Ngaba ubusoloko ukhathazwa ziintlungu zomqolo, entanyeni, okanye edolweni ixesha elide? Mhlawumbi ubusebenzisa amayeza kwaye wenza i-physiotherapy, kodwa oko akukancedi. Siyazi ukuba kunzima kangakanani ukuphila nolu hlobo lweentlungu ezingapheliyo. Ngoko ke, namhlanje siza kuthetha ngonyango olukhethekileyo olunika isiqabu kwiintlungu ngaphandle kokuhlinzwa.
Yintoni iRadiofrequency Ablation (RFA)?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa okwenzekayo apha kulula kakhulu. Ngamafutshane, i-RFA isebenzisa amaza erediyo ukufudumeza indawo encinci kakhulu yemithambo-luvo ebangela intlungu yakho ngendlela elawulekayo. Olu bushushu buyenza ingasebenzi loo nxalenye yemithambo-luvo. Emva koko imithambo-luvo ayikwazi ukuthumela imiqondiso yentlungu engqondweni.
Cinga ngokuvimba umyalezo ophazamisayo. Xa umyalezo wentlungu ungasafiki engqondweni, intlungu oyivayo iyancipha okanye iphele ngokupheleleyo.
Kutheni le nto kwenziwa olu nyango lwe-RFA?
Olu nyango luneenjongo eziphambili ezininzi. Ugqirha angacebisa olu nyango kuwe ngezi njongo zilandelayo:
- Kulungile ukususa intlungu yakho okanye ukuyinciphisa kakhulu.
- Ukukunceda ukuba wenze imisebenzi yakho yemihla ngemihla ngokulula kuba iintlungu azinciphi.
- Ukunciphisa inani leepilisi zokuthomalalisa iintlungu ozisela yonke imihla.
- Kulungile ukulibazisa ukuya kutyando olukhulu, okanye ukulibazisa okwethutyana.
Zeziphi iimeko ezinokunyangwa nge-RFA?
Unyango lwe-RFA lusebenza kakhulu kwiintlungu ezihlala ixesha elide (ezingapheliyo). Ungafumana umbono olungileyo ngale nto kwitheyibhile engasezantsi.
| Imeko | Ingcaciso elula |
|---|---|
| Isifo samathambo somqolo (iSpondylosis) | Intlungu yomqolo ehlala ixesha elide ebangelwa kukuguguleka kwamalungu omqolo njengoko ekhula. |
| Intlungu Yamalungu eSacroiliac | Intlungu emqolo ongezantsi nasemaqatheni. |
| Intlungu yentamo, umqolo, kunye nedolo | Intlungu yamalungu engaphenduliyo kwezinye iindlela zonyango. |
| I-Trigeminal Neuralgia | Intlungu enzima kakhulu efana nomothuko ebusweni. |
| Ezinye iimeko | Ikwasetyenziswa kwiimeko ezifana neentlungu zomhlaza kunye neentlungu zemithambo-luvo. |
Lusebenza njani olu nyango?
Ukuze sikuqonde oku, masiqale sijonge indlela eziqala ngayo iintlungu emgogodleni wethu.
Umqolo wakho wenziwe yingqokelela yamathambo amancinci (ii-vertebrae) abekwe phezu komnye nomnye. Phakathi kwala mathambo kukho amalungu amancinci abizwa ngokuba zii-facet joints . La ngawa asinceda sigobe kwaye sijike. Ngalinye lala malungu liqhagamshelwe kwimithambo-luvo emincinci . La malungu yiwo athumela umyalezo engqondweni wokuba ukuba kukho ingxaki okanye intlungu kwilungu, liyabuhlungu.
Unyango lwe-RFA lusebenza ngokufumana umthambo ophethe loo myalezo uze uwuthulise okwethutyana. Emva koko, nokuba kukho intlungu, awuyiva kuba umyalezo awuyi engqondweni.
Ingaba ufanelekile kolu nyango?
Olu nyango alulungelanga wonke umntu. Ugqirha wakho uya kugqiba ukuba ufanelekile na kulo mba.
Usenokuba ulungile...
- Ukuba ufumana isiqabu kwinaliti ye-nerve block: Le yeyona nto ibalulekileyo. Ngaphambi kwe-RFA, ugqirha wakho uza kunika iyeza elibangela iintlungu kufutshane ne-nerve abacinga ukuba yiyo ebangela intlungu yakho. Oku kubizwa ngokuba yi-diagnostic block. Ukuba iyeza linciphisa intlungu yakho kangangeeyure ezimbalwa, liqinisekisa ukuba i-nerve yimbangela yentlungu yakho. Kubantu abanjalo, amathuba okuphumelela kunyango lwe-RFA aphezulu kakhulu .
- Ukuba ezinye iindlela zonyango (amayeza, unyango lomzimba) aziphumeleli.
Oku kusenokungakulungeli...
- Ukuba ukhulelwe.
- Ukuba unesifo.
- Ukuba unengxaki yokopha.
Kwenzeka ntoni ngexesha lonyango?
Akukho sizathu sokoyika oku. Olu asilotyando olukhulu olufuna ukuba ungabikho zingqondweni. Usezingqondweni, kodwa awuziva ntlungu.
