Ese wumva ububabare bukabije mu gituza cyawe, nk'uko urushinge rukurwa mu mbavu zawe, cyangwa nk'uko icyuma giterwa icyuma? Bishobora kuba urubavu rwavunitse, cyangwa ububabare bw'igihe kirekire buterwa no gukira indwara nk'indwara y'ibisebe. Uyu munsi, tugiye kuvuga ku buryo bwihariye abaganga bakoresha kuri ubu bwoko bw'ububabare budakira.
Mu magambo make, Intercostal Never Block ni iki?
Intercostal Neverve Block ni urushinge rwihariye ruterwa munsi y'urubavu rwawe rumwe, aho ububabare buba buri. Tekereza nawe, hari imitsi inyura munsi ya buri rubavu rwacu. Iyi mitsi tuyita Intercostal Neverves. Iyo ku mpamvu runaka iyi mitsi cyangwa ingingo ziyikikije zifunze, zikabyimba, cyangwa zikangirika, bishobora gutera ububabare budasanzwe.
Rero icyo uru rushinge rukora ni uguhagarika by'agateganyo imitsi itera ububabare. Uru rushinge rugizwe ahanini n'ubwoko bubiri bw'imiti:
1. Ubwoko bwa steroid: Ibi bigabanya kubyimba no kubyimba hafi y'imitsi.
2. Anesthesia yo mu gace: Iyi ihita igabanya ububabare, kimwe no gukurura ishinya mbere yo gukuramo iryinyo. Ibi bizafasha kugabanya ububabare vuba.
Hari igihe uru rushinge rukoreshwa mu kugaragaza icyateye ububabare, ni ukuvuga mu gusuzuma indwara.
Ni izihe nyungu z'uru rukingo?
Ubu buryo bwo kuvura bukoreshwa cyane cyane mu kugabanya ububabare mu gituza no mu nda yo hejuru.
| Imiterere y'ikoreshwa | Ibisobanuro byoroshye |
|---|---|
| Nk'uburyo bwo kuvura ububabare |
|
| Ibijyanye no kubagwa |
|
| Ku bijyanye no gusuzuma indwara | Hari igihe iki kizamini gishobora no gufasha kumenya niba ububabare bwawe buturuka hanze, nko mu mitsi cyangwa uruhu rwawe (ububabare bwo mu mubiri) cyangwa mu ngingo z'imbere, nko mu bihaha cyangwa mu mutima (ububabare bwo mu jisho). |
Ni gute nakwitegura uru rukingo?
Ibi ubusanzwe ntibisaba kwitegura cyane. Ariko hari ibintu by'ingenzi ugomba kubwira muganga wawe.
- Vuga ku miti igabanya amaraso: Niba ufata imiti igabanya amaraso, nka Warfarin, ugomba kubimenyesha muganga wawe. Ibi bishobora kongera ibyago byo kuva amaraso aho watewe inshinge. Ntugahagarike gufata iyi miti utabanje kuvugana na muganga wawe.
- Niba uhawe umuti wo kugabanya ububabare: Hari igihe ushobora guhabwa umuti wo kugabanya ububabare (umuti) mbere yo kubagwa. Ibi nibirangira, uzasabwa kwiyiriza ubusa amasaha 6-8. Uzakenera kandi umuntu uzagutwara akagutwara mu rugo nyuma yo kubagwa.
Ariko, muganga wawe azagusobanurira ibi byose. Ntutinye kubaza ikibazo icyo ari cyo cyose ufite.
Uburyo bwo gukingira bukora bute?
Iyi ni inzira yoroshye ubusanzwe bifata iminota mike.
1. Aho uherereye: Uzashyirwa ku buriri, haba ku ruhande rwawe nta bubabare cyangwa ku nda yawe.
2. Kuruhuka (nibiba ngombwa): Niba wumva uhangayitse cyangwa ufite ubwoba, umuti wo kuruhuka ushobora gutangwa binyuze mu kanula ishyizwe mu mitsi iri mu kuboko kwawe.
3. Gusukura: Aho ukingira hasukurwa neza hakoreshejwe umuti wica udukoko.
4. Gutera ibisebe: Hanyuma, umuti ugabanya ububabare uterwa muri ako gace ukoresheje urushinge ruto. Muri iki gihe, ushobora kumva umeze nk'uri kurumwa n'ikinyobwa gito.
