Ngamanye amaxesha unokuba nentlungu enzima ecaleni kwesifuba sakho okanye kwi-rib cage yakho. Le ntlungu ingavakala ngathi yimela ekuhlabayo, okwenza kube nzima ukuphefumla. Ngamanye amaxesha olu hlobo lwentlungu lwenzeka emva kokuba uphuke imbambo okanye emva kotyando lwesifuba. Namhlanje sithetha ngonyango olukhethekileyo lolu hlobo lwentlungu, oluyinaliti enikwa ngqo kwindawo apho kukho intlungu.
Yintoni i-Intercostal Nerve Block?
Ngamafutshane, le yinaliti enikwa kufutshane nomthambo ophantsi kwenye yeembambo zakho. Ubusazi na ukuba kukho umthambo ohamba phantsi komthambo ngamnye esifubeni sethu? Siwubiza ngokuba yi-'Intercostal Neves'. Ukuba ngesizathu esithile lo mthambo okanye izicubu eziwujikelezileyo ziyacinezelwa, zonakale, okanye zidumbe, kunokubangela intlungu enzima.
Ngoko ke into eyenziwa yile injection 'kukuvala' okwethutyana umthambo obangela iintlungu. Le injection iqulethe iintlobo ezimbini zamayeza:
- I-Local Anesthetic: Oku kuyayithulisa loo ndawo emva nje kokufakwa inaliti, kunciphisa iintlungu ngokukhawuleza.
- I-Steroid: Oku kunciphisa ukudumba kunye nokuvuvukala okujikeleze imithambo-luvo. Kuthatha iintsuku ezimbini ukuya kwezintathu ukusebenza, kodwa kunika isiqabu sexesha elide.
Kuphantsi kweziphi iimeko apho olu gonyo lusetyenziswa khona?
Le ndlela yonyango isetyenziselwa iinjongo eziphambili ezininzi. Ngamanye amaxesha inceda ekunciphiseni iintlungu, kwaye ngamanye amaxesha inceda ekufumaneni unobangela wentlungu.
| Imeko yokusetyenziswa | Inkcazo |
|---|---|
| Ukunciphisa iintlungu | Isetyenziselwa ukulawula iintlungu ezenzeka ngequbuliso (eziqatha) okanye ezihlala ixesha elide (ezingapheliyo). Umzekelo: ukwaphuka kwembambo kunye nentlungu yemithambo-luvo emva kwe-chickenpox (ii-shingles okanye i-postherpetic neuralgia). |
| Enxulumene notyando | Olu tyando lunikwa ukulawula iintlungu emva kotyando oluthile. Imizekelo: Utyando lwesifuba, utyando lwebele, kunye notyando oluphezulu lwesisu. |
| Ukuchonga unobangela wentlungu | Ngamanye amaxesha ugqirha kufuneka aqinisekise ukuba intlungu yakho ivela kwilungu elithile emzimbeni wakho (intlungu yesisu) okanye ivela kwindawo ethile kwimisipha okanye kulusu lwakho (intlungu yomzimba). Ukuba intlungu iyaphela emva kokuba unike olu hlaselo, oko kuthetha ukuba ingxaki ikwezi mithambo-luvo. |
Ndingazilungiselela njani ukufumana olu gonyo?
Oku akudingi kulungiselela okuninzi. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzazi.
Eyona nto ibalulekileyo kukuba ukuba uthatha amayeza okunciphisa igazi, njenge-warfarin, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngayo loo nto. Kuba la mayeza anokunyusa umngcipheko wokopha kwindawo ohlatywe kuyo inaliti. Kodwa khumbula, ungaze uyeke ukuwathatha ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo.
Ngamanye amaxesha uya kunikwa i-sedation ukuze ulale. Ukuba oku kwenziwe, uya kucelwa ukuba ungatyi okanye ungaseli nto iiyure ezi-6-8 ngaphambi kwenkqubo. Kuya kufuneka uze nomntu oza kukuqhubela ekhaya, kuba awuyi kukwazi ukuqhuba.
Nangona kunjalo, ugqirha wakho uza kukuchazela konke oku. Musa ukoyika ukubuza nayiphi na imibuzo onayo.
Yenziwa njani le Intercostal Nerve Block?
Indlela olu nyango oluqhutywa ngayo ilula kakhulu. Ihlala isenzeka ngolu hlobo:
- Okokuqala, uza kulaliswa ebhedini, nokuba ngecala lakho, nto leyo engebuhlungu, okanye ngesisu sakho.
- Ukuze uphumle, unganikwa isithomalalisi esithambileyo nge-IV line engalweni yakho.
- Emva koko, indawo yokufaka inaliti icocwe kakuhle ngesisombululo se-antiseptic.
