Kodi mukudziwa za jakisoni uyu woperekedwa ku msana chifukwa cha ululu waukulu wa mwendo? (Lumbar Sympathetic Block)

Kodi mwatopa ndi ululu waukulu womwe umachitika nthawi zonse mwendo wanu kapena pansi pa msana? Nthawi zina zimakhala zovuta kupeza chomwe chimayambitsa ululuwu, sichoncho? Lero tikambirana za njira yapadera yothandizira yomwe madokotala amagwiritsa ntchito pazochitika zotere. Izi zimatchedwa Lumbar Sympathetic Block. Ngakhale kuti dzinali ndi lovuta pang'ono, mpumulo womwe limapereka ndi wofunika.

Kodi Lumbar Sympathetic Block ndi chiyani?

Mwachidule, iyi ndi jakisoni wapadera wa mankhwala m'munsi mwa msana wanu, womwe uli m'chiuno. Umaletsa kwakanthawi zizindikiro za ululu kuti zisafike ku miyendo yanu.

Taganizirani za dongosolo lathu la mitsempha ngati netiweki ya mawaya amagetsi. Mitsempha iyi imanyamula mauthenga ochokera ku ubongo kupita ku thupi ndi kuchokera ku thupi kupita ku ubongo. Pali gawo la dongosololi la mitsempha lotchedwa 'dongosolo la mitsempha lodziyimira palokha'. Gawoli limalamulira zinthu zomwe sitingathe kuzilamulira, monga kupuma, thukuta, ndi kuthamanga kwa magazi.

Mitsempha ya 'Sympathetic' mu dongosolo la mitsempha yodziyimira payokha nthawi zina imayamba kutumiza zizindikiro zosafunikira za ululu ku ubongo pambuyo pa ngozi. Pamenepo ndi pomwe Lumbar Sympathetic Block 'imaletsa' mitsemphayo kwakanthawi ndikuchepetsa ululu.

Kodi ntchito za chithandizochi ndi ziti?

Njira yochizira iyi imagwiritsidwa ntchito pazifukwa zitatu zazikulu.

Dokotala angakulangizeni chithandizo ichi ngati muli ndi ululu m'miyendo ndi mapazi anu, makamaka chifukwa cha matenda awa:

• Matenda Ovuta a M'madera Ovuta (CRPS)
• Ululu wodabwitsa wa miyendo
• Kutuluka thukuta kwambiri (hyperhidrosis)
• Matenda a mitsempha okhudzana ndi matenda a shuga
• Ululu wa mitsempha pambuyo pa ma shingles (postherpetic neuralgia)
• Matenda a Raynaud
• Kupweteka kwa khansa
• Kupweteka kwa mitsempha yamagazi

Kodi muyenera kukonzekera bwanji izi?

Kwenikweni, izi nthawi zambiri sizimafuna kukonzekera kwapadera.

Komabe, ngati dokotala akupatseni mankhwala oletsa ululu panthawi ya opaleshoni, adzakuuzani kuti musadye kapena kumwa kwa maola pafupifupi 6-8 . Adzakupemphaninso kuti mubweretse munthu woti akutengereni kunyumba tsiku limenelo. Chifukwa mudzakhala oledzera, simudzatha kuyendetsa galimoto.

Kodi chimachitika ndi chiyani panthawi ya opaleshoniyi?

Izi nthawi zambiri zimachitika kwa wodwala wosapita kuchipatala, popanda kukhala m'chipatala. Izi zikutanthauza kuti mutha kupita kunyumba nthawi yomweyo opaleshoniyo itatha.

Tiyeni tiwone zomwe zimachitika pang'onopang'ono:

1. Mudzatembenuzidwa ndi mimba yanu ndipo mudzagonekedwa patebulo lapadera.

2. Mungapatsidwe mankhwala ochepetsa ululu kudzera mu IV line m'dzanja lanu kuti akuthandizeni kupumula.

3. Kenako, malo obayira jakisoni amatsukidwa bwino ndi yankho la antiseptic.

4. Jakisoni kakang'ono kamaperekedwa kuti malowo asamveke bwino. Kuti musamve kupweteka kwambiri, koma mungamve kusasangalala pang'ono singano ikalowa.

5. Kenako, dokotala amaika singano pamalo oyenera a mitsempha uku akuiyang'ana ndi X-ray.

6. Mungafunikenso kubaya madzi apadera (utoto wosiyana) kuti muwonetsetse kuti ali pamalo oyenera.

7. Kenako, jakisoni wa steroid amaperekedwa kuti achepetse ululu ndi kutupa.

Zonsezi zimatenga mphindi zosakwana 30 .

Kodi mungayembekezere chiyani mutalandira jakisoni?

Pambuyo pa jakisoni, msana wanu ndi mwendo wanu zingamve kutentha kapena 'zosiyana' pang'ono. Ululu udzachepa pang'onopang'ono. Mwendo wanu ungamve ngati wachita dzanzi pang'ono komanso wofooka, koma izi zidzatha pamene mankhwala oletsa dzanzi akutha.

Mukhoza kudya ndi kumwa mankhwala anu mwachizolowezi. Koma musagwire ntchito yolemetsa kapena yotopetsa kwa maola 24. Pumulani mokwanira. Mutha kubwerera ku ntchito zanu zachizolowezi tsiku lotsatira.

Kodi pali zoopsa ndi zotsatirapo zake?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zotsatirapo zina zomwe zingachitike, koma mavuto aakulu ndi osowa.

Kodi mpumulo umenewu udzakhalapo kwa nthawi yayitali bwanji?

Izi zimasiyana kwambiri malinga ndi munthu ndi munthu. Anthu ena amakhala masiku angapo osamva ululu, ena milungu ingapo. Ululu ukhoza kutha nthawi yomweyo atalandira jakisoni. Koma izi zili choncho chifukwa chakuti steroid ndi mankhwala ochepetsa ululu. Steroid ikayamba kugwira ntchito, zimatenga masiku awiri kapena atatu kuti mpumulo uyambe kwa nthawi yayitali.

Nthawi zambiri, kuti mupitirize kuchira, muyenera kulandira jakisoni iyi kangapo. Nthawi zina ziwiri zimakhala zokwanira, nthawi zina muyenera kulandira jakisoni woposa 10 pakapita nthawi. Izi zidzatsimikiziridwa ndi dokotala wanu.

Ndiyenera kupita kwa dokotala nthawi yanji?

Lumbar Sympathetic Block ndi mankhwala abwino omwe amabweretsa mpumulo kwa anthu ambiri omwe ali ndi ululu. Komabe, zotsatira zake sizifanana kwa aliyense. Ngati muli ndi mantha kapena kukayikira za jakisoni iyi, musabise chilichonse. Lankhulani momasuka ndi dokotala wanu ndipo fotokozani zonse.