Ngaba uneentlungu ezinzima nezingapheliyo ezingapheliyo nangona amayeza nonyango lusetyenziswa kakhulu? Siyazi ukuba kunzima kangakanani ukuphila nolu hlobo lwentlungu, ingakumbi emqolo, emilenzeni nasezingalweni. Ngoko ke namhlanje siza kuthetha ngesixhobo esikhethekileyo sezonyango esinokunceda ekulawuleni olu hlobo lwentlungu enzima.
Ngamafutshane, yintoni le nto ivuselela umqolo?
Isishukumisi sentambo yomqolo sisixhobo esincinci sezonyango esinokufakwa ngugqirha wakho emzimbeni wakho ngotyando. Sisetyenziselwa ukulawula iintlungu ezinzima, ezihlala ixesha elide. Sikwasetyenziswa njengendlela elungileyo yokunciphisa iintlungu ezinamandla, ezifana nee-opioid, ezinokuba ngumlutha ngamanye amaxesha.
Esi sixhobo sinciphisa njani iintlungu?
Ukuze uqonde indlela esebenza ngayo le nto, kufuneka ube nombono omncinci ngeentlungu kunye nenkqubo yethu yemithambo-luvo.
Yintoni intlungu?
Intlungu idla ngokuba yindlela yokukhusela. Isazisa xa wenzakele okanye kukho into eza kwenzeka. Intlungu ikwaluphawu oluphambili lwezifo ezininzi.
Nangona kunjalo, iintlungu azisoloko zisikhusela. Ezinye iimeko zonyango zinokubangela iintlungu ezinganyamezelekiyo, okanye zinokuba yintlungu engapheliyo engapheziyo. Oku sikubiza ngokuba yintlungu engapheliyo . Ukuphila nolu hlobo lwentlungu kunokwenza kube nzima ukulala okanye ukwenza nantoni na eluncedo. Ekuhambeni kwexesha, oku kunokuba nefuthe elikhulu kwimpilo yakho yengqondo.
Umsebenzi wenkqubo yemithambo-luvo
Cinga ngenkqubo yakho yemithambo-luvo njengothungelwano lweengcingo zefowuni ezihamba emzimbeni wakho wonke. Yiyo ethwala ulwazi oluya phambili nangasemva phakathi kwengqondo yakho kunye nomzimba wakho wonke. Intlungu ifana "nomnxeba" ophuma kule fowuni uye engqondweni yakho.
Le ndlela, ebizwa ngokuba yi-neuromodulation, isebenzisa umbane ocolekileyo kakhulu ukuvuselela imicu ethile yemithambo-luvo kwintambo yakho yomqolo. Ngamanye amazwi, kufana nokwenza olunye "umnxeba" kumnxeba ofanayo ofumana "umnxeba" wentlungu kwaye wenze umgca usebenze . Oku kuthintela isignali yentlungu ukuba ingafikeleli engqondweni. Le yindlela imvakalelo yentlungu encitshiswa ngayo.
Ngubani odinga olu nyango kakhulu?
Olu nyango ludla ngokusetyenziswa xa ezinye iindlela zonyango, ezinje ngeepilisi, iinaliti, kunye nonyango lomzimba, zingaphumelelanga. Nangona ezi meko zixhaphake kakhulu kubantu abadala, nabantwana abancinci ngamanye amaxesha banokulufuna olu nyango.
Itheyibhile engezantsi ibonisa ezinye zeemeko eziphambili eziphathwa ngesi sixhobo.
