Ube uhlushwa ubuhlungu emhlane isikhathi eside? Noma uhlushwa yisimo esibizwa ngokuthi 'sciatica', esifana nobuhlungu bokudubula phansi komlenze wakho? Mhlawumbe udokotela wakho ukutshelile ngomjovo okhethekile emhlane wakho, 'i-epidural' noma 'umjovo we-steroid'. Kujwayelekile ukuthi abaningi bethu bazizwe besaba futhi besaba kancane lapho sizwa igama elifana naleli. "O, noma ngikujova emhlane, ingabe kukhona okuzokwenzeka emgogodleni wakho?", "Ingabe lokhu kuzolimaza kakhulu?", "Ingabe ngeke ngikwazi ukuhamba ngemva kwalokhu?" Cishe unemibuzo eminingi engqondweni yakho. Ngakho-ke namuhla sikhuluma nge -Transforaminal Epidural Steroid Injection , okuyindlela yokwelapha ephumelela kakhulu yobuhlungu emhlane, kodwa asikho isizathu sokukwesaba. Sizokhuluma ngakho konke kusukela ku-A kuya ku-Z ngendlela elula ongayiqonda.
Kalula nje, iyini le Transforaminal Epidural Steroid Injection?
Ungakhathazeki ngaleli gama elide. Ake silichaze igama negama. Khona-ke uzoqonda ukuthi kulula kangakanani.
- I-Transforaminal: Lokhu kusho ukuthi 'ngokusebenzisa i-foramen'. Manje ungase ubuze ukuthi 'Kuyini lokhu ku-foramen?' Cabanga ukuthi umgogodla wakho wakhiwe yinqwaba yamathambo, njengezitini ezibekwe phezu komunye nomunye. Phakathi kwalamathambo, kuzo zombili izinhlangothi, kukhona 'iminyango' emincane efana nezimbobo zemizwa eya kwezinye izingxenye zomzimba wethu (izingalo, imilenze). Lowo mnyango lapho lawo mathambo ephuma khona ubizwa ngokuthi 'i-Foramen'. Ngakho-ke 'i-Transforaminal' isho ukuthi 'ngokusebenzisa lowo mnyango' .
- I-Epidural: Intambo yethu yomgogodla iyinto ebaluleke kakhulu futhi ebucayi. Yingakho kukhona 'igobolondo elivikelayo' elijiyile eliyizungezile ukuze liyivikele. Lokhu sikubiza ngokuthi `(Dura Mater)`. I-'Epidural' ibhekisela esikhaleni 'esingaphandle kwale gobolondo elivikelayo' .
Ngakho-ke, uma konke lokhu kuhlanganiswa, i-Transforaminal Epidural Steroid Injection iwumjovo womuthi we-steroid nge-foramen lapho imizwa iphuma khona emgogodleni futhi ingene esikhaleni esingaphandle kwesivikelo esizungeze umgogodle (isikhala se-epidural).
Into ebaluleke kakhulu ukuthi lo mjovo awukaze ufakwe emgogodleni wakho noma ngqo emthanjeni. Kunalokho, umuthi ufakwa endaweni ephephile ezungeze umthambo ovuvukele obangela ubuhlungu. Ngakho-ke asikho isizathu sokwesaba ngokungadingekile.
Esinye isici esikhethekile salolu hlobo lokwelashwa ukuthi udokotela ufaka lo mjovo ngosizo lomshini we-X-ray. Lokhu sikubiza ngokuthi ``(Fluoroscopy)``. Inaliti ifakwa ngenkathi uyibuka, njenge-'vidiyo ebukhoma'. Ngakho-ke, umuthi ungafakwa eduze komthambo onenkinga, ngaphandle kokunyakaza ngisho ne-millimeter.
Lolu hlobo lwezinkinga oluwusizo kulo mjovo?
