Ese ukunze kugira ububabare bw'umugongo, ibinure, cyangwa kubabara mu kaguru? Hari igihe ubu bubabare buba bukomeye cyane ku buryo udashobora no gukora imirimo yawe ya buri munsi neza. Muri iyo mimerere, muganga wawe ashobora kuba yarakubwiye iby'urushinge rwihariye. Urwo rushinge ni rwo tugiye kuvugaho uyu munsi, ari rwo 'Lumbar Epidural Steroid Injection'. Ntugahangayike, reka tubisobanukirwe mu buryo bworoshye.
Urushinge rwa Lumbar Epidural Steroid ni iki?
Mu magambo make, uru ni urushinge rwihariye rutangwa mu gice cyo hasi cy'umugongo wawe (mu gace k'umugongo). Uru rushinge rugizwe ahanini n'umuti ugabanya ububyimbirwe no kubyimba. Mu buvuzi, ibi tubyita steroid cyangwa corticosteroid.
Tekereza, umugongo wacu niho sisitemu y'imitsi inyura mu mubiri wose inyura. Ahantu hato hakikije iyi mitsi y'umugongo hitwa 'ahantu ho mu bwonko.' Niho muganga atera iyi steroid.
Intego nyamukuru y'ibi ni ukurwanya ububabare buhoraho buterwa no gukandamizwa cyangwa gukomereka kw'imitsi y'uruti rw'umugongo. Ubu bubabare tubwita `(Lumbar Radiculopathy)`. Abantu benshi babizi ku izina `Sciatica` .
Uru rushinge rugabanya ububabare gute?
Kugira ngo tubisobanukirwe, reka tubanze twige bike ku bijyanye n'umugongo wacu.
Uruti rw'umugongo rwacu rugizwe n'umurundo w'amagufwa mato (vertebrae) ashyizwe hejuru y'andi. Hagati y'aya magufwa, nk'ibikoresha "shock absorbers" mu modoka, hari umusego. Tuyita "vertebral discs" cyangwa "disks" . Aya magufwa ni yo atuma dushobora kunama, kwagura no kuzunguza amagufwa yacu.
Hari igihe ibintu bimeze nk'umusemburo biri muri disiki bishobora gukurura no gukanda imitsi iri hafi aho. Cyangwa, uko imyaka igenda ikura, umwanya uri mu mugongo ushobora kuba muto kandi imitsi ishobora gukandamizwa. Iki ni cyo gihe imitsi ibyimba kandi ikabyimba, bigatera ububabare bukomeye.
Noneho, reba, muganga atera iyo steroid mu mitsi yabyimbye kandi yabyimbye. Hanyuma, imbaraga z'uwo muti zigabanya kubyimba no kubyimba mu mitsi. Hanyuma, igitutu ku mitsi nacyo kiragabanuka. Ibi nibyo biguha ihumure ku bubabare bwawe.
Igikuru ni uko ububabare butangwa n'uru rushinge akenshi buba ubw'igihe gito. Hari abantu bashobora kuruhuka amezi atatu cyangwa arenga, ariko ku bandi, ububabare bushobora kugaruka mu gihe gito.
Uru rukingo rukwiriye bande?
Ubusanzwe abaganga basaba ko batera uru rushinge kuri sciatica, ububabare buterwa no gukanda imitsi mu mugongo. Ni ukuvuga:
- Ububabare buturuka inyuma bugaca mu matako no mu kaguru
- Kubabara cyangwa kugira ibinya mu maguru
- Intege nke mu mitsi y'amaguru
Hari impamvu nyinshi z'ingenzi zitera ibi bimenyetso. Reba imbonerahamwe iri hepfo.
| Indwara | Bisobanuwe mu buryo bworoshye |
|---|---|
| Disiki ya Herniated yo mu Kibuno | Disiki iri hagati y'imitsi y'uruti rw'umugongo irabyimba igakanda imitsi. Ibi byitwa 'disiki ya herniated'. |
| Stenose yo mu rutirigongo rwa Lumbar | Kugabanuka k'umuyoboro w'amazi (inzira imitsi inyuramo) mu gice cy'umugongo, bishobora gutera gukanda imitsi. |
| Urugongo rw'amagufwa ya osteoarthritis | Uko imyaka igenda ishira, ingingo n'amagufwa by'umugongo birashira, bigatuma inzira imitsi inyuramo igabanuka, bigatuma imitsi irushaho gukanda. |
| Indwara ya Disiki idakora neza | Uko imyaka igenda ishira, utudomo turi hagati y’imitsi y’uruti rw’umugongo turashira, bigatera kubyimba kw’imitsi. |
Uburyo bwo gukingira bukora bute?
Abantu benshi batinya ibi gato, kuko igitekerezo cyo guterwa urushinge mu mugongo gishobora gutera ubwoba. Ariko ibi bikorwa witonze cyane kandi bigakorwa n'inzobere yabyigiye (nk'inzobere mu by'umubiri, inzobere mu by'imiti igabanya ububabare, cyangwa inzobere mu by'imirasire). Rero nta kintu cyo gutinya.
Kwitegura mbere yo gukingirwa
- Ugomba kubwira muganga wawe imiti yose ufata (cyane cyane imiti igabanya amaraso).
- Niba utwite cyangwa ukeka ko utwite, ugomba kubitumenyesha, kuko muri iki gikorwa hazakoreshwa X-ray.
- Ushobora gusabwa kwiyiriza ubusa amasaha make mbere yo guterwa urushinge.
- Niba uhawe umuti wo kugabanya ububabare, uzasabwa kuzana umuntu wo kugutwara mu rugo.
Mu gihe cyo gukingirwa
Ubusanzwe iki gikorwa kimara iminota 15-30.
1. Uzaryamishwa inda yawe ku buriri bwihariye.
2. Aho gukingirwa hasukurwa neza kandi hagashyirwamo imiti yica udukoko.
3. Hanyuma, umuganga akoresha imashini yihariye ya X-ray yitwa fluoroscopy kugira ngo arebe neza aho urushinge rugomba gushyirwa. Ibi ni nk'amashusho ya X-ray imbonankubone.
4. Hanyuma, uterwa urushinge ruto kugira ngo ushire ibisebe ku buryo utababara cyane iyo ushyizemo urushinge runini.
5. Iyo urushinge rumaze kugera ahantu heza, ni ukuvuga mu mwanya wa epidural, muganga azatera irangi rito ry’uruvange rw’amaraso. Ibi bizashimangira ko urushinge ruri ahantu heza, atari mu mitsi y’amaraso cyangwa ahandi hantu.
6. Amaherezo, muganga atera umuti wa steroid witonze.
7. Iyo igikorwa kirangiye, hashyirwa plaster nto aho watewe inshinge hanyuma uzasabwa kuruhuka gato. Menya neza ko udafite ubwivumbure ku muti.
Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe n'ingaruka mbi, ariko izi ni gake cyane.
| Ingaruka mbi nto | Igihe cyo gushaka inama z'abaganga byihutirwa |
|---|---|
|
Niba ubonye kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. |
Kubera ko gutera izi steroid kenshi kandi kenshi bishobora gutuma amagufwa y'umugongo acika intege, abaganga muri rusange ntibasaba inshinge zirenze ebyiri cyangwa eshatu ku mwaka.
Ubutumwa bwo kujyana mu rugo
- Urushinge rwa Lumbar Epidural Steroid ni urushinge rwihariye rutangwa kugira ngo rugabanuke ububabare n'ububyimba buterwa no gukanda imitsi yo mu ruti rw'umugongo.
- Ubu ni uburyo bwiza cyane bwo kugabanya ububabare bw'igihe gito ku ndwara nka sciatica.
- Uru rushinge ntabwo 'rukiza' ububabare burundu. Ariko, ubutabazi butanga buzagufasha gutangira imyitozo ngororamubiri no gukora imirimo yawe ya buri munsi.
- Ubu buryo muri rusange butekanye bukorwa n'inzobere yabuhuguwe.
- Kurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo gukingirwa. Niba ufite impungenge cyangwa ubwoba, muganire nawe nta guhishanya.
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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.