Yini i-Radiofrequency Neurotomy? Inhloso, Inqubo & Imiphumela

I-Radiofrequency neurotomy iyinqubo encane engahlaseli esebenzisa ukushisa okulawulwayo ukuze kukhubaze okwesikhashana imicu yezinzwa ethumela izimpawu zobuhlungu obungapheli ebuchosheni bakho. Cabanga ngayo njengendlela enobumnene yokuthi "thulisa" izinzwa ezigqithile ebezikubangela ukungakhululeki okuqhubekayo izinyanga noma iminyaka.

Lokhu kwelashwa kwesiguli esiphuma ngaphandle kungahlinzeka ngokuqeda ubuhlungu obukhulu ezimweni ezinjengobuhlungu obungapheli emhlane, ubuhlungu entanyeni, nobuhlungu obuhlobene ne-arthritis emalungeni. Le nqubo iqondiswe emagatsheni athile ezinzwa ngenkathi ishiya umsebenzi oyinhloko wezinzwa ungathintekile, okukuvumela ukuthi uzwe ukukhululeka ngaphandle kokulahlekelwa ukuzwa okuvamile noma ukunyakaza.

Yini i-radiofrequency neurotomy?

I-Radiofrequency neurotomy, ebizwa nangokuthi i-radiofrequency ablation noma i-RFA, iyinqubo esebenzisa ukushisa okukhiqizwa ngamaza omsakazo ukudala ukulimala okuncane, okulawulwayo emiculwini ethile yezinzwa. Lokhu kuphazamiseka okwesikhashana kumisa lezi zinzwa ekuthumeleni izimpawu zobuhlungu ebuchosheni bakho.

Le nqubo iqondiswe ngokuqondile emagatsheni ezinzwa ezinzwa athwala imiyalezo yobuhlungu, hhayi izinzwa zemoto ezilawula ukunyakaza kwemisipha. Udokotela wakho usebenzisa inaliti encane enethiphu ekhethekile ye-electrode ukuletha amandla okushisa anembile emithanjeni yezinzwa enenkinga.

Ukushisa kudala ukulimala okuncane okuphazamisa ikhono lezinzwa lokudlulisa izimpawu zobuhlungu izinyanga eziningana kuya eminyakeni. Ekugcineni, izinzwa zingase zizivuselele, kodwa abantu abaningi bathola ukukhululeka okuhlala isikhathi eside okuthuthukisa kakhulu izinga lempilo yabo.

Kungani kwenziwa i-radiofrequency neurotomy?

I-Radiofrequency neurotomy incomwa uma unobuhlungu obungapheli obungaphendulanga kahle kwezinye izindlela zokwelapha ezinjengemithi, ukwelashwa ngokomzimba, noma imijovo. Udokotela wakho uvame ukucabangela le nketho uma ubuhlungu bakho buqhubeke okungenani izinyanga ezintathu kuya kweziyisithupha futhi buthinta kakhulu imisebenzi yakho yansuku zonke.

Le nqubo ivame kakhulu ukusetshenziselwa ukwelapha ubuhlungu bamalunga e-facet emgogodleni, obungabangela ubuhlungu obungapheli emhlane noma entanyeni. Iphinde isebenze ekulawuleni ubuhlungu obubangelwa yi-arthritis, izinhlobo ezithile zekhanda, nezimo zobuhlungu ezihlobene nemizwa.

Ngaphambi kokuncoma i-RFA, udokotela wakho ngokuvamile uzokwenza ama-nerve block wokuxilonga ukuqinisekisa ukuthi imizwa eqondiwe iyona ngempela engumthombo wobuhlungu bakho. Uma lezi zibhamu zokuhlola zinikeza ukukhululeka okukhulu kwesikhashana, cishe ungumuntu ofanelekayo wokwelashwa kwe-radiofrequency okuhlala isikhathi eside.

Yini inqubo ye-radiofrequency neurotomy?

Inqubo ye-radiofrequency neurotomy ngokuvamile ithatha imizuzu engama-30 kuya kwengama-90 futhi yenziwa ngaphandle kwesiguli. Uzoqala ngokulala kahle etafuleni lokuhlolwa ngenkathi udokotela wakho esebenzisa isiqondiso se-X-ray ukuqinisekisa ukubekwa okucacile kweneldi.

Okokuqala, udokotela wakho uzohlanza indawo yokwelashwa bese ejova i-anesthetic yendawo ukuze numba isikhumba sakho. Ungase uzwe ukugwaza okuncane ngesikhathi sokujova, kodwa indawo izoba yindumbane ngokushesha futhi ikhululeke.

Okulandelayo, udokotela wakho uzofaka inalidi elincanyana elinethiphu le-electrode ngase-nerve eqondiwe. Kuyo yonke le nqubo, uzoqhubeka uvukile ukuze ukwazi ukuxhumana nodokotela wakho ngalokho okuzwayo. Umshini we-X-ray usiza ukuqondisa inalidi endaweni efanele.

Ngaphambi kokusebenzisa ukushisa, udokotela wakho uzohlola isikhundla senalidi ngokuthumela ugesi omncane kuyo. Ungase uzwe ukuzwa okuncane noma ukuthuthumela kwemisipha okuncane, okusiza ukuqinisekisa ukuthi inalidi isendaweni efanele ngaphandle kokuthinta imizwa ebalulekile yemoto.

Uma isikhundla sesiqinisekisiwe, udokotela wakho uzojova i-anesthetic eyengeziwe yendawo ngaphandle kwendawo yezinzwa. Bese, amandla e-radiofrequency alethwa ngenalidi imizuzwana engama-60 kuya kwengama-90, okwenza ukulimala okushisayo okulawulwayo okuphazamisa amasiginali obuhlungu be-nerve.

Le nqubo ingaphindwa ezindaweni eziningi zemizwa ngesikhathi esifanayo uma unezinhlungu ezindaweni eziningi. Abantu abaningi bazizwa bengakhululekile kancane ngesikhathi sokusetshenziswa kwemvamisa yomsakazo.

Ungalungiselela kanjani i-radiofrequency neurotomy yakho?

Ukulungiselela i-radiofrequency neurotomy kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa ukuphepha kwakho kanye nomphumela ongcono kakhulu. Udokotela wakho uzonikeza imiyalelo ethile eyenzelwe isimo sakho ngasinye nomlando wezokwelapha.

Uzodinga ukuhlela ukuthi othile akuqhubele ekhaya ngemuva kwenqubo, njengoba ungase uzizwe ukozela noma ube buthakathaka okwesikhashana endaweni ehlukunyezwayo. Hlela ukuthatha ikhefu emsebenzini usuku lonke futhi ugweme imisebenzi eqinile amahora angu-24 kuya kwangu-48.

Nansi izinyathelo ezibalulekile zokulungiselela okungenzeka ukuthi uzodinga ukuzilandela:

• Yeka ukuthatha imithi yokunciphisa igazi izinsuku eziningana ngaphambi kwenqubo, kodwa kuphela uma udokotela wakho ekuyala ngqo ukuthi wenze njalo
• Gwema ukudla noma ukuphuza noma yini amahora angu-6 kuya kwangu-8 ngaphambi kwenqubo uma uzothola ukuthuliswa
• Gqoka izingubo ezikhululekile, ezikhululekile ezinikeza ukufinyelela okulula endaweni yokwelashwa
• Susa ubucwebe, amalensi okuxhumana, nanoma yiziphi izinto zensimbi ezingase ziphazamise imishini ye-X-ray
• Thatha imithi yakho ejwayelekile ngaphandle kokuthi utshelwe ngokuqondile ngenye indlela ngudokotela wakho
• Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba, ikakhulukazi kuma-anesthetics endawo noma imibala yokuqhathanisa

Uma unesifo sikashukela, udokotela wakho angase akunike imiyalelo ekhethekile mayelana nokuphatha amazinga akho kashukela ngaphambi nangemva kwenqubo. Kubalulekile futhi ukwazisa ithimba lakho lezokwelapha uma unezimpawu zokutheleleka, njengomkhuhlane noma ukugula, njengoba lokhu kungase kudingeke ukuthi kuhlehliswe ukwelashwa.

Ungawafunda kanjani imiphumela yakho ye-radiofrequency neurotomy?

Ukuqonda imiphumela yakho ye-radiofrequency neurotomy kuhilela ukulandela amazinga akho obuhlungu kanye nokuthuthuka kokusebenza emasontweni amaningana kuya ezinyangeni ngemuva kwale nqubo. Ngokungafani nokuhlolwa okuthile kwezokwelapha okunikeza imiphumela ngokushesha, imiphumela ye-RFA icaca kancane kancane njengoba umzimba wakho uphola.

Ungase uhlangabezane nokungakhululeki okukhulu okwesikhashana noma ubuhlungu endaweni yokwelashwa ezinsukwini ezimbalwa zokuqala kuya emavikini. Lokhu kujwayelekile ngokuphelele futhi akubonisi ukuthi inqubo yehlulekile. Amandla okushisa adinga isikhathi sokuthi aphazamise ngokugcwele ikhono lomzwa lokuthumela izimpawu zobuhlungu.

Abantu abaningi baqala ukuqaphela ukukhululeka okubalulekile kobuhlungu phakathi kwamasonto ama-2 kuya kwayi-8 ngemuva kwale nqubo. Udokotela wakho cishe uzokucela ukuthi ugcine idayari yobuhlungu ukuze ulandelele intuthuko yakho, ulinganise ubuhlungu bakho esikalini esingu-0 kuya ku-10 futhi uqaphele ukuthi imisebenzi yakho yansuku zonke ithuthuka kanjani.

I-radiofrequency neurotomy ephumelelayo ngokuvamile inikeza ukuncishiswa kobuhlungu obungu-50% kuya ku-80% okungahlala noma yikuphi kusuka ezinyangeni eziyi-6 kuya eminyakeni emi-2 noma ngaphezulu. Abanye abantu bathola ukukhululeka kobuhlungu okucishe kuphelele, kanti abanye baqaphela ukuthuthuka okukhulu ekwazini kwabo ukwenza imisebenzi yansuku zonke ngobuhlungu obuncane.

Udokotela wakho uzohlela ama-aphoyintimenti okulandelayo ukuze ahlulele intuthuko yakho futhi anqume ukuthi ngabe ukwelashwa okwengeziwe kungaba yinzuzo yini. Uma ubuhlungu bakho bubuya ngemuva kwezinyanga eziningi, inqubo ingavame ukuphindwa ngokuphepha ngamazinga empumelelo afanayo.

Ungawathuthukisa kanjani imiphumela yakho ye-radiofrequency neurotomy?

Ukwandisa imiphumela yakho ye-radiofrequency neurotomy kuhilela ukulandela imiyalelo kadokotela wakho ngemuva kwenqubo nokwamukela imikhuba yokuphila enempilo esekela ukuphathwa kobuhlungu besikhathi eside. Amasonto alandela ukwelashwa kwakho abalulekile ekutholeni umphumela ongcono kakhulu.

Ngemva nje kwenqubo, uzodinga ukuphumula futhi ugweme imisebenzi eqinile amahora angu-24 kuya kwangu-48. Faka iqhwa endaweni yokwelashwa imizuzu engu-15 kuya kwengu-20 ngesikhathi esisodwa ukunciphisa ukuvuvukala nokungakhululeki. Ngokuvamile ungabuyela emisebenzini elula phakathi nosuku olulodwa noma ezimbili.

Nawa amanye amasu abalulekile okuthuthukisa ukululama kwakho nemiphumela:

• Landela isimiso sakho semithi esinqunyiwe, okuhlanganisa noma yimaphi amaphilisi aqeda ubuhlungu noma imithi eqeda ukuvuvukala
• Kancane kancane wandise izinga lomsebenzi wakho njengoba ubekezelela, uqala ngokuhamba kancane nemisebenzi yansuku zonke eyisisekelo
• Hlanganyela ekwelashweni ngokomzimba uma kunconywe udokotela wakho ukuqinisa imisipha esekelayo
• Zijwayeze ukuma okuhle kanye nemishini yomzimba ukuvimbela ukucindezeleka okwengeziwe ezindaweni eziphathwayo
• Gcina isisindo esinempilo ukunciphisa ukucindezeleka emalungeni akho nomgogodla
• Hlala unamanzi futhi udle ukudla okunomsoco ukusekela inqubo yokuphulukisa yomzimba wakho
• Gwema ukubhema, ngoba kungaphazamisa ukuphulukisa nokuphatha ubuhlungu

Ukuvivinya umzimba okuvamile, uma kuvunywe udokotela wakho, kungasiza ukugcina izinzuzo zokwelashwa kwakho ngama-radiofrequency. Abantu abaningi bathola ukuthi ukuhlanganisa i-RFA nokwelashwa ngokomzimba okuqhubekayo nokuguqulwa kwendlela yokuphila kunikeza ukukhululeka kobuhlungu okubanzi nokuhlala isikhathi eside.

Yiziphi izici eziyingozi zezinkinga ze-radiofrequency neurotomy?

Ngenkathi i-radiofrequency neurotomy ngokuvamile iphephile kakhulu, izici ezithile zingakhuphula ingozi yakho yezinkinga noma zithinte ukuthi inqubo isebenza kahle kangakanani kuwe. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi nenze izinqumo ezingcono kakhulu zokwelashwa.

Izinkinga eziningi ezivela ku-RFA zincane futhi zesikhashana, kodwa abanye abantu bangase babe sengozini enkulu yezinkinga. Udokotela wakho uzohlola ngokucophelela isimo sakho ngasinye ngaphambi kokuncoma inqubo.

Izici eziyingozi ezivamile ezingase zithinte ukwelashwa kwakho zihlanganisa:

• Izinkinga zokuqina kwegazi noma ukusetshenziswa kwemithi eqeda igazi
• Ukutheleleka okusebenzayo endaweni yokwelapha noma eduze kwayo
• Izimo zenhliziyo noma zamaphaphu ezinzima ezenza ukubeka kube nzima
• Ukukhulelwa, njengoba imiphumela yamandla e-radiofrequency ezinganeni ezingakazalwa ingaziwa ngokugcwele
• Ukuhlinzwa kwangaphambilini noma izibazi endaweni yokwelapha ezingenza ukubekwa kwenelidi kube yinselele
• Imithi ethile engaphazamisa ukusebenza kwemizwa noma ukuphola

Izinto ezingavamile kodwa eziyingozi kakhulu zokufaka phakathi ukuba ne-pacemaker noma elinye idivayisi kagesi elifakwe, ukukhubazeka komgogodla okukhulu, noma izimo ezithile ze-neurological. Udokotela wakho uzoxoxa lezi zinto ezikhathazayo nawe futhi angase ancome ezinye izindlela zokwelapha uma izinto eziyingozi kuwe zibalulekile.

Ubudala bodwa ngokuvamile abuvimbeli umuntu ukuthi abe ne-radiofrequency neurotomy, kodwa abadala bangase badinge ukuqashwa okwengeziwe ngesikhathi nangemva kwenqubo. Isimo sakho sempilo esiphelele kanye nekhono lokubekezelela ukubekwa okudingekayo ekwelapheni kuyizinto ezibaluleke kakhulu okufanele zicatshangelwe.

Ziyini izinkinga ezingase zibe khona ze-radiofrequency neurotomy?

Izinkinga ze-radiofrequency neurotomy ngokuvamile azivamile futhi zivame ukuba mnene uma zenzeka. Abantu abaningi bathola kuphela imiphumela emincane, yesikhashana esizixazululayo ngokwazo phakathi nezinsuku ezimbalwa kuya emavikini.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ubuhlungu besikhashana noma ukuba ndikindiki endaweni yokufaka inalidi, ukuvuvukala okuncane, noma ukwanda kwesikhashana kobuhlungu bakho bokuqala. Le miphumela ngokuvamile ithuthuka phakathi nezinsuku ezimbalwa futhi ayidingi ukwelashwa okukhethekile ngaphandle kokuphumula kanye nezidambisi zokucasuka ezingathengwa ngaphandle kwemvume kadokotela.

Nazi izinkinga ezingase zibe khona, kusukela ezivamile kuya ezingavamile:

• Ukuqina okukhulu kwesikhashana noma ubuhlungu endaweni yokwelashwa (okuvamile kakhulu)
• Ukuphuma igazi okuncane noma ukulimala lapho kufakwe khona inaliti (okuvamile)
• Ukuba ndikindiki kwesikhashana noma ubuthakathaka endaweni elashwayo (akuvamile)
• Ukwasha kwesikhumba noma ukuba ndikindiki unomphela endaweni yenaliti (akuvamile)
• Ukunyuka kwamagciwane endaweni yokujova (akuvamile)
• Umonakalo wemizwa obangela ubuthakathaka obungapheli noma ukulahlekelwa ukuzwa (akuvamile kakhulu)
• Ukuphendula komzimba emithini esetshenziswa ngesikhathi senqubo (akuvamile kakhulu)

Izinkinga ezinzima njengomonakalo wemizwa unomphela noma ukunyuka kwamagciwane okukhulu kwenzeka ezingaphansi kuka-1% wamacala uma inqubo yenziwa ngodokotela abanolwazi. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela ngesikhathi nangemva kokwelashwa ukuze libhekane ngokushesha nanoma yiziphi izinkinga ezingase zivele.

