Chii chinonzi Radiofrequency Neurotomy? Chinangwa, Maitiro & Mhedzisiro

Radiofrequency neurotomy inzira shoma yekurapa inoshandisa kupisa kunodzorwa kuti kudzivise kwenguva pfupi tsinga dzinotumira zviratidzo zvekutambudzika kwenguva refu kuuropi hwako. Fungidzira seimwe nzira yakapfava yekuti "kunyaradza" tsinga dzakawandisa dzave kukonzera kusagadzikana kwako kwenguva refu kwemwedzi kana makore.

Uku kurapwa kunoitwa kunze kwechipatara kunogona kupa rubatsiro rukuru rwekurwadziwa kune mamiriro akaita sekurwadziwa kwemuzongoza kwenguva refu, kurwadziwa kwemutsipa, uye kurwadziwa kwemajoini kunoenderana nearthritis. Maitiro acho anotarisa matavi etsinga chaiwo achisiya basa guru retsinga rakachengeteka, zvichikubvumira kuti uwane zororo usingarasikirwi nekunzwa kwakajairika kana kufamba.

Chii chinonzi radiofrequency neurotomy?

Radiofrequency neurotomy, inonziwo radiofrequency ablation kana RFA, inzira inoshandisa kupisa kunogadzirwa nemafungu eredhiyo kuti igadzire diki, kukuvara kunodzorwa pane tsinga dzakasiyana. Iyi kukanganiswa kwenguva pfupi kunomisa tsinga idzi kubva pakutumira zviratidzo zvekutambudzika kuuropi hwako.

Maitiro acho anonyanya kutarisisa matavi etsinga dzinonzwa dzinotakura mameseji ekurwadziwa, kwete tsinga dzemota dzinodzora kufamba kwemhasuru. Chiremba wako anoshandisa tsono yakatetepa ine electrode tip yakakosha kuti ape simba rekupisa rakanyatsojeka kune tishu yetsinga ine matambudziko.

Kupisa kunogadzira lesion diki inokanganisa kugona kwetsinga kutumira zviratidzo zvekutambudzika kwemwedzi yakati wandei kusvika kumakore. Pakupedzisira, tsinga inogona kuzvigadzirisa, asi vanhu vazhinji vanowana zororo renguva refu rinovandudza zvakanyanya hupenyu hwavo.

Nei radiofrequency neurotomy ichiitwa?

Radiofrequency neurotomy inokurudzirwa kana uine kurwadziwa kwenguva refu kusina kupindura zvakanaka kune dzimwe nzira dzekurapa dzakaita semishonga, physiotherapy, kana majekiseni. Chiremba wako anowanzo funga nezveiyi sarudzo kana kurwadziwa kwako kwakagara kwemwedzi mitatu kusvika kumatanhatu uye kunokanganisa zvakanyanya mabasa ako ezuva nezuva.

Maitiro aya anowanzo shandiswa kurapa kurwadziwa kwemajoini e facet mumuzongoza, izvo zvinogona kukonzera kurwadziwa kwenguva refu kumusana kana mutsipa. Zvakare zvinobatsira mukudzora kurwadziwa kubva kuarthritis, mamwe marudzi emusoro, uye mamiriro ekurwadziwa ane hukama netsinga.

Usati waraira RFA, chiremba wako anowanzoita diagnostic nerve blocks kuti asimbise kuti tsinga dzakanangwa ndidzo chaizvo dzinokonzera kurwadziwa kwako. Kana majekiseni aya ekuyedza akapa rubatsiro rwakakura rwenguva pfupi, unogona kunge uri munhu akakodzera kurapwa kwenguva refu kweradiofrequency.

Ndeapi maitiro e radiofrequency neurotomy?

Maitiro e radiofrequency neurotomy anowanzo tora maminitsi makumi matatu kusvika makumi mapfumbamwe uye anoitwa panze pevarwere. Ucharara zvakanaka patafura yekuvhenekera apo chiremba wako anoshandisa X-ray kutungamira kuti ave nechokwadi chekuti tsono inoiswa zvakanaka.

