Izigulane zomgulane zokuThola nokuPhatha ubuhlungu

Injola yomgulane yinkqubo engenayo esetyenziswayo kokubili ukuxilonga nokunyanga iintlungu eziphantsi. Injongo yomjola wokugaya umgudu ukuhambisa iyeza ngqo kwisiza esithile sensizi.

Xa unesifo sokuxilonga , injongo kukufumanisa ukuba iyeza lithintela intlungu yakho. Ukuba kukhulula intlungu yakho kwindawo ogqirha ugqirha wakho, ngokusekelwe kwisifundo sakho somzimba kunye nembali yonyango, ngumthombo, unokuqinisekisa ukuba ngokwenene ukuxilongwa. Uncedo lweentlungu kwiijojo zokuxilonga ngokuqhelekileyo zisesigxina - ngokuqhelekileyo nje iiyure ezimbalwa.

Xa unesirya njengonyango, uncedo luhlala ixesha elide.

Nazi ezi-4 zinikezwa ngokujola umgudu:

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Ukukhethwa kweNerve Block Block

Iibhloko zeengcambu zentsholongwane ekhethiweyo enye yezona zifo zentlawulelo esivame kakhulu. Zingasetyenziselwa ukunyanga okanye ukuxilonga imva kunye / okanye intlungu yomlenze ngenxa yengcambu yeengcambu ezilimele. Ingcambu yomgca iqoqo leethambo eziye zaxhuma kwi-intambo yomthambo ophezulu ekuphumeni kwazo ukuze zisebenze wonke umzimba. Unengcambu yengcambu kwicala lomgca womgcini kwinqanaba ngalinye lomqolo. Ukuba ingcambu yomnyoba ixineke okanye icatshukiswe, intlungu yomlenze ingabangela. Uninzi lwabantu lubiza le sciatica, kodwa igama layo lobuchwepheshe li-radiculopathy.

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I-Lumbar Facet Iimpawu zeMigodi

Ukuba isekelwe ekuhlolweni kwakho ngokomzimba, ugqirha wakho uyakrokrela intlungu yakho ivela kumalungu asempempe wakho, unokuthi uncome ukuzama ukujova i-facet. Amalungu amacandelo amancinci amancinci athile kwinqanaba le-vertebral ngalinye - elinye kwicala ngalinye; Bongeza intembelelo emgodini ngokunciphisa ukunyakaza okugqithiseleyo. Idibaniselwano edibeneyo yindawo eqhelekileyo yokugulisa isifo somzimba.

Kodwa umthengi uqaphele. Izikhokelo zezonyango ekwenzeni unyango oluphantsi oluye lwaveliswa ngoFebruwari 2014 yi-Arhente yeeNgxelo zoPhando lwezeMpilo kunye neNgcaciso yeeMpilo ukuba inxalenye enkulu, ii-injection ezidibeneyo ze-facet azibonakaliswa ziintlungu zokuxhatshazwa. I-AHRQ ithi yodwa, injelo ye-facet yedwa ayinakukunika iziphumo ezide, kwaye ayikho into echanekileyo yokuxilonga.

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Izigulane kwiZiXhosa zakho

Zininzi iintlobo ze-injections ezihlangeneyo ze-sacroiliac; oko kukuthi, ii-injatticular steroid injections (kunye nohlobo olunikezelwa ngamalungu amanxeba adibeneyo) kunye neenjini zangaphandle, kunye ne-pulsed and radialrequency neurotomy. I-Botox kunye ne-steroids ngamachiza amabini aqhelekileyo asetyenziselwa ama-injection periarticular.

I-intraarticular ithetha ngaphakathi ngaphakathi ngokubambisana ngelixa lithile lithetha ngokujikelezisana. I-radiological frequency neurotomy yinkqubo eyenza ukufudumala ibe ngumbutho ukuze kuphazamise ukusebenza kweentlungu ezibuhlungu.

I-AHRQ ithi ubungqina obuncinci kuphela buxhasa ukusetyenziswa kweentlobo ze-intraarticular and periarticular of sacroiliac injections,

Oko kwathiwa, njengethuluzi lokuxilonga, i-injraticular sacroiliac joint injections kunye ne-anesthetics yendawo eyanciphisa i-75% ukuya kwi-100% yentlungu yakho eqhelekileyo inesayensi enhle emva kwabo, ngokwe-AHRQ.

I-AHRQ ithetha ukuba ubungqina bobubini obuninzi kunye nobuqhelekileyo be-radiofrequency neurotomy bulinganiselwe, kodwa bubungqina obunobungqina bombhobho obushushu obushushu.

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I-Epidural Steroid Injections

Ukuba unayo i-disc ye-herniated okanye i-disc radiculitis, ugqirha wakho unokubonisa ukuba u-injection epidural.

Umjovo we-spinal epidural uhambisa imithi ye-steroid kwisithuba se- epidural , indawo ephakathi komgudu womgogodla kunye nomgca we-vertebral, kunye nomtya ongaphantsi.

I-disc ye-herniated okanye i-disc radiculitis, i-AHRQ isincoma nayiphi na enye yeentlobo ezintathu ze-epidurals: Iindlela ezikholisayo, eziphakathi okanye ezenziwe nge-transforaminal, zichaza ubungqina obuhle ngamnye. Ngendlela, la magama afanelekileyo abhekisela kwisikhokelo apho inaliti ifakwe khona.

Intlungu ye-discogenic (oko kukuthi, intlungu evela ngaphakathi kwidiski kunokuba ibe ngenxa yokulimala okanye ukuhlaselwa) yeso sizathu isizathu sokuba ugqirha wakho angabonisa ukuba yi-epidural, kodwa i-AHRQ ihlawulela ubungqina bolu hlobo njengelungileyo kuphela.

I-epidurals kumalungu e-facet nawo ayenziwe, nangona i-AHRQ ithi ubungqina bayo busebenza kakuhle okanye buncinane, kuxhomekeke kwindlela eyenziwa ngayo.

Ezinye izizathu ze-epidurals zentsholongwane zinikezelwa ziquka ukuguliswa kwesifo se-spinal stenosispost.

> Imithombo:

> I-Arhente yoPhando lwezeMpilo kunye neMigangatho. Ukuhlaziywa kwezikhokelo zobungqina obunzulu beendlela zokungenelela kwintlungu engapheliyo. Icandelo II: izikhokelo kunye neziphakamiso. I-National Guideline Clearinghouse website. IsiGqibo sokugqibela ngo-Ephreli 2013.

> I-Arhente yoPhando lwezeMpilo kunye neMigangatho. Izikhokelo zonyango zonyango oluphantsi. I-National Guideline Clearinghouse website. Feb 2014.

Kaninzi