Ukuhlinzwa kaningi kubhekwa njengendlela yokugcina yokubuhlungu: Uma konke okunye kungaphumeleli, sinqume ukuphela kwezinzwa. Ukuhlinzwa kungaletha ngokushesha, ukukhululwa kwemilingo okuvela ebuhlungu obubangelwa umdlavuza noma ezinye izifo ezingelapheki, ngisho nalapho izidakamizwa ezinamandla ezifana ne-morphine zihlulekile ukulawula ubuhlungu .
Kodwa kukhona ukwehla okuphawulekayo ekuhlinzekeni ubuhlungu.
Ukwelashwa kungabhubhisa ezinye izinzwa kanye nobuhlungu, noma ngokungazelelwe kube umthombo wobuhlungu obusha. Kungaba neminye imiphumela emibi , okunye okungase kube yingozi. Futhi ukuphumula okuvela ebuhlungu obuhlinzekwa ukwelashwa okuhlinzayo akusiyo njalo unomphela - emva kwezinyanga eziyisithupha noma ngonyaka, ubuhlungu bungabuya.
Ngakho-ke, isinqumo sokuqhubeka nokuhlinzekwa kufanele sikhiphe izingxoxo ngokucophelela nodokotela wakho mayelana nesimo sakho nokubikezela kwakho. Kufanele futhi kufaka phakathi ukuhlolwa kwezinqubo ezingase zibe khona ekuhlinzekeni, okungabandakanya amadivayisi afakiwe ukuze ulethe imithi ngokuqondile emthonjeni wobuhlungu bakho, noma amadivaysi asebenzisa imishanguzo kagesi ukuphazamisa izibonakaliso zobuhlungu emithanjeni yakho.
I-Cordotomy ukuze Yeke Ubuhlungu
Kunezinhlobo ezihlukahlukene zokuhlinza abahlinzayo ukwenza ukukhulula ubuhlungu.
Okuvamile kakhulu i-cordotomy, lapho udokotela wakho ohlinzayo eyokwehlisa khona izintambo zesibindi emkhakheni owodwa noma womabili womgogodla wakho osebenza njengomcibisholo ozwakalayo ebuchosheni.
I-Cordotomy ingavimbela ubuhlungu kodwa futhi iyoqeda umuzwa wakho wokushisa kusukela izinzwa ezikusiza uzizwe ukushisa zigcwele izibilini ezikuvumela ukuba uzizwe ubuhlungu.
Eminye imiphumela emibi ye-cordotomy ingabuthakathaka ohlangothini olulodwa lomzimba wakho, ukungakwazi ukuyivala ngokuphelele isilonda, futhi okuthiwa "ubuhlungu besithombe esibukweni," lapho uzwa khona ubuhlungu obufanayo ohlangothini oluhlukile lomzimba wakho.
Ezinye Izinqubo Zokunciphisa Ubuhlungu
Ngaphandle kwe-cordotomy, ukuhlinzwa ngaphakathi kobuchopho noma umgogodla wokunciphisa ubuhlungu kuhlanganisa ukuhlukanisa ukuxhuma ezinhlangothini ezinkulu emigwaqweni yobuhlungu, njengendawo ezindaweni lapho izintambo zobuhlungu ziwela khona ukusuka kolunye uhlangothi lensimbi kuya komunye, noma zibhubhise izingxenye ezibucayi ezibhedlela ebuchosheni, njenge-thalamus, iqoqo elinamaqanda okwakhiwa amaqanda wamangqamuzana omzimba eduze nendawo yobuchopho.
Isibonelo, ukuhlinzwa kwe-gamma ummese kugxila emigodini eminingi yemisebe phezu kwe-thalamus ukuyibhubhisa ngenqubo engeyona inhlekelele. Kungenzeka futhi ukusebenzisa i-ultrasound ukufeza umgomo ofanayo. Zombili lezi zinqubo zisetshenziselwa ukwelapha isifo sikaParkinson kodwa zibhekwa njengokuhlola ekwelapheni ubuhlungu.
Ngezinye izikhathi odokotela abahlinzayo bangakwazi ukukhulula ubuhlungu ngokubhubhisa ama-fibrous nerve noma amaseli ahlobene ngaphandle kobuchopho noma umgogodla. Isibonelo, zingabhubhisa izinzwa ezithile ukuze kunciphise ubuhlungu obunzima obuvame ukulandela isilonda esithintayo kusuka ensimbi noma ebukhali.
Abanye odokotela abahlinzayo baye babika impumelelo ngokusebenza kobuchopho okuthiwa i-cingulotomy, ebhubhisa ingxenye yengqondo ebizwa ngokuthi i-cortex yangaphambili ye-cingulate, ukuze kunciphise ubuhlungu obungapheli obuvamile, ngokuvamile ngenxa yomdlavuza, ukulimala noma ukulimala komgogodla.
Ukuhlinzwa, okungenziwa ngendlela encane engenawo amandla okushisa noma ama-lasers, nayo isetshenziselwa ukwelapha ukucindezeleka okucindezelayo okuvimbela ukwelapha okucindezelayo nokwelapha okukhulu.
Ukusebenza kanye Nemabhuloki Wesikhumba Sesikhashana
Uma ubuhlungu buba nomthelela emikhawulweni engaphezulu noma luyanda, udokotela ohlinzayo unezinketho ezimbalwa kanye nokuhlinzwa angase aphumelele. Noma kunjalo, ama-neurosurgeon abanekhono afinyelele imiphumela emihle ngentambo yomgogodla noma ukuhlinzwa kobuchopho ukuze baphathe ubuhlungu obukhulu.
Ngaphambi kokusebenza, odokotela bavame ukuvivinya ukusebenza kahle kokuhlinzwa ngokusebenzisa izidakamizwa zokuhlinzekwa ukuvimbela imizwa okwesikhashana.
Kwezinye izimo ezibuhlungu ezingapheli - njengobuhlungu obuvela esilweni esithinta inhliziyo - lezi zingqimba zesikhashana zingabasiza, zikhuthaze ukulungiswa komonakalo wezinzwa.
Imithombo:
UJeanmonod D et al. I-ultrasound eqondiswa ukucabangela i-ultrasound eqondiswa ukucubungula i-transcranial: i-thalamotomy yangaphakathi engabonakali yesikhala sokuhlunguphazeka okungapheli kwe-neuropathic. I-Focus Neurosurgical. 2012 Jan; 32 (1): E1.
USanders M et al. Ukuphepha kwezilwane zomdlavuza ezingapheli ezingama-80 eziphethwe ngumdlavuza we-cervical cervical cervical. I-Journal ye-Clinical Oncology. 1995 Jun; 13 (6): 1509-12.
Yen CP et al. I-cereulotomy yangaphakathi ye-stereotactic yamazwe angaphandle yokuhlunguphazeka okungenakwenzeka. I-Journal ye-Clinical Neuroscience. 2005 Nov; 12 (8): 886-90.
I-RF encane ne-al. I-Gamma Knife thalamotomy yokwelapha ubuhlungu obuphikisayo. I-Neurosurgery esebenzayo futhi esebenzayo. 1995; 64 Ukusekela 1: 172-81.