Bɔku tɛm yu kin gɛt bak pen, yu kin swɛla, ɔ yu leg kin swɛt? Sɔmtɛm dis pen kin so bad dat yu nɔr kin ivin ebul fɔ du yu ɛvride wok fayn fayn wan. We dis kayn tin apin, yu dɔktɔ go dɔn tɛl yu bɔt wan spɛshal injɛkshɔn. Dat injεkshכn na in wi go tכk bכt tide, dat na di ‘Lumbar Epidural Steroid Injection’. Nɔ wɔri, lɛ wi ɔndastand dis simpul wan.
Wetin na Lumbar Epidural Steroid Injɛkshɔn?
Fɔ tɔk am simpul wan, dis na spɛshal injɛkshɔn we dɛn kin gi yu na yu lכw bak (lumbar rijyכn). Dis injɛkshɔn kin gɛt mɔ mɛrɛsin we de ridyus di inflamɛns ɛn swel. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis stɛroyd ɔ kɔtikosterɔyd.
Imajin, wi spɛnal kɔd na di say we di men nervɔs sistɛm we de rɔn ɔlsay na di bɔdi de rɔn. di sכmכl spεs we de rawnd dεn spεnal nεv dεm dεn kכl am di ‘epidural space.’ Na de di dɔktɔ injɛkt dis stɛroyd.
di men tin fכ dis na fכ kכntrכl di inflameshn εn di pen we de kכmכt we de kכmכt כ injuri na di spεnal nεv rכt dεm. Wi kin kɔl dis pen `(Lumbar Radiculopathy)`. Bɔku pipul dɛn no dis wit di nem `Sciatica` .
Aw dis injɛkshɔn kin mek pɔsin nɔ fil pen?
Fɔ ɔndastand dis, lɛ wi lan smɔl fɔs bɔt wi spayna.
Wi spayna na wan stak we gɛt smɔl bon dɛn (vɛrbra) we dɛn stak pan dɛnsɛf. Bitwin dis bon dεm, lεk di ‘shכk abzכbכr' dεm na motoka, kushכn de. Wi kin kɔl dɛn tin ya ‘vɛrbral disk’ ɔ ‘disk’ . Na dɛn disk ya de mek wi ebul fɔ bɛn, ɛkstɛnd, ɛn twis wi spayna dɛn.
Sɔntɛnde, di tin we tan lɛk jɛlɛ we de insay disk kin bɔl kɔmɔt ɛn prɛs pan wan nɛv we de nia am. כ, wit di ej, di spεs insay di spayna kin sכm sכm εn di nεv kin kכmprεs. Dis na we di nerve kin swel ɛn inflam, we kin mek i fil da bad bad pen de.
Naw, luk, di dɔktɔ injɛkt da stɛroyd shot de dairekt insay di nɛv we dɔn swel ɛn we dɔn inflam. Dɔn, di pawa we da mɛrɛsin de gɛt kin mek di nerve nɔ swel ɛn nɔ gɛt inflamɛns. Dɔn, di prɛshɔn we de pan di nerve kin ridyus bak. Dis na wetin de gi yu fridɔm frɔm yu pen.
Di impɔtant tin na dat, di pen we kin mek pɔsin fil pen frɔm dis injɛkshɔn kin bi fɔ shɔt tɛm nɔmɔ. Sɔm pipul dɛn kin gɛt fridɔm fɔ tri mɔnt ɔr mɔr, bɔt fɔ ɔda pipul dɛn, de pen kin kam bak insay smɔl tɛm.
Udat dis vaysin fayn fɔ?
Dɔktɔ dɛn kin se dɛn fɔ gi dis injɛkshɔn fɔ sciatica, we na pen we kin kam bikɔs di nerv dɛn we de na di spayna de kɔmprɛs. Dat na:
- Pen we de kɔmɔt na di bak tru di bɔdi ɛn dɔŋ di leg
- Tingling ɔ numbness na di leg
- Wiknɛs na di leg mɔsul dɛn
Bɔku men tin dɛn de we kin mek pɔsin gɛt dɛn sik ya. Si di tebul we de dɔŋ ya.
| Mɛdikal kɔndishɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Disk we gɛt Ɛni we de na di Lumbar | wan disk bitwin di vεrbra dεm de bulge kכmכt εn prεs pan wan nεv. dis dεn kכl am 'herniated disc'. |
| Lכmbar Spinal Sεnosis | di kanal (di pasej fכ di nεv dεm) we de insay di spεnal kכd, we kin mek di nεv dεm kכmpreshכn. |
| Lumbar Osteoarthritis we gɛt di sik | we di ej de ol, di joyn dεm εn di bon dεm na di spayna de west, we de mek di opin dεm we di nεv dεm de pas tru, sכmtεm, we de mek di nεv dεm kכmpreshכn. |
| Dijeneretiv Disk Disease we pɔsin kin gɛt | we di ej de ol, di disk dεm bitwin di vεrbra dεm de west, we de mek di nεv dεm inflameshn. |
Aw di vaksin prɔses de wok?
