Yu gɛt pen ɔltɛm na yu nɛk, ed, an, ɔ ɔp chɛst we nɔ de go wit mɛrɛsin? Sɔmtɛm, de tin wae kin mek wi gɛt dis kayn pen kin bi smɔl prɔblɛm na wi nervɔs sistɛm. Tide, wi go tɔk bɔt wan spɛshal tritmɛnt we difrɛn smɔl we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. Dɛn kɔl dis ‘Stellate Ganglion Block’. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi jɔs ɔndastand wetin dis de du.
Wetin na Stelɛt Ganglion Blɔk (SGB)?
Fɔ tɔk am simpul wan, Stellate Ganglion Block (SGB) na injɛkshɔn fɔ wan anestetik. Bɔt dis nɔto jɔs ɛni injɛkshɔn we dɛn kin gi pɔsin ɔltɛm. Dɛn kin put am insay wan spɛshal grup we de na wi nɛk, mɔ na di tu say dɛn na wi vɔys bɔks. dis grup fכ nεv dεm dεn kכl am di 'Stellate Ganglion'.
Tu men tin dɛn de fɔ gi dis vaysin:
1. Fɔ pul sɔm bad bad pen we nɔ de dɔn na yu ed, nɛk, ɔp an, ɛn ɔp chɛst.
2. Blɔd we de go na di an dɛn, dat na fɔ mek di blɔd flɔ fayn fayn wan.
Okay, so wetin na dis stellate ganglion?
Ganglion na wan grup we gɛt nerv sɛl dɛn we kin kam togɛda, lɛk say we dɛn kin jɔyn na tren steshɔn, we na wan sɛnta usay dɛn kin sɛn mɛsej dɛn na di nerv bak ɛn kam bak.
Di stellate ganglion na wan pan dɛn kayn nerve klasta dɛn de. I de na di frɔnt pat na wi nɛk, jɔs dɔŋ di kɔlabɔn, nia di fɔs rib. Wi gɛt ganglion dɛn lɛk dis na di tu say dɛn na wi nɛk. Di wɔd ‘stɛlɛt’ min ‘lɛk sta’. Dis min se di shep we dis nεv kכlכsta shep kin lεk di shep fכ wan sta.
dis grup fכ nεv dεm de insay di ‘Sympathetic Nervous System’, we na pat pan wi Autonomic Nervous System. Fɔ tɔk am simpul wan, dis na wi bɔdi in ‘fayt ɔ flay’ sistɛm, dat na di sistɛm we de rɛdi wi fɔ fɛt ɔ rɔnawe pan imejensi, we wi de fred ɔ wɔri. I de involv pan bɔku tin dɛn we wi bɔdi de kɔntrol we wi nɔ de tink bɔt dɛn, lɛk at rit, blɔd prɛshɔn, ɛn swet. so bכku pan di sכmtεm nεv mεsej dεm we de go na di ed, nεk, an, εn כp chεst de sεnd tru dis stεlat ganglion.
Yu tink se ɔlman gɛt dis Stellate Ganglion?
Dis na sɔntin bak we kin mek wi sɔprayz smɔl. Fɔ tru, dis stel ganglion nɔ de na ɔlman in bɔdi. fכ mek dis ganglion fכm, tu nεv kכlכsta dεm na wi nεk, we na di `infεriכs sεvikal ganglion` εn di `fכs tכraks ganglion`, nid fכ fכs tכgeda.
Bɔt, na 80% nɔmɔ pan di pipul dɛn na di wɔldis tu nεv bכndεl dεm kin kam togeda dis we fכ mek di stεlat ganglion. pan di כda 20% pan di kes dεm, dεn arenj dεm difrεnt, dεn sεparayt frכm wan an.
Wetin mek dɛn kin ple wan Stellate Ganglion Block? Fɔ us sik dɛn?
Dɔktɔ dɛn kin yuz dis tritmɛnt fɔ tu men rizin dɛn.
