Ake sithi wena noma othile omaziyo usezohlinzwa emlenzeni wakho, ikakhulukazi edolweni noma ethangeni lakho. Noma, ake sithi unesifo esingazelelwe kanye nethambo lethangeni eliphukile. Namuhla sizokhuluma ngendlela ekhethekile esetshenziswa odokotela ukulawula ubuhlungu obukhulu obuzwayo ngesikhathi esinjengalesi. Lokhu kubizwa ngokuthi 'i-Femoral Nerve Block'. Ungase uzizwe wesaba kancane uma uzwa ngalokhu, kodwa empeleni kuyindlela ephephile kakhulu futhi esetshenziswa kakhulu.
Kuyini i-Femoral Nerve Block ngamagama alula?
Kalula nje, lokhu kuwukujova umuthi oqeda ubuhlungu endaweni yethanga lakho okuthiwa i-femoral nerve. Lokhu kunganikeza ukukhululeka kobuhlungu besikhashana (i-analgesia) noma kuqede ukungasebenzi kahle kwendawo ukuze kuhlinzwe (i-anesthesia yesifunda). Lokhu kungaba umjovo wesikhathi esisodwa, noma unganikezwa isikhathi esithile.
Enye yezinzwa ezinkulu emlenzeni wakho yi- femoral nerve . Igijima ngaphambili kwethanga lakho. Le nzwa inemisebenzi emibili eyinhloko.
1. Umsebenzi wokunyakaza komzimba: Kukusiza ukuthi unyakazise izinqe zakho, imilenze, amaqakala nezinyawo.
2. Umsebenzi wezinzwa: Ikuvumela ukuthi uzwe izinto ezifana nokuthinta, ubuhlungu, ukushisa nokubanda.
Uma une-femoral nerve block, izimpawu zobuhlungu eziya ebuchosheni bakho ziyavalwa okwesikhashana. Kodwa-ke, ungase uzizwe ungenamizwa okwesikhashana emisipheni yakho yethanga kanye neyesinqe ngenkathi umuthi uqala ukusebenza.
Lo muthi wokugoma unikezwa nini?
Odokotela basebenzisa le ndlela ikakhulukazi ezimweni ezimbili: ukuqeda ubuhlungu endaweni ngesikhathi sokuhlinzwa nokulawula ubuhlungu ezimweni eziphuthumayo.
| Isimo sokusetshenziswa | Incazelo nezibonelo |
|---|---|
| I-Anesthesia Yesifunda Yokuhlinzwa | Ekuhlinzweni kwe-hip kanye nedolo, le ndlela isetshenziselwa ukuqeda izinhlungu kuphela endaweni ngaphandle kokuyidambisa ngokuphelele. Izibonelo:
|
| Ukunciphisa ubuhlungu ezingozini ezinkulu (i-Analgesia) | Lokhu kuwusizo kakhulu ekulawuleni ubuhlungu ezimweni zokuphuka okukhulu okubangelwa izingozi. Lokhu kuvame ukwenziwa e-Emergency Treatment Unit (ETU) yesibhedlela. Izibonelo: |
Kwezinye izinhlinzeko, odokotela bangase banqume ukuhlanganisa leli bhulokhi nezinye izinhlobo zamabhulokhi ezinzwa (isb., ibhulokhi ye-sciatic) noma i-anesthesia ejwayelekile.
Le nqubo yenzeka kanjani?
Akukho okufanele ukhathazeke ngakho noma ukwesabe. Le yindlela le nqubo evame ukusebenza ngayo.
- Okokuqala, uzolaliswa embhedeni.
- Ungase unikezwe umuthi wokudambisa nge-IV line ukuze uphumule futhi uzizwe ulambile kancane.
- Ithimba lezokwelapha lizoqapha impilo yakho kuyo yonke inqubo, okuhlanganisa nokuqapha amazinga akho e-oxygen (nge-pulse oximeter), izinga lokushaya kwenhliziyo (nge-EKG), kanye nomfutho wegazi.
- Okulandelayo, udokotela uzothola indawo eqondile yokujova. Lokhu kungenziwa kusetshenziswa isithwebuli se-ultrasound .
- Ngezinye izikhathi umshini omncane obizwa ngokuthi i-nerve stimulator ungasetshenziswa. Lokhu kusebenzisa inaliti encane ebekwe eduze kwe-nerve bese kuthumela isignali kagesi, okuvumela udokotela ukuthi athole indawo eqondile ye-nerve lapho imisipha edolweni inyakaza.
