Ngaba unomama okanye utata osekhulileyo kusapho lwakho ohlushwa ziintlungu zedolo? Okanye mhlawumbi nawe ngokwakho uhlushwa yile ntlungu? Abo bayaziyo bayazi ukuba kuyacaphukisa kangakanani ukuba nedolo elibuhlungu elenza kube nzima ukunyuka izitebhisi, ukuhamba umgama omfutshane, okanye ukuya etempileni. Nokuba usela amayeza ahlukeneyo kwaye uthambisa iioyile ezahlukeneyo, ngamanye amaxesha le ntlungu ayipheli. Kwiimeko ezinjalo, siza kuthetha ngendlela ekhethekileyo yonyango ecetyiswa ngoogqirha.
Ngamafutshane, yintoni i-Genicular Nerve Block?
Kulula kakhulu. Ukuvalwa kwemithambo-luvo ye-genicular kubandakanya ukufaka inaliti yentlungu kufutshane nemithambo-luvo emininzi ethumela iintlungu edolweni lakho. Njengokucima iswitshi yesibane, le naliti ivala okwethutyana "iintambo zemithambo-luvo" ezithwala iintlungu ukusuka edolweni ukuya engqondweni yakho. Oku kukunika isiqabu sexeshana kwintlungu. Ngamanye amaxesha esi siqabu sinokuhlala ixesha elide.
Ngoku makhe sijonge imithambo-luvo ejikeleze eli dolo. Idolo lethu lahlulwe ngamasebe avela kwimithambo-luvo emininzi ephambili ukuze isebenze ngokufanelekileyo. Ezo mithambo-luvo ziphambili zezi:
- Imithambo-luvo ye-femoral
- I-nerve eqhelekileyo ye-peroneal
- I-Saphenous nerve
- Umthambo weTibial
- Umthambo wokuthintela
Amasebe amancinci aphuma kule mithambo-luvo ijikeleze idolo abizwa ngokuba yi-"Genicular Nerves." Igama elithi "Genicular" lithetha "ukuhambelana nedolo." Le mithambo-luvo yiyo ethumela iimvakalelo edolweni, ingakumbi iintlungu, engqondweni. Oogqirha bajolise kakhulu kule mithambo-luvo ine-Genicular xa befaka olu tyando.
1. I-Superolateral genicular nerve (SLGN)
2. I-Superomedial genicular nerve (SMGN)
3. I-Inferomedial genicular nerve (IMGN)
4. I-Inferolateral genicular nerve (ILGN)
Kodwa kukho into encinci apha. Oogqirha bafaka ezintathu kuphela kwezi zine. Abafaki inaliti yokugqibela , i-Inferolateral genicular nerve (ILGN) . Isizathu soko kukuba loo ntambo ikufutshane kakhulu ne- Common peroneal nerve, ebalulekileyo ekushukumeni kweenyawo zethu. Ukuba ifakwe ngendlela engafanelekanga, inokubangela imeko apho unyawo lungenakuphakanyiswa, oko kukuthi, into efana ne- (Foot Drop) , ngoko ke bayayiphepha loo ntambo ukuze bakhuseleke.
Ngubani olu nyango lufanelekileyo kuye?
Kukho izizathu ezibini eziphambili zokusebenzisa i-genicular nerve block.
1. Ukunciphisa iintlungu zedolo ezihlala ixesha elide
Ukuba ubunentlungu edolweni ixesha elide, yimeko esiyibiza ngokuba yi (Chronic knee pain) . Oku kusenokuba ngenxa yokwenzakala edolweni okanye, kwiimeko ezininzi, (Knee Osteoarthritis) , oku kukonakala nokukrazuka kwedolo. Ukuba ukhe wazama unyango lomzimba, ukuthatha iintlungu zobuhlungu (NSAIDs), kunye nokujova i-steroid edolweni lakho, kodwa intlungu ayikapheli, ugqirha wakho unokucebisa ukuba uthintelwe yi-genicular nerve block.
Khawucinge nje ngamadolo kamama wakho agugile, akakwazi ukulala kakuhle ebusuku, ukhala ngenxa yentlungu. Ukusela amayeza kunceda ixesha elifutshane kuphela. Olu tyando lunokunceda kakhulu umntu onjalo.
