Izilonda Zomgogodla Wokuthola Nokuphatha Ubuhlungu

Umjovo wokugaya umgogodla inqubo evumayo esetshenziselwa kokubili ukuhlola nokwelapha ubuhlungu obuphansi. Inhloso yomjovo wokugaya umgogodla ukuletha imithi ngqo endaweni ethize yobuhlungu.

Uma unomjovo wokuxilonga , umgomo uwukuthola ukuthi ngabe imithi ikhulula ubuhlungu bakho. Uma kukhulula ubuhlungu bakho endaweni lapho osolwa bakholwa khona, ngokususelwa ekuhloleni kwakho ngokomzimba kanye nomlando wezokwelapha, ungumthombo, angaqinisekisa ukuthi ngempela ukuxilongwa. Ukuphumula ubuhlungu kusuka emitholampilo yokuxilonga ngokuvamile yesikhashana - ngokuvamile nje amahora ambalwa.

Uma une-injection njengokwelashwa, ukuphumula kuthatha isikhathi eside.

Nakhu okungu-4 okuvame ukunikezwa umjovo omgogodla:

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I-Selective Nerve Block Block

Imithi yokuhlunga kwezimpande ezikhethiwe ingenye yejojo ​​yomgogodla evame kakhulu. Kungasetshenziselwa ukuphatha noma ukuhlolisisa emuva futhi / noma ubuhlungu bomlenze ngenxa yezimpande ze-nerve ezilimele. Isimpande sezinyosi iqoqo lezinzwa eziye zaxhuma emthonjeni oyinhloko yomgogodla ekuphumeni kwazo ukuze zisebenze wonke umzimba. Unezimpande zesisindo ezinhlangothini zomkhola womgogodla emkhakheni ngamunye wokugoma. Uma izimpande zesibindi zicindezela noma zicasuliwe, ubuhlungu bomlenze bungabangela. Iningi labantu libiza le sciatica, kodwa igama layo lobuchwepheshe yi-radiculopathy.

2 -

I-Lumbar Facet Joint Blogs Blocks

Uma kuncike ekuhloleni kwakho ngokomzimba, udokotela wakho usola ukuthi ubuhlungu bakho buvela emajoyini ngemuva komgogodla wakho, angase ancome ukuzama umjovo wesici. Amalungu ezinhlanganiso amathanga amancane asezingeni ngalinye le-vertebral - eyodwa kolunye uhlangothi; bangezela ubuqotho emgodleni ngokunciphisa ukunyakaza ngokweqile. Isici esihlangene yisayithi elivamile lomuthi we-arthritis ukuze uthuthuke.

Kodwa umthengi qaphela. Imihlahlandlela yemitholampilo yokwelapha ubuhlungu obuphansi emuva okwakhiqizwa ngoFebruwari 2014 yi-Agency for Healthcare Research and Quality reports ukuthi ingxenye enkulu, ama-injection ehlangene awunamaphutha okuqinisekisiwe. I-AHRQ ithi ukuthi yedwa, umjovo wezinhlamvu wodwa awunakukunika imiphumela yesikhathi eside, futhi akuyona into enembile yokuxilonga.

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Izilonda zibe ngamajoyina akho e-Sacroiliac

Izinhlobo eziningana zokujola okuhlangene ze-sacroiliac zikhona; okungukuthi, Imishanguzo ye-steroid ye-intraarticular (futhi uhlobo olunikezwa amajoyina ama-facet abuhlungu) kanye namajojo angama-periarticular, kanye ne-neurotomy evuthayo nejwayelekile. I-Botox ne-steroids imithi emibili evame ukusetshenziswa ngezijovo ze-periarticular.

I-intraarticular itholakala phakathi kokujoyina ngenkathi ngezikhathi ezithile kusho nxazonke. I-radiological frequency neurotomy yinkqubo efaka ukushisa ibe yimbumbano ukuze kuphazamise ukusebenza kwezinzwa ezibuhlungu.

I-AHRQ ithi ubufakazi obukhawulelwe kuphela busekela ukusetshenziswa kwezinhlobo ze-introarticular and periarticular of injection sacroiliac,

Lokho kusho ukuthi njengethuluzi lokuxilonga, ama-intraarticular sacroiliac joint injections ne-anesthetics yendawo eyanciphisa u-75% kuya ku-100% ubuhlungu bakho obuvamile buyisayensi enhle ngemuva kwabo, ngokusho kwe-AHRQ.

I-AHRQ iphinde ithi ubufakazi bobubili obukhipha futhi obuvamile bendawo ye-radiofrequency neurotomy bunqunyelwe, kodwa ubufakazi obufanele bokushisa kwe-radiofrequency neurotomy.

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I-Epidural Steroid Injections

Uma une-disc ye-herniated noma i-disc radiculitis, udokotela wakho angase asikisele umjovo we-epidural.

Umjovo we-spinal epidural uhlinzeka ngemithi ye-steroid endaweni yesikhumba , indawo ephakathi komgogodla nomgogodla we-vertebral, futhi eduze nethambo yomgogodla kakhulu.

I-disc ye-herniated noma i-disc radiculitis, i-AHRQ iphakamisa noma yiyiphi yezinhlobo ezintathu ze-epidurals: Izindlela ezibucayi, eziphakathi noma ezithintekayo, okusho ukuthi kukhona ubufakazi obuhle kulowo nalowo. Ngendlela, lamagama amahle abhekisela esiqondisweni lapho inaliti ifakiwe khona.

Ubuhlungu be-discogenic (okungukuthi, ubuhlungu obuvela ngaphakathi kwidiski kunokuba kungenxa yokulimala noma ukuhlaselwa) yisinye isizathu udokotela wakho angase asiphakamise i-epidural, kodwa ama-AHRQ akhombisa ubufakazi bokusetshenziswa kwalokhu njengobulungisa kuphela.

Ama-Epidurals angene ezinhlanganisweni zezinhlangothi nawo ayenziwa, nakuba i-AHRQ ithi ubufakazi bokusebenza kwayo buhle noma bukhawulelwe, kuye ngokuthi yiyiphi indlela ethathwa ngayo.

Ezinye izizathu ze-épidurals eziphefumulayo zihlinzekwa zibandakanya ukuhlinzwa kwesisu somgogodla we-spinal stenosispost.

> Imithombo:

> I-Agency for Researchcare and Quality Quality. Ukubuyekezwa kwezinkombandlela ezisekelwe ebufakazini obusekelwe ezinkampanini zokungenelela ekuhluphekeni okungapheli komgogodla. Ingxenye II: isiqondiso kanye nezincomo. I-National Guideline Clearinghouse iwebhusayithi. Isibuyekezo sokugcina ngo-Ephreli 2013.

> I-Agency for Researchcare and Quality Quality. Imihlahlandlela yezokwelashwa ezisezingeni eliphansi emuva. I-National Guideline Clearinghouse iwebhusayithi. Feb 2014.

Okuningi