Yu kin si se yu de bɛn bifo we yu tinap fɔ lɔng tɛm ɔ waka fɔ shɔt tɛm bikɔs yu gɛt bak pen? Ɔ yu gɛt tingling senseshɔn ɔ pen we de kɔmɔt na yu nɛk dɔŋ yu an dɛn? Bɔku pipul dɛn kin tink se dis na nɔmal tin we pɔsin kin ol, bɔt sɔntɛnde, na di nerve we de na di spayna kin pinch. Insay mɛrɛsin, wi kin kɔl dis spɛshal stenɔsis. No wori, tide wi go tok abaut evritin fo simpul wod.
Wetin na Spinal Stenosis?
Fɔ tɔk am simpul wan, spɛshal stenɔsis na we di ples we de insay wi spayna de smɔl. Tink bɔt wi spayna lɛk sɔm ring (we dɛn kɔl vertebrae) we dɛn stak pan dɛnsɛf. Ɛni ring gɛt ples bitwin dɛn, lɛk tanɛl. Dɛn kɔl dis tanɛl di spɛshal kanal . di spεnal kכd, we na wan pat we rili imכtant na wi bכdi, εn di nεv dεm we de branch kכmכt frכm am, de travul tru dis tכnel.
Naw tink bɔt am, wetin go apin if dis tanɛl smɔl fɔ sɔm rizin? jכs lεk we wata paip kכlok, di spεs fכ wata fכ fכlכ de dכn, we dis spεnal kanal sכmtεm, nכ de fכ di spεnal kכd εn nεv dεm insay. Dɔn dɛn nɛf dɛn de bigin fɔ swɛt, pinch, ɛn prɛs. Na bikɔs ɔf da swɛt de wi kin gɛt sayn dɛn lɛk bak pen ɛn pen we kin go dɔŋ di leg (sciatica).
Pan ɔl we dis sik kin apin pan ɛni ej, i kin apin mɔ pan pipul dɛn we dɔn pas 50 ia .
Us pat na di spayna kin afɛkt mɔ pan dis sik?
dis nεv kכmpreshכn dεn kin si am bכku tεm na tu ples dεm na di spayna:
- Lumbar Spinal Stenosis: na kכndyushכn we de apin na di lכw fayv vεrbra dεm (L1-L5) na wi spayna. Dis na de kayn bak pen wae kin pasmak.
- sεvikal spεnal stεnosis: dis kכndyushכn kin apin na di sεvin vεrbra dεm (C1-C7) na wi nεk.
apat frכm dεn tu ya, dis kכndyushכn kin apin bak na di midul pan di spayna, dat na di tכraks spayna lεvεl. Bɔt, i nɔ kin apin so ɔltɛm.
Wetin na di sayn dɛm fɔ dis?
di spεnal stεnosis kin divεlכp sכmtεm sכmtεm as tεm de go. So, pan ɔl we yu kin si am pan ɛkstrem rayt, yu nɔ go gɛt ɛni sayn we yu bigin. Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm dez i kin wɔs, ɛn ɔda de dɛn kin bɛtɛ.
Jɛnɛral wan, i kin dipen usay dɛn pinch di nerve, yu kin fil tin dɛn lɛk dis na yu nɛk, bak, an, leg, an, ɔ yu fut in sol:
- Pen
- Fɔ mek pɔsin nɔ ebul fɔ du natin
- I tan lɛk laytin(Tingling / "pin ɛn nidul")
- Wik
Lɛ wi si aw di sayn dɛm kin difrɛn pan kes dɛm wae gɛt spɛshal sik ɛn nɛk.
| Tayp fɔ di simptom | Tɔk bɔt |
|---|---|
| Di simptom dɛm fɔ di Lumbar Spinal Stenosis | |
| Bak pen | Pen na di ɔda pat na di bɔdi we de dɔŋ. |
| Pen we de travul dɔŋ di leg dɛn | Pen we de stat na di bכtכm εn travul dכn di lεg, sכmtεm כl di we te to di fut in sכl. |
| Hevi ɛn kramp na di leg | Fɔ fil se yu leg dɛn de ebi, fɔ fil lɛk se yu leg dɛn de go swɛ afta yu dɔn waka fɔ shɔt tɛm, ɛn kramp. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Tingling ɔ filin we ant de rɔn na di bɔdi, leg, ɔ di fut. |
| Tεm wae de pen kin bכku εn dכn | Di pen kin bɔku we yu tinap fɔ lɔng tɛm, waka, ɔ go dɔŋ wan il. Di pen kin go dɔŋ we yu bɛn fɔ go bifo, sidɔm na chia, ɔ klaym stɛp/il. (Fɔ ɛgzampul, we yu bɛn fɔ go bifo, lɛk we yu de push troli na supamakit, dat kin mek yu bak pen nɔ bɔku.) |
| Di simptom dɛm fɔ di Sɛvikal Spinal Stenɔsis | |
| Nek de pen | Pen na di nɛk. |
| Di we aw pɔsin kin swɛla ɛn we i kin wik | Fɔ fil se yu de swɛt ɔ yu wik na yu an, an, leg, ɔ yu fut. |
| Prɔblɛm dɛn we de wit bɔdi balans | I nɔ kin izi fɔ mek yu balans we yu de waka. |
| Prɔblɛm wit fayn fayn motoka skil dɛm na di an dɛm | I nɔ izi fɔ du fayn fayn wok dɛn lɛk fɔ rayt wit an, fɔ bɔtin shirt, ɔ fɔ ol kɔp. |
Wetin mek di spɛshal stenɔsis kin apin?
