Isixazululo sobuhlungu obungapheli obungabekezeleleki: Funda nge-Spinal Cord Stimulator

Ngezinye izikhathi siba nobuhlungu obungapheli ngisho nangemithi noma i-physiotherapy. Kunzima kangakanani ukuphila nalolu hlobo lobuhlungu obuqhubeka usuku nosuku, inyanga nenyanga? Uma nawe ungumuntu ohlushwa ubuhlungu obukhulu kangaka, obuhlala isikhathi eside, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sikhuluma ngedivayisi ekhethekile efakwa ngokuhlinzwa emzimbeni ukulawula ubuhlungu obunjalo. Lokhu kungaba yindlela enhle esikhundleni semithi enamandla yokudambisa izinhlungu njenge-opioid, engaba umlutha kwabanye abantu.

Kalula nje, iyini i-Spinal Cord Stimulator?

Kulungile, ake siqale siqonde ukuthi lokhu kusebenza kanjani. Kudinga ukuqonda okuncane ngohlelo lwethu lwezinzwa kanye nobuhlungu.

Kuyini ubuhlungu?

Ubuhlungu buvame ukuba yindlela yokuzivikela emzimbeni wethu. Uma ulimala, usha, noma usuzolimala, yilokho okutshela ubuchopho ukuthi, "Kukhona okungahambi kahle lapha, qaphela." Ubuhlungu buyisibonakaliso esiyinhloko sezifo eziningi.

Kodwa-ke, ubuhlungu abusiniki isivikelo ngaso sonke isikhathi. Ubuhlungu obubangelwa ezinye izimo zezokwelapha abubekezeleleki. Futhi, obunye ubuhlungu abupheli futhi buyaqhubeka. Lokhu sikubiza ngokuthi ubuhlungu obungapheli . Uma uphila nalolu hlobo lobuhlungu, awukwazi ukulala kahle noma ukwenza noma yimuphi umsebenzi. Uma uphila kanje isikhathi eside, kungaba yinto ecindezelayo kakhulu.

Ubuhlungu obungapheli bubangela izinguquko ebuchosheni bethu kanye nasesimisweni sezinzwa. Ngenxa yalokho, ngisho nobuhlungu obuncane bungazwakala kakhulu (hyperalgesia). Ngezinye izikhathi, izinto okungafanele zilimaze zingabangela ubuhlungu (allodynia). Lokhu kusho ukuthi kukhona okungahambi kahle ngohlelo lwethu lokubonisa ubuhlungu.

Isimiso sezinzwa sisebenza kanjani?

Cabanga ngesimiso sakho sezinzwa njengenethiwekhi yezintambo zocingo. Ulwazi ludluliselwa emuva naphambili phakathi kobuchopho nomzimba wonke ngale migqa. Izimpawu zobuhlungu zifana 'nokushaya' kule migqa.

Ukuvuselelwa Kwentambo Yomgogodla kuyindlela yokuvuselela imicu ethile yezinzwa emgogodleni womgogodla kusetshenziswa ugesi omncane kakhulu . Kalula nje, ngaphambi kokuba 'ubizo' lobuhlungu luye ebuchosheni, le divayisi yenza olunye 'ubizo' emgogodleni. Ngemuva kwalokho, umugqa uba matasa, uvimbela isignali yobuhlungu ukuthi ingafiki ebuchosheni. Yile ndlela umuzwa wobuhlungu olawulwa ngayo.

Ubani odinga lokhu kwelashwa? Ngaziphi izimo?

Lokhu akuwona wonke umuntu okwelaphayo. Ngokuvamile kubhekwa njengendlela yokwelapha ubuhlungu obukhulu, obungapheli obungazange buphathwe ngempumelelo ngezinye izindlela zokwelapha (njengemithi, imijovo, kanye nokwelashwa ngokomzimba). Nakuba lokhu kuhlinzwa kuvame ukwenziwa kubantu abadala, kungasetshenziswa nakwezinye izimo ezinganeni ezincane.

