Ngezinye izikhathi siba nobuhlungu obungapheli kungakhathaliseki ukuthi senzani noma sithatha umuthi. Mhlawumbe ubuhlungu bomhlane, ubuhlungu bamadolo, noma ubuhlungu obukhulu ohlangothini olulodwa lwekhanda. Yilabo kuphela abahlushwa lolu hlobo lobuhlungu obungapheli abaziyo ukuthi kunzima kangakanani ukuphila nabo. Ngakho-ke, namuhla sizokhuluma ngendlela yokwelapha ekhethekile esetshenziswa odokotela ukulawula lolu hlobo lobuhlungu. Lokho kubizwa ngokuthi 'i-Nerve Block' .
Kalula nje, kuyini ukuvimba kwemizwa?
Cabanga ngemizwa emizimbeni yethu njengezintambo. Lemizwa ithwala imiyalezo esuka ebuchosheni iye kwezinye izingxenye zomzimba, futhi isuka kulezo zingxenye ibuyele ebuchosheni. Konke esikuzwayo, esikunyakazayo, esikuphefumulayo, nesijulukayo kulawulwa yile miyalezo. Ubuhlungu bungomunye wemiyalezo enjalo.
Ukuvimba kwemizwa umuthi ofakwa emgodleni wemizwa noma wemizwa lapho kuzwakala khona ubuhlungu. Lokhu kuvimbela okwesikhashana umyalezo wobuhlungu ukuthi ungangeni ebuchosheni. Kufana nokunqamula ucingo phakathi nesikhathi.
Ngezinye izikhathi, umuthi wokuqeda izinhlungu kanye nomuthi wokulwa nokuvuvukala uyafakwa kulo mjovo. Lokhu kusiza ukunciphisa ukuvuvukala emsipheni futhi kunikeza umthambo owonakele ithuba lokuphulukiswa. Ukukhululeka kulokhu kungokwesikhashana. Abanye abantu bathola impumuzo ngomjovo owodwa nje, kanti abanye kudingeka bawuthole izikhathi eziningana. Kodwa-ke, abanye abantu bangase bangatholi impumuzo kulokhu. Kuleso simo, kungase kudingeke ezinye izindlela zokwelapha.
Yiziphi izizathu zokuvinjwa kwemizwa?
Kunezinjongo ezintathu eziyinhloko zokusebenzisa i-nerve block.
1. Njengokwelapha ubuhlungu (Therapeutic Nerve Blocks): Lesi yisona sizathu esivame kakhulu sokusetshenziswa kwayo. Isetshenziselwa ukunikeza impumuzo yesikhashana ebuhlungwini obungaba bubukhali noma obungamahlalakhona. Isibonelo, ingasetshenziswa ezinhlungwini ezinkulu zomhlane noma edolweni.
2. Ukuvinjwa Kwezinzwa Zokuxilonga: Ake uzicabange usezinhlungwini, kodwa udokotela wakho akakwazi ukukhomba ukuthi ubuhlungu buvelaphi. Uzobe esekwenza ukuvimba kwezinzwa okuqondiswe emsipheni okusolwayo. Uma ubuhlungu bakho buphela ngemva kokujova, kuqinisekisa ukuthi inkinga ikulowo msipheni. Uma ubuhlungu bungapheli, kungase kusho ukuthi inkinga ikwenye indawo. Lokhu kungaba usizo olukhulu ekuhleleni ukwelashwa kwesikhathi esizayo.
3. Nge-anesthesia (I-Anesthetic Nerve Blocks): Odokotela be-anesthesia basebenzisa le ndlela ukulawula ubuhlungu ngemva kokuhlinzwa. Ekuhlinzeni okukhulu, lokhu kunikezwa ngaphezu kwe-anesthesia ejwayelekile. Kwezinye izinhlinzeko ezincane, njengokuhlinzwa komhubhe we-carpal esandleni, kungasetshenziswa i-nerve block esikhundleni se-anesthesia ejwayelekile.
Yiziphi izinhlobo zama-nerve blocks ezikhona?
