Sɔmtɛm wi kin gɛt pen wae nɔr kin dɔn ilɛk wetin wi du ɔr tek mɛrɛsin. Sɔntɛm na bak pen, ni pen, ɔ bad bad pen na wan say na di ed. Na di wan dɛn nɔmɔ we de sɔfa wit dis kayn pen ɔltɛm no aw i nɔ kin izi fɔ liv wit. So, tide wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz fɔ kɔntrol dis kayn pen. Dɛn kɔl dat ‘Nɛv Blɔk’ .
Fɔ tɔk am simpul wan, wetin na nerve block?
Tink bɔt di nɛf dɛn we de na wi bɔdi lɛk kebul. dis nεv dεm kin kכri mεsej frכm di bren to כda pat dεm na di bכdi, εn frכm dεn pat dεm de bak to di bren. Na dɛn mɛsej ya de kɔntrol ɔltin we wi de fil, muv, blo, ɛn swet. Pen na wan pan dɛn mɛsej dɛn de.
Nεv blכk na dכg we dεn injεkt insay di nεv כ nerv bכndεl usay dεn de fil di pen. Dis kin stɔp di pen mɛsej fɔ sɔm tɛm fɔ go na di bren. I tan lɛk se yu de kɔt fon kɔl midul-way.
Sɔntɛnde, dɛn kin ad wan mɛrɛsin we de mek pɔsin fil pen ɛn wan tin we de mek pɔsin nɔ fil bad to dis injɛkshɔn. Dis kin ɛp fɔ ridyus di swɛlin na di nerve ɛn gi di nerve we dɔn pwɛl chans fɔ wɛl. Di rilif frɔm dis na fɔ shɔt tɛm nɔmɔ. Sɔm pipul dɛn kin gɛt fridɔm we dɛn jɔs gi dɛn wan injɛkshɔn, ɛn ɔda wan dɛn kin nid fɔ gɛt am bɔku tɛm. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni fridɔm frɔm dis. If na so i bi, dɛn go nid ɔda tritmɛnt dɛn.
Wetin na di rizin dɛn we kin mek pɔsin gɛt nerv blɔk?
Tri men tin dɛn de fɔ yuz wan nerve block.
1. As tritmɛnt fɔ pen (Therapeutic Nerve Blocks): Dis na di rizin we kin mek dɛn yuz am mɔ. Dɛn kin yuse am fɔ mek pɔrsin fil fayn fɔ sɔm tɛm frɔm pen wae kin akyu ɔr kin te. Fɔ ɛgzampul, dɛn kin yuz am fɔ bad bad bak pen ɔ fɔ pen na yu ni.
2. Diagnostic Nerve Blocks: Imajin se yu de fil pen, bɔt yu dɔktɔ nɔ ebul fɔ no usay di pen de kɔmɔt. Dɔn i go du wan nerve block we de target di nerve we dɛn tink se. If yu pen stɔp afta dɛn dɔn inj yu, i de sho se di prɔblɛm de na da nerv de. If di pen nɔr dɔn, i kin sho se di prɔblɛm de ɔdasay. Dis kin ɛp yu fɔ plan fɔ trit yu tumara bambay.
3. Fɔ anestezi (Anesthetic Nerve Blocks): Di wan dɛn we de anestezi kin yuz dis we fɔ kɔntrol di pen afta dɛn dɔn du di ɔpreshɔn. Insay big big ɔpreshɔn, dɛn kin gi dis apat frɔm jenɛral anestezi. Fɔ sɔm smɔl ɔpreshɔn dɛn, lɛk ɔpreshɔn pan di an, dɛn kin yuz wan nerv blɔk instead fɔ yuz jenɛral anestezi.
Us kayn nerve blocks de?
