Unowanzo nzwa kurwadziwa kwemusana, kusanzwa simba, kana kukwenya pagumbo rako here? Dzimwe nguva kurwadziwa uku kwakanyanya zvekuti haugone kuita mabasa ako ezuva nezuva nemazvo. Mumamiriro ezvinhu akadaro, chiremba wako anogona kunge akakuudza nezvejekiseni rakakosha. Jekiseni iroro ndiro ratichataura nezvaro nhasi, iro rinonzi 'Lumbar Epidural Steroid Injection'. Usazvidya moyo, ngatinzwisise izvi zviri nyore.
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Chii chinonzi Lumbar Epidural Steroid Jekiseni?
Zvichitaurwa zviri nyore, iyi ijekiseni rakakosha rinopihwa kumusana wako wepazasi (nzvimbo yelumbar). Jekiseni iri rinonyanya kusanganisira mushonga unoderedza kuzvimba nekuzvimba. Mukurapa, tinoridaidza kuti steroid kana kuti corticosteroid.
Fungidzira, musana wedu ndipo panomhanyira sisitimu huru yetsinga inofamba mumuviri wese. Nzvimbo diki yakatenderedza tsinga idzi dzemusana inonzi 'nzvimbo ye epidural.' Ndipo panobaya chiremba mushonga uyu.
Chinangwa chikuru cheizvi ndechekudzora kuzvimba uye marwadzo asingaperi anokonzerwa nekudzvanywa kana kukuvara kwemidzi yetsinga dzemusana. Tinodana marwadzo aya kuti (Lumbar Radiculopathy). Vanhu vazhinji vanoziva izvi nezita rekuti Sciatica .
Jekiseni iri rinoderedza sei marwadzo?
Kuti tinzwisise izvi, ngatitangei tadzidza zvishoma nezvemusana wedu.
Musana wedu wakagadzirwa nemapfupa madiki (vertebrae) akaunganidzwa pamusoro pemumwe nemumwe. Pakati pemapfupa aya, se 'shock absorbers' mumotokari, pane cushion. Tinodaidza aya kuti 'vertebral discs' kana kuti 'disks' . Aya madhisiki ndiwo anotibvumira kukotama, kutambanudza, uye kumonyorora misana yedu.
Dzimwe nguva, zvinhu zvakaita sejelly zviri mukati medhisiki zvinogona kubuda zvodzvanya tsinga iri pedyo. Kana, nekukura, nzvimbo iri mukati memusana inogona kuderera uye tsinga inogona kumanikidzwa. Apa ndipo apo tsinga inozvimba uye inoputika, zvichikonzera kurwadziwa kwakanyanya.
Zvino, tarisa, chiremba anobaya jekiseni resteroid zvakananga mutsinga yakazvimba uye yakazvimba. Zvadaro, simba remushonga iwoyo rinoderedza kuzvimba uye kuzvimba mutsinga. Zvadaro, kumanikidzwa kwetsinga kunoderedzwawo. Izvi ndizvo zvinokupa zororo kubva pakurwadziwa kwako.
Chinhu chakakosha ndechekuti marwadzo anobva mujekiseni iri anowanzo kuve kwenguva pfupi. Vamwe vanhu vanogona kuzorora kwemwedzi mitatu kana kupfuura, asi kune vamwe, marwadzo anogona kudzoka munguva pfupi.
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Vanachiremba vanowanzo kurudzira jekiseni iri re sciatica, rinova marwadzo anokonzerwa nekumanikidzwa kwetsinga mumusana. Ndizvo:
- Marwadzo anobuda kubva kumusana kuburikidza nemagaro uye pasi pegumbo
- Kunzwa kurwadza kana kusanzwa simba mumakumbo
- Kushaya simba mutsandanyama dzemakumbo
Pane zvikonzero zvakawanda zvinokonzera zviratidzo izvi. Ona tafura iri pazasi.
| Dambudziko rehutano | Zvakatsanangurwa zviri nyore |
|---|---|
| Dhisiki reLumbar Herniated | Disiki iri pakati pemapfupa emusana inobuda yodzvanya tsinga. Izvi zvinonzi 'disiki ine herniated'. |
| Kurwara kweLumbar Spinal Stenosis | Kutetepa kwemugero (nzira inopfuura nepakati petsinga) mukati memusana, izvo zvinogona kukonzera kumanikidzwa kwetsinga. |
| Osteoarthritis yeLumbar | Nekukura, majoini nemapfupa emusana zvinopera, zvichiita kuti mipata inopinda netsinga iite diki, zvichikonzera kudzvanywa kwetsinga. |
| Chirwere cheDiski Chinoshanduka | Nekukura, madhisiki ari pakati pemapfupa emusana anopera, zvichikonzera kuzvimba kwetsinga. |
Maitiro ekubaiwa nhomba anoshanda sei?
