Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu kanye nokungazweli okuvela emhlane wakho kuye emlenzeni wakho? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi "udinga umjovo we-steroid emhlane wakho." Kuvamile ukuzizwa wesaba futhi wethukile uma uzwa lokhu. Ngakho-ke, namuhla sizoxoxa ngokuthi umjovo we-lumbar epidural steroid uyini, ukuthi wenzani, nokuthi kufanele wesabe yini, konke ngamagama alula, ngolimi ongaluqonda.
Kalula nje, iyini i-Lumbar Epidural Steroid Injection?
Lokhu kuhilela ukufaka umuthi, njenge-steroid noma i-corticosteroid, endaweni ye-epidural ezungeze imizwa yakho yomgogodla, etholakala engxenyeni engezansi yomhlane wakho.
Inhloso eyinhloko yalokhu ukulawula ubuhlungu obungapheli obubangelwa ukucindezelwa noma ukuvuvukala kwezimpande zemizwa emgogodleni. Lobuhlungu bubizwa ngezokwelapha ngokuthi i-lumbar radiculopathy . Kungenzeka ukuthi uke wezwa bubizwa ngokuthi i-sciatica . Lobuhlungu bungahamba kusukela emhlane kuya ezinqeni, phansi emlenzeni, kuya eqakaleni, ngisho nasezinyaweni.
Lo mjovo usebenza kanjani emizimbeni yethu?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngomgogodla wethu.
Cabanga ngomgogodla wakho njengeqembu lamathambo amancane abekwe phezu komunye nomunye. Sibiza lawa ngama-vertebrae . Kunezinhlanu zalawa ma-vertebrae phansi komgogodla wakho. Phakathi kwalawa mathambo amabili, kunendawo efana ne-cushion, efana ne-jelly. Sibiza lawa ma-disc e-intervertebral . Lawa ma-disc yiwo asivumela ukuthi sigobe, sinwebe, futhi sisonte umgogodla wethu.
Intambo yomgogodla, esebenza njengentambo "eyinhloko" yomzimba wethu, idlula kulomgogodla. Yingale ndlela imizwa esakazeka ngayo emzimbeni wonke. Ngakho-ke, isikhala sokuvikela esizungeze intambo yomgogodla yilokho esikubiza ngokuthi isikhala se-epidural .
Manje cabanga, uma enye yalezo diski esikhulume ngazo iqhuma kancane, noma uma isikhala ngaphakathi komgogodla sincipha ngesizathu esithile, inzwa edlula lapho iyacindezelwa. Njengomuntu onyathela ipayipi lamanzi. Khona-ke leyo nzwa iyavuvukala futhi ibangele ubuhlungu. Yilokho ubuhlungu obuwela emlenzeni.
Lo mjovo uhilela ukufaka i-steroid endaweni ye-epidural, eduze komthambo ovuvukile nocindezelwe. Lo muthi unciphisa ngqo ukuvuvukala . Lapho ukuvuvukala kwehla, ingcindezi emthambo nayo iyehla. Khona-ke ubuhlungu obuzwayo buyancipha kakhulu.
Into ebalulekile ukuthi lokhu kuvame ukunikeza impumuzo yesikhashana. Abanye abantu bangase bangabi nezinhlungu izinyanga ezintathu noma ngaphezulu. Kodwa abanye bangase bathole impumuzo encane, noma bangabi nayo nhlobo impumuzo.
Lo muthi wokugomela usetshenziselwa ziphi izimo?
Odokotela batusa lo muthi wokugomela njengokwelashwa kwezimbangela ezahlukahlukene zobuhlungu bomhlane. Ake siqonde lezi zimo ngokumane nje sibheke etafuleni elingezansi.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| Idiski Ehlutshiwe Ye-Lumbar | Yilokhu sonke esikubiza ngokuthi "idiski eshelelayo." Ijeli ephakathi kwamathambo omgogodla iyaqhuma bese icindezela inzwa eseduze. |
| Isifo Se-Lumbar Degenerative Disc | Ukuqina kwe-disc kuyaphela ngokuguga noma ngezinye izizathu. Lokhu kungabangela nokuvuvukala kwemizwa. |
| I-Lumbar Spinal Stenosis | Ukuncipha kwesikhala ngaphakathi komgogodla lapho intambo yomgogodla idlula khona. Uma kungekho isikhala esanele, imizwa iyacindezelwa bese kuba nobuhlungu. Ubuhlungu buba bubi kakhulu uma uhamba. |
| I-Lumbar Osteoarthritis | I-arthritis yisimo esibangelwa ukuguguleka kwamalunga omgogodla. Lokhu kunganciphisa nezindlela zemizwa futhi kubangele ukuthi icindezeleke. |
| Ubuhlungu Bomhlane Ophansi Obusendaweni | Ubuhlungu busendaweni eyodwa kuphela emhlane, abukhazimi emlenzeni. |
Kufanele ngilungiselele kanjani ngaphambi kokuthola umuthi wokugomela?
