Hoʻohana pinepine ʻia ʻo Lumbar injections, i kapa ʻia ʻo epidural injections e kōkua i ka hoʻomaha ʻana i ka ʻeha haʻahaʻa haʻahaʻa, sciatica a me cruralgia. Mahalo a ʻoi aku ka pololei i ke alakaʻi ʻana i nā kiʻi lāʻau lapaʻau, ʻaʻole kūlike ko lākou hopena.

ʻO ka lumbar infiltration ka hoʻokomo ʻana i kahi haʻahaʻa haʻahaʻa o kahi lāʻau anti-inflammatory, i hoʻokumu pinepine ʻia ma ka cortisone, i mea e hōʻemi ai i ka ʻāʻī, a pēlā ka ʻeha. Hiki i ka infiltration ke hāʻawi aku i ka pūnaewele ʻeha a hiki i kahi anti-inflammatory ikaika me ka haʻahaʻa haʻahaʻa haʻahaʻa haʻahaʻa, e ʻae ai i ka hana ʻoi aku ka maikaʻi ʻoiai e pale aku i nā hopena ʻaoʻao o nā lāʻau anti-inflammatory.

Hana ʻia ka injection i loko o ka iwi kuamoʻo, ma ka epidural space ma ke kiʻekiʻe o ke aʻa aʻalolo e pili ana, kahi e haʻalele ai ke aʻalolo i ke kuamoʻo. Hiki ke hoʻokuʻu ʻia ka huahana ma ka pae interlaminar, caudal a transforaminal, ma muli o ka hoʻokuʻu ʻana o ka lāʻau i makemake ʻia.

Hana ʻia ka infiltration ma kahi maʻi maʻi, i kēia mau lā ma lalo o ke alakaʻi radiological, ultrasound a i ʻole CT i mea e koho ai i ka wahi komo kūpono no ka nila a hahai i kona ala.

I ka hoʻokomo ʻana o ka lumbar i alakaʻi ʻia e CT, moe ka mea maʻi ma kona ʻōpū ma ka papa ʻaina scanner. Hana ʻia kahi scan mua i mea e ʻimi pono ai i ka wahi injection. Ma ka ʻili i hoʻomaʻemaʻe ʻia a hoʻomaʻemaʻe ʻia, ma hope o ka anesthesia kūloko, hoʻokomo mua ka radioologist i kahi huahana hoʻohālikelike iodinated e nānā i ka laha ʻana o ka lāʻau lapaʻau ma kahi i makemake ʻia. A laila, hoʻokomo ʻo ia i ka lāʻau anti-inflammatory.

Kuhi ʻia ka infiltration ma ke ʻano he hōʻailona ʻelua i nā poʻe maʻi e ʻeha nei no kekahi mau pule, ʻaʻole i hoʻomaha ʻia e ka hoʻomaha a me nā lāʻau lapaʻau, i ka manawa koʻikoʻi o ka ʻeha haʻahaʻa haʻahaʻa, sciatica a i ʻole cruralgia e pili ana i kahi disc herniated a i ʻole kahi kahawai lumbar haiki.

Mālama ʻia ka mea maʻi no kahi manawa pōkole o ka nānā ʻana ma hope o ka hoʻokolokolo. I loko o nā hola ma hope o ke komo ʻana, ʻaʻole ia he mea maʻamau ka piʻi ʻana o ka ʻeha.

Manaʻo ʻia kahi hoʻomaha o 24 a i 48 mau hola i mālama ʻia ka huahana i kona ʻano kiʻekiʻe loa i ka wahi ʻeha, a hana me ka ʻole o ka diffusing.

nā hualoaʻa

ʻIke pinepine ʻia ka hoʻomaikaʻi ʻana i loko o 24 a 48 mau hola, akā ʻaʻole kūlike ka hopena. Ua hilinaʻi nui i ka mea maʻi. ʻElua a ʻekolu mau injections i hoʻokahi pule i kekahi manawa pono e loaʻa kahi hana i ka ʻeha.

Eia kekahi, ʻaʻole mālama ka infiltration i ke kumu o ka ʻeha. No laila, he lāʻau hoʻohui pinepine ia i ka manawa acute, ma mua o ka hoʻohana ʻana i ke ʻoki.

Nā pilikia

E like me kekahi injection, he haʻahaʻa loa ka pilikia o ka maʻi. I nā lā ma hope o ka hoʻokomo ʻana, ʻo nā hōʻailona o ka maʻi (ke kuni, ka ʻāʻī ma ka wahi i hoʻopaʻa ʻia) no laila e alakaʻi i kahi kūkākūkā.