Ngezinye izikhathi ungase uzwe ubuhlungu obukhulu ohlangothini lwesifuba sakho noma ekhejini lakho lezimbambo. Lobuhlungu bungazwakala njengommese ukugwaza, okwenza kube nzima ukuphefumula. Ngezinye izikhathi lolu hlobo lobuhlungu lwenzeka ngemva kobuhlungu obuphukile noma ngemva kokuhlinzwa kwesifuba. Namuhla sikhuluma ngokwelashwa okukhethekile kwalolu hlobo lobuhlungu, okuwumjovo onikezwa ngqo endaweni lapho ubuhlungu bukhona khona.
Kuyini i-Intercostal Nerve Block?
Kalula nje, lokhu kuwumjovo onikezwa eduze komthambo otholakala ngaphansi kolunye lwezimbambo zakho. Ubuwazi ukuthi kukhona umthambo ogijima ngaphansi kolunye ubambo esifubeni sethu? Lokhu sikubiza ngokuthi 'i-Intercostal Nerves'. Uma ngesizathu esithile lo mthambo noma izicubu ezizungezile zicindezelwa, zonakale, noma zivuvukala, kungabangela ubuhlungu obukhulu.
Ngakho-ke lokho okwenziwa yilo mjovo 'ukuvimba' okwesikhashana inzwa ebangela ubuhlungu. Lo mjovo uqukethe izinhlobo ezimbili zemithi:
- I-Local Anesthetic: Lokhu kuqeda ubuhlungu ngokushesha ngemva komjovo, kunciphisa ubuhlungu ngokushesha.
- I-Steroid: Lokhu kunciphisa ukuvuvukala nokuvuvukala okuzungeze inzwa. Kuthatha izinsuku ezimbili kuya kwezintathu ukusebenza, kodwa kunikeza impumuzo yesikhathi eside.
Kuziphi izimo lapho lo muthi wokugoma usetshenziswa khona?
Le ndlela yokwelapha isetshenziselwa izinjongo eziningana eziyinhloko. Ngezinye izikhathi iyasiza ekunciphiseni ubuhlungu, kanti ngezinye izikhathi iyasiza ekutholeni imbangela yobuhlungu.
| Isimo sokusetshenziswa | Incazelo |
|---|---|
| Ukuqeda ubuhlungu | Isetshenziselwa ukulawula ubuhlungu obuvela ngokuzumayo (obubukhali) noma obuhlala isikhathi eside (obuhlala isikhathi eside). Isibonelo: ukuphuka kwezimbambo kanye nobuhlungu obukhulu bemizwa ngemva kwe-chickenpox (ama-shingles noma i-postherpetic neuralgia). |
| Okuhlobene nokuhlinzwa | Lo mjovo unikezwa ukulawula ubuhlungu ngemva kokuhlinzwa okuthile. Izibonelo: Ukuhlinzwa kwesifuba, Ukuhlinzwa kwebele, kanye nokuhlinzwa kwesisu esingaphezulu. |
| Ukuthola imbangela yobuhlungu | Ngezinye izikhathi udokotela udinga ukunquma ukuthi ubuhlungu bakho buvela esithweni esingaphakathi emzimbeni wakho (ubuhlungu besisu) noma buvela endaweni ethile emisipheni noma esikhumbeni sakho (ubuhlungu besisu). Uma ubuhlungu buphela ngemva kokufaka lo mjovo, kusho ukuthi inkinga ikule mizwa. |
Ngingakulungiselela kanjani ukuthola lo muthi wokugomela?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kodwa-ke, kunezinto ezimbalwa okufanele uzazi.
Into ebaluleke kakhulu ukuthi uma uthatha ama-anticoagulant, njenge-warfarin, kufanele utshele udokotela wakho ngakho. Ngoba le mithi ingandisa ingozi yokopha endaweni yokujova. Kodwa khumbula, ungalokothi uyeke ukuyithatha ngaphandle kokuba udokotela wakho ekutshele ukuthi uyenze.
Ngezinye izikhathi uzonikezwa umuthi wokudambisa ukuze ulale. Uma lokhu kwenziwa, uzocelwa ukuthi ungadli noma uphuze lutho amahora angu-6-8 ngaphambi kwenqubo. Kuzodingeka futhi ulethe umuntu ozokushayela ekhaya, njengoba ngeke ukwazi ukushayela.
Kodwa-ke, udokotela wakho uzochaza konke lokhu kuwe. Ungesabi ukubuza noma yimiphi imibuzo onayo.
Kwenziwa kanjani lokhu kuvinjelwa kwemizwa ye-Intercostal?
Indlela lokhu kwelashwa okwenziwa ngayo ilula kakhulu. Ngokuvamile kwenzeka kanje:
- Okokuqala, uzolaliswa embhedeni, kungaba ngohlangothi lwakho, okungabuhlungu, noma ngesisu sakho.
- Ukuze uphumule, ungase unikezwe umuthi wokudambisa omncane ngentambo ye-IV engalweni yakho.
- Ngemuva kwalokho, indawo yomjovo ihlanzwa kahle ngesisombululo se-antiseptic.
- Okulandelayo, kunikezwa umjovo omncane we-anesthetic yendawo ukuze kuncishiswe indawo lapho kuzovinjelwa khona imizwa. Kuleli qophelo, ungase uzizwe umuzwa omncane wokuhlaba njengoba inalithi ingena.
- Ukuze athole indawo eqondile yomthambo, udokotela angasebenzisa isiqondiso sokuthwebula izithombe, njenge -ultrasound noma i-fluoroscopy . Lokhu kuvumela udokotela ukuthi abone ngqo ukuthi afake inaliti kuphi.
- Uma indawo efanele isitholakele, umuthi wokuqeda ubuhlungu ufakwa eduze komthambo ngangokunokwenzeka.
- Ngemva komjovo, uzocelwa ukuba uphumule isikhashana kuze kube yilapho umuthi uqala ukusebenza.
Ngemva komjovo, uzobhekwa cishe imizuzu eyi-15-30 ukuze kubonakale ukuthi kukhona yini imiphumela emibi. Uma konke kuhamba kahle, ungaya ekhaya.
Kusebenza kangakanani lokhu kwelashwa? Futhi kuthatha isikhathi esingakanani ukuthi ubuhlungu buphele?
Kwabaningi, lokhu kunikeza ukukhululeka okuhle kobuhlungu besikhashana, kodwa ukuthi lokho kukhululeka kuthatha isikhathi esingakanani kuyahlukahluka kuye ngomuntu nomuntu.
I-anesthetic enikezwa ngokushesha ngemva komjovo izonciphisa ubuhlungu. Kodwa-ke, ngemva kwamahora ambalwa, i-anesthetic izophela futhi ubuhlungu bungase bubuye. Ungakhathazeki, lokhu kuvamile. Ukukhululeka kwesikhathi eside kuzofika ngemva kokuba i-steroid isiqalile ukusebenza ezinsukwini ezimbili kuya kwezintathu.
Abanye abantu bangase bangabi nezinhlungu izinyanga eziningana . Uma ukwelashwa kuphumelele, ungase ukwazi ukuthola umjovo futhi ngezikhathi ezithile njengoba kudingeka ukuze ulawule ubuhlungu. Kodwa-ke, abanye abantu bangase bangabi namphumela ngenxa yomjovo. Uma lokho kwenzeka, udokotela wakho uzokutshela ngezinye izindlela zokwelapha.
Yiziphi izingozi nezinkinga zalokhu?
Ngokuvamile lokhu kuyindlela yokwelapha ephephile kakhulu. Kungase kube nokuklwebheka kanye nobuhlungu lapho kujovwe khona, kodwa lokhu kuzophela ezinsukwini ezimbili kuya kwezintathu.
Kodwa-ke, kunezinkinga ezinkulu ezingavamile kakhulu kodwa okufanele uzazi.
- Ukopha
- Ukutheleleka
- Iphaphu eligoqekile: Lokhu kuyinto engavamile kakhulu. Kungenzeka uma inaliti ishaya iphaphu.
- Ukulimala kwemizwa
Lezi zingozi ziphansi kakhulu, ikakhulukazi uma zenziwa udokotela onolwazi esebenzisa ubuchwepheshe obufana ne-ultrasound.
Ngingayibona nini udokotela?
Uma uthola izimpawu ezintsha noma izinkinga ngemuva kokuthola lo muthi wokugomela, shayela udokotela wakho ngokushesha . Qaphela kakhulu lezi zimpawu:
- Izimpawu zokutheleleka: umkhuhlane, ukubomvu, ukuvuvukala, ubuhlungu obukhulu, noma ubomvu endaweni yomjovo.
- Izinkinga ezihlobene nemizwa: Izimpawu ezintsha ezifana nokungazweli kanye nobuthakathaka emalungeni.
- Ubunzima bokuphefumula: Lokhu kungaba uphawu lwenkinga yamaphaphu.
Uma uzizwa kanje, ungalibali futhi ufune iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-intercostal nerve block iwumjovo okhethekile onikezwa ubuhlungu obuhlobene ne-nerve phakathi kwezimbambo.
- Isetshenziselwa izinto ezifana nezimbambo eziphukile, ubuhlungu ngemva kokuhlinzwa, kanye nobuhlungu bemizwa ngemva kwe-chickenpox.
- Nakuba lokhu ngokuvamile kuyindlela yokwelapha ephephile, ukopha kanye nokutheleleka akuvamile ukwenzeka.
- Uma uthatha imithi yokunciphisa igazi, qiniseka ukuthi wazisa udokotela wakho ngayo ngaphambi kokwelashwa.
- Uma uba nomkhuhlane, ukuvuvukala okukhulu endaweni yokujova, ubunzima bokuphefumula, noma ukuba ndikindiki ngemva kokwelashwa, funa iseluleko sikadokotela ngokushesha.
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