Koj puas muaj tej lub sij hawm koj mob heev uas mob mus rau koj nraub qaum zoo li raug hluav taws xob poob? Los yog koj puas mob tas li uas kis mus rau koj lub caj dab mus rau koj txhais caj npab? Nws nyuaj heev rau kev nyob nrog hom mob no. Thaum tej yam xws li kev kho lub cev thiab tshuaj tsis ua haujlwm, ib qho kev kho mob uas cov kws kho mob pom zoo yog 'Epidural Steroid Injection' (ESI). Muaj ntau tus neeg ntshai me ntsis txog qhov no. Yog li, cia peb tham txog nws txhua yam yooj yim thiab meej hnub no.
Hais yooj yim xwb, 'Epidural Steroid Injection' (ESI) yog dab tsi?
Qhov no kuj yog ib hom kev txhaj tshuaj. Tab sis lub sijhawm no, koj tsis tau txais tshuaj tua kab mob ib txwm muaj. Hloov chaw, koj tau txais cov tshuaj tshwj xeeb uas txo qhov o thiab o, hu ua steroid (ib qho 'corticosteroid') , txhaj rau hauv qhov chaw uas cov hlab ntsha nyob hauv koj tus txha nqaj qaum (qhov 'epidural space').
Xav txog peb cov hlab ntsha caj qaum ua ib txoj kev loj uas nqa cov lus los ntawm lub hlwb mus rau lwm qhov ntawm peb lub cev. Qhov chaw nyab xeeb nyob ib puag ncig txoj kev no yog qhov peb hu ua 'epidural space.' Thaum cov hlab ntsha uas khiav raws txoj kev no ua rau khaus lossis o vim qee qhov laj thawj, qhov mob hnyav tshwm sim. Qhov ESI ua yog txhaj tshuaj rau hauv cov hlab ntsha o, txo qhov o thiab muab kev pab rau koj.
Qhov tseem ceeb tshaj plaws: Kev siv tshuaj 'epidural' los txo qhov mob thaum yug menyuam thiab kev siv tshuaj 'epidural' los txo qhov mob no yog ob yam sib txawv kiag li . Yog li ntawd, tsis txhob xav tias ob yam no sib txawv.
Cov tshuaj txhaj no ua li cas thiaj txo tau qhov mob?
Peb tus txha nqaj qaum yog ua los ntawm cov pob txha me me (vertebrae) uas txuas nrog ib leeg. Nruab nrab ntawm ob tug pob txha no muaj ib lub 'disc' zoo li jelly. Qhov no yog qhov ua rau tus txha nqaj qaum nws qhov yooj ywm thiab kev tiv thaiv.
Qee zaum, lub disc herniated (lub disc herniated lossis bulging disc) tuaj yeem ntswj ib txoj hlab ntsha ze. Los yog, cov hlab ntsha kuj tuaj yeem ntswj vim yog qhov chaw hauv tus txha nqaj qaum nqaim (spinal stenosis). Thaum ib txoj hlab ntsha raug ntswj li no, nws yuav o thiab o, ua rau mob.
ESI suav nrog kev txhaj tshuaj steroid nyob ib ncig ntawm cov hlab ntsha uas o thiab raug nias. Qhov no txo qhov o thiab o thiab txo qhov kev nyem rau ntawm cov hlab ntsha. Qhov no muab sijhawm rau cov hlab ntsha kom zoo. Ib txhia neeg yuav mob tau ob peb lub lis piam, thaum lwm tus yuav mob tau ntau lub hlis. Qee zaum, qhov kev txhaj tshuaj no kuj tseem tuaj yeem pab txheeb xyuas qhov ua rau mob.
Yuav kom txhaj tshuaj ESI rau cov mob twg?
Feem ntau tus kws kho mob pom zoo kom siv ESI thaum lwm yam kev kho mob tsis ua rau mob. Lub rooj hauv qab no piav qhia ntxiv txog qhov no.
| Mob | Piav qhia yooj yim |
|---|---|
| Kab Mob Hlwb/Nqaij Ntsws Loj | Ib lub disc herniated nyob nruab nrab ntawm ob lub vertebrae, ua rau nws bulge tawm thiab nias rau ntawm ib lub paj hlwb. |
| Kev mob pob txha caj qaum | Kev ntxhov siab ntawm cov hlab ntsha vim yog kev nqaim ntawm txoj hlab ntsha hauv cov hlab ntsha hauv tus txha caj qaum. |
| Kev Phais Mob Rov Qab Tsis Tau Zoo | Mob tas li tom qab phais nraub qaum. |
| Cov pob txha tawg (Cov pob txha tawg / Osteophytes) | Kev nias ntawm cov hlab ntsha vim yog cov pob me me uas tsim nyob rau hauv cov pob txha thaum muaj hnub nyoog. |
| Kev puas tsuaj ntawm cov pob txha caj qaum | Qhov mob yog tshwm sim los ntawm kev hnav thiab tsim kua muag thiab kev hloov pauv ntawm cov pob txha ntawm tus txha nqaj qaum. |
Hom Kev Txhaj Tshuaj ESI
Muaj ntau hom kev txhaj tshuaj ESI. Lawv muab faib raws li qhov chaw txhaj tshuaj (caj dab, nruab nrab nraub qaum, nraub qaum qis) thiab txoj kev ntxig koob.
- Pawg los ntawm qhov chaw:
- Cervical ESI: Rau qhov mob uas kis mus rau ntawm lub caj dab mus rau ntawm caj npab.
- Thoracic ESI: Rau qhov mob nraub qaum sab saud thiab nruab nrab.
- Lumbar ESI: Rau qhov mob uas kis mus rau sab nraub qaum mus rau ceg (qhov no yog qhov feem ntau).
- Hom raws li txoj kev ntxig koob:
- Interlaminar ESI: Muab ib rab koob ntxig rau ntawm ob lub pob txha caj qaum thiab txhaj tshuaj.
- Transforaminal ESI: Kev txhaj tshuaj yog ua los ntawm lub qhov ('foramen') qhov twg cov hlab ntsha tawm hauv cov hlab ntsha caj qaum, nyob ib sab ntawm cov hlab ntsha uas raug nias.
- Caudal ESI: Ntxig lub koob los ntawm lub qhov ntawm qhov kawg qis tshaj plaws ntawm tus txha caj qaum.
Koj tus kws kho mob yuav txiav txim siab seb hom twg zoo tshaj plaws rau koj.
Kuv yuav tsum npaj li cas ua ntej txhaj tshuaj?
Koj tus kws kho mob yuav muab qee cov lus qhia tshwj xeeb rau koj ua ntej txhaj tshuaj. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li lawv kom meej.
- Yog tias koj cev xeeb tub los yog xav tias koj cev xeeb tub , nco ntsoov qhia rau koj tus kws kho mob.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshwj xeeb yog cov tshuaj ua kom cov ntshav nyias) . Nws yuav hais kom koj tsum tsis txhob noj lawv li ob peb hnub.
- Tej zaum yuav kom koj yoo mov ob peb teev ua ntej txhaj tshuaj.
- Qee zaum, yuav muaj kev txiav txim kom kuaj MRI lossis CT scan kom paub qhov ua rau mob.
- Koj yuav raug hais kom coj ib tug neeg los tsev nrog koj thaum hnub txhaj tshuaj, vim tias qee zaum yuav muab tshuaj loog kom pab koj so.
Thaum txhaj tshuaj lawm, muaj dab tsi tshwm sim tiag?
Feem ntau ua qhov no hauv tsev kho mob lossis chaw kho mob. Tag nrho cov txheej txheem siv sijhawm li 15-30 feeb.
1. Ua ntej, koj yuav raug tig rau ntawm koj lub plab rau ntawm ib lub txaj thiab kom pw.
2. Tom qab ntawd tus kws kho mob yuav ntxuav qhov chaw txhaj tshuaj kom huv si thiab siv tshuaj tua kab mob.
3. Tom ntej no, ib rab koob me me yuav ua rau thaj chaw ntawd loog . Ua li no, koj yuav tsis hnov mob ntau thaum rab koob loj dua txhaj tshuaj.
4. Tom qab ntawd, siv ib yam dab tsi zoo li lub tshuab X-ray ('Fluoroscopy') , lub koob txhaj tshuaj raug coj mus rau qhov chaw tseeb ('epidural space'). Nws yog ib qho tseem ceeb heev uas koj yuav tsum nyob twj ywm thaum lub sijhawm no.