Njengoba imizimba yethu inamakhulu ezinzwa, kunezinhlobo eziningi zezithiyo zezinzwa. Lezi ngezinye zezindlela ezisetshenziswa kakhulu.
| Uhlobo lokuvinjelwa kwemizwa | Ukusetshenziswa kanye nencazelo |
|---|---|
| I-Epidural (Ukuvinjwa Kwezinzwa Ze-Epidural) | Uhlobo abantu abaningi abake bezwa ngalo. Lusetshenziswa ukunciphisa ubuhlungu ngesikhathi sokubeletha. Lo mjovo, onikezwa emhlane, uqeda izinhlungu ezindaweni ezifana nemilenze nesisu futhi unciphise ubuhlungu. |
| Ibhloko Lozwela LaseLumbar | Inikeza impumuzo ebuhlungwini obuphansi emhlane nasemilenzeni (isib. i-sciatica, i-CRPS). Ihlasela imizwa ezinhlangothini zombili zomgogodla. |
| Ukuvinjwa Kwezinzwa Zesitho Sangasese Sobulili | Iqondisa imizwa ezungeze idolo. Inikeza impumuzo ebuhlungwini bedolo besikhathi eside kanye nobuhlungu ngemva kokuhlinzwa kwedolo. |
| Ukuvinjelwa Kwezinzwa Ze-Occipital | Ihlasela imizwa engemuva kwekhanda futhi isetshenziswa njengokwelapha i-occipital neuralgia kanye nezinye izinhloko zekhanda ezinzima. |
| Ukuvinjwa Kwezinzwa Ze-Trigeminal | Ihlasela imizwa ezinhlangothini zombili zobuso. Isetshenziselwa ukwelapha ubuhlungu obukhulu bobuso (i-trigeminal neuralgia). |
| Ibhloko le-Celiac Plexus | Ihlasela i-nerve bundle ngemuva kwe-pancreas esiswini esingaphezulu. Iqeda ubuhlungu obubangelwa umdlavuza we-pancreatic noma ukuvuvukala kwesikhathi eside kwe-pancreas (i-pancreatitis engapheli). |
Lokhu kwelashwa kusebenza kanjani?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngendlela imizimba yethu ezwa ngayo ubuhlungu.
Emaphethelweni ezinzwa zethu kukhona ama-receptor akhethekile. Lawa afana nezinzwa ezincane. Uma kukhona ukulimala noma umonakalo noma kuphi emzimbeni, lawa ma-sensor athumela isignali kagesi esheshayo ebuchosheni ethi, "Kunenkinga lapha!"
Lesi siginali asibuhlungu ngqo. Sifana kakhulu nekhodi. Ubuchopho buyamukela lesi siginali bese buchaza leyo khodi, okusenza sizizwe umuzwa "wobuhlungu."
Amaphilisi okuqeda ubuhlungu avimbe imizwa avimba izimpawu zikagesi ukuthi zingathunyelwa noma zamukelwe. Okusho ukuthi, avimba umlayezo osuka endaweni yenkinga uye ebuchosheni. Ngemuva kwalokho ubuchopho abuwutholi umlayezo mayelana nobuhlungu, ngakho asizizwa ubuhlungu.
Into ebalulekile ukuthi akubona bonke abantu abathola imiphumela efanayo ngenxa yokuvaleka kwemizwa. Kuyahlukahluka kuye ngomuntu nomuntu.
Uzilungiselela kanjani ngaphambi kokuvinjelwa kwemizwa?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kodwa-ke, ngezinye izikhathi udokotela wakho angase anqume ukukunikeza umuthi wokudambisa umzimba olula (i-sedation). Uma kunjalo, uzocelwa ukuba uzile ukudla amahora angu-6-8 ngaphambi kokwelashwa. Uzodinga futhi umuntu ozokushayela ekhaya ngemva kokwelashwa.
Kodwa-ke, udokotela wakho uzokunikeza yonke imiyalelo oyidingayo. Landela leyo miyalelo ngqo. Ungesabi ukubuza uma unemibuzo.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kuvame ukwenziwa endaweni yokwelapha ngaphandle ukuze ukwazi ukuya ekhaya ngaphandle kokulala esibhedlela. Nakuba kunezinhlobo eziningi zokuvimba imizwa, lezi ngezinye zezifo ezivame kakhulu.
