Yu taya bak fɔ nɔr ebul fɔ du yu ɛvride wok fayn fayn wan bikɔs ɔf bak pen ɛn nɔr ebul fɔ gladi? Fɔ du os wok, fɔ mek gadin, fɔ go wit yu padi dɛn, ɛn fɔ ple wit yu pikin dɛn dɔn bi tin we nɔ izi fɔ yu bikɔs ɔf dis bak pen. di men rizin fכ dis kayn bak pen we de kכntinyu na di damej pan di joyn dεm na wi bak we dεn kכl `(Lumbar Facet Joints)`. Infakt, lɛk 45% pan di sik pipul dɛm we de sɔfa wit bak pen gɛt prɔblɛm we gɛt fɔ du wit dɛn jɔyn ya. So if yu gɛt bak pen bak ɔ i nɔ izi fɔ bɛn ɛn twist yu bak, i rili impɔtant fɔ no bɔt dis tritmɛnt we dɛn kɔl `(Lumbar Facet Joint Injection)`.
Wetin na dɛn Lumbar Facet Joint ya?
fכ sכmtεm, `Lumbar Facet Joints` na di sכm jכint dεm na wi lכw bak, bihayn di vεrbra dεm (spine). dεn kכl dεn tin ya bak `(Zygapophysial joints)`.
Tink bɔt yu ni. jכs lεk aw di kכn jכint de alaw wi fכ bεnd εn εksεnd wi lεg, dεn `facet joyn dεm` de alaw wi fכ bεnd fכ go bifo, rotate to di sayd dεm, εn kip wi spayna stret. Wan wata de insay dɛn jɔyn dɛn ya. Dis kin ɛp dɛn jɔyn ya fɔ muv fayn fayn wan we dɛn nɔ de rɔb pan dɛnsɛf.
כltu, we dεn joyn dεm ya west, dat na we at at sik lεk ``Faset Arthropathy'' de apin, bak pen we yu nכ go ebul fכ bia kin apin.
So wetin na dis Lumbar Facet Joint Injection?
Dɛn kin kɔl dis bak Lumbar Facet Joint Block. Dis involv fɔ injɛkt wan lokal anestetik ɛjɛn insay ɔ nia di spaynal jɔyn we de pen. Sɔntɛnde dɛn kin ad wan stɛroyd bak to dis fɔ mek i nɔ gɛt pen ɛn fɔ mek i nɔ swel. Dipen pan yu kɔndishɔn ɛn di nɔmba fɔ di jɔyn dɛn we gɛt di sik, yu kin nid fɔ gɛt wan ɔ mɔ injɛkshɔn.
Dis na wan standad tritmɛnt we dɔktɔ dɛn we de trit bak pen kin yuz. I kin wok fayn mɔ fɔ pen we kin kam wit dijeneretiv disk sik ɛn sɔm mɛkanikal tin dɛn we kin mek pɔsin fil pen na di lɔwa bak (mɛkanikal pen na di bɔdi we de dɔŋ bak).
Dis tritmɛnt na dɔktɔ ɔ spɛshal trenin nɔs wokman dɛm we dɔn gɛt spɛshal trenin fɔ mɛn pen , spɛshal tritmɛnt, ɔr fyzikal tritmɛnt ɛn rihabiliteshɔn.
Ɛni bad tin de we dis tritmɛnt kin du?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm prɔblɛm dɛn de ɛn sɔm bad tin dɛn we kin apin to am. Bɔt dɛn tin yaI impɔtant fɔ mɛmba se dɛn tin ya kin apin we nɔ kin apin so ɔltɛm. Yu dɔktɔ go tɛl yu bɔt dis ditayli.
| Sayd ɛfɛkt we pɔsin kin gɛt | Wan simpul ɛksplen |
|---|---|
| Alɛji riakshɔn | Alɛji to di mɛrɛsin dɛn we dɛn kin yuz. |
| Sik we de prɛd | Jɛm dɛn we de go insay di say we dɛn injɛkshɔn. (I rili rare) |
| Blɔd we de kɔmɔt | I kin apin mɔ pan pipul dɛn we de tek mɛrɛsin fɔ mek dɛn blɔd tan . |
| Na di nerve injury | I nɔ kin apin so ɔltɛm. |
| Di pen we de go ɔp fɔ sɔm tɛm | Di pen kin go ɔp smɔl fɔ sɔm dez afta di injɛkshɔn. |
| Ɔda tin dɛn (we nɔ kin apin so ɔltɛm) . | Di blɔd shuga we bɔku, di fes kin flash fɔ sɔm tɛm, di bon dɛn we nɔ kin bɔku, ɛn di hip we kin gɛt siriɔs at at sik (avascular necrosis) kin apin. |
Aw yu kin pripia fɔ di injɛkshɔn?
Bɔku tin dɛn de we yu fɔ fala bifo, we yu de du dis tritmɛnt, ɛn afta dis tritmɛnt.
Pipul wae nɔr fɔ gɛt dis injɛkshɔn
Dis tritmɛnt nɔr fayn fɔ sɔm sik pipul dɛm. If yu fɔdɔm insay wan pan dɛn kategori ya, yu fɔ rili tɛl yu dɔktɔ .
- Pipul dɛm wae gɛt alɛji fɔ di mɛrɛsin dɛm wae dɛn kin yuse (dɛdi dɛm wae de gi yu ed pen, stɛroyd, kɔntrast ɛjɛn).