1. Fכ no if yu gεt di sik: Fכ no if sכm pen de kכz fכ di aktiviti fכ di simpatik nεv sεstem we wi bin dכn tכk bכt. dis dεn kכl am `sympathetically mediated pain (SMP)`.
2. As tritmɛnt: Kɔntrol difrɛn pen kɔndishɔn, nerve disɔda, ɛn prɔblɛm wit di blɔd we de kɔmɔt na di blɔd.
Di tebul wae de dɔŋ ya de sho sɔm pan de sik dɛm wae dɛn kin yuse dis tritmɛnt pasmak.
| Sik/Pen | Wan simpul ɛksplen |
|---|---|
| Kompleks Rijinal Pen Sindrom (CRPS) . | Big pen we kin de fɔ lɔng tɛm, we kin bɔn we kin apin afta aksidɛnt na yu an ɔ yu leg. |
| Pɛriferal Vaskul Sik | Prɔblɛm dɛn we kin kam pan di blɔd we kin mek di blɔd we de gi blɔd to di an ɛn fut kin tan lɛk tin. |
| Phantom Limb Pen we de mek pɔsin fil pen | Stil de fil pen na wan an ɔ leg we dɛn dɔn ɔpreshɔn fɔ pul. |
| Nyuraljia we kin mek pɔsin gɛt posthɛpɛtik | Nav pen we de kɔntinyu ivin afta di hεpi zosta (shingles) dɔn wɛl, we di hεpi vayrɔs we gɛt fɔ du wit chukchuk pɔks kin kam. |
| Di sik we dɛn kɔl hayparaydrosis | Fɔ swet pasmak na say dɛn lɛk di an dɛn. |
| Wan sik we dɛn kɔl Raynaud in Syndrome | Finga dɛn kin tɔn blu, blu, ɛn nɔm we dɛn de na kol ɔ strɛs. |
| Klɔsta Ɛd-aks | Rili siriɔs, ed pen we de throb. |
pan tap dat, dεn kin yus dis tritmεnt bak fכ kכndyushכn dεm lεk `Scleroderma`, `Orofacial pain`, `Atypical chεst pen`, εn `Ménière's disease`.
Dɛn kin yuse dis bak fɔ mɛntɛl hεlth prɔblɛm?
Yɛs, dis na tɔpik we bɔku pipul dɛn de tɔk bɔt rayt naw. Risach dɔn de frɔm di 1990 dɛm, mɔ pan aw fɔ yuz SGB as tritmɛnt fɔ wan mental kɔndishɔn we dɛn kɔl Post-Traumatic Stress Disorder (PTSD) .
PTSD na wan mental kכndyushכn wae de kam afta dεn gεt wan bad bad traumatik ivent. Pipul dεm we gεt dis kכndyushכn gεt abnכmal hכy lεvεl fכ sכm kεmikכl dεm na dεn bren, lεk `norepinephrine` εn `nerve growth factor`. di risach dεm biliv se dis injεkshכn kin ridyus dεn lεvεl dεm de εn kכntrכl di kכnstant aktibכshכn fכ di `fεt כ fכ flay` rεspכns.
Bɔt di tin dɛn we dɛn stɔdi dɛn ya dɔn miks. Sɔm pipul dɛn dɔn si se di PTSD simptom dɛn dɔn ridyus bad bad wan, ɛn ɔda pipul dɛn nɔ si ɛni chenj. So, ɛjɛnshi dɛm lɛk di U.S. Food and Drug Administration nɔ dɔn ɔfishal wan gri fɔ SGB as tritmɛnt fɔ PTSD. Bɔt if ɔda tritmɛnt (kɔnsul, mɛrɛsin) nɔ wok, dɔktɔ kin tɔk bɔt dis wit di pɔsin ɛn gi am as ‘ɔf-lɛbul’ tritmɛnt.
Dis biɛn tɛm, dɛn dɔn bigin fɔ du risach bɔt aw SGB kin afɛkt ɔda tin dɛn we kin apin to pɔsin in maynd, lɛk pwɛl hat ɛn wɔri.
Aw dɛn kin du dis Stellate Ganglion Block?
Imajin se wan dɔktɔ gi yu dis tritmɛnt. Dɔn, na di klinik ɔ ɔspitul, sɔntin lɛk dis kin apin:
1. Fɔ Pripia: Fɔs, dɛn go aks yu fɔ ledɔm fes ɔp pan bed. Fɔ mek yu fil fayn ɛn rilaks, dɛn kin gi yu wan mɛrɛsin we nɔ kin mek yu fil fayn (we kin mek yu fil fayn) tru wan layn we dɛn kin put insay yu bɛlɛ (IV).
2. Klin: Di dɔktɔ go klin di say na yu nɛk fayn fayn wan usay dɛn go gi di injɛkshɔn wit antiseptik sɔlvushɔn.
3. Fɔs injɛkshɔn (numb): .Neks, dɛn kin injɛkt smɔl lokal anestetik na di say we dɛn de yuz wan rili fayn nidul. Dis go ɛp yu nɔ go fil di pen we di nɛks injɛkshɔn de fil.
4. Men injεkshכn: Dɔn dεn kin injεkt di men anεsthεtik. Bɔt dis nɔto jɔs fɔ gɛs. di dכkta de yuz wan `Ultrasound` skan כ wan spεshal kayn εks-ray we dεn kכl `Fluoroscopy` , i de wach di rod we di nidul de pas pan skrin, εn na da tεm de di injεkshכn de apin we di nidul de εksakכt nia di nεv kכlכsta we dεn kכl di stellate ganglion. Dis kin ridyus di chans fɔ injekt am na di rɔng ples.
Dis ɔl dis kin tek lɛk 30 minit .
Wetin kin apin afta di injɛkshɔn?
Afta di injεkshכn, dεn go kip yu na rum fכ rεkכva fכ sכm tεm. Bɔrku tɛm fɔ lɛk 40 to 60 minit, nɔs ɔ dɔktɔ go wach yu kɔndishɔn (blɔd prɛshɔn, at rit). We dɛn dɔn kɔnfyus ɔltin, dɛn go gi yu instrɔkshɔn fɔ fala na os ɛn afta dat dɛn go alaw yu fɔ go na os.
Di tin we impɔtant pas ɔl: Afta dis tritmɛnt, yu nɔ go ebul fɔ drayv go na os fɔ yusɛf, so i impɔtant fɔ mek pɔsin drayv yu go na os.
Aw dis tritmɛnt kin wok fayn? Aw lɔng i kin las?
No wan ansa nɔ de fɔ dis kwɛstyɔn bikɔs i difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin.
- Fɔ sɔm pipul dɛn, di pen kin go wantɛm wantɛm afta dɛn dɔn gi dɛn injɛkshɔn, bɔt di pen kin kam bak afta sɔm awa as di anestetik de west.
- Ɔda pipul dɛn kin fil pen fɔ sɔm dez ɔ wik. Insay dis tɛm, dɛn kin ebul fɔ tap dɛn pen mɛrɛsin ɛn tek pat pan tin dɛn lɛk fisiotɛrapi ɛksɛsayz.
Bɔku tɛm, wan injɛkshɔn nɔ kin rili mek pɔsin fil fayn. Fɔ mek yu fil fayn fɔ lɔng tɛm, yu nid fɔ put sɔm injɛkshɔn, we min se yu fɔ du dis bɔku tɛm. Sɔntɛnde yu kin gɛt rizɔlt insay jɔs tu sɛshɔn, ɛn ɔda wan dɛn kin nid fɔ du am pas tɛn tɛm. Bɔt di gud nyus na dat , wit ɛni sɛshɔn, di tɛm we pɔsin kin tek fɔ mek i nɔ fil pen kin go ɔp .
Ɛni sayd ɛfɛkt ɔ risk de fɔ dis?
Jɔs lɛk ɛni ɔda mɛrɛsin, smɔl smɔl sayd ɛfɛkt dɛn de ɛn siriɔs prɔblɛm dɛn we nɔ kin apin so ɔltɛm.
| Kɔmɔn, sɔm tɛm sayd ɛfɛkt dɛm (go away insay sɔm awa) . | |
|---|---|
| Brus ɔ pen na di say we dɛn injekt | Aylid we de drɔp |
| Di yay dɛn we de rɛd | Kray wata we de kɔmɔt na di yay |
| Nasal kɔnjɛshɔn | Di vɔys we de ala lawd wan |
| Fɔ fil lɛk se wan lump de na di trot | I nɔ izi fɔ swɛla it |
| Fɔ fil se yu an ɔ yu an de wam ɔ yu de swɛ | |
Di sayn dɛm wae wi bin dɔn tɔk bɔt kin dɔn ɔlrɛdi insay sɔm awa, bɔt siriɔs prɔblɛm dɛn kin de bak we nɔ kin apin so ɔltɛm .
- Di kɔndishɔn dɛn we kin mek pɔsin gɛt sik
- bכdi we de bכn bikoz fכ di nidul pankshכn insay wan bכdi vεsεl (e.g. carotid artery) .
- Damej to ɔda nεv dεm (vagus nerve, rikarεnt laryngeal nerve) .
- Di lɔng we de pwɛl (Nyumotɔraks) .
- Damej to di tayroyd gland, εsophagus, ɔ trakya
Di chans fɔ mek dɛn tin ya apin rili smɔl, mɔ we dɔktɔ we gɛt ɛkspiriɛns de du dis tritmɛnt we i de yuz tɛknɔlɔji lɛk ɔltra saund.
Us sityueshɔn dɛn a fɔ kɔl di dɔktɔ?
Afta yu go na os afta di injɛkshɔn, if yu gɛt ɛni nyu sayn ɔ yu tink se yu gɛt ɛni prɔblɛm , kɔl yu dɔktɔ wantɛm wantɛm. Mɔ:
- If di say we dɛn injɛkshɔn de swel, rɛd, ɔ fiva (sayn dɛn fɔ se yu gɛt di sik).
- If di prɔblɛm fɔ swɛla kɔntinyu afta sɔm awa.
- If yu gɛt prɔblɛm fɔ blo.
Nɔr frayd ɔr dawt bɔt dis tritmɛnt. Tɔk to yu dɔktɔ bɔt am opin wan. Di tin we impɔtant pas ɔl na fɔ lisin to ɔl di tin dɛn we de mɔna yu ɛn disayd fɔ du sɔntin we yu no.
Mɛsej we dɛn kin kɛr go na os
- Stellate Ganglion Block (SGB) na tritmɛnt we dɛn kin injɛkt wan anestetik insay wan spɛshal nɛv klasta na di nɛk.
- Dɛn kin yuse dis mɔ fɔ sɔm pen we nɔ de dɔn ɛn prɔblɛm dɛn we gɛt fɔ du wit di blɔd na di ed, nɛk, an, ɛn di ɔpa chɛst.
- Dɛn de yuz am bak fɔ du risach fɔ mental kɔndishɔn lɛk PTSD, bɔt di rizɔlt kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Di sakses fɔ dis tritmɛnt ɛn di tɛm we dɛn kin tek fɔ mek pɔsin nɔ fil pen kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin, ɛn bɔku tɛm dɛn kin nid fɔ tek sɔm injɛkshɔn dɛn.
- Sɔmtɛm sayd ɛfɛkt dɛn lɛk fɔ mek yu yay ala lawd lawd wan ɛn fɔ drɔp, we go stɔp insay sɔm awa. Di risk fɔ gɛt siriɔs kɔmplikeshɔn rili smɔl.
- Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis, aks ɔl yu kwɛstyɔn dɛn, ɛn disayd fɔ du sɔntin we yu no gud gud wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt