Bak pen na prɔblɛm we bɔku pipul dɛn na wi kɔntri de gɛt rayt naw, nɔto so? Sɔntɛnde, ilɛk ɔmɔs mɛrɛsin yu tek ɛn yu du fisiotɛrapi, di pen nɔr kin dɔn. Sɔmtɛm, bak pen kin kam wit tin dɛm lɛk fɔ nɔr de fil fayn ɛn fɔ de swɛt na yu leg dɛm. Na insay kes dɛm lɛk dis, yu dɔktɔ go tɔk bɔt ɔpreshɔn. wan spεshal כpεrayshכn we dεn kin du fכ dεn kayn bak prכblεm dεm ya dεn kכl am ‘Spinal Fusion’. We wi yɛri dis nem, i kin tan lɛk se i de mek wi fred smɔl, bɔt lɛ wi tɔk bɔt am jɔs ɛn si wetin i bi, wetin mek dɛn du am, ɛn aw i kin apin.
Fɔ tɔk am simpul wan, wetin na spɛshal fushɔn?
Imajin se yu spayna mek wit wan stak we gɛt smɔl smɔl bon dɛn we dɛn stak pan dɛnsɛf. Wi kin kɔl dɛn tin ya insay mεdikal tεm dεm ‘vεrbra’ . I tan lɛk wan tawa we dɛn mek wit Lego brik. dεn vεrbra dεm ya kכnekt to dεn wan dεm, na dat de mek wi ebul fכ tinap stret, bεnd ova, εn tכn rawnd.
di spεnal fכs כpεrayshכ n involv fכ fכs tu כ mכr vεrbra dεm tכgeda fכ mek wan singl bon we sכlid. Di wɔd "fushɔn" min "fɔ jɔyn togɛda." Na dat de apin na ya. we di vεrbra dεm fכs tכgeda dis we, di muvmεnt we nכ nid bitwin dεm de kכmכt. Dis kin mek yu spayna gɛt bɛtɛ trɛnk ɛn stebul, ɛn i kin pul di pinched nerves bak, we kin mek yu nɔ fil pen ɛn nɔ de fil fayn.
Dɔktɔ dɛn de we spɛshal fɔ du dis ɔpreshɔn. Nyurosɔjɔn ɛn ɔtpidik ɔspitul dɛn ɔl tu kin du dis ɔpreshɔn. Di disayd fɔ udat go du dis ɔpreshɔn go dipen pan di sik we yu gɛt.
Us sik dɛn kin mɛn wit dis ɔpreshɔn?
Naw yu kin de tink se, "A nid dis?" Fɔ tru, dis ɔpreshɔn nɔto sɔntin we dɛn kin du fɔ ɛvri bak prɔblɛm. Dɔktɔ go jɔs du dis if ɔda tritmɛnt dɛn nɔ wok, ɔ if di bon dɛn na di spayna nɔ ebul fɔ tinap tranga wan, we de mek prɛshɔn pan di spɛshal kɔd, we tan lɛk di men waya sistɛm we de kɛr mɛsej tru wi bɔdi, ɔ di nɛv dɛn we de kɔmɔt insay.
Fɔ tɔk am simpul wan, if yu sik dɛn lɛk bak pen, yu an ɛn fut dɛn we nɔ de wok fayn, ɛn we yu wik na bikɔs yu spayna nɔ de stebul, dis ɔpreshɔn kin bi di bɛst sɔlv.
