Ingabe ngezinye izikhathi uba nobuhlungu bomhlane obungabekezeleleki, ubuhlungu bedolo, noma ikhanda elibuhlungu elingapheli? Ezinye izinhlungu azipheli ngemithi, akunjalo? Namuhla sizokhuluma ngendlela yokwelapha ekhethekile esetshenziswa odokotela ezimweni ezinjalo. Lokhu kubizwa ngokuthi i-nerve block.
Kalula nje, kuyini ukuvimba kwemizwa?
Cabanga ngemizwa emizimbeni yethu njengezintambo. Lezi zintambo zithwala imiyalezo esuka ebuchosheni bethu iye kwezinye izingxenye zomzimba wethu, futhi zisuka ezingxenyeni zomzimba wethu ziye ebuchosheni bethu. Konke okuzwayo, njengobuhlungu nokuthinta, kanye nokunyakaza kwezitho zakho nokuphefumula, kulawulwa yile miyalezo.
I -nerve block umuthi ojovwa eduze kwe-nerve ethile noma iqembu le-nerve elibangela ubuhlungu. Lokhu "kuvimba" okwesikhashana umyalezo wobuhlungu ukuthi ungangeni ebuchosheni, njengokuvala umgwaqo isikhashana. Lo mjovo uhlanganiswa ne-anesthetic yendawo futhi ngezinye izikhathi umuthi wokunciphisa ukuvuvukala. Lokhu kunikeza ne-nerves eyonakaliswe ukuvuvukala ithuba lokuphola.
Nakuba imiphumela yalokhu izwakala ngokushesha, ngokuvamile kuyisisombululo sesikhashana. Abanye abantu bathola impumuzo ngomjovo owodwa, kanti abanye badinga eziningana. Ngezinye izikhathi kungase kungabi namphumela nhlobo. Kuleso simo, kufanele kufunwe ezinye izindlela zokwelapha.
Yiziphi izizathu zokuvinjwa kwemizwa?
Ukuvimba kwemizwa kwenziwa ngezinhloso ezintathu eziyinhloko. Ukuze kube lula ukukuqonda, ake sikubheke ngale ndlela.
| Inhloso yokwelashwa | Kalula nje... |
|---|---|
| Njengokwelashwa (Okwelaphayo) | Kunikeza impumuzo yesikhashana ebuhlungwini obukhulu noma obungapheli. Lokhu kunciphisa ukuvuvukala kwemizwa, kusize ukuthi iphole futhi kunciphise ubuhlungu. |
| Ukuze kutholakale ukuxilongwa (Ukuxilonga) | Cabanga ukuthi uzwa ubuhlungu ndawana thize, kodwa udokotela...Akucaci ukuthi ubuhlungu buvelaphi. Ngemuva kwalokho uzovimba imizwa kumthambo osolwayo. Uma ubuhlungu buphela ngemva kokujova, lokho kusho ukuthi inkinga ikulowo mthambo. Uma ubuhlungu bungapheli, imbangela ikwenye indawo. Lokhu kuzokwenza kube lula ngodokotela ukuhlela ukwelashwa kwakho okulandelayo. |
| Njenge-anesthetic | Le ndlela isetshenziswa ukulawula ubuhlungu ngaphambi nangemva kokuhlinzwa. Inikezwa kanye ne-anesthesia ejwayelekile yokuhlinzwa okukhulu. Ekuhlinzweni okuncane esandleni (isibonelo, ukuhlinzwa komhubhe we-carpal), kungasetshenziswa i-nerve block esikhundleni se-anesthesia ejwayelekile. |
Yiziphi izinhlobo zama-nerve blocks ezikhona?
Njengoba kunamakhulu ezinzwa ezinkulu emzimbeni wethu, kunezinhlobo eziningi zezithiyo zezinzwa. Ake sibheke ezimbalwa zezinhlobo ezivame ukusetshenziswa.
- Ukuvinjwa kwemizwa ye-Celiac plexus: Lokhu kwenziwa eqenjini lemizwa esiswini esingaphezulu, ngemuva kwe-pancreas. Kusiza ekunciphiseni ubuhlungu obubangelwa umdlavuza we-pancreatic noma i-pancreatitis engapheli.
- Ukuvinjelwa kwemizwa ye-Epidural: Cishe uke wezwa ngalokhu ngaphambili. Kudumile ngokunciphisa ubuhlungu ngesikhathi sokubeletha. Kodwa futhi kusetshenziselwa ukuhlinzwa. Kusebenza ngokuqeda izinhlungu endaweni eyodwa yomzimba, njengemilenze noma isisu.