Kubalulekile ukuxhumana nodokotela wakho ngokushesha uma ubona izimpawu zokunyuka kwamagciwane njengomkhuhlane, ukubomvu okukhulayo noma ukufudumala endaweni yokwelashwa, noma ukuphuma koketshezi endaweni yokufakwa kwenaliti. Ngokufanayo, noma yibuphi ubuhlungu obukhulu obuzumayo, ubuthakathaka obukhulu, noma ukulahlekelwa ukuzwa kufanele kubikwe ngokushesha.

Kufanele ngibone nini udokotela ukuze ngilandele i-radiofrequency neurotomy?

Ukwenza ukulandela udokotela wakho ngemva kwe-radiofrequency neurotomy kubalulekile ekuqapheni inqubekela phambili yakho nokuqinisekisa umphumela ongcono kakhulu. Ukuqokwa kwakho kokuqala kokulandela ngokuvamile kuzohlelwa phakathi kwamasonto angu-2 kuya kwangu-4 ngemva kwenqubo.

Ngesikhathi salokhu kuvakasha kokuqala, udokotela wakho uzohlola indawo yokwelashwa ukuze athole ukuphola okufanele futhi abuze ngamazinga akho obuhlungu nanoma yiziphi izinto ezingezinhle oye wazizwa. Lesi futhi yisikhathi esihle sokuxoxa nganoma yiziphi izinkinga noma imibuzo ongase ube nazo mayelana nokululama kwakho.

Kufanele uthinte udokotela wakho ngokushesha kunokuqokwa kwakho okuhleliwe uma uhlangabezana nanoma yiziphi lezi zimpawu ezikhathazayo:

• Izimpawu zokutheleleka njengomkhuhlane, amaqhwa, noma ukubomvu okwanda nokufudumala endaweni yokwelashwa
• Ubuhlungu obukhulu noma obuqhubekayo obungaphenduli emithini enikeziwe
• Ukuphuma okungavamile, ukuphuma kwegazi, noma ukuvuvukala endaweni yokufakwa kwenelidi
• Ubuthakathaka obusha, ukuba ndikindiki, noma ukulahlekelwa umsebenzi endaweni elashwayo
• Ukuphendula komzimba okungalungile njengokuqubuka, ubunzima bokuphefumula, noma ukuvuvukala ebusweni noma emqaleni
• Noma yiziphi izimpawu ezibonakala zingavamile noma zikukhathaza

Udkt wakho uzophinda afune ukukubona ukuze ulandelele izivakashi zesikhathi eside ukuze ahlulele ukuthi ukwelashwa ngemvamisa yomsakazo kusebenza kahle kangakanani ekulawuleni ubuhlungu bakho. Lezi zikhathi zokusetshenziswa zenza ukuthi kutholakale ukuthi ngabe ukwelashwa okwengeziwe kungaba usizo noma ngabe ukulungiswa kohlelo lwakho lokulawula ubuhlungu olujwayelekile kuyadingeka.

Khumbula ukuthi kungathatha amasonto amaningana kuya ezinyangeni ukuhlola ngempumelelo impumelelo ye-radiofrequency neurotomy yakho, ngakho-ke ukubekezela ngesikhathi sokwelashwa kubalulekile. Udkt wakho ulapho ukuzokusekela kulo lonke lolu hambo futhi aphendule noma yimiphi imibuzo evelayo.

Imibuzo evame ukubuzwa mayelana ne-radiofrequency neurotomy

Q.1 Ingabe i-radiofrequency neurotomy ilungele ubuhlungu obungapheli emhlane?

Yebo, i-radiofrequency neurotomy ingasebenza kahle kakhulu ezinhlotsheni ezithile zobuhlungu obungapheli emhlane, ikakhulukazi ubuhlungu obuqhamuka emalungeni e-facet emgogodleni. Ucwaningo lubonisa ukuthi ama-70% kuya kuma-80% abantu abanezinhlungu zamalunga e-facet bathola ukukhululeka okukhulu okuhlala izinyanga eziyi-6 kuya eminyakeni emi-2 noma ngaphezulu.

