Imijovo ye-Lumbar, ebizwa nangokuthi imijovo ye-epidural, ivame ukusetshenziselwa ukusiza ukukhulula ubuhlungu obuphansi obuqhubekayo, i-sciatica ne-cruralgia. Sibonga kakhulu ngokunembe kakhulu ekuqondisweni kwezithombe zezokwelapha, ukusebenza kwazo kuyaguquguquka nokho.

Ukungena kwe-Lumbar kuhlanganisa ukujova endaweni umthamo ophansi wokwelapha okulwa nokuvuvukala, okuvame ukusekelwe ku-cortisone, ukuze kuncishiswe ukuvuvukala kwendawo, kanjalo nobuhlungu. Ukungena kwenza kube nokwenzeka ukuletha kusayithi elibuhlungu ngisho ne-anti-inflammatory enamandla ngokusakazwa okujwayelekile okuphansi kakhulu, okuvumela ukusebenza kahle kangcono ngenkathi kugwema imiphumela emibi yemithi elwa nokuvuvukala.

Umjovo wenziwa emgogodleni, endaweni ye-epidural ezingeni lempande yenzwa ethintekayo, lapho inzwa ishiya khona umgogodla. Umkhiqizo ungajova ezingeni le-interlaminar, i-caudal noma i-transforaminal, kuye ngokuthi ukukhululwa kwesidakamizwa oyifunayo.

Ukungeniswa kwenziwa ngesisekelo sesiguli esingalalisiwe, namuhla ngokuvamile ngaphansi kokuqondiswa kwe-radiological, ultrasound noma CT ukuze kukhethwe indawo yokungena efanele yenaliti futhi ulandele indlela yayo.

Ngesikhathi sokungeniswa kwe-lumbar eqondiswa yi-CT, isiguli silala ngesisu etafuleni lesithwebuli. Ukuskena kokuqala kwenziwa ukuze kutholwe kahle indawo yomjovo. Esikhumbeni esihlanziwe nesihlanjululwe, ngemva kokubulala izinzwa zendawo, isazi se-radiologist siqala ngokujova umkhiqizo ohlukile one-iodine ukuze ahlole ukuthi umuthi usakazeka kahle yini endaweni oyifunayo. Khona-ke, ujova umuthi wokulwa nokuvuvukala.

Ukungena kuhlongozwa njengesibonakaliso sesibili ezigulini ezihlupheka amasonto ambalwa, zingathuliswa ukuphumula nokwelashwa kwezidakamizwa, esikhathini esinzima sobuhlungu obuphansi emuva, i-sciatica noma i-cruralgia ehlobene ne-disc herniated noma umsele omncane we-lumbar.

Isiguli ngokuvamile sigcinwa isikhathi esifushane sokuqapha ngemva kokuhlolwa. Phakathi namahora alandela ukungeniswa, akuvamile ukuthi ubuhlungu bukhule.

Ukuphumula kwamahora angu-24 kuya kwangu-48 kuyanconywa ukuze umkhiqizo ugcine ukugxila kwawo okuphezulu endaweni ebuhlungu, futhi usebenze ngaphandle kokusabalalisa.

Imiphumela

Ukuthuthukiswa kuvame ukubonakala phakathi kwamahora angu-24 kuya kwangu-48, kodwa ukusebenza kahle akuhambisani. Kuncike kakhulu esigulini. Imijovo emibili kuya kwemithathu ngeviki ngokuhlukana kwesinye isikhathi iyadingeka ukuze kutholakale isenzo kubuhlungu.

Ngaphezu kwalokho, ukungena ngaphakathi akuphathi imbangela yobuhlungu. Ngakho-ke ngokuvamile kuvame ukwelashwa okuhambisanayo esigabeni esibucayi, ngaphambi kokuba usebenzise ukuhlinzwa.

Izingozi

Njenganoma yimuphi umjovo, kunengozi ephansi kakhulu yokutheleleka. Izinsuku ezilandela ukungenwa, noma yiluphi uphawu lokutheleleka (umkhuhlane, ukuvuvukala endaweni yomjovo) kufanele ngakho-ke kuholele ekuboniseni.