Ingabe ubulokhu uhlushwa ubuhlungu emhlane, entanyeni, noma edolweni isikhathi eside? Mhlawumbe ubulokhu uphuza imithi futhi wenza i-physiotherapy, kodwa akukasizi. Siyazi ukuthi kunzima kangakanani ukuphila nalolu hlobo lobuhlungu obungapheli. Ngakho-ke, namuhla sizokhuluma ngokwelashwa okukhethekile okunikeza ukukhululeka ebuhlungwini ngaphandle kokuhlinzwa.
Kuyini i-Radiofrequency Ablation (RFA)?
Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa okwenzekayo lapha kulula kakhulu. Kalula nje, i-RFA isebenzisa amaza omsakazo ukushisa indawo encane kakhulu yenzwa ebangela ubuhlungu bakho ngendlela elawulwayo. Lokhu kushisa kuyayiqeda leyo ngxenye yenzwa. Inzwa-ke ayikwazi ukuthumela izimpawu zobuhlungu ebuchosheni.
Cabanga ngakho njengokuvimba umlayezo ophazamisayo. Uma umlayezo wobuhlungu ungasafiki ebuchosheni, ubuhlungu obuzwayo buyancipha noma buphele nya.
Kungani kwenziwa lokhu kwelashwa kwe-RFA?
Lokhu kwelashwa kunemigomo eminingana eyinhloko. Udokotela angase akuphakamisele lokhu kwelashwa ngale migomo elandelayo:
- Kulungile ukuqeda ubuhlungu bakho noma ukubunciphisa kakhulu.
- Kukusiza ukuthi wenze imisebenzi yakho yansuku zonke kalula ngoba ubuhlungu buyancipha.
- Ukunciphisa inani lamaphilisi obuhlungu owaphuza nsuku zonke.
- Kulungile ukuhlehlisa ukuya kohlinzwa okukhulu, noma ukukuhlehlisa isikhashana.
Yiziphi izimo ezingelashwa nge-RFA?
Ukwelashwa kwe-RFA kusebenza kahle kakhulu ezinhlungwini zesikhathi eside (ezingapheli). Ungathola umbono omuhle ngalokhu kuthebula elingezansi.
| Isimo | Incazelo elula |
|---|---|
| Isifo samathambo somgogodla (i-Spondylosis) | Ubuhlungu bomhlane besikhathi eside obubangelwa ukuguguleka nokuguga kwamalunga omgogodla. |
| Ubuhlungu Bamalunga E-Sacroiliac | Ubuhlungu emhlane ongezansi nasemaqakaleni. |
| Ubuhlungu bentamo, umhlane, kanye nedolo | Ubuhlungu bamalunga obungaphenduli kwezinye izindlela zokwelapha. |
| I-Trigeminal Neuralgia | Ubuhlungu obukhulu kakhulu, obufana nokushaqeka kukagesi ebusweni. |
| Ezinye izimo | Iphinde isetshenziswe ezimweni ezinjengobuhlungu bomdlavuza kanye nobuhlungu bemizwa engaphandle. |
Lokhu kwelashwa kusebenza kanjani?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi ubuhlungu emgogodleni wethu buqala kanjani.
Umgogodla wakho wakhiwe yinqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Phakathi kwala mathambo kukhona amalunga amancane abizwa ngokuthi ama-facet joints . Lawa yiwo asisiza sigobe futhi siphenduke. Ngayinye yala malungu ixhunywe nemizwa emincane . Lawa mizwa yiwo athumela umlayezo ebuchosheni wokuthi uma kunenkinga noma ubuhlungu esilungwini, kuyabuhlungu.
Ukwelashwa kwe-RFA kusebenza ngokuthola inzwa ephethe lowo myalezo bese kuwuthulisa okwesikhashana. Khona-ke, noma ngabe kukhona ubuhlungu, awubuzwa ngoba umyalezo awuyi ebuchosheni.
Ingabe uyakufanelekela lokhu kwelashwa?
Lokhu kwelashwa akulona elawo wonke umuntu. Udokotela wakho uzonquma ukuthi uyakufanelekela yini lokhu.
Ungase ube ngumuntu ofaneleka kahle...
- Uma uthola impumuzo ekujovweni kwe-nerve block: Lena yinto ebaluleke kakhulu. Ngaphambi kwe-RFA, udokotela wakho uzofaka umuthi oqeda izinhlungu eduze kwe-nerve abacabanga ukuthi ibangela ubuhlungu bakho. Lokhu kubizwa ngokuthi i-diagnostic block. Uma umuthi uqeda ubuhlungu bakho amahora ambalwa, uqinisekisa ukuthi i-nerve iyimbangela yobuhlungu bakho. Kubantu abanjalo, amathuba okuphumelela kokwelashwa kwe-RFA aphezulu kakhulu .
- Uma ezinye izindlela zokwelapha (imithi, ukwelashwa ngokomzimba) zingaphumeleli.
Lokhu kungase kungabi kuhle kuwe...
- Uma ukhulelwe.
- Uma unesifo.
- Uma unenkinga yokopha.
Kwenzekani ngesikhathi sokwelashwa?
Asikho isizathu sokwesaba lokhu. Lokhu akuyona indlela enkulu yokuhlinzwa edinga ukuthi ungazi lutho. Uyazi, kodwa awuzizwa ubuhlungu.
