Lɛ wi lan ɔltin bɔt di spɛshal injɛkshɔn fɔ di shɔl pen (Femoral Nerve Block) .

Yu de kam fɔ du ɔpreshɔn pan yu hip ɔ yu ni? Ɔ yu de fil pen we yu nɔ go ebul fɔ bia bikɔs ɔf aksidɛnt lɛk we yu leg brok? Dɔn yu dɔktɔ kin dɔn tɛl yu bɔt "Femoral Nerve Block." Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, fɔ tru, dis na we we rili yusful ɛn we nɔ bad fɔ kɔntrol di pen. Lɛ wi tɔk bɔt am jɔs tide.

Wetin na di Fɛmɔral Nɛv Blɔk?

Fɔ tɔk am simpul wan, Femoral Nerve Block na injɛkshɔn fɔ wan mɛrɛsin we de mek yu nɔ fil pen nia wan big nerve na yu shɔl. Wi kin kɔl dis nerv di ‘femoral nerve.’ Dis na wan pan di big big nerv dɛm na yu leg. Jɔs lɛk di ilɛktrik waya dɛn we de na wi os, dis nɛv kin kɛr mɛsej dɛn frɔm yu leg to yu bren ɛn bak to yu leg.

Dis nerv gɛt tu men wok dɛn:

1. Mɔta wok: I de ɛp yu fɔ muv yu hip, yu leg, yu anklɛ, ɛn yu fut.

2. Sensory function: Na di ebul fɔ fil tin lɛk fɔ tɔch, pen, ɔt, ɛn kol.

Naw imajin se di dɔktɔ injɛkt wan mɛrɛsin we de mek pɔsin nɔ fil fayn nia dis nerv. Wetin kin apin na, lɛk fɔ ɔf ilɛktrik switch, di pen signal dɛn we de go tru da nɛv de to di bren kin stɔp fɔ sɔm tɛm. Na dat wi kin kɔl ``analgesia'' ɔ ``regional anesthesia.'' Yu nɔ go fil ɛni pen we di mɛrɛsin de tek ɛfɛkt. Dɔn bak, di mɔsul dɛn we de na da say de kin wik fɔ sɔm tɛm.

Usay dɛn kin gi dis vaysin?

Dɛn kin gi dis shot na di midul pan yu ɔp pat pan yu shɔl, nia yu bɛlɛ. yu fimoral nεv kכmכt frכm wan grup fכ nεv dεm we de stat na yu lכw bכk (di `lumbar plexus`). So yu dɔktɔ go gi yu dis shot bay we i de luk fɔ di rayt say along di rod we di nerve de tek dɔŋ yu shɔl.

Wetin na di yus dɛm fɔ wan Femoral Nerve Block?

Dɛn kin yuz dis we fɔ du tin mɔ pan tu tin dɛn. Wan na fɔ mek pɔsin nɔ fil fayn fɔ ɔpreshɔn, ɛn di ɔda wan na fɔ kɔntrol di pen if aksidɛnt apin.

Imajin se sɔmbɔdi fɔdɔm ɛn brok dɛn hip. We dɛn kɛr dɛn go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU), dɛn kin tek ɛkstrem rayt, ɛn ivin we dɛn muv dɛn leg, dat kin mek dɛn fil pen we dɛn nɔ go ebul fɔ bia. If na so i bi, dɔktɔ dɛn kin yuz dis nerve block fɔ mek i izi fɔ chɛk di pɔsin ɛn riset di bon we dɔn brok.

Aw yu fɔ rɛdi fɔ dis?

di we aw yu de pripia fכ dis kin difrεn sכmtεm dipכnt pan di rizin we mek dεn de gi yu dis nεv blכk.

• If na imejensi: Yu nɔ nid fɔ pripia ɛnitin patikyula. Di mɛdikal tim na di ETU go tek kia ɔf ɔl wetin yu nid.
• Fɔ di ɔpreshɔn we yu dɔn plan fɔ du: Yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn. Fɔ ɛgzampul, dɛn kin aks yu fɔ fast (nɔ it ɔ drink ɛnitin pas wata) fɔ sɔm awa bifo dɛn du di ɔpreshɔn. Dɛn kin aks yu bak fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn fɔ sɔm tɛm. I rili impɔtant fɔ mek yu fala dɛn instrɔkshɔn dɛn ya di rayt we.

Wetin kin apin we dɛn gi dis nerve block?

A go ɛksplen to una smɔl aw dis prɔses de apin.

1. Fɔs, dɛn go mek yu ledɔm fayn fayn wan na bed.

2. Fɔ ridyus yu frayd ɛn wɔri, ɛn fɔ ɛp yu fɔ rilaks, yu kin gi smɔl mɛrɛsin fɔ mek yu fil fayn (`sedative`) tru di salin kanula (`IV line`) na yu an.

3. Ɔl dis tɛm, di mɛdikal tim go de wach yu wɛlbɔdi. Dɛn go kɔntinyu fɔ mɛzhɔ tin dɛn lɛk yu blɔd ɔksijɛn lɛvɛl (pulse oximeter), at rit (EKG), ɛn blɔd prɛshɔn.

