Ake sifunde konke mayelana nomjovo okhethekile wobuhlungu bethanga (i-Femoral Nerve Block)

Ingabe usuzohlinzwa esinqeni noma edolweni lakho? Noma ingabe usezinhlungwini ezingabekezeleleki ngenxa yengozi efana nomlenze ophukile? Khona-ke udokotela wakho kungenzeka ukuthi ukutshelile nge-"Femoral Nerve Block." Nakuba igama lingase lizwakale lithusa kancane, empeleni lena indlela ewusizo kakhulu futhi ephephile yokulawula ubuhlungu. Ake sixoxe ngakho namuhla.

Kuyini i-Femoral Nerve Block?

Kalula nje, i-Femoral Nerve Block iwumjovo womuthi oqeda ubuhlungu eduze komthambo omkhulu ethangeni lakho. Sibiza lo mthambo ngokuthi 'umthambo we-femoral.' Lona ungomunye wemithambo emikhulu emlenzeni wakho. Njengezintambo zikagesi emakhaya ethu, lo mthambo uthwala imiyalezo esuka emlenzeni wakho iye ebuchosheni bakho bese uyibuyisela emlenzeni wakho.

Lo mthambo unemisebenzi emibili eyinhloko:

1. Umsebenzi wokunyakaza komzimba: Kukusiza ukuthi unyakazise izinqe zakho, imilenze, amaqakala nezinyawo.

2. Umsebenzi wezinzwa: Ikhono lokuzwa izinto ezifana nokuthinta, ubuhlungu, ukushisa nokubanda.

Manje cabanga ukuthi udokotela ufaka umuthi oqeda izinzwa eduze kwale nerve. Okwenzekayo, njengokuvala iswishi kagesi , izimpawu zobuhlungu ezidlula kuleyo nerve ziya ebuchosheni ziyamiswa okwesikhashana. Yilokho esikubiza ngokuthi "i-analgesia" noma "i-anesthesia yesifunda." Ngeke uzwe ubuhlungu ngenkathi umuthi usebenza. Futhi, imisipha kuleyo ndawo ingase ibe buthakathaka okwesikhashana.

Lo mjovo unikezwa kuphi?

Lo mjovo uvame ukunikezwa phakathi kwethanga lakho elingenhla, eduze kwe-pelvis yakho. I-femoral nerve yakho ivela eqenjini lezinzwa eziqala emhlane wakho ongezansi (i-'lumbar plexus'). Ngakho udokotela wakho uzokunikeza lo mjovo ngokufuna indawo efanele endleleni i-nerve ehlisa ngayo ithanga lakho.

Yiziphi izindlela zokusebenzisa i-Femoral Nerve Block?

Le ndlela isetshenziswa kakhulu ezimweni ezimbili. Eyokuqala iyindlela yokwelapha izinhlungu uma kwenzeka ingozi, kanti enye iwukulawula ubuhlungu uma kwenzeka ingozi.

Cabanga ngomuntu ewa aphuke inqulu. Lapho elethwa eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela, uthola i-X-ray, futhi ngisho nokunyakaza komlenze wakhe kubangela ubuhlungu obungabekezeleleki. Ezimweni ezinjalo, odokotela basebenzisa lokhu kuvimbela imizwa ukuze kube lula ukuhlola isiguli nokubuyisela ithambo eliphukile esimweni salo.

Kufanele uzilungiselele kanjani lokhu?

Indlela ozilungiselela ngayo lokhu iyahlukahluka kancane kuye ngokuthi kungani unikezwa lokhu kuvimbela imizwa.

• Uma kuyisimo esiphuthumayo: Awudingi ukulungiselela lutho ngokukhethekile. Ithimba lezokwelapha e-ETU lizokunakekela konke okudingayo.
• Ngokuhlinzwa okuhleliwe: Udokotela wakho uzokunikeza imiyalelo ethile. Isibonelo, ungase ucelwe ukuba uzile ukudla (ungadli noma uphuze noma yini ngaphandle kwamanzi) amahora amaningana ngaphambi kokuhlinzwa. Ungase ucelwe futhi ukuthi uyeke okwesikhashana ukuthatha imithi ethile. Kubaluleke kakhulu ukuthi ulandele le miyalelo ngqo.

Kwenzekani uma lokhu kuvimbela imizwa kunikezwa?

Ngizokuchazela kancane ukuthi le nqubo yenzeka kanjani.

1. Okokuqala, uzolaliswa kahle embhedeni.

2. Ukuze unciphise ukwesaba nokukhathazeka kwakho, futhi kukusize uphumule, inani elincane lemithi yokudambisa (`i-sedative`) linganikezwa nge-saline cannula (`umugqa we-IV`) engalweni yakho.

3. Phakathi nalesi sikhathi, ithimba lezokwelapha lizoqapha impilo yakho. Lizoqhubeka nokulinganisa izinto ezifana nezinga le-oxygen egazini lakho (i-pulse oximeter), izinga lokushaya kwenhliziyo (EKG), kanye nomfutho wegazi.

4. Okulandelayo, udokotela uzothola indawo eqondile yomthambo we-femoral. Lokhu kuvame ukwenziwa kusetshenziswa umshini we-ultrasound . Njengokuskena kwengane, lo mshini ungawubona kahle umthambo ongaphakathi komlenze wakho. Ngezinye izikhathi kusetshenziswa isikhuthazi sezinzwa.Basebenzisa futhi idivayisi ebizwa ngokuthi i-stimulator. Okwenzekayo lapha ukuthi izimpawu zikagesi ezincane kakhulu zithunyelwa emthanjeni ngenaliti encane. Bese imisipha esesigqokweni sakho sedolo iyanyakaza kancane. Lokho kuvumela udokotela ukuthi aqinisekise ukuthi umthambo ofanele.

5. Uma indawo efanele isitholakele, kuqala kufakwe umuthi omncane ukuze kuncishiswe indawo lapho kuzofakwa khona inaliti ye-nerve block. Lokhu kuzokuvimbela ukuthi ungezwa ubuhlungu obukhulu. Kungase kuzwakale njengokuhlaba okuncane.

6. Ekugcineni, umuthi oyinhloko wokubulala izinzwa ufakwa eduze komthambo. Ngezinye izikhathi, kwenziwa ngomjovo owodwa nje. Kodwa uma ufuna ukuqhubeka nokulawula ubuhlungu ngemva kokuhlinzwa, kufakwa ithubhu elincane kakhulu, eliguquguqukayo elibizwa ngokuthi i-catheter endaweni bese linamathiselwa esikhumbeni nge-plaster. Ithubhu lingaqhubeka nokuletha umuthi emzimbeni kancane kancane.

Yiziphi izinzuzo zalokhu?

Inzuzo eyinhloko yokuvimba kwemizwa ye-femoral ukuthi ingasetshenziswa ukulawula ubuhlungu ngempumelelo enkulu.

Ngaphezu kwalokho, kunenye inzuzo ebalulekile. Okusho ukuthi, kunganciphisa ukusetshenziswa kwemithi yokubulala izinhlungu enamandla eqenjini le-'opioid' (isib. i-morphine, i-tramadol). Njengoba le mithi ye-'opioid' inengozi yokuba umlutha futhi ingabangela imiphumela emibi njengesicanucanu, ukuhlanza, kanye nokuqunjelwa, kuhle kakhulu ukunciphisa ukusetshenziswa kwayo. Ngenxa yalokhu kuvinjelwa kwemizwa, ungase ukwazi nokuya ekhaya usuka esibhedlela ngokushesha.

Ingabe zikhona izingozi nezinkinga?

Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezincane kakhulu. Kodwa lezi azivamile. Lokho kusho ukuthi azenzeki njalo. Kodwa kubalulekile ukuqaphela.

• Ukulimala kwemizwa: Lokhu kungaba okwesikhashana noma, ngokungavamile, kube okuhlala njalo.
• Ukusabela kokungezwani komzimba nomuthi.
• I-Hematoma: Inani elincane legazi liqoqana ngaphansi kwesikhumba lapho inaliti ingene khona.
• Ukutheleleka.
• Ubuthi Besistimu Ye-Anesthetic Yasendaweni: Lokhu kuyimpendulo engavamile kakhulu kodwa engathi sína emithini yokubulala izinzwa yendawo. Kodwa ungakhathazeki, ithimba lakho lezokwelapha selikulungele ukuyelapha nganoma yisiphi isikhathi.

Kuyohlala isikhathi esingakanani lokhu kungezwani?

Isikhathi salokhu kuba ndikindiki singahluka kumuntu nomuntu. Kunezici eziningana ezithinta lokhu. Lesi sikhathi sinqunywa izinto ezifana nohlobo lomuthi osetshenziswayo, inani lawo, kanye nokuhlushwa kwawo. Ngokuvamile kungahlala kusukela emahoreni ambalwa kuya emahoreni angaba ngu-24. Kuye ngesimo sakho, ungacela udokotela wakho ulwazi olwengeziwe ngalokhu.

Ngingashayela nini udokotela ucingo?

Ngemva kokubuyela ekhaya uvela esibhedlela, uma uba nanoma yiziphi izimpawu ezintsha noma izinkinga ezihlobene nokuvinjelwa kwemizwa , shayela udokotela wakho ngokushesha.

Qaphela kakhulu ngalezi zinto:

• Uma kukhona ukuvuvukala, ukubomvu, noma ubomvu endaweni yomjovo (lokhu kungaba izimpawu zokutheleleka).
• Uma unobuhlungu obungapheli , ukungazweli, noma ubuthakathaka emlenzeni wakho, njengokuzwa ukushisa .

Ukuvinjelwa kwemizwa ye-femoral kuyindlela enhle kakhulu nephephile yokulawula ubuhlungu. Uma usenanoma yikuphi ukukhathazeka noma ukungabaza ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile. Uzophendula yonke imibuzo yakho.