Ngaba ngamanye amaxesha ukhe ube nentloko ebuhlungu evakala ngathi intloko yakho iza kuqhuma? Ingakumbi intloko ebuhlungu eqala ngasemva kwentloko yakho kwaye ngamanye amaxesha isasazeka emehlweni akho... Kukho amaxesha apho ukuthatha iPanadol okanye ukusebenzisa nayiphi na i-balm kungancedi, akunjalo? Namhlanje sithetha ngonyango olukhethekileyo lweentloko ezibuhlungu kangaka, okanye iintloko ezibuhlungu. Oku kubizwa ngokuba yi-Occipital Nerve Block . Nangona eli gama lingaqhelekanga, abantu abaninzi baye bafumana isiqabu esikhulu koku.
Yintoni le Occipital Nerve Block?
Ngamafutshane, i-Occipital Nerve Block yinaliti ye-painkiller kwi -occipital nerve, ekwi-occipital nerve, ekwi-back of head, kufutshane nentamo yakho. Ngamanye amaxesha, le pilisi ye-painkiller inikwa kunye ne-steroid ukunciphisa ukudumba. Injongo ephambili yale naliti kukunciphisa okwethutyana iintlungu kunye nokudumba okujikeleze loo mithambo-luvo kwaye ikunike isiqabu.
Khawuthelekelele ukuba unenkqubo yemithambo-luvo eqala ngasemva kwentloko yakho iye phezulu kweendlebe zakho. Le yimithambo-luvo ethwala imvakalelo eluswini olungasemva kwentloko yakho. Ukuba le mithambo-luvo ifakwa phantsi koxinzelelo nangasiphi na isizathu, okanye ukuba iyadumba, sinokufumana intloko ebuhlungu enganyamezelekiyo. Kulapho ke olu tyando 'lulala' loo mithambo-luvo okwethutyana kwaye lunciphise intlungu.
Zeziphi ezi mithambo-luvo ze-Occipital esithetha ngazo?
Kukho iintlobo ezintathu zemithambo-luvo kwicala ngalinye lentloko yethu. Zivela kwithambo lomqolo elingaphezulu kwentamo yethu (C2 kunye neC3).
| Igama le-nerve | Yintoni omawuyenze ngokulula |
|---|---|
| I-Greater Occipital Nerve (GON) | Le yeyona mithambo-luvo mikhulu kwezi zintathu. Ithwala imvakalelo ukusuka ngasemva kwentloko ukuya phezulu entloko, ukuya ezindlebeni naselusu olukufutshane neendlebe. |
| I-Lesser Occipital Nerve (LON) | Oku kuzisa imvakalelo ngasemva nasemacaleni entloko nakwindlebe yethu (indawo ebonakala ngaphandle). |
| Umthambo Wesithathu We-Occipital (TON) | Ithwala imvakalelo eluswini embindini nasezantsi entloko. Le mithambo-luvo inokonakala kakhulu kwiimeko zokushukuma kwentamo ngequbuliso (whiplash), njengakwingozi yemoto. |
Kuyamangalisa ukuba nangona le mithambo-luvo ikwindawo engasemva kwentloko, iingxaki ngayo ngamanye amaxesha zinokubangela ukuba uzive iintlungu emehlweni akho. Kwizonyango, oku kubizwa ngokuba 'yintlungu ebhekiselweyo'. Oku kuthetha ukuba ingxaki ikwindawo enye, kodwa iintlungu zivakala kwenye indawo.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
Oogqirha badla ngokusebenzisa olu nyango kwiintloko ezibuhlungu ezinzima ukuzilawula ngonyango oluthile (njengeepilisi).
- I-Occipital Neuralgia: Oku kubhekisa kwintlungu ebukhali efana nombane ebangelwa kukonakala, ukucinezelwa, okanye ukudumba kwemithambo-luvo ye-occipital esithethe ngayo ngaphambili.
- Intloko ebuhlungu ye-Migraine: Olu nyango ngamanye amaxesha lusetyenziselwa i-migraine, echaphazela abantu abaninzi.
- Intloko ebuhlungu yeCervicogenic: Oku kukhethekile kancinci. Kwimeko enjalo, intloko ayibangelwa yingxaki entloko, kodwa yingxaki entanyeni (umz., ingxaki yamathambo omqolo wesibeleko).
- Intloko ebuhlungu kakhulu: Le yintloko ebuhlungu kakhulu nenganyamezelekiyo.
- Intloko ebuhlungu emva kokubhoboza: Oku ngamanye amaxesha kusetyenziswa kwiintloko ezibuhlungu ezenzeka emva kokubhoboza emqolo.
Ukongeza kwezi ntloko zibuhlungu, olu nyango lunokubonelela ngoncedo kwiintlungu ezikwindawo ephezulu nangasemva kwentamo, kunye neentlungu ezibangelwa yi-whiplash, njengengozi yemoto.
Ikwasetyenziselwa ukuxilongwa
Ngamanye amaxesha, ugqirha wakho uya kusebenzisa olu tyando ukuze abone ukuba intloko yakho ibangelwa yi-occipital nerve okanye ukuba ibangelwa yenye into. Ukuba intlungu yakho iyancipha emva kotyando, oko kuqinisekisa ukuba ingxaki ikwezi mithambo-luvo. Oku kuya kwenza kube lula kugqirha wakho ukuba enze isicwangciso sonyango esisebenza kakuhle kuwe.
Ufanele ulungiselele njani oku?
Oku akudingi kulungiselela okuninzi. Ungaqhubeka nje njengesiqhelo.
Nangona kunjalo, ukuba ugqirha ugqiba ekubeni akunike i-sedation ukuze akwenze uzive 'ulele' kancinci ngeli xesha, kuya kufuneka ulungiselele kancinci.
- Uza kucelwa ukuba uzile ukutya ungatyanga okanye usele nantoni na kangangeeyure ezi-6 ukuya kwezi-8.
- Kwakhona, baza kukucela ukuba uze nomnye umntu endaweni yokuqhuba ngaloo mini, kuba usenokuba unxilile kancinci.
Nangona kunjalo, ugqirha wakho uza kukuchazela konke oku kwangaphambili. Ngoko ke ungoyiki. Ukuba unemibuzo, ungathandabuzi ukubuza.
Kwenzeka ntoni ngexesha lonyango?
Le yinkqubo encinci eyenziwa kwicandelo labagula ngaphandle, kungekhona esibhedlele. Oku kuthetha ukuba ungayifumana inaliti uze ugoduke kungekudala emva koko.
La manyathelo adla ngokwenzeka:
1. Indawo: Okokuqala, uza kucelwa ukuba uhlale esitulweni, intloko yakho ithotyiwe kwaye izandla zakho zixhase intloko yakho. Okanye uza kucelwa ukuba ulale ngesisu sakho etafileni yonyango.
2. Ukuthomalalisa: Kuphela xa kuyimfuneko, kuya kunikwa isithomalalisi esincinci ngokusebenzisa umgca we-IV engalweni yakho ukuze uphumle.
3. Ukuchonga indawo: Ugqirha uya kuva umva wentamo yakho ukuze afumane umthambo ochanekileyo apho kuza kunikwa khona inaliti. Ngamanye amaxesha, banokusebenzisa into efana ne-X-ray (`fluoroscopy`) okanye i-`ultrasound` scan ukuze babone indawo echanekileyo.
4. Ukucoca: Indawo yokufaka inaliti icocwe kakuhle ngesisombululo se-antiseptic.
5. Ukufaka inaliti: Emva koko, ngenaliti encinci kakhulu, iyeza lifakwa kufutshane kangangoko kunokwenzeka nomthambo ochongiweyo ngaphambili.
6. Phumla: Emva kokuba inaliti igqityiwe, uza kucelwa ukuba uphumle okwethutyana de iyeza lisebenze.
Yonke le nkqubo ithatha ngaphantsi kwemizuzu emi-5 , ngoko ke akukho mfuneko yokukhathazeka.
Yintoni onokuyilindela emva kokufakwa inaliti?
Ukuba unikwe i-sedation, uza kujongwa malunga nemizuzu eli-15 ukuya kwengama-30 emva kokufakwa inaliti. Umongikazi uza kungena ukuze ajonge naziphi na iziphumo ebezingalindelekanga, kwaye ukuba yonke into ilungile, uza kuvunyelwa ukuba uye ekhaya.
Ukuba awunikwanga i-sedation, ungaphumla malunga nemizuzu eli-10 uze ugoduke.
Zithini iingenelo zolu nyango?
- Ukuphelisa iintlungu: Iintlungu ziyakhululeka, nokuba zezokwexeshana okanye zexesha elide, nto leyo ekuvumela ukuba wenze imisebenzi yakho yemihla ngemihla ngokulula.
- Inciphisa ukudumba: Inciphisa ukudumba kwimithambo-luvo kwaye inceda ukuba iphilise.
- Ukuxilongwa ngokuchanekileyo: Kunceda ekufumaneni unobangela ochanekileyo wentlungu.
Kodwa khumbula, olu nyango alusebenzi kuwo wonke umntu . Abanye abantu baya kufumana isiqabu esikhulu kwiintlungu, ngelixa abanye besenokungasifumani. Ukuba kunjalo, ugqirha wakho uya kuthetha nawe ngezinye iindlela zonyango.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
I-Occipital Nerve Block yinkqubo ekhuselekileyo kakhulu. Iingxaki azixhaphakanga. Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iziphumo ebezingalindelekanga ezincinci kunye neengozi.
| Iziphumo Eziqhelekileyo Ezingalindelekanga |
|---|
|
| Qaphela: Ukuba inaliti ine-steroid, kunokubakho iimeko ezingaqhelekanga zokuncitshiswa kolusu (`atrophy`) okanye ukulahleka kweenwele okwethutyana (`alopecia`) kwindawo yenaliti. |
| Iingozi/Iingxaki ezingaqhelekanga |
|---|
|
Olu ncedo luza kuhlala ixesha elingakanani?
Oku kuyahluka kakhulu kumntu nomntu, ngoko ke kunzima ukuqikelela iziphumo ezichanekileyo. Ukuba kuphumelele, ukuphelisa iintlungu kuya kuqala kwimizuzu engama-20-30 emva kokufakwa inaliti. Olu nyango lunokuhlala kwiiyure ezimbalwa ukuya kwiinyanga ezininzi .
Ukuze ufumane isiqabu sexesha elide kwiimeko ezifana ne-Occipital Neuralgia kunye ne-Cervicogenic Headache, unokufuna ukufumana le naliti izihlandlo ezininzi.
Ufuna ukuthetha nogqirha nini?
Ukuba ufumanisa naziphi na iimpawu ezintsha okanye iingxaki emva kokufakwa inaliti, fowunela ugqirha wakho ngoko nangoko . Ingakumbi,
- Ukuba indawo yokutofa iba bomvu, idumbe kakhulu, ishushu, ikhupha ubovu, okanye unomkhuhlane (ezi zisenokuba ziimpawu zosulelo).
- Ukuba ufumana ukudumba okutsha, ukungaziva, ubuthathaka, okanye intlungu .
Kuqhelekile ukuba noloyiko kancinci kwaye ube nexhala xa ucinga ngolu hlobo lonyango. Ngoko ke, thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo malunga noku. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- I-Occipital Nerve Block yinaliti ekhethekileyo enikwa iintloko ezibuhlungu kunye nentlungu yentamo ekunzima ukuyilawula ngolunye unyango.
- Oku kuquka ukufaka inaliti yentlungu kufutshane nomthambo we-occipital ngasemva kwentloko ukuze kuthomalaliswe okwethutyana iintlungu kunye nokudumba.
- Le yindlela yonyango ekhawulezayo kakhulu (engaphantsi kwemizuzu emi-5) kwaye ngokubanzi ikhuselekile kakhulu.
- Uncedo olufumanayo lunokwahluka kumntu nomntu. Abanye abantu banokufumana ukukhululeka kangangeeyure ezimbalwa, ngelixa abanye banokufumana ukukhululeka kangangeenyanga.
- Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na izinto ezikuxhalabisayo okanye uloyiko onokuba nalo ngaphambi okanye emva konyango.
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