Izimpawu Nokuphathwa Kwe-Phantom Limb Pain
Abantu abangaba ngu-80% abanesipiliyoni sokuhlunga uhlobo oluthile lwe-"phantom" inzwa emilenzeni yabo ekhishiwe. Kodwa-ke, kuze kube yingxenye yalabo abathola le mizwa ephazamisayo ayitholi noma yimaphi ukwelashwa-noma ukuphumula kusuka ebuhlungu babo. Lokhu kwenza ubuhlungu obunzima bube nesimo esibuhlungu esingapheli esizodinga ukuxazululwa ukuze kuthuthukiswe ikhwalithi yokuphila kulabo abaye baxoshwa.
Iyini Inhlungu Ye-Phantom Limb?
Ngemuva kokuthi isisu sisusiwe, ungaqhubeka uzwa, njengokungathi kusekhona. Ubuhlungu bezinyawo ze-phantom akuyona into efana nosizi lwesithungu , oluzwakala ngaphakathi nangakuzungeze ukuchotshozwa ngemva kokuhlinzwa. Ubuhlungu be-stump buya endaweni yesigwebo, kanti ubuhlungu be-phantom buzwa kwenye ingxenye yomlenze ongasenamathele.
Abantu abaningi bachaza izinzwa ezishisayo ezinzwaneni zabo nakuba kungenzeka ukuthi balahlekelwa umlenze wabo ngezansi kwamadolo. Lokhu kungaba ukuzwa okudidekayo nokukwesabayo, okuholela abanye abantu ukuba bakholelwe ukuthi balahlekelwa izingqondo zabo.
Isinyathelo sokuqala ekwelapheni ubuhlungu be-phantom ukuvuma ukuthi ubuhlungu be-phantom buvame kakhulu futhi bukhona ngempela.
Imibono
Akekho owazi ngokuqinisekile ukuthi kungani ama-amputees enesifo esibucayi, kodwa kunezincazelo ezimbalwa ezikholelwa ukuthi ziyiqiniso.
- Imemori yezinhlungu zomlenze - Abanye abacwaningi bathi insimu isetshenziselwa ukuzwa ubuhlungu. Ngisho nangemva kokuba isisu sisusiwe, ubuchopho buyaqhubeka buzwa uhlobo olufanayo lobuhlungu. Kunjengokuba nenkumbulo yobuhlungu ngoba ubuhlungu bufakwe ebuchosheni.
- Ukugqugquzelwa kwamathambo - Izisindo ezigcotshwe ezakhiweni zokuqothulwa noma zithuthukiswa ngandlela-thile, ukuthumela umlayezo ubuhlungu ebuchosheni. Lezi yizinzwa ezifanayo ezazithola zifinyelele emlenzeni wonke. Ngesinye isikhathi ngemuva kokuhlinzwa, lezi zinzwa zenza izibopho ezibizwa nge- neuromas . Uma zivutha, ubuchopho buhumusha lezi zimpawu njengokungathi izinzwa zisengaguquki, futhi "uzizwa" ubuhlungu ezinzwaneni.
- Ukuvuselelwa kwesimiso sezinzwa - Kuye kwaba nobufakazi bokuthi uma isinqunjwana sidutshulwa, izinguquko zenzeka ebuchosheni nasendlini yomgogodla obangela ubuhlungu ukuba buhunyushwe ngokuhlukile kunangaphambili. Akukacaci, kodwa, uma lokhu kuyimbangela yobuhlungu obukhulu noma uma kwenzeka lokhu ngenxa yalokho.
Izimpawu
Kungakhathaliseki imbangela yayo, ubuhlungu obukhulu bungaba yisimo esilimazayo. Ubuhlungu buvame ukuchazwa njengamazwi avuthayo, ahlabayo futhi aphunga-amagama ajwayelekile okuchaza ubuhlungu be-neuropathic . Ubuhlungu be-Phantom bungenzeka emjikelezweni oqhubekayo, noma kungase kuhanjiswe yizici ezingaphandle, njengokushintsha kwezinga lokushisa, ukucindezeleka noma ukucasuka kwesinye.
