Ingabe ubuhlungu entanyeni yakho buvela ehlombe noma engalweni yakho kuze kufike ezandleni zakho? Ingabe ingalo yakho ngezinye izikhathi izwakala indikindiki noma ibuthakathaka? Izimpawu ezinjengalezi zivamile kubantu abaningi. Namuhla, sizokhuluma ngomjovo okhethekile ongaba yisisombululo salokhu.
Kalula nje, uyini umjovo we-cervical epidural steroid?
Ungesabi leli gama elide. Kalula nje, lokhu kungukujova komuthi (i-steroid) okunciphisa ukuvuvukala endaweni encane ebizwa ngokuthi 'isikhala se-epidural' ngaphakathi entanyeni yakho, eduze komgogodla wakho.
Inhloso eyinhloko yalokhu ukulawula ubuhlungu obungapheli obubangelwa impande yemizwa entanyeni yakho ecindezelwayo futhi evuvukele. Lesi simo saziwa ngokwezokwelapha ngokuthi 'i-Cervical Radiculopathy' . Lobu ubuhlungu obuhamba busuka entanyeni yakho buye engalweni yakho.
Ake ngichaze kancane. Igama elithi 'cervical' kuleli gama livela egameni lesiLatini elisho 'intamo'. Ngakho-ke, lo muthi wokugoma ufakwa entanyeni, hhayi emlonyeni wesibeletho sabesifazane. Ukufana kwala magama amabili kungabangela ukudideka okuncane.
Kulungile, lo mjovo unciphisa kanjani ubuhlungu?
Ukuze siqonde lokhu, ake siqale sibheke isakhiwo sentamo yethu.
Umgogodla wakho wesibeletho wakhiwe ngamathambo amancane ayi-7 abizwa ngokuthi ama-vertebrae . Phakathi kwala mathambo, njengezithambisi zokushaqeka, kukhona ama-disc afana nejeli abizwa ngokuthi ama-intervertebral discs . Uma ehlangene, lawa avikela intambo yomgogodla, efana nekhebula le-supercomputer eligeleza lisuka ebuchosheni bakho.
Ngakho-ke, yilapho imizwa eya ezingalweni zakho, emilenzeni, nasemzimbeni wakho wonke iphuma khona kulo mgogodla. Ngezinye izikhathi, ngenxa yediski ehlungiwe, noma ngenxa yezinguquko ezenzeka njengoba ukhula, le mpande yemizwa ingacindezelwa. Uma imizwa icindezelwa, iyavuvukala bese iqala ukubuhlungu.
Yilapho-ke lo mjovo uba yinto ebalulekile. Udokotela ufaka le steroid ngqo emsipheni ovuvukile nocasukile.
- Yenzani i-steroid? Inciphisa ngqo ukuvuvukala kwalowo mthambo.
- Kwenzekani uma ukuvuvukala kwehla? Ingcindezi emsipheni iyancipha.
- Kwenzekani uma ingcindezi yehla? Ubuhlungu kanye nokuba ndikindiki ozizwayo kuncipha kancane kancane.
Kalula nje, lokhu kumayelana nokufinyelela emsukeni wenkinga, ukusebenzisa imithi, ukunciphisa ukuvuvukala, nokunikeza imizwa ithuba lokululama. Kodwa khumbula, lokhu ngokuvamile kuyisixazululo sesikhashana nje.Abanye abantu bangase bangazizwa bekhululekile ebuhlungwini ngenxa yalokhu.
Lo muthi wokugomela usetshenziselwa ziphi izinhlobo zezinkinga zentamo?
Lo mjovo usetshenziselwa kakhulu isimo engikhulume ngaso ekuqaleni esibizwa ngokuthi 'i-Cervical Radiculopathy'. Okusho ukuthi, izimpawu ezibangelwa ukucindezelwa komthambo entanyeni. Lezo zimpawu yilezi:
- Ubuhlungu obuvela entanyeni, ehlombe, nasengalweni
- Ukuba ndikindiki ezandleni naseminweni
- Ubuthakathaka emisipheni yesandla (njengokuba nobunzima bokubamba into ethile)
- Umuzwa wokuthuthumela , njengokushaqeka kukagesi
Ngezansi kunezinye zezimo zezokwelapha eziyinhloko ezingabangela lezi zimpawu.
