Ngaba wakha waba nentloko ebuhlungu emva kokutsalwa ngumqolo, okanye i-epidural ukuze ubeleke umntwana wakho? Le ntloko ebuhlungu, ekhathaza kakhulu xa usukuma okanye umi, kodwa iyancipha xa ulele, iyacaphukisa kakhulu, akunjalo? Namhlanje sithetha ngonyango olukhethekileyo olucetyiswa ngoogqirha xa kungekho ncedo kwiintlungu eziqhelekileyo. Le yindlela yonyango ebizwa ngokuba yi-Epidural Blood Patch.
Yintoni i-epidural blood patch?
Ngamafutshane, oku kuquka ukuthatha inxalenye yegazi lakho uze ulifake kwindawo ejikeleze umqolo wakho ebizwa ngokuba yi-'epidural space'. Ngoku usenokuba ucinga, "Kutheni ndiphinda ndifake igazi lam?"
Yiyo loo nto. Njengoko besitshilo ngaphambili, xa unesithonga se-lumbar okanye i-epidural, umngxuma omncinci unokwenziwa kwi-dura mater (i-membrane ejikeleze umqolo). Oku kuvumela ukuba ulwelo oluthile oluxabisekileyo ngaphakathi kuyo, olubizwa ngokuba yi-cerebrospinal fluid (CSF), luphume. Xa olu lwelo luphela, unokuba nentloko ebuhlungu eyenza kube nzima ukubamba intloko yakho ithe nkqo.
Ngoko ke le ndawo yegazi yenza izinto ezimbini eziphambili:
1. Imisa ukuvuza: Nje ukuba igazi lakho lifakwe kwindawo ye-epidural, igazi liyajika lize livale umngxuma omncinci. Kufana nokufaka i-band-aid. Oku kuthintela ulwelo lwe-CSF ekuphumeni.
2. Uxinzelelo luyabuyiselwa: Xa kongezwa igazi elithile kwindawo leyo, uxinzelelo olulahlekileyo ngaphakathi luyabuyiselwa kwinqanaba elithile kwaye intloko iyaphela ngokukhawuleza.
Le yinkqubo yokuzikhethela eyenziwa ngokucetyiswa ngugqirha kwaye inokukhethwa ngokweminqweno yakho.
Lufuneka nini olu nyango?
Ukuba uneentloko ezibuhlungu zomqolo ezingapheliyo ngonyango oluqhelekileyo, ugqirha wakho unokucebisa le patch yegazi. Ngokwesiqhelo, into yokuqala omawuyizame yile:
- Hlala ebhedini uphumle kangangoko unako.
- Sela amanzi amaninzi kunye nolwelo (mhlawumbi ulwelo lwe-IV, oko kukuthi i-saline, lunokunikwa).
- Ukusebenzisa amayeza afana nee-painkillers (NSAIDs).
- Sela iziselo ezine-caffeine, ezifana nekofu.
Kodwa ukuba olu nyango aluyithomalalisi intloko ebuhlungu, okanye ukuba awukwazi ukuhlala ebhedini (umzekelo, umama omtsha onomntwana okanye umntu ofuna ukuya emsebenzini ngokukhawuleza), i-blood patch sisisombululo esilungileyo.
Intloko ebuhlungu yomqolo yenzeka ngakumbi emva kweemeko ezinje ngezi:
- Emva kokuthabatha ulwelo oluvela emgogodleni (i-Spinal tap / i-Lumbar Puncture).
- Emva kwe-epidural, enikwa ukunciphisa iintlungu ngexesha lokubeleka okanye utyando.
- Ukuba i-membrane egqume umqolo (i-dura) yonakele ngexesha lotyando lomqolo okanye ingozi.
Ulungiselela njani ngaphambi konyango?
Ungakhathazeki, ugqirha wakho uza kukuchazela ngale nkqubo, izinto ezilungileyo nezingalunganga, kunye nendlela esebenza ngayo. Ungacetyiswa ukuba ungatyi okanye usele malunga neeyure ezisi-8 ngaphambi kwenkqubo. Kwakhona, qiniseka ukuba uxelela ugqirha wakho oku kulandelayo:
- Ukuba uthatha nantoni na efana ne-blood thinners (i-anticoagulants).
- Ukuba unesifo seswekile kwaye usebenzisa i-insulin.
- Ukuba une-allergies kuyo nayiphi na imithi, ingakumbi amayeza okubulala iintlungu.
- Ukuba ukhulelwe.