- Ukuvinjwa kwemizwa ye-genicular: Lokhu kwenziwa emithanjeni ezungeze idolo. Kunikeza impumuzo ebuhlungwini obungapheli bedolo kanye nobuhlungu obukhulu bedolo ngemva kokuhlinzwa.
- Ukuvinjelwa kwemizwa ye-Intercostal: Le mizwa itholakala ngaphansi kwezimbambo zakho. Lokhu kungasiza ekuhlinzekeni impumuzo yesikhashana ebuhlungwini obubangelwa ukuphuka kwezimbambo futhi kusize ekuxilongeni nasekuphatheni ubuhlungu bemizwa (neuralgia).
- I-Lumbar sympathetic nerve block: Lezi zinzwa zitholakala kuzo zombili izinhlangothi zomgogodla, emhlane ongezansi. Lokhu kunikeza impumuzo ebuhlungwini bomhlane nomlenze, isibonelo, i-sciatica.
- Ukuvinjwa kwemizwa ye-Occipital: Le mizwa itholakala ngemuva kwekhanda lakho. Le mizwa, eqala emhlane wentamo yakho, yelapha uhlobo lwekhanda elibizwa ngokuthi i-occipital neuralgia. Ingasiza futhi ekulawuleni i-migraines enzima.
- Ukuvinjelwa kwemizwa ye-trigeminal:Lezi zinzwa zitholakala ezinhlangothini zombili zobuso bakho. Zisetshenziselwa ukwelapha izinhlobo ezahlukene zobuhlungu bobuso, ikakhulukazi isimo esibizwa ngokuthi i-trigeminal neuralgia.
Lokhu kusebenza kanjani ngaphakathi emzimbeni?
Ukuze siqonde ukuthi lokhu kusebenza kanjani, ake siqale sibheke ukuthi imizimba yethu izwa kanjani ubuhlungu.
1. Izinzwa zethu zinezitho ezikhethekile ezibizwa ngokuthi ama-nociceptors. Lezi zifana nabalindi abaqaphile. Zisebenza ngokushesha uma umzimba wonakele noma ulimele.
2. Ngesikhathi esifanayo, laba balindi bathumela izimpawu ezibaluleke kakhulu ebuchosheni, bethi, "Kunenkinga lapha!" Lokhu akuzona izinhlungu ngokwazo, kufana nomyalezo othunyelwe ngolimi olubhalwe ngekhodi.
3. Ubuchopho buthola lezi zimpawu, buqonde leyo khodi, bese buyihumusha ibe umuzwa "wobuhlungu."
Lokho okwenziwa yi-anesthetic ekuvalweni kwemizwa ukuvimba amangqamuzana ezinzwa ukuthi angathumeli imiyalezo ebhalwe phansi. Okusho ukuthi, ivimba umyalezo phakathi nendawo. Ngemuva kwalokho, ngenxa yokuthi umyalezo mayelana nobuhlungu awufiki ebuchosheni, awuzizwa ubuhlungu.
Ngezinye izikhathi, ukuvuvukala okwenzeka ngenxa yokulimala kungahlala isikhathi eside. Lokho kungabangela nobuhlungu obuqhubekayo. Imithi evimba imizwa inciphisa lokho kuvuvukala futhi inike imizwa isikhathi sokuphulukiswa. Lokho kunganciphisa nobuhlungu.
Ulungiselela kanjani ukuvimba kwemizwa? Kwenzekani ngesikhathi nangemva kokuqeda?
Ake sibheke le nqubo isinyathelo ngesinyathelo.
Ngaphambi kokwelashwa...
Ngokuvamile, ukuvaleka kwemizwa akudingi ukulungiselela okuningi. Kodwa-ke, ngezinye izikhathi udokotela angase anqume ukukunika umuthi wokukwenza uzizwe ulula (ukupholisa). Uma lokhu kwenzeka, uzocelwa ukuba uzile ukudla cishe amahora angu-6-8. Futhi, kubalulekile ukuthi othile akuyise ekhaya ngemva kokwelashwa. Kodwa-ke, udokotela wakho uzokuchazela konke lokhu kusengaphambili. Landela leyo miyalelo ngqo. Ungesabi ukubuza uma unemibuzo.
Ngesikhathi sokwelashwa...
Lokhu kuvame ukwenziwa uma ulaliswa esibhedlela. Lokhu kusho ukuthi akudingeki uhlale esibhedlela futhi ungaya ekhaya ngokushesha ngemva kokwelashwa.
- Okokuqala, uzocelwa ukuba ulale endaweni ethile etafuleni lokuhlolwa ukuze kube lula ngodokotela ukukunika umjovo.
- Ungase unikezwe umuthi ngentambo ye-IV engalweni yakho ukuze uzizwe ukhululekile kakhudlwana.
