Isimo Sokuphendula Umbuzo-Isimpendulo
Amabhuloki we-peripheral, noma ama-PNB, asetshenziselwa ukwelashwa kwezinkinga eziningi zezinsizi. Nakhu ukubuka okuyisisekelo semibhobho yesigungu se-peripheral usebenzisa ifomethi yesitayela sempendulo:
Ukukhathazeka Kwezinhloko Eziyinhloko Ngokujwayelekile Kuphathwa Ngama-Blocking Nerve Blocks
- I-Migraines
- Izinhloko zekhanda
- Izinwele zansuku zonke ezingapheli
- Hemicrania Continua
- Insizwa entsha eqhubekayo eqhubekayo
Ukukhubazeka Kwekhanda Lokujwayelekile Kubuzwa Ngokujwayelekile Ngeziphazamiso Zezinzwa Zomzimba
- I-headache ye-cervicogenic
- Inhloko ekhanda ngemuva
- Amakhanda e-post-dural puncture
- I-neuralgia ye-Trigeminal
I-Standard Standard yokwenza i-Peripheral Nerve Block
Ngenxa yokusetshenziswa okuqhubekayo kwezigungqungqungquthela zezinzwa zomzimba ukuze odambise ikhanda, i-American Headache Society Special Interest Section ye-PNB kanye nezinye izinqubo ezithintekayo - ezibizwa ngokuthi i-AHS-IPS - izincomo ezenziwe nge-PNBs.
Inzuzo ye-Peripheral Nerve Blocks
Bangakwazi ukuhlinzeka ngokukhululeka kwekhanda ngokushesha, futhi kwabanye abantu, ukukhululeka kobuhlungu kungadlulela amasonto amaningana.
AmaNerves ahloswe ku-Peripheral Nerve Blocks
I-nerve ehloswe kakhulu yi-nerve enkulu ye-occipital - etholakala phansi kwe-skull. Amagatsha we-trigeminal nerve - i-nerve cranial ehlinzeka ukuzwela ebusweni futhi ivumela ukunyakaza kwesibuso - noma izinzwa ezincane zesimo se-occipital nazo zingabhekwa.
Indlela I-Peripheral Nerve Ivimbela Ngayo Umsebenzi
Udokotela uzokufaka inzwa ye-anesthetic yangakini - noma i-lidocaine noma i-bupivacaine - emgogodleni. I-anesthesia ivimbela ukusayina phakathi kwezintambo ze-nerve ezithintekayo ekuthumeni imiyalezo ebuhlungu.
I-Steroids Izifo
Ingabe ama-Steroids ahlala ejojelwe? Ngezinye izikhathi, ama-corticosteroids - afana ne-triamcinolone - ayengezwa ku-anesthesia yendawo.
I-Corticosteroids nayo inganikezwa yedwa, kodwa lokhu akuvamile kakhulu. Ngokweziphakamiso ze-AHS-IPS, i-corticosteroids akufanele ifakwe emagatsheni ama-trigeminal ngenxa yemiphumela emibi.
Lapho Amabhuloki Emigodi Yokwenziwa Kwamaphesenti Ayenziwa
Amabhuloki we-nervipheral enza ngokuvamile ehhovisi likadokotela futhi evame ukubekezelela kahle abantu abanesifo sengqondo.
Ukuvame ukuphinda kudingeke ukuthi kusetshenziswe izidingo zokuvimbela umgogodla we-Peripheral Nerve Block
Kuvame kangakanani ukuthi ibhuloho le-nerve ye-peripheral liphindwe iphinde lixhomeke kumuntu kanye nokunconywa kukadokotela. Kodwa, ngokweziphakamiso ze-AHS-IHP, i-neripheral block ne-anesthetic yendawo ingabuyekezwa njalo ngemva kwamasonto amabili kuya kwangu-4.
Uma i-corticosteroids isetshenziswa, noma kunjalo, le nqubo kufanele iphindwe ngokuphindaphindiwe kungakapheli izinyanga ezingu-3 ngenxa yemiphumela emibi - nakuba lokhu kungase kungabi yinkimbinkimbi enkulu ye-occipital iningi labantu abahlukunyezwa ngamakhanda.
I-Effects Side Effects of Corticosteroids Injected
Imiphumela emibi engase ibe khona ihlanganisa ukulahlekelwa izinwele, isikhumba esincane, isikhumba esikhanyayo, noma isimo sezokwelapha esibizwa ngokuthi i- Cushing's syndrome .
Ubani Ongathola I-Nerve Block for Headache Treatment
Kukhona abantu abangeke bathole i-block nerve - njengabo abanomlando we-craniotomy.
Kukhona nokukhathazeka kokuphatha ama-PNB kubantu abathile - njengabesifazane abakhulelwe nabadala. Wonke ama-PNB adinga ukuxoxwa ngokucophelela ngeqembu labasebenzi labodokotela.
Thatha umlayezo wasekhaya
Ukusetshenziswa kwezivimbela zamangqamuzana ekwelapheni kwekhanda kungenelela okuthakazelisayo, kodwa izifundo eziningi kudingeka zenziwe ukuze kucaciswe ukusebenza kwayo. Imiphumela yesikhathi eside - ikakhulu uma kuziwa ekuvimbeleni ikhanda - ayiziwa ngempela kuleli phuzu. Uma ucabangela ibhodlela lezinzwa, qiniseka ukuthi ulixoxisane kahle nekhanda lakho lobuchwepheshe bekhanda.
Imithombo
Blumenfeld A, Ashkenazi A, Evans RW. I-Occipital ne-Trigeminal Nerve Blocks ye-Migraines. Izinwele. 2015; 55 (5): 682-89.
Blumenfeld et al. Iziphakamiso zezobuchwepheshe zemiSebenzi yokuThuthukiswa kokuPhepha kweMisipha yezinsizi - Ukubukeza Okulandelanayo. Izinwele. Mashi 2013; 53 (3): 437-46.
ISICELO: Leli sayithi lenzelwe izinjongo zokwaziswa kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubone udokotela wakho ukuthola iseluleko, ukuxilongwa, nokwelashwa kwanoma yikuphi okuphathelene nezimpawu noma isimo sezokwelapha .