Sɔntɛnde yu kin gɛt siriɔs pen we yu nɔ kin ɛksplen na yu bɛlɛ we de dɔŋ ɔ yu bɔdi we yu kin gɛt? Sɔntɛm dis pen kin mek i nɔ izi fɔ sidɔm ɔ du nɔmal wok. Tide wi de tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. Dɛn kɔl am Pudendal Nɛv Blɔk.
Fɔ tɔk am simpul wan, wetin na Pudendal Nerve Block?
Dis na rili injɛkshɔn. Fɔ tɔk di kɔrɛkt tin, i min fɔ injɛkt wan mɛrɛsin we de mek yu nɔ fil pen na yu bɛlɛ nia di pudendal nɛv. Dis kin gi yu pen fɔ sɔm tɛm ɔ sɔmtɛm fɔ lɔng tɛm.
Tink bɔt am, dis pudendal nerve na wan big nerve we de kɛr senseshɔn frɔm di bak pat pan yu pelvis to di mɔsul dɛm ɛn skin na eria dɛm lɛk yu genitals, anus, vagina, ɛn penis. If dis nɛv kɔmprɛs ɔ pinch ɛni we, i kin mek pɔsin gɛt pen na di bɛlɛ we nɔ de dɔn . Insay mɛrɛsin, wi kin kɔl dis pudendal nyuraljia . Dis nerve block na in dɛn kin yuz mɔ fɔ trit dɛn kayn tin ya.
Wetin na di yus dɛm fɔ dis vaysin?
Dɛn kin yuz dis tritmɛnt fɔ tri men tin dɛn. Lɛ wi si wetin dɛn bi.
| Yuz sɛnɛriɔ | Wan simpul ɛksplen |
|---|---|
| Fɔ no di sik (Diagnosis) . | If yu gɛt pen na yu bɛlɛ bɔt yu nɔ ebul fɔ no di kɔz, yu dɔktɔ kin gi yu dis injɛkshɔn. If yu pen bɛtɛ afta di injɛkshɔn, i kin kɔnfyus se di kɔz na prɔblɛm wit di pudendal nerve. If de pen nɔr bɛtɛ, de kɔz kin bi ɔda tin. Dis kin ɛp yu fɔ plan yu tritmɛnt. |
| As tritmɛnt | Dis injεkshכn dεn kin yus fכ trit krεse pen we kכmכt lεk pudendal nyuraljia. Dis injεkshכn kin involv fכ ad lokal anεsthεtik εn sכmtεm wan k כtikostεroyd fכ ridyus di swεl. |
| Fɔ mek wan eria nɔ gɛt bɛtɛ trɛnk (Regional Anesthesia) . | dis injεkshכn dεn kin yus fכ numb כnli di εria we dεn de du sכm כpεrayshכn dεm we dεn de du wit uman, uman we de bכn, εn rεktal. fכ egzampl, dεn kin yus am fכ ridyus di pen na di vagina we dεn de bכn pikin, εn we dεn de du εmoroyd כpεrayshכn. Dis na ɔda we we sef pas fɔ yuz ful anestezi. |
Aw yu fɔ rɛdi fɔ dis?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs.
Bɔt sɔntɛnde, yu dɔktɔ kin disayd fɔ put yu na slip (sedation) we yu de tek dis injɛkshɔn. If na so i bi, dɛn go advays yu fɔ lɛf fɔ it ɔ drink fɔ lɛk 6-8 awa so . I impɔtant bak fɔ gɛt pɔsin fɔ drayv yu go na os afta di tritmɛnt.
Bɔt yu dɔktɔ go ɛksplen dis to yu bifo tɛm. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt.
Aw fɔ gɛt di vaysin? Wetin na di we dɛn we dɛn kin du am?
Di dɔktɔ kin yuz tri men we fɔ gi dis vaysin, i kin dipen pan di kayn bɔdi we yu gɛt ɛn di rizin fɔ di tritmɛnt.
Tru di vagina (Transvaginal aprɔch) .
dis mכt dεn kin yus mכst pan obstetrik εn gaynikכlכji.
- Dɛn go mek yu ledɔm pan spɛshal bed, ɛn yu go put yu leg dɛn ɔp ɛn put am ɔp.
- Dɛn kin gi yu smɔl injɛkshɔn (sɛdativ) insay wan vein na yu an fɔ mek yu rilaks.
- Dɔn, di dɔktɔ kin put in an insay di vagina ɛn no usay di nɛv de.
- Dɔn, we dɛn de yuz spɛshal inschrumɛnt, dɛn kin tek tɛm put di nidul insay di nɛv ɛn put di mɛrɛsin insay di bɔdi. Sɔntɛnde dɛn kin du dis wit di ɛp we dɛn kin yuz skan tɛknɔlɔji dɛn lɛk ɔltra saund ɔ fluoroscopy .
tru di εria bitwin di jεnital dεm εn di anus (Transperineal approach) .
