Mujenya wepamuviri we cortisone kuderedza kuputika
Chirwere chepidural steroid chirwere chinonzi cortisone chinoshandiswa kuporesa kupisa kumativi ose. Cortisone rudzi rwe steroid iyo inobudiswa zvakasununguka nehutano mumuviri wako unonzi adrenal gland. Cortisone inosunungurwa kubva kune chirwere chinonzi adrenal kana muviri wako uri mukutambudzika. Cortisone yemasikirwo inosunungurwa muropa uye ine nguva shoma-kuita.
Inonzi cortisone inokonzerwa yakagadzirwa uye ine mazita akawanda ezvokutengeserana (Celestone, Kenalog, etc.), asi yakabatana zvakanyanya necortisone yemuviri wako. Chinyanya kukosha ndeyekuti cortisone yakagadzirwa haina kuiswa muropa, asi mune imwe nzvimbo yekuputika. Uyewo, cortisone yakagadzirirwa yakagadzirirwa kuita zvakanyanya uye kwenguva yakareba (mazuva panzvimbo pemaminitsi).
Epidural Injections
Chirwere chepidural steroid chinopa mishonga iyi ine simba rinopesana nokuputira zvakananga kumativi ose emagunha. Nenzira dzakasiyana-siyana majekesheni akaitwa pasina chero mudziyo unokosha, kuburikidza nekuisa nheyo nokunzwa munharaunda yakapoteredza mutsara. Munguva pfupi yapfuura zvirwere zvepidural zvakagadzirirwa nekubatsira kwekugadzira zvigadzirwa zvekubvumira chiremba wako kuti aone nenyuchi ichienda kunzvimbo yakakodzera. Iko chaiyo-nguva x-ray inonzi fluoroscopy, kana CT scan inogona kushandiswa ku "tarisa" nenyuchi kununura mishonga panzvimbo yakakodzera.
Zvidzidzo zvenguva pfupi zvakaratidza kuti aya majekiseni anopiwa nemafungiro ekufungidzira akajeka uye anopfumbira kupfuura majekiseni anopiwa pasina kufungidzira kutungamirirwa. Kutaura zvazviri, Kusarudza Nokuchenjera mhanho yekukurudzira nzira dzakanakisisa dzokurapa, akarayira varwere kuti vave nemakirini epidural anorongerwa nemhando iyi yekufungidzira mazano panzvimbo pokuita pasina kufungidzira.
Epidural steroid injection inogona kupiwa nemhando dzakawanda dzechiremba, kusanganisira anesthesiologists , vanachiremba vezvemapfupa, maurogiologist, interventional radiologists, nyanzvi yekugadzirisa marwadzo , uye vamwe vakadzidziswa maitiro aya. Kakawanda katevedzana kakojo, rimwe nerimwe rakaparadzaniswa masvondo mashomanana, rakapiwa. Pane nharo huru pamusoro pehuwandu huwandu hwemajinisi uye kuti zvakaparadzana zvakadini zvinofanira kuitwa. Vazhinji vanobvumirana kuti kana jekisi isingabatsiri, mamwe majekiseni haabviri kubatsira. Kana chirwere chinoderedza kusagadzikana kwose, majekiseni anowedzera haafaniri kudiwa. Kana pane imwe zororo, asi kwete kugadzirisa kwakakwana kwezviratidzo, ipapo mamwe majekiseni angangotaridzirwa. Izvozvo zvakati, kupa cortisone yakawanda kunogona kuita kuti muviri udzivise maitiro ayo chaiwo ekugadzira cortisol, uye nhamba dzakawandisa dzejojo dzinofanira kudziviswa.
Mbiru-Migumisiro Yechirwere Injections
Kune zvidimbu zvishoma zvinozivikanwa nemigumisiro yecortisone injections inofanirwa nevarwere. Mukuwedzera, varwere vazhinji vanoona zviratidzo zvisingawanzoitika mushure mokunge cortisone ichipfura, uye kuziva kuti zviratidzo izvi zvakaguma nei zvakakonzerwa nepfuti zvakaoma. Zvisinei, hazvisi zvisizvo kuti vanhu vawane rumwe rutivi-zvinobudirira semugumisiro wekuputikaone.
Mimwe yemigumisiro yemigumisiro yakananga yakananga nemapurojekiti epidural cortisone inosanganisira:
- Kutapukira: Hazvisi zvisizvo, zvishoma kudarika 1%
- Kusvibiswa: Uyewo kusina kujairika, uye kunogadziriswa nekusaita izvi nenzira kuvarwere vane dambudziko rekubuda ropa kana pavanotora mishonga yechipfupa cheropa.
- Mutsipa wechepache : Inokonzerwa nokuboora saga kumativi ose emagunha emusana nemuseza.
Mimwe migumisiro yemigumisiro inogona kuitika uye inofanira kukurukurwa musati majowa nechiremba achiita izvi.
Kubudirira kwe Epidural Steroid Shots
Chikonzero chakanakisisa chekuita jekesiti epidural steroid haisi yekusunungurwa kwehutambudzo hwemarwadzo, asi panzvimbo yekununurwa kwehutano hwemakumbo hunokonzerwa nekupererwa kweperepa yemawere.
Kakawanda kunonzi sciatica , kurwadziwa kwemakumbo kunokonzerwa nehuipi hutsinye ndicho chikonzero chakanakisisa chokuva nechirwere. Zviratidzo izvi zvinogona kukonzerwa nekambani yekudzivirira kana kupona kwepeni . Tinonyatsoziva, kuti zvirwere zvepfungwa zvinorema kumarwadzo hazvirevi kutarisirwa nemajekiseni epidural steroid, uye izvi zvinofanirwa kudziviswa semushonga wekurwadziwa uku. Kurwadziwa shure hakusi chikonzero chakanaka chokuva nejoka repachirwere.
Epidural injections zvakare yakashandiswa pakurongwa kwepamberi asati apora uye mushure mekuvhiya. Kune humwe uchapupu hunotsigira kushandiswa kwepidural steroid injections yekugadzirira pre-chirurgical. Mune mamiriro ezvinhu aya, chiremba wako angakurudzira kuti ave nematanho chaiwo epamusoro akaiswa mushure mekuvhiyiwa kuti ave nechokwadi chekuti pane dambudziko.
Vanachiremba vakaedzawo kushandisa epidural steroid injections kune vanhu vanogarara zviratidzo mushure mekuvhiyiwa musana. Mune varwere, majekiseni haana kuonekwa kuti anobatsira uye anofanira kunge akadziviswa.
Zvinyorwa: Young IA, et al. "Kushandiswa kweLumbar Epidural / Transforaminal Steroids yekugadzirisa zvirwere zvepinal" J Am Acad Orthop Surg April 2007