Masifunde ngenaliti ekhethekileyo yokuthintela iintlungu zomqolo? (Injection yeTransforaminal Epidural Steroid)

Ngaba ubusoloko ukhathazwa ziintlungu zomqolo ixesha elide? Okanye ngaba ukhathazwa yimeko ebizwa ngokuba yi-'sciatica', efana nentlungu yokudubula emlenzeni wakho? Mhlawumbi ugqirha wakho ukuxelele ngenaliti ekhethekileyo emqolo wakho, 'i-epidural' okanye 'inaliti ye-steroid'. Kuqhelekile ukuba uninzi lwethu luzive lusoyika kwaye luxhalabile xa sisiva igama elinje. "Owu, nangona ndikujova emqolo, ngaba kukho into eyenzeka kumqolo wakho?", "Ngaba oku kuya kuba buhlungu kakhulu?", "Ngaba andizukukwazi ukuhamba emva koku?" Mhlawumbi unemibuzo emininzi engqondweni yakho. Ngoko ke namhlanje sithetha nge -Transforaminal Epidural Steroid Injection , olunyango olusebenzayo kakhulu kwiintlungu zomqolo, kodwa akukho sizathu sokuyoyika. Siza kuthetha ngayo yonke into ukusuka ku-A ukuya ku-Z ngendlela elula onokuyiqonda.

Kalula nje, yintoni le Transforaminal Epidural Steroid Injection?

Musa ukoyikiswa leli gama lide. Masilihlalutye igama negama. Emva koko uya kuqonda ukuba lilula kangakanani.

• I-Transforaminal: Oku kuthetha 'ngokusebenzisa i-foramen'. Ngoku usenokuba ubuza ukuba 'Yintoni le foramen?' Khawuthelekelele ukuba umqolo wakho wenziwe yinqwaba yamathambo omqolo, njengezitena ezibekwe phezu komnye nomnye. Phakathi kwala mathambo omqolo, macala omabini, kukho 'iingcango' ezincinci ezifana nemingxunya yemithambo-luvo eya kwamanye amalungu omzimba wethu (iingalo, imilenze). Loo mnyango apho loo mithambo-luvo iphuma khona ubizwa ngokuba yi-'Foramen''. Ngoko ke 'i-Transforaminal' ithetha 'ngokusebenzisa loo mnyango' .

• I-Epidural: Intambo yethu yomqolo yinto ebaluleke kakhulu kwaye inobuthathaka. Yiyo loo nto kukho 'i-sheath yokukhusela' etyebileyo eyijikelezileyo ukuze iyikhusele. Oku sikubiza ngokuba yi-'(Dura Mater)`. I-'Epidural' ibhekisa kwindawo 'engaphandle kwesi sheath sokukhusela' .

Eyona nto ibalulekileyo kukuba olu tyando lungaze lufakwe kwi-spinal cord yakho okanye ngqo kwi-nerve. Endaweni yoko, iyeza lifakwa kwindawo ekhuselekileyo ejikeleze i-nerve evuvukileyo ebangela intlungu. Ngoko ke akukho sizathu sokoyika ngokungeyomfuneko.

Olunye uphawu olukhethekileyo lolu nyango kukuba ugqirha ufaka olu tyando ngoncedo lomatshini we-X-ray. Oku sikubiza ngokuba yi-``(Fluoroscopy)``. Inaliti ifakwa ngelixa uyibukele, njenge-'vidiyo ephilayo'. Ke ngoko, iyeza linokufakwa ecaleni kwe-nerve yengxaki, ngaphandle kokuhambisa ne-millimeter.

Loluphi uhlobo lweengxaki olu luncedo kuzo olu tyando?

Olu tyando lusetyenziswa kakhulu ekunciphiseni iintlungu ezibangelwa kukucinezelwa okanye ukudumba komthambo womqolo. Ungalufumana uluvo oluhle ngale nto kwitheyibhile engasezantsi.

Iphi inaliti efakwa ngasemva?

Indawo yokuhlatywa ixhomekeke ekubeni intlungu yakho iphi. Kukho iintlobo ezintathu eziphambili.

• Inaliti yeLumbar: Olu lolona hlobo luqhelekileyo. Inikwa iintlungu zomqolo kunye ne-sciatica, ezibangelwa kukuxinana kwemithambo-luvo kumqolo ongezantsi (ummandla weLumbar).
• Uhlaselo lwesifuba: Olu hlaselo lunikwa ukuba unentlungu embindini womqolo wakho, oko kukuthi, kwinqanaba lesifuba, okanye ukuba intlungu isasazeka esifubeni okanye esiswini.
• Ugonyo lomlomo wesibeleko: Olu hlobo logonyo lunikezelwa kwiimeko ezifana neentlungu zentamo, iintlungu eziphuma egxalabeni ziye engalweni, okanye ukungaziva mnandi esandleni okubangelwa kukuxinana komthambo phakathi kwamathambo entanyeni.

