Space Epidural
Isikhundla se-epidural indawo yendawo yokugulisa umthambo ophakathi kwintambo yomgogodla kunye nomgca we-vertebral. Ngamanye amazwi, ingaphandle kwintambo kodwa ngaphakathi kwinqanaba.
Iziqendu ezintathu zezicubu zigubungela intambo yomthambo, kwaye phakathi nganye "yindawo." Isikhundla se-epidural yindawo phakathi kwendawo engaphezulu kweethambo kunye nomda wangaphakathi wethambo apho intambo yomgudu iqulethwe khona.
Isikhundla se-epidural siqhuba ubude bomgudu.
Isikhundla se-epidural siqulethe izicubu ezinamafutha kunye nemithambo yegazi kunye neengcambu zeengcambu.
Ezinye izithuba "zombini" zintambo yomgcini ngokwawo. Bathiwa ngamagumbi angaphantsi kweendawo kunye neendawo eziphantsi komhlaba, emva kweminye (kodwa ingeyo yonke into) yezinye izikhumba ezizungeze intambo yomgca.
Injecting Epidural for neck or Back Pain Related
Ukuba uye wakha waba negalelo ukunceda ukunciphisa ukutshabalala kunye / okanye ukunciphisa intlungu yesifo kunye neempawu ezihla ngaphantsi komlenze okanye umlenze, ugqirha wakho unokufakela inaliti kwindawo yakho yecala. Kule nyango, inaliti ihamba ngqo phezu kwengcambu yomgudu womthambo (apho iqala khona intlungu) kwaye ihambisa amayeza. Amachiza anokuba yindawo yokubulala i-anesthetic yendawo, isiciringi se-steroid, okanye udibaniso lwababini.
Nangona ngejoyi ye-epidural uza kuba nenaliti enamathele kuwe, oogqirha bayakujonga ukuba le nyeza ayiyiyo ingenayo, oko kungukuthi akuyiyo ingcango.
Elinye igama eliqhelekileyo lonyango olungenasiphene lonyango "luyalondoloza."
Idibeneyo: Yintoni i-Facet Joint Hypertrophy?
Intralaminar Epidural Injections
Iijoyi ze-Epidural ziphakathi kwezona zininzi zonyango zonyango, kwaye uhlobo oluqhelekileyo olunikezelwa intlungu okanye intlungu ehambelana nomva kuthiwa yi-injection intralaminar.
I-lamina yinxalenye yendandatho yebony ephezulu emva komzimba we-vertebral. Kwijoyi ephakathi, inaliti ijoliswe phezulu ukuya kwintloko yakho kunye phakathi kwemeli ezimbini ezidibeneyo.
Ukuhlaziywa kuka-2012 okubhaliweyo, "Ukusebenza kweenjini zangasese ezinqamlekileyo ezinobungozi obungaphiliyo ekulawuleni iimeko ezingaphantsi kwexesha eliphantsi kunye nentlungu ephantsi," eqhutshwa nguBenyamin, kunye. al. kwaye yashicilelwa kwimiba ye-Julayi-Agasti yenkcazo ye- Pain Physician ephononongwa uphando lwezonyango ezingama-26 ukuze ubone ukuba i-injection eplural injection ephumelelayo yenzelwa ukukhupha iimpawu ezibangelwa yimpembelelo yengxaki yomzimba.
Abaphandi bafumene ubungqina obufanelekileyo bokuthi iilject zangasese ziyakunceda intlungu evela kwingcambu yomdanga (i-radiculitis) enokuxhomekeka ngenxa ye-disc-herniation-xa amayeza asetyenziswayo yi-anesthtics kunye ne-steroids yasekhaya. Kodwa abazange bafumane ubungqina bokuba ijojo yayiza kunceda i-disniation itself.
Idibeneyo: Izigulane ze-Spinal Epidural Injections
Abaphandi bafumene ubungqina obufanelekileyo bokuba i-epidurals kunye ne-steroids yendawo inokukunceda iimpawu zeengcambu zentliziyo ezixinzelelweyo ezidityaniswe ne-radiculitis ezihlobene ne-stenosis. Bafumene ubungqina obunobungqina bentlungu engaphelelanga kwi-disc (ukubizwa ngokuba yi-axial "intlungu") xa i-anesthetic yendawo isetyenzisiweyo-nokuba yedwa okanye ngemithi ye-steroid.
Zonke iinjongo ezifundwe kwaye zichazwe malunga nazo zenziwe nge-fluoroscopy, oko kuthetha ukuba ezi zikhokelo zenkxaso-mfanekiso.
Idibeneyo: Izizathu ze-Radiculopathy yomlomo wesibeleko
Imithombo:
Benyamin RM, iManchikanti L., Parr AT, Diwan S., Singh V., Falco FJ, Datta S., Abdi S., Hirsch JA Ukusebenza kweenjini zangasese eziphambene kunye nokulawula ubuhlungu obungapheliyo. Ugqirha wezinhlungu. NgoJulayi-Agasti 2012. Kufumaneka ngo-Jan 2016.
I-Mosby's Medical Dictionary. Lwe-7. 2006. UMosby Elsevier. St. Louis, Mo.
Inkcazelo Yonyango kaStedman. 28 Edition. 2006. ULippincott, Williams, uWilkins. Baltimore. UMorey, uK., uDalley, A. I-Anatomy ye-Clinically Oriented. Lwe-5. 2006. ULippincott, Williams & Wilkins. Baltimore.