Ingabe ngezinye izikhathi uzizwa ubuhlungu emilenzeni, kungakhathaliseki ukuthi uthatha imithi noma ukwelashwa okungakanani? Noma unesifo esifana nesifo sikashukela esenza kube nzima ukuthwala ubuhlungu nokuvuvukala emilenzeni yakho? Udokotela wakho kungenzeka ukuthi ukutshelile nge-'Lumbar Sympathetic Block'. Nakuba igama lingase lizwakale liyesabeka futhi liyinkimbinkimbi, empeleni liyinqubo yezokwelapha elula nephephile eletha impumuzo kubantu abaningi. Ake sixoxe ngakho konke ngendlela elula kakhulu namuhla.
Iyini ngempela i-Lumbar Sympathetic Block?
Kalula nje, lokhu kuwumjovo okhethekile onikezwa emhlane wakho ongezansi. Uvimba okwesikhashana izimpawu zobuhlungu ukuthi zingayi emilenzeni nasezinyaweni zakho. Ngezinye izikhathi, kunezelwa imithi emjovweni ukusiza imizwa eyonakele ukuthi iphole.
Cabanga ngemizwa emizimbeni yethu njengenethiwekhi yezintambo zikagesi ezigijima emizimbeni yethu yonke. Lezi zintambo zithwala izimpawu phakathi kobuchopho nomzimba wonke. Lezi zimpawu yizo ezisivumela ukuba sizwe ubuhlungu, ukuthinta, kanye nokusebenza kwemisipha.
Ingxenye ekhethekile yalesi simiso sezinzwa ibizwa ngokuthi imizwa ethi ‘sympathetic’. Le mizwa ilawula izinto ezenzeka emzimbeni wethu ngaphandle kokuqaphela, isibonelo, ukuphefumula, ukujuluka, kanye nomfutho wegazi. Kodwa ngezinye izikhathi, ngemva kohlobo oluthile lwengozi, le mizwa ethi ‘sympathetic’ iqala ukuthumela izimpawu zobuhlungu ngendlela engafanele.
Imizwa ye-'Lumbar sympathetic' itholakala engxenyeni engezansi yomgogodla wethu, phambi nje kwamathambo omgogodla. Ngakho-ke lo mjovo we-'Lumbar Sympathetic Block' uhlose lawo mathambo. Ungawavimba ekuthumeleni izimpawu zobuhlungu ezingadingekile.
Lolu hlobo lwezinto lusetshenziselwani leli bhulokhi?
Lo muthi wokugomela usetshenziselwa izinjongo ezintathu eziyinhloko.
| Inhloso | Incazelo elula |
|---|---|
| Ukuqeda ubuhlungu | Kunikeza impumuzo yesikhashana ebuhlungwini obukhulu noma obungapheli. Lo mjovo unganciphisa ukuvuvukala kwemizwa futhi uyisize ilulame. |
| Thola imbangela yobuhlungu. | Uma uzwa ubuhlungu, kodwa udokotela wakho engakwazi ukuthola imbangela eqondile, lo mjovo usetshenziswa njengesivivinyo. Uma ubuhlungu buncipha ngemva komjovo, kusho ukuthi inkinga ikulezo zinzwa. Uma ubuhlungu buncipha, imbangela ingase ibe kwenye indawo. |
| Ukulawula ubuhlungu ngaphambi kokuhlinzwa | Lo mjovo unikezwa ngaphambi nangemva kokuhlinzwa ukuze kulawulwe ubuhlungu. |
Izimo okunconywa ngazo lokhu kwelashwa
Uma unezinye zezimo ezilandelayo ezithinta imilenze noma amathe akho, udokotela wakho angase akuncome lokhu kwelashwa.
- I-Complex Regional Pain Syndrome (CRPS): Isimo sobuhlungu obungapheli nobunzima kakhulu obuvela ngemva kwengozi.
- Ubuhlungu Bezitho Ezingavamile: Ukuzwa ubuhlungu okuqhubekayo emlenzeni noma engalweni enqunywe ngokuhlinzwa.
