Ingabe wena noma othile omaziyo unemisipha eqinile, enyakazayo ezithweni zakho? Ngezinye izikhathi, ngisho nokuphuza imithi yokuqeda lokhu kuqina akusizi. Ngakho-ke namuhla sizokhuluma ngokwelashwa okuthuthukisiwe kwalolu hlobo lokuqina kwemisipha okukhulu (i-spasticity). Kubizwa ngokuthi i-Baclofen Pump. Leli gama lingase libe lisha kuwe, kodwa linezinzuzo eziningi. Ake sibheke ukuthi liyini.
Iyini i-Baclofen Pump?
Kalula nje, iyithuluzi elincane elifakwa ngokuhlinzwa emzimbeni wakho. Lakhiwe izingxenye ezimbili:
- Iphampu: Lena yidiski yensimbi eyindilinga, eyisicaba, ngokuvamile engaba yi-intshi eyodwa ubukhulu kanye namasentimitha amathathu ububanzi. Yilapho umuthi ugcinwa khona futhi ukhishwa emzimbeni uma kudingeka.
- I-Catheter: Lena yipayipi elincane neliguquguqukayo elithwala umuthi lisuka epompo liye lapho lidingeka khona, elingaphakathi komgogodla wakho.
Ngesikhathi sokuhlinzwa, udokotela uzobeka le phampu ngaphansi kwesikhumba sesisu sakho. Ngemuva kwalokho, ingxenye eyodwa ye-catheter izoxhunywa ephampini kanti enye ingxenye izoxhunywa oketshezini oluzungeze umgogodla wakho. Odokotela bakubiza lokhu ngokuthi i-Intrathecal Baclofen Therapy (ITB) .
Le phampu inebhethri, i-reservoir, kanye ne-microprocessor. Udokotela usebenzisa ikhompyutha encane kanye nedivayisi ekhethekile (induku) ebekwa esikhumbeni sakho ukuze ihlele iphampu. Lokhu kusho ukuthi iphampu iyalelwe ukuthi ikunike inani elifanele lomuthi, ngesikhathi esifanele, nangendlela efanele usuku lonke.
Ngakho-ke uyini lo muthi obizwa ngokuthi iBaclofen?
I-Baclofen iyisithokozisi semisipha yamathambo . Iyindlela eyinhloko yokwelapha izimo ezinjengokuqina kwemisipha (ukuqaqamba). Uma lo muthi ufakwa ngqo oketshezini oluzungeze umgogodla, wenza okulandelayo:
- Kwenza kube lula ukunyakaza kwemisipha.
- Ilawula ukudikiza okungafuneki okuvamile kanye nokusabela ngokweqile.
- Kunciphisa ithoni yemisipha eningi kakhulu.
- Kunciphisa ukuqaqamba kwemisipha.
Kunesizathu esiyinhloko sokuthi kungani le ndlela isebenza kangcono kunamaphilisi omlomo. Uma uphuza umuthi ngomlomo, usakazeka emzimbeni wonke futhi ufinyelele emgogodleni. Ngakho-ke, kunemiphumela emibi eminingi njengokulala nobuthakathaka. Kodwa ngenxa yokuthi iphampu iletha umuthi ngqo endaweni lapho udingeka khona, ungathola umphumela omkhulu ngenani elincane kakhulu lomuthi . Ngakho-ke, imiphumela emibi nayo imbalwa kakhulu.
Isetshenziswa ngaziphi izimo le phampu?
Le ndlela isetshenziselwa ukwelapha ukuqina kwemisipha okukhulu (ukuqaqamba okukhulu) okubangelwa yizifo eziningana ezithinta ubuchopho noma umgogodla. Ezinye izibonelo yilezi:
- I-Multiple Sclerosis
- Ukulimala okukhulu komgogodla
- Ukukhubazeka kobuchopho
- Ukulimala kobuchopho okubuhlungu
- Isifo sohlangothi
Ngubani lo mpompo we-baclofen ofaneleka kakhulu?
Uma uqinile kakhulu emisipheni futhi imithi yomlomo ingasizi, udokotela wakho angase acabangele le phampu. Kodwa akuwona wonke umuntu ongakwazi ukuyifakelwa ngokushesha. Okokuqala, uzohlolwa ukuze kubonakale ukuthi ikufanele yini.
