Imajin se yu ɔ pɔsin we yu sabi de kam fɔ ɔpreshɔn yu leg, mɔ yu ni ɔ yu shɔl. Ɔ, lɛ wi se yu gɛt sik wantɛm wantɛm ɛn yu shɔl bon brok. Tide wi go tɔk bɔt wan spɛshal we we dɔktɔ dɛn kin yuz fɔ kɔntrol di bad bad pen we yu kin fil na dis tɛm. dis dεn kכl am 'Femoral Nerve Block'. Yu kin fil fɔ fred smɔl we yu yɛri bɔt dis, bɔt fɔ tru, na tin we rili sef ɛn we dɛn kin yuz ɔltɛm.
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Wetin na Femoral Nerve Block insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, dis na we yu injɛkshɔn wan mɛrɛsin we de mek yu nɔ fil pen na di say we yu de na yu shɔl we dɛn kɔl di fimoral nerve. Dis kin mek yu nɔ fil pen fɔ sɔm tɛm (analgesia) ɔ yu kin mek di say we dɛn de du ɔpreshɔn nɔ fayn (rijinol anestezi). Dis kin bi wan tɛm injɛkshɔn, ɔ dɛn kin gi am fɔ sɔm tɛm.
Wan pan di big big nerv dεm na yu leg na di femoral nerve . I de rɔn dɔŋ di fɔs pat pan yu shɔl. Dis nerve 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: I de mek yu fil tin lɛk fɔ tɔch, pen, ɔt, ɛn kol.
We yu gɛt fimoral nerve block, di pen signal dɛm to yu bren kin blok fɔ sɔm tɛm. Bɔt yu kin fil fɔ sɔm tɛm we yu thigh ɛn hip flexor mɔsul dɛn de swɛla we di mɛrɛsin de bigin fɔ wok.
Us tɛm dɛn kin gi dis vaysin?
Dɔktɔ dɛn kin yuz dis we mɔ pan tu tin dɛn: fɔ mek di say we dɛn de du di ɔpreshɔn nɔ gɛt bɛtɛ trɛnk ɛn fɔ kɔntrol di pen we i gɛt ɛnitin fɔ du wit am.
| Yuz sɛnɛriɔ | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Rijinal Anestesia fɔ Ɔpreshɔn | We dɛn de du ɔpreshɔn pan di hip ɛn ni, dɛn kin yuz dis we fɔ mek di say nɔmɔ nɔ gɛt bɛtɛ trɛnk ɛn dɛn nɔ kin anestez am ɔl. Ɛgzampul dɛn:
|
| Fɔ ridyus pen we pɔsin kin gɛt siriɔs aksidɛnt (Analgesia) . | Dis kin rili yusful fɔ kɔntrol pen we pɔsin frayd bad bad wan we aksidɛnt apin. Bɔku tɛm dɛn kin du dis na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). Ɛgzampul dɛn: |
Insay sɔm ɔpreshɔn, dɔktɔ dɛn kin disayd fɔ jɔyn dis blɔk wit ɔda kayn nerv blɔk (e.g., sciatic block) ɔ jenɛral anestezi.
Aw dis prɔses kin apin?
Natin nɔ de fɔ wɔri bɔt ɔ fɔ fred. Dis na aw dis prɔses kin woke.
- Fɔs, dɛn go mek yu ledɔm na bed.
- Dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn tru wan IV layn fɔ ɛp yu fɔ rilaks ɛn fil se yu dɔn mek yu fil fayn smɔl.
- Di mɛdikal tim go wach yu wɛlbɔdi ɔl di tɛm we dɛn de du di prɔsidyu, inklud fɔ wach yu ɔksijɛn lɛvɛl (wit puls ɔksimita), at rit (wit EKG), ɛn blɔd prɛshɔn.
- Neks, di dɔktɔ go fɛn di rayt say fɔ gi di injɛkshɔn. Dɛn kin du dis bay we dɛn de yuz ɔltra saund skan .
- Sɔntɛnde, dɛn kin yuz smɔl mashin we dɛn kɔl nerve stimulator. Dis kin yuz wan smɔl nidul we dɛn kin put nia di nɛv ɛn sɛn ilɛktrik signal, we kin mek di dɔktɔ no di rayt say we di nɛv de we di mɔsul dɛn na di ni de shek shek.
- Dɔn bifo dɛn gi di nerve block injection, dɛn kin injekt smɔl mɛrɛsin fɔ mek di say nɔ gɛt bɛtɛ trɛnk . So yu nɔ go fil bɔku pen, ɛn yu kin fil smɔl we di nidul go insay.
