Yini i-Cortisone Shot? Inhloso, Inqubo & Imiphumela

I-cortisone shot ukujovwa okuqondiwe komuthi we-synthetic steroid ngqo emgogodleni ovuvukile, emisipha, noma endaweni ethambile yezicubu. Lokhu kwelashwa okunamandla okuvimbela ukuvuvukala kulingisa i-hormone yakho yemvelo i-cortisol, esiza ukunciphisa ukuvuvukala nobuhlungu ezindaweni ezinzima. Odokotela bavame ukuncoma lezi zibhamu lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele ezimweni ezinjenge-arthritis, tendinitis, noma i-bursitis.

Yini i-cortisone shot?

I-cortisone shot iletha umthamo ogxilile womuthi we-corticosteroid ngqo emthonjeni wokuvuvukala kwakho. Umuthi uyinguqulo eyenziwe e-lab ye-cortisol, i-hormone ama-adrenal glands akho ayiveza ngokwemvelo ukulwa nokuvuvukala emzimbeni wakho wonke.

Ngokungafani nemithi yomlomo ethinta isimiso sakho sonke, ama-cortisone shots aqondisa indawo ethile ekubangela inkinga. Le ndlela egxilile isho ukuthi uthola imiphumela eqinile yokulwa nokuvuvukala lapho uyidinga kakhulu, ngokuvamile enemiphumela emincane kunokuthatha ama-steroid ngomlomo.

Ukujova ngokwako kuqukethe umuthi we-steroid oxutshwe ne-anesthetic yendawo ukusiza ukuba numba indawo ngesikhathi nangemva kwenqubo. Le nhlanganisela isiza ukuhlinzeka kokubili induduzo esheshayo nokukhululeka okuqhubekayo kokuvuvukala.

Kungani kwenziwa i-cortisone shot?

Odokotela bancoma ama-cortisone shots lapho ukuvuvukala endaweni ethile kubangela ubuhlungu obukhulu noma kukhawula imisebenzi yakho yansuku zonke. Lezi zibhamu zisebenza kahle kakhulu ezimweni lapho ukuvuvukala kuyinkinga enkulu, kunokulimala kwesakhiwo noma ukuguga.

Umhlinzeki wakho wezempilo angase asikisele i-cortisone shot uma ubhekene nobuhlungu obuhlangene obubangelwa yi-arthritis obungathuthukanga ngokuphumula, ukwelashwa ngokomzimba, noma imithi etholakala ngaphandle kwe-counter. Ukujova kungahlinzeka ngokuphumula okuhlala amasonto amaningana kuya ezinyangeni, kukunike isikhathi sokuqinisa indawo noma ukuzama ezinye izindlela zokwelapha.

Izimo ezivamile eziphendula kahle emithini ye-cortisone zihlanganisa izinkinga eziningi zokuvuvukala. Ake ngikuhambise ngezizathu ezivame kakhulu odokotela abancoma ngazo lezi zinjabulo:

• I-Osteoarthritis noma i-rheumatoid arthritis emadolweni, ehlombe, noma ezinqulwini
• I-Tennis elbow noma i-golfer's elbow ngenxa yokunyakaza okuphindaphindiwe
• I-Bursitis ehlombe, ezinqulwini, noma emagxeni
• I-Tendinitis emalungeni ahlukahlukene
• I-Carpal tunnel syndrome ebanga ubuhlungu besihlakala
• I-Plantar fasciitis ebanga ubuhlungu besithende
• Umnwe noma isithupha esibangela

Lezi zinjabulo ziwusizo ikakhulukazi lapho ukuvuvukala kuphazamisa ukulala kwakho, umsebenzi, noma ikhono lokujabulela imisebenzi yansuku zonke. Udokotela wakho uzocabangela isimo sakho esithile nezinye izinketho zokwelapha ngaphambi kokuncoma umjovo.

Yini inqubo yomjovo we-cortisone?

Inqubo yomjovo we-cortisone ngokuvamile iyashesha futhi iqondile, ngokuvamile ithatha imizuzu engu-10-15 ehhovisi likadokotela wakho. Ngeke udinge noma yikuphi ukulungiselela okukhethekile ngaphambi kwesikhathi, futhi abantu abaningi bangakwazi ukubuyela emisebenzini yabo ejwayelekile ngosuku olufanayo.

Umhlinzeki wakho wezempilo uzoqala ngokuhlanza indawo yokujova ngesisombululo se-antiseptic ukuvimbela ukutheleleka. Bangase baphawule indawo eqondile lapho inaliti izongena khona, ikakhulukazi amalunga ajule adinga ukubekwa okunembile.

Nakhu ongakulindela ngesikhathi senqubo yokujova:

1. Udokotela wakho uzokubeka kahle, ngokuvamile elele noma ehlezi
2. Bazohlanza isikhumba ngokucophelela nge-antiseptic
3. Inaliti encane izofakwa endaweni ethintekile
4. Ungase uzwe ingcindezi noma ukungakhululeki okuncane njengoba umuthi ujovwa
5. Inaliti isuswa futhi kubekwa ibhandishi elincane

Ezindaweni ezinzulu zamalunga njengokhaliphana noma ihlombe, udokotela wakho angase asebenzise i-ultrasound noma i-fluoroscopy (i-X-ray yesikhathi sangempela) ukuqondisa inaliti endaweni efanele. Lokhu kuthwebula izithombe kusiza ukuqinisekisa ukuthi imithi iya ngqo lapho idingeka kakhulu.

Umjovo ngokwawo uvame ukuthatha imizuzwana embalwa nje, nakuba lonke i-aphoyintimenti lingathatha imizuzu engu-15-30 okuhlanganisa ukulungiselela nemiyalelo yokunakekela ngemva kokwelashwa.

Ungalungiselela kanjani umjovo wakho we-cortisone?

Ukulungiselela umjovo we-cortisone kulula kakhulu, futhi abantu abaningi abadingi ukwenza izinguquko ezinkulu emsebenzini wabo. Udokotela wakho uzokunikeza imiyalelo ethile, kodwa ngokuvamile, ungaqhubeka udla ngokujwayelekile futhi uthathe imithi yakho ejwayelekile ngaphambi kwe-aphoyintimenti.

Uma usebenzisa imithi yokunciphisa igazi efana ne-warfarin noma i-clopidogrel, yazisa udokotela wakho kusengaphambili. Bangase bakucele ukuthi uyeke okwesikhashana le mithi ukunciphisa ingozi yokopha, kodwa ungalokothi uyeke ngaphandle kwesiqondiso sezokwelapha.

Kunezinyathelo ezimbalwa ezingokoqobo ezingasiza ukwenza i-aphoyintimenti yakho lihambe kahle:

• Gqoka izingubo ezikhululekile, ezinethezekile ezivumela ukufinyelela kalula endaweni yokujova
• Letha uhlu lwazo zonke izidakamizwa zakho zamanje kanye nezithasiselo
• Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba, ikakhulukazi kuma-anesthetics endawo
• Khuluma uma unesifo sikashukela, njengoba ama-steroid angathinta ushukela wegazi okwesikhashana
• Cela othile ukuthi akuqhubele ekhaya uma ukhathazekile ngenqubo

Abantu abaningi bazizwa bekhululekile ukuziqhubela ekhaya ngemva komjovo we-cortisone, kodwa ukuba nosizo kungaqinisekisa. Inqubo ngokwayo ayivamile ukubangela ukungakhululeki okukhulu okungaphazamisa imisebenzi ejwayelekile.

Ungawafunda kanjani imiphumela yakho yomjovo we-cortisone?

Ukuqonda impendulo yakho kumjovo we-cortisone akukhona ukufunda imiphumela yelabhorethri, kodwa kunalokho ukuqaphela ukuthi izimpawu zakho zishintsha kanjani ngokuhamba kwesikhathi. Imithi isebenza kancane kancane, ngakho-ke ungalindeli ukuthuthuka okukhulu ngokushesha ngemva komjovo.

Abantu abaningi baqala ukuqaphela ukukhululeka kobuhlungu phakathi kwamahora angama-24-48, nakuba imiphumela ephelele yokulwa nokuvuvukala ingathatha isonto lonke ukuthi ithuthuke. I-anesthetic yendawo emjovweni ingase inikeze ukuba ndikindiki okuthile ngokushesha, kodwa lokhu kuyaphela ngemva kwamahora ambalwa.

Nakhu ongakulindela ngesikhathi sokululama kwakho:

• Amahora ambalwa okuqala: Ukuba ndikindiki okwesikhashana okuvela ku-anesthetic yendawo
• Amahora angama-24-48: Ukukhululeka kobuhlungu bokuqala njengoba ukuvuvukala kuqala ukwehla
• Isonto elingu-1: Imiphumela ephelele yokulwa nokuvuvukala kufanele ibonakale
• Izinyanga ezi-2-6: Ubude besikhathi sokukhululeka kobuhlungu buyahlukahluka ngomuntu nangesimo

Umujovo we-cortisone ophumelelayo ngokuvamile unikeza ukuncipha okukhulu kobuhlungu nokuthuthukiswa komsebenzi okuhlala amasonto amaningana kuya ezinyangeni. Kufanele ukwazi ukuhambisa indawo ethintekile ngokunethezeka okwengeziwe futhi wenze imisebenzi yansuku zonke ngobuhlungu obuncane.

Uma ungaqapheli ukuthuthuka phakathi namasonto amabili, noma uma ubuhlungu bakho bubuya ngokushesha, yazisa udokotela wakho. Lokhu kungase kubonise ukuthi ukuvuvukala akuyona imbangela enkulu yezimpawu zakho, noma ukuthi udinga indlela ehlukile yokwelapha.

Ungaphatha kanjani ngemva komjovo wakho we-cortisone?

Ukuphatha ukululama kwakho ngemva komjovo we-cortisone kuhilela ukulandela imihlahlandlela elula ukuze wandise izinzuzo futhi unciphise noma yiziphi izinkinga ezingaba khona. Abantu abaningi bangakwazi ukubuyela emisebenzini evamile phakathi nosuku olulodwa noma ezimbili, kodwa ukuzinakekela kusiza ukuqinisekisa umphumela ongcono kakhulu.

Emahoreni okuqala angama-24-48 ngemva komjovo wakho, kubalulekile ukuphumula endaweni ephathwayo ngaphandle kokugwema ngokuphelele ukunyakaza. Umsebenzi omnene ngokuvamile ulungile, kodwa gwema ukuzivocavoca okukhulu noma ukuphakamisa izinto ezinzima ezingase zigcizelele indawo yomjovo.

Udokotela wakho cishe uzoncoma lezi zinyathelo zokunakekela ngemva komjovo:

• Faka iqhwa endaweni yokujova imizuzu engu-15-20 uma uzwa ubuhlungu
• Thatha imithi yokudambisa ubuhlungu etholakala ngaphandle kwemvume kadokotela uma kudingeka, kodwa gwema imithi elwa nokuvuvukala
• Gcina indawo yokujova ihlanzekile futhi yomile amahora angu-24
• Gwema imisebenzi eqinile amahora angu-24-48
• Qaphela noma yiziphi izimpawu zokutheleleka njengokubomvu okwandayo noma ukufudumala

Abanye abantu bazwa ukuqubuka okwesikhashana kobuhlungu ngosuku lokuqala noma ezimbili ngemuva kokujova. Lokhu kuvamile futhi ngokuvamile kubonisa ukuthi umuthi usebenza ukunciphisa ukuvuvukala endaweni.