Lo mjovo usetshenziswa kakhulu ukudambisa ubuhlungu obubangelwa ukucindezelwa noma ukuvuvukala kwemizwa emgogodleni. Ungathola umbono omuhle ngalokhu kusukela kuthebula elingezansi.
| Isimo | Incazelo elula |
|---|---|
| Ubuhlungu Emhlane Ongezansi | Ubuhlungu bomhlane obubangelwa ukucindezelwa kwemizwa, obekukhona isikhathi eside. |
| I-Sciatica | Ubuhlungu obuvuthayo, obuqeda amandla obuzwakala sengathi ugesi ugijima usuka emhlane udlule ezinqeni ufike emlenzeni. |
| Idiski Ene-Herniated | Idiski ephakathi kwamathambo amabili omgogodla iyaqhuma bese icindezela inzwa. Lokhu sikubiza ngokuthi 'ukucindezela kwemizwa yomgogodla'. |
| I-Spine Stenosis | Ukucindezelwa kwemizwa ngenxa yokuncipha komgogodla njengoba ukhula. |
| I-Foraminal Stenosis | Leyo 'foramen' esikhulume ngayo ngaphambilini, lapho inzwa iphuma khona, inciphe futhi icindezele inzwa. |
| Ezinye izimo | Ubuhlungu bemizwa obubangelwa yizimo ezifana ne-scoliosis kanye ne-bone spurs. |
Lo mjovo unikezwa kuphi ngemuva?
Indawo yomjovo incike ekutheni ubuhlungu bakho bukuphi. Kunezinhlobo ezintathu eziyinhloko.
- Umjovo we-Lumbar: Lolu uhlobo oluvame kakhulu. Lunikezwa ubuhlungu bomhlane kanye ne-sciatica, okubangelwa ukucindezelwa kwemizwa emhlane ongezansi (isifunda se-lumbar).
- Umjovo Wesifuba: Lo mjovo unikezwa uma unesihlungu phakathi nomhlane wakho, okungukuthi, ezingeni lesifuba, noma uma ubuhlungu busakazekela esifubeni noma esiswini.
- Umuthi wokugomela wesibeletho: Lolu hlobo lomjovo lunikezwa izimo ezinjengobuhlungu bentamo, ubuhlungu obuphuma ehlombe bungene engalweni, noma ukungazweli esandleni okubangelwa ukucindezelwa komthambo phakathi kwamathambo entanyeni.
Isebenza kanjani le nqubo? Ingabe kufanele ngesabe?
Lena yinkinga enkulu abantu abaningi abanayo. Ake sibheke le nqubo isinyathelo ngesinyathelo.
1. Ukulungiselela: Uzolaliswa ngesisu sakho embhedeni okhethekile onomshini we-X-ray.
2. Ukufaka izinombolo endaweni: Ngaphambi komjovo, indawo iyahlanzwa bese kunikezwa umjovo omncane we-"Local Anesthesia" ukuze kuncishiswe isikhumba. Ngalesi sikhathi, ungase uzizwe umuzwa omncane wokushisa, njengokulunywa yintuthwane. Lokhu kuzophela ngemizuzwana embalwa.
3. Ukudambisa: Uma ukhathazekile kakhulu noma ukhathazekile, ngesicelo sakho, unganikezwa umuthi wokudambisa i-IV ukuze uphumule futhi uzizwe ulele kancane. Lokhu kuzokwenza ulale, kodwa uzobe uqaphile ngokwanele ukukhuluma nodokotela wakho. Ungaxoxa ngalokhu nodokotela wakho kusenesikhathi.
4. Umjovo: Ngemuva kwalokho, ngenkathi ebheka i-X-ray monitor, udokotela uzofaka ngokucophelela inalithi encane endaweni lapho inzwa ibangela khona ubuhlungu. Ungase uzizwe uncipha kancane kuleli qophelo, kodwa hhayi ubuhlungu obukhulu.
5. Umjovo: Ngemva kokuqinisekisa ukuthi inaliti isendaweni efanele, udokotela uzofaka ingxube yomuthi oqeda izinhlungu onciphisa ubuhlungu ngokushesha kanye ne-steroid enciphisa ukuvuvukala futhi inikeze impumuzo yesikhathi eside.
Le nqubo yonke ivame ukuthatha isikhathi esifushane, cishe imizuzu engama-30 .
Wenzani ngemva kokujova?
Ngemva kokwelashwa, uzocelwa ukuba uphumule isikhashana, bese uvunyelwa ukuya ekhaya. Buyela ekhaya uyonakekela lezi zinto.
- Ungaphuza ukudla kwakho okuvamile, iziphuzo kanye neminye imithi njengakuqala.
- Okubaluleke kakhulu: Ungashayeli amahora ayi-12 ngemuva kokuthola umuthi wokugoma, ngoba ungase uzwe ukungabi namandla noma ubuthakathaka emilenzeni yakho.
- Gwema ukuphakamisa izinto ezisindayo nokuzivocavoca okunzima ngalolo suku.
- Ungaqhubeka nemisebenzi yakho evamile kusukela ngosuku olulandelayo.
Okubalulekile: Kungathatha izinsuku ezimbalwa kuya emavikini amabili ukuthi i-steroid isebenze ngokugcwele futhi uzizwe ungcono kakhulu. Ngakho-ke ungakhathazeki uma ubuhlungu bakho bungapheli ngokushesha. Uma ubuhlungu bakho bungapheli ngemva kwamasonto amabili, bona udokotela wakho futhi.
Kuyothatha isikhathi esingakanani lokhu kwelashwa? Kungenziwa kangaki?
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bathola impumuzo emavikini ambalwa , kanti abanye bahlala izinyanga bengenazo izinhlungu. Uma lokhu kwelashwa kuphumelele kuwe, ungathola umuthi wokugomela futhi uma ubuhlungu buphinde buvela, njengoba kuceliwe udokotela wakho.
Ngokuvamile, kubhekwa njengokuphephile ukuthola imijovo ephakathi kwemi-3 neyi-6 ngonyaka. Kodwa-ke, khumbula ukuthi uma ubuhlungu bakho bungathuthuki ngemva kwemijovo emibili noma emithathu, akunakwenzeka ukuthi eminye imijovo izosebenza kahle. Ezimweni ezinjalo, udokotela wakho uzokweluleka ngezinye izindlela zokwelapha.
Ingabe ikhona imiphumela emibi? Ingabe kufanele ngikhathazeke?
Ingozi yezinkinga ezinkulu ngalokhu kwelashwa iphansi kakhulu. Ukopha, ukutheleleka, noma ukulimala kwemizwa endaweni yokujova akuvamile kakhulu.
Noma kunjalo, kungase kube nemiphumela emibi emincane.
- Ukuba ndikindiki noma ubuthakathaka besikhashana emilenzeni noma ezinyaweni.
- Ukuzizwa unesizungu.
- Ikhanda elibuhlungu.
Iningi lale miphumela emibi iyaphela ngokuphelele emahoreni ambalwa, ngakho-ke asikho isidingo sokukhathazeka kakhulu ngayo.
Kunini lapho udinga khona ukufonela udokotela ngokuzumayo?
Uma uhlangabezana nanoma yiziphi izimpawu ezibalwe ngezansi, yazisa udokotela wakho ngokushesha. Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha ezimweni ezinjalo.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Imiphumela emibi iyaqhubeka | Uma izinto ezifana nokungazweli kanye nobuthakathaka sezikhona isikhathi esingaphezu kosuku. |
| Ubuhlungu obusha | Uma uzwa ubuhlungu obusha obungekho ngaphambi komjovo. |
| Ubuhlungu obandayo | Uma ubuhlungu bakho bakudala buba bubi kakhulu ngemva kokujova. |
| Izimpawu zokutheleleka | Izimpawu ezifana nomkhuhlane, ukuvuvukala, ukubomvu, noma ukufudumala endaweni yokujova. |
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Transforaminal Epidural Steroid uyindlela yokwelapha ephumelela kakhulu futhi ephephile yobuhlungu bezinzwa obuphuma emhlane, entanyeni nasemilenzeni.
- Lo muthi wokugomela awufakwa ngqo emgogodleni noma emsipheni, kodwa ufakwa endaweni ephephile ewuzungezile.
- Ngenxa yokuthi kwenziwa ngaphansi kwesiqondiso se-X-ray, ikhono lokuletha umuthi ngqo kumuntu okuqondiswe kuye likhudlwana.
- Ingozi yemiphumela emibi emibi kakhulu iphansi kakhulu. Imiphumela emibi emincane ivame ukuphela phakathi namahora ambalwa.
- Ukuqeda ubuhlungu ngenxa yalokhu kwelashwa kungahlala izinyanga eziningi.
- Zizwe ukhululekile ukukhuluma nodokotela wakho mayelana nokuthi lokhu kwelashwa kulungile yini kuwe noma cha, kanye nanoma yimiphi imibuzo ongase ube nayo ngakho.
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