Sɔntɛnde, pɔsin nɔ kin ebul fɔ bia wit ed pen, nɔto so? Na di wan dɛn nɔmɔ we de sɔfa wit dɛn no di pen we kin kam wit dɛn, mɔ we di pen bigin na di bak pat na di nɛk ɛn spre ɔlsay na di ed, we kin mek i tan lɛk se yu yay go pop kɔmɔt. Yu kin fil bak se nɔr de fɔ fil fayn pan dis, ilɛksɛf yu tek ɔr wetin yu de du? If yusɛf de sɔfa wit dis prɔblɛm, yu dɔktɔ kin dɔn tɛl yu bɔt wan tritmɛnt we dɛn kɔl ‘Occipital Nerve Block’. Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, fɔ tru, i nɔ big so. So lɛ wi tɔk bɔt dis simpul ɛn klia we tide.
Fɔ tɔk am simpul wan, wetin na dis Ɔksipital Nɛv Blɔk?
כksipital nεv blכk na injεkshכn we dεn kin gi nia di כksipital nεv dεm na di bak pat na yu ed. I tan lɛk mɛrɛsin we dɛn kin gi yu gam we de mek yu nɔ gɛt trɛnk bifo yu pul yu tut. Di injεkshכn de mek di nεv dεm εn di tisu dεm we de rawnd nכm fכ sכm tεm. Bɔku tɛm, dɛn kin du am wit wan mɛrɛsin we de mek pɔsin nɔ fil fayn . Sɔntɛnde, dɛn kin ad wan stɛroyd fɔ ridyus di inflamɛns na di nɛv dɛn.
Dis nɔto big ɔpreshɔn. I jɔs de kɔntrol di pen fɔ sɔm tɛm ɛn gi di nerve chans fɔ wɛl.
usai dεn כksipital nεv dεm ya de?
dis כksipital nεv dεm de kכmכt frכm di spεnal vεrbra dεm (C2 εn C3) we de na di tכp pat pan yu nεk. Dɛn kin gi sɛns mɔ to di skin ɛn di skel we de biɛn yu ed. Tri kayn dɛn nerv ya de na ɛni say na wi ed.
| Tayp fɔ di Nɛv | Di eria we de gi sɛns |
|---|---|
| Greta Ɔksipital Nɛv (GON) . | di big wan pan di tri nεv dεm, i de gi sens frכm di bak pat na di ed to di tכp pat pan di ed, to di yes dεm εn di skin we de oba di yes dεm. |
| Lεsεr כksipital Nεv (LON) . | I de gi sens to di bak pat pan di skel ɛn di ɔda skin na di yes. |
| Tɔd Ɔksipital Nɛv (TON) . | i de gi sens to di skin na di lכw midul pat na di bak pat na di ed. Dis nerve kin pwɛl we pɔsin de whiplash, lɛk we i gɛt motoka aksidɛnt. |
Imajin, we sɔntin go rɔng wit dɛn nerv ya, di pen nɔ jɔs de na di bak pat na di nɛk. Sɔmtɛm de pen kin kam bak frɔm say dɛm lɛk di yay ɛn fɔrɛst. Dɔktɔ dɛn kin kɔl dis ‘rɛfrɛn pen’. Dat min se di prɔblɛm de na wan ples, bɔt dɛn kin fil di pen na ɔda say.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Dɔktɔ dɛn kin advays dis Ɔksipital Nɛv Blɔk fɔ siriɔs ed we at fɔ kɔntrol wit ɔda tritmɛnt dɛn.
- Occipital Neuralgia: Dis na di men tin we kin mek i gɛt dis sik. Na shap pen we tan lɛk ilɛktrik we kin kam bikɔs ɔf kɔmpreshɔn ɔ damej pan di ɔksipital nɛv.
- Maygren ed we de at
- Klɔsta ed we de at
- Sɛvikojɛnik ed pen: Ɛd at we kin kam bikɔs i gɛt prɔblɛm wit di vɛrbra dɛn na di nɛk.
- Di ed we de at we dɛn dɔn pank am afta dɛn dɔn pan am
- Nɛk pen: Dɛn kin fil pen mɔ na di ɔpa, bak pat na di nɛk.
- Nek injuri frɔm aksidɛnt (Whiplash) .
Sɔntɛnde, yu dɔktɔ kin yuz dis nerve block fɔ no di sik fɔ no di rayt tin we mek yu de fil pen. Imajin, if yu pen go afta dis injεkshכn, i de kכnfכm se di prכblεm de na di כksipital nεv. Dɔn i kin izi fɔ plan di rayt tritmɛnt fɔ am fɔ lɔng tɛm.
Aw yu fɔ rɛdi fɔ dis?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Na simpul prosidur we dɛn kin du na di ɔtpeshɛnt dipatmɛnt.
Bɔt sɔntɛnde, yu dɔktɔ kin disayd fɔ gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu nɔ gɛt kol at ɛn mek yu fil lɛk se yu de slip smɔl. If dɛn du dat, dɛn go tɛl yu nɔ fɔ it ɔ drink ɛnitin fɔ 6 to 8 awa. Dɔn bak, yu go nid fɔ kam wit pɔsin fɔ drayv yu go na os bikɔs yu nɔ go ebul fɔ drayv da de de. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo tɛm. So nɔ fred fɔ aks am ɛni kwɛstyɔn we yu go gɛt.
