Ingabe ngezinye izikhathi uphathwa yikhanda elizwakala sengathi ikhanda lakho selizoqhuma? Ikakhulukazi ikhanda eliqala ngemuva kwekhanda lakho futhi ngezinye izikhathi lisakazekele emehlweni akho... Kunezikhathi lapho ukuphuza iPanadol noma ukusebenzisa noma yiliphi i-balm kungasizi, akunjalo? Namuhla sikhuluma ngokwelashwa okukhethekile kwekhanda elibuhlungu kangaka, noma ikhanda elibuhlungu. Lokhu kubizwa ngokuthi i-Occipital Nerve Block . Nakuba leli gama lingavamile, abantu abaningi bathole impumuzo enkulu kulokhu.
Iyini le Occipital Nerve Block?
Kalula nje, i-Occipital Nerve Block iwumjovo womuthi wobuhlungu emthanjeni we-occipital, otholakala ngemuva kwekhanda lakho, eduze kwentamo yakho. Ngezinye izikhathi, lo muthi wobuhlungu unikezwa kanye ne-steroid ukunciphisa ukuvuvukala. Inhloso eyinhloko yalo mjovo ukuqeda okwesikhashana ubuhlungu nokuvuvukala okuzungeze leyo mizwa futhi kukunike impumuzo.
Ake sithi unesimiso sezinzwa esisuka ngemuva kwekhanda lakho siye phezulu ezindlebeni zakho. Lezi yizinzwa ezithwala umuzwa esikhumbeni esingemuva kwekhanda lakho. Uma lezi zinzwa zicindezelwa nganoma yisiphi isizathu, noma uma zivuvukala, singaba nekhanda elibuhlungu elingabekezeleleki. Yilapho-ke lo mjovo 'ulalisa' okwesikhashana lezo zinzwa futhi unciphise ubuhlungu.
Yiziphi lezi zinzwa ze-Occipital esikhuluma ngazo?
Kunezinhlobo ezintathu zemizwa ohlangothini ngalunye lwekhanda lethu. Zivela emathanjeni angaphezulu kwentamo yethu (C2 kanye ne-C3).
| Igama lenzwa | Okufanele ukwenze nje |
|---|---|
| I-Greater Occipital Nerve (GON) | Lona umuzwa omkhulu kunayo yonke kwezintathu. Uthwala umuzwa kusukela ngemuva kwekhanda kuya phezulu kwekhanda, ezindlebeni nasesikhumbeni esiseduze nezindlebe. |
| I-Lesser Occipital Nerve (LON) | Lokhu kuletha umuzwa emhlane nasemaceleni ekhanda kanye nasendlebeni yethu (ingxenye ebonakala ngaphandle). |
| I-Third Occipital Nerve (TON) | Ithwala umuzwa esikhumbeni esiphakathi nesingezansi sekhanda. Le nzwa cishe iyonakala ezimweni zokunyakaza kwentamo ngokuzumayo (i-whiplash), njengasengozini yemoto. |
Kuyamangaza ukuthi yize lezi zinzwa zitholakala ngemuva kwekhanda, izinkinga ngazo ngezinye izikhathi zingabangela ukuthi uzwe ubuhlungu esweni lakho. Kwezokwelapha, lokhu kubizwa ngokuthi 'ubuhlungu obuqondisiwe'. Lokhu kusho ukuthi inkinga isendaweni eyodwa, kodwa ubuhlungu buzwakala kwenye indawo.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Odokotela bavame ukusebenzisa lokhu kwelashwa ezinhlungwini zekhanda ezinzima okunzima ukuzilawula ngezinye izindlela zokwelapha (njengamaphilisi).
- I-Occipital Neuralgia: Lokhu kubhekisela ebuhlungwini obubukhali, obufana nogesi obubangelwa umonakalo, ukucindezelwa, noma ukuvuvukala kwenzwa ye-occipital esixoxe ngayo ekuqaleni.
- Ikhanda elibuhlungu elibangelwa yi-migraine: Lokhu kwelashwa ngezinye izikhathi kusetshenziselwa i-migraine, abantu abaningi abahlushwa yiyo.