4. Neks, di dɔktɔ go fɛn di rayt say we di fimoral nerve de. Bɔku tɛm dɛn kin du dis bay we dɛn de yuz ɔltra saund mashin . Jɔs lɛk aw dɛn kin skan pikin, dis mashin kin si klia wan di nɛv we de insay yu leg. Sɔntɛnde, dɛn kin yuz wan tin we de mek pɔsin gɛt nerve stimulator.Dɛn kin yuz bak wan tin we dɛn kɔl stimulator. wetin de apin ya na dat, dεn de sεnd sכm sכm sכm ilektrikal signal dεm to di nεv tru wan sכmכl nidul. Dɔn di mɔsul dɛn na yu ni kin twitch smɔl. Dat kin mek di dɔktɔ kɔnfɔm se na di rayt nerve.

5. We dεn dכn fכnshכn di rayt say, dεn fכs injεkt sכm mεdisin fכ numb di εria usay dεn go put di nεv blכk nidul. Dis go mek yu nɔ fil bɔku pen. I kin tan lɛk se dɛn de chuk am smɔl.

6. Fɔ dɔn, dɛn kin injɛkt di men anestetik rayt nia di nɛv. Sɔntɛnde, dɛn kin du am wit jɔs wan injɛkshɔn. Bɔt if yu want fɔ kɔntinyu fɔ kɔntrol di pen afta dɛn dɔn ɔpreshɔn yu, dɛn kin put wan tiub we rili tan ɛn we kin chenj we dɛn kɔl kateta insay di say ɛn tep am na di skin wit plasta. Dɔn di tiub kin kɔntinyu fɔ kɛr di mɛrɛsin go insay di bɔdi smɔl smɔl.

Wetin na di bɛnifit dɛn we dis kin gɛt?

di men advantej fכ fεmoral nεv blכk na dat dεn kin yuz am fכ kכntrכl pen fayn fayn wan.

Apat frɔm dat, wan ɔda impɔtant bɛnifit de. dat min se i kin minimiz di yus כf strכng pen kil dεm na di `opioid` grup (e.g. mכfin, tramadol). Bikɔs dɛn `opioid` drɔgs ya gɛt risk fɔ adikshɔn ɛn dɛn kin mek yu gɛt sayd ɛfɛkt lɛk nɔs, vɔmit, ɛn kɔnstipɛshɔn, i rili fayn fɔ ridyus dɛn yus. Bikɔs ɔf dis nerve block, yu kin ebul bak fɔ go na os frɔm ɔspitul kwik.

Risk ɛn prɔblɛm dɛn de we kin apin?

Jɔs lɛk ɛni ɔda tritmɛnt, di prɔblɛm dɛn we kin apin kin rili smɔl. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm. Dat min se dɛn nɔ kin apin bɔku tɛm. Bɔt i impɔtant fɔ mek wi no.

• Nεv dεm we dεn dכn pwεl: Dis kin bi fכ sכm tεm כ, i nכ kin bכku, fכ tεm.
• Alɛji riakshɔn to di drɔg.
• Ɛmatoma: Smɔl blɔd kin gɛda ɔnda di skin usay di nidul bin go insay.
• Sik we de prɛd.
• Lokal Anestetik Sεstεmik Tכksisiti: Dis na rili rεs bכt siriכs riakshכn to lokal anεsthεtik. Bɔt nɔ wɔri, yu mɛdikal tim rɛdi fɔ trit am ɛnitɛm.

Aw lɔng dis numbness go las?

Di tɛm we dis nɔr kin te kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔku tin dɛn de we kin afɛkt am. Dis tɛm na tin dɛn lɛk di kayn drɔg we dɛn yuz, di kayn mɛrɛsin we dɛn de yuz, ɛn aw i fɔ gɛt. Bɔku tɛm, i kin las frɔm sɔm awa to lɛk 24 awa so. Dipen pan yu kɔndishɔn, yu kin aks yu dɔktɔ fɔ no mɔ bɔt dis.

Us tɛm a fɔ kɔl di dɔktɔ?

Afta yu dɔn go na os frɔm ɔspitul, if yu gɛt ɛni nyu sayn ɔ prɔblɛm we gɛt fɔ du wit di nerve block , kɔl yu dɔktɔ wantɛm wantɛm.

Tek tɛm mɔ bɔt dɛn tin ya:

• If swel, rɛd, ɔ pus de na di say we dɛn injekt (dɛn tin ya kin bi sayn fɔ se yu gɛt di sik).
• If yu gɛt pen ɔltɛm, yu de swɛla, ɔ yu leg wik, lɛk we yu de bɔn .

di fimoral nerve block na wan rili gud ɛn sef we fɔ kɔntrol di pen. If yu stil gɛt ɛnitin fɔ wɔri bɔt ɔ dawt bɔt dis, tɔk to yu dɔktɔ bɔt am opin wan. I go ansa ɔl yu kwɛstyɔn dɛn.