Funda malunga nePeripheral Nerve Blocks

by UColen Doherty, ugqirha oqinisekisiweyo webhodi

Impendulo Yemibuzo Yempendulo

Izithintelo zentsholongwane, okanye i-PNBs, zisetyenziselwa unyango lweengxaki zentlungu. Nantsi ukujonga kwizinto ezisiseko zeebhendi zentsimbi esebenzisa umgangatho wesitayela sombuzo:

Izifo eziPhambili zeNtloko zeNtloko ziqhutywe ngokuqhelekileyo ngeeNgcaciso zeMithwalo yePheripheral

Migraines
Intloko yeentloko
Iintsholongwane zemihla ngemihla
Hemicrania Continua
Intsuku eqhubekayo yokusukela intloko

Izibandezelo zeNtloko zeSekondari ziThathwa ngokuqhelekileyo ngeeNgcaciso zeMigodi yePheripheral

I-Standard Way yokwenza i-Peripheral Nerve Block

Ngenxa yokusetyenziswa kokunyuka kweengcambu zeentambo zogqirha ukuba zikhuphe iintloko, i-American Headache Society Inqaku elikhethekileyo leNkcazo ye-PNB kunye namanye amaNkqubo eSebenzayo-aziwa ngokuba yi-AHS-IPS - iinqununu zokucebisa ukwenza i-PNBs.

I-Benefit ye-Peripheral Nerve Blocks

Bangakwazi ukubonelela ngokukhawuleza kwentloko, kwaye kwabanye abantu, ukukhululeka kwentlungu kunokuhlala iiveki ezimbalwa.

Amagulane ajoliswe kwiiNgcaciso zeMigodi yePeripheral

I-nerve ejoliswe ngokuqhelekileyo yinkimbiso enkulu ye-occipital - ephantsi kweskull. Amasebe e-nerve ye-trigeminal - i-nerve ye-cranial eyenza uvakalelo ebusweni kwaye ivumela ukunyakaza kwesimo somzimba - okanye i-nervipital nervicer ingacaciswa.

Indlela yoLwazi lweMigudu yokuLungisa iMithwalo

Ugqirha uya kujoba i-anesthetic yendawo - okanye i-lidocaine okanye i-bupivacaine-kwi-nerve. I-anesthesia inqanda ukubonakaliswa phakathi kwemibhobho yesibindi echaphazelekayo ekuthumeni imiyalezo.

I-Steroids Injections

Ngaba i-Steroids ihlala ijojowe? Ngamanye amaxesha, i-corticosteroids - njenge-triamcinolone - ifakwe kwi-anesthesia yendawo.

I-Corticosteroids inokunikezwa yodwa, kodwa oku akuqhelekanga. Ngokweziphakamiso ze-AHS-IPS, i-corticosteroids ayifanele ifakwe kwii-triginal branch ngenxa yemiphumo emibi.

Apho iindawo zokuLungisa iMigudu yePheripheral eyenziwa

Izithintelo zentsholongwane zentshukumo ziqhutshwa kwiofisi yogqirha kwaye ngokuqhelekileyo zibekezeleke kakuhle ngabagulayo beentloko.

Ngamaxesha amaninzi i-Peripheral Nerve Block Imfuneko yokuphinda iphindwe

Kwangaphi na i-block nerval block kufuneka iphindwe ngokuphindaphindiweyo kuxhomekeke kumntu kunye nesinconywa sogqirha. Kodwa, ngokweengcomo ze-AHS-IHP, i-block nerve block ne-anesthetic yendawo ingaphindwa rhoqo rhoqo kwiiveki ezi-2-4.

Ukuba i-corticosteroids isetyenzisiweyo, kunjalo, le nkqubo kufuneka iphindwe ngokuphindaphindiweyo kungekudala kweenyanga ezintathu ngenxa yemiphumo emibi - nangona oku kungenjalo kwimeko ebalulekileyo yentsholongwane ye-occipital kubantu abanobuhlungu beentloko ze-cluster.

Iimpembelelo ezingezoNdawo ze-Corticosteroids ezijoyiweyo

Imiphumo emibi yimiba ibandakanya ukulahleka kweentlungu, ukunqanda isikhumba, ukumnyama kwesikhumba, okanye imeko yonyango ebizwa ngokuba yiCushing's syndrome .

Ngubani onokufumana i-Skin Block for Headache Treatment

Kukho abantu abangeke bafumane i-block nerves-njengabo abanembali ye-craniotomy.

Kukho ukukhathazeka ngokulawula ii-PNB kubantu abathile-njengabesifazane abakhulelweyo kunye nabantu abadala. Zonke ii-PNB zifuna ukuxoxwa ngokucophelela ngeqela lomntu loogqirha.

Thatha Umyalezo Wasekhaya

Ukusetyenziswa kwezibilini zentsholongwane yonyango lwentloko kukungenelela okuthakazelisayo, kodwa kufuneka kwenziwe ezininzi izifundo ukuze kucaciswe ukusebenza kwayo. Imiphumo yesikhathi eside - ingakumbi xa kufikelele ekukhuseleni intloko - ayifumaneki kweli nqanaba. Ukuba ucinga nge-block nererve, qiniseka ukuba uxoxe ngokucokisekileyo kunye neengcali zentloko yakho.

_Imithombo

_{Blumenfeld A, Ashkenazi A, Evans RW.} _{I-Occipital and Trigeminal Nerve Blocks ye-Migraines.} _Intloko. _{2015; 55 (5): 682-89.}

_{Blumenfeld et al.} _{Iziphakamiso zoVavanyo lweNgcaciso malunga nokuSebenza kweMigca yemiSebenzi yeNtloko - Ukuhlaziywa okuBhaliweyo.} _Intloko. _{Mar 2013; 53 (3): 437-46.}

UMSEBENZI: Le sayithi inenjongo yolwazi kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukucebisa, ukuxilonga, kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .