Ubuhlungu bomhlane buyinto engaphezu kwamagama ukuyichaza, akunjalo? Ngezinye izikhathi, ngisho nangemva kokuthatha imithi, ukuzivocavoca njalo, nokuqhubeka nokuzivocavoca umzimba , lobu buhlungu obukhulu abupheli. Kunezikhathi lapho ukuhlala nalolu buhlungu iminyaka kungaba yinto esongela impilo. Ngakho-ke, namuhla sikhuluma ngokwelashwa okuthuthukisiwe okuletha ithemba elisha kulabo abahlulekile ngale ndlela, njengazo zonke ezinye izindlela zokwelapha.
Kalula nje, kuyini ukukhuthazwa kwe-Spinal Cord?
Leli gama lingase lizwakale njengento enkulu, eyinkimbinkimbi. Kodwa ake sikwenze kube lula. Cabanga ukuthi kukhona "izintambo zocingo" ezithwala ubuhlungu obuvela emgogodleni wakho buye ebuchosheni bakho. Lezi zintambo ziyizinzwa ezihamba emgogodleni wakho. Uma kunenkinga emgogodleni wakho, lezi zinzwa ziqhubeka nokuthumela izimpawu ebuchosheni bakho zithi "ubuhlungu, ubuhlungu."
Lokhu kwelashwa, okubizwa ngokuthi i-Spinal Cord Stimulation (SCS) , kusebenza ngokuphazamisa izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Kufana nokudala ukuminyana kwezimoto emgwaqweni, ukuvimba izimoto ezithwala izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
Lokhu kusebenzisa ugesi omncane kakhulu, obuthakathaka. Uma lo gesi unikezwa umgogodla, kuthunyelwa esinye isignali ebuchosheni esikhundleni sesignali yobuhlungu. Abanye abantu bazizwa lokhu njengokuzwa okucashile kakhulu, okujabulisayo, njengokuzwa okubuhlungu. Amanye amadivayisi obuchwepheshe bamuva angaqeda ngisho nobuhlungu ngaphandle komuzwa.
Kalula nje, i-SCS iyisivimbeli sobuhlungu "esifihla" ubuhlungu, noma esivimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
Wazi kanjani ukuthi lokhu kwelashwa kulungile kuwe?
Lona umbuzo obaluleke kakhulu. Ukwelashwa kwe-SCS akufaneleki kuwo wonke umuntu onesifo somhlane. Odokotela bavame ukuncoma lokhu kwelashwa kuphela ezigulini ezihlangabezana nezimo ezithile.
- Uma ezinye izindlela zokwelapha zehlulekile: Usuvele uzame imithi, imijovo, kanye nokwelashwa ngokomzimba okungenani izinyanga eziyisithupha futhi akukho nokukodwa okunikeze ukukhululeka okwanele kobuhlungu.
- Uma ubuhlungu buqhubeka ngemva kokuhlinzwa: Ngezinye izikhathi ubuhlungu bungaqhubeka ngisho nangemva kokuhlinzwa emhlane. Lesi simo sisibiza ngokuthi i-Failed Back Surgery Syndrome (FBSS). I-SCS iyindlela enhle kubantu abanjengalaba.
- Uma ukuhlinzwa kungenzeki: Uma udokotela wakho enqume ukuthi ukuhlinzwa akufaneleki ubuhlungu bakho bomhlane.
- Ngolunye ubuhlungu bemizwa:Le ndlela isetshenziselwa nobuhlungu bezinzwa obuqhubekayo, njenge-diabetesic neuropathy noma i-Complex Regional Pain Syndrome (CRPS) ebangelwa ezinye ukulimala.
Ngaphambi kokuba wenze lokhu kwelashwa, udokotela wakho uzokuxilonga kahle. Kubaluleke kakhulu futhi ukubona ukuthi ukulungele kangakanani ngokwengqondo lokhu. Ngenxa yokuthi lokhu kuyithuluzi elingafakelwa, udinga ukuliqonda kahle kanye nesimo sengqondo esihle.
Le divayisi ifakwa kanjani emzimbeni?
Lena inqubo enezinyathelo ezimbili. Idivayisi ehlala njalo ayifakwanga yonke ngesikhathi esisodwa.
Isinyathelo Sokuqala: Isikhathi Sokulinga
Lena yingxenye ebaluleke kakhulu. Ngaphambi kokuba idivayisi ehlala njalo ifakwe, kwenziwa isivivinyo sokubona ukuthi isebenza ngempela yini emzimbeni wakho futhi yehlisa ubuhlungu.
