Sɔmtɛm sɔm pen kin de na wi layf wae kin tan lɛk se nɔr de ɛva go ilɛk us mɛrɛsin wi de tek ɔr wi de du fizik tritmɛnt. I kin bi bak pen we dɔn de mɔna wi fɔ lɔng lɔng tɛm, pen na wi nɛk, ɔ pen we wi nɔ ebul fɔ bia we kin tan lɛk se ilɛktrik shɔk na wan say na wi fes. Na di wan dɛn nɔmɔ we dɔn ɛkspiriɛns am no aw i nɔ kin izi fɔ liv wit dɛn kayn tin ya. So, we ɔl ɔda tin nɔ wok, tide wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin advays. Dɛn kɔl am Rhizotomy.
Fɔ tɔk am simpul wan, wetin na Rhizotomy?
Fɔ ɔndastand dis, lɛ wi tink fɔs bɔt di nervɔs sistɛm na wi bɔdi. Di nɛv dɛn we de rɔn ɔlsay na wi bɔdi tan lɛk smɔl smɔl ilɛktrik kebul dɛn. Na dɛn kebul ya de sɛn mɛsej bitwin wi bren ɛn di ɔda pat dɛn na wi bɔdi. כltin we yu de fil, lεk tכch, pen, εn כt, dεn de sεnd to di bren tru dεn nεv dεm ya, εn na tru dεn nεv dεm ya di bren de tεl yu fכ muv yu an εn leg dεm.
כltu, sכmtεm, biכs fכ wan mכlfunshכn na dis nεv sεstem, sכm nεv dεm kin bigin fכ kכntinyu fכ sεnd di mεsej "pen" to di bren. Infakt, dis mɛsej kin go ivin we no big big prɔblɛm nɔ de de. insay wan tritmεnt we dεn kכl rayzotomy, wetin dεn kin du na fכ no dεn prכblεm nεv fayb dεm we de sεnd di rכng mεsej, damej dεm εn stכp di mεsej fכ travul. I tan lɛk se yu dɔn diskonɛkt ilɛktrik waya we de mek yu gɛt prɔblɛm. We di pen signal dεm stכp fכ go na di bren dis we, di pen we yu de fil kin dכn כ i kin rεdכks bכku bכku wan.
Aw yu kin pwɛl dɛn nerv ya?
Dɔktɔ dɛn kin yuz bɔku we dɛn fɔ du dis:
- Ɔpreshɔn we dɛn kin pul: Sɔntɛnde, dɛn kin yuz ɔpreshɔn fɔ kɔt dɛn nɛv dɛn ya ɛn pul dɛn. Dis kin bi as opin ɔpreshɔn ɔ ɛndoskopik, we involv fɔ put kamɛra tru wan smɔl say we dɛn kɔt.
- Bay kemikal: Yu kin pwɛl di nerve we yu de tɔk bɔt bak bay we yu yuz kemikal lɛk glycerin.
- Radiofrequency ablation: Dɛn de fos di redio wev dɛn we gɛt ay intensiti ɛn dɛn de yuz di ɔt we de kɔmɔt fɔ pwɛl di nerve. Bɔku tɛm dɛn kin kɔl dis we ya Rediofrikyuɛnsi Ablashɔn (RFA) .
Fɔ tɔk am simpul wan, Rhizotomy na wan we fɔ stɔp di aktiviti fɔ di nerv dɛm we de mek yu fil pen ɔ di mɔsul dɛm we yu nɔ want (spasticity).
Rhizotomy, Ablation, Neurotomy... Dɛn wɔd ya min di sem tin?
Yɛs, dɛn wɔd ya kin mek pɔsin kɔnfyus smɔl , bɔt dɛn minin rili simpul.
- Rizotomi: 1. .Dis na di jenɛral nem fɔ dis tritmɛnt we. Dat min se, eni prכsεs we de pwεl wan prכblεm nεv fayba, dεn kin kכl am dis nem.
- Nerve Ablation: Dis na ɔda wɔd we dɛn kin yuz fɔ Rhizotomy. Ablation min fɔ pul ɔ pwɛl.
- Radiofrequency Ablation (RFA): Dis na wan patikyula we we dɛn kin yuz fɔ du rayzotomi. I min fɔ pwɛl di nerve we yu de yuz di wam we de kɔmɔt na redio wev.
- Nyurotɔmi: Dis na ɔda mɛrɛsin we dɛn kin yuz fɔ kɔt ɔ pwɛl wan nerve.
Dat min se ɔl dɛn wɔd ya min di sem men tin. So nɔ wɔri if yu dɔktɔ yuz dɛn wɔd ya fɔ chenj.
Us kɔndishɔn dɛn we Rhizotomy tritmɛnt kin ɛp wit?
Dis na pɔynt we rili impɔtant. Rhizotomy nɔto di fɔs tritmɛnt fɔ ɔl di pen. Bɔku tɛm, dɔktɔ dɛn kin tray fɔs tin dɛn lɛk fizik tritmɛnt, nɔ-stɛroyd anti-inflammatory drugs (NSAID), ɔ nerve blocks. Dɛn kin jɔs tink bɔt dis tritmɛnt if ɔl dɛn tin ya nɔ wok .
difrεn kayn tritmεnt dεm de fכ rayzotomy, εvri wan de tכk bכt difrεn nεv dεm na di bכdi.
| Rizotomi tayp | Target nerves dɛn | Di kɔndishɔn dɛn we dɛn dɔn trit |
|---|---|---|
| Trigeminal Ganglion Rizotomi we dɛn kin du | di trigeminal nεv bכndεl dεm de na di tu say dεm na di fes. |
|
| Facet Rhizotomy we dɛn kin du | di nεv rכt dεm we de pas tru di fεs jכyn dεm na di spayna. | |
| Sεlektiv Dכrsal Rizotomi (SDR) . | sכm sεns nεv fayb dεm na di lכw pat pan di spεnal kכd. |
Aw a fɔ pripia bifo dis tritmɛnt?
If yu disayd fɔ gɛt dis tritmɛnt, yu dɔktɔ ɛn di mɛdikal tim go gi yu klia instrɔkshɔn bɔt aw fɔ rɛdi fɔ am. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu go gɛt.
Bɔrku tɛm, yu go nid fɔ du sɔm tɛst fɔ no if dis tritmɛnt go rili ɛp yu.
- Imej tɛst: Tin dɛn lɛk MRI skan ɔ ɛkstrem rayt.
- Nɛv Blɔk: Fɔ no ustɛm di nerv de mek di prɔblɛm, dɛn kin gi di nerv fɔ sɔm tɛm fɔ si if di pen dɔn go dɔŋ.
- Blɔd ɛn urine tɛst: No aw yu gɛt ɔl yu wɛlbɔdi.
Bɔku tɛm dɛn kin du dis tritmɛnt ɔnda jenɛral anestezi. Dis min se yu dɔn slip kpatakpata. So, yu go nid fɔ mit wit dɔktɔ we de anestez fɔ mek shɔ se i sef fɔ yu.
Dɔn bak, if yu de tek sɔm mɛrɛsin dɛn, lɛk blɔd thinner/anticoagulants, yu kin nid fɔ stɔp fɔ tek dɛn sɔm dez bifo yu tritmɛnt. Bɔt nɔ ɛva stɔp fɔ tek yu mɛrɛsin dɛn if yu dɔktɔ nɔ advays yu.
Wetin kin rili apin we dɛn de trit am?
Na nɔmal tin fɔ fil smɔl frayd we yu yɛri dis, bɔt dis prɔsidyu na tin we dɛn dɔn plan fɔ du ɛn i nɔ bad. Smɔl difrɛns kin de dipen pan di we aw dɛn de trit yu, di sik we yu gɛt, ɛn di nerve we dɛn de target.
Dis na di step dɛm we dɛn kin fala:
1. Anestezi ɔ Sɛdishɔn
Bɔrku tɛm, dɛn go put yu fɔ slip ɔl, so yu nɔ go fil ɛni pen. Sɔntɛnde, dɛn kin put yu fɔ slip layt wan (sedation) ɔ na di say nɔmɔ kin mek yu nɔ fil fayn (local anesthetic).
2. Fɔ fɛn di rayt nɛv (Imaging Guidance) .
Di dɔktɔ go yuz wan spɛshal ɛkstrem rayt we dɛn kɔl fluoroscopy fɔ no usay di prɔblɛm de. Dis go ɛp yu fɔ si di rayt say fɔ put di nidul. Sɔntɛnde, dɛn kin put spɛshal wata (kɔntrast day) insay wan vein fɔ mek pɔsin si di nerv mɔ.
3. Fɔ Tɛst di Nɛv
Bifo yu pwɛl di nerve, i nid fɔ kɔnfirm se di nerve we yu want fɔ tɔch na di kɔrɛkt wan . Fɔ du dis, dɛn kin gi smɔl ilɛktrik stimuleshɔn tru wan nidul. Sɔntɛnde dɛn kin yuz wan tɛst bak we dɛn kɔl EMG (Electromyography) fɔ dis.
