Majekeseni a Mitsempha Yopeza Kuzindikira ndi Kuchiza Ululu

Katemera wa msana ndi njira yowonongeka yomwe imagwiritsidwa ntchito podziwa ndi kuchiza ululu wochepa. Cholinga cha jekeseni wa msana ndi kupereka mankhwala mwachindunji ku malo enieni a ululu.

Mukakhala ndi jekeseni ya matenda , cholinga chanu ndi kupeza ngati mankhwala amachepetsa ululu wanu. Ngati zimachepetsanso ululu wanu m'deralo, dokotala wanu akudandaula, pogwiritsa ntchito kafukufuku wanu komanso mbiri yachipatala, ndiye gwero lake, amatha kutsimikiziranso kuti ali ndi matendawa. Kupweteka kwa matenda opatsirana ndizochepa - nthawi zambiri maola angapo.

Mukakhala ndi jekeseni ngati mankhwala, mpumulo umatenga nthawi yaitali.

Pano pali 4 omwe amapatsidwa jekeseni wa m'mimba:

1 -

Selective Nerve Block Block

Mitsempha ya mitsempha yosankha ndi imodzi mwa majekeseni omwe amapatsidwa kwambiri m'mimba. Amatha kugwiritsidwa ntchito pochiza kapena kumvetsa ululu ndi / kapena kupweteka kwa miyendo chifukwa cha mizu ya mitsempha yowonongeka. Mitsempha ya mitsempha ndi mitsempha yomwe imayambira pamtunda waukulu wa msana pamtunda kuti ikatumikire thupi lonse. Muli ndi mizu ya mitsempha kumbali zonse za mzere wa msana pamtunda uliwonse. Ngati mitsempha ya mitsempha imakhala yodetsedwera kapena yokwiya, ululu wa mwendo ukhoza kuchitika. Anthu ambiri amachitcha kuti sciatica, koma dzina lake lenizeni ndilo radiculopathy.

2 -

Lumbar Facet Joint Nerve Blocks

Ngati mukugwiritsa ntchito mayeso anu, dokotala wanu amakayikira kuti ululu wanu umachokera kumapeto kwa msana wanu, angapangire kuyesera kugwiritsira ntchito jekeseni. Makhalidwe a zigawozi ndizong'onoting'ono koyambira pambali iliyonse - imodzi kumbali imodzi; Amaonjezera umphumphu ku msana chifukwa cholepheretsa kuyenda. Chigawochi ndi malo wamba kuti nyamakazi ya m'magazi ikule.

Koma wogula samalani. Malangizo okhudza chithandizo cha kupwetekedwa kwapweteka komwe kunapangidwa mu Feb 2014 ndi bungwe la Healthcare Research and Quality reports kuti, mbali zambiri, majekesiti ophatikizana nawo sagwirizanitsidwa ndi kupweteka. AHRQ ikunena kuti yokha, jekeseni lachiwalo lokha silimangokupatsani zotsatira za nthawi yaitali, komanso sizolondola kwambiri kuti mudziwe.

3 -

Majekeseni mu Zida Zanu za Sacroiliac

Mitundu yambiri ya jekeseni ya sacroiliac yamagulu imapezeka; monga, Intraarticular steroid jekeseni (komanso mtundu woperekedwa kwa ziwalo zopweteka) ndi jekeseni yowonongeka, kuphatikizapo pulsed and radialrequency neurotomy. Botox ndi steroids ndi mankhwala awiri omwe amagwiritsidwa ntchito popanga majakisoni.

Njira zogwiritsira ntchito mkati mwazowonjezereka pamene njira zowonjezereka zimayendera kuzungulira. Mankhwala osokoneza bongo ndi njira yomwe imayambitsa kutentha mumphindi kuti asokoneze kayendedwe ka mitsempha yowawa.

AHRQ imanena kuti umboni wokhawo umagwiritsira ntchito mitundu ya intraarticular and periarticular ya sacroiliac jekeseni,

Izi zinati, monga chida cha matenda, intraarticular sacroiliac jekeseni yamagulu ndi anesthetics kumalo komwe kumachepetsa 75% mpaka 100 peresenti ya ululu wanu wozolowereka uli ndi sayansi yabwino kumbuyo kwawo, molingana ndi AHRQ.

AHRQ imanenanso kuti umboni wokhudzana ndi kutentha kwa mpweya ndi mpweya wochepa kwambiri, koma umboni wosatsutsika wa chimfine cha mpweya wozizira.

4 -

Epidural Steroid Injections

Ngati muli ndi disc ornicated radiculitis, dokotala wanu angapereke chithandizo cha epidural.

Jekeseni wa m'mimba imatulutsa mankhwala otchedwa steroid m'dera la epidural , malo omwe ali pakati pa msana wam'mimba ndi chingwe cham'mimba, komanso pafupi ndi mitsempha ya msana.

Kwa disc ornicated radiculitis, AHRQ imalimbikitsa aliyense mwa mitundu itatu ya epidurals: Njira za caudal, zamkati kapena zowonjezereka, zonena kuti pali umboni wabwino kwa aliyense. Pogwiritsa ntchito njirayi, mawu amodziwa amatanthauzira njira yomwe singano imayikidwa.

Chifukwa chachilendo (ie, kupweteka kumene kumachokera mkati mwa disk osati chifukwa cha kuvulala kapena kumwa mankhwala) ndi chifukwa china dokotala wanu angasonyeze kuti ali ndi epidural, koma AHRQ amawonetsa umboni wa ntchitoyi ngati yolungama.

Zomwe zikuchitika m'magulu azinthu zikugwiritsidwanso ntchito, ngakhale kuti AHRQ ikunena kuti umboni wake uli wothandiza kapena woperewera, malinga ndi njira yomwe yatengedwa.

Zifukwa zinanso zaperepesi zimaperekedwa monga matenda opatsirana opaleshoni.

> Zotsatira:

> Bungwe la Healthcare Research ndi Quality. Mndandanda wa maumboni okhudzana ndi umboni wokhudzana ndi njira zowonongeka mukumva kupweteka kwa msana. Gawo 2: Malangizo ndi ndondomeko. Webusaiti ya National Guideline Clearinghouse. Chimaliza Chotsatira April 2013.

> Agulu la Healthcare Research ndi Quality. Malangizo ochepetsa chithandizo chamankhwala apansi. Webusaiti ya National Guideline Clearinghouse. Feb 2014.

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