Uma uqala ukuzizwa ungcono, buyela kancane kancane emisebenzini yakho ejwayelekile. Umgomo uwukusebenzisa isikhathi esingenabuhlungu ukuqinisa indawo ngomsebenzi olula noma ukwelashwa ngokomzimba, okungasiza ekuvimbeleni ukuqubuka okuzayo.

Ziyini izici eziyingozi zezinkinga zokujova i-cortisone?

Ngenkathi ukujova i-cortisone kuvamile ukuthi kuphephile, izici ezithile zingakhuphula ingozi yakho yezinkinga noma zikwenze ukujova kungasebenzi kahle. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze isinqumo esingcono kakhulu mayelana nokuthi le nyango ikufanele yini.

Abantu abanesifo sikashukela babhekene nengozi enkulu yokukhuphuka kukashukela okwesikhashana ngemuva kokujova i-cortisone. Umuthi we-steroid ungakhuphula amazinga e-glucose izinsuku eziningana, okudinga ukuqapha okuseduze futhi mhlawumbe kulungiswe imithi yesifo sikashukela.

Izimo eziningana zezokwelapha nezimo zingakhuphula ingozi yakho yezinkinga:

• Ukutheleleka okusebenzayo noma yikuphi emzimbeni wakho
• Izifo zokuphuma igazi noma ukusetshenziswa kwemithi yokunciphisa igazi
• Isifo sikashukela noma i-pre-diabetes
• Isistimu yokuzivikela komzimba ebuthakathaka evela emithini noma ezimweni zezokwelapha
• Ukuphendula komzimba okwedlule kuma-steroid noma ama-anesthetics endawo
• Ukukhulelwa (noma ngabe ukujova kungasetshenziswa ezimweni ezithile)

Ukwenza imijovo eminingi ye-cortisone endaweni efanayo nakho kwandisa ingozi. Odokotela abaningi banciphisa imijovo ibe engaphezu kwemi-3-4 ngonyaka kunoma yiliphi ilunga elilodwa ukuvimbela ukulimala kwezicubu noma ukuncipha.

Iminyaka yakho nempilo yonke akudingeki ukuthi ikuvimbele ekutholeni imijovo ye-cortisone, kodwa kuyawuthinta indlela udokotela wakho aqhuba ngayo ukwelashwa futhi aqaphe ukululama kwakho.

Ziyini izinkinga ezingaba khona zemijovo ye-cortisone?

Abantu abaningi bathola imijovo ye-cortisone ngaphandle kwezinkinga ezinkulu, kodwa njenganoma iyiphi inqubo yezokwelapha, izinkinga zingenzeka ngezikhathi ezithile. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi wazi ukuthi yini okufanele uyibheke nokuthi kufanele uthintane nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu imnene futhi yesikhashana. Ungase uzwe ubuhlungu endaweni yokujova, okufana nendlela ongazizwa ngayo ngemva kokuthola umgomo. Lokhu kungakhululeki kuvame ukuxazululwa ngosuku olulodwa noma ezimbili.

Izinkinga ezivamile, ngokuvamile ezinobumnene zihlanganisa:

• Ubuhlungu besikhashana noma ubuhlungu endaweni yokujova
• Ukuphuma kwegazi okuncane noma ukulimala lapho kufakwe inaliti khona
• Ukwanda okwesikhashana kobuhlungu (i-cortisone flare) obuthatha amahora angu-24-48
• Ukuvuvukala okuncane endaweni yokujova
• Ukwanda okwesikhashana kwamazinga kashukela egazini, ikakhulukazi uma unesifo sikashukela

Le miphumela ejwayelekile ivame ukulawulwa ngokuphumula, iqhwa, kanye nezidambisi zokukhathala ezingathengiswa ngaphandle kwemvume kadokotela. Zibonisa ukuthi umzimba wakho usabela ngendlela ejwayelekile emijovweni.

Izinkinga ezingavamile kodwa ezingathi sína zidinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba kungavamile, lokhu kungabandakanya:

• Ukutheleleka endaweni yokujova nokubomvu okwandayo, ukufudumala, noma i-pus
• Ukuphendula komzimba okubangela ubunzima bokuphefumula noma ukuqubuka okusabalalele
• Umonakalo wemizwa obangela ukuba ndikindiki noma ubuthakathaka (okungavamile kakhulu)
• Ukuqhekeka kwemisipha uma i-injected ngokuqondile emsipheni
• Ukushintsha kombala wesikhumba noma ukuncipha endaweni yokujova

Xhumana nodokotela wakho ngokushesha uma uba nomkhuhlane, ubuhlungu obukhulu obuba bubi kunokuba ngcono, noma yiziphi izimpawu zokutheleleka. Lezi zinkinga ezinzima azivamile kodwa zidinga ukuhlolwa kwezokwelapha ngokushesha.

Kufanele ngibone nini udokotela ngezinkinga zokujova i-cortisone?

Ukwazi ukuthi unxhumana nini nomhlinzeki wakho wezempilo ngemva kokujova i-cortisone kusiza ekuqinisekiseni ukuthi noma yiziphi izinkinga zixazululwa ngokushesha. Abantu abaningi bayalulama kahle, kodwa ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha.

Shayela udokotela wakho ngokushesha uma uba nezimpawu zokutheleleka, ezingenzeka ezinsukwini ezimbalwa ngemva kokujova. Izimpawu zokutheleleka zihlanganisa ukwanda kobubomvu, ukufudumala, noma ukuvuvukala endaweni yokujova, ikakhulukazi uma kuhambisana nomkhuhlane noma i-pus.

Nazi izimo ezithile ezidinga ukuhlolwa kwezokwelapha ngokushesha:

• Umkhuhlane ongaphezu kuka-101°F (38.3°C) ezinsukwini ezimbalwa ngemva kokujova
• Ubuhlungu obukhulu obuba bubi kunokuba ngcono ngemva kwamahora angama-48
• I-Pus noma ukukhishwa okungavamile endaweni yokujova
• Imigqa ebomvu evela endaweni yokujova
• Ukuphefumula kanzima noma ukuqubuka okukhulu okubonisa ukusabela komzimba
• Ukuqaqamba noma ubuthakathaka obusha endaweni ephathwayo

Kufanele futhi uxhumane nodokotela wakho uma ungalutholi noma yiluphi ushintsho olungcono ezimpawini zakho kungakapheli amasonto amabili ngemva kokujova. Lokhu kungase kubonise ukuthi ukuvuvukala akuyona imbangela enkulu yenkinga yakho, noma ukuthi udinga indlela ehlukile yokwelashwa.

Kubantu abanesifo sikashukela, qapha amazinga kashukela egazini lakho ngokucophelela izinsuku eziningana ngemva kokujova. Xhumana nomhlinzeki wakho wezempilo uma amazinga akho e-glucose eseqhubeka ephakeme kakhulu noma uma unenkinga yokuwalawula ngemithi yakho evamile.

Imibuzo evame ukubuzwa mayelana nokujova i-cortisone

Q.1 Ingabe ukujova i-cortisone kulungile ngoba i-arthritis?

Yebo, imijovo ye-cortisone ingasebenza kahle kakhulu ngobuhlungu be-arthritis, ikakhulukazi uma ukuvuvukala kuyingxenye enkulu yezimpawu zakho. Le mijovo isebenza kahle kakhulu nge-osteoarthritis emalungeni amakhulu njengamadolo, izinqulu, namahlombe, lapho imiphumela yokulwa nokuvuvukala inganikeza ukukhululeka okukhulu.

Nge-rheumatoid arthritis, imijovo ye-cortisone ingasiza ukulawula ukuqubuka emalungeni athile ngenkathi ulungisa eminye imithi. Ukukhululeka kuvame ukuhlala izinyanga ezi-2-6, kukunikeza isikhathi sokwenza ilunga liqine ngokuqeqeshwa ngokomzimba noma ukuhlola ezinye izindlela zokwelapha.

Q.2 Ingabe imijovo ye-cortisone ibangela ukukhuluphala?

Imijovo ye-Cortisone ayivamile ukubangela ukukhuluphala ngoba imithi ihlala endaweni ezelashwayo kunokuthi izungeze emzimbeni wakho wonke. Ngokungafani nama-steroid omlomo angabangela ukugcinwa kwamanzi nokwanda kwesifiso sokudla, ama-steroid ajovwayo anezinto ezincane ezihlelekile.

Abanye abantu bangase baqaphele ukugcinwa kwamanzi okuncane kakhulu kwesikhashana, kodwa lokhu akuvamile futhi kuvame ukuxazululwa ezinsukwini ezimbalwa. Uhlobo lomjovo oluqondile lisho ukuthi mancane amathuba okuthi uhlangabezane nemiphumela emibi ehambisana nemithi ye-steroid yomlomo.

Q.3 Ngingayithola kaningi kangakanani imijovo ye-cortisone?

Odokotela abaningi batusa ukukhawulela imijovo ye-cortisone emijovweni engaphezu kwemi-3-4 ngonyaka elungeni elilodwa noma endaweni eyodwa. Lesi sikhathi sisiza ukuvimbela izinkinga ezingaba khona njengokulimala kwezicubu, ukuhlakazeka kwe-cartilage, noma ukuncipha kwezakhiwo eziseduze.

Isikhathi esiqondile sincike esimweni sakho esithile nokuthi usabela kahle kangakanani ekwelashweni. Udokotela wakho uzocabangela izinto ezinjengobudala bakho, impilo yonke, kanye nesimo eselashwayo lapho enquma imvamisa efanele yesimo sakho.

Q.4 Ingabe imijovo ye-cortisone iyabuhlungu?

Abantu abaningi bachaza imijovo ye-cortisone njengengakhululekile ngendlela ephakathi nendawo kunokuthi ibe buhlungu ngempela. Ukuzwa kufana nokuthola umgomo ojule, ngengcindezi nomuzwa omfushane wokushisa njengoba inaliti ingena futhi umuthi ufakwa.

Umujovo uhlanganisa i-anesthetic yendawo esiza ukuba numba indawo, futhi yonke inqubo ivame ukuthatha imizuzwana embalwa nje. Abantu abaningi bayamangala ukuthi inqubo iyabekezeleleka kakhulu kunalokho ababekulindele, ikakhulukazi uma iqhathaniswa nobuhlungu obungapheli ababehlangabezana nabo ngaphambili.

Umbuzo 5. Ingabe imijovo ye-cortisone ingayelapha isimo sami unomphela?

Imijovo ye-Cortisone inikeza ukukhululeka kwesikhashana kunokwelapha unomphela izimo eziningi. Zisebenza ngokunciphisa ukuvuvukala, okungaphula umjikelezo wobuhlungu futhi kuvumele umzimba wakho ukuba welaphe ngempumelelo, kodwa azibhekiseli ezinkingeni ezingaphansi kwesakhiwo noma ziguqule ngokuphelele izinguquko ezibolayo.

Nokho, isikhathi sokukhululeka kobuhlungu singaba yigugu ekubambeni iqhaza ekwelashweni ngokomzimba, ekwenzeni izinguquko zendlela yokuphila, noma ekuvumeleni izinqubo zokuphulukisa zemvelo ukuba zenzeke. Abanye abantu bathola ukuthi ukuhlanganisa imijovo ye-cortisone nokunye ukwelashwa kuholela ekuthuthukisweni okuhlala isikhathi eside ezimpawini zabo.