Ingabe Bonke Basebenza Ngesikhathi?
I-Cortisone injection ngokuvamile isetshenziswa odokotela bama-orthopedic kanye nabanye odokotela njengokwelashwa kokuvuvukala. Ngenkathi i-cortisone ingaba ukwelashwa okuphumelelayo, odokotela abaningi bazokwazisa ngokumelene namakhophi amaningi-cortisone-iziguli bangase bazwe ukuthi bangaba ezintathu kuphela, noma ezintathu ngonyaka, isibonelo. Kuningi kangakanani, futhi kungani odokotela beluleka ngokumelene nokunye okubonakala kuwusizo?
Indlela ama-Cortisone Injections asebenza ngayo
Okokuqala, kancane nge- injection ye-cortisone : Isetshenziselwa ukwelapha izimo eziningi ezijwayelekile zomzimba, kuhlanganise ne- bursitis , i- tendonitis , i- rigger finger , i- carpal tunnel syndrome , i- elbow tale , i- knee arthritis , nezinye izimo eziningi ezingaphezulu . Zisebenza ngokunciphisa ukuvuvukala kwezicubu ezicasuliwe. Ngokunciphisa ukuvuvukala, ubuhlungu obuvela kulezi zimo kuvame ukukhululeka.
I-Cortisone Iyasebenza Kangakanani?
Ucwaningo olwenziwa ngo-2013 lwathola ukuthi amaphesenti angu-83 abantu abathola i-cortisone edutshulwe i-tennis elbow athole noma ngcono ngaphakathi konyaka. Kodwa esifundweni esifanayo, amaphesenti angu-96 anesibhamu se-placebo aphinde aphuluke, futhi. Ucwaningo lwabandakanya abantu abangu-165 e-Australia. Ingxenye yabantu abakulolu cwaningo abathola ama-cortisone isibhamu babe nezimpawu zabo emuva konyaka, ngakho-ke ijaji lisalokhu ukuthi ama-cortisone ama-shots asebenza kanjani angaphumelela isikhathi.
Ama-shooting e-Cortisone awaphili zonke izinhlobo zenkinga yama-orthopedic, futhi naphezu kokusetshenziswa kwawo okubanzi emathambo we-orthopedics cishe umuthi osebenza kahle kakhulu kwezinye izimo ngaphezu kwabanye.
Isibonelo, izinkinga ezibangela ukuvuvukala okunamandla nokuvuvukala kungenzeka ukuthi ziphendule ngokuphumelelayo emiphumeleni enamandla yokulwa nokuvuvukala kwe-cortisone kunesimo esibangela ukungakhululeki okungapheli.
Kunconywe Maximum
Akukho mithetho mayelana nenani le-injection ye-cortisone umuntu angaba nayo, kodwa kukhona okunye okukhathazayo nge-injection ephindaphindiwe ye-cortisone endaweni eyodwa yomzimba.
Uma umjovo owodwa noma amabili we-cortisone engxenyeni eyodwa akusizi inkinga isikhathi esithile, ngakho-ke akunakwenzeka ukuthi izilonda eziningi ze-cortisone ziyoba yinoma iyiphi inzuzo.
Amaphenyo e-cortisone aphindaphindiwe abuye aphilile ama-tissue. Amancane amancane okuthiwa i-cortisone emzimbeni cishe ayengqondo, kodwa ukujova okuphindaphindiwe kungabangela ukulimala kwezicubu ngokuhamba kwesikhathi. Ngezinye izikhathi lokhu akukhathazeki kakhulu. Isibonelo, uma isiguli sinomdlavuza wegciwane oluqinile nomjovo we-cortisone njalo ezinyangeni ezingu-6 zisiza kakhulu, khona-ke inani lemijovo cishe ayinandaba.
Ngakolunye uhlangothi, uma isiguli sinesifo se-shoulderonitis, kodwa kunamahlombe enempilo, inani lemijovo kufanele lilinganiselwe ukuvimbela ukulimala okunye kulezi zithoni. Akunembile ukucabanga ukuthi ama-cortisone shots aphephile ngokuphelele, futhi kunezifundo eziningi ezibonisa ukuthi ngokuhamba kwesikhathi abantu abathola amajojo avamile bangase balondoloze umonakalo owedlula isikhathi eside emajoyini abo.
Okokugcina, kunezimo ezithile ezithile lapho i-cortisone ibonisiwe khona kubangela izinkinga ezinkulu. Isibonelo, amajova azungeze i-Achilles tendon ziyaziwa ukuthi zanda amathuba okuphuka kwe-tendon.
Ngenxa yalesi sizathu, odokotela abaningi bamazinyo ngeke banikeze umjovo we-cortisone ekwelapheni i- Achilles tendinitis .
Izwi elivela
Ayikho imithetho eqinile futhi esheshayo esho ukuthi zingaki izijovo ze-cortisone ezinganikezwa ngokuhamba kwesikhathi. Kodwa-ke, izilonda ze-cortisone zingaba nemiphumela emibi futhi ukusetshenziswa okuphindaphindiwe kwezigciwane ze-cortisone kufanele kwenziwe ngokuqapha. Abahlinzayo abaningi bamazinyo bayokhetha inombolo, futhi banxuse isiguli sakhe ukuba singadluli leso sinani se-cortisone. Ama-shots amathathu angaphezu kwesikhala sonyaka inombolo ejwayelekile engiyizwa abahlinzayo abaningi base-orthopedic basebenzisa. Kumele uqonde ukuthi kunezizathu zokungazisebenzisi izilonda ze-cortisone, ngisho noma zingasiza ezinye izimpawu.
Ngenxa yalokhu, odokotela abahlinzayo abaningi bezokwehlisa imithi ye-cortisone.
Imithombo:
> Brooke K. Coombes, PhD; Leanne Bisset, PhD; Peter Brooks, MD, FRACP; I-Asad Khan, i-PhD; Bill Vicenzino, PhD. "Imiphumela ye-Corticosteroid Injection, i-Physiotherapy" I-Journal ye-American Medical Association, Feb. 2013
> Hepper CT, ngo-al. Ukusebenza nobude bomjovo we-intra-articular corticosteroid nge-knee osteoarthritis: ukubuyekezwa okuhlelekile kwezifundo zezinga. J Am Acad Orthop Surg. 2009 Okthoba; 17 (10): 638-46.
> McAlindon TE, i-LaValley MP, i-Harvey WF, i-Price LL, i-Driban JB, i-Zhang M, i-Ward RJ. "Umphumela we-Intra-articular Triamcinolone vs i-Saline ku-Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: Isivivinyo Sengqondo Esingahleliwe" I-JAMA. 2017 Meyi 16; 317 (19): 1967-1975.