Ingabe ukuthola kunzima ukukhuphuka izitebhisi, ukuhamba kancane, noma ukwenza imisebenzi yansuku zonke ngenxa yobuhlungu bedolo? Mhlawumbe uke waphuza imithi yobuhlungu, waya ekwelashweni ngokomzimba, futhi wenza izinto ezahlukahlukene, kodwa ubuhlungu edolweni lakho abukapheli. Uma kunjalo, namuhla sizokhuluma ngokwelashwa okukhethekile udokotela wakho angase akuphakamisele kona. Lokhu kubizwa ngokuthi 'i-Genicular Nerve Block.'
Kalula nje, kuyini i-Genicular Nerve Block?
Kulula kakhulu. Ukuvimba kwemizwa ye-genicular kuhilela ukufaka umuthi wokubulala izinhlungu emthanjeni othize ozungeze idolo lakho othwala ubuhlungu obuya ebuchosheni bakho. Lo mjovo unikeza impumuzo yesikhashana ebuhlungwini bedolo. Ngezinye izikhathi lokhu kukhululeka kungahlala isikhathi eside. Ngokuvamile kwenziwa ngokuhlanganisa umuthi wokubulala izinzwa wendawo ne-steroid.
I-knee joint yethu isizwa inani elikhulu lemizwa. Kulawa, amagatsha amaningi amakhulu emizwa asatshalaliswa edolweni. Lawa magatsha amancane emizwa yilokho esikubiza ngokuthi 'i-Genicular Nerves'. Ngokukhethekile, lawa yimizwa odokotela abayiqondisayo kulokhu kwelashwa:
- I-Superolateral genicular nerve (SLGN)
- I-Superomedial genicular nerve (SMGN)
- I-Inferomedial genicular nerve (IMGN)
Ngesikhathi salokhu kwelashwa, yize kukhona omunye umthambo onjengalona (i-Inferolateral genicular nerve - ILGN), awujovwa. Lokhu kungenxa yokuthi useduze kakhulu nomunye umthambo omkhulu (i-Peroneal Nerve) obalulekile ekunyakazeni kwemilenze yethu, ngakho-ke lokhu kwenziwa ukuvimbela amathuba okuwulimaza.
Lo mjovo unikezwa nini?
Kunezizathu ezimbili eziyinhloko zokusebenzisa i-Genicular Nerve Block.
1. Ubuhlungu Bedolo Obungapheli: Uma usunezinhlungu zedolo isikhathi eside, ikakhulukazi ngenxa yesimo esifana ne-Knee Osteoarthritis, futhi uma ubuhlungu bungazange bulawulwe ngemithi ejwayelekile (njengemithi yokwelapha izinhlungu kanye nokwelashwa ngokomzimba), udokotela wakho angase asikisele lo mjovo.
2. Ubuhlungu ngemva kokuhlinzwa kwedolo: Odokotela ababulala izinzwa basebenzisa lo mjovo ukulawula ubuhlungu obukhulu ngaphambi nangemva kokuhlinzwa okukhulu kwedolo, njengokuhlinzwa kwedolo okuphelele. Lokhu kunikezwa ngaphezu kwe-anesthesia ejwayelekile.
Into ebalulekile ukuthi, lesi akusona isisombululo esifanela wonke umuntu. Udokotela wakho kuphela onganquma ukuthi lokhu kwelashwa kukufanele yini.
Yini okufanele uyenze ngaphambi kokwelashwa?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kodwa-ke, kwezinye izimo, udokotela wakho angase anqume ukukunikeza umuthi wokudambisa ukuze akusize uphumule, okusho ukuthi uzolala kancane. Kulesi simo, uzokwaziswa ukuthi ungadli noma uphuze lutho amahora angu-6-8 ngaphambi kokwelashwa. Kubalulekile futhi ukuba nomuntu ozokushayela ekhaya ngemva kokwelashwa.
Kodwa-ke, udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Landela leyo miyalelo ngqo. Ungesabi ukubuza noma yimiphi imibuzo onayo.
Kwenzekani uma ugonywa?
Lokhu ngokuvamile kuyinqubo encane eyenziwa endaweni yokwelapha ngaphandle kwesibhedlela, kunokuba iqhutshwe esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngokushesha ngemva komjovo. Nakhu okwenzekayo ngesikhathi sokwelashwa:
- Uzolaliswa embhedeni okhethekile, umcamelo omncane ubekwe ngaphansi kwedolo elibuhlungu nedolo lakho ligobe kancane.
- Ungase unikezwe imithi nge-IV line ukuze ikusize uphumule.
- Udokotela uzohlanza isikhumba sakho kahle ngesisombululo se-antiseptic.
- Okulandelayo, kunikezwa umjovo omncane we-anesthetic yendawo ukuze kuncishiswe indawo lapho kuzonikezwa khona umjovo. Kuleli qophelo, ungase uzizwe umuzwa omncane wokuhlaba njengoba inalithi ingena.
- Ngemuva kwalokho, esebenzisa umshini wokuskena okhethekile njenge-ultrasound noma i-fluoroscopy , udokotela uzothola indawo eqondile yomthambo wokufaka umuthi.
- Ekugcineni, umuthi ufakwa eduze kwalowo mthambo ngangokunokwenzeka.
Yonke inqubo ithatha imizuzu emi-5 kuya kweyi-10 kuphela. Ngemva kwalokho, ungaphumula isikhashana bese uya ekhaya.
| Izigaba zokwelapha | Incazelo |
|---|---|
| Ukulungiselela | Akudingeki ukulungiselela okukhethekile. Uma unikezwa i-anesthesia elula, kuzodingeka uzile ukudla amahora angu-6-8. |
| Ukwelashwa | Idolo liyahlanzwa, kunikezwa umjovo oqeda izinhlungu, bese kuthi umuthi wokubulala izinhlungu ufakwe eduze kwenzwa efanele kusetshenziswa ubuchwepheshe bokuskena. (Imizuzu emi-5-10) |
| Ngemva kokwelashwa | Phumula imizuzu eyi-15-30 bese uya ekhaya uma kungekho miphumela emibi. Kunconywa ukuthi uphumule usuku lonke. |
Yiziphi izinzuzo nezingozi zalokhu?
Izinzuzo
Kunezinzuzo eziningana ezingatholakala kulokhu kwelashwa:
- Ukuphumula okwesikhashana noma isikhathi eside ebuhlungwini , okwenza kube lula ukwenza imisebenzi yansuku zonke.
- Ukuvuvukala kwemizwa ebangela ubuhlungu kuyancishiswa, okuyisiza ukuba ilulame.
- Ukuthola impumuzo enhle ebuhlungwini ngemva kokuhlinzwa.
- Kuyindlela enhle yokulawula ubuhlungu kulabo abangakwazi ukuhlinzwa edolweni ngenxa yezinye izinkinga zempilo.
Izingozi
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile, kodwa izinkinga ezinkulu azivamile.
- Kungase kube nokuvuvukala okuncane noma ukuklwebheka endaweni yomjovo. Lokhu kuvame ukuxazululeka phakathi nosuku noma ezimbili.
- Akuvamile ukuthi kwenzeke izinto ezilandelayo:
- Ukutheleleka endaweni yokujova.
- Ukopha okuvela endaweni.
- Ukufakwa kwemithi ngengozi emthanjeni wegazi.
- Ukujova umuthi ngengozi edolweni.
- Akuvamile ukuthi, uma umuthi ungena ngengozi komunye umthambo oseduze (i-Common Peroneal Nerve), isimo esibizwa ngokuthi 'ukuwa kwezinyawo' , lapho unyawo lungenakuphakanyiswa khona kusukela eqakaleni, singenzeka.
Umphumela womuthi wokugoma uhlala isikhathi esingakanani?
Lena inkinga abantu abaningi abanayo. Eqinisweni, impumuzo kulokhu ingahluka kakhulu kumuntu nomuntu. Abanye abantu bangase bathole impumuzo izinsuku ezimbalwa, kanti abanye bangase bathole impumuzo amasonto, izinyanga, noma ngisho nonyaka. Ngokwesilinganiso, ungalindela impumuzo cishe izinyanga ezintathu. Kodwa-ke, abanye abantu bangase bangatholi impumuzo nhlobo.
Okubalulekile, uma uthola ukukhululeka okuhle ebuhlungwini ngalo mjovo, udokotela wakho angase aphakamise ukwelashwa okubizwa ngokuthi i-Genicular Nerve Ablation (GNA) njengesinyathelo esilandelayo. Lokhu kuvimbela le mizwa ekudluliseni izimpawu zobuhlungu isikhathi eside. Ukwelashwa kwe-GNA kunganikeza impumuzo yesikhathi eside kuze kube yizinyanga ezingu-18.
Kufanele ngimbone nini udokotela?
Ngemva kokuthola umuthi wokugomela, uma uba nanoma yiziphi izimpawu ezintsha, isibonelo, izimpawu zokutheleleka njengokuvuvukala, ukubomvu, noma ubomvu endaweni yokujova, noma uma uzwa ukusha okungavamile, ukungazweli, noma ubuthakathaka , yazisa udokotela wakho ngokushesha.
Uma unemibuzo noma ukungabaza ngalokhu kwelashwa, khuluma nodokotela wakho ngakho ngokukhululekile. Uzophendula yonke imibuzo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvimba kwemizwa yobulili kuwumjovo wokubulala izinhlungu ojovwa eduze kwemizwa ezungeze idolo ukulawula ubuhlungu bedolo.
- Lokhu kusetshenziselwa kakhulu ubuhlungu bedolo besikhathi eside kanye nobuhlungu ngemva kokuhlinzwa kwedolo.
- Ukwelashwa kuyashesha kakhulu (imizuzu emi-5-10) futhi akudingi ukuhlala esibhedlela.
- Isikhathi esithathwayo ukuze kuqedwe ubuhlungu siyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase bangatholi impumuzo nhlobo.
- Imiphumela emibi kakhulu ayivamile, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, xhumana nodokotela wakho ngokushesha.
- Udokotela wakho kuphela onganquma ukuthi lokhu kwelashwa kukufanele yini.
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