Ese ububabare bwo mu ijosi bwawe buva ku rutugu rwawe cyangwa ku kuboko kugera ku ntoki zawe? Ese rimwe na rimwe ukuboko kwawe kumva nta kintu kigutwaye cyangwa gucika intege? Ibimenyetso nk'ibi bikunze kugaragara ku bantu benshi. Uyu munsi, tugiye kuvuga ku inshinge zidasanzwe zishobora kuba igisubizo kimwe muri ibi.
Mu magambo make, urushinge rwa steroid yo mu mura (cervical epidural steroid) ni iki?
Ntugatinye izina rinini. Mu magambo make, uru ni urushinge rw'umuti (steroid) ugabanya kubyimba mu mwanya muto witwa 'epidural space' mu ijosi ryawe, hafi y'umugongo wawe.
Intego nyamukuru y'ibi ni ukurwanya ububabare buhoraho buterwa n'umuzi w'imitsi mu ijosi ryawe urushaho gukandamizwa no kubyimba. Iyi ndwara izwi mu buvuzi nka 'Cervical Radiculopathy' . Ubu ni ububabare buva mu ijosi ryawe bukagera ku kuboko.
Reka nsobanure gato. Ijambo 'cervical' muri iryo zina rikomoka ku ijambo ry'ikilatini risobanura 'ijosi'. Kubwibyo, uru rukingo ruterwa mu ijosi, ntabwo ruterwa mu mura w'abagore. Kusa kw'ayo magambo yombi bishobora gutera urujijo.
None se, uru rushinge rugabanya ububabare gute?
Kugira ngo tubisobanukirwe neza, reka tubanze turebe imiterere y'ijosi ryacu.
Uruti rw'umugongo wawe rugizwe n'amagufwa 7 mato yitwa vertebrae . Hagati y'aya magufwa, kimwe n'ibikoresho bigabanya impanuka, hari disiki zimeze nk'umusemburo zitwa disiki zo hagati y'amagufwa . Izi zirinda umugongo, umeze nk'umugozi wa supercomputer umanuka uva mu bwonko bwawe.
Aha rero niho imitsi ijya mu maboko yawe, amaguru, no ku mubiri wawe wose iva muri uyu mugongo. Hari igihe, bitewe n'uruti rw'umugongo rurwaye, cyangwa bitewe n'impinduka ziba uko ugenda usaza, uyu muzi w'imitsi ushobora gukandamizwa. Iyo imitsi ikandamizwa, irabyimba igatangira kubabara.
Icyo gihe ni bwo uru rushinge ruba ingenzi. Muganga atera iyi steroid mu mitsi yabyimbye kandi yarakaye.
- Steroid ikora iki? Igabanya ku buryo butaziguye kubyimba kw'iyo mitsi.
- Bigenda bite iyo kubyimba kugabanutse? Umuvuduko ku mitsi uragabanuka.
- Bigenda bite iyo umuvuduko ugabanutse? Ububabare n'ibinya wumva bigabanuka buhoro buhoro.
Mu magambo make, ibi bireba kugera ku mizi y'ikibazo, gukoresha imiti, kugabanya kubyimba, no guha imitsi amahirwe yo gukira. Ariko ibuka ko akenshi iki ari igisubizo cy'igihe gito gusa.Hari abantu bashobora kutabona ububabare ubwo ari bwo bwose.
Ni ubuhe bwoko bw'ibibazo by'ijosi uru rukingo rukoreshwa?
Uru rukingo rukoreshwa cyane cyane ku ndwara navuze mbere yitwa 'Cervical Radiculopathy'. Ni ukuvuga ku bimenyetso biterwa no gupfunyika kw'imitsi mu ijosi. Ibyo bimenyetso ni ibi bikurikira:
- Ububabare bugera mu ijosi, ku rutugu no ku kuboko
- Ubumuga mu biganza no mu ntoki
- Intege nke mu mitsi y'ikiganza (nk'aho bigoye gufata ikintu)
- Kumva urimo gushyuha , nk'aho umuntu akubiswe n'amashanyarazi
Dore zimwe mu ndwara z'ingenzi zishobora gutera ibi bimenyetso.
