Wetin na Nɛv Blɔk? Na sɔlv fɔ yu pen?

Sɔntɛnde, yu kin gɛt bak pen we yu nɔ go ebul fɔ bia, yu ni pen, ɔ yu ed kin at ɔltɛm? Sɔm pen jɔs nɔ kin go wit mɛrɛsin, nɔto so? Tide wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. Dɛn kɔl dis nerve block.

Fɔ tɔk am simpul wan, wetin na nerve block?

Tink bɔt di nɛf dɛn we de na wi bɔdi lɛk kebul. Dɛn kebul ya kin kɛr mɛsej frɔm wi bren to ɔda pat dɛn na wi bɔdi, ɛn frɔm pat dɛn na wi bɔdi to wi bren. Ɔltin we yu de fil, lɛk pen ɛn tɔch, ɛn bak fɔ muv yu an ɛn fut dɛn ɛn fɔ blo, na dɛn mɛsej ya de kɔntrol am.

Nεv blכk na dכg we dεn injεkt nia wan patikyula nεv כ grup כf nerv dεm we de mek yu fil pen. dis de "blכk" di pen mεsej fכ sכm tεm fכ go na di bren, lεk fכ klos rod fכ sכm tεm. Dɛn kin put dis injɛkshɔn wit wan lokal anestetik ɛn sɔntɛnde dɛn kin put am wit mɛrɛsin fɔ ridyus di swɛlin. Dis kin gi bak di nerv dɛm we di swel dɔn pwɛl chans fɔ wɛl.

Pan ɔl we dɛn kin fil di bad tin dɛn we dis kin du kwik kwik wan, bɔku tɛm i kin sɔlv fɔ sɔm tɛm. Sɔm pipul dɛn kin gɛt rilif we dɛn gi dɛn wan injɛkshɔn, ɛn ɔda wan dɛn nid sɔm injɛkshɔn. Sɔntɛnde, i nɔ kin gɛt ɛni ɛfɛkt atɔl. If na so i bi, dɛn fɔ fɛn ɔda tritmɛnt dɛn.

Wetin na di rizin dɛn we kin mek pɔsin gɛt nerv blɔk?

Dɛn kin du wan nerve block fɔ tri men tin dɛn. Fɔ mek i izi fɔ ɔndastand, lɛ wi luk am dis we.

Us kayn nerve blocks de?

Bikɔs bɔku bɔku big big nerv dɛn de na wi bɔdi, bɔku kayn nerve blɔk dɛn de. Lɛ wi luk sɔm pan di kayn dɛn we dɛn kin yuz mɔ.

• di celiac plexus nerve block: dεn kin du dis to wan grup fכ nεv dεm na di כp bכdi, bihayn di pankrias. I de ɛp fɔ pul di pen we pɔsin kin gɛt we i gɛt pankrias kansa ɔ pankrias we nɔ de dɔn.
• Epidural nerve block: Yu go dɔn yɛri bɔt dis wan bifo. I fambul fɔ ridyus pen we yu de bɔn pikin. Bɔt dɛn kin yuz am bak fɔ ɔpreshɔn. I de wok bay we i de mek di pen we de na wan say na di bɔdi, lɛk di leg ɔ di bɛlɛ nɔ swɛt.
• di jεnikul nεv blכk: dεn kin du dis to di nεv dεm we de rawnd di kכn jכint. I de gi rilif fɔ di pen we de na di ni we nɔ de dɔn ɛn di pen we de mek pɔsin fil bad bad wan afta dɛn dɔn du di ɔpreshɔn.
• intakostal nεv blכk: dεn nεv dεm ya de כnda yu rib dεm. Dis kin ɛp fɔ gi sɔm tɛm rilif frɔm di pen we pɔsin kin gɛt we i de brok di rib ɛn ɛp fɔ no ɛn trit di pen we de na di nerve (nyuraljia).
• di lכmba simpatik nεv blכk: dεn nεv dεm ya de na di tu say dεm na di spεnal kכd, na di lכw bכk. Dis kin mek yu fil fri frɔm bak ɛn leg pen, fɔ ɛgzampul, sciatica.
• Oksipital nerve block: Dis nerve de na di bak pat na yu ed. dis blכk we de stat na di vεrbra dεm na yu nεk de trit wan kayn ed pen we dεn kכl כksipital nyuraljia. I kin ɛp bak fɔ kɔntrol di bad bad maygren.
• Trijeminal nεv blכk:Dɛn nɛv ya de na ɔl tu di say dɛn na yu fes. Dɛn kin yuse dɛn fɔ trit difrɛn kayn pen na yu fes, mɔ wan sik we dɛn kɔl trigeminal neuralgia.

Aw dis kin wok insay di bɔdi?

Fɔ ɔndastand aw dis kin woke, lɛ wi fɔs luk aw wi bɔdi kin fil pen.

1. Wi nεv dεm gεt spεshal rεsεpכta dεm we dεn kכl nociceptors. Dɛn tin ya tan lɛk sɛntinɛl dɛn we de wach. Dɛn kin aktiv wantɛm wantɛm if di bɔdi dɔn pwɛl ɔ wund.

2. Na di sem tεm, dεn sεntinεl dεm ya de sεnd hכy prayority signal to di bren, we de se, "Prכblεm de ya!" Dis nɔto pen sɛf, dɛn tan lɛk mɛsej we dɛn sɛn insay kɔd langwej.

3. di bren de gεt dεn signal dεm ya, i de כndastand da kכd de, εn i de translet am to di sens fכ "pen."

