Ngaba ngamanye amaxesha uziva intlungu ebukhali okanye ukungakhululeki okuphuma entanyeni yakho ukuya emagxeni nasezingalweni zakho? Usenokuba ubandezeleka kakhulu yile ntlungu kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo. Namhlanje, siza kuthetha ngonyango olunye loluhlobo lwentlungu eqatha yentamo. Olu lujovo olukhethekileyo lwe-steroid olunikwa umqolo wesibeleko.
Kalula nje, yintoni le injection?
Oku koko ngokwezonyango sikubiza ngokuba yi-cervical epidural steroid injection (ESI) . Nangona igama livakala linzima kancinci, okwenzekayo kulula kakhulu. Kubandakanya ukufaka iyeza (uhlobo lwe-steroid) elinciphisa ukudumba kunye nokuvuvukala kwindawo ye-epidural , eliyindawo ejikeleze umqolo entanyeni yakho.
Eyona njongo iphambili yoku kukulawula iintlungu ezingapheliyo ezibangelwa kukucinezelwa okanye ukudumba kweengcambu zemithambo-luvo yomgogodla entanyeni. Le ntlungu siyibiza ngokuba yiCervical Radiculopathy . Le ntlungu inokuqala entanyeni yakho ize isasazeke egxalabeni lakho, engalweni, kwaye ngamanye amaxesha ide ifikelele nakwiminwe yakho.
Ingcaciso encinci: Igama elithi "cervical" apha lithetha "intamo." Ngamanye amaxesha eli gama lisetyenziswa xa kubhekiselwa kwisibeleko, nto leyo enokubangela ukudideka kancinci. Kodwa khumbula ukuba kule naliti, igama elithi "cervical" libhekisa entanyeni.
Olu tyando luyinciphisa njani intlungu?
Cinga ngomthambo wethu womqolo njengendlela ehamba phambili ethwala ulwazi. Imiyalezo evela kwingqondo ihambahamba emzimbeni wonke, kwaye ulwazi oluvela emzimbeni luya kwingqondo ngalo mthambo womqolo. Lo mthambo womqolo ukhuselwe luluhlu lwamathambo (ii-vertebrae) abekwe phezu komnye nomnye. Kukho amathambo asi-7 amathambo omqolo kwindawo yentamo.
Ngamanye amaxesha, iindawo ezifana nejeli phakathi kwala mathambo omqolo (esizibiza ngokuba ziidiski) zinokudumba, zicinezele imithambo-luvo ephuma apho. Okanye, ngenxa yotshintsho olwenzeka ngokuhamba kweminyaka, iindlela zemithambo-luvo zinokuncitshiswa kwaye imithambo-luvo inokudumba. Kulapho ke loo ntlungu imbi ifika khona.
Olu tyando lufaka i-steroid ejikeleze umthambo ovuvukileyo nocinezelekileyo . Oku kunciphisa ukudumba nokudumba komthambo. Oku kunciphisa uxinzelelo kumthambo kwaye kunciphisa iintlungu. Kukwanika nomthambo ixesha lokuphola. Nangona kunjalo, ukuphelisa iintlungu okukunikayo kudla ngokuba kokwexeshana . Abanye abantu basenokungafumani ncedo konke konke.
Zeziphi iimeko ezisetyenziswa yile injection?
Kukho iimeko ezininzi ezibalulekileyo zempilo ezinokubangela ukuxinana kwemithambo-luvo entanyeni. Olu tyando lusetyenziswa kakhulu kwiimeko ezinjalo. Makhe sijonge ukuba zeziphi.
| Imeko | Kalula nje... |
|---|---|
| Idiski ye-Cervical Herniated | Oku sikubiza ngokuba yi-"slipped disc." Izinto ezifana nejeli ngaphakathi komqamelo phakathi kwamathambo amabini ziyavuthuluka, zicinezele umthambo okufutshane. |
| Isifo seDiski esiwohlokayo soMlomo | Njengoko sikhula, umqamelo (idiski) phakathi kwamathambo omqolo uyaphela. Oku kunokubangela ukuba imithambo-luvo ivuvuke. |
| I-Osteoarthritis yoMlomo (i-Cervical Spondylosis) | Ukwaluphala okuqhelekileyo kubangela utshintsho emathanjeni, kwiidiski, nakwiindawo ezidityanisiweyo entanyeni. Oku kunokubangela ukuba imithambo-luvo ingakwazi ukuhamba kakuhle kwaye icinezeleke. |
| I-Stenosis yoMgogodla woMbeleko | Isithuba (indlela yokungena kwemithambo-luvo) ngaphakathi komqolo wesibeleko siyancipha. Oku kubangela ukuba imithambo-luvo icinezelwe kwaye idumbe. |
Kwenzeka ntoni xa kufakwe inaliti?
Oku kwenziwa esibhedlele okanye ekliniki ngugqirha oqeqeshwe ngokukodwa. Kudla ngokuthatha malunga nemizuzu eli-15-30. Kubaluleke kakhulu ukuba ungashukumi kakhulu ngeli xesha.
La manyathelo adla ngokwenzeka:
- Okokuqala, uza kunxitywa ilokhwe yesibhedlele uze ulale ngesisu etafileni.
- Okulandelayo, ugqirha ucoca kakuhle indawo yentamo apho kuza kufakwa khona inaliti ukuthintela usulelo.