| Imeko yezonyango | Inkcazo |
|---|---|
| Umqolo obuhlungu | Iintlungu zomqolo ezingapheliyo ezingakhange zinyangwe ngezinye iindlela. |
| Intlungu emva kotyando lomqolo | I-Persistent Spinal Pain Syndrome (PSPS), ingakumbi iintlungu ezihlala zikho emva kotyando olufana ne-laminectomy. |
| Iingxaki zemithambo-luvo ezinxulumene nesifo seswekile | Intlungu ebangelwa kukonakala kwemithambo-luvo ngenxa yesifo seswekile (iDiabetic Neuropathy). |
| Intlungu ye-Neuropathic | Intlungu ebangelwa sisiphene kwinkqubo yemithambo-luvo ngokwayo. |
| I-Complex Regional Pain Syndrome (CRPS) | Intlungu ebuhlungu nehlala ixesha elide engalweni okanye emlenzeni emva kokwenzakala. |
Ukongeza, uphando luyaqhubeka ukuze kubonwe ukuba le ndlela ingaba luncedo na kwezinye iimeko, ezifana neentlungu zesifuba (i-angina), ukwenzakala komqolo, kunye nentlungu yemithambo-luvo emva kwe-herpes zoster (ii-shingles).
Kwenzeka ntoni ngaphambi kotyando?
Olu asilonyango lokuqala. Oku kuthetha ukuba luqwalaselwa xa zonke ezinye iindlela zonyango zingaphumelelanga. Ngaphambi kotyando, kuya kufuneka wenze izinto ezininzi, ezinje ngovavanyo lwegazi kunye neeskeni, ukuze ubone ukuba ufanelekile na kulo.
Kwakhona, kuya kufuneka ubone iingcali ezininzi.
- Ingcali yezifo zengqondo: Chonga eyona meko ibangela intlungu yakho.
- Ingcali yoLawulo lweeNhlungu:Qinisekisa ukuba ezinye iindlela zonyango azisebenzanga.
- Ugqirha wezifo zengqondo: Nguye owenza utyando lokufakela esi sixhobo.
- Ingcali yezengqondo/Ingcali yezengqondo: Iintlungu ezingapheliyo zinokuba nefuthe elikhulu kwimpilo yakho yengqondo, ngoko ke kubalulekile ukuba unikele ingqalelo kwimpilo yakho yengqondo.
- Ingcali yokubulala iintlungu: Thetha ngayo kuba utyando lwenziwa phantsi kwe-anesthesia.
Xa yonke into ilungile, uza kufumana imiyalelo yendlela yokulungiselela utyando. Oku kuquka izinto ezifana nokuxelela ugqirha ngamayeza owasebenzisayo kunye nokuzila ukutya ngaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Le nkqubo idla ngokuvela ngamanqanaba amabini. Elokuqala yinkqubo "yovavanyo". Ukuba oko kuphumelele, isigaba sesibini kuxa isixhobo (i-pulse generator/ibhetri) sifakwe ngokusisigxina emzimbeni.
Ngamafutshane, esi sixhobo sinamacandelo amabini: ii-electrode (ii-leads) ezibekwe kufutshane nomqolo kunye nebhetri evelisa ii-electrical pulses (i-pulse generator). Ezi zimbini ziqhagamshelwe ngentambo ehamba phantsi kwesikhumba.
1. Inkqubo yoVavanyo
Kule nkqubo, unikwa i-anesthesia ukuze ulale kancinci. Emva koko, kusetyenziswa indlela efana ne-X-ray (fluoroscopy), inaliti ifakwa eluswini iye kwindawo efanelekileyo emqondweni wakho (indawo ye-epidural). Elinye icala le-electrode likhutshwa eluswini kwaye liqhagamshelwe kwibhetri yexeshana ngaphandle.
Olu vavanyo luhlala iintsuku ezimbalwa ukuya kwiveki okanye ezimbini. Ukuba intlungu yakho inciphile ngaphezu kwama-50% ngeli xesha, uvavanyo luthathwa njengoluphumeleleyo. Ukuba kunjalo, inyathelo elilandelayo kukutyanda ukuze kufakwe isixhobo esisisigxina.
2. Ukufakelwa kwesixhobo ngokusisigxina (Utyando lokufakelwa)
Le nkqubo yenziwa phantsi kwe-anesthesia eqhelekileyo. Apha, ii-electrode ezisisigxina zifakwa kwindawo efanayo naleyo yayikwi-experiment. Emva koko, kwakheka indawo encinci phantsi kwesikhumba kwaye kufakwa ibhetri (i-pulse generator) . Le bhetri idla ngokubekwa kwindawo onokulawula ngokulula, umzekelo, ecaleni kwesisu okanye ezimpundu.
