Yu kin si am bak se i nɔ kin izi fɔ yu fɔ klaym stej, waka smɔl, ɔ du tin dɛn we yu kin du ɛvride bikɔs yu ni pen? Sɔntɛm yu dɔn tek mɛrɛsin fɔ mɛn yu pen, go na fizik tritmɛnt, ɛn du difrɛn tin dɛn, bɔt di pen na yu ni nɔ dɔn stɔp. If na so, tide wi go tɔk bɔt wan spɛshal tritmɛnt we yu dɔktɔ go tɛl yu. Dɛn kɔl dis ‘Jɛnikul Nɛv Blɔk.’
Fɔ tɔk am simpul wan, wetin na Jɛnikul Nɛv Blɔk?
I rili rili simpul. Di jɛnɛral nɛv blɔk na fɔ injɛkt wan mɛrɛsin we de mek yu fil pen na wan patikyula nɛv we de rawnd yu ni we de kɛr pen go na yu bren. Dis injεkshכn de gi rεlif fכ sכm tεm frכm di pen na di ni. Sɔntɛnde, dis rilif kin te fɔ lɔng tɛm. Bɔku tɛm, dɛn kin mek am bay we dɛn miks wan lokal anestetik wit wan stɛroyd.
Bɔku bɔku nerv dɛn de ɛp wi ni jɔyn. pan dεn wan ya, sεvεra big big nεv branch dεm de spre rawnd di kכn. dis sכm sכm nεv branch dεm na dεn wi kin kכl di ‘Jεnikul Nεv dεm’. Speshal, dis na di nerv dɛm wae dɔktɔ dɛn kin target fɔ dis tritmɛnt:
- Suparolateral jεnikular nεv (SLGN) .
- Superomedial jεnikular nεv (SMGN) .
- Infεromedial jεnikular nεv (IMGN) .
we dεn de du dis tritmεnt, pan כl we כda nεv lεk dis de (di Inferolateral genicular nerve - ILGN), dεn nכ de injεkt am. dis na biכs i de rili nia כda big nεv (di Pεronial Nεv) we imכtant fכ di muvmεnt fכ wi leg dεm, so dεn kin du dis fכ mek i nכ pכsibul fכ damej am.
Ustɛm dɛn kin gi dis vaysin?
Tu men rizin de fɔ yuz Jɛnikul Nɛv Blɔk.
1. Kni Pen we nɔ de dɔn: If yu dɔn gɛt pen na yu ni fɔ lɔng tɛm, mɔ bikɔs ɔf wan sik lɛk Knee Osteoarthritis, ɛn if dɛn nɔ bin dɔn kɔntrol di pen wit standad tritmɛnt (lɛk pen kil ɛn fizik tritmɛnt), yu dɔktɔ kin tɛl yu fɔ gi yu dis injɛkshɔn.
2. Fɔ pen afta dɛn dɔn ɔpreshɔn yu ni: Di wan dɛn we de anestez kin yuz dis injɛkshɔn fɔ kɔntrol di bad bad pen bifo ɛn afta dɛn du big ɔpreshɔn pan yu ni, lɛk fɔ du totɛl knee arthroplasty. Dɛn kin gi dis apat frɔm di jenɛral anestezi.
Di impɔtant tin na dat, dis nɔto wan saiz sɔlvishɔn. Na yu dɔktɔ nɔmɔ go disayd if dis tritmɛnt fayn fɔ yu.
Wetin yu fɔ du bifo yu gɛt tritmɛnt?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Bɔt sɔm tɛm dɛn de, yu dɔktɔ kin disayd fɔ gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks, we min se yu go slip smɔl. If na so i bi, dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin fɔ 6-8 awa bifo di tritmɛnt. I impɔtant bak fɔ gɛt pɔsin fɔ drayv yu go na os afta di tritmɛnt.
Bɔt yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt.
Wetin kin apin we yu gɛt di vaysin?
Dis kin bi smɔl tin we dɛn kin du na ɔspitul, pas fɔ du am na ɔspitul. Dis min se yu kin go na os jɔs afta di injɛkshɔn. Na dis na wetin kin apin we dɛn de du di tritmɛnt:
- Dɛn go mek yu ledɔm pan spɛshal bed, wit wan smɔl pilo we dɛn put ɔnda di ni we de pen ɛn yu ni bɛn smɔl.
- Dɛn kin gi yu mɛrɛsin tru IV layn fɔ ɛp yu fɔ rilaks.
- Dɔn di dɔktɔ go klin di skin na yu ni fayn fayn wan wit wan antiseptik sɔlvushɔn.
- Neks, dɛn kin gi smɔl injɛkshɔn fɔ di lokal anestetik fɔ mek di say we dɛn go gi di injɛkshɔn nɔ gɛt bɛtɛ trɛnk. Dis tɛm ya, yu kin fil smɔl smɔl we di nidul de go insay.
- Dɔn, we di dɔktɔ yuz spɛshal mashin fɔ skan lɛk ɔltra saund ɔ fluoroscopy , i go fɛn di rayt say we di nerve fɔ injɛkt di mɛrɛsin de.
- Fɔ dɔn, dɛn kin injɛkt di mɛrɛsin as klos to da nerv de as dɛn ebul.
Di ɔl di tin dɛn we dɛn kin du kin tek 5 to 10 minit nɔmɔ. Afta dat, yu kin rɛst fɔ sɔm tɛm ɛn go na os.
| Stej dɛm fɔ tritmɛnt | Tɔk bɔt |
|---|---|
| Fɔ pripia | Bɔku tɛm, dɛn nɔ nid fɔ pripia ɛni spɛshal tin. If dɛn gi yu layt anestesia, yu go nid fɔ fast fɔ 6-8 awa. |
| Tritmɛnt | Dɛn kin klin di ni, dɛn kin gi injɛkshɔn we kin mek pɔsin nɔ fil pen, ɛn dɛn kin injekt di mɛrɛsin we de mek pɔsin fil pen nia di kɔrɛkt nerv bay we dɛn de yuz skan tɛknɔlɔji. (5-10 minit) |
| Afta dɛn dɔn trit am | Rɛst fɔ 15-30 minit ɛn go na os if nɔr sayd ɛfɛkt nɔ de. I fayn fɔ mek yu rɛst fɔ di de. |
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Bɛnifit dɛn
Bɔku bɛnifit dɛn de we pɔsin kin gɛt frɔm dis tritmɛnt:
- Fɔ lɛf fɔ fil pen fɔ sɔm tɛm ɔ fɔ lɔng tɛm , we kin mek i izi fɔ du tin dɛn we pɔsin kin du ɛvride.
- Di swel we de swel na di nerv dɛm we de mek pɔsin fil pen, i de ɛp dɛn fɔ wɛl.
- Fɔ gɛt gud rilif frɔm pen afta dɛn dɔn ɔpreshɔn yu.
- Na gud opshɔn fɔ mɛn pen fɔ di wan dɛn we nɔ ebul fɔ du ɔpreshɔn pan dɛn ni bikɔs ɔf ɔda wɛlbɔdi prɔblɛm dɛn.
Risk dɛn we kin apin
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin, bɔt siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
- Sɔm smɔl swel ɔ brus kin de na di say we dɛn injekt. Bɔku tɛm, dis kin sɔlv insay wan ɔ tu dez.
- Na smɔl tɛm nɔmɔ, tin dɛn we kin apin na:
- Infεkshכn na di say we dεn injεkt.
- Blɔd we de kɔmɔt na di sayt.
- Aksidɛntal injɛkshɔn fɔ mɛrɛsin insay wan blɔd vesel.
- Aksidɛntli injɛkt di mɛrɛsin insay di ni jɔyn.
- Na smɔl tɛm nɔmɔ, if di mɛrɛsin aksidɛntli go to ɔda nerve we de nia am (di Kɔmɔn Pɛronial Nɛv), wan kɔndishɔn we dɛn kɔl ‘fut drɔp’ , we dɛn nɔ kin ebul fɔ es di fut frɔm di anklɛ, kin apin.
Aw lɔŋ di ifɛkt we di vaysin gɛt kin las?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Infakt, di fridɔm we dis kin gɛt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin fil fayn fɔ sɔm dez, ɛn ɔda pipul dɛn kin fil fayn fɔ sɔm wik, mɔnt, ɔ ivin fɔ wan ia. Na avrej, yu kin ɛkspɛkt fɔ gɛt rilif fɔ lɛk 3 mɔnt. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni fridɔm atɔl.
Impɔtant tin na dat, if yu gɛt gud pen rilif frɔm dis injɛkshɔn, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt we dɛn kɔl Genicular Nerve Ablation (GNA) as di nɛks tin we yu fɔ du. dis kin stכp dεn nεv dεm ya fכ transmit pen signal fכ lכng tεm. GNA tritmɛnt kin gi lɔng tɛm rilif fɔ te 18 mɔnt.
Ustɛm a fɔ go to di dɔktɔ?
Afta yu dɔn gɛt di vaysin, if yu gɛt ɛni nyu sayn, fɔ ɛgzampul, sayn dɛn fɔ di infekshɔn lɛk fɔ swel, rɛd, ɔ pus na di say we dɛn inj yu, ɔ if yu gɛt bɔn, yu swɛ, ɔ wik we yu nɔ kɔmɔn , tɛl yu dɔktɔ wantɛm wantɛm.
If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt bɔt dis tritmɛnt, tɔk to yu dɔktɔ bɔt am opin wan. I go ansa ɔl yu kwɛstyɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- jεnikul nεv blכk na injεkshכn we de kכl pen we dεn injεkt nia di nεv dεm we de rawnd di kכn fכ kכntrכl di kכn pen.
- Dis kin yus mɔ fɔ lɔng tɛm ni pen ɛn pen afta dɛn dɔn ɔpreshɔn di ni.
- Di tritmɛnt kin rili kwik (5-10 minit) ɛn i nɔ nid fɔ de na ɔspitul.
- Di tɛm we i kin tek fɔ mek pɔsin nɔ fil pen kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn nɔ kin gɛt ɛni fridɔm atɔl.
- Siriɔs sayd ɛfɛkt nɔ kin apin so ɔltɛm, bɔt if yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, go to yu dɔktɔ wantɛm wantɛm.
- Na yu dɔktɔ nɔmɔ go disayd if dis tritmɛnt fayn fɔ yu.
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