Ngamanye amaxesha sinentlungu engapheliyo nokuba senza ntoni okanye sisela amayeza. Mhlawumbi ziintlungu zomqolo, iintlungu zedolo, okanye intlungu enzima kwelinye icala lentloko. Ngabo kuphela abahlushwa lolu hlobo lwentlungu engapheliyo abaziyo ukuba kunzima kangakanani ukuphila nayo. Ngoko ke, namhlanje siza kuthetha ngendlela ekhethekileyo yonyango esetyenziswa ngoogqirha ukulawula olu hlobo lwentlungu. Oko kubizwa ngokuba yi-'Nerve Block' .
Ngamafutshane, yintoni i-nerve block?
Cinga ngemithambo-luvo emizimbeni yethu njengeentambo. Le mithambo-luvo ithwala imiyalezo esuka engqondweni iye kwamanye amalungu omzimba, ize isuke kwezo ndawo iye engqondweni. Yonke into esiyivayo, esiyishukumisayo, esiyiphefumlayo, nesiyibilayo ilawulwa yile miyalezo. Intlungu yenye yemiyalezo enjalo.
I-nerve block sisiyobisi esifakwa kwi-nerve okanye kwi-nerve bundle apho intlungu ivakala khona. Oku kuyawuthintela umyalezo wentlungu ukuba ungayi engqondweni okwethutyana . Kufana nokunqamla umnxeba phakathi.
Ngamanye amaxesha, kongezwa isithomalalisi sentlungu kunye nesithomalalisi sokudumba kule naliti. Oku kunceda ekunciphiseni ukudumba kwimithambo-luvo kwaye kunika imithambo-luvo eyonakeleyo ithuba lokuphiliswa. Ukukhululeka koku kuyenzeka okwethutyana. Abanye abantu bafumana ukukhululeka ngenaliti enye, ngelixa abanye kufuneka bayifumane izihlandlo ezininzi. Nangona kunjalo, abanye abantu basenokungafumani kukhululeka koku. Kwimeko enjalo, kunokufuneka olunye unyango.
Zithini izizathu zokuvaleka kwemithambo-luvo?
Kukho iinjongo ezintathu eziphambili zokusebenzisa i-nerve block.
1. Njengonyango lweentlungu (iiTreatment Never Blocks): Esi sesona sizathu siqhelekileyo sokusetyenziswa kwayo. Isetyenziselwa ukubonelela ngoncedo lwexeshana kwiintlungu ezinokuba ziqatha okanye ezingapheliyo. Umzekelo, ingasetyenziselwa iintlungu eziqatha zomqolo okanye iintlungu zedolo.
2. Ii-Diagnostic Neurve Blocks: Khawuthelekelele ukuba uneentlungu, kodwa ugqirha wakho akakwazi ukubona apho iintlungu zivela khona. Uza kwenza i-nerve block ejolise kwi-nerve ekrokrelwayo. Ukuba iintlungu zakho ziyancipha emva kokufakwa inaliti, oko kuqinisekisa ukuba ingxaki ikwi-nerve leyo. Ukuba iintlungu azipheli, oko kunokubonisa ukuba ingxaki ikwenye indawo. Oku kunokuba luncedo olukhulu ekucwangciseni unyango lwexesha elizayo.
3. Kwi-anesthesia (Anesthetic Never Blocks): Iingcali ze-anesthesia zisebenzisa le ndlela ukulawula iintlungu emva kotyando. Kwii-anesthesia ezinkulu, oku kunikwa ukongeza kwi-anesthesia eqhelekileyo. Kwii-anesthesia ezincinci, ezifana notyando lwe-carpal tunnel esandleni, i-nerve block ingasetyenziswa endaweni ye-anesthesia eqhelekileyo.
Ziziphi iintlobo zee-nerve blocks ezikhoyo?
