Hari igihe tugira ububabare budashira nubwo twafata imiti cyangwa icyo twakoze. Ese umaze igihe kinini ubabara, cyane cyane mu mutwe, mu ijosi, mu gituza cyo hejuru, cyangwa mu maboko? Birashoboka ko impamvu y'ibi ari ikibazo cy'imitsi yawe. Uyu munsi tugiye kuvuga ku buryo bwihariye bwo kuvura abaganga bakoresha muri bene ibyo bihe. Ubu buryo bwitwa Stellate Ganglion Block, cyangwa SGB mu magambo ahinnye.
Mu magambo make, Stellate Ganglion Block (SGB) ni iki?
Mu magambo make, uru ni urushinge rugabanya ububabare. Ariko uru rushinge ntabwo rumeze nk'urushinge rusanzwe. Uru rushinge ruterwa mu gice cyihariye cy'imitsi kiri mu ijosi ryacu, cyane cyane ku mpande zombi z'agasanduku k'ijwi ryacu. Uru rushinge rw'imitsi rwitwa 'Stellate Ganglion'.
Tekereza ku buryo bwacu bwo mu bwonko nk'urusobe rw'insinga za telefoni zitanga ubutumwa. Hari igihe ubutumwa budakenewe (ibimenyetso by'ububabare) bushobora koherezwa mu bice bimwe na bimwe by'uru rugaga rw'abantu. Muri ibyo bihe, icyo uru rukingo rwa SGB rukora ni ugusinzira by'agateganyo urwo rukingo rw'imitsi (ganglion). Ni nko kuzimya switch. Hanyuma ibimenyetso by'ububabare bidakenewe biva muri iyo mitsi bijya mu bwonko birahagarara. Ibi bishobora kugabanya ububabare mu mutwe, mu ijosi, mu maboko no mu gituza cyo hejuru. Nanone, ubu buryo bwo kuvura bufasha kongera amaraso mu maboko.
None se, iyi ganglion y’inyenyeri ni iki?
Iri ni itsinda ry'imitsi iherereye hafi y'imbavu ebyiri za mbere, munsi gato y'igufwa ry'umugongo, imbere y'ijosi ryacu. Dufite imwe muri izi ku mpande zombi z'ijosi ryacu. Ijambo 'stellate' risobanura 'nk'inyenyeri'. Rero iyi mitsi y'umugongo yitwa kuko isa n'inyenyeri.
Sisitemu y'imitsi ihuza ibyiyumvo n'imitekerereze ni igice cy'imitsi ihuza imikorere y'umubiri wacu tudatekerezaho (urugero: umuvuduko w'umutima, umuvuduko w'amaraso, ibyuya). Bityo rero, ibimenyetso byinshi by'imitsi ihuza ibyiyumvo n'imitekerereze bijya ku mutwe, mu ijosi, mu maboko no mu gituza cyo hejuru bituruka kuri iyi ganglion y'inyenyeri.
Ikintu gishimishije: 80% by'abatuye isi ni bo bonyine bafite iyi ganglion yuzuye. Mu zindi, ganglion yo mu kibuno iri hasi n'agatsiko ka mbere k'igituza mu ijosi ntabwo bifitanye isano. Ariko ibyo ntacyo bitwaye cyane.
Ni izihe ndwara ubuvuzi bwa SGB bukoreshwa?
Abaganga bakoresha ubu buryo cyane cyane mu gusuzuma no kuvura ububabare bw'igihe kirekire buturuka mu mitsi (ububabare buterwa n'impuhwe) nta mpamvu iboneka. Byongeye kandi, ubu buryo bushobora gukoreshwa ku zindi ndwara zitandukanye n'ububabare.
| Indwara | Ibisobanuro |
|---|---|
| Indwara y'ububabare bw'akarere iteye ubwoba (CRPS) | Ububabare bukomeye kandi burambye no kubyimba ukuboko cyangwa ukuguru nyuma yo gukomereka. |
| Ububabare bw'amaboko butangaje | Kumva ububabare mu kuboko cyangwa ku kuguru byakuweho. |
| Indwara yo mu bwonko nyuma y'imitsi | Kubabara imitsi nyuma yo kurwara inkoko (herpes zoster). |
| Indwara ya Raynaud | Kugabanuka kw'amaraso mu ntoki bitewe n'ubukonje cyangwa stress. |
| Kubira ibyuya byinshi (Hyperhidrosis) | Kubira ibyuya byinshi mu bice nko mu biganza no mu birenge. |
| Ibindi bihe | Ikoreshwa kandi ku ndwara zo mu mutwe, kubabara mu maso, kubabara mu gituza bidafitanye isano n'indwara z'umutima, hamwe n'ibibazo bimwe na bimwe by'umutima (cardiac arrhythmias). |
Gukoresha SGB mu bibazo by'ubuzima bwo mu mutwe
Vuba aha, hakozwe ubushakashatsi ku ngaruka zo kuvura indwara zo mu mutwe nka PTSD. Nubwo hari abantu bamwe bagaragaje ko ibimenyetso bya PTSD byagabanutse, abandi ntibarabibona. Kubwibyo, ibi biracyari mu cyiciro cy'ubushakashatsi, kandi ubusanzwe bikoreshwa gusa "bidakurikije amabwiriza" munsi y'ubuyobozi bwa muganga iyo ubundi buryo bwo kuvura bwananiwe.
Ubu buvuzi bukorwa bute?