2. Lawula iintlungu emva kotyando lwedolo
Abanye abantu kufuneka benze utyando lweTotal Knee Arthroplasty , utyando lokutshintsha lonke ilungu ledolo. Ukulawula iintlungu eziqatha ezenzeka emva kotyando olukhulu kangaka, ingcali ye-anesthesiologist okanye ugqirha otyandayo unika olu tyando ngaphambi kotyando. Olu tyando lunikwa ukongeza kwi-anesthesia eqhelekileyo.
Yintoni omele uyenze ngaphambi kokuba ugonywe?
Oku akudingi kulungiselela okuninzi. Nangona kunjalo, kwezinye iimeko, ugqirha wakho unokugqiba ekubeni akunike i-sedation (i-sedative encinci). Ukuba wenza oku, uya kucelwa ukuba uzile ukutya malunga neeyure ezi-6 ukuya kwezi-8. Uya kucelwa nokuba umntu akuqhubele ekhaya , kuba awuyi kukwazi ukuqhuba ngaloo mini.
Nangona kunjalo, ugqirha wakho uza kukuchazela konke oku ngokucacileyo. Landela loo miyalelo ngokuchanekileyo. Ungaze woyike ukubuza ukuba unemibuzo.
Kwenzeka ntoni ngexesha lokugonywa? Masiyijonge inyathelo ngenyathelo.
Olu nyango ludla ngokwenziwa kugqirha ongaphandle. Oku kuthetha ukuba akufuneki uhlale esibhedlele, kwaye ungaya ekhaya xa inkqubo igqityiwe. Kuthatha malunga nemizuzu emi-5 ukuya kweli-10.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uza kubekwa ebhedini ekhethekileyo, ingalo yakho iphakanyisiwe. Umqamelo omncinci uza kubekwa phantsi kwedolo elibuhlungu kwaye idolo lakho liza kugoba kancinci. Ukuba kuyimfuneko, isisombululo se-saline sinokufakwa engalweni yakho ukuze sikunike isithomalalisi. |
| 2. Ukucoca ulusu | Ulusu olujikeleze idolo lucocwa kakuhle nge-antiseptic. |
| 3. Ulusu lubuthathaka | Ngaphambi kokufakwa kwenaliti ephambili, kunikwa inaliti encinci (i-local analgesic) ukuze kuthintelwe indawo. Ngeli xesha, ungaziva ulunywa kancinci, njengokulunywa ziimbovane. |
| 4. Ukufumana indawo eyiyo | Ugqirha usebenzisa izixhobo ezikhethekileyo ukufumana indawo echanekileyo yomthambo. Oku kungenziwa ngokusebenzisa i -ultrasound scan okanye uhlobo lwe-X-ray olubizwa ngokuba yi-fluoroscopy . Oku kufana nokujonga ngaphakathi edolweni lakho ngesikrini seTV. Oku kuvumela ukuba inaliti ifakwe kwindawo echanekileyo. |
| 5. Ugonyo oluphambili | Emva kokufumana indawo efanelekileyo, ugqirha ufaka inaliti yentlungu kufutshane nemithambo-luvo. |
| 6. Ukubeka iliso | Emva kokufakwa inaliti, uza kujongwa malunga nemizuzu eli-15-30 ukuqinisekisa ukuba iyeza liyasebenza kwaye akukho miphumo mibi oyifumanayo. Emva koko, uza kuvunyelwa ukuba uye ekhaya. |
Zithini iingenelo zale gonyo?
Unokufumana iingenelo ezininzi kwi-genicular nerve block.
- Ukuphelisa iintlungu: Iintlungu ziphelile okwethutyana okanye mhlawumbi ngonaphakade, nto leyo ekuvumela ukuba wenze imisebenzi yakho yemihla ngemihla ngokulula .
- Ukuncipha kokudumba: Ukudumba kwimithambo-luvo kuyancipha, nto leyo ebanceda ukuba baphile.
- Isisombululo seentlungu emva kotyando: Isisombululo esilungileyo seentlungu emva kotyando lwedolo.
- Enye indlela kwabo bangenakukwazi ukwenza utyando: Kwabo bangenakukwazi ukwenza utyando lwedolo ngenxa yezinye iingxaki zempilo, olu lukhetho olufanelekileyo lokulawula iintlungu.
Into ebalulekileyo kukuba ayinguye wonke umntu ofumana iziphumo ezifanayo. Abanye abantu bafumana isiqabu kwiiyure ezimbalwa. Kwabanye, kungathatha ukuya kuthi ga kwiiveki ezimbini ukuba i-steroid isebenze ngokwenene. Kukho ithuba elincinci lokuba abanye abantu abayi kufumana siqabu kwaphela.
