Sɔntɛnde yu kin gɛt pen we kin tan lɛk se kɔrɛnt de rɔn dɔŋ yu bak ɛn dɔŋ yu leg? Ɔ yu dɔn de sɔfa wit pen we de kɔmɔt na yu nɛk to yu an fɔ lɔng tɛm? Yu go mɔs dɔn nɔ ebul fɔ du yu wok dɛn we yu de du ɛvride fayn fayn wan wit dis kayn pen, nɔto so? Tide wi go tɔk bɔt wan spɛshal injɛkshɔn we dɔktɔ dɛn kin yuz fɔ kɔntrol dis kayn pen. Dɛn kɔl dis Epidural Steroid Injection, ɔ ESI fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Epidural Steroid Injection (ESI)?
Dis nɔto big tin lɛk aw i tan. Epidural steroid injection (ESI) na injεkshכn fכ mεdisin we dεn k כl stεroyd כ kכtikosterכyd insay di spεs we de rawnd di nεv dεm na yu spayna. Dis mɛrɛsin de wok bay we i de ridyus di swɛlin na di nerve rut dɛm, we gɛt inflamed ɛn inflamed, ɛn dat de mek di pen nɔr de igen.
di imכtant tin na, dis nכto "epidural" we dεn kin gi fכ ridyus pen we dεn de bכn pikin. Dat na mɛrɛsin we de mek wan pat na di bɔdi nɔ gɛt bɛtɛ trɛnk. Dis ESI na mɛrɛsin we de ridyus di swel. Dɛn tu tin ya rili difrɛn.
Tink bɔt yu spayna lɛk aywe. Na di rod we di mɛsej dɛn we de kɔmɔt na yu bren de travul ɔlsay na yu bɔdi. Nɛv dɛn de branch ɔf dis aywe. Sɔntɛnde, wan disk we de bitwin tu vayrɔs dɛn kin bɔl kɔmɔt, ɔ fɔ ɔda rizin, wan nɛv we de na dis say na di rod kin kɔmprɛs ɔ pinch. Na da tɛm de pen we pɔsin nɔ go ebul fɔ bia kin apin.
Wetin di ESI injεkshכn de du na fכ go rayt to di nεv we dεn pinch, swεla εn injεkt sכm mεdisin. Dis kin mek di nerve nɔ swel, i kin mek di prɛshɔn nɔ bɔku, ɛn i kin mek di pen nɔ bɔku. De pen rilif frɔm dis kin las fɔ sɔm dez fɔ sɔm pipul dɛm, ɛn fɔ ɔda pipul dɛm e kin las fɔ sɔm mɔnt. Dɔn bak, sɔntɛnde dis injɛkshɔn kin ɛp fɔ no us nerve na di rial tin we kin mek pɔsin fil pen.
Fɔ us kɔndishɔn dɛn kin gi ESI vaysin?
Yu dɔktɔ nɔ go tɛl yu fɔ gi yu dis injɛkshɔn wantɛm wantɛm. Dɛn kin jɔs tink bɔt dis kayn injɛkshɔn if ɔda tritmɛnt dɛn lɛk fyzikal tritmɛnt ɛn mɛrɛsin fɔ mek yu fil pen nɔ ɛp yu fɔ fil pen.
Na sɔm kɔmɔn tin dɛn we kin apin we dis vaysin kin fayn:
- Herniated Disk: As wi ɔl no, dis na wan tin we dɛn kɔl "herniated disk." dis na di say we wan disk bitwin di vεrbra dεm na di spayna de bulge kכmכt εn prεs pan wan nεv.
- di spεnal stεnosis: di nεv kכmpreshכn bikoz fכ di narכw we di pasεj fכ di spεnal kכd insay di spayna.
- Vɛrbral Bɔn Spurs:di bon dεm we de gro (lεk di spayna dεm) we de na do na di spayna we de ambɔg di nεv dεm.
- Failed Back Surgery Syndrome: Fɔ di wan dɛn we de kɔntinyu fɔ gɛt pen afta dɛn dɔn ɔpreshɔn dɛn bak.
- Skoliosis: We di nεv dεm kכmprεs bikoz fכ di kכva we di spayna kכva.
- Spondylolysis: Pen we de kam bikɔs di spayna de pwɛl we i de ol.
- Insay kes dɛm we di spɛshal nɛf dɛm dɔn pwɛl bikɔs ɔf ɔda aksidɛnt dɛm.
Yu tink se kayn ESI vaysin dɛn de?
Yɛs, dɛn kin sheb dɛn vaysin ya to difrɛn kayn dɛn dipen pan di say we dɛn gi am ɛn di we aw dɛn put di nidul. I impɔtant fɔ mek yu no dis.
di kayn spεnal injεkshכn dεm we de bays pan di sayt we dεn injεkshכn
| Tayp fɔ di vaysin | Tɔk bɔt |
|---|---|
| ESI we de na di sεvikal | Dɛn kin gi dis insay di nɛk eria. dis injεkshכn dεn kin yus fכ pen we de kכmכt frכm yu nεk dכn yu an (fכ egzampl, bikoz fכ wan hεnia disk na yu nεk). |
| ESI we de na di tɔrak | dis dεn kin gi di mid-bכk εria na di chεst lεvεl . Dɛn kin gi am fɔ pen na dis eria, mɔ if hεnia disk de na dis eria. |
| Lumbar ESI we de na di bɔdi | Dis na di kayn we we pipul dɛn kin gɛt mɔ. dis injεkshכn dεn kin gi am na di lכw bכk . Bɔku tɛm dɛn kin gi am fɔ pen we de kɔmɔt na di bak tru di bɔdi we de dɔŋ di leg. |
Di kayn nidul dɛn we dɛn kin yuz fɔ injɛkshɔn akɔdin to di we aw dɛn kin put am
Dis na smɔl tɛknik, bɔt lɛ wi ɔndastand am simpul wan.
- Interlaminar ESI: na ya, dεn de put di nidul bitwin di tu lamina dεm, di bכni strכkchכ dεm we de na di bak pan tu vεrbra dεm.
- Transforaminal ESI: dεn de put nidul tru di ol dεm (foramina) usay di nεv dεm de kכmכt na di spayna, injεkt mεdikeshכn dεrekt insay di nεv we de pen.
- ESI we de na di kɔdal: .insay dis, dεn kin put nidul tru wan sכmכl opin (sacral hiatus) na di bכs pat na di spayna, jכs oba di bכtכk dεm, εn dεn kin injεkt mεdikeshכn insay di nεv dεm we de na di bכs.
Aw a fɔ pripia bifo dis vaysin?
Okay, naw lɛ wi se di dɔktɔ dɔn disayd fɔ gi yu dis injɛkshɔn. Sɔm tin dɛn de we yu nid fɔ pripia bifo dat. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis.
- If yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) . Ɛspɛshali if yu de tek blɔd thinner , aks if yu nid fɔ stɔp fɔ tek am sɔm dez bifo di injɛkshɔn.
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo dɛn gi yu di injɛkshɔn.
- Bɔku tɛm, dɛn kin ɔda fɔ mek dɛn du MRI ɔ CT skan fɔ no wetin rili mek di pen.
- Dɛn go aks yu fɔ briŋ pɔsin fɔ drayv yu go na os di de we dɛn gi yu di vaysin, bikɔs i kin at fɔ mek yu drayv afta di vaysin.
Wetin kin apin we dɛn de gi di vaysin?
Bɔku tɛm, dɛn kin du dis na ɔspitul ɔ ɔtpeshɛnt dipatmɛnt. di ol prosidכs de tek lεk 15-30 minit.
1. Fɔs, dɛn go gi yu chenj klos ɛn aks yu fɔ ledɔm na yu bɛlɛ pan tebul.
2. Dɔn, dɛn kin klin di say we dɛn injɛkshɔn fayn fayn wan ɛn disinfɛkt am.
3. Neks, fכ ridyus di pen we di big nidul we dεn de put, dεn go yuz sכm sכm nidul fכ injεkt mεdisin we de mek yu nכm na di εria. Sɔntɛnde, dɛn kin gi yu smɔl mɛrɛsin fɔ mek yu nɔ fred fɔ ɛp fɔ mek yu nɔ fred.
