Ngezinye izikhathi kuba nobuhlungu obuthile ekuphileni kwethu obubonakala bungapheli kungakhathaliseki ukuthi sithatha muphi umuthi noma ukwelashwa ngokomzimba esikwenzayo. Kungaba ubuhlungu bomhlane obekulokhu kusikhathaza iminyaka eminingi, ubuhlungu bentamo, noma ubuhlungu obungabekezeleleki obuzwakala njengokwethuka kukagesi kolunye uhlangothi lobuso. Yilabo kuphela abaye babhekana nakho abaziyo ukuthi kunzima kangakanani ukuphila nezimo ezinjalo. Ngakho-ke, uma konke okunye kwehluleka, namuhla sizokhuluma ngendlela yokwelapha ekhethekile enconywa odokotela. Ibizwa ngokuthi i-Rhizotomy.
Kalula nje, kuyini i-Rhizotomy?
Ukuze siqonde lokhu, ake siqale sicabange ngesimiso sezinzwa somzimba wethu. Izinzwa ezigijima emzimbeni wethu zifana nezintambo zikagesi ezincane. Lezi zintambo yizo ezithumela imiyalezo phakathi kobuchopho bethu nawo wonke umzimba wethu. Konke okuzwayo, njengokuthinta, ubuhlungu, nokushisa, kuthunyelwa ebuchosheni ngalezi zinzwa, futhi yilezi zinzwa lapho ubuchopho bukutshela khona ukuthi uhambise izingalo nemilenze yakho.
Kodwa-ke, ngezinye izikhathi, ngenxa yokungasebenzi kahle kwalesi simiso sezinzwa, ezinye izinzwa ziqala ukuthumela umlayezo "ubuhlungu" njalo ebuchosheni. Eqinisweni, lo myalezo uyahamba ngisho noma kungekho ukuphazamiseka okukhulu lapho. Ekwelashweni okubizwa ngokuthi i-rhizotomy, okwenziwayo ukuhlonza lezo zindwangu zezinzwa eziyinkinga ezithumela imiyalezo engalungile, ziwonakalise futhi zimise umlayezo ukuthi ungahambi. Kufana nokunqamula ucingo lukagesi oluyinkinga. Lapho izimpawu zobuhlungu ziyeka ukuya ebuchosheni ngale ndlela, ubuhlungu obuzwayo buyanyamalala noma bunciphe kakhulu.
Uzilimaza kanjani lezi zinzwa?
Odokotela basebenzisa izindlela eziningana ukwenza lokhu:
- Ukususwa kokuhlinzwa: Ngezinye izikhathi, le mizwa iyasikwa ngokuhlinzwa futhi isuswe. Lokhu kungenziwa njengokuhlinzwa okuvulekile noma nge-endoscopically, okuhilela ukufaka ikhamera nge-incision encane.
- Ngekhemikhali: Ungalimaza futhi inzwa okukhulunywa ngayo ngokusebenzisa ikhemikhali efana ne-glycerin.
- Ukususwa kwamaza omsakazo: Amaza omsakazo anamandla aphezulu agxilile futhi ukushisa okuvelayo kusetshenziselwa ukulimaza inzwa. Le ndlela ivame ukubizwa ngokuthi i-Radiofrequency Ablation (RFA) .
Kalula nje, i-Rhizotomy inqubo yokumisa umsebenzi wezinzwa ezibangela ubuhlungu noma ukuqina kwemisipha okungafuneki (i-spasticity).
I-Rhizotomy, i-Ablation, i-Neurotomy... Ingabe la magama asho into efanayo?
Yebo, la magama angaba yinto edidayo kancane, kodwa incazelo yawo ilula kakhulu.
- Ukususwa kwe-Rhizotomy:Leli yigama elijwayelekile lale ndlela yokwelapha. Okusho ukuthi, noma iyiphi inqubo elimaza i-nerve fiber eyinkinga ingabizwa ngaleli gama.
- Ukususwa Kwezinzwa: Leli elinye igama elisetshenziselwa i-Rhizotomy. Ukususwa kusho ukususwa noma ukubhujiswa.
- Ukususwa Kwemisebe Yemisebe (RFA): Lena indlela ethile esetshenziswa ukwenza i-rhizotomy. Ihilela ukulimaza imizwa ngokusebenzisa ukushisa okuvela kumaza omsakazo.
- I-Neurotomy: Leli elinye igama lezokwelapha elisho ukusika noma ukubhubhisa inzwa.