- Ikhanda Elibuhlungu Lomlomo Wesibeletho: Lokhu kukhethekile kancane. Kulesi simo, ikhanda alibangelwa inkinga ekhanda, kodwa inkinga entanyeni (isb., inkinga yamathambo omgogodla womlomo wesibeletho).
- Ikhanda Elibuhlungu: Lolu futhi uhlobo lwekhanda elibuhlungu kakhulu, elingabekezeleleki.
- Ikhanda elibuhlungu elivela ngemva kokubhoboza: Lokhu ngezinye izikhathi kusetshenziselwa izinhlungu ezibuhlungu ezenzeka ngemva kokubhoboza emhlane.
Ngaphezu kwalezi zinhlungu zekhanda, lokhu kwelashwa kungaphinde kunikeze impumuzo ebuhlungwini obungaphezulu nangemuva kwentamo, kanye nobuhlungu obubangelwa yi-whiplash, njengobengozi yemoto.
Iphinde isetshenziswe ekuxilongweni
Ngezinye izikhathi, udokotela wakho uzosebenzisa lo mjovo ukuze anqume ukuthi ikhanda lakho libangelwa yini yi-occipital nerve noma ukuthi libangelwa yini okunye. Uma ubuhlungu bakho buncipha ngemva komjovo, kuqinisekisa ukuthi inkinga ikulezi zinzwa. Lokhu kuzokwenza kube lula kudokotela wakho ukwakha uhlelo lokwelapha olusebenza kahle kuwe.
Kufanele uzilungiselele kanjani lokhu?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Ungaqhubeka nje njengokujwayelekile.
Kodwa-ke, uma udokotela enquma ukukunikeza umuthi wokudambisa ukuze uzizwe 'ulele' kancane ngalesi sikhathi, kuzodingeka ulungiselele kancane.
- Uzocelwa ukuba uzile ukudla ngaphandle kokudla noma ukuphuza noma yini amahora ayisithupha kuya kwayisishiyagalombili.
- Futhi, bazokucela ukuthi uze nomunye umuntu esikhundleni sokushayela ngalolo suku, ngoba ungase udakwe kancane.
Kodwa-ke, udokotela wakho uzokuchazela konke lokhu kusengaphambili. Ngakho ungesabi. Uma unemibuzo, ungangabazi ukubuza.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kuvame ukuba inqubo encane eyenziwa esibhedlela, hhayi esibhedlela. Lokhu kusho ukuthi ungayithola umjovo bese ubuyela ekhaya ngokushesha ngemva kwalokho.
Lezi yizinyathelo ezivame ukwenzeka:
1. Isikhundla: Okokuqala, uzocelwa ukuba uhlale esihlalweni, ikhanda lakho liphansi futhi izandla zakho zisekele ikhanda lakho. Noma uzocelwa ukuba ulale ngesisu sakho etafuleni lokwelashwa.
2. I-Sedation: Uma kudingeka kuphela, uzonikezwa i-sedation encane nge-IV line engalweni yakho ukuze uphumule.
3. Ukuthola indawo: Udokotela uzobe esethinta ingemuva lentamo yakho ukuze athole umthambo oqondile lapho kuzonikezwa khona umjovo. Ngezinye izikhathi, bangase basebenzise into efana ne-X-ray (`fluoroscopy`) noma i-`ultrasound` scan ukuze babone indawo eqondile.
4. Ukuhlanza: Indawo yomjovo ihlanzwa kahle ngesisombululo se-antiseptic.
5. Ukujova: Ngemuva kwalokho, ngenaliti encane kakhulu, umuthi ujovwa eduze ngangokunokwenzeka ne-nerve etholakale ngaphambilini.
6. Ukuphumula: Ngemva kokuqeda umjovo, uzocelwa ukuba uphumule isikhashana kuze kube yilapho umuthi uqala ukusebenza.
Yonke inqubo ithatha imizuzu engaphansi kwemi-5 , ngakho-ke asikho isidingo sokukhathazeka.
Yini ongayilindela ngemva komjovo?