Isebenza njani le nkqubo? Ngaba kufuneka ndiyoyike?

Le yeyona ngxaki inkulu abantu abaninzi abanayo. Masiyijonge le nkqubo inyathelo ngenyathelo.

1. Ukulungiselela: Uza kucelwa ukuba ulale ngesisu sakho ebhedini ekhethekileyo enomatshini we-X-ray.

2. Ukufaka iinumb kwindawo: Ngaphambi kokufaka inaliti, indawo iyacocwa kwaye kunikwa inaliti encinci ye-"Local Anesthesia" ukuze ulusu lungabi nazinzwa. Ngeli xesha, ungaziva utshile kancinci, njengokulunywa yimbovane. Oku kuya kuphela kwimizuzwana embalwa.

3. Ukuthomalalisa: Ukuba uxhalabile kakhulu okanye uxhalabile, ngesicelo sakho, unganikwa i-IV sedation ukukunceda uphumle kwaye uzive ulele kancinci. Oku kuya kukwenza ulale, kodwa uya kuhlala uphaphile ngokwaneleyo ukuba uthethe nogqirha wakho. Ungaxoxa ngale nto nogqirha wakho kwangaphambili.

4. Inaliti: Emva koko, ngelixa ujonge i-X-ray monitor, ugqirha uza kufaka inaliti encinci kwindawo apho umthambo ubangela intlungu khona. Ungaziva ucinezelekile kancinci ngeli xesha, kodwa akukho ntlungu ingako.

5. Inaliti: Emva kokuqinisekisa ukuba inaliti ikwindawo efanelekileyo, ugqirha uza kuyijova ngomxube weyeza elinciphisa iintlungu ngokukhawuleza kunye ne-steroid enciphisa ukudumba kwaye inike isiqabu sexesha elide.

Le nkqubo yonke idla ngokuthatha ixesha elifutshane, malunga nemizuzu engama-30 .

Wenza ntoni emva kokufakwa inaliti?

Emva konyango, uza kucelwa ukuba uphumle okwethutyana, uze emva koko uvunyelwe ukuba uye ekhaya. Yiya ekhaya uyokunyamekela ezi zinto.

• Ungasela ukutya kwakho okuqhelekileyo, iziselo kunye namanye amayeza njengangaphambili.
• Okona kubaluleke kakhulu: Musa ukuqhuba imoto kangangeeyure ezili-12 emva kokufumana igonyo, kuba usenokuba nengxaki yokuziva ungenamandla okanye ubuthathaka emilenzeni yakho.
• Kuphephe ukuphakamisa izinto ezisindayo nokuzilolonga okunzima ngaloo mini.
• Ungaqhubeka nemisebenzi yakho yesiqhelo ukususela ngosuku olulandelayo.

Olu nyango luza kuthatha ixesha elingakanani? Lungenziwa kangaphi?

Oku kuyahluka kumntu nomntu. Abanye abantu bafumana isiqabu kwiiveki ezimbalwa , ngelixa abanye behlala iinyanga bengenazo iintlungu. Ukuba olu nyango luphumelele kuwe, ungalufumana kwakhona ugonyo ukuba iintlungu ziyaphinda zibuye, njengoko ugqirha wakho ecebisile.

Ngokubanzi, kuthathwa njengokukhuselekileyo ukufumana phakathi kwe-3 kunye ne-6 injections ngonyaka. Nangona kunjalo, khumbula ukuba ukuba intlungu yakho ayiphucuki emva kwe-injection ezimbini okanye ezintathu, akunakwenzeka ukuba ezinye injections zisebenze. Kwimeko ezinjalo, ugqirha wakho uya kukucebisa malunga nonyango oluhlukileyo.

Ngaba kukho iziphumo ebezingalindelekanga? Ngaba kufuneka ndixhalabe?

Umngcipheko weengxaki ezinkulu ngolu nyango uphantsi kakhulu. Ukopha, usulelo, okanye umonakalo wemithambo-luvo kwindawo yokutofa ayiqhelekanga kakhulu.

Nangona kunjalo, ezinye iziphumo ebezingalindelekanga ezincinci zinokubakho.

• Ukuba ndindisholo okanye ubuthathaka bemilenze okanye iinyawo okwethutyana.
• Ndiziva ndinesizungu.
• Intloko ebuhlungu.

Uninzi lwezi ziphumo bezingalindelekanga ziyaphela ngokupheleleyo kwiiyure ezimbalwa, ngoko ke akukho mfuneko yokuba ukhathazeke kakhulu ngazo.

Kunini apho kufuneka ngequbuliso ubize ugqirha?

Ukuba ufumana naziphi na iimpawu ezidweliswe ngezantsi, yazisa ugqirha wakho ngoko nangoko. Kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza kwiimeko ezinjalo.