Lokhu kuhlolwa kuhilela ukujova okuncane emgogodleni wakho (umpompi womgogodla) bese kuthi inani elincane kakhulu le-baclofen lijovwe oketshezini oluzungeze umgogodla wakho. Ithimba lezokwelapha lizobe selikuqapha amahora amaningana. Lizobona ukuthi umthamo womuthi unciphisa kangakanani ukuqina kwemisipha yakho nokuthi uzizwa kanjani. Umphumela walo muthi ungowesikhashana, kodwa ulwazi olunikezayo lubaluleke kakhulu kudokotela ukuze anqume ukuthi uzofaka yini iphampu noma cha.
Ukuhlinzwa kwenziwa kanjani?
Uma sekunqunywe ukuthi ungumuntu ofanelekela ipompo, usuku lubekwe eceleni lokuhlinzwa. Lokhu kuvame ukwenziwa udokotela wezinzwa noma udokotela ochwepheshe ekulawuleni ubuhlungu.
Ngosuku lokuhlinzwa, uzolaliswa ngokuphelele . Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele. Udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Kwenziwa i-incision encane esikhumbeni sesisu sakho, lapho iphampu ifakwa khona ngaphansi kwesikhumba.
2. Bese kwenziwa omunye umsike omncane emhlane wakho ongezansi, bese kufakwa ingxenye yokugcina ye-catheter (ithubhu) emgogodleni wakho.
3. Okulandelayo, i-catheter ixhunywe kuphampu esiswini ngaphansi kwesikhumba.
4. Iphampu igcwele umuthi we-Baclofen odingekayo.
5. Usebenzisa ikhompyutha, uhlela iphampu ukuze ilethe imithi ngendlela oyifunayo.
Ukuhlinzwa konke kuvame ukuthatha cishe amahora amabili. Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Ngezinye izikhathi, ungase uthunyelwe futhi ukuze uthole ukwelashwa kokuvuselelwa ukuze kukusize ujwayele ipompo futhi uthole amandla emisipha ngaphambi kokuba uye ekhaya.
Ungayilawula futhi uyinakekele kanjani iphampu?
Kubaluleke kakhulu ukugcina iphampu kahle ngemva kokufakelwa.
- Ukugcwalisa kabusha: Umuthi osephampini uzophela ngokuhamba kwesikhathi. Ngokuvamile kanye ngenyanga kuya kanye njalo ezinyangeni eziyisithupha.Ngezikhathi ezithile, udinga ukugcwalisa kabusha ipompo yakho. Lokhu kuhilela ukuthi udokotela wakho afake umuthi endaweni ekhethekile esikhumbeni sakho (indawo yokugcwalisa kabusha) esebenzisa inaliti. Ukweqa lolu suku lokugcwalisa kabusha kungaba yingozi , njengoba kungabangela izimpawu ezinkulu zokuhoxa uma ungawutholi umuthi wakho.
- Ibhethri: Ibhethri lephampu livame ukuhlala iminyaka engaba ngu-6-7 . Iphampu izokhipha i-alamu lapho ibhethri selizophela. Bese kudingeka olunye ukuhlinzwa ukuze kususwe iphampu endala kufakwe entsha. Kodwa-ke, i-catheter (ithubhu) ayishintshiwe. Lokhu kuhlinzwa kwesibili kulula kakhulu kunokokuqala.
- Izinkinga: Uma kukhona ukwehluleka komshini noma ukuvaleka kwephampu noma i-catheter, kuzodingeka ilungiswe ngokuhlinzwa noma ishintshwe.
Uma usola ukuthi iphampu ayisebenzi kahle, shayela udokotela wakho ngokushesha .
Izinzuzo, izingozi, kanye nezinkinga zalokhu kwelashwa
Njenganoma yiluphi uhlobo lokwelashwa, kunezinzuzo kanye nezingozi ezithile. Ake sibheke kokubili.
| Inzuzo | Incazelo |
|---|---|
| Impumelelo ephezulu | Indlela ephumelela kakhulu yokulawula ukuqaqamba okukhulu kwemisipha. |
| Ukuhlinzekwa kwemithi okuqhubekayo | Ngenxa yokuthi umuthi unikezwa ngesikhathi esifanayo phakathi nosuku, ukuqina kwemisipha kulawulwa kahle. |
| Imiphumela emibi embalwa | Kunemiphumela emibi embalwa kakhulu (ukozela, ubuthakathaka) kunemithi ephuzwayo. |
| Umthamo olungisekayo | Ungahlela imithamo ehlukene yemithi ngezikhathi ezahlukene zosuku, kuye ngezidingo zakho. |
| Ingasuswa uma kudingeka. | Uma kudingeka ngesizathu esithile, ipompo kanye ne-catheter kungasuswa ngokuhlinzwa. |
Izinkinga Ezingaba Khona
- Okuhlobene nokuhlinzwa: ukutheleleka ngomthungo, ukopha, ukuphuka, ukuvuza koketshezi lomgogodla.
