Ngaba ungacinga uziva iintlungu kwinxalenye yomzimba wakho engasekhoyo? Kufana nokususwa kwengalo okanye umlenze wakho ngotyando uze uzive iintlungu, ukungabi nanto, okanye ukutsha engalweni okanye umlenze ongekhoyo. Kunzima ukuyicinga, kwaye ingabonakala ingaqhelekanga kancinci, kodwa yimeko yokwenyani, echazwe ngokwezonyango. Siyibiza ngokuba yi "Phantom Limb Pain." Le asiyonto uyicingayo, yintlungu yokwenyani eyi-100%. Ke namhlanje, masithethe ngale ntlungu ingaqhelekanga, kodwa ixhaphakileyo.
Ziziphi iimvakalelo ezahlukeneyo ezivela kwigama elithi "Phantom"?
Emva kokuba ilungu lomzimba, njengengalo, umlenze, okanye umnwe, lisusiwe ngotyando, ungaziva iimvakalelo ezahlukeneyo ezinxulumene nenxalenye elahlekileyo. Ayizizo zonke ezi mvakalelo ezibuhlungu. Makhe sijonge ngokukhawuleza ukuba zeziphi ezi mvakalelo.
| Yintoni evakalelwayo (uhlobo) | Kalula nje, kuthetha |
|---|---|
| Intlungu Engaqhelekanga | Ukuva iintlungu engalweni, emlenzeni, okanye kwenye indawo esuswe ngotyando. |
| Iimvakalelo zePhantom | Ukuziva ngathi inxalenye yomzimba engekhoyo isekhona. Akukho ntlungu, kodwa kunokubakho iimvakalelo ezifana nokuchukunyiswa, ukurhawuzelelwa, okanye ukufudumala. Abanye abantu banokude balibale ukuba baphulukene nomlenze baze bahambehamba. |
| Isifo Sentlungu Esingabonakaliyo | Kule meko, zombini iintlungu kunye nezinye iimvakalelo (ezifana nokurhawuzelelwa kunye noxinzelelo) zivakala kunye. |
| Intlungu Yeengalo Eziseleyo | Oku kwahlukile kwiPhantom Pain. Kule meko, intlungu ayivakali kwinxalenye elahlekileyo, kodwa kwinxalenye yomzimba eseleyo emva kotyando (isiphunzi). Oku kunokuba nesizathu sezonyango, njengosulelo okanye umonakalo wemithambo-luvo. |
Eyona nto ibalulekileyo kukwamkela ukuba intlungu oyivayo iyinyani. Le yimeko eqhelekileyo kakhulu. Abantu abangaphezu kwesiqingatha abaphulukana nelungu lomzimba bayahlangabezana nale meko.
Ivakala njani le ntlungu ngokwenene?
Le ntlungu iyahluka kumntu nomntu. Kwabanye, ifika ize iphele ngemizuzwana, ngelixa kwabanye, inokuhlala iiyure okanye iintsuku. Nazi ezinye zeempawu eziqhelekileyo:
- Intlungu ebuhlungu
- Njengokutshisa (Ukutsha)
- Ukuhlaba
- Ukungqungqa
- Kuvakala ngathi kukho umntu okubambe nkqi (Uyacinezela)
- Ukurhawuzelela
- Ukubethela
Ukongeza kule ntlungu, ungaziva oku kulandelayo:
- Kubonakala ngathi ingalo/umlenze ongekhoyo usanamathele emzimbeni.
- Kubonakala ngathi isongiwe ngendlela engaqhelekanga.
- Kubonakala ngathi iyashukuma isiya phambili nangasemva.
- Kubonakala ngathi iyancipha kancinci kancinci.
Uninzi lwabantu luqala ukuva le ntlungu kwiinyanga ezi-6 zokuqala emva kotyando. Ekuhambeni kwexesha, ubukhali kunye nokuphindaphindeka kwentlungu kuncipha. Nangona kunjalo, abanye abantu basenokuva inqanaba elithile lentlungu emva kweminyaka emibini.
Kutheni le nto kukho olu hlobo lwentlungu?
Nangona unobangela ochanekileyo woku ungaziwa ngokupheleleyo, ingcinga ephambili kukuba "yingxaki yonxibelelwano" eyenzeka kwinkqubo yethu yemithambo-luvo kunye nengqondo.
Kalula nje:
Imithambo-luvo kuyo yonke indawo yomzimba wethu iyaqhubeka nokuthumela imiqondiso engqondweni nakwintambo yomqolo. Nokuba ingalo okanye umlenze unqunyulwe, imithambo-luvo kuloo ndawo ayisekho, kodwa iindlela zemithambo-luvo ezaziyidibanisa zisekhona emzimbeni. Ingqondo isacinga ukuba inxalenye esusiweyo ikhona.
Utyando luyintlungu enkulu emzimbeni. Kuthatha ixesha ukuba ingqondo iqhelane nolu tshintsho. Ngeli xesha, iziphelo zemithambo-luvo eziseleyo ziqala ukuthumela imiqondiso engalunganga engqondweni. Ingqondo izichaza gwenxa ezi miqondiso zingenayo njenge "ntlungu." Kufana nesandi esivakalayo esivela kumnxeba ophukileyo. Yiyo loo nto uziva iintlungu apho zingekho khona.
Ngoko ke zithini izizathu zentlungu eseleyo yelungu?
Le ayisiyo iNtlungu yoBugqwirha. Le ntlungu inokuba nezizathu zokwenyani.
- Ukugruzuka
- Usulelo lwamathambo (i-Osteomyelitis)
- Ukudumba kwesiphelo semithambo-luvo esisele (iNeuroma)
- Ukunikezelwa kwegazi okwaneleyo
- Uxinzelelo olubangelwa sisixhobo sokufakelwa esingafanelekanga
- Usulelo lolusu okanye amanxeba
- Ukulimala koxinzelelo
Uyifumana njani le nto, Gqirha?
Ugqirha wakho uza kumamela ngononophelo into oyithethayo. Baza kukubuza imibuzo malunga nendlela intlungu evakala ngayo kunye nexesha elide ikhona. Emva koko baza kuhlola isikhondo sentloko.
- Ngaba kukho amanxeba avulekileyo?
- Ngaba kukho iimpawu zosulelo (ububomvu, ukudumba)?
Kusenokufuneka ukuba wenze uvavanyo lwegazi okanye uvavanyo lwemifanekiso olufana ne-X-ray ukuze ubone ukuba kukho ezinye izizathu.
Le meko inokubangela ukuba abanye abantu babe noxinzelelo lwengqondo, ixhala, okanye uxinezeleko, ngoko ugqirha wakho unokukuthumela ukuze ufumane iingcebiso ngengqondo. Le ntlungu inokwenziwa mandundu luxinzelelo.
Zithini iindlela zonyango zoku?
Ngethamsanqa, kukho iindlela ezininzi zonyango ezisebenzayo zokuphelisa le ntlungu. Ugqirha wakho angakunceda ufumane unyango olukulungeleyo. Kusenokufuneka usebenzise iindlela ezingaphezu kwesinye zonyango.
Unyango lweSipili
Le yindlela yonyango emangalisayo nesebenzayo. "Iyakhohlisa" ingqondo yakho.
Khawucinge ukuba umlenze wakho wasekhohlo ususiwe. Xa uhlala phantsi, kukho isibuko phakathi kwemilenze yakho. Xa ujonge esipilini, ubona umfanekiso womlenze wakho wasekunene. Oko kukuthi, apho umlenze wasekhohlo ungekhoyo, ubona umlenze ophilileyo.
Ngoku, xa uzilolonga kwaye ushukumisa umlenze wakho wasekunene njengoko uyalelwe ngugqirha wakho, kwaye ujonge umfanekiso okwisipili, ingqondo yakho ithumela umyalezo othi, "Ah... imilenze yam yomibini iphilile kwaye iyashukuma." Xa uqhubeka nokwenza oku malunga nemizuzu engama-20 ngosuku, iimpawu ezididayo zengqondo zibuyela kancinci kancinci kwisiqhelo kwaye intlungu iyancipha.
Iintlobo zamayeza asetyenzisiweyo
Iindidi ezahlukeneyo zamayeza ziyasetyenziswa kuxhomekeke kuhlobo lwentlungu.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Iipilisi zokuphelisa iintlungu eziqhelekileyo | Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID) |
| Amayeza okudakumba | Ezi zinceda ekulawuleni imiqondiso yemithambo-luvo. |
| Amayeza okuthintela ukuxhuzula | IGabapentin, iPregabalin (ezi zisebenza kakhulu kwiintlungu zemithambo-luvo) |
| Ii-Beta-blockers | I-Propranolol |
| Ii-Anesthetics zasekuhlaleni | I-Lidocaine, i-Bupivacaine (mhlawumbi njengenaliti) |
Ezinye iindlela zonyango
- Ukukhuthazwa kwemithambo-luvo yombane edluliselwa ngesikhumba (i-TENS): Indlela ethintela imiqondiso yentlungu ngokuhambisa iintshukumo zombane ezincinci eluswini.
- Ukuvuselela umqolo: Ukulawula iimpawu zentlungu ngokufaka isikhuthazi kumqolo.
- Unyango lokugonya: unyango lokugonya.
- Unyango lokuphulula: Ukuphulula kancinci indawo eseleyo.
- Unyango lokuziphatha kwengqondo (i-CBT): Uhlobo lwe-psychotherapy olukufundisa indlela yokujongana nentlungu engqondweni.
Nanini na xa ufuna ukubona ugqirha
Nangona le ntlungu iqhelekile, ngamanye amaxesha kubalulekile ukufuna iingcebiso zonyango.
| Ngexesha elinje, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho. | |
|---|---|
| Ukuba intlungu inzima kakhulu ukuyinyamezela. | |
| Ukuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla ngenxa yentlungu, okanye ukuba awukwazi ukulala kakuhle. | |
| Ukuba inxalenye eseleyo (isiphunzi) ineempawu zosulelo ezifana nomkhuhlane, ukubomvu, ukudumba, kunye nobomvu. | |
Xa uva le ntlungu, ungaziva ungodwa kwaye uneentloni. Usenokucinga, "Abantu baza kucinga ukuba ndiyaphambana ukuba ndibaxelela ukuba ingalo yam ibuhlungu." Kodwa nceda ungacingi ngaloo ndlela. Le yimeko yokwenyani, eqhelekileyo yezonyango. Thetha nogqirha wakho ngayo ngokukhululekileyo. Kuya kuba lula kubo ukukunceda.
Umyalezo Wokuya Ekhaya
- Intlungu Yemilenze Engaqhelekanga ayisiyonto uyicingayo. Yintlungu yokwenyani ngokupheleleyo.
- Oku kungenxa yokuphazamiseka konxibelelwano kwingqondo nakwinkqubo yemithambo-luvo.
- Abantu abaninzi abanqunyulwe amalungu omzimba bajongene nale meko. Awuwedwa.
- Kukho unyango oluninzi olusebenzayo lokulawula le ntlungu, ukusuka kunyango olulula olufana nonyango olubonakalayo ukuya kumayeza.
- Musa ukuba neentloni okanye ufihle le ntlungu. Qiniseka ukuba uthetha nogqirha wakho ngayo ngokukhululekileyo.
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