Ni iki cyitwa Radiofrequency Neurotomy? Intego, Uburyo & Ibivamo

Radiofrequency neurotomy ni uburyo butagoye bukoresha ubushyuhe bugenzurwa kugira ngo buhagarike by'agateganyo imitsi yohereza ibimenyetso by'ububabare buhoraho mu bwonko bwawe. Bitekereze nk'inzira yoroheje yo "gutuza" imitsi ikabije yaguteye kutumva neza igihe kirekire cyangwa imyaka.

Ubu buvuzi bwo kwa muganga bushobora gutanga imbaraga nyinshi zo kugabanya ububabare kubera indwara nko kubabara umugongo ku buryo buhoraho, kubabara mu ijosi, no kubabara mu ngingo bifitanye isano na arthrite. Ubu buryo bugamije amashami yihariye y'imitsi mugihe isiga imikorere y'imitsi nyamukuru idahindutse, ikakwemerera kumva umubabaro utagize kumva bisanzwe cyangwa kugenda.

Ni iki cyitwa radiofrequency neurotomy?

Radiofrequency neurotomy, yitwa kandi radiofrequency ablation cyangwa RFA, ni uburyo bukoresha ubushyuhe buturuka ku mbaraga za radiyo kugira ngo bukore imvune ntoya, igenzurwa ku mitsi yihariye. Ibi byahagaritse by'agateganyo bituma iyi mitsi itohereza ibimenyetso by'ububabare mu bwonko bwawe.

Ubu buryo bugamije by'umwihariko amashami y'imitsi yumva yohereza ubutumwa bw'ububabare, ntabwo ari imitsi ya moteri igenzura imitsi. Muganga wawe akoresha urushinge ruto rufite icyuma cyihariye kugira ngo atange imbaraga zishyushye neza ku gice cy'imitsi gifite ibibazo.

Ubushyuhe butera imvune ntoya ihagarika ubushobozi bw'imitsi bwo kohereza ibimenyetso by'ububabare mu mezi make kugeza ku myaka. Amaherezo, imitsi irashobora kongera kwikorera, ariko abantu benshi barumva umubabaro urambye wongera ubuzima bwabo.

Kuki radiofrequency neurotomy ikorwa?

Radiofrequency neurotomy isabwa iyo ufite ububabare buhoraho butarashoboye neza kubandi bavuzi nko imiti, imyitozo ngororamubiri, cyangwa inshinge. Muganga wawe akunda gutekereza kuri iyi nzira iyo ububabare bwawe bumaze byibuze amezi atatu kugeza kuri atandatu kandi bigira ingaruka zikomeye ku bikorwa byawe bya buri munsi.

Ubu buryo bukoreshwa cyane mu kuvura ububabare bwo mu ngingo zihuza umugongo, bushobora gutera kubabara umugongo cyangwa mu ijosi. Bunanakoreshwa neza mu kugabanya ububabare buturuka kuri aritisiti, ubwoko bumwe na bumwe bw'umutwe, n'indwara zifitanye isano n'imitsi.

Mbere yo kugusaba RFA, muganga wawe akenshi azakora ibizamini byo guhagarika imitsi kugirango yemeze ko imitsi yagenewe ari yo itera ububabare bwawe. Niba izo nshinge zigerageza zitanga ubufasha bw'igihe gito, birashoboka ko uri umukandida mwiza wo kuvurwa na radiofrequency iramba.

Ni iki gikorerwa mu kuvura imitsi ya radiofrequency?

Uburyo bwo kuvura imitsi ya radiofrequency busanzwe bufata iminota 30 kugeza kuri 90 kandi bukorerwa ku murwayi utari mu bitaro. Uzaryama neza ku meza yo gupimisha muganga wawe akoresheje X-ray kugirango yemeze ko urushinge rushyizwe neza.

Mbere na mbere, muganga wawe azahanagura ahantu havurwa hanyuma atere urushinge rwa anestetike kugirango rutume uruhu rwawe rutagira ubwenge. Ushobora kumva umutsi muto mugihe cyo guterwa uru rushinge, ariko ahantu hazahita habura ubwenge kandi hakumvikana neza.