5. Thaum lub koob txhaj tshuaj nyob rau hauv qhov chaw raug lawm, qee zaum yuav muaj cov kua hu ua contrast txhaj rau hauv thiab cov tshuaj yuav raug saib xyuas qhov kev nthuav dav ntawm cov tshuaj ntawm lub vijtsam.
6. Thaum kawg, cov tshuaj steroid yuav raug txhaj rau hauv cov leeg ntshav. Lub sijhawm no, koj yuav hnov me ntsis tingling lossis chilling. Qhov no yog ib txwm muaj.
7. Tom qab txhaj tshuaj tas, yuav muab ib daim paj rwb tso rau ntawm qhov chaw ntawd thiab yuav muab ib daim plaster lo rau. Tom qab ntawd, yuav kom koj so ib pliag thiab xa koj mus tsev yog tias tsis muaj teeb meem dab tsi.
Puas muaj tej yam tshwm sim thiab tej yam txaus ntshai tom qab txhaj tshuaj lawm?
Ib yam li kev kho mob twg los xij, muaj cov kev mob tshwm sim me me thiab muaj cov kev pheej hmoo loj heev uas tsis tshua muaj.
| Hom kev pheej hmoo | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim me me thiab feem ntau | |
| Kev mob ntxiv ib ntus | Qhov mob yuav mob ntxiv me ntsis li 2-3 hnub kom txog thaum cov tshuaj pib ua haujlwm. Qhov no yog ib txwm muaj. |
| Cov ntshav qab zib nce ntxiv | Yog koj muaj ntshav qab zib, koj cov ntshav qab zib yuav siab rau ob peb hnub. |
| Mob ntawm qhov chaw txhaj tshuaj | Tej zaum yuav muaj qhov mob me ntsis los yog qhov mob ntawm qhov chaw uas muab koob txhaj tshuaj. |
| Kev pheej hmoo loj heev uas tuaj yeem tshwm sim tsis tshua muaj | |
| Mob taub hau hnyav heev | Yog tias rab koob txhaj tshuaj ntawd tsis tau xav txog mus rau hauv thaj chaw uas muaj cov kua dej hauv tus txha nqaj qaum, nws tuaj yeem ua rau mob taub hau hnyav uas yuav los thaum koj sawv. |
| Kev kis kab mob | Tsis tshua muaj, cov kab mob tuaj yeem nkag mus thiab ua rau muaj kev kis kab mob. |
| Los ntshav | Ib txoj hlab ntsha raug puas tsuaj thiab cov ntshav txhaws (hematoma) tsim nyob rau hauv cov hlab ntsha qaum. |
| Kev puas tsuaj rau cov hlab ntsha | Tsis tshua muaj, cov hlab ntsha tuaj yeem raug puas tsuaj. |
Nco ntsoov tias cov kev pheej hmoo loj no tsis tshua muaj, tshwj xeeb tshaj yog thaum ua los ntawm tus kws kho mob uas tau kawm tiav thiab tsim nyog.
Cov tsos mob dab tsi uas yuav tsum tau kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum koj mus txog tsev tom qab txhaj tshuaj, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
- Mob taub hau hnyav uas tshwm sim thaum koj sawv ntsug lossis zaum (qhov no ploj mus thaum koj pw).
- Kub taub hau los yog caj dab txhav.
- Tsis muaj peev xwm tswj tau cov zis lossis cov quav.
- Kev xav tias tsis muaj zog lossis tsis muaj zog ntawm ob txhais ceg .
Tsis txhob tsis quav ntsej cov tsos mob no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ESI yog kev kho mob ib ntus rau mob nraub qaum thiab mob caj dab, tsis yog kev kho mob uas kho tau tag nrho tus kab mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau siv qhov kev pab txo qhov mob uas qhov no muab thiab ua raws nraim li koj tus kws kho mob pom zoo, xws li kev kho lub cev.
- Thaum kev kho mob no yog ua los ntawm ib tus kws kho mob uas muaj kev paub dhau los thiab txawj ntse, qhov kev pheej hmoo ntawm cov teeb meem loj heev yog tsawg heev.
- Tham nrog koj tus kws kho mob txog tej kev ntshai lossis kev tsis ntseeg uas koj muaj ua ntej txhaj tshuaj.
- Yog tias koj muaj tej yam tsos mob txawv txawv tom qab txhaj tshuaj tas, nrhiav kev pab kho mob tam sim ntawd.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus