Yintoni i-Nerve Block? Ngaba sisisombululo sentlungu yakho?

Ngaba ngamanye amaxesha uneentlungu zomqolo ezinganyamezelekiyo, iintlungu zedolo, okanye intloko ebuhlungu engapheliyo? Ezinye iintlungu azipheli ngamayeza, akunjalo? Namhlanje siza kuthetha ngendlela ekhethekileyo yonyango esetyenziswa ngoogqirha kwiimeko ezinjalo. Oku kubizwa ngokuba yi-nerve block.

Ngamafutshane, yintoni i-nerve block?

Cinga ngemithambo-luvo emizimbeni yethu njengeentambo. Ezi ntambo zithwala imiyalezo esuka engqondweni yethu iye kwezinye iindawo zomzimba wethu, kwaye isuka kwiindawo zomzimba wethu iye engqondweni yethu. Yonke into oyivayo, njengentlungu nokuchukumisa, kunye nokushukumisa amalungu akho kunye nokuphefumla, ilawulwa yile miyalezo.

I -nerve block sisiyobisi esifakwa kufutshane ne-nerve ethile okanye iqela le-nerve elibangela iintlungu. Oku "kuthintela" okwethutyana umyalezo wentlungu ukuba ungayi engqondweni, njengokuvala indlela okwethutyana. Le injection idityaniswe ne-anesthetic yendawo kwaye ngamanye amaxesha iyeza lokunciphisa ukudumba. Oku kukwanika ne-nerve eyonakeleyo kukudumba ithuba lokuphola.

Nangona iziphumo zoku zivakala ngokukhawuleza, zihlala zisisisombululo sexeshana. Abanye abantu bafumana isiqabu ngenaliti enye, ngelixa abanye befuna ezininzi. Ngamanye amaxesha isenokungabi nampembelelo konke konke. Kwimeko enjalo, kufuneka kufunwe ezinye iindlela zonyango.

Zithini izizathu zokuvaleka kwemithambo-luvo?

Ukuvalwa kwemithambo-luvo kwenziwa ngeenjongo ezintathu eziphambili. Ukuze kube lula ukuyiqonda, masiyijonge ngolu hlobo.

Ziziphi iintlobo zee-nerve blocks ezikhoyo?

Ekubeni kukho amakhulu eemithambo-luvo ezinkulu emzimbeni wethu, kukho iintlobo ezininzi zee-nerve blocks. Makhe sijonge ezimbalwa zezona zisetyenziswa kakhulu.

• Ukuvimba kwemithambo-luvo yeCeliac plexus: Oku kwenziwa kwiqela lemithambo-luvo ekwisisu esingaphezulu, emva kwepancreas. Kunceda ekunciphiseni iintlungu ezibangelwa ngumhlaza wepancreas okanye i-pancreatitis engapheliyo.
• Ukuvalwa kwemithambo-luvo ye-Epidural: Mhlawumbi ukhe weva ngale nto ngaphambili. Idume ngokunciphisa iintlungu ngexesha lokubeleka. Kodwa ikwasetyenziselwa utyando. Isebenza ngokuphelisa iintlungu kwindawo enye yomzimba, njengemilenze okanye isisu.
• Ukuvalwa kwemithambo-luvo ye-genicular: Oku kwenziwa kwimithambo-luvo ejikeleze idolo. Kunceda kwiintlungu ezingapheliyo zedolo kunye neentlungu eziqatha zedolo emva kotyando.
• Ukuvalwa kwemithambo-luvo ye-Intercostal: Le mithambo-luvo ifumaneka phantsi kweembambo zakho. Oku kunokunceda ukubonelela ngokukhululeka okwethutyana kwiintlungu ezibangelwa kukwaphuka kwembambo kwaye kuncede ekuxilongeni nasekunyangeni iintlungu zemithambo-luvo (neuralgia).
• I-Lumbar sympathetic nerve block: Le mithambo-luvo ifumaneka kumacala omabini omqolo, kumqolo ongezantsi. Oku kunceda ekuthomalaliseni iintlungu zomqolo nemilenze, umzekelo, i-sciatica.
• Ibloko yemithambo-luvo ye-Occipital: Le bloko, eqala kwi-vertebrae entanyeni yakho, inyanga uhlobo lwentloko ebuhlungu ebizwa ngokuba yi-occipital neuralgia. Inokunceda nokulawula iintloko ezibuhlungu kakhulu.
• Ukuvalwa kwemithambo-luvo yeTrigeminal:Ezi mithambo-luvo zifumaneka kumacala omabini obuso bakho. Zisetyenziselwa ukunyanga iintlobo ngeentlobo zeentlungu zobuso, ingakumbi imeko ebizwa ngokuba yi-trigeminal neuralgia.

Isebenza njani le nto emzimbeni?

Ukuze siqonde indlela esebenza ngayo le nto, masiqale sijonge indlela imizimba yethu evakalelwa ngayo yintlungu.

1. Imithambo-luvo yethu inee-receptors ezikhethekileyo ezibizwa ngokuba zii-nociceptors. Ezi zifana nabalindi abalindileyo. Zisebenza ngoko nangoko ukuba umzimba wonakele okanye wenzakele.

2. Kwangaxeshanye, aba balindi bathumela imiqondiso ebalulekileyo engqondweni, besithi, "Kukho ingxaki apha!" Ezi azizontlungu ngokwazo, zifana nomyalezo othunyelwe ngolwimi oluyimfihlo.

