Ngamanye amaxesha iintloko ezibuhlungu azinyamezeleki, akunjalo? Ngabo bahlushwa zizo kuphela abazaziyo iintlungu ezihambisana nazo, ingakumbi xa iintlungu ziqala ngasemva entanyeni zize zisasazeke entloko, nto leyo eyenza kubonakale ngathi amehlo akho aza kuphuma. Ngaba nawe uvakalelwa kukuba akukho kukhululeka koku, nokuba uthatha amayeza angakanani okanye wenza ntoni na? Ukuba nawe unengxaki kule ngxaki, ugqirha wakho usenokuba ukuxelele ngonyango olubizwa ngokuba yi-'Occipital Nerve Block'. Nangona igama lisenokuvakala lisoyikisa kancinci, alikho kangako. Ngoko ke masithethe ngale nto ngendlela elula necacileyo namhlanje.
Kalula nje, yintoni le Occipital Nerve Block?
I-Occipital Nerve Block yinaliti enikwa kufutshane nemithambo-luvo ye-occipital ngasemva kwentloko yakho. Ifana neyeza lokudambisa iintlungu elinikwa iintsini zakho ngaphambi kokuba kukhutshwe izinyo. Inaliti iyenza ingasebenzi kakuhle imithambo-luvo kunye nezicubu ezingqongileyo okwethutyana. Ihlala yenziwa nge-anesthetic . Ngamanye amaxesha, kongezwa i-steroid ukunciphisa ukudumba kwimithambo-luvo.
Olu asilotyando olukhulu. Lulawula nje okwethutyana iintlungu kwaye lunika umthambo ithuba lokuphola.
Ziphi ezi mithambo-luvo ze-occipital?
Ezi mithambo-luvo ze-occipital zivela kwi-vertebrae yomgogodla (C2 kunye ne-C3) phezulu entanyeni yakho. Zinika imvakalelo ikakhulu eluswini nakwi-skull ngasemva kwentloko yakho. Kukho iintlobo ezintathu zale mithambo-luvo kumacala omabini entloko yethu.
| Uhlobo lweMithambo | Indawo enika uvakalelo |
|---|---|
| I-Greater Occipital Nerve (GON) | Eyona mithambo-luvo mikhulu kwezi zintathu, inika imvakalelo ukusuka ngasemva kwentloko ukuya phezulu entloko, ukuya ezindlebeni nakwisikhumba esingaphezulu kweendlebe. |
| I-Lesser Occipital Nerve (LON) | Inika imvakalelo ngasemva kwentloko kunye nolusu olungaphandle lwendlebe. |
| Umthambo Wesithathu We-Occipital (TON) | Inika uvakalelo kulusu olusezantsi embindini wentloko. Le mithambo-luvo inokonakala xa ibethelwa yi-whiplash, njengakwingozi yemoto. |
Khawuthelekelele, xa kukho into engahambi kakuhle kwezi mithambo-luvo, intlungu ayivakali nje kuphela ngasemva kwentamo. Ngamanye amaxesha intlungu ingavela nakwiindawo ezifana namehlo kunye nebunzi. Oogqirha bayibiza le nto ngokuthi 'yintlungu ebhekiselweyo'. Oko kuthetha ukuba ingxaki ikwindawo enye, kodwa intlungu ivakala kwenye indawo.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
Oogqirha badla ngokucebisa le Occipital Nerve Block kwiintloko ezibuhlungu ezinzima ukuzilawula ngolunye unyango.
- I-Occipital Neuralgia: Le yeyona nto ibangela oku. Yintlungu ebukhali efana nombane ebangelwa kukucinezelwa okanye ukonakala komthambo we-occipital.
- Intloko ebuhlungu ye-Migraine
- Intloko ebuhlungu yeqela
- Intloko ebuhlungu ye-Cervicogenic: Intloko ebuhlungu ebangelwa ziingxaki ze-vertebrae entanyeni.
- Intloko ebuhlungu emva kokubhoboza
- Intlungu yentamo: Intlungu ivakala ngakumbi kwicandelo eliphezulu, elingasemva kwentamo.
- Ukulimala entanyeni ngenxa yengozi (iWhiplash)
Ngamanye amaxesha, ugqirha wakho angasebenzisa le mithambo-luvo ukuze afumane unobangela wentlungu yakho. Khawuthelekelele, ukuba intlungu yakho iyaphela emva kolu hlaselo, iqinisekisa ukuba ingxaki ikwi-occipital nerve. Emva koko kulula ukucwangcisa unyango olufanelekileyo lwexesha elide.
Ufanele ulungiselele njani oku?
Oku akudingi kulungiselela okuninzi. Yinkqubo elula eyenziwa kwicandelo lezigulane ezingalaliswanga.
Nangona kunjalo, ngamanye amaxesha ugqirha wakho angagqiba ekubeni akunike iyeza lokuthomalalisa ukuze uhlale uzolile kwaye uzive ulele kancinci. Ukuba bayakwenza oko, baya kukuxelela ukuba ungatyi okanye usele nantoni na iiyure ezi-6 ukuya kwezi-8. Kwakhona, kuya kufuneka uze nomntu oza kukuqhubela ekhaya kuba awuyi kukwazi ukuqhuba ngaloo mini. Ugqirha wakho uza kukuchazela konke oku kwangaphambili. Ngoko ke ungoyiki ukumbuza nayiphi na imibuzo onokuba unayo.
