Darman Modakhelei Dard Chist?
Darman modakhelei dard majmoue raveshhayi ast ke be manbae dard zir hedayat tasvirbardari (eskopi/soonografi), ba suzan barik ya kanoul, bedoone jarahi baz miresand. Por estefadetarin dar dard kamar va pa: tazrigh eperidoral/kaudal/transforaminal ke kahesh eltehab atraf risheye asab ra hadaf migirad; tazrigh faset va denervasion ba radiofrekans dar dard ba manshae faset; va nukleoplasti ke kahesh feshar dakhel disk ra dar bimaran montakhab ba no disk monaseb hadaf migirad. Hadaf in raveshha 'tamir' disk nist balke hadaf gereftan samane haml konandeye dard be kamtarin shekl tahajomi va baz kardan panjere harekat-fizioterapi bimar ast. Inke kodam ravesh entekhab shavad kamelan be manbae dard bastegi darad.
Baraye Che Bimari Monaseb Ast va Baraye Che Bimari Na?
Yek kandiday monasebtar baraye darman modakhelei dard bimari ast ke be daroo va fizioterapi be qadr kafi pasokh nadade, manbae dardash ba moayene va tasvirbardari roshan shode, amma hanooz neshaneye foori ya roshan baraye jarahi shekl nagerefte. Dar moqabel, agar neshanehaye foori manand zaaf azaleye pishravande, oftadegi pa, feshar bar noxa/dom asb ya ekhtelal kontrol masane/roode vojood dashte bashad, ba raveshhaye modakhelei zaman talaf nemishavad; dar in bimaran jarahi mostaghim moqaddam ast. Hamchenin dar fatghhaye bozorg ba qateye azad ya tangi pishrafte kanal raveshhaye modakhelei momken ast mahdood bashand. Yani 'bedoone jarahi' boodan in raveshha ra baraye har bimar dorost nemikonad; taeen konandeye vaqei entekhab bimar dorost va manbae dard dorost ast.
Entekhab Ravesh — bar Asas Manbae Dard
Osul payeii darman modakhelei dard in nist ke yek ravesh ra be har bimar aemal konim, balke entekhab abzar dorost bar asas manbae dard ast. Agar dard az fatgh disk va eltehab rishe bashad tazrigh eperidoral/transforaminal; agar az mafasel faset posht mohrehha bashad tazrigh faset ya denervasion ba radiofrekans; va agar moshkel feshar dakhel disk dar no disk monaseb bashad nukleoplasti matrah mishavad. In entekhab ba moayene, tasvirbardari va dar soorat niaz blokhaye tashkhisi anjam mishavad. In raveshha raghib yekdigar nistand; entekhab abzar dorost dar bimar dorost taeen konandeye vaqei movaffaqiat ast. Modakhelei ke be manbae eshtebah neshane gerefte, hatta agar bedoone jarahi bashad, fayedei nemiavarad.
Che Vaqt Jarahi Lazem Ast?
Garche darman modakhelei dard arzeshmand ast, hal har vaziyat nist; agar bekhahim sadegh bashim, dar barkhi bimaran entekhab dorost jarahi mostaghim ast. Jarahi moqaddam ast va nabayad dar az dast dadan asabi pishravande, oftadegi pa, neshanehaye feshar bar noxa/dom asb, az dast dadan kontrol masane/roode ya dard moqavemi ke be gaam-haye modakhelei pasokh nemidahad va keyfiat zendegi ra be sheddat mokhtal mikonad be takhir biuftad. Dar in noqte esrar bar raveshhaye modakhelei momken ast be talaf vaqt va asib asabi daemi monjar shavad. Hadaf na amal ghaire zaroori ast na modakhele dirhengam; tasmim ba arzyabi tavam yaftehaye MRI va moayene asabi, be tore motavazen gerefte mishavad.
Behbood, Entezarat va Riskha
Mazyat raveshhaye modakhelei in ast ke maamoolan bazgasht sariatar be zendegi roozmarre nesbat be jarahi baz faraham mikonand; amma behbood aghlaban tadriji ast va nabayad tashile kamel foori entezar dasht. Tasvir vaqebinane: agar entekhab bimar va ravesh dorost bashad tashile mani dar dideh mishavad, amma tasir momken ast paydar nabashad va gaam baadi mojadaddan arzyabi shavad. Hich aqdam bedoone risk nist; be nodrat ofoonat, bi hessi gozara ya khoonrizi momken ast va dar farayand reza'ye agahane goftegoo mishavad. Baraye hich raveshi nemitavan 'behboode tazminshode' va'de dad. Dar boland modat kontrol vazn, taghviat azalat kamar va shekam va varzesh monazzam baraye behboode paydar lazem ast, har raveshi ke be kar rud.