- Okokuqala, uzobekwa endaweni ethile etafuleni lokuhlolwa ukuze kube lula ngodokotela ukukunikeza umjovo.
- Ukuze kukusize uphumule, ungase unikezwe umuthi wokudambisa omncane nge-cannula efakwe emthanjeni engalweni yakho (umugqa we-IV).
- Ngemuva kwalokho, indawo yokujova ihlanzwa ngesisombululo sokubulala amagciwane.
- Ngaphambi kokuba kuvinjwe imizwa, kunikezwa umjovo omncane (i-local anesthetic) ukuze kuqede ukuvuvukala kwendawo. Ngaleso sikhathi, ungase uzizwe umuzwa omncane wokuhlaba.
- Udokotela angasebenzisa ubuchwepheshe obufana ne -ultrasound noma i-X-ray ukuthola indawo efanele yokufaka umjovo.
- Ngemuva kwalokho, umuthi ufakwa eduze ngangokunokwenzeka ne-nerve okukhulunywa ngayo.
- Ngemva kokwelashwa, uzocelwa ukuba uphumule cishe imizuzu eyi-15-30 kuze kube yilapho umuthi uqala ukusebenza.
Yiziphi izinzuzo nezingozi zokuvinjelwa kwemizwa?
Izinzuzo
- Inikeza impumuzo yesikhashana noma ehlala njalo ebuhlungwini , okwenza kube lula ukwenza imisebenzi yansuku zonke.
- Ukuvuvukala kwemizwa kuyancipha , okunikeza imizwa ithuba lokuphola.
- Kuyasiza ukuhlonza ngokunembile imbangela yobuhlungu.
Izingozi
Izinkinga ezivela ekuvinjweni kwemizwa azivamile. Futhi, uhlobo ngalunye lunezingozi zalo ezihlukile. Kodwa nansi ezinye zezingozi ezivamile.
- Ukutheleleka endaweni yokujova.
- Ukopha okuvela endaweni yomjovo.
- Ukufakwa ngengozi kwemithi emthanjeni wegazi .
- Umuthi usakazeka ngokungalindelekile kwezinye izinzwa noma emgogodleni.
Ngakho-ke, ngaphambi kokwelashwa, xoxa ngokucophelela nodokotela wakho ngohlobo lokuvinjelwa kwezinzwa ozoba nalo, kanye nezinzuzo nezingozi zako.
Kunini lapho udinga ukukhuluma nodokotela?
Ngemva kokwelashwa, uma uba nanoma yiziphi izimpawu ezintsha ezifana nezimpawu zokutheleleka (ubomvu, ukuvuvukala, umkhuhlane), ukuvuvukala, ukucasuka okungavamile noma ubuthakathaka endaweni yokujova , shayela udokotela wakho ngokushesha . Uma kwenzeka isimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ukuvinjwa kwemizwa kuyindlela enhle yokwelapha izimo ezahlukahlukene ezibuhlungu. Kodwa-ke, imiphumela ingahluka kakhulu kumuntu nomuntu. Uma unemibuzo noma ukukhathazeka mayelana nalo mjovo, ungangabazi ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvimba kwemizwa kuyindlela yokwelapha evimba okwesikhashana izimpawu zobuhlungu ukuthi zingafiki ebuchosheni ngokufaka umuthi eduze kwemizwa ebangela ubuhlungu.
- Isetshenziselwa ukuqeda ubuhlungu, ukuxilonga izifo, kanye nokwelapha izinhlungu zokuhlinzwa.
- Kunezinhlobo ezahlukene, njenge-epidurals, imijovo yobuhlungu bomhlane, imijovo yobuhlungu bedolo, njll.
- Ukukhululeka kulokhu kungahlala kusukela ezinsukwini ezimbalwa kuya ezinyangeni eziningana noma ngaphezulu, kodwa imiphumela iyahlukahluka kuye ngomuntu.
- Njengakuzo zonke izindlela zokwelapha, kunezingozi ezincane. Xoxa ngalokhu nodokotela wakho ngaphambi kokwelashwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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