Ese wigeze ugira ikibazo gikomeye cy'umutwe nyuma yo guterwa umugongo, cyangwa epidural kugira ngo ubyare umwana wawe? Uyu mutwe, ubabaza cyane iyo uhagaze cyangwa uhagaze, ariko ukagabanuka iyo uryamye, urababaza cyane, si byo se? Uyu munsi turimo kuvuga ku buvuzi bwihariye abaganga basaba iyo nta buvuzi busanzwe bugabanya ububabare. Ubwo buryo bwo kuvura bwitwa Epidural Blood Patch.
Agace k'amaraso ko mu bwoko bwa epidural ni iki?
Mu magambo make, ibi bikubiyemo gufata amaraso yawe ukayashyira mu mwanya ukikije uruti rw'umugongo witwa 'umwanya wo mu bwonko'. Noneho ushobora kuba urimo kwibaza uti "Kuki nongeye guterwa amaraso yanjye?"
Iyi niyo mpamvu. Nkuko twabivuze mbere, iyo ugize ikibazo cyo gupfundika mu ruhu cyangwa mu gifu, umwobo muto ushobora gukorwa muri dura mater (ururenda rukikije umugongo). Ibi bituma amwe mu mazi y'agaciro ari muri yo, yitwa cerebrospinal fluid (CSF), avamo. Iyo aya mazi ashize, ushobora kugira umutwe ukomeye utuma bigorana gukomeza umutwe wawe ugororotse.
Rero iki gikoresho cy'amaraso gikora ibintu bibiri by'ingenzi:
1. Bihagarika amazi ava mu mubiri: Iyo amaraso yawe amaze guterwa mu mwanya wa epidural, amaraso arafunga umwobo muto. Ni nko gushyiramo agapfundikizo. Ibi bibuza amazi ya CSF kuva.
2. Umuvuduko uragaruka: Iyo amaraso amwe yongewe mu mwanya, umuvuduko watakaye imbere ugaruka ku rugero runaka kandi umutwe ugahita ugabanuka.
Ubu ni uburyo bwo kwihitiramo bukorwa ku nama ya muganga kandi bushobora gutorwa hakurikijwe ibyo wifuza.
Ni ryari ubu buvuzi bukenewe?
Niba ufite umutwe ukomeye w'umugongo udacika bitewe n'ubuvuzi busanzwe, muganga wawe ashobora kukugira inama yo gukoresha iki gikoresho cyo gusiga amaraso. Ubusanzwe, ikintu cya mbere ugomba kugerageza ni iki:
- Guma mu buriri kandi uruhuke uko bishoboka kose.
- Nywa amazi menshi n'ibinyobwa byinshi (wenda ibinyobwa bya IV, ni ukuvuga umunyu, nabyo bishobora gutangwa).
- Gukoresha imiti nka imiti igabanya ububabare (NSAIDs).
- Nywa ibinyobwa birimo kafeyine, nka kawa.
Ariko niba ubu buryo bwo kuvura budatuma umuntu ababara umutwe, cyangwa niba udashobora kuguma mu buriri (urugero, umubyeyi uherutse kubyara ufite umwana cyangwa umuntu ukeneye kujya ku kazi vuba), gusiga amaraso ni igisubizo cyiza.
Umutwe uterwa n'umutwe uterwa n'umugongo cyane cyane nyuma y'ibihe nk'ibi:
- Nyuma yo gufata amazi mu mugongo (Umugongo upfutse / Gupfumura mu gifu).
- Nyuma yo guterwa epidural, itangwa kugira ngo igabanye ububabare mu gihe cyo kubyara cyangwa kubagwa.
- Iyo agace gatwikiriye umugongo (dura) kangiritse mu gihe cyo kubagwa umugongo cyangwa impanuka.
Witegura ute mbere yo kuvurwa?
Ntugahangayike, muganga wawe azagusobanurira uburyo bwo gukora, ibyiza n'ibibi byabwo, n'uko bukora. Ushobora kugirwa inama yo kwirinda kurya cyangwa kunywa amasaha agera ku munani mbere yo gukora. Nanone, menya neza ko wabwiye muganga wawe ibi bikurikira:
- Niba ufata ikintu nk'imiti igabanya amaraso (anticoagulants).
- Niba urwaye diyabete kandi ukoresha insuline.
- Niba ufite allergie ku miti iyo ari yo yose, cyane cyane imiti igabanya ububabare.
- Niba utwite.
