I-granuloma evuthayo yinkinga (enokwenzeka) engenzeka emva kokuba unesistim yokuhambisa iziyobisi (ipomphine pump) efakwe kwisigodlo sakho. Le nkxalabo, ngelixa iyingqabileyo, ingumphumo wenkqubo yokuhlinzwa.
Iindaba ezilungileyo kukuba kuphela i-1% yezigulane zenkqubo yokuhambisa iziyobisi (ezo zisengozini ye-granuloma evuthayo) ngokwenene ziphuhlisa imeko.
Ixesha elithi granuloma elivuthayo lichaza ukubunjwa kweetyhuse ezixhambileyo apho i-catheter ifakwa ngexesha lenkqubo.
I-granuloma evuthayo iyenzeka ngokuphindaphindiweyo xa inkqubo yokunikezelwa kweziyobisi ifakwe kwisithuba se-intrathecal (isikhala esiphezulu ngaphakathi kwimiqolo yomgca wesigxina), ngokuchasene nesithuba se-epidural (esisekho ngaphandle).
Izimpawu kunye neMpawu
Ezinye zeempawu zokuqala ze-granuloma ezivuthayo ziquka ukulahlekelwa kwintlungu kunye nentlungu kwindima ehambelana nomgangatho wentambo yomgudu apho i-catheter ifakwe khona. Impawu kamva zibandakanya ukukhubazeka kunye nesilonda kunye / okanye ukungasebenzi kwebladder. Ukuba ugqirha ugqiba ukuba unesifo segranuloma esivuthayo, uya kuyeka ukukhutshwa kweziyobisi ngokukhawuleza, kwaye unokufuna ukuhlinzwa.
Ngokutsho kukaDkt. Sudhir Diwan, umlawuli wecandelo lolwaphulo lwezonyango e-Weil-Cornell Medical College, i-granuloma evuthayo ikwazi ukuvela kwiinyanga ezili-6 emva kokuba i-catheter ifakwe.
Kodwa kungathatha iminyaka ngaphambi kokuba kukho iimpawu. UDkt. Diwan uthi i-granuloma evuthayo ihambelana nokulinganisa okanye ukugxininiswa kwe-morphine ehambisa ipompo. Uyongezelela, "sithanda ukubeka i-catheter phantsi, ngaphantsi kwe-vertebra ye-L-1, njengoko kungekho ncoma yomgudu kuloo ndawo, eyanciphisa ubunzima."
Thintelo
Ukuthintela i-granuloma evuthayo ingenziwa ngokuguqula imishanguzo ehanjiswa yipompo, isebenzisa indawo engaphezu kweyodwa yokufakelwa kwe-catheter kunye / okanye ngokungavumeli i-morphine ne-hydromorphone ukuba iphakame kakhulu.
Ngaba Ngaba Unayo Ipompo Yeziyobisi?
Iimpompo zeziyobisi ngokuqhelekileyo zihlobo lokugqibela lokwenza unyango lwentamo engapheliyo okanye intlungu. Ngoko ba sebenza? Mhlawumbi, mhlawumbi akunjalo. Inokuxhomekeka kubuhlobo bentlungu enayo. Inqaku le-2014 elipapashwe kwi- Journal of Pain Research lifumene ukuba iimpompo zamachiza ezifakelwe ukuxhamla kwexesha elide lweentlungu ezingezizo zomhlaza azixhaswanga bububungqina kodwa ukuba izipompo zamachiza ezihambisa imithi ye-baclofen ekuncediseni ukunciphisa ukungcoliswa kwezinto (kubangelwa intambo yomthambo ukulimala).
Imithombo:
> Bottros, M., Christo, P. Iingcamango zangoku kwi-intrathecal kwezibonelelo zonyango. J Pain Res. Julayi 2014.
> Sudhir Diwan, S., MD. UMlawuli, iProin Medicine Fellowship Programme kunye noMlawuli, uLahlulo lweePilini kwi-Weil-Cornell yeKholeji yezoBoqosho yaseYunivesithi yaseConell. Ngomnxeba. Meyi 2008.
UPatrick J. McIntyre, MD, i-JD; UTimoti R. Deer, MDB; kunye noSalim M. Hayek, MD, PhD. Iingxaki zonyango lokunyuswa kwama-eminothini Amasu kwi-Anesthesia yeSithili kunye noLawulo lwePain Umqulu 11, Issue 3, Julayi 2007, Iingxaki zeNkqubo zoPhando lweNkundla.
Inkcazelo Yonyango kaStedman. 28. ULippincott Williams noWilkins. Baltimore. 2006.