Iimpawu kunye noTyango lwe-Phantom Limb Pain
Abaninzi abangama-80% abantu abanamava atshwayo "uhlobo oluthile" lwamaqhinga abo. Nangona kunjalo, ukuya kwisiqingatha salabo bafumana le mvakalelo ephazamisayo ayifumana naluphi na unyango-okanye uncedo oluvela kwi-intlungu. Oku kwenza ubuhlungu be-phantom bubuhlungu obungapheliyo obuya kulungiswa ukuze kuphuculwe umgangatho wobomi kulabo abaye banqunyulwa.
Iyintoni i-Phantom Limb Pain?
Emva kokuba isilungu sisuswe, unokuqhubeka uvakalelwa, njengokungathi kusekho. Intlungu yomzimba yeFantom ayikho into efana nosizi lwesantya , oluvakalelwa ngaphakathi nangakujikeleza ukutyunjwa okulandelayo emva kokuhlinzwa. Iintlungu zentsimbi zihlala kwindawo yesicatshulwa, ngelixa intlungu ye-phantom ivakalelwa kwenye inxalenye yomlenze engasanyanisekanga.
Abantu abaninzi bachaza ukutshiswa komlilo kwizwane zabo nakuba belahleka umlenze wabo ngaphantsi kweedolo. Oku kungabangela ukudideka kunye nokwenkqisayo, ukukhokelela abanye abantu ukuba bakholelwe ukuba balahlekelwa ingqondo yabo.
Isinyathelo sokuqala ekuphatheni ubuhlungu be-phantom kukuvuma ukuba intlungu ye-phantom iyaqhelekile kwaye iyinyani.
Iingcamango
Akukho mntu uyazi ngokuqinisekileyo ukuba kutheni ama-amputees enentlungu ye-phantom, kodwa iincwadana ezimbalwa ezinokwenzeka zikholelwa ukuba ziyinyaniso.
- Inkumbulo yeentlungu zentlungu - Abanye abaphandi bathi inxalenye yomzimba isonakaliswe ngaphaya kokulungiswa, ingqondo "isetyenziselwa" ukuva intlungu. Nangona emva kokuba isilungu sisusiwe, ingqondo iyaqhubeka ivakalelwa uhlobo olufanayo lweentlungu. Kufana nokuba nenkumbulo yentlungu kuba intlungu ifakwe kwiingqondo.
- Ukuvuselela imfudu yamanzi - Iimvungu ezityhutyhileyo ezijikeleza isayithi lokuxotha okanye zivuselelwa ngandlela-thile, ukuthumela umyalezo wesifo ebuchosheni. Le yimiba efanayo eye isetyenziswa ukufikelela kuyo yonke indlela. Ngamanye amaxesha emva kokuhlinzwa, le mivalo ibumba izibopho ezibizwa nge- neuromas . Xa bevutha umlilo, ingqondo iguqulela ezi zibonakaliso ngokungathi iimbilini zazingasebenzi, kwaye "uziva" intlungu kwizwane.
- Ukunikezelwa kwemirhumo yenzwa - Kukho ubungqina bokuba xa unqunywe umlenze, utshintsho luyenzeka kwingqondo nangomlenze womgudu obangela ukuba intlungu iguqulelwe ngokuhlukileyo kunaphambili. Akukacaci, nangona kunjalo, ukuba le nto ibangela intlungu yesifo okanye ukuba oko kwenzeka ngenxa yoko.
Iimpawu
Kungakhathaliseki ukuba yintoni isizathu, intlungu ye-phantom ingaba yimeko ephosakeleyo. Ubuhlungu buvame ukuchazwa njengegama elivuthayo, elihlabayo kunye nelokuphunga-amagama aqhelekileyo okuchaza ubuhlungu be-neuropathic . Intlungu yobudlova ingenzeka kwimijikelezo eqhubekayo, okanye ingeniswa ngaphandle kwezinto, ezifana nokutshintsha kweqondo lokushisa, uxinzelelo okanye isithukuthezi.
