Yu dɔn de sɔfa wit bak pen fɔ lɔng tɛm? Ɔ yu de sɔfa wit wan sik we dɛn kɔl ‘sciatica’, we tan lɛk pen we yu shot dɔŋ yu leg? Sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt spɛshal injɛkshɔn na yu bak, ‘ɛpidural’ ɔ ‘stɛroyd injɛkshɔn’. Na nɔmal tin fɔ mek bɔku pan wi fil smɔl fred ɛn fred we wi yɛri nem lɛk dis. "O, pan ɔl we a de injɛkt yu na yu bak, sɔntin go apin to yu spɛshal kɔd?", "Dis go at bɔku?", "A nɔ go ebul fɔ waka afta dis?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. So tide wi de tɔk bɔt di Transforaminal Epidural Steroid Injection , we na wan tritmɛnt we rili fayn fɔ bak pen, bɔt no rizin nɔ de fɔ mek wi fred am. Wi go tɔk bɔt ɔltin frɔm A to Z insay wan simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis Transforaminal Epidural Steroid Injection?
Nɔ mek yu fred wit dis lɔng nem. Mek wi brok am dɔŋ wɔd bay wɔd. Dɔn yu go ɔndastand aw i simpul.
- Transforaminal: dis min ‘tru di foramen’. Naw yu kin de aks se ‘Wetin na dis foramen?’ Imajin se yu spayna gɛt wan stak we gɛt bɛlɛ, lɛk brik dɛn we dɛn stak pan dɛnsɛf. bitwin dεn vεrbra dεm ya, na di tu say dεm, sכm sכm ‘do dεm’ de we lεk ol fכ di nεv dεm we de go na כda pat dεm na wi bכdi (an, lεg). da do we dεn nεv dεm de kכmכt tru dεn kכl am ``Foramen''. So ‘Transforaminal’ min ‘tru da domɔt de’ .
- Epidural: Wi spεnal kכd na tin we rili imכtant εn we de sεnsitiv. Na dat mek tik ‘protective sheath’ de rawnd am fɔ protɛkt am. Wi de kɔl dis `(Dura Mater)`. ‘Epidural’ de tכk bכt di spεs we de 'ausayd dis protεktiv shεt' .
so, we yu put כl dis tכgeda, Transforaminal Epidural Steroid Injection na injεkshכn fכ wan stεroyd mεdikeshכn tru di foramen usay di nεv dεm de kכmכt na di spεnal kכd εn go insay di spεs we de ausayd di protεktiv shit we de rawnd di spεnal kכd (di epidural spεs).
di tin we impɔtant pas ɔl na dat , dɛn nɔ de ɛva injɛkt dis injɛkshɔn na yu spɛshal kɔd ɔ dairekt insay wan nerv. Bifo dat, dɛn kin injekt di mɛrɛsin na say we sef rawnd di nerve we inflamed we de mek di pen. So no rizin nɔ de fɔ mek wi fred we wi nɔ nid fɔ fred.
Wan ɔda spɛshal tin we dis tritmɛnt de du na dat di dɔktɔ kin injɛkt dis injɛkshɔn wit di ɛp we ɛkstrem mashin de ɛp am. Wi kin kɔl dis ``(Fluoroscopy)``. Dɛn kin put di nidul we dɛn de wach am, lɛk ‘layv vidio’. So, dɛn kin injɛkt di mɛrɛsin rayt nia di prɔblɛm nerve, ɛn dɛn nɔ kin muv ivin wan milimita.
Us kayn prɔblɛm dis injɛkshɔn kin yus fɔ?
dis injεkshכn dεn kin yus mεntal fכ rεliv di pen we dεn kכz fכ kכmprεshכn כ swel wan nεv na di spεnal kכd. Yu kin gɛt gud aidia bɔt dis frɔm di tebul we de dɔŋ ya.
| Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Pen na di Lɔwa Bak | Bak pen we kin kam bikɔs ɔf di kɔmpreshɔn na di nerve, we dɔn de fɔ lɔng tɛm. |
| Sciatica we gɛt sik | Bɔn, numbing pen we de fil lɛk ilɛktrishɔn we de rɔn frɔm di bak tru di bɔtk dɔŋ di leg. |
| Disk we gɛt Herniated | wan disk bitwin tu vεrbra dεm de bulge kכmכt εn prεs pan wan nεv. wi kכl dis ‘spinal nεv kכmpreshכn'. |
| Spinal Stenosis we de mek pɔsin gɛt sik | di nεv kכmpreshכn bikoz fכ di spεnal kכd we de sכmtεm wit di ej. |
| Foraminal Stenosis we de mek pɔsin gɛt sik | Dat ‘foramen’ we wi bin tכk bכt, usay di nεv de kכmכt, sכmtεm sכmtεm εn kכmprεs di nεv. |
| Ɔda tin dɛn we kin apin | Nav pen we kin kam bikɔs ɔf tin dɛn lɛk skɔliosis ɛn bon spur. |
Usay na di bak dɛn kin gi dis injɛkshɔn?
Di say we dɛn injɛkshɔn de dipen pan usay yu pen de. Tri men kayn dɛn de.
- Lumbar shot: Dis na di kayn we we dɛn kin yuz mɔ. Dɛn kin gi am fɔ bak pen ɛn sciatica, we kin kɔmɔt frɔm wan pinched nerve na di lכw bak (lumbar region).
- Thoracic shot: Dɛn kin gi dis shot if yu gɛt pen na di midul pat na yu bak, dat na, na di chɛst lɛvɛl, ɔ if di pen spre to yu chɛst ɔ yu bɛlɛ.
- di sεvikal vaysin: dεn kin gi dis kayn vaksin fכ kכndyushכn dεm lεk di nεk pen, pen we de rayt dכn di sכlda insay di an, כ di an we de sכmtεm sכmtεm we di nεv pinch bitwin di vεrbra dεm na di nεk.
Aw di we aw dɛn kin du am kin wok? A fɔ fred?
Dis na di big prɔblɛm we bɔku pipul dɛn gɛt. Lɛ wi tek wan step-by-step luk pan dis prɔses.
1. Fɔ pripia: Dɛn go mek yu ledɔm na yu bɛlɛ pan spɛshal bed wit ɛkstrem rayt mashin.
. Dis tɛm ya, yu kin fil se yu de bɔn smɔl, lɛk se ant bit yu. Dis go go insay sɔm sɛkɔn dɛn.
3. Sedation: If yu de rili fred ɔr de wɔri, we yu aks fɔ, dɛn kin gi yu IV sedation fɔ ɛp yu fɔ rilaks ɛn fil smɔl fɔ slip. Dis go mek yu slip, bɔt yu go stil de wach fɔ tɔk to yu dɔktɔ. Yu kin tɔk bɔt dis wit yu dɔktɔ bifo tɛm.
4. Injɛkshɔn: Dɔn, we di dɔktɔ de luk di ɛkstrem raytin, i go tek tɛm put wan tint nidul na di say we di nɛv de mek di pen. Yu kin fil smɔl pinch na dis tɛm, bɔt nɔto bɔku pen.
5. Injɛkshɔn: Afta dɛn dɔn kɔnfyus se di nidul de na di rayt ples, di dɔktɔ go injekt wan miksɔp pan wan mɛrɛsin we de mek pɔsin nɔ fil pen kwik kwik wan ɛn wan stɛroyd we de mek di nidul nɔ swel ɛn we de mek i fil fayn fɔ lɔng tɛm.
Bɔku tɛm, dis wan ol tin kin tek shɔt tɛm nɔmɔ, we na lɛk 30 minit .
Wetin yu kin du afta di injɛkshɔn?
Afta di tritmɛnt, dɛn go aks yu fɔ rɛst fɔ sɔm tɛm, dɔn dɛn go alaw yu fɔ go na os. Go na os ɛn tek kia ɔf dɛn tin ya.
- Yu kin tek yu nɔmal it, drink ɛn ɔda mɛrɛsin lɛk aw yu bin de tek am trade.
- Di tin we impɔtant pas ɔl: Nɔ drayv fɔ 12 awa afta yu dɔn gɛt di vaysin, bikɔs yu kin gɛt sɔm swɛt ɔ wik na yu leg.
