Ingabe ubulokhu uhlushwa ubuhlungu emhlane, entanyeni, noma emadolweni isikhathi eside? Naphezu kokuthatha imithi nokwenza i-physiotherapy , awusazizwa ukhululekile? Mhlawumbe udokotela usekutshelile ngisho nangokuhlinzwa okukhulu. Kodwa ngaphambi kokuya enkambisweni enkulu kangaka, kunezinye izindlela zokulawula ubuhlungu. Yingakho sikhuluma ngendlela yokwelapha engadingi ukuhlinzwa, kodwa ephumelela kakhulu namuhla.
Kuyini i-Radiofrequency Ablation (RFA)?
Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni umqondo ulula kakhulu. Kalula nje, i-RFA isebenzisa amaza omsakazo ukufudumala ingxenye encane kakhulu yenzwa ekubangela ubuhlungu, imise okwesikhashana ukusebenza kwayo. Ngamanye amazwi, kufana nokunqamula isikhashana "ikhebula lesiginali" elithwala ubuhlungu liye ebuchosheni. Uma lokhu kuvimbela izimpawu zobuhlungu ukuthi ziye ebuchosheni bakho, ubuhlungu obuzwayo buyanyamalala noma bunciphe kakhulu. Lokhu kubizwa nangokuthi i-Radiofrequency Neurotomy.
Kungani kwenziwa lokhu kwelashwa kwe-RFA?
Odokotela banezizathu eziningana eziyinhloko zokuncoma lokhu kwelashwa. Ake sibone ukuthi isiguli sizuzani ngakho.
| Inhloso eyinhloko | Inzuzo |
|---|---|
| Ukuqeda noma ukunciphisa ubuhlungu | Into eyinhloko ukuthola impumuzo ebuhlungwini besikhathi eside. |
| Ukwandisa ukusebenza komzimba | Uma ubuhlungu sebuphelile, ngeke usakwazi ukugoba, ukwelula, ukuhamba, nokwenza imisebenzi yakho yansuku zonke. |
| Ukunciphisa ukusetshenziswa kwemithi yokubulala izinhlungu | Ungasusa imiphumela emibi yokuphuza imithi yobuhlungu nsuku zonke. |
| Ukugwema noma ukuhlehlisa ukuhlinzwa | Le ndlela elula inikeza ithuba lokulawula ubuhlungu ngaphandle kokuhlinzwa okukhulu nokuyinkimbinkimbi. |
Yiziphi izimo ezingelashwa nge-RFA?
Lokhu kwelashwa kusetshenziselwa kakhulu ubuhlungu besikhathi eside (obungapheli). Isibonelo:
- I-Spondylosis: Ubuhlungu bomhlane besikhathi eside obubangelwa ukuguguleka kwamalunga emgogodleni.
- Ubuhlungu bamalunga e-Sacroiliac (SI): Ubuhlungu bamalunga engxenyeni engezansi yomhlane, lapho buxhuma khona nethambo lesinqe.
- Ubuhlungu bentamo, umhlane, kanye nedolo: Ubuhlungu bamalunga obungasabelanga kwezinye izindlela zokwelapha.
- Ubuhlungu bomdlavuza: Ukulawula ubuhlungu obukhulu obubangelwa eminye imidlavuza.
- Ubuhlungu bobuso (Trigeminal Neuralgia): Ubuhlungu obukhulu, obufana nogesi ebusweni.
- Ubuhlungu Bezinzwa Eziseceleni: Ubuhlungu obubangelwa yizinzwa ezindaweni zomzimba njengasezithweni zomzimba.
- Izinkinga zesigqi senhliziyo: Ngaphezu kobuhlungu, lokhu kusetshenziselwa nokwelapha amanye amangqamuzana akha isigqi senhliziyo.
- Amathumba: Lobu buchwepheshe busetshenziselwa nokubhubhisa amaseli kwezinye izimila ezincane.
Lokhu kwelashwa kusebenza kanjani?
Cabanga ukuthi imbangela yobuhlungu bakho emhlane iwumthambo oxhunywe esilungwini esincane emgogodleni wakho.
Lokho udokotela akwenzayo, ngaphansi kwesiqondiso somshini okhethekile we-X-ray obizwa ngokuthi i-fluoroscopy, ufaka inaliti encane kakhulu emthanjeni obangela ubuhlungu. Uma inaliti isendaweni efanele, ufaka i-electrode encane kuyo bese ekhipha igagasi lomsakazo.
Ukushisa okuvela kula magagasi omsakazo kubangela ukuthi ingxenye encane yenzwa 'ishe'. Lokhu kubizwa ngokuthi 'ukudala isilonda'. Kodwa ungakhathazeki, lokhu kwenziwa ngokucophelela nangokunembile. Lokhu kuvimbela inzwa ukuthi ingathumeli izimpawu zobuhlungu ebuchosheni. Into emangalisayo ukuthi, ayilimazi imizwa enempilo eyizungezile.
Kalula nje, i-RFA iya "emsukeni" wobuhlungu bese ithulisa okwesikhashana inzwa ephethe umyalezo wobuhlungu.
Ubani ofanelekela lokhu kwelashwa?
Lokhu kwelashwa akulona elawo wonke umuntu. Udokotela wakho uzobheka izici eziningana ukuze anqume ukuthi ufanelekile yini kulokhu kwelashwa.
