Ingabe unomama noma ubaba osekhulile emndenini wakho ohlushwa ubuhlungu edolweni? Noma mhlawumbe wena ngokwakho uhlushwa lobu buhlungu? Labo abaziyo bayazi ukuthi kuyacasula kangakanani ukuba nedolo elibuhlungu okwenza kube nzima ukukhuphuka izitebhisi, ukuhamba ibanga elifushane, noma ukuya ethempelini. Ngisho nokuthatha imithi ehlukahlukene nokusebenzisa amafutha ahlukahlukene, ngezinye izikhathi lobu buhlungu abupheli. Ezimweni ezinjalo, sizokhuluma ngendlela yokwelapha ekhethekile enconywa odokotela.
Kalula nje, kuyini i-Genicular Nerve Block?
Kulula kakhulu. Ukuvimba kwemizwa ye-genicular kuhilela ukufaka umuthi wokubulala izinhlungu eduze kwemizwa eminingana ethumela ubuhlungu edolweni lakho. Njengokucima iswishi yokukhanyisa, lo mjovo uvala okwesikhashana "izintambo zemizwa" ezithwala ubuhlungu obuvela edolweni lakho buye ebuchosheni bakho. Lokhu kukunikeza impumuzo yesikhashana ebuhlungwini. Ngezinye izikhathi lokhu kukhululeka kungahlala isikhathi eside.
Manje ake sibheke imizwa ezungeze leli dolo. Ilungu lethu ledolo lihlukaniswe ngamagatsha avela ezinzwa eziningana eziyinhloko ukuze asebenze kahle. Leyo mizwa eyinhloko yile:
- Inzwa yesifazane
- Inzwa evamile ye-peroneal
- I-Saphenous nerve
- I-Tibial nerve
- Inzwa ye-Obturator
Amagatsha amancane aphuma kulezi zinzwa ezizungeze idolo abizwa ngokuthi "i-Genicular Nerves." Igama elithi "Genicular" ngokwezwi nezwi lisho ukuthi "okuhlobene nedolo." Lezi zinzwa yizo ezithumela imizwa edolweni, ikakhulukazi ubuhlungu, ebuchosheni. Odokotela bagxila kakhulu kulezi zinzwa ezine ze-Genicular lapho befaka lo mjovo.
1. I-Superolateral genicular nerve (SLGN)
2. I-Superomedial genicular nerve (SMGN)
3. I-Inferomedial genicular nerve (IMGN)
4. I-Inferolateral genicular nerve (ILGN)
Kodwa kukhona into encane lapha. Odokotela bafaka ezintathu kuphela kulezi ezine. Abafaki eyokugcina , i-Inferolateral genicular nerve (ILGN) . Isizathu salokho ukuthi leyo nerve iseduze kakhulu ne- Common peroneal nerve, ebalulekile ekunyakazeni kwezinyawo zethu. Uma ifakwa ngendlela engafanele, ingabangela isimo lapho unyawo lungenakuphakanyiswa khona, okungukuthi, into efana ne- (Foot Drop) , ngakho bayayigwema leyo nerve ukuze baphephe.
Ubani lokwelashwa okufanelekela kakhulu?
Kunezizathu ezimbili eziyinhloko zokusebenzisa i-genicular nerve block.
1. Ukuqeda ubuhlungu bedolo obuhlala isikhathi eside
Uma usunezinhlungu zedolo isikhathi eside, kuyisimo esisibiza ngokuthi (Ubuhlungu bedolo obungapheli) . Lokhu kungase kube ngenxa yokulimala kwedolo noma, ezimweni eziningi, (i-Knee Osteoarthritis) , okuwukuguguleka nokudabuka kwejoyinti ledolo. Uma uke wazama ukwelashwa ngokomzimba, ukuthatha ama-painkiller (ama-NSAID), kanye nokujova ama-steroid edolweni lakho, kodwa ubuhlungu abukapheli, udokotela wakho angase akuphakamise lokhu kuvimbela imizwa ye-genicular.
Cabanga ngamadolo kamama wakho agugile, akakwazi ukulala kahle ebusuku, ukhala ngenxa yobuhlungu. Ukuthatha umuthi kusiza isikhashana nje. Lo mjovo ungamsiza kakhulu umuntu onjalo.
