Sɔntɛnde yu kin gɛt shap pen we kin shot yu bak lɛk ilɛktrik shɔk? Ɔ yu de sɔfa ɔltɛm wit pen we de kɔmɔt na yu nɛk go dɔŋ yu an? I rili at fɔ liv wit dis kayn pen. We tin dɛn lɛk fisiotɛrapi ɛn mɛrɛsin nɔ de wok, wan tritmɛnt we dɔktɔ dɛn kin advays na ‘Epidural Steroid Injection’ (ESI). Bɔku pipul dɛn kin fred dis smɔl. So, lɛ wi tɔk bɔt ɔltin simpul ɛn klia wan tide.
Fɔ tɔk am simpul wan, wetin na ‘Epidural Steroid Injection’ (ESI)?
Dis na wan kayn injɛkshɔn bak. Bɔt dis tɛm, yu nɔ kin gɛt mɛrɛsin fɔ mɛn pen ɔltɛm. bifo dat, yu gεt spεshal mεdikal we de ridyus di swεla εn inflameshn, we dεn k כl stεroyd (a `kכtikostεroyd`) , we dεn injεkt insay di spεs usay di nεv dεm de na yu spayna (di `epidural spεs`).
Tink bɔt wi spɛnal kɔd as wan big rod we de kɛr mɛsej frɔm di bren to di ɔda pat dɛn na wi bɔdi. di sef spεs we de rawnd dis rod na wetin wi kכl di `epidural space.` we wan nεv we de rכn along dis rod de irita כ inflamed fכ sכm rizin, siriכs pen de apin. Wetin ESI de du na fɔ injekt wan mɛrɛsin insay di inflamed nerve, we de ridyus di swel ɛn gi yu rilif.
di mכst imכtant: Wan ‘epidural’ we dεn gi fכ ridyus di pen we dεn de bכn pikin εn wan ‘epidural’ we dεn gi fכ dis pen na tu kכmplit difrεnt tin dεm . So nɔ kɔnfyus di tu.
Aw dis injɛkshɔn kin mek pɔsin nɔ fil pen?
wi spayna na sכm sכm bon dεm (vεrbra) we kכnεkt to wan an. bitwin dis tu bon dεm na wan ‘disk’ we lεk jεli. Dis na wetin de gi di spayna in fleksibiliti ɛn protɛkshɔn.
Sɔntɛnde, wan disk we gɛt hεnia (di disk we gɛt hεnia ɔ disk we de bɔl) kin pinch wan nerv we de nia de. כ, di nεv kin pinch bak bikoz fכ di spεs we de insay di spayna we de sכmtεm (spinal stenosis). We dɛn pinch wan nɛv dis kayn we, i kin swel ɛn inflam, ɛn dis kin mek pɔsin fil pen.
ESI involv f injekt wan stεroyd rawnd di inflamed, pinched nerve. Dis kin mek di swel ɛn inflamɛns nɔ bɔku ɛn i kin mek di prɛshɔn we de pan di nerve nɔ bɔku. Dis kin gi di nerve tɛm fɔ wɛl. Sɔm pipul dɛn kin gɛt pen fɔ sɔm wiks, ɛn ɔda wan dɛn kin gɛt sɔm mɔnt. Sɔntɛnde, dis injɛkshɔn kin ɛp bak fɔ no di rayt tin we de mek pɔsin fil pen.
Fɔ us kɔndishɔn dɛn kin rɛkɔmɛnd fɔ gi ESI injɛkshɔn?
Dɔktɔ kin tɛl yu fɔ du ESI we ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di pen. Di tebul we de dɔŋ ya de ɛksplen dis mɔ.
| Kɔndishɔn | Simpul ɛksplen |
|---|---|
| Disk we gɛt Herniated/Bulging | Wan hεnia disk bitwin tu vεrbra dεm, we de mek i bulge kכmכt εn prεs pan wan nerv. |
| Stɛnɔsis we de na di spaynal | di nεv kכmpreshכn bikoz fכ di nεv path we de insay di spεnal kכd de sכmtεm sכmtεm. |
| Failed Back Surgery Syndrome we dɛn kɔl di sik we dɛn kɔl Failed Back Surgery Syndrome | Pen we de kɔntinyu fɔ de afta dɛn dɔn ɔpreshɔn am na in bak. |
| Bon spur (Bɔn Spurs / Ɔstiɔfayt) . | di nεv kכmpreshכn bikoz fכ sכm sכm bכmp dεm we de fכm na di bon dεm wit di ej. |
| Spɔndilɔlaysis we dɛn kɔl spondylolysis | Pen kin kam bikɔs di bon dɛm na di spayna de west ɛn chenj. |
Tayp dɛn fɔ ESI Injɛkshɔn
Difrɛn kayn ESI injɛkshɔn dɛn de. dεn sheb dεm akɔdin to di say we di injεkshכn de (nεk, mid-bכk, lכw bכk) εn di we aw dεn put nidul insay.
- Kategori dɛn bay di say we dɛn de:
- Cervical ESI: Fɔ pen we de rayt frɔm di nɛk dɔŋ di an.
- Thoracic ESI: Fɔ ɔpa ɛn midul bak pen.
- Lumbar ESI: Fכ pen we de rayt frכm di bak dכn di leg (dis na di mכst kכmכn).
- Tayp dɛn akɔdin to di we aw dɛn de put nidul:
- Interlaminar ESI: fכ put nidul bitwin tu vεrbra dεm εn injεkt mεdisin.
- transforaminal ESI: dεn de mek di injεkshכn tru di ol (`foramen`) usay di nεv de kכmכt na di spεnal kכd, rayt nia di nεv we dεn pinch.
- Caudal ESI: fכ put di nidul tru wan ol we de na di lכs εnd pan di spεnal kכd.
