Ngaba ngamanye amaxesha ukhe uve iintlungu ezinzima kunye nokungakhululeki okuphuma emqolo wakho ukuya emlenzeni? Ugqirha wakho usenokuba ukuxelele ukuba "udinga inaliti ye-steroid emqolo wakho." Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva oku. Ngoko ke, namhlanje siza kuthetha ngokuba inaliti ye-lumbar epidural steroid iyintoni, yintoni eyenzayo, kunye nokuba kufuneka woyike na, konke ngokulula, ngolwimi onokuluqonda.
Ngamafutshane, yintoni i-Lumbar Epidural Steroid Injection?
Oku kuquka ukufaka iyeza, elifana ne-steroid okanye i-corticosteroid, kwindawo ye-epidural ejikeleze imithambo-luvo yakho yomqolo, ekwinxalenye esezantsi yomqolo wakho.
Eyona njongo iphambili yoku kukulawula iintlungu ezingapheliyo ezibangelwa kukucinezelwa okanye ukudumba kweengcambu zemithambo-luvo emgogodleni. Le ntlungu ngokwezonyango ibizwa ngokuba yi -lumbar radiculopathy . Usenokuba ukhe wayiva ibizwa ngokuba yi-sciatica . Le ntlungu inokuhamba ukusuka emqolo ukuya ezimpundu, ezantsi emlenzeni, ukuya eqatheni, kwanasenyaweni.
Olu gonyo lusebenza njani ngaphakathi emizimbeni yethu?
Ukuze sikuqonde oku, masiqale sifunde kancinci ngomqolo wethu.
Cinga ngomqolo wakho njengeqela lamathambo amancinci abekwe phezu kwelinye. Siwabiza la mathambo ngokuba zii-vertebrae . Kukho amahlanu kula mathambo asezantsi komqolo wakho. Phakathi kwala mathambo mabini, kukho indawo efana nomqamelo, efana nejeli. Siwabiza la ma-disc e-intervertebral . La ma-discs ngawo asivumela ukuba sigobe, solule, kwaye sijije umqolo wethu.
Intambo yomqolo, esebenza njenge "ntambo ephambili" yomzimba wethu, idlula kulo mqolo. Kungale ndlela apho imithambo-luvo isasazeka khona emzimbeni wonke. Ngoko ke, indawo yokukhusela ejikeleze intambo yomqolo yinto esiyibiza ngokuba yi-epidural space .
Khawucinge nje, ukuba enye yezo discs sithethe ngazo idumba kancinci, okanye ukuba indawo engaphakathi komqolo iyancipha ngenxa yesizathu esithile, umthambo odlula apho uyacinezelwa. Njengomntu onyathela umbhobho wamanzi. Emva koko loo mthambo uyadumba uze ubangele intlungu. Yiyo leyo intlungu ehla emlenzeni.
Olu tyando lubandakanya ukufaka i-steroid kwindawo ye-epidural, ecaleni kwe-nerve evuvukileyo nexineneyo. Eli yeza linciphisa ngokuthe ngqo ukudumba . Xa ukudumba kwehla, uxinzelelo kwi-nerve nalo luyehla. Emva koko intlungu oyivayo iyancipha kakhulu.
Into ebalulekileyo kukuba oku kudla ngokunika isiqabu sexeshana. Abanye abantu banokuhlala bengenazintlungu kangangeenyanga ezintathu nangaphezulu. Kodwa abanye banokufumana isiqabu esincinci, okanye bangabi naso kwaphela.
Zeziphi iimeko ezisetyenziselwa esi sitofu sokugonya?
Oogqirha bacebisa olu gonyo njengonyango lwezizathu ezahlukeneyo zentlungu yomqolo. Masiqonde ezi meko ngokulula kwitheyibhile engasezantsi.
