Ukuqonda iibhloko zeNerve: Ukuxilongwa kunye nokulawula iintlungu zokulimala

Kubantu abajongene neentlungu ezingapheliyo, ngaba ukuqhuba inkqubo ye-nerve block kunokunceda ukunciphisa nokulawula iimpawu?

Iibhloko zemithambo

I-nerve block yinkqubo eyenziwa ukuphazamisa / ukuvala iimpawu zentlungu ngenxa yokungasebenzi kakuhle okanye ukulimala. Zingasetyenziselwa iinjongo zokuxilonga okanye unyango, kunye nemiphumo yazo ingaba yifutshane okanye ixesha elide, kuxhomekeke kuhlobo olusetyenziswayo.

• A i-nerve block yethutyana Isenokubandakanya usetyenziso okanye inaliti enqanda imiqondiso yeentlungu ekudluliseleni ixesha elifutshane.
• Umzekelo, ekukhulelweni, inaliti ye-epidural ingasetyenziswa ngexesha lokubeleka kunye nokunikezelwa.
• Iibhloko zemithambo-luvo esisigxina kubandakanya ukusika / ukuqhawula okanye ukususa iindawo ezithile ze-nerve ukumisa iimpawu zentlungu.
• Ezi zisetyenziselwa kwiimeko ezinokulimala kakhulu okanye ezinye iimeko ezibuhlungu ezingapheliyo ezingakhange ziphuculwe kunye nezinye iindlela zonyango.

Ukusetyenziswa koNyango

Xa ababoneleli bezempilo befumanisa imeko yentlungu engapheliyo ebangelwa kukwenzakala kwe-nerve okanye ukungasebenzi, banokusebenzisa i-nerve block ukuze bafumane indawo eyenza iimpawu zentlungu. Banokwenza i-electromyography kunye / okanye a i-nerve conduction velocity/uvavanyo lwe-NCV ukukhomba unobangela weentlungu ezingapheliyo zemithambo-luvo. Iibhloko ze-nerve zinokunyanga iintlungu ezingapheliyo ze-neuropathic, ezifana neentlungu ezibangelwa ngumonakalo we-nerve okanye ukunyanzeliswa. Iibhloko ze-nerve zihlala zisetyenziselwa ukunyanga iintlungu zemva kunye nentamo ezibangelwa yi-discs ye-herniated okanye i-spinal stenosis. (Johns Hopkins Medicine. 2024)

iintlobo

Iindidi ezintathu ziquka:

• weNgingqi
• Neurolytic
• Utyando

Zonke ezintathu zingasetyenziselwa iimeko ezibangela intlungu engapheliyo. Nangona kunjalo, iibhloko ze-neurolytic kunye noqhaqho zisisigxina kwaye zisetyenziselwa kuphela iintlungu ezibuhlungu eziye zaqatsela kunye nolunye unyango olungakwaziyo ukunika isiqabu.

Iibhloko zeThutyana

• Ibhloko yendawo yenziwa ngokutofa okanye ukusebenzisa i-anesthetics yendawo, njenge-lidocaine, kwindawo ethile.
• I-epidural yi-nerve block yendawo ethi ifake i-steroids okanye i-analgesics kwindawo ejikeleze intambo yomgogodla.
• Ezi zixhaphakile ngexesha lokukhulelwa, lokubeleka, kunye nokuzala.
• I-Epidurals ingasetyenziselwa ukunyanga intamo engapheliyo okanye iintlungu zangasemva ngenxa ye-nerve yomgogodla.
• Iibhloko zendawo zihlala zesikhashana, kodwa kwisicwangciso sonyango, zinokuphinda ziphindwe emva kwexesha ukulawula intlungu engapheliyo kwiimeko ezifana ne-arthritis, i-sciatica, kunye ne-migraines. (Impilo ye-NYU Langone. 2023)

Iibhloko ezisisigxina

• Ibhloko ye-neurolytic isebenzisa utywala, i-phenol, okanye i-thermal agents ukunyanga intlungu engapheliyo ye-nerve. (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023) Ezi nkqubo zonakalisa iindawo ezithile ze-nerve pathway ngenjongo ukuze iimpawu zentlungu zingakwazi ukudluliselwa. Ibhloko ye-neurolytic isetyenziselwa ikakhulu kwiimeko ezibuhlungu ezingapheliyo, njengentlungu evela kumhlaza okanye i-syndrome yengingqi enzima / i-CRPS. Ngamanye amaxesha zisetyenziselwa ukunyanga intlungu eqhubekayo evela kwi-pancreatitis engapheliyo kunye nentlungu eludongeni lwesifuba emva kokuhlinzwa. (Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
• I-neurosurgeon yenza ibhloko ye-nerve yotyando ebandakanya ukususa okanye ukonakalisa iindawo ezithile ze-nerve. (Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. 2023) Ibhloko ye-nerve yotyando isetyenziselwa kuphela iimeko ezibuhlungu ezibuhlungu, ezifana neentlungu zomhlaza okanye i-neuralgia ye-trigeminal.
• Nangona i-neurolytic kunye neebhloko zemithambo-luvo ziziinkqubo ezisisigxina, iimpawu zentlungu, kunye neemvakalelo zinokubuya ukuba imithambo-luvo iyakwazi ukuphinda ikhule kwaye izilungise. (U-Eun Ji Choi et al., ngo-2016) Nangona kunjalo, iimpawu kunye neemvakalelo zingenakubuya emva kweenyanga okanye iminyaka emva kwenkqubo.

