So woabrɛ nso sɛ wuntumi nyɛ wo da biara da nnwuma yiye esiane akyi yaw nti na wuntumi nnya anigye? Ofie nnwuma a wobɛyɛ, turoyɛ, wo ne wo nnamfo a wobɛkɔ akɔpue, na wo ne wo mma adi agoru no abɛyɛ den a wontumi nsusuw ho esiane akyi yaw yi nti. Ade titiriw nti a akyi yɛ yaw a ɛkɔ so saa no ne nkwaa a ɛwɔ yɛn akyi a wɔfrɛ no `(Lumbar Facet Joints)` a ɛsɛe. Nokwarem no, ayarefo a wɔn akyi yɛ wɔn yaw no mu bɛyɛ 45% wɔ ɔhaw ahorow a ɛfa saa nkwaa yi ho. Enti sɛ wo nso wowɔ akyi yaw anaasɛ ɛyɛ den sɛ wobɛkotow na woakyinkyim w’akyi a, ɛho hia yiye sɛ wuhu saa ayaresa a wɔfrɛ no `(Lumbar Facet Joint Injection)` yi ho asɛm.
Dɛn ne saa Lumbar Facet Joints yi?
Sɛ yɛbɛka no tiawa a, `Lumbar Facet Joints` yɛ nkwaa nketewa a ɛwɔ yɛn akyi, wɔ akyi berɛmo (akyi berɛmo) akyi. Wɔsan frɛ eyinom `(Zygapophysial nkwaa)`.
Susuw wo kotodwe ho hwɛ. Sɛnea kotodwe nkwaa ma yetumi kotow na yɛtrɛw yɛn nan mu no, saa ara na saa `facet nkwaa` yi ma yetumi kotow kɔ yɛn anim, ɛkyinkyini kɔ nkyɛnkyɛn, na yɛma yɛn akyi berɛmo no yɛ tẽẽ. Nsu bi a wɔde srade gu mu wɔ saa nkwaa yi mu. Eyi boa saa nkwaa yi ma ɛkɔ so yiye a ɛnsɛe wɔn ho wɔn ho.
Nanso, sɛ saa nkwaa yi sɛe, kyerɛ sɛ, sɛ ntini mu yare tebea horow te sɛ ``Facet Arthropathy'' ba a, akyi yaw a wontumi nnyina ano betumi aba.
Enti dɛn ne Lumbar Facet Joint Injection yi?
Wɔsan frɛ eyi sɛ Lumbar Facet Joint Block. Nea ɛka eyi ho ne sɛ wɔde aduru bi a ɛma obi dwensɔ bɛhyɛ akyi berɛmo a ɛyɛ yaw no mu anaa ɛbɛn hɔ. Ɛtɔ mmere bi a, wɔde steroid nso ka eyi ho na ama ɛyaw ne ɔfe so atew. Ɛdenam wo tebea ne nkwaa dodow a ɛka so no so no, ebia ebehia sɛ wɔde nnuru biako anaa nea ɛboro saa gu wo mu.
Eyi yɛ ayaresa kwan a wɔahyɛ da ayɛ a nnuruyɛfo a wɔsa akyi yaw taa de di dwuma. Ɛyɛ nea etu mpɔn titiriw wɔ ɛyaw a degenerative disc yare ne mfiri bi a ɛde akyi yaw ba (mfiri a ɛma akyi berɛmo mu yaw) ba no ho.
Nnuruyɛfo anaa ayarehwɛfo a wɔatete wɔn titiriw a wɔanya ntetee titiriw wɔ ɛyaw ano aduru , akyi berɛmo mu ayaresa, anaa nipadua mu ayaresa ne ahosiesie mu na wɔyɛ saa ayaresa yi.
So aduru yi mu nsunsuanso bɔne bi wɔ hɔ?
Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane ne nsunsuanso bɔne bi wɔ hɔ. Nanso eyinomƐho hia sɛ yɛkae sɛ eyinom yɛ nsɛm a ɛntaa nsi koraa. Wo duruyɛfo bɛbɔ wo amanneɛ wɔ eyi ho kɔ akyiri.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Nnuru a wɔde di dwuma no ho akisikuru. |
| Nsaneɛ | Mmoawa a ɛhyɛn baabi a wɔde aduru no gu no. (Ɛho yɛ na yiye) . |
| Mogya a ɛretu | Ebetumi aba nnipa a wɔnom nnuru a ɛma mogya yɛ mmerɛw no so titiriw. |
| Ntini mu opira | Ɛtaa nsi koraa. |
| Ɛyaw a ɛkɔ soro bere tiaa bi | Ɛyaw no betumi ayɛ kɛse kakra nna kakraa bi wɔ aduru no akyi. |
| Afoforo (ɛntaa mma) . | Asikre dodow a ɛkɔ soro wɔ mogya mu, anim a ɛyɛ hyew bere tiaa bi, nnompe a ɛso tew, ne asen mu ntini mu yare a emu yɛ den (avascular necrosis) betumi aba. |
Wobɛyɛ dɛn asiesie wo ho ama aduru a wɔde twitwiw wo no?
Anamɔn pii wɔ hɔ a ɛsɛ sɛ wudi akyi ansa na woayɛ saa ayaresa yi, bere a woreyɛ saa, ne bere a woawie no.
Nnipa a ɛnsɛ sɛ wɔde saa injection yi ma wɔn
Saa ayaresa yi mfata mma ayarefo binom. Sɛ wotɔ saa akuw yi biako mu a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo .
- Nnipa a wɔn ho nyɛ wɔn den wɔ nnuru a wɔde di dwuma no ho (nnuru a wɔde yɛ wɔn tiyɛ, steroid, nnuru a wɔde ma nsonsonoe).
- Nnipa a wɔanya ɔyare mmoawa bi wɔ wɔn nipadua mu.
- Mmea a wɔyem .
- Nnipa a mogya tu ho haw.
- Nnipa a wɔwɔ akyi berɛmo mu kokoram anaa ɔyare mmoawa.
- Nnipa a wɔwɔ asikreyare a wontumi nni so anaasɛ koma a ɛyɛ den .
Nneɛma a ɛsɛ sɛ woyɛ ansa na wɔayɛ ayaresa ne bere a wɔresa yare no
Wo duruyɛfo bɛhwɛ w’ayaresa ho abakɔsɛm nyinaa mu, akyerɛkyerɛ mfaso ne ɔhaw ahorow a ɛwɔ saa ayaresa yi so, na wabua wo nsɛmmisa. Sɛ worenom nnuru biara a ɛma mogya tu a, wobetumi atu wo fo sɛ bisa wo oduruyɛfo a ɔhwɛ wo nyinaa so sɛ ebia ɛsɛ sɛ wugyae nom ne ɔkwan a wobɛfa so no.
Da a wɔbɛsa no yare no, hwɛ hu sɛ wobɛyɛ nea edidi so yi:
- Gure wo ho yiye, fa samina gu wo ho, na siesie wo ho.
- Mfa aduru biara a wɔde hyɛ mu anaasɛ nnuru a wɔde yɛ aduru biara nhyɛ baabi a wɔde aduru no ahyɛ mu no.
- Hyɛ ntade a ɛyɛ fɛ, ɛyɛ mmerɛw kakra, na ɛyɛ tuntum.
- Du ayaresabea anaa ayaresabea bɛyɛ simma 30 ansa na wɔayɛ wo ayaresa.
- Yɛsrɛ sɛ momfa obi mmra na ɔde wo bɛkɔ fie. Ɛnyɛ papa sɛ wobɛka kar bere a wɔasa wo yare awie no.
- Fa nnuru a wonom nyinaa ne allergy biara a wowɔ no din bra.
- Sɛ wowɔ wo X-ray anaa MRI amanneɛbɔ a aba foforo a, fa nso bra.
Dɛn na ɛba bere a wɔreyɛ ayaresa no?
Adeyɛ no nyinaa gye simma 10 kosi 30. Mpɛn pii no, wɔremma wo nna koraa, enti w’adwene bɛtena hɔ.
