Kodi mumamvanso kupweteka kwa msana pafupipafupi? Kapena muli ndi vuto ngati 'Sciatica', lomwe ndi ululu womwe umayamba kuchokera kumbuyo kupita ku miyendo, ngati madzi, kapena umabwera ndi kumva kuwawa? Nthawi zina ululu ukhozanso kukhala ululu womwe umayamba kuchokera pakhosi kupita m'manja. Chifukwa cha ululu woterewu, muyenera kuti simukumva bwino komanso simungathe kuchita ntchito zanu za tsiku ndi tsiku moyenera. Chifukwa chake, lero tikambirana za njira yochiritsira yapamwamba kwambiri komanso yopambana yomwe imakulolani kulamulira ululu woterewu.
Kodi jekeseni ya Transforaminal Epidural Steroid iyi ndi chiyani?
Ngakhale dzinali lingawoneke lovuta pang'ono, tanthauzo lake ndi losavuta. Tiyeni tigawane mawuwo m'magulu.
- Transforaminal: Izi zikutanthauza "kudzera mu foramen." Taganizirani izi, chingwe cha msana, muzu waukulu wa mitsempha womwe umachokera ku ubongo, umadutsa msana wathu. Pali mabowo ang'onoang'ono pakati pa mafupa a msana kuti mitsempha yomwe imapita ku ziwalo zosiyanasiyana za thupi ituluke mu chingwe cha msana ichi. Mabowo amenewo amatchedwa `foramina.` Chifukwa chake jakisoniyu amaperekedwa kudzera m'bowo limenelo.
- Epidural: Msana wathu uli ndi nembanemba yoteteza yolimba yotchedwa `dura mater`. `Epidural` ndi dzina lomwe limaperekedwa ku malo omwe ali kunja kwa nembanembayo.
Mwachidule, jakisoni wa Transforaminal Epidural Steroid ndi njira yomwe singano imalowetsedwa kudzera m'bowo (foramen) komwe mitsempha ya msana imatuluka, ndipo chisakanizo cha mankhwala a steroid ndi mankhwala oletsa ululu amalowetsedwa m'malo oteteza ozungulira msana (epidural space).
Chofunika kwambiri ndichakuti si jakisoni mwachindunji mu msana kapena mitsempha. Mankhwalawa amabayidwa pamalo otetezeka ozungulira iwo. Chomwe mankhwalawa amachita ndikuchepetsa kutupa ndi kutupa kuzungulira mitsempha yomwe imayambitsa ululu.
Kodi chithandizochi chikuyenera matenda otani?
Pali zifukwa zingapo zomwe dokotala wanu angakulimbikitsireni chithandizochi. Nthawi zambiri, chimagwiritsidwa ntchito kuchepetsa ululu womwe umabwera chifukwa cha kupsinjika kapena kuvulala kwa msana.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kupweteka kwa msana | Kupweteka kwa msana pafupipafupi komanso koopsa. |
| Matenda a Sciatica | Kupweteka kwambiri, dzanzi, kapena kutentha komwe kumachokera kumbuyo kudzera m'matako mpaka pansi pa mwendo. |
| Chimbale Chokhala ndi Herniated | Gawo la msana longa jelly lomwe limatuluka ndikukankhira mitsempha. |
| Stenosis ya Msana | Kupsinjika kwa mitsempha chifukwa cha kuchepa kwa ngalande ya msana ndi ukalamba. |
| Mitsempha Yopindika | Ululu ndi dzanzi zomwe zimachitika chifukwa cha kupsinjika kwa mitsempha chifukwa cha mafupa kapena zifukwa zina. |
| Mafupa otupa | Kupsinjika kwa mitsempha chifukwa cha kupangika kwa mafupa atsopano mu msana. |
Kodi chithandizochi chimathandiza ziwalo zosiyanasiyana za msana?
Inde. Kutengera ndi komwe ululu uli, jakisoni uyu ungaperekedwe ku ziwalo zosiyanasiyana za msana.
- Jakisoni wa m'chiuno: Izi zimaperekedwa m'munsi mwa msana. Izi ndi zomwe anthu ambiri amachita pa ululu wa msana ndi ululu wa sciatica womwe umadutsa m'miyendo yawo.
- Jakisoni wa pachifuwa: Izi zimachitika chifukwa cha ululu womwe umabwera chifukwa cha mitsempha yomwe ili pakati pa msana, mwachitsanzo, ululu womwe umafika pachifuwa kapena pamimba.
- Kubaya jekeseni pachifuwa: Izi zimachitika m'khosi. Mankhwalawa ndi othandiza kwambiri pa ululu womwe umachokera pakhosi kupita pansi pa phewa mpaka kudzanja.
Kodi chithandizochi chimachitika bwanji? Kodi chimapweteka kwambiri?
Palibe chifukwa choopera izi. Izi zimachitika motere.
1. Kukonzekera: Mudzaikidwa pabedi lapadera ndi makina a X-ray, ndipo mudzayang'aniridwa pamimba panu.
2. Kusanza: Asanakupatseni jakisoni, dokotala adzakulowetsani mankhwala oletsa ululu pakhungu lanu kuti achepetse ululu. Mutha kumva kutentha pang'ono panthawiyi, koma kumatha pakatha masekondi angapo.
3.Kugona: Ngati mukufuna, mutha kupatsidwa mankhwala ogona kudzera m'mitsempha yomwe ili m'dzanja lanu kuti muchepetse nkhawa ndikuwonjezera chitonthozo. Izi zidzakupangitsani kugona, koma mudzakhalabe maso. Muthanso kulankhula ndi dokotala wanu.
4. Malangizo a X-ray: Chinthu chapadera pa chithandizochi ndichakuti chimachitika motsogozedwa ndi X-ray (Fluoroscopy) . Izi zikutanthauza kuti dokotala amatha kuwona mkati mwa msana wanu ngati kanema wamoyo. Chifukwa chake, izi zimachitika poyang'ana komwe singano yalowetsedwa.
5. Kupereka jakisoni: Poyang'ana X-ray, dokotalayo amaika singano yopyapyala, yayitali m'dera la mitsempha lomwe limayambitsa ululu. Kenako, amabayidwa mankhwala osakaniza a steroid ndi mankhwala oletsa ululu.
Njira yonseyi imatenga pafupifupi mphindi 30. Simudzamva kupweteka kwambiri chifukwa cha kusanza, koma mungamve kukankhidwa pang'ono singano ikalowetsedwa.
Kodi muyenera kusamala ndi chiyani mukalandira jakisoni?
Mukalandira chithandizo, mutha kudya, kumwa, ndi kumwa mankhwala anu mwachizolowezi. Koma samalani ndi zinthu izi.
- Musayendetse galimoto kwa maola 12 mutalandira chithandizo.
- Musachite masewera olimbitsa thupi otopetsa kapena kunyamula zinthu zolemera kwa tsiku limodzi.
- Mukhoza kubwerera ku zochita zanu zachizolowezi kuyambira tsiku lotsatira.
Zingatenge maola 24-48 kuti steroid igwire ntchito. Zingatenge milungu iwiri kuti zotsatira zake zonse zimveke. Ngati ululu sunathe patatha milungu iwiri, pitani kwa dokotala kachiwiri kuti mukambirane za vutoli.
Kodi zotsatira za chithandizochi zimatenga nthawi yayitali bwanji?
Izi zimasiyana malinga ndi munthu. Anthu ena amamva kupweteka kwa milungu ingapo mpaka miyezi ingapo . Ngati chithandizochi chapambana kwa inu, mutha kulandira jakisoni iyi nthawi zonse momwe mungafunikire kuti muchepetse ululu wanu. Nthawi zambiri zimaonedwa kuti ndizotetezeka kulandira jakisoni pakati pa 3-6 pachaka. Komabe, dokotala wanu ndiye munthu woyenera kusankha.
Zotsatirapo zake ndi zinthu zomwe muyenera kusamala nazo
Chiwopsezo cha mavuto aakulu chifukwa cha chithandizochi n'chochepa kwambiri. Ndi chotetezeka kwambiri chifukwa chimachitika motsogozedwa ndi X-ray. Komabe, pali zotsatirapo zina zazing'ono zomwe sizingachitike kawirikawiri.
- Kumva kuwawa pang'ono kapena kufooka m'miyendo kapena m'manja.
- Chizungulire.
- Mutu.
Izi nthawi zambiri zimazimiririka kwathunthu mkati mwa maola ochepa.
| Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo. | |
|---|---|
| 1. | Ngati dzanzi kapena kufooka kwa miyendo kumatenga nthawi yoposa tsiku limodzi. |
| 2. | Ngati mukumva ululu watsopano womwe sunalipo musanapereke jekeseni. |
| 3. | Ngati ululu ukukulirakulira. |
| 4. | Ngati mukupeza zizindikiro za matenda monga kutupa, kufiira, kutentha, kapena kutentha thupi pamalo omwe mubayidwe jakisoni. |
Kukhala ndi ululu wosatha womwe umabwera chifukwa cha matenda monga sciatica ndi herniated discs kungakhale kovuta. Chithandizochi, chotchedwa Transforaminal Epidural Steroid Injection, chingathandize kwambiri moyo wanu pochiza mitsempha yomwe ikuyambitsa ululu.
Uthenga Wopita Nawo Kunyumba
- Injection ya Transforaminal Epidural Steroid ndi njira yolondola komanso yotetezeka yochepetsera ululu ndi kutupa komwe kumachitika chifukwa cha kupsinjika kwa mitsempha ya msana.
- Popeza chithandizochi chimachitika motsogozedwa ndi X-ray, n'zotheka kupereka mankhwalawo pamalo omwe akufunikira.
- Uwu ndi mankhwala omwe amapereka mpumulo mwa kuchepetsa ululu ndikukulolani kuchita zinthu za tsiku ndi tsiku mosavuta, m'malo mochiza matenda onse.
- Kuchepetsa ululu kumasiyana malinga ndi munthu ndipo kumatha kuyambira milungu ingapo mpaka miyezi ingapo.
- Lankhulani ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu komanso ubwino wake kuti mupange chisankho chabwino kwambiri.
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