Ngezansi kunezimo lapho lokhu kwelashwa kungaba wusizo khona.

Kwenzekani ngaphambi kwalokhu kuhlinzwa? Ngilungiselela kanjani?

Njengoba lokhu kungeyona indlela yokwelapha yokuqala, kuzokwenziwa izivivinyo ezahlukene (ezifana nama-lab kanye nama-scan) ngaphambi kokuhlinzwa ukuqinisekisa ukuthi uphilile futhi kubonakale ukuthi kukhona yini isizathu sokungakwenzi lokhu kuhlinzwa.

Futhi, kuzodingeka ubone ochwepheshe abaningana.

• Udokotela Wezinzwa: Ngokuvamile yibo abangakwazi ukuhlonza ngokunembile isimo esibangela ubuhlungu bakho.
• Uchwepheshe wokuphatha ubuhlungu: Lo dokotela uzonquma ukuthi ezinye izindlela zokwelapha ziye zaphumelela yini ngaphambi kokuhlinzwa, noma ukuthi kukhona yini isizathu sokuthi lokho kwelashwa kungenziwa.
• Udokotela Wezinzwa: Benza ukuhlinzwa ukuze bafake le divayisi.
• Udokotela Wezifo Zengqondo noma Isazi Sezifo Zengqondo: Ubuhlungu obungapheli bungaba nomthelela omkhulu empilweni yakho yengqondo. Kubalulekile ukuhlola nokwelapha izimo eziyisisekelo njengokukhathazeka noma ukucindezeleka, njengoba ezinye izimo zempilo yengqondo zingenza lokhu kwelashwa kungasebenzi kahle.
• Udokotela Wokubulala Izinzwa: Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngakho-ke, udokotela wokubulala izinzwa uzokuhlola, axoxe ngomlando wempilo yakho, futhi akunike imiyalelo edingekayo.

Ngemva kwakho konke lokhu, uma kutholakala ukuthi ufanelekile ukuhlinzwa, uzothola imiyalelo yokuthi ungakulungiselela kanjani.

• Imithi oyithathayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo. Eminye imithi (njengemithi yokunciphisa igazi ) kungadingeka iyekwe noma ishintshwe ngaphambi kokuhlinzwa. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
• Ukuhlanza: Imiyalelo yokuthi ungageza kanjani ngaphambi kokuhlinzwa kanye nohlobo luni lwensipho okufanele ulusebenzise.
• Ukuzila Ukudla: Uzokwaziswa ukuthi uyeke ukudla okuqinile cishe amahora angu-8 kanye nokuphuza uketshezi cishe amahora amabili ngaphambi kokuhlinzwa.

Kwenzekani ngesikhathi sokuhlinzwa?

Le nqubo ivame ukwenzeka ngezigaba ezimbili. Esokuqala "siwukuzama." Uma lokho kuphumelele, idivayisi ifakwe unomphela esigabeni sesibili.

Le divayisi inezingxenye ezimbili eziyinhloko. Eyokuqala izintambo zikagesi (ama-lead). Lezi zifakwa esikhaleni esibizwa ngokuthi isikhala se-epidural eduze kwentambo yomgogodla. Lezi zintambo zixhunywe kujeneretha yokushaya kwenhliziyo kagesi. Lena yingxenye esebenza njengebhethri futhi ikhiqiza ugesi.

Isigaba sokuqala: "Inqubo yesilingo"

Lokhu kuhilela ukufaka ucingo okwesikhashana ukuze kuhlolwe ukuthi idivayisi ikufanele yini nokuthi iyanciphisa ubuhlungu. Lokhu kuvame ukwenziwa ngaphansi komuthi wokudambisa ukuze ulale kancane. Udokotela usebenzisa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i-fluoroscopy (efana nevidiyo ye-X-ray), wenza ukusika okuncane esikhumbeni, bese efaka ucingo lwesikhashana ngenaliti endaweni efanele emgogodleni.