Ukuba intlungu yakho iyancipha kakhulu emva kolu hlaselo, ugqirha wakho unokucebisa i-Genicular Nerve Ablation (GNA) njengenyathelo elilandelayo.Unyango olubizwa ngokuba yi-GNA lungacetyiswa. Lusebenzisa i-radiofrequency ukucima le mithambo-luvo ixesha elide. Unyango lwe-GNA lunokubonelela ngokuphelisa iintlungu kangangeenyanga ezili-18.
Ngaba kukho naziphi na iingozi okanye iingxaki ngale nto?
Kusenokubakho ukukrweleka okanye ubuhlungu kwindawo efakwe kuyo inaliti, kodwa oku kudla ngokuphela kwiintsuku ezimbini.
Iingxaki ezinkulu azixhaphakanga , kodwa njengakuyo nayiphi na imigonyo, kukho iingozi ezithile ekufuneka ziqwalaselwe.
- Usulelo kwindawo yokutofa.
- Ukopha kwindawo efakwe kuyo inaliti.
- Ukufakwa ngengozi kweyeza emthanjeni wegazi .
- Ukufaka amayeza ngengozi kwilungu ledolo .
- Ukuwa kweenyawo (ukungakwazi ukuphakamisa unyawo) kwenzeka xa umthambo oqhelekileyo we-peroneal, esixoxe ngawo ngaphambili, wonakele.
Amathuba okuba ezi zinto zenzeke mancinci kakhulu kuba oogqirha basebenzisa ubuchwepheshe obufana neeskeni kwaye benza olu nyango ngononophelo olukhulu.
Ndingahamba emva kokugonywa?
Ewe, unako. Ungaphuma egumbini emva kokuba unyango luphelile. Kodwa kungcono ukuphumla okwethutyana ngaloo mini. Emva koko ungabuyela kwimisebenzi yakho yesiqhelo.
Olu nyango lokuphelisa iintlungu luza kuhlala ixesha elingakanani?
Oku kuyahluka kakhulu kumntu nomntu. Ukuphelisa iintlungu kunokuhlala iintsuku ezimbalwa, iiveki ezimbalwa, iinyanga ezimbalwa, okanye iminyaka. Nangona kunjalo, ukuphelisa iintlungu kuhlala malunga neenyanga ezi-3 .
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba ufumana iimpawu ezintsha okanye iingxaki emva kokuvaleka kwemithambo-luvo , fowunela ugqirha wakho ngoko nangoko . Qaphela oku kulandelayo:
- Ukuba indawo efakwe kuyo inaliti ibomvu, idumbile, okanye ishushu (iimpawu zosulelo).
- Ukuba ukopha kuyaqhubeka ukusuka kwindawo yokutofa.
- Ukuba uziva utsha, ubuthathaka, okanye ubuthathaka obukhulu emilenzeni yakho.
Olu nyango lunokuba sisisombululo esilungileyo kwiintlungu zakho zedolo. Nangona kunjalo, iziphumo ziyahluka kumntu nomntu. Ukuba uneenkxalabo okanye amathandabuzo malunga nalo mjovo, thetha nogqirha wakho ngokukhululekileyo. Uya kukwazi ukuphendula yonke imibuzo yakho.
Umyalezo Wokuya Ekhaya
- I-Genicular Nerve Block lunyango lwenaliti olunceda kwiintlungu ezingapheliyo zedolo, kufutshane nemithambo-luvo ejikeleze idolo.
- Oku kulungele abo iintlungu zabo zingathomalaliswanga zezinye iindlela zonyango (amayeza, unyango lomzimba) kunye neentlungu ezenzeka emva kotyando lwedolo.
- Olu lunyango olulula olunokwenziwa ngemizuzu eli-10 nje kuphela, kwaye ungagoduka ngaphandle kokuhlala esibhedlele.
- Iziphumo zinokwahluka kumntu nomntu, kwaye ngokomyinge, ukukhululeka kwintlungu kunokulindeleka malunga neenyanga ezi-3.
- Umngcipheko weengxaki uphantsi kakhulu, kodwa ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kokufumana ugonyo, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unamathandabuzo, thetha nogqirha wakho ngaphambi kokuba ufumane unyango uze ulungise zonke iingxaki.
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