Ngaba ubusoloko ukhathazwa ziintlungu emqolo, entanyeni, okanye emadolweni ixesha elide? Nangona usela amayeza kwaye usenza i-physiotherapy , awukaziva kukhululeka? Mhlawumbi ugqirha sele ekuxelele nangotyando olukhulu. Kodwa ngaphambi kokuba uye kwinkqubo enkulu kangaka, kukho ezinye iindlela zokulawula iintlungu. Yiyo loo nto sithetha ngendlela yonyango engeyoyotyando, kodwa esebenza kakhulu namhlanje.
Yintoni iRadiofrequency Ablation (RFA)?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa ingcamango ilula kakhulu. Ngamafutshane, i-RFA isebenzisa amaza erediyo ukutshisa inxalenye encinci kakhulu yemithambo-luvo ekubangela intlungu, imise okwethutyana ukusebenza kwayo. Ngamanye amazwi, kufana nokuqhawula okwethutyana "intambo yesignali" ethwala intlungu iye engqondweni. Xa oku kumisa imiqondiso yentlungu ukuba iye engqondweni yakho, intlungu oyivayo iyanyamalala okanye inciphe kakhulu. Oku kukwabizwa ngokuba yiRadiofrequency Neurotomy.
Kutheni le nto kwenziwa olu nyango lwe-RFA?
Oogqirha banezizathu ezininzi eziphambili zokucebisa olu nyango. Makhe sibone ukuba isigulane sifumana ziphi izibonelelo kulo.
| Injongo ephambili | Inzuzo |
|---|---|
| Ukuphelisa okanye ukunciphisa intlungu | Eyona nto iphambili kukufumana isiqabu kwiintlungu ezihlala ixesha elide. |
| Ukwandisa ukusebenza komzimba | Xa intlungu iphelile, akuyi kuba nengxaki yokugoba, ukuzolula, ukuhamba, nokwenza imisebenzi yakho yemihla ngemihla. |
| Ukunciphisa ukusetyenziswa kwezixhobo zokubulala iintlungu | Ungazisusa iziphumo ebezingalindelekanga zokusela amayeza okudambisa iintlungu yonke imihla. |
| Ukuphepha okanye ukulibazisa utyando | Le ndlela ilula inika ithuba lokulawula iintlungu ngaphandle kokwenza utyando olukhulu nolunzima. |
Zeziphi iimeko ezinokunyangwa nge-RFA?
Olu nyango lusetyenziswa kakhulu kwiintlungu ezihlala ixesha elide (ezingapheliyo). Umzekelo:
- I-Spondylosis: Intlungu yomqolo ehlala ixesha elide ebangelwa kukuguguleka kwamalungu omqolo.
- Intlungu yamalungu eSacroiliac (SI): Intlungu emalunga ezantsi komqolo, apho idibana khona nethambo lesinqe.
- Intlungu yentamo, umqolo, nedolo: Intlungu yamalungu engasabelanga kwezinye iindlela zonyango.
- Intlungu yomhlaza: Ukulawula iintlungu eziqatha ezibangelwa zezinye iintlobo zomhlaza.
- Intlungu yobuso (Trigeminal Neuralgia): Intlungu enzima efana neyombane ebusweni.
- Intlungu yemithambo-luvo ejikeleze umzimba: Intlungu ebangelwa yimithambo-luvo kwiindawo zomzimba ezifana namalungu omzimba.
- Iingxaki zesingqisho sentliziyo: Ukongeza kwiintlungu, oku kukwasetyenziselwa ukunyanga ezinye zeeseli ezenza isingqisho sentliziyo.
- Iithumba: Le ndlela ikwasetyenziselwa ukutshabalalisa iiseli kwezinye iithumba ezincinci.
Lusebenza njani olu nyango?
Khawuthelekelele ukuba unobangela wentlungu yakho yomqolo yimithambo-luvo edibene nelungu elincinci emgogodleni wakho.
Oko ugqirha akwenzayo, phantsi kwesikhokelo somatshini we-X-ray okhethekileyo obizwa ngokuba yi-fluoroscopy, ufaka inaliti ecolekileyo kakhulu ngqo kwimithambo-luvo ebangela intlungu. Xa inaliti ikwindawo efanelekileyo, ufaka i-electrode encinci kuyo aze akhuphe amaza erediyo.
Ubushushu obuvela kula maza erediyo bubangela ukuba inxalenye encinci yemithambo-luvo 'itshise'. Oku kubizwa ngokuba kukudala 'isilonda'. Kodwa ungakhathazeki, oku kwenziwa ngononophelo olukhulu nangokuchanekileyo. Oku kuyayithintela imithambo-luvo ekuthumeleni imiqondiso yentlungu engqondweni. Into emangalisayo kukuba, ayizilimazi imithambo-luvo ephilileyo eyijikelezileyo.
Ngamafutshane, i-RFA iya "kwiingcambu" zentlungu ize ithule okwethutyana imithambo-luvo ethwala umyalezo wentlungu.
Ngubani ofanelekileyo kolu nyango?
Olu nyango alulungelanga wonke umntu. Ugqirha wakho uza kujonga izinto ezininzi ukuze abone ukuba ufanelekile na kolu nyango.
Ungafaneleka ukuba:
- Ukuba ukhe wafakwa inaliti ye-nerve block ngaphambili eyanciphisa iintlungu zakho: Le yeyona nto ibalulekileyo. Ngaphambi kwe-RFA, ugqirha wakho uza kufaka iyeza elibangela ukuba ungabi nazintloni kufutshane ne-nerve ekubangela iintlungu 'njengovavanyo'. Oku kubizwa ngokubaIbizwa ngokuba yi-diagnostic block . Ukuba intlungu yakho iyancipha emva kweeyure ezimbalwa emva kokufakwa inaliti, oko kuthetha ukuba ugqirha 'ujolise' kwimithambo-luvo. Kubantu abanjalo, amathuba okuba unyango lwe-RFA luphumelele aphezulu kakhulu.
- Ukuba ezinye iindlela zonyango (amayeza, unyango lomzimba) azincedi: Ukuba ubusebenzisa amayeza entlungu kwaye usenza i-physiotherapy ixesha elide kwaye awuzange ufumane ziphumo, i-RFA inokuba lukhetho olufanelekileyo.
Usenokungafaneleki ukuba:
- Ukuba ukhulelwe .
- Ukuba unesifo .
- Ukuba unengxaki yokujiya kwegazi okanye ingxaki yokopha.
Kwenzeka ntoni ngexesha lonyango?
Le nkqubo idla ngokuthatha imizuzu eli-15 ukuya kwiiyure ezi-2, kuxhomekeke kwindawo enyangwayo kunye nenani lemithambo-luvo echaphazelekayo.
1. Okokuqala, uza kulala ngesisu sakho kwibhedi ekhethekileyo ye-X-ray. Iimonitha ziya kudityaniswa ukuze zijonge imeko yakho kulo lonke unyango.
2. Usezingqondweni, kuba ugqirha uthetha nawe. Ukuba kuyimfuneko, angakunika iyeza elincinci lokukuphumza.
3. Kusetyenziswa i-anesthetic yendawo ukuze kuthintelwe indawo apho inaliti iza kufakwa khona.
4. Emva koko, phantsi kwesikhokelo se-X-ray se-fluoroscopy , inaliti ikhokelwa ngononophelo kwi-nerve ebangela intlungu.
5. Ukuqinisekisa ukuba inaliti ikwindawo elungileyo, ugqirha uza kuthumela isignali encinci yombane ngayo aze akubuze athi, "Ngaba kukho into oyivayo, njengokurhawuzelelwa okanye ukuhlaba?" Ukuba uyayiva, oko kuthetha ukuba inaliti ikwindawo elungileyo.
6. Emva koko, kufakwa elinye iyeza ukuze kuthintelwe imithambo-luvo, kwaye kuthunyelwa umsinga wamaza erediyo ukuze kufudunyezwe inxalenye efanelekileyo yemithambo-luvo, nto leyo ethintela ukuba ingathumeli imiqondiso yentlungu.
7. Ukuba kuyimfuneko, kunokunyangelwa imithambo engaphezu komnye ngaxeshanye.
Ndingenza ntoni emva konyango?
Ungaya ekhaya emva kweeyure ezimbalwa emva konyango.
- Ngokuqinisekileyo udinga umntu oza kuhamba nawe. Akunakwenzeka ukuba uqhube wedwa.
- Yiya ekhaya uphumle kakuhle malunga neeyure ezingama-24. Musa ukwenza nawuphi na umsebenzi onzima.
- Ungaqhubeka nemisebenzi yakho yesiqhelo emva kosuku olunye okanye ezimbini.
- Kunokubakho iintlungu ezincinci kunye nokukrweleka kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbalwa. Ugqirha ucebisa ukuba ubeke ipakethe yomkhenkce kuyo malunga nemizuzu engama-20 kwaye uyisuse izihlandlo ezininzi ngemini.
Lusebenza kangakanani olu nyango?
Abantu abaninzi bafumana isiqabu esikhulu kwiintlungu emva konyango lwe-RFA. Abanye abantu baziva bekhululekile emva nje konyango. Kwabanye, iintlungu ziyancipha kancinci kancinci kwiintsuku ezili-10 okanye iiveki ezi-3.
Olu nyango lokuphelisa iintlungu luhlala iinyanga ezi-6 ukuya kwezili-12 , ngamanye amaxesha lude ngakumbi, kwaneminyaka eliqela.
Kodwa khumbula, imithambo-luvo emzimbeni wethu inokuphinda ikhule. Ukuba imithambo-luvo enjalo iphinda ikhule, iintlungu zinokubuya. Ukuba oko kuyenzeka, olu nyango lwe-RFA lunokuphindwa.
Ndifanele ndimbone nini ugqirha?
Ukuba ezi mpawu zilandelayo ziyenzeka emva konyango, fowunela ugqirha wakho ngoko nangoko:
- Ukuba ufumana iintlungu eziqatha, ukubomvu, okanye ukudumba kwindawo apho inaliti ifakwe khona.
- Ukuba ubuthathaka okanye ukuba ndindisholo kwengalo okanye umlenze kuyanda .
Umyalezo Wokuya Ekhaya
- I-Radiofrequency Ablation (RFA) lunyango olusebenza kakhulu, olungenalo utyando, nolungenazo iintlungu ezingapheliyo.
- Ukuphelisa iintlungu koku kungathatha iinyanga ezi-6 ukuya kwezi-12 okanye nangaphezulu. Unyango lunokuphindwa ukuba imithambo-luvo iyakhula kwakhona.
- Ugqirha wakho uza kugqiba ukuba olu nyango lukulungele na emva kovavanyo. Alufanelekanga kuye wonke umntu.
- Nangona olu lunyango olukhuselekileyo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Thetha nogqirha wakho ngale miphumo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (iintlungu eziqatha, ukudumba, ubuthathaka) emva konyango, funa ingcebiso kagqirha ngoko nangoko.
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