Ingabe nawe uzwa ubuhlungu obuhlala njalo emhlane? Noma unesifo esifana ne-'Sciatica', okuwubuhlungu obuqala emhlane bufike emilenzeni, njengogesi, noma obuhambisana nomuzwa wokuthuthumela? Ngezinye izikhathi kungaba ubuhlungu obuqala entanyeni bufike ezingalweni. Ngenxa yobuhlungu obunjalo, kumele ungakhululeki futhi ungakwazi ukwenza imisebenzi yakho yansuku zonke ngendlela efanele. Ngakho-ke, namuhla sizokhuluma ngendlela yokwelapha ethuthukisiwe kakhulu nephumelelayo ekuvumela ukuthi ulawule ubuhlungu obunjalo.
Iyini le Transforaminal Epidural Steroid Injection?
Nakuba leli gama lingase libonakale liyinkimbinkimbi kancane, incazelo yalo ilula kakhulu. Ake sihlukanise amagama.
- I-Transforaminal: Lokhu kusho ukuthi "ngokusebenzisa i-foramen." Cabanga ngakho, intambo yomgogodla, impande eyinhloko yemizwa evela ebuchosheni, idlula emgogodleni wethu. Kunezimbobo ezincane phakathi kwamathambo omgogodla ukuze imizwa eya ezingxenyeni ezahlukene zomzimba iphume kulo mgogodle. Lezo zimbobo zibizwa ngokuthi 'i-foramina.' Ngakho-ke lo mjovo unikezwa ngalowo mgogodle.
- I-Epidural: Intambo yethu yomgogodla izungezwe ulwelwesi oluqinile oluvikelayo olubizwa ngokuthi i-'dura mater'. I-'Epidural' igama elinikezwa isikhala esingaphandle kwalolo lwelwesi.
Kalula nje, i-Transforaminal Epidural Steroid Injection inqubo lapho kufakwa khona inaliti ngembobo (i-foramen) lapho kuphuma khona umthambo womgogodla, bese kufakwa ingxube ye-steroid kanye nemithi yokubulala izinzwa endaweni evikelayo ezungeze umgogodla (isikhala se-epidural).
Into ebalulekile ukuthi lokhu akulona umjovo ngqo emgogodleni noma emithanjeni. Umuthi ufakwa endaweni ephephile ezungezile. Lokho okwenziwa yilomuthi ukunciphisa ukuvuvukala nokuvuvukala okuzungeze imithambo okubangela ubuhlungu.
Yiziphi izimo ezifanelekela lokhu kwelashwa?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase akuncome lokhu kwelashwa. Ngokuvamile, kusetshenziselwa ukulawula ubuhlungu obubangelwa ukucindezelwa noma ukulimala kwemizwa emgogodleni.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ubuhlungu obuphansi emhlane | Ubuhlungu bomhlane obuhlala bukhona futhi obusongela impilo. |
| I-Sciatica | Ubuhlungu obukhulu, ukungazweli, noma ukushisa okuvela emhlane kuya ezinqeni kuya emlenzeni. |
| Idiski Ene-Herniated | Ingxenye yomgogodla efana nojeli ephuma futhi icindezele imizwa. |
| I-Spine Stenosis | Ukucindezelwa kwemizwa ngenxa yokuncipha komsele womgogodla njengoba ukhula. |
| I-Cinced Nerve | Ubuhlungu kanye nokuba ndikindiki okubangelwa ukucinana kwemizwa ngenxa yethambo noma ezinye izimbangela. |
| Ama-bone spurs | Ukucindezelwa kwemizwa ngenxa yokwakheka kwamathambo amasha emgogodleni. |
Ingabe lokhu kwelashwa kuyayelapha izingxenye ezahlukene zomgogodla?
Yebo. Kuye ngokuthi ubuhlungu bukuphi, lo mjovo ungafakwa ezingxenyeni ezahlukene zomgogodla.
- Umjovo we-Lumbar: Lokhu kunikezwa emhlane ongezansi. Yilokhu abantu abaningi abakwenzayo ngobuhlungu bomhlane kanye nobuhlungu be-sciatica obuyehla emilenzeni yabo.
- Umjovo wesifuba: Lokhu kwenzelwa ubuhlungu obubangelwa umthambo ophakathi nomhlane, isibonelo, ubuhlungu obusakazekela esifubeni noma esiswini.
- Umjovo Wesibeletho: Lokhu kwenziwa endaweni yentamo. Lokhu kwelashwa kusebenza kahle kakhulu ezinhlungwini ezivela entanyeni ziye phansi ehlombe ziye engalweni.
Kwenziwa kanjani lokhu kwelashwa? Ingabe kubuhlungu kakhulu?
Asikho isizathu sokwesaba lokhu. Le nqubo yenzeka kanje.
1. Ukulungiselela: Uzobekwa embhedeni okhethekile onomshini we-X-ray, ubekwe esiswini sakho.
2. Ukuba ndikindiki: Ngaphambi kokukujova, udokotela uzofaka inani elincane le-anesthetic esikhumbeni sakho ukuze aqede indawo. Ungase uzizwe umuzwa omncane wokushisa kulesi sigaba, kodwa uzophela ngemizuzwana embalwa.
3.Ukudambisa: Uma uthanda, unganikezwa umuthi wokudambisa ngomthambo osengalweni yakho ukusiza ekunciphiseni ukukhathazeka nokwandisa induduzo. Lokhu kuzokwenza ulale, kodwa uzohlala uphapheme. Ungakhuluma nodokotela wakho.
4. Isiqondiso se-X-ray: Into ekhethekile ngalokhu kwelashwa ukuthi kwenziwa ngaphansi kwesiqondiso se-X-ray (i-Fluoroscopy) . Lokhu kusho ukuthi udokotela angabona ingaphakathi lomgogodla wakho njengevidiyo ebukhoma. Ngakho-ke, lokhu kwenziwa ngokubheka ngqo lapho inaliti ifakwe khona.
5. Ukujova: Ngesikhathi ebheka i-X-ray, udokotela ufaka inaliti encane, ende ngokucophelela endaweni yenzwa ebangela ubuhlungu. Ngemuva kwalokho, kufakwa ingxube yama-steroid kanye ne-anesthetic.
Yonke inqubo ithatha cishe imizuzu engama-30 . Ngeke uzwe ubuhlungu obukhulu ngenxa yokungasebenzi kahle, kodwa ungase uzizwe ucindezelwa kancane lapho inaliti ifakwa.
Yini okufanele uyiqaphele ngemva kokujova?
Ngemva kokwelashwa, ungadla, uphuze, futhi uphuze imithi yakho njengokujwayelekile. Kodwa qaphela ngalezi zinto.
- Ungashayeli amahora ayi-12 ngemuva kokwelashwa.
- Ungenzi ukuzivocavoca okunzima noma ukuphakamisa izinto ezisindayo usuku lonke.
- Ungabuyela emisebenzini yakho evamile kusukela ngosuku olulandelayo.
Kungathatha amahora angama-24-48 ukuthi i-steroid isebenze. Kungathatha amasonto amabili ukuthi kuzwakale umphumela ophelele. Uma ubuhlungu bungapheli ngemva kwamasonto amabili, bona udokotela wakho futhi ukuze nixoxe ngale ndaba.
Umphumela walokhu kwelashwa uhlala isikhathi esingakanani?
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bathola ukukhululeka ebuhlungwini amasonto ambalwa kuya ezinyangeni ezimbalwa . Uma lokhu kwelashwa kuphumelele kuwe, ungathola le mijovo kaningi ngangokunokwenzeka ukulawula ubuhlungu bakho. Ngokuvamile kubhekwa njengokuphephile ukuthola imijovo ephakathi kuka-3-6 ngonyaka. Kodwa-ke, udokotela wakho ungumuntu ongcono kakhulu onganquma.
Imiphumela emibi nezinto okufanele uziqaphele
Ingozi yezinkinga ezinkulu ezivela kulokhu kwelashwa iphansi kakhulu. Kuphephile kakhulu ngoba kwenziwa ngaphansi kwesiqondiso se-X-ray. Kodwa-ke, kunemiphumela emibi emincane engenzeka kaningi.
- Ukuqaqamba okuncane noma ubuthakathaka emilenzeni noma ezingalweni.
- Isiyezi.
- Ikhanda elibuhlungu.
Lokhu kuvame ukunyamalala ngokuphelele phakathi namahora ambalwa.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| 1. | Uma ukungazweli noma ubuthakathaka ezithweni zomzimba kuthatha isikhathi esingaphezu kosuku. |
| 2. | Uma uzwa ubuhlungu obusha obungekho ngaphambi komjovo. |
| 3. | Uma ubuhlungu buba bubi kakhulu. |
| 4. | Uma uba nezimpawu zokutheleleka njengokuvuvukala, ukubomvu, ukufudumala, noma umkhuhlane endaweni yokujova. |
Ukuphila nobuhlungu obungapheli obubangelwa yizimo ezifana ne-sciatica nama-disc e-herniated kungaba nzima. Lokhu kwelashwa, okubizwa ngokuthi i-Transforaminal Epidural Steroid Injection, kungathuthukisa kakhulu ikhwalithi yempilo yakho ngokwelapha inzwa ebangela ubuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Transforaminal Epidural Steroid uyindlela yokwelapha enembile kakhulu futhi ephephile yokunciphisa ubuhlungu nokuvuvukala okubangelwa ukucindezelwa kwemizwa yomgogodla.
- Ngenxa yokuthi lokhu kwelashwa kwenziwa ngaphansi kwesiqondiso se-X-ray, kungenzeka ukuletha umuthi lapho udinga khona.
- Lokhu ukwelashwa okunikeza impumuzo ngokulawula ubuhlungu nokukuvumela ukuthi wenze imisebenzi yansuku zonke kalula, kunokuba welaphe ngokuphelele lesi sifo.
- Ukuqeda ubuhlungu kuyahlukahluka kuye ngomuntu futhi kungahlala kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa.
- Khuluma nodokotela wakho mayelana nokuthi lokhu kwelashwa kulungile yini kuwe kanye nezinzuzo zako ukuze wenze isinqumo esingcono kakhulu.
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