Yu gɛt mama ɔ papa we dɔn ol na yu famili we de sɔfa wit pen na in ni? Ɔ sɔntɛm yusɛf de sɔfa wit dis pen? Di wan dɛn we no no aw i kin vɛks fɔ gɛt ni we de at we kin mek i nɔ izi fɔ klaym stej, waka smɔl, ɔ go na tɛmpul. Ivin we yu tek difrɛn mɛrɛsin ɛn put difrɛn ɔyl, sɔntɛnde dis pen nɔ kin stɔp. If dɛn kayn tin ya apin, wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin se.
Fɔ tɔk am simpul wan, wetin na Jɛnikul Nɛv Blɔk?
I rili simpul. Wan genicular nerve block involv fɔ injekt wan pen kil nia sɔm nerves we de sɛn pen to yu ni. jכs lεk fכ כf layt switch, dis injεkshכn de sכt כf di "nεv waya" dεm we de kכri pen frכm yu kכn to yu bren fכ sכm tεm. Dis kin mek yu nɔ fil pen fɔ sɔm tɛm. Sɔntɛnde, dis rilif kin te fɔ lɔng tɛm.
Naw lɛ wi luk di nɛf dɛn we de rawnd dis ni. Wi knee joyn dεn sheb to branch dεm we kכmכt frכm difrεn men nεv dεm fכ wok fayn fayn wan. Dɛn men nerv dɛn de na:
- Femoral nerve we de na di bɔdi
- Kכmכn pεrכnial nεv
- Saphenous nerve we de mek pɔsin gɛt saphenous
- Tibial nerve we de na di bɔdi
- Obturator nerve we de mek pɔsin nɔ ebul fɔ blo
di sכm sכm branch dεm we de branch kכmכt frכm dεn nεv dεm ya we de rawnd di kכn dεn kכl dεm "Genicular Nerves." Di wɔd "Genicular" rili min "rilayt to di ni." na dεn nεv dεm ya de sεnd sεns dεm na di kכn, spεshal pen, to di bren. di dכkta dεm de mεntal tכk bכt dεn fכ Jεnikul nεv dεm we dεn gi dis injεkshכn.
1. Suparolateral jεnikular nεv (SLGN) .
2. di supεrכmεdial jεnikul nεv (SMGN) .
3. Infεromedial jεnikular nεv (IMGN) .
4. Infεrolateral jεnikular nεv (ILGN) .
Bɔt na smɔl tin de ya. Na tri pan dɛn 4 ya nɔmɔ dɔktɔ dɛn kin injɛkt. dεn nכ de injεkt di las wan , di Inferolateral genicular nerve (ILGN) . di rizin fכ dat na dat da nerve de de rili nia di Common peroneal nerve, we imכtant fכ di muvmεnt fכ wi fut. If dɛn injekt am di rɔŋ we, i kin mek wan kɔndishɔn we dɛn nɔ go ebul fɔ es di fut, dat na sɔntin lɛk (Foot Drop) , so dɛn kin avɔyd da nerv de fɔ sef.
Udat dis tritmɛnt fayn fɔ?
tu men rizin dεm de fכ yuz di jεnikul nεv blכk.
1. Riliv di pen we yu kin gɛt na yu ni fɔ lɔng tɛm
If yu dɔn de gɛt pen na yu ni fɔ lɔng tɛm, na wan sik we wi kin kɔl (Chronic knee pain) . Dis kin bi bikɔs ɔf injuri na in ni ɔ, bɔku tɛm, (Knee Osteoarthritis) , we na di we aw di ni jɔyn kin west ɛn te. If yu dɔn tray fɔ gɛt fizik tritmɛnt, tek pen kil (NSAID), ɛn gɛt stɛroyd injɛkshɔn na yu ni, bɔt di pen nɔ dɔn stɔp, yu dɔktɔ kin tɛl yu bɔt dis Jɛnikul nɛv blɔk.
Imajin yu mama in ni dɛn dɔn pwɛl, i nɔ ebul fɔ slip fayn na nɛt, i de ala bikɔs i de fil pen. Fɔ tek mɛrɛsin kin ɛp fɔ shɔt tɛm nɔmɔ. Dis injεkshכn kin gi bכku rilif to da kayn pכsin de.
2. Manej di pen afta yu dɔn ɔpreshɔn yu ni
Sɔm pipul dɛn kin gɛt fɔ du Total Knee Arthroplasty , we na ɔpreshɔn fɔ chenj di wan ol ni jɔyn. Fɔ kɔntrol di pen we kin apin afta dɛn dɔn du dis kayn big ɔpreshɔn, di dɔktɔ we de anestez ɔ ɔpreshɔn kin gi dis injɛkshɔn bifo di ɔpreshɔn. Dɛn kin gi dis apat frɔm di jenɛral anestezi.
Wetin yu fɔ du bifo yu gɛt di vaysin?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Bɔt sɔm tɛm dɛn de, yu dɔktɔ kin disayd fɔ gi yu sɔm mɛrɛsin fɔ mek yu fil fayn (wan mɛrɛsin we nɔ de mek yu fil fayn). If yu du dis, dɛn go aks yu fɔ fast fɔ lɛk 6 to 8 awa so. Dɛn go aks yu bak fɔ mek sɔmbɔdi drayv yu go na os , bikɔs yu nɔ go ebul fɔ drayv da de de.
Bɔt yu dɔktɔ go ɛksplen ɔl dis to yu klia wan. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs. Nɔ ɛva fred fɔ aks if yu gɛt ɛni kwɛstyɔn.
Wetin kin apin we dɛn de gi di vaysin? Mek wi tek wan step-by-step luk pan am.
Dɛn kin du dis tritmɛnt pan ɔutpatient. Dis min se yu nɔ nid fɔ de na ɔspitul, ɛn yu kin go na os we dɛn dɔn du di prɔsidyu. I kin tek lɛk 5 to 10 minit so.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ pripia | Dɛn go put yu na spɛshal bed we yu es yu an ɔp. Dɛn go put smɔl pilo ɔnda di ni we de pen ɛn yu ni go bɛn smɔl. If nid de, dɛn kin injekt salin sɔlvushɔn na yu an fɔ gi yu wan mɛrɛsin we de mek yu fil fayn. |
| 2. Fɔ klin di skin | Dɛn kin klin di skin we de rawnd di ni fayn fayn wan wit wan antiseptik. |
| 3. Di skin we de mek yu bɔdi nɔ gɛt bɛtɛ trɛnk | Bifo di men injεkshכn, dεn kin gi sכm injεkshכn (lokal anεsthεtik) fכ mek di εria nכm. Dis tɛm ya, yu kin fil lɛk se ant bit yu. |
| 4. Fɔ fɛn di rayt ples | Di dɔktɔ kin yuz spɛshal tin dɛn fɔ fɛn di rayt say we di nerve de. Dɛn kin du dis bay we dɛn yuz ɔltra saund skan ɔ wan kayn ɛkstrem rayt we dɛn kɔl fluoroscopy . Dis tan lɛk we yu de luk insay yu ni tru TV skrin. Dis kin mek dɛn ebul fɔ gi di injɛkshɔn na di rayt say. |
| 5. Men vaksin | Afta we di dɔktɔ dɔn fɛn di rayt say, i kin injɛkt mɛrɛsin we de mek pɔsin fil pen nia di nerv dɛn. |
| 6. Fɔ wach di pɔsin | Afta di injɛkshɔn, dɛn go wach yu fɔ lɛk 15-30 minit fɔ mek shɔ se di mɛrɛsin de wok ɛn se yu nɔ de gɛt ɛni ɔda sayd ɛfɛkt. Afta dat, dɛn go alaw yu fɔ go na os. |
Wetin na di bɛnifit dɛn we dis vaysin gɛt?
Yu kin gɛt sɔm bɛnifit frɔm wan genicular nerve block.
- Fɔ mek yu nɔ fil pen: Di pen kin dɔn fɔ sɔm tɛm ɔ sɔntɛm fɔ ɔltɛm, ɛn dis kin mek yu ebul fɔ du di tin dɛn we yu kin du ɛvride izi wan .
- Ridyus swel: Di swel na di nerves de ridyus, i de ɛp dɛn fɔ wɛl.
- Sɔlv fɔ Pɔst-Ɔpreshɔn Pen: Na gud sɔlv fɔ pen afta dɛn dɔn ɔpreshɔn yu ni.
- Wan ɔda we fɔ di wan dɛn we nɔ ebul fɔ du ɔpreshɔn: Fɔ di wan dɛn we nɔ ebul fɔ du ɔpreshɔn pan dɛn ni bikɔs ɔf ɔda wɛlbɔdi prɔblɛm, dis na fayn we fɔ mɛn di pen.
Di impɔtant tin na dat nɔto ɔlman kin gɛt di sem tin. Sɔm pipul dɛn kin fil fayn insay sɔm awa. Fɔ ɔda pipul dɛn, i kin tek tu wiks fɔ mek di stɛroyd rili wok. Smɔl chans de fɔ mek sɔm pipul dɛn nɔ gɛt ɛni rilif atɔl.
If yu pen dɔn ridyus bad bad wan afta dis injɛkshɔn, yu dɔktɔ kin tɛl yu fɔ du Genicular Nerve Ablation (GNA) as di nɛks tin we yu fɔ du.Dɛn kin tɔk bɔt wan tritmɛnt we dɛn kɔl GNA. I de yuz redio frikshɔn fɔ mek dɛn nerv ya nɔ wok fɔ lɔng tɛm. GNA tritmɛnt kin ɔltɛm gi ɛp fɔ mek yu nɔ fil pen fɔ lɛk 18 mɔnt.
Ɛni risk ɔr kɔmplikeshɔn de wit dis?
Sɔm brus ɔ pen kin de na di say we dɛn injekt, bɔt dis kin stɔp insay tu dez.
Big big prɔblɛm dɛn nɔ kin apin so ɔltɛm , bɔt lɛk ɛni vaysin, sɔm risk dɛn de we fayn fɔ no bɔt.
- Infεkshכ n na di say we dεn injεkt.
- Blɔd we de kɔmɔt na di say we dɛn injɛkshɔn.
- Aksidɛntal injɛkshɔn fɔ mɛrɛsin insay wan blɔd vesel .
- Aksidɛntli injɛkt mɛrɛsin na di ni jɔyn .
- di fut dכp (inability fכ es di fut) kin apin we di kכmכn pεrכnial nεv, we wi bin tכk bכt, dεn dכn pwεl.
Di chans fɔ mek dɛn tin ya apin rili smɔl bikɔs dɔktɔ dɛn kin yuz tɛknɔlɔji lɛk skan ɛn dɛn kin tek tɛm du dis tritmɛnt.
A kin waka afta a dɔn gɛt di vaysin?
Yɛs, yu kin ebul. Yu kin waka kɔmɔt na di rum afta di tritmɛnt dɔn. Bɔt i bɛtɛ fɔ lɛ yu rɛst fɔ sɔm tɛm da de de. Dɔn yu kin go bak to di tin dɛn we yu kin du ɔltɛm.
Aw lɔng dis pen rilif go las?
Dis kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Di pen kin te fɔ sɔm dez, sɔm wiks, sɔm mɔnt, ɔ ivin ia. Bɔt, di rilif kin las fɔ lɛk 3 mɔnt .
Ustɛm a fɔ kɔl di dɔktɔ?
If yu gɛt nyu simptom ɔ kɔmplikeshɔn afta yu dɔn blok di jɛnɛral nɛv , kɔl yu dɔktɔ wantɛm wantɛm . Yu fɔ no mɔ bɔt dɛn tin ya:
- If di say we dɛn injɛkshɔn de rɛd, swɛlin, ɔ wam (sayn dɛn fɔ se yu gɛt di sik).
- If blɔd kɔntinyu fɔ kɔmɔt na di say we dɛn injekt am.
- If yu fil se yu leg dɛn de bɔn, yu de swɛ, ɔ yu wik pasmak.
Dis tritmɛnt kin bi gud sɔlv fɔ yu ni pen. Bɔt di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. If yu gɛt ɛnitin fɔ wɔri ɔ dawt bɔt dis injɛkshɔn, tɔk to yu dɔktɔ bɔt am opin wan. I go ebul fɔ ansa ɔl yu kwɛstyɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- Genicular Nerve Block na injεkshכn tritmεnt we de gi rilif frכm krεse kכn pen, nia di nεv dεm we de rawnd di kכn.
- Dis na fayn tin fɔ di wan dɛn we dɛn nɔ dɔn pul dɛn pen bay ɔda tritmɛnt (mɛdikeshɔn, fizik tritmɛnt) ɛn fɔ pen we kin apin afta dɛn dɔn ɔpreshɔn dɛn ni.
- Dis na simpul tritmɛnt wae yu kin dɔn insay lɛk 10 minit, ɛn yu kin go na os ɛn nɔr nid fɔ de na ɔspitul.
- Di rizɔlt kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn pan avɛj, dɛn kin ɛkspɛkt fɔ lɛ yu fil pen fɔ lɛk 3 mɔnt.
- Di risk fɔ gɛt prɔblɛm dɛn rili smɔl, bɔt if yu gɛt ɛni ɔda kayn sayn afta yu dɔn gɛt di vaysin, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni dawt, tɔk to yu dɔktɔ bifo yu gɛt tritmɛnt ɛn sɔlv ɔl di tin dɛn we de mɔna yu.
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