| Imiterere y'indwara | Bisobanuwe mu buryo bworoshye |
|---|---|
| Udukingirizo twa Herniated y'inkondo y'umura | Disiki ya herniated ni disiki ya herniated icika, igatuma ibintu bimeze nk'umusemburo imbere bisohoka bigakanda imitsi iri hafi aho. Iyi ni yo mpamvu nyamukuru itera ububabare mu ijosi. |
| Indwara yo kwangirika kw'imitsi yo mu mara | Uko tugenda dusaza, utudomo turi hagati y’imitsi y’uruti rw’umugongo turashira, ibyo bikaba bishobora gutuma imizi y’imitsi ibyimba. |
| Osteoarthritis yo mu maraso/Spondylose yo mu mura | Uko tugenda dusaza, impinduka ziba mu magufwa, mu turemangingo tw’ijosi no mu ngingo z’ijosi. Ibi bishobora kugabanya umwanya uri imbere mu mugongo bigatuma imitsi irushaho gukandagira. |
| Stenose yo mu mugongo w'inkondo y'umura | Umuyoboro w'umugongo unyura mu ijosi uragabanuka kubera impamvu zitandukanye. Iyo umwanya ugabanutse, haba hari umwanya munini wo gukanda imitsi. |
Ni iki wakora mbere yo kubona uru rukingo?
Nyuma yuko umuganga wawe afashe icyemezo cyo kuguha uru rukingo, azaguha amabwiriza yihariye, ugomba gukurikiza.
- Niba utwite cyangwa uteganya gusama, ugomba kubimenyesha muganga wawe, kuko ubu buryo bushobora gusaba gukoresha X-ray.
- Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Ni ngombwa cyane cyane kubwira muganga wawe imiti igabanya amaraso . Muganga wawe ashobora kugusaba guhagarika kuyifata iminsi mike.
- Ushobora gusabwa kwiyiriza ubusa amasaha make mbere yo kubona urukingo.
- Akenshi, hakorwa isuzuma rya MRI cyangwa CT kugira ngo harebwe neza aho ikibazo kiri.
- Uzasabwa kuzana umuntu wo kugutwara mu rugo ku munsi wo guterwa urushinge, kuko ushobora guhabwa umuti woroshye wo kugabanya ububabare.
Bigenda bite iyo urukingo rutanzwe? Ese rurababaza?
Ubusanzwe iki gikorwa kimara hagati y'iminota 15 na 30. Ni ngombwa cyane ko uguma utuje uko bishoboka kose muri iki gihe.
Uko inzira ikora:
1. Kwitegura: Uzahindurwa ikanzu yo kwa muganga hanyuma uryamishwe ku meza ku nda yawe.
2. Gusukura: Agace k'ijosi aho urukingo rwatewe gasukurwa neza n'umuti wica udukoko. Ibi bigabanya ibyago byo kwandura.
3. Gutera ibisebe: Hanyuma, muganga azatera umuti utera ibisebe aho watewe urushinge akoresheje urushinge ruto. Ibi bizagufasha kutiyumva cyane iyo utewe urushinge runini.
4. Gushyiramo urushinge: Hanyuma, hifashishijwe imashini yihariye ya X-ray yitwa fluoroscopy , muganga ayobora urushinge rw'inshinge aho neza neza, hafi y'imitsi.
5. Gutera urushinge: Iyo urushinge rugeze ahantu heza, muganga azarutera witonze. Hari igihe umuti utera ibisebe ushobora kuvangwa na steroid.
6. Iherezo: Nyuma yo gutera urushinge, hashyirwamo agapira gato aho urushinge rwashyizwe, kandi uzakurikiranwa mu gihe cy'iminota 30 mbere yo koherezwa mu rugo.
Ububabare bumeze bute?
Umuti utera ibisebe uzumva nk'aho agakoko gato kakuruma. Ushobora kumva igitutu , kumva urimo kuruma , kumva ushyushye , cyangwa ububabare bw'igihe gito iyo utewe urushinge rw'ingenzi. Ariko, icyo wumva cyose kizashira nyuma yo kuruterwa.
Niba wumva ububabare budashobora kwihanganira, ugomba guhita ubimenyesha muganga wawe.
Bigenda bite nyuma yo gukingirwa ugataha?
Umaze gutaha, ushobora kumva ububabare gato aho urushinge rwashyizwe. Ibi ni ibisanzwe. Bizashira mu masaha make. Niba warahawe umuti utuma umuntu ababara, ushobora kumva uburemere buke cyangwa ubabara mu ijosi, ku rutugu, cyangwa ku kuboko igihe gito. Ibyo nabyo bizashira nyuma y'igihe gito.
Muganga azakubwira kuruhuka umunsi wose kandi ntugakore cyane .
Igikuru ni uko ububabare bwawe bushobora kwiyongera gato mu minsi ibiri cyangwa itatu ya mbere nyuma yo guterwa urushinge. Ntugahangayike kuri ibi. Ibi ni ibisanzwe. Umuti wa steroid utangira gukora mu minsi ibiri kugeza kuri irindwi . Nyuma y'ibyo, ububabare buzatangira kugabanuka.
Ni izihe nyungu n'ingaruka z'uru rukingo?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bufite ibyiza n’ibyago.
| Ibyiza | Ingaruka n'ingorane |
|---|---|
| Bitanga ihumure ry'igihe gito ku bubabare. | Umuvuduko w'amaraso uri hasi, isereri. |
| Kubera ko ububabare buba buke, biroroha gukora imyitozo ngororamubiri. | Kuribwa umutwe cyane guterwa no kuva amazi mu ruti rw'umugongo. |
| Imirimo ya buri munsi ishobora gukorwa byoroshye. | Kwandura aho urushinge rugeze (hakunze kubaho cyane). |
| Wenda ubuvuzi bukomeye nko kubagwa bushobora kuba budakenewe. | Uburyo bwo kugira ubwivumbure ku miti. |
| Kuva amaraso cyangwa kwangirika kw'imitsi bitewe n'uko urushinge rwinjiye mu mitsi y'amaraso mu buryo butunguranye (bidakunze kubaho cyane). | |
| Guterwa inshinge kenshi bishobora gutuma amagufwa cyangwa imitsi yo mu mugongo icika intege. |
Ibyinshi muri ibi bibazo ni gake cyane . Guhabwa ubu buvuzi n'umuganga w'inararibonye kandi w'umuhanga bishobora kugabanya cyane ibi byago.
Inyungu y'uru rukingo imara igihe kingana iki?
Ibi biratandukanye bitewe n'umuntu ku giti cye. Hari abantu bagira ububabare bugabanuka mu minsi mike cyangwa amezi make . Hari ubushakashatsi bwagaragaje ko ububabare bugabanuka bushobora kumara amezi 12-24. Ariko, ibi ntibikunze gutuma umuntu aruhuka burundu .
Abaganga benshi ntibatanga izi nshinge zirenze ebyiri cyangwa eshatu mu mwaka, kuko atari byiza gutera imiti ya steroid kenshi.
Ni ryari ugomba kubonana na muganga byihutirwa?
Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo gukingirwa no gutaha, hamagara muganga wawe vuba bishoboka. Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro bikwegereye.
- Kuribwa umutwe cyane: Cyane cyane iyo umutwe urushijeho gukomera iyo uhagaze cyangwa wicaye kandi ukagabanuka iyo uryamye.
- Umuriro: Iki gishobora kuba ikimenyetso cy'ubwandu.
- Niba wumva ufite ibinya cyangwa intege nke mu biganza byawe.
Amaherezo, uru rukingo ni bumwe mu buryo bwo kuvura ububabare bwo mu ijosi. Gukoresha uburyo bw'agateganyo butanga, hamwe n'imyitozo ngororamubiri yo gukomeza imitsi iri hafi y'ijosi ni bwo buryo bwiza bwo kugabanya ububabare mu gihe kirekire. Niba ufite ikibazo kuri ibi, ntutindiganye kubaza muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Inshinge ya 'Cervical Epidural Steroid Injection' ni inshinge zidasanzwe zitangwa kugira ngo zigabanye kubyimba mu mitsi, zikoreshwa mu kuvura ububabare n'ibinya biva mu ijosi bikagera ku kuboko.
- Ibi akenshi bitanga ubutabazi bw'agateganyo, bushobora gukoreshwa mu gukomeza ubundi buryo bwo kuvura, nko kuvura umubiri.
- Ni ngombwa kumenyesha muganga wawe imiti yose ufata ndetse niba utwite mbere yo kuvurwa.
- Ububabare bushobora kwiyongera gato mu minsi mike ya mbere nyuma yo guterwa urushinge, ariko ibi ni ibisanzwe.
- Niba umaze gukingirwa ugize ikibazo gikomeye cyo kubabara umutwe, umuriro, cyangwa intege nke mu kuboko, shaka ubufasha bwa muganga ako kanya.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.