Uma wena nodokotela wakho nithole ukuthi ipompo yezidakamizwa ingase ibe yindlela enhle yokuphatha ubuhlungu bakho obubuhlungu obungapheli, kuzomele uqale uvumelane nesilingo ngaphambi kokuba idivayisi ingeniswa ngokuphelele.
Ukuhlolwa kwepompo lokuhlunguphazeka okungenakunyakazeka - aka ukupompa kwe-infusion - kwenziwa ukufanisa ukwelashwa kuwe njengesiguli ngasinye. Kusukela ekuvivinyweni, udokotela wakho uzokwazi ukuphendula imibuzo emibili ebalulekile edingekayo ukuze aqhubeke nokufakelwa ukuhlala unomphela.
- Ingabe ukwelashwa kwezidakamizwa ezitholakalayo (ie ipompo lobuhlungu) kufanelekile kuwe?
Ngemuva kokubuka umlando wakho wezezokwelapha, ezenhlalakahle, wezezimali nezengqondo, ukuhlolwa kuyisinyathelo esilandelayo ekunqumeni ukuthi ngabe uphendula kanjani imishanguzo ngokuqondile emthonjeni.
- Cishe imithi engakanani oyodinga?
Ngalesi sikhathi, udokotela uthola idatha angayisebenzisa ukuze anqume umthamo wemithi iphompo yobuhlungu izoletha. Ukwaziswa kokulinganisa okutholakala kulesi sivivinyo kuphela isinyathelo sokuqala enqubo eyaziwa njenge-titration, noma ukuchaza inani elidingekayo elizoletha ukukhululeka okukhulu kobuhlungu nemiphumela emibi kakhulu. Umthamo wakho uzobe ulungiswa ngokuqhubekayo ngemuva kokuba idivayisi yokugcina isetshenziswe, kepha isilingo sinika udokotela ulwazi oluyisisekelo okufanele luqale ngalo.
Ubude be-Triin Pump Trial
Kuye ngesimo sakho, ukuhlolwa kwezilingo kuzohlala phakathi kwezinsuku ezimbili no-14.
Ubude besilingo buxhomeke esimweni sakho. Uma unempilo enhle, cishe izohlala isikhathi eside. Uma unesifo esingathí sina, kungase kube isikhathi esifushane.
Kwenzekani Ngenkathi Inqubo?
Ngesikhathi sesilingo, i-catheter ifakwa emgodleni, ngokuvamile (kodwa hhayi njalo) esikhaleni se - epidural .
I-catheter nepompo zigqamile ngaphandle komzimba. Ukuze kuhlanganiswe unomphela kanye nezinhlobo ezithile zokuvivinywa, i-catheter ifakwa emgodini womgogodla, endaweni eyaziwa ngokuthi yi-intrathecal space. Uhlobo lwesilingo olufaka umcengezi esikhaleni se- intrathecal lunenzuzo yokubheka ngokulinganayo inqubo yokugcina futhi ngaleyo ndlela unikeze idatha enembile. Ukusetshenziswa kwe-catheter yangaphandle kuphakamisa ingozi yokutheleleka. Kubantu abanomdlavuza, ingozi iphezulu nakakhulu. Udokotela wakho cishe uzolinda izinsuku ezimbalwa phakathi kokuphela kwecala kanye nenqubo yangempela yokufakelwa, ukuqapha izimpawu zokutheleleka.
Njengoba kukhulunywe ngenhla, ngesikhathi sesilingo, udokotela uqala ukumisa imithi yokuhlinzeka ngemithi ehlinzeka ngokulingana okungcono kakhulu phakathi kokuphumula kobuhlungu nemiphumela emibi. Udokotela wabe esenquma ukuthi kufanele unikezwe yini isibhamu esisodwa, eziningana, noma umthamo oqhubekayo.
Izivivinyo zenziwa njengendlela yokuphulukisa izifo, kepha ukuze kube nokufakelwa okuqhubekayo, isidingo esibhedlela siyadingeka ukuze kulawulwe izifo ezingenzeka. Njengenqubo enomphela, ukuhlolwa kwepompo lobuhlungu ngokuvamile kwenziwa ngumchwepheshe wezobuhlungu noma i-neurosurgeon.
Imithombo:
UDkt. Sud Di Diwan, uMqondisi weProject Medicine Fellowship Program kanye noMqondisi weDaily Medicine Medical at Weil-Cornell Medical College yaseCornell University. Ifoni Ingxoxo. Meyi 2008.
Berner, B. Dinh, S. (eds) Ukulawulwa Kwezidakamizwa Ezilawulwa Ngokwe-elekthronikhi Boca Raton: I-CRC Press 1998
I-Lipov, E., MD. I-Ch. 34. Ukwelashwa Kwezidakamizwa Zase-Intrathecal ku-Chronic Low Back Pain. Ubuhlungu Bokubuyisa Ephansi: Ukuxilongwa Nokuphathwa. ASIPP Ukushicilela. Odokotela. Paducah, KY. 2002
UMarkman, J., MD., Philip, A., MD. Ukufinyelela Okungenelela Ukuphathwa Kwezinhlungu. Imitholampilo ye-Anesthesiology. Dec 2007. Umqulu 25, Issue 4. Saunders, Imprint ka-Elsevier
Krames, E., MD. I-Implantable Technologies: Ukukhuthazwa Kwe-Spinal Cord kanye Nokusetshenziswa KwamaDrug Delivery Systems. Iwebhusayithi ye-National Pain Foundation.