Yu kin bigin fil pen bak na yu leg we yu de waka smɔl? Yu kin fil wan tin we kin bigin na yu bak ɛn go dɔŋ yu leg, ɛn yu kin fil lɛk se yu nɔ de kɔntrol yu leg igen? Yu dɔktɔ kin dɔn tɛl yu bɔt wan sik we dɛn kɔl ‘ spinal stenosis ’. Nɔ fred we yu yɛri dis wɔd. Dis na wan sik wae kin afɛkt bɔrku pipul dɛm, mɔr di wan dɛm wae gɛt midul ej ɛn ɔda wan dɛm. Lɛ wi tek wan simpul luk pan wetin i bi ɛn if i nid fɔ ɔpreshɔn ɔltɛm.
Wetin na Spinal Stenosis?
Fɔ tɔk am simpul wan, wi spayna na wan row we de kɔntinyu fɔ gɛt bon dɛn. Insay dɛn bon ya, di spaynal kɔd we na di men pat pan wi bɔdi in nervɔs sistɛm, ɛn di nɛv dɛn we de kɔmɔt insay de protɛkt. di rod we dis spεnal kכd de travul tru, dat na di pat we lεk kanal insay di spayna, wi kכl di spεnal kanal.
Jɔs lɛk aw wata paip kin smɔl as tɛm de go bikɔs ɔf dɔti ɛn rɔst, wi spɛnal kanal kin smɔl bak as wi de ol, bikɔs ɔf tin dɛn lɛk at at sik, ɔ bikɔs ɔf di fɔmɛshɔn fɔ bon spur. afta dat di spεnal kכd εn di nεv dεm we de rכn tru da kanal de bigin fכ kכmprεs. wi kכl di kכlekshכn fכ di simptom dεm we dεn kכz fכ da kכmpreshכn fכ di nεv dεm Spinal Stenosis.
Di men sayn dɛm wae dis kin kam wit na:
- Pen na yu nɛk, bak, ɔ yu leg.
- Di an ɔ leg kin swɛla, kin swɛt, ɔ di mɔsul dɛn kin twitch.
- Fכt prכblεm (fכ egzampl, di fut de hit di grכn we i de waka).
- Sɔntɛnde, di pen na mi leg dɛn kin so bad dat a nɔ kin ivin ebul fɔ waka fɔ shɔt tɛm.
Yu tink se ɔpreshɔn na di wangren sɔlv?
Nɔ, na dis kin mek bɔku pipul dɛn fred. Bɔt di tru tin na dat, nɔto ɔlman we gɛt spinal stenosis nid fɔ gɛt ɔpreshɔn. Yu dɔktɔ go mɔs tray ɔda tritmɛnt dɛn bifo i rifer yu to ɔpreshɔn.
Mɛmba se bɔku tɛm, ɔpreshɔn na di las tin we dɛn kin du. Dɔktɔ go jɔs tink bɔt fɔ ɔpreshɔn if ɔda tritmɛnt dɛn nɔ dɔn wok fayn.
Lɛ wi si us tritmɛnt dɛn we nɔto ɔpreshɔn de na di tebul we de dɔŋ ya.
| Di we aw dɛn kin trit am | Wetin kin apin to am? |
|---|---|
| Di tin dɛn we de mek pɔsin nɔ fil pen | Yu kin kɔntrol pen wit kɔmɔn pen kil lɛk Paracetamol ɛn Ibuprofen. Fɔ nyuropatik pen, yu dɔktɔ kin gi yu sɔm patikyula mɛrɛsin lɛk Duloxetine, Gabapentin, Pregabalin (Lyrica). |
| Injεkshכn (Epidural Sεroyd Injεkshכn) . | dis min se yu injεkt wan stεroyd we dεn kכl kכtison dairekt insay di εria we dεn pinch di spεnal kכd. Dis kin mek yu nɔ fil pen ɛn swel fɔ sɔm tɛm, ɛn sɔntɛnde fɔ ɔltɛm. |
| Fizik Tɛrapi & Ɛksesaiz | Dis rili impɔtant. We yu du ɛksɛsayz dɛn we de mek yu bak ɛn bɛlɛ mɔsul dɛn strɔng ɔnda di gayd we dɔktɔ we de mɛn yu bɔdi de gayd, yu go ebul fɔ kɔntrol di pen ɛn yu go ebul fɔ waka fayn fayn wan. |
If dɛn tritmɛnt ya nɔr de kɔntrol yu sik, ɛn if de pen de ambɔg yu ɛvride woke te yu nɔr ebul fɔ woke, den yu dɔktɔ go tɔk to yu bɔt ɔpreshɔn.
Aw yu kin rɛdi fɔ ɔpreshɔn?
If yu dɔktɔ tɛl yu fɔ du ɔpreshɔn, sɔm tin dɛn de we yu fɔ du bifo i apin.
- Ɛksesaiz: Nɔ sɔprayz. If yu du ɛksɛsayz di rayt we wit yu dɔktɔ in aprɔval bifo yu du di ɔpreshɔn, dat go ɛp yu fɔ wɛl kwik kwik wan afta dɛn dɔn du di ɔpreshɔn.