Kutanga, chiremba wako achachenesa nzvimbo yekurapa uye achajekesa anesthetic yemuno kuti inyore ganda rako. Unogona kunzwa kubayiwa zvishoma panguva yekujekiseni uku, asi nzvimbo iyi inokurumidza kuva isina hanya uye yakasununguka.

Zvadaro, chiremba wako achaisa tsono yakatetepa ine electrode tip kunanga tsinga yacho. Munguva iyi yese, uchagara wakamuka kuti ugone kukurukura nachiremba wako nezve zvauri kunzwa. Muchina weX-ray unobatsira kutungamira tsono kunzvimbo chaiyo.

Usati waisa kupisa, chiremba wako achayedza chinzvimbo chetsono nekutumira magetsi madiki kuburikidza nayo. Unogona kunzwa kunzwa kunzwa kana muscle twitching, izvo zvinobatsira kusimbisa kuti tsono iri panzvimbo chaiyo pasina kukanganisa tsinga dzakakosha dzemota.

Kana chinzvimbo chasimbiswa, chiremba wako achajekesa imwe anesthetic yemuno yakatenderedza nzvimbo yetsinga. Zvadaro, simba re radiofrequency rinopihwa kuburikidza netsono kwemasekonzi makumi matanhatu kusvika makumi mapfumbamwe, zvichigadzira lesion inodzora kupisa iyo inokanganisa zviratidzo zvekurwadziwa kwetsinga.

Maitiro acho anogona kudzokororwa panzvimbo dzakawanda dze nerve panguva imwe chete kana uine marwadzo munzvimbo dzakawanda. Vanhu vazhinji vanongonzwa kusagadzikana kudiki panguva yekushandiswa chaiko kwe radiofrequency.

Maitiro ekugadzirira radiofrequency neurotomy yako?

Kugadzirira radiofrequency neurotomy kunosanganisira matanho akati wandei akakosha kuti uve nechokwadi chekuchengeteka kwako uye mhedzisiro yakanaka. Chiremba wako achapa mirairo yakatarwa yakagadzirirwa mamiriro ako ega uye nhoroondo yako yekurapa.

Uchada kuronga kuti mumwe munhu akutyairire kumba mushure mekuita, sezvo unogona kunzwa uchipera simba kana kuona kusimba kwenguva pfupi munzvimbo inobatwa. Ronga kutora zororo rezuva rese kubva kubasa uye dzivisa mabasa akaoma kwemaawa makumi maviri nemana kusvika makumi mana nemasere.

Heano matanho makuru ekugadzirira aunozofanirwa kutevera:

• Regedza kutora mishonga yekutapudza ropa mazuva akati wandei usati waita, asi chete kana chiremba wako akukudzidzisa zvakananga kuti uite kudaro
• Dzivisa kudya kana kunwa chero chinhu kwemaawa matanhatu kusvika masere usati waita kana uchizogamuchira sedation
• Pfeka mbatya dzakanaka, dzakasununguka dzinobvumira kuwana nyore nzvimbo yekurapa
• Bvisa zvishongo, malenzi ekubata, uye chero zvinhu zvesimbi zvinogona kukanganisa michina yeX-ray
• Tora mishonga yako yenguva dzose kunze kwekunge wataurirwa zvakasiyana nachiremba wako
• Zivisa chiremba wako nezve chero allergies, kunyanya kune local anesthetics kana contrast dyes

Kana uine chirwere cheshuga, chiremba wako anogona kukupa mirairo yakakosha yekugadzirisa mazinga ako eshuga yeropa usati waita uye mushure mekuita. Zvakakoshawo kuzivisa timu yako yekurapa kana uine chero zviratidzo zvehutachiona, sekupisa kana kurwara, sezvo izvi zvingada kunonotsa kurapwa.

Maitiro ekuverenga mhedzisiro yako ye radiofrequency neurotomy?

Kunzwisisa mhedzisiro yako yeradiofrequency neurotomy kunosanganisira kutevera matanho ako ekurwadziwa uye kuvandudzwa kwebasa kwemavhiki akati wandei kusvika kumwedzi mushure mekuvhiyiwa. Kusiyana nemimwe miedzo yekurapa inopa mhedzisiro nekukasira, mhedzisiro yeRFA inojeka zvishoma nezvishoma sezvo muviri wako uchipora.

