Ubuhlungu Belungo Olusele
Uhlolojikelele
Ubuhlungu beLungelo Elikhishwa, oluthi ngezinye izikhathi kubizwe ngokuthi ubuhlungu be-stump, uhlobo lobuhlungu obuzwakala engxenyeni yelungo eselele emva kokusilela. Kwenzeka cishe kwesigamu sabantu abaye basilela. Kungase kwenzeke ngokushesha ngemva kokuhlinzwa, ngokuvamile ngaphakathi nesonto lokuqala, kodwa kungase futhi kuqhubeke ngaphezu kokululama. Ubuhlungu beLungelo Elikhishwa ngokuvamile abukhulu, kodwa kungase kuzwakale:
- Ukuphambuka
- Ukushisa
- Ukucindezela
- Ukugwaza
Kubantu abathile, ilungu elikhishwa lingase lihambe ngokungenakulawuleka ngezindlela ezincane noma ezinkulu. Ubuhlungu beLungelo Elikhishwa buhlukile ebuhlungwini be-phantom, okuwubuhlungu obukhona ukuba buvela elungwini elikhishwa. Kodwa ubuhlungu beLungelo Elikhishwa nobuhlungu be-phantom ngokuvamile kwenzeka ndawonye. Ucwaningo lubonisa ukuthi ngaphezu kwesigamu sabantu abanebuhlungu be-phantom nabo banebuhlungu beLungelo Elikhishwa.
Ubuhlungu beLungelo Elikhishwa bungase bubangelwe yi:
- Izinkinga emathanjeni noma emathinini
- Ukutheleleka
- Ukungabi khona kahle kwegazi elungwini
- Ubuhlungu
- Izinkinga ngokufaneleka noma ukusetshenziswa kwe-prosthesis
Ukuxilongwa
Kubalulekile ukuthola ukuxilongwa okuchane ngokunembile nokuthola imbangela yobuhlungu be-residual limb yakho, njengoba ezinye izimbangela zingase zilungiseke. Izivivinyo nezinqubo ezisetshenziswa ekutholeni ukuxilongwa kobuhlungu be-residual limb zingafaka: Ukuhlolwa komzimba. Udokotela wakho cishe uzohlola i-residual limb yakho ayizwe ukuhlola ukuphazamiseka kwesikhumba, ama-pressure sores nezingqinamba ngamathambo. Uzobuye abuke izimpawu zokutheleleka nama-masses. Udokotela wakho angase futhi atshe i-residual limb yakho ukuhlola izimpawu zobuhlungu ezibonisa ukuphephelana kwamaphezu ezinzwa okutholakala ngemuva kokusilela (neuroma). Izivivinyo ze-Imaging. I-MRI, i-CT scan, i-X-rays noma i-ultrasound zingasetshenziswa ukusiza ukukhipha ezinye izimbangela ezingaba khona zobuhlungu bakho noma ukuqinisekisa ukungabaza kuka dokotela wakho. Lezi zihloko zingase zithole ukwephulwa kwamathanga, ukugqwala kwamathanga nezinye izinkinga zamathanga, iziphumu, nokutheleleka. Izivivinyo zegazi. Ungase udinga ezinye izivivinyo zegazi ukusiza ukukhipha ezinye izimbangela ezingaba khona zobuhlungu bakho noma ukuqinisekisa ukungabaza kuka dokotela wakho. Olunye Ulwazi I-CT scan I-MRI I-Ultrasound I-X-ray Khombisa olunye ulwazi oluhlobene
Ukwelashwa
Ukwelapha ubuhlungu besitho esisele kugxile ekwelapheni imbangela yaleso sihlungu, uma kungenzeka. Kubantu abangaba yingxenye kulabo abanebuhlungu besitho esisele, ubuhlungu buthuthuka ekugcineni ngaphandle kokwelashwa. Izindlela zokwelapha ubuhlungu besitho esisele zingabandakanya imithi, okuhlanganisa:
- Amanqandebuhlungu. I-Acetaminophen (i-Tylenol, nabanye) kanye nezinye izidakamizwa ezingalwi nokuvuvukala zingasiza. Imithi enamandla, njenge-opioids, ingase idingeke. Lezi zingasiza kakhulu ebuhlungwini obuvela ezinkingeni zesikhumba, izicubu ezithambile, imisipha, namagagasi.
- I-Anticonvulsants. I-Gabapentin (i-Gralise, i-Neurontin) ne-pregabalin (i-Lyrica) zingasiza ekuqedeni ubuhlungu obubangelwa ukulimala kwezinzwa. Kucatshangelwa ukuthi le mi thi iphazamisa ukudluliswa kwemizwa yezinzwa ukuze kunciphisa ubuhlungu.
- I-N-methyl-D-aspartic acid (NMDA) agonists. Le mi thi, okuhlanganisa ne-ketamine, ivala izenzakalo ezandisa ukusabela kweneurons. Ngokuvamile inikezwa njengemithi yokugcoba ebekwe esikhumbeni sakho. Nakuba isebenza kakhulu ekuqedeni ubuhlungu, izinzuzo azithathi isikhathi eside. Zingabangela nemiphumela emibi enkulu.
Ezinye izindlela zokwelapha zihlanganisa:
- Ukuxova. Ukuxova okuthambile kwesitho ngezinye izikhathi kunganciphisa ubuhlungu.
- I-Hypnosis. Ucwaningo oluncani olutholile ukuthi izikhathi ezintathu ze-hypnosis kunciphisa ubuhlungu besitho esisele kubantu abanesimo.
- I-Nerve blocks. Lezi zibopho zivimba noma zicishe imizwa yobunhlungu yezinzwa. Zingasiza ekuqedeni ubuhlungu besitho esisele futhi zingasiza ekuxilongeni i-neuroma uma i-block imisa ubuhlungu.
- I-Neuromodulation. Lezi zindlela zokwelapha zisebenzisa ukukhuthaza kwamandla kwinzwa ukuze kuqede ubuhlungu. I-Spinal cord stimulation (SCS), i-peripheral nerve stimulation (PNS) ne-transcutaneous electrical nerve stimulation (TENS) zingolunye lwalezo zindlela zokwelapha ezingasetshenziswa ekuqedeni ubuhlungu besitho esisele.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.