- Fɔ dɔn, dɛn kin injɛkt di mɛrɛsin we de mek di nerv blɔk na di rayt say we dɛn dɔn no. If nid fɔ kɔntinyu fɔ gi am, dɛn kin put wan tint tiub we kin chenj we dɛn kɔl kateta nia di nɛv ɛn tay am wit plasta na di skin.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit dɛn de ɛn sɔm prɔblɛm dɛn we nɔ kin apin so ɔltɛm.
Men Bɛnifit dɛn
Di big bɛnifit fɔ dis we na dat i kin rili ebul fɔ kɔntrol di bad bad pen we pɔsin kin gɛt bikɔs ɔf ɔpreshɔn ɛn aksidɛnt.
- Nɔ yuz strɔng mɛrɛsin fɔ mɛn pen:Dis mεtכd de ridyus dipεndεns pan strכng pen kil dεm lεk mכfin (Opioids). Dis na big ɛp fɔ avɔyd di sayd ɛfɛkt dɛm we opioid kin gɛt, we kin mek pɔsin adikshɔn.
- Fɔ ebul fɔ kɔmɔt na ɔspitul kwik: Bikɔs dɛn kin kɔntrol di pen fayn fayn wan, yu kin ebul fɔ go na os frɔm ɔspitul kwik kwik wan.
Risk dɛn we nɔ kin apin so ɔltɛm
Dis na tin wae nɔr kin bɔrku, bɔt i impɔtant fɔ no.
- Di nerve damej fɔ sɔm tɛm ɔ fɔ ɔltɛm.
- Alɛji riakshɔn to di mɛrɛsin.
- fכmeshכn fכ wan bכdi kכlכt (hεmatoma) na di say we dεn injεkt.
- Infεkshכn na di say we dεn injεkt.
- Risk fɔ fɔdɔm: Dis na sɔntin we yu fɔ no bɔt. Bikɔs di blɔk de mek di mɔsul dɛn na di shɔl wik, i kin izi fɔ lɛ pɔsin fɔdɔm smɔl we i grap ɛn waka afta dɛn dɔn du di ɔpreshɔn. So, di mɛdikal tim go tich yu aw fɔ mek yu nɔ fɔdɔm.
- Lokal Anestetik Sεstεmik Tכksisiti na wan rili rεs bכt i kin bi siriכs riakshכn. Bɔt nɔ wɔri , yu mɛdikal tim dɔn rɛdi fɔ trit am if i apin.
Aw lɔng dis numbness go las?
Aw lɔng dis nɔrbɔdi kin te kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔku tin dɛn de we kin afɛkt am. Fɔ ɛgzampul, di kayn mɛrɛsin we dɛn de yuz, di doz, ɛn di trɛnk we i gɛt de sho aw lɔng i go las. Dipen pan yu situeshɔn, yu kin gɛt klia aidia bɔt dis frɔm yu dɔktɔ.
Sɔntɛnde, dis blɔk nɔ kin wok lɛk aw dɛn bin de tink. If dis apin, yu mɛdikal tim go ɛp yu fɔ fɛn ɔda we fɔ kɔntrol yu pen.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni nyu sayn ɔ prɔblɛm afta di blɔk, kɔl yu dɔktɔ wantɛm wantɛm . Yu fɔ no mɔ bɔt dɛn tin ya:
- Sayn dεm fכ infεkshכn (swεla, rεd, fiva) na di say we dεn injεkt.
- Prɔblɛm na di nerve (pen lɛk bɔn, wik ɔltɛm ɔr nɔr de fil fayn).
Mɛsej we dɛn kin kɛr go na os
- di fεmoral nεv blכk na wan we we rili sef εn we de wok fכ kכntrכl pen we dεn de du כpεrayshכn na di kכn εn hip εn injuri.
- dis kin mek di fimoral nerve de deaktiv, we de mek di fכnt pat pan di thigh nכm fכ sכm tεm.
- Dis kin ridyus di yus fɔ strɔng pen kil (opioid).
- As di mɔsul dɛn go wik fɔ sɔm tɛm we di blɔk de wok, tek tɛm fɔ protɛkt yusɛf frɔm fɔdɔm. Di mɛdikal tim go tɛl yu bɔt dis.
- If yu gɛt ɛni kwɛstyɔn bɔt dis prɔses, nɔ fred fɔ aks yu dɔktɔ.
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