Unogona kusangana nekusagadzikana kwenguva pfupi kana kurwadziwa panzvimbo yekurapa kwemazuva mashoma ekutanga kusvika kumavhiki. Izvi zvakajairika zvachose uye hazviratidzi kuti maitiro acho akatadza. Simba re kupisa rinoda nguva yekukanganisa zvizere kugona kwetsinga kutumira zviratidzo zverwadziwa.

Vanhu vazhinji vanotanga kuona zororo rinoreva rekurwadziwa mukati memavhiki maviri kusvika masere mushure mekuvhiyiwa. Chiremba wako anogona kukukumbira kuti uchengete diary yekurwadziwa kuti utarise kufambira mberi kwako, uchiyera kurwadziwa kwako pachiyero kubva pa0 kusvika pa10 uye uchicherechedza kuti mabasa ako ezuva nezuva anovandudzwa sei.

Kubudirira kweradiofrequency neurotomy kunowanzo kupa kuderedzwa kwekurwadziwa kwe50% kusvika 80% kunogona kugara chero kubva kumwedzi mitanhatu kusvika kumakore maviri kana kupfuura. Vamwe vanhu vanowana zororo rekupedzisa kurwadziwa, nepo vamwe vachiona kuvandudzwa kukuru mukugona kwavo kuita mabasa ezuva nezuva nekusagadzikana kushoma.

Chiremba wako achaita nguva yekutevera kuti aongorore kufambira mberi kwako uye aone kana mamwe marapirwo angave anobatsira. Kana kurwadziwa kwako kukadzoka mushure memwedzi yakawanda, maitiro acho anogona kazhinji kudzokororwa zvakachengeteka nemitengo yakafanana yekubudirira.

Nzira yekuvandudza mhedzisiro yako yeradiofrequency neurotomy?

Kuwandisa mhedzisiro yako yeradiofrequency neurotomy kunosanganisira kutevera mirairo yechiremba wako mushure mekuvhiyiwa uye kutora tsika dzakanaka dzehupenyu dzinotsigira manejimendi ekurwadziwa kwenguva refu. Mavhiki anotevera kurapwa kwako akakosha pakuwana mhedzisiro yakanakisa inogoneka.

Pakarepo mushure mekuvhiyiwa, unoda kuzorora uye kudzivisa mabasa akaoma kwemaawa makumi maviri nemana kusvika makumi mana nemasere. Isa aizi panzvimbo yakarapiwa kwemaminitsi gumi nemashanu kusvika makumi maviri panguva imwe chete kuti udzikise kuzvimba nekusagadzikana. Unogona kazhinji kudzokera kumabasa akareruka mukati mezuva rimwe kana maviri.

Heano matanho akakosha ekuvandudza kupora kwako nemigumisiro:

• Tevedza chirongwa chako chemishonga yakarairwa, kusanganisira chero mishonga yekurwadziwa kana mishonga inopesana nekuzvimba
• Zvishoma nezvishoma wedzera chiyero chako chebasa sezvinotsungirirwa, kutanga nekufamba zvinyoro nyoro uye mabasa emazuva ese
• Tora chikamu mukurapa kwemuviri kana zvichikurudzirwa nachiremba wako kusimbisa tsandanyama dzinotsigira
• Dzidzira maitiro akanaka uye mechanics yemuviri kudzivirira kuwedzera kushushikana panzvimbo dzakarapwa
• Chengetedza uremu hune hutano kuderedza kushushikana pamajoini ako nemuzongoza
• Gara uine mvura uye idya chikafu chinovaka muviri kutsigira muviri wako kupora
• Dzivisa kusvuta, sezvo kuchigona kukanganisa kupora nekugadzirisa kurwadziwa

Kurovedza muviri zvinyoro nyoro nguva dzose, kana zvichibvumirwa nachiremba wako, kunogona kubatsira kuchengetedza mabhenefiti ekurapa kwako kwe radiofrequency. Vanhu vazhinji vanowana kuti kubatanidza RFA nekupfuurira kurapa kwemuviri uye shanduko yehupenyu kunopa zororo rinonyanya kukosha uye rinogara kwenguva refu.