Nyuma, muganga wawe azashyira urushinge ruto rufite icyuma cya electrode ku muyoboro w'imitsi. Muri iki gikorwa cyose, uzaguma uri maso kugirango ushobore kuvugana na muganga wawe kubyerekeye ibyo wumva. Imashini ya X-ray ifasha kuyobora urushinge ahantu nyabwo.

Mbere yo gukoresha ubushyuhe, muganga wawe azagerageza umwanya w'urushinge yohereza umuriro muto w'amashanyarazi muri rwo. Ushobora kumva umutsi utitira cyangwa imitsi yoroheje, ibyo bifasha kwemeza ko urushinge ruri ahantu hakwiye hatabangamiye imitsi ikomeye.

Iyo umwanya wemejwe, muganga wawe azatera indi anestetike yongerewe ahantu ha imitsi. Hanyuma, imbaraga za radiofrequency zoherezwa binyuze mu rusinge mu gihe cyo hagati ya 60 na 90, bikora ubushyuhe bugenzurwa butuma ibimenyetso by'ububabare by'imitsi bihungabana.

Ubu buryo bushobora gusubirwamo ahantu henshi h'imitsi mu gihe kimwe niba ufite ububabare ahantu hatandukanye. Abantu benshi bumva ububabare budakabije igihe bakoresha radiofrequency.

Uko witegura radiofrequency neurotomy yawe?

Kwitegura radiofrequency neurotomy bikubiyemo intambwe z'ingenzi kugirango umutekano wawe wizerwe kandi ubone ibisubizo byiza. Muganga wawe azaguha amabwiriza yihariye akurikije uko umubiri wawe uteye n'amateka yawe y'ubuvuzi.

Uzakeneye gutegura umuntu wo kukujyana mu rugo nyuma y'uburyo, kuko ushobora kumva urushye cyangwa ukagira intege nke by'agateganyo ahantu havuriwe. Teganya gufata ikiruhuko ku kazi umunsi wose kandi wirinde imirimo ikomeye mu masaha 24 kugeza kuri 48.

Dore intambwe z'ingenzi zo kwitegura ushobora gukurikiza:

• Reka gufata imiti ituma amaraso ataguma mu mubiri iminsi myinshi mbere y'uburyo, ariko gusa niba muganga wawe akubwiye kubikora
• Irinde kurya cyangwa kunywa ikintu icyo aricyo cyose mu masaha 6 kugeza kuri 8 mbere y'uburyo niba uzahabwa imiti igabanya ububabare
• Jyana imyenda yoroshye kandi yagutse ituma byoroha kugera ahantu havurirwa
• Kura imitako, amashusho yo mu maso, n'ibintu byose by'icyuma bishobora kubuza imikorere y'ibikoresho bya X-ray
• Fata imiti yawe isanzwe keretse niba muganga wawe akubwiye ibindi
• Menyesha muganga wawe ibijyanye n'uburwayi bwose, cyane cyane ku miti igabanya ububabare cyangwa amarangi

Niba urwaye diyabete, muganga wawe ashobora kuguha amabwiriza yihariye yerekeye gucunga urugero rw'isukari mu maraso yawe mbere na nyuma y'uburyo. Birakwiye kandi kumenyesha ikipe yawe y'ubuvuzi niba ufite ibimenyetso by'ubwandu, nk'umuriro cyangwa indwara, kuko ibi bishobora gusaba ko ubuvuzi busubikwa.

Uko usoma ibisubizo byawe bya radiofrequency neurotomy?

Kumenya ibisubizo byawe bya radiofrequency neurotomy bikubiyemo gukurikirana urwego rw'ububabare bwawe n'imikorere myiza mu byumweru byinshi kugeza ku mezi nyuma y'iki gikorwa. Bitandukanye n'ibizamini bimwe na bimwe by'ubuvuzi bitanga ibisubizo ako kanya, ibisubizo bya RFA bigaragara buhoro buhoro uko umubiri wawe ukira.

Ushobora guhura n'akababaro kiyongera by'agateganyo cyangwa kubabara ahantu havuriwe mu minsi mike cyangwa mu byumweru bya mbere. Ibi ni ibisanzwe kandi ntibigaragaza ko iki gikorwa cyananiwe. Imbaraga z'ubushyuhe zikeneye igihe kugira ngo ziburize neza ubushobozi bw'urwungano rw'imitsi bwo kohereza ibimenyetso by'ububabare.