| Isimo sesifo | Kuchazwe kalula |
|---|---|
| Idiski Yesibeletho Ene-Herniated | Idiski ye-herniated iyidiski ye-herniated eqhumayo, okubangela ukuthi izinto ezifana nejeli ngaphakathi ziphume futhi zicindezele imithambo eseduze. Lena imbangela eyinhloko yobuhlungu bentamo. |
| Isifo Sediski Esiwohlokayo Somlomo Wesibeletho | Njengoba sikhula, ama-disc aphakathi kwamathambo omgogodla ayawohloka, okungabangela ukuthi izimpande zemizwa zivuvuke. |
| I-Osteoarthritis/Spondylosis Yesibeletho | Njengoba sikhula, kwenzeka izinguquko emathanjeni, kuma-disc, nasemalungeni entamo. Lokhu kunganciphisa isikhala ngaphakathi komgogodla futhi kubangele ukuthi imizwa icindezelwe. |
| I-Stenosis Yomgogodla Wesibeletho | Umsele womgogodla odlula entanyeni uyancipha ngezizathu ezahlukene. Uma isikhala sinciphile, kuba nendawo enkulu yokuba imizwa icindezelwe. |
Yini okufanele uyenze ngaphambi kokuthola lo muthi wokugomela?
Ngemva kokuba udokotela wakho enqume ukukunikeza lo muthi wokugoma, uzokunikeza imiyalelo ethile ekhethekile, okumele uyilandele.
- Uma ukhulelwe noma uhlela ukukhulelwa, kufanele utshele udokotela wakho, njengoba le nqubo ingadinga ukusetshenziswa kwe-X-ray.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Kubaluleke kakhulu ukutshela udokotela wakho ngemithi yokunciphisa igazi . Udokotela wakho angase akucele ukuthi uyeke ukuyithatha izinsuku ezimbalwa.
- Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi kokuthola umuthi wokugomela.
- Ngokuvamile, i-MRI noma i-CT scan iyayalwa ukuze kubonakale ukuthi inkinga ikuphi ngqo.
- Uzocelwa ukuthi ulethe umuntu ozokuthatha akuyise ekhaya ngosuku lokujova, njengoba ungase unikezwe umuthi wokudambisa okhanyayo.
Kwenzekani uma unikezwa umuthi wokugoma? Ingabe kuyabuhlungu?
Le nqubo ivame ukuthatha imizuzu eyi-15 kuya kwengama-30 . Kubaluleke kakhulu ukuthi uhlale uthule ngangokunokwenzeka phakathi nalesi sikhathi.
Indlela inqubo esebenza ngayo:
1. Ukulungiselela: Uzoshintshwa ube yingubo yasesibhedlela bese ulaliswa ngesisu etafuleni.
2. Ukuhlanza: Indawo yentamo lapho kujovwa khona umuthi wokugoma ihlanzwa kahle ngesisombululo se-antiseptic. Lokhu kunciphisa ingozi yokutheleleka.
3. Ukufaka izinzwa: Okulandelayo, udokotela uzofaka umuthi wokufaka izinzwa endaweni yomjovo esebenzisa inaliti encane. Lokhu kuzokusiza ukuthi ungazizwa ubuhlungu obukhulu lapho kufakwa inaliti enkulu.
4. Ukufaka inaliti: Ngemuva kwalokho, ngosizo lomshini okhethekile we-X-ray obizwa ngokuthi i-fluoroscopy , udokotela uqondisa inaliti yomjovo endaweni eqondile, eduze kwe-nerve.
5. Umjovo: Uma inaliti isisendaweni efanele, udokotela uzoyijova ngokucophelela i-steroid. Ngezinye izikhathi, umuthi oqeda izinhlungu ungaxutshwa ne-steroid.
6. Isiphetho: Ngemva kokujova sekuqediwe, kuzofakwa iplasta encane endaweni lapho inaliti ifakwe khona, futhi uzoqashwa cishe imizuzu engama-30 ngaphambi kokuba uthunyelwe ekhaya.
Ubuhlungu bunjani?
Umuthi oqeda izinhlungu uzozwakala njengentuthwane encane ekuhlabayo. Ungase uzizwe ucindezelekile , umuzwa wokuhlaba , umuzwa wokushisa , noma ubuhlungu obufushane lapho umjovo oyinhloko unikezwa. Kodwa-ke, noma yini oyizwayo izophela uma umjovo usuqediwe.
Uma uzwa ubuhlungu obungabekezeleleki, kufanele utshele udokotela wakho ngokushesha.
Kwenzekani ngemva kokugonywa bese uya ekhaya?
Ngemva kokubuyela ekhaya, ungase uzizwe ubuhlungu kancane lapho inaliti ifakwe khona. Lokhu kuvamile. Kuzophela emahoreni ambalwa. Uma unikezwe umuthi oqeda izinhlungu, ungase uzizwe usinda kancane noma uqaqamba entanyeni, ehlombe, noma engalweni yakho isikhashana. Lokho kuzophela futhi ngemva kwesikhashana.
Udokotela uzokutshela ukuthi uphumule usuku lonke futhi ungazikhandleli kakhulu .
Into ebaluleke kakhulu ukuthi ubuhlungu bakho bungase bukhule kancane ezinsukwini ezimbili noma ezintathu zokuqala ngemva komjovo. Ungakhathazeki ngalokhu. Lokhu kuvamile. Umuthi we-steroid uqala ukusebenza ezinsukwini ezimbili kuya kweziyisikhombisa . Ngemva kwalokho, ubuhlungu buzoqala ukuncipha.
Yiziphi izinzuzo nezingozi zalo muthi wokugoma?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Kunikeza impumuzo yesikhashana ebuhlungwini. | Umfutho wegazi ophansi, isiyezi. |
| Ngenxa yokuthi ubuhlungu buncane, kuba lula ukwenza izivivinyo ze-physiotherapy. | Ikhanda elibuhlungu elibangelwa ukuvuza koketshezi lomgogodla. |
| Imisebenzi yansuku zonke ingenziwa kalula. | Ukutheleleka endaweni yenaliti (okungavamile kakhulu). |
| Mhlawumbe ukwelashwa okukhulu njengokuhlinzwa kungase kungadingeki. | Ukusabela kokungezwani komzimba nemithi. |
| Ukopha noma ukulimala kwemizwa ngenxa yenaliti engena ngengozi emthanjeni wegazi (okungavamile kakhulu). | |
| Ukujova njalo kungenza amathambo noma imisipha yomgogodla ibe buthaka. |
Iningi lalezi zingozi alivamile . Ukwelashwa ngale ndlela kwenziwa udokotela onolwazi nonekhono kunganciphisa kakhulu le ngozi.
Inzuzo yalo muthi wokugoma ihlala isikhathi esingakanani?
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bathola ukukhululeka ebuhlungwini izinsuku ezimbalwa kuya ezinyangeni ezimbalwa . Ezinye izifundo zibonise ukuthi ukukhululeka ebuhlungwini kungahlala isikhathi esingangezinyanga ezingu-12-24. Kodwa-ke, lokhu akuvamile ukubangela ukukhululeka okuhlala njalo .
Odokotela abaningi abanikezi imijovo engaphezu kwemibili noma emithathu ngonyaka, ngoba akukuhle ukujova ama-steroids kaningi.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemuva kokugonywa bese uya ekhaya, shayela udokotela wakho ngokushesha okukhulu. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ikhanda elibuhlungu kakhulu: Ikakhulukazi uma ikhanda liba libi kakhulu uma umi noma uhleli futhi liyancipha uma ulele phansi.
- Umkhuhlane: Lokhu kungaba uphawu lokutheleleka.
- Uma uzizwa ungenamizwa noma ubuthakathaka obuqhubekayo ezandleni zakho.
Ekugcineni, lo mjovo umane nje uyindlela eyodwa yokwelapha ubuhlungu bentamo. Ukusebenzisa impumuzo yesikhashana ekunikezayo, kanye nokuzivocavoca umzimba ukuqinisa imisipha ezungeze intamo kuyindlela engcono kakhulu yokuthola impumuzo yesikhathi eside. Uma unemibuzo ngalokhu, ungangabazi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- 'I-Cervical Epidural Steroid Injection' iwumjovo okhethekile onikezwa ukunciphisa ukuvuvukala emthanjeni, osetshenziselwa ukwelapha ubuhlungu kanye nokungazweli okuvela entanyeni kuye engalweni.
- Lokhu kuvame ukunikeza impumuzo yesikhashana, engasetshenziswa ukuqhubekela kwezinye izindlela zokwelapha, njengokwelashwa ngokomzimba.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo nokuthi ukhulelwe yini ngaphambi kokwelashwa.
- Ubuhlungu bungase bukhuphuke kancane ezinsukwini ezimbalwa zokuqala ngemva komjovo, kodwa lokhu kuvamile.
- Uma uzwa ikhanda elibuhlungu kakhulu, umkhuhlane, noma ubuthakathaka obuhlala isikhathi eside engalweni yakho ngemva kokugonywa, funa iseluleko sezokwelapha ngokushesha.
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