Sɔmtɛm wi kin gɛt pen wae nɔr kin dɔn ivin wit mɛrɛsin ɔr fisiotɛrapi. Aw e tranga fɔ liv wit dis kayn pen wae de drɛg de afta de, mɔnt afta mɔnt? If yu na pɔsin bak we de sɔfa wit dis kayn bad bad pen we kin de fɔ lɔng tɛm, dis atikul go rili impɔtant to yu. Tide wi de tɔk bɔt wan spɛshal tin we dɛn kin du ɔpreshɔn pan insay di bɔdi fɔ kɔntrol dis kayn pen. Dis kin bi gud ɔltɛrnativ to strɔng pen kil lɛk opioid, we kin bi adikshɔn fɔ sɔm pipul dɛm.
Fɔ tɔk am simpul wan, wetin na Spinal Kɔd Stimulatɔ?
Okay, mek wi ɔndastand fɔs aw dis de wok. I nid fɔ ɔndastand smɔl bɔt wi nervɔs sistɛm ɛn di pen we wi de fil.
Wetin na pen?
Bɔku tɛm, pen na tin we de protɛkt wi bɔdi. We yu gɛt injury, bɔn, ɔ yu de kam fɔ gɛt bad bad tin, na in de tɛl di bren se, "Sɔmtin nɔ de ya, tek tɛm." Pen na wan impɔtant sayn bak fɔ bɔku sik dɛn.
Bɔt nɔto ɔltɛm pen kin mek wi protɛkt wi. Di pen we sɔm mɛrɛsin dɛn kin gɛt nɔ kin ebul fɔ bia. Dɔn bak, sɔm pen nɔ kin ɛva dɔn ɛn i kin kɔntinyu. Wi kin kɔl dis pen we nɔ de dɔn . Wae yu de liv wit dis kayn pen, yu nɔr kin ebul fɔ slip fayn ɔr du ɛni woke. We yu de liv lɛk dis fɔ lɔng tɛm, i kin rili strɛs.
Pen we nɔ de dɔn kin mek wi bren ɛn wi nervɔs sistɛm chenj. Dis kin mek ivin smɔl pen kin fil mɔ (hyperalgesia). Sɔmtɛm, tin dɛm wae nɔr fɔ de at kin mek yu fil pen (allodynia). Dis min se sɔmtin nɔ fayn wit wi pen signal sistɛm.
Aw di nervɔs sistɛm de wok?
Tink bɔt yu nervɔs sistɛm lɛk wan nɛtwɔk we gɛt tɛlifon layn dɛn. di infכmeshכn de kכri bak εn go bifo bitwin di bren εn di rεst כf di bכdi tru dεn layn dεm ya. di pen signal dεm lεk ‘kכl’ na dεn layn dεm ya.
di spεnal kכd Stimulεshכn na wan we fכ stimulate sכm nεv fayb dεm na di spεnal kכd we dεn de yuz wan rili fayn ilektrikal kכrεnt . Fɔ tɔk am simpul wan, bifo di pen ‘kɔl’ go na di bren, dis divays de mek ɔda ‘kɔl’ na di layn. Dɔn, di layn kin bizi, ɛn dis kin mek di pen signal nɔ rich na di bren. Dis na aw dɛn kin kɔntrol di we aw pɔsin kin fil pen.
Udat nid dis tritmɛnt? Fɔ us kɔndishɔn dɛn?
Dis nɔto tritmɛnt fɔ ɔlman. Dɛn kin tek am as opshɔn fɔ siriɔs, krɛse pen we nɔr dɔn trit fayn wit ɔda tritmɛnt (lɛk mɛrɛsin, injɛkshɔn, ɛn fyzikal tritmɛnt). Pan ɔl we dɛn kin du dis ɔpreshɔn mɔ pan big pipul dɛn, dɛn kin yuz am bak fɔ sɔm tin dɛn we kin apin to yɔŋ pikin dɛn.
Dis dɔŋ ya na sɔm tin dɛn we dis tritmɛnt kin bɛnifit.
| Men kɔndishɔn dɛn we dɛn dɔn trit |
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| Ɔda yus dɛm we dɛn de ɔnda invɛstigeshɔn |
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Wetin kin apin bifo dɛn du dis ɔpreshɔn? Aw a kin pripia?
Bikɔs dis nɔto fɔs layn tritmɛnt, dɛn go du difrɛn tɛst dɛn (lɛk lab ɛn skan) bifo di ɔpreshɔn fɔ mek shɔ se yu gɛt wɛlbɔdi ɛn fɔ si if rizin de fɔ nɔ du dis ɔpreshɔn.
Dɔn bak, yu go gɛt fɔ go to sɔm spɛshal pipul dɛn.
- Nyurolɔjis: Bɔku tɛm na dɛn kin ebul fɔ no di sik we de mek yu fil pen kɔrɛkt wan.
- Spɛshal pɔsin we sabi aw fɔ mɛn di pen: Dis dɔktɔ go no if ɔda tritmɛnt dɛn dɔn wok bifo dɛn du ɔpreshɔn, ɔ if rizin de we mek dɛn nɔ go ebul fɔ du da tritmɛnt de.
- Nyurosɔjɔn: Dɛn kin du di ɔpreshɔn fɔ put dis divays insay.
- Saykayatrist ɔr saikɔlɔjis: Pen kin gɛt bɔrku impak pan yu maynd wɛl bɔdi. I impɔtant fɔ chɛk ɛn trit di ɔndalayn kɔndishɔn lɛk fɔ wɔri ɔr pwɛl hat, bikɔs sɔm mɛntɛl hεlth kɔndishɔn kin mek dis tritmɛnt nɔr kin woke fayn.
- Anesthesiologist: Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. So, di dɔktɔ we de anestez go chɛk yu, tɔk bɔt yu wɛlbɔdi istri, ɛn gi yu di tin dɛn we yu nid fɔ du.
Afta ɔl dis, if dɛn no se yu fit fɔ ɔpreshɔn, dɛn go gɛt instrɔkshɔn dɛn bɔt aw fɔ rɛdi fɔ am.
- Di mɛrɛsin dɛn we yu de tek: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn ɛn sɔpɔtmɛnt dɛn. Sɔm mɛrɛsin dɛn (lɛk tin dɛn we de mek blɔd tan) kin nid fɔ stɔp ɔ chenj bifo dɛn du di ɔpreshɔn. Nɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Klin: Instrɔkshɔn fɔ aw fɔ shaw bifo yu ɔpreshɔn ɛn us kayn sop fɔ yuz.
- Fast: Dɛn go advays yu fɔ nɔ it sɔlid it fɔ lɛk 8 awa ɛn wata fɔ lɛk 2 awa bifo yu du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
dis prכsεs kin apin insay tu stej dεm. Di fɔs wan na "trial." If dat nɔ wok, dɛn kin instɔl di divays fɔ ɔltɛm na di sɛkɔn stej.
Dis divays gɛt tu men pat dɛn. Wan na di ilɛktrik waya dɛn (lid dɛn). dεn kin put dεm ya insay wan spεs we dεn kכl di epidural spεs nia di spεnal kכd. Dɛn kin kɔnɛkt dɛn waya dɛn ya to wan ilɛktrik puls jenɛra. Dis na di pat we de wok lɛk batri ɛn we de mek di ilɛktrik kɔrɛnt.
Fɔs stej: "Trial prosidyushɔn".
Dis min se yu fɔ put waya fɔ sɔm tɛm fɔ tɛst if di divays fayn fɔ yu ɛn if i de mek yu nɔ fil pen. Dɛn kin du dis ɔnda sɛdishɔn so dat yu go slip smɔl. Di dɔktɔ kin yuz wan spɛshal ɛkstrem rayt we dɛn kɔl fluoroscopy (we fiba ɛkstrem rayt vidio), i kin kɔt smɔl say na di skin, ɛn put di waya we dɛn kin yuz fɔ sɔm tɛm tru nidul na di rayt say na di spayna.
afta dat, di pat we de na di waya dεm de atak di skin εn kכnekt am to wan tεmporari puls jεnarεta we de ausayd di bכdi. Naw, dɛn kin ɔn am ɛn chɛk fɔ si if i de mek yu nɔ fil pen.
Dis trial kin tek frɔm sɔm dez to wan ɔ tu wik. Dɛn kin tek di trayal se i dɔn wok fayn if dɛn ridyus yu pen bay at le 50% .
If di trayal wok fayn, di nɛks tin we dɛn go du na fɔ du ɔpreshɔn fɔ put di divays insay pɔsin fɔ ɔltɛm.
Sɛkɔn stej: Fɔ instɔl di divays fɔ ɔltɛm (Implantation surgery) .
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. Na ya, di dɔktɔ we de du di ɔpreshɔn, jɔs lɛk aw dɛn bin de tray am, de put ilɛktrik lid dɛn we go de sote go na di kɔrɛkt say na di spɛnal kɔd.
Dɔn, dɛn kin tek di ɔda ɛnd pan di waya ɔnda di skin ɛn kɔnɛkt am to di puls jenɛra ɔ batri, we dɛn kin put na ples we yu go ebul fɔ kɔntrol izi wan. fכ egzampl, dεn kin mek wan sכmכl ‘pכket’ כnda di skin na di sayd כf di bכdi כ di bכtכk εn sכm am insay.
Bɔku kayn batri dɛn de. Sɔm dɛn nid fɔ on/ɔf wit rimot. Sɔm dɛn kin chaj bak. Dɛn kin chaj dɛn bak na di skin, bay we dɛn kin put spɛshal chaja usay di bateri de.
Fɔ dɔn, dɛn kin lɔk di say dɛn we dɛn kɔt wit stich ɔ step.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di trial, yu kin go na os di sem de ɔ di nɛks de. Afta dɛn dɔn put di pɔrmanent divays, bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez.
Afta dɛn dɔn du di ɔpreshɔn, mɔ afta dɛn dɔn put di pɔrmanent divays, dɛn go aks yu fɔ stɔp fɔ du tin fɔ lɛk 4 to 6 wiks . Yu nɔ fɔ bɛn, es ɔp, ɔ du ɛksesaiz we de mek yu strɛs te di say we dɛn put di divays dɔn wɛl ɛn yu bɔdi dɔn ajɔst to am.
Yu dɔktɔ kin gi yu di bɛst advays bɔt di tɛm we yu go wɛl ɛn aw fɔ kia fɔ yusɛf. So, fala in instrɔkshɔn dɛn di rayt we.
Dɛn go aks yu fɔ kam bak na di klinik afta lɛk tu wiks fɔ mek dɛn pul di stich/steplɛr pin dɛn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Jɔs lɛk ɛni ɔda tritmɛnt, bɛnifit ɛn prɔblɛm dɛn de. I impɔtant fɔ mek yu no gud gud wan bɔt dɛn tu tin ya bifo yu disayd fɔ du sɔntin.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk ɛn Kɔmplikɛshɔn dɛn |
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Ustɛm yu nid fɔ go to yu dɔktɔ?
Afta di ɔpreshɔn, yu go nid fɔ go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul. Dɔn bak, if ɛni prɔblɛm kam, yu fɔ go to dɔktɔ wantɛm wantɛm.
| If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ. |
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| Situeshɔn dɛm wae yu nid fɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan |
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Aw dis tritmɛnt kin wok fayn? A go ebul fɔ liv nɔmal layf?
Bɔrku tɛm, lɛk af pan di pipul dɛm wae gɛt dis tritmɛnt kin gɛt pas 50% wae dɛn kin fil pen . Bɔt dis sakrifays rɛt kin dipen pan bɔku tin dɛn, lɛk di kɔndishɔn we di pɔsin gɛt ɛn di kayn divays we dɛn yuz. Yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu aw i go bi fɔ mek yu gɛt sakrifays bay aw yu sik.
Yu go nid fɔ mek sɔm chenj dɛn na yu layf afta yu dɔn instɔl dis divays. Na mɔtalman nɔ fɔ bɛn ɔ twist bikɔs dis kin pwɛl di divays.
Bɔt bɔku pipul dɛn kin yus fɔ liv nɔmal layf wit dis divays. Mɛmba se di men gol na fɔ ridyus di pen we yu de fil ɛn fɔ mek yu layf bɛtɛ.
Mɛsej we dɛn kin kɛr go na os
- Spinal Kɔd Stimulation na spɛshal tritmɛnt we dɛn kin yuz fɔ siriɔs, krɛse pen we nɔr dɔn pul am pan ɔda tritmɛnt.
- Dis kin wok bay we i de blok di pen signal fɔ mek i nɔ rich na di bren tru wan ilɛktrik kɔrɛnt we nɔ de si klia wan.
- Bifo dɛn put di divays insay di bɔdi fɔ ɔltɛm, dɛn kin du ‘trayal’ fɔ si if i fayn fɔ yu.
- Dis na disizhɔn we dɛn fɔ tek tɛm mek, bikɔs prɔblɛm dɛn de we de insay dis tritmɛnt, lɛk infɛkshɔn ɛn di ikwipmɛnt we nɔ de wok fayn.
- Tɔk bɔt ɛni kwɛstyɔn ɔ dawt we yu gɛt bɔt dis wit yu dɔktɔ. Na in go bi yu bɛst gaydman.
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