Ngamanye amaxesha sibanentlungu engapheliyo nokuba sele sisele amayeza okanye senze nantoni na. Ngaba ubusoloko uneentlungu, ingakumbi entloko, entanyeni, esifubeni esingaphezulu, okanye ezingalweni, ixesha elide? Mhlawumbi unobangela woku yingxaki ethile kwinkqubo yakho yemithambo-luvo. Namhlanje siza kuthetha ngendlela yonyango ekhethekileyo esetyenziswa ngoogqirha kwiimeko ezinjalo. Oku kubizwa ngokuba yiStellate Ganglion Block, okanye iSGB ngamafutshane.
Ngamafutshane, yintoni iStellate Ganglion Block (SGB)?
Ngamafutshane, le yinaliti yokubulala iintlungu. Kodwa oku akufani nenaliti eqhelekileyo. Le naliti ifakwe kwi-nerve bundle ekhethekileyo ekwintamo yethu, ngakumbi kumacala omabini e-voice box yethu. Le nerve bundle ibizwa ngokuba yi-'Stellate Ganglion'.
Cinga ngenkqubo yethu yemithambo-luvo njengothungelwano lweengcingo zefowuni ezithwala imiyalezo. Ngamanye amaxesha, imiyalezo engafunekiyo (iimpawu zentlungu) ingathunyelwa kwiindawo ezithile zale nethiwekhi. Ngamaxesha anjalo, into eyenziwa lolu gonyo lwe-SGB "kukubeka" loo mvambo wemithambo-luvo (ganglion) okwethutyana. Kufana nokucima iswitshi. Emva koko iimpawu zentlungu ezingafunekiyo ezivela kuloo mithambo-luvo ukuya ebuchotsheni ziyayeka. Oku kunokunciphisa iintlungu entloko, entanyeni, ezingalweni, nakwisifuba esingaphezulu. Kwakhona, olu nyango lunceda ukwandisa ukuhamba kwegazi kwiingalo.
Ngoko ke, yintoni le ganglion idumileyo?
Eli liqela lemithambo-luvo efumaneka kufutshane neembambo ezimbini zokuqala, ngaphantsi nje kwethambo lentamo, ngaphambili kwentamo yethu. Sinenye yale mithambo-luvo kumacala omabini entamo yethu. Igama elithi 'stellate' lithetha 'njengeenkwenkwezi'. Ngoko ke le mithambo-luvo ibizwa ngokuba ifana nemo yenkwenkwezi.
Inkqubo yemithambo-luvo esebenzisana neemvakalelo ezisingqongileyo yinxalenye yenkqubo yemithambo-luvo elawula imisebenzi yomzimba wethu esingacingi ngayo (umz., ukubetha kwentliziyo, uxinzelelo lwegazi, ukubila). Ngoko ke, uninzi lwemiqondiso yemithambo-luvo ehambelana nentloko, intamo, iingalo kunye nesifuba esiphezulu ivela kule galaksi i-stellate.
Inyani enomdla: Yi-80% kuphela yabemi behlabathi ene-stellate ganglioni eyakhiwe ngokupheleleyo. Kwezinye, i-lower cervical ganglioni kunye ne-thoracic ganglioni yokuqala entanyeni azidibani. Kodwa oko akwenzi mahluko mkhulu.
Zeziphi iimeko ezisetyenziselwa unyango lwe-SGB?
Oogqirha basebenzisa olu nyango ukuxilonga nokunyanga iintlungu zexesha elide ezivela kwinkqubo yemithambo-luvo (iintlungu ezibangelwa luvelwano) ezingafumanekiyo sizathu. Ukongeza, olu nyango lungasetyenziselwa ezinye izifo ezahlukeneyo kunye neemeko zentlungu.
| Imeko yezonyango | Inkcazo |
|---|---|
| I-Complex Regional Pain Syndrome (CRPS) | Intlungu ebuhlungu, ende kunye nokudumba engalweni okanye emlenzeni emva kokwenzakala. |
| Intlungu Yemilenze Engaqhelekanga | Ukuva iintlungu engalweni okanye emlenzeni osuswe ngotyando. |
| I-Postherpetic Neuralgia | Intlungu yemithambo-luvo emva kwe-chickenpox (herpes zoster). |
| Isifo sikaRaynaud | Ukuncipha kokunikezelwa kwegazi kwiminwe ngenxa yokubanda okanye uxinzelelo. |
| Ukubila okugqithisileyo (i-Hyperhidrosis) | Ukubila kakhulu kwiindawo ezifana neentende zezandla kunye neenyawo. |
| Ezinye iimeko | Ikwasetyenziswa kwiintloko ezibuhlungu ezibangelwa ziintloko ezixineneyo, iintlungu zobuso, iintlungu zesifuba ezingadibaniyo nesifo sentliziyo, kunye nezinye iingxaki zesingqisho sentliziyo (ii-cardiac arrhythmias). |
Ukusetyenziswa kwe-SGB kwiingxaki zempilo yengqondo
Kutshanje, uphando luye lwenziwa ngemiphumo yonyango lwe-SGB kwiimeko zempilo yengqondo ezifana ne-Post-Traumatic Stress Disorder (PTSD). Nangona abanye abantu bebonakalise ukwehla kweempawu ze-PTSD, abanye ababonisanga. Ke ngoko, oku kusesekwinqanaba lophando, kwaye kudla ngokusetyenziswa kuphela "ngaphandle kweleyibhile" phantsi kweliso elisondeleyo likagqirha xa ezinye iindlela zonyango zingaphumelelanga.
Yenziwa njani le nyango?
Kulungile, ngoku masibone ukuba kwenzeka ntoni xa kufakwe olu tyando. Akukho nto inokubangela ixhala, oku kudla ngokuthatha ngaphantsi kwemizuzu engama-30.
1. Ukulungiselela: Okokuqala, unganikwa iyeza elincinci (i-IV sedation) emthanjeni osengalweni yakho ukuze likuncede uphumle. Emva koko, uya kunyanzelwa ukuba ulale ngomqolo etafileni ekhethekileyo.
2. Ukucoca: Ugqirha uza kucoca kakuhle aze abulale iintsholongwane kwindawo yentamo apho kuza kufakwa khona inaliti.
3. Ukuba ndindisholo: Okulandelayo, kusetyenziswa inaliti encinci kakhulu ukufaka isidambisi-ntlungu kwindawo echaphazelekayo yentamo yakho. Oku kuya kukwenza ungabi ndindisholo ngenxa yentlungu.
4. Inaliti ephambili: Emva koko, esebenzisa ubuchwepheshe obuphambili obufana ne-ultrasound okanye i-fluoroscopic imaging ukuze afumane ngokuchanekileyo ingcambu yemithambo-luvo, ugqirha ufaka inaliti yesibini aze afake iyeza eliphambili lentlungu. Le ndlela inciphisa kakhulu umngcipheko wokufaka iyeza kwindawo engafanelekanga.
Emva konyango, uza kujongwa ngabasebenzi bezonyango kangangeyure. Nje ukuba yonke into iqinisekisiwe ukuba ilungile, ungagoduka. Nangona kunjalo, kufuneka ube nomntu oza kukusa ekhaya, kuba awuyi kukwazi ukuqhuba imoto ngaloo mini.
Zinjani iziphumo? Oku kuthatha ixesha elingakanani?
Le yingxaki kumntu wonke. Iziphumo ziyahluka kumntu nomntu. Kwabanye abantu, iintlungu ziyaphela kwangoko emva kokufakwa inaliti, kodwa iintlungu zinokubuya emva kweeyure ezimbalwa emva kokuba iyeza elibangela ukuba umntu angakwazi ukuzibamba liphele. Kwabanye, linokuhlala iiveki okanye iinyanga ngaphandle kwentlungu.
Into ebalulekileyo kukuba uhlala udinga uthotho lweenaliti ukuze ufumane iziphumo ezilungileyo. Ngamanye amaxesha ungafumana iziphumo ngeenaliti ezimbini kuphela, kwaye abanye abantu banokufuna ezingaphezu kweshumi. Iindaba ezimnandi zezokuba ixesha elingenazintlungu lidla ngokwanda xa ufumana iinaliti enye emva kwenye.
Ngaba kukho iziphumo ebezingalindelekanga kunye neengozi?
Njengakwezinye iindlela zonyango, i-SGB ineziphumo ebezingalindelekanga ezincinci kunye neengxaki ezingaqhelekanga kakhulu.
| Uhlobo lwesifo | Izinto ezinokwenzeka |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo, zexeshana (ziyaphela emva kweeyure ezimbalwa) | |
| Indawo yokutofa | Intlungu okanye ukudumba okuncinci. |
| Amehlo nempumlo | Iinkophe ezigobileyo, amehlo abomvu, amehlo anamanzi, kunye nempumlo exineneyo. |
| Umphimbo nelizwi | Ilizwi elitshothozayo, ukuziva ngathi kukho into ebambeke emqaleni, ubunzima bokuginya. |
| Isandla | Ukuziva ufudumele okanye ukungabi nanto esandleni. |
| Iingxaki ezinzulu ezinokwenzeka rhoqo | |
| Iingozi eziphambili | Usulelo, ukopha kwegazi elivela kwimithambo yegazi eyonakeleyo, umonakalo wemithambo-luvo, umonakalo wemiphunga (i-pneumothorax), i-Horner's syndrome (imeko yexeshana). |
Amathuba okuba ezi ngxaki zinzima aphantsi kakhulu , kuba oogqirha benza olu nyango ngononophelo olukhulu besebenzisa ubuchwepheshe obufana ne-ultrasound.
Ufanele uye nini kugqirha?
Emva konyango, ukuba ufumanisa naziphi na iimpawu ezintsha, umzekelo , iimpawu zosulelo kwindawo efakwe kuyo inaliti (ukudumba, ukubomvu, iintlungu eziqatha, umkhuhlane) okanye ukuba ubunzima bokuginya buyaqhubeka, tsalela umnxeba ugqirha wakho ngoko nangoko.
I-SGB lunyango oluxabisekileyo olunokubonelela ngokukhululeka kwiintlungu ezihlala ixesha elide. Nangona kunjalo, ayisebenzi kuye wonke umntu. Ukuba uneengxaki okanye amathandabuzo malunga nolu nyango, musa ukuzibamba kwaye thetha ngokukhululekileyo nogqirha wakho. Uza kuphendula yonke imibuzo yakho.
Umyalezo Wokuya Ekhaya
- I-Stellate Ganglion Block (SGB) sisitofu esibulala iintlungu kwi-nerve bundle ekhethekileyo entanyeni.
- Oku kunceda ekuthomalaliseni iintlungu ezingapheliyo, ikakhulu entloko, entanyeni, ezingalweni, nasesifubeni esingaphezulu.
- Olu lunyango olunokwenziwa ngokukhawuleza kakhulu (ngaphantsi kwemizuzu engama-30) kwaye lukhuselekile kakhulu kuba lusebenzisa ubuchwepheshe obufana ne-ultrasound.
- Iziphumo ebezingalindelekanga ezincinci zinokwenzeka eziphela kwiiyure ezimbalwa, kodwa iingxaki ezinkulu azifumaneki rhoqo.
- Kunokufuneka uthotho lweenaliti ukuze ufumane iziphumo ezilungileyo.
- Soloko uxoxa nogqirha wakho malunga nokuba olu nyango lukulungele na wena kunye nezinto ezilungileyo nezingalunganga.
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