Ndezvipi zvinhu zvinokonzera njodzi yematambudziko e radiofrequency neurotomy?

Nepo radiofrequency neurotomy ichiwanzo kuve yakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko kana kukanganisa kuti maitiro acho anoshanda sei kwauri. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunobatsira iwe nachiremba wako kuita sarudzo dzakanakisa dzekurapa.

Matambudziko mazhinji kubva kuRFA madiki uye enguva pfupi, asi vamwe vanhu vanogona kunge vari panjodzi huru yematambudziko. Chiremba wako achanyatsoongorora mamiriro ako ega usati waraira maitiro acho.

Zvinowanzoitika njodzi zvinogona kukanganisa kurapwa kwako zvinosanganisira:

• Matambudziko ekugwamba kweropa kana kushandiswa kwemishonga inotetesa ropa
• Utachiona hunoshanda panzvimbo yekurapa kana padyo nayo
• Matambudziko emoyo kana mapapu akakomba anoita kuti kuisa munzvimbo yakarurama kuve kwakaoma
• Kuzvitakura, sezvo migumisiro yesimba re radiofrequency pamwana ari kukura isingazivikanwi zvizere
• Kuvhiyiwa kwakapfuura kana mavanga munzvimbo yekurapa zvinogona kuita kuti kuisa tsono kuve kwakaoma
• Mishonga yakati wandei inogona kukanganisa kushanda kwetsinga kana kupora

Zvisingawanzoitika asi njodzi dzakakomba dzinosanganisira kuva ne pacemaker kana chimwe chishandiso chemagetsi chakaiswa, matambudziko akakomba emuzongoza, kana mamwe mamiriro etsinga. Chiremba wako achakurukura izvi newe uye anogona kukurudzira dzimwe nzira dzekurapa kana njodzi dzako dzakakosha.

Zera rega rega harivharidzire munhu kuva ne radiofrequency neurotomy, asi vanhu vakuru vangada kuongororwa zvakanyanya panguva uye mushure mekuvhiyiwa. Hutano hwako hwese uye kugona kutsungirira nzvimbo inodiwa yekurapa ndizvo zvinhu zvakakosha zvekufunga.

Ndezvipi zvingaitika zvekukanganisa kwe radiofrequency neurotomy?

Radiofrequency neurotomy matambudziko anowanzoitika uye anowanzoita nyoro kana akaitika. Vanhu vazhinji vanongonzwa matambudziko madiki, enguva pfupi anopera ega mukati memazuva mashoma kusvika kumavhiki.

Matambudziko anowanzoitika aunogona kusangana nawo anosanganisira kurwadziwa kwenguva pfupi kana kusanzwa panzvimbo yekuiswa tsono, kuzvimba kudiki, kana kuwedzera kwenguva pfupi kurwadziwa kwako kwekutanga. Izvi zvinowanzoita nani mukati memazuva mashoma uye hazvidi kurapwa kwakakosha kunze kwekuzorora uye mishonga yekurwadziwa inotengeswa pasina mushonga.

Heano matambudziko anogona kuitika, kubva kune akajairika kusvika kune asingawanzoitiki:

• Kurwadziwa kwenguva pfupi kana kurwadziwa panzvimbo yekurapa (zvakajairika kwazvo)
• Kubuda ropa kudiki kana kupera simba panzvimbo yakaiswa tsono (zvakajairika)
• Kusanzwa kana kusava nesimba kwenguva pfupi munzvimbo yakarapiwa (hazviwanzowanikwi)
• Kupisa kweganda kana kusanzwa zvachose panzvimbo yetsono (kashoma)
• Utachiona panzvimbo yekujova (kashoma)
• Kukuvadzwa kwetsinga kunokonzera kusava nesimba zvachose kana kurasikirwa nekunzwa (kashoma kwazvo)
• Kuita allergic kumishonga inoshandiswa panguva yekuita (kashoma kwazvo)

Matambudziko akakomba akadai sekukuvadzwa kwetsinga zvachose kana utachiona hwakakomba hunoitika muzvikamu zvisingasviki 1% yezviitiko kana maitiro acho achiitwa nachiremba vane ruzivo. Chikwata chako chekurapa chichakutarisa zvakanyanya panguva uye mushure mekurapa kuti ugadzirise nekukurumidza chero zvinonetsa zvinomuka.

