Ngezinye izikhathi siba nobuhlungu obungapheli kungakhathaliseki ukuthi sithatha muphi umuthi noma ukwelashwa ngokomzimba esikwenzayo. Kunzima kangakanani ukuphila nalolu buhlungu obungapheli izinyanga, mhlawumbe ngisho neminyaka? Namuhla sizokhuluma ngenqubo ekhethekile yezokwelapha esetshenziselwa ubuhlungu obungapheli kanye nezimo lapho imisipha iba lukhuni (ukuqaqamba) okunzima ukuyilawula ngezinye izindlela zokwelapha.
Ngakho-ke, iyini le rhizotomy?
Kalula nje, i-rhizotomy inqubo yezokwelapha elimaza futhi iphazamise ukusebenza kwemicu ethile yezinzwa ebangela ubuhlungu obungapheli noma ukuqina kwemisipha.
Cabanga ngesimiso sethu sezinzwa njengohlelo lwezintambo zikagesi. Lezi zintambo zithwala imiyalezo esuka ebuchosheni iye kwezinye izingxenye zomzimba, futhi zisuka kulezo zingxenye zibuyele ebuchosheni. Uma sizwa ubuhlungu, ubuhlungu buthumela isignali ebuchosheni busuka endaweni lapho buzwakala khona, buthi, "Yilapho kubuhlungu khona." I-rhizotomy ihilela ukuthola inzwa eqondile ethwala isignali yobuhlungu, iyilimaze, futhi imise isignali ukuthi ingangeni ebuchosheni. Kufana nokusika intambo kagesi enephutha. Lokhu kumisa ubuhlungu.
Odokotela basebenzisa izindlela eziningana zokulimaza lezi zinzwa:
| Indlela Yokwenza | Incazelo elula |
|---|---|
| Ukususwa kokuhlinzwa | Ukusika nokususa inzwa okukhulunywa ngayo ngokuhlinzwa okuvulekile noma ukusebenzisa idivayisi encane efakwe ikhamera, njenge-endoscope, efakwe nge-incision encane. |
| Ukusebenzisa ikhemikhali | Ukujova ikhemikhali efana ne-glycerin noma i-glycerol eduze komthambo ngenaliti, kulimaza lowo mthambo. |
| Ukususwa Kwemisebe Yemisebe | Amagagasi omsakazo asebenza ngesivinini esiphezulu athunyelwa ngenaliti ekhethekile, futhi ukushisa okukhiqizwayo 'kusha' inzwa okukhulunywa ngayo. Yilokhu esivame ukukubiza ngokuthi 'ukususwa kwemizwa'. |
Ungase uzwe igama elithi 'neurotomy'. Lelo elinye igama elisetshenziswa kulawa ma-rhizotomies. Wonke lawa enza into efanayo, okuwukumisa inzwa ebangela ubuhlungu.
Yiziphi izimo eziphathwa nge-rhizotomy?
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-rhizotomy akuyona indlela yokwelapha yokuqala. Odokotela bavame ukuyibheka njengesixazululo sokugcina lapho ukwelashwa okulula okufana nezinhlungu zobuhlungu, i-physiotherapy, kanye nokuvimba kwemizwa kwehlulekile.
Kunezinhlobo eziningana eziyinhloko ze-rhizotomy, ngayinye ihlose izinzwa ezahlukene emzimbeni.
I-Rhizotomy ye-Trigeminal Ganglioni
Lokhu kuhlose i-trigeminal nerve cluster kuzo zombili izinhlangothi zobuso bethu. Kusetshenziselwa ubuhlungu obukhulu, obungapheli ebusweni.
- I-Trigeminal Neuralgia: Ubuhlungu obukhulu, obufana nokushaqeka kukagesi kolunye uhlangothi lobuso.
- Ikhanda elibuhlungu elingalawulwa ngokwelashwa.
- Ubuhlungu obungavamile bobuso obungatholakali imbangela.
- I-postherpetic neuralgia (ubuhlungu bemizwa yobuso obuvela ngemva kwe-chickenpox).
- Ubuhlungu bobuso obubangelwa umdlavuza.
I-Facet Rhizotomy
Lokhu kuhlose izimpande zemizwa ezidlula ezinhlanganisweni ze-facet phakathi kwamathambo ethu. Lokhu kuvame ukwenziwa ngenxa yobuhlungu bomhlane kanye nobuhlungu bentamo.
- Uma kwenziwa entanyeni, kubizwa ngokuthi i-cervical rhizotomy .
- Uma kwenziwa emhlane ongezansi, kubizwa ngokuthi i-lumbar rhizotomy .
- Lokhu kuyindlela yokwelapha ephumelelayo yobuhlungu obungapheli obubangelwa ukuguguleka kwamalunga omgogodla ngenxa yezifo ezifana ne-arthritis.
Ukuhlinzwa Kwe-Dorsal Rhizotomy Ekhethiwe (SDR)
Lokhu kwenzelwa ngqo ukulawula ukuqaqamba kwemisipha kwezinye izingane ezine -cerebral palsy . Lokhu kuhilela ukulimaza ngokukhetha ezinye zezintambo zezinzwa engxenyeni engezansi yomgogodla. Kodwa-ke, akuzona zonke izingane ezine-cerebral palsy ezifanelekela lokhu kuhlinzwa. Lokhu kuyinto enqunywa odokotela.
Ulungiselela kanjani lokhu kwelashwa?
Ngenxa yokuthi lokhu kuyindlela yokuhlinzwa, kuzodingeka uhlolwe kaningana kusengaphambili ukuze uqiniseke ukuthi umzimba wakho uyakufanelekela nokuthi uzozuza ngempela kukho.
- Ukuhlolwa kwezithombe: Ama-MRI scan kanye nama-X-ray asetshenziselwa ukuhlola ngokucophelela inzwa ethintekile kanye nendawo ezungezile.
- Ukuvinjwa kwemizwa: Ukuze kutholakale ukuthi inkinga ikulesi sinzwa yini, kunikezwa umjovo oqeda imizwa okwesikhashana. Uma lokhu kunciphisa ubuhlungu, i-rhizotomy cishe izophumelela.
- Ukuhlolwa kwegazi nomchamo: Hlola impilo yomzimba iyonke.
Uma ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, kuzodingeka ubone udokotela wezinzwa. Futhi, uma uthatha noma yimiphi imithi, njengemithi yokunciphisa igazi, kuzodingeka uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho. Ithimba lakho lezokwelapha lizokuchazela konke.
Kwenzekani ngesikhathi sokwelashwa?
Le nqubo iyahlukahluka kuye ngohlobo lwe-rhizotomy, kodwa ngokuvamile, lezi ezinye zezinyathelo ezilandelwayo:
1. I-Anesthesia: Ezimweni eziningi, uzolaliswa ngokuphelele (i-anesthesia ejwayelekile). Kwezinye izinqubo ezilula, ungase ulale kancane (i-sedation) noma i-anesthetic yendawo (eyenza indawo ibe nesiyezi kuphela).
2. Isiqondiso sokuthwebula izithombe: Ngesikhathi sokuhlinzwa, kusetshenziswa inqubo ebizwa ngokuthi i-fluoroscopy, efana ne-X-ray, ukuqinisekisa ukuthi inaliti noma ithuluzi libekwe eduze kwe-nerve efanele. Ngezinye izikhathi, uketshezi olukhethekile (udayi wokungafani) lungafakwa emthanjeni ukuze imithambo ibonakale ngokucacile.
3. Ukuhlola i-nerve: Ngaphambi kokulimaza i-nerve, kunikezwa isignali encane kagesi ku-nerve ukuqinisekisa ukuthi iyi-nerve efanele. Lokhu kungenziwa kusetshenziswa ukuhlolwa okufana ne-EMG (Electromyography).
4. Ukulimala kwemizwa: Okokugcina, enye yezindlela ezintathu okuxoxwe ngazo ngaphambili (ukusika, amakhemikhali, noma ukushisa kwe-radiofrequency) isetshenziswa ukuvimba imizwa ebangela ubuhlungu ukuthi ingasebenzi.
Kuphumelela kangakanani lokhu? Yiziphi izingozi?
Abantu abaningi abenza i-rhizotomy bathola ukukhululeka ebuhlungwini isikhathi eside . Kodwa-ke, akubona bonke abantu abathola imiphumela efanayo. Abanye abantu bangase bangatholi ukukhululeka ebuhlungwini nhlobo. Ungakhuluma nodokotela wakho ngokuthi lokhu kuzosebenza kangakanani esimweni sakho.
Izingozi nezinkinga ziyahlukahluka kuye ngohlobo lwe-rhizotomy oluye lwenziwa.
- Ngokuvamile, kuvamile ukuzwa ubuhlungu, ukuklwebheka, kanye nokopha endaweni yenaliti noma ukusika ngokuhlinzwa. Lokhu kuzophela ezinsukwini ezimbalwa.
- Akuvamile kakhulu ukuthi ukutheleleka kuvele kulezo zindawo.
- Eminye imiphumela emibi ingalindelwa. Isibonelo, ngemva kokuhlinzwa kwe-trigeminal rhizotomy ngenxa yobuhlungu bobuso, ungase ulahlekelwe umuzwa kulolo hlangothi lobuso bakho. Udokotela wakho uzoxoxa nawe ngakho konke lokhu ngaphambi kokuhlinzwa.
Uma udinga ukubona udokotela ngokushesha
Ngemva kokwelashwa, uma indawo yokuhlinzwa ivuvukala, ibomvu, noma igcwele ubomvu (izimpawu zokutheleleka), noma uma uba nezinkinga ezintsha zemizwa, njengokungazweli noma ukuqaqamba emlenzeni owodwa noma engalweni, shayela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Rhizotomy inqubo elapha ubuhlungu obungapheli kanye nokuqina kwemisipha ngokuvala imizwa ethwala izimpawu zobuhlungu.
- Lokhu akuyona indlela yokuqala yokwelapha. Kuyindlela ongayicabangela uma izinto ezifana nemithi kanye nokwelashwa ngokomzimba zingasebenzi.
- Nakuba lokhu kwelashwa kuye kwaletha ngempumelelo ukukhululeka ebuhlungwini kubantu abaningi, akuwona wonke umuntu othola imiphumela efanayo.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihilelekile. Ngakho-ke, kubalulekile ukuxoxa ngezinzuzo kanye nokungalungi kwale nqubo nodokotela wakho ngaphambi kokwenza isinqumo.
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