Ngaba wena okanye umntu omaziyo unezihlunu eziqinileyo nezishukumayo kwimilenze yakho? Ngamanye amaxesha, nokuba uthatha amayeza okunciphisa oku kuqina akuncedi. Ngoko ke namhlanje siza kuthetha ngonyango oluphambili lolu hlobo lokuxinana kwemisipha okuqatha (i-spasticity). Lubizwa ngokuba yiBaclofen Pump. Eli gama lisenokuba litsha kuwe, kodwa linezibonelelo ezininzi. Makhe sijonge ukuba liyintoni.
Yintoni iBaclofen Pump?
Ngamafutshane, sisixhobo esincinci esifakelwa emzimbeni wakho ngotyando. Senziwe ngamacandelo amabini:
- Ipompo: Le yidiski yesinyithi esingqukuva, esithe tyaba, edla ngokuba malunga ne-intshi enye ubukhulu kunye ne-intshi ezintathu ububanzi. Kulapho amayeza agcinwa khona aze akhutshwe emzimbeni xa kufuneka.
- I-Catheter: Le yityhubhu ebhityileyo neguquguqukayo ethwala amayeza ukusuka kwimpompo ukuya apho afuneka khona, angaphakathi kwintambo yakho yomqolo.
Ngexesha lotyando, ugqirha uza kubeka le mpompo phantsi kwesikhumba sesisu sakho. Emva koko, elinye icala le-catheter liza kuqhagamshelwa kwimpompo kwaye elinye icala liqhagamshelwe kulwelo olujikeleze umqolo wakho. Oogqirha babiza oku ngokuthi yi-Intrathecal Baclofen Therapy (ITB) .
Le pump inebhetri, i-reservoir, kunye ne-microprocessor. Ugqirha usebenzisa ikhompyutha encinci kunye nesixhobo esikhethekileyo (induku) esibekwa eluswini lwakho ukuze sicwangcise ipump. Oku kuthetha ukuba ipump iyalelwe ukuba ikunike isixa esifanelekileyo samayeza, ngexesha elifanelekileyo, nangendlela efanelekileyo imini yonke.
Ngoko ke yintoni le yeza ibizwa ngokuba yiBaclofen?
I-Baclofen sisithomalalisi semisipha yamathambo . Yinto ephambili kunyango lweemeko ezinje ngokuqina kwemisipha (ukuqaqamba). Xa eli yeza lifakwa ngqo kulwelo olujikeleze umqolo, lenza oku kulandelayo:
- Inceda intshukumo yemisipha.
- Ilawula ukurhawuzelela okungafunekiyo rhoqo kunye nokusabela okugqithisileyo.
- Inciphisa ithoni yemisipha egqithisileyo.
- Inciphisa ukuqaqamba kwemisipha.
Kukho isizathu esiphambili sokuba le ndlela isebenze ngakumbi kuneepilisi eziselwayo. Xa usela amayeza ngomlomo, asasazeka emzimbeni wonke aze afikelele kumqolo. Ke ngoko, kukho iziphumo ebezingalindelekanga ezininzi ezifana nokozela kunye nobuthathaka. Kodwa ngenxa yokuba ipompo ihambisa amayeza ngqo kwindawo apho afuneka khona, ungafumana iziphumo ezinkulu ngomthamo omncinci kakhulu wamayeza . Ke ngoko, iziphumo ebezingalindelekanga nazo zimbalwa kakhulu.
Le mpompo isetyenziselwa ziphi iimeko?
Le ndlela isetyenziselwa ukunyanga ukuqina kwemisipha okuqatha (ukuqaqamba okukhulu) okubangelwa zizifo ezininzi ezichaphazela ingqondo okanye umqolo. Eminye imizekelo yile:
- Isifo sokugubhuka
- Ukulimala okukhulu komqolo
- Umvakalelo yokitazo
- Ukulimala kwengqondo okubuhlungu
- Istroke
Ngubani ofanele le mpompo ye-baclofen?
Ukuba uqine kakhulu kwizihlunu zakho kwaye amayeza omlomo awancedi, ugqirha wakho angacinga ngale mpompo. Kodwa ayinguye wonke umntu onokuyifaka ngoko nangoko. Okokuqala, uza kuvavanywa ukuze kubonwe ukuba ikulungele na.
Olu vavanyo lubandakanya inaliti encinci emgogodleni wakho (i-spinal tap) kwaye inani elincinci kakhulu le-baclofen lifakwa kulwelo olujikeleze umqolo wakho. Iqela lezonyango liza kukujonga iiyure ezininzi. Baza kubona ukuba idosi yeyeza iyakunciphisa kangakanani ukuqina kwemisipha yakho kunye nendlela oziva ngayo. Isiphumo sale mayeza sesexeshana, kodwa ulwazi olunika lona lubaluleke kakhulu kugqirha ukuze agqibe ukuba uza kufaka ipompo okanye hayi.
Lwenziwa njani olu tyando?
Xa sele kugqitywe kwelokuba ungumntu ofanelekileyo kwimpompo, usuku lubekwe ecaleni lotyando. Oku kudla ngokwenziwa ngugqirha wemithambo-luvo okanye ugqirha ochwephesha ekulawuleni iintlungu.
Ngomhla wotyando, uza kufakwa i-anesthesia ngokupheleleyo . Oku kuthetha ukuba awuyi kuva nto, uza kube ulele. Emva koko ugqirha uza kulandela la manyathelo:
1. Kwenziwa umngxuma omncinci eluswini lwesisu sakho, apho ipompo ifakwa khona phantsi kolusu.
2. Emva koko kwenziwa olunye utyando oluncinci kumqolo wakho ongezantsi, kwaye isiphelo se-catheter (ityhubhu) sifakwa kumqolo wakho.
3. Okulandelayo, i-catheter iqhagamshelwe kwimpompo esiswini phantsi kolusu.
4. Ipompo izaliswe ngamayeza eBaclofen afunekayo.
5. Usebenzisa ikhompyutha, ucwangcisa ipompo ukuze ihambise amayeza ngendlela oyifunayo.
Lonke utyando ludla ngokuthatha malunga neeyure ezimbini. Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Ngamanye amaxesha, ungathunyelwa kunyango lokubuyisela impilo yakho ukuze uqhelane nepompo kwaye ufumane amandla emisipha ngaphambi kokuba ugoduke.
Ungayilawula kwaye uyigcine njani impompo?
Kubaluleke kakhulu ukugcina ipompo ikwimeko entle emva kokuba ifakiwe.
- Ukuzalisa kwakhona: Iyeza elikwipompo liza kuphela ngokuhamba kwexesha. Ngokwesiqhelo kube kanye ngenyanga ukuya kube kanye kwiinyanga ezintandathu.Ngamaxesha athile, kufuneka uzalise ipompo yakho. Oku kuthetha ukuba ugqirha wakho ufaka amayeza kwindawo ekhethekileyo eluswini lwakho (indawo yokugcwalisa kwakhona) esebenzisa inaliti. Ukutsiba olu suku lokugcwalisa kwakhona kunokuba yingozi , kuba kunokubangela iimpawu zokurhoxa kakhulu ukuba awufumani amayeza akho.
- Ibhetri: Ibhetri yepompo idla ngokuhlala iminyaka eyi-6-7 . Ipompo iya kunika i-alamu xa ibhetri sele iza kuphela. Emva koko kufuneka olunye utyando ukuze kususwe ipompo endala kufakwe entsha. Nangona kunjalo, i-catheter (ityhubhu) ayitshintshwa. Olu tyando lwesibini lulula kakhulu kunolokuqala.
- Iingxaki: Ukuba kukho ukungasebenzi kakuhle komatshini okanye ukuvaleka kwepompo okanye i-catheter, kuya kufuneka ilungiswe ngotyando okanye itshintshwe.
Ukuba unesikrokro sokuba ipompo ayisebenzi kakuhle, fowunela ugqirha wakho ngoko nangoko .
Iingenelo, iingozi, kunye neengxaki zolu nyango
Njengalo naluphi na unyango lwezonyango, kukho iingenelo kunye neengozi ezithile. Makhe sijonge zombini.
| Inzuzo | Inkcazo |
|---|---|
| Impumelelo ephezulu | Indlela esebenzayo kakhulu yokulawula ukuqaqamba kwemisipha okuqatha. |
| Ukunikezelwa kwamayeza rhoqo | Ngenxa yokuba amayeza enikwa ngexesha elinye imini yonke, ukuqina kwemisipha kulawulwa kakuhle. |
| Iziphumo ebezingalindelekanga ezimbalwa | Zimbalwa kakhulu iziphumo ebezingalindelekanga (ukozela, ubuthathaka) kunamayeza athathwa ngomlomo. |
| Idosi ehlengahlengiswayo | Ungazicwangcisa iidosi ezahlukeneyo zamayeza ngamaxesha ahlukeneyo osuku, kuxhomekeke kwiimfuno zakho. |
| Ingasuswa ukuba kuyimfuneko. | Ukuba kuyimfuneko ngesizathu esithile, ipompo kunye ne-catheter zinokususwa ngotyando. |
Iingxaki ezinokwenzeka
- Okunxulumene notyando: usulelo lokusikwa, ukopha, ukukrweleka, ukuvuza kolwelo lomqolo.