Tu men rizin dɛn de fɔ dis.
1. Kכz dεm we dεn kin gεt: Dis na di kכzכn we kin kכmכn pas כl. Dis kכndyushכn kin apin bikoz fכ di chenj dεm na wi bכdi ("wear and tear") we kin apin wit di ej.
2. Di tin dεm we dεn bכn wit: sכm pipul dεn kin bכn wit wan spεnal kanal we sכmtεm sכmtεm. Dis nɔ kin apin so ɔltɛm.
Men kɔz dɛm wae kin apin wit ej (Acquired Causes) .
- Bɔn dɛn we de gro pasmak: As wi de ol, wi jɔyn dɛn kin west. Dɛn kɔl dis ɔstiɔ-arayt. we di joyn dεm na di spayna west, di bכdi de ansa bay we i de gro nyu bon. dis nyu bon spur dεm kin gro insay di spεnal kanal εn prεs pan di nεv dεm.
- Disk dεm we de bכl כ hεnia: Bitwin εvri vεrbra na wi spayna, wan kushכn de we lεk jεli. Wi kin kɔl dɛn disk dɛn ya. As wi de ol, dɛn disk dɛn ya kin dray, flat, ɛn dɛn kin gɛt krak krak na dɛn wɔl. afta dat di pat we lεk jεli insay kin bulge kכmכt (bulging כ herniated disc) εn prεs pan di nεv dεm.
- di ligament dεm we de tik: di ligament dεm na di strכkchכ dεm we lεk bכnd we de kכnεkt wi spayna. biכs fכ di kכndishכn dεm lεk at at, dεn ligament dεm ya kin tik ova tεm εn bulge insay di spεnal kanal, we de ridyus di spεs fכ di nεv dεm.
- Injuri na di spayna: Dis kanal kin smɔl bak bikɔs ɔf aksidɛnt lɛk we di spayna brok ɔ we de swɛt.
- Tכmכro: Na sכm tεm we tכmכro de insay כ rawnd di spayna kin mek bak di nεv kכmprεshכn.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit dɛn sik ya, i go aks yu fɔs bɔt yu sik dɛn. Dɔn i go du wan ɛgzam pan in bɔdi. I go bɛn yu spayna na difrɛn say dɛn ɛn pe atɛnshɔn to aw di pen de apin.
Apat frɔm dat, wi kin advays yu fɔ du sɔm tɛst dɛn fɔ no di prɔblɛm:
- εks-ray fכ di spayna: Dis kin no di chenj dεm na di bon dεm, di disk ayt we de lכs, εn di bon spur dεm.
- MRI scan (Magnetic Resonance Imaging): Dis na di bɛst we fɔ si klia wan dilik tin dɛn lɛk di nerv, disk, ɛn spaynal kɔd.
- CT scan (Computed Tomography): Dis na tɛst we de gi mɔ ditayli pikchɔ dɛn pas ɛkstrem rayt. Sɔntɛnde, dɛn kin du CT maylogram bak, we dɛn kin yuz spɛshal wata (kɔntrast day).
Wetin na di tritmɛnt dɛm fɔ dis?