Bɔrku pipul kin frayd dis smɔl, bikɔs de tink bɔt fɔ gɛt injɛkshɔn na dɛn bak kin frayd smɔl. Bɔt dɛn kin tek tɛm du dis ɛn na spɛshal dɔktɔ we tren (lɛk dɔktɔ we de mɛn bɔdi, dɔktɔ we de anestez, ɔ dɔktɔ we de mɛn pipul dɛn we gɛt raydio). So natin nɔ de fɔ fred.
Fɔ pripia bifo dɛn gi yu di vaysin
- Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (especially blood thinners ).
- If yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ, yu fɔ tɛl wi, bikɔs dɛn go yuz ɛkstrem rayt we dɛn de du dis.
- Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo dɛn gi yu di injɛkshɔn.
- If dɛn gi yu mɛrɛsin fɔ mek yu fil fayn, dɛn go aks yu fɔ kam wit pɔsin fɔ kɛr yu go na os.
Na di tɛm we dɛn de gi di vaysin
dis prכsεs kin tek lεk 15-30 minit.
1. Dɛn go le yu na yu bɛlɛ pan spɛshal bed.
2. Dɛn kin klin di say we dɛn gi di vaysin fayn fayn wan ɛn disinfɛkt am.
3. Neks, di dɔktɔ kin yuz wan spɛshal ɛkstrem rayt mashin we dɛn kɔl fluoroscopy fɔ si ustɛm dɛn nid fɔ put di nidul. Dis tan lɛk layv X-ray fim.
4. Dɔn, dɛn kin gi smɔl injɛkshɔn fɔ mek di say nɔ gɛt bɛtɛ trɛnk so dat yu nɔ go fil bɔku pen we dɛn put di big nidul.
5. We di nidul de na di rayt ples, dat na, na di epidural spes, di dɔktɔ go injɛkt smɔl kɔntrast day. Dis go kɔnfirm se di nidul de na di rayt ples, ɛn nɔto na blɔd vesel ɔ ɛni ɔda say.
6. Fɔ dɔn, di dɔktɔ tek tɛm injekt di stɛroyd mɛrɛsin.
7. We dɛn dɔn fɔ du di wok, dɛn go aks yu fɔ rɛst fɔ sɔm tɛm, ɛn dɛn go put smɔl plasta na di say we dɛn inj yu. Mek shɔ se yu nɔ gɛt alɛji fɔ di mɛrɛsin.
Ɛni sayd ɛfɛkt ɔ risk de?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin ɛn sɔm bad bad tin dɛn we kin apin to am, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
| Smɔl smɔl sayd ɛfɛkt dɛn | Ustɛm fɔ go to dɔktɔ wantɛm wantɛm |
|---|---|
|
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU). |
Bikɔs fɔ kɔntinyu fɔ injɛkshɔn dɛn stɛroyd dɛn ya ɛn ɔltɛm kin mek di bon dɛn na di spayna wik, bɔku tɛm dɔktɔ dɛn nɔ kin se fɔ injɛkshɔn pas tu ɔ tri tɛm insay wan ia.
Mɛsej we dɛn kin kɛr go na os
- Lumbar Epidural Steroid Injection na spεshal injεkshכn we dεn kin gi fכ ridyus inflameshn εn pen we kכmכshכn na di spεnal nεv.
- Dis na rili fayn we fɔ gi tɛmporari pen rilif fɔ kɔndishɔn lɛk sciatica.
- Dis injεkshכn nכ de ‘kכl’ di pen kכmplit wan. Bɔt di rilif we i go gi yu go ɛp yu fɔ bigin fɔ du ɛksɛsayz fɔ fisiotɛrapi ɛn du di tin dɛn we yu de du ɛvride.
- Dis na jɛnɛral sef prosidur we spɛshal pɔsin we tren kin du.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di vaysin. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ fɔ fred, tɔk to am opin wan bɔt am.
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