Ngezinye izikhathi ikhanda alibekezeleleki, akunjalo? Yilabo kuphela abahlushwa yilo abazi ubuhlungu obuhambisana nalo, ikakhulukazi lapho ubuhlungu buqala ngemuva kwentamo busakazeka ekhanda lonke, okwenza kuzwakale sengathi amehlo akho azophuma. Ingabe nawe uzizwa sengathi akukho mpumuzo kulokhu, kungakhathaliseki ukuthi uthatha umuthi ongakanani noma wenzani? Uma nawe uhlushwa yile nkinga, udokotela wakho kungenzeka ukuthi ukutshelile ngokwelashwa okubizwa ngokuthi 'i-Occipital Nerve Block'. Nakuba igama lingase lizwakale lesabisa kancane, empeleni aliyona into enkulu kangako. Ngakho-ke, ake sixoxe ngalokhu ngendlela elula necacile namuhla.
Kalula nje, iyini le Occipital Nerve Block?
I-Occipital Nerve Block umjovo onikezwa eduze kwemizwa ye-occipital ngemuva kwekhanda lakho. Kufana nomuthi wokuqeda izinsini zakho ngaphambi kokukhishwa kwezinyo. Umjovo uqeda izinsini okwesikhashana kanye nezicubu ezizungezile. Ngokuvamile kwenziwa ngomuthi wokubulala izinzwa . Ngezinye izikhathi, i-steroid iyangezwa ukunciphisa ukuvuvukala kwemizwa.
Lokhu akuyona indlela enkulu yokuhlinzwa. Kulawula ubuhlungu okwesikhashana nje futhi kunikeza inzwa ithuba lokuphola.
Zitholakalaphi lezi zinzwa ze-occipital?
Lezi zinzwa ze-occipital zivela kumathambo omgogodla (C2 kanye ne-C3) phezulu entanyeni yakho. Zinikeza umuzwa ikakhulukazi esikhumbeni kanye nasekhanda ngemuva kwekhanda lakho. Kunezinhlobo ezintathu zalezi zinzwa ohlangothini ngalunye lwekhanda lethu.
| Uhlobo Lwezinzwa | Indawo enikeza umuzwa |
|---|---|
| I-Greater Occipital Nerve (GON) | Njengoba inkulu kunazo zonke kulezi ezintathu, inikeza umuzwa kusukela ngemuva kwekhanda kuya phezulu kwekhanda, ezindlebeni nasesikhumbeni esingaphezu kwezindlebe. |
| I-Lesser Occipital Nerve (LON) | Inikeza umuzwa ngemuva kwekhanda kanye nesikhumba sangaphandle sendlebe. |
| I-Third Occipital Nerve (TON) | Inikeza umuzwa esikhumbeni engxenyeni ephakathi engezansi ngemuva kwekhanda. Le nzwa ingalimala nge-whiplash, njengasengozini yemoto. |
Cabanga nje, uma kukhona okungahambi kahle ngalezi zinzwa, ubuhlungu abuzwakali nje kuphela ngemuva kwentamo. Ngezinye izikhathi ubuhlungu bungavela nasezindaweni ezifana namehlo kanye nebunzi. Odokotela bakubiza lokhu ngokuthi 'ubuhlungu obuqondisiwe'. Lokho kusho ukuthi inkinga isendaweni eyodwa, kodwa ubuhlungu buzwakala kwenye indawo.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Odokotela bavame ukuncoma le Occipital Nerve Block yekhanda elibuhlungu elinzima ukulilawula ngezinye izindlela zokwelapha.
- I-Occipital Neuralgia: Lena imbangela eyinhloko. Ubuhlungu obubukhali, obufana nogesi obubangelwa ukucindezelwa noma ukulimala kwe-occipital nerve.
- Ikhanda elibuhlungu le-migraine
- Ikhanda elibuhlungu leqembu
- Ikhanda elibuhlungu le-Cervicogenic: Ikhanda elibuhlungu elibangelwa izinkinga ngamathambo entanyeni.
- Ikhanda elibuhlungu ngemuva kokubhoboza
- Ubuhlungu bentamo: Ubuhlungu buzwakala ikakhulukazi engxenyeni engenhla, engemuva yentamo.
- Ukulimala entanyeni ngenxa yengozi (i-Whiplash)
Ngezinye izikhathi, udokotela wakho angasebenzisa lesi sivimbelo sezinzwa ngezinjongo zokuxilonga ukuthola imbangela eqondile yobuhlungu bakho. Cabanga nje, uma ubuhlungu bakho buphela ngemva kwalo mjovo, kuqinisekisa ukuthi inkinga isemzimbeni we-occipital. Khona-ke kuba lula ukuhlela ukwelashwa okufanele kwesikhathi eside.
Kufanele uzilungiselele kanjani lokhu?
Lokhu ngokuvamile akudingi ukulungiselela okuningi. Kuyinqubo elula eyenziwa emnyangweni weziguli ezingalaliswa esibhedlela.
Kodwa-ke, ngezinye izikhathi udokotela wakho angase anqume ukukunikeza umuthi wokudambisa ukuze uhlale uzolile futhi uzizwe ulele kancane. Uma bekwenza, bazokutshela ukuthi ungadli noma uphuze lutho amahora ayisithupha kuya kwayisishiyagalombili. Futhi, kuzodingeka ulethe umuntu ozokuhambisa ekhaya ngoba ngeke ukwazi ukushayela ngalolo suku. Udokotela wakho uzokuchazela konke lokhu kusenesikhathi. Ngakho ungesabi ukumbuza noma yimiphi imibuzo ongase ube nayo.
