Eyaziwa nangokuthi isikhala esingaphansi komhlaba, isikhala se-intrathecal yindawo egcwala amanzi ephakathi kwesigcawu esingaphakathi kwendwangu yomgogodla (umthamo ophezulu) wesiginci somgogodla kanye nesendlalelo esiphakathi sesimbozo (i-arachnoid mater).
Izitshalo ezifakelwe izidakamizwa ze-Intrathecal (IDDSs)
Isikhala se-intrathecal singase sibe yindlela yokuphatha yezidakamizwa ezisetshenziselwa ukwelashwa kokuphathwa ubuhlungu.
Isibonelo, izimpumputhe ezifakelwe izidakamizwa , ezaziwa nangokuthi amaphampu ebuhlungu noma ipompoyini ye-morphine, sebenzisa lo mzila.
Ukusabalalisa imithi ebuhlungu endaweni ye-intrathecal esikhundleni sokuthatha iphilisi ngokudinga isidingo somzimba ukugaya nokwamukela imithi. Lokhu kuvame ukuhumusha ekulawuleni ubuhlungu okungcono ngamanani amancane. Ngenxa yalesi sizathu, umjovo wemithi ebuhlungu emkhatsini we-intrathecal ungase unikeze ukukhululeka okukhulu kobuhlungu uma kuqhathaniswa nezinye izindlela zokwelapha kubantu abanezinhlungu ezinkulu, ezingenasici. Futhi kuyisixazululo esingelaphakade sokubhekana nobunzima obubuhlungu obungapheli. Ngamanye amazwi, uma uzama futhi ungayithandi, noma uma unquma ngendlela yokwelashwa ehlukile, akudingeki uqhubeke - ipompo ingasuswa kalula.
Ukufakwa kwezidakamizwa zokulethwa kwezidakamizwa ezingenakunyakaziswa kungase kuphakanyiswe ngudokotela wakho wezinhlungu uma unesikhathi eside, ubuhlungu obunzima futhi uzame izinhlobo eziningi zokwelapha (okungukuthi, okungezona ezihlasela noma ezingekho ukuhlinzwa) okungenakuphuthunyiswa ezimpawu zakho.
Ngokusho kukaGhafoor, u-Epshteyn, uCarson, uThaar, uCharry noPhelps ku-athikili yabo, "Isidakamizwa se-intrathecal sokuphathwa kabuhlungu kwesikhathi eside," esanyatheliswa kuyi- American Journal of Health System Pharmacy , ngo-December 2007. nobufakazi bokusekela ukusetshenziswa kwezidakamizwa ezingenasifo esibizwa ngokuthi yi-intrathecal ngokusekelwe ekuhlolweni kwamagciwane okungahleliwe.
(Uhlolo olulinganiselwe olulinganiselwe lomtholampilo luwuhlobo oluphakeme lwezocwaningo lwezokwelapha oluqhathanisa ukwelashwa olulodwa ngolunye ukwelashwa, alukho ukwelashwa noma ukwelashwa ngamanyala.)
I-Ghafoor, et. Uphinde uthi ngoba izinhlobo eziningi zemithi ezisetshenziselwa amaphampu ezidakamizwa ze-intrathecal azitholakali emakethe, kufanele zihlanganiswe nabasokhemisti. Lezo zinhlobo zemithi zihlanganisa: i- opioids , i-anesthetics yendawo, i-clonidine, i-baclofen, ne-ziconotide, bathi.
Abacwaningi bangezela ukuthi abakwa-pharmacy bawubalulekile ekuqinisekiseni ikhwalithi yokusetshenziswa kwezidakamizwa ze-intrathecal ngoba bahileleke ekusebenzeni okuningi - kusukela ekuhlungeni nasekuziphatheni ukuze kugweme ukucindezeleka ezigulini ezisengozini, kumadokhumenti, ekuqapheni nasekulandiseni, nasekuhlanganiseni izidakamizwa.
Izingozi Zamaphampu Ezidakamizwa
Nakuba ipompi ehambisa imithi emkhakheni we-intrathecal isiza abantu abaningi ukuba banciphise ubuhlungu babo babuye baphinde baphile impilo yabo, le nqubo ihambisana nezingozi ezimbalwa. I-Medtronic, umkhiqizi wezimpumputhe zezidakamizwa uhlu lwe-infection, ukuvuza kwamanzi omgogodla ukuvuza, nezinhlungu njengezihloko ezintathu eziphezulu. Ukukhubazeka kwedivayisi kungenye ingozi engenzeka, bathi.
> Umthombo:
> Ghafoor VL, Epshteyn M, Carlson G., Terhaar D., Charry O., Phelps P. Ukwelashwa Kwemithi Ye-Intrathecal Yokuphathwa Kwesikhathi Eside. Am J Health Syst Pharm. Dec 2007.
> Izinzuzo nezingozi - Amapompo okudakamizwa. Ubuhlungu obungapheliyo. I-Medtronic.