Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu noma ukungakhululeki okuvela entanyeni yakho kuya emahlombe nasezingalweni zakho? Ungase uhlushwe kakhulu yilobu buhlungu kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke ngendlela efanele. Namuhla, sizokhuluma ngokwelashwa okukodwa kwalolu hlobo lobuhlungu obukhulu bentamo. Lona umjovo okhethekile we-steroid onikezwa umgogodla wesibeletho.
Kalula nje, uyini lo mjovo?
Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi umjovo we-cervical epidural steroid (ESI) . Nakuba igama lizwakala liyinkimbinkimbi kancane, okwenzekayo kulula kakhulu. Kuhilela ukujova umuthi (uhlobo lwe-steroid) onciphisa ukuvuvukala nokuvuvukala esikhaleni se-epidural , okuyisikhala esizungeze umgogodla entanyeni yakho.
Umgomo oyinhloko walokhu ukulawula ubuhlungu obungapheli obubangelwa ukucindezelwa noma ukuvuvukala kwezimpande zemizwa yomgogodla entanyeni. Lokhu sikubiza ngokuthi i-Cervical Radiculopathy . Lobuhlungu bungaqala entanyeni yakho busakazekele ehlombe lakho, engalweni, futhi ngezinye izikhathi ngisho neminwe yakho.
Ukucaciswa okuncane: Igama elithi "cervical" lapha lisho "intamo." Ngezinye izikhathi leli gama lisetshenziswa maqondana nesibeletho, okungabangela ukudideka okuncane. Kodwa khumbula ukuthi kulo mjovo, elithi "cervical" libhekisela entanyeni.
Lo mjovo unciphisa kanjani ubuhlungu?
Cabanga ngomgogodla wethu njengendlela ethwala ulwazi. Imiyalezo evela ebuchosheni ihamba kuwo wonke umzimba, futhi ulwazi oluvela emzimbeni luya ebuchosheni ngalo mgogodla. Lo mgogodla uvikelwe uchungechunge lwamathambo (ama-vertebrae) abekwe phezu komunye nomunye. Kunama-vertebrae angu-7 endaweni yentamo.
Ngezinye izikhathi, izingxenye ezifana nojeli phakathi kwala mathambo omgogodla (esiwabiza ngokuthi ama-disc) zingavuvukala, zicindezele imizwa ephuma lapho. Noma, ngenxa yezinguquko ezenzeka ngokuguga, izindlela zemizwa zingancipha futhi imizwa ingavuvukala. Yilapho-ke lobo buhlungu obukhulu bufika khona.
Lo mjovo ufaka i-steroid eduze kwe -nerve evuvukele, ecindezelwe . Lokhu kunciphisa ukuvuvukala nokuvuvukala kwe-nerve. Lokhu kunciphisa ingcindezi emsipheni futhi kunciphisa ubuhlungu. Kuphinde kunikeze i-nerve isikhathi sokuphulukiswa. Kodwa-ke, ukukhululeka kobuhlungu okukunikezayo kuvame ukuba okwesikhashana . Abanye abantu bangase bangatholi impumuzo nhlobo.
Lo mjovo usetshenziselwa ziphi izimo?
Kunezimo eziningana ezinkulu zezokwelapha ezingabangela ukucinana kwemizwa entanyeni. Lo mjovo uvame ukusetshenziswa kakhulu ezimweni ezinjalo. Ake sibheke ukuthi ziyini.
| Isimo | Kalula nje... |
|---|---|
| Idiski Yesibeletho Ene-Herniated | Yilokhu esikubiza ngokuthi "idiski eshelelayo." Izinto ezifana nojeli ngaphakathi komcamelo ophakathi kwamathambo amabili ziyaqhuma, zicindezela inzwa eseduze. |
| Isifo Sediski Esiwohlokayo Somlomo Wesibeletho | Njengoba sikhula, umcamelo (idiski) ophakathi kwamathambo omgogodla uyaphela. Lokhu kungabangela nokuthi imizwa ivuvuke. |
| I-Osteoarthritis Yomlomo Wesibeletho (i-Spondylosis Yomlomo Wesibeletho) | Ukuguga okuvamile kubangela izinguquko emathanjeni, kuma-disc, nasemalungeni entamo. Lokhu kunganciphisa izindlela zemizwa futhi kubangele ukuthi icindezelwe. |
| I-Stenosis Yomgogodla Wesibeletho | Isikhala (indlela yokungena kwemizwa) ngaphakathi komgogodla wesibeletho siyancipha. Lokhu kubangela ukuthi imizwa icindezelwe futhi ivuvuke. |
Kwenzekani uma umjovo unikezwa?
Lokhu kwenziwa esibhedlela noma emtholampilo ngudokotela oqeqeshwe ngokukhethekile. Ngokuvamile kuthatha imizuzu eyi-15-30. Kubaluleke kakhulu ukuthi ungahambi kakhulu phakathi nalesi sikhathi.
Lezi yizinyathelo ezivame ukwenzeka:
- Okokuqala, uzogqokiswa ingubo yasesibhedlela bese ulaliswa ngesisu etafuleni.
- Okulandelayo, udokotela uhlanza kahle indawo yentamo lapho kuzofakwa khona umjovo ukuze avimbele ukutheleleka.
- Bese kuleyo ndawoKunikezwa umjovo omncane we-anesthesia yendawo ukuze kuncishiswe indawo . Lokhu kuzokusiza uzizwe ubuhlungu obuncane uma kufakwa inalithi enkulu. Ngezinye izikhathi unganikezwa nomuthi wokudambisa ukuze uphumule.
- Ngemva kokwenza izinzwa zibe buhlungu, udokotela usebenzisa umshini we-X-ray okhethekile obizwa ngokuthi i-fluoroscopy ukuze aqondise inaliti endaweni eqondile.
- Uma inaliti isisendaweni efanele ye-epidural, uhlobo lwedayi olubizwa ngokuthi i-contrast ngezinye izikhathi luyajovwa. Lokhu kwenza indawo ibonakale kakhulu ku-X-ray. (Uma une-allergy kudayi, yeqa lesi sinyathelo.)
- Ekugcineni, umuthi we-steroid ufakwa kancane kancane endaweni.
- Ngemva kokujova sekuqediwe, indawo iyacindezelwa ukuze kumiswe ukopha, kuhlanzwe, bese kufakwa iplasta.
- Bese bekuvumela ukuthi uphumule isikhashana ukuze babone ukuthi kukhona yini imiphumela emibi. Uma konke kuhamba kahle, bazokuvumela ukuthi uye ekhaya.
Ingabe kubuhlungu kakhulu uma unikeza lokhu?
Uma uthola umuthi oqeda izinhlungu, awuzizwa ubuhlungu obukhulu. Ngezinye izikhathi ungase uzizwe uthukuthele kancane, umuzwa wokushisa, noma umuzwa wokudabuka. Lokhu kuzophela uma umjovo usuphelile. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki ngesikhathi noma ngemva komjovo, kufanele utshele udokotela wakho ngokushesha.
Yini ongayilindela ngemva komjovo?
Ngemva kokubuyela ekhaya ngemva komjovo, ungase uzwe ubuhlungu lapho inaliti ifakwe khona amahora ambalwa. Lokhu kuvamile.
Uma unikezwa umuthi wokudambisa izinhlungu, intamo yakho, amahlombe, nezingalo zakho kungase kuzwakale kusinda noma kubuhlungu. Lokhu kuzophela ngemva kwesikhathi. Into ebaluleke kakhulu ukuthi ubuhlungu bungakhula kancane ezinsukwini ezimbili noma ezintathu zokuqala ngemva komjovo . Ungakhathazeki ngakho. Lokhu kuvamile. Ubuhlungu buzoqala ukuncipha zingakapheli izinsuku ezimbili kuya kweziyisikhombisa. Lokhu kukhululeka kungahlala kusukela ezinsukwini ezimbalwa kuya ezinyangeni ezimbalwa.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezithile. Kubalulekile ukuxoxa ngakho kokubili nodokotela wakho.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Ukuthola impumuzo yesikhashana ebuhlungwini. | Umfutho wegazi ophansi, isiyezi. |
| Ukukwazi ukwenza izivivinyo ze-physiotherapy ngendlela efanele ngenxa yobuhlungu obuncane. | Ikhanda elibuhlungu elibangelwa ukuvuza koketshezi lomgogodla. |
| Ukukwazi ukwenza imisebenzi yansuku zonke kalula. | Ukutheleleka endaweni yomjovo (okungavamile kakhulu). |
| Mhlawumbe akudingi ukwelashwa okukhulu njengokuhlinzwa. | Ukulimala komthambo wegazi, okuholela ekuphumeni kwegazi noma ekuqhekekeni kwegazi. |
| Ukulimala kwemizwa okubangelwa ukubhobozwa kwenaliti (okungavamile kakhulu). | |
| Ubuthakathaka bamathambo omgogodla ngenxa yokujova njalo. |
Okubalulekile: Iningi lalezi zingozi alivamile kakhulu, ikakhulukazi uma lenziwa udokotela oqeqeshwe kahle kule ndawo.
Kufanele ngimbone nini udokotela ngokushesha okukhulu?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokuthola umjovo nokuya ekhaya, shayela udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma unekhanda elibuhlungu elivela uma usukuma, kodwa liphele uma ulele .
- Uma unomkhuhlane (lokhu kungaba uphawu lokutheleleka).
- Uma uzwa ubuhlungu noma ubuthakathaka obuqhubekayo ezandleni zakho (lokhu kungaba uphawu lokulimala kwemizwa).
Umlayezo Wokuya Nawe Ekhaya
- Lo mjovo uyindlela yokwelapha ubuhlungu obuphuma engalweni, obubangelwa ukucindezelwa kwemizwa entanyeni.
- Lokhu akunikezi impumuzo yaphakade ebuhlungwini, kodwa impumuzo yesikhashana .
- Umgomo oyinhloko ukunciphisa ubuhlungu nokukuvumela ukuthi wenze kahle izivivinyo ze-physiotherapy. Ukuqinisa imisipha ezungeze intamo yakho kungakunikeza impumuzo yesikhathi eside.
- Nakuba lokhu ngokuvamile kuyindlela yokwelapha ephephile, kunezingozi ezincane, ngakho qiniseka ukuthi uxoxa ngakho konke lokhu nodokotela wakho ngaphambi kokuthola ukwelashwa.
- Qaphela izimpawu eziyingozi ezingase zivele ngemva kokwelashwa. Uma kuvela izinkinga, funa iseluleko sezokwelapha ngokushesha.
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