Bikɔs wi bɔdi gɛt bɔku bɔku nerv dɛn, bɔku kayn nerve blɔk dɛn de. Dɛn tin ya na sɔm pan di wan dɛn we dɛn kin yuz mɔ.
| Tayp fɔ di nerve block | Yuz ɛn diskripshɔn |
|---|---|
| Epidural (Epidural Nεv Blɔk) . | Wan kayn we bɔku pipul dɛn dɔn yɛri bɔt. Dɛn kin yuz am fɔ ridyus di pen we pɔsin kin gɛt we i de bɔn pikin. Dis injεkshכn we dεn gi di bak, de mek di εria dεm lεk di leg dεm εn di bεlε sכmtεm εn i de mek di pen kכmכt. |
| Lumbar Simpatik Blɔk | I de gi rilif fכ di lכw bכk εn leg pen (e.g. sciatica, CRPS). Target di nεv dεm na di tu say dεm na di spayna. |
| Jɛnikul Nɛv Blɔk | Target di nerves dεm we de rawnd di kכn. I de gi rilif fɔ lɔng tɛm ni pen ɛn pen afta dɛn dɔn ɔpreshɔn di ni. |
| Ɔksipital Nɛv Blɔk | I de tɔch di nerv dɛm na di bak pat na di ed ɛn dɛn kin yuz am as tritmɛnt fɔ ɔksipital nyuraljia ɛn sɔm siriɔs maygren. |
| Trigeminal Nɛv Blɔk | I de tɔch di nɛf dɛn we de na di tu say dɛn na di fes. Dɛn kin yuz am fɔ trit bad bad pen na yu fes (trigeminal neuralgia). |
| Siliak Plɛks Blɔk | i de tכk to wan nεv bכndεl bihayn di pankrεas na di כp bכdi. I de pul di pen we pɔsin kin gɛt we i gɛt pankrias kansa ɔ we di pankrias kin inflamɛns fɔ lɔng tɛm (chronic pancreatitis). |
Aw dis tritmɛnt kin wok?
Fɔ ɔndastand dis, wi nid fɔ no smɔl bɔt aw wi bɔdi kin fil pen.
na di εnd dεm na wi nεv dεm na spεshal rεsεpכta dεm. Dɛn tin ya tan lɛk smɔl smɔl sɛns dɛn. If injuri ɔ damej de ɛnisay na di bɔdi, dɛn sɛns ya kin sɛn ay spid ilɛktrik signal to di bren we se, "Prɔblɛm de ya!"
Dis signal nɔto dairekt pen. I tan lɛk kɔd mɔ. di bren de gεt dis signal εn de intaprit da kכd de, we de mek wi fil di sεns f כ "pen."
Di pen kil dɛm we de na wan nerve block de stɔp di ilɛktrik signal dɛm fɔ mek dɛn nɔ sɛn ɔ gɛt. Dat min se dɛn kin blok di mɛsej frɔm di say we di prɔblɛm de to di bren. Dɔn di bren nɔ kin gɛt di mɛsej bɔt pen, so wi nɔ kin fil pen.
Di impɔtant tin na dat nɔto ɔlman kin gɛt di sem tin we pɔsin kin gɛt we i gɛt nerv blɔk. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
Aw yu kin pripia bifo yu nerv blok?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Bɔt sɔntɛnde, yu dɔktɔ kin disayd fɔ gi yu layt mɛrɛsin we de mek yu fil fayn (sedation). If na so i bi, dɛn go aks yu fɔ fast fɔ 6-8 awa bifo di tritmɛnt. Yu go nid pɔsin bak fɔ drayv yu go na os afta di tritmɛnt.
Bɔt yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs. Nɔ fred fɔ aks if yu gɛt ɛni kwɛstyɔn.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis na ɔspitul say so dat yu go ebul fɔ go na os we yu nɔ go nid fɔ de na ɔspitul. Pan ɔl we bɔku kayn nerv blɔk de, dɛn tin ya na sɔm pan di wan dɛn we kin apin.
- Fɔs, dɛn go put yu na wan patikyula pozishɔn na tebul fɔ ɛgzamin fɔ mek i izi fɔ di dɔktɔ fɔ gi di injɛkshɔn.
