Kupweteka kwa msana ndi chinthu chokhumudwitsa kwambiri, sichoncho? Nthawi zina ululuwu umatsika m'miyendo. Ngati mukuvutikanso ndi vutoli, dokotala wanu mwina anakuuzani za 'Caudal Epidural Steroid Injection'. Mwina munachita mantha pang'ono mutamva dzina lakuti, "O, sindikuganiza kuti ndi bwino kubaya mankhwala kumbuyo kwanu." Koma musadandaule, lero tikambirana za izi mwachidule, mwatsatanetsatane.
Kodi jakisoni wa Caudal Epidural Steroid ndi chiyani?
Mwachidule, iyi ndi jakisoni wapadera wa mankhwala womwe umaperekedwa pansi pa msana wanu, pamwamba pa fupa la mchira (coccyx). Mawu oti "caudal" amatanthauza "mbali ya mchira."
Tangoganizirani, mitsempha yofunika kwambiri yomwe imalamulira zinthu zambiri m'thupi lathu imadutsa mumsana wathu. Pali malo ochepa ozungulira mitsempha iyi. M'mawu azachipatala, timatcha malo a epidural . Ngati pazifukwa zina mizu ya mitsempha iyi yatupa kapena kupanikizika, ululu waukulu ukhoza kuchitika.
Apa ndi pamene timagwiritsa ntchito jakisoni iyi. Chomwe jakisoni iyi imachita ndi kubaya mankhwala oletsa kutupa m'malo otupa a epidural, komwe kuli mitsempha yotupa komanso yopindika. Pachifukwa ichi, timagwiritsa ntchito mtundu wa mankhwala otchedwa steroid kapena corticosteroid.
Musaope kulandira jakisoni kumbuyo. Iyi ndi njira yotetezeka komanso yosavulaza kwambiri nthawi zambiri. Chofunika kwambiri ndichakuti ichitidwe ndi dokotala yemwe ali ndi luso lochita izi.
Kodi katemerayu amafunika liti?
Kawirikawiri amagwiritsidwa ntchito pa ululu womwe umabwera chifukwa cha kupsinjika kwa mitsempha kumbuyo, matenda otchedwa sciatica . Ululuwu umayenda kuchokera kumbuyo kupita ku miyendo. Pali zinthu zingapo zomwe zingayambitse izi.
- Ma Disc Okhala ndi Herniated: Zidutswa za zinthu zonga jelly pakati pa mafupa a msana zimatuluka ndikukankhira mitsempha.
- Matenda a Degenerative Disk / Lumbar Spondylosis: Ma disc pakati pa vertebrae amachepa ndi ukalamba.
- Lumbar Spinal Stenosis: Kupsinjika kwa mitsempha chifukwa cha kuchepa kwa ngalande ya msana yomwe mitsempha imadutsamo.
- Spondylolisthesis: Msana umodzi umatsetsereka patsogolo pa wina.
- Matenda a Facet Joint: Matenda omwe amapezeka m'malo olumikizirana ang'onoang'ono omwe amalumikiza msana.
- Matenda a Opaleshoni ya Msana Osatheka: Kupweteka kosalekeza pambuyo pa opaleshoni ya msana.
Pali njira zingapo zochizira matenda aliwonsewa. Dokotala wanu adzaona ngati katemerayu ndi woyenera matenda anu.Uyenera kulankhula nane ndi kusankha.
Kodi muyenera kuchita chiyani musanalandire katemera?
Musanakonze tsiku loti mulandire katemerayu, dokotala wanu adzakulankhulani kuti atsimikizire kuti ndi wotetezeka kwa inu.
- Perekani mbiri yonse ya matenda anu: Onetsetsani kuti mwatiuza za matenda ena aliwonse omwe muli nawo (monga matenda a shuga, kuthamanga kwa magazi, ndi glaucoma).
- Uzani dokotala wanu za mankhwala onse omwe mukumwa: Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, zowonjezera zakudya, komanso mankhwala achikhalidwe. Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala ochepetsa magazi. Mungapemphedwe kuti musiye kumwa mankhwalawa masiku angapo musanalandire katemera.
- Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu: Ma X-ray omwe amagwiritsidwa ntchito panthawi ya chithandizochi akhoza kukhala oopsa kwa amayi apakati. Choncho, uzani dokotala wanu za izi.
- Musayendetse galimoto: Chinthu china chofunika ndichakuti munthu wina akuyendetseni kunyumba pa tsiku la katemera, chifukwa simuyenera kuyendetsa galimoto kwa maola 24 mutalandira katemera.
Kodi chimachitika ndi chiyani mukalandira jakisoni?
Njira imeneyi nthawi zambiri imatenga pafupifupi mphindi 15-30. Tiyeni tione pang'onopang'ono momwe tingachitire izi.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| Kukonzekera | Mudzasinthidwa chovala cha kuchipatala ndipo mudzaikidwa patebulo la X-ray cham'mbali. Mungakhale ndi pilo pansi pa mimba yanu kuti mutonthozedwe. |
| Kuyeretsa | Kumbuyo komwe katemera amabayidwa kumatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda. |
| Mankhwala ochepetsa mano | Musanapereke jekeseni yayikulu, jakisoni waung'ono (local anesthetic) amaperekedwa kuti khungu likhale lopanda mphamvu pamalopo. Kuti musamve kupweteka kwambiri. |
| Kutsimikizira njira | Dokotala amagwiritsa ntchito makina apadera a X-ray (fluoroscopy) kuti aone komwe singano iyenera kuyikidwa. Nthawi zina utoto wapadera wotchedwa contrast dye umayikidwa kuti malowo awonekere bwino. |
| Katemera wamkulu | Malo oyenera akatsimikizika, jakisoni wa steroid amalowetsedwa mu epidural space. Mungamve kukankhidwa pang'ono panthawiyi. Chofunika kwambiri ndikukhala chete panthawiyi. |
| Kumaliza | Jakisoni akamaliza kubayidwa, singano imachotsedwa ndipo pulasitala yaying'ono imayikidwa pamalopo. |
Katemera akatha?
Popeza chithandizochi ndi cha kunja kwa chipatala, mutha kupita kunyumba tsiku lomwelo. Komabe, jakisoni akatha, mudzayang'aniridwa kwa mphindi pafupifupi 15-20 musanatumizidwe kunyumba.
Pitani kunyumba mukapumule kwa maola 24. Pewani kuchita zinthu zolemetsa, kunyamula zolemera, kapena kuyendetsa galimoto. Pakhoza kukhala mabala kapena kupweteka pamalo omwe mwabayira jakisoni kwa masiku angapo. Anthu ambiri amayamba kumva bwino pasanathe masiku awiri kapena atatu. Komabe, kwa anthu ena, izi zingatenge mpaka sabata imodzi.
Kodi pali zotsatirapo zake ndi zoopsa zake?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zotsatirapo zoyipa komanso zoopsa zomwe zingachitike, koma mavuto aakulu ndi osowa.
| Udindo | Kufotokozera |
|---|---|
| Zotsatira zoyipa zomwe zimayembekezeredwa kawirikawiri | |
| Kuwonjezeka kwa ululu kwakanthawi | Ululu ukhoza kukulirakulira pang'ono kwa tsiku limodzi kapena awiri mpaka steroid itayamba kugwira ntchito. |
| Kupweteka/kutupa pamalo obayira jakisoni | Izi zidzatha m'masiku ochepa. |
| Kwa odwala matenda a shuga | Ma steroid angayambitse kukwera kwakanthawi kwa shuga m'magazi (hyperglycemia) kwa maola angapo kapena masiku angapo. |
| Mavuto Osowa | |
| Matenda | Majeremusi omwe amalowa pamalo obayira jakisoni. |
| Kutuluka magazi | Kutuluka magazi kapena kuundana kwa magazi (hematoma) kuzungulira msana. |
| Kuwonongeka kwa mitsempha | Izi zimachitika kawirikawiri. |
| Mutu waukulu (Msana) | Zingachitike chifukwa cha kutuluka pang'ono kwa madzi a msana. Izi zimachitika pa milandu yochepera 1%. |
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!
Ngati mukukumana ndi zizindikiro izi mutapita kunyumba, imbani dokotala wanu nthawi yomweyo, kapena pitani ku chipinda chapafupi chadzidzidzi cha chipatala (ETU). Izi ndizofunikira kwambiri.
- Ngati mutu wanu ukupweteka kwambiri mukamaimirira kapena kukhala pansi ndipo umamasuka mukagona (izi zitha kukhala chizindikiro cha mutu wa msana).
- Malungo (ichi chingakhale chizindikiro cha matenda).
- Ngati mukumva dzanzi kapena kufooka m'miyendo yanu (izi zitha kukhala chizindikiro cha kuwonongeka kwa mitsempha).
- Kulephera kulamulira kukodza kapena kuchita chimbudzi (izi ndi vuto lalikulu kwambiri).
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa Caudal Epidural Steroid ndi mankhwala othandiza komanso otetezeka a ululu wammbuyo ndi mwendo.
- Izi nthawi zambiri zimathandiza kuchepetsa ululu, osati kuchiza matenda kwathunthu. Koma kuchepetsa ululu kudzakuthandizani kuchita zinthu zanu zachizolowezi.
- Musanalandire chithandizo, onetsetsani kuti mwauza dokotala wanu za matenda anu onse ndi mankhwala onse omwe mumamwa.
- Dziwani zizindikiro zoopsa zomwe zingachitike mutalandira chithandizo (malungo, mutu waukulu, dzanzi m'miyendo, kulephera kugwira ntchito bwino m'matumbo ndi chikhodzodzo). Ngati chimodzi mwa izi chikachitika, funsani dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza chithandizochi, musazengereze kufunsa dokotala wanu.
Frequently Asked Questions (FAQ)
Katemera akatha?
Popeza chithandizochi ndi cha kunja kwa chipatala, mutha kupita kunyumba tsiku lomwelo. Komabe, jakisoni akatha, mudzayang'aniridwa kwa mphindi pafupifupi 15-20 musanatumizidwe kunyumba.
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