Ngaba uhlala uziva iintlungu zomqolo, ukungaziva, okanye ukurhawuzelelwa emlenzeni wakho? Ngamanye amaxesha le ntlungu inzima kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo. Kwimeko enjalo, ugqirha wakho usenokuba ukuxelele ngenaliti ekhethekileyo. Loo naliti yinto esiza kuthetha ngayo namhlanje, oko kukuthi 'iLumbar Epidural Steroid Injection'. Ungakhathazeki, masiyiqonde le nto ngokulula.
Yintoni iLumbar Epidural Steroid Injection?
Ngamafutshane, le yinaliti ekhethekileyo enikwa umqolo wakho ongezantsi (ummandla we-lumbar). Le naliti iqulathe ikakhulu iyeza elinciphisa ukudumba nokudumba. Ngokwezonyango, sibiza oku ngokuthi yi-steroid okanye i-corticosteroid.
Khawucinge nje, intambo yethu yomqolo kulapho inkqubo yemithambo-luvo ephambili ebaleka khona emzimbeni wonke ibaleka khona. Indawo encinci ejikeleze le mithambo-luvo yomqolo ibizwa ngokuba 'yindawo ye-epidural.' Kulapho ugqirha afaka khona esi steroid.
Eyona njongo iphambili yoku kukulawula ukudumba kunye nentlungu engapheliyo ebangelwa kukucinezelwa okanye ukwenzakala kweengcambu zemithambo-luvo yomgogodla. Le ntlungu siyibiza ngokuba yi-'(Lumbar Radiculopathy)'. Abantu abaninzi bayayazi le nto ngegama elithi 'Sciatica' .
Olu tyando luyinciphisa njani intlungu?
Ukuze sikuqonde oku, masiqale sifunde kancinci ngomqolo wethu.
Umqolo wethu wenziwe yinqwaba yamathambo amancinci (ii-vertebrae) abekwe phezu komnye nomnye. Phakathi kwala mathambo, njenge-'shock absorbers' emotweni, kukho umqamelo. Siwabiza ngokuba 'zii-vertebral discs' okanye 'ii-disks' . La ma-discs ngawona asivumela ukuba sigobe, solule, kwaye sijije i-spines zethu.
Ngamanye amaxesha, izinto ezifana nejeli ngaphakathi kwidiski zinokudumba zize zicinezele umthambo okufutshane. Okanye, ngokukhula, indawo engaphakathi komqolo ingaba ncinci kwaye umthambo unokucinezelwa. Kulapho umthambo uvuvukala kwaye uvuvuke, nto leyo ebangela loo ntlungu inzima.
Ngoku, khangela, ugqirha ufaka inaliti ye-steroid ngqo kwimithambo-luvo evuvukileyo nevuvukileyo. Emva koko, amandla aloo yeza anciphisa ukudumba kunye nokudumba kwimithambo-luvo. Emva koko, uxinzelelo kwimithambo-luvo nalo luyancitshiswa. Yile nto ikunika isiqabu kwintlungu yakho.
Into ebalulekileyo kukuba ukuphelisa iintlungu ngenxa yale naliti kudla ngokuba yinto yexeshana. Abanye abantu banokufumana ukuphumla kangangeenyanga ezintathu nangaphezulu, kodwa kwabanye, iintlungu zingabuya ngexesha elifutshane.
Ngubani ofanelekileyo kulo mgonyo?
Oogqirha badla ngokucebisa olu tyando lwe-sciatica, oluyintlungu ebangelwa kukucinezelwa kwemithambo-luvo emgogodleni.
- Intlungu ephuma emqolo idlule ezinqeni ize yehle emlenzeni
- Ukurhawuzelela okanye ukungakhululeki emilenzeni
- Ubuthathaka kwimisipha yemilenze
Kukho izizathu ezininzi eziphambili zezi mpawu. Jonga itheyibhile engezantsi.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| Idiski yeLumbar Herniated | Idiski ephakathi kwamathambo omqolo iyavuvukala ize icinezele umthambo. Oku kubizwa ngokuba yi-'herniated disc'. |
| I-Lumbar Spinal Stenosis | Ukuncitshiswa komjelo (indlela edlula kuyo imithambo-luvo) ngaphakathi kwikholamu yomqolo, nto leyo enokubangela ukucinezelwa kwemithambo-luvo. |
| I-Lumbar Osteoarthritis | Njengoko ukhula, amalungu namathambo omqolo ayawohloka, nto leyo enciphisa amathuba apho imithambo-luvo idlula khona, nto leyo ebangela ukucinezeleka kwemithambo-luvo. |
| Isifo seDiski esiwohlokayo | Njengoko ukhula, iidiski eziphakathi kwamathambo omqolo ziyaphela, nto leyo ebangela ukudumba kwemithambo-luvo. |
Isebenza njani inkqubo yokugonya?
