Masifunde yonke into malunga nenaliti ekhethekileyo yentlungu yethanga (iFemoral Nerve Block)

Ngaba uza kutyandwa esinqeni okanye edolweni? Okanye uneentlungu ezinganyamezelekiyo ngenxa yengozi efana nomlenze owaphukileyo? Ngoko ke ugqirha wakho usenokuba ukuxelele nge "Femoral Nerve Block." Nangona eli gama lisenokuvakala lisoyikisa kancinci, eneneni le yindlela eluncedo kakhulu nekhuselekileyo yokulawula iintlungu. Makhe sithethe ngayo namhlanje.

Yintoni iFemoral Nerve Block?

Ngamafutshane, i-Femoral Nerve Block yinaliti yeyeza elithomalalisa iintlungu kufutshane nomthambo omkhulu ethangeni lakho. Lo mthambo siwubiza ngokuba 'ngumthambo we-femoral.' Lo ngomnye wemithambo-luvo emikhulu emlenzeni wakho. Njengeentambo zombane emakhayeni ethu, lo mthambo uthwala imiyalezo esuka emlenzeni wakho iye engqondweni yakho ize ibuyele emlenzeni wakho.

Le nerve inemisebenzi emibini ephambili:

1. Umsebenzi womzimba: Ukunceda ushukumise izinqe zakho, imilenze, amaqatha kunye neenyawo.

2. Umsebenzi weemvakalelo: Ukukwazi ukuva izinto ezifana nokuchukumisa, iintlungu, ubushushu, nokubanda.

Ngoku khawucinge ukuba ugqirha ufaka iyeza elibangela ukuba umntu angakwazi ukuzibamba kufutshane nale mithambo-luvo. Okwenzekayo kukuba, njengokucima iswitshi yombane , imiqondiso yentlungu edlula kuloo mithambo-luvo iye engqondweni iyeke okwethutyana. Yiloo nto siyibiza ngokuba yi-"analgesia" okanye "i-anesthesia yengingqi." Awuyi kuva ntlungu ngelixa iyeza lisebenza. Kwakhona, izihlunu ezikuloo ndawo zinokuba buthathaka okwethutyana.

Iphi le gonyo?

Olu tyando ludla ngokwenziwa embindini wethanga lakho elingaphezulu, kufutshane ne-pelvis yakho. I-femoral nerve yakho ivela kwiqela lee-nerve eziqala kumqolo wakho ongezantsi (i-'lumbar plexus'). Ngoko ke ugqirha wakho uza kukunika olu tyando ngokukhangela indawo efanelekileyo endleleni i-nerve ehlisa ngayo ithanga lakho.

Ziziphi iindlela zokusebenzisa i-Femoral Nerve Block?

Le ndlela isetyenziswa kakhulu kwiimeko ezimbini. Enye isetyenziswa njengesixhobo sokunciphisa iintlungu xa kutyandwa, enye isetyenziswa ukulawula iintlungu xa kuthe kwenzeka ingozi.

Khawuthelekelele umntu ewa aze aphuke isinqe. Xa eziswa kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele, ufumana i-X-ray, kwaye kwanokuhambisa umlenze wakhe kubangela iintlungu ezinganyamezelekiyo. Kwiimeko ezinjalo, oogqirha basebenzisa olu thintelo lwemithambo-luvo ukwenza kube lula ukuhlola isigulana kunye nokubuyisela ithambo elaphukileyo endaweni yalo.

Ufanele ulungiselele njani oku?

Indlela ozilungiselela ngayo oku iyahluka kancinci ngokuxhomekeke kwisizathu sokuba unikwe olu xinzelelo lwemithambo-luvo.

• Ukuba yingxamiseko: Akufuneki ulungiselele nantoni na ngokukodwa. Iqela lezonyango kwi-ETU liza kujongana nayo yonke into oyifunayo.
• Ngotyando olucwangcisiweyo: Ugqirha wakho uza kukunika imiyalelo ethile. Umzekelo, ungacelwa ukuba uzile ukutya (ungatyi okanye usele nantoni na ngaphandle kwamanzi) iiyure ezininzi ngaphambi kotyando. Ungacelwa nokuba uyeke okwethutyana ukuthatha amayeza athile. Kubaluleke kakhulu ukuba ulandele le miyalelo ngokuchanekileyo.

Kwenzeka ntoni xa olu thintelo lwemithambo-luvo lunikwa?

Ndiza kukuchazela kancinci indlela eyenzeka ngayo le nkqubo.

1. Okokuqala, uza kwenziwa ukuba ulale kamnandi ebhedini.

2. Ukunciphisa uloyiko lwakho kunye nokuxhalaba, kunye nokukunceda uphumle, umthamo omncinci wamayeza okuthomalalisa (`i-sedative`) unokunikwa nge-saline cannula (`umgca we-IV`) engalweni yakho.

3. Kulo lonke eli xesha, iqela lezonyango liza kujonga impilo yakho. Liza kuqhubeka nokulinganisa izinto ezifana nenqanaba le-oxygen egazini lakho (i-pulse oximeter), izinga lentliziyo (EKG), kunye noxinzelelo lwegazi.

