Sɔntɛnde yu kin fil pen ɛn yu leg kin at, ilɛksɛf yu tek ɔmɔs mɛrɛsin ɔ yu gɛt tritmɛnt? Ɔ yu gɛt wan sik lɛk dayabitis we de mek i nɔ izi fɔ bia di pen ɛn inflamɛns na yu leg? Yu dɔktɔ kin dɔn tɛl yu bɔt wan ‘Lumbar Sympathetic Block’. Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl ɛn i kɔmplikt, fɔ tru, i rili simpul ɛn sef fɔ mɛn pipul dɛn we dɔn mek bɔku pipul dɛn fil fayn. Lɛ wi tɔk bɔt ɔl dis insay wan rili simpul we tide.
Wetin rili na Lumbar Sympathetic Block?
Fɔ tɔk am simpul wan, dis na spɛshal injɛkshɔn we dɛn kin gi yu na yu bɔdi we de dɔŋ. I de blok di pen signal fɔ sɔm tɛm fɔ mek i nɔ go na yu leg ɛn fut. Sɔntɛnde, dɛn kin ad mɛrɛsin to di injɛkshɔn fɔ ɛp di nerv dɛn we dɔn pwɛl fɔ wɛl.
Tink bɔt di nɛf dɛn na wi bɔdi lɛk wan nɛtwɔk we gɛt ilɛktrik kebul dɛn we de rɔn ɔlsay na wi bɔdi. Dɛn kebul ya kin kɛr signal dɛn go bak ɛn go bifo bitwin di bren ɛn di ɔda pat dɛn na di bɔdi. Dɛn sayn ya de mek wi fil pen, tɔch, ɛn di mɔsul dɛn we de wok.
wan spεshal pat pan dis nεv sεstem dεn kכl am di `sympathetic` nεv dεm. Dɛn tin ya kin kɔntrol tin dɛn we kin apin na wi bɔdi we wi nɔ kin no, fɔ ɛgzampul, fɔ blo, swet, ɛn blɔd prɛshɔn. bכt sכmtεm, afta sכm kayn aksidεnt, dεn `sympathetic` nεv dεm ya kin stat fכ sεnd pen signal dεm kכrekt wan.
di `Lumbar sympathetic` nεv dεm de na di lכw pat pan wi spayna, jכs bifo di vεrbra dεm. so dis `Lumbar Sympathetic Block` injεkshכn de tכk bכt dεn nεv dεm. I kin stɔp dɛn fɔ sɛn sayn dɛn we nɔ nid fɔ mek dɛn fil pen.
Us kayn tin dɛn de yuz dis blɔk fɔ?
Dɛn kin yuz dis vaysin fɔ tri men tin dɛn.
| Plan | Wan simpul diskripshɔn |
|---|---|
| Riliv pen | Gi fridɔm fɔ sɔm tɛm frɔm akyu ɔ krɛse pen. Dis injεkshכn kin ridyus di swεl na di nεv dεm εn εp dεm fכ hεl. |
| Fɛn di tin we mek di pen. | If yu gɛt pen, bɔt yu dɔktɔ nɔ ebul fɔ no di rayt tin we mek yu de fil, dɛn kin yuz dis injɛkshɔn as tɛst. If di pen go dכn afta dεn injεkt am, dat min se di prכblεm de wit dεn nerv dεm de. If de pen nɔr de kam dɔŋ, de kɔz kin bi ɔdasay. |
| Kɔntrol di pen bifo dɛn du di ɔpreshɔn | Dɛn kin gi dis injɛkshɔn bifo ɛn afta sɔm ɔpreshɔn fɔ kɔntrol di pen. |
Kɔndishɔn dɛn we dɛn kin advays dis tritmɛnt fɔ
If yu gɛt ɛni wan pan dɛn tin ya we de afɛkt yu leg ɔ yu fut, yu dɔktɔ kin tɛl yu fɔ du dis tritmɛnt.
- Complex Regional Pain Syndrome (CRPS): Na wan sik wae de mek pɔrsin fil pen pasmak, wae kin kam afta aksidɛnt.