- Okunxulumene nempompo: Ukungasebenzi kakuhle kwempompo, ukuvaleka okanye ukuphuma kwekhathetha, ukonakala kwesikhumba phezu kwempompo.
- Okunxulumene namayeza: Ukurhoxa okanye ukugqithisela amayeza. Ezi zimbini zezona meko zinzima ekufuneka uziqaphele.
Umahluko phakathi kokurhoxa kunye nokugqithisa iziyobisi
Zombini ezi meko zinokuba yingozi, ngoko ke kubaluleke kakhulu ukuba uzazi iimpawu zazo zombini.
| Uphawu | Ukurhoxiswa kweBaclofen | I-Baclofen Overdose |
|---|---|---|
| Unobangela | ||
| Kutheni oku kusenzeka? | Ukuyeka ngequbuliso ukuhambisa amayeza ngenxa yokuphelelwa yipompo yamayeza, ukuvaleka kwe-catheter, okanye ukwaphuka. | Ukungena kwamayeza amaninzi emzimbeni ngenxa yempazamo ekuzaliseni okanye ekucwangciseni amayeza. |
| Iimpawu eziphambili | ||
| Izihlunu | Ukuqina kakhulu , ukubetheka, ukuqengqeleka. | Ubuthathaka obukhulu , ukungabi nabomi, ukungakwazi ukuhambisa amalungu omzimba. |
| Ulusu | Ukurhawuzelela okukhulu kwesikhumba ngaphandle komonakalo. | Akukho mahluko ukhethekileyo. |
| Ubushushu bomzimba | Ndiziva ndinomkhuhlane kancinci. | Ukwehla kobushushu bomzimba. |
| Ezinye iimpawu | Ukubila kakhulu, isicaphucaphu, isiyezi. | Ukozela kakhulu, uxinzelelo lwegazi oluphantsi, ubunzima bokuphefumla . |
| Imeko embi kakhulu | Ukuxhuzula. | Ukulahlekelwa zingqondo, ukuxhuzula. |
Isilumkiso: Ukuba kukho naziphi na iimpawu ezidweliswe kwitheyibhile engentla ezibonakala, yingxamiseko yezonyango . Ngaphandle kokulibazisa, thatha isigulana usise kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngokukhawuleza.
Ndifanele ndimbone nini ugqirha?
Ukuba ufakelwe ipompo ye-baclofen, kufuneka uhlale unxibelelana nogqirha wakho rhoqo.
Fowunela ugqirha wakho kwezi meko zilandelayo:
Ukuba ubona iimpawu zosulelo kwindawo yotyando, yazisa ugqirha wakho ngoko nangoko.
- Ifiva.
- Ububomvu kunye nokudumba kolusu olujikeleze ipompo okanye i-incision.
- Ulwelo okanye ubovu obuphuma emanxebeni.
- Intlungu kwezo ndawo.
Yiya kwi-ETU ngoko nangoko kwezi meko:
- Iimpawu zokurhoxa ezikhankanyiweyo kwitheyibhile engentla.
- Iimpawu zokusebenzisa i-overdose zikhankanyiwe kwitheyibhile engentla.
Zombini ezi meko zinokuba yingozi ebomini, ngoko ke unyango olukhawulezileyo lubalulekile.
Umyalezo Wokuya Ekhaya
- I-Baclofen Pump lunyango oluphambili lokuqaqamba kwemisipha okuqatha (ukuqaqamba okukhulu) okungenakulawulwa ngamayeza aselwayo.
- Ngenxa yokuba oku kuhambisa amayeza ngqo kwi-spinal cord, iziphumo ezinkulu zinokufumaneka ngokusetyenziswa kwamayeza ambalwa kunye nemiphumo emibi embalwa.
- Kubalulekile ukuzalisa ipompo ngexesha. Ukutsiba oku kunokukhokelela kwiimpawu eziyingozi zokurhoxa.
- Kubaluleke kakhulu ukuqaphela iimpawu zokurhoxa kunye nokugqithisa iziyobisi. Ezi ziimeko ezingxamisekileyo zonyango.
- Ukuba unemibuzo okanye unenkxalabo malunga nepompo yakho okanye naziphi na iimpawu ozifumanayo, qhagamshelana nogqirha wakho ngoko nangoko.
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