Ngamanye amaxesha sineentlungu ezingapheliyo nokuba sinonyango okanye unyango lwe-physiotherapy. Kunzima kangakanani ukuphila nolu hlobo lwentlungu oluhlala luqhubeka imihla ngemihla, inyanga nenyanga? Ukuba nawe ungumntu ohlushwa ziintlungu ezinzima kangaka, ezihlala ixesha elide, eli nqaku liza kuba libaluleke kakhulu kuwe. Namhlanje sithetha ngesixhobo esikhethekileyo esifakwa emzimbeni ngotyando ukulawula ezo ntlungu. Esi sinokuba yindlela elungileyo yokunciphisa iintlungu ezinamandla ezifana nee-opioid, ezinokuba ngumlutha kwabanye abantu.
Ngamafutshane, yintoni iSpinal Cord Stimulator?
Kulungile, masiqale siqonde ukuba oku kusebenza njani. Kufuna ukuqonda okuncinci ngenkqubo yethu yemithambo-luvo kunye nentlungu.
Yintoni intlungu?
Intlungu idla ngokuba yindlela yokukhusela emzimbeni wethu. Xa usenzakala, utsha, okanye uza kwenzakala, yiyo le nto ixelela ingqondo ukuba, "Kukho into engalunganga apha, lumka." Intlungu ikwaluphawu oluphambili lwezifo ezininzi.
Nangona kunjalo, iintlungu azisoloko zisikhusela. Iintlungu ezibangelwa ziimeko ezithile zonyango azinyamezeleki. Kwakhona, ezinye iintlungu azipheli kwaye ziyaqhubeka. Oku sikubiza ngokuba yintlungu engapheliyo . Xa uphila nolu hlobo lwentlungu, awukwazi ukulala kakuhle okanye ukwenza nawuphi na umsebenzi. Xa uphila ngolu hlobo ixesha elide, kunokuba nzima kakhulu.
Iintlungu ezingapheliyo zibangela utshintsho kwingqondo yethu nakwinkqubo yemithambo-luvo. Ngenxa yoko, nentlungu encinci inokuvakala kakhulu (hyperalgesia). Ngamanye amaxesha, izinto ezingafanele zibangele intlungu zingabangela intlungu (allodynia). Oku kuthetha ukuba kukho into engalunganga kwinkqubo yethu yokubonisa iintlungu.
Isebenza njani inkqubo yemithambo-luvo?
Cinga ngenkqubo yakho yemithambo-luvo njengothungelwano lweentambo zefowuni. Ulwazi luhanjiswa luze lubuye phakathi kwengqondo nomzimba wonke ngale migca. Imiqondiso yentlungu ifana 'neefowuni' kule migca.
Ukuvuselela i-Spinal Cord yindlela yokuvuselela imicu ethile yemithambo-luvo kwi-spinal cord kusetyenziswa umbane omncinci kakhulu . Ngamafutshane, ngaphambi kokuba 'ubizo' lwentlungu luye ebuchotsheni, esi sixhobo senza olunye 'ubizo' kumgca. Emva koko, umgca uba matasa, uthintela isignali yentlungu ukuba ingafiki ebuchotsheni. Le yindlela imvakalelo yentlungu elawulwa ngayo.
Ngubani ofuna olu nyango? Ngawaphi amatyala?
Olu nyango alulolwawo wonke umntu. Ludla ngokuthathwa njengokhetho lweentlungu ezinzima nezingapheliyo ezingakhange zinyangwe ngempumelelo ngezinye iindlela zonyango (ezifana namayeza, iinaliti, kunye nonyango lomzimba). Nangona olu tyando luqhele ukwenziwa kubantu abadala, lunokusetyenziswa nakwezinye iimeko kubantwana abancinci.
Apha ngezantsi kukho ezinye iimeko apho olu nyango lunokuba luncedo khona.
| Iimeko eziphambili zinyangwa |
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| Ezinye iindlela zokusetyenziswa eziphandwayo |
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Kwenzeka ntoni ngaphambi kolu tyando? Ndilungiselela njani?
Ekubeni olu nyango lungelulo oluqalayo, kuya kwenziwa uvavanyo olwahlukeneyo (olufana neelabhoratri kunye neeskeni) ngaphambi kotyando ukuqinisekisa ukuba usempilweni kwaye kubonwe ukuba kukho isizathu sokungalwenzi olu tyando.
Kwakhona, kuya kufuneka ubone iingcali ezininzi.
- Ingcali yezifo zengqondo: Ngabo badla ngokuba ngabona banokukwazi ukuchonga ngokuchanekileyo imeko ebangela intlungu yakho.
- Ingcali yokulawula iintlungu: Lo gqirha uza kugqiba ukuba ezinye iindlela zonyango ziye zaphumelela na ngaphambi kokuba asebenzise utyando, okanye ukuba kukho isizathu sokuba olo nyango lungenziwa.
- Ugqirha wezifo zengqondo: Benza utyando lokufaka esi sixhobo.
- Ingcali yezengqondo okanye ingcali yezengqondo: Iintlungu ezingapheliyo zinokuba nefuthe elikhulu kwimpilo yakho yengqondo. Kubalulekile ukujonga nokunyanga iimeko ezifihlakeleyo ezifana nokuxhalaba okanye ukudakumba, njengoko ezinye iimeko zempilo yengqondo zinokwenza olu nyango lungasebenzi kakuhle.
- Ingcali yokubulala iintlungu: Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Ngoko ke, ingcali yokubulala iintlungu iza kukuhlola, ixoxe ngembali yakho yempilo, kwaye ikunike imiyalelo efunekayo.
Emva kwako konke oku, ukuba kufumaniseke ukuba ufanelekile utyando, uza kufumana imiyalelo yendlela yokululungiselela.
- Amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini kunye nezongezo. Amanye amayeza (afana ne -blood thinners) anokufuna ukuyekiswa okanye ukutshintshwa ngaphambi kotyando. Musa ukuyeka ukuthatha nawaphi na amayeza ngaphandle kwengcebiso kagqirha wakho.
- Ukucoca: Imiyalelo yendlela yokuhlamba ngaphambi kotyando kunye nohlobo lwesepha omawuyisebenzise.
- Ukuzila ukutya: Uya kucetyiswa ukuba uyeke ukutya okuqinileyo kangangeeyure ezisi-8 uze ungatyi ulwelo kangangeeyure ezi-2 ngaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Le nkqubo idla ngokuvela kwizigaba ezibini. Elokuqala "livavanyo." Ukuba oko kuphumelele, isixhobo sifakwa ngokusisigxina kwisigaba sesibini.
Esi sixhobo sineenxalenye ezimbini eziphambili. Enye ziintambo zombane (iintambo zombane). Ezi zifakwa kwindawo ebizwa ngokuba yi-epidural space kufutshane ne-spinal cord. Ezi ntambo ziqhagamshelwe kwi-electrical pulse generator. Le yinxalenye esebenza njengebhetri kwaye ivelisa umbane.
Inqanaba lokuqala: "Inkqubo yovavanyo"
Oku kuquka ukufaka ucingo okwethutyana ukuze kuvavanywe ukuba isixhobo sikulungele na kwaye nokuba siyayinciphisa na intlungu. Oku kudla ngokwenziwa phantsi kwe-sedation ukuze ulale kancinci. Ugqirha usebenzisa indlela ekhethekileyo ye-X-ray ebizwa ngokuba yi-fluoroscopy (efana nevidiyo ye-X-ray), wenza umsikelo omncinci eluswini, aze afake ucingo lwexeshana ngenaliti kwindawo efanelekileyo kumqolo.
Emva koko, inxalenye eveziweyo yeengcingo inamathele eluswini kwaye iqhagamshelwe kwijenereyitha ye-pulse yexeshana engaphandle komzimba. Ngoku, bayayivula baze bajonge ukuba iyayithomalalisa na intlungu yakho.
Olu vavanyo ludla ngokuthatha iintsuku ezimbalwa ukuya kwiveki okanye ezimbini. Olu vavanyo luthathwa njengoluphumeleleyo ukuba intlungu yakho incitshisiwe ubuncinane ngama-50% .
Ukuba uvavanyo luphumelele, inyathelo elilandelayo liza kuba lutyando lokufakelwa isixhobo ngokusisigxina.
Inqanaba lesibini: Ukufakela isixhobo ngokusisigxina (utyando lokufakelwa)
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Apha, ugqirha otyandayo, njengakwilingo, ubeka i-elements zombane ezihlala zihleli kwindawo efanelekileyo kwi-spinal cord.
Emva koko, elinye icala lentambo lithathwa phantsi kwesikhumba lize liqhagamshelwe kwi-pulse generator, okanye ibhetri, edla ngokubekwa kwindawo onokuyilawula ngokulula. Umzekelo, kwenziwa 'ipokotho' encinci phantsi kwesikhumba ecaleni kwesisu okanye iimpundu ize ithungelwe ngaphakathi.
Kukho iintlobo ezahlukeneyo zezi bhetri. Ezinye kufuneka zivulwe/zicinywe nge-remote. Ezinye zingatshajwa. Zitshajwa kwakhona phezu kolusu, ngokubeka itshaja ekhethekileyo apho ibhetri ikhona.
Ekugqibeleni, amanxeba avalwa ngezititshi okanye nge-staples.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kovavanyo, ungaya ekhaya ngaloo mini okanye ngosuku olulandelayo. Emva kokuba isixhobo esisisigxina sifakiwe, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini.
Emva kotyando, ingakumbi emva kokuba isixhobo esisisigxina sifakiwe, uya kucelwa ukuba unciphise umsebenzi womzimba kangangeeveki ezi-4 ukuya kwezi-6 . Kufuneka ukuphephe ukugoba, ukuphakamisa, okanye ukwenza umthambo onzima de indawo apho isixhobo sifakwe khona iphole kakuhle kwaye umzimba wakho uqhelene nayo.
Ugqirha wakho angakunika icebiso elifanelekileyo malunga nexesha lakho lokuchacha kunye nendlela yokuzinyamekela. Ngoko ke, landela imiyalelo yakhe ngokuchanekileyo.
Uza kucelwa ukuba ubuye ekliniki emva kweeveki ezimbini ukuze kususwe izikhonkwane/izikhonkwane ze-stapler.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi. Kubalulekile ukuba nolwazi olupheleleyo ngazo zombini ezi ndlela ngaphambi kokuba wenze isigqibo.
| Iingenelo | Iingozi kunye neengxaki |
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Udinga nini ukubona ugqirha wakho?
Emva kotyando, kuya kufuneka uye kwiikliniki ngeentsuku ezicwangcisiweyo. Kwakhona, ukuba kukho naziphi na iingxaki, kufuneka ufune iingcebiso zonyango ngokukhawuleza.
| Ukuba unale mpawu, thetha nogqirha wakho. |
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| Iimeko apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngokukhawuleza |
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Ingaba olu nyango luphumelele kangakanani? Ndingaphila ubomi obuqhelekileyo?
Ngokwesiqhelo, malunga nesiqingatha sabantu abafumana olu nyango bafumana ukukhululeka kwiintlungu okungaphezulu kwama-50% . Nangona kunjalo, eli zinga lempumelelo lixhomekeke kwizinto ezininzi, kuquka imeko yesigulana kunye nohlobo lwesixhobo esisetyenzisiweyo. Ugqirha wakho ngumntu ongcono ukukuxelela ukuba kunokwenzeka kangakanani ukuba uphumelele ngokusekelwe kwimeko yakho.
Kusenokufuneka wenze utshintsho oluthile kwindlela ophila ngayo emva kokufaka esi sixhobo. Ngokukodwa, kuphephe ukugoba okanye ukujikajika kuba oku kungonakalisa isixhobo.
Nangona kunjalo, abantu abaninzi bayaqhela ukuphila ubomi obuqhelekileyo ngesi sixhobo. Khumbula, injongo ephambili kukunciphisa iintlungu zakho nokuphucula umgangatho wobomi bakho.
Umyalezo Wokuya Ekhaya
- Ukukhuthazwa kweNtambo yoMgogodla yindlela ekhethekileyo yonyango esetyenziselwa iintlungu ezinzima nezingapheliyo ezingakhange zithomalaliswe zezinye iindlela zonyango.
- Oku kusebenza ngokuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni ngombane omncinci.
- Ngaphambi kokuba isixhobo sifakwe emzimbeni ngokusisigxina, kwenziwa uvavanyo ukuze kubonwe ukuba siyakufanelekela na.
- Esi sisigqibo esifanele senziwe ngononophelo olukhulu, kuba kukho iingozi ezibandakanyekayo kolu nyango, ezifana nosulelo kunye nokungasebenzi kakuhle kwezixhobo.
- Xoxa nogqirha wakho ngayo nayiphi na imibuzo okanye amathandabuzo onawo ngale nto. Nguye oza kuba ngumcebisi wakho ongcono.
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