Ukukhuthazwa kwentambo yomgogodla

Ukugqugquzela intambo yomgogodla ukwelashwa kobuhlungu obusebenzisa amandla kagesi amancane ukuvimba imizwa yezinzwa emgogodleni.

Kuzofakwa i-electrode yesilingo kuqala ukubona ukuthi iyabasiza yini ubuhlungu bakho.

• Isikhumba sakho sizofakwa izinzwa nge-anesthetic yendawo.
• Izintambo (umkhondo) zizobekwa ngaphansi kwesikhumba sakho bese zinwetshelwa esikhaleni ngaphezulu komgogodla wakho.
• Lezi zintambo zizoxhunywa kukhiqizi omncane wamanje ongaphandle komzimba wakho owuphethe njengeselula.
• Inqubo ithatha cishe ihora elilodwa. Uzokwazi ukuya ekhaya ngemuva kokubekwa komholi.

Uma ukwelashwa kunciphisa kakhulu ubuhlungu bakho, uzonikezwa i-generator ehlala njalo. I-generator izofakwa emasontweni ambalwa kamuva.

• Uzobe ulele futhi ungenazinhlungu nge-anesthesia ejwayelekile.
• I-generator izofakwa ngaphansi kwesikhumba sesisu sakho noma izinqe ngokusebenzisa ukusika okuncane kokuhlinzwa.
• Inqubo ithatha cishe imizuzu engama-30 kuye kwengu-45.

I-generator isebenza ngamabhethri. Amanye amabhethri angagcwaliseka kabusha. Ezinye zihlala iminyaka emibili kuya kwemihlanu. Uzodinga okunye ukuhlinzwa ukuze ungene esikhundleni sebhethri.

Udokotela wakho angancoma le nqubo uma une:

• Ubuhlungu beqolo obuqhubeka noma buba bubi kakhulu, noma ngemuva kokuhlinzwa ukukulungisa
• Isifo esibuhlungu sesifunda (CRPS)
• Ubuhlungu beqolo besikhathi eside (obungapheli), nobuhlungu bengalo noma bomlenze noma obungenabo
• Ubuhlungu bemizwa noma ukuba ndikindiki ezingalweni noma emilenzeni
• Ukuvuvukala (ukuvuvukala) kwendwangu yobuchopho nomgogodla

I-SCS isetshenziswa ngemuva kokuthi uzame ezinye izindlela zokwelapha ezinjengemithi nokuvivinya umzimba futhi azisebenzi.

Izingozi zalokhu kuhlinzwa zifaka noma yikuphi okulandelayo:

• Ukuvuza kweCerebrospinal fluid (CSF) kanye nekhanda lomgogodla
• Ukulimala kwezinzwa eziphuma emgogodleni, kubangele ukukhubazeka, ubuthakathaka, noma ubuhlungu obungapheli
• Ukutheleleka kwebhethri noma indawo ye-electrode (uma lokhu kwenzeka, i-hardware ngokuvamile idinga ukususwa)
• Ukuhamba noma ukonakalisa i-generator noma umkhondo odinga ukuhlinzwa okwengeziwe
• Ubuhlungu ngemuva kokuhlinzwa
• Izinkinga ngokuthi isikhuthazi sisebenza kanjani, njengokuthumela isignali enamandla kakhulu, ukumisa nokuqala, noma ukuthumela isignali ebuthakathaka
• Isikhuthazi kungenzeka singasebenzi
• Ukuqoqwa kwegazi noma uketshezi phakathi kokumbozwa kobuchopho (ubude) nobuso bengqondo

Idivayisi ye-SCS ingaphazamisana namanye amadivayisi, njengama-pacemaker nama-defibrillator. Ngemuva kokuthi kufakwe i-SCS, ungahle ungakwazi ukuthola iMRI. Sicela uxoxe ngalokhu nomhlinzeki wakho wezokunakekelwa kwempilo.

Tshela umhlinzeki ozokwenza inqubo ukuthi imiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi nezithako ozithengile ngaphandle kwencwadi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Lungisa ikhaya lakho uma ubuya esibhedlela.
• Uma ubhema, kufanele uyeke ukubhema. Ukululama kwakho kuzohamba kancane futhi mhlawumbe kungabi kuhle uma uqhubeka nokubhema. Cela umhlinzeki wakho akusize uyeke.
• Isonto elilodwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi. Le yimithi eyenza kube nzima ngegazi lakho ukuminyana. Kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izinkinga zezokwelapha, umhlinzeki wakho uzokucela ukuthi ubone odokotela abakwelaphelayo ngalezi zinkinga.
• Khuluma nomhlinzeki wakho uma uphuze kakhulu utshwala.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Landela imiyalo mayelana nokungadli noma ukuphuza noma yini ngaphambi kwenqubo. Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Letha umoba wakho, isihambi, noma isihlalo esinamasondo uma usunayo vele. Futhi letha izicathulo ezinezicathulo eziyizicaba, ezingadlile.

Ngemuva kokuthi kufakwe i-generator unomphela, ukusika kokuhlinzwa kuzovalwa futhi kumbozwe ngokugqoka. Uzoyiswa egumbini lokutakula ukuze uvuke ku-anesthesia.

Abantu abaningi bangaya emakhaya ngosuku olufanayo, kepha udokotela wakho ohlinzayo angafuna ukuthi ulale esibhedlela. Uzofundiswa ukuthi uyinakekela kanjani indawo yakho yokuhlinzwa.

Kufanele ugweme ukuphakamisa okunzima, ukugoba, nokusonta ngenkathi uselapha. Ukuvivinya umzimba okulula njengokuhamba kungasiza ngesikhathi sokululama.

Ngemuva kwenqubo ungahle ube nezinhlungu ezingemuva futhi ngeke udinge ukuphuza imithi yezinhlungu engako. Kodwa, ukwelashwa akulapheki izinhlungu emuva noma kwelapha umthombo wezinhlungu. Isikhuthazi singalungiswa futhi kuye ngempendulo yakho ekwelashweni.

I-Neurostimulator; SCS; Neuromodulation; Ukugqugquzela ikholomu ye-Dorsal; Ubuhlungu obungapheli emuva - ukugqugquzela umgogodla; Ubuhlungu besifunda obuyinkimbinkimbi - ukugqugquzela umgogodla; I-CRPS - ukugqugquzela umgogodla; Ukuhlinzwa emuva kwehlulekile - ukugqugquzela umgogodla

UBahuleyan B, uFernandes de Oliveira TH, uMachado AG. Ubuhlungu obungapheli, i-syndrome yokuhlinzwa emuva ehlulekile, nokuphathwa. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 177.

I-Dinakar P. Izimiso zokuphathwa kobuhlungu. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 54.

USagher O, uLevin EL. Ukukhuthazwa kwentambo yomgogodla. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 178.