- Nɔ es ebi ebi tin ɛn ɛksesaiz tranga wan da de de.
- Yu kin bigin fɔ du yu nɔmal tin dɛn bak frɔm di nɛks de.
Impɔtant: I kin tek sɔm dez to tu wiks fɔ mek di stɛroyd wok fayn fayn wan ɛn fɔ mek yu fil fayn. So nɔ fred if yu pen nɔ go kɔmɔt wantɛm wantɛm. If yu pen nɔr dɔn afta tu wik, go to yu dɔktɔ bak.
Aw lɔng dis tritmɛnt go las? Ɔmɔs tɛm dɛn kin du am?
Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin gɛt rilif insay sɔm wiks , ɛn ɔda wan dɛn nɔ kin fil pen fɔ sɔm mɔnt . If dis tritmɛnt dɔn wok fayn fɔ yu, yu kin gɛt di vaysin bak if di pen kam bak, lɛk aw yu dɔktɔ advays yu.
Jɛnɛral wan, dɛn kin tek am se i nɔ bad fɔ gɛt bitwin 3 ɛn 6 injɛkshɔn dɛn insay wan ia. Bɔt mɛmba se if yu pen nɔ go bɛtɛ afta yu dɔn injek yu tu ɔ tri tɛm, i nɔ go izi fɔ mek yu gi yu ɔda injɛkshɔn. If na so i bi, yu dɔktɔ go advays yu bɔt ɔda tritmɛnt dɛn.
Ɛni bad bad tin dɛn de we kin apin to am? A fɔ wɔri?
Di risk fɔ gɛt siriɔs kɔmplikeshɔn wit dis tritmɛnt rili smɔl. Blidi, infεkshכn, כ nεv dεm we de pwεl na di say we dεn injεkt, nכ kin rili apin.
Bɔt sɔm smɔl smɔl sayd ɛfɛkt dɛn kin apin.
- Di leg ɔ fut kin swɛt ɔ wik fɔ sɔm tɛm.
- Fɔ fil se yu gɛt diziz.
- Ed de at.
Bɔrku pan dɛn sayd ɛfɛkt ya kin dɔn kpatakpata insay sɔm awa, so nɔr nid fɔ wɔri tumɔs bɔt dɛm.
Ustɛm yu nid fɔ kɔl di dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, tɛl yu dɔktɔ wantɛm wantɛm. I impɔtant fɔ go to dɔktɔ kwik kwik wan if dɛn kayn tin ya apin.
| Ficha fɔ pe atɛnshɔn to | Tɔk bɔt |
|---|---|
| Di sayd ɛfɛkt dɛn stil de | If tin lɛk fɔ nɔ fil fayn ɛn fɔ wik dɔn de fɔ pas wan de. |
| Nyu pen | If yu gɛt nyu pen we nɔ bin de bifo di injɛkshɔn. |
| Pen we de mek pɔsin fil mɔ ɛn mɔ | If yu ol pen de wɔs afta di injɛkshɔn. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Di sayn dɛm lɛk fiva, swel, rɛd, ɔ wam wam na di say we dɛn injekt. |
Mɛsej we dɛn kin kɛr go na os
- Transforaminal Epidural Steroid Injection na wan tritmɛnt we rili fayn ɛn sef fɔ di nerve pen we de rayt dɔŋ di bak, nɛk, ɛn leg.
- Dis vaksin nɔ de injɛkt dairekt insay di spɛshal kɔd ɔ nerv, bɔt na say we sef we de rawnd am.
- Bikɔs dɛn kin du am ɔnda ɛkstrem rayt gayd, di ebul fɔ gi di mɛrɛsin prɛsishɔn to di pɔsin we dɛn want fɔ gi am, kin bɔku.
- Di risk fɔ gɛt siriɔs sayd ɛfɛkt rili smɔl. Smɔl smɔl sayd ɛfɛkt dɛn kin dɔn insay sɔm awa.
- Di pen we kin mek pɔsin fil pen frɔm dis tritmɛnt kin las fɔ bɔku mɔnt.
- Fil fri fɔ tɔk to yu dɔktɔ bɔt if dis tritmɛnt fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn bɔt ɛni kwɛstyɔn we yu go gɛt bɔt am.
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