Ekubeni imizimba yethu inamakhulu eemithambo-luvo, kukho iintlobo ezininzi zee-nerve blocks. Ezi zezinye zezona zisetyenziswa kakhulu.
| Uhlobo lwe-nerve block | Ukusetyenziswa kunye nenkcazo |
|---|---|
| I-Epidural (i-Epidural Nerve Block) | Uhlobo abantu abaninzi abaluvileyo. Lusetyenziselwa ukunciphisa iintlungu ngexesha lokubeleka. Olu tyando, olunikwa emqolo, luyenza buthathaka iindawo ezifana nemilenze nesisu kwaye lunciphise iintlungu. |
| Ibhloko Yovelwano lwaseLumbar | Inceda iintlungu zomqolo osezantsi nomlenze (umz. i-sciatica, i-CRPS). Ijolise kwimithambo-luvo kumacala omabini omqolo. |
| Ibhloko yeMithambo yeJini | Ijolise kwimithambo-luvo ejikeleze idolo. Inika isiqabu kwiintlungu zedolo ezihlala ixesha elide kunye neentlungu emva kotyando lwedolo. |
| Ibhloko yeNervo ye-Occipital | Ijolise kwimithambo-luvo engasemva kwentloko kwaye isetyenziswa njengonyango lwe-occipital neuralgia kunye nezinye iintloko ezibuhlungu. |
| Ibhloko yeNerve yeTrigeminal | Ijolise kwimithambo-luvo kumacala omabini obuso. Isetyenziselwa ukunyanga iintlungu eziqatha zobuso (i-trigeminal neuralgia). |
| Ibhloko yeCeliac Plexus | Ijolise kwi-nerve bundle engasemva kwe-pancreas kwisisu esingaphezulu. Inceda iintlungu ezibangelwa ngumhlaza we-pancreatic okanye ukudumba kwexesha elide kwe-pancreas (i-pancreatitis engapheliyo). |
Lusebenza njani olu nyango?
Ukuze sikuqonde oku, kufuneka sazi kancinci ngendlela imizimba yethu evakalelwa ngayo yintlungu.
Eziphelweni zemithambo-luvo yethu kukho ii-receptors ezikhethekileyo. Ezi zifana nee-sensors ezincinci. Ukuba kukho ukwenzakala okanye umonakalo naphi na emzimbeni, ezi sensors zithumela isignali yombane ekhawulezayo engqondweni zisithi, "Kukho ingxaki apha!"
Olu phawu aluyontlungu ngqo. Lufana nekhowudi. Ingqondo ifumana olu phawu ize ilutolike loo khowudi, nto leyo esenza sizive sivakalelwa "yintlungu."
Iipilisi zokuphelisa iintlungu ezikwi-nerve block ziyayithintela imiqondiso yombane ukuba ingathunyelwa okanye ingafunyanwa. Oko kukuthi, ziyayithintela imiyalezo esuka kwindawo yengxaki iye engqondweni. Emva koko ingqondo ayifumani myalezo malunga neentlungu, ngoko ke asiziva iintlungu.
Into ebalulekileyo kukuba ayinguye wonke umntu ofumana iziphumo ezifanayo xa exinezelekile. Iyahluka kumntu nomntu.
Uzilungiselela njani ngaphambi kokuba uvalwe yimithambo-luvo?
Oku akudingi kulungiselela okuninzi. Nangona kunjalo, ngamanye amaxesha ugqirha wakho unokugqiba ekubeni akunike isithomalalisi esilula (isithomalalisi). Ukuba kunjalo, uya kucelwa ukuba uzile ukutya iiyure ezi-6-8 ngaphambi konyango. Uya kufuna nomntu oza kukuyisa ekhaya emva konyango.
Nangona kunjalo, ugqirha wakho uza kukunika yonke imiyalelo oyifunayo. Landela loo miyalelo ngqo. Ungoyiki ukubuza ukuba unemibuzo.
Kwenzeka ntoni ngexesha lonyango?
Oku kudla ngokwenziwa kwindawo yokulaliswa ngaphandle ukuze ukwazi ukuya ekhaya ngaphandle kokuhlala esibhedlele. Nangona kukho iintlobo ezininzi zemithambo-luvo, ezi zezinye zezona zixhaphakileyo.