Kwenzeka ntoni ngexesha lonyango?
Le nkqubo ikhawuleza kakhulu, ayithathi ngaphezulu kwemizuzu emi-5.
1. Okokuqala, uza kucelwa ukuba uhlale esitulweni uze uthobe intloko yakho kancinci. Okanye, uza kucelwa ukuba ulale ngesisu sakho ebhedini, umqamelo uphantsi kwesifuba sakho ukuze intamo yakho igobe kancinci.
2. Ukuba unikwa i-thomalaliso, kufakwa i-cannula emthanjeni osengalweni yakho kwaye kunikwe amayeza ngayo.
3. Ugqirha uya kuvavanya umva wentamo yakho ukuze afumane indawo echanekileyo yomthambo. Ngamanye amaxesha, i-scan (i-ultrasound okanye i-fluoroscopy) inokusetyenziswa ukufumana indawo echanekileyo.
4. Indawo yokutofa ihlanjululwe kakuhle ngesisombululo sokubulala iintsholongwane.
5. Emva koko, iyeza lifakwa kufutshane nomthambo ochongiweyo ngenaliti encinci kakhulu.
6. Uza kucelwa ukuba uphumle imizuzu embalwa emva kokufakwa inaliti.
Yiloo nto yonke eyenzekayo. Akukho nto yokoyika.
Kwenzeka ntoni emva kokufakwa inaliti?
Ukuba unikwe iyeza lokuthomalalisa, uza kuhlolwa ngumongikazi malunga nemizuzu eli-15-30. Oku kuza kuba kukujonga ukuba kukho into engaqhelekanga eyenzekayo na. Emva koko, ungagoduka. Ukuba awunikwanga iyeza lokuthomalalisa, ungahamba emva kwemizuzu eli-10.
Iziphumo ebezingalindelekanga kunye neziphumo
Nangona olu nyango lukhuselekile kakhulu, njengakweyiphi na inkqubo yezonyango, iingxaki ezincinci zinokwenzeka.
- Iziphumo ebezingalindelekanga eziqhelekileyo: Kunokubakho iintlungu ezincinci, ukubomvu, okanye ukudumba kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbini ukuya kwezintathu. Oku kuqhelekile. Abanye abantu banokuziva benesiyezi okanye benesicaphucaphu.
- IiSteroids: Ukuba usebenzisa amayeza e-steroid, usenokuba nolusu oluncinci olujikeleze indawo yokujova (atrophy) okanye ukulahleka kweenwele okwethutyana (alopecia). Ezi aziqhelekanga kakhulu.
- Iingozi ezingaqhelekanga: Ukopha, usulelo, umonakalo wemithambo-luvo, kunye ne-transient dysphagia aziqhelekanga kakhulu.
Ihlala ixesha elingakanani le nto yokuphelisa iintlungu?
Nantsi into ebalulekileyo. Iziphumo zahlukile kakhulu kumntu nomntu . Abanye abantu bafumana ukukhululeka okukhulu kwintlungu kwimizuzu engama-20-30 emva kokufakwa inaliti, kwaye ukukhululeka kuhlala iinyanga. Abanye bafumana ukukhululeka kwiiyure okanye iintsuku ezimbalwa kuphela. Ngamanye amaxesha, kukho abantu abangafumani kukhululeka konke konke.
Kwiimeko ezifana ne-Occipital Neuralgia kunye ne-Cervicogenic headache, unokufuna ukufumana uthotho lweenaliti ukuze ufumane isiqabu esihlala sihleli. Konke oku kuya kugqitywa ngugqirha wakho ngokusekelwe kwimeko yakho.
Ufanele umfowunele nini ugqirha?
Xa ubuyela ekhaya emva konyango, ziqaphele ezi zinto.
- Ukuba indawo efakwe kuyo inaliti idumbile kakhulu, ibomvu, ikhupha ubovu , okanye inomkhuhlane (ezi zisenokuba ziimpawu zosulelo).
- Ukuba intlungu iyanda endaweni yokuncipha.
- Ukuba uziva intlungu entsha yokutsha, ukungaziva okanye ubuthathaka kwimilenze yakho.
Ukuba ufumana naziphi na iimpawu ezintsha ezifana nezi, fowunela ugqirha wakho ngoko nangoko. Musa ukoyika, kodwa kubalulekile ukuba nolwazi.
Umyalezo Wokuya Ekhaya
- I-Occipital Nerve Block yinaliti esetyenziswa kufutshane nomthambo osetyenziselwa ukunyanga iintloko ezibuhlungu kunye nentlungu yentamo, kungekhona utyando olukhulu.
- Oku akupheleli nje ekunciphiseni iintlungu, kodwa kunceda nasekufumaneni unobangela wentlungu.
- Iziphumo ziyahluka kumntu nomntu. Abanye abantu banokufumana isiqabu kangangeenyanga, ngelixa abanye besenokungaboni nkqubela ingako.
- Olu nyango lukhuselekile kakhulu, kodwa kunokubakho iziphumo ebezingalindelekanga ezincinci, njengentlungu encinci kunye nokudumba kwindawo yokutofa.
- Ukuba uneenkxalabo okanye amathandabuzo malunga nolu nyango, thetha nogqirha wakho ngalo mba ngokukhululekileyo. Uza kukuchazela yonke into.
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