Noneho reka turebe uko bigenda iyo utewe uru rushinge. Nta kintu cyo guhangayikisha, ibi akenshi bifata munsi y'iminota 30.
1. Kwitegura: Ubwa mbere, ushobora guhabwa umuti muto (IV sedation) mu mutsi uri mu kuboko kwawe kugira ngo bigufashe kuruhuka. Hanyuma, uzategekwa kuryama ugaramye ku meza yihariye.
2. Gusukura: Muganga azasukura neza agakuraho imiyoboro y'ijosi aho urushinge ruzaterwa.
3. Kubabara: Hanyuma, urushinge ruto cyane rukoreshwa mu gutera ikinya mu gice cy’ijosi cyafashwe. Ibi bizagutera kubabara kubera ububabare.
4. Inshinge nyamukuru: Hanyuma, akoresheje ikoranabuhanga rigezweho nka ultrasound cyangwa fluoroscopic imaging kugira ngo amenye neza umuzi w'imitsi, muganga ashyiramo urushinge rwa kabiri hanyuma agatera umuti w'ingenzi w'ububabare. Ubu buryo bugabanya cyane ibyago byo gutera umuti ahantu hadakwiye.
Nyuma yo kuvurwa, uzakurikiranwa n'abaganga mu gihe cy'isaha imwe. Iyo byose bimaze kwemezwa ko bimeze neza, ushobora gutaha. Ariko, ugomba kugira umuntu ukujyana mu rugo, kuko utazashobora gutwara imodoka uwo munsi.
Ibisubizo bimeze bite? Ibi bimara igihe kingana iki?
Iki ni ikibazo kuri buri wese. Ibisubizo biratandukanye bitewe n'umuntu ku giti cye. Kuri bamwe, ububabare buhita bushira nyuma yo guterwa urushinge, ariko ububabare bushobora kugaruka mu masaha make nyuma y'uko umuti ugabanya ububabare urangiye. Ku bandi, bushobora kumara ibyumweru cyangwa amezi nta bubabare.
Igikuru ni uko ubusanzwe ukeneye inshinge nyinshi kugira ngo ubone ibisubizo byiza. Hari igihe ushobora kubona ibisubizo ukoresheje inshinge ebyiri gusa, kandi hari abantu bashobora gukenera izirenze icumi. Inkuru nziza ni uko igihe cyo kutagira ububabare gikunze kwiyongera iyo utewe inshinge imwe nyuma y’indi.
Ese hari ingaruka mbi n'ibyago?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, SGB igira ingaruka mbi ntoya ndetse n'ingorane zikomeye zidasanzwe.
| Ubwoko bw'indwara | Ibintu bishoboka |
|---|---|
| Ingaruka zisanzwe z'igihe gito (zishira mu masaha make) | |
| Aho bateye inshinge | Ububabare buto cyangwa igikomere. |
| Amaso n'izuru | Amaso y'ijisho arembye, amaso atukura, amaso y'amazi, n'izuru rizibye. |
| Umuhogo n'ijwi | Ijwi rituje, kumva ikintu kimeze nk'aho kiri mu muhogo, kugorwa no kumira. |
| Ukuboko | Kumva ufite ubushyuhe cyangwa ibinya mu kiganza. |
| Ingorane zikomeye zishobora kubaho gake cyane | |
| Ingaruka nyamukuru | Kwandura, kuva amaraso mu mitsi yangiritse, kwangirika k'imitsi, kwangirika kw'ibihaha (pneumothorax), Horner's syndrome (indwara y'igihe gito). |
Amahirwe yo kugira izi ngorane zikomeye ni make cyane , kuko abaganga bakora ubu buryo bitonze cyane bakoresheje ikoranabuhanga nka ultrasound.
Ni ryari ukwiye kujya kwa muganga?
Nyuma yo kuvurwa, niba ugaragaje ibimenyetso bishya, urugero , ibimenyetso by'ubwandu aho watewe inshinge (kubyimba, gutukura, ububabare bukabije, umuriro) cyangwa niba ikibazo cyo kumira kigikomeje, hamagara muganga wawe vuba.
SGB ni uburyo bw'ingirakamaro bwo kuvura bushobora kugabanya ububabare bw'igihe kirekire. Ariko, ntabwo bukorera buri wese. Niba ufite impungenge cyangwa gushidikanya kuri ubu buryo, ntugire icyo uhisha kandi vugana na muganga wawe mu buryo bweruye. Azagusubiza ibibazo byawe byose.
Ubutumwa bwo kujyana mu rugo
- Stellate Ganglion Block (SGB) ni urushinge rugabanya ububabare mu gice cyihariye cy'imitsi iri mu ijosi.
- Ibi bitanga ihumure ku bubabare budakira, cyane cyane mu mutwe, mu ijosi, mu maboko no mu gituza cyo hejuru.
- Ubu ni uburyo bwo kuvura bushobora gukorwa vuba cyane (mu gihe kitarenze iminota 30) kandi bufite umutekano kuko bukoresha ikoranabuhanga nka ultrasound.
- Ingaruka mbi nke zishobora kubaho zikarangira mu masaha make, ariko ingorane zikomeye ni gake cyane.
- Gutera inshinge zitandukanye bishobora gukenerwa kugira ngo ubone umusaruro mwiza.
- Buri gihe ganira na muganga wawe niba ubu buryo bw'ubuvuzi bukubereye n'ibyiza n'ibibi byabwo.
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