Yu kin imajin se yu de fil pen na wan pat na yu bɔdi we nɔ de igen? I tan lɛk we dɛn du ɔpreshɔn fɔ pul yu an ɔ yu leg ɛn fil pen, yu de swɛla, ɔ yu de bɔn na di an ɔ yu leg we nɔ de. I at fɔ imajin, ɛn i kin tan lɛk se i strenj smɔl, bɔt na rial sik we dɛn dɔn ɛksplen to dɔktɔ. Wi de kɔl am "Phantom Limb Pain." Dis nɔto sɔntin we yu de imajin, na 100% rial pen. So tide, lɛ wi tɔk bɔt dis strenj, bɔt we rili kɔmɔn, pen.
Wetin na di difrɛn filin dɛm we kɔmɔt frɔm di wɔd "Phantom"?
Afta dɛn dɔn ɔpreshɔn wan an, lɛk yu an, yu leg, ɔ yu finga, yu kin fil difrɛn tin dɛn we gɛt fɔ du wit di pat we nɔ de. Nɔto ɔl dɛn tin ya kin mek pɔsin fil pen. Lɛ wi tek wan kwik luk pan wetin na dɛn sɛns ya.
| Wetin de fil (tayp) . | Fɔ tɔk am simpul wan, i min |
|---|---|
| Phantom Pen we de mek pɔsin fil pen | Fɔ fil pen na yu an, yu fut, ɔ ɔda pat we dɛn du ɔpreshɔn pan. |
| Phantom Senseshɔn dɛn we pɔsin kin gɛt | Fɔ fil lɛk se di pat we nɔ de na di bɔdi stil de. Nɔr pen nɔr de, bɔt sɔm kayn tin kin de lɛk wae yu de fil lɛk wae yu tɔch yu, yu de it yu, ɔr yu de wam yu bɔdi. Sɔm pipul dɛn kin ivin fɔgɛt se dɛn dɔn lɔs wan leg ɛn waka rawnd. |
| Phantom Pain Sindrom we de mek pɔsin fil pen | pan dis, dεn kin fil כl tu di pen εn כda tin dεm (lεk it εn prεshכn) tכgeda. |
| Risidual Limb Pen we de lɛf | Dis difrɛn frɔm Phantom Pain. pan dis, dεn nכ de fil di pen na di pat we dεn lכs, bכt na di pat pan di bכdi we de lεf afta dεn כpεrayshכn (di stכmp). Dis kin gɛt mɛrɛsin, lɛk infekshɔn ɔr nerve damej. |
Di tin we impɔtant pas ɔl na fɔ gri se di pen we yu de fil na rial pen. Dis na wan sik we kin rili kɔmɔn. Mɔr pas af pan pipul dɛm wae kin lɔs dɛn an ɛn fut kin gɛt dis sik.
Aw dis pen kin rili fil?
Dis pen kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Fɔ sɔm, i kin kam ɛn go insay sɛkɔn, bɔt fɔ ɔda pipul dɛn, i kin las fɔ sɔm awa ɔ ivin sɔm dez. Na sɔm kɔmɔn sayn dɛn ya:
- Pen we de mek pɔsin fil pen
- Lɛk pɔsin we de bɔn (Burning) .
- Fɔ chuk pɔsin wit sɔd
- Tingling
- I kin fil lɛk se sɔmbɔdi de ol yu tayt (Pinching) .
- I de it
- I de mek pɔsin blo
Apat frɔm dis pen, yu kin fil dɛn tin ya bak:
- I tan lɛk se di an/lɛg we nɔ de stil tay pan di bɔdi.
- I tan lɛk se dɛn fold am na wan strenj we.
- I tan lɛk se i de shek shek bak ɛn biɛn.
- I tan lɛk se i de smɔl smɔl.
Bɔrku pipul kin bigin fɔ gɛt dis pen insay di fɔs 6 mɔnt afta dɛn dɔn du di ɔpreshɔn. Di kayn pen ɛn di frɛkuɛns we di pen kin gɛt kin go dɔŋ as tɛm de go. Bɔt sɔm pipul dɛn kin stil gɛt sɔm kayn pen tu ia afta dat.
Wetin mek dis kayn pen kin apin?
pan ɔl we dɛn nɔ no di rayt tin we kin mek dis apin 100%, di men tiori na dat na "kɔmyunikeshɔn disɔda" we kin apin na wi nervɔs sistɛm ɛn bren.
Fɔ tɔk am simpul wan:
di nεv dεm na כl di pat dεm na wi bכdi de kכntinyu fכ sεnd signal to di bren εn di spεnal kכd. Ivin afta dɛn dɔn kɔt wan an ɔ leg, di nɛv dɛn we de na da pat de nɔ de igen, bɔt di nɛv dɛn we bin de kɔnɛkt am stil de na di bɔdi. Di bren stil tink se di pat we dɛn pul de de.
Ɔpreshɔn na big big prɔblɛm we kin ambɔg di bɔdi. I kin tek tɛm fɔ mek di bren ajɔst to dis chenj. insay dis tεm, di rεst nεv εnd dεm kin bigin fכ sεnd di rכng signal dεm to di bren. di bren de mistek intaprit dεn signal dεm ya we de kam as "pen." I tan lɛk se na sawnd we de bɔz we de kɔmɔt na fon layn we dɔn brok. Na dat mek yu kin fil pen usay i nɔ de.
So wetin na di tin dɛn we kin mek pɔsin gɛt pen we lɛf na di an ɛn fut?
Dis nɔto Phantom Pain. Dis pen kin gɛt rial tin dɛn we kin mek pɔsin gɛt bɔdi.
- Brus we de mek pɔsin brus
- Bɔn infɛkshɔn (Osteomyelitis) .
- Swel na wan rεsidyual nεv we de εnd (Nyuroma) .
- Blɔd we nɔ gɛt bɛtɛ blɔd
- Prɛshɔn we kin kɔmɔt frɔm wan prɔstɛtik divays we nɔ fit fayn
- Infekshɔn na di skin ɔ wund
- Prɛshɔn injuri dɛn
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ go tek tɛm lisin to wetin yu gɛt fɔ tɔk. Dɛn go aks yu kwɛstyɔn dɛn lɛk aw de pen de fil ɛn aw lɔng i dɔn de. Dɔn dɛn go chɛk di stɔp.
- Ɛni wund dɛn de we opin?
- Sayn dεm de fכ infεkshכn (rεd, swel)?
Yu kin nid fɔ du blɔd tɛst ɔ imej tɛst lɛk ɛkstrem rayt fɔ si if ɔda tin dɛn de we kin mek yu du dis.
Dis sik kin mek sɔm pipul dɛn gɛt strɛs na dɛn maynd, wɔri, ɔr pwɛl hat, so yu dɔktɔ kin rifer yu fɔ gɛt saykayatrik kɔyl. Dis pen kin wɔs if yu strɛs.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔt gud tin na dat, bɔku fayn tritmɛnt dɛn de fɔ dis pen. Yu dɔktɔ kin ɛp yu fɔ fɛn di tritmɛnt we go wok fɔ yu. Yu kin nid fɔ yuz mɔ pas wan tritmɛnt.
Miro Tɛrapi
Dis na tritmɛnt we rili fayn ɛn we go wok fayn. I de "trik" yu bren.
Imajin se dɛn dɔn pul yu lɛft leg. We yu sidɔm, miro de bitwin yu leg dɛn. We yu luk na di miro, yu go si di we aw yu rayt leg de sho. Dat min se usay di lɛft leg we nɔ de, yu si wan leg we gɛt wɛlbɔdi.
Naw, we yu de du ɛksɛsayz ɛn muv yu rayt leg lɛk aw yu dɔktɔ tɛl yu, ɛn luk di riflɛkshɔn na di miro, yu bren de sɛn signal we se, "Ah... mi tu leg dɛn wɛl ɛn de muv." We yu kɔntinyu fɔ du dis fɔ lɛk 20 minit so insay di de, di sayn dɛn we di bren kin kɔnfyus kin kam bak smɔl smɔl ɛn di pen kin go dɔŋ.
Di kayn mɛrɛsin dɛn we dɛn kin yuz
Dɛn kin yuz difrɛn kayn mɛrɛsin dɛn dipen pan di kayn pen we pɔsin kin fil.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Kɔmɔn mɛrɛsin dɛn we de mek pɔsin fil pen | Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID) . |
| Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad | Dɛn tin ya kin ɛp fɔ kɔntrol di sayn dɛn we di nerv dɛn kin gi. |
| Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik | Gabapentin, Pregabalin (dεn tin ya kin rili wok fכ nerv pen) . |
| Beta-blɔk dɛn | Prɔpranolɔl we dɛn kɔl |
| Lokal Anɛstɛtiks | Lidocaine, Bupivacaine (i kin bi se na injɛkshɔn) . |
Ɔda tritmɛnt dɛn
- Transkutan ilektrikal nεv stimulashכn (TENS): na mεtכd we de blכk di pen signal dεm bay we i de gi sכm sכm ilektrikal impuls dεm kכros di skin.
- di spεnal kכd stimulashכn: fכ kכntro di pen signal dεm bay we dεn implant wan stimulatכr insay di spεnal kכd.
- Akupankcha: akupankcha.
- Masaj tɛrapi: Masaj di say we lɛf jisnɔ.
- Cognitive behavioral therapy (CBT): Na wan kayn saykotɛrapi wae de tich yu aw fɔ bia wit pen na yu maynd.
Ɛnitɛm we yu want fɔ go to dɔktɔ
Pan ɔl we dis pen na nɔmal tin, sɔntɛnde i kin impɔtant fɔ go to dɔktɔ.
| Na tɛm lɛk dis, yu fɔ rili go to yu dɔktɔ. | |
|---|---|
| If di pen tu bɔku fɔ bia. | |
| If yu nɔr kin ebul fɔ du yu ɛvride woke bikɔs ɔf de pen, ɔr if yu nɔr kin ebul fɔ slip fayn. | |
| If di pat we lɛf (stɔmp) gɛt sayn dɛn fɔ infekshɔn lɛk fiva, rɛd, swel, ɛn pus. | |
We yu gɛt dis pen, yu kin fil se yu nɔ de nia ɔda pipul dɛn ɛn yu kin shem. Yu kin tink se, "Pipul go tink se a kray if a tɛl dɛn se mi an de at." Bɔt duya una nɔ tink da we de. Dis na rial, kɔmɔn mɛrɛsin sik. Tɔk to yu dɔktɔ bɔt am opin wan. I go izi fɔ dɛn fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Phantom Limb Pain nɔto sɔntin we yu de imajin. Na komplit rial pen.
- Dis kin bi bikɔs ɔf wan kɔmyunikeshɔn prɔblɛm na di bren ɛn di nervɔs sistɛm.
- Bɔku pipul dɛn we dɛn kɔt dɛn an kin gɛt dis kayn tin. Nɔto yu wan de.
- Bɔrku tritmɛnt de fɔ kɔntrol dis pen, frɔm simpul tritmɛnt lɛk miro tritmɛnt to mɛrɛsin.
- Nɔ shem ɔ ayd dis pen. Mek shɔ se yu tɔk to yu dɔktɔ bɔt am opin wan.
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