Ingabe ukhathele futhi ukungakwazi ukwenza imisebenzi yakho yansuku zonke ngendlela efanele ngenxa yobuhlungu bomhlane nokungakwazi ukujabula? Ukwenza imisebenzi yasekhaya, ukulima ingadi, ukuphuma nabangani, nokudlala nezingane zakho sekunzima ngendlela engenakucatshangwa ngenxa yalobu buhlungu bomhlane. Isizathu esiyinhloko salobu buhlungu bomhlane obuqhubekayo ukulimala kwamalunga emhlane wethu obizwa ngokuthi (Lumbar Facet Joints). Eqinisweni, cishe ama-45% eziguli ezihlushwa ubuhlungu bomhlane zinezinkinga ezihlobene nala malunga. Ngakho-ke uma futhi unobuhlungu bomhlane noma ubunzima bokugoba nokusonta umhlane wakho, kubaluleke kakhulu ukwazi ngalolu hlobo lokwelashwa olubizwa ngokuthi (Lumbar Facet Joint Injection).
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Ziyini lezi zingxenye ze-Lumbar Facet?
Kalula nje, Ama-Lumbar Facet Joints amalunga amancane emhlane wethu ongezansi, ngemuva kwamathambo omgogodla (umgogodla). Lawa abizwa nangokuthi (ama-Zygapophysial joints).
Cabanga ngedolo lakho. Njengoba nje i-knee joint isivumela ukuthi sigobe futhi selule umlenze wethu, lawa 'ma-facet joints' asivumela ukuthi sigobe phambili, sijikeleze siye emaceleni, futhi sigcine umgogodla wethu uqondile. Kukhona uketshezi lokuthambisa ngaphakathi kwala ma-joints. Lokhu kusiza la ma-joints ukuthi ahambe kahle ngaphandle kokugudlana.
Kodwa-ke, lapho la malunga eguga, okungukuthi, lapho kuvela izimo ze-arthritis ezifana ne-"Facet Arthropathy", ubuhlungu bomhlane obungabekezeleleki bungaba khona.
Ngakho-ke iyini le Lumbar Facet Joint Injection?
Lokhu kubizwa nangokuthi i-Lumbar Facet Joint Block. Lokhu kuhilela ukufaka umuthi wokubulala izinzwa endaweni ebuhlungu noma eduze kwayo. Ngezinye izikhathi i-steroid nayo ingezwa kulokhu ukunciphisa ubuhlungu nokuvuvukala. Kuye ngesimo sakho kanye nenani lamalunga athintekile, kungadingeka ukuthi ufake umjovo owodwa noma ngaphezulu.
Lena indlela yokwelapha ejwayelekile esetshenziswa kakhulu odokotela abelapha ubuhlungu bomhlane. Isebenza kahle kakhulu ebuhlungwini obubangelwa yisifo sediski esiwohlokayo kanye nezinye izimbangela zobuhlungu bomhlane ongezansi (ubuhlungu bomhlane ongezansi).
Lokhu kwelashwa kwenziwa odokotela noma abasebenzi abaqeqeshwe ngokukhethekile abathole ukuqeqeshwa okukhethekile ekuphatheni ubuhlungu , ukwelashwa komgogodla, noma ukwelashwa ngokomzimba kanye nokuvuselelwa.
Ingabe ikhona imiphumela emibi yalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile kanye nemiphumela emibi. Kodwa lokhuKubalulekile ukukhumbula ukuthi lezi yizenzakalo ezingavamile kakhulu. Udokotela wakho uzokwazisa ngalokhu ngokuningiliziwe.
| Umphumela ongemuhle | Incazelo elula |
|---|---|
| Ukusabela kokungezwani komzimba | Ukungezwani nemithi esetshenziswayo. |
| Ukutheleleka | Amagciwane angena endaweni yokujova. (Akuvamile kakhulu) |
| Ukopha | Kungenzeka ikakhulukazi kubantu abathatha imithi yokunciphisa igazi . |
| Ukulimala kwemizwa | Kungenzeka kaningi kakhulu. |
| Ukwanda kwesikhashana kobuhlungu | Ubuhlungu bungase bukhule kancane izinsuku ezimbalwa ngemva komjovo. |
| Okunye (okungavamile) | Amazinga aphezulu kashukela egazini, ukusha kwesikhashana kobuso, ukwehla kokuqina kwamathambo, kanye nesifo samathambo esibi kakhulu se-hip (i-avascular necrosis) kungenzeka. |
Ulungiselela kanjani umjovo?
Kunezinyathelo eziningana okudingeka uzilandele ngaphambi, ngesikhathi, nangemva kwalokhu kwelashwa.
Abantu okungafanele bafake lo mjovo
Lokhu kwelashwa akufaneleki kwezinye iziguli. Uma uwela kwesinye salezi zigaba, kufanele utshele udokotela wakho nakanjani.
- Abantu abane-allergy emithini esetshenziswayo (imithi yobuhlungu bekhanda, ama-steroid, ama-contrast agents).
- Abantu abanesifo emzimbeni wabo.
- Abesifazane abakhulelwe .
- Abantu abanezinkinga zokopha.
- Abantu abanomdlavuza womgogodla noma ukutheleleka.
- Abantu abanesifo sikashukela esingalawuleki noma ukwehluleka kwenhliziyo okubangelwa ukuminyana kwegazi .
Izinto okufanele uzenze ngaphambi nangesikhathi sokwelashwa
Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ophelele, achaze izinzuzo nezingozi zalokhu kwelashwa, bese ephendula imibuzo yakho. Uma uthatha noma yimiphi imithi yokunciphisa igazi , ungase welulekwe ukuthi ubuze udokotela wakho ukuthi udinga ukuyeka yini ukuyithatha nokuthi kanjani.
Ngosuku lokwelashwa, qiniseka ukuthi wenza okulandelayo:
- Geza kahle, ufake insipho, bese uzihlanza.
- Ungafaki noma yiluphi uhlobo lokugcoba noma ukhilimu onemithi endaweni yokujova.
- Gqoka izingubo ezikhululekile, ezikhululekile kancane, ezinombala omnyama.
- Fika esibhedlela noma emtholampilo cishe imizuzu engama-30 ngaphambi kokwelashwa kwakho.
- Sicela ulethe umuntu ozokuthatha akuyise ekhaya. Akukhuthazwa ukushayela imoto ngemva kokwelashwa.
- Letha uhlu lwazo zonke izidakamizwa ozithathayo kanye nanoma yikuphi ukungezwani komzimba onakho.
- Uma unemibiko yakho yakamuva ye-X-ray noma ye-MRI, yilethe nayo.
Kwenzekani ngesikhathi sokwelashwa?
Yonke inqubo ithatha imizuzu eyi-10 kuya kwengama-30. Esikhathini esiningi, ngeke ulale ngokuphelele, ngakho-ke uzobe uphapheme.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka. Kuzodingeka futhi usayine ifomu lemvume.
2. Umhlengikazi uzokuthatha akuyise ekamelweni lokwelashwa akucele ukuthi ulale ngobuso embhedeni. Isikrini sokucindezela kwegazi sizoxhunywa engalweni yakho kanye nesikrini sokushaya kwenhliziyo sizoxhunywa emunweni wakho.
3. Udokotela usebenzisa idivayisi ye-X-ray ukuthola ilunga elifanele lokufaka umuthi.
4. Ngemuva kwalokho isikhumba esikuleyo ndawo siyahlanzwa ngesisombululo sokubulala amagciwane bese kufakwa inani elincane lomuthi oqeda izinhlungu. Ungase uzizwe umuzwa omncane wokushisa ngalesi sikhathi.
5. Okulandelayo, kufakwa inaliti eyinhloko, kufakwe i-contrast agent, kutholakale kahle ijoyinti, bese kufakwa ingxube ye-steroid kanye ne-painkiller. Ungase uzizwe ucindezelekile kancane emhlane wakho ngalesi sikhathi.
6. Uma umsebenzi usuqediwe, inaliti iyasuswa, indawo iyahlanzwa, bese kufakwa iplasta encane.
7. Uzobe usuyiswa ekamelweni elihlukile ukuze ubhekwe cishe imizuzu eyi-15-45.
Ngemva kokwelashwa
Uma une-IV line, izosuswa. Umhlengikazi uzohlola umfutho wegazi lakho futhi akunike imiyalelo yokuthi yini okufanele uyenze nokuthi yini okungafanele uyenze uma usuya ekhaya. Bazokutshela nokuthi kufanele uyikhiphe nini ibhandishi, irekhodi lobuhlungu ukuze ubhale ubuhlungu bakho, nokuthi kufanele uphinde ubonane nodokotela wakho nini.
Kubaluleke kakhulu: Uma uzwa ukuphelelwa umoya ngokuzumayo, ukuphelelwa amandla, izimpawu zokungezwani komzimba (ukulunywa, amaqhubu), ikhanda elibuhlungu kakhulu, ubuhlungu obandayo, noma ukungakwazi ukuzibamba ngemva kokwelashwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-Lumbar Facet Joint uwukwelashwa okuphumelelayo nokusetshenziswa kabanzi kobuhlungu obungapheli obubangelwa ukuqhekeka kwe-spinal disc.
- Nakuba lokhu ngokuvamile kuyindlela yokwelapha ephephile, njengakuzo zonke izinqubo zezokwelapha, kunezingozi ezincane nemiphumela emibi engaba khona.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngaphambi kokwelashwa. Tshela udokotela wakho ngayo yonke imithi oyiphuzayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha. Ungesabi futhi ungasinaki.
- Udokotela ozokuxilonga uzonquma ukuthi lolu hlobo lokwelashwa lukulungele yini. Ngakho-ke, uma unesifo somhlane, bheka uchwepheshe bese uthola iseluleko esifanele.
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