Ngamanye amaxesha kukho iintlungu ebomini bethu ezibonakala zingapheli nokuba sithatha luphi na unyango okanye unyango lomzimba esilwenzayo. Isenokuba yintlungu yomqolo ebisoloko isikhathaza iminyaka, intlungu yentamo, okanye intlungu enganyamezelekiyo evakala ngathi kukuthuthumela ngombane kwelinye icala lobuso. Ngabo kuphela abaye bahlangabezana nayo abaziyo ukuba kunzima kangakanani ukuphila neemeko ezinjalo. Ngoko ke, xa zonke ezinye izinto zingaphumeleli, namhlanje siza kuthetha ngendlela ekhethekileyo yonyango ecetyiswa ngoogqirha. Ibizwa ngokuba yiRhizotomy.
Kalula nje, yintoni iRhizotomy?
Ukuze siqonde oku, masiqale sicinge ngenkqubo yemithambo-luvo yomzimba wethu. Imithambo-luvo ehamba emzimbeni wethu ifana neentambo zombane ezincinci. Ezi ntambo zezona zithumela imiyalezo phakathi kwengqondo yethu kunye nomzimba wethu wonke. Yonke into oyivayo, njengokuchukumisa, intlungu, kunye nobushushu, ithunyelwa engqondweni ngezi ntambo, kwaye yile mithambo-luvo apho ingqondo ikuxelela ukuba ushukumise iingalo nemilenze yakho.
Nangona kunjalo, ngamanye amaxesha, ngenxa yokungasebenzi kakuhle kwenkqubo yemithambo-luvo, ezinye iimithambo-luvo ziqala ukuthumela umyalezo othi "iintlungu" engqondweni rhoqo. Enyanisweni, lo myalezo uyahamba nokuba akukho ngxaki inkulu apho. Kunyango olubizwa ngokuba yi-rhizotomy, okwenziwayo kukuchonga ezo ntambo zemithambo-luvo zinengxaki ezithumela imiyalezo engafanelekanga, zizonakalisa kwaye ziyeke ukuhamba komyalezo. Kufana nokuqhawula ucingo lombane olunengxaki. Xa imiqondiso yentlungu iyeka ukuya engqondweni ngale ndlela, intlungu oyivayo iyanyamalala okanye inciphe kakhulu.
Uzonakalisa njani ezi mithambo-luvo?
Oogqirha basebenzisa iindlela ezahlukeneyo zokwenza oku:
- Ukususwa kwemithambo-luvo ngotyando: Ngamanye amaxesha, le mithambo-luvo iyasikwa ize isuswe ngotyando. Oku kungenziwa njengotyando oluvulekileyo okanye nge-endoscopically, olubandakanya ukufakwa kwekhamera ngenxeba elincinci.
- Ngekhemikhali: Ungonakalisa nomthambo okuthethwa ngawo ngokusebenzisa ikhemikhali efana ne-glycerin.
- Ukususwa kwee-radiofrequency: Amaza erediyo anamandla aphezulu agxile kwaye ubushushu obuvelayo busetyenziselwa ukonakalisa i-nerve. Le ndlela idla ngokubizwa ngokuba yi -Radiofrequency Ablation (RFA) .
Ngamafutshane, i-Rhizotomy yinkqubo yokuthintela ukusebenza kwemithambo-luvo ebangela iintlungu okanye ukuqina kwemisipha okungafunekiyo (ukuxinana).
I-Rhizotomy, i-Ablation, i-Neurotomy... Ngaba la magama athetha into enye?
Ewe, la magama anokuba yinto edidayo kancinci, kodwa intsingiselo yawo ilula kakhulu.
- I-Rhizotomy:Eli ligama eliqhelekileyo lale ndlela yonyango. Oko kukuthi, nayiphi na inkqubo eyonakalisa i-nerve fiber enengxaki ingabizwa ngeli gama.
- Ukususwa kwemithambo-luvo: Eli lelinye igama elisetyenziselwa i-Rhizotomy. Ukususwa kuthetha ukususwa okanye ukutshatyalaliswa.
- I-Radiofrequency Ablation (RFA): Le yindlela ethile esetyenziselwa ukwenza i-rhizotomy. Ibandakanya ukonakalisa imithambo-luvo kusetyenziswa ubushushu obuvela kumaza erediyo.
- I-Neurotomy: Eli ligama lezonyango elithetha ukusika okanye ukutshabalalisa umthambo.
Oko kuthetha ukuba onke la magama athetha injongo enye esisiseko. Ngoko ke ungakhathazeki ukuba ugqirha wakho usebenzisa la magama ngokutshintshana.
Ziziphi iimeko ezinceda unyango lwe-Rhizotomy?
Eli linqaku elibaluleke kakhulu. I-Rhizotomy ayilonyango lokuqala lwazo zonke iintlungu. Oogqirha badla ngokuzama izinto ezifana nonyango lomzimba, amayeza angengo-steroidal anti-inflammatory (NSAIDs), okanye ii-nerve blocks. Olu nyango luqwalaselwa kuphela ukuba zonke ezi zinto aziphumelelanga .
Kukho iintlobo ezahlukeneyo zonyango lwe-rhizotomy, nganye ijolise kwiimithambo-luvo ezahlukeneyo emzimbeni.
| Uhlobo lwe-Rhizotomy | Iimithambo-luvo ekujoliswe kuzo | Iimeko ezinyangwayo |
|---|---|---|
| I-Rhizotomy ye-Trigeminal Ganglioni | Ii-trigeminal nerve bundles zifumaneka kumacala omabini obuso. |
|
| I-Facet Rhizotomy | Iingcambu zemithambo-luvo ezidlula kwiindawo ezidityanisiweyo zomqolo. | |
| I-Selective Dorsal Rhizotomy (SDR) | Iintambo ezithile zemithambo-luvo kwinxalenye esezantsi yomqolo. |
Ndingazilungiselela njani ngaphambi kolu nyango?
Ukuba ugqiba ekubeni ufumane olu nyango, ugqirha wakho kunye neqela lezonyango baya kukunika imiyalelo ecacileyo yendlela yokululungiselela. Musa ukoyika ukubuza nayiphi na imibuzo onokuba nayo.
Ngokwesiqhelo, kuya kufuneka wenze iimvavanyo ezininzi ukuqinisekisa ukuba olu nyango luza kukunceda ngokwenene na.
- Uvavanyo lwemifanekiso: Izinto ezifana ne-MRI scan okanye i-X-ray.
- Ukuvaleka Kwemithambo-luvo: Ukuze kufunyaniswe ukuba yeyiphi kanye kanye imithambo-luvo ebangela ingxaki, kufakwa inaliti yexeshana kwimithambo-luvo ukuze kubonwe ukuba intlungu iyancipha na.
- Uvavanyo lwegazi nomchamo: Yazi imeko yakho yempilo iyonke.
Olu nyango ludla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba ulele ngokupheleleyo. Ke ngoko, kuya kufuneka udibane nogqirha we-anesthesia ukuqinisekisa ukuba ikhuselekile kuwe.
Kwakhona, ukuba uthatha amayeza athile, afana ne-blood thinners/anticoagulants, kunokufuneka uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi konyango lwakho. Nangona kunjalo, ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.
Kwenzeka ntoni ngokwenene ngexesha lonyango?
Kuqhelekile ukuba uzive usoyika kancinci xa usiva oku, kodwa le nkqubo icwangcisiwe kwaye ikhuselekile. Kunokubakho utshintsho oluncinci ngokuxhomekeke kwindlela yonyango, imeko yakho, kunye nomthambo ojoliswe kuwo.
La ngamanyathelo adla ngokulandelwa:
1. I-Anesthesia okanye i-Sedation
Ixesha elininzi, uza kulaliswa ngokupheleleyo, ngoko awuyi kuva ntlungu. Kwezinye iimeko, ungalaliswa kancinci (i-sedation) okanye kuphela indawo leyo enokuba ne-numbness (i-local analgesic).
2. Ukufumana umthambo ochanekileyo (Isikhokelo soMfanekiso)
Ugqirha uza kusebenzisa indlela ekhethekileyo ye-X-ray ebizwa ngokuba yi-fluoroscopy ukuze afumane umthambo onengxaki. Oku kuya kukunceda ubone kakuhle apho umele uyibeke khona inaliti. Ngamanye amaxesha, ulwelo olukhethekileyo (idayi engafaniyo) lunokufakwa emthanjeni ukuze umthambo ubonakale ngakumbi.
3. Ukuvavanya i-Nerve
Ngaphambi kokuba wonakalise umthambo-luvo, kuyimfuneko ukuqinisekisa ukuba umthambo-luvo ojoliswe kuwo ngowona uchanekileyo . Ukuze wenze oku, kunikwa umfutho omncinci wombane ngenaliti. Ngamanye amaxesha uvavanyo olubizwa ngokuba yi-EMG (Electromyography) nalo luyasetyenziswa koku.