1. Nea edi kan no, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Ɛsɛ sɛ wode wo nsa hyɛ kratasin a ɛkyerɛ sɛ wɔpene so nso ase.
2. Ɔyarehwɛfo bi de wo bɛkɔ baabi a wɔsa wo yare no na waka akyerɛ wo sɛ fa w’anim da mpa no so. Wɔde afiri a wɔde hwɛ mogya mmoroso bɛbata wo basa ho na wɔde afiri a wɔde hwɛ sɛnea koma bɔ bɛhyɛ wo nsateaa ho.
3. Oduruyɛfo no de X-ray afiri di dwuma de hwehwɛ nkwaa a ɛfata a ɔde bɛhyɛ aduru no mu.
4. Afei wɔde aduru a ekum ɔyare mmoawa hohoro were a ɛwɔ saa beae no ho na wɔde aduru ketewaa bi a ɛma obi ho tɔ no gu mu. Ebia wobɛte nka sɛ wo ho hyehye wo kakra wɔ saa bere yi mu.
5. Afei, wɔde ade titiriw no hyɛ mu, wɔde aduru a ɛma nsonsonoe gu mu, wohu nkwaa no pɛpɛɛpɛ, na wɔde steroid ne nnuru a wɔde kum ɛyaw a wɔde afra gu mu. Ebia wobɛte nhyɛso kakra nka wɔ w’akyi saa bere yi.
6. Sɛ wɔyɛ adwuma no wie a, woyi afiri no, wɔhohoro baabi a ɛwɔ no, na wɔde plaster ketewaa bi gu so.
7. Afei wɔde wo bɛkɔ dan a ɛyɛ soronko mu akɔhwɛ bɛyɛ simma 15-45.
Bere a wɔasa no yare akyi
Sɛ wowɔ IV line a, wobeyi afi hɔ. Ɔyarehwɛfo bi bɛhwɛ wo mogya mmoroso na wakyerɛ wo nea ɛsɛ sɛ woyɛ ne nea ɛnsɛ sɛ woyɛ bere a woakɔ fie no. Wɔbɛkyerɛ wo bere a ɛsɛ sɛ woyi aduru a wɔde kyekyere wo ho no, ɛyaw ho kyerɛwtohɔ a wode bɛkyerɛw wo yaw no, ne bere a ɛsɛ sɛ wosan kɔ wo duruyɛfo nkyɛn bio.
Nea ɛho hia yiye: Sɛ wote ahome a ɛyɛ tiaa mpofirim, wotɔ piti, wo ho yɛ wo hyew (ɛyɛ wo yaw, wo ho yɛ wo yaw), wo tiyɛ kɛse, ɛyaw a ɛkɔ soro, anaasɛ wuntumi nhyɛ wo ho so wɔ ayaresa akyi a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no nkyɛn Emergency Department (ETU).
Nkrasɛm a Wɔde Kɔ Fie
- Lumbar Facet Joint Injection yɛ aduru a etu mpɔn na wɔde di dwuma kɛse ma ɛyaw a enni sabea a akyi berɛmo mu ntini a ɛyɛ mmerɛw de ba.
- Ɛwom sɛ mpɛn pii no eyi yɛ ayaresa a ahobammɔ wom, sɛnea ɛte wɔ aduruyɛ mu akwan nyinaa ho de, nanso asiane nketenkete ne nsunsuanso nketenkete bi wɔ hɔ a ebetumi aba.
- Ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye ansa na woasa wo yare. Ka nnuru a worenom nyinaa ne ayaresa tebea biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko wɔ ayaresa akyi a, hwehwɛ aduruyɛfo afotu ntɛm ara. Mma wo ho nnpopo na mmu w’ani ngu so.
- Oduruyɛfo a ɔhwɛ wo mu no na obesi gyinae sɛ saa ayaresa yi fata wo anaa. Enti, sɛ w’akyi yɛ wo yaw a, kɔ oduruyɛfo titiriw bi nkyɛn na nya afotu a ɛfata.











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