- Okokuqala, uza kubekwa kwindawo ethile etafileni yovavanyo ukuze kube lula kugqirha ukufaka inaliti.
- Ukuze uphumle, unganikwa isithomalalisi esithambileyo nge-cannula efakwe emthanjeni engalweni yakho (umgca we-IV).
- Emva koko, indawo efakwe kuyo inaliti icocwa ngesisombululo sokubulala iintsholongwane.
- Ngaphambi kokuba kufakwe i-nerve block, kunikwa inaliti encinci (i-local anesthetic) ukuze kuthintelwe loo ndawo. Ngelo xesha, ungaziva uvakalelwa kancinci.
- Ugqirha angasebenzisa ubuchwepheshe obufana ne -ultrasound okanye i-X-ray ukufumana indawo efanelekileyo yokufaka inaliti.
- Emva koko, iyeza lifakwa kufutshane kangangoko kunokwenzeka nomthambo ochaphazelekayo.
- Emva konyango, uza kucelwa ukuba uphumle malunga nemizuzu eli-15-30 de iyeza lisebenze.
Ziziphi iingenelo kunye neengozi zokuvaleka kwemithambo-luvo?
Iinzuzo
- Inika isiqabu sexeshana okanye esisisigxina kwiintlungu , okwenza kube lula ukwenza imisebenzi yemihla ngemihla.
- Ukudumba kwimithambo-luvo kuyancipha , nto leyo enika imithambo-luvo ithuba lokuphola.
- Inceda ekuchongeni ngokuchanekileyo unobangela wentlungu.
Iingozi
Iingxaki ezibangelwa kukuvalwa kwemithambo-luvo azixhaphakanga. Kwakhona, uhlobo ngalunye luneengozi zalo ezahlukileyo. Kodwa nazi ezinye zeengozi eziqhelekileyo.
- Usulelo kwindawo yokutofa.
- Ukopha kwindawo efakwe kuyo inaliti.
- Ukufakwa ngengozi kweyeza emthanjeni wegazi .
- Eli yeza lisasazeka ngokungalindelekanga liye kwezinye imithambo-luvo okanye kwi-spinal cord.
Ngoko ke, ngaphambi kokuba ufumane unyango, thetha nogqirha wakho ngononophelo ngohlobo lwe-nerve blockage oza kuba nayo, kunye neenzuzo kunye neengozi zayo.
Kufuneka uthethe nini nogqirha?
Emva konyango, ukuba ufumanisa naziphi na iimpawu ezintsha ezifana neempawu zosulelo (ububomvu, ukudumba, umkhuhlane), ukudumba, ukurhawuzelela okungaqhelekanga okanye ubuthathaka kwindawo yokuhlatywa , fowunela ugqirha wakho ngoko nangoko . Kwimeko yongxamiseko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ukuvalwa kwemithambo-luvo yindlela entle yokunyanga iimeko ezahlukeneyo ezibuhlungu. Nangona kunjalo, iziphumo zingahluka kakhulu kumntu nomntu. Ukuba unemibuzo okanye unenkxalabo malunga nale naliti, ungathandabuzi ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuvalwa kwemithambo-luvo lunyango oluthintela okwethutyana imiqondiso yentlungu ukuba ingafikeleli engqondweni ngokufaka iyeza kufutshane nemithambo-luvo ebangela iintlungu.
- Isetyenziselwa ukunciphisa iintlungu, ukuxilonga izifo, kunye neyeza lokubulala iintlungu xa kutyandwa.
- Kukho iintlobo ezahlukeneyo, ezifana nee-epidurals, ii-injections zentlungu yomqolo, ii-injections zentlungu yedolo, njl.
- Ukukhululeka koku kungathatha iintsuku ezimbalwa ukuya kwiinyanga ezininzi okanye ngaphezulu, kodwa iziphumo ziyahluka kumntu nomntu.
- Njengakwezinye iindlela zonyango, kukho iingozi ezincinci. Xoxa ngazo nogqirha wakho ngaphambi kokuba ufumane unyango.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva konyango, yazisa ugqirha wakho ngoko nangoko.
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