Ngamanye amaxesha sineentlungu ezingapheliyo nokuba sithatha amayeza anjani okanye unyango lomzimba esilwenzayo. Kunzima kangakanani ukuphila nale ntlungu ingapheliyo kangangeenyanga, mhlawumbi neminyaka? Namhlanje siza kuthetha ngenkqubo ekhethekileyo yezonyango esetyenziselwa iintlungu ezingapheliyo kunye neemeko apho izihlunu ziba lukhuni (ukuxinezeleka) okunzima ukuzilawula ngolunye unyango.
Ngoko ke, yintoni le rhizotomy?
Ngamafutshane, i-rhizotomy yinkqubo yezonyango eyonakalisa kwaye iphazamise ukusebenza kwemithambo-luvo ethile ebangela iintlungu ezingapheliyo okanye ukuqina kwemisipha.
Cinga ngenkqubo yethu yemithambo-luvo njengenkqubo yeengcingo zombane. Ezi ngcingo zithwala imiyalezo esuka engqondweni iye kwezinye iindawo zomzimba, kwaye zisuka kwezo ndawo zibuyela engqondweni. Xa sisiva iintlungu, iintlungu zithumela isignali engqondweni ukusuka kwindawo eziva ngayo, zisithi, "Kulapho kubuhlungu khona." I-rhizotomy ibandakanya ukufumana umthambo othe ngqo othwala isignali yentlungu, ukonakalisa, kunye nokuthintela isignali ukuba ingangeni engqondweni. Kufana nokusika intambo yombane enengxaki. Oku kuyayimisa intlungu.
Oogqirha basebenzisa iindlela ezahlukeneyo zokonakalisa le mithambo-luvo:
| Indlela yokusebenza | Ingcaciso elula |
|---|---|
| Ukususwa ngotyando | Ukusikwa nokususwa komthambo okuthethwa ngawo ngotyando oluvulekileyo okanye ukusebenzisa isixhobo esincinci esinekhamera, esifana ne-endoscope, esifakwe nge-incision encinci. |
| Ukusebenzisa ikhemikhali | Ukujova ikhemikhali efana ne-glycerin okanye i-glycerol kufutshane nomthambo ngenaliti, nto leyo eyonakalisa loo mthambo. |
| Ukususwa kweRadiofrequency | Amaza erediyo asebenza rhoqo athunyelwa ngenaliti ekhethekileyo, kwaye ubushushu obuveliswayo 'buyayitshisa' imithambo-luvo ekuthethwa ngayo. Oku sihlala sikubiza ngokuba yi-'nerve ablation'. |
Usenokuliva negama elithi 'neurotomy'. Elo lelinye igama elisetyenziswa kwezi rhizotomies. Zonke ezi zenza into efanayo, eyokumisa umthambo obangela intlungu.
Ziziphi iimeko ezinyangwa nge-rhizotomy?
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba i-rhizotomy ayilonyango lokuqala. Oogqirha badla ngokuyijonga njengenyathelo lokugqibela xa unyango olulula olufana neentlungu, i-physiotherapy, kunye ne-nerve blocks ziye zasilela.
Kukho iintlobo ezininzi eziphambili ze-rhizotomy, nganye ijolise kwiimithambo-luvo ezahlukeneyo emzimbeni.
I-Rhizotomy ye-Trigeminal Ganglioni
Oku kujoliswe kwi-trigeminal nerve cluster kumacala omabini obuso bethu. Kusetyenziselwa iintlungu ezinzima nezingapheliyo ebusweni.
- I-Trigeminal Neuralgia: Intlungu enzima, efana nomothuko wombane kwelinye icala lobuso.
- Iintloko ezibuhlungu ezibangelwa ziintloko ezixineneyo ezingalawulwa ngonyango.
- Intlungu yobuso engaqhelekanga engenakufumaneka sizathu.
- I-postherpetic neuralgia (intlungu yemithambo-luvo yobuso eyenzeka emva kwe-chickenpox).
- Intlungu yobuso ebangelwa ngumhlaza.
I-Facet Rhizotomy
Oku kujoliswe kwiingcambu zemithambo-luvo ezidlula kwiindawo eziphakathi kwamathambo ethu. Oku kudla ngokwenziwa xa kuziwa kwiintlungu zomqolo nentlungu yentamo.
- Ukuba yenziwe entanyeni, ibizwa ngokuba yi-cervical rhizotomy .
- Ukuba kwenziwa emqolo ongezantsi, kuthiwa yi -lumbar rhizotomy .
- Olu lunyango olusebenzayo kwiintlungu ezingapheliyo ezibangelwa kukuguguleka kwamalungu omqolo ngenxa yezifo ezifana ne-arthritis.
I-Selective Dorsal Rhizotomy (SDR)
Oku kwenzelwa ngokukodwa ukulawula ukuqaqamba kwabanye abantwana abane -cerebral palsy . Oku kuquka ukonakalisa ngokukhetha ezinye ze-sensory nerve fibers kwinxalenye esezantsi yomqolo. Nangona kunjalo, ayingabo bonke abantwana abane-cerebral palsy abafanelekileyo kolu tyando. Le yinto ethathwa ngoogqirha.
Ulungiselela njani olu nyango?
