Umuti wo kuvura ububabare budakira: Reka twige ku bijyanye na Neurolysis, uburyo bwo kuvura imitsi

Hari igihe tugira ububabare budashira uko imiti twafata cyangwa ubuvuzi bw'umubiri bwaba bungana kose. Biragoye cyane kwihanganira ubu bubabare butubabaza amezi menshi, wenda n'imyaka, si byo se? None se, muri icyo gihe, waba warigeze kumva uburyo bwihariye bwo kuvura buhagarika ububabare? Uyu munsi turimo kuvuga bumwe muri ubwo buryo bwo kuvura, Neurolysis.

Neurolysis ni iki mu buryo bworoshye?

Muri make, Neurolysis ni uburyo bwihariye bwo kuvura bukoreshwa mu kugabanya ububabare. Bukubiyemo gutera ikintu cya shimi hafi y'umutsi utera ububabare, gusenya cyangwa guhagarika uwo mutsi. Ibi bikorwa hakoreshejwe alcool `(ethanol)`, phenol `(phenol)`, cyangwa glycerol`(glycerol).

Tekereza muri ubu buryo: imitsi yo mu mubiri wacu imeze nk'insinga z'amashanyarazi. Itwara ubutumwa buva mu bwonko bujya mu bindi bice by'umubiri. Ubu butumwa ni bwo butuma twumva ububabare no gukorakoraho. Gukoresha ubwonko bikubiyemo guhitamo umutsi utwara ubutumwa bw'ububabare, kuwuhagarika , no guhagarika ubwo butumwa kujya mu bwonko.

Ijambo "neurolysis" rishobora gukoreshwa muri rusange mu gusobanura uburyo ubwo aribwo bwose abaganga bakoresha mu guhagarika imitsi nkana. Kubera iyo mpamvu, hari ubundi buryo butandukanye usibye gutera imiti.

• Gukuraho imirasire y'amajwi ( RFA ): Ibi bikoresha imiraba ya radiyo kugira ngo bikore ubushyuhe kandi bisenye igice gito cy'imitsi.
• Kuvura indwara yo mu bwonko: Ibi bikubiyemo gusenya imitsi hakoreshejwe ubukonje bukabije (cryotherapy).
• Kubaga neurolysis (neurectomy): Kubaga kugira ngo haveho igice cy'imitsi cyangwa gukuraho ingingo zidakenewe zikikije imitsi kugira ngo bigabanye ububabare.

Nkuko bigenda kuri ubu buryo bwinshi bwo kuvura, ibisubizo bya Neurolysis bishobora gutandukana bitewe n'umuntu ku wundi. Ububabare budakira ni ikibazo kigoye, bityo ni ngombwa gukorana na muganga wawe kugira ngo barebe niba ubu buryo bwo kuvura bukubereye.

Ni nde ukeneye ubu buvuzi?

Niba ufite ububabare bukomeye cyangwa budakira budagenzurwa n'ubuvuzi busanzwe, nko kuvura umubiri cyangwa imiti igabanya ububabare, muganga wawe ashobora kukugira inama yo gukoresha Neurolysis. Ikoreshwa cyane cyane ku bwoko bukurikira bw'ububabare:

• Ububabare bw'imitsi
• Ububabare bwa kanseri
• Ububabare buturuka ku ngingo z'imbere (ububabare bwo mu nda)

Byongeye kandi, ubu buryo bwo kuvura bushobora no gukoreshwa mu kuvura indwara y'ikirenge yitwa `Morton's neuroma` ndetse rimwe na rimwe no mu kugenzura imitsi ikomeye cyane (spasticity).

Ese Neurolysis na Neva Block ni ibintu bitandukanye?

Nubwo aya mazina yombi asa, ni uburyo bubiri butandukanye bwo kuvura. Nubwo intego ya byombi ari ukugabanya ububabare, uburyo akora n'igihe ingaruka zabyo zimara biratandukanye. Reka dusobanukirwe neza iri tandukaniro.

Witegura ute mbere yo kuvurwa?

Uburyo witegura ubu buvuzi bushobora gutandukana bitewe n'impamvu y'ubuvuzi bwawe n'aho watewe urushinge. Muganga wawe azaguha amabwiriza yihariye. Urugero, ushobora gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe. Ni ngombwa cyane gukurikiza aya mabwiriza neza.

