Ngaba ngamanye amaxesha ufumana intlungu ebukhali ehla emqolo njengombane? Okanye uhlala uhlupheka ziintlungu eziphuma entanyeni yakho ziye engalo? Kunzima kakhulu ukuphila nolu hlobo lwentlungu. Xa izinto ezifana ne-physiotherapy kunye namayeza zingasebenzi, olunye unyango olucetyiswa ngoogqirha yi-'Epidural Steroid Injection' (ESI). Abantu abaninzi bayoyika oku. Ngoko ke, masithethe ngayo yonke into ngokulula nangokucacileyo namhlanje.
Kalula nje, yintoni i-'Epidural Steroid Injection' (ESI)?
Olu luhlobo lwenaliti. Kodwa ngeli xesha, awufumani mayeza aqhelekileyo okubulala iintlungu. Endaweni yoko, ufumana iyeza elikhethekileyo elinciphisa ukudumba kunye nokuvuvukala, elibizwa ngokuba yi-steroid (i-'corticosteroid') , elifakwa kwindawo apho imithambo-luvo ikhoyo emgogodleni wakho ('indawo ye-epidural').
Cinga ngomthambo wethu womqolo njengendlela enkulu ethwala imiyalezo esuka engqondweni ukuya emzimbeni wethu wonke. Indawo ekhuselekileyo ejikeleze le ndlela yileyo siyibiza ngokuba yi-'epidural space'. Xa umthambo ohamba kule ndlela ucaphuka okanye uvuvukile ngesizathu esithile, kuvela iintlungu eziqatha. Into eyenziwa yi-ESI kukufaka iyeza kumthambo ovuvukileyo, ukunciphisa ukudumba nokukunika isiqabu.
Okona kubaluleke kakhulu: I-'epidural' enikwa ukunciphisa iintlungu ngexesha lokubeleka kunye ne-'epidural' enikwa le ntlungu zizinto ezimbini ezahlukeneyo ngokupheleleyo . Ngoko ke musa ukuzibhidanisa zombini ezi zinto.
Olu tyando luyinciphisa njani intlungu?
Umqolo wethu wenziwe ngamathambo amancinci (ii-vertebrae) adibeneyo. Phakathi kwala mathambo mabini kukho 'idiski' efana nejeli. Yiyo le nto inika umqolo ukuguquguquka nokukhusela.
Ngamanye amaxesha, idiski ye-herniated (idiski ye-herniated okanye idiski evuvukileyo) inokucinezela umthambo okufutshane. Okanye, umthambo ungacinezelwa ngenxa yokuncitshiswa kwesithuba ngaphakathi komqolo (spinal stenosis). Xa umthambo ucinezelwe ngale ndlela, uyadumba uze uvuvuke, nto leyo ebangela iintlungu.
I-ESI ibandakanya ukufaka i-steroid ejikeleze imithambo-luvo evuvukileyo necinezelekileyo. Oku kunciphisa ukudumba nokudumba kwaye kunciphisa uxinzelelo kwimithambo-luvo. Oku kunika imithambo-luvo ixesha lokuphola. Abanye abantu bafumana ukukhululeka kwintlungu kangangeeveki ezimbalwa, ngelixa abanye banokudlula iinyanga. Ngamanye amaxesha, le naliti inokunceda ekuchongeni unobangela wentlungu.
Zeziphi iimeko apho kucetyiswa khona inaliti ye-ESI?
Ugqirha udla ngokucebisa i-ESI xa ezinye iindlela zonyango zingaphumelelanga ukulawula iintlungu. Le theyibhile ingezantsi ichaza oku ngakumbi.
| Imeko | Ingcaciso elula |
|---|---|
| Idiski Ehluthwe Yi-Herniated/Bulging | Idiski ehluthwe phakathi kwamathambo amabini, nto leyo ebangela ukuba idumbe ize icinezele umthambo. |
| I-stenosis yomgogodla | Ukucinezelwa kwemithambo-luvo ngenxa yokucutheka kwendlela yemithambo-luvo ngaphakathi kwintambo yomqolo. |
| Isifo Sotyando Lomqolo Olungaphumelelanga | Intlungu engapheliyo emva kotyando lomqolo. |
| IiBone spurs (iiBone Spurs / iiOsteophytes) | Ukucinezelwa kwemithambo-luvo ngenxa yamaqhuqhuva amancinci aqala emathanjeni njengoko ekhula. |
| I-Spondylolysis | Intlungu ibangelwa kukuguguleka kunye notshintsho emathanjeni omqolo. |
Iintlobo ze-ESI Injection
Kukho iintlobo ezahlukeneyo ze-ESI injections. Zahlulwe ngokwendawo ye-injection (intamo, umqolo ophakathi, umqolo osezantsi) kunye nendlela yokufaka inaliti.
- Iindidi ngokwendawo:
- I-ESI yomlomo wesibeleko: Yentlungu ephuma entanyeni iye ezantsi engalweni.
- I-ESI yesifuba: Yentlungu emqolo ophezulu nophakathi.
- I-Lumbar ESI: Yentlungu ephuma ngasemva ukuya emlenzeni (le yeyona ixhaphakileyo).
- Iindidi ngokwendlela yokufaka inaliti:
- I-Interlaminar ESI: Ukufaka inaliti phakathi kwamathambo amabini kunye nokufaka iyeza lokujova.
- I -Transforaminal ESI: Inaliti yenziwa ngomngxuma (`foramen`) apho umthambo uphuma khona kumqolo, kanye ecaleni komthambo ocinezelweyo.