- Ngemuva kwalokho, ngaphambi kokuba kunikezwe umjovo wokuvimba imizwa, kufakwa inani elincane lomuthi ukuze kunciphe indawo . Ngakho ngeke uzwe ubuhlungu obukhulu, futhi ungase uzizwe ungakhululekile lapho inaliti ingena.
- Ekugcineni, umuthi wokuvimbela imizwa ufakwa endaweni eqondile ekhonjiwe. Uma kudingeka ukunikezwa okuqhubekayo, ithubhu elincane neliguquguqukayo elibizwa ngokuthi i-catheter libekwa eduze kwemizwa bese liboshelwa esikhumbeni nge-plaster.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezingavamile kakhulu.
Izinzuzo Eziyinhloko
Inzuzo enkulu yale ndlela ukuthi ingalawula ngempumelelo ubuhlungu obukhulu obubangelwa ukuhlinzwa nezingozi.
- Ukusetshenziswa okuncane kwemithi yokubulala izinhlungu enamandla:Le ndlela inciphisa ukuthembela emithini enamandla yokudambisa izinhlungu njenge-morphine (ama-opioid). Lokhu kuwusizo olukhulu ekugwemeni imiphumela emibi yama-opioid, engaba umlutha.
- Ukukwazi ukuphuma esibhedlela kusenesikhathi: Ngenxa yokuthi ubuhlungu bulawulwa kahle, ungase ukwazi ukuya ekhaya usuka esibhedlela kusenesikhathi.
Izingozi Ezingavamile
Lezi yizinto ezingavamile kakhulu, kodwa kubalulekile ukuqaphela.
- Ukulimala kwemizwa okwesikhashana noma okuhlala njalo.
- Ukusabela kokungezwani komzimba nomuthi.
- Ukwakheka kwehlule legazi (i-hematoma) endaweni yokujova.
- Ukutheleleka endaweni yokujova.
- Ingozi yokuwa: Lokhu kuyinto okufanele uyiqaphele. Njengoba ukuvinjwa kwenza imisipha yamathanga ibe buthaka, kunengozi enkulu yokuwa lapho uvuka futhi uhamba ngemva kokuhlinzwa. Ngakho-ke, ithimba lezokwelapha lizokufundisa ukuthi ungakuvimbela kanjani ukuwa.
- Ubuthi Besistimu Ye-Anesthetic Yasendaweni buyimpendulo engavamile kakhulu kodwa engaba yingozi kakhulu. Kodwa ungakhathazeki , ithimba lakho lezokwelapha likulungele ngokuphelele ukuyelapha uma kwenzeka.
Kuyohlala isikhathi esingakanani lokhu kungezwani?
Ukuthi lokhu kubanda isikhathi esingakanani kungahluka kuye ngomuntu nomuntu. Kunezici eziningi ezikuthintayo. Isibonelo, uhlobo lomuthi osetshenziswayo, umthamo wawo, kanye namandla awo kunquma ukuthi uzohlala isikhathi esingakanani. Kuye ngesimo sakho, ungathola umbono ocacile ngalokhu kudokotela wakho.
Ngezinye izikhathi lokhu kuvimbela kungase kungasebenzi kahle njengoba kulindelekile. Uma lokhu kwenzeka, ithimba lakho lezokwelapha lizokusiza ukuthola ezinye izindlela zokulawula ubuhlungu bakho.
Ngingashayela nini udokotela ucingo?
Uma uthola izimpawu ezintsha noma izinkinga ngemva kokuvinjelwa, shayela udokotela wakho ngokushesha . Qaphela kakhulu okulandelayo:
- Izimpawu zokutheleleka (ukuvuvukala, ukubomvu, umkhuhlane) endaweni yokujova.
- Izinkinga zemizwa (ubuhlungu obufana nokusha, ubuthakathaka obuqhubekayo noma ukuba ndikindiki).
Umlayezo Wokuya Nawe Ekhaya
- Ukuvimba kwemizwa ye-Femoral kuyindlela ephephile kakhulu futhi ephumelelayo esetshenziswa ukulawula ubuhlungu ngesikhathi sokuhlinzwa kwamadolo nezinqe kanye nokulimala.
- Lokhu kubangela ukuthi i-femoral nerve ingasebenzi, okwenza ingaphambili lethanga lingabi namandla okwesikhashana.
- Lokhu kunganciphisa ukusetshenziswa kwemithi enamandla yokudambisa izinhlungu (ama-opioid).
- Njengoba kuzoba nobuthakathaka besikhashana bemisipha ngesikhathi sokuvinjelwa kusebenza, qaphela ukuthi uzivikele ekuweni. Ithimba lezokwelapha lizokwazisa ngalokhu.
- Uma unemibuzo mayelana nale nqubo, ungesabi ukubuza udokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho