Yankho la ululu wosatha wosapiririka: Dziwani za Cholimbikitsa Msana

Nthawi zina timakhala ndi ululu womwe sumatha ngakhale titalandira mankhwala kapena physiotherapy. Kodi n'zovuta bwanji kukhala ndi ululu wamtunduwu womwe umapitirira tsiku ndi tsiku, mwezi ndi mwezi? Ngati inunso muli munthu amene amavutika ndi ululu waukulu komanso wautali, nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikulankhula za chipangizo chapadera chomwe chimayikidwa m'thupi mwa opaleshoni kuti chichepetse ululu wotere. Ichi chingakhale njira ina yabwino m'malo mwa mankhwala amphamvu ochepetsa ululu monga opioids, omwe angakhale osokoneza bongo kwa anthu ena.

Mwachidule, kodi cholimbikitsa msana ndi chiyani?

Chabwino, choyamba tiyeni timvetse momwe izi zimagwirira ntchito. Zimafunika kumvetsetsa pang'ono za dongosolo lathu la mitsempha ndi ululu.

Kodi ululu ndi chiyani?

Ululu nthawi zambiri umakhala chitetezo m'thupi lathu. Mukavulala, kupsa, kapena kuvulala, ndi zomwe zimauza ubongo kuti, "Pali vuto apa, samalani." Ululu ndi chizindikiro chachikulu cha matenda ambiri.

Komabe, ululu nthawi zonse sumatiteteza. Ululu womwe umabwera chifukwa cha matenda ena ndi wosapiririka. Komanso, ululu wina sumatha ndipo umapitirira. Timautcha ululu wosatha . Ukakhala ndi ululu wamtunduwu, sungagone bwino kapena kugwira ntchito iliyonse. Ukakhala chonchi kwa nthawi yayitali, ukhoza kukhala wovuta kwambiri.

Ululu wosatha umayambitsa kusintha kwa ubongo wathu ndi dongosolo lathu la mitsempha. Zotsatira zake, ngakhale ululu wochepa umatha kumveka kwambiri (hyperalgesia). Nthawi zina, zinthu zomwe siziyenera kupweteka zingayambitse ululu (allodynia). Izi zikutanthauza kuti pali vuto ndi dongosolo lathu lodziwitsa ululu.

Kodi dongosolo la mitsempha limagwira ntchito bwanji?

Ganizirani za mitsempha yanu ngati netiweki ya mafoni. Chidziwitso chimatumizidwa pakati pa ubongo ndi thupi lonse kudzera mu mizere iyi. Zizindikiro za ululu zimakhala ngati 'kuyitana' pa mizere iyi.

Kulimbikitsa Msana ndi njira yolimbikitsira ulusi wina wa mitsempha mumsana pogwiritsa ntchito mphamvu yamagetsi yabwino kwambiri . Mwachidule, 'kuyitana' kwa ululu kusanapite ku ubongo, chipangizochi chimapanga 'kuyitana' kwina pamzerewo. Kenako, mzerewo umakhala wotanganidwa, zomwe zimalepheretsa chizindikiro cha ululu kufika ku ubongo. Umu ndi momwe kumva ululu kumalamuliridwira.

Ndani akufunikira chithandizochi? Kodi ndi matenda otani?

Iyi si njira yothandizira aliyense. Nthawi zambiri imaonedwa ngati njira yothetsera ululu waukulu komanso wosatha womwe sunachiritsidwe bwino ndi mankhwala ena (monga mankhwala, jakisoni, ndi chithandizo cha thupi). Ngakhale opaleshoniyi imachitika kwambiri kwa akuluakulu, ingagwiritsidwenso ntchito pa matenda ena mwa ana aang'ono.

Pansipa pali zina mwazochitika zomwe chithandizochi chingakhale chothandiza.

Kodi chimachitika ndi chiyani opaleshoni isanachitike? Kodi ndikonzekera bwanji?

Popeza iyi si njira yoyamba yothandizira, mayeso osiyanasiyana (monga ma lab ndi ma scan) adzachitidwa opaleshoni isanachitike kuti atsimikizire kuti muli ndi thanzi labwino komanso kuti awone ngati pali chifukwa chosachitira opaleshoniyi.

Komanso, muyenera kuwona akatswiri angapo.

• Katswiri wa matenda a mitsempha: Nthawi zambiri ndi amene amatha kuzindikira bwino vuto lomwe limayambitsa ululu wanu.
• Katswiri wothandiza pa ululu: Dokotala uyu adzaona ngati mankhwala ena apambana asanayambe opaleshoni, kapena ngati pali chifukwa chomwe chithandizocho sichingachitikire.
• Dokotala wa opaleshoni ya ubongo: Amachita opaleshoniyo kuti aike chipangizochi.
• Dokotala wa zamaganizo kapena katswiri wa zamaganizo: Kupweteka kosatha kumatha kukhudza kwambiri thanzi lanu la maganizo. Ndikofunikira kufufuza ndikuchiza matenda omwe amayambitsa monga nkhawa kapena kupsinjika maganizo, chifukwa matenda ena amisala angapangitse kuti chithandizochi chisagwire ntchito bwino.
• Dokotala wogonetsa anthu ogonetsa: Opaleshoniyi imachitika pansi pa mankhwala ogonetsa anthu ogonetsa. Chifukwa chake, dokotala wogonetsa anthu ogonetsa adzakuyang'anirani, kukambirana za mbiri yanu ya thanzi, ndikukupatsani malangizo ofunikira.

Pambuyo pa zonsezi, ngati zatsimikizika kuti ndinu woyenera opaleshoni, mudzalandira malangizo a momwe mungakonzekerere opaleshoniyo.

• Mankhwala omwe mumamwa: Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini ndi zowonjezera. Mankhwala ena (monga ochepetsa magazi ) angafunike kuyimitsidwa kapena kusinthidwa musanachite opaleshoni. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.
• Kuyeretsa: Malangizo a momwe mungasambitsire musanachite opaleshoni komanso mtundu wa sopo woti mugwiritse ntchito.
• Kusala Kudya: Mudzalangizidwa kuti musadye zakudya zolimba kwa maola pafupifupi 8 ndi zakumwa kwa maola pafupifupi awiri musanachite opaleshoni.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Njira imeneyi nthawi zambiri imachitika m'magawo awiri. Choyamba ndi "kuyesa." Ngati izi zayenda bwino, chipangizocho chimayikidwa kosatha mu gawo lachiwiri.

Chipangizochi chili ndi zigawo ziwiri zazikulu. Chimodzi ndi mawaya amagetsi (ma leads). Izi zimayikidwa pamalo otchedwa epidural space pafupi ndi msana. Mawayawa amalumikizidwa ku jenereta yamagetsi. Ichi ndi gawo lomwe limagwira ntchito ngati batri ndipo limapanga magetsi.

Gawo loyamba: "Ndondomeko ya mlandu"

Izi zimaphatikizapo kuyika waya kwakanthawi kuti muone ngati chipangizocho chili choyenera kwa inu komanso ngati chimachepetsa ululu. Izi nthawi zambiri zimachitika pansi pa mankhwala oletsa ululu kuti mugone pang'ono. Dokotala amagwiritsa ntchito njira yapadera ya X-ray yotchedwa fluoroscopy (yofanana ndi kanema wa X-ray), amapanga kachidutswa kakang'ono pakhungu, ndikuyika waya wakanthawiyo kudzera mu singano pamalo oyenera pamsana.

Kenako, gawo la mawaya omwe amawonekera limalumikizidwa pakhungu ndikulumikizidwa ndi jenereta ya kugunda kwa mtima kwakanthawi kunja kwa thupi. Tsopano, amayatsa ndikuyang'ana ngati ikuchepetsa ululu wanu.

Ngati mayeso apambana, gawo lotsatira lidzakhala opaleshoni yokhazikitsa chipangizocho kwamuyaya.

Gawo lachiwiri: Kukhazikitsa chipangizocho kosatha (opaleshoni yoikamo)

Opaleshoni iyi imachitika pansi pa mankhwala oletsa ululu. Pano, dokotala wa opaleshoni, monga momwe zinalili mu kafukufukuyu, amaika zitsulo zamagetsi zokhazikika pamalo oyenera mu msana.

Kenako, mbali ina ya waya imatengedwa pansi pa khungu ndikulumikizidwa ku jenereta ya pulse, kapena batire, yomwe nthawi zambiri imayikidwa pamalo omwe mungathe kuwalamulira mosavuta. Mwachitsanzo, 'thumba' laling'ono limapangidwa pansi pa khungu pambali pa mimba kapena matako ndikusokedwa mkati.

Pali mitundu ingapo ya mabatire amenewa. Ena amafunika kuyatsidwa/kuzimitsidwa ndi remote. Ena amatha kubwezeretsedwanso. Amayikidwanso pakhungu, poika chojambulira chapadera pamalo pomwe pali batire.

Pomaliza, mabalawo amatsekedwa ndi ma stitches kapena staples.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?

Pambuyo pa mayeso, mutha kupita kunyumba tsiku lomwelo kapena tsiku lotsatira. Chida chokhazikika chikayikidwa, nthawi zambiri mumayenera kukhala m'chipatala kwa tsiku limodzi kapena awiri.

Pambuyo pa opaleshoni, makamaka mukayika chipangizo chokhazikika, mudzapemphedwa kuti muchepetse kuchita masewera olimbitsa thupi kwa milungu pafupifupi 4 mpaka 6. Muyenera kupewa kupindika, kunyamula, kapena kuchita masewera olimbitsa thupi okhwima mpaka malo omwe chipangizocho chinayikidwapo atachira bwino ndipo thupi lanu litazolowera.

Mudzapemphedwa kuti mubwererenso ku chipatala patatha milungu iwiri kuti mudzachotsedwe ma stitches/stapler pins.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zake. Ndikofunikira kudziwa bwino zonse ziwiri musanapange chisankho.

Kodi muyenera kukaonana ndi dokotala nthawi yanji?

Pambuyo pa opaleshoni, muyenera kupita kuzipatala pa masiku omwe akonzedwa. Komanso, ngati pabuka vuto lililonse, muyenera kufunsa upangiri wa dokotala nthawi yomweyo.

Kodi chithandizochi chapambana bwanji? Kodi ndingathe kukhala moyo wabwinobwino?

Kawirikawiri, pafupifupi theka la anthu omwe amalandira chithandizochi amapumula ululu ndi 50% . Komabe, kupambana kumeneku kumadalira zinthu zambiri, kuphatikizapo momwe wodwalayo alili komanso mtundu wa chipangizo chomwe wagwiritsa ntchito. Dokotala wanu ndiye munthu wabwino kwambiri woti akuuzeni momwe zingakuthandizireni kutengera momwe mulili.

Mungafunike kusintha zina ndi zina pa moyo wanu mukatha kuyika chipangizochi. Makamaka, pewani kupindika kapena kupotoza chifukwa izi zitha kuwononga chipangizocho.

Komabe, anthu ambiri amazolowera kukhala moyo wabwinobwino ndi chipangizochi. Kumbukirani, cholinga chachikulu ndikuchepetsa ululu wanu ndikukweza moyo wanu.