4. Ukutshabalalisa i-Nerve
Nje ukuba umthambo-luvo uqinisekiswe, enye yeendlela ekuthethwe ngazo ngaphambili (amaza erediyo, iikhemikhali, okanye ukusika ngotyando) isetyenziswa ukuthintela umthambo-luvo ukuba ungasebenzi.
Lusebenza kangakanani olu nyango?
Uninzi lwabantu abafumana i-rhizotomy bafumana ukukhululeka kwentlungu ixesha elide okanye ukuphucuka okukhulu ekuqineni kwemisipha. Abanye abantu bafumana ukukhululeka kwentlungu iminyaka emininzi.
Nangona kunjalo, ayinguye wonke umntu ofumana iziphumo ezifanayo. Kukho iimeko apho iintlungu zinganciphi kakhulu kubantu abambalwa kakhulu. Kwakhona, ngokuhamba kwexesha, imithambo-luvo ingaphinda ibuyele esiqhelweni kwaye iintlungu zingaphinde zivele. Ukuba oku kuyenzeka, unokufuna ukuphinda uye kolu nyango. Ugqirha wakho uza kukuchazela iinkcukacha ezithe vetshe malunga nempumelelo yolu nyango kuxhomekeke kwimeko yakho.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengakweminye inkqubo yezonyango, i-Rhizotomy inokuba neengozi ezithile kunye nemiphumo emibi. Nangona kunjalo, uninzi lwazo zincinci, kwaye iingxaki ezinkulu azixhaphakanga. Ezi ngozi ziyahluka ngokuxhomekeke kuhlobo lwenkqubo kunye nomthambo ojoliswe kuwo.
Eyona nto ibalulekileyo kukuba ugqirha wakho uza kuxoxa nawe ngokukhululekileyo ngazo zonke iingozi ezinokubakho ngaphambi kokuba unyango luqale, ngoko ungoyiki.
| Iziphumo/iingxaki | Inkcazo |
|---|---|
| Iimeko eziqhelekileyo nezilindelekileyo | |
| Intlungu encinci kunye nokugruzuka | Kunokubakho iintlungu, ukukrweleka, okanye ukudumba kwindawo yenaliti okanye yokusikwa kangangeentsuku ezimbalwa. Oku kudla ngokuphela emva kweentsuku ezimbalwa. |
| Ukuba ndindisholo | Emva kotyando lwe-trigeminal rhizotomy, ingakumbi kwimithambo-luvo yobuso, unokufumana ukurhawuzelelwa okanye ukuba ndindisholo kwezinye iindawo zobuso. Esi sisiphumo esingalindelekanga. |
| Iimeko ekufuneka zixelwe kugqirha ngoko nangoko (azifane zenzeke) | |
| Iimpawu zosulelo | Iimpawu ezinje ngokuba bomvu kakhulu, ukudumba, ubomvu obuphuma kwindawo enyangiweyo, kunye nomkhuhlane. |
| Iintlungu ezigqithisileyo okanye iingxaki zemithambo-luvo | Intlungu ebuhlungu, etshisayo, ubuthathaka bemisipha, okanye ukuba ndindisholo okutsha kwindawo enyangiweyo okanye ejikeleze. |
| Ukopha kakhulu | Ukuba kukho ukopha okungapheliyo kwindawo enyangiweyo. |
Emva konyango, uza kufumana imiyalelo ecacileyo malunga neempawu ekufuneka uziqaphele kunye nexesha lokubuyela kugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Rhizotomy lunyango olukhethekileyo lweentlungu ezingapheliyo, ezinzima okanye ukuqina kwemisipha (ukuqaqamba) xa ezinye iindlela zonyango, ezinje ngamayeza okanye unyango lomzimba, ziye zasilela.
- Oku kuyayekisa ukusebenza kwemithambo-luvo enengxaki ethwala imiqondiso yentlungu engqondweni kwaye kunciphise intlungu.
- Nangona olu nyango lusebenza kakuhle kakhulu, ayinguye wonke umntu onokufumana iziphumo ezifanayo.
- Njengakwezinye iindlela zonyango, kukho iingozi kunye nemiphumo emibi, eya kukwazisa ngokupheleleyo ugqirha wakho.
- Ngugqirha wakho kuphela onokugqiba ukuba olu nyango lukulungele na. Ngoko ke, vuleleka kuye malunga neentlungu zakho kwaye ubuze ukuba zeziphi iindlela onokukhetha kuzo.
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