Wake waba nekhanda elibuhlungu ngemva kokuthinta umgogodla, noma i-epidural ukuze ubelethe ingane yakho? Leli khanda elibuhlungu, elikhathaza kakhulu uma usukuma noma umi, kodwa liyancipha uma ulele, liyacasula kakhulu, akunjalo? Namuhla sikhuluma ngokwelashwa okukhethekile odokotela abakuncomayo lapho kungekho mpumuzo emithini yobuhlungu evamile. Leyo yindlela yokwelapha ebizwa ngokuthi i-Epidural Blood Patch.
Iyini i-epidural blood patch?
Kalula nje, lokhu kuhilela ukuthatha igazi lakho bese ulifaka endaweni ezungeze umgogodla wakho ebizwa ngokuthi 'isikhala se-epidural'. Manje ungase ucabange, "Kungani ngifaka igazi lami futhi?"
Yingakho. Njengoba sishilo ngaphambili, uma ubhobozwa i-lumbar noma i-epidural, kungakheka imbobo encane ku-dura mater (ulwelwesi oluzungeze umgogodla). Lokhu kuvumela ukuthi olunye uketshezi oluyigugu olungaphakathi kwalo, olubizwa ngokuthi i-cerebrospinal fluid (CSF), luphume. Uma lolu ketshezi seluphelile, ungabhekana nekhanda elibuhlungu elenza kube nzima ukuphakamisa ikhanda lakho liqonde.
Ngakho-ke le ndawo yegazi yenza izinto ezimbili eziyinhloko:
1. Kuvimba ukuvuza: Uma igazi lakho selifakwe esikhaleni se-epidural, igazi liyavaleka bese livala imbobo encane. Kufana nokufaka ibhandeji. Lokhu kuvimbela uketshezi lwe-CSF ukuthi lungaphumi.
2. Ukucindezeleka kuyabuyiselwa: Uma igazi elithile lifakwa esikhaleni, ukucindezeleka okulahlekile ngaphakathi kuyabuyiselwa ngezinga elithile futhi ikhanda liyancipha ngokushesha.
Lena inqubo yokuzikhethela eyenziwa ngokunconywa udokotela futhi ingakhethwa ngokwezifiso zakho.
Kudingeka nini lokhu kwelashwa?
Uma unekhanda elibuhlungu lomgogodla elibuhlungu kakhulu elingaphenduki ngokwelashwa okujwayelekile, udokotela wakho angase akuphakamisele le patch yegazi. Ngokuvamile, into yokuqala okufanele uyizame yile:
- Hlala embhedeni uphumule ngangokunokwenzeka.
- Phuza amanzi amaningi kanye noketshezi (mhlawumbe uketshezi lwe-IV, okungukuthi usawoti, lunganikezwa futhi).
- Ukusebenzisa imithi efana nemithi yokunciphisa ubuhlungu (ama-NSAID).
- Phuza iziphuzo eziqukethe i-caffeine, njengekhofi.
Kodwa uma lezi zindlela zokwelapha zingakuqedi ubuhlungu bekhanda, noma uma ungakwazi ukuhlala embhedeni (isibonelo, umama omusha onomntwana noma othile okudingeka aye emsebenzini ngokushesha), i-blood patch iyisisombululo esihle.
Ikhanda elibuhlungu lomgogodla livela ikakhulukazi ngemva kwezimo ezinjengalezi:
- Ngemva kokuthatha uketshezi oluvela emgogodleni (Umpompi Womgogodla / Ukubhoboza Kwethambo).
- Ngemva kwe-epidural, enikezwa ukunciphisa ubuhlungu ngesikhathi sokubeletha noma ukuhlinzwa.
- Uma ulwelwesi olumboze intambo yomgogodla (i-dura) lonakele ngesikhathi sokuhlinzwa emhlane noma ingozi.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Ungakhathazeki, udokotela wakho uzochaza inqubo, izinzuzo nezinkinga zayo, nokuthi isebenza kanjani. Ungase welulekwe ukuthi ugweme ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kwenqubo. Futhi, qiniseka ukuthi utshela udokotela wakho okulandelayo:
- Uma uthatha noma yini efana nemithi yokunciphisa igazi (ama-anticoagulant).
- Uma unesifo sikashukela futhi usebenzisa i-insulin.
- Uma une-allergies kunoma yimiphi imithi, ikakhulukazi imithi yokubulala izinzwa.
- Uma ukhulelwe.