Uma unikezwe umuthi wokudambisa ubuhlungu, uzobhekwa imizuzu engaba ngu-15 kuya kwengu-30 ngemva komjovo. Umhlengikazi uzofika ukuzohlola noma yimiphi imiphumela emibi, futhi uma konke kuhamba kahle, uzovunyelwa ukuya ekhaya.
Uma unganikwa umuthi wokudambisa ubuhlungu, ungaphumula cishe imizuzu eyi-10 bese uya ekhaya.
Ziyini izinzuzo zalokhu kwelashwa?
- Ukuqeda ubuhlungu: Ubuhlungu buyaphela, okwesikhashana noma isikhathi eside, okukuvumela ukuthi wenze imisebenzi yakho yansuku zonke kalula.
- Kunciphisa ukuvuvukala: Kunciphisa ukuvuvukala kwemizwa futhi kuyasiza ukuthi ilulame.
- Ukuxilongwa okulungile: Kusiza ekutholeni imbangela eqondile yobuhlungu.
Kodwa khumbula, lokhu kwelashwa akusebenzi kuwo wonke umuntu . Abanye abantu bazozwa ukukhululeka okukhulu ebuhlungwini, kanti abanye bangase bangakutholi. Uma kunjalo, udokotela wakho uzokhuluma nawe ngezinye izindlela zokwelapha.
Ingabe ikhona imiphumela emibi noma izingozi?
Ukuvinjelwa Kwezinzwa Ze-Occipital ngokuvamile kuyindlela ephephile kakhulu. Izinkinga azivamile. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunemiphumela emibi emincane kanye nezingozi.
| Imiphumela Emibi Evamile |
|---|
|
| Qaphela: Uma umjovo uqukethe i-steroid, kungase kube nezimo ezingavamile kakhulu zokuncipha kwesikhumba (`atrophy`) noma ukulahleka kwezinwele kwesikhashana (`alopecia`) endaweni yomjovo. |
| Izingozi/Izinkinga Ezingavamile |
|---|
|
Kuyohlala isikhathi esingakanani lokhu kukhululeka?
Lokhu kuyahlukahluka kakhulu kumuntu nomuntu, ngakho-ke kunzima ukubikezela imiphumela eqondile. Uma kuphumelele, ukuqeda ubuhlungu kuzoqala kungakapheli imizuzu engama-20-30 kusukela ekujovweni. Lokhu kukhululeka kungahlala kusukela emahoreni ambalwa kuya ezinyangeni eziningana .
Ukuze uthole impumuzo yesikhathi eside ezimweni ezifana ne-Occipital Neuralgia kanye ne-Cervicogenic Headache, kungadingeka ukuthi uthole lo mjovo izikhathi eziningana.
Ufuna ukukhuluma nodokotela ngasiphi isikhathi?
Uma uthola izimpawu ezintsha noma izinkinga ngemva komjovo, shayela udokotela wakho ngokushesha . Ikakhulukazi,
- Uma indawo yomjovo iba bomvu, ivuvukele kakhulu, ifudumele, ikhipha ubomvu, noma unomkhuhlane (lokhu kungaba yizimpawu zokutheleleka).
- Uma uqala ukuvuvukala okusha, ukungazweli, ubuthakathaka, noma ubuhlungu .
Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma ucabanga ngalolu hlobo lokwelashwa. Ngakho-ke, khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalokhu. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-Occipital Nerve Block iwumjovo okhethekile onikezwa ikhanda elibuhlungu kakhulu kanye nobuhlungu bentamo okunzima ukubulawula ngezinye izindlela zokwelapha.
- Lokhu kuhilela ukufaka umuthi wokubulala izinhlungu eduze kwe-occipital nerve ngemuva kwekhanda ukuze kuncishiswe ubuhlungu nokuvuvukala okwesikhashana.
- Lena indlela yokwelapha eshesha kakhulu (engaphansi kwemizuzu emi-5) futhi ngokuvamile iphephile kakhulu.
- Impumuzo oyitholayo ingahluka kuye ngomuntu nomuntu. Abanye abantu bangase bathole impumuzo amahora ambalwa, kanti abanye bangase bathole impumuzo izinyanga.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukukhathazeka noma ukwesaba ongase ube nakho ngaphambi noma ngemva kokwelashwa.
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