Imijovo ye-Epidural yezinhlungu emuva

Umjovo we-epidural steroid (i-ESI) ukulethwa kwemithi enamandla yokulwa nokuvuvukala ngqo esikhaleni esingaphandle kwesaka loketshezi oluzungeze umgogodla wakho. Le ndawo ibizwa nge-epidural space.

I-ESI ayifani ne-epidural anesthesia enikezwa ngaphambi nje kokubeletha noma izinhlobo ezithile zokuhlinzwa.

I-ESI yenziwa esibhedlela noma emtholampilo wabalaliswa ngaphandle. Inqubo yenziwa ngale ndlela elandelayo:

• Ushintsha ube yigown.
• Wena-ke ulale ubheke phansi etafuleni le-x-ray ngomcamelo ngaphansi kwesisu sakho. Uma lesi sikhundla sibangela ubuhlungu, ungahlala phansi noma ulale ngohlangothi lwakho endaweni egobile.
• Umhlinzeki wezempilo uhlanza indawo engemuva kwakho lapho inaliti izofakwa khona. Umuthi ungasetshenziselwa ukwenza indawo ibe ndikindiki. Unganikezwa umuthi ozokusiza uphumule.
• Udokotela ufaka inaliti emhlane wakho. Kungenzeka ukuthi udokotela usebenzisa umshini we-x-ray okhiqiza izithombe zesikhathi sangempela ukusiza ukuqondisa inaliti endaweni efanele engezansi kwakho.
• Inhlanganisela yomuthi we-steroid nomuthi wokufaka izinzwa ufakwa endaweni. Lo muthi unciphisa ukuvuvukala nengcindezi emithanjeni emikhulu ezungeze umgogodla wakho futhi usize ukuqeda izinhlungu. Umuthi onikayo ungakhomba futhi inzwa ebuhlungu.
• Ungase uzwe ingcindezi ethile ngesikhathi somjovo. Isikhathi esiningi, inqubo ayibuhlungu. Kubalulekile ukuthi unganyakazi ngesikhathi senqubo ngoba umjovo udinga ukucacisa kakhulu.
• Ubukwa imizuzu eyi-15 kuya kwengu-20 ngemuva kokujova ngaphambi kokuya ekhaya.

Udokotela wakho angancoma i-ESI uma unezinhlungu ezisakazeka zisuka emgogodleni ophansi ziye ezinqeni noma phansi emlenzeni. Lobu buhlungu budalwa yingcindezi emsipheni njengoba ishiya umgogodla, imvamisa ngenxa yediski eqhumayo.

I-ESI isetshenziswa kuphela lapho ubuhlungu bakho bungakathuthuki ngemithi, ukwelashwa ngokomzimba, noma ezinye izindlela zokwelashwa ezingezona ezokuhlinzwa.

I-ESI ngokuvamile iphephile. Izinkinga zingafaka:

• Isiyezi, ikhanda, noma ukugula esiswini sakho. Isikhathi esiningi lezi zimnene.
• Ukulimala kwezimpande zemizwa enezinhlungu ezengeziwe phansi komlenze wakho
• Ukutheleleka ngaphakathi noma eduze komgogodla wakho (meningitis noma ithumba)
• Ukusabela okweqile kumuthi osetshenzisiwe
• Ukopha kuzungeze ikholomu yomgogodla (hematoma)
• Izinkinga ezingenzeka ezingavamile zobuchopho nezinzwa
• Kunzima ukuphefumula uma umjovo usentanyeni yakho

Khuluma nodokotela wakho ngengozi yakho yezinkinga.

Ukuba nale mijovo kaningi kunganciphisa amathambo omgogodla wakho noma imisipha eseduze. Ukuthola imithamo ephezulu ye-steroids emijoweni nakho kungadala lezi zinkinga. Ngenxa yalokhu, odokotela abaningi babekela abantu imijovo emibili noma emithathu ngonyaka.

Udokotela wakho kungenzeka ukuthi u-ode i-MRI noma i-CT scan yangemuva ngaphambi kwale nqubo. Lokhu kusiza udokotela wakho ukuthi anqume indawo ezolashwa.

Tshela umhlinzeki wakho:

• Uma ukhulelwe noma kungenzeka ukhulelwe
• Imiphi imishanguzo oyiphuzayo, kufaka phakathi amakhambi, izithasiselo, neminye imishanguzo oyithenge ngaphandle kwencwadi kadokotela

Ungatshelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn), ne-heparin.

Ungase uzizwe ungakhululekile endaweni lapho inaliti yafakwa khona. Lokhu kufanele kudonse amahora ambalwa kuphela.

Ungatshelwa ukuthi uthathe kalula usuku lonke.

Ubuhlungu bakho bungaba buhlungu kakhulu ezinsukwini ezimbili kuya kwezi-3 ngemuva komjovo ngaphambi kokuba uthuthuke. I-steroid imvamisa ithatha izinsuku ezi-2 ukuya kwezi-3 ukusebenza.

Uma uthola imishanguzo ezokukwenza ulale ngesikhathi senqubo, kufanele uhlele ukuthi othile akushayele imoto uye ekhaya.

I-ESI inikeza ukukhululeka kobuhlungu besikhashana esifushane okungenani engxenyeni eyodwa yabantu abayitholayo. Izimpawu zingahlala zingcono amasonto kuya ezinyangeni, kepha kuyaqabukela kuze kube unyaka.

Inqubo ayilapheki imbangela yobuhlungu bakho emuva. Uzodinga ukuqhubeka nokuzivocavoca emuva nezinye izindlela zokwelapha.

I-ESI; Umjovo womgogodla wezinhlungu emuva; Umjovo wezinhlungu emuva; Umjovo we-steroid - i-epidural; Umjovo weSteroid - emuva

UDixit R. Ubuhlungu obuphansi emuva. Ku: Firestein GS, Budd RC, Gabriel SE, Mcinnes IB, O'Dell JR, abahleli. Incwadi kaKelley noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; I-2017: isahluko 47.

UMayer EAK, uMaddela R. Ukuphathwa kokungenzi ngokungenelela kokusebenza kwentamo nobuhlungu emuva. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 107.