Abantu abaninzi bayoyika kancinci le nto, kuba ingcinga yokufumana inaliti emqolo inokuba yinto eyoyikisayo. Kodwa oku kwenziwa ngononophelo olukhulu kwaye kwenziwa yingcali eqeqeshiweyo (njengogqirha wezifo zomzimba, ingcali yokubulala iintlungu, okanye ingcali ye-radiology). Ngoko ke akukho nto yoyikisayo.
Ukulungiselela ngaphambi kokugonywa
- Ufanele uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi).
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe, kufuneka usazise, njengoko kuza kusetyenziswa i-X-ray ngeli xesha lenkqubo.
- Usenokucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kokuba ufakwe inaliti.
- Ukuba unikwe iyeza lokuthomalalisa, uza kucelwa ukuba uze nomntu oza kukuthatha akuse ekhaya.
Ngexesha lokugonywa
Le nkqubo idla ngokuthatha malunga nemizuzu eli-15-30.
1. Uza kulaliswa ngesisu sakho ebhedini ekhethekileyo.
2. Indawo yokugonyela icocekile kwaye ihlanjululwe ngeentsholongwane.
3. Okulandelayo, ugqirha usebenzisa umatshini we-X-ray okhethekileyo obizwa ngokuba yi-fluoroscopy ukuze abone ngqo apho kufuneka kufakwe khona inaliti. Oku kufana nevidiyo ye-X-ray ephilayo.
4. Emva koko, kufakwa inaliti encinci ukuze uvale loo ndawo ukuze ungabi nantlungu ingako xa kufakwa inaliti enkulu.
5. Xa inaliti ikwindawo efanelekileyo, oko kukuthi, kwindawo ye-epidural, ugqirha uza kufaka idayi encinci ye-contrast. Oku kuya kuqinisekisa ukuba inaliti ikwindawo efanelekileyo, hayi kwimithambo yegazi okanye naphi na.
6. Ekugqibeleni, ugqirha ufaka iyeza le steroid ngononophelo.
7. Xa inkqubo igqityiwe, kuya kufakwa iplasta encinci kwindawo yokuhlatywa kwaye uya kucelwa ukuba uphumle okwethutyana. Qinisekisa ukuba awunayo i-allergy kumayeza.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile kunye nemiphumo emibi, kodwa ezi azixhaphakanga kakhulu.
| Iziphumo ebezingalindelekanga ezincinci | Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza |
|---|---|
|
Ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. |
Ngenxa yokuba ukujova rhoqo kwezi steroid kunokwenza buthathaka amathambo omqolo, oogqirha ngokubanzi abacebisi ngaphezu kokujova kabini okanye kathathu ngonyaka.
Umyalezo Wokuya Ekhaya
- I-Lumbar Epidural Steroid Injection yinaliti ekhethekileyo enikwa ukunciphisa ukudumba kunye neentlungu ezibangelwa kukucinezelwa kwemithambo-luvo yomqolo.
- Le yindlela esebenzayo kakhulu yokunceda intlungu yexeshana kwiimeko ezifana ne-sciatica.
- Olu tyando aluyinyangi ngokupheleleyo intlungu. Nangona kunjalo, isiqabu esilunikayo siya kukunceda uqalise umthambo we-physiotherapy kwaye wenze imisebenzi yakho yemihla ngemihla.
- Le yinkqubo ekhuselekileyo ngokubanzi eyenziwa yingcali eqeqeshiweyo.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kokugonywa. Ukuba kukho naziphi na izinto ezikuxhalabisayo okanye ezoyikisayo, thetha naye ngokukhululekileyo ngazo.
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