- I-Caudal ESI: Ukufaka inaliti ngomngxuma osezantsi kwisiphelo somqolo.
Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena.
Ndingazilungiselela njani ngaphambi kokuba ndifakwe inaliti?
Ugqirha wakho uza kukunika imiyalelo ethile ekhethekileyo ngaphambi kokuba ufakwe inaliti. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe , qiniseka ukuba uxelele ugqirha wakho.
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi) . Angakucela ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa.
- Usenokucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kokuba ufakwe inaliti.
- Ngamanye amaxesha, i-MRI okanye i-CT scan ingayalelwa ukuze kuchongwe unobangela ochanekileyo wentlungu.
- Uza kucelwa ukuba uze nomntu ekhaya ngomhla wokufakwa inaliti, kuba ngamanye amaxesha unokunikwa isithomalalisi sokukunceda uphumle.
Kwenzeka ntoni ngokwenene xa kufakwe inaliti?
Oku kudla ngokwenziwa esibhedlele okanye ekliniki. Lonke eli xesha lithatha malunga nemizuzu eli-15-30.
1. Okokuqala, uza kulawulwa sisisu sakho ebhedini uze ulaliswe phantsi.
2. Emva koko ugqirha ucoca kakuhle indawo efakwe kuyo inaliti aze afake isibulali-ntsholongwane.
3. Okulandelayo, inaliti encinci iya kuyivala loo ndawo. Ngale ndlela, awuyi kuva ntlungu ingako xa inaliti enkulu ifaka iyeza.
4. Emva koko, kusetyenziswa into efana nomatshini we-X-reyi (`Fluoroscopy`) , inaliti ikhokelwa kwindawo echanekileyo (`indawo ye-epidural`). Kubaluleke kakhulu ukuba uhlale ungashukumi ngeli xesha.
5. Xa inaliti ikwindawo eyiyo, ngamanye amaxesha kufakwa ulwelo olubizwa ngokuba yi-contrast kwaye ukusasazeka kweyeza kujongwa kwiscreen.
6. Ekugqibeleni, amayeza e-steroid aza kufakwa emthanjeni. Ngeli xesha, ungaziva urhawuzelelwa okanye uzive ngathi uyahlaba. Oku kuqhelekile.
7. Emva kokufaka inaliti, kuya kufakwa ikotoni kwindawo leyo kwaye kuya kufakwa iplasta. Emva koko, uya kucelwa ukuba uphumle okwethutyana uze uthunyelwe ekhaya ukuba akukho ngxaki.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kunye neengozi emva kokufakwa kwenaliti?
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga ezincinci kunye neengozi ezingaqhelekanga kakhulu.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezincinci neziqhelekileyo | |
| Ukwanda kwentlungu okwethutyana | Intlungu inokwanda kancinci kangangeentsuku ezi-2-3 de iyeza liqale ukusebenza. Oku kuqhelekile. |
| Amanqanaba eswekile egazini anyukileyo | Ukuba unesifo seswekile, amanqanaba eswekile egazini lakho anokuba phezulu kangangeentsuku ezimbalwa. |
| Intlungu kwindawo yokutofa | Kusenokubakho iintlungu okanye imikrwelo emincinci kwindawo yokufaka inaliti. |
| Iingozi ezinkulu ezinokwenzeka ngokungaqhelekanga | |
| Intloko ebuhlungu kakhulu | Ukuba inaliti ingena ngengozi kulwelo lomqolo, inokubangela intloko ebuhlungu ephumayo xa uvuka. |
| Iintsholongwane | Kunqabile kakhulu ukuba iintsholongwane zingene zibangele usulelo. |
| Ukopha | Umthambo wegazi wonakele kwaye kwakheka ihlwili legazi (i-hematoma) kumqolo. |
| Umonakalo wemithambo-luvo | Kunqabile kakhulu ukuba umthambo wom ... |
Khumbula ukuba ezi ngozi zinkulu azixhaphakanga kakhulu , ingakumbi xa zenziwa ngugqirha oqeqeshiweyo nofanelekileyo.
Ziziphi iimpawu ezifuna unyango olukhawulezileyo?
Ukuba ufumana naziphi na iimpawu ezingezantsi xa ufika ekhaya emva kokufakwa inaliti, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Intloko ebuhlungu ebangwa kukusukuma okanye ukuhlala phantsi (iyaphela xa ulele).
- Umkhuhlane okanye intamo eqinileyo.
- Ukungakwazi ukulawula umchamo okanye ilindle.
- Ukuziva ngathi imilenze ayinanto okanye ibuthathaka .
Musa ukuzityeshela ezi mpawu.
Umyalezo Wokuya Ekhaya
- I-ESI yindlela yokunceda okwethutyana kwiintlungu zomqolo nentamo, ayilonyango oluphilisa ngokupheleleyo esi sifo.
- Kubaluleke kakhulu ukusebenzisa ithuba lokunciphisa iintlungu oku kukunika lona kwaye wenze kanye oko ugqirha wakho akucebisayo, njengonyango lwe-physiotherapy.
- Xa olu nyango lwenziwa ngugqirha onamava nonobuchule, umngcipheko weengxaki ezinkulu uphantsi kakhulu.
- Thetha ngokukhululekileyo nogqirha wakho malunga noloyiko okanye amathandabuzo onawo ngaphambi kokufakwa inaliti.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kokufakwa inaliti, funa ingcebiso kagqirha ngoko nangoko.
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