Uzwa ubuhlungu obubukhali esifubeni sakho, njengokukhishwa kwenaliti ezimbanjeni zakho, noma njengommese ogwazwayo? Kungaba ubambo oluphukile, noma ubuhlungu besikhathi eside obuvela ngemva kokuba usululame esifweni esifana ne-shingles. Namuhla, sizokhuluma ngokwelashwa okukhethekile odokotela abakusebenzisayo kulolu hlobo lobuhlungu obungapheli.
Kalula nje, kuyini i-Intercostal Nerve Block?
I-Intercostal Nerve Block iwumjovo okhethekile onikezwa ngaphansi kwenye yezimbambo zakho, lapho kukhona khona ubuhlungu. Cabanga ngakho, kunezinzwa ezigijima ngaphansi kwezimbambo zethu ngasinye. Lokhu sikubiza ngokuthi yi-Intercostal Nerves. Uma ngesizathu esithile le nzwa noma izicubu ezizungezile zicindezelwa, zivuvukala, noma zonakele, kungabangela ubuhlungu obungabekezeleleki.
Ngakho-ke lokho okwenziwa yilo mjovo "ukuthuntubeza" okwesikhashana inzwa ebangela ubuhlungu. Lo mjovo uqukethe izinhlobo ezimbili zemithi:
1. I-Steroid: Lokhu kunciphisa ukuvuvukala nokuvuvukala okuzungeze inzwa.
2. I-Local Anesthetic: Lokhu kuqeda ubuhlungu endaweni ngokushesha, njengokuchitha izinsini ngaphambi kokukhipha izinyo. Lokhu kuzosiza ekunciphiseni ubuhlungu ngokushesha.
Ngezinye izikhathi lo mjovo usetshenziselwa ukukhomba imbangela yobuhlungu, okungukuthi, ukuxilongwa.
Yiziphi izindlela zokusebenzisa lo muthi wokugomela?
Le ndlela yokwelapha isetshenziswa kakhulu ukulawula ubuhlungu esifubeni kanye nasesiswini esingaphezulu.
| Isimo sokusetshenziswa | Incazelo elula |
|---|---|
| Njengokwelashwa kobuhlungu |
|
| Okuhlobene nokuhlinzwa |
|
| Ukuxilongwa | Ngezinye izikhathi lokhu kuhlolwa kungasiza ekunqumeni ukuthi ubuhlungu bakho buvela emthonjeni wangaphandle, njengemisipha noma isikhumba sakho (ubuhlungu be-somatic) noma kusuka esithweni sangaphakathi, njengamaphaphu noma inhliziyo yakho (ubuhlungu be-visceral). |
Kufanele ngilungiselele kanjani lo muthi wokugoma?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kodwa-ke, kunezinto ezibaluleke kakhulu okudingeka uzitshele udokotela wakho.
- Khuluma ngemithi yokunciphisa igazi: Uma uthatha imithi yokunciphisa igazi, njenge-Warfarin, kufanele utshele udokotela wakho nakanjani . Lokhu kungandisa ingozi yokopha endaweni yokujova. Ungalokothi uyeke ukuthatha le mithi ngaphandle kokukhuluma nodokotela wakho kuqala.
- Uma unikezwa umuthi wokudambisa: Ngezinye izikhathi unganikezwa umuthi wokudambisa (umuthi) ngemithambo ngaphambi kwenqubo. Uma lokhu kwenziwa, uzocelwa ukuba uzile ukudla amahora angu-6-8. Uzodinga futhi umuntu ozokushayela ekhaya ngemva kwenqubo.
Kodwa-ke, udokotela wakho uzochaza konke lokhu kuwe. Ungesabi ukubuza noma yimiphi imibuzo onayo.
Isebenza kanjani inqubo yokugoma?
Lena inqubo elula evame ukuthatha imizuzu embalwa.
1. Indawo: Uzobekwa embhedeni, kungaba ngohlangothi lwakho ngaphandle kobuhlungu noma ngesisu sakho.
2. Ukupholisa (uma kudingeka): Uma uzizwa ukhathazekile noma ukhathazekile, unganikezwa umuthi wokudambisa nge-cannula efakwe emthanjeni engalweni yakho.