Indlela yokwenza i-Blood Patch isinyathelo ngesinyathelo
Indlela yalokhu kwelashwa ilula kakhulu. Ake sibone ukuthi kwenzekani isinyathelo ngesinyathelo.
| Isinyathelo | Kwenzakalani |
|---|---|
| 1. Isimo somzimba | Uzocelwa ukuthi uphendukele ohlangothini lwakho ulale phansi noma uhlale phansi. Into ebaluleke kakhulu ukuhlala unganyakazi phakathi nalesi sikhathi. |
| 2. Ukuhlanza | Indawo lapho inaliti ifakwa khona ngemuva nendawo lapho igazi likhishwa khona engalweni kuhlanzwa kahle ngesibulali-magciwane. |
| 3. Ukuba ndikindiki | Ukuze kuncishiswe ubuhlungu, kufakwa umuthi wokubulala izinzwa endaweni lapho kufakwa khona inaliti. |
| 4. Ukuthatha amasampula egazi | I-cannula (i-IV catheter) ifakwa emthanjeni osengalweni yakho bese kuthathwa cishe amamililitha ayi-15-20 egazi lakho. |
| 5. Ukufaka inaliti | Udokotela wezinzwa noma udokotela we-radiation ufaka inaliti ekhethekile esikhaleni se-epidural ngemuva, ngezinye izikhathi esebenzisa i-ultrasound ukuqondisa indawo eqondile. |
| 6. Ukukhipha igazi | Igazi elithathwe engalweni lifakwa kancane kancane emhlane ngemizuzwana engama-30-60. Ngalesi sikhathi, ungase uzwe ubuhlungu obuncane noma ukuqina emhlane wakho. Kufanele utshele udokotela ngokushesha ukuthi uzizwa kanjani. |
| 7. Ukuvala | Inaliti iyasuswa bese kufakwa ibhandishi endaweni. Yilokho kuphela. |
Kwenzekani ngemva kokwelashwa?
Abantu abaningi bathola impumuzo ngokushesha ezinhlungwini zekhanda ngemva kokuthola lolu hlobo lokwelashwa. Leyo yinzuzo enkulu yalolu hlobo lokwelashwa.
Ngemva kokwelashwa, uzoyiswa ekamelweni lokululama ukuze uphumule isikhashana. Ngemva kwalokho, ungaya ekhaya. Udokotela uzokweluleka ukuthi ugweme imisebenzi enzima, ukuphakamisa izinto ezisindayo, nokugoba amahora angama-24 . Ngemva kwalokho, ungabuyela emisebenzini yakho evamile.
Ingabe lokhu kukwenza uphuphe?
Ngokuvamile, abantu abadala abatholi i-laxation ephelele phakathi nalokhu kwelashwa. Lokhu kungenxa yokuthi udinga ukutshela udokotela ukuthi uzizwa kanjani lapho igazi lifakwa emhlane wakho. Kodwa-ke, indawo yokujova kuphela evalwa ukuze ungazizwa ubuhlungu. Kodwa-ke, uma unenkinga noma ukukhathazeka ngalokhu, qiniseka ukuthi utshela udokotela wakho. Izingane ezincane zinganikezwa i-laxation phakathi nalokhu kwelashwa.
Izinzuzo kanye nezinkinga ezingaba khona ze-Blood Patch
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Imiphumela Engemihle Nezinkinga |
|---|---|
| Impumuzo esheshayo nehlala isikhathi eside. Inikeza impumuzo esheshayo ekhanda elibuhlungu elingapheli amasonto amabili. Isebenza kahle kakhulu kunesixazululo sesikhashana njengesiqeda ubuhlungu. |
|
Ngokusho kwezifundo, lokhu kwelashwa kuphumelela kubantu abangu-85 kwabayi-100 (85%). Uma okokuqala kwehluleka, i-blood patch yesibili inezinga lempumelelo elingu-90%.
Kufanele ngishayele udokotela ucingo ngokushesha nini?
Uma uthola izimpawu zokutheleleka ngemva kokwelashwa kwakho, kufanele uxhumane nodokotela wakho ngokushesha . Qaphela lezi zimpawu:
- Ukubomvu, ukushintsha kombala, ubuhlungu, kanye nobomvu endaweni yokujova.
- Imfiva .
- Ukuzizwa ukhathele kakhulu.
Uma ubona into efana nale, ungalibali. Funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- "Ikhanda elibuhlungu lomgogodla" akuyona ikhanda elivamile. I-Epidural Blood Patch iyisisombululo esisebenza kahle kakhulu salobu buhlungu, okuyinto embi kakhulu uma usukuma.
- Kulokhu, igazi lakho elincane lifakwa emgogodleni. Ngakho-ke akukho okufanele ukwesabe. Lokhu kubhekwa njengokwelashwa okuphephile kakhulu.
- Ukwelashwa kuphumelele cishe ngo-85%. Kodwa njengakho konke, kunengozi encane. Khuluma nodokotela wakho ngokukhululekile ngakho bese ubuza noma yimiphi imibuzo onayo.
- Uma ubona noma yini ngemva kokwelashwa, njengomkhuhlane, ukuvuvukala, ukubomvu, noma ubomvu endaweni yokujova , funa iseluleko sikadokotela ngokushesha .
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