Ngaba udiniwe kukungakwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo ngenxa yentlungu yomqolo nokungakwazi ukonwaba? Ukwenza imisebenzi yasekhaya, ukulima igadi, ukuphuma nabahlobo, nokudlala nabantwana bakho kuye kwaba nzima ngendlela engenakucingelwa ngenxa yale ntlungu yomqolo. Isizathu esiphambili sentlungu yomqolo engapheliyo kukonakala kwamalungu emqolo wethu abizwa ngokuba yi-'(Lumbar Facet Joints)'. Enyanisweni, malunga ne-45% yezigulana ezinengxaki yomqolo zineengxaki ezinxulumene nala malungu. Ngoko ke ukuba uneentlungu zomqolo okanye ubunzima bokugoba nokujika umqolo wakho, kubaluleke kakhulu ukwazi ngolu nyango lubizwa ngokuba yi-'(Lumbar Facet Joint Injection)'.
Zithini ezi Lumbar Facet Joints?
Ngamafutshane, `AmaLumbar Facet Joints` ngamalunga amancinci kumqolo wethu ongezantsi, emva kwe-vertebrae (umqolo). La malungu akwabizwa ngokuba yi`(amaZygapophysial joints)`.
Cinga ngedolo lakho. Kanye njengokuba idolo lisivumela ukuba sigobe size solule umlenze wethu, la malungu 'e-facet joints' asivumela ukuba sigobe phambili, sijikeleze emacaleni, kwaye sigcine umqolo wethu uthe tye. Kukho ulwelo lokuthambisa ngaphakathi kwala malungu. Oku kunceda la malungu ukuba ahambe kakuhle ngaphandle kokukhuhlana.
Nangona kunjalo, xa la malungu eguga, oko kukuthi, xa kuvela izifo ze-arthritis ezifana ne-"Facet Arthropathy", iintlungu zomqolo ezinganyamezelekiyo zinokwenzeka.
Ngoko ke yintoni le Lumbar Facet Joint Injection?
Oku kukwabizwa ngokuba yiLumbar Facet Joint Block. Oku kuquka ukufaka inaliti ye-anesthetic yasekuhlaleni kwilungu lomqolo elibuhlungu okanye kufutshane nalo. Ngamanye amaxesha i-steroid nayo yongezwa koku ukunciphisa iintlungu nokudumba. Ngokuxhomekeke kwimeko yakho kunye nenani lamalungu achaphazelekileyo, unokufuna inaliti enye okanye ezingaphezulu.
Le yindlela yonyango eqhelekileyo esetyenziswa kakhulu ngoogqirha abanyanga iintlungu zomqolo. Isebenza ngakumbi kwiintlungu ezibangelwa sisifo sediski esiwohlokayo kunye nezinye izizathu zentlungu yomqolo osezantsi (iintlungu zomqolo osezantsi).
Olu nyango lwenziwa ngoogqirha okanye ngabasebenzi abaqeqeshwe ngokukodwa abafumene uqeqesho olukhethekileyo ekulawuleni iintlungu , unyango lomqolo, okanye unyango lomzimba kunye nokuvuselelwa.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile kunye nemiphumo emibi. Kodwa eziKubalulekile ukukhumbula ukuba ezi ziziganeko ezingaqhelekanga. Ugqirha wakho uza kukwazisa ngoku ngokweenkcukacha.
| Imiphumela | Ingcaciso elula |
|---|---|
| Impendulo yokunganyamezelani | Ukunganyamezelani namayeza asetyenzisiweyo. |
| Usulelo | Iintsholongwane ezingena kwindawo yokutofa. (Azifumaneki rhoqo) |
| Ukopha | Inokwenzeka ngakumbi kubantu abasebenzisa amayeza okunciphisa igazi . |
| Ukulimala kwemithambo-luvo | Inokwenzeka rhoqo. |
| Ukwanda kwentlungu okwethutyana | Intlungu inokunyuka kancinci kangangeentsuku ezimbalwa emva kokufakwa inaliti. |
| Ezinye (ezingaqhelekanga) | Amanqanaba aphezulu eswekile egazini, ukurhawuzelela kobuso okwethutyana, ukuncipha koxinano lwamathambo, kunye nesifo samathambo esibuhlungu (i-avascular necrosis) sinokwenzeka. |
Ulungiselela njani ukujova?
Kukho amanyathelo aliqela ekufuneka uwalandele ngaphambi, ngexesha, nasemva kolu nyango.
Abantu abangafanelanga ukuba bafake olu tyando
Olu nyango alufanelekanga kwezinye izigulana. Ukuba uwela kwenye yezi ndidi, ngokuqinisekileyo kufuneka uxelele ugqirha wakho.
- Abantu abane-aleji kumayeza asetyenzisiweyo (amayeza entloko ebuhlungu, ii-steroids, ii-contrast agents).
- Abantu abanosulelo emizimbeni yabo.
- Abafazi abakhulelweyo .
- Abantu abaneengxaki zokopha.
