Wan sɔlv fɔ pen we nɔ de dɔn: Lɛ wi tɔk bɔt Rhizotomy

Sɔmtɛm wi kin gɛt pen wae nɔr kin dɔn ilɛk us mɛrɛsin wi de tek ɔr wi de du fizik tritmɛnt. Aw i nɔ kin izi fɔ liv wit dis pen ɔltɛm fɔ mɔnt, sɔntɛm ivin fɔ lɔng lɔng tɛm? Tide wi go tɔk bɔt wan spɛshal mɛrɛsin we dɛn kin yuz fɔ pen we nɔ de dɔn ɛn kɔndishɔn usay di mɔsul dɛn kin stif (spasticity) we at fɔ kɔntrol wit ɔda tritmɛnt dɛn.

So, wetin na dis rayzotomy?

Fɔ tɔk am simpul wan, rayzotomy na mɛrɛsin we de pwɛl ɛn pwɛl di wok we sɔm patikyula nɛv fayv dɛn we de mek pɔsin fil pen ɔ we di mɔsul dɛn stif.

Tink bɔt wi nervɔs sistɛm lɛk wan sistɛm we gɛt ilɛktrik waya. Dɛn waya ya kin kɛr mɛsej frɔm di bren to ɔda pat dɛn na di bɔdi, ɛn frɔm dɛn pat dɛn de bak to di bren. we wi fil pen, di pen kin sεnd signal to di bren frכm di say we wi fil, se, "Dis na di say we i de at." Rayzotomi min fɔ fɛn di rayt nerve we de kɛr di pen signal, pwɛl am, ɛn stɔp di signal fɔ go na di bren. I tan lɛk se yu de kɔt ilɛktrik waya we nɔ fayn. Dis kin mek di pen stɔp.

Dɔktɔ dɛn kin yuz bɔku we dɛn fɔ pwɛl dɛn nerv dɛn ya:

Us kɔndishɔn dɛn kin trit wit rayzotomy?

Di impɔtant tin fɔ mɛmba na dat, rayzotomy nɔto fɔs layn tritmɛnt. Dɔktɔ dɛn kin tek am as las tin we dɛn kin du we simpul tritmɛnt dɛn lɛk pen, fisiotɛrapi, ɛn nerv blɔk nɔ wok.

difrεn men tכp dεm de fכ rayzotomy, εvri wan de tכk bכt difrεn nεv dεm na di bכdi.

Trigeminal Ganglion Rizotomi we dɛn kin du

dis de tכk di trigeminal nεv kכlכsta na di tu say dεm na wi fes. Dɛn kin yuse am fɔ bad bad pen na yu fes we nɔ de dɔn.

• Trigeminal Neuralgia: Na bad bad pen we tan lɛk ilɛktrik shɔk na wan say na di fes.
• Klɔsta ed pen we dɛn nɔ kin kɔntrol bay tritmɛnt.
• Atypical fes pen we dɛn nɔ kin fɛn ɛni kɔz fɔ.
• Postherpetic neuralgia (fes nerve pen we kin apin afta chikinpoks).
• Fes pen we kansa kin mek.

Facet Rhizotomy we dɛn kin du

dis de tכk di nεv rכt dεm we de pas tru di fεs jכyn dεm bitwin wi vεrbra dεm. Bɔku tɛm dɛn kin du dis fɔ bak pen ɛn nɛk pen.

• If dɛn du am na di nɛk, dɛn kin kɔl am sɛvikal rayzotɔmi .
• If dɛn du am na di ɔda pat na di bɔdi, dɛn kin kɔl am lumbar rhizotomy .
• Dis na fayn tritmɛnt fɔ di pen we nɔ de dɔn we di jɔyn dɛn na di spayna we de pwɛl bikɔs ɔf sik dɛn lɛk at at.

Sεlektiv Dכrsal Rizotomi (SDR) .

dis dεn kin du dis spεshal fכ kכntrכl spasticity pan sכm pikin dεm we gεt sεribra palsi . dis involv fכ sεlektiv fכ damej sכm pan di sεns nεv fayb dεm na di lכw pat pan di spεnal kכd. Bɔt nɔto ɔl pikin dɛn we gɛt sɛribra palsi fit fɔ dis ɔpreshɔn. Dis na sɔntin we dɔktɔ dɛn kin disayd.

Aw yu kin rɛdi fɔ dis tritmɛnt?

Bikɔs dis na ɔpreshɔn, yu go nid fɔ du bɔku tɛst dɛn bifo tɛm fɔ mek shɔ se yu bɔdi fit fɔ am ɛn yu go rili bɛnifit frɔm am.

• Imej tɛst: Dɛn kin yuz MRI skan ɛn X-ray fɔ tek tɛm chɛk di nerve we di sik afɛkt ɛn di say we de rawnd am.
• Nεv blכk: Fכ no if di prכblεm de na dis nεv, dεn kin gi injεkshכn we de mek di nerv nכm fכ sכm tεm. If dis ridyus di pen, di rayzotomy go mɔs bi saksesful.
• Blɔd ɛn urine tɛst: Chɛk di ɔl wɛlbɔdi na di bɔdi.

If dɛn de du di ɔpreshɔn ɔnda jenɛral anestezi, yu go nid fɔ go to dɔktɔ we de anestez. Dɔn bak, if yu de tek ɛni mɛrɛsin, lɛk tin dɛn we de mek yu blɔd tan, yu go nid fɔ stɔp fɔ tek am sɔm dez bifo dɛn du di ɔpreshɔn. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin dɛn if yu dɔktɔ nɔ advays yu. Yu mɛdikal tim go ɛksplen ɔltin to yu.

Wetin kin apin we dɛn de trit am?

dis prכsεs de difrεn dipכnt pan di kayn rayzotomi, bכt in jεnarכl, dεn tin ya na sכm pan di stεp dεm we dεn de fala:

1. Anestezi: Bɔku tɛm, dɛn go put yu fɔ slip ɔl (jɛnɔral anestesia). Insay sɔm simpul tin dɛn we dɛn kin du, dɛn kin gi yu layt slip (sedation) ɔ lokal anestetik (we de mek yu nɔ gɛt di eria nɔmɔ).

2. Imajin gayd: We dɛn de du di ɔpreshɔn, dɛn kin yuz wan we we dɛn kɔl fluoroscopy, we fiba ɛkstrem rayt, fɔ mek shɔ se di nidul ɔ inschrumɛnt de jɔs nia di kɔrɛkt nɛv. Sɔntɛnde, dɛn kin put spɛshal wata (kɔntrast day) insay wan vein fɔ mek di nɛv dɛn si klia wan.

3. Test di nerve: Bifo yu damej di nerve, dεn de gi sכm sכm ilektrikal signal to di nerve fכ mek sכh se na di rayt nerve. dis kin bi bay we yu yuz wan tεst lεk EMG (Electromyography).

4. Di nerve damej: Fɔ dɔn, dɛn kin yuz wan pan di tri we dɛn we wi bin dɔn tɔk bɔt (fɔ kɔt, kemikal, ɔ rediofrikyuɛnsi ɔt) fɔ stɔp di nerve we de mek di pen nɔ wok.

Aw dis kin gɛt sakrifays? Wetin na di prɔblɛm dɛn we kin apin?

Bɔku pipul dɛn we dɛn kin du rayzotomy kin gɛt pen fɔ lɔng tɛm . Bɔt nɔto ɔlman kin gɛt di sem tin. Sɔm pipul dɛn nɔ kin gɛt ɛni pen rilif atɔl. Yu kin tɔk to yu dɔktɔ bɔt aw dis go woke fɔ yu sik.

Di risk ɛn kɔmplikeshɔn dɛn kin difrɛn difrɛn wan bay di kayn rayzotomi we dɛn du.

• Jɛnɛral wan, i nɔmal fɔ gɛt sɔm pen, brus, ɛn blɔd na di say we di nidul ɔ di ɔpreshɔn kɔt. Dis go go insay sɔm dez.
• Na smɔl tɛm nɔmɔ, infɛkshɔn kin apin na dɛn say dɛn de.
• Sɔm sayd ɛfɛkt dɛn de we wi fɔ ɛkspɛkt. Fɔ ɛgzampul, afta dɛn dɔn du trigeminal rhizotomy fɔ mek yu fes pen, yu nɔ kin fil fayn na da say de na yu fes. Yu dɔktɔ go tɔk bɔt ɔl dɛn tin ya wit yu bifo dɛn du di ɔpreshɔn.

We yu nid fɔ go to dɔktɔ kwik kwik wan

Afta di tritmɛnt, if di say we dɛn du di ɔpreshɔn swel, rɛd, ɔ ful-ɔp wit pus (sayn fɔ se yu gɛt di sik), ɔ if yu gɛt nyu prɔblɛm dɛn na yu nerv, lɛk we yu wan leg ɔ an de swɛla ɔ yu de swɛt, kɔl yu dɔktɔ wantɛm wantɛm.