Zvakakosha kuti utaure nachiremba wako nekukurumidza kana ukaona zviratidzo zveutachiona zvakadai sefivha, kuwedzera kutsvuka kana kupisa panzvimbo yekurapa, kana kubuda kubva panzvimbo yekuiswa tsono. Saizvozvowo, chero kurwadziwa kukuru kamwe kamwe, kusava nesimba kwakanyanya, kana kurasikirwa nekunzwa kunofanirwa kuziviswa ipapo ipapo.

Ndingafonera rini chiremba kuti nditeverwe mushure me radiofrequency neurotomy?

Kutevera nachiremba wako mushure me radiofrequency neurotomy kwakakosha pakuongorora kufambira mberi kwako uye kuona mhedzisiro yakanakisa. Musangano wako wekutanga wekutevera unowanzo rangwa mukati memavhiki maviri kusvika ku4 mushure mekuita.

Panguva yekushanya uku kwekutanga, chiremba wako achaongorora nzvimbo yekurapa kuti ipore zvakanaka uye achabvunza nezve mazinga ako ekurwadziwa uye chero mhedzisiro yawakawana. Iri zvakare nguva yakanaka yekukurukura chero zvinonetsa kana mibvunzo yaungave uine nezve kupora kwako.

Unofanira kutaurirana nachiremba wako nekukurumidza kupfuura musangano wako wakarongeka kana ukaona chero zviratidzo zvinonetsa izvi:

• Zviratidzo zveutachiona zvakaita sefivha, kutonhora, kana kuwedzera kutsvuka nekudziya panzvimbo yekurapa
• Kurwadziwa kwakanyanya kana kuwedzera kusina kupindura mishonga yakarairwa
• Kubuda kwemvura kusingaite, kubuda ropa, kana kuzvimba panzvimbo yekuiswa tsono
• Ushoma hutsva, kupera nhengo, kana kurasikirwa nebasa munzvimbo yakarapiwa
• Maitiro ekurwara nemishonga yakaita serashi, kuoma kufema, kana kuzvimba kumeso kana pahuro
• Chero zviratidzo zvinoratidzika sezvisina kujairika kana kukukonzera kunetseka

Chiremba wako achadawo kukuona kuti uende kunoshanya kwenguva refu kuti aongorore kuti kurapwa kweradiofrequency kuri kushanda sei pakurapa kurwadziwa kwako. Aya maapointment anobatsira kuona kana mamwe marapirwo angave anobatsira kana kana kugadzirisa chirongwa chako chekurapa kurwadziwa kunodiwa.

Rangarira kuti zvinogona kutora mavhiki akati wandei kusvika kumwedzi kuti uongorore zvizere kubudirira kweradiofrequency neurotomy yako, saka kushivirira panguva yekupora kwakakosha. Chiremba wako aripo kuti akutsigirese mumufambo uyu uye kupindura chero mibvunzo inobuda.

Mibvunzo inowanzo bvunzwa nezve radiofrequency neurotomy

Q.1 Ko radiofrequency neurotomy yakanaka here kurwadziwa kwakanyanya kwemumashure?

Hongu, radiofrequency neurotomy inogona kubatsira zvakanyanya kune mamwe marudzi ekurwadziwa kwakanyanya kwemumashure, kunyanya kurwadziwa kunobva mumajoini e facet mumuzongoza. Zvidzidzo zvinoratidza kuti 70% kusvika 80% yevanhu vane kurwadziwa kwemajoini e facet vanowana zororo rakakosha rinogara mwedzi mitanhatu kusvika kumakore maviri kana kupfuura.