Lɛ wi tek wan luk na di tebul we de dɔŋ fɔ si us kɔndishɔn dɛn kin kɔmɔn fɔ mek dɛn du dis ɔpreshɔn.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Prɔblɛm dɛn we dɛn kin gɛt we dɛn bɔn wit di spayna | Sɔm pipul dɛn kin bɔn wit sɔm chenj dɛn na dɛn spaynal vɛrbra. |
| Disk we gɛt Herniated | di pat we lεk jεli bitwin tu vεrbra dεm de bulge kכmכt εn prεs pan di nεv dεm. |
| Bak infεkshכn dεm | Infεkshכn dεm we di jεm dεm we de kam insay di bon dεm na di spayna כ di tisu dεm we de rawnd. |
| Nɛvɔ sistɛm | Cervical Radiculopathy ɔ Sciatica, na wan sik we di nεv dεm na di lכw bכk de kכmprεs εn mek yu fil pen dכn di leg dεm. |
| Skɔliosis we de mek pɔsin gɛt sik | di sayd bεnd fכ di spayna we i pikin כ we i big. |
| Slip pan wan vεrbra (Spondylolisthesis) . | wan vεrbra de slip fכ go bifo כ bak oba כda wan. |
| Spondylosis (dijεnεreshכn fכ di vεrbra dεm) wit di ej | At at sik na wan sik wae de kam bikɔs di bon dɛm ɛn di joyn dɛm na di spayna de west ɛn te we wi de ol. |
| Spinal Stenosis we de mek pɔsin gɛt sik | di kכmpreshכn fכ di spεnal kכd bikoz fכ di narrowing fכ di kanal we di spεnal kכd de pas tru. |
| Spayna Fraktrɔs/Injuri | Frakshכn εn instεbul na di spayna biכs fכ aksidεnt כ כda kכz. |
| Tumɔs dɛn na di spayna | Kansa ɔ ɔda tɔŋ dɛn we kin apin na di bon dɛn, di spɛshal kɔd, ɔ di nerv dɛn. |
Aw yu kin pripia bifo di ɔpreshɔn?
We yu dɔktɔ dɔn disayd se dis ɔpreshɔn na di bɛst tin fɔ yu, sɔm tin dɛn de we yu kin du fɔ mek shɔ se yu fit fɔ ɔpreshɔn. Dɛn kin du ɔl dis fɔ mek yu sef.
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Mɛdikal tɛst bifo dɛn du di ɔpreshɔn | Yu dɔktɔ go du blɔd tɛst, urine tɛst, ɛn ECG fɔ chɛk if yu wɛlbɔdi fayn fɔ mek dɛn du ɔpreshɔn pan yu. Dɛn go chɛk fɔ tin dɛn lɛk ay blɔd prɛshɔn ɛn di kidni fɔ wok. |
| Fɔ no bɔt di mɛrɛsin dɛn we yu de tek | Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd tan, dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn. |
| Fɔ arenj pɔsin fɔ ɛp na os | Dɛn nɔ go alaw yu fɔ es ebi ebi tin ɔ drayv fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. So, i rili impɔtant fɔ mek yu gɛt pɔsin we go ɛp yu fɔ du wok na os ɛn kia fɔ yu. |
| Mit di tim we de gi anestezi | Di dɔktɔ dɛm we go put yu na slip (anestez) we dɛn de du di ɔpreshɔn go tɔk to yu ɛn disayd di we aw dɛn de anestez yu we go bɛtɛ fɔ yu. |
| Fɔ lɛf fɔ smok ɛn fɔ tek tabak | Dis na tin we rili, rili impɔtant! If yu de smok, yu fɔ stɔp fɔ smok kpatakpata sɔm wiks bifo di ɔpreshɔn. Nikotin de ambɔg di we aw di bon dɛn de jɔyn. Dis min se i gɛt big impak pan di sakrifays we di ɔpreshɔn de mek. |
| Fɔ klin bɔdi ɛn fɔ fast | Dɛn go aks yu fɔ was wit spɛshal sop di de bifo ɔ di mɔnin we dɛn go du di ɔpreshɔn. Dɛn go advays yu bak fɔ stɔp fɔ it ɛn drink (fast) fɔ sɔm awa bifo dɛn du di ɔpreshɔn. |
Wetin kin apin di de we dɛn du di ɔpreshɔn?
We yu go na ɔspitul di de we dɛn du di ɔpreshɔn, ɔltin kin apin rili sistɛm.