- I-Hyperhidrosis: Ukujuluka okukhulu kwezandla nezinyawo.
- I-Neuropathy Ehlobene Nesifo Sikashukela: Ukuvuvukala, ukungazweli, kanye nobuhlungu obubangelwa ukulimala kwemizwa emilenzeni ngenxa yesifo sikashukela.
- I-Postherpetic Neuralgia: Ubuhlungu bemizwa obuvela ngemva kokutheleleka yi-herpes (igciwane elifanayo elibangela i-chickenpox).
- Isifo sikaRaynaud: Isimo lapho ukugeleza kwegazi kuya eminweni kwehla khona, okubangela ukushintsha kombala nobuhlungu lapho kuvezwa emakhazeni.
- Ubuhlungu bomdlavuza.
- Ubuhlungu bemithambo yegazi.
Ingabe ngidinga ukulungiselela lo mjovo kusengaphambili?
Esikhathini esiningi, lokhu akudingi noma yikuphi ukulungiselela okukhethekile.
Kodwa-ke, kwezinye izimo, udokotela angase anqume ukukufaka esimweni sokozela (ukupholisa). Uma kunjalo, uzocelwa ukuba uzile ukudla cishe amahora angu-6-8 . Futhi, kubalulekile ukuthi othile akuyise ekhaya ngemva kwenqubo.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Uma unemibuzo, ungangabazi ukuyibuza.
Inqubo yenzeka kanjani?
Lokhu kuvame ukwenziwa emtholampilo wangaphandle, ngaphandle kokuhlala esibhedlela. Lezi yizinyathelo ezivame ukwenzeka:
- Uzolaliswa ngesisu sakho etafuleni elikhethekile.
- Ungase unikezwe umuthi wokudambisa ukuze uphumule, ngokusebenzisa umugqa we-IV engalweni yakho.
- Udokotela uzohlanza indawo yomjovo kahle ngesisombululo se-antiseptic.
- Bese kuba khona omunye umjovo omncane ukuze kuncishiswe indawo. Kuleli qophelo, ungase uzizwe umuzwa omncane wokuhlaba lapho inalithi ishaya.
- Okulandelayo, ngenkathi ebuka izithombe emshinini we-X-ray (i-X-ray imaging), udokotela ufaka inaliti encane ngokucophelela ohlangothini lomgogodla.
- Ukuze uqiniseke ukuthi umuthi uya endaweni efanele, kungadingeka ukuthi ufake i-'contrast dye' ekhethekile.
- Ekugcineni, kunikezwa umjovo we-steroid ukunciphisa ubuhlungu nokuvuvukala.
Le nqubo yonke ivame ukuthatha imizuzu engaphansi kwengu-30 .
Kwenzekani ngemva komjovo?
Ngemva kwenqubo, ungase uzizwe umuzwa ofudumele noma "ohlukile" emlenzeni wakho nasemhlane ongezansi. Uzophawula nokuthi ubuhlungu buyancipha kancane kancane. Ungakhathazeki uma umlenze wakho uzizwa ungaphilile noma ungenampilo, njengoba lokhu kuzophela ngokuphelele uma imithi yobuhlungu isiphelile.
Ungadla futhi uphuze imithi yakho njengenjwayelo. Kodwa gwema imisebenzi enzima, ukuphakamisa izinsimbi, noma ukuzivocavoca amahora angama-24. Yehlisa umoya. Ungaqhubeka nemisebenzi yakho evamile ngosuku olulandelayo.
Izinzuzo kanye nemiphumela emibi engaba khona yalokhu
Izinzuzo
- Ubuhlungu buphelile okwesikhashana, futhi imisebenzi yansuku zonke ingenziwa kalula.
- Kunciphisa ukuvuvukala kwemizwa okubangela ubuhlungu futhi kuyasiza ukuthi ilulame.
- Kusiza udokotela ukuthola imbangela eqondile yobuhlungu.