Le nqubo isebenza kahle kakhulu ngobuhlungu emhlane obukhona okungenani izinyanga ezimbalwa futhi abuzange busabele kahle ekwelashweni okufana nokwelashwa ngokomzimba, imithi, noma imijovo. Udkt wakho uzokwenza ama-nerve blocks okuqala ukuxilonga ukuqinisekisa ukuthi izinzwa zamalunga e-facet ziyimbangela yobuhlungu bakho ngaphambi kokuncoma i-RFA.

Q.2 Ingabe i-radiofrequency neurotomy ibangela ukulimala kwemizwa unomphela?

Cha, i-radiofrequency neurotomy yenzelwe ngqo ukudala ukuphazamiseka kwesikhashana komsebenzi wemizwa ngaphandle kokubangela umonakalo unomphela. Le nqubo iqondisa kuphela amagatsha amancane emizwa ezwayo athwala izimpawu zobuhlungu, hhayi imizwa emikhulu elawula ukunyakaza kwemisipha noma eminye imisebenzi ebalulekile.

Imizwa ephathwayo ngokuvamile iyazivuselela ngokuhamba kwesikhathi, yingakho ukukhululeka kobuhlungu kungokwesikhashana kunokuba unomphela. Ezimweni ezingavamile kakhulu (ngaphansi kuka-1%), abanye abantu bangase babe nokuba ndikindiki noma ubuthakathaka obuhlala isikhathi eside, kodwa ukulimala kwemizwa unomphela akuvamile kakhulu uma le nqubo yenziwa odokotela abanolwazi.

Q.3 Ingabe ukukhululeka kobuhlungu be-radiofrequency neurotomy kuhlala isikhathi esingakanani?

Ukukhululeka kobuhlungu obuvamile obusuka ku-radiofrequency neurotomy kuvame ukuhlala phakathi kwezinyanga eziyi-6 kuya eminyakeni emi-2, nabantu abaningi bezwa ukukhululeka cishe izinyanga eziyi-12 kuya kweziyi-18. Ubude besikhathi buhlukahluka kumuntu nomuntu ngokuya ngezinto ezinjengesimo esithile eselashwayo, amazinga okuphulukisa ngamanye, nokuthi imizwa ivuselelwa ngokushesha kangakanani.

Abanye abantu bazwa ukukhululeka isikhathi eside, kanti abanye bangase babone ubuhlungu babo bubuya kancane kancane ngemva kwezinyanga eziningana. Izindaba ezinhle ukuthi uma ubuhlungu bakho bubuya, le nqubo ingavame ukuphindwa ngokuphepha ngamazinga empumelelo afanayo.

Q.4 Ngingaba ne-radiofrequency neurotomy ngaphezu kwesikhathi esisodwa?

Yebo, i-radiofrequency neurotomy ingaphindwa ngokuphepha izikhathi eziningi uma kudingeka. Abantu abaningi abazwa ukukhululeka kobuhlungu ngempumelelo ekuqaleni bakhetha ukuba le nqubo iphindwe lapho ubuhlungu babo bubuya kancane kancane ngemva kwezinyanga noma iminyaka.

Izinqubo eziphindwayo ngokuvamile zinamazinga empumelelo afanayo nokwelashwa kokuqala, futhi akukho mkhawulo wokuthi i-RFA ingenziwa kangaki. Udokotela wakho uzohlola impendulo yakho ekwelashweni kwangaphambilini kanye nesimo sempilo yakho esiphelele ukuze anqume isikhathi esingcono kakhulu sezinqubo eziphindwayo.

Q.5 Ingabe i-radiofrequency neurotomy ihlanganiswa ngumshwalense?

Izinhlelo eziningi zomshwalense omkhulu, okuhlanganisa i-Medicare, zihlanganisa i-radiofrequency neurotomy uma kudingeka ngokwezokwelapha futhi yenziwa ngezimo ezivunyelwe. Kodwa-ke, izidingo zokuhlanganiswa ziyahlukahluka phakathi kwezinkampani zomshwalense nezinhlelo zomuntu ngamunye.

Ihhovisi likadokotela wakho ngokuvamile lizohlola ukuthi umshwalense wakho uyahlanganisa yini futhi lithole noma yiziphi izimvume ezidingekayo ngaphambi kokuhlela inqubo. Kubalulekile ukuxhumana nomhlinzeki wakho womshwalense mayelana nokuhlanganiswa kwakho okuthile, okuhlanganisa noma yiziphi izinkokhelo noma izindleko ezingase zisebenze ekwelashweni.