5. Kubona ahantu heza:Ubu ni cyo kintu cy'ingenzi kurusha ibindi. Muganga akunze gukoresha igikoresho nka scanner (ultrasound cyangwa fluoroscopy) kugira ngo arebe neza aho imitsi iri kuri ecran. Ibi bituma urushinge ruterwa neza aho rugomba kuba ruri.
6. Gutanga inshinge nyamukuru: Hanyuma, umuti urimo steroid na anesthesia uterwa iruhande rw'imitsi.
7. Kuruhuka: Nyuma yo gukingirwa, uzakurikiranwa mu gihe cy'iminota 15-30 mbere yo koherezwa mu rugo.
Ingaruka zishobora guterwa n'ingaruka zishobora guterwa nyuma yo kuvurwa
Nubwo ubu buryo ari ubuvuzi bwizewe cyane, kimwe no ku bundi buryo bwose bwo kwa muganga, hashobora kubaho ingaruka nke.
Hashobora kubaho uburibwe buto cyangwa ubururu aho watewe inshinge mu minsi ibiri cyangwa itatu. Ibi ni ibisanzwe.
Ariko, hari ingorane zikomeye zishobora kubaho gake cyane.
| Ingaruka | Ibisobanuro |
|---|---|
| Kuva amaraso | Urushinge rushobora kwangiza umutsi muto w'amaraso. |
| Kwandura | Kimwe n'urukingo urwo ari rwo rwose, hari amahirwe make cyane yo kwinjira kwa mikorobe. |
| Ibihaha byaguye/Pneumothorax | Ni gake cyane, urushinge rushobora kugonga agahu k'ibihaha, bigatera umwobo muto. Ubu ibyago ni bike cyane bitewe no gukoresha ibyuma bipima. |
| Kwangirika kw'imitsi | Iki kandi ni ikintu gishobora kubaho gake cyane. |
Koroshya ububabare bimara igihe kingana iki?
Ibi biratandukanye bitewe n'umuntu ku wundi.
- Kuri bamwe, ububabare burashira nyuma yo guterwa urushinge. Ariko ibyo biterwa n'ingaruka mbi z'umuti. Ushobora kugabanuka mu masaha make.
- Ubutabazi bw'igihe kirekire butangira nyuma y'uko imiti ya steroid itangiye gukora, bivuze ko nyuma y'iminsi ibiri cyangwa itatu.
- Hari abantu babona uruhu rworoshye mu gihe cy'amezi menshi . Iyo ubuvuzi bugufashe neza, ushobora kongera kubona uru rushinge niba ububabare bwongeye kugaruka, nk'uko muganga yabigutegetse.
Ni ryari ngomba kujya kwa muganga?
Niba ugaragaje ibimenyetso bishya cyangwa ukeka ko hari ingorane nyuma yo guhabwa urukingo, menyesha muganga wawe ako kanya . Cyane cyane:
- Niba aho bateye hari umutuku, habyimbye, cyangwa hari amabyi (ibimenyetso by'ubwandu).
- Niba urwaye umuriro.
- Niba ufite ikibazo cyo kubura cyangwa intege nke mu kuguru cyangwa ku kuboko.
- Niba ufite ikibazo cyo guhumeka.
Ubutumwa bwo kujyana mu rugo
- Intercostal Never Block ni uburyo bwihariye bwo kuvura indwara ziterwa n'ubwoko bumwe na bumwe bw'ububabare mu gituza cyangwa mu nda yo hejuru.
- Muri rusange ibi ni byiza cyane, kandi ingorane ni nke kuko bikorwa hifashishijwe ibyuma bipima.
- Mbere yo kuvurwa, ni ngombwa kumenyesha muganga wawe imiti yose ufata, cyane cyane imiti igabanya amaraso.
- Igihe bifata kugira ngo ububabare bugabanuke gishobora gutandukana bitewe n'umuntu ku wundi.
- Niba hari ibimenyetso bidasanzwe bigaragaye nyuma yo kuvurwa, shaka ubufasha bwa muganga ako kanya.
- Niba ufite impungenge cyangwa gushidikanya kuri ubu buryo bwo kuvura, vugana na muganga wawe ku mugaragaro.
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