Kodwa-ke, kubalulekile ukukhumbula ukuthi akuwona wonke umuntu ozozwa ukukhululeka ebuhlungwini ngenxa yalo mjovo. Uma lokhu kwenzeka, udokotela wakho uzosikisela ezinye izindlela zokwelapha.
Imiphumela emibi kanye nezinkinga
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile, kodwa izinkinga ezinkulu azivamile kakhulu.
| Umphumela | Incazelo |
|---|---|
| Imiphumela emincane evame ukubonwa | |
| Ukuphuka | Kungase kuvele ukuphuka okuncane lapho kujovwe khona. |
| Ukuvuvukala | Ukuvuvukala okuncane kuleyo ndawo. |
| Ubuhlungu | Kuzoba nobuhlungu obuncane kuleyo ndawo izinsuku ezimbalwa. |
| Imiphumela emibi engavamile | |
| Ukopha | Ukopha okuncane okuvela endaweni yomjovo. |
| Isiyezi | Umuzwa wesikhashana wesiyezi . |
| Ikhanda elibuhlungu | Ikhanda elincane. |
| Izinkinga ezinkulu ezingavela kaningi kakhulu | |
| Ukutheleleka | Ukutheleleka endaweni lapho inaliti ifakwe khona. |
| Eminye imonakalo | Ukulimala ngengozi emthanjeni wegazi, emthanjeni we-lymph, ezinso, noma kwesinye isitho. |
| Isifo sikaHorner | Isimo esingavamile kakhulu esibangela izinguquko esweni. |
Lokhu kuqeda ubuhlungu kuzothatha isikhathi esingakanani?
Lona umbuzo obuzwa abantu abaningi. Kodwa ayikho impendulo eyodwa kuwo. Uhlukahluka kakhulu kumuntu nomuntu.
Kwabanye abantu, ubuhlungu buyaphela ngokushesha nje lapho umjovo usunikeziwe. Kodwa-ke, ubuhlungu bungabuya lapho umuthi wokuqeda ubuhlungu uphela. Ukuphumula kwesikhathi eside kuqala ngemva kokuba i-steroid isiqalile ukusebenza, okuyiminyaka emibili kuya kwezintathu. Kwabanye, lokhu kuphumula kuhlala izinsuku ezimbalwa, kwabanye kuhlala amasonto.
Ezimweni eziningi, ukuze ulondoloze ukukhululeka, kuzodingeka uthathe imijovo eminingana yale mithi isikhathi esithile. Ngezinye izikhathi emibili inganela, ngezinye izikhathi ingaphezu kweyishumi. Lokho kuzonqunywa udokotela wakho.
Ngingashayela nini udokotela ucingo?
Lokhu kubaluleke kakhulu. Uma uthola izimpawu ezintsha ngemva komjovo, noma uma uthola noma yiziphi izinkinga (isibonelo, izimpawu zokutheleleka njengobomvu, ukuvuvukala, noma umkhuhlane endaweni yomjovo, noma izinguquko emizweni yakho njengokungazweli noma ukuqaqamba emilenzeni yakho), shayela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Lumbar Sympathetic Block iwumjovo okhethekile ofakwa emhlane ongezansi. Isetshenziselwa ukwelapha izimo ezithile zobuhlungu, ikakhulukazi emilenzeni nasemhlane ongezansi.
- Lokhu akugcini nje ngokuqeda ubuhlungu, kodwa futhi kusiza ekutholeni imbangela yobuhlungu.
- Le nqubo ivame ukushesha (ngaphansi kwemizuzu engama-30) futhi iphephile.
- Imiphumela iyahlukahluka kumuntu nomuntu. Abanye abantu bangadinga imijovo eminingi ukuze bathole impumuzo ehlala isikhathi eside.
- Into ebaluleke kakhulu ukuzizwa ukhululekile ukuxoxa nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza onakho ngalokhu nodokotela wakho. Uzokuchazela konke.
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