Wetin di anestetik we de na di nεv blכk de du na fכ stכp di nεv sεl dεm fכ sεnd mεsej dεm we dεn kכd. Dat min se, i de blok di mɛsej af-af. Dɔn, bikɔs di mɛsej bɔt pen nɔ kin rich na di bren, yu nɔ kin fil di pen.

Sɔntɛnde, di swel we kin apin we pɔsin wund kin te fɔ lɔng tɛm. Dat kin mek bak pɔsin de fil pen ɔltɛm. Di mɛrɛsin dɛn we de na wan nerve block de ridyus da swel de ɛn gi di nerve tɛm fɔ wɛl. Dat kin mek bak di pen nɔ bɔku.

Aw yu kin pripia fɔ wan nerve block? Wetin kin apin we dɛn dɔn du am ɛn afta dɛn dɔn du am?

Lɛ wi luk dis prɔses stɛp bay stɛp.

Bifo dɛn trit am...

Bɔku tɛm, wan nerv blɔk nɔ nid fɔ pripia bɔku. Bɔt sɔntɛnde, di dɔktɔ kin disayd fɔ gi yu mɛrɛsin fɔ mek yu fil layt (sedation). If dis apin, 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 tritmɛnt. Bɔt yu dɔktɔ go ɛksplen ɔl dis to yu bifo tɛm. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs. Nɔ fred fɔ aks if yu gɛt ɛni kwɛstyɔn.

We dɛn de du tritmɛnt...

Dɛn kin du dis pan ɔutpatient. Dis min se yu nɔr nid fɔ de na ɔspitul ɛn yu kin go na os jɔs afta di tritmɛnt.

• Fɔs, dɛn go aks yu fɔ ledɔm na wan patikyula pozishɔn na tebul fɔ ɛgzamin fɔ mek i izi fɔ di dɔktɔ fɔ gi yu di injɛkshɔn.
• Dɛn kin gi yu mɛrɛsin tru wan IV layn na yu an fɔ mek yu fil rilaks mɔ.
• Dɛn kin klin di say we dɛn put di injɛkshɔn wit wan sɔlvushɔn we de kil di sik.
• Dɔn, dɛn kin gi smɔl injɛkshɔn fɔ lokal anestetik fɔ mek di say we dɛn go du di nɛv blɔk nɔ gɛt bɛtɛ trɛnk. Yu kin fil smɔl smɔl we di nidul de go insay.
• Neks, di dɔktɔ kin yuz tɛknɔlɔji lɛk ɔltra saund ɔ ɛkstrem rayt fɔ fɛn di rayt say fɔ injɛkt di vaysin.
• Dɔn, dɛn kin injɛkt di mɛrɛsin nia di nerve we dɛn de tɔk bɔt.
• Afta di tritmɛnt, dɛn go tɛl yu fɔ rɛst fɔ sɔm tɛm te di mɛrɛsin bigin fɔ wok.

Afta tritmɛnt...

Yu go nid fɔ rɛst fɔ lɛk 15-30 minit afta di injɛkshɔn. Insay dis tɛm, di wan dɛn we de wok na di mɛrɛsin go wach yu fɔ ɛni ɔda kayn bad bad tin we kin apin to yu. If ɔltin fayn, dɛn go alaw yu fɔ go na os.

Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?

Bɛnifit dɛn

• Fɔ mek yu nɔ fil pen fɔ sɔm tɛm ɔ sɔm tɛm dɛn de fɔ ɔltɛm, we go mek yu ebul fɔ du di tin dɛn we yu de du ɛvride izi wan.
• Di swel na di nerve we afɛkt kin ridyus, we kin ɛp am fɔ wɛl.
• Fɔ ɛp fɔ no di patikyula kɔz fɔ di pen (wan diagnosis).

Risk ɛn Kɔmplikɛshɔn dɛn

Di risk fɔ kɔmplikeshɔn frɔm wan nerve block na rili smɔl , bɔt i impɔtant fɔ no.

• Infεkshכn na di say we dεn injεkt.
• Blɔd we de kɔmɔt na di say we dɛn injɛkshɔn.
• Aksidɛntal injɛkshɔn fɔ mɛrɛsin insay wan blɔd vesel.
• Di drɔg kin skata we yu nɔ bin de ɛkspɛkt to ɔda nɛv dɛn ɔ insay di spɛshal kɔd.

Ɛni kayn nerve block kin gɛt difrɛn risk, so mek shɔ se yu tɔk bɔt di bɛnifit ɛn risk dɛm fɔ di nerve block we yu de tink bɔt wit yu dɔktɔ.

Aw lɔng dis pen rilif go las?

Dis kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin go fɔ sɔm dez ɛn dɛn nɔ kin fil pen. Ɔda wan dɛn kin gɛt fridɔm fɔ sɔm wiks, mɔnt dɛn, ɔ ivin fɔ lɔng tɛm. Sɔm pipul dɛn kin gɛt fridɔm we dɛn jɔs gi dɛn wan injɛkshɔn, ɛn ɔda wan dɛn kin nid fɔ gɛt bɔku tritmɛnt dɛn. Sɔm pipul dɛn nɔ kin gɛt ɛni rilif atɔl.

Us tɛm yu nid fɔ tɔk to di dɔktɔ?

Nɛv blɔk na fayn we fɔ trit difrɛn kayn pen, bɔt di rizɔlt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. If yu gɛt ɛnitin fɔ wɔri ɔr kwɛstyɔn bɔt dis injɛkshɔn, tɔk to yu dɔktɔ. I go ebul fɔ ansa ɔl yu kwɛstyɔn dɛn.