Abantu benshi batangira kubona ubufasha bw'ububabare bufatika mu byumweru 2 kugeza kuri 8 nyuma y'iki gikorwa. Muganga wawe ashobora kugusaba gukomeza igitabo cy'ububabare kugira ngo ukurikirane iterambere ryawe, ugatanga amanota ku bubabare bwawe ku gipimo kuva kuri 0 kugeza kuri 10 no kumenya uburyo imirimo yawe ya buri munsi itera imbere.

Radiofrequency neurotomy yagenze neza isanzwe itanga kugabanuka kw'ububabare kuva kuri 50% kugeza kuri 80% bishobora kumara kuva ku mezi 6 kugeza ku myaka 2 cyangwa se birenga. Abantu bamwe bahura no guhumurizwa ububabare hafi yuzuye, mu gihe abandi babona iterambere rifatika mu bushobozi bwabo bwo gukora imirimo ya buri munsi bafite akababaro gake.

Muganga wawe azategura gahunda zo gukurikirana kugira ngo asuzume iterambere ryawe kandi amenye niba izindi mvura zishobora kugira akamaro. Niba ububabare bwawe bugarutse nyuma y'amezi menshi, iki gikorwa gikunze gushobora gusubirwamo mu buryo bwizewe hamwe n'amanota y'intsinzi asa.

Ni gute wakongera ibisubizo byawe bya radiofrequency neurotomy?

Kongera ibisubizo byawe bya radiofrequency neurotomy bikubiyemo gukurikiza amabwiriza ya muganga wawe nyuma y'iki gikorwa no gukurikiza imyitwarire myiza y'ubuzima ishyigikira imicungire y'ububabare igihe kirekire. Ibyumweru bikurikira imvura yawe ni ngombwa kugira ngo ugereranye ibisubizo byiza bishoboka.

Nyuma y'igikorwa ako kanya, uzakenera kuruhuka kandi wirinde ibikorwa bikomeye mu masaha 24 kugeza kuri 48. Shyira urubura ku gice cyavuweho mu minota 15 kugeza kuri 20 icyarimwe kugira ngo ugabanye kubyimba no kutamererwa neza. Ubusanzwe ushobora gusubira mu bikorwa byoroheje nyuma y'umunsi umwe cyangwa ibiri.

Dore intambwe z'ingenzi zo kunoza imikoreshereze yawe n'ibisubizo:

• Kurikiza gahunda yawe y'imiti yategetswe, harimo imiti igabanya ububabare cyangwa imiti irwanya kubyimba
• Ongera buhoro buhoro urwego rwawe rw'ibikorwa uko ubyihanganira, utangirira ku kugenda gahoro no gukora imirimo ya buri munsi yoroshye
• Witabe muri terapiya yo gukora imyitozo ngororamubiri niba byasabwe na muganga wawe kugira ngo ukomeze imitsi ishyigikira
• Kora imyitozo myiza yo kwicara neza no gukoresha umubiri kugira ngo wirinde kongera umubabaro ku bice byavuweho
• Guma ku gipimo cyiza cy'ubuzima kugira ngo ugabanye umuvuduko ku ngingo zawe n'umugongo
• Guma mu mazi kandi urye ibiryo bifite intungamubiri kugira ngo ushyigikire uburyo umubiri wawe ukira
• Irinde kunywa itabi, kuko rishobora kubangamira gukira no gucunga ububabare

Imyitozo ngororamubiri yoroheje buri gihe, iyo byemejwe na muganga wawe, ishobora gufasha gukomeza inyungu z'ubuvuzi bwawe bwa radiofrequency. Abantu benshi basanga guhuza RFA na terapiya yo gukora imyitozo ngororamubiri ikomeje no guhindura imibereho bitanga ubufasha bwuzuye kandi burambye bw'ububabare.

Ni ibihe bintu byongera ibyago byo guhura n'ingorane ziterwa na neurotomy ya radiofrequency?

