Kodi mwakhala mukuvutika ndi ululu wa msana kwa nthawi yayitali? Kapena mukuvutika ndi vuto lotchedwa 'sciatica', lomwe limakhala ngati ululu wowombera mwendo wanu? Mwina dokotala wanu wakuuzani za jakisoni wapadera kumbuyo kwanu, 'epidural' kapena 'steroid jakisoni'. Ndizachilendo kuti ambiri a ife timve mantha pang'ono komanso mantha tikamva dzina lotere. "O, ngakhale ndikukulowetsani jakisoni kumbuyo, kodi china chake chidzachitika ku msana wanu?", "Kodi izi zidzakupwetekani kwambiri?", "Kodi sindingathe kuyenda pambuyo pa izi?" Mwina muli ndi mafunso ambiri m'maganizo mwanu. Lero tikulankhula za Transforaminal Epidural Steroid Injection , yomwe ndi mankhwala othandiza kwambiri a ululu wa msana, koma palibe chifukwa choopera. Tikambirana chilichonse kuyambira A mpaka Z m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi jekeseni ya Transforaminal Epidural Steroid iyi ndi chiyani?
Musachite mantha ndi dzina lalitali ili. Tiyeni tilidule liwu ndi liwu. Kenako mudzamvetsa momwe lilili losavuta.
- Transforaminal: Izi zikutanthauza 'kudzera mu foramen'. Tsopano mwina mukufunsa kuti 'Kodi foramen iyi ndi chiyani?' Tangoganizani kuti msana wanu wapangidwa ndi mulu wa vertebrae, ngati njerwa zowunjikana pamwamba pa wina ndi mnzake. Pakati pa vertebrae izi, mbali zonse ziwiri, pali 'zitseko' zazing'ono ngati mabowo a mitsempha yomwe imapita ku ziwalo zina za thupi lathu (manja, miyendo). Chitseko chomwe mitsemphayo imatulukira chimatchedwa ``Foramen''. Chifukwa chake 'Transforaminal' amatanthauza 'kudzera pakhomo limenelo' .
- Epidural: Msana wathu ndi chinthu chofunikira kwambiri komanso chosavuta kumva. Ndicho chifukwa chake pali 'chidebe choteteza' chozungulira kuti chitetezedwe. Timachitcha ichi `(Dura Mater)`. 'Epidural' imatanthauza malo 'kunja kwa chidebe chotetezachi' .
Choncho, poika zonsezi pamodzi, jekeseni ya Transforaminal Epidural Steroid ndi jakisoni wa mankhwala a steroid kudzera mu foramen komwe mitsempha imatuluka mumsana ndikulowa m'malo omwe ali kunja kwa chidebe choteteza chozungulira msana (malo a epidural).
Chofunika kwambiri ndichakuti jakisoni uyu asalowetsedwe mu msana wanu kapena mwachindunji mu mitsempha. M'malo mwake, mankhwalawo amalowetsedwa pamalo otetezeka ozungulira mitsempha yotupa yomwe ikuyambitsa ululu. Choncho palibe chifukwa choopera mopanda chifukwa.
Chinthu china chapadera cha chithandizochi ndichakuti dokotala amabaya jakisoni uyu pogwiritsa ntchito makina a X-ray. Timatcha izi kuti ``(Fluoroscopy)``. Singano imayikidwa pamene ikuonerera, ngati 'kanema wamoyo'. Chifukwa chake, mankhwalawa amatha kubayidwa pafupi ndi mitsempha yoyambitsa vutoli, popanda kusuntha ngakhale milimita imodzi.
Kodi jakisoni uyu ndi wothandiza pa mavuto otani?
Jakisoni iyi imagwiritsidwa ntchito makamaka pochepetsa ululu womwe umabwera chifukwa cha kupsinjika kapena kutupa kwa mitsempha ya msana. Mutha kupeza lingaliro labwino la izi kuchokera patebulo lomwe lili pansipa.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Ululu Wam'munsi Wam'mbuyo | Kupweteka kwa msana komwe kumachitika chifukwa cha kupsinjika kwa mitsempha, komwe kwakhalapo kwa nthawi yayitali. |
| Matenda a Sciatica | Kupweteka kotentha, kosasangalatsa komwe kumamveka ngati magetsi akuyenda kuchokera kumbuyo kudzera m'matako mpaka mwendo. |
| Diski Yokhala ndi Herniated | Chidutswa pakati pa mafupa awiri a msana chimatuluka ndikukankhira mitsempha. Timachitcha 'kukakamiza kwa msana'. |
| Stenosis ya Msana | Kupsinjika kwa mitsempha chifukwa cha kuchepa kwa msana ndi ukalamba. |
| Foraminal Stenosis | 'Foramen' imeneyo yomwe tidakambirana kale, pomwe mitsempha imatuluka, imachepa ndikukankhira mitsempha. |
| Zochitika zina | Ululu wa mitsempha womwe umabwera chifukwa cha matenda monga scoliosis ndi bone spurs. |
Kodi jakisoni uyu waperekedwa kuti kumbuyo?
Malo obayira jakisoni amadalira komwe ululu wanu uli. Pali mitundu itatu ikuluikulu.
- Jakisoni wa m'chiuno: Uwu ndi mtundu wofala kwambiri. Umaperekedwa pa ululu wa msana ndi sciatica, zomwe zimachitika chifukwa cha kupsinjika kwa mitsempha m'munsi mwa msana (chigawo cha m'chiuno).
- Jakisoni wa pachifuwa: Jakisoniyu amaperekedwa ngati muli ndi ululu pakati pa msana wanu, kutanthauza kuti, pamlingo wa pachifuwa, kapena ngati ululuwo wafalikira mpaka pachifuwa kapena m'mimba.
- Katemera wa pachibelekero: Mtundu uwu wa katemera umaperekedwa pa matenda monga kupweteka kwa khosi, ululu womwe umatuluka m'mapewa kupita ku mkono, kapena dzanzi m'dzanja lomwe limayambitsidwa ndi kupsinjika kwa mitsempha pakati pa mafupa a msana m'khosi.
Kodi ndondomekoyi imagwira ntchito bwanji? Kodi ndiyenera kuopa?
Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Tiyeni tiwone pang'onopang'ono njira iyi.
1. Kukonzekera: Mudzagonedwa chagada pabedi lapadera pogwiritsa ntchito makina a X-ray.
2. Kupaka mano m'derali: Musanapereke jekeseni, malowo amayeretsedwa ndipo jekeseni kakang'ono ka ``Local Anesthesia`` kamaperekedwa kuti khungu lizizizira. Panthawiyi, mungamve kutentha pang'ono, ngati kulumidwa ndi nyerere. Izi zidzatha pakangopita masekondi angapo.
3. Kugona: Ngati muli ndi mantha kwambiri kapena nkhawa, ngati mupempha, mungapatsidwe mankhwala ogona m'mitsempha kuti akuthandizeni kupumula ndikugona pang'ono. Izi zidzakupangitsani kugona, koma mudzakhalabe maso mokwanira kuti mulankhule ndi dokotala wanu. Mutha kukambirana izi ndi dokotala wanu pasadakhale.
4. Jakisoni: Kenako, akuyang'ana chowunikira cha X-ray, dokotalayo adzaika singano yopyapyala mosamala pamalo omwe mitsempha ikuyambitsa ululu. Mungamve kupweteka pang'ono panthawiyi, koma osamva kupweteka kwambiri.
5. Jakisoni: Dokotala akatsimikizira kuti singano ili pamalo oyenera, adzabaya mankhwala osakaniza omwe amachepetsa ululu mwachangu komanso mankhwala a steroid omwe amachepetsa kutupa ndikupereka mpumulo kwa nthawi yayitali.
Njira yonseyi nthawi zambiri imatenga nthawi yochepa, pafupifupi mphindi 30 .
Kodi mumatani mukalandira jakisoni?
Mukamaliza kulandira chithandizo, mudzapemphedwa kuti mupumule kwakanthawi, kenako mudzaloledwa kupita kunyumba. Pitani kunyumba mukasamalire zinthu izi.
- Mukhoza kumwa chakudya chanu chachizolowezi, zakumwa ndi mankhwala ena monga kale.
