Ezinye izimo zomzimba nezengqondo zingaholela ekuhluphekeni okungapheli kwe-Postoperative
Akuyona into engavamile ukuzwa ubuhlungu ngemva kokuhlinzwa. Uma ucabanga ukuthi ukuhlinzwa kuhilela ukusika izicubu zomzimba, kubonakala sengathi kuvamile ukuthi uzozwa ubuhlungu obukhulu noma ukungahambi kahle ngemva kwenqubo. Ngeshwa, kwezinye iziguli, ubuhlungu be-postoperative abuhambi ngemuva kokuphulukisa. Kulaba bantu, ubuhlungu obungapheli bokuhlinzwa buba yindlela yokuphila.
Kunezizathu eziningi zokuthi kungani ubuhlungu bomzimba bomuntu obuthakathaka bungase bube buhlala njalo, kuhlanganise nokulimala kwamantombazane, ukubunjwa kwezicubu ezibomvu, ukulimala kwezicubu ngesikhathi sokuhlinzwa, kanye nezinkinga zokuhamba emva kokuhlinzwa, njengokuvuvukala. Ezinye izimbangela ezingabangela ukulimala okungapheli zihlanganisa izici zengqondo nezindinganiso ezihlobene nokuhlinzwa nokuzivuselela ngokwazo.
Izimbangela zomzimba zobuhlungu obungapheli bokuhlinzwa
- Umonakalo Wegazi : Ubuhlungu be-neuropathic , noma ubuhlungu obubangelwa ukulimala kwamagciwane noma ukungasebenzi, kungenye yezinhlobo ezivame kakhulu zobuhlungu obungapheli ngemva kokuhlinzwa. Nakuba odokotela abahlinzayo beqaphela kakhulu ukugwema ukulimala kwamantombazane ngenkathi kuhlinzwa, ama-nicks amancane kanye nokwelula kwezinzwa ngezinye izikhathi angenakugwema. Ezinye izibonelo zobuhlungu be-postoperative ye-neuropathic zihlanganisa ubuhlungu be- phantom nomlenze we- post-mastectomy.
- I-Scar Tissue : Hlela amafomu wezincuba lapho isikhumba nama-tishu uphulukisa ngemuva kokuhlinzwa. Izicubu zesikhumba zingadonsa izicubu ezizungezile, ukucindezela noma ukucasula iziphetho zesibindi, noma empeleni zibe nama-cell nerve agibele ngaphakathi kuwo. Zonke lezi zici zingabangela ubuhlungu nokungahambi kahle endaweni yokuhlinzeka. Ubuhlungu besikhumba somzimba bungaba nokuphikelela emva kokuhlinzeka ngendlala yesibindi, eyaziwa nangokuthi i- cholecystectomy .
- Ukulimala kwezicubu : Ubuhlungu obungapheliyo emva kokulimala komzimba buvame kakhulu phakathi nokuhlinzwa kwamathambo. Amathissi e-bone ne-soft ayenakaliswa noma asuswe ngesikhathi senqubo yokuhlinza, njengokungeniswa okuhlangene, futhi lokhu kungaholela ebuhlungu obungapheli ngemva kokusebenza.
- Ukuvuvukala Kwisilonda : Ubuhlungu obunzima bokulimala buvame kakhulu ngemva kokuhlinza inhliziyo; Kodwa-ke, ngokuvamile uhlobo olubi kakhulu lwezinhlungu zokuthutha ngemuva. Ukuvuvukala okuzungezile isilonda kungabangela ubuhlungu obungapheli, kodwa kukhona ucwaningo oluncane olutholakala kule ndaba.