- Indawo yokujova ihlanzwa ngesisombululo sokubulala amagciwane.
- Ngemuva kwalokho, kunikezwa umjovo omncane we-anesthetic yendawo ukuze kuncishiswe indawo lapho kuzovinjelwa khona imizwa. Ungase uzizwe umuzwa omncane wokuhlaba njengoba inalithi ingena.
- Okulandelayo, udokotela usebenzisa ubuchwepheshe obufana ne -ultrasound noma i-X-ray ukuthola indawo eqondile yokujova umuthi wokugoma.
- Ngemuva kwalokho, umuthi ufakwa eduze ngangokunokwenzeka ne-nerve okukhulunywa ngayo.
- Ngemva kokwelashwa, uzotshelwa ukuthi uphumule isikhashana kuze kube yilapho umuthi uqala ukusebenza.
Ngemva kokwelashwa...
Kuzodingeka uphumule cishe imizuzu eyi-15-30 ngemva komjovo. Phakathi nalesi sikhathi, abasebenzi bezokwelapha bazokuqapha imiphumela emibi engavamile. Uma konke kuhamba kahle, uzovunyelwa ukuya ekhaya.
Yiziphi izinzuzo nezingozi zalokhu?
Izinzuzo
- Ukuqeda ubuhlungu okwesikhashana noma ngezinye izikhathi unomphela, okukuvumela ukuthi wenze imisebenzi yakho yansuku zonke kalula.
- Ukuvuvukala kwenzwa ethintekile kuyancishiswa, okusiza ukuthi ilulame.
- Ukusiza ukuthola imbangela ethile yobuhlungu (ukuxilongwa).
Into ebalulekile ukuthi akuwona wonke umuntu othola ukukhululeka ebuhlungwini ngenxa yokuvinjelwa kwemizwa. Ngezinye izikhathi, kungase kudingeke kucatshangelwe ezinye izindlela zokwelapha.
Izingozi Nezinkinga
Ingozi yezinkinga ezibangelwa ukuvinjelwa kwemizwa iphansi kakhulu , kodwa kubalulekile ukuqaphela.
- Ukutheleleka endaweni yokujova.
- Ukopha okuvela endaweni yomjovo.
- Ukufakwa kwemithi ngengozi emthanjeni wegazi.
- Umuthi usakazeka ngokungalindelekile uye kwezinye izinzwa noma ungene emgogodleni.
Uhlobo ngalunye lokuvinjwa kwemizwa lungaba nezingozi ezahlukene, ngakho qiniseka ukuthi uxoxa ngezinzuzo nezingozi zokuvinjwa kwemizwa okucabangayo nodokotela wakho.
Lokhu kuqeda ubuhlungu kuzothatha isikhathi esingakanani?
Lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Abanye abantu bangase bahlale izinsuku ezimbalwa bengenabuhlungu. Abanye bangase babe namasonto, izinyanga, noma ngisho neminyaka yokukhululeka. Abanye abantu bangase bathole impumuzo ngomjovo owodwa nje, kanti abanye bangadinga ukwelashwa okuningana. Abanye bangase bangatholi impumuzo nhlobo.
Udinga isikhathi esingakanani ukukhuluma nodokotela?
Uma uthola izimpawu ezintsha ngemva kokwelashwa, njengokutheleleka (ukubomvu, ukuvuvukala, ubomvu) endaweni yokujova, ukuvuvukala, ubuhlungu obukhulu, ukungazweli, noma ubuthakathaka, yazisa udokotela wakho ngokushesha ngaphandle kokulibala.
Ukuvimba kwemizwa kuyindlela enhle yokwelapha izimo ezahlukahlukene zobuhlungu, kodwa imiphumela iyahlukahluka kumuntu nomuntu. Uma unemibuzo noma ukukhathazeka mayelana nalo mjovo, khuluma nodokotela wakho. Uzokwazi ukuphendula yonke imibuzo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvimba kwemizwa kuyindlela yokulawula ubuhlungu ngokufaka umuthi eduze kwemizwa ebangela ubuhlungu.
- Isetshenziswa njengokwelapha ubuhlungu, ukuthola imbangela yobuhlungu, kanye nomuthi wokubulala izinzwa ngesikhathi sokuhlinzwa.
- Imiphumela kanye nobude bokuqeda ubuhlungu kungahlukahluka kumuntu nomuntu.
- Njengakuzo zonke izindlela zokwelapha, kunezinzuzo ezithile kanye nezingozi ezincane kakhulu. Xoxa ngalokhu ngokucophelela nodokotela wakho ngaphambi kokwelashwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment