Majekeseni a Epidural opweteka kumbuyo

Jekeseni wa epidural steroid (ESI) ndikubweretsa mankhwala amphamvu odana ndi zotupa mumlengalenga kunja kwa thumba lamadzimadzi mozungulira msana wanu. Malowa amatchedwa malo oopsa.

ESI siyofanana ndi epidural anesthesia yoperekedwa asanabadwe kapena mitundu ina ya opareshoni.

ESI imachitika mchipatala kapena kuchipatala cha odwala. Njirayi yachitika motere:

• Mumasintha mkanjo.
• Kenako mumagona pansi pa tebulo la x-ray ndi pilo pansi pamimba panu. Ngati malowa akupweteka, mwina mumakhala tsonga kapena kugona pambali panu mopindika.
• Wosamalira zaumoyo amatsuka malo amsana mwanu momwe singano idzalembedwere. Mankhwala atha kugwiritsidwa ntchito kupheratu dera. Mutha kupatsidwa mankhwala okuthandizani kupumula.
• Dokotala amalowetsa singano kumbuyo kwako. Dokotala mwina amagwiritsa ntchito makina a x-ray omwe amapanga zithunzi zenizeni zenizeni kuti athandizire kutsogolera singano pamalo oyenera kumunsi kwanu.
• Kusakaniza kwa mankhwala a steroid ndi dzanzi kumayikidwa m'deralo. Mankhwalawa amachepetsa kutupa ndi kupanikizika kwa mitsempha ikuluikulu kuzungulira msana wanu ndikuthandizani kuthetsa ululu. Mankhwala osokoneza bongo amathanso kuzindikira mitsempha yopweteka.
• Mutha kumva kupsinjika panthawi ya jakisoni. Nthawi zambiri, njirayi siyopweteka. Ndikofunika kuti musasunthe panthawiyi chifukwa jekeseniyo imayenera kukhala yolondola kwambiri.
• Mumayang'aniridwa kwa mphindi 15 mpaka 20 mutabayidwa musanapite kunyumba.

Dokotala wanu angakulimbikitseni ESI ngati mukumva kupweteka komwe kumafalikira kuchokera kumsana wam'munsi mpaka m'chiuno kapena pansi pa mwendo. Kupweteka kumeneku kumayambitsidwa ndi kupsinjika kwa mitsempha ikamachoka msana, nthawi zambiri chifukwa cha bulging disk.

ESI imagwiritsidwa ntchito pokhapokha kupweteka kwanu sikukuyenda bwino ndi mankhwala, chithandizo chamankhwala, kapena chithandizo china chamankhwala.

ESI nthawi zambiri imakhala yotetezeka. Zovuta zingaphatikizepo:

• Chizungulire, kupweteka mutu, kapena kumva kudwala m'mimba mwako. Nthawi zambiri izi ndizofatsa.
• Mitsempha yawonongeka ndikuwonjezeka kwakumapazi mwendo wanu
• Matenda mkati kapena kuzungulira msana wanu (meningitis kapena abscess)
• Thupi lawo siligwirizana mankhwala ntchito
• Kutulutsa magazi mozungulira msana (hematoma)
• Mavuto omwe amapezeka kawirikawiri muubongo ndi zamanjenje
• Kuvuta kupuma ngati jakisoni ali m'khosi mwanu

Lankhulani ndi dokotala wanu za chiopsezo chanu chazovuta.

Kukhala ndi jakisoni nthawi zambiri kumatha kufooketsa mafupa a msana wanu kapena minofu yapafupi. Kulandila kwambiri ma steroids mu jakisoni kungayambitsenso mavutowa. Chifukwa cha izi, madotolo ambiri amachepetsa anthu kupangira majakisoni awiri kapena atatu pachaka.

Dokotala wanu ayenera kuti adalamula MRI kapena CT scan kumbuyo kwake musanachite izi. Izi zimathandiza dokotala kudziwa komwe angalandire chithandizo.

Uzani wothandizira wanu:

• Ngati muli ndi pakati kapena mutha kutenga pakati
• Ndi mankhwala ati omwe mukumwa, kuphatikiza zitsamba, zowonjezera, ndi mankhwala ena omwe mudagula popanda mankhwala

Mutha kuuzidwa kuti musiye kumwa mopepuka magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin, Jantoven), naproxen (Aleve, Naprosyn), ndi heparin.

Mutha kukhala osasangalala kudera lomwe singano idalowetsedwa. Izi zikuyenera kukhala maola ochepa okha.

Mutha kuuzidwa kuti musavutike tsiku lonse.

Kupweteka kwanu kumatha kukulirakulira kwa masiku awiri kapena atatu mutabaya jekeseni usanayambe kusintha. Steroid nthawi zambiri imatenga masiku 2 mpaka 3 kuti igwire ntchito.

Ngati mulandira mankhwala oti mugonere pochita izi, muyenera kukonzekera kuti wina adzakufikitsani kunyumba.

ESI imapereka mpumulo wakanthawi kochepa kwa theka la anthu omwe amalandira. Zizindikiro zimatha kukhala bwino kwa milungu ingapo miyezi, koma osakwanitsa chaka.

Njirayi siyimachiritsa zomwe zimayambitsa kupweteka kwakumbuyo kwanu. Muyenera kupitiliza zolimbitsa thupi ndi mankhwala ena.

ESI; Msana jakisoni chifukwa cha kupweteka kwa msana; Kubaya kupweteka kumbuyo; Steroid jekeseni - epidural; Steroid jekeseni - kumbuyo

Dixit R. Zowawa zakumbuyo. Mu: Firestein GS, Budd RC, Gabriel SE, Mcinnes IB, O'Dell JR, olemba. Kelley ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 47.

Mayer EAK, Maddela R. Njira zosagwirira ntchito pakhosi ndi kupweteka kwa msana. Mu: Steinmetz MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 107.