Epidural Space
Dera la epidural ndilo malo amtundu wa m'mimba omwe ali pakati pa chingwe cha msana ndi chingwe cha m'mimba. Mwa kuyankhula kwina, ndi kunja kwa chingwe koma mkati mwa ngalande.
Mitundu itatu ya minofu imaphimba msana, ndipo pakati pawo pali "malo". Dera la epidural ndilo pakati pa minofu yakutali ndi mkati mkati mwa fupa limene mumtsempha ulipo.
Danga la epidural limakhala kutalika kwa msana.
Danga la epidural lili ndi minofu ya mafuta limodzi ndi mitsempha ya mitsempha ndi mizu ya mitsempha.
Zina ziwiri "malo" ali mumtsinje wa msana. Amatchulidwa kuti malo osungirako zida zapansi ndi zam'munsi, pambuyo pa zina (koma osati zonse) zamtundu wina zomwe zimayang'ana mzere wa msana.
Zilonda zapakhosi kapena zam'mimba zokhudzana ndi ululu
Ngati mwakhalapo ndi jekeseni kuti muthe kuchepetsa kutupa ndi / kapena kuchepetsa ululu wa mitsempha ndi zizindikiro zomwe zimagwera pansi mkono kapena mwendo, dokotala wanu angakhale atapangira singano mu malo anu. Pachipatalachi, singano imatha kufika pamtsempha wa mitsempha yam'mimba (yomwe ndiyomwe kumayambitsa ululu) ndikugawira mankhwala. Mankhwalawa angakhale mankhwala am'deralo, mankhwala osokoneza bongo, kapena awiri.
Ngakhale kuti muli ndi jekeseni ya epidural inu mudzakhala ndi singano yomwe imakhala mwa inu, madokotala amaona kuti mankhwalawa sali ovuta, mwachitsanzo, osati opaleshoni.
Dzina lina lofala la mankhwala osalimbikitsa ndi "osamala."
Zowonjezera: Kodi Facet Joint Hypertrophy ndi chiyani?
Intralaminar Epidural Injections
Majekesiti a Epidural ndiwo amodzi mwa mankhwala opatsirana ambiri, ndipo mtundu wofala kwambiri woperekedwa ndi ululu wamtundu kapena wambuyo umatchedwa injection intralaminar.
La lamina ndi gawo la mphete ya bony yomwe ili kumbuyo kwa thupi loyang'anitsitsa. Mu jekeseni yapadera, singano imakwera mmwamba kumutu wanu ndi pakati pa lamina awiri osagwirizana.
Kuwunika kwa 2012, "Kupambana kwa jekeseni wamagulu omwe amatha kupwetekedwa m'mbuyo ndi kumapeto kwa ululu," zomwe Benyamin, et. al. ndipo inafalitsidwa mu magazini ya July-August a magazini ya Pain Physician anafufuza maphunziro a zamankhwala 26 kuti awone momwe mankhwala ogwiritsira ntchito interlaminar epidural analiri othandizira kuthetsa zizindikiro zomwe zimayambitsa matenda a msana.
Ofufuzawa anapeza umboni wabwino kuti majekeseni oopsa amathandiza kupweteka kwa mitsempha ya rasizi (radiculitis) yomwe imafika chifukwa cha disc heniation - pamene mankhwala omwe amagwiritsidwa ntchito anali a anthétique ndi a steroids. Koma sanapeze umboni kuti jekeseniyo ungathandize kabuku kokha.
Zokhudzana: Spinal Epidural Injections
Ofufuzawa anapeza umboni wosatsutsika wakuti zoopsa zapakati ndi steroid zingathandize zizindikiro za mitsempha yambiri yomwe imakhala ndi radiculitis yokhudzana ndi stenosis. Anapezanso umboni wosatsutsika wa ululu wa msana wosagwirizana ndi ululu wa axial) pamene mankhwala am'deralo amagwiritsidwa ntchito - kaya ali okha kapena mankhwala a steroid.
Zilonda zonse zomwe anaziphunzira ndi zomwe zinanenedwa zachitidwa ndi fluoroscopy, zomwe zikutanthauza kuti njirazi zinkatsogoleredwa ndi zithunzi.
Zokhudzana: Zifukwa za Kachipangizo ka Radiculopathy
Zotsatira:
Benyamin RM, Manchikanti L., Parr AT, Diwan S., Singh V., Falco FJ, Datta S., Abdi S., Hirsch JA Kupambana kwa jekeseni ya m'mimba mwachangu poyang'anira matenda osachepera ndi otsika kwambiri. Pain Physician. Jul-Aug 2012. Kufikira Jan 2016.
Dictionary Dictionary ya mankhwala a Mosby. Baibulo lachisanu ndi chiwiri. 2006. Mosby Elsevier. St. Louis, Mo.
Dictionary Dictionary ya Medical Stedman. Kusindikiza kwa 28. 2006. Lippincott, Williams, Wilkins. Baltimore. Moore, K., Dalley, A. Kachilombo ka Anatomy. Kope lachisanu. 2006. LIppincott, Williams & Wilkins. Baltimore.