- Chofunika kwambiri: Musayendetse galimoto kwa maola 12 mutalandira katemera, chifukwa mungamve dzanzi kapena kufooka kwa miyendo yanu.
- Pewani kunyamula zinthu zolemera komanso kuchita masewera olimbitsa thupi tsiku limenelo.
- Mukhoza kuyambiranso ntchito zanu zachizolowezi kuyambira tsiku lotsatira.
Chofunika: Zingatenge masiku angapo mpaka milungu iwiri kuti steroid igwire ntchito bwino komanso kuti mumve bwino. Choncho musachite mantha ngati ululu wanu sutha nthawi yomweyo. Ngati ululu wanu sutha patatha milungu iwiri, pitani kwa dokotala kachiwiri.
Kodi chithandizochi chimatenga nthawi yayitali bwanji? Kodi chingachitike kangati?
Izi zimasiyana malinga ndi munthu. Anthu ena amapeza mpumulo pakatha milungu ingapo , pomwe ena amakhala opanda ululu kwa miyezi ingapo . Ngati chithandizochi chapambana kwa inu, mutha kulandira katemera kachiwiri ngati ululuwo wabwereranso, monga momwe dokotala wanu adalangizira.
Kawirikawiri, zimaonedwa kuti ndi zotetezeka kulandira jakisoni pakati pa 3 ndi 6 pachaka. Komabe, kumbukirani kuti ngati ululu wanu sukusintha mutalandira jakisoni kawiri kapena katatu, sizingatheke kuti jakisoni wina ugwire ntchito. Pazochitika zotere, dokotala wanu adzakulangizani za njira zina zochiritsira.
Kodi pali zotsatirapo zilizonse? Kodi ndiyenera kuda nkhawa?
Chiwopsezo cha mavuto aakulu ndi chithandizochi n'chochepa kwambiri. Kutuluka magazi, matenda, kapena kuwonongeka kwa mitsempha pamalo obayira jakisoni n'kosowa kwambiri.
Komabe, zotsatirapo zina zazing'ono zingachitike.
- Kufooka kwakanthawi kwa miyendo kapena mapazi.
- Kumva chizungulire.
- Mutu.
Zotsatirapo zambirizi zimatha kwathunthu mkati mwa maola ochepa, kotero palibe chifukwa chodera nkhawa kwambiri za izo.
Kodi ndi liti pamene mwadzidzidzi muyenera kuyimbira dokotala?
Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, dziwitsani dokotala wanu nthawi yomweyo. Ndikofunikira kupeza upangiri wa dokotala mwachangu pazochitika zotere.
| Mbali yofunika kuiganizira | Kufotokozera |
|---|---|
| Zotsatirapo zake zikupitirirabe | Ngati zinthu monga dzanzi ndi kufooka zakhalapo kwa nthawi yoposa tsiku limodzi. |
| Ululu watsopano | Ngati mukumva ululu watsopano womwe sunalipo musanapereke jekeseni. |
| Kuwonjezeka kwa ululu | Ngati ululu wanu wakale ukukulirakulira mutalandira jakisoni. |
| Zizindikiro za matenda | Zizindikiro monga kutentha thupi, kutupa, kufiira, kapena kutentha pamalo omwe jakisoni amaperekedwa. |
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa Transforaminal Epidural Steroid ndi mankhwala othandiza kwambiri komanso otetezeka a ululu wa mitsempha womwe umatuluka kumbuyo, khosi, ndi miyendo.
- Katemerayu sabayidwa mwachindunji mu msana kapena mtsempha, koma m'malo otetezeka ozungulira.
- Popeza zimachitika motsogozedwa ndi X-ray, kuthekera kopereka mankhwalawo kwa munthu amene akufuna kuchiritsidwa n’kokulirapo.
- Chiwopsezo cha zotsatirapo zoyipa kwambiri n'chochepa kwambiri. Zotsatirapo zazing'ono nthawi zambiri zimatha mkati mwa maola ochepa.
- Kuchepetsa ululu chifukwa cha chithandizochi kumatha kukhala kwa miyezi yambiri.
- Khalani omasuka kulankhula ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu kapena ayi, komanso mafunso aliwonse omwe mungakhale nawo okhudza chithandizochi.
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