Inaliti ye-Epidural yeentlungu zangasemva

Inaliti ye-epidural steroid (i-ESI) kukuhambisa iyeza elinamandla lokuchasana ngokuthe ngqo kwisithuba esingaphandle kwengxowa yolwelo ejikeleze intambo yakho yomqolo. Lo mmandla ubizwa ngokuba sisithuba sokwanda.

I-ESI ayifani ne-epidural anesthesia enikwe nje ngaphambi kokubeleka okanye iintlobo ezithile zotyando.

I-ESI yenziwa esibhedlele okanye kwiklinikhi yokugula. Inkqubo yenziwa ngale ndlela ilandelayo:

• Utshintsha ube yigown.
• Wena ke ulale ngobuso phantsi kwetafile ye-x-ray ephethe umqamelo phantsi kwesisu sakho. Ukuba esi sikhundla sibangela iintlungu, unokuhlala phezulu okanye ulale ngecala lakho kwindawo egobileyo.
• Umboneleli wezempilo ucoca indawo engasemva kwakho apho inaliti iya kufakwa khona. Iyeza linokusetyenziselwa ukuphazamisa indawo. Unokunikwa iyeza lokukunceda uphumle.
• Ugqirha ufaka inaliti emqolo. Ugqirha mhlawumbi usebenzisa umatshini we-x-ray ovelisa imifanekiso yexesha lokwenyani ukunceda ukukhokela inaliti kwindawo efanelekileyo kumqolo wakho osezantsi.
• Umxube we-steroid kunye neyeza elibandayo lifakwa kule ndawo. Eli yeza linciphisa ukudumba kunye noxinzelelo kwimithambo-luvo emikhulu ejikeleze umqolo wakho kwaye linceda ukunciphisa iintlungu. Iyeza elenzayo linokuchonga imithambo-luvo ebuhlungu.
• Unokuziva uxinzelelo ngexesha lenaliti. Uninzi lwexesha, inkqubo ayibuhlungu. Kubalulekile ukuba ungashukumi ngexesha lenkqubo kuba inaliti kufuneka ichaneke kakhulu.
• Ujongwe imizuzu eli-15 ukuya kwengama-20 emva kwenaliti ngaphambi kokuba ugoduke.

Ugqirha wakho unokucebisa i-ESI ukuba unentlungu esasazeka ukusuka kumqolo ongezantsi ukuya esinqeni okanye ezantsi emlenzeni. Le ntlungu ibangelwa luxinzelelo kwimithambo-luvo njengoko ishiya umqolo, amaxesha amaninzi ngenxa yediski ekhulayo.

I-ESI isetyenziswa kuphela xa iintlungu zingakhange ziphuculwe ngamayeza, unyango lomzimba, okanye ezinye iindlela zonyango ezingafunekiyo.

I-ESI ikhuselekile ngokubanzi. Iingxaki zinokubandakanya:

• Ukuba nesiyezi, intloko ebuhlungu, okanye uziva ugula esiswini. Uninzi lwamaxesha ezi zinto zipholile.
• Umonakalo weengcambu zemithambo-luvo kunye nentlungu eyonyukayo emlenzeni wakho
• Usulelo ngaphakathi okanye kumqolo wakho (meningitis okanye ithumba)
• Ukunyanga komzimba kwiyeza elisetyenzisiweyo
• Ukopha malunga nomqolo womqolo (hematoma)
• Ingxaki ezinokwenzeka ezinqabileyo zobuchopho kunye neenkqubo zovalo
• Ubunzima bokuphefumla ukuba inaliti isentanyeni yakho

Thetha nogqirha wakho malunga nomngcipheko weengxaki.

Ukuba nezi zitofu rhoqo kunokubenza buthathaka amathambo omqolo wakho okanye izihlunu ezikufutshane. Ukufumana iidosi eziphezulu ze-steroids kwiitofu kunokubangela ezi ngxaki. Ngenxa yoku, uninzi loogqirha luthintela abantu ukuya kwiinaliti ezimbini okanye ezintathu ngonyaka.

Ugqirha wakho uya kuthi uyalele i-MRI okanye i-CT scan ngasemva ngaphambi kwale nkqubo. Oku kunceda ugqirha wakho amisele indawo oza kunyangwa kuyo.

Xelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owathathayo, kubandakanya amayeza, izongezo kunye namanye amayeza owathengileyo ngaphandle kommiselo

Unokuxelelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn), kunye neparparin.

Unokuziva ungonwabanga kwindawo apho inaliti yafakwa khona. Oku kuya kuhlala iiyure ezimbalwa kuphela.

Unokuxelelwa ukuba uthathe lula usuku lonke.

Intlungu yakho inokuba mandundu kangangeentsuku ezi-2 ukuya kwezi-3 emva kwenaliti ngaphambi kokuba iqale ukuphucula. I-steroid ihlala ithatha iintsuku ezi-2 ukuya kwezi-3 ukusebenza.

Ukuba ufumana amayeza okwenza ukuba ulale ngexesha lenkqubo, kufuneka ulungiselele umntu oza kukuqhubela ekhaya.

I-ESI ibonelela ngesiqabu sexesha elifutshane okungenani kwisiqingatha sabantu abayifumanayo. Iimpawu zingahlala zingcono iiveki ukuya kwiinyanga, kodwa kunqabile ukuya kunyaka.

Inkqubo ayinyangi unobangela wentlungu yakho yangasemva. Uya kudinga ukuqhubeka nokuzivocavoca ngasemva kunye nolunye unyango.

I-ESI; Inaliti yomqolo kwintlungu yomqolo; Inaliti yentlungu ebuyayo; Inaliti ye-Steroid-epidural; Inaliti ye-Steroid-umva

UDixit R. Intlungu ebuyela umva. Ku: Firestein GS, Budd RC, Gabriel SE, Mcinnes IB, O'Dell JR, ii-eds. Incwadi kaKelley kunye neFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 47.

USodolophu EAK, uMaddela R.Ukungenelela kolawulo olungasebenziyo lwentamo kunye nentlungu yomqolo. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 107.