Ingabe isitho esilahlekile sisabuhlungu? Kuyini Ubuhlungu Bezitho Ezingavamile? Ake sixoxe ngakho!

Wake wazibuza ukuthi ungazizwa yini ubuhlungu engxenyeni yomzimba wakho engekho, ake sithi ingalo noma umlenze, ngemva kokuhlinzwa ukuze isuswe? Kuzwakala kungavamile, akunjalo? Kodwa empeleni lokhu kuyinto abanye abantu ababhekana nayo. Yilokhu odokotela abakubiza ngokuthi (Phantom Limb Pain) . Kalula nje, "ubuhlungu esithweni esingekho". Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba lokhu kuyinto abantu abaningi abangazi ngayo ngempela, kodwa kufanelekile ukuyazi.

Buyini ngempela ubuhlungu bemilenze obubizwa ngokuthi i-Phantom Limb Pain?

Kalula nje, ubuhlungu obungavamile obuvela esithweni somlenze yibuhlungu bangempela obuzwa engxenyeni yomzimba wakho, njengengalo, umlenze, noma umunwe, obususiwe ngokuhlinzwa. Ungase ucabange, "O, leyo ngxenye ayisekho, ngakho ingaba buhlungu kanjani ?" Kuyiqiniso lokho, kodwa ubuhlungu obuzwayo bubuhlungu bangempela . Kwabanye, lobu buhlungu bungazwakala njengobuhlungu obuncane kakhulu. Kwabanye, bungabekezeleleki. Futhi, lobu buhlungu bungahlala imizuzwana embalwa, amahora ambalwa, izinsuku ezimbalwa, noma ngisho nangaphezulu. Ingxenye engcono kakhulu ukuthi, kunezindlela zokwelapha lesi simo, ngakho udokotela angakusiza ukuphatha lobu buhlungu.

Ingabe kukhona uhlobo lobuhlungu nemizwa efana nale?

Yebo, ngemva kokususwa kwesitho, ungathola imizwa ehlukahlukene. Akuzona zonke lezi ezihambisana nobuhlungu. Odokotela babiza le mizwa ngokuthi “i-phantom.” Lokho kusho “ukungabikho.” Singakwazi ukuhlukanisa izinhlobo eziningana:

• Ubuhlungu Obumangalisayo: Lena yinto eyinhloko esikhuluma ngayo. Kusho ukuzwa ubuhlungu engalweni noma emlenzeni osusiwe.
• Imizwa Engavamile: Lokhu kwenzeka lapho ingalo noma umlenze onqunyiwe uzizwa sengathi useyingxenye yomzimba . Kodwa akukho buhlungu. Kunalokho, ungase uzizwe izinto ezifana nokuthinta, ukucindezela, ukulunywa, ukushisa, ukubanda, ukukitaza, noma ukudlidliza. Isibonelo, umuntu onqunyiwe umlenze angase azame ukuhamba ngemilenze yomibili, ecabanga ukuthi umlenze usekhona.
• I-Phantom Pain Syndrome - Isimo lapho ubuhlungu kanye nomuzwa wesitho esilahlekile kuzwakala khona kanye nemizwa yokuthinta , ingcindezi, kanye nokulunywa okukhulunywe ngakho ngaphambili.
• Ubuhlungu Bezitho Ezisele Noma Ubuhlungu Besinqe: Lokhu kuhlukile kancane. Lobu ubuhlungu obuzwakala engxenyeni esele yomzimba (isinqe) ngemva kokususwa kwengalo noma umlenze. Lokhu kuvame ukuba imbangela yezokwelapha. Isibonelo, kungaba ukutheleleka enxebeni noma ekulimaleni kwemizwa .

Ubuhlungu Bezitho Ezingavamile Buvame Kangakanani?

Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Ucwaningo luthole ukuthi abantu abangaphezu kwengxenye abalahlekelwa yilungu bayabhekana nalokhu (Phantom Limb Pain).

Buzwakala kanjani lobu buhlungu?