1. Okokuqala, uza kulaliswa ngesisu sakho kwitafile ekhethekileyo ye-X-ray.
2. Emva koko ugqirha uyayivala indawo yesikhumba apho inaliti iza kufakwa khona.
3. I-Fluoroscopy ngumatshini we-X-ray ophilayo okhethekileyo osebenzisa uhlobo oluthile lokukhanya ukuze ubone indawo. Inaliti encinci kakhulu ifakwa kwindawo yemithambo-luvo ebangela intlungu. I-X-ray ibonisa ngqo apho inaliti ikhoyo.
4. Ukuqinisekisa ukuba inaliti ikwindawo elungileyo, ugqirha uza kufaka i-electrode encinci kakhulu (i-microelectrode) kuyo aze akubuze imibuzo. Usenokuziva urhawuzelelwa okanye uvakalelwa kukukhafula. Xa uthi, 'Ewe, ndiyayiva,' ugqirha uyazi ukuba ikwindawo elungileyo.
5. Emva koko, kunikwa amayeza angaphezulu okudambisa iintlungu kuloo ndawo.
6. Okokugqibela, umsinga we-radiofrequency uthunyelwa ukuze ufudumale kwaye ucime i-nerve. Oku kuthatha ixesha elifutshane, malunga nomzuzu okanye emibini.
Le nkqubo yonke ingathatha naphi na ukusuka kwimizuzu eli-15 ukuya kwiiyure ezimbini , kuxhomekeke kwindawo enyangwayo kunye nenani lemithambo-luvo.
Wenza ntoni emva konyango?
Ungaya ekhaya emva nje konyango.
- Umntu kufuneka akuse ekhaya. Awunakuqhuba ngaloo mini.
- Yiya ekhaya uphumle malunga neeyure ezingama-24 ngaphandle kokuzibhokoxa.
- Ungaqala imisebenzi eqhelekileyo ngosuku olunye okanye ezimbini.
- Usenokuziva iintlungu nokuqina kangangeentsuku ezimbalwa apho inaliti ifakwe khona. Oku kuqhelekile. Ungafaka ipakethe yomkhenkce kuloo ndawo malunga nemizuzu engama-20, uze uyisuse uyifake kwakhona.
- Ugqirha uza kukunika idinga lokulandelelana. Qiniseka ukuba uyayenza loo nto.
Ngaba kukho iingozi kunye nemiphumo emibi?
Umngcipheko weengxaki ezinkulu ezivela kunyango lwe-RFA uphantsi kakhulu .
Nangona kunjalo, njengakwezinye iindlela zonyango, kukho iimeko ezingaqhelekanga ezinokwenzeka.
- Intlungu inganda kangangeentsuku ezimbalwa emva konyango. Ukusebenzisa i-ice pack kunye nokusela amayeza anikwe ngugqirha wakho kunokunceda.
- Kusenokubakho ukuvaleka okwethutyana kwesikhumba apho inaliti ifakwe khona.
- Kunqabile kakhulu ukuba kubekho umonakalo osisigxina wemithambo-luvo, usulelo, okanye ukopha. Kodwa ezi aziqhelekanga kakhulu .
Isebenza kangakanani le nto? Iza kuhlala ixesha elingakanani le ntlungu?
Le yeyona ngxaki inkulu kubo bonke abantu.
Abantu abaninzi bafumana isiqabu esikhulu kwiintlungu ngolu nyango. Abanye abantu baziva bekhululekile emva nje konyango. Abanye basenokuqala ukuziva bekhululekile emva kweentsuku ezili-10 okanye iiveki ezintathu.
Ukukhululeka kudla ngokuthatha iinyanga ezi-6 ukuya kwezili-12 . Abanye abantu abanethamsanqa banokungaziva iintlungu kangangeminyaka eliqela.
Ngaba imithambo-luvo iya kuphinda ikhule?
Ewe. Imithambo-luvo engasebenziyo ingaqala ukukhula kwakhona emva kweenyanga ezi-6-12. Ukuba oko kuyenzeka, iintlungu zingabuya. Kodwa ungakhathazeki, ungaphinda ufumane olu nyango lwe-RFA ukuba kuyimfuneko.
Kufuneka uthethe nini nogqirha?
Ukuba ufumana ezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko:
- Ukuba kukho intlungu ebuhlungu, ukubomvu, okanye ukudumba apho inaliti ifakiwe khona.
- Ukuba ubuthathaka okanye ukungakhululeki kwengalo okanye umlenze kuyanda .
Umyalezo Wokuya Ekhaya
- I-Radiofrequency Ablation (RFA) lunyango olungenalo utyando , olungenazo izihlunu ezininzi kwiintlungu ezingapheliyo zomqolo, intamo, kunye namalungu.
- Oku kuquka ukufudumeza umthambo othwala imiqondiso yentlungu uye engqondweni ngamaza erediyo uze uwucime okwethutyana.
- Oku akufanelekanga kuwo wonke umntu. Ugqirha wakho uya kugqiba ukuba kuyafaneleka na kuwe. Abantu abaye bafumana iziphumo eziphumelelayo ngenxa yokuxilongwa kwe-nerve blockage banokufumanisa oku kuluncedo kakhulu.
- Unyango lunokuthatha iinyanga ezimbalwa ukuya kunyaka okanye nangaphezulu. Unyango lunokuphindwa ukuba kuyimfuneko.
- Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya.
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