Ingabe uvame ukuzwa ubuhlungu emhlane, ukungazweli, noma ubuhlungu emlenzeni wakho? Ngezinye izikhathi lobu buhlungu bukhulu kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke ngendlela efanele. Esimweni esinjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngomjovo okhethekile. Lowo mjovo, i-'Lumbar Epidural Steroid Injection', yilokho esizokhuluma ngakho namuhla. Ungakhathazeki, ake sikuqonde kalula lokhu.
Kuyini i-Lumbar Epidural Steroid Injection?
Kalula nje, lo umjovo okhethekile onikezwa emhlane wakho ongezansi (esifundeni se-lumbar). Lo mjovo uqukethe ikakhulukazi umuthi onciphisa ukuvuvukala nokuvuvukala. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-steroid noma i-corticosteroid.
Cabanga nje, intambo yethu yomgogodla yilapho uhlelo olukhulu lwezinzwa olugijima kuwo wonke umzimba lugijima khona. Isikhala esincane esizungeze le mithambo yomgogodla sibizwa ngokuthi 'isikhala se-epidural.' Yilapho udokotela efaka khona le steroid.
Inhloso eyinhloko yalokhu ukulawula ukuvuvukala kanye nobuhlungu obungapheli obubangelwa ukucindezelwa noma ukulimala kwezimpande zemizwa yomgogodla. Lokhu sikubiza ngokuthi `(Lumbar Radiculopathy)`. Abantu abaningi bayakwazi lokhu ngegama elithi `Sciatica` .
Lo mjovo unciphisa kanjani ubuhlungu?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngomgogodla wethu.
Umgogodla wethu wakhiwe yinqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Phakathi kwala mathambo, njenge-'shock absorbers' emotweni, kukhona umcamelo. Siwabiza ngokuthi 'ama-vertebral disc' noma 'ama-disk' . Lawa ma-disc yiwo asivumela ukuthi sigobe, silule, futhi sisonte imisipha yethu.
Ngezinye izikhathi, izinto ezifana nojeli ngaphakathi kwediski zingavuvukala zicindezele inzwa eseduze. Noma, njengoba iminyaka ikhula, isikhala esingaphakathi komgogodla singaba sincane futhi inzwa ingacindezelwa. Yilapho inzwa ivuvukala futhi ivuvukala, okubangela lobo buhlungu obukhulu.
Manje, bheka, udokotela ufaka lowo mjovo we-steroid ngqo emthanjeni ovuvukile novuvukele. Bese, amandla alowo muthi anciphisa ukuvuvukala nokuvuvukala emthanjeni. Bese, ingcindezi emthanjeni nayo iyancipha. Yilokhu okukunika impumuzo ebuhlungwini bakho.
Into ebalulekile ukuthi ukuqeda ubuhlungu ngenxa yalo mjovo kuvame ukuba okwesikhashana. Abanye abantu bangase bathole ukuphumula izinyanga ezintathu noma ngaphezulu, kodwa kwabanye, ubuhlungu bungabuya ngesikhathi esifushane.
Ubani ofanele lo muthi wokugoma?
Odokotela bavame ukuncoma lo mjovo we-sciatica, okuwubuhlungu obubangelwa ukucindezelwa kwemizwa emgogodleni. Yilokho:
- Ubuhlungu obuvela emhlane budlule ezinqeni bese kwehla umlenze
- Ukuqaqamba noma ukungazweli emilenzeni
- Ubuthakathaka emisipheni yemilenze
Kunezimbangela eziningana eziyinhloko zalezi zimpawu. Bheka ithebula elingezansi.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| Idiski Ehlutshiwe Ye-Lumbar | Idiski ephakathi kwamathambo omgogodla iyavuvukala bese icindezela inzwa. Lokhu kubizwa ngokuthi 'idiski ene-herniated'. |
| I-Lumbar Spinal Stenosis | Ukuncishiswa komsele (indlela lapho imizwa idlula khona) ngaphakathi kwekholomu yomgogodla, okungabangela ukucindezelwa kwemizwa. |
| I-Lumbar Osteoarthritis | Njengoba iminyaka ikhula, amalunga namathambo omgogodla ayawohloka, okunciphisa izikhala lapho imizwa idlula khona, okubangela ukucindezelwa kwemizwa. |
| Isifo Sediski Esiwohlokayo | Njengoba iminyaka ikhula, ama-disc aphakathi kwamathambo omgogodla ayaphela, okubangela ukuvuvukala kwemizwa. |
Isebenza kanjani inqubo yokugoma?
Abantu abaningi bayakwesaba lokhu, ngoba umcabango wokuthola umjovo emhlane ungaba yinto eyesabekayo. Kodwa lokhu kwenziwa ngokucophelela futhi kwenziwa nguchwepheshe oqeqeshiwe (njengoDokotela Wezakhi Zomzimba, Udokotela Wezinzwa, Udokotela Wemisebe). Ngakho-ke akukho okufanele ukwesabe.
Ukulungiselela ngaphambi kokugonywa
- Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi).
- Uma ukhulelwe noma usola ukuthi kungenzeka ukuthi ukhulelwe, kufanele usazise, njengoba kuzosetshenziswa i-X-ray phakathi nale nqubo.
- Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi komjovo.
- Uma unikezwa umuthi wokudambisa, uzocelwa ukuthi ulethe othile ozokuthatha akuyise ekhaya.
Ngesikhathi sokugoma
Le nqubo ivame ukuthatha imizuzu eyi-15-30.
1. Uzolaliswa ngesisu sakho embhedeni okhethekile.
2. Indawo yokugoma ihlanzwa kahle futhi ihlanzwe ngamagciwane.
3. Okulandelayo, udokotela usebenzisa umshini we-X-ray okhethekile obizwa ngokuthi i-fluoroscopy ukuze abone kahle ukuthi inaliti idinga ukufakwa kuphi. Lokhu kufana nevidiyo ye-X-ray ebukhoma.
4. Ngemuva kwalokho, kunikezwa umjovo omncane ukuze indawo ingabi namizwa ukuze ungezwa ubuhlungu obukhulu lapho kufakwa inalithi enkulu.
5. Uma inaliti isisendaweni efanele, okungukuthi, esikhaleni se-epidural, udokotela uzofaka inani elincane ledayi yokuhlukanisa. Lokhu kuzoqinisekisa ukuthi inaliti isendaweni efanele, hhayi emthanjeni wegazi noma kwenye indawo.
6. Ekugcineni, udokotela ufaka umuthi we-steroid ngokucophelela.
7. Uma inqubo isiqediwe, kuzofakwa iplasta encane endaweni yokujova bese ucelwa ukuthi uphumule isikhashana. Qiniseka ukuthi awunayo i-allergy emuthini.
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile nemiphumela emibi, kodwa lokhu akuvamile kakhulu.
| Imiphumela emibi emincane | Isikhathi sokuthola iseluleko sezokwelapha ngokushesha |
|---|---|
|
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
Ngenxa yokuthi ukujova njalo kwala ma-steroid kungenza amathambo omgogodla abe buthaka, odokotela ngokuvamile abancomi imijovo engaphezu kwemibili noma emithathu ngonyaka.
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Lumbar Epidural Steroid uwumjovo okhethekile onikezwa ukunciphisa ukuvuvukala nobuhlungu obubangelwa ukucindezelwa kwemizwa yomgogodla.
- Lena indlela ephumelela kakhulu yokunikeza ukukhululeka kwesikhashana kobuhlungu ezimweni ezifana ne-sciatica.
- Lo mjovo awuqedi ubuhlungu ngokuphelele. Kodwa-ke, impumuzo okunikezayo izokusiza ukuthi uqale ukuzivocavoca umzimba futhi wenze imisebenzi yakho yansuku zonke.
- Lena inqubo ephephile ngokuvamile eyenziwa uchwepheshe oqeqeshiwe.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokugoma. Uma unemibuzo noma ukwesaba, khuluma naye ngokukhululekile ngayo.
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