Ezinye iibhetri zingavulwa/zicinywe nge-remote. Ezinye zingatshajwa. Ugqirha wakho uza kukuchazela konke oku.
Ziziphi iingenelo kunye neengxaki zolu nyango?
Njengayo nayiphi na indlela yezonyango, le ineengenelo kunye neengxaki.
| Iingenelo | Iingozi kunye neengxaki |
|---|---|
| Ukukwazi ukunyanga iintlungu ezingakhange zinyangwe ngezinye iindlela. | Umngcipheko wokosuleleka: Ukuba kukho usulelo olujikeleze isixhobo, lunokufuna utyando olongezelelweyo ukuze lususwe. |
| Ukukwazi ukunciphisa ukuxhomekeka kwimithi yokuthomalalisa iintlungu. | Ukufuduka kwe-electrode: Xa umzimba uhamba, i-electrode inokusuka kwindawo yayo yokuqala. |
| Uvavanyo lungenziwa ngaphambi kotyando olusisigxina. | Ukungasebenzi kakuhle kwesixhobo: Ii-electrode zinokwaphuka okanye ibhetri ingaphumeleli. Iibhetri zinokufuneka zitshintshwe rhoqo emva kweminyaka embalwa. |
| Ukukwazi ukunyanga iintlobo ezininzi zeentlungu zemithambo-luvo. | Ukuphinda kwentlungu: Amandla okulawula intlungu anokuncipha ngokuhamba kwexesha. |
Ufanele uye nini kugqirha ngokukhawuleza?
Uza kunikwa amaxesha okulandela emva kotyando. Qiniseka ukuba uyaya kuloo maxesha okulinda. Nangona kunjalo, ukuba ufumana naziphi na zezi mpawu zilandelayo, kuya kufuneka uye esibhedlele okanye kwiSebe leNgxamiseko (ETU) ngoko nangoko .
- Intloko ebuhlungu engapheliyo eyenzeka xa umi okanye uhleli ize iphele xa ulele: Oku kungaba luphawu lokuvuza kolwelo lomgogodla (CSF).
- Iimpawu zosulelo kwindawo yotyando: ukubomvu, ukudumba, iintlungu, okanye ukuphuma kolwelo olunuka kakubi oluvela enxebeni.
- Ukuqala ngequbuliso kokuba ndindisholo, ukulahlekelwa zimvakalelo, okanye ubuthathaka bemisipha emzimbeni ongezantsi: Oku kungaba luphawu lomonakalo womqolo obangelwa kukuhamba ngokuthe nkqo ukusuka kwindawo ye-electrode.
- Iimpawu ze-sepsis: Umkhuhlane ophezulu, ukubanda, ubunzima bokuphefumla, kunye nokudideka. Le yimeko engxamisekileyo esongela ubomi.
Ngokwesiqhelo, kuthatha malunga neeveki ezi-4-6 ukuba isixhobo esisisigxina siphole ngokupheleleyo kwaye sibuyele kwimisebenzi yesiqhelo. Ugqirha wakho uya kukucebisa ukuba uphephe ukuphakamisa okunzima kunye nokugoba okunzima ngeli xesha.
Umyalezo Wokuya Ekhaya
- Ukukhuthazwa kweNtambo yoMgogodla yindlela yanamhlanje esetyenziselwa iintlungu ezingapheliyo ezingakhange zithomalaliswe zezinye iindlela zonyango.
- Oku kusebenza ngokuthintela ukudluliselwa kwemiqondiso yentlungu engqondweni ngombane omncinci.
- Ngaphambi kokuba ufake isixhobo ngokusisigxina, kwenziwa uvavanyo lwexeshana ukuze kubonwe ukuba siyakufanela na.
- Ngenxa yokuba le ndlela yonyango ineengenelo kunye neengozi, kubaluleke kakhulu ukuyixoxa kakuhle nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo.
- Ukuba kukho naziphi na iimpawu ezilumkisayo emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
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