Lokho kusho ukuthi wonke la magama asho injongo efanayo eyisisekelo. Ngakho ungakhathazeki uma udokotela wakho esebenzisa la magama ngokushintshana.
Yiziphi izimo ezisiza ukwelashwa nge-Rhizotomy?
Leli iphuzu elibaluleke kakhulu. I-Rhizotomy akuyona indlela yokuqala yokwelapha bonke ubuhlungu. Odokotela bavame ukuzama izinto ezinjengokwelashwa ngokomzimba, izidakamizwa ezingezona eze-steroidal anti-inflammatory (NSAIDs), noma ama-nerve blocks. Lokhu kwelashwa kucatshangelwa kuphela uma konke lokhu kwehluleka .
Kunezinhlobo ezahlukene zokwelapha nge-rhizotomy, ngayinye ihlose izinzwa ezahlukene emzimbeni.
| Uhlobo lwe-Rhizotomy | Izinzwa eziqondiwe | Izimo ezilashwayo |
|---|---|---|
| I-Rhizotomy ye-Trigeminal Ganglioni | Izinqwaba zemizwa ye-trigeminal zitholakala kuzo zombili izinhlangothi zobuso. |
|
| I-Facet Rhizotomy | Izimpande zemizwa ezidlula emalungeni ezinhlangothi zomgogodla. | |
| Ukuhlinzwa Kwe-Dorsal Rhizotomy Ekhethiwe (SDR) | Imicu ethile yezinzwa engxenyeni engezansi yomgogodla. |
Ngingalungiselela kanjani ngaphambi kwalokhu kwelashwa?
Uma unquma ukuthola lokhu kwelashwa, udokotela wakho kanye nethimba lezokwelapha bazokunikeza imiyalelo ecacile yokuthi ungakulungiselela kanjani. Ungesabi ukubuza noma yimiphi imibuzo ongase ube nayo.
Ngokuvamile, kuzodingeka wenze izivivinyo eziningana ukuqinisekisa ukuthi lokhu kwelashwa kuzokusiza ngempela.
- Ukuhlolwa kwezithombe: Izinto ezifana ne-MRI scan noma i-X-ray.
- Ukuvinjwa Kwezinzwa: Ukuze kutholakale ukuthi iyiphi inzwa ebangela inkinga, kunikezwa umjovo wesikhashana emsipheni ukuze kubonakale ukuthi ubuhlungu buyancipha yini.
- Ukuhlolwa kwegazi nomchamo: Yazi isimo sakho sempilo iyonke.
Lokhu kwelashwa kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ulele ngokuphelele. Ngakho-ke, kuzodingeka uhlangane nodokotela wezinzwa ukuze uqiniseke ukuthi kuphephile kuwe.
Futhi, uma uthatha imithi ethile, njengemithi yokunciphisa igazi/imithi yokunciphisa igazi, kungadingeka uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho. Kodwa-ke, ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
Kwenzekani ngempela ngesikhathi sokwelashwa?
Kuvamile ukuzizwa wesaba kancane uma uzwa lokhu, kodwa le nqubo ihlelwe kahle futhi iphephile. Kungase kube nokwehluka okuncane kuye ngendlela yokwelashwa, isimo sakho, kanye ne-nerve eqondiswe kuyo.
Lezi yizinyathelo ezivame ukulandelwa:
1. Ukubulala izinzwa noma ukudambisa ubuhlungu
Esikhathini esiningi, uzolaliswa ngokuphelele, ngakho ngeke uzwe ubuhlungu. Kwezinye izimo, ungase ulaliswe kancane (i-sedation) noma indawo kuphela engase ibe ne-numbness (i-local anesthetic).
2. Ukuthola inzwa efanele (Isiqondiso Sokuthwebula Izithombe)
Udokotela uzosebenzisa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i-fluoroscopy ukuthola inzwa enenkinga. Lokhu kuzokusiza ukuthi ubone kahle ukuthi uyibeke kuphi inaliti. Ngezinye izikhathi, uketshezi olukhethekile (udayi ohlukile) lungafakwa emthanjeni ukuze inzwa ibonakale kakhulu.
3. Ukuhlola Imizwa
Ngaphambi kokulimaza inzwa, kubalulekile ukuqinisekisa ukuthi inzwa eqondiwe iyona efanele . Ukuze wenze lokhu, kunikezwa ukuvuselelwa okuncane kagesi ngenaliti. Ngezinye izikhathi ukuhlolwa okubizwa nge-EMG (Electromyography) nakho kuyasetshenziswa kulokhu.
