Ngaba uziva intlungu ebukhali esifubeni sakho, njengenaliti ekhutshwayo ezimbanjeni zakho, okanye njengemela ehlatywayo? Isenokuba lubambo oluphukileyo, okanye intlungu yexesha elide eza emva kokuba uphilile kwisifo esifana ne-shingles. Namhlanje, siza kuthetha ngonyango olukhethekileyo olusetyenziswa ngoogqirha kolu hlobo lwentlungu engapheliyo.
Ngamafutshane, yintoni i-Intercostal Nerve Block?
I-Intercostal Nerve Block yinaliti ekhethekileyo enikwa phantsi kwenye yeembambo zakho, apho kukho intlungu. Cinga ngayo, kukho imithambo-luvo ehamba phantsi kwembambo nganye yethu. Le mithambo-luvo siyibiza ngokuba yi-Intercostal Nerves. Ukuba ngesizathu esithile le mithambo-luvo okanye izicubu ezijikeleze yona ziyaxinwa, zidumbe, okanye zonakale, inokubangela intlungu enganyamezelekiyo.
Ngoko ke into eyenziwa yile injection "kukuyenza buthathaka" imithambo-luvo ebangela iintlungu okwethutyana. Le injection iqulethe iintlobo ezimbini zamayeza:
1. I-Steroid: Oku kunciphisa ukudumba kunye nokudumba okujikeleze imithambo-luvo.
2. I-Local Anesthetic: Oku kuyayithomalalisa loo ndawo ngoko nangoko, njengokuthomalalisa iintsini ngaphambi kokukhupha izinyo. Oku kuya kunceda ekunciphiseni iintlungu ngokukhawuleza.
Ngamanye amaxesha le naliti ikwasetyenziselwa ukukhomba unobangela wentlungu, oko kukuthi, ukufumanisa isifo.
Ziziphi iindlela ezisetyenziswa ngayo le gonyo?
Le ndlela yonyango isetyenziswa kakhulu ukulawula iintlungu esifubeni nakwisisu esingaphezulu.
| Imeko yokusetyenziswa | Ingcaciso elula |
|---|---|
| Njengonyango lwentlungu |
|
| Enxulumene notyando |
|
| Ukuxilongwa | Ngamanye amaxesha olu vavanyo lunokunceda ekuqinisekiseni ukuba intlungu yakho ivela kumthombo wangaphandle, njengemisipha okanye ulusu lwakho (intlungu yomzimba) okanye kwilungu langaphakathi, njengemiphunga okanye intliziyo yakho (intlungu yesisu). |
Ndingayilungiselela njani le gonyo?
Oku akudingi kulungiselela okuninzi. Nangona kunjalo, kukho izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho.
- Thetha ngezinto zokunciphisa igazi: Ukuba uthatha amayeza okunciphisa igazi, njengeWarfarin, ngokuqinisekileyo kufuneka uxelele ugqirha wakho. Oku kunokunyusa umngcipheko wokopha kwindawo efakwe kuyo inaliti. Ungaze uyeke ukuthatha la mayeza ngaphandle kokuthetha nogqirha wakho kuqala.
- Ukuba unikwa i-sedation: Ngamanye amaxesha unganikwa iyeza lokuthomalalisa (iyeza) ngemithambo ngaphambi kokuba kwenziwe inkqubo. Ukuba oku kwenziwe, uya kucelwa ukuba uzile ukutya iiyure ezi-6-8. Uya kufuna nomntu oza kukuyisa ekhaya emva kwenkqubo.
Nangona kunjalo, ugqirha wakho uza kukuchazela konke oku. Musa ukoyika ukubuza nayiphi na imibuzo onayo.
Isebenza njani inkqubo yokugonya?
Le yinkqubo elula edla ngokuthatha imizuzu embalwa.
1. Indawo: Uza kubekwa ebhedini, nokuba ulele ecaleni ngaphandle kwentlungu okanye esiswini.
2. Ukuthomalalisa (ukuba kuyimfuneko): Ukuba uziva uxhalabile okanye unexhala, unokunikwa i-sedative nge-cannula efakwe emthanjeni engalweni yakho.
3. Ukucoca: Indawo yokugonyela ihlanjululwe kakuhle ngesicombululo sokubulala iintsholongwane.
4. Ukungasebenzi kakuhle kwemisipha: Okulandelayo, kufakwa inaliti encinci kwindawo leyo ngenaliti encinci. Kule ndawo, ungaziva ngathi ulunywa yimbovane encinci.