Ubuhlungu Bezitho Ezingavamile bungabonakala ngezindlela eziningi ezahlukene. Kunzima ukusho ukuthi buyini ngempela, njengoba buhlukahluka kumuntu nomuntu. Kodwa izimpawu ezivame ukubikwa zifaka:

• Ubuhlungu
• Njengokusha (Ukusha)
• Ukuluma
• Ukuba ndikindiki
• Njengomuntu ocindezelayo (Ukucindezela)
• Ukudlidliza
• Ubuhlungu obuhlabayo obubukhali
• Ukushintsha kwezinga lokushisa (njengokushisa noma ukubanda)
• Ukubhoboza
• Ukusonta

Ungase futhi ucabange futhi uzizwe izinto ezilandelayo ngengalo/umlenze wakho ongekho:

• Kubonakala sengathi isanamathele emzimbeni.
• Kubonakala sengathi isesimweni esingavamile nesixakile.
• Kubonakala sengathi iyahamba iye phambili naphambili.
• Kubonakala sengathi iyancipha kancane kancane, iba ncane.

Cabanga nje, ususwe omunye wemilenze yakho, kodwa usazizwa sengathi izinzwane zakho azinangqondo, noma sengathi othile uyazicindezela. Yilokho okufana nalokhu.

Ubuhlungu obungavamile obuqala nini ukuvela?

Abantu abaningi bathi baqala ukuzwa ubuhlungu obungavamile ezinyangeni eziyisithupha zokuqala ngemva kokususwa kwesitho. Ngemva kwalokho, ukuqina kanye nokuvama kobuhlungu kuvame ukwehla kancane kancane. Kodwa-ke, ucwaningo lukhombisile ukuthi abanye abantu basengaba nobuhlungu obungavamile kuze kube yiminyaka emibili ngemva kokuhlinzwa.

Yiziphi izinto ezibangela lobu buhlungu?

Ngezinye izikhathi, ubuhlungu obungavamile bungaqala ngokuzumayo, noma ubuhlungu bungaba bubi kakhulu ngenxa yalokhu okulandelayo:

• Ukukhathala
• Ukucindezeleka
• Ukukhathazeka
• Ukucindezeleka
• Ukutheleleka - ikakhulukazi esiqwini
• Izinkinga zokugeleza kwegazi
• Ukucindezela noma ukuvuvukala engxenyeni esele (isiphunzi).

Kungani lokhu (Ubuhlungu Obungabonakali) kwenzeka?

Odokotela abakayitholi imbangela eqondile, kodwa abaningi bakholelwa ukuthi kuyiphutha lokuxhumana ohlelweni lwethu lwezinzwa.Ngoba kuyinto ehlukile. Yilokhu okwenzekayo, imizwa engaphandle emzimbeni wethu ithumela izimpawu emgogodleni nasebuchosheni bethu. Lezi zimpawu yizo ezisiza umzimba wethu ukuthi ushukume futhi uzizwe. Manje, ngemva kokuba ingxenye efana nesitho isusiwe, noma imizwa ekuleyo ngxenye esusiwe ingasekho, lokho kuxhumana kwemizwa kusekhona ngezinga elithile emzimbeni wethu . Ukususa isitho kuyinto eshaqisayo emzimbeni. Ubuchopho bethu buzama ukuzivumelanisa nalolu shintsho. Ngezinye izikhathi, ngenxa yokushaqeka noma ushintsho olunjalo, imizwa "ingathukuthela". Bese ingathumela izimpawu eziningi kunalokho ezivame ukuthumela, noma ingadida izimpawu. Ubuchopho bethu buchaza kabi lezi zimpawu . Yingakho ukuzwela kukhula futhi kuzwakala njengobuhlungu.

Yiziphi izimbangela zobuhlungu obusele bemilenze?

Njengoba sixoxile ngaphambili, ingxenye esele yomzimba engasuswanga, isiphunzi, ingabangela ubuhlungu. Njengoba le ngxenye isemzimbeni, kunezinkinga eziningana ezingabangela ubuhlungu:

• Ukuphuka
• Ukutheleleka kwamathambo (i-Osteomyelitis) noma ukukhula kwamathambo okungavamile (i-bone spurs)
• I-Neuroma, isimo esifana nesimila semizwa
• Ubuhlungu obubangelwa ukulimala kwemizwa (ubuhlungu be-neuropathic)
• Ukugeleza kwegazi okubi
• Ukugqoka idivayisi yokufakelwa engalingani kahle
• Ukulimala kwengcindezi/izilonda zokulala
• Izifo zesikhumba noma amanxeba

Ngezinye izikhathi ungaba nobuhlungu bemilenze engabonakali kanye nobuhlungu bemilenze engabonakali ngesikhathi esisodwa.

(Phantom Limb Sensation) Noma kungani kwenzeka umuzwa womlenze ongekho?

I-Phantom Limb Sensation umuzwa wokuthinta nokunyakaza esithweni ngaphandle kobuhlungu. Lokhu kwenzeka ngoba ubuchopho bakho buzama ukushintsha izimpawu zokuzwa ngemva kokuba isitho sisusiwe. Imizimba yethu ithumela izimpawu ngokwemvelo ezithweni zethu kukho konke ukuphila kwethu. Manje leyo ngxenye isihambile, ukuze ivumelane nalolu shintsho, ubuchopho kufanele bufunde kabusha ukuthi buthumela kuphi izimpawu. Njengoba nje kuthatha isikhathi ukufunda okuthile okusha, kuthatha isikhathi ukuthi imizimba yethu ijwayele lolu shintsho. Yingakho sizwa i-Phantom Sensations.

Ubani osengozini enkulu yokuthola ubuhlungu obubizwa ngokuthi yi-Phantom Limb Pain?

Eqinisweni, noma ubani oke wanqunywa umlenze angazwa ubuhlungu obungabonakali. Kodwa-ke, buvame kakhulu kubantu abake banqunywa umlenze ongaphezulu (izandla, iminwe) . Kodwa-ke, bungenzeka nanoma iyiphi ingxenye yomzimba enqunyiwe. Uma usebenzisa njalo idivayisi yokufakelwa, ungase uzwe ubuhlungu obukhulu uma isuswa.

Yiziphi izinkinga ezingaba khona ngenxa yalobu buhlungu?

Ukuphila nobuhlungu akulula. Ubuhlungu Bezitho Ezingavamile bungaba nomthelela omkhulu empilweni yakho yengqondo . Kwezinye izimo, bungabangela nokukhathazeka noma ukucindezeleka . Ngenxa yobuhlungu obuzwayo:

• Ungase ungakwazi ukulala kahle.
• Ungase ungakwazi ukuqeda imisebenzi yakho yansuku zonke ngendlela efanele.
• Ungase ungakwazi ukuhlanganyela ezintweni ozithandayo ukuzenza.

Ngakho-ke, kubaluleke kakhulu ukufuna usizo kudokotela ukuze ulawule lobu buhlungu.

Odokotela bakuthola kanjani ubuhlungu obungavamile bemilenze?

Udokotela uzokuxilonga futhi, uma kudingeka, enze izivivinyo eziningana ukuze anqume ukuthi lokhu kuyi-Phantom Limb Pain.

• Okokuqala, bakubuza imibuzo ukuze bathole ukuthi uzizwa kanjani nokuthi uzizwa kanjani.
• Ngemuva kwalokho, isikhumba lapho kukhishwe khona isitho siyahlolwa ukuze kutholakale amanxeba noma izimpawu zokutheleleka.
• Ukuhlolwa kwegazi noma ukuhlolwa kwezithombe nakho kungenziwa ukuze kubonakale ukuthi zikhona yini ezinye izimbangela zobuhlungu.

Njengoba ukunqunywa kwesikhumba kungaba nomthelela omkhulu ngokwengqondo nangokomzwelo, udokotela wakho angase futhi ancome ukuhlolwa kwengqondo . Ubuhlungu obungavamile bungabhebhethekiswa yizici ezifana nokucindezeleka, ukukhathazeka, nokucindezeleka. Ngakho-ke, kubalulekile ukuthola nokwelapha imbangela eqondile yobuhlungu.

Yiziphi izindlela zokwelapha ubuhlungu obungabonakali?

Kunezindlela eziningana zokwelapha ubuhlungu bemilenze engabonakali. Udokotela wakho uzokhetha eyodwa efanelana kahle nesimo sakho. Izindlela zokwelapha eziyinhloko yilezi:

• Imithi
• Ukwelashwa ngesibuko
• Ukwelashwa kwe-TENS (ukuvuselelwa kwemizwa kagesi nge-transcutaneous) - ukuvuselelwa kwemizwa kagesi ngesikhumba.
• Ukuvuselelwa kwentambo yomgogodla
• Ukwelashwa kokuvuselela imizwa
• Ukuhlinzwa kokulungisa isiphunzi - kwezinye izimo ezikhethekile.

Ngaphezu kwalokho, izindlela zokwelapha ezengeziwe ezifana nalezi zingase zinikeze impumuzo:

• Ukwelashwa nge-acupuncture
• Ukwelashwa kwe-biofeedback
• Ukwelashwa kokuziphatha kwengqondo (i-CBT)
• Ukwelashwa ngokubhucunga
• Ukuzindla noma ukuvivinya ingqondo

Ungase ukwazi ukuqhubeka nokwelashwa okukodwa nje, noma kungase kudingeke ukuthi nenze ukwelashwa okuningana ndawonye.

Kuyini Ukwelashwa Ngezibuko?

Lena indlela elula kakhulu, kodwa ephumelelayo. Okwenzekayo lapha ukuthi "ukhohlisa" ubuchopho bakho ngokusebenzisa isibuko.Into efana naleyo. Okusho ukuthi, ubuchopho buqiniseka ukuthi ingalo/umlenze onqunyiwe usekhona. Kulokhu kwelashwa, kukhona isibuko ohlangothini lapho ingalo/umlenze onqunyiwe ukhona. Bese kuthi, uma ubheka esibukweni, ubone ingalo/umlenze wakho ophilile. Isithombe sesibuko senza kubukeke sengathi ingalo/umlenze ongekho usekhona. Bese kuthi, udokotela noma isazi se-physiotherapist sikutshele ukuthi wenze ukunyakaza okuthile ngengalo/umlenze ophilile, futhi kufanele uwubheke esibukweni. Lokhu kwenza ubuchopho bucabange ukuthi unezitho zombili eziphilile . Kufanele wenze lo msebenzi cishe imizuzu engama-20 ngosuku. Ngokuhamba kwesikhathi, ubuchopho buyacubungula lolu lwazi. Njengoba ubuchopho bucabanga ukuthi ingalo/umlenze ongekho usekhona, izimpawu ezithunyelwa phakathi kwesimiso sezinzwa aziphazanyi. Bese ubuhlungu buyancipha.

Yimiphi imithi yokwelapha ubuhlungu bemilenze obubizwa ngokuthi i-Phantom Limb Pain?

Izinhlobo zemithi enikezwayo zingahluka kuye ngezidingo zakho. Izinhlobo zemithi ezisetshenziswa kakhulu yilezi:

• Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) - isibonelo i-Ibuprofen, i-Diclofenac.
• Imithi yokunciphisa ubuhlungu enikezwa ngudokotela
• Ama-antidepressant - Lawa ngezinye izikhathi anikezwa ubuhlungu.
• Imithi yokuvimbela ukuqunjelwa - isib. `Gabapentin`, `Pregabalin`. Le mithi inikezwa futhi ngenxa yobuhlungu bemizwa.
• Ama-Beta-blocker - isibonelo i-Propranolol.
• Ama-calcium channel blockers - isibonelo i-Nifedipine.
• Imijovo ye-botulinum toxin B - kwezinye izimo.
• Ama-infusions e-anesthetic endawo - isibonelo, lawo aqukethe i-Lidocaine noma i-Bupivacaine.

Njengayo yonke imithi, imiphumela emibi ingenzeka. Ngakho-ke, udokotela wakho uzokwazisa ngayo uma uqala ukwelashwa.

Ingabe ikhona indlela yokuvimbela ubuhlungu obungabonakali bemilenze?

