Kodi nthawi zambiri mumamva kupweteka kwa msana, dzanzi, kapena kunjenjemera mwendo wanu? Nthawi zina ululuwu umakhala waukulu kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku moyenera. Mu mkhalidwe wotere, dokotala wanu mwina anakuuzani za jakisoni wapadera. Jakisoni ameneyo ndi amene tikambirane lero, yemwe ndi 'Lumbar Epidural Steroid Injection'. Musadandaule, tiyeni timvetse izi mosavuta.
Kodi jekeseni ya Lumbar Epidural Steroid ndi chiyani?
Mwachidule, iyi ndi jakisoni yapadera yomwe imaperekedwa m'munsi mwa msana wanu (m'chigawo cha lumbar). Jakisoni iyi makamaka imakhala ndi mankhwala omwe amachepetsa kutupa ndi kutupa. M'mawu azachipatala, timatcha izi steroid kapena corticosteroid.
Tangoganizirani, chingwe chathu cha msana ndi komwe dongosolo lalikulu la mitsempha lomwe limayenda m'thupi lonse limayendera. Malo ang'onoang'ono ozungulira mitsempha ya msana iyi amatchedwa 'malo ozungulira mitsempha.' Ndi komwe dokotala amabaya steroid iyi.
Cholinga chachikulu cha izi ndikuchepetsa kutupa ndi ululu wosatha womwe umabwera chifukwa cha kupsinjika kapena kuvulala kwa mizu ya mitsempha ya msana. Ululuwu timautcha `(Lumbar Radiculopathy)`. Anthu ambiri amadziwa izi ndi dzina lakuti `Sciatica` .
Kodi jakisoni uyu amachepetsa bwanji ululu?
Kuti timvetse izi, choyamba tiyeni tiphunzire pang'ono za msana wathu.
Msana wathu umapangidwa ndi mulu wa mafupa ang'onoang'ono (vertebrae) omwe amaunikidwa pamwamba pa wina ndi mnzake. Pakati pa mafupa awa, monga 'zotengera kugwedezeka' m'galimoto, pali pilo. Timatcha awa 'vertebral discs' kapena 'disks' . Ma disc awa ndi omwe amatithandiza kupindika, kutambasula, ndikupotoza msana wathu.
Nthawi zina, zinthu zonga jelly zomwe zili mkati mwa diski zimatha kutuluka ndikukankhira mitsempha yapafupi. Kapena, ndi ukalamba, malo omwe ali mkati mwa msana amatha kuchepa ndipo mitsempha imatha kupanikizika. Apa ndi pamene mitsempha imatupa ndikutupa, zomwe zimayambitsa ululu waukulu.
Tsopano, onani, dokotalayo amabaya jakisoni wa steroidyo mwachindunji mu mitsempha yotupa komanso yotupa. Kenako, mphamvu ya mankhwalawo imachepetsa kutupa ndi kutupa kwa mitsempha. Kenako, kupanikizika kwa mitsempha kumachepanso. Izi ndi zomwe zimakupumulitsani ku ululu wanu.
Chofunika kwambiri ndichakuti kuchepetsa ululu kuchokera ku jakisoni iyi nthawi zambiri kumakhala kwakanthawi. Anthu ena amatha kupuma kwa miyezi itatu kapena kuposerapo, koma kwa ena, ululuwo ukhoza kubwerera pakapita nthawi yochepa.
Kodi katemera uyu ndi woyenera ndani?
Madokotala nthawi zambiri amalimbikitsa jakisoni iyi ya sciatica, yomwe ndi ululu womwe umabwera chifukwa cha kupsinjika kwa mitsempha ya msana.
- Ululu womwe umachokera kumbuyo kudzera m'matako ndi pansi pa mwendo
- Kumva dzanzi kapena kuuma kwa miyendo
- Kufooka kwa minofu ya mwendo
Pali zifukwa zazikulu zingapo zomwe zimayambitsa zizindikirozi. Onani tebulo ili m'munsimu.
| Matenda | Kufotokoza mwachidule |
|---|---|
| Lumbar Herniated Disk | Disiki pakati pa vertebrae imatuluka ndikukankhira mitsempha. Izi zimatchedwa 'disiki yotupa'. |
| Kupweteka kwa Msana wa Lumbar | Kuchepa kwa ngalande (njira yomwe mitsempha imadutsa) mkati mwa msana, zomwe zingayambitse kupsinjika kwa mitsempha. |
| Matenda a mafupa a m'chiuno (Lumbar Osteoarthritis) | Pamene munthu akukalamba, mafupa ndi mafupa a msana amafooka, zomwe zimapangitsa kuti mitsempha ichepetse, zomwe zimapangitsa kuti mitsempha ikhudzidwe. |
| Matenda a Degenerative Disk | Pamene munthu akukalamba, ma disc pakati pa mafupa a msana amatha, zomwe zimapangitsa kuti mitsempha itukuke. |
Kodi njira yopezera katemera imagwira ntchito bwanji?
