Ukuba wena kunye nogqirha wakho uye wazimisela ukuba ipompo yeziyobisi inokuba yinto efanelekileyo yokulawula ubuhlungu bakho obungapheliyo, ubuya kufuneka uqale uvumelane netyala phambi kokuba ifowuni ingeniswa ngokusisigxina.
Ulingo lompompo oyintlanganiselayo-aka-pump infusion - lwenziwe ukulungelelanisa unyango kuwe njengomguli ngamnye. Ukususela kwisilingo, ugqirha wakho uya kukwazi ukuphendula imibuzo ebalulekileyo ebalulekileyo ekuqhubekeni kokumiselwa ngokusisigxina.
- Ngaba unyango lwezonyango olusungulwayo (oko kukuthi ipompo yentlungu) ulungele kakuhle kuwe?
Emva kokukhangela kwimbali yakho yezonyango, ezentlalo, zezemali nezengqondo, ityala liyinyathelo elilandelayo ekuqaliseni ukuba kwaye uphendule kakuhle kangakanani unyango oluhanjiswa ngqo kumgca wesipelini.
- Ubungakanani na umuthi oya kuwufuna?
Ngeli xesha, ugqirha ufumana idatha angayisebenzisela ukufumana umyinge weyeza ukupasa umpu. Ulwazi lokulinganisa olufunyenwe kwilingo linyathelo lokuqala kuphela kwinkqubo ebizwa ngokuba yi-titration, okanye ichaza inani elifunekayo eliza kuzisa ukukhululeka kwentlungu kunye nemiphumo engaphantsi. I-dosage yakho iya kuhlengahlengiswa emva kokuba isixhobo esihlala sisigxina singeniswe, kodwa ityala linika ugqirha ngolwazi olusisiseko oluza kuqala ngalo.
Ubude bePump Pump Trial
Ngokuxhomekeka kwimeko yakho, uvavanyo lwexesha luya kuhlala phakathi kweentsuku ezi-2 ukuya kwezi-14.
Ubude beetyala buxhomekeke kwimeko yakho. Ukuba unempilweni, mhlawumbi uhlala ixesha elide. Ukuba unesifo esibi, mhlawumbi sinobude obufutshane.
Yintoni eyenzekayo ngexesha leNkqubo?
Ngexesha lovavanyo, i-catheter ifakwa kwisigxina, ngokuqhelekileyo (kodwa kungekho njalo) kwindawo yokuhlala .
I-catheter kunye nepom zigqwe ngaphandle komzimba. Ukufakelwa ngokusisigxina kunye nezinye iintlobo zolu vavanyo, i-cathterta ifakwa ngaphakathi kwintambo yomgogodla, kwindawo ebizwa ngokuba yi-intrathecal space. Uluhlu lwesilingo olufaka i-catheter kwisithuba se- intrathecal linomsebenzi wokumanyanisa ngokukodwa inkqubo yokugqibela kwaye ngaloo ndlela unikezela iinkcukacha ezichanekileyo. Ukusetyenziswa kwecatheter yangaphandle kuphakamisa umngcipheko wosulelo. Kubantu abanomdlavuza, umngcipheko uphezulu. Ugqirha wakho uya kulinda iintsuku ezimbalwa phakathi kokuphela kwetyala kunye nenkqubo yokufakelwa kwangempela, ukubeka iliso kwiimpawu zentsholongwane.
Njengoko kuchaziwe ngasentla, ngexesha lovavanyo, ugqirha uqala ukumisela iyeza zonyango ezinikeza umlinganiselo ophakathi kokukhululeka kweentlungu kunye nemiphumo emibi. Ugqirha ugqiba ngoko ukuba kufuneka unikezwe omnye uphendu, uninzi, okanye i-dosage.
Izilingo zenziwa njengenkqubo yokuphulukana nesifo, kodwa ukuzaliswa ngokusisigxina, isibonakaliso esibhedlele siyadingeka ukulawula izifo ezikhoyo. Njengoko nenkqubo engapheliyo, inzame yokupompa intlungu iqhutyelwa yinkqubo yolawulo lweentlungu okanye i-neurosurgeon.
Imithombo:
UDkt. Sud Di Diwan, uMlawuli wePain Medicine Fellowship Programme kunye noMlawuli weCandelo loLwaphulo lwezoPhulo e-Weil-Cornell College yaseYunivesithi yaseConell. Ngomnxeba. Meyi 2008.
UBerner, B. Dinh, S. (eds) Ukuhanjiswa kweMithi yoLawulo lweMithi yoLawulo lweMithi eBoca Raton: I-CRC Press 1998
Lipov, E., MD. Ch. 34. Ukwelapha i-Intrathecal Drug kwi-Chronic Low Back Pain. I-Pain Back Back: I-Diagnosis kunye neNyango. ASIPP Ukushicilela. Oogqirha. Paducah, KY. 2002
UMarkman, J., MD, uFilipu, A., MD. Iindlela zokuPhathwa kweziPawu. Iikliniki zeAnesthesiology. Disemba 2007. Umqulu 25, Inkcazo 4. I-Saunders, Imprint ka-Elsevier
Krames, E., MD. Implantable Technologies: I-Spinal Cord Ukukhuthazwa kunye neNkqubo yokuThuthukiswa kweeDrug. Iwebsite yeSizwe soPhando lweSizwe.