Intlungu yomqolo yinto ecaphukisayo kakhulu, akunjalo? Ngamanye amaxesha le ntlungu iyehla ngemilenze. Ukuba nawe unengxaki, ugqirha wakho usenokuba ukuxelele nge-'Caudal Epidural Steroid Injection'. Usenokuba waziva usoyika kancinci xa usiva elo gama, "Owu, andicingi ukuba kulungile ukufaka amayeza emqolo wakho." Kodwa ungakhathazeki, namhlanje siza kuthetha ngale nto ngokulula, kuzo zonke iinkcukacha.
Yintoni iCaudal Epidural Steroid Injection?
Ngamafutshane, le yinaliti ekhethekileyo yeyeza enikwa ezantsi komqolo wakho, ngaphezulu nje kwethambo lomsila (coccyx). Igama elithi "caudal" lithetha "umgca womsila."
Khawucinge nje, imithambo-luvo ebalulekileyo elawula izinto ezininzi emzimbeni wethu idlula kwi-spinal cord yethu. Kukho indawo encinci ejikeleze le mithambo-luvo. Ngokwezonyango, sibiza oku ngokuba yindawo ye-epidural . Ukuba ngesizathu esithile ezi ingcambu zemithambo-luvo ziyavuvukala okanye zicinezelwe, intlungu eqatha inokubakho.
Kulapho sisebenzisa khona le naliti. Oko kwenziwa yile naliti kukufaka iyeza lokulwa nokuvuvukala kwindawo ye-epidural, apho kukho imithambo-luvo evuvukileyo necinezelekileyo. Ngenxa yoku, sisebenzisa uhlobo lonyango olubizwa ngokuba yi-steroid okanye i-corticosteroid.
Musa ukoyika ukugonywa ngasemva. Olu lunyango olukhuselekileyo nolungangeni kakhulu kwiimeko ezininzi. Eyona nto ibalulekileyo kukuba lwenziwe ngugqirha onamava amahle ngale nto.
Ifuneka nini le gonyo?
Isetyenziswa kakhulu kwiintlungu ezibangelwa kukuxinana komthambo emqolo, imeko ebizwa ngokuba yi -sciatica . Le ntlungu ihamba ukusuka emqolo ukuya emilenzeni. Kukho iimeko ezahlukeneyo ezinokubangela oku.
- Iidiski zeHerniated: Iziqwenga zezinto ezifana nejeli phakathi kwamathambo omqolo ziyaphuma zize zicinezele imithambo-luvo.
- Isifo seDiski esiwohlokayo/iLumbar Spondylosis: Iidiski eziphakathi kwamathambo omqolo ziyawohloka njengoko ixesha lihamba.
- I-Lumbar Spinal Stenosis: Ukucinezelwa kwemithambo-luvo ngenxa yokuncitshiswa komjelo womgogodla apho imithambo-luvo ihamba khona.
- I-Spondylolisthesis: I-vertebra enye ityibilika phambili phezu kwenye.
- I-Facet Joint Syndrome: Iingxaki ezenzeka kumalungu amancinci adibanisa umqolo.
- Isifo Sotyando Lomqolo Olungaphumeleliyo: Intlungu engapheliyo emva kotyando lomqolo.
Kukho iindlela ezahlukeneyo zonyango kwingxaki nganye kwezi. Ugqirha wakho uya kugqiba ukuba olu gonyo lufanelekile na kwimeko yakho.Kufuneka uthethe nam uze wenze isigqibo.
Yintoni omele uyenze ngaphambi kokuba ugonywe?
Ngaphambi kokuba ucwangcise usuku lokufumana olu gonyo, ugqirha wakho uza kuthetha nawe ukuqinisekisa ukuba lukhuselekile kuwe.
- Nika imbali epheleleyo yezonyango: Qiniseka ukuba usixelela ngazo naziphi na ezinye izifo onazo (ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-glaucoma).
- Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, izongezo, kwanamayeza emveli. Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba uthatha amayeza okunciphisa igazi. Ungacelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kogonyo.
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe, xelela ugqirha wakho: Ii-X-ray ezisetyenzisiweyo ngeli xesha lonyango zinokuba yingozi kubafazi abakhulelweyo. Ngoko ke, yazisa ugqirha wakho ngaloo nto.
- Musa ukuqhuba: Enye into ebalulekileyo kukuba umntu akuqhubele ekhaya ngomhla wokugonywa, kuba akufuneki uqhube iiyure ezingama-24 emva kokugonywa.
Kwenzeka ntoni ngexesha lokufakwa kwenaliti?