- Okulandelayo, kufakwa inaliti encinci ye-local analgesic ukuze kuthintelwe indawo apho kuza kwenziwa khona i-nerve block. Kule ndawo, ungaziva urhawuzelelwa kancinci njengoko inaliti ingena.
- Ukuze afumane indawo echanekileyo yomthambo-luvo, ugqirha angasebenzisa isikhokelo somfanekiso, esifana ne -ultrasound okanye i-fluoroscopy . Oku kuvumela ugqirha ukuba abone ngqo apho angafaka khona inaliti.
- Nje ukuba kufunyenwe indawo efanelekileyo, iyeza lokunciphisa iintlungu lifakwa kufutshane nomthambo kangangoko kunokwenzeka.
- Emva kokufakwa inaliti, uza kucelwa ukuba uphumle okwethutyana de iyeza lisebenze.
Emva kokufakwa inaliti, uza kujongwa malunga nemizuzu eli-15-30 ukuze kubonwe ukuba kukho naziphi na iziphumo ebezingalindelekanga. Ukuba yonke into ilungile, ungagoduka.
Lusebenza kangakanani olu nyango? Kwaye kuthatha ixesha elingakanani ukuba intlungu iphele?
Kubantu abaninzi, oku kunika isiqabu sentlungu sexeshana, kodwa ukuba eso siqabu sihlala ixesha elingakanani siyahluka kumntu nomntu.
I-anesthetic enikwa kwangoko emva kokufakwa kwenaliti iya kunciphisa iintlungu. Nangona kunjalo, emva kweeyure ezimbalwa, i-anesthetic iya kuphela kwaye iintlungu zinokubuya. Ungakhathazeki, oku kuqhelekile. Ukukhululeka kwexesha elide kuza emva kokuba i-steroid iqalile ukusebenza kwiintsuku ezimbini ukuya kwezintathu.
Abanye abantu basenokungabi nantlungu kangangeenyanga ezininzi . Ukuba unyango luphumelele, unokukwazi ukufumana inaliti kwakhona ngamanye amaxesha njengoko kufuneka ukulawula iintlungu. Nangona kunjalo, abanye abantu basenokungabi nampembelelo kwinaliti. Ukuba oko kuyenzeka, ugqirha wakho uza kukuxelela ngezinye iindlela zonyango.
Zithini iingozi kunye neengxaki zoku?
Olu nyango lukhuselekile kakhulu. Kusenokubakho ukukrweleka kunye nobuhlungu apho kufakwe khona inaliti, kodwa oku kuya kuphela kwiintsuku ezimbini ukuya kwezintathu.
Nangona kunjalo, kukho iingxaki ezinkulu ezingaqhelekanga kodwa ezifanelekileyo ukuzazi.
- Ukopha
- Usulelo
- Umphunga ophukileyo: Oku kuyinto engaqhelekanga kakhulu. Kungenzeka ukuba inaliti ibethe emphungeni.
- Umonakalo wemithambo-luvo
Ezi ngozi ziphantsi kakhulu, ingakumbi xa zenziwa ngugqirha onamava esebenzisa ubuchwepheshe obufana ne-ultrasound.
Ndifanele ndibonane nogqirha nini?
Ukuba ufumana naziphi na iimpawu ezintsha okanye iingxaki emva kokufumana olu gonyo, fowunela ugqirha wakho ngoko nangoko . Qaphela ezi mpawu:
- Iimpawu zosulelo: umkhuhlane, ukubomvu, ukudumba, iintlungu eziqatha, okanye ubomvu kwindawo yokufakwa inaliti.
- Iingxaki ezinxulumene nemithambo-luvo: Iimpawu ezintsha ezifana nokungaziva mnandi kunye nobuthathaka kwimilenze.
- Ubunzima bokuphefumla: Oku kungaba luphawu lwengxaki yemiphunga.
Ukuba uziva into efana nale, musa ukulibazisa kwaye ufune ingcebiso kagqirha ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-intercostal nerve block yinaliti ekhethekileyo enikwa iintlungu ezinxulumene ne-nerve phakathi kweembambo.
- Isetyenziselwa izinto ezifana neembambo ezaphukileyo, iintlungu emva kotyando, kunye neentlungu zemithambo-luvo emva kwe-chickenpox.
- Nangona olu nyango lukhuselekile ngokubanzi, ukopha kunye nosulelo azifane zenzeke.
- Ukuba usela amayeza okunciphisa igazi, qiniseka ukuba wazise ugqirha wakho ngaloo nto ngaphambi kokuba unyangwe.
- Ukuba uqalisa ukuba nomkhuhlane, ukudumba okukhulu kwindawo ohlatywe kuyo inaliti, ubunzima bokuphefumla, okanye ukuba ndindisholo emva konyango, funa ingcebiso kagqirha ngoko nangoko.
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