Nthawi zina mungamve kupweteka kwambiri m'mbali mwa chifuwa chanu kapena m'khola mwanu. Kupweteka kumeneku kungamveke ngati mpeni ukukubayani, zomwe zimapangitsa kuti zikhale zovuta kupuma. Nthawi zina kupweteka kwamtunduwu kumachitika mutatha kuthyoka nthiti kapena mutachita opaleshoni pachifuwa. Lero tikulankhula za chithandizo chapadera cha ululu wamtunduwu, womwe ndi jakisoni woperekedwa mwachindunji kumalo komwe ululuwo uli.
Kodi Intercostal Neva Block ndi chiyani?
Mwachidule, iyi ndi jakisoni yomwe imaperekedwa pafupi ndi mtsempha womwe uli pansi pa nthiti zanu. Kodi mukudziwa kuti pali mtsempha womwe ukuyenda pansi pa nthiti iliyonse pachifuwa chathu? Timatcha izi 'Mitsempha ya Intercostal'. Ngati pazifukwa zina mtsempha uwu kapena minofu yozungulira ikakamizidwa, kuwonongeka, kapena kutupa, zingayambitse kupweteka kwambiri.
Choncho chomwe jakisoni uyu amachita ndikutseka kwakanthawi mitsempha yomwe imayambitsa ululu. Jakisoni uyu makamaka uli ndi mitundu iwiri ya mankhwala:
- Mankhwala Oletsa Kupweteka: Izi zimapangitsa kuti malowo asagwire bwino ntchito nthawi yomweyo mutatha jakisoni, zomwe zimachepetsa ululu mwachangu.
- Steroid: Izi zimachepetsa kutupa ndi kutupa kuzungulira mitsempha. Zimatenga masiku awiri kapena atatu kuti zigwire ntchito, koma zimapereka mpumulo kwa nthawi yayitali.
Kodi katemerayu amagwiritsidwa ntchito pazochitika ziti?
Njira yochiritsira imeneyi imagwiritsidwa ntchito pazifukwa zingapo zazikulu. Nthawi zina zimathandiza kuchepetsa ululu, ndipo nthawi zina zimathandiza kupeza chomwe chimayambitsa ululu.
| Chitsanzo cha kagwiritsidwe ntchito | Kufotokozera |
|---|---|
| Kuchepetsa ululu | Amagwiritsidwa ntchito poletsa ululu womwe umachitika mwadzidzidzi (waukulu) kapena womwe umakhalapo kwa nthawi yayitali (wosatha). Mwachitsanzo: kusweka kwa nthiti ndi kupweteka kwambiri kwa mitsempha pambuyo pa nthenda ya nkhuku (ma shingles kapena postherpetic neuralgia). |
| Zokhudzana ndi opaleshoni | Jekeseni iyi imaperekedwa kuti ichepetse ululu pambuyo pa opaleshoni zina. Zitsanzo: Opaleshoni ya pachifuwa, Opaleshoni ya m'mawere, ndi Opaleshoni ya m'mimba chapamwamba. |
| Kuzindikira chomwe chimayambitsa ululu | Nthawi zina dokotala amafunika kudziwa ngati ululu wanu ukuchokera ku chiwalo chomwe chili mkati mwa thupi lanu (ululu wa m'mimba) kapena kuchokera kwinakwake m'minofu kapena pakhungu lanu (ululu wa m'thupi). Ngati ululuwo utha mutalandira jakisoni, zikutanthauza kuti vuto lili ndi mitsempha iyi. |
Kodi ndiyenera kukonzekera bwanji kulandira katemerayu?
Izi nthawi zambiri sizimafuna kukonzekera kwambiri. Komabe, pali zinthu zingapo zomwe muyenera kudziwa.
Chofunika kwambiri ndichakuti ngati mukumwa mankhwala oletsa magazi kutuluka magazi, monga warfarin, muyenera kuuza dokotala wanu za izi. Chifukwa mankhwalawa amatha kuwonjezera chiopsezo cha kutuluka magazi pamalo omwe adabayidwa jakisoni. Koma kumbukirani, musasiye kumwa pokhapokha ngati dokotala wanu wakuuzani.
Nthawi zina mudzapatsidwa mankhwala oletsa kugona kuti mugone. Ngati izi zachitika, mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola 6-8 musanachite opaleshoniyi. Muyeneranso kubweretsa munthu woti akuyendetseni kunyumba, chifukwa simungathe kuyendetsa galimoto.
Komabe, dokotala wanu adzakufotokozerani zonsezi. Musaope kufunsa mafunso aliwonse omwe muli nawo.
Kodi Intercostal Never Block iyi imachitidwa bwanji?
Njira yochizira iyi ndi yosavuta kwambiri. Nthawi zambiri imakhala motere:
- Choyamba, mudzagonekedwa pabedi, kaya chammbali, chomwe sichikupweteka, kapena m'mimba mwanu.
