Majekeseni a lumbar, omwe amatchedwanso jekeseni wa epidural, amagwiritsidwa ntchito mobwerezabwereza kuti athetse ululu wa msana, sciatica ndi cruralgia. Kuchulukirachulukira chifukwa cha chitsogozo cha zithunzi zachipatala, kugwira ntchito kwake sikumagwirizana.

Kulowetsedwa kwa lumbar kumakhala ndi jekeseni wapafupi wa mankhwala oletsa kutupa, omwe nthawi zambiri amapangidwa ndi cortisone, kuti achepetse kutupa, motero ululu. Kulowetsedwako kumapangitsa kuti azitha kuperekera kumalo opweteka ngakhale amphamvu otsutsa-kutupa ndi kufalikira kwapang'onopang'ono kwambiri, zomwe zimathandiza kuti zitheke bwino pamene mukupewa zotsatira za mankhwala oletsa kutupa.

Jekeseniyo amapangidwa mumsana, mu epidural space pamlingo wa mitsempha yomwe ikukhudzidwa, kumene mitsempha imachoka pamsana. Mankhwalawa amatha kubayidwa pamlingo wa interlaminar, caudal kapena transforaminal, kutengera kutulutsidwa kwa mankhwala omwe mukufuna.

Kulowetsedwa kumachitidwa pazifukwa zakunja, masiku ano nthawi zambiri motsogozedwa ndi radiological, ultrasound kapena CT kuti musankhe malo oyenera olowera singano ndikutsata njira yake.

Panthawi yolowera m'chiuno motsogozedwa ndi CT, wodwalayo amagona pamimba pake patebulo la scanner. Kujambula koyamba kumachitidwa kuti apeze malo ojambulira. Pakhungu loyeretsedwa ndi loyeretsedwa, pambuyo pa opaleshoni yam'deralo, radiologist choyamba amabaya mankhwala osiyanitsa ndi ayodini kuti aone ngati mankhwalawa akufalikira bwino m'dera lomwe akufuna. Kenako, amabaya mankhwala oletsa kutupa.

Kulowetsedwako kumaperekedwa ngati chisonyezero chachiwiri kwa odwala omwe akuvutika kwa milungu ingapo, osatonthozedwa ndi kupumula ndi mankhwala osokoneza bongo, mu nthawi yovuta ya ululu wochepa wa msana, sciatica kapena cruralgia yokhudzana ndi diski ya herniated kapena lumbar canal.

Wodwalayo nthawi zambiri amasungidwa kwa nthawi yochepa yoyang'anitsitsa pambuyo pofufuza. Pamaola otsatila kulowetsedwa, si zachilendo kuti ululu uwonjezeke.

Maola 24 mpaka 48 akulimbikitsidwa kuti mankhwalawa apitirizebe ndende yake pamalo opweteka, ndikuchita popanda kufalikira.

Zotsatira

Kupititsa patsogolo kumawoneka mkati mwa maola 24 mpaka 48, koma kugwira ntchito kumakhala kosagwirizana. Zimadalira kwambiri wodwalayo. Majekeseni awiri kapena atatu pa sabata nthawi zina amafunika kuti athetse ululu.

Kuonjezera apo, kulowetsedwako sikusamalira chifukwa cha ululu. Choncho nthawi zambiri ndi adjunct mankhwala mu gawo pachimake, asanayambe opaleshoni.

Kuopsa kwake

Mofanana ndi jekeseni iliyonse, chiopsezo chotenga matenda chimakhala chochepa kwambiri. Masiku otsatirawa kulowetsedwa, chizindikiro chilichonse cha matenda (kutentha thupi, kutupa pamalo opangira jakisoni) kuyenera kutsogolera kukaonana.