- Phantom Limb Pain: Na di kɔntinyu fɔ fil pen na di leg ɔ an we dɛn kɔt am wit ɔpreshɔn.
- Hyperhidrosis: We yu de swet pasmak na yu an ɛn fut.
- Nyuropathy we gɛt fɔ du wit dayabitis: Na inflamɛns, swɛt, ɛn pen we kin kam bikɔs di nɛv dɛn na di leg dɛn kin pwɛl bikɔs ɔf dayabitis.
- Postherpetic Neuralgia: Na di nerve pen we kin apin afta yu gɛt hεpi (di sem vayrɔs we kin mek pɔsin gɛt chukchuk) infεkshɔn.
- Raynaud’s Disease: Na wan sik wae de mek blɔd nɔr de go na di finga dɛm, i kin mek di kɔlɔ chenj ɛn i kin fil pen we i kol.
- Kansa pen.
- Vaskul pen.
A nid fɔ rɛdi fɔ dis injɛkshɔn bifo tɛm?
Bɔku tɛm, dis nɔ kin nid ɛni spɛshal pripia.
Bɔt sɔm tɛm, di dɔktɔ kin disayd fɔ put yu na say we yu de slip (sedation). If na so, dɛn go aks yu fɔ fast fɔ lɛk 6-8 awa so . Dɔn bak, i impɔtant fɔ mek sɔmbɔdi kɛr yu go na os afta di ɔpreshɔn.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu gɛt ɛni kwɛstyɔn, nɔ shem fɔ aks.
Aw di prɔsidyu kin apin?
Dɛn kin du dis na ɔspitul, ɛn dɛn nɔ kin nid fɔ de na ɔspitul. Dis na di step dɛm we kin apin:
- Dɛn go put yu pan wan spɛshal tebul, we yu de fes dɔŋ.
- Dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks, tru wan IV layn na yu an.
- Di dɔktɔ go klin di say we dɛn injɛkshɔn fayn fayn wan wit wan antiseptik sɔlvushɔn.
- Dɔn, dɛn kin gi ɔda smɔl injɛkshɔn fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Dis tɛm ya, yu kin fil lɛk se yu de swɛt smɔl we di nidul hit.
- Neks, we di dɔktɔ de luk di pikchɔ dɛn pan ɛkstrem rayt mashin (X-ray imaging), i kin tek tɛm put wan tint nidul na di sayd we di spayna de.
- Fɔ mek shɔ se di mɛrɛsin de go na di rayt ples, yu kin nid fɔ injɛkt smɔl spɛshal ‘kɔntrast day’.
- Fɔ dɔn, dɛn kin gi wan stɛroyd injɛkshɔn fɔ ridyus di pen ɛn swɛlin.
Dis ɔl dis kin tek lɛk 30 minit .
Wetin kin apin afta di injɛkshɔn?
afta di prosidכs, yu kin fil wam כ "difrεnt" sεns na yu leg εn lכw bכk. Yu go notis bak se di pen de go dɔŋ smɔl smɔl. Nɔ wɔri if yu leg fil smɔl ɔ nɔ gɛt layf, bikɔs dis go dɔn kpatakpata wans di pen kil dɛn dɔn west.
Yu kin it ɛn tek yu mɛrɛsin dɛn lɛk aw yu kin it. Bɔt nɔ fɔ du tin dɛn we de mek yu taya, fɔ es di wet, ɔ fɔ du ɛksɛsayz fɔ 24 awa. Tek am izi. Yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.
Di bɛnifit ɛn di sayd ɛfɛkt dɛn we dis kin gɛt
Bɛnifit dɛn
- Di pen kin dɔn fɔ sɔm tɛm, ɛn dɛn kin du di wok dɛn we dɛn kin du ɛvride izi wan.
- I de ridyus di swel na di nerv dɛm we de mek pɔsin fil pen ɛn ɛp dɛn fɔ wɛl.
- I kin ɛp di dɔktɔ fɔ no di patikyula tin we kin mek i fil pen.
