Kubabara umugongo ni ikintu kibabaza cyane, si byo se? Hari igihe ubu bubabare bumanuka mu maguru. Niba nawe ufite iki kibazo, muganga wawe ashobora kuba yarakubwiye ibyerekeye 'Caudal Epidural Steroid Injection'. Ushobora kuba waragize ubwoba gato ubwo wumvise iryo zina, "Oh, ndatekereza ko atari byiza gutera umuti mu mugongo wawe." Ariko ntugire ikibazo, uyu munsi turaganira kuri ibi mu buryo bworoshye, mu buryo burambuye.
Inshinge ya Caudal Epidural Steroid ni iki?
Muri make, uru ni urushinge rw'umuti rwihariye rutangwa hasi cyane y'umugongo wawe, hejuru gato y'igufwa ry'umurizo (coccyx). Ijambo "caudal" risobanura "uruhande rw'umurizo."
Tekereza, imitsi y'ingenzi igenzura ibintu byinshi mu mubiri wacu inyura mu ruti rw'umugongo rwacu. Hari umwanya muto ukikije iyo mitsi. Mu buvuzi, tuyita umwanya wo mu gice cy'inyuma cy'imitsi . Iyo ku mpamvu runaka iyi mitsi ibyimbye cyangwa igakomera, ububabare bukabije bushobora kubaho.
Iki ni cyo gihe dukoresha uru rushinge. Icyo uru rushinge rukora ni ugutera umuti ugabanya ububyimbirwe mu gice cy’imbere cy’impyiko, aho imitsi yabyimbye kandi ipfutse. Kuri ibi, dukoresha ubwoko bw'umuti witwa steroid cyangwa corticosteroid.
Ntugatinye guterwa urushinge mu mugongo. Ubu ni uburyo bwiza kandi butagira ingaruka nyinshi mu bihe byinshi. Ikintu cy'ingenzi ni ukubukorerwa na muganga ufite uburambe bwiza muri ubu buryo.
Uru rukingo rukenewe ryari?
Ikunze gukoreshwa cyane ku bubabare buterwa no gupfunyika kw'imitsi mu mugongo, indwara yitwa sciatica . Ubu bubabare buva inyuma bukagera ku maguru. Hari indwara nyinshi zishobora kubutera.
- Disiki zo mu gituza: Uduce tw'ibikoresho bimeze nk'umusemburo hagati y'amagufwa y'umugongo turasohoka tugakanda imitsi.
- Indwara ya Disiki Ihindagurika / Spondylosis yo mu Kibuno: Impinduka ziri hagati y'imitsi y'uruti zigenda zishira uko imyaka igenda ishira.
- Stenosis yo mu mugongo w'uruti rw'umugongo: Gukanda imitsi bitewe no kugabanuka k'umuyoboro w'uruti rw'umugongo aho imitsi inyura.
- Spondylolisthesis: Urugingo rumwe rugenda runyura imbere hejuru y'urundi.
- Indwara y'ingingo zo mu ruhu: Indwara zibaho mu ngingo nto zihuza umugongo.
- Indwara yo Kubagwa Umugongo Yananiwe: Ububabare buhoraho nyuma yo kubagwa umugongo.
Hari uburyo butandukanye bwo kuvura buri kimwe muri ibi bibazo. Muganga wawe ni we uzagena niba uru rukingo rukwiriye indwara yawe.Ugomba kuvugana nanjye tugafata umwanzuro.
Ni iki wakora mbere yo gukingirwa?
Mbere yo guteganya umunsi wo kwakira uru rukingo, muganga wawe azakubwira kugira ngo arebe neza ko nta kibazo kiri kuri wewe.
- Tanga amateka yuzuye y'uburwayi bwawe: Menya neza ko utubwire izindi ndwara zose ufite (nka diyabete, umuvuduko ukabije w'amaraso, glaucoma).
- Bwira muganga wawe imiti yose ufata: Menya neza ko wabwiye muganga wawe imiti yose ufata, harimo na vitamine, inyongeramusaruro, ndetse n'imiti gakondo. Ni ngombwa cyane cyane kubwira muganga wawe niba ufata imiti igabanya amaraso. Ushobora gusabwa guhagarika kuyifata iminsi mike mbere y'urukingo.
- Niba utwite cyangwa ukeka ko utwite, bwira muganga wawe: Imirasire ya X-ray ikoreshwa muri ubu buvuzi ishobora guteza akaga abagore batwite. Rero, menyesha muganga wawe na byo.
- Ntugatware imodoka: Ikindi kintu cy'ingenzi ni ukugira umuntu ugutwara mu modoka agutwara mu rugo ku munsi wo gukingirwa, kuko udakwiye gutwara imodoka amasaha 24 nyuma yo gukingirwa.
Ni iki kibaho mu gihe cyo guterwa urushinge?