We dɛn de pripia bifo dɛn du di ɔpreshɔn...
Bifo dɛn kɛr yu kɔmɔt na di wod go na di say usay dɛn de du ɔpreshɔn, dɛn go kip yu na say we dɛn de pripia fɔ sɔm tɛm. Na ya, wan nɔs go kam ɛn luk yu ditil dɛm, yu mɛdikal istri, ɛn di mɛrɛsin dɛm. Di dɔktɔ we de anestez go kam tɔk to yu. Di dɔktɔ we de du di ɔpreshɔn go kam ɛn kɔnfɔm se yu rɛdi fɔ mek dɛn du di ɔpreshɔn (kɔnsɛnt fɔm) ɛn mak di say we dɛn go du di ɔpreshɔn. Dɛn go put wan smɔl tiub (IV layn) insay wan vein na yu an, we go gi yu di mɛrɛsin ɛn wata we yu nid we yu de du di ɔpreshɔn.
Insai di opareshon teater...
Dɔn dɛn go kɛr yu go na di ɔpreshɔn rum. Na de, dɛn go put yu monita dɛn we go mɛzhɔ tin dɛn lɛk yu at rit ɛn blɔd prɛshɔn. Yu go sɔprayz fɔ si aw bɔku dɔktɔ ɛn nɔs dɛn de! Pipul dɛn de we de ɛp di dɔktɔ we de du di ɔpreshɔn, wan dɔktɔ we de mɛn pipul dɛn we de anestez, ɛn sɔm nɔs dɛn. Bifo di ɔpreshɔn bigin, di wan ol tim go kam togɛda ɛn du wan sef chɛk fɔ mek shɔ se yu ditil dɛn kɔrɛkt. Na da tɛm de nɔmɔ dɛn go anestez yu ɛn di ɔpreshɔn go bigin.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di kayn ɔpreshɔn kin difrɛn difrɛn wan bay di say ɛn di kayn we aw yu bak prɔblɛm de.
- Di we aw fɔ go nia yu: Di dɔktɔ kin kam nia yu spayna frɔm di bak (posterior), frɔnt (anterior), ɔ sayd (lateral). Sɔntɛnde, dɛn kin yuz wan kɔmbayn pan dɛn we ya.
- Tayp we dɛn kɔt:Sɔntɛnde, tradishɔnal ɔpreshɔn kin gɛt fɔ du wit fɔ mek big say we dɛn kɔt (open ɔpreshɔn). Bɔt naw, dɛn kin du bɔku pan di ɔpreshɔn dɛn tru sɔm smɔl smɔl say dɛn we dɛn kin kɔt bay we dɛn de yuz kamɛra ɛn inschrumɛnt dɛn (minimally invasive surgery). Yu dɔktɔ go ɛksplen bifo tɛm us we fɔ du am bɛtɛ fɔ yu.
- di tin dεm we dεn yuz: di tu vεrbra dεm de kכnekt bay wan bon graft. Dis bon kin kɔmɔt na ɔda say na yu bɔdi (lɛk yu hip bon) ɔ frɔm bon bank (lɛk pɔsin we dɔn day). Sɔntɛnde, dɛn kin yuz sɛntetik bon. Apat frɔm dat, dɛn kin yuz mɛtal tin dɛn lɛk skru, plet, ɔ stik fɔ mek di kɔnɛkshɔn strɔng. If yu gɛt alɛji fɔ mɛtal, tɛl yu dɔktɔ bifo tɛm.
We dɛn dɔn du ɔl dis, di dɔktɔ go lɔk di say we dɛn kɔt wit stich. Sɔm stich dɛn kin sɔlv, ɛn ɔda wan dɛn nid fɔ pul afta sɔm wiks. Dɛn go gi yu instrɔkshɔn bɔt dis.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kɛr yu go na di rum usay dɛn de wɛl. Na de, as yu de tink bak smɔl smɔl, dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. Na afta yu kɔndishɔn dɔn stebul, dɛn go transfa yu to di wɔd.