- Stɔp fɔ smok: If yu na pɔsin we de smok, yu fɔ rili lɛf fɔ smok. Smok de delay di wɛlbɔdi prɔses.
- Yu fɔ no bɔt yu mɛrɛsin dɛn: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Sɔm mɛrɛsin dɛn we kin mek prɔblɛm wit anestezi kin nid fɔ stɔp bifo dɛn du di ɔpreshɔn.
- Sɔmbɔdi fɔ ɛp: Arenj fɔ mek pɔsin kɛr yu go na ɔspitul ɛn go bak na os.
Us kayn ɔpreshɔn dɛn kin du?
Tri men kayn ɔpreshɔn de fɔ mek pɔsin gɛt spaynal stenɔsis. Yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu bay aw yu sik.
| Di kayn ɔpreshɔn we dɛn kin du | Wan simpul ɛksplen |
|---|---|
| Laminectomy we dɛn kin du | Dis na di ɔpreshɔn we dɛn kin du pas ɔl. insay dis we dεn de du dis, dεn de כpכt di bon fragmεnt dεm, di bon spur dεm, εn di ligament dεm we de mek di nεv kכmprεshכn, we de mek di nεv dεm fכ muv fri wan. |
| Spinal Fusion we dɛn kɔl | Sɔntɛnde dɛn kin du dis togɛda wit laminectomy. dis na prosidכs we de ridyus di spεnal instεbiliti bay we i de fכs wan כ mכr vεrbra dεm togeda. Dɛn kin yuz mɛtal skru ɛn stik fɔ dis. |
| Fɔraminotɔmi we dɛn kin du | if di foramen we di nεv dεm de kכmכt na di spεnal kכd sכmtεm, dis כpεrayshכn de mek di foramen big εn i de ridyus di prεshכn pan di nεv dεm. |
Wetin na di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, dɛn ɔpreshɔn ya kin gɛt sɔm prɔblɛm dɛn. Na mɔtalman wae de smok, ol, fat, ɔr gɛt ɔda mɛrɛsin lɛk dayabitis, kin gɛt prɔblɛm smɔl.
- Infɛkshɔn, blɔd kin kɔmɔt, ɔ blɔd kin klɔt.
- sכm chans de fכ damej di mεmbran we de kכba di spεnal kכd.
- Risk de fɔ mek di nerv dɛn pwɛl.
- Sɔntɛnde, di pen kin kɔntinyu fɔ de.
Nɔr frayd fɔ dɛn risk ya. Yu dɔktɔ go ɛksplen ɔltin to yu ɛn du ɔl wetin yu ebul fɔ du fɔ mek yu nɔ gɛt bɔku prɔblɛm.
Aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ tu to tri dez afta dɛn dɔn du di ɔpreshɔn. Afta sɔm smɔl ɔpreshɔn dɛn, yu kin ebul fɔ go na os di sem de ɔ di nɛks de. I dipen pan di kayn ɔpreshɔn we yu bin du ɛn yu wɛlbɔdi.
Afta yu dɔn go bak na os, i kin tek 3 mɔnt ɔ mɔ fɔ mek yu wɛl ful wan. I kin tek sɔm tɛm, mɔ if yu bin gɛt spɛshal fushɔn. Insay dis tɛm, i rili impɔtant fɔ waka lɛk aw yu dɔktɔ tɛl yu fɔ du ɛn du ɛksɛsayz dɛn we dɔktɔ we de mɛn yu bɔdi dɔn tɛl yu fɔ du.
Bɔku pipul dɛn kin gɛt rili fayn rizɔlt afta dɛn dɔn du dɛn ɔpreshɔn. Dɛn nɔ kin gɛt bɛtɛ pen na dɛn leg ɛn dɛn kin ebul fɔ waka bɛtɛ. Bɔt wan tin de we wi fɔ mɛmba. Dis ɔpreshɔn nɔ de mɛn tin dɛn lɛk at at sik we mek yu spɛnal stenɔsis. So, chans de fɔ mek di sik kam bak tumara bambay.
Mɛsej we dɛn kin kɛr go na os
- di spεnal stεnosis na we di spεnal kanal de sכmtεm we kin kכmכn wit di ej.
- Dis nɔ kin nid ɔpreshɔn ɔltɛm. Dɛn kin tray fɔs fɔ trit dɛn lɛk mɛrɛsin, injɛkshɔn, ɛn fyzikal tritmɛnt.
- Dɛn fɔ jɔs tink bɔt ɔpreshɔn if ɔda tritmɛnt dɛn nɔ wok ɛn di pen de mek i nɔ izi fɔ liv yu layf ɛvride. Tɔk opin wan wit yu dɔktɔ bɔt dis.
- Fɔ wɛl afta dɛn dɔn ɔpreshɔn, i kin tek tɛm ɛn dedikeshɔn. Fɔ fala di dɔktɔ in instrɔkshɔn ɛn ɛksesaiz dɛn ɛksaktɔli.
- Yu fɔ mɛmba se pan ɔl we ɔpreshɔn kin gi bɔku rilif frɔm di sayn dɛm, i nɔ kin mɛn di sik we de ɔnda am (e.g. at at).
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