Bese kuthi ingxenye eveziwe yezintambo ixhunywe esikhumbeni bese ixhunywe kujeneretha yesikhashana yokushaya kwenhliziyo engaphandle komzimba. Manje, bayayivula bese behlola ukuthi iyakuqeda yini ubuhlungu bakho.

Uma ukuhlolwa kuphumelela, isinyathelo esilandelayo kuzoba ukuhlinzwa ukuze kufakwe idivayisi unomphela.

Isigaba sesibili: Ukufaka idivayisi unomphela (ukuhlinzwa kokufakelwa)

Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lapha, udokotela ohlinzayo, njengasesivivinyweni, ubeka izintambo zikagesi ezihlala njalo endaweni efanele emgogodleni.

Bese kuthi, olunye uhlangothi lwentambo luthathwe ngaphansi kwesikhumba bese luxhunywe ku-pulse generator, noma ibhethri, evame ukufakwa endaweni ongayilawula kalula. Isibonelo, 'iphakethe' elincane lenziwa ngaphansi kwesikhumba ohlangothini lwesisu noma izinqe bese lithungwa ngaphakathi.

Kunezinhlobo eziningana zala mabhethri. Amanye adinga ukuvulwa/ukuvalwa nge-remote. Amanye angaphinde aphinde afakwe. Aphinde afakwe esikhumbeni, ngokubeka ishaja ekhethekile lapho ibhethri likhona.

Ekugcineni, izimbobo zivalwa ngezithungo noma ngezinduku.

Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?

Ngemva kwesilingo, ungaya ekhaya ngalolo suku noma ngakusasa. Ngemva kokufakwa kwedivayisi ehlala njalo, ngokuvamile kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili.

Ngemva kokuhlinzwa, ikakhulukazi ngemva kokufakwa kwensiza ehlala njalo, uzocelwa ukuthi unciphise umsebenzi womzimba cishe amasonto amane kuya kwayisithupha . Kufanele ugweme ukugoba, ukuphakamisa, noma ukwenza izivivinyo ezinzima kuze kube yilapho indawo lapho insiza ifakiwe khona isipholile kahle futhi umzimba wakho usujwayele.

Uzocelwa ukuthi ubuye emtholampilo ngemva kwamasonto amabili ukuze kususwe izithungo/amaphini e-stapler.

Yiziphi izinzuzo nezingozi zalokhu kwelashwa?

Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo nezingozi. Kubalulekile ukuba nolwazi oluphelele ngakho kokubili ngaphambi kokwenza isinqumo.

Kunini lapho udinga ukubonana nodokotela wakho?

Ngemva kokuhlinzwa, kuzodingeka uye emitholampilo ngezinsuku ezihleliwe. Futhi, uma kuvela izinkinga, kufanele ufune iseluleko sezokwelapha ngokushesha.

Ingabe lokhu kwelashwa kuphumelele kangakanani? Ngingaphila impilo ejwayelekile?

Ngokuvamile, cishe ingxenye yabantu abathola lokhu kwelashwa bathola ukukhululeka ebuhlungwini okungaphezu kuka-50% . Kodwa-ke, leli zinga lempumelelo lincike ezintweni eziningi, okuhlanganisa isimo sesiguli kanye nohlobo lwedivayisi esetshenziswayo. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi kungenzeka kangakanani ukuphumelela ngokusekelwe esimweni sakho.

Kungase kudingeke wenze izinguquko ezithile endleleni yakho yokuphila ngemva kokufaka le divayisi. Ikakhulukazi, gwema noma yikuphi ukugoba noma ukusonta ngoba lokhu kungalimaza idivayisi.

Kodwa-ke, abantu abaningi bajwayela ukuphila impilo evamile ngale divayisi. Khumbula, umgomo oyinhloko ukunciphisa ubuhlungu bakho nokuthuthukisa ikhwalithi yokuphila kwakho.