Iningi labantu lichaza ubuhlungu babo bubuhlungu njengokungathi buvela ezingxenyeni ezikude (izingxenye ezingaphezu komzimba womzimba) wegundane elinqunyiwe. Ngamanye amazwi, izinyawo, izinzwane noma izandla. Ukuzwa kwe-Phantom kuvame kakhulu ezinyangeni ezimbalwa zokuqala emva kokuhlinzwa kunezinyanga ezimbalwa phansi komgwaqo, kodwa kungenzeka nganoma isiphi isikhathi ngemuva kokukhishwa kwe-amputation.
Izinketho zokwelapha
Njengezimo eziningi ezibuhlungu ezingapheli , akukho ndlela yokwelashwa eyodwa ongasebenza kuyo wonke umuntu. Nazi ezinye zezindlela ezivame kakhulu.
- Imithi - Ngoba ibhekwa njengesiyaluyalu se-neuropathic, ama-anti-depressants kanye nama- anticonvulsants ngokuvamile avunyelwe ukuzwa ubuhlungu obukhulu. Ama-NSAIDS , ama-opioid kanye nama-relaxant muscle nawo wonke uhlu lwemithi. Njengazinye izimo ezibuhlungu ezingapheli, ukuthola imithi efanele kungathatha isikhathi nokubekezela. Ngezinye izikhathi ukuphumula kobuhlungu be-phantom obuphumelelayo kuthatha inhlanganisela yale mithi.
- Ukwelashwa kwe-mirror - Abahlinzeki abaningi basebenzisa imithi yokwelapha emitholampilo yabo kokubili kulabo abanezinhlungu zomzimba ezinzima kanye nalabo abaye bahlaselwa isifo. Lokhu kuvame ukuhilela ukubeka izingxenye zombili ebhokisini lesibuko, okwenza ukuba ilungu elikhishiwe libonakala lingasebenzi. Lo muntu ubuzwa ukuthi enze izenzo nge "zombili" izitho. Lezi zindlela zobuchopho futhi zinciphisa ngokuphumelelayo ubuhlungu obunzima kubantu abathile. Ucwaningo olwengeziwe luyadingeka ukuze ubone ukuthi ngabe ukwelashwa kwesibuko kunika yini impumuzo, kodwa ngokungafani nemithi eminingi, kunamathuba emiphumela emibi yokwelapha.
- Ukuvuselelwa kwesitembu - Ukusebenzisa i- TENS (ukuguqulwa kwamagciwane kagesi), ukusebenzisa ama -relief-relief patches (njengama-lidocaine ama-patches atholakalayo ngomshwalense noma ngaphezulu kwe-counter) noma ukuxubha isitshalo kunganciphisa ubuhlungu obungama-phantom kwabanye abantu. Ukusebenzisa amaphakethe ashisayo namaphakheji abandayo angasebenza kwabanye abantu. Ukuhlinzeka ngenye indlela kusuka esitsheni kungaphazamisa izibonakaliso zobuhlungu.
- Imithi yokwelapha - Abanye abantu bathola impumuzo ebuhlungu babo obunamahloni nge-hypnosis, ukuphumula noma izithombe eziqondisiwe. Lezi zindlela zingashintsha indlela ubuchopho buhumusha ngayo imizwa ye-phantom, kuhlanganise nosizi lwama-phantom.
Izinketho ezengeziwe zokwelapha ze-Phantom Limb Pain
Ngokujwayelekile, indlela engaphezu kweyodwa yokwelapha isetshenziselwa ukuthola ubuhlungu obukhulu ngaphansi kokulawula. Kodwa-ke, abanye abantu bangadinga izinhlobo eziningi zokwelapha ezingenayo.
Lokhu kuhlanganisa ukuhlinzekwa okungeziwe ukuvula izibopho zesisindo kwisayithi lokuxubha, ukuvimbela amantombazane , ukuvuselela komgogodla noma ubuchopho ukuguqula indlela ubuhlungu obuhunyushwa ngayo futhi ukufakwa kwezimpumputhe ezibuhlungu eziletha imithi ngqo emthonjeni womgogodla.