Ubusanzwe iki gikorwa kimara iminota 15-30. Reka turebe intambwe ku yindi uko twabikora.
| Intambwe | Ni iki kiri kuba? |
|---|---|
| Imyiteguro | Uzahindurwa ikanzu yo kwa muganga hanyuma ushyirwe ku meza ya X-ray. Ushobora kuba ufite umusego munsi y'inda yawe kugira ngo ugire ihumure. |
| Isuku | Igice cyo hasi cy'umugongo aho urukingo ruterwa gisukurwa neza n'umuti wica udukoko. |
| Umuti wo gutera ibinure | Mbere yo guterwa urushinge rw'ibanze, hatangwa urushinge ruto (local anesthétique) kugira ngo uruhu rwo muri ako gace rugire ibisebe. Bityo ntuzumva ububabare bwinshi. |
| Kwemeza inzira | Muganga akoresha imashini yihariye ya X-ray (fluoroscopy) kugira ngo arebe neza aho urushinge rugomba gushyirwa. Hari igihe haterwamo amazi yihariye yitwa irangi ritandukanye kugira ngo agace kagaragare neza. |
| Urukingo rw'ingenzi | Iyo aho umuntu aherereye hamaze kwemezwa neza, haterwa inshinge za steroid mu gice cy’inyuma cy’umubiri. Ushobora kumva urimo gusunikwa gato muri iki gihe. Ikintu cy'ingenzi ni uguhagarara ntuje muri iki gihe. |
| Kurangiza | Iyo urushinge rumaze gushingwa, urushinge rurakurwaho hanyuma hagashyirwa plaster nto aho rwashyizwe. |
Nyuma y'uko inkingo zirangiye?
Kubera ko ubu ari uburyo bwo kuvura hanze y’ibitaro, ushobora gutaha uwo munsi. Ariko, nimara guterwa urushinge, uzakurikiranwa mu gihe cy’iminota 15-20 mbere yo koherezwa mu rugo.
Garuka mu rugo uruhuke amasaha 24. Irinde gukora imirimo ivunanye, guterura ibyuma, cyangwa gutwara imodoka. Hashobora kubaho gukomereka cyangwa ububabare aho watewe inshinge mu minsi mike. Abantu benshi batangira kumva bameze neza mu minsi ibiri cyangwa itatu. Ariko, kuri bamwe, ibi bishobora gufata icyumweru kimwe.
Ese hari ingaruka mbi n'ibyago?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka mbi zishobora kubaho ndetse n'ibyago, ariko ingorane zikomeye ni gake cyane.
| Imiterere | Ibisobanuro |
|---|---|
| Ingaruka mbi zikunze kwitezweho | |
| Ukwiyongera kw'ububabare by'igihe gito | Ububabare bushobora kwiyongera gato mu gihe cy'umunsi umwe cyangwa ibiri kugeza igihe steroid itangiye gukora. |
| Ububabare/gukomereka aho bateye inshinge | Ibi bizashira mu minsi mike. |
| Ku barwayi ba diyabete | Steroids zishobora gutera kwiyongera kw'isukari mu maraso by'agateganyo (hyperglycemia) mu gihe cy'amasaha make cyangwa iminsi mike. |
| Ingorane zidasanzwe | |
| Kwandura | Udukoko twinjira aho twatewe inshinge. |
| Kuva amaraso | Kuva amaraso cyangwa kubumba amaraso (hematoma) hafi y'umugongo. |
| Kwangirika kw'imitsi | Ibi bibaho gake cyane. |
| Kuribwa umutwe cyane (Umutwe wo mu rutirigongo) | Bishobora guterwa no kuva amazi make mu ruti rw'umugongo. Ibi bibaho mu bihe biri munsi ya 1%. |
Niba ufite ibi bimenyetso, hita ubonana na muganga!
Niba ubonye kimwe muri ibi bimenyetso nyuma yo gutaha, hamagara muganga wawe ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe. Ibi ni ingenzi cyane.
- Niba ufite umutwe ukomeye urushaho kwiyongera iyo uhagaze cyangwa wicaye, kandi ukaruhuka iyo uryamye (ibi bishobora kuba ikimenyetso cy'umutwe urwaye uruti rw'umugongo).
- Umuriro (iki gishobora kuba ikimenyetso cy'ubwandu).
- Niba wumva ufite intege nke mu maguru yawe (iki gishobora kuba ikimenyetso cy'uko imitsi yangiritse).
- Kudashobora kugenzura ko umuntu yahagarika inkari cyangwa kwituma (iki ni ikibazo gikomeye cyane).
Ubutumwa bwo kujyana mu rugo
- Inshinge za Caudal Epidural Steroid ni uburyo bwiza kandi bwizewe bwo kuvura ububabare bw'umugongo n'amaguru.
- Ibi akenshi bifasha mu kugenzura ububabare, ntabwo bikiza burundu indwara. Ariko kugabanya ububabare bizagufasha gukora imirimo yawe isanzwe.
- Mbere yo kuvurwa, banza ubwire muganga wawe indwara zawe zose n'imiti yose ufata.
- Menya ibimenyetso biteje akaga bishobora kubaho nyuma yo kuvurwa (umuriro, kuribwa umutwe cyane, gucika intege mu maguru, kubura amara no kugenzura uruhago rw'inkari). Niba hari kimwe muri ibi kibayeho, shaka ubufasha bwa muganga vuba.
- Niba ufite ikibazo icyo ari cyo cyose kijyanye n'ubu buryo bwo kuvura, ntutindiganye kubaza muganga wawe.
Frequently Asked Questions (FAQ)
Nyuma y'uko inkingo zirangiye?
Kubera ko ubu ari uburyo bwo kuvura hanze y’ibitaro, ushobora gutaha uwo munsi. Ariko, nimara guterwa urushinge, uzakurikiranwa mu gihe cy’iminota 15-20 mbere yo koherezwa mu rugo.
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