Uburyo bwo gukora agace k'amaraso intambwe ku yindi
Uburyo bwo kuvura ni ubworoshye cyane. Reka turebe uko bigenda intambwe ku yindi.
| Intambwe | Ibiba |
|---|---|
| 1. Imiterere | Uzasabwa guhindukira uryame cyangwa wicare. Icy'ingenzi ni uguhagarara utekanye muri iki gihe. |
| 2. Gusukura | Agace k'urushinge gashyirwamo inyuma n'ako amaraso yakuwemo mu kuboko byozwa neza n'umuti wica udukoko. |
| 3. Kutamenya | Kugira ngo ugabanye ububabare, umuti ugabanya ububabare uterwa mu gace k’aho urushinge rushyizwe. |
| 4. Gukusanya amaraso | Kanula (catheter ya IV) ishyirwa mu mutsi uri mu kuboko kwawe hanyuma hagafatwa mililitiro zigera kuri 15-20 z'amaraso yawe bwite. |
| 5. Gushyiramo urushinge | Umuganga w’indwara zo gusinziriza cyangwa inzobere mu by’imirasire y’amaraso ashyira urushinge rwihariye mu mwanya w’inyuma w’inyuma, rimwe na rimwe agakoresha ultrasound kugira ngo amenye neza aho imiterere y’umubiri iherereye. |
| 6. Gusohora amaraso | Amaraso akuwe mu kuboko ashyirwa buhoro buhoro mu mugongo mu gihe cy'amasegonda 30-60. Muri iki gihe, ushobora kumva ububabare buto cyangwa umugongo wawe ufunze. Ugomba guhita ubwira muganga icyo wumva. |
| 7. Gusoza | Urushinge rurakurwaho hanyuma hagashyirwa igitambaro kuri icyo gice. Nguko uko byagenda kose. |
Bigenda bite nyuma yo kuvurwa?
Abantu benshi bahita bakira ububabare bw'umutwe nyuma yo kuvurwa. Iyo ni yo nyungu ikomeye y'ubu buvuzi.
Nyuma yo kuvurwa, uzajyanwa mu cyumba cyo kwivurizamo kugira ngo uruhuke gato. Nyuma y'ibyo, ushobora gutaha. Muganga azakugira inama yo kwirinda gukora imirimo ivunanye, guterura ibintu biremereye, no kunama amasaha 24. Nyuma y'ibyo, ushobora gusubira mu mirimo yawe isanzwe.
Ibi se bigutera inzozi?
Ubusanzwe, abantu bakuru ntibaba bafite ikiruhuko cy’umubiri burundu mu gihe cy’ubu buvuzi. Ibi biterwa nuko ugomba kubwira muganga uko wumva iyo amaraso aguteye mu mugongo. Ariko, aho bateye ni ho honyine hacika intege kugira ngo utababara. Ariko, niba ufite impungenge cyangwa impungenge kuri ibi, menya neza ko ubibwiye muganga wawe. Abana bato bashobora kuba bafite ikiruhuko cy’umubiri mu gihe cy’ubu buvuzi.
Ibyiza n'ingorane zishobora guterwa n'agapira k'amaraso
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu ndetse n'ingaruka nke.
| Ibyiza | Ingaruka n'ingorane byagize |
|---|---|
| Ituza vuba kandi irambye. Itanga ihumure ryihuse ku mutwe ukomeye ushobora kumara ibyumweru bibiri. Ifite akamaro cyane kuruta umuti w'igihe gito nk'umuti ugabanya ububabare. |
|
Dukurikije ubushakashatsi, ubu buryo bwo kuvura bugira ingaruka nziza ku bantu 85 kuri 100 (85%). Iyo bwa mbere bunaniranye, agace k'amaraso ka kabiri gatanga umusaruro wa 90%.
Ni ryari nkwiye guhamagara muganga ako kanya?
Niba ugaragaje ibimenyetso by'ubwandu nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe. Witondere ibi bimenyetso:
- Gutukura, guhinduka ibara, ububabare, n'amabyi aho watewe urushinge.
- Umuriro .
- Kumva unaniwe cyane.
Nubona ikintu nk'iki, ntugatinde. Shaka inama kwa muganga ako kanya.
Ubutumwa bwo kujyana mu rugo
- "Umutwe wo mu mugongo" si umutwe usanzwe. Epidural Blood Patch ni igisubizo cyiza cyane kuri ubu bubabare, burushaho kuba bubi iyo uhagaze.
- Muri ibi, amaraso yawe make ashyirwa mu mugongo. Bityo rero nta cyo ugomba gutinya. Ubu buvuzi bufatwa nk'uburyo bwizewe cyane.
- Ubuvuzi bugira ingaruka nziza ku kigero cya 85%. Ariko kimwe n'ibindi byose, hari ingaruka nke. Vugana na muganga wawe ku mugaragaro kandi ubaze ibibazo byose ufite.
- Niba ubonye ikintu icyo ari cyo cyose nyuma yo kuvurwa, nko kugira umuriro, kubyimba, gutukura, cyangwa amabyi aho watewe inshinge , shaka ubufasha bwa muganga byihutirwa .
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