3. Ukuhlanza: Indawo yokugoma ihlanzwa kahle ngesisombululo sokubulala amagciwane.
4. Ukushaya izinzwa: Okulandelayo, kufakwa umuthi wokubulala izinzwa wendawo endaweni ngenaliti encane. Kuleli qophelo, ungase uzizwe sengathi ulunywa yintuthwane encane.
5. Ukuthola indawo efanele:Into ebaluleke kakhulu manje. Udokotela uvame ukusebenzisa idivayisi efana ne-scanner (i-ultrasound noma i-fluoroscopy) ukuze abone indawo eqondile yenzwa esikrinini. Lokhu kuvumela ukuthi umjovo unikezwe lapho kufanele ube khona.
6. Ukunikeza umjovo oyinhloko: Ngemuva kwalokho, umuthi oqukethe i-steroid kanye ne-anesthetic ufakwa eduze kwe-nerve.
7. Ukuphumula: Ngemva kokugoma sekuqediwe, uzobhekwa cishe imizuzu eyi-15-30 ngaphambi kokuba uthunyelwe ekhaya.
Izinkinga kanye nezingozi ezingaba khona ngemva kokwelashwa
Nakuba lokhu kuyindlela yokwelapha ephephile kakhulu, njenganoma iyiphi inqubo yezokwelapha, kungaba khona ingozi encane.
Kungase kube nokuklwebheka okuncane noma ukuluhlaza okwesibhakabhaka endaweni yomjovo izinsuku ezimbili kuya kwezintathu. Lokhu kuvamile.
Kodwa-ke, kunezinkinga ezinkulu ezingavela kaningi.
| Ingozi | Incazelo |
|---|---|
| Ukopha | Inaliti ingalimaza umthambo wegazi omncane. |
| Ukutheleleka | Njenganoma yimuphi umuthi wokugoma, kunethuba elincane kakhulu lokungena kwamagciwane. |
| Amaphaphu awile/i-Pneumothorax | Akuvamile kakhulu ukuthi inaliti ingashaya ulwelwesi lwamaphaphu, okubangela imbobo encane. Le ngozi manje iphansi kakhulu ngenxa yokusebenzisa ama-scanner. |
| Ukulimala kwemizwa | Lokhu futhi kuyinto engenzeka kaningi kakhulu. |
Ukuqeda ubuhlungu kuthatha isikhathi esingakanani?
Lokhu kuyahlukahluka kumuntu nomuntu.
- Kwabanye abantu, ubuhlungu buyaphela ngemva kokujova. Kodwa lokho kungenxa yomphumela womuthi oqeda amandla. Bungaphela emahoreni ambalwa.
- Ukukhululeka kwangempela kwesikhathi eside kuqala ngemva kokuba imithi ye-steroid isiqalile ukusebenza, okusho ukuthi ngemva kwezinsuku ezimbili kuya kwezintathu.
- Abanye abantu bathola impumuzo izinyanga eziningana . Uma ukwelashwa kuphumelele kuwe, ungawuthola lo mjovo futhi uma ubuhlungu buphinde buvela, njengoba udokotela wakho ekweluleke.
Kufanele ngimbone nini udokotela?
Uma uthola izimpawu ezintsha noma usola ukuthi kukhona izinkinga ngemuva kokuthola umuthi wokugomela, yazisa udokotela wakho ngokushesha . Ikakhulukazi:
- Uma indawo yomjovo ibomvu, ivuvukile, noma ikhipha ubomvu (izimpawu zokutheleleka).
- Uma uthola umkhuhlane.
- Uma une-numbness entsha noma ubuthakathaka emlenzeni noma engalweni.
- Uma unenkinga yokuphefumula.
Umlayezo Wokuya Nawe Ekhaya
- I-Intercostal Nerve Block iyindlela ekhethekile yokwelapha ngomjovo enikezwa izinhlobo ezithile zobuhlungu esifubeni noma esiswini esingaphezulu.
- Lokhu ngokuvamile kuphephile kakhulu, futhi izinkinga zincane ngoba kwenziwa ngosizo lwezikena.
- Ngaphambi kokwelashwa, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi.
- Isikhathi esithathayo ukuze kuqedwe ubuhlungu singahluka kuye ngomuntu nomuntu.
- Uma kuvela izimpawu ezingavamile ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo noma ukungabaza ngalokhu kwelashwa, khuluma nodokotela wakho ngakho ngokukhululekile.
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