Sɔntɛnde yu kin gɛt strenj pen we yu nɔ go ebul fɔ bia na yu bɛlɛ we de dɔŋ, dat na rawnd yu bɔdi ɔ na yu an? I go mɔs bi se i rili at fɔ pas di de wit dis pen, nɔto so? Yu go mɔs dɔn du bɔku tin fɔ fɛn wetin mek dis apin. So tide wi go tɔk bɔt wan spɛshal we we dɔktɔ dɛn kin yuz fɔ fɛn wetin mek dis kayn pen ɛn trit am.
Wetin na Pudendal Nɛv Blɔk?
Fɔ tɔk am simpul wan, dis min se yu fɔ injɛkt wan mɛrɛsin nia di pudendal nerve, we na wan nerve we de rɔn tru yu pelvik rijyɔn. tink bɔt dis nεv as di ‘men waya’ we de kכri sens frכm wi lכw bεlε to di mכsul dεm εn skin we de rawnd wi jεnital dεm (vagina na uman, penis na man) εn anus.
Sɔntɛnde, if dis nɛv kɔmprɛs ɔ wund, wan sik we dɛn kɔl Pudendal Neuralgia kin apin. Na da tɛm de di pen we nɔ de dɔn, we a nɔ ebul fɔ bia we a bin dɔn tɔk bɔt, kin apin. So wetin dis injεkshכn de du na fכ go nia da nεv de εn stכp di pen fכ sכm tεm כ fכ lכng tεm.
Wetin mek dɛn kin gi dis vaysin? Wetin na di bɛnifit dɛn we i kin gɛt?
Tri men tin dɛn de we mek dɛn gi dis vaysin. Lɛ wi si wetin dɛn bi.
| Men rizin (Pɔpɔshɔn) . | Simpul Ɛksplen |
|---|---|
| Fɔ no di sik (Diagnosis) . | We di tin we mek yu de fil nɔ klia, yu dɔktɔ kin gi yu dis injɛkshɔn. If di pen dɔn stɔp afta di injɛkshɔn, i kin kɔnfɔm se di prɔblɛm de na di pudendal nerve. Dis go mek am izi fɔ plan di tritmɛnt tumara bambay akɔdin to dat. |
| As tritmɛnt | Dɛn kin yuse am fɔ trit pen we nɔr de dɔn, lɛk pudendal neuralgia. I kin min fɔ injɛkt wan mɛrɛsin we de mek pɔsin nɔ fil fayn ɛn sɔntɛnde dɛn kin injɛkt wan mɛrɛsin we dɛn kɔl kɔtikosterɔyd, we kin mek di nɛv nɔ swel. |
| Rijinal Anɛstɛsia | We dɛn de du sɔm ɔpreshɔn ɛn mɛrɛsin, dɛn kin gi dis injɛkshɔn fɔ mek di say nɔmɔ we dɛn de tɔk bɔt nɔ gɛt bɛtɛ trɛnk, pas fɔ gi ful anestezi. Fɔ ɛgzampul, dɛn kin yuz dis we fɔ bɔn pikin ɛn we dɛn de du ɔpreshɔn pan ɛmoroyd. |
Aw a fɔ pripia fɔ dis vaysin?
Bɔku tɛm, dis nɔ kin nid fɔ pripia tumɔs. Bɔt sɔm tɛm, if di dɔktɔ disayd fɔ gi yu mɛrɛsin fɔ mek yu fil kol, i go aks yu fɔ fast fɔ lɛk 6-8 awa so. I go aks yu bak fɔ kam wit pɔsin we go ebul fɔ drayv wit yu da de de. Ilɛk wetin nid fɔ du, yu dɔktɔ go tɛl yu bifo tɛm. So nɔ fred. Aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
Aw dɛn kin gi dis vaysin?
Bɔku men we dɛn de fɔ gi dis vaysin. Yu dɔktɔ go pik di bɛst we fɔ du am bay di kayn bɔdi we yu gɛt ɛn di rizin we mek dɛn gi yu di vaysin.
Men we dɛn fɔ gi di vaysin
- Transvaginal aprɔch: Dɛn kin yuz dis we mɔ pan gaynɛkɔlɔji ɛn ɔbstetrik. Di dɔktɔ kin put in finga dɛn insay di vagina ɛn fɛn di rayt say we di nerve fɔ gi di injɛkshɔn de.
