Ngaba ngamanye amaxesha uziva imilenze yakho ibuhlungu kwaye ibuhlungu, nokuba uthatha amayeza okanye unyango olufumanayo lungakanani? Okanye unesifo esifana nesifo seswekile esenza kube nzima ukuthwala iintlungu kunye nokuvuvukala emilenzeni yakho? Ugqirha wakho usenokuba ukuxelele nge-'Lumbar Sympathetic Block'. Nangona igama lisenokuvakala liyoyikisa kwaye liyinkimbinkimbi, eneneni yinkqubo yezonyango elula nekhuselekileyo eye yazisa isiqabu kubantu abaninzi. Makhe sithethe ngayo yonke le nto ngendlela elula kakhulu namhlanje.
Yintoni kanye kanye iLumbar Sympathetic Block?
Ngamafutshane, le yinaliti ekhethekileyo enikwa emqolo wakho ongezantsi. Ithintela okwethutyana imiqondiso yentlungu ukuba ingangeni emilenzeni nasezinyaweni zakho. Ngamanye amaxesha, amayeza ayongezwa kwinaliti ukunceda imithambo-luvo eyonakeleyo iphilise.
Cinga ngemithambo-luvo emizimbeni yethu njengothungelwano lweentambo zombane ezihamba emizimbeni yethu. Ezi ntambo zithwala imiqondiso phakathi kwengqondo nomzimba wonke. Ezi mpawu zezona zisivumela ukuba sive iintlungu, ukuchukumisa, kunye nokusebenza kwemisipha.
Inxalenye ekhethekileyo yale nkqubo yemithambo-luvo ibizwa ngokuba yimithambo-luvo ethi `sympathetic`. Le mithambo-luvo ilawula izinto ezenzeka emzimbeni wethu singaziqondi, umzekelo, ukuphefumla, ukubila, kunye noxinzelelo lwegazi. Kodwa ngamanye amaxesha, emva kohlobo oluthile lwengozi, le mithambo-luvo ethi `sympathetic` iqala ukuthumela imiqondiso yentlungu ngendlela engafanelekanga.
Imithambo-luvo ye-'Lumbar sympathetic' ikwinxalenye esezantsi yomqolo wethu, phambi nje kwethambo lomqolo. Ngoko ke le naliti ye-'Lumbar Sympathetic Block' ijolise kuloo mithambo-luvo. Inokubathintela ekuthumeleni imiqondiso yentlungu engeyomfuneko.
Zeziphi izinto ezisetyenziselwa le bhloko?
Olu gonyo lusetyenziselwa iinjongo ezintathu eziphambili.
| Injongo | Inkcazo elula |
|---|---|
| Nciphisa iintlungu | Ukunika isiqabu sexeshana kwiintlungu ezibukhali okanye ezingapheliyo. Olu tyando lunokunciphisa ukudumba kwemithambo-luvo kwaye luncede ukuba ziphilise. |
| Fumana unobangela wentlungu. | Ukuba unentlungu, kodwa ugqirha wakho akakwazi ukufumana unobangela ochanekileyo, olu tyando lusetyenziswa njengovavanyo. Ukuba intlungu iyancipha emva kotyando, oko kuthetha ukuba ingxaki ikwimithambo-luvo. Ukuba intlungu ayinciphi, unobangela usenokuba kwenye indawo. |
| Ulawulo lweentlungu ngaphambi kotyando | Olu tyando lunikwa ngaphambi nasemva kotyando oluthile ukulawula iintlungu. |
Iimeko ekucetyiswa ukuba olu nyango lusetyenziswe kuzo
Ukuba unenye yezi meko zilandelayo ezichaphazela imilenze okanye iintende zakho, ugqirha wakho unokucebisa olu nyango.
- I-Complex Regional Pain Syndrome (CRPS): Imeko yentlungu engapheliyo, enzima ngakumbi eyenzeka emva kwengozi.
- Intlungu Yemilenze Engaqhelekanga: Ukuqhubeka kwentlungu kumlenze okanye ingalo enqunyulwe ngotyando.
