Epidural Space
Nzvimbo yepachirwere inzvimbo yehutachiona hwempinha iyo iri pakati pemutsara wepelinha uye vertebral canal. Mune mamwe mazwi, iri kunze kwetambo asi mukati memugwagwa.
Zvitatu zvitatu zvemuviri zvinoputira mutambo wepelinha, uye pakati peumwe neumwe "nzvimbo." Nzvimbo yepidural ndiyo nzvimbo iri pakati pechipfuva chekunze kwemukati uye mukati mukati mefupa umo rwonzi rwepelinha ruripo.
Nzvimbo yepidural inotarisa urefu hwepamusoro.
Chinhu chinonzi epidural chine mafupa ane mafuta pamwe nemitsipa yeropa uye mushu.
Mimwe miviri "nzvimbo" iri mumutsara wepelinha pachayo. Ivo vanonzi mahara-subural and sub-arachnoid nzvimbo, mushure mekunge (asi kwete ose) emamwe machira akavhara akavhara rwonzi rwepelinha.
Epidural Injections yeGuru kana Yakazouya Inosangana Nhamo
Kana iwe wakambova nejojo kuti ubatsire kuderedza kuvhiringidza uye / kana kubvisa marwadzo emutsipa uye zviratidzo zvinowira pasi rumwe ruoko kana gumbo, chiremba wako angangodaro akaisa nenyuchi munzvimbo yako yepidural. Muchirapa ichi, nenyuchi inopfuurira kune yakamanikidzwa mumagunha emumhino midzi (ndiko ndiko kunotanga kurwadziwa kunotanga) uye kugovera mishonga. Mishonga inogona kuva inyanzvi yemunharaunda, steroid yemishonga, kana kusanganiswa kwemaviri.
Kunyange zvazvo uine chirwere chepachirwere iwe uchange uine sindete yakaramba yakasimba mukati mako, vanachiremba vanofunga kuti kurapwa uku hakusi kwekusasvibisa, kureva kusasarura.
Imwe zita rinowanzozivikanwa rekurapa kusingaiti kushandiswa kwe "kurasika."
Akabatana: Chii chinonzi Facet Joint Hypertrophy?
Intralaminar Epidural Injections
Epidural injections ndeimwe yemishonga yakawanda inowanikwa shure, uye iyo yakawanda inowanikwa nokuda kwehuro kana mushure inorwadza inonzi inonzi intralaminar injection.
Iyo marina ndeimwe chikamu chemhete yebony iri kumashure kwechimiro chechiedza. Muchijoka chinopindirana, nete inotarirwa kumusoro zvichienda kumusoro wako uye pakati pemiraviri yakabatana.
Chidzidzo che2012 chine musoro unoti, "Kubudirira kwemakirini emakondomu emakondomu akasiyana-siyana mukugadzirisa zvirwere zvisingaperi uye zvakaderera kurwadziwa," zvakagadzirwa naBenyamin, uye. al. uye yakabudiswa mumusi weJuly-August wepepanhau Pain Physician akaongororodza zvidzidzo zvezvechiremba makumi mana makumi maviri nemasere kuti aone kuti ingano yakadini inopindira epidural injection yaiva yekudzivirira zviratidzo zvinowanzosangana nematambudziko emusana.
Vatsvakurudzi vakawana uchapupu hwakanaka hwokuti majekiseni epidural anogona kubatsira marwadzo kubva kumakemikari emakemikari (radiculitis) anouya nekuda kwekudzivirira kwekadhi - apo mishonga inoshandiswa yaiva nzvimbo yeanesthtics uye steroid. Asi havana kuwana humwe uchapupu hwokuti jekisi yaizobatsira kuburitsa maitiro ake pachako.
Zvimwe: Spinal Epidural Injections
Vatsvakurudzi vakawanawo uchapupu hwakajeka hwekuti epidurals nemunharaunda uye steroid inogona kubatsira zviratidzo zvepfungwa yakasimba yemazino iyo iri radiculitis inobatana ne stenosis. Vakawanawo uchapupu hwakajeka hwehupenzi hwemapapiro husingaenderani ne disc disclaimer (inonzi "axial" marwadzo) apo maitiro emunharaunda aishandiswa - zvichida ari oga kana ane steroid mishonga.
Zvose zvirwere zvakadzidzwa uye zvataurwa pamusoro padzo zvakaitwa ne fluoroscopy, izvo zvinoreva kuti idzi dzaive maitiro ekutungamirirwa.
Zvimwe: Zvikonzero zveCervical Radiculopathy
Sources:
Benyamin RM, Manchikanti L., Parr AT, Diwan S., Singh V., Falco FJ, Datta S., Abdi S., Hirsch JA Kubudirira kwemajekiseni epakati pepachirwere akasiyana-siyana mukugadzirisa zvirwere zvisingaperi uye zvakapera kurwadziwa. Pain Physician. Jul-Aug 2012. Accessed Jan 2016.
Mosby's Medical Dictionary. 7th edition. 2006. Mosby Elsevier. St. Louis, Mo.
Stedman's Medical Dictionary. 28th Edition. 2006. Lippincott, Williams, Wilkins. Baltimore. Moore, K., Dalley, A. Chipatara Chakatungamirirwa Anatomy. 5th edition. 2006. LIppincott, Williams & Wilkins. Baltimore.