I-granuloma yokuvuvukala yinkinga (kungenzeka) engase ivele ngemuva kokuba ube nesistimu yokulethela izidakamizwa (i-morphine pump) efakwe emgodleni wakho. Le nkinga, kuyilapho ingajwayelekile, ingumphumela wenqubo yokuhlinza.
Izindaba ezinhle ukuthi yi-1% kuphela yeziguli zesistimu zokulethwa kwezidakamizwa ezifakiwe (okungoko-ke ezisengozini ye-granuloma evuthayo) empeleni zihlakulele isimo.
Igama elithi granuloma elivuthayo lichaza ukwakheka kwesisindo samathambo lapho kutholakala khona i-catheter ngesikhathi senqubo.
I-granuloma yokuvuvukala ibonakala kaningi uma isimiso sokulethwa kwezidakamizwa sisungulwa esikhaleni se-intrathecal (isikhala esitholakala ngaphakathi kwendwangu yomgogodla), ngokuphambene nendawo ye- epidural (etholakala ngaphandle).
Izimpawu Nezibonakaliso
Ezinye zezibonakaliso zokuqala ze-granuloma ezivuthayo zihlanganisa ukulahlekelwa kwesisindo nobuhlungu edermeni elihambisana nezinga lomgogodla lapho i-catheter ifakwa khona. Izimpawu kamuva zibandakanya ukukhubazeka kanye nesibindi kanye / noma ukukhishwa kwesibisi. Uma udokotela wakho enquma ukuthi une-granuloma evuthayo, cishe uzoyeka ukulethwa kwezidakamizwa ngokushesha, futhi ungase udinga ukuhlinzwa.
Ngokusho kukaDkt. Sudhir Diwan, umqondisi we-division of pain pain at Weil-Cornell Medical College, i-granuloma evuvukalayo ingaziveza izinyanga ezingu-6 ngemuva kokufakwa kwesikhala.
Kodwa kungathatha iminyaka ngaphambi kokuba kube nezimpawu. UDkt. Diwan uthi i-granuloma evuthayo ihlobene nokulinganisa noma ukuhlushwa kwe-morphine ehanjiswa ipompo. Uyanezela, "sithanda ukubeka i-catheter phansi, ngaphansi kwe-vertebra ye-L-1, njengoba kungekho nhlobo yomgogodla kuleyondawo, okunciphisa ukulimala."
Ukuvimbela
Ukuvimbela i-granuloma evuthayo kungenziwa ngokushintsha imithi ehlinzekwa yipompo, besebenzisa indawo engaphezu kweyodwa yokufakelwa kwe-catheter kanye / noma ngokungavumeli imithi ye-morphine ne-hydromorphone ukuba iphakeme kakhulu.
Ingabe Kufanele Ube Nomuthi Wezidakamizwa?
Imipompo yezidakamizwa ngokuvamile iyindlela yokugcina yokwelashwa yentamo engapheli noma ubuhlungu be-back. Ngakho basebenza? Mhlawumbe, mhlawumbe hhayi. Kungase kuncike ngohlobo lobuhlungu onalo. I-athikili ka-2014 eyanyatheliswa kuyi- Journal of Pain Research ithole ukuthi izimpumputhe zezidakamizwa ezakhelwe ukusizwa isikhathi eside kwezinhlungu ezingekho komdlavuza azixhaswa ngokusekelwe ubufakazi kodwa lezo zimpumpu zezidakamizwa ezihambisa imithi ye-baclofen ukuze kusize ukunciphisa ukungena kwe-spasticity (ebangelwa intambo yomgogodla ukulimala).
Imithombo:
> Bottros, M., Christo, P. Ukubheka okwamanje ukulethwa kwezidakamizwa zangaphakathi. J Pain Res. Julayi 2014.
> Sudhir Diwan, S., MD. Umqondisi, Uhlelo Lwezinhlungu Zokusebenzisana Nezobuhlungu kanye noMqondisi, Division of Medicine Medicine eWeil-Cornell Medical College yaseCornell University. Ifoni Ingxoxo. Meyi 2008.
UPatrick J. McIntyre, MD, i-JD; UThimothewu R. Deer, MDb; no-Salim M. Hayek, MD, PhD. Izinkinga zemithi yokwelashwa kwamagundane Imiklamo e-Regional Anesthesia kanye Nokuphathwa Kwezinhlungu Umqulu 11, Issue 3, Julayi 2007, Izinkinga Zokulandelwa Kwezinhlungu Zengaphakathi.
I-Stedman's Medical Dictionary. 28th ed. ULippincott Williams & Wilkins. Baltimore. 2006.