Kwenzekani ngesikhathi sokwelashwa?
Le nqubo ishesha kakhulu, ayithathi imizuzu engaphezu kwemi-5.
1. Okokuqala, uzocelwa ukuba uhlale esihlalweni bese ubeka ikhanda lakho phansi kancane. Noma, uzocelwa ukuba ulale ngesisu sakho embhedeni onephini ngaphansi kwesifuba sakho ukuze intamo yakho igobe kancane.
2. Uma ulaliswa umuthi, i-cannula ifakwa emthanjeni ongalweni yakho bese kunikezwa imithi ethile ngayo.
3. Udokotela uzobe esethinta ingemuva lentamo yakho ukuze athole indawo eqondile yomthambo. Ngezinye izikhathi, kungasetshenziswa i-scan (ultrasound noma i-fluoroscopy) ukuthola indawo eqondile.
4. Indawo yokujova ihlanzwa kahle ngesisombululo sokubulala amagciwane.
5. Ngemuva kwalokho, umuthi ufakwa eduze komthambo ohlonziwe ngenaliti encane kakhulu.
6. Uzocelwa ukuthi uphumule imizuzu embalwa ngemva komjovo.
Yilokho kuphela okwenzekayo. Akukho okufanele ukwesabe.
Kwenzekani ngemva komjovo?
Uma unikezwe umuthi wokudambisa, uzoqashwa umhlengikazi cishe imizuzu eyi-15-30. Lokhu kuzoba ukubona ukuthi kukhona yini okungajwayelekile okwenzekayo. Ngemva kwalokho, ungaya ekhaya. Uma unganikwanga umuthi wokudambisa, ungahamba ngemva kwemizuzu eyi-10.
Imiphumela emibi nemiphumela
Nakuba lokhu kwelashwa kuphephile kakhulu, njenganoma iyiphi inqubo yezokwelapha, kungaba nezinkinga ezincane.
- Imiphumela emibi evamile: Kungase kube nobuhlungu obuncane, ukubomvu, noma ukuvuvukala endaweni yokujova izinsuku ezimbili kuya kwezintathu. Lokhu kuvamile. Abanye abantu bangase bazizwe benesiyezi noma becasukile.
- Ama-Steroids: Uma usebenzisa umuthi we-steroid, ungase uzwe ukuncipha kwesikhumba eduze kwendawo yokujova (ukuwohloka) noma ukulahleka kwezinwele okwesikhashana (i-alopecia). Lokhu akuvamile kakhulu.
- Izingozi ezingavamile: Ukopha, ukutheleleka, ukulimala kwemizwa, kanye ne-dysphagia yesikhashana akuvamile kakhulu.
Lokhu kuqeda ubuhlungu kuhlala isikhathi esingakanani?
Nansi into ebalulekile. Imiphumela iyahlukahluka kakhulu kumuntu nomuntu . Abanye abantu bathola ukukhululeka okukhulu ebuhlungwini phakathi nemizuzu engama-20-30 ngemva komjovo, futhi ukukhululeka kuhlala izinyanga. Abanye bathola ukukhululeka amahora ambalwa noma izinsuku ezimbalwa kuphela. Ngezinye izikhathi, kunabantu abangatholi kuphumula nhlobo.
Ezimweni ezifana ne-Occipital Neuralgia kanye nekhanda elibuhlungu le-Cervicogenic, kungadingeka ukuthi uthole imijovo eminingana ukuze uthole impumuzo ehlala njalo. Konke lokhu kuzonqunywa udokotela wakho ngokusekelwe esimweni sakho.
Kufanele umshayele nini udokotela ucingo?
Uma ubuyela ekhaya ngemva kokwelashwa, qaphela lezi zinto.
- Uma indawo yomjovo ivuvukala kakhulu, ibomvu, ikhipha ubomvu , noma inomkhuhlane (lokhu kungaba yizimpawu zokutheleleka).
- Uma ubuhlungu bukhula esikhundleni sokuncipha.
- Uma uzwa ubuhlungu obusha bokushisa, ukungazweli noma ubuthakathaka ezithweni zakho.
Uma uthola izimpawu ezintsha ezifana nalezi, shayela udokotela wakho ngokushesha. Ungesabi, kodwa kubalulekile ukwazi.
Umlayezo Wokuya Nawe Ekhaya
- I-Occipital Nerve Block iwumjovo oseduze kwenzwa osetshenziselwa ukwelapha ikhanda elibuhlungu nobuhlungu bentamo, hhayi ukuhlinzwa okukhulu.
- Lokhu akugcini nje ngokuqeda ubuhlungu, kodwa futhi kusiza ekutholeni imbangela eqondile yobuhlungu.
- Imiphumela iyahlukahluka kumuntu nomuntu. Abanye abantu bangase bathole izinyanga zokukhululeka, kanti abanye bangase bangaboni intuthuko enkulu.
- Lokhu ngokuvamile kuyindlela yokwelapha ephephile kakhulu, kodwa kungase kube nemiphumela emibi emincane, njengobuhlungu obuncane nokuvuvukala endaweni yomjovo.
- Uma unokwesaba noma ukungabaza ngalokhu kwelashwa, khuluma nodokotela wakho ngakho ngokukhululekile. Uzokuchazela konke.
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