Ukuvuthwa kaninzi kuthathwa njengento yokugqibela yentlungu: Xa zonke izinto zingaphumeleli, nqumla ukuphela kwemizwa. Ukuhlinzwa kungathatha ngokukhawuleza, ukukhululwa kwemilingo kwiintlungu ezibangelwa ngumhlaza okanye ezinye izifo ezingenakuphilisa, kwimeko apho iyeza ezinamandla ezifana ne-morphine zihlulekile ukulawula intlungu .
Kodwa kukho iindawo ezincinci ukuya kutyando ngenxa yentlungu.
Ukuhlinzwa kungonakalisa ezinye iimvakalelo kunye nentlungu, okanye ngokungaqhelekanga ibe ngumthombo wentlungu entsha. Unokubangela ezinye iziphumo ezibi , ezinye zazo ezinokuthi zibe zibi. Yaye ukuxhamla kwiintlungu ezinikwe unyango olutyunjwayo akusoloko kusisigxina - emva kweenyanga ezintandathu okanye ngonyaka, intlungu ingabuya.
Ngoko ke, isigqibo sokuqhubeka nokuhlinzwa kufuneka senze iingxoxo ezicokisekileyo kunye nodokotela wakho malunga nesimo sakho kunye nesifo sakho. Kwakhona kufuneka kufake phakathi ukuvavanywa kwamanye amayeza angenako ukuhlinzwa, anokubandakanya amadivayisi afakekileyo ukuhambisa amayeza ngokuthe ngqo kwimvelaphi yentlungu yakho, okanye izixhobo ezisebenzisa iimpembelelo zombane ukuphazamisa intlungu yeentlungu.
I-Cordotomy ukuMisa ubuhlungu
Kukho iintlobo ezahlukeneyo zoogqirha abazenzayo ukuze banciphise intlungu.
Into eqhelekileyo yintambo ye-cordotomy, apho ugqirha wakho oza kupheka iimbilini ze-nerve kumnye okanye kumacala omabini omninzi wakho womgudu osebenza njengengxenyana ecacileyo kwingqondo.
I-Cordotomy inokumisa intlungu kodwa iya kutshabalalisa umqondo wakho wokushisa ukususela ekubeni iimbilini ezikunceda ukwazi ukufudumala zixutywe kunye neentsholongwane ezikuvumela ukuba uzive ubuhlungu.
Ezinye iziphumo ezichaphazelekayo ze-cordotomy ziquka ubuthathaka kwelinye icala lomzimba wakho, ukungakwazi ukukhupha ngokupheleleyo isilwanyana, kwaye kuthiwa "ubuhlungu besikhumba sombukiso," apho uvakalelwa khona intlungu efanayo kwicala lomzimba wakho.
Ezinye iinkqubo zokuLawula ubuhlungu
Ngaphandle kwe-cordotomy, utyando ngaphakathi kwengqondo okanye umgudu wokugqithisela intlungu kubandakanya ukuhlukanisa ukudibanisa kwiindawo ezinkulu kwiintlungu, njengendawo apho iintambo zentlungu ziwela ngaphesheya kwintambo ukuya kwelinye, okanye zibhubhise iingxenye zentlungu ezibaluleke kakhulu kwiingqondo, ezifana ne-thalamus, iqela elenziwe ngeqanda leeseli zesigulane kufuphi nombindi wengqondo.
Ngokomzekelo, utyando lwegama lugxininisa imizila emininzi yemitha kwi-thalamus ukuyichitha kwinkqubo engeyiyo. Kwakhona kunokwenzeka ukusebenzisa i-ultrasound ukufeza injongo enye. Zomibini zezi nkqubo zisetyenziselwa ukunyanga kwesifo sikaParkinson kodwa zibhekwa njengezilingo zokunyanga iintlungu.
Ngamanye amaxesha oogqirha banokuphelisa intlungu ngokubhubhisa iimbilini ze-nerve okanye iiseli ezinxulumene ngaphandle kwengqondo okanye intambo yomgogodla. Ngokomzekelo, zinokutshabalalisa iimbilini ezithile ukukhupha iintlungu ezibuhlungu kangangokuba ngamanye amaxesha zilandela isilonda esinyukayo kwisixhobo esibukhali okanye ibhola.
Abanye oogqirha baye baxela impumelelo ngengqondo yobuchopho ebizwa ngokuba yi-cingulotomy, eyonakalisa inxalenye yengqondo ebizwa ngokuba yi-cortex yangaphambili, ukukhupha iintlungu ezinzima eziqhelekileyo, ngokuqhelekileyo ngenxa yomhlaza, isifo soxinzelelo okanye ukulimala komgudu.
Utyando, olunokuthi luqhutywe ngendlela encinci ye-thermal energy okanye i-lasers, isetyenziselwa ukunyanga ingxaki engathintekiyo yonyango engavumelaniyo kunye nokuxinezeleka okukhulu.
Ukuphumelela kunye neBlack Pain Blocks
Xa intlungu ichaphazela iiphelo eziphezulu okanye isasazeke, ugqirha unokukhetha okuncinci kunye nokuhlinzwa kungenakusebenza. Sekunjalo, i-neurosurgeons ezinezakhono ziye zafumana iziphumo ezilungileyo ngentambo yomgca ongaphezulu okanye utyando lweengqondo ukunyanga iintlungu.
Ngaphambi kokusebenza, oogqirha banokuvame ukuvavanya ukuphumelela kokuhlinzwa ngokusebenzisa iziyobisi ezi-anesthetic ukuvimba iishuwu zexeshana.
Kwezinye izimo ezibuhlungu ezingapheliyo - njengentlungu evela kwilonda elidlulayo - ezi bhloko zesikhashana zingabangela inzuzo, zikhuthaza ukulungiswa komonakalo wamantongomane.
Imithombo:
UJeanmonod D et al. I-transcranial magnetic resonance-oriented ultrasound egxininisiweyo: i-non-invasive centralalal thalamotomy for painless neuropathic. Focus Focus. 2012 uJan; 32 (1): E1.
Sanders M et al. Ukhuseleko lwe-cordotomy ye-cervical and colateral cervical cervical in patients 80. Umbhalo we-Clinical Oncology. 1995 Juni; 13 (6): 1509-12.
Yen CP kunye al. I-stereotactic yangaphambili ye-cingulotomy yeentlungu ezingenakwenzeka. Umbhalo we-Clinical Neuroscience. 2005 Nov; 12 (8): 886-90.
Umncinci uRF et al. I-Gamma Knife thalamotomy ukwenzela unyango lweentlungu eziqhubekayo. I-Stereotactic neSebenza ye-Neurosurgery. Ngo-1995; I-Suppl ye-1: 172-81.