Yu de sɔfa wit siriɔs pen we nɔ de dɔn ɛn we nɔ de go pan ɔl we yu de tek ɔl di mɛrɛsin ɛn tritmɛnt? Wi no aw i nɔ kin izi fɔ liv wit dis kayn pen, mɔ na di bak, leg, ɛn an. So tide wi go tɔk bɔt wan spɛshal mɛrɛsin we go ɛp fɔ kɔntrol dis kayn bad bad pen.
Fɔ tɔk am simpul wan, wetin na dis spɛshal kɔd stimulatɔ?
Spinal kɔd stimulator na smɔl mɛrɛsin we yu dɔktɔ kin ɔpreshɔn insay yu bɔdi. Dɛn kin yuse am fɔ kɔntrol siriɔs pen we kin de fɔ lɔng tɛm. Dɛn kin yuse am bak as gud ɔda tin fɔ yuz fɔ mek yu nɔ gɛt strɔng pen kil, lɛk opioid, we kin mek yu adikshɔn sɔntɛnde.
Aw dis divays kin mek pɔsin nɔ fil pen?
Fɔ ɔndastand aw dis kin woke, yu nid fɔ gɛt smɔl aidia bɔt pen ɛn wi nervɔs sistɛm.
Wetin na pen?
Bɔku tɛm, pen na tin we de protɛkt pɔsin. I de mek wi no we yu wund ɔ sɔntin go apin. Pen na wan big sayn bak fɔ bɔku sik dɛn.
Bɔt nɔto ɔltɛm pen kin mek wi protɛkt wi. Sɔm mɛrɛsin kin mek yu fil pen we yu nɔ go ebul fɔ bia, ɔ i kin bi pen ɔltɛm we nɔ de ɛva go. Wi kin kɔl dis pen we nɔ de dɔn . Fɔ liv wit dis kayn pen kin mek i nɔr izi fɔ slip ɔr ivin du ɛnitin wae go ɛp yu. As tɛm de go, dis kin gɛt bɔku impak bak pan yu maynd wɛl bɔdi.
Di wok we di nervɔs sistɛm de du
Tink bɔt yu nervɔs sistɛm lɛk wan nɛtwɔk we gɛt tɛlifon waya dɛn we de rɔn ɔlsay na yu bɔdi. Na wetin de kɛr infɔmeshɔn go ɛn kam bitwin yu bren ɛn di ɔda pat na yu bɔdi. Pen na lɛk "kɔl" we de kam tru dis tɛlifon layn to yu bren.
dis we ya we dεn kכl nyuromodulεshכn, de yuz wan rili fayn ilektrikal kכrant fכ mek sכm nεv fayb dεm na yu spεnal kכd wok. In ɔda wɔd, i tan lɛk fɔ mek ɔda "kɔl" to di sem fon layn we de gɛt di pen "kɔl" ɛn mek di layn bizi . Dis kin mek di pen signal nɔ rich na di bren. Dis na aw di pen we yu de fil kin ridyus.
Udat nid dis tritmɛnt pas ɔlman?
Bɔku tɛm, dɛn kin yuz dis tritmɛnt we ɔda tritmɛnt dɛn lɛk pils, injɛkshɔn, ɛn fyzikal tritmɛnt nɔ dɔn wok fayn. Pan ɔl we dɛn kayn tin ya kin apin to big pipul dɛn, sɔntɛnde smɔl pikin dɛn kin nid dis tritmɛnt bak.
Di tebul we de dɔŋ ya de sho sɔm pan di men tin dɛn we dɛn kin trit wit dis divays.
| Mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Bak pen | Bak pen we nɔ de dɔn we dɛn nɔ dɔn mɛn wit ɔda we dɛn. |
| Pen afta dɛn dɔn ɔpreshɔn yu bak | Persistent Spinal Pain Syndrome (PSPS), mɔ di pen we de kɔntinyu afta ɔpreshɔn lɛk laminectomy. |
| Prɔblɛm dɛn we gɛt fɔ du wit di nerv we gɛt fɔ du wit dayabitis | Pen we kin kam bikɔs ɔf di nerve damej bikɔs ɔf dayabitis (Diabetic Neuropathy). |
| Nyuropatik Pen we pɔsin kin gɛt | Pen we pɔsin kin gɛt we i nɔ fayn na di nervɔs sistɛm insɛf. |
| Kompleks Rijinal Pen Sindrom (CRPS) . | Big pen we kin de fɔ lɔng tɛm na yu an ɔ yu leg afta yu dɔn wund. |
Apat frɔm dat, dɛn de du risach fɔ si if dis we ya kin fayn fɔ ɔda tin dɛn, lɛk pen na yu chɛst (angina), we yu gɛt injury na yu spaynal kɔd, ɛn we yu gɛt pen afta yu gɛt hεpi (shingles).
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Dis nɔto fɔs layn tritmɛnt. Dis min se dɛn kin tink bɔt am we ɔl di ɔda tritmɛnt dɛn nɔ wok. Bifo di ɔpreshɔn, yu go nid fɔ du bɔku tin dɛn lɛk fɔ tɛst blɔd ɛn skan fɔ si if yu fit fɔ du am.
Dɔn bak, yu go gɛt fɔ go to sɔm spɛshal pipul dɛn.
- Nyurolɔg: No di rayt tin we de mek yu fil pen.
- Spɛshal pɔsin we de mɛn di pen:Mek shɔ se ɔda tritmɛnt dɛn nɔ wok.
- Nyurosɔjɔn: Na in de du di ɔpreshɔn fɔ put dis divays insay pɔsin in bɔdi.
- Saykayatrist/Saikɔlɔjis: Pen kin gɛt big impak pan yu maynd wɛl bɔdi, so i impɔtant fɔ pe atɛnshɔn to yu maynd wɛl bɔdi bak.
- Anesthesiologist: Tɔk bɔt am bikɔs dɛn kin du di ɔpreshɔn ɔnda anestezi.
We ɔltin dɔn fayn, yu go gɛt instrɔkshɔn bɔt aw fɔ rɛdi fɔ di ɔpreshɔn. Dis kin inklud tin dɛn lɛk fɔ tɛl di dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek ɛn fɔ fast bifo dɛn 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" prɔses. if dat bi saksesful, di sεkכn stej na we dεn de put di divays (puls generator/battery) insay di bכdi fכ כltεm.
Fɔ tɔk am simpul wan, dis divays gɛt tu pat: ilɛktrɔd (lid) dɛn we dɛn put nia di spayna ɛn batri we de mek ilɛktrik puls (puls jenɛra). Dɛn tu de kɔnɛkt wit wan waya we de rɔn ɔnda di skin.
1. Di we aw dɛn fɔ du di trial
Insay dis prosidur, dɛn kin gi yu anestezi fɔ put yu na layt slip. afta dat, we dεn yuz wan tεknik we lεk εks-ray (fluoroscopy), dεn kin put nidul tru di skin insay di kכrekt ples na yu spayna (di epidural spεs). Dɛn kin pul di ɔda ɛnd pan di ilɛktrɔd kɔmɔt na di skin ɛn kɔnɛkt am to wan tɛmporari batri we de na do.
Dis trial kin las fɔ sɔm dez to wan ɔ tu wik. If yu pen dɔn ridyus pas 50% insay dis tɛm, dɛn kin tek di trayal se i dɔn wok fayn. If na so i bi, di nɛks tin we dɛn fɔ du na fɔ du ɔpreshɔn fɔ put wan tin we go de sote go insay pɔsin in bɔdi.
2. Pεrmanεnt divays implantεshכn (Implantation Surgery) .
Dɛn kin du dis ɔnda jenɛral anestezi. na ya, dεn de put pεrmanεnt εlektrod dεm na di sem ples we dεn de put insay di εkspεriεns. Dɔn, dɛn kin mek smɔl ples ɔnda di skin ɛn put batri (puls jenɛra) . Dɛn kin put dis bateri na say we yu go ebul fɔ kɔntrol izi wan, fɔ ɛgzampul, na di sayd na di bɛlɛ ɔ na di bɔdi.