- Emva koko kuloo ndawoKunikwa inaliti encinci ye-anesthesia yendawo ukuze kuthintelwe loo ndawo . Oku kuya kukunceda uzive iintlungu ezincinci xa kufakwa inaliti enkulu. Ngamanye amaxesha unganikwa neyeza lokuthomalalisa ukuze uphumle.
- Emva kokufaka izinzwane, ugqirha usebenzisa umatshini we-X-ray okhethekileyo obizwa ngokuba yi -fluoroscopy ukukhokela inaliti kwindawo echanekileyo.
- Xa inaliti ikwindawo efanelekileyo ye-epidural, uhlobo lwedayi olubizwa ngokuba yi-contrast ngamanye amaxesha luyafakwa. Oku kwenza indawo ibonakale ngakumbi kwi-X-ray. (Ukuba une-allergy kwidayi, yitsibe eli nyathelo.)
- Ekugqibeleni, amayeza e-steroid afakwa kancinci kancinci kuloo ndawo.
- Emva kokuba inaliti igqityiwe, indawo iyacinezelwa ukuze kumiswe ukopha, icocwe, kuze kufakwe iplasta.
- Emva koko baya kukuvumela ukuba uphumle okwethutyana ukuze babone ukuba kukho naziphi na iziphumo ebezingalindelekanga. Ukuba yonke into ilungile, baya kukuvumela ukuba ugoduke.
Ngaba kuyabuhlungu kakhulu xa umnika oku?
Xa ufumana iyeza lokudambisa iintlungu, awuziva ntlungu ingako. Ngamanye amaxesha ungaziva urhawuzelelwa kancinci, utshiswe, okanye urhawuzelelwa. Oku kuya kuphela xa inaliti iphelile. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo ngexesha okanye emva kwenaliti, kufuneka uxelele ugqirha wakho ngoko nangoko.
Yintoni onokuyilindela emva kokufakwa inaliti?
Emva kokuba ubuyele ekhaya emva kokufakwa inaliti, usenokuva iintlungu ezithile apho inaliti ifakwe khona kangangeeyure ezimbalwa. Oku kuqhelekile.
Ukuba unikwa iyeza lokudambisa iintlungu, intamo, amahlombe, neengalo zakho zinokuvakala ngathi zinzima okanye zindindisholo. Oku kuya kuphela emva kwexesha elithile. Eyona nto ibalulekileyo kukuba intlungu inokwanda kancinci kwiintsuku ezimbini okanye ezintathu zokuqala emva kokufakwa inaliti . Ungakhathazeki ngayo. Oku kuqhelekile. Intlungu iya kuqala ukuncipha kwiintsuku ezimbini ukuya kwezisixhenxe. Olu ncedo lunokuhlala ukusuka kwiintsuku ezimbalwa ukuya kwiinyanga ezimbalwa.
Zithini iingenelo kunye neengozi zoku?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezithile. Kubalulekile ukuxoxa ngazo zombini ezi ndlela nogqirha wakho.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Ukufumana isiqabu sexeshana kwintlungu. | Uxinzelelo lwegazi oluphantsi, isiyezi. |
| Ukukwazi ukwenza imithambo ye-physiotherapy ngokufanelekileyo ngenxa yentlungu encinci. | Intloko ebuhlungu ebangelwa kukuvuza kolwelo lomgogodla. |
| Ukukwazi ukwenza imisebenzi yemihla ngemihla ngokulula. | Usulelo kwindawo yokutofa (lunqabile kakhulu). |
| Mhlawumbi akufuneki unyango olukhulu njengotyando. | Ukonakala komthambo wegazi, okubangela ukopha okanye ukwakheka kwamahlwili. |
| Ukonakala kwemithambo-luvo ngenxa yokubhobozwa ngenaliti (kunqabile kakhulu). | |
| Ukubuthathaka kwamathambo omqolo ngenxa yokufakwa rhoqo kwenaliti. |
Kubalulekile: Uninzi lwale mingcipheko aluqhelekanga kakhulu, ingakumbi xa lwenziwa ngugqirha oqeqeshwe kakuhle kweli candelo.
Ndifanele ndimbone nini ugqirha ngokukhawuleza?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokufumana inaliti nokuya ekhaya, fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba unentloko ebuhlungu ephuma xa usukuma, kodwa iphele xa ulele .
- Ukuba unomkhuhlane (oku kungaba luphawu losulelo).
- Ukuba ufumana ukungakhululeki okanye ubuthathaka obungapheliyo ezandleni zakho (oku kungaba luphawu lomonakalo wemithambo-luvo).
Umyalezo Wokuya Ekhaya
- Olu tyando lonyango lweentlungu eziphuma engalweni, ezibangelwa kukucinezelwa kwemithambo-luvo entanyeni.
- Oku akuniki impumuzo engunaphakade kwiintlungu, kodwa kunika impumuzo yexeshana .
- Injongo ephambili kukunciphisa iintlungu nokukuvumela ukuba wenze imithambo ye-physiotherapy ngokufanelekileyo. Ukuqinisa izihlunu ezijikeleze intamo yakho kunokubonelela ngesiqabu sexesha elide.
- Nangona olu nyango lukhuselekile ngokubanzi, kukho iingozi ezincinci, ngoko qiniseka ukuba uxoxa ngazo zonke ezi zinto nogqirha wakho ngaphambi kokuba ufumane unyango.
- Qaphela iimpawu eziyingozi ezinokubakho emva konyango. Ukuba kukho naziphi na iingxaki, funa ingcebiso kagqirha ngokukhawuleza.
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