- Pipul wae gɛt infekshɔn na dɛn bɔdi.
- Uman dɛn we gɛt bɛlɛ .
- Pipul dɛn we gɛt prɔblɛm wit blɔd.
- Pipul wae gɛt spɛshal kɔd kansa ɔr infεkshɔn.
- Pipul dɛn we gɛt dayabitis we dɛn nɔ ebul fɔ kɔntrol ɔ we gɛt kɔnjɛstiv at fayl .
Tin dɛn fɔ du bifo ɛn we yu de du tritmɛnt
Yu dɔktɔ go rivyu yu kɔmplit mɛdikal istri, ɛksplen di gud ɛn bad tin dɛn we dis tritmɛnt gɛt, ɛn ansa yu kwɛstyɔn dɛn. If yu de tek ɛni mɛrɛsin we de mek yu blɔd tan , dɛn kin advays yu fɔ aks yu jenɛral dɔktɔ if yu nid fɔ stɔp fɔ tek am ɛn aw fɔ tek am.
Di de we yu go gɛt di tritmɛnt, mek shɔ se yu du dɛn tin ya:
- Tek shawa fayn, put sop, ɛn klin yusɛf.
- Nɔ put ɛni loshan ɔ krim we gɛt mɛrɛsin na di say we yu injɛkshɔn.
- Wear fayn klos we lɔs smɔl, we gɛt dak kɔlɔ.
- Rich na ɔspitul ɔ klinik lɛk 30 minit bifo yu tritmɛnt.
- Duya, briŋ pɔsin fɔ kɛr yu go na os. I nɔ fayn fɔ drayv afta yu dɔn gɛt tritmɛnt.
- Bring wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek ɛn ɛni alɛji we yu gɛt.
- If yu gɛt yu las X-ray ɔ MRI ripɔt, kam wit dɛn bak.
Wetin kin apin we dɛn de trit am?
Di ɔltin we dɛn kin du kin tek bitwin 10 ɛn 30 minit. Bɔrku tɛm, dɛn nɔr go put yu fɔ slip ɔl, so yu go kɔnshɛns.
1. Fɔs, dɛn go gi yu ɔspitul gɔn fɔ wɛr. Yu go gɛt fɔ sayn bak wan fɔm fɔ gri fɔ du sɔntin.
2. Wan nɔs go kɛr yu go na di tritmɛnt rum ɛn aks yu fɔ ledɔm fes dɔŋ na di bed. Dɛn go tay wan blɔd prɛshɔn monita na yu an ɛn dɛn go tay wan hat rit monita na yu finga.
3. Di dɔktɔ de yuz ɛkstrem rayt fɔ fɛn di rayt jɔyn fɔ injɛkt di mɛrɛsin.
4. Dɔn dɛn kin klin di skin we de na da say de wit antiseptik sɔlvushɔn ɛn injɛkt smɔl mɛrɛsin we de mek pɔsin nɔ fil fayn. Yu kin fil lɛk se yu de bɔn smɔl dis tɛm.
5. Nεks, dεn kin put di men nidul insay, dεn injεkt wan kכntrast ejen, dεn kin no di jכint prεsis, εn dεn injεkt wan stεroyd εn pen kil miksכp. Yu kin fil smɔl prɛshɔn na yu bak dis tɛm.
6. We di wok dɔn, dɛn kin pul di nidul, klin di say we dɛn de, ɛn put smɔl plasta.
7. Dɔn dɛn go kɛr yu go na wan sɛpret rum fɔ wach fɔ lɛk 15-45 minit.
Afta dɛn dɔn trit am
If yu gɛt IV layn, dɛn go pul am. Wan nɔs go chɛk yu blɔd prɛshɔn ɛn gi yu instrɔkshɔn bɔt wetin fɔ du ɛn wetin nɔ fɔ du we yu go na os. Dɛn go tɛl yu bak ustɛm fɔ pul di bandej, wan pen lɔg fɔ rayt yu pen, ɛn ustɛm fɔ go to yu dɔktɔ bak.
I rili impɔtant: If yu gɛt shɔt briz wantɛm wantɛm, yu fɔdɔm, yu gɛt alɛji (it, ayv), yu ed de at bad bad wan, yu de fil pen mɔ ɛn mɔ, ɔ yu nɔ ebul fɔ kɔntrol yusɛf afta yu dɔn trit yu, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Lumbar Facet Joint Injection na wan fayn tritmɛnt we dɛn kin yuz bɔku bɔku wan fɔ di pen we nɔ de dɔn we pɔsin kin gɛt di spaynal disk hεnia.
- Pan ɔl we dis kin bi sef tritmɛnt, lɛk ɔl di mɛrɛsin dɛn, smɔl smɔl risk ɛn sayd ɛfɛkt dɛn de we kin apin.
- I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu gɛt tritmɛnt. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek ɛn ɛni mɛrɛsin we yu gɛt.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu dɔn gɛt tritmɛnt, go to dɔktɔ wantɛm wantɛm. Nɔ panik ɛn ignore am.
- Di dɔktɔ we de chɛk yu go disayd if dis tritmɛnt fayn fɔ yu. So, if yu gɛt bak pen, go to spɛshal dɔktɔ ɛn gɛt di rayt advays.
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