2. Lawula ubuhlungu ngemva kokuhlinzwa kwedolo
Abanye abantu kufanele bahlinzwe i -Total Knee Arthroplasty , ukuhlinzwa okuthatha indawo yalo lonke idolo. Ukuze kulawulwe ubuhlungu obukhulu obuvela ngemva kokuhlinzwa okukhulu kangaka, udokotela wezinzwa noma udokotela ohlinzayo unikeza lo mjovo ngaphambi kokuhlinzwa. Lokhu kunikezwa ngaphezu kwe-anesthesia ejwayelekile.
Yini okufanele uyenze ngaphambi kokugonywa?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kodwa-ke, kwezinye izimo, udokotela wakho angase anqume ukukunikeza umuthi wokudambisa (umuthi wokudambisa omnene). Uma wenza lokhu, uzocelwa ukuba uzile ukudla cishe amahora ayisithupha kuya kwayisishiyagalombili. Uzocelwa futhi ukuba othile akushayele ngemoto akuyise ekhaya , njengoba ungeke ukwazi ukushayela ngalolo suku.
Kodwa-ke, udokotela wakho uzokuchazela konke lokhu ngokucacile. Landela leyo miyalelo ngqo. Ungesabi ukubuza uma unemibuzo.
Kwenzekani ngesikhathi sokugoma? Ake sibheke kancane kancane.
Lokhu kwelashwa kuvame ukwenziwa ngaphandle kwesibhedlela. Lokhu kusho ukuthi akudingeki uhlale esibhedlela, futhi ungaya ekhaya uma inqubo isiqediwe. Kuthatha cishe imizuzu emi-5 kuya kweyi-10.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uzobekwa embhedeni okhethekile nengalo yakho iphakanyisiwe. Umcamelo omncane uzobekwa ngaphansi kwedolo elibuhlungu futhi idolo lakho lizogoba kancane. Uma kudingeka, isixazululo sikasawoti singafakwa engalweni yakho ukuze sikunike umuthi wokudambisa. |
| 2. Ukuhlanza isikhumba | Isikhumba esizungeze idolo sihlanzwa kahle ngesibulali-magciwane. |
| 3. Ukungabi nandaba kwesikhumba | Ngaphambi komjovo oyinhloko, kunikezwa umjovo omncane (i-local anesthetic) ukuze kunciphe indawo. Ngalesi sikhathi, ungase uzizwe ulunywa kancane, njengokulunywa yizintuthwane. |
| 4. Ukuthola indawo efanele | Udokotela usebenzisa imishini ekhethekile ukuthola indawo eqondile yomthambo. Lokhu kungenziwa ngokusebenzisa i -ultrasound scan noma uhlobo lwe-X-ray olubizwa nge -fluoroscopy . Lokhu kufana nokubheka ngaphakathi edolweni lakho ngesikrini se-TV. Lokhu kuvumela ukuthi umjovo unikezwe endaweni efanele. |
| 5. Ukugoma okuyinhloko | Ngemva kokuthola indawo efanele, udokotela ufaka umuthi wokubulala izinhlungu eduze kwemizwa. |
| 6. Ukuqapha | Ngemva komjovo, uzobhekwa cishe imizuzu eyi-15-30 ukuqinisekisa ukuthi umuthi uyasebenza nokuthi awubi neminye imiphumela emibi. Ngemva kwalokho, uzovunyelwa ukuya ekhaya. |
Yiziphi izinzuzo zalo muthi wokugoma?
Ungathola izinzuzo eziningana ngokuvinjwa kwemizwa ye-genicular.
- Ukuqeda ubuhlungu: Ubuhlungu buphela okwesikhashana noma mhlawumbe unomphela, okukuvumela ukuthi wenze imisebenzi yakho yansuku zonke kalula .
- Ukuvuvukala okunciphile: Ukuvuvukala kwemizwa kunciphile, okuyisiza ukuba ilulame.
- Isixazululo Sobuhlungu Ngemva Kokuhlinzwa: Isixazululo esihle sobuhlungu ngemva kokuhlinzwa kwedolo.
- Okunye okungenziwa kulabo abangakwazi ukuhlinzwa: Kulabo abangakwazi ukuhlinzwa edolweni ngenxa yezinye izinkinga zempilo, lokhu kuyindlela enhle yokulawula ubuhlungu.
Into ebalulekile ukuthi akubona bonke abantu abathola imiphumela efanayo. Abanye abantu bathola impumuzo emahoreni ambalwa. Kwabanye, kungathatha amasonto amabili ukuthi i-steroid isebenze ngempela. Kunethuba elincane lokuthi abanye abantu ngeke bathole impumuzo nhlobo.