1. Okokuqala, uzolaliswa ngesisu sakho etafuleni elikhethekile le-X-ray.
2. Udokotela ube esefaka i-numb endaweni yesikhumba lapho kuzofakwa khona inaliti.
3. I-Fluoroscopy umshini okhethekile we-X-ray ophilayo osebenzisa uhlobo olukhethekile lokukhanya ukuze ubone indawo. Inaliti encane kakhulu ifakwa endaweni yenzwa ebangela ubuhlungu. I-X-ray ikhombisa ngqo ukuthi inaliti ikuphi.
4. Ukuze aqinisekise ukuthi inaliti isendaweni efanele, udokotela uzofaka i-electrode encane kakhulu (i-microelectrode) kuyo bese ekubuza imibuzo. Ungase uzizwe umuzwa wokucasuka noma wokukitaza. Uma uthi, 'Yebo, ngiyakuzwa,' udokotela uyazi ukuthi isendaweni efanele.
5. Bese kunikezwa umuthi owengeziwe wokunciphisa izinhlungu kuleyo ndawo.
6. Ekugcineni, ugesi we-radiofrequency uthunyelwa ukufudumeza nokuvala inzwa. Lokhu kuthatha isikhathi esifushane, cishe umzuzu noma emibili.
Lonke lolu hlelo lungathatha noma yikuphi kusukela emizuzwini eyi-15 kuya emahoreni amabili , kuye ngendawo ephathwayo kanye nenani lezinzwa.
Wenzani ngemva kokwelashwa?
Ungaya ekhaya ngokushesha ngemva kokwelashwa.
- Othile udinga ukukuyisa ekhaya. Awukwazi ukushayela ngalolo suku.
- Hamba uye ekhaya uphumule cishe amahora angama-24 ngaphandle kokuzikhandla.
- Ungaqala imisebenzi evamile ngosuku olulodwa noma ezimbili.
- Ungase uzwe ubuhlungu nokuqina izinsuku ezimbalwa lapho inaliti ifakwe khona. Lokhu kuvamile. Ungafaka iphakethe leqhwa endaweni cishe imizuzu engama-20, bese ulikhipha bese ulifaka futhi.
- Udokotela uzokunikeza i-aphoyintimenti yokulandelela. Qiniseka ukuthi uyayenza.
Ingabe zikhona izingozi nemiphumela emibi?
Ingozi yezinkinga ezinkulu ezivela ekwelashweni kwe-RFA iphansi kakhulu .
Kodwa-ke, njenganoma yikuphi ukwelashwa kwezokwelapha, kunezimo ezingavamile ezingase zenzeke.
- Ubuhlungu bungase bukhule izinsuku ezimbalwa ngemva kokwelashwa. Ukusebenzisa iphakethe leqhwa nokuthatha imithi oyinikezwe udokotela wakho kungasiza.
- Kungase kube nokungazweli kwesikhumba okwesikhashana lapho inaliti ifakwe khona.
- Akuvamile kakhulu ukuthi kube nomonakalo wemizwa unomphela, ukutheleleka, noma ukopha. Kodwa lokhu akuvamile kakhulu .
Kusebenza kangakanani lokhu? Ukukhululeka kuzohlala isikhathi esingakanani?
Lena yinkinga enkulu kunazo zonke kuwo wonke umuntu.
Abantu abaningi bathola ukukhululeka okukhulu ebuhlungwini ngalokhu kwelashwa. Abanye abantu bazizwa bekhululekile ngokushesha ngemva kokwelashwa. Abanye bangase baqale ukuzizwa bekhululekile ngemva kwezinsuku eziyi-10 noma amasonto amathathu.
Ukukhululeka kuvame ukuthatha izinyanga eziyi-6 kuya kweziyi-12 . Abanye abantu abanenhlanhla bangase bangabi nobuhlungu iminyaka eminingana.
Ingabe inzwa izophinde ikhule?
Yebo. Inzwa engasebenzi ingaqala ukukhula kabusha ngemva kwezinyanga ezingaba ngu-6-12. Uma lokho kwenzeka, ubuhlungu bungabuya. Kodwa ungakhathazeki, ungaba nalo kwelashwa kwe-RFA futhi uma kudingeka.
Kunini lapho udinga ukukhuluma nodokotela?
Uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- Uma kukhona ubuhlungu obukhulu, ukubomvu, noma ukuvuvukala lapho inaliti ifakwe khona.
- Uma ukungazweli noma ubuthakathaka engalweni noma emlenzeni kukhuphuka .
Umlayezo Wokuya Nawe Ekhaya
- I-Radiofrequency Ablation (RFA) iyindlela yokwelapha engadingi ukuhlinzwa , engadingi ukungenelela okukhulu kobuhlungu obungapheli bomhlane, entanyeni, kanye namalunga.
- Lokhu kuhilela ukushisa inzwa ethwala izimpawu zobuhlungu ebuchosheni ngamagagasi omsakazo bese iyivala okwesikhashana.
- Lokhu akufanele wonke umuntu. Udokotela wakho uzonquma ukuthi kufanele yini kuwe. Abantu abaye baba nemiphumela ephumelelayo yokuvinjelwa kwemizwa yokuxilonga bangase bakuthole lokhu kuyimpumuzo enhle.
- Ukukhululeka kungase kuthathe izinyanga ezimbalwa kuya onyakeni noma ngaphezulu. Ukwelashwa kungaphindwa uma kudingeka.
- Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe.
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