Masifunde ngenaliti yokuthintela iintlungu zomqolo nentamo? Yonke into malunga ne-Epidural Steroid Injection (ESI)

Ngaba ngamanye amaxesha uziva uziva urhawuzelelwa lusuka emqolo wakho uye emlenzeni? Okanye ubusoloko ukhathazwa yintlungu esuka entanyeni uye engaloni ixesha elide? Umele ukuba ubungakwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo ngolu hlobo lwentlungu, akunjalo? Namhlanje siza kuthetha ngendlela ekhethekileyo yokujova esetyenziswa ngoogqirha ukulawula intlungu enjalo. Oku kubizwa ngokuba yi-Epidural Steroid Injection, okanye i-ESI ngamafutshane.

Ngamafutshane, yintoni i-Epidural Steroid Injection (ESI)?

Oku akuyonto inkulu njengoko kuvakala. Inaliti ye-epidural steroid (ESI) yinaliti yeyeza elibizwa ngokuba yi-steroid okanye i-corticosteroid kwindawo ejikeleze imithambo-luvo emqolo wakho. Eli yeza lisebenza ngokunciphisa ukudumba kweengcambu zemithambo-luvo, ezivuvukileyo nezivuvukileyo, ngaloo ndlela zithomalalisa iintlungu.

Cinga ngomqolo wakho njengendlela enkulu. Yindlela apho imiyalezo evela kwingqondo yakho ihamba khona emzimbeni wakho wonke. Imithambo-luvo iyaphuma kule ndlela inkulu. Ngamanye amaxesha, idiski ephakathi kwamathambo amabini inokuqhuma, okanye ngesinye isizathu, imithambo-luvo ekule ndlela inokucinezelwa okanye icinezelwe. Kulapho kuvela khona intlungu enganyamezelekiyo.

Into eyenziwa yi-ESI injection kukuya ngqo kwi-nerve exineneyo nevuvukileyo uze ufake iyeza. Oku kunciphisa ukudumba kwe-nerve, kunciphisa uxinzelelo, kwaye kunciphisa intlungu. Ukuphelisa iintlungu koku kungathatha iintsuku ezimbalwa kwabanye abantu, kwaye kwabanye kungathatha iinyanga. Kwakhona, ngamanye amaxesha le injection inceda ekufumaneni ukuba yeyiphi i-nerve ebangela intlungu.

I-ESI vaccine inikwa phantsi kweziphi iimeko?

Ugqirha wakho akayi kuyincoma le naliti ngoko nangoko. Olu hlobo lwenaliti luqwalaselwa kuphela ukuba ezinye iindlela zonyango, ezinje ngonyango lomzimba kunye neentlungu, azizange zikuncede kwiintlungu zakho.

Nazi ezinye zeemeko eziqhelekileyo apho olu gonyo luluncedo khona:

• I-Herniated Disk: Njengoko sonke sisazi, le yimeko ebizwa ngokuba yi-"herniated disk." Kulapho i-disc ephakathi kwamathambo omqolo iphuma khona ize icinezele umthambo.
• I-Spinal Stenosis: Ukucinezelwa kwemithambo-luvo ngenxa yokuncitshiswa kwendlela yomqolo ngaphakathi komqolo.
• IiSpurs zeThambo leMqolo:Ukukhula kwamathambo (njengee-spines) ngaphandle komqolo okuchaphazela imithambo-luvo.
• Isifo Sotyando Lomqolo Olungaphumeleliyo: Kwabo baqhubeka beneentlungu emva kotyando lomqolo.
• I-Scoliosis: Xa imithambo-luvo icinezelwe ngenxa yokugoba komqolo.
• I-Spondylolysis: Intlungu ebangelwa kukuwohloka komqolo njengoko ukhula.
• Kwimeko apho imithambo-luvo yomqolo yonakele ngenxa yezinye iingozi.

Ngaba kukho iintlobo zemithi yokugonya ye-ESI?

Ewe, ezi gonyo zinokwahlulwa zibe ziintlobo ezahlukeneyo ngokuxhomekeke kwindawo ezifakwe kuyo kunye nendlela yokufaka inaliti. Kubalulekile ukuba ukwazi oku.

Iintlobo zenaliti zomgogodla ngokusekelwe kwindawo yenaliti

Iintlobo zeenaliti zokujova ngokwendlela yokufakwa

Oku kubuchwephesha kancinci, kodwa masiqonde ngokulula.

