Dzimwe nguva unonzwa sekunge tsandanyama dzako dzinongoerekana dzaoma, muviri wako wakaoma, uye haugone kana kufamba? Kune vamwe vanhu, ichi chinhu chenguva pfupi, asi kune vamwe, chinokonzerwa nechirwere chakakomba. Mukurapa, tinodana izvi kuti Spasticity . Kuti vadzore chirwere ichi, vanachiremba vanotanga vapa mishonga yemuromo. Asi kana chirwere chacho chakanyanya kuoma zvekuti hachigone kudzorwa nemishonga iyoyo, nzira yakakosha yekurapa iyo vanachiremba vanoti inonzi Baclofen Pump. Zvakanaka, saka ngatitaurei nezvese zviri nyore nhasi.
Renal function (eGFR)
Measure kidney function based on creatinine value
Zvichitaurwa zviri nyore, chii chinonzi Baclofen Pump iyi?
Funga nezvazvo sedhisiki diki resimbi rakatenderera. Iri ndiro pombi. Iri ndiro mudziyo unoiswa pasi peganda redumbu rako panguva yekuvhiyiwa kudiki. Chubhu yakatetepa, inochinjika (yatinodaidza kuti catheter ) yakabatana nepombi iyi inoiswa mumvura yakatenderedza tambo yako yemusana (mugero wemusana) kumusana kwako.
Zvichitaurwa zviri nyore, pombi iyi ine nzvimbo inochengetera mushonga, bhatiri, uye chinodzora kombiyuta. Chiremba anoshandisa mudziyo wekombiyuta wakakosha unoiswa paganda rako uye anopa mirayiridzo kupombi iyi. Kureva kuti, panguva dzakasiyana dzezuva, huwandu hwemishonga yaunoda hunorongwa kuti huburitswe mumvura yakatenderedza musana kuburikidza nechubhu iyoyo panguva chaiyo. Tinodanawo nzira iyi kuti Intrathecal Baclofen Therapy (ITB) .
Saka mushonga uyu unonzi Baclofen chii?
Baclofen inozorodza tsandanyama dzemapfupa . Kana ikaiswa zvakananga mumuzongoza,
- Inoderedza tsandanyama dzakaoma zvisina kujairika (kuoma kwetsandanyama).
- Inoderedza kurwadza kwetsandanyama kusingadiwe.
- Inovandudza kufamba kwetsandanyama uye mashandiro adzo.
Kurapa uku kwakakodzera varwere verudzii?
Baclofen Pump haisi yemunhu wese. Vanachiremba vanowanzoikurudzira kune vanhu vane spasticity yakanyanya iyo isingagoni kudzorwa nemishonga inonwiwa. Mamwe ematambudziko anogona kukonzera chirwere ichi anosanganisira:
- Multiple Sclerosis
- Kukuvara Kwemusana
- Cerebral Palsy
- Kukuvara Kwepfungwa Kunorwadza (TBI)
- Kurohwa
Chiremba wako asati asarudza kana mushonga uyu wakakunakira, achaita bvunzo yakakosha. Panyaya iyi, mushonga weBaclofen unopinzwa mumvura yakatenderedza musana wako uye muviri wako unotariswa kwemaawa akati wandei kuti uone kuti pombi iri kushanda zvakanaka sei kwauri. Mhedzisiro yacho icharatidza kuti pombi yacho inoshanda zvakadini kwauri.
Kuvhiyiwa kunoitwa sei uye chii chinoitika mushure mezvo?
Uku kuvhiyiwa kunoitwa nachiremba wetsinga kana nyanzvi yekurapa marwadzo.
- Usati wavhiyiwa: Uchaiswa pasi peanesthesia, saka hauzonzwi kurwadziwa.
- Panguva yekuvhiyiwa: Chiremba achacheka dumbu rako diki obva apinza pombi nepariri. Zvadaro, vachachekazve diki kumusana wako wezasi voisa chubhu (catheter) kubva papombi munzvimbo yakatenderedza musana wako. Pakupedzisira, pombi yacho ichazadzwa nemishonga uye inorongwa kuti ibudise mushonga sezvaunoda. Kuvhiyiwa uku kunowanzotora maawa maviri.
- Mushure mekuvhiyiwa: Uchafanira kugara muchipatara kwemazuva mashoma. Zvadaro, usati waenda kumba, unogona kutumirwa kunorapwa kuti ugare muchipatara kuti zvikubatsire kujaira michina yako mitsva uye mashandiro ayo ese.
Nzira yekuchengetedza pombi sei?
