Thola amaqiniso ngezinzuzo nezingozi
Uma ubhekene nobuhlungu obungapheli, udokotela angancoma ukuthi unesibindi sezinzwa, inqubo yesikhashana noma ehlala njalo ephazamisa umsebenzi othile wezinzwa. Kungasiza ukuxilonga noma ukwelapha izinhlobo ezithile zobuhlungu be- neuropathic , noma ubuhlungu obubangelwa ukungasebenzi komzimba noma ukulimala. Amabhuloki emisipha angenziwa ngokujova amakhemikhali noma ama-anesthetics endaweni noma ngokusika ngamabomu noma ukulimaza izingxenye ezithile zezinzwa.
Abantu abaningi bathola amabhuloho emisipha ngaphandle kokwazi. Isibonelo, odokotela bamazinyo ngokuvamile basebenzisa ama-agent avimbela izinzwa ezifana neNovocaine ukuze agxilwe emlonyeni ngesikhathi sezinqubo ezibuhlungu.
Isizathu Sokuba Ungaba Nesikhwama Semisipha
Uma udokotela wakho ezama ukuxilonga isimo esibuhlungu esingapheli esibangelwa ukungasebenzi kwamagciwane, angasebenzisa ibhodlela lezinzwa ukukhomba indawo yangempela yenkinga. Ngaphezu kwesibindi sezinzwa, angase enze i- electromyography (EMG) kanye / noma ukuhlolwa kwe- nerve conduction velocity (NCV) ukuze unciphise isizathu esiqondile saso ubuhlungu obungapheli bomzimba .
Izimpawu zomzimba zingaphinda ziphathe ubuhlungu obungapheli be-neuropathic , njengobuhlungu obubangelwa ukulimala komzimba noma ukucindezela. Zijwayele ukusetshenziselwa ukwelapha ubuhlungu obubuyela emuva nangentanyeni obangelwa ama-discs noma ama-stenosis. Amabhuloki emisipha angasetshenziswa ukulawula ubuhlungu okwesikhashana noma unomphela, kuye ngokuthi inqubo esetshenzisiwe.
Izinhlobo ezijwayelekile zamabhlogo wamanzi
I- block nererve yendawo yenziwa ngokujova noma ukusebenzisa ama-anesthetics wendawo, njenge-lidocaine, endaweni ethile.
I-epidural yi-block nerve yendawo eshilela ukujova ama-steroid noma ama- analgesics endaweni ejikeleze intambo yomgogodla. Nakuba kuvamile ngesikhathi sokubeletha, i-epidural ingase isetshenziselwe ukuphatha izintamo ezingapheli noma ubuhlungu bokubuyela emuva obangelwa amagundane omgogodla . Amabhuloki we-nerve yendawo avame ukuba yesikhashana, nakuba amanye angaphindwa ngokuhamba kwesikhathi.
Ibhuloho ye- neurolytic isebenzisa utshwala, i-phenol, noma ama-agent asebenzayo, okufana nokuqhwaza kwe-cryogenic, ukuphatha ubuhlungu obungapheli. Lezi zinqubo empeleni zibangela ukulimala ezindaweni ezithile zesitimela. Lokhu kusho ukuthi i-block neurolytic ivame ukufaneleka kuphela ezimweni ezibuhlungu ezingapheli , ezifana nobuhlungu bomdlavuza noma isifo esiyinkimbinkimbi yesifo se-regional (CRPS).
I- block nererve yokuhlinza eyenziwa yi-neurosurgeon futhi ihilela ukukhipha noma ukulimaza ngokukhethekile izindawo ezithile zezinzwa. Njengesibindi se-neurolytic, ngokuvamile ibhuloho lokuhlinza ligcinwe amacala obuhlungu obukhulu, njengobunzima bomdlavuza noma i-neuralgia ye-trigeminal . Amabhuloki amaningi okuhlinzekwa angunaphakade.
Izingozi Ezihlobene Nezibilini Zezinzwa
Ngisho nesikhwama sezinzwa zesikhashana ezifana nesifo se-epidural sinomngcipheko wokulimala unomphela. Ngenxa yokuthi izinzwa zibucayi kakhulu futhi zivuselela kancane, ngisho nephutha elincanyana ekubalweni lingabangela imiphumela emibi emibi. Lokhu kufaka phakathi ukukhubazeka kwamasipha, ubuthakathaka, noma ukungapheli isikhathi eside. Ezimweni ezithile ezingavamile, izibilini zomshuwalense zingase zithukuthele kakhulu, zidale ukwanda kobuhlungu.
Ngenhlanhla, abasebenzi bezempilo abanekhono, abanemvume, njengamazinyo wamazinyo, odokotela abahlinzayo nabanesi-anesthesiologists, benza lezi zinqubo ezincane.
Ngenkathi kuhlale kunengozi yokulimala kwamantombazane phakathi nalezi zinqubo, iningi lamabhlogongqangi anciphisa ngempumelelo ubuhlungu obungapheli.
Yini Ongayilindela Ngemuva Kwesikhwama Segazi
Ungase uzizwe unomphefumulo okwesikhashana noma unciphise emva kwesibindi sakho sezinzwa, futhi ungabona ukuthi ubomvu noma ukucasuka endaweni. Lokhu ngokuvamile akusiyo unomphela futhi kumele kuphele isikhathi. Uma ngabe unesivinini sokuhlinzwa, ungase ucelwe ukuba uhlale isikhathi esithile ngemuva kwenkambiso yakho. Kuncike ebuchosheni bokuhlinzwa, kungase kudingeke uchithe izinsuku ezimbalwa ululame esibhedlela.
Okunye ubuhlungu obungase buqhubekele ngemuva kwesibindi sakho sezinzwa, kodwa lokho akusho ukuthi inqubo ayiphumelelanga.
Ukwengeza, ezinye izithiyo zamabindi zingabangela ukuvuvukala, okucindezela isisindo futhi kudinga isikhathi sokuncipha. Uma uthola imiphumela emibi yesibindi sakho sezinzwa zihlala isikhathi eside kunalindelekile, xhumana nodokotela wakho.
Imithombo:
I-American Pain Foundation. Izinketho zokwelashwa: Umhlahlandlela Wabantu Abaphila Ngezinhlungu. Ifinyelele ngo-6 / 9/09.
I-National Institute of Neurological Disorders and Stroke. Ubuhlungu: Ithemba Ngokwenza Ucwaningo. Ifinyelele ngo-6 / 9/09. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm
I-Nocom G, i-Ho KY ne-Perumal M. Ukulawulwa Kwezindlela Zokubhekana Nesifo Esibuhlungu. Amanothi we-Academy of Medicine, eSingapore. 2009 Feb; 38 (2): 150-5.