Ukusekela nokuphikisana
Njengazinye izimo zezokwelapha, ubuhlungu obungapheli buyathinta ukuphila kwethu ngokomzwelo kanye nokuphila kwethu ngokomzimba. Abantu abaningi abanezinhlungu zomzimba ezinzima baye bathola ukuthi i-psychotherapy iwusizo ekulungiseni ukuchithwa kwabo futhi ekufundeni eziningi zokuphumula nokubhekana namakhono anganciphisa ubuhlungu. Ngaphezu kwalokho, ukukhuluma nabanye abaye babhekana nezinselele ezifanayo kungaba okuyigugu, futhi kunamaqembu amaningi asekela inthanethi, izinhlangano zokusekela, kanye nemiphakathi ye-Facebook ezinikezelwe kulabo abhekana nokuxoshwa kanye nokuhlukunyezwa kwesilwane.
Ngezansi ku-Phantom Limb Pain
Siye safunda ukuthi inani elibalulekile labantu abaxoshwa ngamanxeba baphila ngobuhlungu obukhulu bomzimba, futhi kulabo abenzayo, kunabantu abaningi abangenakekelwa ngokwanele kulobu buhlungu. Ubuhlungu obungapheli bangathinta zonke izici zokuphila kwakho, kuthinta umsebenzi wakho, ubuhlobo bakho, kanye nekhono lakho lokujabulela izinkanuko zakho.
Kukhona okwamanje ochwepheshe bezinhlungu abasebenza ngokukhethekile ekwelapheni okunzima ukuphatha ubuhlungu obufana nobuhlungu bezitho zomzimba. Njengoba kuphawuliwe ngenhla, kungaba inqubo eyinkimbinkimbi yokuthola inhlanganisela efanele yokwelapha ukuze kutholakale lobu buhlungu, kepha ngokuphikelela, abantu abaningi bangaphila ukuphila okujabulisayo kakhulu emva kokukhishwa kwe-amputation.
Abanye abantu bathole ukuthi ukugcina i-journal journal ebuhlungu kuyasiza ekufundeni okusizayo, futhi okungahambisani, njengoba izindlela ezihlukahlukene zivivinywa, eziningi zezindlela zingase zihlanganise ndawonye njengoba ubuka emuva. Ngaphezu kokuthola udokotela, ungasebenzisana nokuphatha ubuhlungu bakho, hlola le mibono ngalokho ongakwenza ukuze ubhekane nokubuhlungu okungapheli . Njengombhalo wokugcina, kunezindlela eziningi zokuphila ezingenza ubuhlungu obungapheli bubi nakakhulu , isibonelo, kokubili ukudla ukudla okungenamsoco nokubhema kungandisa ubuhlungu obungapheli. Ukuthatha isikhathi sokuphila enempilo kungase kunganciphisi nje ubuhlungu obukhulu kodwa nokuthuthukisa impilo yakho jikelele.
Imithombo:
Aiyer, R., Barkin, R., Bhatia, A., noS S. Gungor. Ukubuyekezwa Okuhlelekile Ngokwelashwa Kwe-Phantom Limb Pain nge-Spinal Cord Ukukhuthazwa. Ukuphathwa kobuhlungu . 2017. 7 (1): 59-69.
Alviar, M., Hale, T., noMnu Dungca. Ukwelashwa kwe-Pharmacologic Yokuphatha Phantom Limb Pain. I-Cochrane Database yezibuyekezo ezihleliwe . 2016. 10: CD006380.
UBarbin, J., Seetha, V., Casillas, J., Countryant, J., noD. Perennou. Imiphumela Ye-Mirror Therapy ku-Pain and Motor Control ye-Phantom Limb kuma-Amputees: Ukubuyekeza Okuhlelekile. Ama-Annal of Medicine Physical and Rehabilitation Medicine . 2016. 59 (4): 270-5.
U-Trevelyan, E., Turner, W., noN. Robinson. Imibono ye-Phantom Limb Pain kuma-Amputees angaphansi kwe-Limb kanye nomphumela wayo kwi-Quality of Life: Isifundo esifanelekayo. I-British Journal of Pain . 10 (2): 70-7.