Ese urambiwe ububabare bukabije buri gihe mu kaguru kawe cyangwa mu gice cyo hasi cy'umugongo? Hari igihe bigoye kumenya icyateye ubu bubabare, si byo se? Uyu munsi tugiye kuvuga ku buryo bwihariye bwo kuvura abaganga bakoresha muri bene ubwo buryo. Ubu buryo bwitwa Lumbar Sympathetic Block. Nubwo iryo zina rigoye gato, ubutabazi butanga burakwiye.
Urufunguzo rw'ubuhumekero bwa Lumbar Sympathetic ni iki?
Mu magambo make, iyi ni inshinge yihariye y'umuti mu mugongo wawe wo hasi, uri mu ruti rw'umugongo. Ibuza by'agateganyo ibimenyetso by'ububabare kujya ku maguru yawe.
Tekereza sisitemu yacu y'imitsi nk'urusobe rw'insinga z'amashanyarazi. Iyi mitsi itwara ubutumwa buva mu bwonko bujya mu mubiri, buva mu mubiri bujya mu bwonko. Hari igice cy'iyi sisitemu y'imitsi cyitwa 'sisitemu y'imitsi yigenga'. Iki gice kigenzura ibintu tudashobora kugenzura, nko guhumeka, kubira ibyuya, n'umuvuduko w'amaraso.
Imitsi yo mu bwonko yitwa 'Sympathetic' rimwe na rimwe itangira kohereza ibimenyetso by'ububabare bitari ngombwa mu bwonko nyuma y'impanuka. Icyo gihe ni bwo Lumbar Sympathetic Block 'icecekesha' iyo mitsi by'agateganyo ikagabanya ububabare.
Ni izihe nyungu z'ubu buryo bwo kuvura?
Ubu buryo bwo kuvura bukoreshwa kubera impamvu eshatu z'ingenzi.
| Intego y'ubuvuzi | Ibisobanuro byoroshye |
|---|---|
| Kugabanya ububabare | Itanga ihumure ry'igihe gito ku bubabare bukabije cyangwa budakira. Uyu muti ugabanya kubyimba mu mitsi kandi ukayiha amahirwe yo gukira. |
| Kumenya impamvu y'ububabare | Hari igihe bigorana kubona impamvu nyayo y'ububabare. Muri icyo gihe, muganga azatanga uru rushinge. Iyo ububabare bugabanutse, byemezwa ko ikibazo kiri muri iyi mitsi. Iyo nta buvuzi buhari, impamvu ishobora kuboneka ahandi. |
| Nk'umuti ugabanya ububabare mu kubagwa | Iyi ngingo itangwa mbere yo kubagwa kugira ngo hagenzurwe ububabare bubaho nyuma yo kubagwa. |
Muganga ashobora kukugira inama yo kuvura ubu buryo niba ufite ububabare mu maguru no mu birenge byo hasi, cyane cyane bitewe n'indwara zikurikira:
- Indwara y'ububabare bw'akarere iteye ubwoba (CRPS)
- Ububabare budasanzwe ku maguru
- Kubira ibyuya byinshi (Hyperhidrosis)
- Imitsi yo mu bwonko iterwa na diyabete
- Ububabare bw'imitsi nyuma yo kurwara shingles (postherpetic neuralgia)
- Indwara ya Raynaud
- Ububabare bwa kanseri
- Ububabare bw'imitsi
Wakwitegura ute ibi?
Mu by’ukuri, ibi ubusanzwe ntibisaba imyiteguro yihariye.
Ariko, niba muganga aguhaye umuti wo kuruhuka mu gihe cyo kubagwa, azakubwira kwirinda kurya cyangwa kunywa mu gihe cy'amasaha agera kuri 6-8 . Azagusaba kandi kuzana umuntu wo kugutwara mu rugo uwo munsi. Kubera ko uzaba wasinze, ntuzashobora gutwara imodoka.
Icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe neza. Niba ufite impungenge, ntutinye kubaza.
Ni iki kibaho mu gihe cyo gukorerwa ikizamini?
Ibi akenshi bikorwa ku barwayi basanzwe, utiriwe uguma mu bitaro. Ibi bivuze ko ushobora gutaha nyuma gato y'igikorwa.
Reka turebe ibisanzwe bibaho intambwe ku yindi:
1. Uzahindurirwa inda maze uryame ku meza yihariye.
2. Ushobora guhabwa umuti woroshye wo kuruhuka unyuze mu murongo wa IV mu kuboko kwawe kugira ngo bigufashe kuruhuka.
3. Hanyuma, aho bateye hasukurwa neza n'umuti wica udukoko.
4. Batera urushinge ruto kugira ngo bashire ibisebe muri ako gace. Bityo ntuzumva ububabare bwinshi, ariko ushobora kumva umerewe nabi gato iyo urushinge rwinjiyemo.
