Ake sifunde ngomjovo wobuhlungu bomhlane nentamo? Konke mayelana ne-Epidural Steroid Injection (ESI)

Ingabe ngezinye izikhathi uzizwa umuzwa wokucasuka ohamba kusukela emhlane wakho wehla ngomlenze wakho? Noma ingabe ubulokhu uhlushwa ubuhlungu obuhamba kusukela entanyeni yakho wehla engalweni isikhathi eside? Kumelwe ukuthi ubungakwazi ukwenza imisebenzi yakho yansuku zonke kahle ngalolu hlobo lobuhlungu, akunjalo? Namuhla sizokhuluma ngendlela ekhethekile yokujova esetshenziswa odokotela ukulawula ubuhlungu obunjalo. Lokhu kubizwa ngokuthi i-Epidural Steroid Injection, noma i-ESI ngamafuphi.

Kalula nje, iyini i-Epidural Steroid Injection (ESI)?

Lokhu akuyona into enkulu njengoba kuzwakala. Umjovo we-epidural steroid (ESI) uwumjovo womuthi obizwa ngokuthi i-steroid noma i-corticosteroid esikhaleni esizungeze imizwa emgogodleni wakho. Lo muthi usebenza ngokunciphisa ukuvuvukala kwezimpande zemizwa, ezivuvukele futhi zivuvukele, ngaleyo ndlela unciphise ubuhlungu.

Cabanga ngomgogodla wakho njengomgwaqo omkhulu. Yindlela lapho imiyalezo evela ebuchosheni bakho ihamba khona emzimbeni wakho wonke. Imizwa iyahlukana nalo mgwaqo omkhulu. Ngezinye izikhathi, i-disc phakathi kwamathambo amabili ingavuvukala, noma ngesinye isizathu, inzwa engakolunye uhlangothi lomgwaqo ingacindezelwa noma icindezelwe. Yilapho-ke kuvela khona ubuhlungu obungabekezeleleki.

Okwenziwa umjovo we-ESI ukuya ngqo emthanjeni ocijile, ovuvukele bese ufaka umuthi. Lokhu kunciphisa ukuvuvukala komthambo, kunciphisa ingcindezi, futhi kunciphisa ubuhlungu. Ukuqeda ubuhlungu kulokhu kungahlala izinsuku ezimbalwa kwabanye abantu, kanti kwabanye kungahlala izinyanga. Futhi, ngezinye izikhathi lo mjovo usiza ekutholeni ukuthi yimuphi umthambo oyimbangela yangempela yobuhlungu.

Umuthi wokugomela i-ESI unikezwa ngaziphi izimo?

Udokotela wakho ngeke avame ukuncoma lo mjovo ngokushesha. Lolu hlobo lomjovo lucatshangelwa kuphela uma ezinye izindlela zokwelapha, njengokwelashwa ngokomzimba kanye nezinhlungu zobuhlungu, zingakasizi ubuhlungu bakho.

Lezi ezinye zezimo ezivamile lapho lo muthi wokugomela uwusizo khona:

• I-Herniated Disk: Njengoba sonke sazi, lesi yisimo esibizwa ngokuthi "i-herniated disk." Yilapho i-disc ephakathi kwamathambo omgogodla iqhuma khona bese icindezela inzwa.
• I-Spinal Stenosis: Ukucindezeleka kwemizwa ngenxa yokuncishiswa kwendlela yomgogodla ngaphakathi komgogodla.
• Ama-Spurs e-Vertebral Bone:Ukukhula kwamathambo (njengezinhlungu) ngaphandle komgogodla okuthinta imizwa.
• I-Failed Back Surgery Syndrome: Kulabo abaqhubeka nokuba nobuhlungu ngemva kokuhlinzwa emhlane.
• I-Scoliosis: Lapho imizwa icindezelwa ngenxa yokugoba komgogodla.
• I-Spondylolysis: Ubuhlungu obubangelwa ukuwohloka komgogodla njengoba ukhula.
• Ezimweni lapho imizwa yomgogodla yonakele ngenxa yezinye izingozi.

Ingabe kunezinhlobo zemithi yokugomela i-ESI?

Yebo, le mithi yokugoma ingahlukaniswa ngezinhlobo eziningana kuye ngokuthi indawo yokusetshenziswa kanye nendlela yokufaka inalithi. Kubalulekile ukuthi ukwazi lokhu.

Izinhlobo zokujova umgogodla ngokusekelwe endaweni yokujova

Izinhlobo zezinaliti zomjovo ngokuya ngendlela yokufakwa

Lokhu kuyinkimbinkimbi kancane, kodwa masikuqonde kalula.