Bɔt i impɔtant fɔ mɛmba se nɔto ɔlman go gɛt pen frɔm dis injɛkshɔn. If dis apin, yu dɔktɔ go tɛl yu ɔda tritmɛnt dɛn.
Sayd ɛfɛkt ɛn kɔmplikeshɔn dɛn
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin apin, bɔt siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
| Apin | Tɔk bɔt |
|---|---|
| Smɔl smɔl tin dɛn we pɔsin kin si bɔku tɛm | |
| Brus we de mek pɔsin brus | Smɔl brus kin apia usay dɛn gi di injɛkshɔn. |
| De swɛl | Wan smɔl swɛlin na da say de. |
| Fɔ mek pɔsin fil pen | Smɔl pen go de na da say de fɔ sɔm dez. |
| Sɔm sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm | |
| Blɔd we de kɔmɔt | Smɔl blɔd we de kɔmɔt na di say we dɛn injɛkshɔn. |
| Diziz we pɔsin kin gɛt | Wan filin fɔ sɔm tɛm we pɔsin kin gɛt diziz . |
| Ed de at | Smɔl ed we de at. |
| Siriɔs kɔmplikeshɔn dɛm wae kin apin smɔl smɔl | |
| Sik we de prɛd | Infεkshכn na di say we dεn put di nidul. |
| Ɔda damej dɛn | Aksidɛntal damej pan blɔd vesel, limf vesel, kidni, ɔ ɔda ɔgan. |
| Di sik we dɛn kɔl Horner’s syndrome | Wan tin we nɔ kin apin so ɔltɛm we kin mek di yay chenj. |
Aw lɔng dis pen rilif go las?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Bɔt no wan ansa nɔ de fɔ am. I kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin.
Fɔ sɔm pipul dɛn, di pen kin stɔp jɔs afta dɛn gi di injɛkshɔn. Bɔt di pen kin kam bak wans di pen mɛrɛsin dɔn west. Fɔ lɔng tɛm rilif kin bigin afta di stɛroyd mɛrɛsin bigin fɔ wok, we kin bi insay tu to tri dez. Fɔ sɔm, dis rilif kin las fɔ sɔm dez, fɔ ɔda pipul dɛn, i kin las fɔ sɔm wiks.
Bɔku tɛm, fɔ mek yu kɔntinyu fɔ fil fayn, yu go nid fɔ tek bɔku injɛkshɔn dɛn we tan lɛk dis fɔ sɔm tɛm. Sɔntɛnde, tu kin du fɔ am, sɔntɛnde i kin pas tɛn. Na yu dɔktɔ kin disayd dis.
Us tɛm a fɔ kɔl di dɔktɔ?
Dis rili impɔtant. If yu gɛt ɛni nyu sayn afta di injɛkshɔn, ɔ if yu gɛt ɛni prɔblɛm (fɔ ɛgzampul, sayn dɛm fɔ infekshɔn lɛk fɔ rɛd, swel, ɔ fiva na di say we dɛn inj yu, ɔ chenj na yu nerv dɛm lɛk fɔ swɛla ɔ fɔ swɛt na yu leg dɛm), kɔl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Lumbar Sympathetic Block na spɛshal injεkshכn we dεn kin gi na di lכw bכk. Dɛn kin yuse am fɔ trit sɔm pen kɔndishɔn, mɔ na di leg ɛn di ɔda pat na di bak.
- Dis nɔr kin jɔs de mek pɔrsin nɔr de fil pen, bɔt i kin ɛp bak fɔ fɛn de tin wae de mek pɔrsin fil pen.
- Dis prɔsidyu kin bi kwik (lɛs dan 30 minit) ɛn i nɔ kin sef.
- Di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin nid fɔ tek bɔku injɛkshɔn fɔ mek dɛn gɛt rilif fɔ lɔng tɛm.
- Di tin we impɔtant pas ɔl na fɔ fil fri fɔ tɔk bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt dis wit yu dɔktɔ. I go ɛksplen ɔltin to yu.
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