Ngaba nawe uneentlungu zomqolo ezihlala zihleli? Okanye unesifo esifana ne-'Sciatica', esibuhlungu ukusuka emqolo ukuya emilenzeni, njengomsinga, okanye esiza nokurhawuzelelwa? Ngamanye amaxesha sinokuba yintlungu esuka entanyeni ukuya ezingalweni. Ngenxa yentlungu enjalo, kufuneka ungonwabi kakhulu kwaye ungakwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo. Ngoko ke, namhlanje siza kuthetha ngendlela yonyango ephucukileyo nephumelelayo ekuvumela ukuba ulawule intlungu enjalo.
Yintoni le Transforaminal Epidural Steroid Injection?
Nangona eli gama lisenokubonakala liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu. Masiwahlule la magama.
- I-Transforaminal: Oku kuthetha "ngokusebenzisa i-foramen." Cinga ngayo, intambo yomqolo, ingcambu yemithambo-luvo ephambili evela ebuchotsheni, idlula kumqolo wethu. Kukho imingxunya emincinci phakathi kwamathambo omqolo ukuze imithambo-luvo eya kwiindawo ezahlukeneyo zomzimba iphume kulo mngxunya womqolo. Ezo mngxunya zibizwa ngokuba yi-'foramina.' Ngoko ke le naliti inikwa ngaloo mngxunya.
- I-Epidural: Intambo yethu yomqolo ijikelezwe yi-membrane engqindilili ekhuselayo ebizwa ngokuba yi-'dura mater'. I-'Epidural' ligama elinikwa indawo engaphandle kwe-membrane.
Ngamafutshane, i-Transforaminal Epidural Steroid Injection yinkqubo apho kufakwa inaliti ngomngxuma (foramen) apho umthambo womqolo uphuma khona, kwaye umxube we-steroid kunye namayeza okuthomalalisa iintlungu ufakwa kwindawo yokukhusela ejikeleze umthambo womqolo (indawo ye-epidural).
Into ebalulekileyo kukuba oku akuyonto yokufaka ngqo kwi-spinal cord okanye kwi-nerve. Iyeza lifakwa kwindawo ekhuselekileyo ejikeleze zona. Into eyenziwa leli yeza kukunciphisa ukudumba kunye nokuvuvukala okujikeleze i-nerve ebangela intlungu.
Zeziphi iimeko ezifanelekileyo kolu nyango?
Kukho izizathu ezininzi zokuba ugqirha wakho angacebisa olu nyango. Ngokuqhelekileyo, lusetyenziselwa ukulawula iintlungu ezibangelwa kukuxinana okanye ukwenzakala komthambo womqolo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Intlungu esezantsi komqolo | Iintlungu zomqolo ezihlala zisenzeka nezisongela ubomi. |
| I-Sciatica | Intlungu ebuhlungu, ukungaziva, okanye ukutsha okuvela emqolo ukuya ezimpundu ukuya emlenzeni. |
| Idiski yeHerniated | Inxalenye yomqolo efana nejeli ephumayo ize icinezele umthambo. |
| I-Spine Stenosis | Ukucinezelwa kwemithambo-luvo ngenxa yokuncitshiswa komjelo womqolo njengoko ukhula. |
| I-Pinted Neva | Intlungu kunye nokungaziva mnandi okubangelwa kukuxinana komthambo ngenxa yethambo okanye ezinye izizathu. |
| I-Bone spurs | Ukucinezelwa kwemithambo-luvo ngenxa yokwakheka kwamathambo amatsha emgogodleni. |
Ngaba olu nyango luyanyanga iindawo ezahlukeneyo zomqolo?
Ewe. Ngokuxhomekeke kwindawo ebuhlungu kuyo, olu hlaselo lunokunikwa kwiindawo ezahlukeneyo zomqolo.
- Inaliti yeLumbar: Le inikwa emqolo ongezantsi. Yile nto abantu abaninzi abayenzayo xa befumana iintlungu zomqolo kunye nentlungu ye-sciatica ehla ngemilenze yabo.
- Inaliti yesifuba: Oku kwenzelwa intlungu ebangelwa ngumthambo osembindini womqolo, umzekelo, intlungu ephuma esifubeni okanye esiswini.
- Inaliti yomlomo wesibeleko: Oku kwenziwa entanyeni. Olu nyango lusebenza kakhulu kwiintlungu ezisuka entanyeni ziye egxalabeni ukuya engalweni.
Yenziwa njani le nyango? Ingaba ibuhlungu kakhulu?
Akukho sizathu sokoyika oku. Le nkqubo yenzeka ngolu hlobo.
1. Ukulungiselela: Uza kulaliswa ngesisu sakho ebhedini ekhethekileyo enomatshini we-X-ray.
2. Ukuba ndindisho: Ngaphambi kokuba unike inaliti, ugqirha uza kufaka inaliti encinci ye-anesthetic eluswini lwakho ukuze avale indawo. Usenokuziva utshile kancinci ngeli xesha, kodwa iza kuphela emva kwemizuzwana embalwa.