- Fɔ ɛp yu fɔ rilaks, dɛn kin gi yu wan mɛrɛsin we nɔ de mek yu fil fayn tru wan kanula we dɛn put insay wan vein na yu an (IV layn).
- Dɔn, dɛn kin klin di say we dɛn put di injɛkshɔn wit wan sɔlvushɔn we de kil di sik.
- bifo dεn gi di nεv blכk, dεn kin gi sכm injεkshכn (lokal anεsthεtik) fכ mek di εria nכ m. Da tɛm de, yu kin fil lɛk se yu de chuk yu smɔl.
- Di dɔktɔ kin yuz tɛknɔlɔji lɛk ɔltra saund ɔ ɛkstrem rayt fɔ fɛn di rayt ples fɔ gi di injɛkshɔn.
- Dɔn, dɛn kin injɛkt di mɛrɛsin nia di nerve we dɛn de tɔk bɔt.
- Afta di tritmɛnt, dɛn go aks yu fɔ rɛst fɔ lɛk 15-30 minit te di mɛrɛsin bigin fɔ wok.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i gɛt nerv blɔk?
Bɛnifit dɛn
- I kin mek pɔsin nɔ fil pen fɔ sɔm tɛm ɔ fɔ ɔltɛm , ɛn dis kin mek i izi fɔ du tin dɛn we pɔsin kin du ɛvride.
- Di swel na di nerve de ridyus , we de gi di nerve chans fɔ wɛl.
- I kin ɛp fɔ no di rayt tin we de mek pɔsin fil pen.
Risk dɛn we kin apin
Kɔmplikɛshɔn dɛn we kin kam frɔm wan nerv blɔk nɔ kin bɔku. Dɔn bak, ɛni kayn tin gɛt in yon spɛshal prɔblɛm dɛn. Bɔt na sɔm pan di prɔblɛm dɛn we kin apin.
- Infεkshכ n 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 spre we yu nɔ bin de ɛkspɛkt to ɔda nɛv dɛn ɔ di spɛnal kɔd.
So, bifo yu go gɛt tritmɛnt, tɔk gud wan wit yu dɔktɔ bɔt di kayn nerve block we yu go gɛt, ɛn bak di bɛnifit ɛn risk dɛn we i go gɛt.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
Afta tritmɛnt, if yu gɛt ɛni nyu sayn lɛk sayn dɛm fɔ infekshɔn (rɛd, swel, fiva), inflamɛns, tingling we nɔ kɔmɔn ɔ wik na di say we dɛn injekt , kɔl yu dɔktɔ wantɛm wantɛm . If ɛnitin apin, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Nεv blכk na fayn we fכ trit difrεn kכndyushכn dεm we de mek yu fil pen. Bɔt di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. If yu gɛt ɛni wɔri ɔ kwɛstyɔn bɔt dis injɛkshɔn, nɔ shek fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Nεv blכk na tritmεnt we de blכk di pen signal dεm fכ sכm tεm fכ nכ rich di bren bay we dεn injεkt wan dכg nia wan nεv we de mek yu fil pen.
- Dɛn kin yuz am fɔ mek pɔsin nɔ fil pen, fɔ no if pɔsin gɛt sik, ɛn fɔ mek pɔsin nɔ fil bad fɔ ɔpreshɔn.
- difrεn kayn dεm de, lεk epidural, injεkshכn fכ bak pen, injεkshכn fכ ni pen, εtk.
- De rilif frɔm dis kin te frɔm sɔm dez to sɔm mɔnt ɔr pas dat, bɔt di rizɔlt kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
- Jɔs lɛk ɔl di mɛrɛsin dɛn, sɔm smɔl smɔl prɔblɛm dɛn de. Tɔk bɔt dɛn tin ya wit yu dɔktɔ bifo yu gɛt tritmɛnt.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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