4. Ukubhubhisa Imizwa
Uma i-nerve isiqinisekisiwe, enye yezindlela okuxoxwe ngazo ngaphambili (amaza omsakazo, amakhemikhali, noma ukusika ngokuhlinzwa) isetshenziswa ukuvimba i-nerve ukuthi isebenze.
Kusebenza kangakanani lokhu kwelashwa?
Iningi labantu abenza i-rhizotomy bathola ukukhululeka kobuhlungu isikhathi eside noma ukuthuthuka okukhulu ekuqineni kwemisipha. Abanye abantu bathola iminyaka eminingi yokukhululeka kobuhlungu.
Kodwa-ke, akubona bonke abantu abathola imiphumela efanayo. Kunezimo lapho ubuhlungu bunganciphi kakhulu kubantu abambalwa kakhulu. Futhi, ngokuhamba kwesikhathi, imizwa ingalulama ngezinga elithile futhi ubuhlungu bungaphinde buvele. Uma lokhu kwenzeka, kungadingeka ukuthi uphinde welashwe futhi. Udokotela wakho uzokuchazela imininingwane eyengeziwe mayelana nempumelelo yalokhu kwelashwa kuye ngesimo sakho.
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma iyiphi inqubo yezokwelapha, i-Rhizotomy ingaba nezingozi ezithile kanye nemiphumela emibi. Kodwa-ke, iningi lalezi zincane, futhi izinkinga ezinkulu azivamile. Lezi zingozi ziyahlukahluka kuye ngohlobo lwenqubo kanye nomthambo oqondiswe kuwo.
Into ebaluleke kakhulu ukuthi udokotela wakho uzoxoxa nawe ngokukhululekile ngazo zonke izingozi ezingaba khona ngaphambi kokwelashwa, ngakho ungesabi.
| Imiphumela emibi/izinkinga | Incazelo |
|---|---|
| Izimo ezijwayelekile nezilindelekile | |
| Ubuhlungu obuncane kanye nokudumba | Kungase kube nobuhlungu, ukuklwebheka, noma ukuvuvukala endaweni yenaliti noma ukusikwa izinsuku ezimbalwa. Lokhu kuvame ukuphela ezinsukwini ezimbalwa. |
| Ukuba ndikindiki | Ngemva kokuhlinzwa kwe-trigeminal rhizotomy, ikakhulukazi ezinzwa zobuso, ungase uzwe ukuqaqamba noma ukuba ndikindiki kwezinye izindawo zobuso. Lokhu kuwumphumela olindelekile. |
| Izimo okufanele zibikwe kudokotela ngokushesha (ezingavamile ukwenzeka) | |
| Izimpawu zokutheleleka | Izimpawu ezinjengokubomvu ngokweqile, ukuvuvukala, ubomvu obuphuma endaweni eselashwe, kanye nomkhuhlane. |
| Ubuhlungu obukhulu noma izinkinga zezinzwa | Ubuhlungu obukhulu, obuvuthayo, ubuthakathaka bemisipha, noma ukuba ndikindiki okusha endaweni elashwe kuyo noma eduze kwayo. |
| Ukopha okukhulu | Uma kukhona ukopha okuqhubekayo endaweni eselashwe. |
Ngemva kokwelashwa, uzothola imiyalelo ecacile mayelana nokuthi yiziphi izimpawu okufanele uziqaphele nokuthi uzobuya nini ukuzobona udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Rhizotomy iyindlela yokwelapha ekhethekile yobuhlungu obungapheli, obukhulu noma ukuqina kwemisipha (ukuqaqamba) lapho ezinye izindlela zokwelapha, njengemithi noma ukwelashwa ngokomzimba, zehlulekile.
- Lokhu kumisa ukusebenza kwezinzwa ezinenkinga ezithwala izimpawu zobuhlungu ebuchosheni futhi kunciphise ubuhlungu.
- Nakuba lokhu kuyindlela yokwelapha ephumelela kakhulu, akubona bonke abantu abangathola imiphumela efanayo.
- Njenganoma yikuphi ukwelashwa, kunezingozi nemiphumela emibi, udokotela wakho azokwazisa ngayo ngokugcwele.
- Udokotela wakho kuphela onganquma ukuthi lokhu kwelashwa kukufanele yini. Ngakho-ke, vuleleka kuye ngobuhlungu bakho bese umbuza ukuthi yiziphi izinketho zakho.
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