Ungase ufaneleke uma:
- Uma wake wajova i-nerve block ngaphambili eyanciphisa ubuhlungu bakho: Lena yinto ebaluleke kakhulu. Ngaphambi kwe-RFA, udokotela wakho uzojova umuthi oqeda izinhlungu eduze kwe-nerve ekubangela ubuhlungu 'njengokuhlolwa'. Lokhu kubizwa ngokuthiKubizwa ngokuthi i-diagnostic block . Uma ubuhlungu bakho buphela amahora ambalwa ngemva kokujova, kusho ukuthi udokotela 'usewubhekise' emsipheni. Kubantu abanjalo, amathuba okuba ukwelashwa kwe-RFA kuphumelele aphezulu kakhulu.
- Uma ezinye izindlela zokwelapha (imithi, ukwelashwa ngokomzimba) zingasizi: Uma ubulokhu uphuza imithi yezinhlungu futhi wenza i-physiotherapy isikhathi eside futhi ungazange uthole imiphumela, i-RFA ingaba inketho enhle.
Ungase ungafaneleki uma:
- Uma ukhulelwe .
- Uma unesifo .
- Uma unenkinga yokujiya kwegazi noma inkinga yokopha.
Kwenzekani ngesikhathi sokwelashwa?
Le nqubo ivame ukuthatha imizuzu eyi-15 namahora ama-2, kuye ngendawo ephathwayo kanye nenani lezinzwa ezihilelekile.
1. Okokuqala, uzolala ngesisu sakho embhedeni okhethekile we-X-ray. Ama-monitor azoxhunywa ukuze aqaphe isimo sakho kulo lonke ukwelashwa.
2. Usuphapheme, ngoba udokotela ukhuluma nawe. Uma kudingeka, angakunika umuthi omncane wokukuphumuza.
3. Kusetshenziswa umuthi wokubulala izinzwa wendawo ukuze kuncishiswe indawo lapho kuzofakwa khona inaliti.
4. Ngemuva kwalokho, ngaphansi kwesiqondiso se-X-ray se-fluoroscopy , inaliti iqondiswa ngokucophelela emthanjeni obangela ubuhlungu.
5. Ukuze aqinisekise ukuthi inalithi isendaweni efanele, udokotela uzothumela isignali encane kagesi ngayo bese ekubuza, "Ingabe kukhona okuzwayo, njengokuzwa okuhlabayo noma okuhlabayo?" Uma uyizwa, kusho ukuthi inalithi isendaweni efanele.
6. Bese kuba khona omunye umuthi ofakwa ukuze kuthuntubeze inzwa, bese kuthunyelwa ugesi wamaza omsakazo ukuze kushiswe ingxenye efanele yenzwa, uyivimbele ekuthumeleni izimpawu zobuhlungu.
7. Uma kudingeka, imizwa engaphezu kweyodwa ingelashwa ngesikhathi esisodwa.
Yini okufanele ngiyenze ngemva kokwelashwa?
Ungaya ekhaya emahoreni ambalwa ngemva kokwelashwa.
- Udinga umuntu ozohamba nawe ngempela. Ngeke ukwazi ukushayela wedwa.
- Hamba uye ekhaya uphumule kahle cishe amahora angama-24. Ungenzi noma yimuphi umsebenzi onzima.
- Ungaqhubeka nemisebenzi yakho evamile ngosuku olulodwa noma ezimbili.
- Kungase kube nobuhlungu obuncane kanye nokushayeka endaweni yomjovo izinsuku ezimbalwa. Udokotela weluleka ukuthi ubeke iphakethe leqhwa phezu kwalo cishe imizuzu engama-20 bese ulisusa izikhathi eziningana ngosuku.
Kusebenza kangakanani lokhu kwelashwa?
Abantu abaningi bathola ukukhululeka okukhulu ebuhlungwini ngemva kokwelashwa nge-RFA. Abanye abantu bazizwa bekhululekile ngokushesha ngemva kokwelashwa. Kwabanye, ubuhlungu buyancipha kancane kancane ezinsukwini eziyi-10 noma amasonto ama-3.
Lokhu kuqeda ubuhlungu kuvame ukuhlala izinyanga ezingu-6 kuya kwezingu-12 , ngezinye izikhathi isikhathi eside, ngisho neminyaka eminingana.
Kodwa khumbula, imizwa emzimbeni wethu ingaphinde ikhule. Uma imizwa enjalo iphinda ikhule, ubuhlungu bungabuya. Uma lokho kwenzeka, lolu hlobo lokwelashwa kwe-RFA lungaphinde luphindwe.
Kufanele ngimbone nini udokotela?
Uma kuvela izimpawu ezilandelayo ngemva kokwelashwa, shayela udokotela wakho ngokushesha:
- Uma uzwa ubuhlungu obukhulu, ukubomvu, noma ukuvuvukala endaweni lapho inaliti ifakwe khona.
- Uma ubuthakathaka noma ukuba ndikindiki engalweni noma emlenzeni kukhuphuka .
Umlayezo Wokuya Nawe Ekhaya
- I-Radiofrequency Ablation (RFA) iyindlela yokwelapha ephumelela kakhulu, engadingi ukuhlinzwa, futhi engadingi ukungenelela okukhulu kobuhlungu obungapheli.
- Ukuqeda ubuhlungu kulokhu kungahlala izinyanga eziyi-6-12 noma ngaphezulu. Ukwelashwa kungaphindwa uma inzwa ikhula kabusha.
- Udokotela wakho uzonquma ukuthi lokhu kwelashwa kulungile yini kuwe ngemva kokuhlolwa. Akufanele wonke umuntu.
- Nakuba lokhu kuyindlela yokwelapha ephephile kakhulu, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Khuluma nodokotela wakho ngalokhu.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, ukuvuvukala, ubuthakathaka) ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho