We yu de kam bɔn ɔ du big ɔpreshɔn, i kin mek yu fred smɔl we di dɔktɔ tɛl yu se yu go nid fɔ gɛt epidural. Bɔku pipul dɛn kin fred we dɛn yɛri di wɔd "epidural" ɛn na injɛkshɔn na di bak. Bɔt wetin rili na epidural? Wetin i de du? Na sɔntin we wi fɔ fred? Lɛ wi ɔndastand dis klia wan ɛn simpul wan.
Fɔ tɔk am simpul wan, wetin na epidural?
Epidural na injεkshכn insay di spεs we de rawnd di nεv dεm na yu spayna (di epidural spεs) . Dɛn nɔ de injɛkt am dairekt insay di spɛshal kɔd. Dɛn kin jɔs injɛkt am na di ples we de rawnd am. Dɛn kin yuz am mɔ fɔ kɔntrol di pen.
Na sɔm kes dɛm we dɛn kin yuz dis:
- Kɔntrol di pen we pasmak we yu de bɔn pikin .
- Numb di eria (anesthetize) bifo di ɔpreshɔn.
- Ridyus di pen afta dɛn dɔn du di ɔpreshɔn.
- As tritmɛnt fɔ chrɔnik bak pen we kin kam wit kɔndishɔn lɛk wan hεnia disk.
Wetin na di kayn epidural dɛm?
Tu men kayn epidural de we dɔktɔ dɛn kin yuz, i kin dipen pan wetin yu nid.
| Di kayn epidural we dɛn kin yuz | Diskripshɔn ɛn aw fɔ yuz am |
|---|---|
| Epidural Anestesia we dɛn kin yuz fɔ mɛn pipul dɛn | Dis kin min fɔ injekt wan anestetik fɔ mek yu nɔ fil pen ɛn fɔ mek yu fil fayn. Dɛn kin yuz am fɔ mek pɔsin nɔ fil pen we i de bɔn pikin ɛn we i de du ɔpreshɔn. |
| Epidural stεroyd injεkshכn (ESI) . | Dis involv fɔ injekt wan kɔtikosterɔyd mɛrɛsin na di nɛv fɔ ridyus di swel ɛn inflamɛns. Bɔku tɛm dɛn kin yuz am fɔ pen we nɔ de dɔn. Di tin dɛn we kin apin kin las fɔ sɔm wik ɔ mɔnt. |
Aw dis kin wok?
Di we aw epidural de wok kin difrɛn difrɛn wan bay di kayn we aw dɛn gi yu.
Epidural anesthesia de blok di transmishכn fכ di pen signal dεm frכm yu spεnal nεv dεm to yu bren fכ sכm tεm. dis min se di nεv dεm de "tכn כf" fכ sכm tεm. Di tɛm we di ɛfɛkt go tek, dipen pan di kayn mɛrɛsin we dɛn gi am.
Wan epidural steroid injection (ESI) de ridyus di swel ɛn prɛshɔn bay we dɛn injekt mɛrɛsin rawnd di inflamed nerves we de mek pen.
Difrɛn we dɛn fɔ gi mɛrɛsin
Dɔktɔ dɛm, bɔku we dɛn de fɔ injekt dis mɛrɛsin na yu bɔdi.
- Single-injection: Dis na wan tɛm injɛkshɔn. Dis na aw dɛn kin gi stɛroyd injɛkshɔn (ESI) bɔku tɛm.
- Epidural wit kateshɔn: Kateshɔn na wan tiub we rili tan ɛn we kin chenj. dis tiub dεn de put am na di epidural spεs εn dεn kin yuz am fכ gi mεdikeshכn כltεm we nid de. Bɔku tɛm dɛn kin yuz dis we we dɛn de bɔn pikin ɛn we dɛn de du ɔpreshɔn we kin tek sɔm awa.
- Patient-Controlled Analgesia (PCA): Dis na we bak fɔ gi pen mɛrɛsin tru kateshɔn. Bɔt yu kin gɛt di mɛrɛsin fɔ mek yu fil pen yusɛf bay we yu prɛs wan bɔtin na wan smɔl tin we de na yu an. Dis kin jɔs gi yu wan sef doz we yu dɔktɔ dɔn disayd, so natin nɔ de fɔ wɔri bɔt.
- Combined Spinal-Epidural (CSE): dεn kin yuz dis mεtכd mכst we dεn de bכn pikin. Sɔm pipul dɛn kin kɔl am bak "walking epidural." Bɔt, yu nɔ go ebul fɔ waka atɔl. Bɔt yu go gɛt sɔm sɛns na yu leg, so yu kin muv rawnd na bed ɛn chenj pozishɔn.
A nid fɔ pripia bifo a du epidural?
Yɛs. Bɔt di tin dɛn we yu nid fɔ du go difrɛn difrɛn wan bay di kayn epidural we yu de gɛt ɛn di rizin fɔ am. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Bɔku tɛm, dɛn kin aks yu fɔ du dɛn tin ya:
- Fast (nɔ it ɛn drink) fɔ sɔm awa bifo di prɔsidyu.
- Stɔp fɔ tek ɛni mɛrɛsin we yu de tek fɔ sɔm tɛm, mɔ di wan dɛn we de mek yu blɔd tan .
- Arenj bifo tɛm fɔ mek sɔmbɔdi kɛr yu go na os afta di ɔpreshɔn.
Wetin kin apin we dɛn gi dɛn epidural?
Dis kin difrɛn bak dipen pan di kayn we aw dɛn gi yu.