- Okuhlobene nephampu: Ukungasebenzi kahle kwephampu, ukuvaleka noma ukuphuma kwe-catheter, ukulimala kwesikhumba phezu kwephampu.
- Okuhlobene nemithi: Ukuhoxiswa noma Ukweqisa umthamo. Lezi zimo ezimbili zimbi kakhulu okufanele uziqaphele.
Umehluko phakathi kokuhoxa kanye nokweqisa izidakamizwa
Zombili lezi zimo zingaba yingozi, ngakho-ke kubaluleke kakhulu ukuqaphela izimpawu zazo zombili.
| Isici | Ukuhoxiswa kwe-Baclofen | Ukweqisa kwe-Baclofen |
|---|---|---|
| Imbangela | ||
| Kungani lokhu kwenzeka? | Ukuyeka ukulethwa kwemithi ngokuzumayo ngenxa yokuphelelwa yiphampu yemithi, ukuvaleka kwe-catheter, noma ukuphuka. | Imithi eminingi kakhulu engena emzimbeni ngenxa yephutha lokugcwalisa kabusha noma ukuhlela umuthi. |
| Izimpawu Eziyinhloko | ||
| Imisipha | Ukuqina okukhulu , ukushaya ngamandla, ukugoqa. | Ubuthakathaka obukhulu , ukungabi nampilo, ukungakwazi ukuhambisa imilenze. |
| Isikhumba | Ukulunywa okukhulu kwesikhumba ngaphandle kokulimala. | Akukho mehluko okhethekile. |
| Izinga lokushisa lomzimba | Ngizizwa nginomkhuhlane omncane. | Ukwehla kwezinga lokushisa lomzimba. |
| Ezinye izici | Ukujuluka okukhulu, isicanucanu, isiyezi. | Ukozela okukhulu, umfutho wegazi ophansi, ubunzima bokuphefumula . |
| Isimo esibi kakhulu | Ukuquleka. | Ukulahlekelwa ukwazi, ukuxhuzula. |
Isexwayiso: Uma kuvela noma yiziphi izimpawu ezibalwe kuthebula elingenhla, kuyisimo esiphuthumayo sezokwelapha . Ngaphandle kokulibala, thatha isiguli uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Kufanele ngimbone nini udokotela?
Uma ufakwe iphampu ye-baclofen, kufanele uhlale uxhumana nodokotela wakho njalo.
Shayela udokotela wakho kulezi zimo:
Uma ubona izimpawu zokutheleleka endaweni yokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Imfiva.
- Ubomvu nokuvuvukala kwesikhumba esizungeze ipompo noma indawo yokusikwa.
- Uketshezi noma ubomvu obuphuma ezinsikeni.
- Ubuhlungu kulezo zindawo.
Yiya ku-ETU ngokushesha kulezi zimo:
- Izimpawu zokuhoxa okukhulunywe ngazo kuthebula elingenhla.
- Izimpawu zokudlula ngokweqile okukhulunywe ngazo kuthebula elingenhla.
Zombili lezi zimo zingasongela impilo, ngakho-ke ukwelashwa okusheshayo kubalulekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Baclofen Pump iyindlela yokwelapha ethuthukisiwe yokuqina kwemisipha okukhulu (ukuqaqamba okukhulu) okungenakulawulwa ngemithi yomlomo.
- Ngenxa yokuthi lokhu kuletha umuthi ngqo emgogodleni, imiphumela emihle ingatholakala ngemithi embalwa kanye nemiphumela emibi embalwa.
- Kubalulekile ukugcwalisa ipompo ngesikhathi. Ukweqa lokhu kungaholela ezinkingeni eziyingozi zokuhoxa.
- Kubaluleke kakhulu ukuqaphela izimpawu zokuhoxa kanye nokweqisa izidakamizwa. Lezi yizimo eziphuthumayo zezokwelapha.
- Uma unemibuzo noma ukukhathazeka mayelana nephampu yakho noma izimpawu ozizwayo, xhumana nodokotela wakho ngokushesha.
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