Sɔmtɛm wi kin gɛt pen wae nɔr kin dɔn ivin afta wi dɔn tek mɛrɛsin ɔr du ɛnitin. Yu dɔn de sɔfa wit pen, mɔ na yu ed, yu nɛk, yu chɛst we de ɔp, ɔ yu an fɔ lɔng tɛm? Sɔntɛm di tin we kin mek dis apin na sɔm prɔblɛm wit yu nervɔs sistɛm. Tide wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. Dɛn kɔl dis Stellate Ganglion Block, ɔ SGB fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na Stellate Ganglion Block (SGB)?
Fɔ tɔk am simpul wan, dis na injɛkshɔn we de mek pɔsin fil pen. Bɔt dis nɔ tan lɛk injɛkshɔn we dɛn kin gi am ɔltɛm. Dis injεkshכn de injεkt insay wan spεshal nεv bכndεl we de na wi nεk, spεshal wan na di tu say dεm na wi vכys bכks. dis nεv bכndεl dεn kכl am di 'Stellate Ganglion'.
Tink bɔt wi nervɔs sistɛm lɛk wan nɛtwɔk we gɛt tɛlifon waya dɛn we de kɛr mɛsej dɛn. Sɔntɛnde, dɛn kin sɛn mɛsej dɛn we dɛn nɔ want (pen signal) to sɔm pat dɛn na dis nɛtwɔk. na dεn tεm ya, wetin dis SGB vaksin de du na fכ "put" da nεv bכndεl (ganglion) de fכ slip fכ sכm tεm. I tan lɛk se yu dɔn ɔf switch. Dɔn di pen signal dɛn we dɛn nɔ want frɔm dɛn nɛv dɛn de to di bren kin stɔp. Dis kin mek yu nɔ fil pen na yu ed, yu nɛk, yu an, ɛn yu chɛst we de ɔp. Dɔn bak, dis tritmɛnt de ɛp fɔ mek di blɔd go na di an dɛn mɔ ɛn mɔ.
So, wetin na dis stellate ganglion?
dis na wan grup fכ nεv dεm we de nia di fכs tu rib dεm, jכs dכn di kכlabon, na di fכnt pan wi nεk. Wi gɛt wan pan dɛn na ɛni say na wi nɛk. Di wɔd ‘stɛlɛt’ min ‘lɛk sta’. So dɛn gi dis nɛv bɔndɛl in nem bikɔs i tan lɛk di shep we wan sta gɛt.
di simpatik nεv sεstem na di pat pan di כtonom nεv sεstem we de kכntro di fכnshכn dεm na wi bכdi we wi nכ de tink bכt (e.g., hat rεt, bכdi prεshכn, swet). so, bכku pan di simpatik nεv signal dεm to di ed, nεk, an, εn כp chεst de kכmכt frכm dis stεlat ganglion.
di tin we intrestin: na 80% pan di pipul dεm na di wכl rili gεt dis stεlat ganglion ful fכm. insay כda wan dεm, di infεriכs sεvikal ganglion εn di fכs tכraks ganglion na di nεk nכ de kכnεkt. Bɔt dat nɔ de mek bɔku difrɛns.
Us kɔndishɔn dɛn kin yuz SGB tritmɛnt fɔ?
Dɔktɔ dɛn kin yuz dis tritmɛnt fɔs fɔ no ɛn trit di pen we kin de fɔ lɔng tɛm we kin kɔmɔt na di nervɔs sistɛm (sympathetically mediated pain) we dɛn nɔ kin fɛn ɛni kɔz fɔ. Apat frɔm dat, dɛn kin yuz dis tritmɛnt fɔ difrɛn ɔda sik dɛn ɛn tin dɛn we kin mek pɔsin fil pen.
| Mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Kompleks Rijinal Pen Sindrom (CRPS) . | Sivɛri, lɔng pen ɛn swel na yu an ɔ yu leg afta yu dɔn wund. |
| Phantom Limb Pen we de mek pɔsin fil pen | Fɔ fil pen na yu an ɔ yu fut we dɛn du ɔpreshɔn fɔ pul. |
| Nyuraljia we kin mek pɔsin gɛt posthɛpɛtik | Nεv pen afta chikinpoks (hεpi zosta). |
| Wan sik we dɛn kɔl Raynaud in Syndrome | Blɔd we de go dɔŋ di finga dɛn bikɔs i kol ɔ strɛs. |
| Fɔ swet pasmak (Hyperhidrosis) . | swet pasmak na say dεm lεk di palm εn di sכl dεm na di fut. |
| Ɔda tin dɛn we kin apin | Dɛn kin yuse am bak fɔ klasta ed pen, fes pen, chɛst pen we nɔ gɛt natin fɔ du wit at sik, ɛn sɔm at ritm prɔblɛm (cardiac arrhythmias). |
Yuz SGB fɔ mental wɛlbɔdi prɔblɛm
Dis biɛn tɛm, dɛn dɔn du risach bɔt di ifɛkt dɛm we SGB tritmɛnt gɛt fɔ mental wɛlbɔdi kɔndishɔn lɛk Post-Traumatic Stress Disorder (PTSD). Pan ɔl we sɔm pipul dɛn dɔn sho se di PTSD simptom dɛn dɔn ridyus, ɔda wan dɛn nɔ dɔn sho se dɛn nɔ gɛt bɛtɛ PTSD. So, dis stil de na di risach stej, ɛn dɛn kin yuz am nɔmɔ "ɔf-lɛbul" ɔnda di klos sɔpɔtishɔn fɔ dɔktɔ we ɔda tritmɛnt dɛn dɔn fel.
Aw dɛn kin du dis tritmɛnt?
Okay, naw lɛ wi si wetin kin apin we dɛn gi dis injɛkshɔn. Natin nɔr de fɔ wɔri bɔt, dis kin tek less dan 30 minit.
1. Aw fɔ pripia: Fɔs, dɛn kin gi yu smɔl mɛrɛsin (IV sedation) insay wan vein na yu an fɔ ɛp yu fɔ rilaks. Dɔn, dɛn go mek yu ledɔm na yu bak pan spɛshal tebul.
2. Klin: Di dɔktɔ go klin ɛn disinfɛkt di say na di nɛk usay dɛn go gi di injɛkshɔn fayn fayn wan.
3. Numbness: Neks, dɛn kin yuz wan rili fayn nidul fɔ injekt lokal anestetik na di say we di sik afɛkt na yu nɛk. Dis go mek yu nɔ ebul fɔ du natin bikɔs ɔf di pen.
4. Men injɛkshɔn: Dɔn, we di dɔktɔ de yuz di advans tɛknɔlɔji lɛk ɔltra saund ɔ fluoroscopic imaging fɔ no di rayt say we di nerve rut de, i kin put sɛkɔn nidul ɛn injekt di men mɛrɛsin fɔ mek pɔsin fil pen. Dis we ya kin ridyus di risk fɔ injekt di mɛrɛsin na di rɔng ples bad bad wan.
Afta di tritmɛnt, di dɔktɔ dɛn go de wach yu fɔ lɛk wan awa so. We dɛn dɔn kɔnfyus se ɔltin fayn, yu kin go na os. Bɔt yu fɔ gɛt pɔsin fɔ kɛr yu go na os, bikɔs yu nɔ go ebul fɔ drayv da de de.
Aw di tin dɛn we kin apin kin bi? Aw lɔng dis kin las?
Dis na prɔblɛm fɔ ɔlman. Di tin dɛn we kin apin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛn, di pen kin stɔp wantɛm wantɛm afta dɛn dɔn inj dɛn, bɔt di pen kin kam bak insay sɔm awa afta di mɛrɛsin we de mek dɛn nɔ fil fayn dɔn west. Fɔ ɔda pipul dɛn, i kin las fɔ sɔm wik ɔ mɔnt ɛn nɔ kin fil pen.
Di impɔtant tin na dat yu kin nid fɔ tek sɔm injɛkshɔn fɔ mek yu gɛt di bɛst rizɔlt. Sɔntɛnde yu kin gɛt rizɔlt wit jɔs tu injɛkshɔn, ɛn sɔm pipul dɛn kin nid pas tɛn. Di gud nyus na dat, di tɛm we yu nɔ de fil pen kin bɔku we yu gɛt di injɛkshɔn dɛn wan afta di ɔda wan.
Yu tink se bad tin dɛn de we kin apin to pɔsin ɛn we kin mek i sɔfa?
Jɔs lɛk ɛni mɛrɛsin, SGB gɛt smɔl smɔl sayd ɛfɛkt ɛn siriɔs prɔblɛm dɛn we nɔ kin apin so ɔltɛm.
| Tayp ɔf dizayd | Tin dɛn we pɔsin kin ebul fɔ du |
|---|---|
| Kɔmɔn, sɔm tɛm sayd ɛfɛkt dɛm (go away insay sɔm awa) . | |
| Di say we dɛn de injɛkshɔn | Na brus ɔ smɔl pen. |
| Ay ɛn nos | Aylid dɛn we de drɔp, yay we de rɛd, yay we gɛt wata, ɛn nos we de stɔp. |
| Trot ɛn vɔys | Voys we de ala, fil lɛk se sɔntin dɔn stɔp na yu trot, i nɔ izi fɔ swɛla. |
| An | Fɔ fil se yu an wam ɔ yu nɔr de fil fayn. |
| Siriɔs kɔmplikeshɔn dɛm wae kin apin smɔl smɔl | |
| Men risk dɛn | Infεkshכn, bכdi we de kכmכt frכm wan bכdi we dεn dכn pwεl, di nεv dεm we dεn dכn pwεl, di lכng dεm we dεn dכn pwεl (nyumothorax), Horner’s syndrome (wan tεmporari kכndyushכn). |
Di chans fɔ gɛt dɛn siriɔs prɔblɛm ya rili smɔl , bikɔs dɔktɔ dɛn kin tek tɛm du dis tritmɛnt bay we dɛn de yuz tɛknɔlɔji dɛn lɛk ɔltra saund.
Ustɛm yu fɔ go to dɔktɔ?
Afta yu dɔn gɛt tritmɛnt, if yu gɛt ɛni nyu sayn, fɔ ɛgzampul , sayn dɛm fɔ se yu gɛt infɛkshɔn na di say we yu injɛkshɔn (we yu de swel, yu de rɛd, yu de fil bad bad wan, yu gɛt fiva) ɔ if i nɔ izi fɔ swɛla, kɔl yu dɔktɔ wantɛm wantɛm.
SGB na valyu tritmɛnt wae kin gi rilif frɔm pen fɔ lɔng tɛm. Bɔt, i nɔ de wok fɔ ɔlman. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ yu gɛt dawt bɔt dis tritmɛnt, nɔr de kip ɛnitin ɛn tɔk to yu dɔktɔ opin wan. I go ansa ɔl yu kwɛstyɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- Stellate Ganglion Block (SGB) na wan injεkshכn we de mek yu fil pen insay wan spεshal nεv bכndεl na di nεk.
- Dis kin mek pɔsin fil fri frɔm pen we nɔ de dɔn, mɔ na di ed, nɛk, an, ɛn ɔp chɛst.
- Dis na tritmɛnt we dɛn kin du kwik kwik wan (lɛs dan 30 minit) ɛn i rili sef bikɔs i de yuz tɛknɔlɔji dɛn lɛk ɔltra saund.
- Smɔl smɔl sayd ɛfɛkt kin apin we kin go insay sɔm awa, bɔt siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
- Sɔntɛm dɛn kin nid fɔ gi dɛn sɔm injɛkshɔn fɔ mek dɛn gɛt di bɛst rizɔlt.
- Ɔltɛm tɔk to yu dɔktɔ if dis tritmɛnt fayn fɔ yu ɛn wetin i fayn ɛn bad.
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