Boloetse ba lesapo la mokokotlo ke mokhoa o hlollang o sebelisetsoang ho hlahloba le ho phekola bohloko bo bohloko ba morao. Sepheo sa ente ea mokokotlo ke ho fana ka meriana ka ho toba sethaleng se itseng sa bohloko.
Ha o e-na le ente ea ho hlahloba , sepheo ke ho fumana hore na meriana e kokobetsa bohloko ba hau. Haeba e kokobetsa bohloko ba hau sebakeng seo ngaka ea hao e belaelloang ho eona, ho latela tlhahlobo ea hao ea 'mele le histori ea bongaka, ke mohloli, o ka netefatsa hore ka sebele lefu lena le na le lefu lena. Phomolo ea bohloko ho tsoa liente tse hlahlobang hangata ke nakoana - hangata lihora tse seng kae feela.
Ha u e-na le ente e le phekolo, phomolo e nka nako e telele.
Tse 4 ke tsena tse atisang ho fanoa ka ente ea mokokotlo:
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Selective Nerve Block BlockMeriana ea methapo e khethollang ke e 'ngoe ea li-injection tsa mokokotlo tse atisang ho fanoa ka ho fetisisa. Li ka sebelisoa ho phekola kapa ho lemoha bohloko ba morao le / kapa moroalo ka lebaka la metsoako e senyehileng ea methapo . Motsoako oa methapo ke metso ea methapo e nang le mokokotlo oa mokokotlo oa sefate sa mokokotlo tseleng ea ho tsoa ho ea sebeletsa 'mele oohle. U na le methapo ea methapo ka lehlakoreng le leng la mokokotlo oa mokokotlo ho e mong le e mong oa mokokotlo. Haeba methapo ea methapo e ka imeloa kapa e halefisoa, bohloko ba maoto bo ka hlahisa. Batho ba bangata ba bitsitse sciatica, empa lebitso la eona la thekenoloji ke radiculopathy.
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Lumbar Facet Majoe a Macha a KopanengHaeba e thehiloe tlhahlobo ea 'mele ea hau, ngaka ea hao e belaella bohloko ba hao bo tsoa mokhomareng o ka morao oa mokokotlo oa hao, a ka' na a nkhothaletsa ho leka ho kenya mochine oa ente. Likarolo tsa lihlopha ke li-joints tse nyenyane tse lekaneng le 'ngoe - e' ngoe ka lehlakoreng le leng; ba eketsa botšepehi mokokotlong ka ho fokotsa ho tsamaea ho feteletseng. Sehlopha se kopantsoeng ke sebaka se tloaelehileng sa ramatiki sa mokokotlo ho hlahisa.
Empa moreki a hlokomele. Tlhahiso ea meriana ea ho phekola bohloko bo bohloko ba morao e ileng ea hlahisoa ka Feb 2014 ke Mokhatlo oa Bophelo bo Botle le Phuputso ea Litsebo tseo boholo ba tsona, likokoana-hloko tse kopanetsoeng ha li bontšoe bohloko bo hlakolang. AHRQ e bolela hore feela, ho kenya mokokotlo oa sekhahla feela ho ke ke ha u fa liphello tsa nako e telele, ebile ha hoa nepahala ka ho khetheha ho hlahloba.
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Likokoana-hloko ka Lihlopha Tsa Hao Tsa SacroiliacMefuta e 'maloa ea li-injection tse kopanetsoeng tsa sacroiliac li teng; e leng, Intraarticular steroid liente (le mofuta o fanoeng bakeng sa likarolo tse bohloko tsa likaroloana) le liente tsa periarticular, hammoho le pulsed le e tloaelehileng ea radiofrequency neurotomy. Botox le steroids ke meriana e 'meli eo hangata e sebelisoang bakeng sa liente tsa nakoana.
Intraarticular e bolela ka hare ho lenonyeletso ha nako e le 'ngoe e bolela ho pota-pota selekane. Meriana ea metsoako ea methapo ea meriana ke mokhoa o hlahisang mocheso ka motsoako e le hore o sitise mokhoa oa bohloko ba methapo e bohloko.
AHRQ e bolela hore bopaki bo fokolang feela bo tšehetsa mefuta ea intraarticular le periarticular ea liente tsa sacroiliac,
Seo se re, e le sesebelisoa sa ho hlahloba, li-intraarticular li-sacroiliac li-injection tse kopanetsoeng le li-anesthetics tsa sebakeng seo tse fokolisang 75% ho ea ho 100% ea bohloko ba hao bo tloaelehileng li na le saense e ntle ka mor'a bona, ho latela AHRQ.
AHRQ e boetse e bolela hore bopaki bo bobeli le bo tloaelehileng ba radiofrequency neurotomy bo lekanyelitsoe, empa bopaki bo lekaneng ba motlakase oa radiofrequency neurotomy.
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Epidural Steroid InjectionsHaeba u na le disc kapa herdiated disc radiculitis, ngaka ea hau e ka 'na ea fana ka tlhahiso ea sejo se epidural.
Sesepa sa mokokotlo sa mokokotlo se fana ka meriana ea steroid sebakeng sa epidural , sebaka se pakeng tsa mohala oa mokokotlo le kankere ea vertebral, le haufi le mokokotlo oa mokokotlo haholo.
Bakeng sa disc herniated kapa disdic radiculitis, AHRQ e khothalletsa leha e le efe ea mefuta e meraro ea li-epidurals: The caudal, lipatlisiso kapa litsela tsa transforaminal, ho bolela hore ho na le bopaki bo botle bakeng sa mong le e mong. Ka tsela, mantsoe ana a majabajaba a bua ka tataiso eo ho e kenngoang nale.
Bothata ba discogenic (ke hore, bohloko bo hlahang ka hare ho disk ho e-na le ka lebaka la ho tsoa kotsi kapa herniation) ke lebaka le leng leo ngaka ea hao e ka 'nang ea fana ka maikutlo a hore e epidural, empa AHRQ e lekanya bopaki ba tšebeliso ena e le feela toka.
Li-epidurals li kena likarolong tsa likarolo li boetse li etsoa, le hoja AHRQ e re bopaki ba katleho ea eona ke feela e loketseng kapa e lekanyelitsoeng, ho latela hore na ho na le mokhoa ofe o nkiloeng.
Lebaka le leng la mabaka a mongobo oa lefu la mokokotlo a kenyelletsoa ho kenyelletsa lefu la sepetlele la opereishene ea opereishene.
> Mehloli:
> Setsi sa Phuputso ea Bophelo le Bophelo. Tlhahlobo ea tataiso e pharaletseng ea bopaki ea mekhoa ea ho kenella lipakeng tse sa foleng tsa mokokotlo. Karolo ea II: tataiso le litlhahiso. Lekala la National Guideline Clearinghouse. Phetoho ea ho qetela April 2013.
> Setsi sa Phuputso ea Bophelo le Bophelo. Mekhoa e fokolang ea phekolo ea meriana ea morao. Lekala la National Guideline Clearinghouse. Feb 2014.