Spinal tambo kukurudzira

Spinal cord tambo inosimudzira marapiro ayo anoshandisa nyoro yemagetsi magetsi kudzivisa tsinga dzemusana musana.

Electrode yekuyedza ichaiswa mukati kutanga kuti uone kana ichizobatsira kurwadziwa kwako.

• Ganda rako rinozovezwa neinesthetic yemuno.
• Wires (lead) ichaiswa pasi peganda rako uye yakatambanudzwa munzvimbo pamusoro pemusana wako.
• Idzi waya dzichabatanidzwa kune diki jenareta iripanze kwemuviri wako yaunotakura senharembozha.
• Maitiro acho anotora inenge 1 awa. Iwe unozogona kuenda kumba mushure mekuti vatungamiriri vaiswe.

Kana kurapwa kwacho kuchideredza marwadzo ako, iwe unozopihwa jenareta yekusingaperi. Iyo jenareta inozoiswa mumasvondo mashoma gare gare.

• Iwe unenge wakarara uye usina kurwadziwa-neyakajairika anesthesia.
• Iyo jenareta ichaiswa pasi peganda redumbu rako kana magaro kuburikidza nekacheka kekuvhiya.
• Maitiro acho anotora maminetsi makumi matatu kusvika makumi mana nemashanu.

Iyo jenareta inomhanya pamabhatiri. Mamwe mabhatiri anogona kudzoreredzwa. Vamwe vanopedza makore maviri kusvika mashanu. Iwe uchazoda kumwe kuvhiyiwa kutsiva bhatiri.

Chiremba wako anogona kukurudzira iyi maitiro kana iwe uine:

• Kutambudzika kwekushure kunoenderera kana kuwedzera kuipa, kunyangwe mushure mekuvhiyiwa kuti ugadzirise
• Complex Regional Pain Syndrome (CRPS)
• Yenguva refu (isingaperi) kurwadziwa kwemusana, uine kana usina ruoko kana kurwadziwa kwegumbo
• Kushungurudzika kwemitsipa kana chiveve mumaoko kana makumbo
• Kuzvimba (kuzvimba) kwemukati mehuropi uye musana

SCS inoshandiswa mushure mekunge maedza kumwe kurapa senge mishonga uye kurovedza muviri uye hazvina kushanda.

Njodzi dzekuvhiya uku dzinosanganisira chero cheanotevera:

• Cerebrospinal fluid (CSF) kuvuza uye musana musoro
• Kukuvadza kune tsinga dzinobuda musana, zvichikonzera kuoma mitezo, kushaya simba, kana kurwadziwa kusingaendi
• Kutapukirwa kwebhatiri kana saiti yemagetsi (kana izvi zvikaitika, Hardware inowanzoda kubviswa)
• Kufambisa kana kukuvadza kune jenareta kana zvinotungamira zvinoda kuvhiyiwa kwakawanda
• Marwadzo mushure mekuvhiyiwa
• Zvinetso nemashandisirwo anoshanda, senge kutumira kwakasimba kwazvo chiratidzo, kumira uye kutanga, kana kutumira isina kusimba chiratidzo
• Iyo inosimudzira inogona kusashanda
• Kuunganidzwa kweropa kana fluid pakati pekuvhara kwehuropi (dura) uye nepamusoro pehuropi

Iyo SCS chishandiso inogona kupindirana nezvimwe zvishandiso, senge pacemaker uye defibrillators. Mushure mokunge SCS yaiswa, iwe unogona kusakwanisa kuwana MRI zvakare. Ndokumbira utaure izvi nemupi wako wekuchengeta hutano.

Udza mupi uyo achange achiita mashandisirwo emishonga yauri kutora. Izvi zvinosanganisira mishonga uye zvinowedzera zvawakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Gadzirira imba yako kuitira paunodzoka kubva kuchipatara.
• Kana iwe uchisvuta, unofanirwa kurega kusvuta. Kudzoreredza kwako kunononoka uye pamwe hakunakidze kana iwe uchiramba uchisvuta. Kumbira mupiki wako kuti abatsire kurega.
• Vhiki rimwe chete usati wavhiyiwa, unogona kukumbirwa kuti urege kunwa ropa. Iyi ndiyo mishonga inoita kuti zvinetse kuti ropa rako rigadzike. Zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe matambudziko ekurapa, mupi wako anokukumbira kuti uone vanachiremba vanokurapa pamatambudziko aya.
• Taura nemupi wako kana iwe wanga uchinwa doro rakawanda.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezvekusadya kana kunwa chero chinhu usati waita. Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Uyai netsvimbo yako, chinofamba, kana wiricheya kana iwe unayo. Uyawo neshangu dzine sandara, dzisina tsoka.

Mushure mekugadzwa kwekusingaperi kwejenareta, iyo yekuvhiya yakatemwa ichavharwa uye yakafukidzwa nehembe. Uchaendeswa kukamuri yekudzorera kuti umuke kubva kune anesthesia.

Vanhu vazhinji vanogona kuenda kumba zuva rimwe chetero, asi chiremba wako anogona kuda kuti ugare muchipatara. Iwe unozodzidziswa maitiro ekuchengeta yako saiti yekuvhiya.

Iwe unofanirwa kudzivirira kunorema kusimudza, kukotama, uye kumonyanisa paunenge uchirapa. Chiedza chechiedza chakadai sekufamba chinogona kubatsira panguva yekupora.

Mushure mekuita maitiro iwe unogona kunge uine marwadzo mashoma ekumusana uye haufanire kutora mishonga yekurwadziwa yakawanda. Asi, kurapwa kwacho hakurape kurwadziwa musana kana kubata kunobva marwadzo. Iyo inosimudzira inogona zvakare kugadziridzwa zvichienderana nemhinduro yako kune kurapwa.

Neurostimulator; SCS; Neuromodulation; Dorsal ikholamu kukurudzira; Kusingaperi kurwadziwa shure - kukurudzira kwepelinha; Kunetseka kurwadziwa kwenzvimbo - kukurudzira musana; CRPS - kukurudzira kwepamuviri; Kukundikana kuvhiyiwa kumashure - musana kukurudzira

Bahuleyan B, Fernandes de Oliveira TH, Machado AG. Husingaperi kurwadziwa, kukundikana kumashure chirwere chirwere, uye manejimendi. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 177.

Dinakar P. Mazano ekurwadziwa kwekutambudzika. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits.

Sagher O, Levin EL. Spinal tambo kukurudzira. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 178.