If dɛn gi wan injɛkshɔn:
Dɛn go aks yu fɔ ledɔm na yu bɛlɛ. Dɔn di dɔktɔ:
1. Dɛn kin gi smɔl injɛkshɔn fɔ mek di skin we de rawnd di say we dɛn injɛkshɔn de, nɔ gɛt bɛtɛ trɛnk .
2. Dɛn kin yuz fluoroscopy , we na mashin lɛk layf ɛkstrem rayt fɔ mek shɔ se di nidul de go jɔs usay i fɔ de.
3. dεn de put di nidul insay di epidural spεs εn dεn injεkt di mεdisin.
4. Dɛn kin pul di nidul ɛn put smɔl plasta na di say we dɛn injɛkshɔn.
If dɛn put kateshɔn insay:
1. Dɛn go put kanula (IV layn) insay wan vein na yu an fɔ gi yu salin.
2. Dɛn go aks yu fɔ ledɔm na yu sayd, wit yu ni dɛn we yu drɔ go ɔp to yu chɛst, ɔ fɔ sidɔm na chia ɛn ledɔm bifo. dis posishכn go mek di spεs bitwin yu spayna bכku.
3. Di say we dɛn injεkt di injεkshכn de numb.
4. dεn de put di epidural nidul εn dεn de pas di kateshכn (tin tכb) tru am insay di epidural spεs.
5. Dɔn dɛn kin tek tɛm pul di nidul, ɛn na di kateshɔn nɔmɔ lɛf insay.
6. Dɛn kin gi di mɛrɛsin we dɛn nid tru da kateshɔn de.
7. We di nid fɔ tek mɛrɛsin dɔn (afta sɔm awa ɔ sɔm dez), dɛn kin pul di kateshɔn.
Wetin yu de fil rayt naw?
Yu kin fil smɔl pen we yu fɔs gɛt di injɛkshɔn we de mek yu nɔ fil fayn. We dɛn put di epidural nidul, yu kin fil lɛk se yu de swɛt, yu kin fil lɛk yu de swɛla, yu kin bɔn , ɔ yu kin gɛt ilɛktrik shɔk fɔ shɔt tɛm. Sɔm pipul dɛn nɔ kin fil ɛnitin atɔl. Dis diskɔmfɔt go go wans di injɛkshɔn dɔn. Bɔt if yu gɛt shap pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we i de yuz epidural?
Epidural na wan we we rili sef ɛn we go wok fayn fɔ kɔntrol di pen. We dɛn de bɔn pikin, i kin chenj pas ɔda we dɛn fɔ anestez. I nɔ gɛt bɛtɛ sayd ɛfɛkt dɛn bak. Fɔ di wan dɛn we gɛt pen we nɔ de dɔn, i kin ivin avɔyd tin dɛn lɛk ɔpreshɔn if dɛn kɔntrol di pen.
Jɔs lɛk ɔl di mɛrɛsin dɛn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt mɛmba se, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm .
Di prɔblɛm dɛn we kin apin:
- Blɔd we de kɔmɔt na di say we dɛn injɛkshɔn.
- Infεkshכn na di say we dεn injεkt.
- Damej to wan nerve (rili rare).
- Alɛji riakshɔn to di mɛrɛsin.
- lik fכ wata we de rawnd di spεnal kכd (`Sεribrospεnal fכluid lik`). Dis kin mek yu ed pen leta.
Yu tink se di epidural go mek yu gɛt bak pen leta?
Dis na big tin we bɔku pipul dɛn kin fred. Mɛmba se i nɔ kin izi fɔ mek epidural mek yu gɛt bak pen fɔ lɔng tɛm ɔ fɔ lɔng tɛm .
Na nɔmal tin fɔ gɛt pen ɔ brus fɔ sɔm tɛm na di say we dɛn injekt fɔ sɔm dez. Dis go go insay tu to tri dez. Bɔku mama dɛn kin gɛt bak pen afta dɛn bɔn pikin - ilɛksɛf dɛn bin gɛt epidural ɔ dɛn nɔ bin gɛt am . dis na biכs di hip bon dεm εn di ligament dεm we chenj we uman bεlε de ajɔst to dεn nyu posishכn dεm.
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn sayn ya afta yu dɔn du epidural, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu .
| Simptom dɛm fɔ wach fɔ |
|---|
| • Fiva. |
| • SMƆL TƆK: Nɔ ebul fɔ kɔntrol yu urine ɔ stɔl (Urinary incontinence / Fecal incontinence). |
| • SMƆL TƆK: Di leg dɛn kin swɛla ɔ wik kin te pas aw di dɔktɔ tɛl yu. |
| • SMƆL TƆK: Siriv ed pen we kin apin we yu tinap ɔ sidɔm, ɛn i kin stɔp we yu ledɔm. |
Na nɔmal tin fɔ fil fɔ fred we yu yɛri di wɔd "spinal tap." Bɔt epidural na wan we we rili sef ɛn we go wok fɔ mɛn di pen we dɛn kin yuz bɔku bɔku wan ɔlsay na di wɔl. So nɔr frayd fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔr tin wae de mɔna yu bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Epidural na injεkshכn we rili sef εn kכmכn fכ kכntrכl pen.
- dis nכ de gi to di spεnal kכd, bכt to spεshal spεs we de rawnd am (epidural spεs).
- Dɛn kin yuz am fɔ di pen we uman kin gɛt we i bɔn pikin, di pen we dɛn kin du ɔpreshɔn pan, ɛn di pen we kin de fɔ lɔng tɛm.
- Siriɔs sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm. Smɔl sɔri na di say we dɛn injekt fɔ sɔm dez na nɔmal tin.
- Bɔrku tɛm na mistek wae pɔrsin kin tink se epidural kin mek pɔrsin gɛt bak pen fɔ lɔng tɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni dawt ɔ fred we yu gɛt.
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