• I-Interlaminar ESI: Apha, inaliti ifakwa phakathi kwee-laminae ezimbini, izakhiwo zamathambo ngasemva kwee-vertebrae ezimbini.
• I-Transforaminal ESI: Inaliti ifakwa ngemingxunya (i-foramina) apho imithambo-luvo iphuma khona emgogodleni, ifaka amayeza ngqo kwimithambo-luvo ebuhlungu.
• I-Caudal ESI:Kule meko, kufakwa inaliti ngomngxuma omncinci (i-sacral hiatus) ezantsi komqolo, ngaphezulu nje kweempundu, kwaye amayeza afakwa kwimithambo-luvo esezantsi.

Ndingazilungiselela njani ngaphambi kolu gonyo?

Kulungile, masithi ugqirha ugqibe ekubeni akunike olu tyando. Kukho izinto ezimbalwa ekufuneka uzilungiselele ngaphambi koko. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku.

• Ukuba ukhulelwe okanye uceba ukukhulelwa, qiniseka ukuba uxelele ugqirha wakho.
• Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) . Ingakumbi ukuba uthatha amayeza okunciphisa igazi , buza ukuba kufuneka uyeke na ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kokufakwa inaliti.
• Usenokucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kokuba ufakwe inaliti.
• Rhoqo, i-MRI okanye i-CT scan iyalelwa ukuze kuchongwe unobangela ochanekileyo wentlungu.
• Uza kucelwa ukuba uze nomntu oza kukuyisa ekhaya ngemoto ngomhla wokugonywa, kuba kunokuba nzima kuwe ukuqhuba emva kokugonywa.

Kwenzeka ntoni ngexesha lokugonywa?

Le nkqubo idla ngokwenziwa esibhedlele okanye kwicandelo lezigulane ezingalaliswanga. Lonke olu nyango luthatha malunga nemizuzu eli-15-30.

1. Okokuqala, uza kunikwa impahla yokutshintsha uze ucelwe ukuba ulale ngesisu etafileni.

2. Emva koko, indawo efakelwe kuyo inaliti icocwe kakuhle kwaye ibulawe iintsholongwane.

3. Okulandelayo, ukunciphisa iintlungu zenaliti enkulu efakwayo, kuya kusetyenziswa inaliti encinci ukufaka iyeza lokufaka iintlungu kuloo ndawo. Ngamanye amaxesha, unokunikwa iyeza elincinci lokufaka iintlungu ukunceda ekunciphiseni uloyiko lwakho.

4. Xa indawo ingasasebenzi kakuhle, ugqirha uza kusebenzisa into efana nomatshini we-X-ray (i-fluoroscopy) ukuqinisekisa ukuba inaliti ifakwe ngokuchanekileyo. Kubaluleke kakhulu ukuba ungawushukumisi umzimba wakho ngeli xesha.

5. Nje ukuba inaliti ifikelele kwindawo efanelekileyo ye-epidural, ngamanye amaxesha kufakwa idayi encinci (izinto ezichaseneyo) ukuze kubonwe ukuba isasazeka njani. Oku kuya kunceda ukuqinisekisa ukuba iyeza liya kwimithambo-luvo efanelekileyo.

6. Ekugqibeleni, iyeza le-steroid lifakwa kancinci kancinci.

7. Emva kokufaka inaliti, indawo iya kuqina kancinci, icocwe, kwaye kufakwe iplasta. Emva koko uya kuvunyelwa ukuba uphumle imizuzu engama-30 ukuya kwiyure, kwaye emva kokuqinisekisa ukuba akukho miphumo emibi, uya kuvunyelwa ukuba ugoduke.

Usenokuziva urhawuzelelwa kancinci, ukungabi nanto, okanye ukutshisa xa ufumana inaliti. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo, xelela ugqirha wakho ngoko nangoko.

Kwenzeka ntoni emva kokufakwa inaliti? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?

Emva kokuba ufumene ugonyo uze ugoduke, kungcono uphumle imini yonke. Kusenokubakho ukuqaqamba okanye ukukrweleka okuncinci apho ugonyo lunikwe khona. Oku kuqhelekile.

Njengakwezinye iindlela zonyango, kukho iingozi ezinokubakho kunye nemiphumo emibi. Nangona kunjalo, ezi zihlala zincinci, kwaye iingxaki ezinkulu azifumaneki rhoqo.

Ziziphi iimeko ezingxamisekileyo ezifuna ukubona ugqirha?

Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokufumana ugonyo nokuya ekhaya, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.

• Intloko ebuhlungu kakhulu eyenzeka xa uhleli okanye umile kwaye ikhululeka xa ulele.
• Ifiva.
• Ukungakwazi ukulawula umchamo okanye ilindle.
• Ukuziva ngathi imilenze ayinanto okanye ibuthathaka.

Kubaluleke kakhulu ukuzazi ezi zinto, kuba zinokuba ziimpawu zezifo ezingaqhelekanga nezinzima.