Mugihe neurotomy ya radiofrequency muri rusange itekanye cyane, ibintu bimwe na bimwe bishobora kongera ibyago byawe byo guhura n'ingorane cyangwa bikagira ingaruka ku buryo igikorwa kigukorera neza. Kumva ibyo bintu byongera ibyago bifasha wowe na muganga wawe gufata ibyemezo byiza byo kuvura.

Ingorane nyinshi ziterwa na RFA ni nto kandi z'agateganyo, ariko abantu bamwe bashobora kuba bafite ibyago byinshi byo guhura n'ibibazo. Muganga wawe azasuzuma neza uko ubuzima bwawe bwifashe mbere yo kugusaba gukora icyo gikorwa.

Ibintu bisanzwe byongera ibyago bishobora kugira ingaruka ku buvuzi bwawe birimo:

• Uburwayi bwo gupfuka kw'amaraso cyangwa gukoresha imiti ituma amaraso atavura vuba
• Uburwayi bukomeye ahantu havurirwa cyangwa hafi yaho
• Uburwayi bukomeye bw'umutima cyangwa ibihaha bituma gushyirwa mu mwanya bikoroha
• Gusama, kuko ingaruka z'imbaraga za radiofrequency ku bana bakiri mu nda zitazwi neza
• Kubagwa mbere cyangwa inkovu ahantu havurirwa bishobora gutuma gushyira urushinge bigorana
• Imiti imwe n'imwe ishobora kubangamira imikorere y'imitsi cyangwa gukira

Ibintu bitavuka kenshi ariko bifite akamaro gakomeye birimo kugira pacemaker cyangwa izindi nyunganizi z'amashanyarazi zishyirwa mu mubiri, ubumuga bukomeye bw'umugongo, cyangwa uburwayi bumwe na bumwe bwo mu bwonko. Muganga wawe azaganira nawe kuri izi mpungenge kandi ashobora kugusaba izindi mvura niba ibyo byago byawe bifite akamaro.

Imyaka yonyine ntisanzwe ibuza umuntu kugira radiofrequency neurotomy, ariko abantu bakuze bashobora gukenera gukurikiranwa by'inyongera mu gihe cyo kuvurwa no nyuma yaho. Ubuzima bwawe muri rusange n'ubushobozi bwo kwihanganira imyanya isabwa mu kuvurwa ni ibintu by'ingenzi.

Ni izihe ngaruka zishobora guterwa na radiofrequency neurotomy?

Ingaruka za radiofrequency neurotomy muri rusange ni gake kandi akenshi zoroheje iyo zibayeho. Abantu benshi bahura gusa n'ingaruka ntoya, z'igihe gito zikemuka zonyine mu minsi mike cyangwa mu byumweru.

Ingaruka zisanzwe ushobora guhura nazo zirimo kubabara by'igihe gito cyangwa guhumuka ahantu urushinge rushyizwe, kubyimba gake, cyangwa kongera ububabare bwawe bw'umwimerere by'igihe gito. Izi ngaruka zikunda gukira mu minsi mike kandi ntizisaba kuvurwa by'umwihariko uretse kuruhuka no gufata imiti igabanya ububabare itagomba kwandikwa na muganga.

Dore ingaruka zishobora kubaho, kuva ku zisanzwe kugeza ku zitavuka kenshi:

• Uburibwe bwiyongera by'agateganyo cyangwa kubabara ahakorewe ubuvuzi (bikunda kubaho cyane)
• Amaraso make cyangwa ibibara aho urushinge rwashyizwe (bikunda kubaho)
• Kutagira ubwumve bw'agateganyo cyangwa intege nke mu gace kavuwe (ntibikunda kubaho)
• Gushya kw'uruhu cyangwa kutagira ubwumve burambye ahakorewe urushinge (ntibikunda kubaho)
• Udukoko ahatewe urushinge (ntibikunda kubaho)
• Ukwangirika kw'imitsi bitera intege nke zihoraho cyangwa kutagira ubwumve (ntibikunda kubaho na gato)
• Urugero rwo kwibasirwa n'umubiri ku miti yakoreshejwe mu gihe cy'ubuvuzi (ntibikunda kubaho na gato)

Ingorane zikomeye nk'ukwangirika kw'imitsi bihoraho cyangwa indwara zikomeye zibaho ku bantu batarenze 1% iyo ubuvuzi bukorwa n'abaganga bafite ubunararibonye. Itsinda ry'abaganga bakuvura bazakugenzura neza mu gihe cy'ubuvuzi no nyuma yaho kugira ngo bakemure vuba ibibazo byose byagaragara.