| Imeko yezonyango | Kalula nje... |
|---|---|
| Idiski yeLumbar Herniated | Oku sikubiza ngokuba yi-"slipped disc." Ijeli ephakathi kwamathambo omqolo iyavuvukala ize icinezele umthambo okufutshane. |
| Isifo seLumbar Degenerative Disk | I-cushion ekwidiski iyaphela xa ikhula okanye ngenxa yezinye izizathu. Oku kunokubangela ukuba imithambo-luvo ivuvuke. |
| I-Lumbar Spinal Stenosis | Ukuncitshiswa kwesithuba ngaphakathi komqolo apho intambo yomqolo idlula khona. Xa kungekho sithuba saneleyo, imithambo-luvo iyacinezelwa kwaye kuvela intlungu. Intlungu iba mandundu ngakumbi xa uhamba. |
| I-Lumbar Osteoarthritis | I-arthritis yimeko ebangelwa kukuguguleka kwamalungu omqolo. Oku kunokubangela ukuba imithambo-luvo icinezeleke. |
| Iintlungu Ezisezantsi Zomqolo | Intlungu ikwindawo enye kuphela ngasemva, ayiphumi emlenzeni. |
Ndingazilungiselela njani ngaphambi kokuba ndifumane isitofu?
Kubaluleke kakhulu ukuxoxa ngezinto ezithile ngokucacileyo nogqirha wakho ngaphambi kokuba ufumane olu gonyo.
- Ukuba ukhulelwe okanye uceba ukukhulelwa, qiniseka ukuba uxelele ugqirha wakho, njengoko le nkqubo isebenzisa uhlobo lwe-X-ray (fluoroscopy).
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (imithi yokunciphisa igazi, amayeza eswekile, amayeza oxinzelelo lwegazi, iivithamini, amayeza e-Ayurvedic). Angakucela ukuba uyeke ukusebenzisa amanye amayeza kangangeentsuku ezimbalwa.
- Usenokucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kokuba ufakwe inaliti.
- Usenokucelwa ukuba wenze i-MRI okanye i-CT scan yomqolo wakho. Oku kuya kukunceda ufumane indawo echanekileyo apho kufuneka ufake khona iyeza.
- Ukuba bakunika iyeza lokukwenza ulahlekelwe zingqondo, baza kukuxelela ukuba uze nomntu oza kukuthatha akuse ekhaya.
Imibuzo elungileyo yokubuza ugqirha
Ungoyiki ukubuza imibuzo ngexesha elinje. Buza ugqirha wakho ngezi zinto.
- Olu nyango luhlala ixesha elingakanani?
- Ukuba oku akundincedi, zeziphi ezinye iindlela endinokukhetha kuzo?
- Zithini iingozi zoku?
- Ndiza kuziva ntoni xa ndifumana isitofu?
Kwenzeka ntoni ngokwenene ngexesha lokugonywa?
Le nkqubo idla ngokwenziwa esibhedlele okanye ekliniki. Ithatha imizuzu eli-15 ukuya kwengama-30. Kubaluleke kakhulu ukuba ungashukumi konke konke ngeli xesha.
La manyathelo adla ngokwenzeka:
1. Uza kutshintshwa ube yingubo ekhethekileyo uze ulale ngesisu sakho etafileni. Kuza kubakho umqamelo phantsi kwesisu sakho. Usenokunikwa intwana yepilisi yokunciphisa iintlungu ukuze ikuncede uphumle.
2. Indawo yokutofa icocekile kwaye ibulawe iintsholongwane.
3. Okulandelayo, ugqirha usebenzisa umatshini ofana ne-X-ray obizwa ngokuba yi -fluoroscopy ukuze abone kwiscreen indawo echanekileyo yokufaka inaliti.
4. Emva koko, kusetyenziswa inaliti encinci ukuvala loo ndawo. Ngoko awuyi kuva ntlungu ingako xa kufakwa inaliti enkulu.
5. Ngoku ekubeni inaliti ephambili ikwindawo elungileyo, oko kukuthi, kwindawo ye-epidural, kufakwa idayi encinci (izinto ezichaseneyo) . Emva koko i-X-ray ibonisa ukuba inaliti ayikho kwimithambo yegazi okanye naphi na, kodwa kanye apho iyeza lifanele liye khona.
6. Ekugqibeleni, ugqirha ufaka iyeza le steroid ngononophelo.
7. Xa umsebenzi ugqityiwe, inaliti iyasuswa, indawo icinezelwe kancinci, icocwe, kwaye kufakwa iplasta.
8. Emva koko, uya kuvunyelwa ukuba uphumle okwethutyana (ukusuka kwimizuzu embalwa ukuya kwiyure enye) uze uthunyelwe ekhaya emva kokuhlolwa ukuze kubonwe ukuba unayo na i-allergies kwiyeza.