Wetin kin apin we dɛn de trit am?
Dis prɔses kin rili kwik, i nɔ kin tek pas 5 minit.
1. Fɔs, dɛn go aks yu fɔ sidɔm na chia ɛn mek yu ed dɔŋ smɔl. Ɔ, dɛn go aks yu fɔ ledɔm na yu bɛlɛ pan bed wit pilo ɔnda yu chɛst so dat yu nɛk go bɛn smɔl.
2. If dɛn de sɛd yu, dɛn kin put kanula insay wan vein na yu an ɛn dɛn kin gi yu sɔm mɛrɛsin tru am.
3. Dɔn di dɔktɔ go fil di bak pat na yu nɛk fɔ fɛn di rayt say we di nerve de. Sɔntɛnde, dɛn kin yuz skan (ultrasound ɔ fluoroscopy) fɔ fɛn di rayt say.
4. Dɛn kin klin di say we dɛn injɛkshɔn fayn fayn wan wit wan sɔlvushɔn we de kil di sik.
5. Dɔn, dɛn kin injɛkt di mɛrɛsin nia di nerve we dɛn dɔn no wit wan rili fayn nidul.
6. Dɛn go aks yu fɔ rɛst fɔ sɔm minit afta di injɛkshɔn.
Na dat nɔmɔ kin apin. Natin nɔ de fɔ fred.
Wetin kin apin afta di injɛkshɔn?
If dɛn gi yu wan mɛrɛsin we de mek yu fil fayn, wan nɔs go de wach yu fɔ lɛk 15-30 minit. Dis go bi fɔ si if ɛnitin we nɔ kɔmɔn apin. Afta dat, yu kin go na os. If dɛn nɔ bin gi yu mɛrɛsin fɔ mek yu fil fayn, yu kin kɔmɔt de afta lɛk 10 minit so.
Di sayd ɛfɛkt dɛn ɛn di tin dɛn we kin apin
Pan ɔl we dis tritmɛnt rili sef, lɛk ɛni ɔda mɛrɛsin, smɔl smɔl prɔblɛm dɛn kin apin.
- Di sayd ɛfɛkt dɛn we kin apin: Sɔm smɔl pen kin de, rɛd, ɔ swel na di say we dɛn injekt fɔ tu to tri dez. Dis na nɔmal tin. Sɔm pipul dɛn kin fil bak smɔl diziz ɔ nɔs.
- Stɛroyd: If yu yuz stɛroyd mɛrɛsin, yu kin gɛt di skin we de rawnd di say we dɛn injekt yu (atrophy) ɔ yu ia kin lɔs fɔ sɔm tɛm (alopecia). Dɛn tin ya nɔ kin apin so ɔltɛm.
- Risk dɛn we nɔ kin apin so ɔltɛm: Blɔd, infɛkshɔn, nerve damej, ɛn transient dysphagia nɔ kin apin so ɔltɛm.
Aw lɔng dis pen rilif kin las?
Na dis na di impɔtant tin. Di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin . Sɔm pipul kin gɛt bɔrku pen rilif insay 20-30 minit afta dɛn injekt dɛn, ɛn de rilif kin las fɔ sɔm mɔnt. Ɔda wan dɛn kin jɔs gɛt fridɔm fɔ sɔm awa ɔ sɔm dez. Sɔntɛnde, pipul dɛn kin de we nɔ kin fil fri atɔl.
Fɔ kɔndishɔn lɛk Ɔksipital Nyuraljia ɛn Sɛvikɔjɛnik ed pen, yu kin nid fɔ gɛt sɔm injɛkshɔn fɔ mek yu gɛt rilif fɔ ɔltɛm. Dis ɔl na yu dɔktɔ go disayd bay yu kɔndishɔn.
Ustɛm yu fɔ kɔl di dɔktɔ?
We yu go na os afta yu dɔn gɛt tritmɛnt, na fɔ no bɔt dɛn tin ya.
- If di say we dɛn injɛkshɔn de swel bad bad wan, i rɛd, i gɛt pus we de kɔmɔt , ɔ i gɛt fiva (dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn).
- If di pen de bɔku instead fɔ stɔp.
- If yu fil nyu pen we de bɔn, yu bɔdi nɔ de fil fayn ɔ yu wik.
If yu gɛt ɛni nyu sik lɛk dis, kɔl yu dɔktɔ wantɛm wantɛm. Nɔ panik, bɔt i impɔtant fɔ mek dɛn tɛl yu.
Mɛsej we dɛn kin kɛr go na os
- Occipital Nerve Block na injɛkshɔn nia wan nerve we dɛn kin yuz fɔ trit bad bad ed pen ɛn nɛk pen, nɔto big ɔpreshɔn.
- Dis nɔr kin jɔs pul di pen, bɔt i kin ɛp bak fɔ no di rayt tin we kin mek yu fil pen.
- Di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin fil fayn fɔ sɔm mɔnt, ɛn ɔda pipul dɛn nɔ kin si bɛtɛ bɛtɛ bɛtɛ wan.
- Dis na jɔs wan tritmɛnt we rili sef, bɔt i kin gɛt smɔl smɔl sayd ɛfɛkt dɛn, lɛk smɔl pen ɛn swel na di say we dɛn injɛkshɔn.
- If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt dis tritmɛnt, tɔk to yu dɔktɔ bɔt am opin wan. I go ɛksplen ɔltin to yu.
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