Isikhala se-Epidural
Isikhala se-epidural yindawo yokuvuvukala komgogodla ophakathi komgogodla nomgogodla we-vertebral. Ngamanye amazwi, ingaphandle kwetambo kodwa ngaphakathi komsele.
Izingxenye ezintathu zezicubu zimboza intambo yomgogodla, futhi phakathi kweyodwa "yesikhala." Isikhala se-epidural yindawo phakathi kwezingqimba zangaphandle nezicubu zangaphakathi zethambo lapho kutholakala khona intambo yomgogodla.
Isikhala se-epidural siphelela ubude bomgogodla.
Isikhala se-epidural siqukethe izicubu ezinamafutha kanye nemithambo yegazi kanye nezimpande zesisindo.
Ezinye "izikhala" ezimbili zisezintanjeni ngokwawo. Baqanjwa ngokuthi izikhala ezingaphansi kwe-subural and sub-arachnoid, emva kokunye (kepha hhayi konke) kwezinye izimbobo zezicubu ezungeze intambo yomgogodla.
Ama-Epidural Injections wezinhlungu ezihlobene ne-neck noma Back
Uma uke waba nomjovo ukuze usize ukunciphisa ukuvuvukala kanye / noma ukunciphisa ubuhlungu bezinzwa nezimpawu eziwela phansi ingalo noma umlenze, udokotela wakho kungenzeka ukuthi ufake inaliti endaweni yakho ye-epidural. Kulesi ukwelashwa, inaliti iyahamba ngaphezu kwezimpande zomgogodla (okuyilapho uqala khona ubuhlungu) futhi usakaze imithi. Le mithi ingase ibe yinkinga yezinzwa zendawo, imithi ye-steroid, noma inhlanganisela yale mibini.
Ngisho noma umjovo we-epidural uzoba nenaliti inamathele kuwe, odokotela bacabanga ukuthi le mithi ayiyona ingavamile, okungukuthi ayiyona inhlinzeko.
Elinye igama elivamile lezokwelashwa ezingenasidalwa zokwelapha "liyalandela."
Okuhlobene: Yini i-Facet Joint Hypertrophy?
Ama-injection e-Intralaminar Epidural
I-Epidural injection ingenye yezokwelashwa ezijwayelekile emuva, kanti uhlobo oluvame kakhulu olunikezwa ubuhlungu obuhlobene nentamo noma emuva lubizwa ngokuthi umjovo we-intralaminar.
I-lamina iyingxenye yendandatho yebony ehamba ngemuva komzimba we-vertebral. Ngomjovo ongaphakathi, inaliti ihloswe phezulu ukuya ekhanda lakho naphakathi kwamamitha amabili axhunyiwe.
Ukubuyekezwa kuka-2012 okunesihloko esithi, "Ukusebenza kwamapayipi e-lumbar interlaminar epidural ekubhekaneni nobuhlungu obungapheli futhi abuhlungu kakhulu," okwenziwa uBenyamin, et. al. futhi yanyatheliswa kuyi-July-Agasti inkinga ye-Journal of Pain Physician ehlolisise izifundo zokwelapha ezingu-26 ukuze ubone ukuthi ama-injection e-interlaminar epidural ephumelelayo ayenziwe kanjani ekuqedeni izimpawu ngenxa yezifo ezivamile zomgogodla.
Abacwaningi bathola ubufakazi obuhle bokuthi imishanguzo ye-epidural ingasiza ubuhlungu emzimbeni we-nerdiculitis) ophethwe yi-radiculitis ovela ngenxa ye-disc yokuhlunga - uma imithi esetshenzisiwe yayiyi-anesthtics ne-steroids yendawo. Kodwa abazange bathole ubufakazi bokuthi umjovo wawuzosiza i-disniation itself.
Okuhlobene: Ukujola kwe-Spinal Epidural
Abacwaningi bathola nobufakazi obuhle bokuthi i-epidurals ne-local and steroids ingasiza izibonakaliso zezimpande ezinamazinyo ezixubile ezihlobene ne-stenosis. Bathola nobufakazi obuhle bokuhlunguphazeka komgogodla okungahlobene nokuhlukunyezwa kwegazi (okubizwa ngokuthi "axial" ubuhlungu) lapho kusetshenziselwa ukuhlinzekwa kwezinzwa zasendaweni - kungaba yedwa noma imithi ye-steroid.
Yonke imijovo efundwayo futhi kubikwa ukuthi yenziwa nge-fluoroscopy, okusho ukuthi lezi zinqubo eziholwa ngezithombe.
Okuhlobene: Izimbangela ze-Radiculopathy yomlomo wesibeletho
Imithombo:
Benyamin RM, Manchikanti L., Parr AT, Diwan S., Singh V., Falco FJ, Datta S., Abdi S., Hirsch JA Ukusebenza kwamapayipi angama-epidural ephakathi kwamapulangwe ekulawuleni ukugula okungapheli kanye nobuhlungu obuphansi. Udokotela Wezinhlungu. Jul-Aug 2012. Kufinyelelwe ku-Jan 2016.
I-Dictionary ye-Medical ye-Mosby. Umagazini we-7. 2006. UMosby Elsevier. St. Louis, Mo.
I-Stedman's Medical Dictionary. Ukukhishwa kwe-28. 2006. Lippincott, Williams, Wilkins. Baltimore. U-Moore, uK., uDalley, A. I-Anatomy eqondiswa umtholampilo. Umagazini we-5. 2006. LIppincott, Williams & Wilkins. Baltimore.