Ni ngombwa guhamagara umuganga wawe ako kanya niba ubonye ibimenyetso by'indwara nko kuribwa, umutuku wiyongera cyangwa ubushyuhe ahakorewe ubuvuzi, cyangwa amaraso ava aho urushinge rwashyizwe. Kimwe n'ibyo, uburibwe bukomeye butunguranye, intege nke zikomeye, cyangwa kutagira ubwumve bigomba kumenyeshwa ako kanya.

Ni ryari nkwiriye kubona umuganga nyuma yo gukorerwa radiofrequency neurotomy?

Gukurikiranwa n'umuganga wawe nyuma ya radiofrequency neurotomy ni ngombwa kugira ngo ukurikirane uko urimo urushaho kandi wemeze ko ibisubizo byiza bishoboka. Isuzuma ryawe rya mbere rizasanzwe riteganijwe mu byumweru 2 kugeza kuri 4 nyuma y'ubuvuzi.

Muri uru ruzinduko rwa mbere, umuganga wawe azagenzura ahakorewe ubuvuzi kugira ngo arebe ko hakira neza kandi abaze ku rwego rw'uburibwe ufite n'ingaruka zose waba waragize. Iki kandi ni igihe cyiza cyo kuganira ku bibazo byose cyangwa ibibazo waba ufite ku gukira kwawe.

Ukwiye guhamagara umuganga wawe mbere y'uko gahunda yawe iteganyijwe niba ubonye ibi bimenyetso bikurikira:

• Ibimenyetso byo kwandura nk'umuriro, guhinda umushyitsi, cyangwa umutuku wiyongera n'ubushyuhe ahantu havuriwe
• Urubabare rukabije cyangwa rurushaho kuba rwinshi rutitabira imiti yategetswe
• Umutembe udasanzwe, kuva amaraso, cyangwa kubyimba ahantu inshinge yashyizwe
• Ubugwari bushya, ubucye bw'ubwumvikane, cyangwa gutakaza imikorere mu gice cyavuwe
• Urugero rw'ibimenyetso by'uburwayi bw'umubiri nko kuribwa, guhumeka bigoranye, cyangwa kubyimba mu maso cyangwa mu muhogo
• Ibindi bimenyetso byose bisa nk'ibidasanzwe cyangwa bikubangamiye

Muganga wawe azashaka no kukubona mu gihe kirekire cyo kugukurikirana kugira ngo agereranye uko imiti ya radiofrequency ikora neza mu kugufasha kugabanya ububabare. Izo gahunda zifasha kumenya niba hari izindi miti zaba zikwiriye cyangwa niba hari ibihinduka mu buryo bwawe bwose bwo kugabanya ububabare bikwiriye gukorwa.

Wibuke ko bishobora gufata ibyumweru byinshi kugeza ku mezi menshi kugira ngo ugenzure neza intsinzi ya neurotomy ya radiofrequency, bityo kwihangana mu gihe cyo gukira ni ingenzi. Muganga wawe arahari kugira ngo agushyigikire muri uru rugendo kandi asubize ibibazo byose byavuka.

Ibibazo bikunze kubazwa kuri neurotomy ya radiofrequency

Q.1 Ese neurotomy ya radiofrequency ni nziza ku kubabara umugongo kw'igihe kirekire?

Yego, neurotomy ya radiofrequency irashobora kugira akamaro kanini ku bwoko bumwe na bumwe bw'ububabare bw'umugongo bw'igihe kirekire, cyane cyane ububabare buturuka mu ngingo za facet mu mugongo. Ubushakashatsi bwerekana ko 70% kugeza kuri 80% by'abantu bafite ububabare bw'ingingo za facet bahura n'uburyo bugaragara bw'ububabare bumara amezi 6 kugeza ku myaka 2 cyangwa irenga.

