Ngaba nawe ukufumanisa kunzima ukunyuka izinyuko, ukuhamba kancinci, okanye ukwenza imisebenzi yemihla ngemihla ngenxa yentlungu yedolo? Mhlawumbi ukhe wasela amayeza okudambisa iintlungu, waya kunyango lomzimba, kwaye wenza izinto ezahlukeneyo, kodwa intlungu edolweni lakho ayikapheli. Ukuba kunjalo, namhlanje siza kuthetha ngonyango olukhethekileyo ugqirha wakho anokulucebisa. Olu lubizwa ngokuba yi-'Genicular Nerve Block'.
Ngamafutshane, yintoni i-Genicular Nerve Block?
Kulula kakhulu. Ukuvalwa kwemithambo-luvo ye-genicular kubandakanya ukufaka inaliti yentlungu kwimithambo-luvo ethile ejikeleze idolo lakho ethwala iintlungu engqondweni yakho. Le naliti inika ukukhululeka okwethutyana kwiintlungu zedolo. Ngamanye amaxesha le ntlungu inokuhlala ixesha elide. Ihlala yenziwa ngokudibanisa i-anesthetic yendawo kunye ne-steroid.
Idolo lethu lincediswa linani elikhulu lemithambo-luvo. Kula, amasebe amakhulu emithambo-luvo amaninzi asasazeke edolweni. La masebe amancinci emithambo-luvo yiloo nto siyibiza ngokuba yi-'Genicular Nerves'. Ngokukodwa, la ngamasebe emithambo-luvo ajoliswa ngoogqirha kolu nyango:
- I-Superolateral genicular nerve (SLGN)
- I-Superomedial genicular nerve (SMGN)
- I-Inferomedial genicular nerve (IMGN)
Ngexesha lonyango, nangona kukho omnye umthambo ofana nalo (i-Inferolateral genicular nerve - ILGN), awufakwa inaliti. Oku kungenxa yokuba ukufutshane kakhulu nomnye umthambo omkhulu (i-Peroneal Nerve) obalulekileyo ekushukumeni kwemilenze yethu, ngoko ke oku kwenziwa ukuthintela amathuba okuwenzakalisa.
Inikwa nini le gonyo?
Kukho izizathu ezibini eziphambili zokusebenzisa i-Genicular Nerve Block.
1. Iintlungu Zedolo Ezingapheliyo: Ukuba ubunentlungu yedolo ixesha elide, ingakumbi ngenxa yemeko efana ne-Knee Osteoarthritis, kwaye ukuba intlungu ayilawulwanga ngonyango oluqhelekileyo (olufana neentlungu zobuhlungu kunye nonyango lomzimba), ugqirha wakho unokucebisa ukuba ufakwe inaliti.
2. Kwiintlungu emva kotyando lwedolo: Iingcali ze-Anesthesiologists zisebenzisa olu tyando ukulawula iintlungu ezinzima ngaphambi nasemva kotyando olukhulu lwedolo, njengokuhlinzwa kwedolo ngokupheleleyo. Oku kunikwa ukongeza kwi-anesthesia eqhelekileyo.
Into ebalulekileyo kukuba, esi ayisosisombululo sifanelekileyo kuzo zonke. Ngugqirha wakho kuphela onokugqiba ukuba olu nyango lukulungele na.
Yintoni omele uyenze ngaphambi kokuba unyango luqale?
Oku akudingi kulungiselela okuninzi. Nangona kunjalo, kwezinye iimeko, ugqirha wakho unokugqiba ekubeni akunike isithomalalisi ukuze akuncede uphumle, nto leyo ethetha ukuba uza kulala kancinci. Kwimeko enjalo, uya kucetyiswa ukuba ungatyi okanye usele nantoni na iiyure ezi-6-8 ngaphambi konyango. Kubalulekile nokuba nomntu oza kukuyisa ekhaya emva konyango.
Nangona kunjalo, ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Landela loo miyalelo ngqo. Ungoyiki ukubuza nayiphi na imibuzo onayo.
Kwenzeka ntoni xa ugonywa?
Le yinkqubo encinci eyenziwa kwindawo yokulaliswa ngaphandle, kungekhona esibhedlele. Oku kuthetha ukuba ungaya ekhaya emva nje kokufakwa inaliti. Nantsi into eyenzekayo ngexesha lonyango:
- Uza kulaliswa ebhedini ekhethekileyo, umqamelo omncinci ubekwe phantsi kwedolo elibuhlungu kwaye idolo lakho ligobe kancinci.
- Usenokunikwa amayeza nge-IV line ukuze akuncede uphumle.
- Emva koko ugqirha uza kucoca ulusu olusedolweni lakho ngesisombululo sokubulala iintsholongwane.
- Okulandelayo, kufakwa inaliti encinci ye-anesthetic yendawo ukuze kuthintelwe indawo apho inaliti iza kunikwa khona. Ngeli xesha, ungaziva urhawuzelelwa kancinci njengoko inaliti ingena.
- Emva koko, esebenzisa umatshini okhethekileyo wokuskena ofana ne-ultrasound okanye i-fluoroscopy , ugqirha uya kufumana indawo echanekileyo yomthambo wokufaka iyeza.
- Ekugqibeleni, iyeza lifakwa kufutshane naloo mthambo kangangoko kunokwenzeka.