Sɔm batri dɛn kin on/ɔf wit rimot. Dɛn kin chaj sɔm pan dɛn. Yu dɔktɔ go ɛksplen ɔl dis to yu.
Wetin na di bɛnifit ɛn bad tin dɛn we dis tritmɛnt gɛt?
Lɛk ɛni ɔda we fɔ mɛn pipul dɛn, dis wan gɛt bɛnifit ɛn bad tin dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk ɛn kɔmplikeshɔn dɛn |
|---|---|
| Fɔ ebul fɔ trit pen we nɔr dɔn mɛn wit ɔda we. | Risk fɔ infekshɔn: If infekshɔn kam rawnd di divays, i kin nid fɔ du ɔda ɔpreshɔn fɔ pul am. |
| Fɔ ebul fɔ ridyus di dipɛnshɔn pan pen kil. | Ilɛktrod displeysmɛnt: We di bɔdi de muv, di ilɛktrɔd kin muf frɔm di say we i bin de fɔs. |
| Dɛn kin du wan trayal bifo dɛn du ɔpreshɔn fɔ ɔltɛm. | Divays nɔ de wok fayn: Ilɛktrod dɛn kin brok ɔ di bateri kin pwɛl. Sɔntɛm dɛn go nid fɔ chenj di batri ɛvri sɔm ia. |
| Fɔ ebul fɔ trit bɔku kayn nerve pen. | Pen kin kam bak: Di ebul fɔ kɔntrol pen kin go dɔŋ as tɛm de go. |
Ustɛm yu fɔ go to dɔktɔ kwik kwik wan?
Dɛn go gi yu fɔl-ap apɔntinmɛnt afta di ɔpreshɔn. Mek shɔ se yu atɛnd dɛn apɔntinmɛnt dɛn de. Bɔt if yu si ɛni wan pan dɛn wɔnin sayn ya , yu fɔ go na ɔspitul ɔ Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
- Ed we de at ɔltɛm we yu de tinap ɔ sidɔm ɛn we de go we yu de ledɔm: Dis kin bi sayn fɔ se di wata we de na di bɔdi (CSF) de lik.
- Sayn dεm fכ infεkshכn na di say we dεn du di כpεrayshכn: rεd, swεla, pen, כ dεn de kכl fכl fכ smεl wata frכm di wund.
- di sכdεn we yu de sכmtεm sכmtεm, yu nכ de fil lכs, כ di mכsul dεm we de dכn wik: Dis kin bi sayn fכ di spεnal kכd dεm we de kכz fכ vεtikal muvmεnt frכm di εlektrod sayt.
- Di sayn dɛm fɔ sepsis: Yu kin gɛt ay fiva, yu kin kol, yu nɔ kin ebul fɔ blo, ɛn yu kin kɔnfyus. Dis na imejensi we kin mek pɔsin in layf de pan denja.
כltu, i kin tek lεk 4-6 wik fכ di pεrmanεnt divays fכ fulכp fכ hεl εn go bak to nכmal aktiviti dεm. Yu dɔktɔ go advays yu fɔ avɔyd fɔ es ebi ebi ɛn fɔ bɛn tranga wan insay dis tɛm.
Mɛsej we dɛn kin kɛr go na os
- Spinal Kɔd Stimulation na wan mɔdan tɛknik we dɛn kin yuz fɔ pen we nɔ de dɔn we ɔda tritmɛnt dɛn nɔ dɔn pul am.
- dis de wok bay we i de blok di transmishכn fכ pen signal to di bren tru wan sכft ilektrikal kכrant.
- Bifo dɛn put di divays insay pɔsin fɔ ɔltɛm, dɛn kin tray fɔ sɔm tɛm fɔ si if i fit yu.
- Bikɔs dis tritmɛnt we dɛn de yuz gɛt bɛnifit ɛn prɔblɛm, i rili impɔtant fɔ tɔk bɔt am gud gud wan wit yu dɔktɔ bifo yu disayd fɔ du ɛnitin.
- If ɛni sayn we de sho se yu de wɔn yu afta yu dɔn du di ɔpreshɔn, go to dɔktɔ wantɛm wantɛm.
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