- transperineal approach: di perineum na di eria we di skin de bitwin di anus εn di jεnital dεm. Dɛn kin yuz dis we fɔ man ɛn uman.
- Pɛrirektal aprɔch: Dɛn kin yuz dis we fɔ ɔpreshɔn di rɛktal ɛn fɔ mɛn di pen.
Di tin we impɔtant pas ɔl na dat, pan ɔl dɛn we ya, di dɔktɔ kin gi smɔl injɛkshɔn fɔs fɔ mek di say nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil bɔku pen. I kin tan lɛk se yu pinch am smɔl.
Aprɔch we dɛn Gayd wit Imej
Naw, bɔku dɔktɔ dɛn kin gi dis vaysin wit di ɛp we dɛn kin yuz skan mashin lɛk ɔltra saund ɔ fluoroscopy (we tan lɛk ɛkstrem rayt we de muv). Dis kin mek dɛn si di rayt say usay di nerve de ɛn gi di vaysin sef wan. Dis kin mek di vaysin go bifo bad bad wan.
Wetin kin apin afta dɛn dɔn gi di vaysin?
Afta di injεkshכn, dεn go aks yu fכ rεst fכ lεk 15-30 minit. Insay dis tɛm, wan nɔs go wach yu fɔ si if ɛnitin we nɔ kɔmɔn apin. If ɔltin fayn, yu kin go na os.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Bɛnifit dɛn
- Fɔ gɛt sɔm kayn rilif fɔ sɔm tɛm ɔ fɔ lɔng tɛm frɔm pen.
- Di swel we de na di nerve kin ridyus, ɛn dis kin ɛp di nerve fɔ wɛl .
- f כ ebul fכ kכnfכm if di kכz fכ di pen na di pudendal nεv insεf.
- Fɔ bi wan ɔda we we sef pas jenɛral anestezi.
Risk dɛn we kin apin
Siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm , ɛn bɔku tɛm na smɔl smɔl sayd ɛfɛkt dɛn nɔmɔ dɛn kin si.
- Smɔl sayd ɛfɛkt dɛn: Sɔm pen ɛn nɔ kin fil fayn na di say we dɛn injekt fɔ tu to tri dez. sכmtεm, yu kin fil sכm sכm sכmtin כ wik na di leg fכ sכm tεm bikoz fכ כda nεv we de nia di pudendal nεv.
- Siriɔs prɔblɛm dɛn we nɔ kin apin so ɔltɛm: Na di nerve dɛn kin pwɛl, blɔd kin kɔmɔt, infekshɔn, ɛn di ɔgan dɛn we de nia lɛk di blad kin pwɛl. Bɔt we dɔktɔ we gɛt ɛkspiriɛns du am kɔrɛkt wan, dɛn prɔblɛm ya kin rili smɔl.
Aw lɔng di pen rilif kin las?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Fɔ tɔk tru, i kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin gɛt rilif fɔ sɔm dez ɔr wik. Ɔda wan dɛn kin go fɔ sɔm mɔnt ɔ ia dɛn we dɛn nɔ kin fil pen. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni rilif atɔl. I dipen pan di ɔndalayn kɔz fɔ yu pen ɛn aw yu bɔdi de ansa di mɛrɛsin.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni nyu sayn afta yu dɔn gɛt di vaysin, sayn dɛm fɔ infekshɔn lɛk fɔ swel, rɛd, ɔ fiva na di say we dɛn inj yu, ɔ yu leg de kɔntinyu fɔ swɛ, bɔn, ɔ wik , kɔl yu dɔktɔ wantɛm wantɛm . If yu sik bad bad wan, nɔr shem fɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Pudendal Nerve Block na spɛshal injɛkshɔn we de trit di pen we nɔ de dɔn na di bɛlɛ we de dɔŋ ɛn di say we di uman in bɛlɛ de.
- Dɛn kin yuz dis fɔ no wetin mek pɔsin de fil pen, fɔ trit di pen, ɛn fɔ gi lokal anestesia we dɛn de du sɔm ɔpreshɔn dɛn.
- Na dɔktɔ we gɛt ɛkspiriɛns kin du dis wok fayn fayn wan, ɛn sɔntɛm na mashin we de skan kin ɛp am.
- Di rilif we yu kin gɛt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Nɔto ɔlman kin gɛt di sem tin.
- Duya tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt dis.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta di vaysin, go to dɔktɔ wantɛm wantɛm.
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