5. Hanyuma, muganga ashyira urushinge mu gace gakwiye k'imitsi mu gihe arureba akoresheje X-ray.
6. Ushobora kandi gukenera gutera umuti wihariye (irangi ritandukanye) kugira ngo umenye neza ko uri ahantu heza.
7. Hanyuma, hatangwa urushinge rwa steroid kugira ngo bigabanye ububabare no kubyimba.
Ibi byose bifata iminota iri munsi ya 30 .
Ni iki ushobora kwitega nyuma yo guterwa urushinge?
Nyuma yo guterwa urushinge, umugongo wo hasi n'ukuguru bishobora kumva bishyushye cyangwa 'bitandukanye' gato. Ububabare buzagenda bugabanuka buhoro buhoro. Ukuguru kwawe gushobora kumva gushize kandi gucitse intege, ariko ibi bizashira uko umuti wo kugabanya ububabare ugenda ushira.
Ushobora kurya no gufata imiti yawe uko bisanzwe. Ariko ntukore akazi katoroshye cyangwa kagoye mu gihe cy'amasaha 24. Ruhuka bihagije. Ushobora gusubira mu mirimo yawe isanzwe umunsi ukurikiyeho.
Ese hari ingaruka mbi n'ingaruka mbi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka mbi zishobora kubaho, ariko ingorane zikomeye ni gake cyane.
| Ubwoko bw'ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka Zisanzwe | |
| Aho bateye inshinge | Hashobora kubaho gukomereka, kubyimba, n'ububabare buke. Ibi bikunze kurangira mu minsi mike. |
| Ingorane Zidakunze Kugaragara | |
| Izindi ngaruka | Kuva amaraso, isereri, kuribwa umutwe, no kugira ibinya cyangwa intege nke by'igihe gito ku kuboko kw'aho bateye inshinge bishobora kubaho. |
| Ingorane Zidasanzwe Ariko Zikomeye | |
| Ibihe bikomeye | Hari ibintu bimwe na bimwe bishobora kubaho, nko kwandura indwara, gutera imiti mu mitsi y'amaraso ku bushake, kwangiza impyiko, cyangwa kugira ubwivumbure bw'imiti. Ariko ibi ni gake cyane. |
Ubwo buruhukiro buzamara igihe kingana iki?
Ibi biratandukanye cyane bitewe n'umuntu ku giti cye. Hari abantu bamara iminsi mike nta bubabare, abandi ibyumweru. Ububabare bushobora kugabanuka ako kanya nyuma yo guterwa urushinge. Ariko ibyo biterwa nuko iyi steroid ari umuti utuma umuntu agira ibinya. Iyo iyi steroid itangiye gukora, bifata iminsi ibiri cyangwa itatu kugira ngo itangire kuruhuka igihe kirekire.
Kenshi na kenshi, kugira ngo ukomeze kumererwa neza, uzakenera guterwa uru rushinge inshuro nyinshi. Hari igihe ebyiri ziba zihagije, hari n'igihe uzakenera guterwa urushinge rurenga 10 uko igihe kigenda gihita. Ibi bizagenwa na muganga wawe.
Ni ryari ngomba kubonana na muganga?
Niba ugaragaje ibimenyetso bishya nyuma yo guterwa urushinge, urugero, niba aho watewe urushinge hatukura, habyimbye, cyangwa hasa n'aho hari ubwandu, niba ubabara amaguru, ukagira ububabare bukabije, cyangwa ufite intege nke, hamagara muganga wawe vuba.
Urushinge rw'imitsi yo mu bwonko ni uburyo bwiza bwo kuvura butuma abantu benshi babana n'ububabare bugabanuka. Ariko, ibisubizo ntibihwanye kuri bose. Niba ufite ubwoba cyangwa gushidikanya kuri uru rushinge, ntugire icyo uhisha. Vugana na muganga wawe mu buryo bweruye kandi umusobanurire byose.
Ubutumwa bwo kujyana mu rugo
- Urushinge rwa Lumbar Sympathetic Block ni urushinge rwihariye rushyirwa mu mugongo wo hasi. Ruhagarika by'agateganyo ibimenyetso by'ububabare bijya ku maguru.
- Ikoreshwa mu kuvura ububabare, gushaka icyateye ububabare, no kugenzura ububabare nyuma yo kubagwa.
- Ubusanzwe iki gikorwa kimara munsi y'iminota 30. Ni ngombwa kuruhuka amasaha 24 nyuma yo kuruhuka.
- Si abantu bose babona ibisubizo bimwe, kandi ubutabazi ubona bushobora gutandukana rimwe na rimwe.
- Ni ingenzi cyane kuganira na muganga wawe ku bijyanye n'ubuvuzi cyangwa ububabare ubwo aribwo bwose bushobora kubaho nyuma y'aho nta bwoba.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.