Ngenxa yokuba le yinkqubo yotyando, kuya kufuneka wenze uvavanyo oluninzi kwangaphambili ukuqinisekisa ukuba umzimba wakho uyakufanelekela kwaye uza kuzuza ngokwenene kuyo.
- Uvavanyo lwemifanekiso: Ii-MRI scans kunye nee-X-ray zisetyenziselwa ukuhlola ngononophelo umthambo ochaphazelekayo kunye nendawo engqongileyo.
- Ukuvaleka kwemithambo-luvo: Ukuze kuchongwe ngokuchanekileyo ukuba ingxaki ikweli thambo, kunikwa inaliti eya kuyivala imithambo-luvo okwethutyana. Ukuba oku kunciphisa iintlungu, i-rhizotomy inokuba yimpumelelo.
- Uvavanyo lwegazi nomchamo: Jonga impilo yomzimba iyonke.
Ukuba utyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, kuya kufuneka ubone i-anesthesiologist. Kwakhona, ukuba uthatha nawaphi na amayeza, afana ne-blood thinners, kuya kufuneka uyeke ukuwathatha kwiintsuku ezimbalwa ngaphambi kotyando. Ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho. Iqela lakho lezonyango liya kukuchazela yonke into.
Kwenzeka ntoni ngexesha lonyango?
Le nkqubo iyahluka ngokuxhomekeke kuhlobo lwe-rhizotomy, kodwa ngokubanzi, la ngamanye amanyathelo abandakanyekayo:
1. I-Anesthesia: Kwiimeko ezininzi, uya kulaliswa ngokupheleleyo (i-anesthesia eqhelekileyo). Kwiinkqubo ezilula, ungalaliswa kancinci (i-sedation) okanye i-anesthetic yendawo (eyenza indawo ibe nentlungu kuphela).
2. Isikhokelo somfanekiso: Ngexesha lotyando, indlela ebizwa ngokuba yi-fluoroscopy, efana ne-X-ray, isetyenziswa ukuqinisekisa ukuba inaliti okanye isixhobo sibekwe ngqo kufutshane nomthambo ochanekileyo. Ngamanye amaxesha, ulwelo olukhethekileyo (idayi yomahluko) lunokufakwa emthanjeni ukuze imithambo-luvo ibonakale ngokucacileyo.
3. Ukuvavanya umthambo: Ngaphambi kokuba wonakalise umthambo, kunikwa isignali encinci yombane kwimithambo-luvo ukuqinisekisa ukuba ngumgca ochanekileyo. Oku kungenziwa kusetyenziswa uvavanyo olufana ne-EMG (Electromyography).
4. Ukonakala kwemithambo-luvo: Okokugqibela, enye yeendlela ezintathu ekuthethwe ngazo ngaphambili (ukusika, iikhemikhali, okanye ubushushu be-radiofrequency) isetyenziselwa ukunqanda ukusebenza kwemithambo-luvo ebangela iintlungu.
Iphumelela kangakanani le nto? Zithini iingozi?
Abantu abaninzi abafumana unyango lwe-rhizotomy bafumana isiqabu sentlungu ixesha elide . Nangona kunjalo, ayingabo bonke abantu abafumana iziphumo ezifanayo. Abanye abantu basenokungafumani siqabu sentlungu kwaphela. Ungathetha nogqirha wakho malunga nokuba oku kuya kusebenza kangakanani kwimeko yakho.
Iingozi kunye neengxaki ziyahluka ngokuxhomekeke kuhlobo lwe-rhizotomy oluye lwenziwa.
- Ngokuqhelekileyo, kuqhelekile ukuba neentlungu, ukukrweleka, kunye nokopha kwindawo yenaliti okanye yokusikwa ngotyando. Oku kuya kuphela kwiintsuku ezimbalwa.
- Kunqabile kakhulu ukuba usulelo lunokwenzeka kwezo ndawo.
- Ezinye iziphumo ebezingalindelekanga zilindelekile. Umzekelo, emva kotyando lwe-trigeminal rhizotomy ngenxa yentlungu yobuso, unokulahlekelwa yimvakalelo kwicala lobuso bakho. Ugqirha wakho uza kuxoxa nawe ngazo zonke ezi zinto ngaphambi kotyando.
Xa kufuneka ubone ugqirha ngokukhawuleza
Emva konyango, ukuba indawo yotyando iyadumba, ibomvu, okanye izaliswe bubomvu (iimpawu zosulelo), okanye ukuba uvela neengxaki ezintsha zemithambo-luvo, ezinje ngokuba ndindisholo okanye ukurhawuzelela emlenzeni okanye engalweni, tsalela umnxeba ugqirha wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Rhizotomy yinkqubo enyanga iintlungu ezingapheliyo kunye nokuqina kwemisipha ngokuvala imithambo-luvo ethwala imiqondiso yentlungu.
- Olu asilonyango lokuqala. Lukhetho lokuqwalasela xa izinto ezifana namayeza kunye nonyango lomzimba zingasebenzi.
- Nangona olu nyango luye lwanceda abantu abaninzi ukuba banciphise iintlungu, ayingabo bonke abantu abafumana iziphumo ezifanayo.
- Njengakwezinye iintlobo zotyando, kukho iingozi ezibandakanyekileyo. Ngoko ke, kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga ngale nkqubo nogqirha wakho ngaphambi kokuba wenze isigqibo.
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