidural?
Dipen pan di rizin wae mek yu de gɛt epidural, di prɛparashɔn wae yu nid fɔ du kin difrɛn. So i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Bɔku tɛm, dɛn kin aks yu fɔ du tin dɛn lɛk:
- Nɔ it ɛn drink fɔ sɔm awa bifo yu gɛt tritmɛnt.
- Stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners) ɛn vaytamɛn dɛn fɔ sɔm tɛm.
- Arenj bifo tɛm fɔ mek sɔmbɔdi kɛr yu go na os afta dɛn dɔn trit yu.
Wetin kin apin we dɛn gi dɛn epidural?
We dɛn gi yu epidural, dɛn go tɔn yu na yu sayd ɛn mek yu ledɔm, ɔ dɛn go aks yu fɔ ledɔm bifo ɛn sidɔm. Dɔn di dɔktɔ go fala dɛn tin ya:
1. Fɔs, dɛn kin put kanula insay wan vein na yu an, lɛk salin drip.
2. afta dat, dεn kin gi sכm injεkshכn fכ mek di εria we dεn put di epidural nכm.
3. nεks, dεn de put di epidural nidul insay di epidural spεs na yu bak. (Fɔ stɛroyd injɛkshɔn fɔ bak pen, sɔntɛnde dɛn kin yuz spɛshal kamɛra (fluoroscopy), we fiba ɛkstrem rayt, fɔ si ustɛm di nidul de go.)
4. If dεn de put kateshכn, dεn de put wan tin tyub (kateshכn) tru di nidul εn tek tεm pul di nidul. di tiub de stil de insay di bכdi.
5. Dɔn dɛn kin bigin fɔ gi di mɛrɛsin tru da tiub de.
6. We yu nɔ nid di mɛrɛsin igen (we kin bi insay sɔm awa ɔ sɔm dez), dɛn go pul di kateshɔn.
Yu kin fil wan stinging sensation we yu fɔs gɛt di numbing mɛrɛsin. Dɔn, we dɛn gi yu di epidural, yu kin fil smɔl fɔ mek yu swɛla, yu kin fil lɛk yu swɛ, ɔ yu kin fil lɛk se yu de bɔn. Bɔt if yu gɛt pen we yu nɔ go ebul fɔ bia, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Yu tink se epidural go mek yu gɛt bak pen leta?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks ɛn na sɔntin we bɔku pipul dɛn kin fred.
I nɔ kin izi fɔ mek epidural mek yu gɛt bak pen fɔ lɔng tɛm. Bɔku tɛm, dis na di rɔŋ we aw pipul dɛn kin tink.
I nɔmal fɔ mek sɔm smɔl pen ɔ brus de na di say we dɛn injɛkshɔn fɔ sɔm dez. Dis go dɔn kpatakpata insay tu to tri dez.
Bɔku mama dɛn kin gɛt bak pen afta dɛn dɔn bɔn pikin. di rizin fכ dis na biכs di bon dεm εn di ligament dεm we bin strεch we uman bεlε de bigin fכ ajɔst bak to dεn nכmal posishכn. Dis kin apin ilɛksɛf yu bin gɛt epidural ɔ yu nɔ bin gɛt am. So yu nɔ go ebul fɔ blem di epidural fɔ am.
Risk ɛn sayd ɛfɛkt dɛn de?
Epidural kin jɔs rili sef, bɔt lɛk ɛni mɛrɛsin, sɔm rili smɔl risk dɛn de. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.
- Blɔd we de kɔmɔt na di say we dɛn injɛkshɔn.
- Infεkshכn na di say we dεn injεkt.
- di spεnal fכluid lik (dis kin apin bכku bכku wan).
- Nɛv dɛn we dɔn pwɛl.
- Sayd ɛfɛkt ɔ alɛji fɔ mɛrɛsin.
Dɛn risk ya kin rili smɔl. Yu dɔktɔ go tink bɔt ɔl dɛn tin ya ɛn trit yu di bɛst we.
Ustɛm yu fɔ tɔk to di dɔktɔ?
If yu si ɛni wan pan di sayn dɛm we de dɔŋ ya afta yu dɔn gɛt epidural, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| Fiva | Di bɔdi in tɛmpracha we de go ɔp. |
| Di pis we dɛn nɔ de kɔntrol | Urinary ɔ fecal inkontinɛns. |
| Numbness/wikness na di leg | We di leg dɛn kin swɛla ɔ wik kin te pas aw di dɔktɔ tɛl am. |
| Di ed we de at bad bad wan | Bɔrku ed pen wae kin kam wae pɔrsin tinap ɔr sidɔm ɛn i kin fil fayn we yu ledɔm. |
Na nɔmal tin fɔ fil frayd we dɛn tɛl yu se yu go gɛt injɛkshɔn nia yu spayna. Bɔt epidural na wan we we rili sef ɛn we go wok fɔ kɔntrol di pen. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. I go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- Epidural na wan we we rili sef ɛn we go wok fayn fɔ kɔntrol di pen.
- Dɛn kin yuse am fɔ sik dɛn lɛk fɔ bɔn pikin, difrɛn ɔpreshɔn, ɛn bak pen we nɔ de dɔn.
- Bɔrku tɛm na mistek wae pɔrsin kin tink se epidural kin mek pɔrsin gɛt bak pen fɔ lɔng tɛm.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ bɔt ɛni fred, dawt, ɔ kwɛstyɔn we yu gɛt bɔt di epidural .
- If yu gɛt sɔm sayn dɛn lɛk fiva, yu leg wik, ɔ yu ed we de at bad bad wan afta yu dɔn du epidural, go to dɔktɔ wantɛm wantɛm.
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