Eqinisweni, ayikho indlela eqinisekisiwe yokuvimbela ngokuphelele ubuhlungu bemilenze ngemva kokunqunywa. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi ukusebenzisa kokubili i-anesthesia yomgogodla kanye ne-anesthesia ejwayelekile ngesikhathi sokunqunywa kunganciphisa ingozi yobuhlungu bemilenze.

Yini ongayilindela uma une-Phantom Limb Pain?

Uma uqala ukuzwa ubuhlungu obungavamile bemilenze ngemva kokunqunywa umlenze, ungase uzizwe ukhathazekile kakhulu futhi udidekile . Ungase uzibuze, "Kungani ngizwa lobu buhlungu endaweni engekho?" Lolu hlobo lobuhlungu lungase lube lusha emzimbeni, kodwa luvamile kubantu abake banqunywa umlenze.. Lobuhlungu bungaphazamisa imisebenzi yakho yansuku zonke kanye nokulala. Into engcono kakhulu ukuthi, odokotela bangakusiza ukuphatha lobu buhlungu. Kunezindlela eziningi zokwelapha ezingenziwa ngokwezidingo zakho. Futhi, ukususwa kwesitho kungathinta impilo yakho yengqondo. Ngakho-ke, ukukhuluma nomeluleki wezempilo yengqondo ukuze uphathe ukucindezeleka, ukukhathazeka, kanye nokucindezeleka okubangela ubuhlungu obungavamile nakho kungaba yingxenye yohlelo lwakho lokwelashwa.

Lezi (Phantom Pains) zingahlala isikhathi esingakanani?

Kunzima ukusho ukuthi ubuhlungu obungavamile obuzohlala isikhathi esingakanani. Bungaba besikhashana noma obungapheli . Ubuhlungu bungathatha imizuzwana, imizuzu, noma ngisho nezinsuku. Buyahlukahluka kumuntu nomuntu. Kwabaningi abantu, buqina kakhulu ezinyangeni eziyisithupha zokuqala ngemva kokususwa kwesitho, bese buphela kancane kancane njengoba umzimba ujwayela izinguquko. Kodwa-ke, kunezindlela zokwelapha ezingasiza ekunciphiseni umthelela walobu buhlungu empilweni yakho.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma unezinye zalezi zinto, qiniseka ukuthi ubona udokotela:

• Uma ubuhlungu buphazamisa ukulala noma imisebenzi yansuku zonke .
• Uma kunezimpawu zokutheleleka esithweni esisele (isib. umkhuhlane, ukushintsha kombala wesikhumba, ukuvuvukala, ubomvu).

Iphuzu elibalulekile: Ubuhlungu Bezitho Ezingajwayelekile buyisimo abantu abaningi ababhekana naso ngemva kokulahlekelwa yilungu. Ukuzwa ubuhlungu esithweni esingekho kungakwenza uzizwe ukhathazekile, unamahloni, futhi uze ucabange, "Ingabe ngiyahlanya?" Kodwa ubuhlungu obuzwayo bungokoqobo . Ngakho ungabunaki. Udokotela wakho angakusiza. Lobuhlungu buvame ukuba ngcono ngokuhamba kwesikhathi.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, ubuhlungu be-Phantom Limb buyinkimbinkimbi kancane, kodwa kuyaqondakala. Uma wena noma othile omaziyo enalesi simo, khumbula lezi zinto:

• Lokhu kubuhlungu ngempela: akuyona nje into oyicabangayo.
• Awuwedwa: abantu abaningi banalo lolu lwazi.
• Kunezindlela zokwelapha: ungathola usizo lokulawula ubuhlungu nokwenza impilo ibe lula.
• Khuluma nodokotela: Ungabi namahloni noma wesabe. Khuluma ngokukhululekile ngesimo sakho.
• Impilo yengqondo nayo ibalulekile: thola usizo ngalokho futhi uma kudingeka.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

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Ubuhlungu obumangalisayo bemilenze, ukulahlekelwa yimilenze, ubuhlungu, ubuhlungu bemizwa, ukwelashwa kwamehlo, ubuhlungu bangemva kokuhlinzwa, impilo yengqondo