Hari ubwo ushobora guhabwa umuti ugabanya ububabare kugira ngo ugire icyo umara kandi usinzire muri ubu buryo. Ibi nibirangira, uzasabwa kwiyiriza ubusa (nturye cyangwa ngo unywe ikintu icyo ari cyo cyose) amasaha 6-8 mbere yo kuvurwa. Uzakenera kandi kuzana umuntu wo kugutwara mu rugo nyuma yo kuvurwa.

Uburyo bwo kuvura indwara y'ubwonko bukorwa

Kubera ko hari ubwoko bwinshi bwa neurolysis bwibasira imitsi itandukanye mu mubiri, hari itandukaniro rito muri iyo nzira, ariko muri rusange bigenda gutya:

1. Gushyiramo: Uzasabwa kuryama mu mwanya runaka ku meza yo gusuzuma kugira ngo byorohereze muganga gutanga urushinge.

2. Gutuza : Nibiba ngombwa, uzahabwa imiti binyuze muri kanula ishyizwe mu mitsi iri mu kuboko kwawe (umurongo wa IV) kugira ngo ikuruhure.

3. Gusukura: Aho bateye hasukurwa neza n'umuti wica udukoko.

4. Kubabara: Hanyuma, haterwa agashinge gato k'ikinyabutabire cyo mu gace k'umubiri kugira ngo hatagira ibisebe aho bateye urushinge rwa Neurolysis. Muri iki gihe, ushobora kumva ubabara gato iyo urushinge rukubise.

5. Kwemeza aho urushinge ruherereye: Muganga ashobora gukoresha uburyo bwo gupima nka ultrasound , fluoroscopy (X-ray), cyangwa CT kugira ngo arebe neza aho urushinge ruri. Ibi bishobora gufasha kumenya neza aho urushinge ruherereye.

6. Gutanga urukingo: Hanyuma, umuti uterwa hafi cyane y'imitsi.

7. Kwitegereza: Nyuma yo kuvurwa, uzakurikiranwa na muganga igihe runaka kugira ngo arebe neza ko nta ngaruka mbi zitunguranye zizabaho.

8. Gutaha: Niba byose bimeze neza, uzemererwa gutaha.

Ni izihe nyungu n'ibibi by'ubu buryo bwo kuvura?

Ibyiza

Akamaro k'ingenzi k'ubu buvuzi ni ukugabanya ububabare . Bushobora kuba ubw'igihe gito cyangwa ubw'igihe kirekire. Ubu buvuzi bushobora kugufasha cyane gukora imirimo yawe ya buri munsi byoroshye kandi bukanatuma ubuzima bwawe burushaho kuba bwiza .

Ingaruka n'ingorane

Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubuvuzi bwa neurolysis bufite ingaruka zimwe na zimwe .Izi ngaruka ziratandukanye bitewe n'aho inshinge zatewe n'aho zigenewe. Kubera ko inshinge zatewe ari amazi, hari amahirwe make ko zishobora gukwirakwira mu ngingo, imitsi, cyangwa imiyoboro y'amaraso iri hafi aho.

Zimwe mu ngaruka mbi zishobora guterwa n'iyi ndwara ni izi:

• Kwandura cyangwa kuva amaraso aho bateye inshinge.
• Iyo umutsi w’amaraso uri hafi aho ugenzura ingendo wangiritse, ubumuga bushobora kubaho.
• Neuritis: Iyo imitsi yavuwe itangiye kongera gukura, hyperesthesia (kubabara cyane mu gukoraho) ishobora kubaho.
• Kugorwa no kugenzura inkari cyangwa amabyi.
• Imibonano mpuzabitsina idakora neza.

Witinya. Muganga wawe azagusobanurira ingaruka zose zijyanye n'ubwoko bwa Neurolysis ugiye kugira. Rero menya neza ko ubaza ikibazo icyo ari cyo cyose cyangwa impungenge ufite muri icyo gihe.

Ingaruka z'ubuvuzi zimara igihe kingana iki?

Igihe cyo kugabanya ububabare buterwa na Neurolysis kiratandukanye cyane bitewe n'umuntu ku giti cye. Bishobora kumara iminsi mike, ibyumweru bike, amezi make, cyangwa se imyaka. Ubusanzwe, imiti ya phenol itanga ubutabazi mu gihe cy'ibyumweru 8-12. Imiti iterwa n'inzoga imara igihe kirekire, mu gihe cy'ibyumweru 12-24.

Muganga wawe azaguha igitekerezo cyiza cy'ibisubizo ushobora kwitega bitewe n'uburwayi bwawe n'icyo wakora nyuma yaho niba ubuvuzi butagenze neza.