Tazrigh Esterooid Eperidoral Chist va Chegoone Anjam Mishavad?
In aqdam bedoone jarrahi baz, zir hedayat tasvirbardari (eskopi ya soonografi) anjam mishavad. Yek suzan barik be fazaye eperidoral, daghighan biroon az pardeye ehate konandeye noxa, hedayat mishavad va anja yek esterooid no kortizon makhloot ba bihessi mozei rikhte mishavad. Do royekard rayej vojood darad: dar royekard kaudal az sath dombalche vared mishavand ta daroo dar nahiyeye vasi pakhsh shavad; dar royekard transforaminal daroo nazdiktar be hadaf, dar sorakhi ke rishe feshorde az an khareh mishavad, gozashte mishavad. Hadaf kahesh eltehab va tavarrom atraf rishe va aram kardan enteqal dard ast. Aqdam aksaran zir bihessi mozei dar zaman koota tamam mishavad. Nokteye mohem: tazrigh disk ra tamir nemikonad va qateye fatgh ra bar nemidarad; ba kahesh eltehab tashile gheyre mostaghim ra hadaf migirad.
Baraye Che Kasi Monaseb Ast va Baraye Che Kasi Kafi Nist?
Yek kandiday monasebtar bimari ast ke dard pa (rishei) barjaste nashi az fatgh disk ya tangi kanal darad, be daroo va fizioterapi be qadr kafi pasokh nadade amma hanooz neshanehayi ke jarrahi forui talab konad nadarad. Dar moqabel, agar neshanehaye foori manand zaaf azaleye pishravande, oftadegi pa ya extelal kontrol masane/roode vojood dashte bashad, ba tazrigh zaman talaf nemishavad; dar in bimaran jarrahi ke feshar asabi ra mostaghiman bar midarad moqaddam ast. Tasir dar fatghhaye bozorg ba qateye azad niz momken ast mahdood bashad. Yani entezar inke 'ba tazrigh xoob mishavad' baraye hame monaseb nist. Taeen konandeye asli movaffaqiat entekhab dorost bimar va manbae vaqei dard ast.
Rabete ba Ravesh-haye Modakhelei Digar
Tazrigh eperidoral faqat yek bakhsh az nardeban ravesh-haye modakhelei ghaire jarrahi ast. Agar manbae dard eltehab disk va rishe bashad blok eperidoral mani darad; amma agar dard az mafasel faset posht mohrehha biayad, tazrigh faset ya denervasion ba radiofrekans momken ast monaseb bashad, va dar movared montakhab feshar dakhel disk nukleoplasti momken ast dar nazar gerefte shavad. In raveshha raghib yekdigar nistand; masale entekhab abzar dorost baraye bimar dorost ast. Ravesh monaseb baad az roshan kardan manbae dard ba moayene, tasvirbardari va dar soorat niaz blokhaye tashkhisi taeen mishavad.
Che Vaqt Maqool Ast, Che Vaqt Jarrahi Lazem Ast?
Darman pelle pelle dideh mishavad: ebteda daroo, varzesh dorost va fizioterapi emtehan mishavad. Dar bimarani ke be in pellehha be qadr kafi pasokh nadade amma neshane roshan baraye jarrahi baz hanooz shekl nagerefte, tazrigh eperidoral yek gaam meyani maqool ast; ba aram kardan dard momken ast be bimar ejaze dahad fizioterapi ra rahat anjam dahad. amma agar az dast dadan asabi pishravande, dard moqavem ke zendegi roozmarre ra be sheddat mahdood mikonad ya neshanehaye foori vojood dashte bashad, jarrahi nabayad be takhir biuftad. Mohem in ast ke tazrigh ra na kuchak shomarim na bozorg konim: dar bimar dorost momken ast jarrahi ghaire zaroori ra jelogiri konad, dar bimar nadorost momken ast darman vaqei ra be takhir biandazad.
Behbood, Entezarat va Riskha
Tasir aghlaban zarf chand rooz aghaz mishavad va momken ast haftehha tul bekeshad; baraye bazi bimaran yek jalase kafi ast, bazi digar momken ast be tekrar dar faselehaye moshakhas niaz dashte bashand. Tasvir vaqebinane in ast: agar entekhab bimar dorost bashad tashile mani dar dideh mishavad, amma tasir momken ast paydar nabashad va tazrigh bakhshi az farayand ast na yek 'darman' be tanhayi. Hich aqdam bedoone risk nist; be nodrat ofoonat, sardard gozara, navasanat qand/feshar khoon ya bihessi movaqqat momken ast rokh dahad va inha dar farayand reza'ye agahane goftegoo mishavad. Baraye hich raveshi nemitavan 'behboode tazminshode' va'de dad; dar boland modat kontrol vazn, behdasht kamar va varzesh monazzam baraye behboode paydar lazem ast.