Maitiro acho anoshanda zvakanyanya kurwadziwa kwemumashure kwavepo kwemwedzi yakati wandei uye haana kupindura zvakanaka kune mamwe marapirwo akadai sephysical therapy, mishonga, kana majekiseni. Chiremba wako achatanga aite diagnostic nerve blocks kuti asimbise kuti tsinga dzemajoini e facet ndidzo dzinokonzera kurwadziwa kwako asati akurudzira RFA.

Q.2 Ko radiofrequency neurotomy inokonzera kukuvadzwa kwetsinga zvachose here?

Aihwa, radiofrequency neurotomy yakagadzirirwa zvakananga kugadzira kukanganiswa kwenguva pfupi kwebasa retsinga pasina kukonzera kukuvadzwa kusingaperi. Maitiro acho anongotarisa matavi madiki etsinga dzinonzwa dzinotakura zviratidzo zverwadzo, kwete tsinga huru dzinodzora kufamba kwemhasuru kana mamwe mabasa akakosha.

Tsinga dzakabatwa dzinowanzozviruramisa nekufamba kwenguva, ndosaka kubatsirwa kurwadziwa kuri kwenguva pfupi pane kugara. Muzviitiko zvisingawanzoitiki (isingasviki 1%), vamwe vanhu vanogona kusangana nekusagadzikana kwenguva refu kana kusimba, asi kukuvadzwa kwetsinga kusingaperi hakuna kujairika kana maitiro acho achiitwa nachiremba vane ruzivo.

Q.3 Kurwadziwa kunobatsira kubva ku radiofrequency neurotomy kunogara kwenguva yakareba sei?

Kubatsirwa kurwadziwa kubva ku radiofrequency neurotomy kunowanzo gara pakati pemwedzi mitanhatu kusvika kumakore maviri, nevakawanda vanhu vachiona kubatsirwa kwemwedzi gumi nemiviri kusvika gumi nemasere. Kureba kunosiyana kubva kumunhu nemunhu zvichienderana nezvinhu zvakaita sehutano chaihwo huri kurapwa, mitengo yekupora yemunhu, uye nekukurumidza tsinga dzinogadzirisa.

Vamwe vanhu vanowana kubatsirwa kwenguva yakareba, nepo vamwe vachigona kuona kurwadziwa kwavo kuchidzoka zvishoma nezvishoma mushure memwedzi yakati wandei. Mashoko akanaka ndewekuti kana kurwadziwa kwako kukadzoka, maitiro acho anogona kudzokororwa zvakachengeteka nemitengo yakafanana yekubudirira.

Q.4 Ndingave ne radiofrequency neurotomy kanopfuura kamwe chete here?

Hongu, radiofrequency neurotomy inogona kudzokororwa zvakachengeteka kakawanda kana zvichidikanwa. Vanhu vazhinji vanowana kubatsirwa kurwadziwa kubudirira pakutanga vanosarudza kuita maitiro acho kudzokororwa kana kurwadziwa kwavo kuchidzoka zvishoma nezvishoma mwedzi kana makore gare gare.

Maitiro ekudzokorora anowanzoita mitengo yakafanana yekubudirira kune kurapwa kwekutanga, uye hapana muganho wekuti RFA inogona kuitwa kakawanda sei. Chiremba wako achaongorora mhinduro yako kumishonga yapfuura uye hutano hwese kuti uone nguva yakanakisa yemaitiro ekudzokorora.

Q.5 Radiofrequency neurotomy inovharwa neinishuwarenzi here?

Zvirongwa zvakawanda zvikuru zveinishuwarenzi, kusanganisira Medicare, zvinobhadhara radiofrequency neurotomy kana zvichidikanwa nemishonga uye zvichiitwa nezvirwere zvakabvumirwa. Zvisinei, zvinodiwa zvekuvharwa zvinosiyana pakati pemakambani einishuwarenzi uye zvirongwa zvemunhu mumwe nemumwe.

Hofisi yachiremba wako inowanzoongorora kuvharwa kweinishuwarenzi yako uye inowana chero mvumo dzinodiwa isati yaronga maitiro acho. Zvakakosha kuti uongorore nemupi wako weinishuwarenzi nezvekuvharwa kwako kwakatarwa, kusanganisira chero copayments kana deductibles zvinogona kushanda kurapwa.