Indlela yokwenza iPatch yegazi inyathelo ngenyathelo
Indlela yolu nyango ilula kakhulu. Makhe sibone ukuba kwenzeka ntoni inyathelo ngenyathelo.
| Inyathelo | Kwenzekani |
|---|---|
| 1. Indlela oma ngayo | Uza kucelwa ukuba ujike uye ecaleni ulale phantsi okanye uhlale phantsi. Eyona nto ibalulekileyo kukuhlala ungashukumi ngeli xesha. |
| 2. Ukucoca | Indawo apho inaliti ifakwe khona ngasemva nendawo apho igazi litsalwa khona engalweni zicocwa kakuhle ngesibulali-ntsholongwane. |
| 3. Ukuba ndindisholo | Ukunciphisa iintlungu, kufakwa isidambisi-ntlungu kwindawo apho inaliti ifakwe khona. |
| 4. Ukuthathwa kwesampulu yegazi | I-cannula (i-IV catheter) ifakwa kumthambo osengalweni yakho kwaye kuthathwa malunga ne-15-20 milliliters yegazi lakho. |
| 5. Ukufaka inaliti | Ingcali yokubulala iintlungu okanye ingcali ye-radiology ifaka inaliti ekhethekileyo kwindawo engasemva, ngamanye amaxesha isebenzisa i-ultrasound ukukhokela indawo echanekileyo. |
| 6. Ukukhupha igazi | Igazi elithathwe engalweni lifakwa kancinci emqolo kwimizuzwana engama-30-60. Ngeli xesha, ungaziva iintlungu okanye ukuxinana okuncinci emqolo wakho. Ufanele uxelele ugqirha ngoko nangoko ukuba uziva njani. |
| 7. Ukuvala | Inaliti iyasuswa kwaye kufakwa ibhandishi kuloo ndawo. Yiyo leyo. |
Kwenzeka ntoni emva konyango?
Abantu abaninzi bafumana isiqabu ngokukhawuleza kwiintloko ezibuhlungu emva kokufumana olu nyango. Leyo yeyona nzuzo inkulu yolu nyango.
Emva konyango, uza kusiwa kwigumbi lokuchacha ukuze uphumle okwethutyana. Emva koko, ungaya ekhaya. Ugqirha uza kukucebisa ukuba uphephe imisebenzi enzima, ukuphakamisa izinto ezinzima, nokugoba iiyure ezingama-24 . Emva koko, ungabuyela kwimisebenzi yakho yesiqhelo.
Ngaba oku kukwenza uphuphe?
Ngokwesiqhelo, abantu abadala abafumani mandla okuphumla ngokupheleleyo ngexesha lonyango. Oku kungenxa yokuba kufuneka uxelele ugqirha ukuba uziva njani xa igazi lifakwa emqolo wakho. Nangona kunjalo, yindawo yokujova kuphela evalwe ukuze ungaziva iintlungu. Nangona kunjalo, ukuba uneengxaki okanye uxhalabile ngale nto, qiniseka ukuba uxelela ugqirha wakho. Abantwana abancinci banokunikwa amandla okuphumla ngexesha lonyango.
Iingenelo kunye neengxaki ezinokubakho zeBlood Patch
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci.
| Iinzuzo | Iziphumo ebezingalindelekanga kunye neengxaki |
|---|---|
| Uncedo olukhawulezileyo noluhlala ixesha elide. Lunika uncedo olukhawulezileyo kwintloko ebuhlungu enokuhlala iiveki ezimbini. Lusebenza ngcono kakhulu kunesisombululo sexeshana esifana nese-painkillers. |
|
Ngokwezifundo, olu nyango luphumelela kubantu abangama-85 kwabayi-100 (85%). Ukuba okokuqala aluphumelelanga, i-blood patch yesibini inomlinganiselo we-90% wempumelelo.
Ndifanele ndimtsalele nini ugqirha ngoko nangoko?
Ukuba ubonakalisa iimpawu zosulelo emva konyango lwakho, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko . Lumka kwezi mpawu:
- Ububomvu, ukutshintsha kombala, iintlungu, kunye nobomvu kwindawo yokufakwa inaliti.
- Ifiva .
- Ndiziva ndidiniwe kakhulu.
Ukuba ubona into efana nale, musa ukulibazisa. Funa ingcebiso kagqirha ngoko nangoko.
Umyalezo Wokuya Ekhaya
- "Intloko ebuhlungu yomqolo" ayisiyontloko iqhelekileyo. I-Epidural Blood Patch sisisombululo esisebenzayo kakhulu kule ntlungu, esiba mandundu xa usukuma.
- Kule meko, igazi lakho elincinci lifakwa emgogodleni. Ngoko ke akukho nto yokoyika. Olu luthathwa njengonyango olukhuselekileyo kakhulu.
- Unyango luphumelele malunga ne-85%. Kodwa njengayo yonke into, kukho umngcipheko omncinci. Thetha nogqirha wakho ngokukhululekileyo ngalo mba kwaye ubuze nayiphi na imibuzo onayo.
- Ukuba ubona nantoni na emva konyango, efana nomkhuhlane, ukudumba, ukuba bomvu, okanye ubomvu kwindawo efakwe kuyo inaliti , funa ingcebiso kagqirha ngoko nangoko .
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