Mharapara Injections yekuona nekurapa kurwadziwa

Mushonga wepemumunyo inzira inoparadza inoshandiswa pakuona nekurapa kurwadziwa kwakanyanya kumashure. Chinangwa chemujoka wepeminwa ndechokupa mushonga zvakananga kune imwe nzvimbo yekurwadziwa.

Paunenge uine jira rekuongororwa , chinangwa ndechokuwana kana mishonga inoderedza marwadzo ako. Kana ikasunungura marwadzo ako munzvimbo iyo chiremba wako anokanganisa, zvichienderana nekuongorora kwako kwepanyama uye nhoroondo yezvokurapa, ndiyo yakabva, inogona kusimbisa kuti zvechokwadi kunyatsoongorora. Kununurwa kwemarwadzo kubva kujojo yekuongororai kazhinji kwenguva pfupi - kazhinji maawa mashoma.

Paunenge uine jekisi sekurapa, rubatsiro runotora nguva refu.

Hezvino 4 inowanzopiwa chirwere chepinini:

1 -

Selective Nerve Block Block

Kusarura nerve midzi midzi ndiyo imwe yeiyo inowanzopiwa maginini emaginha. Inogona kushandiswa kurapa kana kuongorora mushure uye / kana kurwadziwa kwegumbo pamusana pekuvhiringidzika kwenzara midzi . Mutsipa midzi ndeyekusanganiswa kwemitsipa iyo yakashambadza kubva pamutsipa mukuru wepelinha pakubuda kwavo kunoshumira muviri wose. Iwe une midzi midzi kune rumwe rutivi rwemutsara wepelinha pane imwe neimwe yepamuviri. Kana mitsetse inofanira kuomeswa kana kutsamwa, kurwadziwa kwegumbo kunogona kuitika. Vanhu vazhinji vanoshevedza iyi sciatica, asi zita rayo teknolojia ndeye radiculopathy.

2 -

Lumbar Facet Joint Nerve Blocks

Kana wakavakirwa pakuongorora kwako mumuviri, chiremba wako anofungira kuti marwadzo ako ari kuuya kubva pamajoi ari kumashure kwepamusoro pako, anogona kukurudzira achiedza kujowa kwechikwata. Mhemberero dzezvikamu zvikamu zviduku zvinowanikwa pane imwe neimwe yepamusoro - imwe kumativi ose; vanowedzera kuvimbika kumusana wechipfuva kuburikidza nekudzivirira kufamba kwakanyanyisa. Chimwe chikamu chakabatanidzwa chikamu chakajairika chepamusoro arthritis kukura.

Asi mutengi ngaachenjere. Mazano ekurapa kwekurapa kunorwadza kwakaderera kwakagadzirwa muna Feb 2014 neSangano reEalthcare Research neUnited reports kuti kune chikamu chikuru, chikamu chinowirirana majekesheni hachiratidzi kunzwisiswa kunorwadza. IAHRQ inotaura iyo iga, chijoviso chechigadziro choga hachikwanisi kukupa migumisiro yenguva refu, uye haisi yakanyatsokodzera kuongororwa.

3 -

Injections muzvikamu Zvako zveSyroiliac

Mhando dzakawanda dze sacroiliac joint injections dziripo; iyo inonzi Intraarticular steroid injection (uyewo rudzi rwakapiwa kune zvinorwadza zvinyorwa zvisungo) uye periarticular injections, pamwe chete ne pulsed uye yakawanda radiofrequency neurotomy. Botox uye steroids mishonga miviri inowanzoshandiswa kuve periarticular injections.

Intraarticular zvinoreva mukati memubatanidzwa apo periarticular zvinoreva kumativi ose. Radiofrequency neurotomy ndiyo nzira inotanga kupisa mukati mokubatana kuitira kuti inopesana nekushanda kwemirwere inorwadza.

IAHRQ inotaura kuti humwe uchapupu hushoma hunotsigira kushandiswa kwemhando dze intraarticular uye periarticular ye sacroiliac injections,

Izvozvo zvakati, sechirwere chekuongorora, intraarticular sacroiliac joint injections nekunzvimbo anesthetics iyo inoderedza 75% kusvika 100% yemarwadzo ako anowanzova nesayenzi yakanaka shure kwavo, maererano neAHRQ.

IAHRQ inotaurawo kuti uchapupu hunosungirirwa uye hunokonzerwa nehudhifrequency neurotomy hahukwanisi, asi humwe uchapupu hunokonzerwa nehuwandu hwehuwandu hwehuwandu hwehuwandu hwemhepo.

4 -

Epidural Steroid Injections

Kana iwe uine diski inonzi herniated kana disc radiculitis, chiremba wako angaratidza chirwere chepidural.

Mushonga wesipinha epidural unopa mishonga inonzi steroid munharaunda yepidural , nzvimbo iri pakati pemutsipa wepelinha uye vertebral canal, uye pedyo nechepamusoro-soro remutsara.

Nokuda kwetambo ye-herniated kana disc radiculitis, AHRQ inokurudzira chero imwe yemhando 3 dzepidurals: Inzira dzekuchengetedza, dzakasiyana-siyana kana dzekushandura, dzinotaura kuti kune humwe humwe uchapupu kune umwe neumwe. Nenzira, aya mazwi anofananidzira anotarisa nhungamiro iyo ine tsono inowanikwa.

Kurwiswa kwemajoni (kureva, kurwadziwa kunobva mukati me diski pane kungokonzerwa nekukuvadzwa kana kuvekwa) ndeimwe chikonzero chiremba wako angaratidza kuti ane chirwere chepachirwere, asi AHRQ inotora humwe uchapupu hwekushandiswa uku sekanaka chete.

Epidurals muzvikamu zvehutano zvinoitwawo, kunyange zvazvo AHRQ inoti uchapupu hwekubudirira kwayo ndeyekuti hwakanaka kana kuti hushoma, zvichienderana nenzira iyo inotorwa.

Zvimwe zvikonzero zvipembenene epidurals zvinopiwa zvinosanganisira spinal stenosispost chirwere chirwere.

> Sources:

> Sangano reEalthcare Research uye Quality. Chirongwa chehuwandu hunopupurirwa-hutungamiri hutungamiri hwehutano hwekupindira muhutano husingaperi hwepamuviri. Chikamu II: kutungamirirwa uye mazano. National Guideline Clearinghouse website. Chigumo Chekutanga April 2013.

> Sangano reEalthcare Research uye Quality. Kudzoka shure kunorwadza kurapwa kwemitemo. National Guideline Clearinghouse website. Feb 2014.

Zvimwe