Ingaba oku kuyabuhlungu? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Umbuzo abantu abaninzi abanawo kukuba ingaba oku kuya kuba buhlungu na. Xa iyeza lokubulala iintlungu lifakwa, livakala ngathi lihlatywa ngenaliti encinci. Xa inaliti ephambili ifakwa, ungaziva ngathi uxinezelekile , ulunywa, okanye utshiswe kukungabi nantlungu. Nokuba oku kuvakala njani, yinto yexeshana. Nangona kunjalo, ukuba ufumana intlungu enzima nenganyamezelekiyo, kufuneka uxelele ugqirha wakho ngoko nangoko.
Njengakwezinye iindlela zonyango, kusenokubakho iziphumo ebezingalindelekanga ezincinci.
- Ukwanda kwentlungu okwethutyana: Intlungu isenokuvakala ngathi imbi kancinci kwiintsuku ezimbini okanye ezintathu zokuqala ngaphambi kokuba iyeza liqale ukusebenza.
- Ukudumba okanye ukuqaqamba kwindawo ehlatywe kuyo inaliti: Kunokubakho ukudumba okanye ukuqaqamba okuncinci kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbalwa.
- Kubantu abanesifo seswekile: Ii-steroids zinokunyusa amanqanaba eswekile egazini okwethutyana. Ke ngoko, abantu abanesifo seswekile kufuneka balumke ngale nto.
- Kubantu abane-glaucoma: Uxinzelelo lwamehlo lunokunyuka okwethutyana.
Ngaba kukho iingozi ezinkulu onokuzoyika?
Ezi ziziganeko ezingaqhelekanga kakhulu , oko kuthetha ukuba azenzeki rhoqo. Nangona kunjalo, kubaluleke kakhulu ukuba olu nyango lwenziwe ngugqirha onamava nochwephesha ukuze kuncitshiswe ezi ngozi.
- Usulelo: Intsholongwane ingangena kwindawo apho inaliti ifakwe khona.
- Ukopha: Ukuba inaliti ibetha umthambo wegazi ize yonakalise, igazi lingaqokelelana kwindawo ye-epidural.
- Ukonakala kwemithambo-luvo: Kunqabile kakhulu ukuba inaliti ibethe kwaye yonakalise imithambo-luvo.
- Intloko ebuhlungu kakhulu: Ukuba inaliti ibetha kwi-membrane encinci ejikeleze umqolo, ulwelo oluthile lwe-cerebrospinal lunokuvuza, nto leyo ebangela intloko ebuhlungu kakhulu xa umile.
Kungenxa yemingcipheko efana nale nto oogqirha ngokubanzi bengacebisi ukugonywa okungaphezulu kwesibini okanye kathathu ngonyaka .
Zeziphi iimpawu ekufuneka zikukhuthaze ukuba ubone ugqirha ngokukhawuleza?
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kokuba ugonyiwe kwaye ubuyele ekhaya, fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) kwisibhedlele esikufutshane.
Musa ukuzityeshela ezi mpawu. Zisenokuba luphawu lwesifo esinzulu.
- Intloko ebuhlungu ebangwa kukuma okanye ukuhlala phantsi ize ikhululeke xa ulele.
- Ifiva .
- Ukungakwazi okanye ubunzima bokulawula umchamo okanye ilindle .
- Ukuziva ngathi imilenze ayinanto okanye ibuthathaka .
Umyalezo Wokuya Ekhaya
- I-Lumbar Epidural Steroid Injection lunyango olulawula iintlungu ezibangelwa kukudumba kwemithambo-luvo yomqolo, oluhlala lubonelela ngoncedo lwexeshana .
- Oku akuyi kuyinyanga ngokupheleleyo imeko yakho, kodwa kuya kunciphisa iintlungu kwaye kukuvumele ukuba wenze unyango lomzimba kwaye ubuyele kwimisebenzi eqhelekileyo.
- Nangona olu lunyango olukhuselekileyo ngokubanzi, njengakuzo zonke iindlela zonyango zonyango, kunokubakho iziphumo ebezingalindelekanga ezincinci kunye neengozi ezingaqhelekanga kakhulu.
- Landela imiyalelo kagqirha wakho ngononophelo , ngaphambi nasemva konyango. Buza nayiphi na imibuzo onokuba nayo.
- Ukuba kuvela iimpawu ezinje ngomkhuhlane, intloko ebuhlungu kakhulu, okanye ubuthathaka emilenzeni emva konyango, funa ingcebiso kagqirha ngoko nangoko .
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