4. We di say dɔn swɛt, di dɔktɔ go yuz sɔntin lɛk ɛkstrem rayt mashin (fluoroscopy) fɔ mek shɔ se dɛn put di nidul kɔrɛkt wan. I rili impɔtant fɔ mek yu nɔ muv yu bɔdi insay dis tɛm.
5. we di nidul dכn rich di kכrekt epidural spεs, sכmtεm dεn kin injεkt sכm day (kכntrast mεtirial) fכ si aw i de spre. Dis go ɛp fɔ mek shɔ se di mɛrɛsin de go to di kɔrɛkt nerve.
6. Fɔ dɔn, dɛn kin injɛkt di stɛroyd mɛrɛsin sloslo.
7. Afta di injɛkshɔn, dɛn go tay di say smɔl, klin am, ɛn put plasta. Dɔn dɛn go alaw yu fɔ rɛst fɔ 30 minit to wan awa, ɛn afta yu dɔn mek shɔ se no sayd ɛfɛkt nɔ de, dɛn go alaw yu fɔ go na os.
Yu kin fil smɔl smɔl, yu kin fil lɛk yu de fil, ɔ yu kin bɔn we yu gɛt di injɛkshɔn. Bɔt if yu fil pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin kin apin afta di injɛkshɔn? Ɛni bad bad tin dɛn de we kin apin to am?
Afta yu dɔn gɛt di vaysin ɛn go na os, i bɛtɛ fɔ rɛst fɔ di de. Sɔm smɔl sɔri ɔ brus kin de usay dɛn gi di vaysin. Dis na nɔmal tin.
Nɔr sɔprayz, sɔm pipul dɛn kin gɛt smɔl mɔ pen na di fɔs tu ɔr tri dez afta dɛn dɔn gi dɛn injɛkshɔn. Dis na nɔmal tin. Di pen go bigin fɔ stɔp as di mɛrɛsin bigin fɔ wok (bɔku tɛm insay 2-7 dez).
Jɔs lɛk ɔl di mɛrɛsin dɛn, prɔblɛm dɛn de we kin apin ɛn di bad tin dɛn we kin apin to am. Bɔt dɛn tin ya kin bi smɔl smɔl tin dɛn, ɛn siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
| Sayd ɛfɛkt/kɔmplikɛshɔn dɛn | Wetin fɔ no |
|---|---|
| Smɔl smɔl sayd ɛfɛkt dɛn |
|
| Siriɔs kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm |
Wetin na di imejensi dɛm we yu nid fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn gɛt di vaysin ɛn go na os, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Na bad bad ed we de at we yu sidɔm ɔ tinap ɛn we yu de ledɔm, i kin fil fayn.
- Fiva.
- Nɔ ebul fɔ kɔntrol di urine ɔ stɔl.
- Fɔ fil se yu leg dɛn de swɛt ɔ yu wik.
I rili impɔtant fɔ no bɔt dɛn tin ya, bikɔs dɛn kin bi sayn fɔ sik dɛn we nɔ kin apin so ɔltɛm, we kin rili siriɔs.
Mɛsej we dɛn kin kɛr go na os
- Epidural steroid injection (ESI) na injεkshכn we dεn kin gi fכ rεliv di pen we di nεv kכmprεshכn na di bak כ nεk. Nɔto tritmɛnt wae de mɛn di tin wae de mek pɔrsin fil pen.
- Bɔrku tɛm, de pen wae dis kin gi yu na fɔ shɔt tɛm nɔmɔ, bɔt da tɛm de yu go gɛt di chans fɔ du tin lɛk fizik tritmɛnt ɛn go bak to yu ɛvride woke.
- Dis na tritmɛnt we rili sef we dɔktɔ we gɛt ɛkspiriɛns du am. Bɔt lɛk ɔl di mɛrɛsin dɛn, smɔl smɔl prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm.
- Tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn mɛrɛsin bifo yu gi yu di vaysin.
- If ɛni imejensi simptom apin afta yu dɔn gi yu di vaysin, go to dɔktɔ wantɛm wantɛm.
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