• I-Interlaminar ESI: Lapha, inaliti ifakwa phakathi kwama-laminae amabili, izakhiwo ezinamathambo ngemuva kwama-vertebrae amabili.
• I-Transforaminal ESI: Inaliti ifakwa ngezimbobo (i-foramina) lapho imizwa iphuma khona emgogodleni, ifake umuthi ngqo emgogodleni obuhlungu.
• I-Caudal ESI:Kulokhu, kufakwa inaliti ngembobo encane (i-sacral hiatus) phansi komgogodla, ngaphezu nje kwezinqe, bese kufakwa umuthi emithanjeni esezansi.

Kufanele ngilungiselele kanjani ngaphambi kwalo muthi wokugoma?

Kulungile, ake sithi udokotela unqume ukukunika lo mjovo. Kunezinto ezimbalwa okudingeka uzilungiselele ngaphambi kwalokho. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.

• Uma ukhulelwe noma uhlela ukukhulelwa, qiniseka ukuthi utshela udokotela wakho.
• Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) . Ikakhulukazi uma uthatha imithi yokunciphisa igazi , buza ukuthi udinga yini ukuyeka ukuyithatha ezinsukwini ezimbalwa ngaphambi komjovo.
• Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi komjovo.
• Ngokuvamile, kuyalelwa ukuthi kwenziwe i-MRI noma i-CT scan ukuze kutholakale imbangela eqondile yobuhlungu.
• Uzocelwa ukuthi ulethe umuntu ozokushayela imoto akuyise ekhaya ngosuku lokugoma, njengoba kungaba nzima ngawe ukushayela ngemuva kokugoma.

Kwenzekani ngesikhathi sokugoma?

Le nqubo ivame ukwenziwa esibhedlela noma emnyangweni weziguli ezingalaliswa esibhedlela. Yonke inqubo ithatha cishe imizuzu eyi-15-30.

1. Okokuqala, uzonikezwa izingubo zokushintsha bese ucelwa ukuba ulale ngesisu sakho etafuleni.

2. Ngemuva kwalokho, indawo yokujova ihlanzwa kahle futhi ihlanzwe ngamagciwane.

3. Okulandelayo, ukuze kuncishiswe ubuhlungu benaliti enkulu efakwayo, kuzosetshenziswa inaliti encane ukufaka umuthi wokwenza kube nezinzwa endaweni. Ngezinye izikhathi, umuthi omncane wokwenza kube nezinzwa unganikezwa ukusiza ekunciphiseni ukwesaba kwakho.

4. Uma indawo isiphelelwe amandla, udokotela uzosebenzisa into efana nomshini we-X-ray (i-fluoroscopy) ukuqinisekisa ukuthi inaliti ifakwe kahle. Kubaluleke kakhulu ukuthi ungawunyakazisi umzimba wakho phakathi nalesi sikhathi.

5. Uma inaliti isifikile endaweni efanele ye-epidural, ngezinye izikhathi inani elincane ledayi (izinto ezingafani) liyafakwa ukuze kubonakale ukuthi lisakazeka kanjani. Lokhu kuzosiza ukuqinisekisa ukuthi umuthi uya emthanjeni ofanele.

6. Ekugcineni, umuthi we-steroid ufakwa kancane kancane.

7. Ngemva komjovo, indawo izoqiniswa kancane, ihlanzwe, bese kufakwa iplasta. Uzobe usuvunyelwe ukuphumula imizuzu engama-30 kuya ehoreni, futhi ngemva kokuqinisekisa ukuthi akukho miphumela emibi, uzovunyelwa ukuya ekhaya.

Ungase uzizwe uluma kancane, uzizwe ungakhululekile, noma uzizwa ushile uma uthola umjovo. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki, tshela udokotela wakho ngokushesha.

Kwenzekani ngemva komjovo? Ingabe ikhona imiphumela emibi?

Ngemva kokuthola umuthi wokugoma bese uya ekhaya, kungcono uphumule usuku lonke. Kungase kube nobuhlungu noma ukuklwebheka okuncane lapho umuthi wokugoma unikezwe khona. Lokhu kuvamile.

Njengazo zonke izindlela zokwelapha, kunezingozi ezingaba khona kanye nemiphumela emibi. Kodwa-ke, lokhu kuvame ukuba kuncane, futhi izinkinga ezinkulu azivamile.

Yiziphi izimo eziphuthumayo ezidinga ukubona udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuthola umuthi wokugoma nokuya ekhaya, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).

• Ikhanda elibuhlungu elibuhlungu elivela uma uhleli noma umile futhi likhululeke uma ulele phansi.
• Imfiva.
• Ukungakwazi ukulawula umchamo noma indle.
• Ukuzwa sengathi imilenze ayinamandla noma ibuthakathaka.

Kubaluleke kakhulu ukuqaphela lokhu, njengoba kungaba izimpawu zezimo ezingavamile kakhulu nezibucayi.