Haugone kungoipomba kamwe chete woisiya yakadaro. Kungofanana nekuisa mafuta mumota, pombi iyi inoda kuzadzwa nguva nenguva. Kazhinji, izvi zvinoda kuitwa mwedzi 1-6 yega yega. Kuti uite izvi, chiremba anoisa tsono pasi peganda rako obaya mushonga panzvimbo yakakosha papombi (refill port).
Chinonyanya kukosha: Usapotsa nguva yekuenda kuna chiremba wako kunomupa mushonga wekuwedzera chero chikonzero chipi zvacho. Kana ukadaro, pombi ichapera mishonga uye unogona kusangana nezviratidzo zvekurega mushonga zvakanyanya.
Ndezvipi zvakanakira nezvakaipa zvekurapa uku?
Kufanana nedzimwe nzira dzekurapa, iyi ine zvayakanakira nezvayakaipira. Ngationei kuti ndedzipi.
| Mabhenefiti | Njodzi/Matambudziko |
|---|---|
| Kudzora kwakabudirira kwazvo tsandanyama dzakaoma. | Kutapukirwa uye kubuda ropa panzvimbo yekuvhiyiwa. |
| Migumisiro yakaipa shoma pane mishonga inonwiwa. | Kubuda kwemvura yemusana. |
| Muviri unoramba uchigamuchira mushonga nenzira imwecheteyo. | Kukundikana kwepombi kana catheter. |
| Kukwanisa kuchinja dosi yemushonga panguva dzakasiyana dzezuva, sezvinodiwa. | Zviratidzo zvekurega mushonga zvinoonekwa kana mushonga ukamiswa kamwe kamwe. |
| Kukwanisa kubviswa kweganda kana zvichidikanwa. | Kudarika mwero kunoitika kana mushonga wakawedzerwa. |
Mamiriro ezvinhu e emergency aunofanira kuziva nezvawo!
Ichi ndicho chikamu chakakosha chechinyorwa chino. Zvakakosha zvikuru kuti iwe nemhuri yako muzive zviratidzo zvekurega kamwe kamwe kana kushandisa zvinodhaka zvakanyanya. Aya ndiwo mamiriro ezvinhu akakomba anogona kuisa hupenyu panjodzi.
| Mamiriro ekunze | Zviratidzo |
|---|---|
| Kubvisa Baclofen (Kana pombi ikapera mushonga kana kuti isina kushanda zvakanaka) |
|
| Kupfuura mwero weBaclofen (Zvinogona kuitika pakarepo mushure mekuzadza mushonga kana kuchinja purogiramu) |
|
Kana paine chimwe chezviratidzo zviri pamusoro apa chikaonekwa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza! | |
Zvimwe zvinhu zvidiki...
- Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa? Zvinowanzo tora mavhiki matanhatu kusvika masere. Munguva iyoyo, unofanira kudzivisa mabasa anorema.
- Bhatiri repombi: Kazhinji rinogara makore 6-7. Kana bhatiri rava kuda kupera, pombi inoburitsa chiratidzo chinokuzivisa. Zvadaro pachazodiwa imwe nzira yekuvhiya pombi kuti itsive pombi.
- Zviratidzo zvehutachiona: Kana nzvimbo yekuvhiyiwa yakatsvuka, yakazvimba, inorwadza, ichibuda mvura, kana kuti une fivha, zivisa chiremba wako nekukasika .
Chiremba wako anokurapa chete ndiye anogona kuita sarudzo yakanakisisa yekuti kurapwa uku kwakakunakira here. Saka, taura pachena uye wakatendeseka nachiremba wako nezvemibvunzo, zvinokunetsa, kana zvinokunetsa nezvenyaya iyi.
Mharidzo Yekuenda Nayo Kumba
- Baclofen Pump mushonga wakakosha wekurwadziwa kwakanyanya kusingagone kudzorwa nemishonga inonwiwa.
- Ichi chishandiso chinoiswa mumuviri nekuvhiyiwa, uye zvakakosha kuzadza mushonga kamwe chete panguva yakatarwa.
- Usambofa wakasiya mazuva ekuzadza mishonga. Izvi zvinogona kukonzera zviratidzo zvakakomba zvekurega kushandisa mishonga.
- Zivai zviratidzo zvekurega kushandisa zvinodhaka uye kushandisa zvinodhaka zvakanyanya kwamuri nemhuri yenyu. Kana mukaona chimwe chezviratidzo izvi, endai kuchipatara (ETU) nekukasika.
- Kurukura nachiremba wako kana kurapwa uku kwakakunakira iwe pamwe nenyaya dzese dzine chekuita nako.
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