Ukujola umgudu we-cortisone ukunciphisa ukuvuvukala
Umjovo we-epidural steroid umjovo we- cortisone osetshenziselwa ukuphatha ukuvuvukala emgodleni. I-Cortisone uhlobo lwe-steroid olukhiqizwa ngokwemvelo ngengqungquthela emzimbeni wakho obizwa ngokuthi i-adrenal gland. I-Cortisone ikhishwa ku-grenal adrenal lapho umzimba wakho ucindezelekile. I-cortisone yemvelo ikhishwe engxenyeni yegazi futhi isenzo esifushane.
I-cortisone egxiliwe ikhiqizwa ngokweqile futhi inezinhlobo eziningi zezohwebo (i-Celestone, i-Kenalog, njll), kodwa ihlobene eduze ne-cortisone yomzimba wakho. Umehluko obaluleke kunazo zonke wukuthi i-cortisone yokwenziwa ayiketshiywanga engxenyeni yegazi, kodwa endaweni ethile yokuvuvukala. Futhi, i-cortisone yokwenziwa yenzelwe ukwenza ngokunamandla isikhathi eside (izinsuku esikhundleni semaminithi).
Ama-Epidural Injections
Umjovo we-epidural steroid ubeka le mithi enamandla elwa nokuvuvukala ngqo emzungezini womgogodla. Izitshalo zamasiko ezijwayelekile zenziwa ngaphandle kwemishini ekhethekile, ngokufaka inaliti ngokuzizwa endaweni ezungeze izinzwa zomgogodla. Imishanguzo yamuva ye-epidural inikezwe ngosizo lwamathuluzi wokucabanga ukuvumela udokotela wakho ukuba abone inaliti eya endaweni efanele. Kukhona i-x-ray yangempela-isikhathi ebizwa ngokuthi i-fluoroscopy, noma i-CT scan ingasetshenziswa 'ukubuka' inaliti ithumele imithi endaweni efanele.
Ucwaningo lwamuva luye lwabonisa ukuthi lezi zijovo ezinikezwa ngesikhombiso sokucabanga ziyiqiniso kakhulu futhi ziphumelele kakhulu kunezijovo ezinikezwa ngaphandle kokucabanga ngesikhombiso. Eqinisweni, ukukhetha ngokuhlakanipha ukugqugquzela ukunciphisa izindlela zokwelashwa eziphakeme, welule iziguli ukuba zibe nama-epidural injections alawulwa ngalolu hlobo lokuqondiswa kokucabanga kunokuba kwenziwe ngaphandle kokucabanga.
Ama-epidural steroid amajola anganikezwa ngezinhlobo eziningi zodokotela, kuhlanganise nezifo ze-anesthesiologists , odokotela bamazinyo, ama-neurologists, ama-radiologists angenele, ochwepheshe bokuphathwa kobuhlungu , nabanye abaqeqeshwe kulezi zindlela. Ngokuvamile uchungechunge lwemijovo, ngamunye uhlukaniswe amasonto ambalwa eceleni, anikezwa. Kukhona impikiswano enkulu mayelana nenani elihle lemisipha nokuthi kufanele ihlukaniswe kangakanani. Abaningi bayavuma ukuthi uma umjovo awusizo, izijovo ezengeziwe angeke zisize. Uma umjovo uphazamisa konke ukungakhululeki, ukujova okwengeziwe akudingekile. Uma kukhona ukukhululeka, kodwa hhayi ukuxazululwa okuphelele kwezimpawu, khona-ke izijovo eziningi zingacatshangwa. Lokho kusho ukuthi ukunikeza i-cortisone engaphezulu kungabangela umzimba ukuba ucindezele ukukhiqizwa kwawo kwemvelo kwe-cortisol, futhi izinombolo eziningi kakhulu zokugaya kufanele zigwenywe.
Imiphumela Ehlangothini Yezifo Eziphuthumayo
Kunemiphumela emibi embalwa yocala le-cortisone iziguli okufanele ziyiqonde. Ngaphezu kwalokho, iziguli eziningi zithola izimpawu ezingavamile emva kokudubula kwe-cortisone, futhi ukwazi ukuthi kuningi lalezi zimpawu ezibangelwa ukudubula kunzima. Kodwa-ke, kuvamile ukuthi abantu bahlangabezane nomphumela othile ohlangothini olumphumela ngenxa yokudubula kwe-cortisone.
Eminye yemiphumela emibi ehlobene ngqo nemigudu ye-cortisone epidural ihlanganisa:
- Ukwelashwa: Okungajwayelekile kakhulu, okungaphansi kuka-1%
- Ukweqa: Futhi okungajwayelekile, futhi kunqunyelwe ukungenzi le nqubo kumagciwane anenkinga yokuphapha noma ngenkathi ethatha imithi yokwehlisa igazi.
- Umkhuhlane we-spinal : Ubangelwa ukubhoboza isikhwama nxazonke zomgogodla ngenaliti.
Eminye imiphumela emibi ingenzeka futhi kufanele ixoxwe ngaphambi kokujola nomdokotela okwenza le nqubo.
Ukusebenza kwe-Epidural Steroid Shots
Isizathu esingcono kakhulu sokuba nomjovo we-epidural steroid akusiyo ukukhululeka kokubuhlungu emuva, kodwa kunalokho ukukhululeka kobuhlungu bomlenze obangelwa ukucindezelwa kwamagciwane omgogodla.
Ngokuvamile okuthiwa i- sciatica , ubuhlungu bomlenze obubangelwa ukucasuka kwemizwa yisona sizathu esihle kakhulu sokuba nesifo se-epidural. Lezi zimpawu zingabangelwa ama- disc noma ama- spinal stenosis . Siyazi kahle, ukuthi izimpawu ezijwayelekile zokuphumula emhlane aziphathwa kahle nge-epidural steroid injection, futhi lokhu kufanele kugwenywe njengendlela yokwelapha lolu hlobo lobuhlungu. Ubuhlungu be-back is hhayi isizathu esihle sokuba nomjovo we-epidural.
Ama-epidural injections nawo asetshenziselwe kokubili ukuhlela kwangaphambi kokuhlinzwa kanye nokwelapha ngemuva kokuhlinzwa. Kunobunye ubufakazi obusekela ukusetshenziswa kwezigciwane ze-epidural steroid zokuhlela ngaphambi kokuhlinzwa. Kulezi zimo, udokotela wakho angancoma ukuthi abe namazinga athile omgogodla we-spine ngaphambi kokuhlinzwa ukuze aqinisekise indawo yenkinga.
Odokotela baye bazama ukusebenzisa izijovo ze-epidural steroid kubantu abanemilenze yezinsalela ngemuva kokuhlinzwa komgogodla. Kulezi ziguli, ama-injection awabonwanga ukuthi ayasiza futhi kufanele agwenywe.
Imithombo: Intsha IA, et al. "Ukusetshenziswa kwe-Lumbar Epidural / Transforaminal Steroids Yokuphatha Izifo Zomkhuhlane" J Am Acad Orthop Surg April 2007