- Abantu abanomhlaza womqolo okanye usulelo.
- Abantu abanesifo seswekile esingalawulekiyo okanye abanesifo sentliziyo esingapheliyo .
Izinto ekufuneka zenziwe ngaphambi nangexesha lonyango
Ugqirha wakho uza kujonga imbali yakho epheleleyo yezonyango, achaze izinto ezilungileyo nezingalunganga zolu nyango, aze aphendule imibuzo yakho. Ukuba uthatha naziphi na izithambisi -gazi , ungacetyiswa ukuba ubuze ugqirha wakho ukuba kufuneka uyeke ukuzisebenzisa kwaye njani.
Ngomhla wonyango, qiniseka ukuba wenza oku kulandelayo:
- Hlamba kakuhle, uthambise isepha, uze uzicoce.
- Musa ukufaka iloshini okanye ikhrimu enonyango kwindawo efakwe kuyo inaliti.
- Nxiba impahla ekhululekileyo, ekhululekileyo kancinci, nenombala omnyama.
- Fika esibhedlele okanye ekliniki malunga nemizuzu engama-30 ngaphambi konyango lwakho.
- Nceda uzise umntu oza kukuthatha akuse ekhaya. Akucetyiswa ukuba uqhube imoto emva konyango.
- Zisa uluhlu lwamayeza onke owasebenzisayo kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla emzimbeni.
- Ukuba uneengxelo zakho zamva nje ze-X-ray okanye ze-MRI, zizise nazo.
Kwenzeka ntoni ngexesha lonyango?
Lonke eli xesha lithatha imizuzu eli-10 ukuya kwengama-30. Uninzi lwexesha, awuyi kulaliswa ngokupheleleyo, ngoko ke uya kuba sengqondweni.
1. Okokuqala, uza kunikwa ilokhwe yesibhedlele oza kuyinxiba. Kuya kufuneka utyikitye nefomu yemvume.
2. Umongikazi uza kukusa kwigumbi lonyango aze akucele ukuba ulale ngobuso ebhedini. Isixhobo sokujonga uxinzelelo lwegazi siya kuqhotyoshelwa engalweni yakho kwaye isixhobo sokujonga izinga lentliziyo siya kuqhotyoshelwa emnweni wakho.
3. Ugqirha usebenzisa isixhobo se-X-ray ukufumana ilungu elifanelekileyo lokujova iyeza.
4. Emva koko ulusu olukuloo ndawo lucocwa ngesisombululo sokubulala iintsholongwane kwaye kufakwe iyeza elincinci elibangela ukuba umntu angabi nazimpawu. Usenokuziva utshile kancinci ngeli xesha.
5. Okulandelayo, kufakwa inaliti ephambili, kufakwe i-contrast agent, ilungu lichongwe ngokuchanekileyo, kwaye kufakwe i-steroid kunye nomxube we-painkiller. Usenokuziva uxinzelelo oluncinci emqolo wakho ngeli xesha.
6. Xa umsebenzi ugqityiwe, inaliti iyasuswa, indawo iyacocwa, kwaye kufakwa iplasta encinci.
7. Emva koko uza kusiwa kwigumbi elahlukileyo ukuze ujongwe malunga nemizuzu eli-15-45.
Emva konyango
Ukuba une-IV line, iya kususwa. Umongikazi uza kujonga uxinzelelo lwakho lwegazi aze akunike imiyalelo yoko umele ukwenze noko ungamele ukwenze xa ubuyela ekhaya. Baza kukuxelela nokuba kufuneka uyikhuphe nini ibhandeji, irekhodi lentlungu yokurekhoda intlungu yakho, kunye nokuba kufuneka uphinde uye kugqirha wakho nini.
Kubaluleke kakhulu: Ukuba ufumana ukuphefumla okukhawulezileyo, ukuquleka, iimpawu ze-allergy (ukurhawuzelelwa, amaqhuqhuva), intloko ebuhlungu kakhulu, iintlungu ezingakumbi, okanye ukungakwazi ukuzibamba emva konyango, tsalela umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe.
Umyalezo Wokuya Ekhaya
- I-Lumbar Facet Joint Injection lunyango olusebenzayo nolusetyenziswa kakhulu kwiintlungu ezingapheliyo ezibangelwa kukwahlulwa kwediski yomgogodla.
- Nangona olu lunyango olukhuselekileyo ngokubanzi, njengakwiinkqubo zonyango zonke, kukho iingozi ezincinci kunye nemiphumo emibi enokwenzeka.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi kokuba ufumane unyango. Xelela ugqirha wakho ngayo yonke imithi oyithathayo kunye nazo naziphi na iingxaki zempilo onazo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva konyango, funa ingcebiso kagqirha ngoko nangoko. Musa ukoyika kwaye ungayinaki.
- Ugqirha oza kukuhlola uza kugqiba ukuba olu nyango lukulungele na. Ngoko ke, ukuba uneentlungu zomqolo, bonana nogqirha wengqondo uze ufumane iingcebiso ezifanelekileyo.
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