4. Fɔ pwɛl di Nɛv
We dɛn dɔn no di rayt nerve, dɛn kin yuz wan pan di we dɛn we wi bin dɔn tɔk bɔt (redio wev, kemikal, ɔ ɔspitul kɔt) fɔ stɔp di nerve fɔ mek i nɔ wok.
Aw dis tritmɛnt kin wok fayn?
Bɔrku pipul dɛm wae kin du rayzotomy kin gɛt lɔng tɛm pen rilif ɔr kin gɛt bɔrku impɔtant improvement pan di mɔsul dɛm stiffness. Sɔm pipul dɛn kin gɛt sɔm ia wae dɛn nɔr kin fil pen.
Bɔt nɔto ɔlman kin gɛt di sem tin. Sɔm kayn tin kin de wae de pen nɔr kin ridyus bɔrku fɔ smɔl pipul dɛm. Dɔn bak, as tɛm de go, di nerv dɛn kin kam bak to sɔm mak ɛn di pen kin kam bak. If dis kin apin, yu kin nid fɔ du dis tritmɛnt bak. Yu dɔktɔ go ɛksplen to yu mɔ tin dɛn bɔt aw dis tritmɛnt go wok fayn, i go dipen pan di tin dɛn we de apin to yu.
Ɛni sayd ɛfɛkt ɔ risk de?
Jɔs lɛk ɛni mɛrɛsin, Rhizotomy kin gɛt sɔm risk ɛn sayd ɛfɛkt. Bɔt bɔku pan dɛn tin ya na smɔl smɔl tin dɛn, ɛn siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm. Dɛn risk ya kin difrɛn difrɛn wan bay di kayn prɔsidyu ɛn di nerve we dɛn de tɔch.
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ tɔk to yu opin wan bɔt ɔl di prɔblɛm dɛn we kin apin to yu bifo yu gɛt tritmɛnt, so nɔ fred.
| Sayd ɛfɛkt/kɔmplikɛshɔn dɛn | Tɔk bɔt |
|---|---|
| Nɔmal ɛn ɛkspɛkt sityueshɔn dɛn | |
| Smɔl pen ɛn brus | Sɔm pen, brus, ɔ swel kin de na di say we di nidul ɔ di say we dɛn kɔt am fɔ sɔm dez. Dis kin dɔn insay sɔm dez. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Afta dɛn dɔn du trigeminal rayzotomy, mɔ pan di fes nerv dɛm, yu kin gɛt tingling ɔ numbness na sɔm eria dɛm na yu fes. Dis na wan sayd ɛfɛkt we dɛn kin ɛkspɛkt. |
| Kɔndishɔn dɛn we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm (we nɔ kin apin so ɔltɛm) . | |
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | Di sayn dɛm lɛk fɔ rɛd pasmak, swel, pus we de kɔmɔt na di say we dɛn trit, ɛn fiva. |
| Pen pasmak ɔ prɔblɛm wit di nerve | Bɔrku pen, bɔn, mɔsul wik, ɔr nyu swɛt na ɔ rawnd di say we dɛn trit. |
| Ebi ebi blɔd we de kɔmɔt | If blɔd de kɔntinyu fɔ de kɔmɔt na di say we dɛn dɔn trit. |
Afta yu dɔn gɛt tritmɛnt, yu go gɛt klia instrɔkshɔn bɔt us sayn fɔ wach ɛn ustɛm fɔ go bak to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Rhizotomy na spɛshal tritmɛnt fɔ krɛse, siriɔs pen ɔr mɔsul stiffness (spasticity) we ɔda tritmɛnt, lɛk mɛrɛsin ɔr fyzikal tritmɛnt, nɔr dɔn wok.
- dis de stכp di aktiviti fכ di prכblεm nεv dεm we de kכri pen signal to di bren εn i de rεliv di pen.
- Pan ɔl we dis na tritmɛnt we rili fayn, nɔto ɔlman kin gɛt di sem tin.
- Jɔs lɛk ɛni tritmɛnt, prɔblɛm ɛn sayd ɛfɛkt dɛn de, we yu dɔktɔ go tɛl yu gud gud wan bɔt.
- Na yu dɔktɔ nɔmɔ go disayd if dis tritmɛnt fayn fɔ yu. So, tɔk to am klia wan bɔt di pen we yu de fil ɛn aks wetin yu go ebul fɔ du.
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