Ukuvuselelwa kwentambo yomqolo

Ukunyusa intambo yomqolo lonyango lweentlungu ezisebenzisa amandla ombane amnene ukuvimba iimpembelelo zemithambo-luvo emqolo.

Isilingo se-electrode siyakufakwa kuqala ukubona ukuba iyanceda na intlungu yakho.

• Ulusu lwakho luya kuba ndindisholo nge-anesthetic yendawo.
• Iingcingo (izikhokelo) ziya kubekwa phantsi kolusu lwakho kwaye zolulwe kwisithuba ngaphezulu kwentambo yakho yomqolo.
• Ezi ngcingo ziya kuqhagamshelwa kumvelisi omncinci okhoyo ngaphandle komzimba wakho owuphethe njengeselula.
• Inkqubo ithatha malunga neyure. Uya kuba nakho ukugoduka emva kokuba izikhokelo zibekiwe.

Ukuba unyango luyayinciphisa kakhulu intlungu yakho, uya kunikwa umvelisi osisigxina. Umvelisi uya kufakwa kwiiveki ezimbalwa kamva.

• Uya kulala kwaye ungenazintlungu nge-anesthesia ngokubanzi.
• Umvelisi uyakufakwa phantsi kwesikhumba sesisu sakho okanye iimpundu ngohlobo oluncinci lokuhlinzwa.
• Inkqubo ithatha malunga nemizuzu engama-30 ukuya kwengama-45.

Umvelisi uqhuba kwiibhetri. Ezinye iibhetri ziyagcwaliseka kwakhona. Abanye bahlala iminyaka emi-2 ukuya kwemi-5. Uya kudinga olunye utyando ukubuyisela ibhetri.

Ugqirha wakho unokucebisa le nkqubo ukuba unayo:

• Umqolo obuhlungu uyaqhubeka okanye uba mandundu, nasemva kotyando ukulungisa
• Intlungu yesifo seengingqi (CRPS)
• Ixesha elide (elingapheliyo) intlungu emva, kunye okanye ngaphandle kwengalo okanye intlungu yomlenze
• Intlungu yamathambo okanye ukuba ndindisholo ezingalweni okanye emilenzeni
• Ukudumba (ukudumba) kwebala lobuchopho kunye nentambo yomqolo

I-SCS isetyenziswa emva kokuba uzame olunye unyango njengamayeza nokwenza umthambo kwaye khange isebenze.

Iingozi zolu tyando zibandakanya nayiphi na kwezi zinto zilandelayo:

• Ukuvuza kwamanzi eCerebrospinal fluid (CSF) kunye nentloko yomqolo
• Ukonakala kwimithambo-luvo ephuma emqolo, kubangela ukukhubazeka, ubuthathaka, okanye iintlungu ezingapheliyo
• Usulelo lwebhetri okanye indawo ye-electrode (ukuba oku kuyenzeka, izixhobo zekhompyutha zihlala zifuna ukususwa)
• Ukuhamba okanye ukonakala komvelisi okanye umkhombisi ofuna utyando olungaphezulu
• Intlungu emva kotyando
• Iingxaki ngendlela esebenza ngayo into evuselelayo, njengokuthumela umqondiso womeleleyo, ukumisa kunye nokuqala, okanye ukuthumela isiginali ebuthathaka
• Isikhuthazi sinokungasebenzi
• Ukuqokelelwa kwegazi okanye ulwelo phakathi kwesigqubuthelo sobuchopho (ixesha elide) kunye nomphezulu wobuchopho

Isixhobo seSCS sinokuphazamisana nezinye izixhobo, ezinjengezixhobo zokwenza amandla kunye nezixhobo. Emva kokuba kufakwe i-SCS, ngekhe uphinde ufumane iMRI. Nceda uxoxe ngale nto kunye nomboneleli wakho wezempilo.

Xelela umboneleli oza kwenza inkqubo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza kunye nezongezelelo ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa umzi wakho xa ubuya esibhedlele.
• Ukuba uyatshaya, kufuneka uyeke ukutshaya. Ukuchacha kwakho kuya kuhamba kancinci kwaye kungalungi ukuba uqhubeka utshaya. Buza umboneleli wakho ngoncedo lokuyeka.
• Kwiveki enye ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha izinciphisi zegazi. La ngamayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Babandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iingxaki zonyango, umboneleli wakho uya kukucela ukuba ubone oogqirha abakunyangayo kwezi ngxaki.
• Thetha nomboneleli wakho ukuba ubusele utywala kakhulu.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.

Ngomhla wotyando:

• Landela imiyalelo malunga nokungatyi okanye ukusela nantoni na ngaphambi kwenkqubo. Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Yiza nenduku yakho, ukuhambahamba, okanye isitulo esinamavili ukuba unayo. Yiza neembadada ezineeflethi ezithe tyaba, ezingathathi ntweni.

Emva kokubekwa komvelisi osisigxina, ukusikwa kotyando kuya kuvalwa kwaye kugutyungelwe ngokunxiba. Uya kusiwa kwigumbi lokubuyisela kwakhona ukuze uvuke kwi-anesthesia.

Uninzi lwabantu lunokugoduka kwangolo suku, kodwa ugqirha wakho unokufuna ukuba ulale esibhedlele. Uya kufundiswa ukuba uyikhathalela njani indawo yakho yotyando.

Kuya kufuneka uphephe ukuphakamisa okunzima, ukugoba, kunye nokujija ngelixa uphola. Ukuzivocavoca okulula njengokuhamba kunokuba luncedo ngexesha lokubuyela kwimeko yesiqhelo.

Emva kwenkqubo unokuba neentlungu ezingaphantsi kwaye awuyi kufuna ukuthatha amayeza entlungu. Kodwa, unyango alunyangi umqolo obuhlungu okanye lunyange umthombo wentlungu. Isikhuthazi sinokuhlengahlengiswa ngokuxhomekeke kwimpendulo yakho kunyango.

I-Neurostimulator; I-SCS; Neuromodulation; Ukukhuthaza ikholamu yasemqolo; Ubuhlungu obungapheliyo be-back-spinal stimulation; Ubunzima beentlungu zengingqi-ukuvuselela umgogodla; I-CRPS-ukuvuselela umgogodla; Ukungaphumeleli kokuhlinzwa kwakhona-ukuvuselela umgudu

UBahuleyan B, Fernandes de Oliveira TH, Machado AG. Ubuhlungu obungapheliyo, ukungaphumeleli kokuhlinzwa kwesifo, kunye nolawulo. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 177.

UDinakar P. Imigaqo yolawulo lweentlungu. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 54.

Umchasi O, uLevin EL. Ukuvuselelwa kwentambo yomqolo. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 178.