IiNdawo zoMzimba ezahlukeneyo

Zinokulawulwa kwiindawo ezininzi zomzimba, kuquka: (Isibhedlele soTyando oluKhethekileyo. 2023) (Amayeza eStanford. 2024)

• Scalp
• ubuso
• Neck
• Ikholabone
• Amagxa
• Izixhobo
• umva
• Ibhokisi le
• Ikhayiji yembambo
• Isisu
• Pelvis
• Iintonga
• Amagxa
• iqatha
• iinyawo

Imiphumela

Ezi nkqubo zinokuba nobungozi obunokwenzeka bomonakalo osisigxina we-nerve. (Umhobe weBlueCross. 2023) Imithambo-luvo ibuthathaka kwaye iphinda ikhule kancinane, ngoko ke impazamo encinci inokubangela iziphumo ebezingalindelekanga. (D O'Flaherty et al., 2018) Iziphumo ebezingalindelekanga eziqhelekileyo ziquka:

• Ukukhubazeka kwemisipha
• Ubuthathaka
• Ukuba ndindisholo rhoqo
• Kwiimeko ezinqabileyo, ibhloko inokucaphukisa i-nerve kwaye ibangele intlungu eyongezelelweyo.
• Abasebenzi bezempilo abanezakhono nabanelayisensi abafana noogqirha botyando, oogqirha bolawulo lweentlungu, ii-anesthesiologists, kunye noogqirha bamazinyo baqeqeshelwe ukwenza ezi nkqubo ngononophelo.
• Kuhlala kukho umngcipheko wokulimala kwe-nerve okanye ukulimala, kodwa uninzi lweebhloko ze-nerve ngokukhuselekileyo kwaye zinciphisa ngempumelelo kwaye zincede ukulawula intlungu engapheliyo. (Umhobe weBlueCross. 2023)

Yintoni ongayilindela

• Abantu banokuziva ndindisholo okanye ukuba buhlungu kunye/okanye baqaphele ububomvu okanye ukucaphuka kufutshane okanye kufutshane nendawo okwethutyana.
• Kwakhona kunokubakho ukuvuvukala, okunyanzelisa i-nerve kwaye kufuna ixesha lokuphucula. (Amayeza eStanford. 2024)
• Abantu ngabanye banokucelwa ukuba baphumle ixesha elithile emva kwenkqubo.
• Kuxhomekeka kuhlobo lwenkqubo, umntu ngamnye kusenokufuneka achithe iintsuku ezimbalwa esibhedlele.
• Ezinye iintlungu zisenokuba zisekhona, kodwa oko akuthethi ukuba inkqubo khange isebenze.

Umntu ngamnye kufuneka adibane nomboneleli wezempilo malunga nemingcipheko kunye neenzuzo ukuqinisekisa ukuba ilungile impatho.

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Sciatica, Iimbangela, Iimpawu, kunye neengcebiso

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Ucaphulo

Johns Hopkins Medicine. (2024). Iibhloko zemithambo-luvo. (Impilo, umba. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks

Impilo ye-NYU Langone. (2023). Ibhlokhi ye-Nerve ye-migraine (Imfundo kunye noPhando, Umba. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine

Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. (2023). Iintlungu. Ifunyenwe kwi www.ninds.nih.gov/health-information/disorders/pain#3084_9

Johns Hopkins Medicine. (2024). Unyango olungapheliyo lwe-pancreatitis (Impilo, uMba. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment

Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). I-Intercostal Neurolysis yoNyango lwe-Postsurgical Thoracic Pain: i-Case Series. Izihlunu kunye ne-nerve, 58 (5), 671-675. doi.org/10.1002/mus.26298

Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Ukukhutshwa kwe-Neural kunye nokuhlaziywa kwakhona kwi-Pain Practice. Ijenali yaseKorea yeentlungu, i-29 (1), i-3-11. doi.org/10.3344/kjp.2016.29.1.3

Isibhedlele soTyando oluKhethekileyo. (2023). I-anesthesia yendawo. www.hss.edu/condition-list_regional-anesthesia.asp

Amayeza eStanford. (2024). Iintlobo zeebhloko zemithambo-luvo (Kubaguli, uMba. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html

Umhobe weBlueCross. (2023). Iibhloko ze-nerve ze-peripheral kunyango lweentlungu ze-neuropathic. (Umgaqo-nkqubo wezoNyango, umba. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html

O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Ukulimala kwe-nerve emva kwe-peripheral nerve blockade-ukuqonda kwangoku kunye nezikhokelo. Imfundo ye-BJA, i-18 (12), i-384-390. doi.org/10.1016/j.bjae.2018.09.004

Amayeza eStanford. (2024). Imibuzo eqhelekileyo yesigulane malunga neebhloko zemithambo-luvo. (Kwabaguli, umba. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html