Kubaluleke kakhulu ukuxoxa ngezinto ezithile ngokucacile nodokotela wakho ngaphambi kokuthola lo muthi wokugomela.
- Uma ukhulelwe noma uhlela ukukhulelwa, qiniseka ukuthi utshela udokotela wakho, njengoba le nqubo isebenzisa uhlobo lwe-X-ray (fluoroscopy).
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi yokunciphisa igazi, imithi yesifo sikashukela, imithi yomfutho wegazi, amavithamini, imithi ye-Ayurvedic). Angase akucele ukuthi uyeke ukuthatha eminye imithi izinsuku ezimbalwa.
- Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi komjovo.
- Ungase ucelwe ukuthi wenze i-MRI noma i-CT scan emhlane wakho. Lokhu kuzokusiza ukuthola indawo eqondile lapho udinga ukufaka khona umuthi.
- Uma bekunika umuthi wokukwenza ulahlekelwe ingqondo, bazokutshela ukuthi ulethe umuntu ozokuthatha akuyise ekhaya.
Imibuzo emihle yokubuza udokotela
Ungesabi ukubuza imibuzo ngesikhathi esinjengalesi. Buza udokotela wakho ngalezi zinto.
- Kuthatha isikhathi esingakanani lokhu kwelashwa?
- Uma lokhu kungangisizi, yiziphi izinketho zami ezilandelayo?
- Ziyini izingozi zalokhu?
- Ngizozizwa kanjani uma ngithola umuthi wokugoma?
Kwenzekani ngempela ngesikhathi sokugoma?
Le nqubo ivame ukwenziwa esibhedlela noma emtholampilo. Ithatha imizuzu ephakathi kwengu-15 nengu-30. Kubaluleke kakhulu ukuthi unganyakazi nhlobo phakathi nalesi sikhathi.
Lezi yizinyathelo ezivame ukwenzeka:
1. Uzoshintshwa ube yingubo ekhethekile bese ulala ngesisu sakho etafuleni. Kuzoba nomcamelo ngaphansi kwesisu sakho. Ungase unikezwe inani elincane lomuthi wokudambisa izinhlungu ukuze uphumule.
2. Indawo yokujova ihlanzwa kahle futhi ihlanzwe ngamagciwane.
3. Okulandelayo, udokotela usebenzisa umshini ofana ne-X-ray obizwa ngokuthi i-fluoroscopy ukuze abone esikrinini indawo eqondile yokufaka inalithi.
4. Ngemuva kwalokho, kusetshenziswa inaliti encane ukuze kunciphe indawo. Ngakho-ke ngeke uzwe ubuhlungu obukhulu uma kufakwa inaliti enkulu.
5. Manje njengoba inaliti eyinhloko isendaweni efanele, okungukuthi, esikhaleni se-epidural, kufakwa idayi encane (izinto ezihlukile) . Ngemuva kwalokho i-X-ray ikhombisa ukuthi inaliti ayikho emthanjeni wegazi noma kwenye indawo, kodwa lapho umuthi kufanele uye khona.
6. Ekugcineni, udokotela ufaka umuthi we-steroid ngokucophelela.
7. Uma umsebenzi usuqediwe, inaliti iyasuswa, indawo icindezelwe kancane, ihlanzwe, bese kufakwa iplasta.
8. Ngemva kwalokho, uzovunyelwa ukuphumula isikhashana (kusukela emizuzwini embalwa kuya cishe ehoreni) bese uthunyelwa ekhaya ngemva kokuhlolwa ukuze kubonakale ukuthi unayo yini i-allergies emuthini.
Ingabe lokhu kuyalimaza? Ingabe ikhona imiphumela emibi?
Umbuzo abantu abaningi abanawo ukuthi lokhu kuzolimaza yini. Uma umuthi wokubulala izinzwa ufakwa, uzwakala sengathi uhlatshwa yinaliti encane. Uma inaliti eyinhloko ifakwa, ungase uzizwe sengathi ucindezelekile , uhlaba, noma uzwa ukushisa kunokuba uzizwe ubuhlungu. Noma ngabe lokhu kuzwakala kanjani, kungokwesikhashana. Kodwa-ke, uma uzwa ubuhlungu obukhulu, obungabekezeleleki, kufanele utshele udokotela wakho ngokushesha.
Njenganoma yikuphi ukwelashwa kwezokwelapha, kungaba nemiphumela emibi emincane.
- Ukwanda kwesikhashana kobuhlungu: Ubuhlungu bungase bube bubi kakhulu ezinsukwini ezimbili noma ezintathu zokuqala ngaphambi kokuba umuthi uqale ukusebenza.
- Ukuphuka noma ubuhlungu endaweni yokujova: Kungase kube nokuphuka okuncane noma ubuhlungu endaweni yokujova izinsuku ezimbalwa.
- Kubantu abanesifo sikashukela: Ama-steroid angakhuphula amazinga kashukela egazini okwesikhashana. Ngakho-ke, abantu abanesifo sikashukela kufanele baqaphele ngalokhu.
- Kubantu abane-glaucoma: Ukucindezeleka kwamehlo kungakhuphuka okwesikhashana.
Ingabe zikhona izingozi ezinkulu okufanele uzesabe?
Lezi yizenzakalo ezingavamile kakhulu , okusho ukuthi azenzeki kaningi. Kodwa-ke, kubaluleke kakhulu ukuthi lokhu kwelashwa kwenziwe udokotela onekhono nonolwazi ukuze kuncishiswe lezi zingozi.
- Ukutheleleka: Igciwane lingangena endaweni lapho kufakwa khona inaliti.
- Ukopha: Uma inaliti ishaya umthambo wegazi bese iwulimaza, igazi lingaqoqana esikhaleni se-epidural.
- Ukulimala kwemizwa: Akuvamile kakhulu ukuthi inaliti ishaye futhi yonakalise imizwa.
- Ikhanda elibuhlungu kakhulu: Uma inaliti ishaya ulwelwesi oluncane oluzungeze umgogodla, uketshezi oluthile lomgogodla lungavuza, okubangela ikhanda elibuhlungu elibi kakhulu uma umile.
Kungenxa yezingozi ezinjengalezi ukuthi odokotela ngokuvamile abancomi ukugoma okungaphezu kwemibili noma emithathu ngonyaka .
Yiziphi izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemuva kokugonywa bese uya ekhaya, shayela udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze.
Ungazinaki lezi zimpawu. Zingaba uphawu lwesifo esibucayi.
- Ikhanda elibuhlungu elibuhlungu elivela uma umi noma uhleli futhi likhululeke uma ulele phansi.
- Imfiva .
- Ukungakwazi noma ubunzima bokulawula umchamo noma indle .
- Ukuzwa sengathi imilenze ayinamandla noma ibuthakathaka .
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Lumbar Epidural Steroid uwukwelashwa okulawula ubuhlungu obubangelwa ukuvuvukala kwemizwa yomgogodla, okuvame ukunikeza impumuzo yesikhashana .
- Lokhu ngeke kuphulukise ngokuphelele isimo sakho, kodwa kuzonciphisa ubuhlungu futhi kukuvumele ukuthi wenze ukwelashwa ngokomzimba futhi ubuyele emisebenzini evamile.
- Nakuba lokhu ngokuvamile kuyindlela yokwelapha ephephile , njengakuzo zonke izindlela zokwelapha, kungaba nemiphumela emibi emincane kanye nezingozi ezinkulu ezingavamile.
- Landela imiyalelo kadokotela wakho ngokucophelela , ngaphambi nangemva kokwelashwa. Buza noma yimiphi imibuzo ongase ube nayo.
- Uma kuvela izimpawu ezifana nomkhuhlane, ikhanda elibuhlungu kakhulu, noma ubuthakathaka emilenzeni ngemva kokwelashwa, funa iseluleko sikadokotela ngokushesha .
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