Yankho la ululu wosatha? Tiyeni tiphunzire za Stellate Ganglion Block (SGB)

Nthawi zina timakhala ndi ululu womwe sumatha ngakhale titamwa mankhwala kapena kuchita chilichonse. Kodi mwakhala mukuvutika ndi ululu, makamaka m'mutu, pakhosi, pachifuwa chapamwamba, kapena m'manja, kwa nthawi yayitali? Mwina chifukwa cha izi ndi vuto linalake la mitsempha yanu. Lero tikambirana za njira yapadera yothandizira yomwe madokotala amagwiritsa ntchito pazochitika zotere. Izi zimatchedwa Stellate Ganglion Block, kapena SGB mwachidule.

Mwachidule, kodi Stellate Ganglion Block (SGB) ndi chiyani?

Mwachidule, iyi ndi jakisoni wochepetsa ululu. Koma izi sizili ngati jakisoni wamba. Jakisoni uyu amalowetsedwa mu mtsempha wapadera womwe uli m'khosi mwathu, makamaka mbali zonse ziwiri za bokosi lathu la mawu. Mtsempha uwu umatchedwa 'Stellate Ganglion'.

Taganizirani za dongosolo lathu la mitsempha ngati netiweki ya mawaya a foni omwe amanyamula mauthenga. Nthawi zina, mauthenga osafunikira (zizindikiro za ululu) amatha kutumizidwa kumadera ena a netiweki iyi. Nthawi ngati zimenezi, zomwe katemera wa SGB amachita ndi "kugonetsa" mitsempha ya m'magazi kwakanthawi. Zili ngati kuzimitsa switch. Kenako zizindikiro zosafunikira za ululu kuchokera ku mitsempha kupita ku ubongo zimasiya. Izi zitha kuchepetsa ululu m'mutu, pakhosi, m'manja, ndi pachifuwa chapamwamba. Komanso, chithandizochi chimathandiza kuwonjezera kuyenda kwa magazi m'manja.

Ndiye, kodi gulu la nyenyezi limeneli ndi chiyani?

Ili ndi gulu la mitsempha lomwe lili pafupi ndi nthiti ziwiri zoyambirira, pansi pa khosi, kutsogolo kwa khosi lathu. Tili ndi imodzi mwa izi mbali zonse ziwiri za khosi lathu. Mawu oti 'stellate' amatanthauza 'ngati nyenyezi'. Chifukwa chake mtolo wa mitsempha uwu watchulidwa chifukwa umafanana ndi mawonekedwe a nyenyezi.

Dongosolo la mitsempha lothandiza anthu kuzindikira zinthu ndi gawo la dongosolo la mitsempha lodzilamulira lokha lomwe limayang'anira ntchito za thupi lathu zomwe sitiganizira (monga kugunda kwa mtima, kuthamanga kwa magazi, thukuta). Chifukwa chake, zizindikiro zambiri za mitsempha yothandiza anthu kuzindikira zinthu kumutu, pakhosi, m'manja, ndi pachifuwa chapamwamba zimachokera ku gulu la nyenyezi.

Kodi chithandizo cha SGB chimagwiritsidwa ntchito pa matenda otani?

Madokotala amagwiritsa ntchito kwambiri mankhwalawa pozindikira ndi kuchiza ululu wa nthawi yayitali womwe umachokera mu dongosolo la mitsempha (ululu wothandizidwa ndi chifundo) womwe palibe chifukwa chomwe chingapezeke. Kuphatikiza apo, mankhwalawa angagwiritsidwe ntchito pa matenda ena osiyanasiyana komanso matenda opweteka.

Kugwiritsa ntchito SGB pa mavuto amisala

Posachedwapa, kafukufuku wachitika pa zotsatira za chithandizo cha SGB pa matenda amisala monga Post-Traumatic Stress Disorder (PTSD). Ngakhale kuti anthu ena asonyeza kuchepa kwa zizindikiro za PTSD, ena sanatero. Chifukwa chake, izi zikadali mu gawo lofufuza, ndipo nthawi zambiri zimagwiritsidwa ntchito "zopanda chizindikiro" pokhapokha dokotala atayang'anitsitsa pamene mankhwala ena alephera.

Kodi chithandizochi chimachitidwa bwanji?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika jakisoni uyu akaperekedwa. Palibe chodetsa nkhawa nacho, nthawi zambiri izi zimatenga mphindi zosakwana 30.

1. Kukonzekera: Choyamba, mungapatsidwe mankhwala ochepa (IV sedation) mumtsempha womwe uli m'dzanja lanu kuti akuthandizeni kupumula. Kenako, mudzagonekedwa chagada patebulo lapadera.

2. Kuyeretsa: Dokotala adzayeretsa bwino ndikuchotsa mankhwala ophera tizilombo m'khosi momwe jakisoni adzaperekedwere.

3. Kusamva Chisoni: Kenako, singano yopyapyala kwambiri imagwiritsidwa ntchito kubaya mankhwala oletsa ululu m'khosi mwanu. Izi zidzakupangitsani kumva kupweteka.

4. Jakisoni wamkulu: Kenako, pogwiritsa ntchito ukadaulo wapamwamba monga ultrasound kapena fluoroscopic imaging kuti apeze bwino mizu ya mitsempha, dokotala amaika singano yachiwiri ndikubaya mankhwala opweteka akuluakulu. Njira imeneyi imachepetsa kwambiri chiopsezo chobaya mankhwala pamalo olakwika.

Mukamaliza kulandira chithandizo, ogwira ntchito zachipatala adzakuyang'anirani kwa ola limodzi. Mukatsimikizira kuti zonse zili bwino, mutha kupita kunyumba. Komabe, muyenera kukhala ndi munthu woti akutengereni kunyumba, chifukwa simudzatha kuyendetsa galimoto tsiku limenelo.

Kodi zotsatira zake zili bwanji? Kodi izi zimatenga nthawi yayitali bwanji?

Vutoli ndi la aliyense. Zotsatira zake zimasiyana malinga ndi munthu. Kwa anthu ena, ululu umatha nthawi yomweyo jekeseni ikatha, koma ululuwo ukhoza kubwerera patangopita maola ochepa mankhwala oletsa ululu atatha. Kwa ena, ukhoza kukhala kwa milungu kapena miyezi popanda ululu.

Kodi pali zotsatirapo zake ndi zoopsa zake?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, SGB ili ndi zotsatirapo zazing'ono komanso zovuta zazikulu zomwe sizichitika kawirikawiri.

Kuthekera kwa mavuto akuluakulu amenewa n'kochepa kwambiri , chifukwa madokotala amachita chithandizochi mosamala kwambiri pogwiritsa ntchito ukadaulo monga ultrasound.

Kodi muyenera kupita kwa dokotala liti?

Mukalandira chithandizo, ngati mukupeza zizindikiro zatsopano, mwachitsanzo , zizindikiro za matenda pamalo omwe mwalandira jakisoni (kutupa, kufiira, kupweteka kwambiri, malungo) kapena ngati vuto lomeza likupitirira, imbani dokotala nthawi yomweyo.

SGB ​​ndi mankhwala ofunika kwambiri omwe angathandize kuchepetsa ululu kwa nthawi yayitali. Komabe, sikugwira ntchito kwa aliyense. Ngati muli ndi nkhawa kapena kukayikira za chithandizochi, musabise chilichonse ndipo lankhulani momasuka ndi dokotala wanu. Iye adzayankha mafunso anu onse.