5. Ukufumana indawo eyiyo:Eyona nto ibalulekileyo ngoku. Ugqirha uhlala esebenzisa isixhobo esifana neskena (i-ultrasound okanye i-fluoroscopy) ukuze abone indawo echanekileyo yomthambo kwisikrini. Oku kuvumela ukuba inaliti inikwe kanye apho kufuneka ibe khona.
6. Ukufaka inaliti ephambili: Emva koko, iyeza eliqulethe i-steroid kunye ne-anesthetic lifakwa kanye ecaleni kwemithambo-luvo.
7. Ukuphumla: Emva kokuba ugonyo lugqityiwe, uza kujongwa malunga nemizuzu eli-15-30 ngaphambi kokuba uthunyelwe ekhaya.
Iingxaki ezinokubakho kunye neengozi emva konyango
Nangona olu lunyango olukhuselekileyo kakhulu, njengakweyiphi na inkqubo yezonyango, kunokubakho umngcipheko omncinci.
Kunokubakho ukukrweleka okuncinci okanye ukuluhlaza okwesibhakabhaka kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbini ukuya kwezintathu. Oku kuqhelekile.
Nangona kunjalo, kukho iingxaki ezinkulu ezinokwenzeka rhoqo.
| Umngcipheko | Inkcazo |
|---|---|
| Ukopha | Inaliti inokonakalisa umthambo omncinci wegazi. |
| Usulelo | Njengakweyiphi na imijovo yokugonya, kukho ithuba elincinci kakhulu lokuba iintsholongwane zingene. |
| Imiphunga ewileyo/iPneumothorax | Kunqabile kakhulu ukuba inaliti ibethe ulwelo lomphunga, nto leyo ebangela umngxuma omncinci. Le ngozi ngoku iphantsi kakhulu ngenxa yokusetyenziswa kwee-scanners. |
| Umonakalo wemithambo-luvo | Le yinto enokwenzeka rhoqo. |
Ihlala ixesha elingakanani le ntlungu?
Oku kuyahluka kumntu nomntu.
- Kwabanye abantu, iintlungu ziyaphela emva kokufakwa inaliti. Kodwa oko kungenxa yempembelelo yeyeza ebangela ukuba umntu angakwazi ukuzibamba. Ingaphela emva kweeyure ezimbalwa.
- Ukuncedakala kwexesha elide kuqala emva kokuba amayeza e-steroid eqalile ukusebenza, oko kuthetha ukuba emva kweentsuku ezimbini ukuya kwezintathu.
- Abanye abantu bafumana isiqabu kangangeenyanga eziliqela . Ukuba unyango luphumelele kuwe, ungalufumana olu tyando kwakhona ukuba intlungu iphinda ivele, njengoko ugqirha wakho ekucebisile.
Ndifanele ndimbone nini ugqirha?
Ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukrokrela naziphi na iingxaki emva kokufumana ugonyo, yazisa ugqirha wakho ngoko nangoko . Ingakumbi:
- Ukuba indawo efakwe kuyo inaliti ibomvu, idumbile, okanye ikhupha ubovu (iimpawu zosulelo).
- Ukuba ufumana umkhuhlane.
- Ukuba une-nausea entsha okanye ubuthathaka emlenzeni okanye engalweni.
- Ukuba unengxaki yokuphefumla.
Umyalezo Wokuya Ekhaya
- I-Intercostal Nerve Block lunyango olukhethekileyo olunikwa ngenaliti kwiintlobo ezithile zentlungu esifubeni okanye esiswini esingaphezulu.
- Oku ngokubanzi kukhuselekile kakhulu, kwaye iingxaki zincinci kuba kwenziwa ngoncedo lweeskena.
- Ngaphambi konyango, kubalulekile ukwazisa ugqirha wakho malunga nayo yonke imithi oyithathayo, ingakumbi imithi yokunciphisa igazi.
- Ixesha elithathwayo ukuze kuthomalaliswe iintlungu linokuhluka kumntu nomntu.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo emva konyango, funa ingcebiso kagqirha ngoko nangoko.
- Ukuba unenkxalabo okanye amathandabuzo malunga nolu nyango, thetha nogqirha wakho ngalo mbandela ngokukhululekileyo.
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