Izimbangela Zengqondo Zezinkinga Zengqondo Eziphuthumayo
Inqubo yokuhlinza ngokwayo akuyona into kuphela ekubuyeni okungapheli kokuhlinzwa. Ucwaningo luye lwabonisa ukuthi izinkinga eziningi ezingokwengqondo zingase zibe negalelo ekubuyeni okuqhubekayo ngemuva kokuhlinzwa. Lokhu kufaka:
- Ezinye izimo zezokwelapha , ezifana ne- fibromyalgia noma izifo zikaRaynaud
- Izinga eliphakeme lobuhlungu bokuqala ngaphambi kokusebenza
- Izimo zangokwengqondo ezandulele , ezifana nokukhathazeka noma ukucindezeleka
- Ukwesaba noma ukukhathazeka mayelana nokuhlinzwa
- Ubudala obudala
Ezinye Izimbangela Zokugula Okungekho Emsebenzini
Ubuhlungu obungapheliyo ngemuva kokuhlinzwa kungabangela nezinye izici ngesikhathi futhi emva kokuhlinzwa. Ngokwesibonelo, kunobunye ubufakazi bokuthi ukuhlinza okuhlala isikhathi esingaphezu kwamahora amathathu kungabangela ubuhlungu obungapheli bokuthutha. Ukwengeza, izinhlobo ezithile zemithi yokwelapha noma i- chemotherapy ngokushesha ngemuva kokuhlinzwa zingandisa ingozi yokuhlakulela ubuhlungu be-postoperative.
Ukuphathwa kwe-anesthesia kungenye indawo okuphenywa ngendima yayo ekuvikeleni noma ekunciphiseni ubuhlungu obungapheli bokuhlinzwa. Nakuba kungaphansi kokuphenywa, i-anesthesia yesifunda nokuvimbela ubuhlungu obukhulu bokuhlinzwa ngemva kokuhlinzwa kunganciphisa ubungozi bokuhlupheka okungapheli ngemva kokuhlinzwa. Lokhu kucatshangwa ukuvimbela isistimu yezinzwa ukuba ivuselelwe ngemuva kokuhlinzwa.
Kungakhathaliseki ukuthi imbangela yobuhlungu obungapheli emva kokusebenza, kuyinkinga kubantu abaningi emhlabeni wonke. Ukucwaninga okwamanje kuyaqhubeka ukucacisa izici ezingase zibikezele ubuhlungu obungakapheli bokuhlinzwa ukuze ukwelashwa kungaqaliswa kusenesikhathi.
Imithombo:
UCork Randall C, u-Alexander Lori, uMalusi Clifton, et al. Imiphumela ye-Erbium: YAG Laser Treatment ku-Scar Pain. I-Internet Journal ye-Anesthesiology. 2004 Umqulu 8 Inombolo 2.
Ho Sue C, Royse Colin F, Royse Alistair G et al. Inhlungu Eqhubekayo Ngemva Kokuhlinzwa Kwezinhliziyo: I-Audit of High Thoracic Epidural and Primary Opioid Analgesia Therapies. I-Anesthesia ne-Analgesia. 2002; 95: 820-823
Ip, Hui Yun Vivian, Abrishami, Amir, Peng, Philip W et al. Izibikezelo zobuhlungu be-Postoperative nokusetshenziswa kwe-Analgesic: Ukubuyekezwa okuhlelekile kohlelo. Anesthesiology. September 2009. 111 (3) iphe 657-677
Macrae, WH. Ukucindezeleka Okungapheli-Ukuhlinzwa: Iminyaka Eyishumi. I-British Journal ye-Anesthesia, i-doi: 10.1093 / ibja / aen099
I-Perkins FM, uKehlet H. Chronic Chronic Pain njengomphumela wokuhlinzwa: Ukubukezwa Kwezinto Ezibikezelayo. Anesthesiology. 2000; 93: pp1123-1133.
U-Visser, u-Eric J. Chronic Post-Surgical Pain: I-Epidemiology kanye Nemiphumela Yomtholampilo Yokuphathwa Kwezinhlungu Ezibuhlungu. Ubuhlungu obukhulu. Umqulu 8, Issue 2, June 2006, amakhasi 73-81