Lonke eli xesha lithatha imizuzu emi-5 ukuya kweli-10 kuphela. Emva koko, ungaphumla okwethutyana uze ugoduke.
| Amanqanaba onyango | Inkcazo |
|---|---|
| Ukulungiselela | Akukho mfuneko yokulungiselela okukhethekileyo. Ukuba unikwa i-anesthesia ekhaphukhaphu, kuya kufuneka uzile ukutya iiyure ezi-6-8. |
| Unyango | Idolo liyacocwa, kufakwe inaliti ebangela ukuba umntu angakwazi ukuzibamba, kwaye inaliti yokubulala iintlungu ifakwa kufutshane nomthambo ochanekileyo kusetyenziswa ubuchwepheshe bokuskena. (Imizuzu emi-5 ukuya kweli-10) |
| Emva konyango | Phumla imizuzu eli-15-30 uze ugoduke ukuba akukho ziphumo zimbi. Kucetyiswa ukuba uphumle imini yonke. |
Zithini iingenelo kunye neengozi zoku?
Iinzuzo
Kukho iingenelo ezininzi ezinokufunyanwa kolu nyango:
- Ukunceda intlungu okwethutyana okanye ixesha elide , okwenza kube lula ukwenza imisebenzi yemihla ngemihla.
- Ukudumba kwemithambo-luvo ebangela iintlungu kuyancitshiswa, nto leyo ebanceda ukuba baphile.
- Ukufumana isiqabu esihle kwiintlungu emva kotyando.
- Lukhetho olufanelekileyo lokulawula iintlungu kwabo bangenakukwazi ukwenza utyando lwedolo ngenxa yezinye iingxaki zempilo.
Iingozi
Njengakweminye inkqubo yezonyango, kukho iingozi ezithile ezibandakanyekayo, kodwa iingxaki ezinkulu azixhaphakanga.
- Kunokubakho ukudumba okanye ukukrweleka okuncinci kwindawo efakwe kuyo inaliti. Oku kudla ngokuphela kungekapheli usuku okanye ezimbini.
- Izinto ezinokwenzeka azifane zenzeke zezi:
- Usulelo kwindawo yokutofa.
- Ukopha okuvela kwindawo leyo.
- Ukufakwa amayeza ngengozi emthanjeni wegazi.
- Ukufaka iyeza ngengozi edolweni.
- Amaxesha amaninzi, ukuba iyeza lisiya ngengozi kwenye imithambo-luvo ekufutshane (i-Common Peroneal Nerve), imeko ebizwa ngokuba yi -'foot drop' , apho unyawo lungenakuphakanyiswa eqatheni, inokwenzeka.
Isiphumo sesitofu sokugonya sihlala ixesha elingakanani?
Le yingxaki abantu abaninzi abanayo. Enyanisweni, ukukhululeka koku kunokwahluka kakhulu kumntu nomntu. Abanye abantu banokufumana ukukhululeka iintsuku ezimbalwa, ngelixa abanye banokufumana ukukhululeka iiveki, iinyanga, okanye unyaka. Ngokomyinge, ungalindela ukukhululeka malunga neenyanga ezi-3. Nangona kunjalo, abanye abantu basenokungafumani kukhululeka konke konke.
Okubalulekileyo, ukuba ufumana isiqabu esihle sentlungu kule inaliti, ugqirha wakho unokucebisa unyango olubizwa ngokuba yi -Genicular Nerve Ablation (GNA) njengenyathelo elilandelayo. Oku kuyayekisa le mithambo-luvo ekudluliseleni imiqondiso yentlungu ixesha elide. Unyango lwe-GNA lunokubonelela ngesiqabu sexesha elide ukuya kuthi ga kwiinyanga ezili-18.
Ndifanele ndimbone nini ugqirha?
Emva kokufumana isitofu sokugonya, ukuba ubonakalisa iimpawu ezintsha, umzekelo, iimpawu zosulelo ezifana nokudumba, ukuba bomvu, okanye ukuba ubomvu kwindawo ohlatywe kuyo inaliti, okanye ukuba ufumana ukutsha okungaqhelekanga, ukuba ndindisholo, okanye ubuthathaka , yazisa ugqirha wakho ngoko nangoko.
Ukuba unenkxalabo okanye amathandabuzo malunga nolu nyango, thetha nogqirha wakho ngalo mba ngokukhululekileyo. Uza kuphendula yonke imibuzo yakho.
Umyalezo Wokuya Ekhaya
- I-genicular nerve block yinaliti yokubulala iintlungu efakwa kufutshane nemithambo-luvo ejikeleze idolo ukulawula iintlungu zedolo.
- Oku kusetyenziswa kakhulu kwiintlungu zedolo ezihlala ixesha elide kunye neentlungu emva kotyando lwedolo.
- Unyango lukhawuleza kakhulu (imizuzu emi-5 ukuya kweli-10) kwaye aludingi ukuhlala esibhedlele.
- Ixesha elithathwayo ukuze kuthomalaliswe iintlungu liyahluka ukusuka kumntu ukuya komnye, kwaye abanye basenokungafumani kuphumla konke konke.
- Iziphumo ebezingalindelekanga ezinzulu azixhaphakanga, kodwa ukuba ufumana naziphi na iimpawu ezingaqhelekanga, qhagamshelana nogqirha wakho ngoko nangoko.
- Ngugqirha wakho kuphela onokugqiba ukuba olu nyango lukulungele na.
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