Uninzi lwabantu bachaza intlungu yabo ye-phantom njengokungathi ivela kwiindawo ezikude (iingxenye ezingaphezulu komda womzimba) wesigxina esinqunyiwe. Ngamanye amagama, iinyawo, iinzwane okanye izandla. Ukuvalelwa kwe-Phantom kuqheleke kwiinyanga ezimbalwa zokuqala emva kokuhlinzwa kunokuba ziinyanga eziliqela ngaphantsi komgwaqo, kodwa ziyakwenzeka nangaliphi ixesha emva kokuxothwa.
Izinyango Zonyango
Njengaye ezininzi iimeko ezibuhlungu ezingapheliyo , akukho ndlela yokunyanga yonyango isebenza kuwo wonke umntu. Nazi ezinye zeendlela eziqhelekileyo.
- Amachiza - kuba kuthathwa njengesifo se-neuropathic, i-anti-depressants kunye ne- anticonvulsants zidlalwa ukuba zibuhlungu buhlungu. I-NSAIDS , i- opioid kunye ne-relaxation muscle nazo ziluhlu lwamachiza. Njengokuba kukho nezinye iimeko ezibuhlungu ezingapheliyo, ukufumana unyango olufanelekileyo kunokuthatha ixesha kunye nomonde. Ngamanye amaxesha ukuphulukana kwentlungu ye-phantom kuthatha inhlanganisela yale miyeza.
- Iipilisi zonyango - Abaninzi beengcali basebenzisa i- mirror yonyango kwizonyango zabo kokubili kwabo baneentlungu zentlungu kunye nabangenayo i-stroke. Oku kudla ukuquka ukubeka iimbumba zombini kwibhokisi yesiboniso, okwenza ukuba inqwelwe ibonakale ingasebenzi. Umntu uyacelwa ukuba enze izivo zokuzilolonga nge "zombini" izitho. Ezi ngcungca zengqondo kwaye zinciphisa kakuhle intlungu ye-phantom kubantu abathile. Izifundo ezongezelelweyo zifunekayo ukuze ubone ukuba isilathisi sonyango sinikeza impumulo, nangona kungafani nonyango oluninzi, kunokunqongophala kweminye imiphumo kunye nale nyango.
- Isishukumiso sentshukumo - Ukusebenzisa i- TENS (i-transcutaneous electrical nerve stimulation), ukusetyenziswa kweentlungu zokunceda iintlungu (ezifana ne-lidocaine patches ezitholakalayo ngumyalelo okanye ngaphezulu kwe-counter) okanye ukuxubha isiqu kunokunciphisa intlungu ye-phantom kwabanye abantu. Ukusebenzisa iipakethe ezishisayo kunye neepakethe ezibandayo zingasebenza kwabanye abantu. Ukubonelela ngesinye isinye isiphumo kunokuphazamisa iimpawu zentlungu.
- Iingcali zengqondo - Abanye abantu bafumana ukukhululeka ekubuhlungu kwabo nge-phantom nge-hypnosis, ukuphumula okanye imifanekiso ekhokelwayo. Ezi ndlela zinokutshintsha indlela ubuchopho buchazwa ngayo imizwa ye-phantom, kuquka intlungu ye-phantom.
Iinketho zokongezelela ezongezelelweyo kwi-Phantom Limb Pain
Ngokuqhelekileyo, indlela engaphantsi kweyonyango isetyenziselwa ukufumana ubuhlungu obungenangqondo phantsi kolawulo. Abanye abantu, nangona kunjalo, bangadinga iindlela ezininzi zokunyanga.
Ezi zibandakanya utyando olongezelelweyo ukukhupha izibonda zesigulane kwisayithi yokuqhayisa, iintloko zamathambo, ukuvuselela intambo yomgogodla okanye ingqondo ukutshintsha indlela intlungu echazwa ngayo kunye nokufakelwa kweempompo zentlungu ezithumela imithi ngokuthe ngqo kwintambo yomthambo.
Inkxaso kunye nokuKhekana
Nje ngezinye iimeko zonyango, iintlungu ezingapheliyo zichaphazela ubomi bethu bomphefumlo kunye nokuhlala kwethu. Abantu abaninzi abaneentlungu zesandla se-phantom bafumene i-psychotherapy inceda ekulungiseni ukutshintshwa kwabo kunye nokufunda amaninzi okuphucula kunye nezakhono zokuhlangabezana nazo ezinokunciphisa intlungu. Ukongeza, ukuthetha nabanye abaye bajamelana nemingeni efana neyona nto ingabalulekanga, kwaye kukho amaqela amancedisi enkxaso-intanethi, imibutho yokuxhasa, kunye ne-Facebook ezizinikezelwe kwabo bajamelana nokuxutywa kunye neentlungu zentlungu.
Ngaphantsi kweFantom Limb Pain
Siye safunda ukuba inani elininzi labantu abaxhamliweyo bahlala kunye neentlungu zentlungu, kwaye abo benzayo, baninzi abantu abangenakulungiswa ngokufanelekileyo ngenxa yale ntlungu. Ubuhlungu obungapheliyo bunokuchaphazela zonke iinkalo zobomi bakho, ukuchaphazela umsebenzi wakho, ubudlelwane bakho, kunye nokukwazi kwakho ukuzonwabisa.
Kukho iingcali zentlungu ekhethekileyo kwinkango enzima-ukulawula iintlungu ezinjengeentlungu zentlungu. Njengoko kuphawuliwe ngasentla, inokuba yinkqubo ebunzima yokufumana ukudibanisa olufanelekileyo lwezonyango ukufumana le ntlungu phantsi kolawulo, kodwa ngokunyamezela, abantu abaninzi banokuphila ubomi obonwabisayo emva kokutshintshwa.
Abanye abantu baye bafumanisa ukuba ukugcinwa kwengxelo yentlungu kunceda ekufundeni oko kukuncedayo, kwaye oko kungenjalo, njengendlela eyahlukeneyo yokulinganisa, izindlela ezininzi zinokudibanisa xa ubheka emva. Ukongezelela ekufumaneni ugqirha, unokwenza usebenze kunye nokulawula intlungu yakho, jonga ezi ngcamango kwinto onokuzenza ngayo ukuze ukwazi ukujamelana nobuhlungu obungapheliyo . Njengengxelo yokugqibela, kukho iindlela ezininzi zokuphila ezinokwenza ubuhlungu obungapheliyo bubi kakhulu , umzekelo, zombini ukutya ukutya okungafunekiyo kunye nokubhema kunokunyusa ubuhlungu obungapheliyo. Ukuthatha ixesha lokuphila okunempilo kungekhona nje ukunciphisa intlungu yakho kodwa ukuphucula impilo yakho jikelele.
Imithombo:
Aiyer, R., Barkin, R., Bhatia, A., no S. Gungor. Uhlolo olusisigxina kuMnxeba we-Phantom Limb Pain nge-Spinal Cord Ukukhuthazwa. Ulawulo lwezinhlungu . 2017. 7 (1): 59-69.
Alviar, M., Hale, T., noMnu Dungca. I-Pharmacologic Interventions yokuPhatha iPantant Limb Pain. I-Cochrane Database yeeNkqubo eziPhezulu . 2016. 10: CD006380.
UBarbin, J., uSeetha, V., uCasillas, J., oMhlaba, J., noD. Perennou. Iimpembelelo zonyango lwe-Mirror kwi-Pain kunye ne-Control Control ye-Phantom Limb kwi-Amputees: Uhlolo lokuHlola. Ama-Annal of Medicine and Physical Rehabilitation . 2016. 59 (4): 270-5.
Trevelyan, E., Turner, W., noN. Robinson. Iimbono ze-Phantom Limb Pain kwii-Amputees ezingezantsi zeNgqungquthela kunye nefuthe layo kwi-Quality of Life: Isifundo esifanelekileyo. IBritish Journal of Pain . 10 (2): 70-7.