Nthawi zina pamakhala ululu m'miyoyo yathu womwe umaoneka kuti sumatha mosasamala kanthu za mankhwala omwe timatenga kapena chithandizo cha thupi chomwe timachita. Ukhoza kukhala kupweteka kwa msana komwe kwakhala kutivutitsa kwa zaka zambiri, kupweteka kwa khosi, kapena ululu wosapiririka womwe umamveka ngati kugwedezeka kwamagetsi mbali imodzi ya nkhope. Okhawo omwe adakumana nawo ndi omwe amadziwa momwe zimakhalira zovuta kukhala ndi matenda otere. Chifukwa chake, zonse zikalephera, lero tikambirana za njira yapadera yothandizira yomwe madokotala amalangiza. Imatchedwa Rhizotomy.
Mwachidule, kodi Rhizotomy ndi chiyani?
Kuti timvetse izi, choyamba tiyeni tiganizire za dongosolo la mitsempha la thupi lathu. Mitsempha yomwe imayenda m'thupi lathu lonse ili ngati zingwe zazing'ono zamagetsi. Zingwe izi ndi zomwe zimatumiza mauthenga pakati pa ubongo wathu ndi thupi lathu lonse. Chilichonse chomwe mumamva, monga kukhudza, kupweteka, ndi kutentha, chimatumizidwa ku ubongo kudzera mu mitsempha iyi, ndipo kudzera mu mitsempha iyi ubongo umakuuzani kuti musunthe manja ndi miyendo yanu.
Komabe, nthawi zina, chifukwa cha vuto la mitsempha iyi, mitsempha ina imayamba kutumiza uthenga "ululu" ku ubongo nthawi zonse. Ndipotu, uthengawu umapita ngakhale palibe vuto lalikulu pamenepo. Mu chithandizo chotchedwa rhizotomy, chomwe chimachitika ndikupeza ulusi wa mitsempha womwe umayambitsa mavuto womwe ukutumiza mauthenga olakwika, kuuwononga ndikuletsa uthengawo kuyenda. Zili ngati kudula waya wamagetsi wovuta. Zizindikiro za ululu zikasiya kupita ku ubongo mwanjira imeneyi, ululu womwe umamva umatha kapena umachepa kwambiri.
Kodi mumawononga bwanji mitsempha iyi?
Madokotala amagwiritsa ntchito njira zingapo pochita izi:
- Kuchotsa mitsempha ya opaleshoni: Nthawi zina, mitsempha imeneyi imadulidwa ndi kuchotsedwa mwa opaleshoni. Izi zitha kuchitika ngati opaleshoni yotseguka kapena endoscopically, yomwe imaphatikizapo kuyika kamera kudzera mu chotupa chaching'ono.
- Ndi mankhwala: Muthanso kuwononga mitsempha yomwe ikukambidwa pogwiritsa ntchito mankhwala monga glycerin.
- Kuchotsa mafunde a radiofrequency: Mafunde amphamvu kwambiri a radio amakhala olunjika ndipo kutentha komwe kumachitika kumagwiritsidwa ntchito kuwononga mitsempha. Njira imeneyi nthawi zambiri imatchedwa Radiofrequency Ablation (RFA) .
Mwachidule, Rhizotomy ndi njira yoletsa ntchito ya mitsempha yomwe imayambitsa kupweteka kapena kuuma kwa minofu kosafunikira (spasticity).
Rhizotomy, Ablation, Neurotomy... Kodi mawu awa amatanthauza chinthu chomwecho?
Inde, mawu awa akhoza kukhala osokoneza pang'ono, koma tanthauzo lake ndi losavuta.
- Kuchotsa mphuno m'mphuno:Ili ndi dzina la njira yochizira iyi. Izi zikutanthauza kuti, njira iliyonse yomwe imawononga ulusi wa mitsempha yomwe ili ndi vuto ingatchedwe dzinali.
- Kuchotsa Mitsempha: Ili ndi liwu lina lomwe limagwiritsidwa ntchito pofotokoza za Rhizotomy. Kuchotsa misempha kumatanthauza kuchotsa kapena kuwononga.
- Kuchotsa Ma Radiofrequency Ablation (RFA): Iyi ndi njira yeniyeni yomwe imagwiritsidwa ntchito pochotsa rhizotomy. Imakhala ndi kuwononga mitsempha pogwiritsa ntchito kutentha kuchokera ku mafunde a wailesi.
- Neurotomy: Ili ndi dzina lina lachipatala lotanthauza kudula kapena kuwononga mitsempha.
Izi zikutanthauza kuti mawu onsewa amatanthauza cholinga chimodzi. Choncho musadandaule ngati dokotala wanu agwiritsa ntchito mawuwa mosinthana.
Kodi chithandizo cha Rhizotomy chimathandiza ndi matenda ati?
Iyi ndi mfundo yofunika kwambiri. Kuchotsa ululu m'thupi si njira yoyamba yothandizira ululu wonse. Madokotala nthawi zambiri amayesa kaye zinthu monga physiotherapy, mankhwala oletsa kutupa (NSAIDs), kapena mitsempha yotsekeka. Chithandizochi chimaganiziridwa pokhapokha ngati zonsezi zalephera .
Pali mitundu yosiyanasiyana ya chithandizo cha rhizotomy, chilichonse chimayang'ana mitsempha yosiyanasiyana m'thupi.
| Mtundu wa Rhizotomy | Mitsempha yolunjika | Matenda ochiritsidwa |
|---|---|---|
| Rhizotomy ya Trigeminal Ganglioni | Mitsempha ya trigeminal ili mbali zonse ziwiri za nkhope. |
|
| Rhizotomy ya Mbali | Mizu ya mitsempha yomwe imadutsa m'malo olumikizirana mafupa a msana. | |
| Kuchotsa Mitsempha ya M'mimba Yosankhidwa (SDR) | Ulusi wina wa mitsempha yomwe ili pansi pa chingwe cha msana. |
Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizochi?
Ngati mwasankha kulandira chithandizochi, dokotala wanu ndi gulu lanu lachipatala adzakupatsani malangizo omveka bwino a momwe mungakonzekerere. Musaope kufunsa mafunso aliwonse omwe mungakhale nawo.
Kawirikawiri, muyenera kuyesedwa kangapo kuti mutsimikizire ngati chithandizochi chingakuthandizenidi.
- Mayeso ojambulira: Zinthu monga MRI scan kapena X-ray.
- Kutsekeka kwa Mitsempha: Kuti mudziwe bwino mitsempha yomwe ikuyambitsa vutoli, jakisoni wakanthawi amaperekedwa ku mitsempha kuti awone ngati ululu ukuchepa.
- Kuyezetsa magazi ndi mkodzo: Dziwani momwe thanzi lanu lilili.
Chithandizochi nthawi zambiri chimachitidwa pansi pa mankhwala oletsa ululu. Izi zikutanthauza kuti mwagona tulo tofa nato. Chifukwa chake, muyenera kukumana ndi dokotala woletsa ululu kuti muwonetsetse kuti ndi otetezeka kwa inu.
Komanso, ngati mukumwa mankhwala enaake, monga mankhwala ochepetsa magazi/oletsa magazi kutuluka magazi, mungafunike kusiya kuwamwa masiku angapo musanalandire chithandizo. Komabe, musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
Kodi chimachitika ndi chiyani kwenikweni panthawi ya chithandizo?
Ndizachilendo kumva mantha pang'ono mukamva izi, koma njira iyi ndi yokonzedwa bwino komanso yotetezeka. Pakhoza kukhala kusintha pang'ono kutengera njira yochizira, vuto lanu, ndi mitsempha yomwe ikuwomberedwa.
Izi ndi njira zomwe nthawi zambiri zimatsatiridwa:
1. Kuletsa kupweteka kapena kugona
Nthawi zambiri, mudzagonedwa tulo tofa nato, kotero simudzamva kupweteka kulikonse. Nthawi zina, mungagonedwe pang'ono (mankhwala ogonetsa) kapena malo okhawo omwe angakhale opanda dzanzi (local anesthetic).
2. Kupeza mtsempha woyenera (Chitsogozo cha Zithunzi)
Dokotala adzagwiritsa ntchito njira yapadera ya X-ray yotchedwa fluoroscopy kuti apeze mitsempha yomwe yayambitsa vutoli. Izi zikuthandizani kuwona bwino komwe mungaike singano. Nthawi zina, madzi apadera (utoto wosiyana) amatha kubayidwa mumtsempha kuti mitsempha iwonekere bwino.
3. Kuyesa Mitsempha
Musanawononge mitsempha, ndikofunikira kutsimikizira kuti mitsempha yomwe mukufuna ndiyo yolondola . Kuti muchite izi, mphamvu yamagetsi imaperekedwa kudzera mu singano. Nthawi zina mayeso otchedwa EMG (Electromyography) amagwiritsidwanso ntchito pa izi.
4. Kuwononga Mitsempha
Mitsempha yeniyeni ikatsimikizika, njira imodzi yomwe takambirana kale (mafunde a wailesi, mankhwala, kapena kudula opaleshoni) imagwiritsidwa ntchito kuletsa mitsempha kugwira ntchito.
Kodi chithandizochi chili ndi mphamvu yotani?
Anthu ambiri omwe amachitidwa opaleshoni ya rhizotomy amamva kupweteka kwa nthawi yayitali kapena kuuma kwa minofu kumachepa kwambiri. Anthu ena amamva kupweteka kwa zaka zambiri.
Komabe, si aliyense amene amapeza zotsatira zofanana. Pali nthawi zina pomwe ululu suchepa kwambiri kwa anthu ochepa kwambiri. Komanso, pakapita nthawi, mitsempha imatha kuchira pang'ono ndipo ululuwo ukhoza kubwereranso. Ngati izi zitachitika, mungafunike kuchitidwanso chithandizochi. Dokotala wanu adzakufotokozerani zambiri zokhudza kupambana kwa chithandizochi kutengera momwe mulili.
Kodi pali zotsatirapo kapena zoopsa zilizonse?
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, Rhizotomy ikhoza kukhala ndi zoopsa zina komanso zotsatirapo zake. Komabe, zambiri mwa izi ndi zazing'ono, ndipo zovuta zazikulu sizimachitika kawirikawiri. Zoopsazi zimasiyana malinga ndi mtundu wa njirayo komanso mitsempha yomwe ikuwomberedwa.
Chofunika kwambiri ndi chakuti dokotala wanu akuuzeni momasuka zoopsa zonse zomwe zingachitike musanalandire chithandizo, choncho musachite mantha.
| Zotsatirapo/zovuta | Kufotokozera |
|---|---|
| Zochitika zachizolowezi ndi zomwe zikuyembekezeredwa | |
| Ululu wochepa ndi mabala | Pakhoza kukhala ululu, mabala, kapena kutupa pamalo pomwe padadulidwa singano kapena chotupacho kwa masiku angapo. Izi nthawi zambiri zimatha pakatha masiku ochepa. |
| Kusanza | Mukamaliza opaleshoni ya trigeminal rhizotomy, makamaka pa mitsempha ya nkhope, mutha kumva kuwawa kapena dzanzi m'malo ena a nkhope. Izi ndi zotsatira zoyipa zomwe zimayembekezeredwa. |
| Zinthu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo (sizimachitika kawirikawiri) | |
| Zizindikiro za matenda | Zizindikiro monga kufiira kwambiri, kutupa, kutuluka mafinya m'malo omwe mwalandira chithandizo, komanso kutentha thupi. |
| Kupweteka kwambiri kapena mavuto a mitsempha | Kupweteka kwambiri, kutentha, kufooka kwa minofu, kapena dzanzi latsopano m'dera lochiritsidwa kapena mozungulira. |
| Kutuluka magazi ambiri | Ngati pali kutuluka magazi kosalekeza kuchokera pamalo omwe mwalandira chithandizo. |
Mukalandira chithandizo, mudzalandira malangizo omveka bwino okhudza zizindikiro zomwe muyenera kusamala nazo komanso nthawi yobwerera kukaonana ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Rhizotomy ndi njira yapadera yothandizira kupweteka kosatha, kwakukulu kapena kuuma kwa minofu (spasticity) pamene njira zina, monga mankhwala kapena physiotherapy, zalephera.
- Izi zimaletsa kugwira ntchito kwa mitsempha yovutitsa yomwe imanyamula zizindikiro za ululu ku ubongo ndikuchepetsa ululu.
- Ngakhale kuti chithandizochi ndi chothandiza kwambiri, si aliyense amene angapeze zotsatira zofanana.
- Monga momwe zimakhalira ndi chithandizo chilichonse, pali zoopsa ndi zotsatirapo zake, zomwe dokotala wanu adzakuuzani mokwanira.
- Dokotala wanu yekha ndi amene angasankhe ngati chithandizochi chili choyenera kwa inu. Choncho, muuzeni momveka bwino za ululu wanu ndipo mufunseni zomwe mungachite.
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