Ukujola umgudu we-cortisone ukunciphisa ukuvuvukala
Injini ye-epidural steroid iyisilisi ye- cortisone esetyenziselwa ukuphatha ukuvuvukala emlanjeni. I-Cortisone luhlobo lwe-steroid oluveliswa ngokwemvelo ngengqungquthela emzimbeni wakho obizwa ngokuba yi-adrenal gland. I-Cortisone ikhishwa kwi-adrenal gland xa umzimba wakho uphantsi kwengcinezelo. I-cortisone yemvelo ikhutshwe kwigazi kwaye ihamba ngokufutshane.
I-cortisone ejoyiweyo iveliswa ngokweenkcukacha kwaye inamagama amaninzi aorhwebo (Celestone, uKenalog, njl), kodwa ihlobene kakhulu ne-cortisone yomzimba wakho. Iintlukwano ezibaluleke kakhulu kukuba i-cortisone yokuhlanganiswa ayifakwe kwigazi, kodwa kwindawo ethile yokuvuvukala. Kwakhona, i-cortisone yokwenziwa yenzelwe ukwenza izinto ngokukhawuleza kunye nexesha elide (iintsuku endaweni yamaminithi).
Injected Epidural
Injini ye-Epidural steroid ibeka le myeza enamandla yokulwa nokuvuvukala ngokuzungeze ngqo kumagulane omgogodla. Iingxowa zamasiko eziqhelekileyo zazilawulwa ngaphandle kwezixhobo ezizodwa, ngokufaka inaliti ngokuziva kwindawo ejikelezayo. Ngoku kutshanje iinjongo ze-epidural ziye zalawulwa ngoncedo lwezixhobo zokucinga ukuvumela ugqirha wakho ukuba abone inaliti eya kwindawo efanelekileyo. Ngaba i-x-ray yangempela-time ebizwa ngokuba yi-fluoroscopy, okanye i-CT yokutshekisha ingasetyenziselwa 'ukubukela' inaliti ihambisa loo mayeza kwindawo efanelekileyo.
Uphando olutshanje luye lwabonisa ukuba ezi ngxubusho ezinikezwa ngesikhokelo sokucinga zichanekile kwaye ziphumelele ngakumbi kuneenjini ezinganikwa ngaphandle kokucinga ngesikhokelo. Enyanisweni, ukhetho olukhethileyo lokuncoma ukwenziwa ngcono kwezonyango, ucebise izigulane ukuba zibe neengxube zengxowankulu ezilawulwa ngoluhlobo lobunkokeli bezinto ezibonisa ukucinga ngaphandle kokuzenza ngaphandle kokucinga.
Iinjongo ze Epidural steroid zinokunikezwa ngeentlobo ezininzi zamagqirha, kubandakanya i- anesthesiologists , oogqirha bamazinyo, ama-neurologists, ii-radiologicalist intervention, iingcali zezobuhlungu , kunye nabanye abaqeqeshwe kwezo zinto. Ngokuqhelekileyo uchungechunge lweejoke, ngalinye lidibanisa iiveki ezimbalwa ngaphandle, zinikwe. Kukho imbambano enkulu malunga nenani elifanelekileyo le-injections kunye nendlela ekude yenziwe ngayo. Abaninzi bayavuma ukuba ukuba ijoyiki ayinakunceda, ii-injections ezongezelelweyo zingenakunceda. Ukuba isilwanyana sinciphisa konke ukunganakali, ii-injections ezongezelelweyo ayimfuneko. Ukuba kukho ukukhulula, kodwa ingagqibekanga isisombululo seempawu, i-injections eninzi ingacingelwa. Oko kwathiwa, ukunika i-cortisone engakumbi kunokubangela ukuba umzimba uphephe imveliso yakhe yemvelo ye-cortisol, kwaye inani elincinci lamagciwane kufuneka ligwenywe.
I-Effects Side-Effects of Epidural Injections
Kukho imiphumo embalwa eyaziwayo yecalaseone ye-cortisone eyenziwa yizigulane. Ukongezelela, ezininzi izigulane zifumana iimpawu ezingavamile emva kokudubula kwe-cortisone, kwaye ukwazi ukuba zininzi zezi zimpawu ezibangelwa ngqo kweso sitofu kunzima. Nangona kunjalo, akuqhelekanga ukuba abantu bafumane i-side-effect ngenxa yesibalo se-cortisone.
Ezinye zeempembelelo ezichaphazelekayo ezihambelana ngqo neenjini zangama-cortisone eziphambili zibandakanya:
- Usulelo: Unqabile kakhulu, ngaphantsi kwe-1%
- Ukuhlambalaza: Kwakungavamile, kwaye kuncitshiswa ngokungenzi le nqubo kwizigulane ezineentsholongwane zokuphaphaka okanye ngexesha lokuthatha igazi lonyango.
- Intloko yesisu : Ubangelwa ngokubhoboza ingxowa ejikeleze umgudu wamagulane ngenaliti.
Ezinye iziphumo zempembelelo ziyakwenzeka kwaye kufuneka zixoxwe ngaphambi kokujova kunye nodokotela owenza le nkqubo.
Ukusebenza kwe-Epidural Steroid Shots
Isizathu esona sizathu sokuba sibe ne-epidural steroid injection asiyiyo yokukhululeka kwintlungu, kodwa kunokuba ukhululeke kwintlungu yomlenze ebangelwa ukunyanzeliswa kwamagulane.
Ngokuqhelekileyo ibizwa ngokuba yi- sciatica , intlungu yomlenze ebangelwa ngumsindo wesibindi yisona sizathu esona sizathu esihle sokuba ne-epidural. Ezi zibonakaliso zibangelwa yi- disc okanye i- spinal stenosis . Siyazi kakuhle, ukuba iimpawu zentlungu ezisezantsi zingaphathwa kakuhle nge-epidural steroid injection, kwaye oku kufuneka kugwenywe njengonyango olu hlobo lentlungu. Intlungu ebuyayo ayiyona isizathu esihle sokuba ne-epidural injection.
Iijoyi ze-Epidural ziye zasetyenziselwa kokucwangciswa kokuqala kokucwangciswa kunye nophenyo olusemva kokunyangwa. Kukho ubungqina bokuxhasa ukusetyenziswa kwezigciwane ze-epidural steroid zokucwangcisa kwangaphambili. Kule meko, ugqirha wakho unokuncoma ukuba ube namanqanaba athile omgudu osisigxina ngaphambi kokuhlinzwa ukuze uqinisekise indawo yenkinga.
Oogqirha baye bazama ukusebenzisa ii-epidural steroid injections kubantu abaneempawu zokuhlala emva kokuhlinzwa koomlomo. Kulezi zigulane, iilenki azibonakalwanga zincedo yaye kufuneka ziphephe.
Imithombo: Incinci IA, et al. "Ukusetyenziswa kweLumbar Epidural / Transforaminal Steroids yokuLawula izifo zesifo sokugula" J Am Acad Orthop Surg uApreli 2007