Ubuhlungu bomhlane buyinto ecasulayo kakhulu, akunjalo? Ngezinye izikhathi lobu buhlungu buyehla emilenzeni. Uma nawe ubhekene nale nkinga, udokotela wakho kungenzeka ukuthi ukutshelile nge-'Caudal Epidural Steroid Injection'. Kungenzeka ukuthi uzizwe wesaba kancane lapho uzwa lelo gama, "O, angicabangi ukuthi kulungile ukufaka umuthi emhlane wakho." Kodwa ungakhathazeki, namuhla sizoxoxa ngalokhu kalula, ngayo yonke imininingwane.
Iyini i-Caudal Epidural Steroid Injection?
Kalula nje, lokhu kuwumjovo okhethekile womuthi onikezwa phansi komgogodla wakho, ngaphezu nje kwethambo lomsila (i-coccyx). Igama elithi "caudal" lisho "uhlangothi lomsila."
Cabanga nje, imizwa ebalulekile elawula izinto eziningi emzimbeni wethu idlula emgogodleni wethu. Kunesikhala esincane esizungeze le mizwa. Ngokwezokwelapha, lokhu sikubiza ngokuthi isikhala se-epidural . Uma ngesizathu esithile le zimpande zemizwa zivuvukala noma zicindezelwa, ubuhlungu obukhulu bungaba khona.
Yilapho sisebenzisa khona lo mjovo. Lo mjovo okwenziwa yilo mjovo ukufaka umuthi wokulwa nokuvuvukala endaweni ye-epidural, lapho kukhona khona imizwa evuvukile necindezelwe. Kulokhu, sisebenzisa uhlobo lomuthi olubizwa ngokuthi i-steroid noma i-corticosteroid.
Ungesabi ukuthola umjovo emhlane. Lokhu kuyindlela yokwelapha ephephile, engangenisi kakhulu ezimweni eziningi. Into ebaluleke kakhulu ukuthi yenziwe ngudokotela onolwazi oluhle ngalokhu.
Lo mjovo udingeka nini?
Ivame ukusetshenziswa kakhulu ebuhlungu obubangelwa ukucinana komthambo emhlane, isimo esibizwa ngokuthi i-sciatica . Lobuhlungu buhamba kusukela emhlane kuya emilenzeni. Kunezimo eziningana ezingabangela lokhu.
- Ama-Herniated Discs: Izingcezu zezinto ezifana nojeli phakathi kwamathambo omgogodla ziyaphuma bese zicindezela imizwa.
- Isifo Sediski Esiwohlokayo / I-Lumbar Spondylosis: Ama-disc aphakathi kwamathambo omgogodla ayawohloka njengoba ekhula.
- I-Lumbar Spinal Stenosis: Ukucindezeleka kwemizwa ngenxa yokuncishiswa komsele womgogodla lapho imizwa ihamba khona.
- I-Spondylolisthesis: I-vertebra eyodwa ishelela phambili phezu kwenye.
- I-Facet Joint Syndrome: Izinkinga ezenzeka emalungeni amancane axhumanisa umgogodla.
- Isifo Sokuhlinzwa Komhlane Ohlulekile: Ubuhlungu obuqhubekayo ngemva kokuhlinzwa komhlane.
Kunezindlela eziningana zokwelapha lesi simo ngasinye. Udokotela wakho uzonquma ukuthi lo muthi wokugomela uyafaneleka yini esimweni sakho.Udinga ukukhuluma nami bese unquma.
Yini okufanele uyenze ngaphambi kokugonywa?
Ngaphambi kokuba uhlele usuku lokuthola lo muthi wokugoma, udokotela wakho uzokhuluma nawe ukuqinisekisa ukuthi uphephile kuwe.
- Nikeza umlando ophelele wezokwelapha: Qiniseka ukuthi usitshela nganoma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela, umfutho wegazi ophakeme, i-glaucoma).
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, izithasiselo, ngisho nemithi yendabuko. Kubaluleke kakhulu ukutshela udokotela wakho uma uthatha imithi yokunciphisa igazi. Ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokugonywa.
- Uma ukhulelwe noma usola ukuthi ukhulelwe, tshela udokotela wakho: Ama-X-ray asetshenziswa phakathi nalokhu kwelashwa angaba yingozi kwabesifazane abakhulelwe. Ngakho-ke, yazisa udokotela wakho ngalokho futhi.
- Ungashayeli: Enye into ebalulekile ukuthi othile akushayele ekhaya ngosuku lokugoma, njengoba kungafanele ushayele amahora angama-24 ngemva kokugoma.
Kwenzekani ngesikhathi somjovo?
Le nqubo ivame ukuthatha cishe imizuzu eyi-15-30. Ake sibheke isinyathelo ngesinyathelo ukuthi lokhu kwenziwa kanjani.
| Izinyathelo | Kwenzekani? |
|---|---|
| Ukulungiselela | Uzoshintshwa ube yingubo yasesibhedlela bese ubekwa phansi ubheke phansi etafuleni le-X-ray. Ungase ube nomcamelo ngaphansi kwesisu sakho ukuze ududuzeke. |
| Ukuhlanza | Ingxenye engezansi yomhlane lapho kujovwa khona umuthi wokugoma ihlanzwa kahle ngesisombululo se-antiseptic. |
| Umuthi wokwenza izinombolo | Ngaphambi komjovo oyinhloko, kunikezwa umjovo omncane (i-local anesthetic) ukuze kuncishiswe isikhumba kuleyo ndawo. Ngakho ngeke uzwe ubuhlungu obukhulu. |
| Ukuqinisekisa umzila | Udokotela usebenzisa umshini we-X-ray okhethekile (i-fluoroscopy) ukuze abone kahle ukuthi inaliti izofakwa kuphi. Ngezinye izikhathi kufakwa uketshezi olukhethekile olubizwa ngokuthi idayi yokungafani ukuze indawo ibonakale kakhudlwana. |
| Ukugoma okuyinhloko | Uma indawo efanele isiqinisekisiwe, umjovo we-steroid ufakwa esikhaleni se-epidural. Ungase uzizwe ucindezelwa kancane kuleli qophelo. Into ebaluleke kakhulu ukuhlala unganyakazi phakathi nalesi sikhathi. |
| Ukuqeda | Uma umjovo usuqediwe, inaliti iyasuswa bese kufakwa iplasta encane endaweni lapho kufakwe khona. |
Ngemva kokuqeda ukugoma?
Njengoba lokhu kuyindlela yokwelapha ngaphandle kwesibhedlela, ungaya ekhaya ngalolo suku. Kodwa-ke, uma umjovo usuqediwe, uzoqashwa cishe imizuzu eyi-15-20 ngaphambi kokuba uthunyelwe ekhaya.
Hamba uye ekhaya uphumule amahora angama-24. Gwema imisebenzi enzima, ukuphakamisa izinsimbi, noma ukushayela. Kungase kube nokuklwebheka noma ubuhlungu endaweni yokujova izinsuku ezimbalwa. Iningi labantu liqala ukuzizwa lingcono zingakapheli izinsuku ezimbili kuya kwezintathu. Kodwa-ke, kwabanye abantu, lokhu kungathatha isonto.
Ingabe kukhona imiphumela emibi kanye nezingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunemiphumela emibi kanye nezingozi ezingaba khona, kodwa izinkinga ezinkulu azivamile.
| Isimo | Incazelo |
|---|---|
| Imiphumela emibi evame ukulindeleka | |
| Ukwanda kwesikhashana kobuhlungu | Ubuhlungu bungase bube bubi kakhulu usuku olulodwa noma ezimbili kuze kube yilapho i-steroid iqala ukusebenza. |
| Ubuhlungu/ukuphuka endaweni yokujova | Lokhu kuzophela ezinsukwini ezimbalwa. |
| Kwabanesifo sikashukela | Ama-steroid angabangela ukwenyuka kwesikhashana kwamazinga kashukela egazini (i-hyperglycemia) amahora ambalwa noma izinsuku ezimbalwa. |
| Izinkinga Ezingavamile | |
| Ukutheleleka | Amagciwane angena endaweni yokujova. |
| Ukopha | Ukopha noma ukwakheka kwe-hematoma (i-hematoma) eduze komgogodla. |
| Ukulimala kwemizwa | Lokhu kwenzeka kaningi kakhulu. |
| Ikhanda elibuhlungu kakhulu (Ikhanda elibuhlungu lomgogodla) | Kungabangelwa ukuvuza okuncane koketshezi lomgogodla. Lokhu kwenzeka ngaphansi kwe-1% yamacala. |
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya, shayela udokotela wakho ngokushesha, noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU). Lokhu kubaluleke kakhulu.
- Uma unekhanda elibuhlungu kakhulu eliba libi kakhulu uma usukuma noma uhlala phansi bese ukhululeka uma ulele phansi (lokhu kungaba uphawu lwekhanda elibuhlungu lomgogodla).
- Umkhuhlane (lokhu kungaba uphawu lokutheleleka).
- Uma uzizwa ungenamizwa noma ubuthakathaka emilenzeni yakho (lokhu kungaba uphawu lokulimala kwemizwa).
- Ukungakwazi ukulawula ukuchama noma ukuphuma kwendle (lesi yisimo esiphuthumayo esibucayi kakhulu).
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Caudal Epidural Steroid uyindlela yokwelapha ephumelelayo nephephile yobuhlungu bomhlane nomlenze.
- Lokhu kuvame ukusiza kuphela ukulawula ubuhlungu, hhayi ukwelapha lesi sifo ngokuphelele. Kodwa ukuqeda ubuhlungu kuzokusiza ukuthi wenze imisebenzi yakho evamile.
- Ngaphambi kokwelashwa, qiniseka ukuthi utshela udokotela wakho ngazo zonke izifo zakho kanye nayo yonke imithi oyiphuzayo.
- Qaphela izimpawu eziyingozi ezingase zivele ngemva kokwelashwa (umkhuhlane, ikhanda elibuhlungu kakhulu, ukungazweli emilenzeni, ukulahlekelwa amandla okulawula amathumbu kanye nokulawula esinyeni). Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalokhu kwelashwa, ungangabazi ukubuza udokotela wakho.
Frequently Asked Questions (FAQ)
Ngemva kokuqeda ukugoma?
Njengoba lokhu kuyindlela yokwelapha ngaphandle kwesibhedlela, ungaya ekhaya ngalolo suku. Kodwa-ke, uma umjovo usuqediwe, uzoqashwa cishe imizuzu eyi-15-20 ngaphambi kokuba uthunyelwe ekhaya.
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