- I-Hyperhidrosis: Ukubila okugqithisileyo kwezandla neenyawo.
- I-Neuropathy enxulumene nesifo seswekile: Ukudumba, ukungaziva, kunye nentlungu ebangelwa kukonakala kwemithambo-luvo emilenzeni ngenxa yesifo seswekile.
- I-Postherpetic Neuralgia: Intlungu yemithambo-luvo eyenzeka emva kokosulelwa yi-herpes (intsholongwane efanayo ebangela i-chickenpox).
- Isifo sikaRaynaud: Imeko apho ukuhamba kwegazi ukuya kwiminwe kuncipha, okubangela ukutshintsha kombala kunye nentlungu xa ubekwe kwindawo ebandayo.
- Intlungu yomhlaza.
- Intlungu yemithambo yegazi.
Ngaba kufuneka ndilungiselele olu tyando kwangaphambili?
Ixesha elininzi, oku akudingi lungiselelo likhethekileyo.
Nangona kunjalo, kwezinye iimeko, ugqirha angagqiba ekubeni akubeke kwimeko yokozela (ukuthomalalisa). Ukuba kunjalo, uya kucelwa ukuba uzile ukutya malunga neeyure ezi-6-8 . Kwakhona, kubalulekile ukuba umntu akuse ekhaya emva kwenkqubo.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba unemibuzo, ungathandabuzi ukubuza.
Iqhubeka njani le nkqubo?
Oku kudla ngokwenziwa xa umntu egula ngaphandle, ngaphandle kokuhlala esibhedlele. Nazi iindlela ezenzeka rhoqo:
- Uza kunyanzelwa ukuba ulale ngesisu sakho etafileni ekhethekileyo.
- Usenokunikwa isithomalalisi sokukunceda uphumle, ngokusebenzisa umgca we-IV engalweni yakho.
- Ugqirha uza kucoca kakuhle indawo efakwe kuyo inaliti ngesisombululo se-antiseptic.
- Emva koko, kunikwa elinye inaliti elincinci ukuze kuthintelwe loo ndawo. Ngeli xesha, ungaziva urhawuzelelwa kancinci xa inaliti ibetha.
- Okulandelayo, ngelixa ejonga imifanekiso kumatshini we-X-ray (i-X-ray imaging), ugqirha ufaka inaliti encinci ecaleni lomqolo ngononophelo.
- Ukuqinisekisa ukuba iyeza lifika kwindawo efanelekileyo, kungafuneka ufake incasa encinci yedayi ekhethekileyo ethi 'contrast dye'.
- Ekugqibeleni, kunikwa inaliti ye-steroid ukunciphisa iintlungu nokudumba.
Le nkqubo yonke idla ngokuthatha ngaphantsi kwemizuzu engama-30 .
Kwenzeka ntoni emva kokufakwa inaliti?
Emva kwenkqubo, ungaziva ubushushu okanye "uvakalelo olwahlukileyo" emlenzeni wakho nasezantsi komqolo. Uya kuqaphela nokuba iintlungu ziya zincipha kancinci. Musa ukukhathazeka ukuba umlenze wakho uziva ungasasebenzi okanye ungenabomi, kuba oku kuya kuphela ngokupheleleyo xa amayeza okudambisa iintlungu ephelile.
Ungatya kwaye uthathe amayeza akho njengesiqhelo. Kodwa kuphephe imisebenzi enzima, ukuphakamisa iintsimbi, okanye ukuzilolonga iiyure ezingama-24. Zithobe. Ungaqhubeka nemisebenzi yakho yesiqhelo ngosuku olulandelayo.
Iingenelo kunye nemiphumo enokubakho yoku
Iinzuzo
- Intlungu iphelile okwethutyana, kwaye imisebenzi yemihla ngemihla inokwenziwa ngokulula.
- Iyanciphisa ukudumba kwimithambo-luvo ebangela iintlungu kwaye inceda ukuba iphilise.
- Inceda ugqirha ukuba afumane unobangela wentlungu.
Nangona kunjalo, kubalulekile ukukhumbula ukuba ayinguye wonke umntu oza kukhululeka kwiintlungu ngenxa yale naliti. Ukuba oku kuyenzeka, ugqirha wakho uza kucebisa ezinye iindlela zonyango.
Iziphumo ebezingalindelekanga kunye neengxaki
Njengakweminye inkqubo yezonyango, kukho iingozi ezithile ezibandakanyekayo, kodwa iingxaki ezinkulu azixhaphakanga kakhulu.
| Isiphumo | Inkcazo |
|---|---|
| Iziphumo ezincinci ezihlala zibonwa | |
| Ukugruzuka | Kusenokuvela umkrwelo omncinci apho kufakwe khona inaliti. |
| Ukudumba | Ukudumba okuncinci kuloo ndawo. |
| Ubuhlungu | Kuza kubakho intlungu encinci kuloo ndawo kangangeentsuku ezimbalwa. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga | |
| Ukopha | Ukopha kancinci kwindawo yokutofa. |
| Isiyezi | Imvakalelo yexeshana yokuba nesiyezi . |
| Intloko ebuhlungu | Intloko ebuhlungu kancinci. |
| Iingxaki ezinzulu ezinokwenzeka rhoqo | |
| Usulelo | Usulelo kwindawo efakwe kuyo inaliti. |
| Eminye imonakalo | Ukonakala ngengozi komthambo wegazi, umthambo we-lymph, izintso, okanye elinye ilungu lomzimba. |
| Isifo sikaHorner | Imeko engaqhelekanga kakhulu ebangela utshintsho elisweni. |
Olu nyango lokuphelisa iintlungu luza kuhlala ixesha elingakanani?
Lo ngumbuzo obuzwa ngabantu abaninzi. Kodwa akukho mpendulo inye kuwo. Uhluka kakhulu kumntu nomntu.
Kwabanye abantu, iintlungu ziyaphela kwangoko emva kokuba kufakwe inaliti. Nangona kunjalo, iintlungu zinokubuya xa amayeza entlungu ephelile. Ukukhululeka kwexesha elide kuqala emva kokuba amayeza e-steroid eqalile ukusebenza, okuhlala kwiintsuku ezimbini ukuya kwezintathu. Kwabanye, olu kukhululeka luhlala iintsuku ezimbalwa, kwabanye, luhlala iiveki.
Kwiimeko ezininzi, ukuze uhlale ukhululekile, kuya kufuneka uthathe ezinye zezi naliti kangangexesha elithile. Ngamanye amaxesha ezimbini zinokwanela, ngamanye amaxesha zingaphezulu kweshumi. Oko kuya kugqitywa ngugqirha wakho.
Ndifanele ndimfowunele nini ugqirha?
Oku kubaluleke kakhulu. Ukuba ufumanisa naziphi na iimpawu ezintsha emva kokufakwa inaliti, okanye ukuba ufumanisa naziphi na iingxaki (umzekelo, iimpawu zosulelo ezifana nokubomvu, ukudumba, okanye umkhuhlane kwindawo yokufaka inaliti, okanye utshintsho kwimithambo-luvo yakho efana nokungaziva okanye ukurhawuzelela emilenzeni yakho), tsalela umnxeba ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Lumbar Sympathetic Block yinaliti ekhethekileyo enikwa emqolo ongezantsi. Isetyenziselwa ukunyanga iimeko ezithile zentlungu, ikakhulu emilenzeni nasezantsi komqolo.
- Oku akupheleli nje ekupheliseni iintlungu, kodwa kunceda nasekufumaneni unobangela wentlungu.
- Le nkqubo idla ngokukhawuleza (ngaphantsi kwemizuzu engama-30) kwaye ikhuselekile.
- Iziphumo ziyahluka kumntu nomntu. Abanye abantu banokufuna inaliti ezininzi ukuze bafumane isiqabu esihlala ixesha elide.
- Eyona nto ibalulekileyo kukuziva ukhululekile ukuxoxa nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onawo ngale nto. Uza kukuchazela yonke into.
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