Anthu ambiri amachita mantha pang'ono ndi izi, chifukwa lingaliro loti alandire jakisoni kumbuyo lingakhale loopsa pang'ono. Koma izi zimachitika mosamala kwambiri komanso ndi katswiri wophunzitsidwa bwino (monga Dokotala wa Zamankhwala, Dokotala Wogonetsa Anthu Osafuna Kugona, Dokotala wa Ma Radiyo). Choncho palibe choopa.
Kukonzekera musanalandire katemera
- Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (makamaka mankhwala ochepetsa magazi).
- Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati, muyenera kutiuza, chifukwa X-ray idzagwiritsidwa ntchito panthawiyi.
- Mungapemphedwe kuti musale kudya kwa maola angapo musanapereke jakisoni.
- Ngati mwapatsidwa mankhwala ochepetsa ululu, mudzapemphedwa kuti mubweretse munthu wina kuti akutengereni kunyumba.
Pa nthawi ya katemera
Njira imeneyi nthawi zambiri imatenga pafupifupi mphindi 15-30.
1. Mudzagonekedwa chagada pabedi lapadera.
2. Malo olandira katemera amatsukidwa bwino ndi kutsukidwa ndi tizilombo toyambitsa matenda.
3. Kenako, dokotalayo amagwiritsa ntchito makina apadera a X-ray otchedwa fluoroscopy kuti aone komwe singano iyenera kuyikidwa. Izi zili ngati kanema wa X-ray wamoyo.
4. Kenako, jakisoni kakang'ono kamaperekedwa kuti muchepetse ululu pamalopo kuti musamve kupweteka kwambiri pamene singano yayikulu ikulowetsedwa.
5. Singano ikafika pamalo oyenera, kutanthauza kuti, pamalo ozungulira, dokotala adzabaya utoto wosiyana pang'ono. Izi zidzatsimikizira kuti singanoyo ili pamalo oyenera, osati m'mitsempha yamagazi kapena kwina kulikonse.
6. Pomaliza, dokotalayo amabaya mankhwala a steroid mosamala.
7. Mukamaliza kuchita opaleshoniyi, mudzapemphedwa kuti mupumule kwakanthawi, ndi pulasitala kakang'ono koyikidwa pamalo obayira jakisoni. Onetsetsani kuti simuli ndi vuto la ziwengo ndi mankhwalawo.
Kodi pali zotsatirapo kapena zoopsa zilizonse?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa ndi zotsatirapo zake, koma izi sizimachitika kawirikawiri.
| Zotsatirapo zazing'ono | Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo |
|---|---|
|
Ngati mukukumana ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi. |
Popeza jakisoni wopitilira komanso wobwerezabwereza wa ma steroids amenewa amatha kufooketsa mafupa a msana, madokotala nthawi zambiri samalimbikitsa jakisoni woposa kawiri kapena katatu pachaka.
Uthenga Wopita Nawo Kunyumba
- Lumbar Epidural Steroid Injection ndi jakisoni wapadera woperekedwa kuti achepetse kutupa ndi ululu wobwera chifukwa cha kupsinjika kwa mitsempha ya msana.
- Iyi ndi njira yothandiza kwambiri yoperekera mpumulo wakanthawi wa ululu wa matenda monga sciatica.
- Jakisoni iyi siichiza ululu wonse. Komabe, mpumulo womwe imakupatsani udzakuthandizani kuyamba kuchita masewera olimbitsa thupi ndikuchita ntchito zanu za tsiku ndi tsiku.
- Iyi ndi njira yotetezeka yomwe imachitidwa ndi katswiri wodziwa bwino ntchito.
- Tsatirani malangizo a dokotala wanu mosamala musanalandire katemera komanso mutalandira katemera. Ngati muli ndi nkhawa kapena mantha, lankhulani naye momasuka za iwo.
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