We pipul dɛn yɛri di nem, dɛn kin tink bɔku tɛm se, "O, a go gɛt fɔ ɔpreshɔn?" Bɔt nɔto ɔlman we gɛt spɛshal stenɔsis nid ɔpreshɔn. Bɔrku pipul kin wɛl wit tritmɛnt wae nɔr de du ɔpreshɔn. Di bɛst tritmɛnt fɔ yu go dipen pan aw yu sik bad, usay di prɔblɛm de, ɛn wetin mek yu gɛt am.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Tritmɛnt dɛn we Nɔ De Ɔspitul | |
| Tin dɛn we yu kin du na os | Hɛt/Kol pak, di rayt ɛgzampul dɛn lɛk aw dɔktɔ tɛl yu fɔ du. |
| Di mɛrɛsin dɛn we dɛn kin yuz | NSAID fɔ ridyus pen ɛn swel. Sɔntɛnde, mɛrɛsin lɛk gabapentin fɔ nerve pen. Bɔt mɛmba se yu fɔ aks yu dɔktɔ ɔltɛm bifo yu yuz ɛni mɛrɛsin. |
| Fizik Tɛrapi | Gi gud sɔpɔt to di spayna tru ɛksesaiz we de mek di bak ɛn bɛlɛ mɔsul dɛn strɔng. Praktis fɔ waka we go mek yu nɔ gɛt prɛshɔn pan di nerv dɛn. |
| Stɛroyd Injɛkshɔn dɛn | Injεkshכn dεm we dεn gi fכ ridyus di swel εn pen we de rawnd di pinched nerve. |
| Ɔpreshɔn | |
| Ustɛm dɛn kin se dɛn fɔ du ɔpreshɔn? | Dɛn kin jɔs tink bɔt ɔpreshɔn we ɔl di ɔda tritmɛnt dɛn nɔ wok ɛn di sayn dɛn rili bad. |
| Men kayn ɔpreshɔn dɛn we dɛn kin du | Laminectomy: fכ pul pat pan di vεrbra fכ gi mכr spεs fכ di nεv dεm. Spinal Fyushכn: If di spayna nכ stebul, fכ fכs tu vεrbra dεm tכgeda. Dɛn kin tek dis as las tin fɔ du. |
Yu tink se we dɛn de fɔ avɔyd dis kayn tin?
Pan ɔl we wi nɔ kin ebul fɔ stɔp di ol we wi de ol, sɔm tin dɛn de we wi kin du fɔ mek wi spayna gɛt wɛlbɔdi. dis kin εp fכ ridyus di risk fכ spεnal stenosis כ kכntrכl in prכgreshכn.
- Fɔ it tin dɛn we gɛt wɛlbɔdi: It tin dɛn we gɛt bɔku kalsiɔm fɔ mek yu bon dɛn strɔng.
- Fɔ mek yu gɛt wɛl bɔdi wet: As yu bɔdi de wet, di prɛshɔn we de pan di spayna de go ɔp.
- Nɔ smok: If wi smok, i kin pwɛl wi blɔd vesel dɛn, ɛn dis kin mek wi bak pen mɔ ɛn mɔ.
- Fɔ mek yu tinap di rayt we: I rili impɔtant fɔ mek yu bak stret we yu sidɔm, tinap, ɛn es wet.
- Ɛksesaiz ɔltɛm: Ɛksesaiz we de mek di bak ɛn di kɔr mɔsul dɛn strɔng, mɔ di bɛlɛ mɔsul dɛn, kin ɛp fɔ mek di spayna gɛt wɛlbɔdi.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt nyu bak ɔ nɛk pen, wit yu an ɔ yu fut we de swɛ ɔ wik, mek shɔ se yu go to dɔktɔ. If yu dɔn ɔlrɛdi de tek tritmɛnt ɛn dɛn nɔ de ɛp, go to yu dɔktɔ fɔ tɔk bɔt ɔda tin dɛn we yu go du.
Sɔntin yu nɔ plan!
If yu nɔ ebul fɔ kɔntrol yusɛf wantɛm wantɛm, ɔ if yu fil lɛk se yu tu leg dɛn de go swɛ, na imejensi. If dis kayn tin apin , go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Bak ɛn nɛk pen kin bi big tin we kin ambɔg wi ɛvride layf. Bɔt di gud nyus na dat, bɔku fayn tritmɛnt dɛn de fɔ am. So bifo yu nɔ pe atɛnshɔn to di sayn dɛm, tɔk to yu dɔktɔ fɔ fɛn di sɔlv we go woke fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- di spεnal stεnosis na we di spεnal kanal de sכmtεm we de apin wit di ej.
- Di men sayn dɛm na pen, swɛt, ɛn wik na in bak, nɛk, an, ɔr leg.
- if yu stenosis na di lכw bכk, wan kכmכn simptom na dat di pen de dכn we yu bεnd fכ go bifo.
- Bɔrku pipul kin gɛt gud rizulyt wit tritmɛnt wae nɔr de du ɔpreshɔn, lɛk fɔ du ɛksɛsayz, fɔ trit dɛn bɔdi, ɛn fɔ tek mɛrɛsin.
- Ɔpreshɔn kin jɔs nid fɔ apin pan siriɔs kes dɛm we nɔr dɔn ansa ɔda tritmɛnt dɛm.
- If yu gɛt dɛn kayn sik ya, mek shɔ se yu go to dɔktɔ fɔ mek dɛn no di sik ɛn tritmɛnt fayn fayn wan.











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