Dard Mafsal Faset Chist va Chegoone Shenakhte Mishavad?
Mafasel faset mafasel kochaki hastand ke mohrehha ra az posht be ham vasl mikonand va harekat va sobat ra taamin mikonand. Ba gozasht salha, farsoodegi (artroz) ya feshar momken ast anha ra be manbae dard tabdil konad. Dard ba manshae faset aghlaban dar kamar mozei ast, khoshki sobhgahi ijad mikonad, ba istadan va be vizheh khamidan be aghab afzayesh miyabad, momken ast dar halat neshaste kami kam shavad va enteshar ghaleb az no siyatik be pa nadarad. amma in vijegiha be tanhayi tashkhis nemidahand; shekayat moshabeh momken ast az disk va dalayel digar bashad. be hamin dalil tasmim be darman faset, dar kenar moayene va tasvirbardari, aghlaban ba blok tashkhisi taeed mishavad — bi hes kardan movaqqat shakheye asabi haml konandeye dard baraye azmoodan inke aya dard vaqean kam mishavad.
Tazrigh Faset va Denervasion ba Radiofrekans Chegoone Anjam Mishavad?
Har do ravesh bedoone jarrahi baz, zir hedayat tasvirbardari (eskopi) anjam mishavad. Dar tazrigh faset yek esterooid no kortizon ba bihessi mozei be dakhel ya atraf mafsal dade mishavad ta eltehab va dard aram shavad; in ham darman ast ham gaami ke be tashkhis komak mikonad. Dar denervasion ba radiofrekans enerji garmayi kontrol shode az nok yek suzan barik be shakheye asabi kochak (shakhe miani) haml konandeye dard dade mishavad va enteqal dard an be tor movaqqat kam mishavad. Aqdam maamoolan zir bihessi mozei dar zaman kootah tamam mishavad. Nokteye mohem: RF shakheye asabi ra 'nabood nemikonad'; enteqal dard ra baraye moddati sarkoob mikonad, va chon shakhehaye asabi mitavanand ba gozasht zaman tajdid shavand, tasir momken ast paydar nabashad va dard momken ast bargardad.
Baraye Che Kasi Monaseb Ast va Baraye Che Kasi Kafi Nist?
Yek kandiday monasebtar bimari ast ke dardash olgooye mafsal faset neshan midahad, dar tasvirbardari artroz faset darad va dar halat ideal manbae dardash ba blok tashkhisi be onvane faset taeed shode ast. Dar moqabel, agar manbae vaqei dard fatgh disk va feshar rishe bashad, dard rishei pa ghaleb bashad ya zaaf pishravande vojood dashte bashad, darman faset kafi nist; dar in movared tazrigh eperidoral ya — dar soorat vojood neshane — jarrahi moqaddam ast. Yani 'ghaire jarrahi' boodan in ravesh ra baraye har dard kamar dorost nemikonad; agar manbae dard dorost taeen nashavad zaman talaf mishavad. Taeen konandeye movaffaqiat entekhab bimar dorost va manbae dard dorost ast.
Rabete ba Ravesh-haye Digar va Royekard Pelle Pelle
Darman pelle pelle dideh mishavad: ebteda daroo, varzesh dorost, fizioterapi va tanzim sabk zendegi emtehan mishavad. Dar bimarani ke be inha be qadr kafi pasokh nemidahand va dardashan be onvane faset taeed shode, tazrigh faset va RF yek gaam meyani maqool ast. Agar dard az disk va rishe bashad tazrigh eperidoral/transforaminal monasebtar ast, va baraye moshkel feshar dakhel disk nukleoplasti momken ast baraye movared montakhab monaseb bashad. In raveshha raghib yekdigar nistand; masale entekhab abzar dorost baraye bimar dorost ast. Ravesh monaseb baad az roshan kardan manbae dard be tore ferdi taeen mishavad.
Behbood, Entezarat va Riskha
Yek mazyat denervasion ba RF in ast ke dar bimar dorost mitavanad kahesh dard be moddat haftehha ta mahha bedahad; in panjere fizioterapi va varzesh ra asantar mikonad. amma bayad vaqebinane bood: tasir momken ast paydar nabashad, dard momken ast ba tajdid shakhehaye asabi bargardad va aqdam dar soorat niaz tekrar shavad. Tasir tazrigh faset niz motaghayyer ast. Hich aqdam bedoone risk nist; be nodrat ofoonat, bi hessi gozara ya dard dar mahal aqdam 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, taghviat azalat kamar va shekam va varzesh monazzam baraye behboode paydar lazem ast, har raveshi ke be kar rud.