Majekiseni eLumbar, anonziwo epidural jekiseni, anowanzo shandiswa kubatsira kubvisa marwadzo anoramba aripo, sciatica uye cruralgia. Zvakawanda uye zvakanyanya kutendeseka kune kutungamira kwemifananidzo yekurapa, kushanda kwavo hakuenderane.

Lumbar infiltration inosanganisira kujowa munzvimbo yakaderera yeanorwisa-kuzvimba kurapwa, kazhinji kwakavakirwa pa cortisone, kuitira kuti munharaunda kuderedza kuzvimba, uye nekudaro marwadzo. Iko kupinza kunoita kuti zvikwanise kuendesa kunzvimbo inorwadza kunyange ine simba rinopesana nekuzvimba ine yakaderera zvakanyanya kupararira, izvo zvinobvumira kuita zvirinani uchidzivirira mhedzisiro yeanopesana nekuputika.

Iyo jekiseni inogadzirwa mumusana, munzvimbo yeepidural pamwero wetsinga inobatwa, uko tsinga inosiya musana. Chigadzirwa chacho chinogona kubaiwa pane interlaminar, caudal kana transforaminal level, zvichienderana nekusunungurwa kwemishonga inodiwa.

Kupinzwa kunoitwa pahwaro hwekunze, nhasi kazhinji kazhinji pasi peradiological, ultrasound kana CT nhungamiro kuitira kuti usarudze nzvimbo yakakodzera yekupinda tsono uye kutevera nzira yayo.

Munguva yeCT-inotungamirirwa lumbar infiltration, murwere anorara nedumbu patafura ye scanner. Yekutanga scan inoitwa kuitira kunyatso tsvaga nzvimbo yejekiseni. Paganda rakacheneswa uye rakacheneswa, mushure mekuvhiyiwa kwenzvimbo, chiremba weradioologist anotanga kubaya chigadzirwa chine iodinated kuti atarise kuti mushonga uri kupararira zvakanaka munzvimbo yaunoda. Zvadaro, anobaya mushonga unorwisa kuzvimba.

Kupindira kunorongwa sechiratidzo chechipiri kune varwere vanotambura kwevhiki dzinoverengeka, vasina kunyaradzwa nekuzorora uye kurapwa kwezvinodhaka, munguva yakaoma yemarwadzo ekudzokera shure, sciatica kana cruralgia yakabatana ne disc herniated kana kuti yakamanikana lumbar canal.

Murwere anowanzo chengetwa kwenguva pfupi yekutariswa mushure mekuongororwa. Munguva yemaawa anotevera kupinda mukati, hazvishamisi kuti marwadzo awedzere.

Kuzorora kwemaawa makumi maviri nemana kusvika ku24 inokurudzirwa kuitira kuti chigadzirwa chichengetedze huwandu hwayo munzvimbo inorwadza, uye kuita pasina kupararira.

The zvabuda

Kuvandudza kunowanzoonekwa mukati meawa 24 kusvika ku48, asi kushanda hakuenderani. Zvinonyanya kuvimba nemurwere. Majekiseni maviri kusvika matatu pasvondo akaparadzana dzimwe nguva anodiwa kuti awane chiito pamarwadzo.

Mukuwedzera, kupindira hakuiti chinokonzera marwadzo. Naizvozvo inowanzova adjunct kurapa muchikamu chakaoma, usati watanga kuvhiyiwa.

Njodzi

Sezvinoita jekiseni ripi neripi, kune ngozi yakaderera zvikuru yokutapukirwa. Mazuva anotevera kupinda mukati, chero chiratidzo chehutachiona (fivha, kuzvimba panzvimbo yejekiseni) zvinofanirwa kutungamira mukubvunzana.