Fumana amaqiniso kwiingenelo kunye nobungozi
Ukuba ufumana intlungu engapheliyo, ugqirha unokuncoma ukuba unesibindi sesigxina, inkqubo yesikhashana okanye isigxina ephazamisa umsebenzi othile weentsimbi. Inokukunceda ukuxilonga okanye ukuphatha iintlobo ezithile zeentlungu zesifo se- neuropathic , okanye iintlungu ezibangelwa yintlungu yokukhubazeka okanye umonakalo. Iibhloko zeentambo zingenziwa ngokufaka iikhemikhali okanye i-anesthetics kwindawo okanye ngokusika ngamabomu okanye ukulimaza ezinye iinxalenye zesibindi.
Abantu abaninzi bafumana iibhloko zeentsimbi ngaphandle kokuba bazi. Ngokomzekelo, oogqirha bamazinyo bavame ukusebenzisa ama-agent enqanda ukukhusela i-novocaine ukuze anqamle umlomo ngexesha leenkqubo ezinokuba zibuhlungu.
Isizathu sokuba Unokuba ne-Block Block
Ukuba ugqirha uzama ukuxilonga imeko yesifo esingapheliyo esibangelwa yinkimbinkimbi yobungozi, unokusebenzisa ibloko yokumelana neengcambu ukuze anikezele ingxaki yendawo. Ukongeza kwinqanaba le-nerve, angenza i- electromyography (EMG) kunye / okanye ukuhlolwa kwe- nerve conduction velocity (NCV) ukunciphisa isizathu esona siphumo sakho sentsholongwane .
Iibhloko zeentambo zingaphatha unyango olungapheliyo lwe-neuropathic , njengentlungu ebangelwa ngumonakalo wamantongomane okanye ukunyanzeliswa. Zisoloko zisetyenziselwa ukuphatha ubuhlungu beentamo neentamo ezibangelwa iidiski ze-herniated okanye i-spinal stenosis. Iibhloko zentsimbi zingasetyenziswa ukulawula intlungu ngexesha okanye ngokusisigxina, kuxhomekeke kwinkqubo esetyenziswayo.
Iindidi eziqhelekileyo zeMigodi yamanzi
Ibhodlo le-nerve yendawo yenziwa ngokujova okanye ukusebenzisa i-anesthetics yendawo, njengesi-lidocaine, kwindawo ethile.
Ingqungquthela yimbumba yesigxina esenza ukuba injecting steroids okanye i- analgesics ibe kwindawo ejikeleze intambo yomgogodla. Nangona eqhelekileyo ngexesha lokubeleka, i-epidural ingasetyenziselwa ukunyanga intamo engapheliyo okanye ubuhlungu obuya kubangelwa ngumlenze womgudu oqiniweyo . Iibhloko zeendawo zengingqi zihlala zisesigxina, nangona ezinye ziphindaphindiwe ngokuhamba kwesikhathi.
Ibhloko le-neurolytic isebenzisa utywala, i-phenol, okanye i-agent agents, ezinjenge-cryogenic frozen, ukunyanga iintlungu ezingapheliyo. Ezi nkqubo zenza umonakalo kwiindawo ezithile zendlela yomdla. Oku kuthetha ibhloko ye-neurolytic ivame ukufaneleka kuphela kwiimeko ezibuhlungu ezingapheliyo , ezinjengeentlungu zomhlaza okanye isifo esiyinkimbinkimbi yesifo se-CRPS.
Ibhodlo le-nerve ye-operesenti eyenziwa yi-neurosurgeon kwaye ibandakanya ukukhangela okanye ukukhetha ngokukhethekileyo iindawo ezithile ze-nerve. Njengebhokisi le-neurolytic, ibhodi yokukhupha i-nervous block ngokuvamile igcinwe kwiimeko ezibuhlungu, ezifana nobuhlungu bomhlaza okanye i -neuralgia ye-trigeminal . Uninzi lweebhloko zogqirha zisesigxina.
Izingozi ezinxulumene neMigodi yemiNyo
Nokuba isikhubekiso sexeshana esifana ne-epidural sinomngcipheko wokumonakalisa umonakalo wentsholongwane. Ngenxa yokuba izisongwane zibuhlungu kakhulu kwaye zihlaziywa ngokukhawuleza, nokuba nephutha elincinane ekubaleni lingabangela imiphumo emibi. Ezi ziquka ukukhubazeka kwesisu, ubuthathaka, okanye ukungapheli. Kwezinye iimeko ezinqabileyo, iintsholongwane zentsholongwane ziyakucasula ngakumbi iimbilini, ezibangela ukwanda kwintlungu.
Ngethamsanqa, oogqirha abanezakhono kunye nezemvume, njengamazinyo wamazinyo, oogqirha, kunye ne-anesthhesiologists, benza le nkqubo.
Nangona kukho rhoqo umngcipheko we-nerve damage ngexesha le nkqubo, ininzi imithwalo yeminwe iyanciphisa ngempumelelo intlungu yomzimba.
Yintoni enokuyilindela emva kweBlue Block
Unokuziva unqabile okwexeshana okanye unzima emva kwesibindi sakho senzwa, kwaye unokwazi ukubona obomvu okanye ukucasula kuloo ndawo. Le nto ayisoloko isigxina kwaye kufuneka iphele ngexesha. Ukuba unesibindi sokutyunjwa, unokucelwa ukuba uphumle ixesha elithile emva kwenkqubo yakho. Ngokuxhomekeke kwinkimbinkimbi yokuhlinzwa, ungase uchithe iintsuku ezimbalwa ekuphumeni esibhedlele.
Eminye intlungu ingaphikelela emva kwesibindi sakho senzwa, kodwa oko akuthethi ukuba inkqubo ayizange isebenze.
Ukongezelela, ezinye izithintelo zesibindi zingabangela ukuvuvukala, okunyanzelisa intsholongwane kwaye kufuna ixesha lokuyeka. Ukuba ufumana iziphumo zecala lebhodi yakho yesibindi zihlala ixesha elide kunokuba lilindeleke, qhagamshelana nogqirha wakho.
Imithombo:
I-American Pain Foundation. Izinyango Zonyango: Isikhokelo Sabantu Abanobuhlungu. Fi kelelwa ngo 6/9/09.
Isiko seSizwe seNational Psychology and Stroke. Ubuhlungu: Ithemba NgoPhando. Fi kelelwa ngo 6/9/09. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm
Nocom G, Ho KY kunye noPerumal M. Ulawulo oluPhezulu loPhepha oluPhezulu. Amanqaku e-Academy of Medicine, eSingapore. 2009 Feb; 38 (2): 150-5.