3. Ingqondo ifumana ezi mpawu, iqonde loo khowudi, ize iyiguqulele kwimvakalelo "yentlungu."

Oko kwenziwa yi-anesthetic kwi-nerve block kukuthintela iiseli ze-nerve ekuthumeleni imiyalezo ebhalwe ngekhowudi. Oko kukuthi, ivala umyalezo phakathi. Emva koko, ngenxa yokuba umyalezo malunga neentlungu awufiki engqondweni, awuyiva intlungu.

Ngamanye amaxesha, ukudumba okwenzeka ngenxa yokwenzakala kunokuhlala ixesha elide. Oko kunokubangela iintlungu eziqhubekayo. Amayeza akwi-nerve block anciphisa oko kudumba kwaye anike i-nerve ixesha lokuphola. Oko kunokunciphisa neentlungu.

Ulungiselela njani ukuvaleka kwemithambo-luvo? Kwenzeka ntoni xa kusenziwa nasemva kokuba kwenziwe?

Makhe sijonge le nkqubo inyathelo ngenyathelo.

Ngaphambi konyango...

Ngokwesiqhelo, ukuvaleka kwemithambo-luvo akudingi lungiselelo lingako. Nangona kunjalo, ngamanye amaxesha ugqirha angagqiba ekubeni akunike iyeza lokukwenza uzive ulula (ukupholisa). Ukuba oku kuyenzeka, uya kucelwa ukuba uzile ukutya malunga neeyure ezi-6-8. Kwakhona, kubalulekile ukuba umntu akuse ekhaya emva konyango. Nangona kunjalo, ugqirha wakho uza kukuchazela konke oku kwangaphambili. Landela loo miyalelo ngokuchanekileyo. Ungoyiki ukubuza ukuba unemibuzo.

Ngexesha lonyango...

Oku kudla ngokwenziwa xa umntu egula ngaphandle. Oku kuthetha ukuba akufuneki uhlale esibhedlele kwaye ungaya ekhaya emva nje konyango.

• Okokuqala, uza kucelwa ukuba ulale kwindawo ethile etafileni yovavanyo ukuze kube lula kugqirha ukukunika inaliti.
• Usenokunikwa amayeza nge-IV line engalweni yakho ukuze uzive ukhululekile.
• Indawo yokutofa ihlanjululwe ngesisombululo sokubulala iintsholongwane.
• Emva koko, kufakwa inaliti encinci ye-local analgesic ukuze kuthintelwe indawo apho kuza kwenziwa khona i-nerve block. Ungaziva urhawuzelelwa kancinci njengoko inaliti ingena.
• Okulandelayo, ugqirha usebenzisa ubuchwepheshe obufana ne -ultrasound okanye i-X-ray ukufumana indawo echanekileyo yokufaka inaliti.
• Emva koko, iyeza lifakwa kufutshane kangangoko kunokwenzeka nomthambo ochaphazelekayo.
• Emva konyango, uza kuxelelwa ukuba uphumle okwethutyana de iyeza lisebenze.

Emva konyango...

Kuya kufuneka uphumle malunga nemizuzu eli-15-30 emva kokufakwa inaliti. Ngeli xesha, abasebenzi bezonyango baya kukujonga ukuba akukho miphumo ingaqhelekanga. Ukuba yonke into ilungile, uya kuvunyelwa ukuba ugoduke.

Zithini iingenelo kunye neengozi zoku?

Iinzuzo

• Ukuphelisa iintlungu okwethutyana okanye ngamanye amaxesha okusisigxina, okukuvumela ukuba wenze imisebenzi yakho yemihla ngemihla ngokulula.
• Ukudumba komthambo ochaphazelekayo kuyancipha, nto leyo enceda ukuba uphole.
• Ukunceda ekuchongeni unobangela othile wentlungu (ukuxilongwa).

Iingozi kunye neengxaki

Umngcipheko weengxaki ezibangelwa kukuxinana kwemithambo-luvo uphantsi kakhulu , kodwa kubalulekile ukuba uqaphele.

• Usulelo kwindawo yokutofa.
• Ukopha kwindawo efakwe kuyo inaliti.
• Ukufakwa amayeza ngengozi emthanjeni wegazi.
• Eli yeza lisasazeka ngokungalindelekanga liye kwezinye imithambo-luvo okanye liye kumqolo.

Uhlobo ngalunye lwe-nerve block lunokuba neengozi ezahlukeneyo, ngoko ke qiniseka ukuba uxoxa ngeenzuzo kunye neengozi ze-nerve block oyicingayo nogqirha wakho.

Olu nyango lokuphelisa iintlungu luza kuhlala ixesha elingakanani?

Oku kuyahluka kakhulu kumntu nomntu. Abanye abantu banokuphila iintsuku ezimbalwa bengenantlungu. Abanye banokuba neeveki, iinyanga, okanye iminyaka yokukhululeka. Abanye abantu banokufumana ukukhululeka ngenaliti enye, ngelixa abanye banokufuna unyango oluninzi. Abanye basenokungafumani ncedo konke konke.

Linini ixesha ekufuneka uthethe nogqirha?

Ii-nerve blocks ziyindlela entle yokunyanga iimeko ezahlukeneyo zentlungu, kodwa iziphumo ziyahluka kumntu nomntu. Ukuba unemibuzo okanye unenkxalabo malunga nale naliti, thetha nogqirha wakho. Uya kukwazi ukuphendula yonke imibuzo yakho.