4. Okulandelayo, ugqirha uza kufumana indawo echanekileyo ye-femoral nerve. Oku kudla ngokwenziwa kusetyenziswa umatshini we-ultrasound . Njengokuskena komntwana, lo matshini unokubona ngokucacileyo i-nerve engaphakathi komlenze wakho. Ngamanye amaxesha kusetyenziswa isixhobo sokuvuselela i-nerve.Basebenzisa nesixhobo esibizwa ngokuba yi-stimulator. Okwenzekayo apha kukuba imiqondiso yombane emincinci kakhulu ithunyelwa kwi-nerve ngenaliti encinci. Emva koko izihlunu ezikwi-kneecap yakho ziyaqhaqhazela kancinci. Oko kuvumela ugqirha ukuba aqinisekise ukuba yi-nerve efanelekileyo.

5. Nje ukuba kufunyenwe indawo efanelekileyo, kuqala kufakwe iyeza elincinci ukuze kuthintelwe indawo apho kuza kufakwa khona inaliti ye-nerve block. Oku kuya kukuthintela ekubeni uzive iintlungu ezininzi. Kusenokuvakala ngathi kukuhlaba kancinci.

6. Okokugqibela, i-anesthetic ephambili ifakwa ecaleni kwe-nerve. Ngamanye amaxesha, yenziwa ngenaliti enye kuphela. Kodwa ukuba ufuna ukuqhubeka nokulawula iintlungu emva kotyando, kufakwa ityhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi-catheter kwindawo leyo ize incamathiselwe eluswini ngeplasta. Ityhubhu ingaqhubeka nokuhambisa amayeza emzimbeni kancinci kancinci.

Zithini iingenelo zoku?

Eyona nzuzo iphambili ye-femoral nerve block kukuba ingasetyenziselwa ukulawula iintlungu ngempumelelo.

Ukongeza, kukho enye inzuzo ebalulekileyo. Oko kukuthi, inokunciphisa ukusetyenziswa kwemithi yokuthomalalisa iintlungu enamandla kwiqela le-'opioid' (umz. i-morphine, i-tramadol). Ekubeni la mayeza e-'opioid' enomngcipheko wokuba likhoboka kwaye anokubangela iziphumo ebezingalindelekanga ezifana nokucaphuka, ukuhlanza, kunye nokuqhina, kulungile kakhulu ukunciphisa ukusetyenziswa kwawo. Ngenxa yale ngxaki yemithambo-luvo, unokukwazi nokuya ekhaya usuka esibhedlele kwangethuba.

Ngaba kukho iingozi kunye neengxaki?

Njengakwezinye iindlela zonyango, kukho iingozi ezincinci kakhulu. Kodwa ezi azixhaphakanga kakhulu. Oko kuthetha ukuba azenzeki rhoqo. Kodwa kubalulekile ukuba uqaphele.

• Ukonakala kwemithambo-luvo: Oku kunokuba yinto yexeshana okanye, kunqabile kakhulu, kube yinto ehlala ihleli.
• Ukusabela kwe-allergy kwiyeza.
• I-Hematoma: Inani elincinci legazi liqokelelana phantsi kwesikhumba apho inaliti ingene khona.
• Usulelo.
• Ubuthi be-Anesthetic yendawo: Le yimpendulo engaqhelekanga kodwa imbi kakhulu kwi-anesthetic yendawo. Kodwa ungakhathazeki, iqela lakho lezonyango likulungele ukuyinyanga nangaliphi na ixesha.

Kuza kuhlala ixesha elingakanani oku kukruquka?

Ubude bale ndindisholo bunokwahluka kumntu nomntu. Kukho izinto ezininzi ezichaphazela le ndindisholo. Eli xesha limiselwa zizinto ezifana nohlobo lweyeza elisetyenzisiweyo, ubungakanani balo, kunye noxinzelelo lwalo. Ihlala ithatha iiyure ezimbalwa ukuya kwiiyure ezingama-24. Ngokuxhomekeke kwimeko yakho, ungacela ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.

Ndifanele ndimfowunele nini ugqirha?

Emva kokuba ubuyele ekhaya uvela esibhedlele, ukuba ufumanisa naziphi na iimpawu ezintsha okanye iingxaki ezinxulumene nokuvaleka kwemithambo-luvo , tsalela umnxeba ugqirha wakho ngoko nangoko.

Lumka ngakumbi ngezi zinto:

• Ukuba kukho ukudumba, ukuba bomvu, okanye ubomvu kwindawo ekufakwa kuyo inaliti (ezi zisenokuba ziimpawu zosulelo).
• Ukuba unentlungu engapheliyo, ukungaziva, okanye ubuthathaka emlenzeni wakho, njengokutsha .

Ukuvalwa kwemithambo-luvo ye-femoral yindlela elungileyo nekhuselekileyo yokulawula iintlungu. Ukuba usenazo naziphi na iingxaki okanye amathandabuzo malunga noku, thetha nogqirha wakho ngayo ngokukhululekileyo. Uza kuphendula yonke imibuzo yakho.