Kodi munayamba mwadwalapo mutu waukulu mutagwidwa ndi msana, kapena epidural kuti mubereke mwana wanu? Mutu uwu, womwe umavutitsa kwambiri mukayimirira kapena kuyimirira, koma umachepa mukagona, ndi wokhumudwitsa kwambiri, sichoncho? Lero tikulankhula za chithandizo chapadera chomwe madokotala amalangiza ngati palibe mpumulo kuchokera ku mankhwala wamba ochepetsa ululu. Imeneyo ndi njira yochizira yotchedwa Epidural Blood Patch.
Kodi chigamba cha magazi cha epidural ndi chiyani?
Mwachidule, izi zikuphatikizapo kutenga magazi anu ena ndikuwalowetsa m'malo ozungulira msana wanu otchedwa 'epidural space'. Tsopano mwina mukuganiza kuti, "N'chifukwa chiyani ndikulowetsanso magazi anga?"
Ichi ndichifukwa chake. Monga tanenera kale, mukavulala m'chiuno kapena epidural, dzenje laling'ono lingapangidwe mu dura mater (nembanemba yomwe imazungulira msana). Izi zimathandiza kuti madzi ena ofunika mkati mwake, otchedwa cerebrospinal fluid (CSF), atuluke. Madzi awa akatha, mutha kumva mutu waukulu womwe umakupangitsani kukhala kovuta kuyimitsa mutu wanu mowongoka.
Kotero chigamba cha magazi ichi chimachita zinthu ziwiri zazikulu:
1. Kuletsa kutuluka kwa magazi: Magazi anu akalowetsedwa mu epidural space, magazi amaundana ndikutseka dzenje laling'ono. Zili ngati kuvala bandeji. Izi zimaletsa madzi a CSF kutuluka.
2. Kupanikizika kumabwezeretsedwa: Magazi ena akawonjezedwa pamalopo, kuthamanga komwe kumatayika mkati kumabwereranso pang'ono ndipo mutu umachepa msanga.
Iyi ndi njira yosankha yomwe imachitika potsatira malangizo a dokotala ndipo ingasankhidwe malinga ndi zomwe mukufuna.
Kodi chithandizochi chikufunika liti?
Ngati mutu wanu wa msana ukupweteka kwambiri ndipo sutha ndi chithandizo chamankhwala wamba, dokotala wanu angakulangizeni kuti mugwiritse ntchito chigamba ichi cha magazi. Nthawi zambiri, chinthu choyamba chomwe muyenera kuyesa ndi ichi:
- Khalani pabedi ndipo mupumule momwe mungathere.
- Imwani madzi ndi zakumwa zambiri (mwina madzi a m'mitsempha, mwachitsanzo saline, angaperekedwenso).
- Kugwiritsa ntchito mankhwala monga mankhwala ochepetsa ululu (NSAIDs).
- Imwani zakumwa zokhala ndi caffeine, monga khofi.
Koma ngati mankhwala amenewa sakuchepetsa mutu, kapena ngati simungathe kukhala pabedi (monga mayi watsopano amene ali ndi mwana kapena munthu amene akufunika kupita kuntchito mwachangu), njira yabwino yothetsera vutoli ndi kugwiritsa ntchito mankhwala oyeretsera magazi.
Mutu wa msana umachitika makamaka pambuyo pa zinthu ngati izi:
- Mukatenga madzi kuchokera ku msana (Spinal tap / Lumbar Puncture).
- Pambuyo pa epidural, yomwe imaperekedwa kuti ichepetse ululu panthawi yobereka kapena opaleshoni.
- Ngati nembanemba yophimba msana (dura) yawonongeka panthawi ya opaleshoni ya msana kapena ngozi.
Kodi mumakonzekera bwanji musanalandire chithandizo?
Musadandaule, dokotala wanu adzakufotokozerani njira yogwiritsira ntchito mankhwalawa, ubwino ndi kuipa kwake, komanso momwe imagwirira ntchito. Mungalangizidwe kuti musamadye kapena kumwa kwa maola pafupifupi 8 musanachite opaleshoniyi. Komanso, onetsetsani kuti mwauza dokotala wanu izi:
- Ngati mukumwa mankhwala ena monga mankhwala ochepetsa magazi (anticoagulants).
- Ngati muli ndi matenda a shuga ndipo mumagwiritsa ntchito insulin.
- Ngati muli ndi ziwengo ndi mankhwala aliwonse, makamaka mankhwala oletsa ululu.
- Ngati muli ndi pakati.
Momwe mungapangire Blood Patch pang'onopang'ono
Njira yochizira iyi ndi yosavuta kwambiri. Tiyeni tiwone zomwe zimachitika pang'onopang'ono.
| Gawo | Zomwe zimachitika |
|---|---|
| 1. Kaimidwe ka thupi | Mudzapemphedwa kuti mutembenukire chammbali n’kugona pansi kapena kukhala pansi. Chofunika kwambiri ndikukhala chete panthawiyi. |
| 2. Kuyeretsa | Malo omwe singano imalowetsedwa kumbuyo ndi malo omwe magazi amatengedwa m'dzanja amatsukidwa bwino ndi mankhwala ophera tizilombo toyambitsa matenda. |
| 3. Kusamva Chisoni | Kuti achepetse ululu, mankhwala oletsa ululu amabayidwa pamalo omwe singano imayikidwa. |
| 4. Kutenga magazi | Katemera wa IV (cannula) amaikidwa mu mtsempha womwe uli m'dzanja lanu ndipo magazi anu okwana mamililita 15-20 amatengedwa. |
| 5. Kuyika singano | Katswiri wogonetsa anthu ogonetsa kapena katswiri wa radiation amaika singano yapadera m'malo ozungulira kumbuyo, nthawi zina pogwiritsa ntchito ultrasound kuti atsogolere malo enieni. |
| 6. Kutulutsa Magazi | Magazi otengedwa kuchokera ku dzanja amalowetsedwa pang'onopang'ono kumbuyo kwa masekondi 30-60. Pa nthawiyi, mungamve kupweteka pang'ono kapena kupsinjika kumbuyo kwanu. Muyenera kuuza dokotala nthawi yomweyo zomwe mukumva. |
| 7. Kumaliza | Singano imachotsedwa ndipo bandeji imayikidwa pamalopo. Ndi zimenezo. |
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Anthu ambiri amamva bwino mutu ukatha akalandira chithandizochi. Umenewo ndiye ubwino waukulu wa chithandizochi.
Mukamaliza kulandira chithandizo, mudzatengedwera ku chipinda chochiritsira kuti mukapumule kwakanthawi. Mukatha, mutha kupita kunyumba. Dokotala adzakulangizani kuti mupewe kuchita zinthu zolemetsa, kunyamula zinthu zolemera, ndi kuwerama kwa maola 24. Mukatha, mutha kubwerera ku zochita zanu zachizolowezi.
Kodi izi zimakupangitsani kulota?
Kawirikawiri, akuluakulu sapatsidwa mankhwala oletsa ululu panthawi ya chithandizochi. Izi zili choncho chifukwa muyenera kuuza dokotala zomwe mukumva mukalandira magazi kumbuyo kwanu. Komabe, malo okhawo omwe mulandira jakisoni ndi omwe amatsekedwa kuti musamve ululu. Komabe, ngati muli ndi nkhawa kapena nkhawa zilizonse zokhudzana ndi izi, onetsetsani kuti mwauza dokotala wanu. Ana aang'ono akhoza kupatsidwa mankhwala oletsa ululu panthawi ya chithandizochi.
Ubwino ndi zovuta zomwe zingachitike chifukwa cha Blood Patch
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, palinso ubwino komanso zoopsa zina zazing'ono.
| Ubwino | Zotsatirapo ndi Mavuto |
|---|---|
| Mpumulo wachangu komanso wokhalitsa. Umapereka mpumulo wachangu ku mutu waukulu womwe ungatenge milungu iwiri. Umagwira ntchito bwino kwambiri kuposa mankhwala akanthawi monga ochepetsa ululu. |
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Malinga ndi kafukufuku, chithandizochi chimagwira ntchito bwino mwa anthu 85 mwa anthu 100 (85%). Ngati nthawi yoyamba yalephera, chigamba chachiwiri cha magazi chimakhala ndi chiwopsezo cha 90%.
Kodi ndiyenera kuyimbira dokotala nthawi yomweyo liti?
Ngati mukupeza zizindikiro za matenda mutalandira chithandizo, muyenera kulankhulana ndi dokotala nthawi yomweyo . Samalani zizindikiro izi:
- Kufiira, kusintha kwa mtundu, kupweteka, ndi mafinya pamalo obayira jakisoni.
- Malungo .
- Kumva kutopa kwambiri.
Ngati mukuona chinthu chonga ichi, musazengereze. Funsani dokotala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- "Kupweteka mutu kwa msana" si mutu wamba. Epidural Blood Patch ndi njira yothandiza kwambiri yothetsera ululuwu, womwe umakula kwambiri mukamayimirira.
- Mu izi, magazi anu pang'ono amalowetsedwa mumsana. Choncho palibe choopa. Ichi chimaonedwa kuti ndi chithandizo chotetezeka kwambiri.
- Mankhwalawa ndi opambana pafupifupi 85%. Koma monga chilichonse, pali chiopsezo chochepa. Lankhulani ndi dokotala wanu momasuka za izi ndipo funsani mafunso aliwonse omwe muli nawo.
- Ngati muwona chilichonse mutalandira chithandizo, monga kutentha thupi, kutupa, kufiira, kapena mafinya pamalo obayira jakisoni , funsani dokotala nthawi yomweyo .
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