Ubu buryo bukora neza ku kubabara umugongo kumaze igihe gishize nibura amezi menshi kandi ntibwitabira neza izindi miti nka physiotherapy, imiti, cyangwa inshinge. Muganga wawe azabanza gukora ibizamini bya nerve blocks kugira ngo yemeze ko imitsi y'ingingo za facet ari yo soko y'ububabare bwawe mbere yo kugusaba RFA.

Q.2 Ese neurotomy ya radiofrequency itera kwangirika kw'imitsi burundu?

Oya, radiofrequency neurotomy yagenewe by'umwihariko guteza imbogamizi y'agateganyo ku mikorere y'imitsi idateje ibibazo bihoraho. Iyi nzira ikora ku mashami mato y'imitsi y'ubwumvikane atwara ibimenyetso by'ububabare, atari imitsi minini igenzura imitsi ikora cyangwa izindi nshingano z'ingenzi.

Imitsi yavuwe isanzwe yongera kwisubiranya uko igihe kigenda, niyo mpamvu guhumurizwa kw'ububabare ari ukw'agateganyo aho kuba guhoraho. Mu bihe bidasanzwe cyane (biri munsi ya 1%), abantu bamwe bashobora guhura no gucika intege cyangwa ubunebwe burambye, ariko kwangirika kw'imitsi bihoraho ntibisanzwe cyane iyo iyi nzira ikozwe n'abaganga bafite uburambe.

Q.3 Urumuri rwo guhumurizwa kw'ububabare bwa radiofrequency neurotomy rumara igihe kingana iki?

Urumuri rwo guhumurizwa kw'ububabare buturutse kuri radiofrequency neurotomy rusanzwe rumara hagati y'amezi 6 kugeza ku myaka 2, abantu benshi bakagira urumuri rw'ububabare rw'amezi agera kuri 12 kugeza kuri 18. Igihe bimara bitandukana ku muntu ku muntu bitewe n'ibintu nk'indwara yihariye ivurwa, uko umuntu akira, n'uko imitsi yisubiranya vuba.

Abantu bamwe bagira urumuri rw'ububabare igihe kirekire, mu gihe abandi bashobora kubona ububabare bwabo busubira buhoro buhoro nyuma y'amezi menshi. Inkuru nziza ni uko niba ububabare bwawe busubiye, iyi nzira ishobora gukorwa mu buryo bwizewe n'umusaruro usa.

Q.4 Nshobora gukora radiofrequency neurotomy inshuro zirenze imwe?

Yego, radiofrequency neurotomy ishobora gukorwa mu buryo bwizewe inshuro nyinshi niba bibaye ngombwa. Abantu benshi bagize urumuri rw'ububabare rutsinda mu ntangiriro bahitamo gukora iyi nzira igihe ububabare bwabo busubira buhoro buhoro nyuma y'amezi cyangwa imyaka.

Inzira zisubirwamo zisanzwe zigira umusaruro usa n'uw'ivurwa rya mbere, kandi nta garuriro ry'inshuro RFA ishobora gukorwa. Muganga wawe azasuzuma uko witwaye ku mavurwa ya mbere n'ubuzima bwawe muri rusange kugirango amenye igihe cyiza cyo gusubiramo inzira.

Q.5 Radiofrequency neurotomy yishyurwa n'ubwishingizi?

Ubwoko bwinshi bw'ubwishingizi bukomeye, burimo na Medicare, butanga ubwishingizi bwa radiofrequency neurotomy igihe byemewe n'abaganga kandi bikozwe ku ndwara zemewe. Ariko, ibisabwa by'ubwishingizi biratandukana hagati y'amasosiyete y'ubwishingizi n'ubwishingizi bw'umuntu ku giti cye.

Ibiro bya muganga wawe mubisanzwe bizagenzura ubwishingizi bwawe kandi bikabona uburenganzira bwose bwa mbere mbere yo gutegura igikorwa. Ni ngombwa kuganira n'utanga ubwishingizi bwawe ku byerekeye ubwishingizi bwawe bwihariye, harimo n'amafaranga yose cyangwa amafaranga y'ubwishingizi ashobora gukoreshwa mu kuvura.