3.Ukuthomalalisa: Ukuba uyafuna, unganikwa isithomalalisi ngomthambo osesandleni sakho ukunceda ukunciphisa ixhala nokwandisa intuthuzelo. Oku kuya kukwenza ulale, kodwa uya kuhlala uvukile. Ungathetha nogqirha wakho.
4. Isikhokelo se-X-reyi: Into ekhethekileyo ngolu nyango kukuba lwenziwa phantsi kwesikhokelo se-X-reyi (i-Fluoroscopy) . Oku kuthetha ukuba ugqirha angabona ingaphakathi lomqolo wakho njengevidiyo ephilayo. Ke ngoko, oku kwenziwa ngokujonga ngqo apho inaliti ifakwe khona.
5. Ukufaka inaliti: Ngelixa ejonge i-X-ray, ugqirha ufaka inaliti ende nebhityileyo kwindawo yemithambo-luvo ebangela intlungu. Emva koko, kufakwa umxube we-steroids kunye ne-anesthetic.
Lonke olu tyando luthatha malunga nemizuzu engama-30 . Awuyi kuva ntlungu ingako ngenxa yokuba ndindisholo, kodwa ungaziva utyhalwa kancinci xa inaliti ifakwa.
Yintoni ekufuneka uyilumkele emva kokufakwa inaliti?
Emva konyango, ungatya, usele, kwaye uthathe amayeza akho njengesiqhelo. Kodwa lumka ngezi zinto.
- Musa ukuqhuba imoto iiyure ezili-12 emva konyango.
- Musa ukwenza umthambo onzima okanye ukuphakamisa izinto ezinzima imini yonke.
- Ungabuyela kwimisebenzi yakho yesiqhelo ukususela ngosuku olulandelayo.
Kungathatha iiyure ezingama-24-48 ukuba le steroid isebenze. Kungathatha ukuya kuthi ga kwiiveki ezimbini ukuba ivakale ngokupheleleyo. Ukuba intlungu ayipheli emva kweeveki ezimbini, bona ugqirha wakho kwakhona ukuze nixoxe ngale ngxaki.
Isiphumo solu nyango sihlala ixesha elingakanani?
Oku kuyahluka kumntu nomntu. Abanye abantu bafumana isiqabu kwiintlungu kangangeeveki ezimbalwa ukuya kwiinyanga ezimbalwa . Ukuba olu nyango luphumelele kuwe, ungafumana ezi naliti rhoqo kangangoko kufuneka ukulawula iintlungu zakho. Ngokuqhelekileyo kuthathwa njengokukhuselekile ukufumana phakathi kweenaliti ezi-3-6 ngonyaka. Nangona kunjalo, ugqirha wakho ngoyena mntu ufanelekileyo ukuba athathe isigqibo.
Iziphumo ebezingalindelekanga kunye nezinto ekufuneka uziqaphele
Umngcipheko weengxaki ezinkulu ezivela kolu nyango uphantsi kakhulu. Lukhuselekile kakhulu kuba lwenziwa phantsi kwesikhokelo se-X-ray. Nangona kunjalo, kukho iziphumo ebezingalindelekanga ezincinci ezinokwenzeka rhoqo.
- Ukurhawuzelela okanye ubuthathaka obuncinci emilenzeni okanye ezingalweni.
- Isiyezi.
- Intloko ebuhlungu.
Ezi zihlala zinyamalala ngokupheleleyo kwiiyure ezimbalwa.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| 1. | Ukuba ukungaziva okanye ubuthathaka kwimilenze kuthatha ixesha elingaphezu kosuku. |
| 2. | Ukuba ufumana iintlungu ezintsha ezazingekho ngaphambi kokufakwa inaliti. |
| 3. | Ukuba intlungu iba mandundu. |
| 4. | Ukuba ufumanisa iimpawu zosulelo ezifana nokudumba, ukuba bomvu, ukufudumala, okanye umkhuhlane kwindawo yokutofa. |
Ukuphila neentlungu ezingapheliyo ezibangelwa ziimeko ezifana ne-sciatica kunye neediski ze-herniated kunokuba nzima. Olu nyango, olubizwa ngokuba yi-Transforaminal Epidural Steroid Injection, lunokuphucula kakhulu umgangatho wobomi bakho ngokunyanga umthambo obangela iintlungu.
Umyalezo Wokuya Ekhaya
- I-Transforaminal Epidural Steroid Injection yindlela yonyango echanekileyo nekhuselekileyo yokunciphisa iintlungu kunye nokudumba okubangelwa kukucinezelwa kwemithambo-luvo yomqolo.
- Ngenxa yokuba olu nyango lwenziwa phantsi kwesikhokelo se-X-ray, kunokwenzeka ukuba amayeza asiwe kanye apho afuneka khona.
- Olu lunyango olunceda ngokulawula iintlungu nokukuvumela ukuba wenze imisebenzi yemihla ngemihla ngokulula, endaweni yokunyanga isifo ngokupheleleyo.
- Ukunciphisa iintlungu kuyahluka kumntu ngamnye kwaye kunokuthatha iiveki ezimbalwa ukuya kwiinyanga ezimbalwa.
- Thetha nogqirha wakho malunga nokuba olu nyango lukulungele na wena kunye neenzuzo zalo ukuze wenze isigqibo esifanelekileyo.
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