نخاع توسط پردهای پوشیده شده است به نام مننژ. این پرده از سه لایه تشکیل شده است. به فضا زیر لایه خارجی، فضای اپیدورال گفته می شود.
بلاک کردن عصب به جلوگیری از عبور پیام عصبی (شامل پیامهای درد) با تزریق مواد بیحسی به عصب گفته میشود.
آناتومی ستون فقرات کمری:
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)
بلاک اپیدورال نخاع کمری به عنوان روشی تشخیصی و درمانی و پیشبینی کننده برای دردهای کمر، لگن و پاها استفاده میشود. از این بلاک برای انجام بیحسی موضعی طی اعمال جراحی نیز استفاده میشود. این بلاک به دلیل دقت بالا در بلاک کردن اعصاب نخاعی، میتواند محل دقیق و عصب درگیر را با دقت بالایی در دردهای کمر، لگن، مثانه، دستگاه تولید مثل، قسمتهای انتهایی روده و پاها مشخص کند. در صورتی که برای درمان درد نیاز به تخریب کامل عصب درگیر شده باشد، مانند دردهای سرطانی، انجام بلاک حداکثر حسی و حرکتیای که بیمار بعد از تخریب عصب تجربه خواهد کرد را نشان میدهد.
برای کنترل دردهای حاد، از این بلاک به همراه تزریق بیحسی موضعی برای مدیریت درد استفاده میشود تا درمانهای دارویی اثر کنند یا بیمار تحت عمل جراحی قرار بگیرد. این تکنیک از کارآیی بالایی در مدیریت درد های حاد بعد از عمل جراحی یا بعد از وارد شدن آسیب شدید به قفسه سینه، چه برای کودکان چه بزرگسال، برخوردار است.
از این بلاک به همراه تزریق بیحسی موضعی و استروئیدها برای کنترل دردهای حاد ناشی از هرپس زوستر (زونا)، و دردهای حاد پاها به دلیل اختلالات وریدی (ورید به معنای سیاهرگ است) استفاده میشود.
شواهدی وجود دارد که نشان میدهد در صورت انجام این بلاک قبل از عمل جراحی قطع عضو در پاها، به دلیل اختلالات خونرسانی و مرگ بافتهای پا، احتمال بروز سندروم عضو شبح (Phantom Limb) کاهش مییابد. در این سندروم بیمار در محل عضو قطع شده احساس درد میکند در حالی که آن عضو دیگر وجود خارجی ندارد. تزریق مواد بیحسی به فضای اپیدورال در مدیریت درد های مزمن کمر مانند رادیکولوپاتی کمری (Radiculopathy، در این بیماری اعصاب خارج شده از نخاع توسط مهره های ستون فقرات تحت فشار قرار میگیرند)، دردهای عضو شبح، شکستگیهای میکروسکوپی ستون فقرات به دلیل وارد شدن فشار روی آنها، اختلالات عصبی ناشی از دیابت، اختلالات عصبی ناشی از شیمی درمانی، سندرومهای درد لگن، و اختلالات اعصاب سمپاتیک (اعصاب سمپاتیک بخشی از سیستم خودکار عصبی هستند و اعمال خودکار بدن مانند تعریق را تنطیم میکنند) استفاده میشود.
دردهای سرطانی و دردهای ناشی از تومورهای پخش شونده قسمتهای تحتانی شکم، کشاله ران، کمر و لگن، باسن و پاها نیز با این بلاک کنترل میشود.
نحوه انجام بلاک:
تزریقات برای بلاک اعصاب عموما به دو صورت انجام میشوند. روش اول استفاده از لندمارک (مشخصات)های سطحی بدن برای پیدا کردن محل تزریق است و روش دوم استفاده از دستگاههای تصویربرداری (که در بین این روشها سونوگرافی بیشرین کارآیی و کمترین عوارض جانبی را دارد). در روش لندمارک به دلیل نداشتن دید و آگاهی کامل از جزئیات داخل بدن امکان خطا و عوارض جانبی بالا میباشد که این مشکلات با استفاده از روش سونوگرافی به راحتی حل میشوند.
تزریق با کمک دستگاه سونوگرافی:
این روش که در کلینیک فوق تخصصی دردشناسی پروفسور سیروس مومن زاده انجام میشود بالاترین دقت را در میان روشهای تزریق دارد زیرا برای شناسایی ساختارهای داخلی بدن و خود عصب از دستگاه سونوگرافی استفاده میشود. این روش امکان تزریق موثرتر و عوارض جانبی کمتر را به ما میدهد.
برای انجام بلاک بیمار به شکم روی تخت معاینه میخوابد. پزشک با قرار دادن پروب سونوگرافی روی محل تزریق ساختارهای داخلی را شناسایی میکند و تزریق را انجام میدهد.
نحوه قرارگیری بیمار:
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)
محل قرارگیری پروب سونوگرافی:
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)
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13exzyuSb0S1F2XlvZUxqWtx48GSyjJovKIqqu3YyaqMdf9zqqkl9CcdK0qktkWEMYkhhRqANjKFAABEAAADGL7DAQAAAAAAwAACBiABiAJAAQDAAAQDAQwABDATGAgHICAoYCgCBsUgKSapgJDLoYgEABIAAiW9SiLko4fk+z7PWs1vbRHzszqen85lm9MSeils8paGpPCWvRx2mq+xpVnPgc40zep577rvPTVDJQzLRjJkJAtFLQhMpMCtw8CFIRhmS1+p4GVRksvRn0OVJ6nidnE3nsqVb18HX+bn25i8dW7JLWQeHKt6NfwdPUxPlztpGyO/M1y6uO3HVUqktkbVMUWraHVwtaplpmSehVXqBqmPlJDYuUIzWo1kOcPcy5i5ama1HXW0lpswx2L9xIxrcdNdRZM1ce+tvCMVlvZ8calm+Drx+d/yt9SKvr1vDtkUNm0DQwpIpCAByEiABgAFAABIAAgCGMQyAAQAMQAAwEOAGAeBMABCGADQgQDeggYgKkCRgOQkQAMQAUMAGRSkUjTEwAAAYANQAAAQDAxSAiAkjJJRzd7N7OC1l6AfPfIZPd7d34ThHPEFNOzdnu3INNI6yeHO3y26tpmvodldjg6jjI16o70eX+njqvTx5kXISJMZhuAIAYDQyUUmAwkEEBKjJtJh1ofdq/U6LrQ5a2WPs0tsp1OnDPTq+VyUpiWNJcr/wCiPMxqEPvdj3uxZ7paIijZ6uJ4eX+l8t0xpkVehSOjk0oy5girS1B3TZKRbv4BXTRk7KS8VHkarVS2ZtbkFrtbKWGKmdvk6OPsejg6FcbV762XjwdiRztdJHnYsGbI9Fx+rOrH0ktbvk/Q6VWNSoMa0imKtf1UFpMBlUhgwQD1AAABiGUACQwBiAICAAAgaGJAUAwAgACRAA5CBANMYkMBQAAAAMJAUAEgAAAAAAEgDEhgAwkQBQADAQBIAAAAAIAYAIAJQmeP81njjhT31Z67f9D5zv397tWstlov4NcTyz1cjmrqVdJIuuOEV7c7nVy1y4G12F6Ho11OBQu1Wq8HoUPL/X/Z6v5eeVIY4FGpydQNFCAIGhFJAhgMUAqLbHnd5aJrwz0bnD2q8qtHT+f+0Y79OTFVPVnSqozxUVUa11PbzHht8jjAuUM0e0mUplGjsoMuUOB8oMrWhyZqyNqUtly1pXds93q9WuCvq2cHxnWure/Zf+09euxy6rtzFJaDQDMtAJQgGBgAADYoGAQDQpAByAQAUDEBQAAEQAAFUwJGRDkBAFMJFIBDAUgA5HJIwHIhDAYSKQAAAAGIYmAhiACgJkchTAlsCByEgJgOQkQAMBIY0AgBgEibEJgYdzI8eC9l6aHgUq25e7PT+VzpKuFPVubfY4tDp/P059+wqiu1VFSjn7GSYqnp5NsY57WjsK31R6dTy1V2yKPU9Kicnm/t7er+XpukOArsM4upAABBBQigoQNDQ3AiMrHJ2FC+52PU4u9ZV419dTp/P/aMd+qx8Cq2mNaol6HueG+WycrUzvFXpsJWZN3oFFtSur13n7FcfiZf2RGP8mev8V1nTlma30Rz7uOnMejjpWi4pQlsjQlFHF1PQehI0AxBIAMQAUMBSMA0GIAGACAYElFAACAYCABwADImAIAAogQQAACAAGIACAYgQAMAAAAAoABSEEAAAAMAJVAAHkABgIAAYgCRoUAgGJyMAESymS/UDxflqNZq38Nf7HLXIvJ7Pd6/+RhdVo/DPm8trYslsd1FquGdOb4Y6nl05cqVXBjSbuFq2YvMmjr+PqoeT+6YJ33k1eONrpw9VVWutma+3xNKMqzTPNeteiTEVGNJA0ZaSA4HBIEhoEhlDQQCKRUS6nnfJ1/S/poeo9Ucnfwz1rP01NcXOpWOvMrzaXKtXyc1MkOGbK8o9suvJZhyKzFI6qXG7Y0kdPx/UtnyStKVjke/THXHVVqoS8HN8dhtjwrkob8HZBx6u12kyGkUIDKhggGAgkAAaABooQIYACEAAEjEoAAkpEwMBiYAAgACigkBEDGTISBQgkAABSKQigEhgACHIAASEhQORCkIYSTISFUEkyEgUTIpDcCpDckEyCnApYAA5CRSKQGOSQAqRyQOQBsUCY5ATSg+b+XwVp3JS/ZSz6U8n5nFyosvmrj+GXn2lePXDjesG3VarZ0X3RNWoJtb28lbL+S987zU4udPSrfZFyc9HOvqXyPNY9MbIqTFWHyI01kUkcgVgi5KTkydhq0AbCkz5j5FRpygm906wRIaAeR2uq6XdqbPx6HNytXRntZcauc1+vXypOvPdY64lc3Ww5ew4x1dmj2el8WsUXy628Ifw+JUpeyUSz0kdPuuXzJQlCAbEZqqBCkaAYAAB5ABAMYgEAAAUDEEjAEMUjkAQAIBgxMAAAAoYhsRADEBA5CRAUAJAADkJFImTQ0xtkyKRooCZQSNFBJMk8khpivISRzQ+RNF6BJHJA7oaGwTIdwVhq40CSOYc0NMW2EkO4uQ1GgSRyDkFxcjM1YqRphzISKQkqG5AUgBUmHZx1y43RqZ0NRWekDR8xkx2w5LY7b1e5z5LS9NT6t46Peqf8EPBgWqpVP7It78J8vC62V8OFt1t9jdWk7u31MeVK1YrdbNHk5s1+tbjkSb+hys8u/N8OuUHI4V38PlP+Cl3sHq1/Bn5v6a+p+3ZyDkci7WK362/roXXNR/3L+pMXw6eQ+Rz8/qNWcgbyEmXNhzIY25C5GfJjTKy05GWWyj6lSTjp72etFqpm32N8pa9fq1VMNKpRpP9TYikQl6FnRxMQxAOQkAAaFICAoBIZQDEAAADAUBsAAEhIAAwEADFIAASAABQhNhylEDkUyRfKq7mduxjqpdl/Ui43E2cdvk8NdJl/Q57/KvXjX+ZJsX5r05F7lVu0eNbu9q70cfYh27N/2s4H0vw9m/Zw0X5WX9TC3yOBT+U/Y8v2292VXBVqSXpZxHdb5XGv1TZlb5W3iph7NF4HWlPQn018xT+Szt6JIX+d23/wDYfGq2QIn0uT9Jfb7fhv8AoT/k9x+WbILOCfZk/TFdnt+bMX+T2fN2aNyZ2hE+jITz9m39zD3e0v7rFVtoU7pIaM/e7L3syXbs+LW/qU7p7DrdjRKydpbWf8lf5Pcr5Y3cHeUNXwn/ADO2v7v9Br5Ds13cktoqll6D6pk/Sl8llrupLXy1vNP9SGqvdEv2/wDpQ+j5n6bU+XSf5V0N8fymC37ODz3TG/APDSNJL9p8R7GPt4LqVdGqy1ezk+f9h+LDVc9Vpb/Uv2z/AM/8vf5IVsta+UeBz7S/uf8AUTXYv5f8sfZ/z/y9zJ3MOKs2ujlv8vhn8aux5v8Ajt/s5H7NUS9r8R12+Vu/1qYZO9nvMaSSlVeCbWhmfutZJ+GVsvZf91jg7GW7vFm2/qel7kqEeV2Wnmsb4u1jpHNhzFyRLOrC/cDmyIOjD1vco7twkRELNdbWaKr2sy2uzN1hwHBwMjW10V7+Zbufuar5F+ao4GoDUnzP0fd/b1KfJ0f7Va+xpXv9d+WvuePqPUnzF+69u3dwqsVct+h1/HWx0o73a5W/2Pmq2aZ6mDHbJiV6238C+CeX0VctHs0aK6PnVjzrZv8Ahl17Hbx7N/ypH0fD6FWTBM8SnyPZr+3+x0U+WU/lX+UPo+K9SQk4q/I4LedTenYx22sjUsZvNjYehKsmpQuSDKxkyEl0UBKYyhgIACRkocgAyUxygHISIEA0AAxoQDADm7PZWFTv9jhv8lltpRcfqa9xWb9UckL0OV6bkibZexkerbRKw2trZm1E7OEpNHjaM63HOsKkrhjRV26siLMmqusLYq0Mw/5E9UaVmNSaJZriaiGYZG0wra3gaje9qmdrxsQ+bZpx/HUzqhORq0MjlASNF2yQSrzuJVvZ/QarxY0FmY3bNrC9tQBgr22HN7F8UmXWyQ1U0r5YrWgvJdNaGKraz0GoukWY71S2CtHV6lXiArnu2TXI0zXhJHDiyiveYUcsuvH0G2vAwTZwJXnQi0yJbjB0RCki1y7foZcHbYCfeUlrNpojN4bJyy61RKuk8rErtuB2x+SEoYRtGhFqyUrMJTCtuvhxrE723+p892dc1/uz2rWaq9fB4eT9mdP5/lz7RBSQpFJ2c2iSOil7LHatXp5ORSdvTqrUvJByTqDyOIQr6Xa9GSA5YJiAo0pas67G79qy0Ryo15QiAaUnpfHWXtNLwzym5Z1dHK6ZImKvdGevTXN8vew1q6yyqKrZy489fDNaZI1OP06Ly46PdSclsVZN75DC1m2J0qXhT2YuGWv6t/wXWZNlsX6GNOz28X9z/k6sfyrUc6/eCNGRbFV+Dc6S8yvSxdzFlhqy18TqdCujwHgstasdc/YxPSz/ANzU6YvH6e+mVJ42P5O60vWfsdeL5HBZavi/RmpWfm/p3yJmdctLqauSuRdTFAJMZUACHIDAAIAAAQAABRx9hqThstT0M6ODInMHDr26T0vDZVcmjyJsxrhyVU+CkrJamViMrmw00gtWWZXZNVve6tBOhlVyU7wiKVkmJJIE5C2wFc0hO0oitHe6qvJ1LrJQpkDkdtYLx6s6cmDGl+qkwaVXoBuuNa6eTnvbUTyPYludSB8g9wztsKtG3JRdpepOpo3CMlkU6jFVWvJnTStaLQ5vcrXyH+R9S4uNLuWKJJrlxt/si+VY0ZcX5TZ1pV2s4SODN272t/x6V9TTPgvltKt/DDH1VH5bmpIfLl9/K3rZle5k/wCpm1+slsc+V8f4KYfPJE8mL3MjcuzI91PSBDBtXs5cb35L0Z14u3SzWsP6nnvYmYfoPmVK9e+Qz9xJmOPJySky7GTSKvVj4jLXN3VXSn5Mx/ystvRGCHy9B8xqNn2cz0km2bLp+TIU7spurW+oyKFmzf8AUw9rFav5r8vVAoVZ3g58nYdnpojUc/6JyY7Y3D28MzN69jRVsk19RZ1gbTxPRrVfU05Mq2hm+PsOuO9Fpy8nOx1KBvUBQUkwCAgqrXkbdQJSHDDkpK5VaAiDTE+N6v6kMdXqiVY9eqjVHRjaaObDZXxpopWaPNZ5dY6nVMxskmSsrKX5EDqjRuESvxE7SDTrZyb0Sa1Maoas1sXRpaqTJ4pmbbncdZRdCthRPso2bkOMKTU6Garen62a+xpj7XYo4mV9R1q7PQ0WJ+hqVLjs62a2RTZR9DpOTrKyex1o6xzvsAAFZMSAETAxABQSAmAGWZaHn5HFtT1L1lHm9vG62lHHuNc0e7okU714nLVWHZs510i7XXgz4uzkSrZmq/Gn1IrOyjRGbkvnvI1VMCaF/cFCcBfRAFbVVvqbVyuZk86zty0OnGrtSwjpvmnc572kVpRFdWFiW4Y02V7beoO2PCuWRwiyKarJNr+3r4KfbwcZTlHnZs9stp2XhGpFxrk7jb/Ff1MLZ8j8x9iUDNZGpyTdnuxuzaEAakGvkdbWrsxOACtqdi86vQ6lnXB23SOA1xOU6vyQLN2nfSun1M+U/sGTG6WnwSVlNq+VsSreC+UD4KylFSxKZNtwadXDHEhGmG3gWV/kGJbwRknlqaYBM6j2RKlsjcU7aCx0d36Fe293sUnGiIuH+NVx3Oe+G8zVSjYdszpRpbssc/6OSHMGiwtqZgdF/cynY04pWGs6s9Do9fq5FatqTZKZepwpnX1ctsTbqpXlFGOTFSt7VVdmXiyLHR14pz6iz5K3yOy0nwZq3qQXZYrb1SMr48XjQbuS3IGVqwSdNWo4sxvR1ZQV1K4Mz1RpXJO5CO/pt8OJ0tHH1L/mq+p3tKJOHc8uvPpmqcrJep3Lr0pVRq3uctXVWOn3ZW5lUZcbSkyVXJ0WurLUz0kgCWU2iHuAyHdooTrLAqlpLb0HXGkiLyijp6zS1Z2UtVs8rHkcwd/Xk6csV21S8DJqUjrGKACQKgAAGgAJAAAAKBnN2KckdTRnkU1MdeljyrPi2kQnL1Ns1PycHO00zhXSNG0kS8iJhsqvWnWSNIidS6vioKdOCgws3IGkywtLDGvULaEGNtGbVyfiYX3CvIo1duTgulPJGOr3Zq7LY1IsjLtZfaxyt3ojy+V8l/ycnV37cuKRhhX5I1I1IrJTjWDODTNabR6GclbkECgGCY1UsQ2IAGtQiSqqAEFLcbAxNQBtktW1GvJzVZrvSTKr1YSm0FLOrGhWQMLI+WoqptDf6l9aryWVFuGa6cPUu6zsc3ZxvHfXyevWjqo9Dz/kn+SXoNc5fLj3NMaqtWZrYbf4lbi72T22JSFUrYN4IOfJZux1KPJyX/d/cscf6Lrb8YFIoCDTiup6XxeuS9X5R5lXDPR+Msvff/tA486Vc10tk2Zybdxf/wBF/uYwVBuSNbjYAmF3sIGmyK0yKuSqhQ0jC1XVmtLQoKyV5459AIwZeGSr9Ge3o6z6nzy3Pa613fBRz4j+hz/pPVb4pZJT0ZeLm15YWRVLqqg5Oi3yRLuyneUZtkRchygiGUkoLgtORO0BTc19ut0BNc2kDlMh41Vh50A2x4Zco9HDRVRyddaJndTY6cufSwkA0OrByMkChyAhgMQgkByAgAoxzZEkaWcHF2rxJjtYxvdNszspMnZzI1c411i1uaKyRknOxNmyK2s+W25Kx+WLFvLNbXUEGddGF4JtaCOYDtRRJNUkFr6bnLk7TrKS/k3IsjttZVrPhHmZOxlteVZpTsP/ACMlk03oZRqbkaa5Lyly3JxW/MjNaWh4nqi4sW1NmxMbiRWaMtwmSPcTEWk2KAgepUOuhUomYQ61TTAJJtsOCoUEGSyNJ1jQlI0UEzqVAnA2yd2NqAqompr8cq/5MPeNCcKTmSMb9vs0a8MMdPc0PP8AlMa4K69YZ2PJSjSu4b2RzfIt2oqV23J+XKe3l+CnsiNeXE0sog06wKIE3qGvgUa6ka/C621M74bu3KNCmiXmyL8Z09DUcO2dtGVSHoQ9x1lOTTk0eG61dXB2fFqM7VvQ6el2sef/AIslfyjT0ZtbFSl06KE9NCjzuzjd89lVTrpBK6WfjPBnq+xxtPkx7/aeHD7VXGS3+iIPJtVIhg2/IFCKqyYFIRpSssLO1U14YqWhnRxx2xPkvyjQisMPW91N8lWPDO/oLjS1H42PPx24s68OdVsm/wCTPU2Nc+3XerZklaTVZqX/AFcjSrujlY6kqXZSxvya1aHZ6GaiHEGfIVm2x0q2wLrMFK7Q0tCXWQFbJIlYLU0CtdSjqwZXsd2LImjzqQjaufjua56ZseirBuc+LMmb1sjpOmLDRUE+RmmQCAaKBiGKSAYABQWUo5OxhbR2QTasoz1zqx5FsNvCKx9eXqej7SJtjXjQ53lr6cd6Upsc9rcmdOejbZgqRqZsblKr4ieSQZm05JiqepLllVqF4X0EghUcM5746tSdNclP+pf1IvSt9FZI3Fjm4rjoZPc7vYpWkTyZz3wT5g0uue0N6jX4wzbD1aXb5W29De3XwtRrp9QuuTKmmn4ZK1OvNh544rutjlVLVX5KGRqF5BgnEkudwuq0GoCilOdydVuDTjUcwPhaJSklSwaTfoaUpey0TZPFeup24cip12/QmJescGXHejiyiSEtTvzqvYwq1GuVdf8A6HDUqS6HVoFLQ3LKrjyPar/oSrq8FXqXhwcsyu1+NXLN+tgfCbqH6GebsJJ48enhsmp1Vdm6yZeS8bfwaXay40/JxTZ/UvF2LVcPYrmy7GJ0yp+GTlmEzsdadjdw1sZZsVuMJTBdalc9XCFaX4BK63TKTDdvhBLSZTmzhG2Ho58ttuNfLehqOHbkacg0e71+p18NeFkrt72aPN+R9pZnXGkkt4NRzY9W7pkVk4aPXvkduvzW8SeCmep0+wsmJ4cm62fqijanfsqzkW3k83t9i2fK7vbx9jp77pixVx0er3+x50kFptoASgGUMdaJslFputeQDVEtfQ09yrRzPJo9SsVqtxZwgHGo02nA7cVsZ8tZJVlbU5p6aHXhd4hmeB1spOnGvy/g5dOsaK7DlImoJ5QzCta0TNeCS0MK5CvcbIh3tBCtZg9Wa1ooAXghuHoU5kOHIAVxcpE8VlqtQrRzqB2deYk6a5fBxK8VgayOTUrNelS0miZyYbs6U9Dry51WoCHJpDExiZQAGwAPwA2IoTMslHfZwbQLiTBguuvLkzydf0OuBNGbzFlrzr4q0UvQ482fHXZpv0R7N8dbKGpPA+RwrH2GlomZvDpzWeTtXvWEo+qOd+5bdt/c6a8FRSXR4mtYGN44UoZUHZbBiabX+hz3jZBcZx6MOV1pOguUeBckwBy9Z1Dnko5Tcie4AdWHtWai39S71rdScKtB3dLKrNq2oXWFscEWeh61sGLJWP1fqcl+nZOFDXqTU+nLWrdeSTcbwVxV0lsztw46YE03vrqPJmwVo7aP0iCmsMeK1KuXJlfFNLQtSrdydK1hGF75m/xbX0C6yrXLXV1aXqdvX5PFfmvxa0kz93LjxTk/J+EdSur9RXaiUSs2uTH+KcbjxPDaz92s+kBjiH6kqypLesmU1v8A5VMa448a4ry9wt35SVF+XmTK16Wrpuc1qtOUUdGTsZ8i4p6PwjXF16VxTmX5MnqY3Vc7+dir2vlsq0iEShp4q6ILVxWUxqZ3xXThamjSri9bEHPZOtk1pBtXuRvWRYZu+ORaM2t06tTj39GXRdO1itWWo+jH73Te6Uv6HFkxuj42UNCTnRliWu/FXp2beKi5V1ehrXMrVmIMekqPFatYWRmbyWWT241TixuOd9umt8d5SctHj9mvK7b3nU9O2O+PLNV+Njn/AMbHku6WbrZzH3KjzctK0SdfJFbuVqb5unlpZ1tujntR1ZobZHVr9uRkt5Jhl1paziqb+wA7MKs9DF8TmviVkos/DD/w/a9F/DCOC10S7Weng77fDdtawmZ26LxOMm/lBXLjxWu4RrbrOlZs19jVqtf10IfK270Az4L1KrhnZ6GixUdW3bX0MpaBHXhtgxUi+tvU2Xawxozzd2a1q2c+o68u556Nbi51flHG5THWlrapGflvHdValpM4K5MuK2n9GdGLu7K9Y+qJ8o7cNJup2N7VpyhI5sealv1cl83JMZdGTFRKUjBwh2yuDK1myWDRZFsXw5LQ5tZO3rqVqWQtYOlpLpjZ3LFR+BrDVbG5yxrPFVo6FsJUgo3IzRI0yWhlDGhDKAAAByACZUMGKQAAakYSQS0eT8vhTSy+Voz12ZZMVbqLKV6MmLLlfL8p0FxT8nvP4zqO08P9Sb/FdZ7VdfqmTHT7jwlK2cBqeu/haTpkcekDt8Lie2Syf1GL98vH0b1FbH5R6lvhLp/jkn+B0+IzJ/ldR9CYv1HjPTccns5PhU1+xyZviM+Os0fJLdDCdRwQaYc6xPaZJvjtj0soZmyLXqYs6upTN1aTxseR4nPj0Old/GlrKf2M2Vm16NsOPKoupMH8Xjma3aXpuYr5Gsbmlfkabbjympv0Mqf4xZf0ZnfHejh1Z1rt0YWz1Y2tOWvXeb8HKXqPtOuLHXBX+3dhl7NmmquDFY/cXK99V67jRjadzWirZRYh/UrHZIA9ri/VG1K0u0rLYzvdKskUyWb0ImunK2061Zxc7Uu0nr6o6Miaxu3k5FvJqRLT5ZG9WxzdKU2dXUXWtkjPs1p4UnT28XSrgtbHCutoYxNefjz5qLRz99T0On2a5KtWcXW9Ty1k+gLlWyvVw09BYuu7tPlZtHJazrqdTctT5DJ1q2+4wdfRWO+GuVaX2aOnDg4ZbP8A6jDp9F0orO35PZeDp42o+Tcm4xSvgs8nKfx9DmydR1vyrb8plHV7tnaPHgunGfyKiMfXWWjWWqb9TGvw2BZVdttJzxZ6SiNCLtoDkv8AE9S7l0j6LQ6MfWwYl/x0Vfsh1yeo/fx+XDAcJAq+TN9rrLfJX+plk+Q6tF/3E/sEbXvWibs4S8s8jtZ8GZ2vR6rQw+R+Rv2PwppjX9WcmK7jj6jFVZywWxaxN7CtV1cMqEa48eNLk1r9SlbDTHquVjK2RvRKCVY1y5aOnBUSfqjKjS3HWr8mdk50M115dVKY3+TL5Yq+Ujj1iJDjqTG9dTtjt6NmeSi8Gc8Sq3VnBcTXo9Hp1tRXerex3LpsfQxqmCq3nXU69B8xzvXlw26sbGb6zPRtqR7ckvKfTjp1fLOrFi47I0VYLQkLQtAkbEaxkwAZQgQxFRSAUhIUwEADGICoICGMGwFABIwFAmUIgh1HBQFGbQ4KAgUaE6lAAtSXVMsIJiyvM73S9yjdK/keBkx3x2dbJprwz7C1U0eL8v19VkS18ksdOb+HlKvJQzLJgvXVJtepvj3PT6iq062Ur0Zlqx4MjrZo93sdTo7uiVvRaHBk6mCyms1LrPzXNXM0a0zNnPkw2o95X0Jpfi9SWL6dq1FMaDwqRWTb0MYC1W9US6urNkuSlafQuEqa7hWVsTvjmu5eO+LFRV4O+TywrmVdLbFvsYK6pa/RCVnDTvak2xcZMsnUx3U0txfp4NF3qNQ0yl2cKU/+hdMci6WdKdI/oKnVvkcckvud3+RjyVhOETSuNPly0H0Y4n1LVbryWhrixYU0srbjwvJ22yYYmE/WDL38LlVqPow89cTx1eFMfUeTI2si0W2hHvrZqC6dmtXG31Gpj03mx4cad3CRK7GLPV8HMbmaWLs0StqjDL1b4Lq/Wlp7rc6Ss1t+XKK7suuLPW03snUzSusitbT6HW2oKhq2m5xdrvVo3V2UL03MPlO08WNY6uLW/wBjxbXs3O4V6tvkaKeNtXsziy9vJazfI5Um2deDqVzL9oAwd22aUw2tXm1C9T0MfxmCteVm7P8AojPs6V4V0Q0xxXotkPFja1BPwb1/VL1CYSWRvjj3+htX47tZHLW+7O/47p8F7ltW9vsemqpFHj0+If8AcVb4hP8AW0HrQhQiEeQ/icni6/oFfh1/defsexCFxI19V4d/is6f4pNfcvH8Re37vj9tT2oCEXF+68r/AMNijW1m/UrH8TipZWbbj1PTgcIYn1U46qqS9CxDDIgAAAGSORgYABQDTE5EgixAAUAABAAAFUApCQhyDEBQwkQSgHMgiRgMBSAAGgpAgAEMAAAATOftYlkxtRMo3YnqiLHy7xOmaPRndi/E6O3028nOq08mGSKUa8ma7S6w7WWbR6HNlyN14rQMja1ZirNsy6SJtJF8VlXnGnqa2Z04qVyddprdNF1nrln8fdW5Uer8G7qlbY5/j069l1fo5OjLdVvZeUZvtiFayUwZ2vZtegnadRcpIp3q3qJ0TQ3ZxA0nwmQJ9qsORLhsO0wZOwg1TVdvI3fQijrEthxd7Qti4NK2/H6Mhaaol2tVe29lsFGpgYh8nP0HM2VV5YW0+xXtuU6+BhXqKjsljq+KajQ16uN4m6u3JeEY9e17qeMNbl5crxV5xLk6Obqvjrd67odvxqY4c3upP1Du39vq5LTEV0YHgfIdj387j9a6IzwpVTdjDl+UnVmpxxVa8qTQh3rOxWPK6WTTgwgpTBEevTM+C1k581uTMutm/st/Bu6SyNueuOXLPX6PSX45brT0ZHU6lbNWtrHg9WihQVmqVUttBwAFQQEDBgTAwAAgIAJCCBwIYUQIYIBANiAGADCEOAlAgpiGIBgASRAACkoAAAKCACShDkW44ATeoAwAAACBDCAATYBAAASKBwACkAAAYg8AibpNanld+qpZRsz1Xseb8hV2rPoZrpxfLyezZQkjCpeXVEVMu8N66GvXyOv4GTTErQ5QWu+uB1yLMvO5nlqllbfk26+etsaVnqYdlr3COVZXaWxNddSbyXT9YZMQ02Fsj2WxLtBMjFVMmblmtU4+4KP18lRmlJVbtIbUOCGpAbtL1BOCeLmDRUTQQKzjXU6Oveb1T9TNY01oa9etVmrPhyCvapelVD0OftXSSfjyLJlrMefBNbVyTjvEvwbYVitjs1aj0QfJ/l1LKdPJGPD7aaShToHftHXdW4b8AfPusWPSz8FgTt6KDitj/KfBeW7sq1b0rsilZPcaJbLx6lRNW63TR7HVSy0Vmjy7UTskj1uq4darQivRwY4SOgim0FhKoBbBJRUwEibFIDkAEA4DYUjAAAAAaEOQEwGIBocEochBEAKQAoQDCgUDkTYAIACGAgGigACgCQABiFI0AAJsJJQwFIDAAEhKAUjFuGwAAMAAQwCpexx9qk0t9jtMM9ZRmry+avWG0ZrRnZ28armaObJWHJl6JUvVC4oagVvoGmuGyrYvNTlZX9DGum501a4EZ6jGzT1REjyWmzS2IT1DmrjycFUwebDo03oaSQZuEQ9WVaG4J0TEFVpyFWqmLbmlLJomNdQE6ayVVQpHbYjlpuUNtorFW2TIvTyZpzudHStSuRq+zUIRK3z5OKrZKY0D3a0zUyWWjNb1q3all+DNV1cV8SqlP1NsLs1o0zy/lck5qpeKnpunFKr8HidvJzy2f1hAYuzJlsaaTHk9UUqXqXV8URWWx2TW5UdHW/K7s/B6XVX/ACI4epRPHK38nq9DH/cyK9Cq0GCGEAABUAIAAAGAAgYQEAAwAKUjCAAAAAATYAADFAwCQlgIIYCbYEU5CRAAAAFRSGSUihMBwTqA5FIMQDCQEAxySEkDYCkAGmDYgABkjkAAJCQExWSjUbEyK8v5LrN/8tVol+R5rqrVa8n0d0mo8HkdnoXo7ZMKmu7qt/4M2OnHf4ry2nVwwTNrU9xStGjC3KrhkdtW3JdLNaGCua19SFLJV8pRLq9zoSVqSyVXwg52MtUilkC8pkJoIqzmwrlJwpDS24EqUVzjclWlwVbG3sA1ZNChCrNfAWu25egDWhvgx85jdHLy1Ojr1ytzjcRuyxK0v2K46OiT5/U6+j2H7cZH9jnz1V7UTU28m8YaUm6jitzTCe323jVrPWdEjxXaWzo7naWdpJRWuyOaupYB7l8nEAqtj4xuEPHxmXoFn7mSFtsZ2cOEdHR67zZqrx5YV39TA1VVqp9T1evi9uuu48GGmOsV/qawEUggEMAQABQAABDABBTGSOSBgIZQxAAAAhgIYCYQxCljCgYgCAAAAAAAAAAGNCQyhiCREobEAAACBFAAMAFADCSAQAEgDEMApADFIQxMAIqYE4KakXADg7fx9Mybx/8AHf6bN/U8nsYr9e3DMp9GfScDHs9PF2MfDIpXh+UyY1OrHzft0f5JwvQt2ptVnZk+FyVl4r8l6Pc57dDsUUrG/uTG/uHRxWImQ4Wh2qtFuLH1+63pjcHd1evlV4y1irXkYXp5dm2yVVSez2PisWRO2P8AC/8AocN/i+5R/ildfRkxnWFVVuBXxWTmuqKdMmJxko6v6oXuSRdXxVIcasc2Uvci2SRe40tBihoi6hj5Nsm71CBNLc7fj4fJPRPU89m/XWa9uONOX6GsS139jN18VeUp3Wy8nm5u3ky/tt9Dvr8Rkv8AlltD8JanH2Pj+xhetOS8OupWXG9WNJo09q6WtGn9hVx5W4rWzfokaDWRxEaiva+1lB1dfp9h2n239G1oepg+Px1sr5Ur3W07IiPL63xefsJXSSo/LPb6vUx4KJJLklDZ0VSShDgaHVJFSTAwKQyZAChCDUoYxJgwhyEk6gRTnUYoACkxSAFQ5CRAASOSRgOQZMhLCqASYSAwFISEMQSAD8CAYCAACqBABUASEgAAAiBhIpFJQwAGAhiAlACACBhIhFDYoGAUgCRkCYA2IAkBtikBNIXFFaABPBeA4IaCQpQkJqSgJgytirZRZJ/c5MvxXWu3aHVv02PQJaGGvHt8Lf8AtyL+UR/4jsqfyqz20ggmLteEviO161S+5dfhsrf/ACXS+yk9qASLia87F8PgrDs3Y7seGmNJVqkl6I1gIBqYFwRQwjP26+iBY612SRoBRPBQCqkUMCYBFBCAQDAAAAABiQFQAMQDBAAU5FAwIEIYFQJjEAAGo4EwAQxoBeAGxSAxAADABSRTABFQ5AQBViGBUIAAAAAIAQ2IAAAABDEA5AQMigIAHMBCbCQUDUFCAbERRAAAAAxAACDUAAAAAAYAIBEDBiBFBA0CGACAYAAg1AYhDAJASGASORAAxSMQBIAADAACAbEMqiQkQBBqMQANACGFKRB5AIcgIAGMQAAhoYCAGAUwAGQINQAAgAAo/9kA)
تصویر سونوگرافی:
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انجام تزریق:
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)
عوارض جانبی احتمالی:
نزدیک بودن فصای اپیدورال به فضاهای عمقی تر مننژ و خطرناک بودن تزریق در این مناطق نیاز به استفاده از دستگاه سونوگرافی را چند برابر میکند. درصورت درد فوق العاده بیمار در هنگام وارد شدن سوزن پزشک باید بلافاصه تزریق را متوقف کند، زیرا این درد نشانه برخورد سوزن به اعصاب خارج شده از نخاع است. تزریق در فضاهای عمقی تر مننژ میتواند باعث از دست رفتن هوشیاری و بی حسی کامل نخاع شود. اگر این عارضه به سرعت تشخیص داده نشود تا درمان نشود می تواند برای بیمار مرگبار باشد. فضای اپی دورال سیارهرگ های بسیاری دارد که آسیب به آن ها می تواند باعث خونریزی خود محدود شونده شود. تزریق داخل وریدی در تعدادی کمی از بیماران (0.5 تا 1 درصد) اتفاق می افتد و میتواند باعث مسمومیت بیمار شود.
میتوان با استفاده از دستگاه سونوگرافی احتمال اتفاق افتادن تمامی این عوارض را کاهش داد. در موارد نادر، به خصوص در بیمار مبتلا به ایدز یا سرطان، عفونت نیز اتفاق میافتد. میتوان جلوی این عارضه را با استفاده از روشهای استریل کردن مناسب گرفت. تشخیص سریع این عارضه بسیار مهم است زیرا در صورت تشخیص داده نشدن میتواند جان بیمار را تهدید کند. در صورت شک پزشک به اتفاق افتادن این عارضه MRI میتواند روش تشخیصی خوبی باشد. در صورت پیشرفت عفونت و وارد فشار روی نخاع نیاز به تخلیه اورژانسی عفونت از لایههای پوشاننده نخاع است.
درمان های غیرجراحی
*فیزیوتراپی.
*تزریق اوزون.
*بلاک عصب با لیزر.
* رادیو فرکوئنسی (RF)
در مطب دکتر مؤمنزاده تمامی این خدمات با راهنمایی اولتراسوند انجام میگیرد.