Dipen pan di kayn ɔpreshɔn, yu kin ebul fɔ go na os insay wan ɔ tu dez, ɔ yu kin gɛt fɔ de na ɔspitul fɔ sɔm dez.
Afta yu go na os, i rili, rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn. I go gi yu instrɔkshɔn dɛn bɔt aw fɔ sidɔm, tinap, ɛn waka fayn. Dɛn go ban fɔ es ebi ebi tin dɛn, fɔ bɛn wantɛm wantɛm, ɛn fɔ twist fɔ sɔm wiks. Fɔ fala dɛn instrɔkshɔn ya gud gud wan impɔtant fɔ mek yu wɛl.
Afta sɔm wiks, yu dɔktɔ go tɛl yu fɔ bigin fɔ du fizik tritmɛnt fɔ mek yu bak ɛn di mɔsul dɛn we de rawnd am strɔng.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn de gi?
Di men bɛnifit fɔ dis ɔpreshɔn na dat yu kwaliti fɔ liv bɛtɛ. Di bak pen we yu kin gɛt fɔ lɔng tɛm, we yu an ɛn fut kin swɛt, ɛn we yu wik kin ridyus bad bad wan. We di pen dɔn stɔp, yu kin bigin fɔ du tin dɛn ɛn tin dɛn we yu lɛk fɔ du bak. Bɔku pipul dɛn we dɛn dɔn du dis ɔpreshɔn kin gladi fɔ di tin dɛn we kin apin.
Ɛni sayd ɛfɛkt ɔ risk de?
Lɛk ɛni ɔpreshɔn, dis wan gɛt sɔm prɔblɛm dɛn.
- Infεkshכn dεm
- Blɔd we de kɔmɔt
- Pen
- Prɔblɛm dɛn we gɛt fɔ du wit anestezi
- Dilɛys fɔ mek wund wɛl
Apat frɔm dat, bikɔs dis na bak ɔpreshɔn, we dɛn kin du rili nia di spɛshal kɔd ɛn di nɛv dɛn, sɔm patikyula prɔblɛm dɛn de we kin apin, pan ɔl we i nɔ kin apin so ɔltɛm.
- Pen ɔ swɛt we kin kam bikɔs di nerv dɛn dɔn pwɛl
- Di mɔsul dɛn we wik
- Siriɔs kɔndishɔn lɛk paralayz (dis nɔ kin apin so ɔltɛm) .
- biכs di vεrbra dεm kכnekt, sכm rεdukshכn de pan di fleksibiliti fכ di spayna.
Bɔt nɔ wɔri. Yu dɔktɔ go jɔs tɛl yu fɔ du dis ɔpreshɔn if afta yu dɔn tink bɔt ɔl dis ɛn tink bɔt di prɔblɛm dɛn we go apin to yu, di bɛnifit dɛn we di ɔpreshɔn go gɛt pas di prɔblɛm dɛn we go apin to yu fa fawe.
Aw lɔng i kin tek fɔ mek i wɛl? Ɛn ustɛm a fɔ go to dɔktɔ?
Fɔ wɛl bɔdi ful wan na tin we pɔsin kin du smɔl smɔl. Insay sɔm wiks, yu go ebul fɔ du bɔku pan di tin dɛn we yu kin du ɛvride. Yu go ebul fɔ bigin fɔ du layt ɛksesaiz. Dipen pan di wok we yu de du, i kin tek sɔm wiks to sɔm mɔnt fɔ go bak na wokples. Bɔt i kin tek sɔm mɔnt, ɔ ivin wan ia fɔ si di ful rizɔlt fɔ di ɔpreshɔn.
Dɛn go gi yu apɔntinmɛnt fɔ go to yu dɔktɔ. Mek shɔ se yu go na dɛn apɔntin dɛn de. Apat frɔm dat, if yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
| Ustɛm fɔ go to dɔktɔ | |
|---|---|
| Sayn dɛn we de sho se yu gɛt wund infɛkshɔn: | |
| Fiva | Swel, rɛd, ɔ wam rawnd di say we dɛn kɔt |
| Wan wata lɛk pus ɔ blɔd de kɔmɔt na di say we dɛn kɔt | Fɔ fil se yu ed de tɔn ɔ yu taya pasmak |
| Go to dɔktɔ wantɛm wantɛm! (Prɔblɛm dɛn we gɛt fɔ du wit di nerve): | |
| Wan wae, ɔr nɔr kin kɔmɔn, wae yu leg ɔr fut kin swɛt ɔr kin wik. | |
| Pen we rili bad. | |
| Lɔs di mɔsul trɛnk na di leg ɔ sɔm digri fɔ paralayz. | |
Sɔm kwɛstyɔn dɛn we yu kin gɛt bak
Dis na siriɔs ɔpreshɔn?
Yɛs, dɛn kin tek spɛshal ɔpreshɔn as big ɔpreshɔn. Na dat mek dɔktɔ dɛn kin tray fɔ du tin dɛn lɛk mɛrɛsin ɛn fizik tritmɛnt fɔs. Bɔt dat nɔ min se na sɔntin we wi fɔ avɔyd. Fɔ bɔku pipul dɛn, e kin bi di bɛst sɔlv fɔ di bak pen we nɔ de dɔn ɛn prɔblɛm dɛn we gɛt fɔ du wit am.
A kin liv nɔmal layf afta dɛn dɔn du mi ɔpreshɔn?
Bɔku pipul dɛn kin ebul. Bɔt sɔm pipul dɛn kin gɛt fɔ liv wit sɔm tin dɛn we dɛn nɔ ebul fɔ du. di men tin na dat we di vεrbra dεm fכs tכgeda, di bεnd we da pat de pan di spayna de lכs. Ivin if yu sik nɔ de igen, i nɔmal fɔ ɛkspɛkt sɔm chenj na di muvmɛnt na yu spayna. Yu dɔktɔ go ɛksplen to yu ditayli wetin fɔ ɛkspɛkt afta dɛn dɔn du yu ɔpreshɔn.
Aw dis ɔpreshɔn kin mek pɔsin fil pen?
Yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn bikɔs dɛn go de anestez yu. Bɔt i nɔmal fɔ mek yu gɛt sɔm pen di tɛm we yu de wɛl afta dɛn dɔn du yu ɔpreshɔn. Yu mɛdikal tim go gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol di pen. Tɔk to yu dɔktɔ bɔt us kayn pen yu fɔ ɛkspɛkt ɛn wetin yu fɔ ripɔt if yu gɛt ɛni pen.
Aw lɔng di tin dɛn we kin kɔmɔt frɔm dis ɔpreshɔn kin las?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku pipul dɛn kin gɛt gud rizɔlt fɔ lɔng lɔng tɛm . Bɔt bikɔs ɔf di chenj dɛn we kin apin na ɔda pat dɛn na di spayna as tɛm de go, sɔm pipul dɛn kin nid fɔ gɛt ɔpreshɔn bak.
Mɛsej we dɛn kin kɛr go na os
- spεnal fכs na כpεrayshכn we de mek di spayna stebul bay we i de fכs tu כ mכr vεrbra dεm togeda.
- Dis nɔto sɔntin we dɛn kin du fɔ ɛvri bak prɔblɛm. Dɔktɔ dɛn kin jɔs tɛl pipul dɛn we gɛt sɔm patikyula mɛrɛsin dɛn we nɔ ebul fɔ tek ɔda tritmɛnt dɛn.
- Fɔ rɛdi gud gud wan fɔ di ɔpreshɔn, mɔ fɔ lɛf fɔ smok if yu de smok, rili impɔtant fɔ mek di ɔpreshɔn go bifo.
- Di we aw pɔsin kin wɛl kin tek tɛm. Insay dis tɛm, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Duya nɔ fred fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt dis.
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