Uma ubuhlungu bakho buncipha kakhulu ngemva kwalo mjovo, udokotela wakho angase ancome i-Genicular Nerve Ablation (GNA) njengesinyathelo esilandelayo.Kungaphakanyiswa ukwelashwa okubizwa nge-GNA. Kusebenzisa i-radiofrequency ukuvala lezi zinzwa isikhathi eside. Ukwelashwa kwe-GNA ngokuvamile kunganikeza ukukhululeka ebuhlungwini cishe izinyanga ezingu-18.
Ingabe kukhona izingozi noma izinkinga ngalokhu?
Kungase kube nokuklwebheka noma ubuhlungu endaweni yomjovo, kodwa lokhu kuvame ukuphela zingakapheli izinsuku ezimbili.
Izinkinga ezinkulu azivamile , kodwa njenganoma yikuphi ukugoma, kunezingozi ezithile okufanele ziqashelwe.
- Ukutheleleka endaweni yokujova.
- Ukopha okuvela endaweni yomjovo.
- Ukufakwa ngengozi kwemithi emthanjeni wegazi .
- Ukujova umuthi ngengozi edolweni .
- Ukuwa kwezinyawo (ukungakwazi ukuphakamisa unyawo) kwenzeka lapho inzwa evamile ye-peroneal, esikhulume ngayo ekuqaleni, yonakele.
Amathuba okuba lezi zinto zenzeke mancane kakhulu ngoba odokotela basebenzisa ubuchwepheshe obufana nokuskena futhi benza lokhu kwelashwa ngokucophelela.
Ngingakwazi yini ukuhamba ngemva kokugonywa?
Yebo, ungakwazi. Ungaphuma ekamelweni ngemva kokuphela kokwelashwa. Kodwa kungcono ukuphumula isikhashana ngalolo suku. Ngemuva kwalokho ungabuyela emisebenzini yakho evamile.
Lokhu kuqeda ubuhlungu kuzothatha isikhathi esingakanani?
Lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Ukuqeda ubuhlungu kungase kuthathe izinsuku ezimbalwa, amasonto ambalwa, izinyanga ezimbalwa, noma ngisho neminyaka. Kodwa-ke, ukuqeda ubuhlungu kuvame ukuhlala cishe izinyanga ezintathu .
Kufanele ngimshayele nini udokotela?
Uma uba nezimpawu ezintsha noma izinkinga ngemva kokuvaleka kwezinzwa ze-genicular , shayela udokotela wakho ngokushesha . Qaphela kakhulu okulandelayo:
- Uma indawo yomjovo ibomvu, ivuvukile, noma ifudumele (izimpawu zokutheleleka).
- Uma ukopha kuqhubeka kusuka endaweni yokujova.
- Uma uzizwa usha, ungenamizwa, noma ubuthakathaka obukhulu emilenzeni yakho.
Lokhu kwelashwa kungaba yisisombululo esihle sobuhlungu bedolo lakho. Kodwa-ke, imiphumela iyahlukahluka kumuntu nomuntu. Uma unemibuzo noma ukungabaza ngalo mjovo, khuluma nodokotela wakho ngakho ngokukhululekile. Uzokwazi ukuphendula yonke imibuzo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Genicular Nerve Block iyindlela yokwelapha ngomjovo enikeza impumuzo ebuhlungwini obungapheli bedolo, eduze kwemizwa ezungeze idolo.
- Lokhu kulungele labo ubuhlungu babo obungazange buqedwe ngezinye izindlela zokwelapha (imithi, ukwelashwa ngokomzimba) kanye nobuhlungu obuvela ngemva kokuhlinzwa kwedolo.
- Lokhu ukwelashwa okulula okungaqedwa ngemizuzu eyi-10 nje kuphela, futhi ungaya ekhaya ngaphandle kokuhlala esibhedlela.
- Imiphumela ingahluka kumuntu nomuntu, futhi ngokwesilinganiso, ukukhululeka kobuhlungu kungalindelwa cishe izinyanga ezintathu.
- Ingozi yezinkinga iphansi kakhulu, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemuva kokuthola umuthi wokugomela, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo, khuluma nodokotela wakho ngaphambi kokwelashwa bese uxazulula zonke izinkinga.
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