Le nkqubo idla ngokuthatha malunga nemizuzu eli-15-30. Makhe sijonge inyathelo ngenyathelo indlela yokwenza oku.
| Amanyathelo | Kwenzekani? |
|---|---|
| Ukulungiselela | Uza kutshintshwa unxibe ilokhwe yesibhedlele uze ubekwe etafileni ye-X-ray ubuso bakho bujonge phantsi. Usenokuba nomqamelo phantsi kwesisu sakho ukuze ukhululeke. |
| Ukucoca | Umqolo ongezantsi apho kujovwa khona isitofu ucocwa kakuhle ngesisombululo sokubulala iintsholongwane. |
| Amayeza okubala | Ngaphambi kokufakwa kwenaliti ephambili, kunikwa inaliti encinci (i-local analgesic) ukuze ulusu olukuloo ndawo lungabi nantlungu. Ngoko awuyi kuva ntlungu ingako. |
| Ukuqinisekisa indlela | Ugqirha usebenzisa umatshini we-X-reyi okhethekileyo (i-fluoroscopy) ukuze abone kakuhle apho inaliti iza kufakwa khona. Ngamanye amaxesha kufakwa ulwelo olukhethekileyo olubizwa ngokuba yidayi yokungafani ukuze loo ndawo ibonakale ngakumbi. |
| Ugonyo oluphambili | Nje ukuba indawo echanekileyo iqinisekisiwe, inaliti ye-steroid ifakwa kwindawo ye-epidural. Usenokuziva utyhalwa kancinci ngeli xesha. Eyona nto ibalulekileyo kukuhlala ungashukumi ngeli xesha. |
| Ukugqiba | Nje ukuba inaliti igqityiwe, inaliti iyasuswa kwaye kufakwa iplasta encinci kwindawo leyo. |
Emva kokuba ugonyo lugqityiwe?
Ekubeni olu lunyango oluqhutywa ngaphandle kwesibhedlele, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, xa inaliti igqityiwe, uza kuhlolwa malunga nemizuzu eli-15-20 ngaphambi kokuba uthunyelwe ekhaya.
Yiya ekhaya uphumle iiyure ezingama-24. Kuphephe imisebenzi enzima, ukuphakamisa iintsimbi, okanye ukuqhuba imoto. Kunokubakho ukukruquka okanye ubuhlungu kwindawo yokuhlatywa inaliti kangangeentsuku ezimbalwa. Uninzi lwabantu luqala ukuziva ngcono kwiintsuku ezimbini ukuya kwezintathu. Nangona kunjalo, kwabanye abantu, oku kungathatha iveki.
Ngaba kukho iziphumo ebezingalindelekanga kunye neengozi?
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga kunye neengozi, kodwa iingxaki ezinkulu azixhaphakanga.
| Imeko | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo | |
| Ukwanda kwentlungu okwethutyana | Intlungu isenokuvakala ngathi imbi kancinci kangangeentsuku ezimbini ide iqale ukusebenza le steroid. |
| Ubuhlungu/ukugruzuka kwindawo yokuhlatywa inaliti | Oku kuza kuphela kwiintsuku ezimbalwa. |
| Kwabo banesifo seswekile | Ii-steroids zinokubangela ukunyuka okwethutyana kwamanqanaba eswekile egazini (i-hyperglycemia) kangangeeyure okanye iintsuku ezimbalwa. |
| Iingxaki ezingaqhelekanga | |
| Usulelo | Iintsholongwane ezingena kwindawo yokutofa. |
| Ukopha | Ukopha okanye ukwakheka kwe-hematoma ejikeleze umqolo. |
| Umonakalo wemithambo-luvo | Oku kwenzeka rhoqo. |
| Intloko ebuhlungu kakhulu (Intloko ebuhlungu yomqolo) | Ingabangelwa kukuvuza okuncinci kolwelo lomqolo. Oku kwenzeka ngaphantsi kwe-1% yamatyala. |
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu emva kokuba ubuyele ekhaya, fowunela ugqirha wakho ngoko nangoko, okanye uye kwigumbi likaxakeka lesibhedlele elikufutshane (ETU). Oku kubaluleke kakhulu.
- Ukuba intloko yakho ibuhlungu kakhulu, iba mandundu xa umi okanye uhlala phantsi, ize ikhululeke xa ulele (oku kungaba luphawu lwentloko ebuhlungu yomqolo).
- Umkhuhlane (oku kungaba luphawu losulelo).
- Ukuba uziva ubuthathaka okanye ungenamandla emilenzeni yakho (oku kungaba luphawu lomonakalo wemithambo-luvo).
- Ukungakwazi ukulawula ukuchama okanye ukukhupha indle (le yimeko engxamisekileyo kakhulu).
Umyalezo Wokuya Ekhaya
- Inaliti yeCaudal Epidural Steroid lunyango olusebenzayo nolukhuselekileyo lweentlungu zomqolo nemilenze.
- Oku kudla ngokunceda ukulawula iintlungu, kungekhona ukunyanga isifo ngokupheleleyo. Kodwa ukuphelisa iintlungu kuya kukunceda wenze imisebenzi yakho yesiqhelo.
- Ngaphambi konyango, qiniseka ukuba uxelela ugqirha wakho ngazo zonke izifo zakho kunye nawo onke amayeza owasebenzisayo.
- Lumka ngeempawu ezinobungozi ezinokuvela emva konyango (umkhuhlane, intloko ebuhlungu kakhulu, ukungakhululeki emilenzeni, ukungakwazi ukulawula amathumbu kunye nokulawula isinyi). Ukuba kukho nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba unemibuzo malunga nolu nyango, ungathandabuzi ukubuza ugqirha wakho.
Frequently Asked Questions (FAQ)
Emva kokuba ugonyo lugqityiwe?
Ekubeni olu lunyango oluqhutywa ngaphandle kwesibhedlele, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, xa inaliti igqityiwe, uza kuhlolwa malunga nemizuzu eli-15-20 ngaphambi kokuba uthunyelwe ekhaya.
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