Byose ku birebana n'inshinge za Transforaminal Epidural Steroid ku bubabare bw'umugongo

Ese ukunda kubabara umugongo? Cyangwa ufite indwara nka 'Sciatica', ikaba ari ububabare buva mu mugongo bujya mu maguru, nk'umugezi, cyangwa bugatera gushyuha? Hari igihe bushobora no kuba ububabare buva mu ijosi bujya mu maboko. Kubera ubu bubabare nk'ubwo, ugomba kuba ubabaye cyane kandi ntushobora gukora imirimo yawe ya buri munsi neza. Rero, uyu munsi tugiye kuvuga ku buryo bugezweho kandi bufite icyo buvuze bwo kuvura bugufasha kugenzura ubu bubabare nk'ubwo.

Uru rushinge rwa Transforaminal Epidural Steroid ni iki?

Nubwo iri zina rishobora gusa n'aho rigoye, ibisobanuro byaryo biroroshye cyane. Reka ducemo amagambo make.

• Transforaminal: Ibi bivuze "binyuze muri foramen." Tekereza nawe, umugongo, umuzi w'ingenzi w'imitsi uturuka mu bwonko, unyura mu ruti rw'umugongo rwacu. Hari utwenge duto hagati y'imitsi yo mu bwonko kugira ngo imitsi ijya mu bice bitandukanye by'umubiri isohoke muri uyu mugongo. Utwo twenge twitwa 'foramina.' Bityo uru rushinge rutangwa binyuze muri uwo mwobo.
• Epidural: Uruti rw'umugongo rwacu ruzengurutswe n'urugingo runini rurinda rwitwa `dura mater`. `Epidural` ni izina rihabwa umwanya uri hanze y'urwo rugingo.

Icy'ingenzi ni uko iki atari urushinge mu ruti rw'umugongo cyangwa mu mitsi. Umuti uterwa ahantu hizewe hafi yabo. Icyo uyu muti ukora ni ukugabanya kubyimba no kubyimba hafi y'imitsi itera ububabare.

Ni ibihe bibazo ubu buvuzi bukwiriye?

Hari impamvu nyinshi zishobora gutuma muganga wawe agusaba ubu buryo. Akenshi, bukoreshwa mu kugabanya ububabare buterwa no gukubitwa cyangwa gukomereka k'umugongo.

Ese ubu buryo bwo kuvura ibice bitandukanye by'umugongo?

Yego. Bitewe n'aho ububabare buherereye, uru rushinge rushobora gutangwa ku bice bitandukanye by'umugongo.

• Urushinge rwo mu kibuno: Uru ruterwa mu mugongo wo hasi. Ibi nibyo abantu benshi bakora ku bubabare bw'umugongo n'ububabare bwa sciatica bumanuka mu maguru yabo.
• Guterwa inshinge mu gituza: Ibi bikorwa ku bubabare buterwa n'imitsi iri hagati mu mugongo, urugero, ububabare bugera mu gituza cyangwa mu nda.
• Gutera inshinge mu mura: Ibi bikorwa mu ijosi. Ubu buryo buvura neza cyane ububabare buturuka mu ijosi bugana ku rutugu kugeza ku kuboko.

Ubu buvuzi bukorwa bute? Ese bubabaza cyane?

Nta mpamvu yo gutinya ibi. Iyi gahunda ibaho gutya.

1. Kwitegura: Uzashyirwa ku buriri bwihariye hamwe n'imashini ya X-ray, igushyire ku nda yawe.

2. Kubabara: Mbere yo gutera urushinge, muganga azagutera agace gato k'umuti ugabanya ububabare mu ruhu rwawe kugira ngo agace kawe gashire. Ushobora kumva ushyushye gato muri iki gihe, ariko bizashira mu masegonda make.

3.Kuruhuka: Niba ubyifuza, ushobora guhabwa umuti utuma umuntu aruhuka unyuze mu mutsi uri mu kuboko kugira ngo ugabanye guhangayika no kongera ihumure. Ibi bizagutera gusinzira, ariko uzaba ukiri maso. Ushobora kandi kuvugana na muganga wawe.

4. Guhabwa amabwiriza ya X-ray: Ikintu cyihariye kuri ubu buvuzi ni uko bukorwa hifashishijwe amabwiriza ya X-ray (Fluoroscopy) . Ibi bivuze ko muganga ashobora kubona imbere mu mugongo wawe nk'uko bigaragara kuri videwo. Ibi rero, bikorwa areba neza aho urushinge rwashyizwe.

5. Gutera urushinge: Mu gihe areba X-ray, muganga yitonze ashyira urushinge rurerure kandi ruto mu gace k'imitsi itera ububabare. Hanyuma, haterwa uruvange rwa steroide n'ikinyabutabire.

Igikorwa cyose kimara iminota 30. Ntuzumva ububabare bwinshi bitewe n'ibinure, ariko ushobora kumva urimo gusunika gato iyo urushinge rushyizwemo.

Ni iki ugomba kwitondera nyuma yo guterwa urushinge?

Nyuma yo kuvurwa, ushobora kurya, kunywa no gufata imiti yawe nk'uko bisanzwe. Ariko witondere ibi bintu.

• Ntugatware imodoka amasaha 12 nyuma yo kuvurwa.
• Ntukagire umunsi umwe ukora imyitozo ngororamubiri iremereye cyangwa guterura ibintu biremereye.
• Ushobora gusubira mu mirimo yawe isanzwe guhera ku munsi ukurikiyeho.

Bishobora gufata amasaha 24-48 kugira ngo steroid ikore. Bishobora gufata ibyumweru bibiri kugira ngo ingaruka zose zigaragare. Niba ububabare budashira nyuma y'ibyumweru bibiri, ongera uganire na muganga wawe kugira ngo muganire kuri iki kibazo.

Ingaruka z'ubu buvuzi zimara igihe kingana iki?

Ibi biratandukanye bitewe n'umuntu ku giti cye. Hari abantu bagira ububabare bugabanuka mu gihe cy'ibyumweru bike cyangwa amezi make . Iyo ubu buvuzi bugufashe neza, ushobora kubona izi nshinge kenshi gashoboka kugira ngo ugabanye ububabare bwawe. Muri rusange bifatwa nk'aho ari byiza kuzibona inshuro 3-6 ku mwaka. Ariko, muganga wawe ni we muntu mwiza ugomba gufata icyemezo.

Ingaruka mbi n'ibintu ugomba kwitondera

Ingaruka zikomeye zo kuvurwa ni nke cyane. Ni nziza cyane kuko bikorwa hifashishijwe X-ray. Ariko, hari ingaruka nke zishobora kubaho gake cyane.

• Kubabara gato cyangwa intege nke mu maguru cyangwa mu maboko.
• Kuzungera.
• Umutwe.

Ibi bikunze gushira burundu mu masaha make.

Kubana n'ububabare budakira buterwa n'indwara nka sciatica na herniated discus bishobora kugorana. Ubu buvuzi, bwitwa Transforaminal Epidural Steroid Injection, bushobora kuzamura ubuzima bwawe cyane binyuze mu kuvura imitsi itera ububabare.