Vanhu vazhinji vanotya izvi, nekuti pfungwa yekubaiwa jekiseni kumusana inogona kutyisa zvishoma. Asi izvi zvinoitwa nokungwarira uye nenyanzvi yakadzidziswa (senge chiremba wemuviri, chiremba weanotindivadza, kana chiremba we radiation). Saka hapana chekutya.
Kugadzirira usati wabayiwa nhomba
- Unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kunyanya mishonga inobvisa ropa mumuviri).
- Kana uine pamuviri kana kuti uchifungidzira kuti une pamuviri, unofanira kutizivisa, sezvo X-ray ichashandiswa panguva iyi.
- Ungakumbirwa kutsanya kwemaawa mashoma usati wabayiwa jekiseni.
- Kana ukapihwa mushonga wekunyaradza, uchakumbirwa kuti uuye nemumwe munhu kuti akutore uende naye kumba.
Panguva yekubaiwa nhomba
Maitiro aya anowanzo tora maminetsi angangoita 15-30.
1. Ucharadzikwa nedumbu pamubhedha wakasarudzika.
2. Nzvimbo yekubaiwa nhomba inocheneswa zvakanaka uye inopiswa nehutachiona.
3. Tevere, chiremba anoshandisa muchina weX-ray unonzi fluoroscopy kuti aone kuti tsono inofanira kuiswa kupi chaizvo. Izvi zvakafanana nevhidhiyo yeX-ray iri mhenyu.
4. Zvadaro, jekiseni diki rinopihwa kuti nzvimbo yacho isave nechiveve kuitira kuti usanzwe kurwadziwa kwakanyanya kana tsono hombe yaiswa.
5. Kana tsono yasvika panzvimbo chaiyo, ndiko kuti, munzvimbo ye epidural, chiremba anobaya dhayi shoma ye contrast. Izvi zvinosimbisa kuti tsono iri panzvimbo chaiyo, kwete mutsinga yeropa kana kune imwe nzvimbo.
6. Pakupedzisira, chiremba anobaya mushonga wema steroid nokungwarira.
7. Kana nzira yacho yapera, plaster diki ichaiswa panzvimbo yakabayiwa jekiseni uye uchakumbirwa kuzorora kwenguva yakati. Iva nechokwadi chekuti hauna allergy nemishonga iyi.
Pane migumisiro kana njodzi dziripo here?
Sekune mamwe marapirwo ekurapa, kune dzimwe njodzi nemigumisiro, asi izvi hazviwanzoitiki.
| Migumisiro midiki | Nguva yekutsvaga mazano ekurapa nekukasika |
|---|---|
|
Kana ukaona chimwe chezviratidzo izvi, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe. |
Nekuti majekiseni aya anoenderera mberi uye anowanzoitwa nguva nenguva anogona kunetesa mapfupa emusana, vanachiremba havawanzokurudzira majekiseni anopfuura maviri kana matatu pagore.
Mharidzo Yekuenda Nayo Kumba
- Injection yeLumbar Epidural Steroid ijekiseni rakakosha rinopihwa kuderedza kuzvimba nekurwadziwa kunokonzerwa nekumanikidzwa kwetsinga dzemusana.
- Iyi inzira inoshanda zvikuru yekuderedza marwadzo kwenguva pfupi kune zvirwere zvakaita sesciatica.
- Jekiseni iri haripedzi marwadzo zvachose. Zvisinei, zororo rarinopa richakubatsira kutanga maekisesaizi ekurovedza muviri uye kuita mabasa ako ezuva nezuva.
- Iyi inzira yakachengeteka inowanzoitwa nenyanzvi yakadzidziswa.
- Tevedzera mirairo yachiremba wako nokungwarira usati wabayiwa uye mushure mekubayiwa. Kana uine zvinokunetsa kana kuti zvaunotya, taura naye pachena nezvazvo.
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