Dɛn kin yuz dis we fɔ du ɔpreshɔn pan anal ɛn fɔ mek man dɛn gɛt pudendal pen.
- If na so i bi, dɛn go mek yu ledɔm bak fes ɔp.
- Dɛn kin klin di say na di skin usay dɛn go injɛkt di mɛrɛsin wit antiseptik sɔlvushɔn.
- Dɔn, di dɔktɔ kin put wan finga insay di rεktum ɔ vagina fɔ fɛn di rayt say we di nerve de.
- Dɔn, dɛn kin put di injɛkshɔn nidul tru di skin frɔm do ɛn dɛn kin injɛkt di mɛrɛsin.
Pɛrirektal aprɔch
Dɛn kin yuz dis we bak fɔ ɔpreshɔn pan anal ɛn fɔ mek pɔsin fil pen na di pudendal.
- Insay dis, dɛn kin tɔn yu na yu sayd ɛn mek yu ledɔm.
- Jɔs lɛk ɔda we dɛn, dɛn kin no di rayt say we di nerve de bay we dɛn put finga insay ɔ yuz wan tin we de mek di nerve stimulate .
- Dɔn, dɛn kin gi di vaysin tru di skin nia di an.
Di impɔtant tin na dat, insay ɔl dɛn we ya, dɛn kin gi smɔl injɛkshɔn fɔs fɔ mek di say we dɛn injɛkshɔn de nɔ fil fayn. So yu nɔ go fil bɔku pen. Bɔt yu kin fil fayn smɔl we dɛn put di nidul insay.
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
- Fɔ mek yu fil pen fɔ sɔm tɛm ɔ fɔ ɔltɛm: Dis kin rili ɛp yu fɔ du di tin dɛn we yu de du ɛvride izi wan.
- Ridyus di swel: I de ridyus di swel na di nerve, ɛp am fɔ wɛl.
- Fɔ no di sik kɔrɛkt wan: Dis kin ɛp yu fɔ no if na di pudendal nerve na di rial tin we de mek yu fil pen ɔ nɔto so.
- Sefty: Dis rijinol anestezi mεtכd de bכku sef pas jεnarכl anεsthεsia.
Sɔm pipul dɛn kin fil pen insay sɔm minit. If dɛn gi yu stɛroyd injɛkshɔn, i kin tek sɔm dez fɔ fil di tin dɛn we i de du. Bɔt wi fɔ mɛmba se dis nɔ de mek ɔlman nɔ fil pen.
Aw dis kin gɛt sakrifays? Ɛni risk dɛn de we kin apin?
Di sakses rεt fɔ dis tritmɛnt kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, i kin dipen pan di ɔndalayn mεdikal kɔndishɔn wae de kɔz de pen ɛn ɔda tin dɛm. Na avrej, yu kin ɛkspɛkt fɔ gɛt sakrifays rɛt we pas 50%.
We wi de tɔk bɔt di prɔblɛm dɛn we kin apin, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
| Di kayn risk we pɔsin kin gɛt | Tin dɛn we kin apin |
|---|---|
| Di sayd ɛfɛkt dɛn we dɛn kin si bɔku tɛm | Sɔm pen ɔr nɔr kin fil fayn na di say we dɛn injekt fɔ tu-tri dez. Sɔm blɔd ɔ infɛkshɔn kin de bak na di sayt. Sɔntɛnde, di leg kin swɛ ɔ wik fɔ sɔm tɛm. |
| Siriɔs prɔblɛm dɛn we nɔ kin apin so ɔltɛm | di damej pan di pudendal nεv, damej pan di כgan dεm we de nia lεk di blad כ di rεktum, εn di sistεmik lokal anεsthεtik tכksisiti kin apin, bכt dεn tin ya nכ kin apin bכku. |
Us tɛm yu want fɔ si di dɔktɔ bak?
If yu gɛt nyu sik dɛn afta yu dɔn trit yu, dat min se:
- If di say we dɛn injɛkshɔn de swel bad bad wan, rɛd, ɔ puls we de kɔmɔt (sayn fɔ infɛkshɔn).
- If pen de we yu de bɔn, yu nɔ de fil fayn, ɔ yu de wik ɔltɛm .
- If yu gɛt fiva we nɔ kɔmɔn.
If ɛnitin lɛk dis apin, kɔl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Pudendal Nerve Block na spɛshal injɛkshɔn tritmɛnt fɔ di pen we nɔ de dɔn na di bɛlɛ ɛn di jɛnɛral eria.
- Dɛn kin yuz dis fɔ no if i gɛt di sik, fɔ trit am, ɛn fɔ mek wan eria nɔ gɛt bɛtɛ trɛnk.
- Dɛn kin tek tɛm du di tritmɛnt, bɔku tɛm na di ɛp we dɛn kin yuz fɔ skan.
- Di rilif we yu kin gɛt frɔm dis ɛn aw lɔng i kin te kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt dis tritmɛnt, tɔk bɔt am opin wan wit yu dɔktɔ.
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