1. Ukufakwa kwe-electrode: Uzofakwa izinombolo (i-anesthesia yendawo), bese kufakwa i-electrode encane efana nentambo eduze komgogodla wakho kusetshenziswa inalithi encane kakhulu ngemuva kwentamo yakho. Lokhu akudingi ukusikwa okukhulu.
2. Ukuxhuma kudivayisi yangaphandle: I-electrode ixhunywe ku-stimulator encane engaphandle komzimba wakho, evame ukugqokwa ebhandeni.
3. Ukuhlolwa kwasekhaya: Uzovunyelwa ukuya ekhaya wenze imisebenzi yakho evamile cishe izinsuku ezi-5 kuya kweziyi-7. Ungandisa noma unciphise ukukhuthazwa ngesilawuli esincane esikude ukuze ubone ukuthi ubuhlungu bakho buphelile yini.
Uma ubuhlungu bakho buncishiswa ngaphezu kuka-50% phakathi nalesi sikhathi sokuhlolwa, kusho ukuthi lokhu kwelashwa kuyaphumelela kuwe. Yilapho udokotela ezonquma ukufaka idivayisi ehlala njalo.
Isinyathelo Sesibili: Ukufakelwa Okuhlala Njalo
Uma ukuhlolwa kuphumelele, uzohlinzwa kancane.
1. Ama-electrode afakwa unomphela eduze komgogodla.
2. Ibhethri elikhiqiza izimpawu zikagesi, noma i-Pulse Generator , lifakwa nge-incision encane ngaphansi kwesikhumba sesisu esingenhla noma izinqe. Lena idivayisi encane elingana nebhokisi likamentshisi.
3. Konke lokhu kufihliwe ngaphansi kwesikhumba, ngakho akubonakali. Ungakuvula/ukuvala bese ushintsha izinga lokukhuthaza noma nini lapho ufuna ngesilawuli kude ositholayo.
Ingabe kunezinhlobo ezahlukene zala madivayisi?
Yebo, kunezinhlobo eziningana eziyinhloko zama-Pulse Generators. Udokotela wakho uzokusiza ukhethe eyodwa efanelana kahle nendlela yakho yokuphila nezidingo zakho.
| Uhlobo lwedivayisi | Incazelo kanye nezinzuzo/ububi |
|---|---|
| Izinhlelo Ezingashajwa Kabusha | Izinzuzo: Ibhethri lihlala iminyaka eminingana (isib. 8-10). Lingashajwa ngeshaja ekhethekile egqokwa esikhumbeni. Okubi: Kufanele ukhumbule ukuyishaja ngesikhathi. |
| Izinhlelo Ezingashajwayo | Izinzuzo: Akudingeki ukushaja, ngakho-ke ukulungiswa kuphansi. Okubi: Ibhethri lizophela ngemva kweminyaka embalwa (isib. 3-5). Ngemva kwalokho, kuzodingeka wenze olunye ukuhlinzwa okuncane ukuze ushintshe ibhethri. |
| Izinhlelo Zomsakazo Nemvamisa | Lobu ubuchwepheshe obudala kakhulu obungasetshenziswa kabanzi. Ibhethri kufanele ligqokwe ngaphandle komzimba. |
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihlobene nalokhu kwelashwa. Isibonelo, kungase kube nokutheleleka endaweni yokuhlinzwa, i-electrode ingase inyakaze, noma idivayisi ingase ingasebenzi kahle. Kodwa-ke, lokhu akuvamile kakhulu. Ithimba lakho lezokwelapha lizothatha zonke izinyathelo zokuphepha ukuze linciphise lezi zingozi.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhuthazwa Kwentambo Yomgogodla (i-SCS) kuyindlela yokwelapha ethuthukisiwe esetshenziselwa ubuhlungu obungapheli bomhlane kanye nemizwa lapho ezinye izindlela zokwelapha, njengemithi kanye nokwelashwa ngokomzimba, ziye zahluleka.
- Lokhu kusebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Kufakwa idivayisi encane kagesi emzimbeni.
- Lokhu kwelashwa akufanele wonke umuntu. Ukuthi kulungile yini kuwe kuzonqunywa kuphela ngemva kokuhlolwa okuphelele nguchwepheshe.
- Ngaphambi kokufaka idivayisi ehlala njalo, isikhathi sokulinga siyimpoqo. Idivayisi ehlala njalo izofakwa kuphela uma iphumelela.
- Uma unalolu hlobo lobuhlungu obungapheli nobungenakubekezeleleka, ungesabi ukubona udokotela wakho.Khuluma nodokotela wakho ngezinketho zokwelapha zesimanje ezifana nalezi. Ungalilahli ithemba.
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