Sɔntɛnde yu kin gɛt bad bad pen na di sayd na yu chɛst ɔ na yu rib kech. Dis pen kin fil lɛk se na nɛf de chuk yu, ɛn dis kin mek i nɔ izi fɔ blo. Sɔntɛnde dis kayn pen kin apin afta di rib brok ɔ afta dɛn dɔn ɔpreshɔn di chɛst. Tide wi de tɔk bɔt wan spɛshal tritmɛnt fɔ dis kayn pen, we na injɛkshɔn we dɛn kin gi dairekt to di say we di pen de.
Wetin na Intakɔstal Nɛv Blɔk?
Fɔ tɔk am simpul wan, dis na injɛkshɔn we dɛn kin gi nia wan nɛv we de ɔnda wan pan yu rib dɛn. Yu no se wan nerve de we de rɔn ɔnda ɛni rib na wi chɛst? Wi kin kɔl dɛn tin ya ‘Intakɔstal Nɛv’. If fɔ sɔm rizin dis nɛv ɔ di tisu dɛn we de rawnd am kɔmprɛs, pwɛl, ɔ swel, i kin mek pɔsin fil bad bad wan.
So wetin dis injεkshכn de du na fכ ‘bכk' di nεv we de mek di pen fכ sכm tεm. Dis injɛkshɔn kin gɛt tu kayn mɛrɛsin mɔ:
- Local Anesthetic: Dis kin mek di eria nɔ gɛt bɛtɛ trɛnk wantɛm wantɛm afta di injɛkshɔn, ɛn dis kin mek di pen nɔ bɔku kwik kwik wan.
- Stɛroyd: Dis kin mek di swɛlin ɛn inflamɛns we de rawnd di nɛv nɔ bɔku. I kin tek tu to tri dez fɔ bigin wok, bɔt i kin mek pɔsin fil fayn fɔ lɔng tɛm.
Us sityueshɔn dɛn kin yuz dis vaysin?
Dɛn kin yuz dis tritmɛnt fɔ sɔm men tin dɛn. Sɔntɛnde, i kin ɛp fɔ ridyus di pen, ɛn ɔda tɛm dɛn i kin ɛp fɔ no wetin mek di pen.
| Yuz sɛnɛriɔ | Tɔk bɔt |
|---|---|
| Fɔ mek pɔsin nɔ fil pen | Dɛn kin yuse am fɔ kɔntrol pen we kin apin wantɛm wantɛm (akyu) ɔ we kin te fɔ lɔng tɛm (krɔnik). fכ egzampl: rib fraktכs εn siriכs nεv pen afta chikinpoks (shingles כ postherpetic neuralgia). |
| I gɛt fɔ du wit ɔpreshɔn | Dɛn kin gi dis injɛkshɔn fɔ kɔntrol di pen afta sɔm ɔpreshɔn dɛn. Ɛgzampul dɛn: Ɔpreshɔn fɔ di tɔraks, ɔpreshɔn fɔ di bɔdi, ɛn ɔpreshɔn fɔ di Ɔpa bɛlɛ. |
| Fɔ no wetin de mek pɔsin fil pen | Sɔntɛnde di dɔktɔ nid fɔ no if yu pen de kɔmɔt frɔm wan ɔgan insay yu bɔdi (visceral pain) ɔ frɔm sɔmsay na yu mɔsul ɔr skin (somatic pain). If di pen dɔn go afta yu gi dis injɛkshɔn, dat min se di prɔblɛm de wit dɛn nerv ya. |
Aw a fɔ rɛdi fɔ gɛt dis vaysin?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Bɔt, sɔm tin dɛn de we yu fɔ no bɔt.
Di tin we impɔtant pas ɔl na dat if yu de tek antikɔagulant, lɛk wɔfarin, yu fɔ rili tɛl yu dɔktɔ bɔt am. Bikɔs dɛn mɛrɛsin ya kin mek di blɔd kɔmɔt na di say we dɛn injekt am. Bɔt mɛmba se, nɔ ɛva stɔp fɔ tek dɛn pas yu dɔktɔ tɛl yu fɔ tek dɛn.
Sɔntɛnde, dɛn go gi yu mɛrɛsin fɔ mek yu slip fɔ mek yu slip. If dɛn du dis, dɛn go aks yu fɔ nɔ it ɔ drink ɛnitin fɔ 6-8 awa bifo dɛn du di prɔsidyu. Yu go nid bak fɔ kam wit pɔsin fɔ drayv yu go na os, bikɔs yu nɔ go ebul fɔ drayv.
Bɔt yu dɔktɔ go ɛksplen ɔl dis to yu. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt.
Aw dɛn kin du dis Intakɔstal Nɛv Blɔk?
Di we aw dɛn kin du dis tritmɛnt rili simpul. I kin go sɔntin lɛk dis:
- Fɔs, dɛn go mek yu ledɔm na bed, ɔ na yu sayd, we nɔ de mek yu fil pen, ɔ na yu bɛlɛ.
- Fɔ mek yu rilaks, dɛn kin gi yu wan mɛrɛsin we nɔ de mek yu fil fayn tru wan IV layn na yu an.
- Dɔn, dɛn kin klin di say we dɛn injɛkshɔn fayn fayn wan wit wan antiseptik sɔlvushɔn.
- Neks, dɛn kin gi smɔl injɛkshɔn fɔ lokal anestetik fɔ mek di say we dɛn go du di nɛv blɔk nɔ gɛt bɛtɛ trɛnk. Dis tɛm ya, yu kin fil smɔl smɔl we di nidul de go insay.
- Fɔ no usay di nerve de, di dɔktɔ kin yuz di tin dɛn we dɛn kin yuz fɔ sho aw fɔ tek pikchɔ, lɛk ɔltra saund ɔ fluoroscopy . Dis kin mek di dɔktɔ si di rayt say fɔ put di nidul.
- We dɛn dɔn fɛn di rayt say, dɛn kin injɛkt di mɛrɛsin we de mek pɔsin nɔ fil pen, nia di nerv as i pɔsibul.
- Afta di injɛkshɔn, dɛn go aks yu fɔ rɛst fɔ sɔm tɛm te di mɛrɛsin bigin fɔ wok.
Afta di injεkshכn, dεn go wach yu fכ lεk 15-30 minit fכ si if εni sayd ifekt de. If ɔltin fayn, yu kin go na os.
Aw dis tritmɛnt kin wok fayn? Ɛn aw lɔng i kin tek fɔ lɛ di pen dɔn?
Fɔ bɔku pipul dɛn, dis kin mek dɛn nɔ fil pen fɔ sɔm tɛm, bɔt aw lɔng da rilif de kin te kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Di anestetik we dɛn kin gi jɔs afta di injɛkshɔn go mek di pen nɔ bɔku. Bɔt afta sɔm awa, di anestetik go west ɛn di pen kin kam bak. Nɔ wɔri, dis na nɔmal tin. Fɔ lɔng tɛm rilif go kam afta di stɛroyd bigin fɔ wok insay tu to tri dez.
Sɔm pipul dɛn nɔ kin fil pen fɔ sɔm mɔnt . If di tritmɛnt wok fayn, yu kin ebul fɔ gɛt di shot bak wan wan tɛm as nid de fɔ kɔntrol di pen. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni ɛfɛkt frɔm di shot. If dat apin, yu dɔktɔ go tɛl yu bɔt ɔda tritmɛnt dɛn.
Wetin na di risk ɛn kɔmplikeshɔn dɛm wae dis kin gɛt?
Dis na jɔs wan tritmɛnt we rili sef. Sɔm brus ɛn sɔri kin de usay dɛn gi di injɛkshɔn, bɔt dis go dɔn insay tu to tri dez.
Bɔt sɔm siriɔs prɔblɛm dɛn de we nɔ kin apin so ɔltɛm bɔt we fayn fɔ no bɔt.
- Blɔd we de kɔmɔt
- Sik we de prɛd
- Kɔlaps lɔng: Dis na tin we nɔ kin apin so ɔltɛm. I kin apin if di nidul nak di lɔng.
- Nɛv dɛn we dɔn pwɛl
Dɛn risk ya kin rili smɔl, mɔ we dɔktɔ we gɛt ɛkspiriɛns du am ɛn we de yuz tɛknɔlɔji dɛn lɛk ɔltra saund.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni nyu sayn ɔ prɔblɛm afta yu dɔn gɛt dis vaysin, kɔl yu dɔktɔ wantɛm wantɛm . Yu fɔ no mɔ bɔt dɛn sayn ya:
- Sayn dɛm fɔ se yu gɛt infɛkshɔn: fiva, rɛd, swɛlin, bad bad pen, ɔ pus na di say we dɛn injekt.
- Prɔblɛm dɛn we gɛt fɔ du wit di nerve: Nyu sayn dɛm lɛk fɔ swɛ ɛn wik na di an ɛn fut dɛm.
- I nɔ izi fɔ blo: Dis kin bi sayn fɔ se yu gɛt prɔblɛm wit yu lɔng.
If yu fil ɛnitin lɛk dis, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- intakostal nεv blכk na spεshal injεkshכn we dεn kin gi fכ pen bitwin di rib dεm we de kכmכt frכm di nεv.
- Dɛn kin yuse am fɔ tin dɛm lɛk brok rib, pen afta ɔpreshɔn, ɛn nerve pen afta chikinpoks.
- Pan ɔl we dis kin bi sef tritmɛnt, blɔd ɛn infɛkshɔn nɔ kin apin so ɔltɛm.
- If yu de tek mɛrɛsin we de mek yu blɔd tan, mek shɔ se yu tɛl yu dɔktɔ bɔt am bifo yu trit yu.
- If yu gɛt fiva, yu gɛt bad bad swel na di say we dɛn injekt yu, i nɔ izi fɔ blo, ɔ yu nɔ gɛt swɛla afta yu dɔn trit yu, go to dɔktɔ wantɛm wantɛm.
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