- Kuti mupumule, mungapatsidwe mankhwala ochepetsa ululu kudzera mu IV line m'dzanja lanu.
- Kenako, malo obayira jakisoni amatsukidwa bwino ndi yankho la antiseptic.
- Kenako, jakisoni kakang'ono ka mankhwala oletsa ululu amaperekedwa kuti achepetse ululu pamalo omwe mitsempha imatsekeredwa. Pa nthawiyi, mungamve kupweteka pang'ono pamene singano ikulowa.
- Kuti adziwe komwe kuli mitsempha, dokotala angagwiritse ntchito malangizo ojambulira zithunzi, monga ultrasound kapena fluoroscopy . Izi zimathandiza dokotalayo kuona komwe angaike singano.
- Malo oyenera akapezeka, mankhwala ochepetsa ululu amabayidwa pafupi ndi mitsempha momwe angathere.
- Mukalandira jakisoni, mudzapemphedwa kuti mupumule kwakanthawi mpaka mankhwalawo atayamba kugwira ntchito.
Mukalandira jakisoni, mudzayang'aniridwa kwa mphindi pafupifupi 15-30 kuti muwone ngati pali zotsatirapo zina . Ngati zonse zili bwino, mutha kupita kunyumba.
Kodi chithandizochi ndi chothandiza bwanji? Ndipo zimatenga nthawi yayitali bwanji kuti ululu uchoke?
Kwa anthu ambiri, izi zimathandiza kuchepetsa ululu kwakanthawi, koma nthawi yomwe mpumulowo umatenga imasiyana malinga ndi munthu.
Mankhwala oletsa ululu omwe amaperekedwa nthawi yomweyo atalandira jakisoni amachepetsa ululu. Komabe, pakatha maola ochepa, mankhwala oletsa ululu amatha ndipo ululuwo ukhoza kubwerera. Musadandaule, izi ndi zachilendo. Mpumulo wa nthawi yayitali udzabwera steroid ikayamba kugwira ntchito patatha masiku awiri kapena atatu.
Anthu ena akhoza kukhala opanda ululu kwa miyezi ingapo . Ngati chithandizocho chayenda bwino, mutha kulandira jakisoni kachiwiri nthawi ndi nthawi ngati pakufunika kuti muchepetse ululu. Komabe, anthu ena sangakhudze chilichonse chifukwa cha jakisoniyo. Ngati zimenezo zitachitika, dokotala wanu adzakuuzani za mankhwala ena.
Kodi zoopsa ndi zovuta zake ndi ziti?
Kawirikawiri iyi ndi njira yotetezeka kwambiri yothandizira. Pakhoza kukhala mabala ndi kupweteka kwina komwe kunaperekedwa jakisoni, koma izi zimatha pakatha masiku awiri kapena atatu.
Komabe, pali mavuto ena akuluakulu omwe ndi osowa kwambiri koma oyenera kudziwa.
- Kutuluka magazi
- Matenda
- Mapapu osweka: Izi zimachitika kawirikawiri. Zingachitike ngati singano yagunda mapapo.
- Kuwonongeka kwa mitsempha
Zoopsa zimenezi n’zochepa kwambiri, makamaka ngati dokotala wodziwa bwino ntchito yake amagwiritsa ntchito ukadaulo monga ultrasound.
Ndiyenera kupita kwa dokotala nthawi yanji?
Ngati mukupeza zizindikiro zatsopano kapena zovuta mutalandira katemerayu, imbani dokotala nthawi yomweyo . Dziwani bwino zizindikiro izi:
- Zizindikiro za matenda: malungo, kufiira, kutupa, kupweteka kwambiri, kapena mafinya pamalo obayira jakisoni.
- Mavuto okhudzana ndi mitsempha: Zizindikiro zatsopano monga dzanzi ndi kufooka kwa miyendo.
- Kuvuta kupuma: Ichi chikhoza kukhala chizindikiro cha vuto la m'mapapo.
Ngati mukumva chonchi, musazengereze ndipo funsani upangiri wa dokotala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Choletsa mitsempha ya m'mimba ndi jakisoni wapadera woperekedwa pa ululu wokhudzana ndi mitsempha pakati pa nthiti.
- Amagwiritsidwa ntchito pa zinthu monga nthiti zosweka, ululu pambuyo pa opaleshoni, ndi ululu wa mitsempha pambuyo pa nthenda ya nkhuku.
- Ngakhale kuti nthawi zambiri iyi ndi njira yotetezeka yothandizira, kutuluka magazi ndi matenda sizimachitika kawirikawiri.
- Ngati mukumwa mankhwala ochepetsa magazi, onetsetsani kuti mwadziwitsa dokotala wanu za mankhwalawa musanalandire chithandizo.
- Ngati mukumva malungo, kutupa kwambiri pamalo omwe munabayidwa jakisoni, kupuma movutikira, kapena dzanzi mutalandira chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
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