Yu dɔktɔ go disayd us kayn we go fayn fɔ yu.
Aw a fɔ pripia bifo di injɛkshɔn?
Yu dɔktɔ go gi yu sɔm spɛshal instrɔkshɔn dɛn bifo di injɛkshɔn. I rili impɔtant fɔ fala dɛn di rayt we.
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ , mek shɔ se yu tɛl yu dɔktɔ.
- Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (espɛshali di wan dɛn we de mek yu blɔd tan ) . I kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez.
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo dɛn gi yu di injɛkshɔn.
- Sɔntɛnde, dɛn kin ɔda fɔ mek dɛn du MRI ɔ CT skan fɔ no di rayt tin we mek di pen.
- Dɛn go aks yu fɔ kam wit pɔsin na os di de we dɛn gi yu di injɛkshɔn, bikɔs sɔntɛnde dɛn kin gi yu mɛrɛsin fɔ mek yu fil fayn fɔ ɛp yu fɔ rilaks.
Wetin kin rili apin we dɛn gi di injɛkshɔn?
Dɛn kin du dis na ɔspitul ɔ klinik. di ol prכsεs de tek lεk 15-30 minit.
1. Fɔs, dɛn go tɔn yu pan yu bɛlɛ pan bed ɛn mek yu ledɔm.
2. Dɔn di dɔktɔ klin di say we dɛn injɛkshɔn fayn fayn wan ɛn put wan antisɛptik.
3. Neks, wan smɔl nidul go mek di say nɔ gɛt bɛtɛ trɛnk . Dis we ya, yu nɔ go fil bɔku pen we di big nidul injɛkt di mɛrɛsin.
4. afta dat, we dεn yuz sכmtin lεk εks-ray mashin (`Fluoroscopy`) , dεn de gayd di nidul insay di εksakכt say (`epidural space`). I rili impɔtant fɔ mek yu stil de muf insay dis tɛm.
5. We di nidul de na di rayt pozishɔn, sɔm tɛm dɛn kin injɛkt wan wata we dɛn kɔl kɔntrast ɛn dɛn kin wach aw di mɛrɛsin de skata pan skrin.
6. Fכ finish, dεn go injεkt di stεroyd mεdikeshכn insay di vein. Dis tɛm ya, yu kin fil lɛk se yu de swɛt ɔ yu de fil smɔl smɔl. Dis na nɔmal tin.
7. Afta di injεkshכn, dεn go put wan kכtכn pan di εria εn dεn go put plasta. Afta dat, dɛn go tɛl yu fɔ rɛst fɔ sɔm tɛm ɛn sɛn yu na os if prɔblɛm nɔ de.
Ɛni sayd ɛfɛkt ɛn risk de afta di injɛkshɔn?
Jɔs lɛk ɛni ɔda tritmɛnt, smɔl smɔl sayd ɛfɛkt dɛn de ɛn siriɔs risk dɛn we nɔ kin apin so ɔltɛm.
| Di kayn risk we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Smɔl smɔl ɛn kɔmɔn sayd ɛfɛkt dɛn | |
| Di pen we de go ɔp fɔ sɔm tɛm | Di pen kin go ɔp smɔl fɔ 2-3 dez te di mɛrɛsin bigin fɔ wok. Dis na nɔmal tin. |
| Di shuga na di blɔd we de go ɔp | If yu gɛt dayabitis, yu blɔd shuga kin go ɔp fɔ sɔm dez. |
| Pen na di say we dɛn injɛkshɔn | Smɔl pen ɔ brus kin de na di say we dɛn put di nidul. |
| Siriɔs risk dɛm wae kin apin smɔl smɔl | |
| Di ed we de at bad bad wan | If di nidul aksidɛntli go na di say we di spɛshal wata de, i kin mek yu ed at bad bad wan we kin kam pan yu we yu grap. |
| Infεkshכn dεm | Na smɔl tɛm nɔmɔ, jem kin kam insay ɛn mek pɔsin gɛt infɛkshɔn. |
| Blɔd we de kɔmɔt | Wan blɔd vesel kin pwɛl ɛn wan blɔd klɔt (hematoma) kin fɔm na di spaynal kɔd. |
| Nɛv dɛn we dɔn pwɛl | Na smɔl tɛm nɔmɔ, wan nerv kin pwɛl. |
Mɛmba se dɛn siriɔs prɔblɛm ya nɔ kin apin so ɔltɛm, mɔ we dɔktɔ we tren ɛn we sabi du dɛn wok de du dɛn.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya we yu rich na os afta di injɛkshɔn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Bɔrku ed we kin kam pan yu we yu tinap ɔ sidɔm (dis kin stɔp we yu ledɔm).
- Fiva ɔ stif nɛk.
- Nɔ ebul fɔ kɔntrol di urine ɔ stɔl.
- Fɔ fil se yu leg dɛn nɔ de fil fayn ɔ yu wik .
Nɔ ignore dɛn sayn ya.
Mɛsej we dɛn kin kɛr go na os
- ESI na fɔ sɔm tɛm rilif fɔ bak ɛn nɛk pen, nɔto tritmɛnt we de mɛn di sik ɔltogɛda.
- I rili impɔtant fɔ tek advantej pan di pen rilif we dis de gi ɛn du ɛksaktɔli wetin yu dɔktɔ se, lɛk fisiotɛrapi.
- We dɔktɔ we gɛt ɛkspiriɛns ɛn we sabi du dis tritmɛnt, di prɔblɛm dɛn we kin apin we pɔsin gɛt siriɔs prɔblɛm kin rili smɔl.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni fred ɔ dawt we yu gɛt bifo di injɛkshɔn.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta di injɛkshɔn, go to dɔktɔ wantɛm wantɛm.
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