Glamuloma yotupa ndizovuta (zotheka) zomwe zingachitike mukakhala ndi mankhwala opatsirana mankhwala (morphine pump) yomwe imayikidwa mumsana wanu. Izi zimakhala zosavuta chifukwa chochita opaleshoni.
Nkhani yabwino ndi yakuti pafupifupi 1 peresenti ya odwala odwala matenda opatsirana mankhwala (omwe ali pangozi ya granuloma yotupa) kwenikweni amakula.
Mawu akuti inflammatory granuloma amavomereza kupanga mapangidwe a minofu kumene katheter imayikidwa panthawiyi.
Glamuloma yotupa imapezeka kawirikawiri pamene njira yoperekera mankhwala imayikidwa m'kati mwa intrathecal (malo omwe ali mkati mwa zigawo za msana), mosiyana ndi malo omwe ali kunja.
Zizindikiro ndi Zizindikiro
Zina mwa zizindikiro zoyambirira za granuloma yotupa zimaphatikizapo kutaya kwa ululu ndi ululu mu tsamba lomwe likugwirizana ndi msinkhu wa msana kumene kathetera imayikidwa. Zizindikiro zowonjezereka zimaphatikizapo ziwalo za thupi ndi matumbo ndi / kapena chikhodzodzo cha chikhodzodzo. Ngati dokotala akuganiza kuti muli ndi granuloma yotupa, akhoza kusiya mankhwalawa nthawi yomweyo, ndipo mungafunike opaleshoni.
Malingana ndi Dr. Sudhir Diwan, yemwe amagwira ntchito yopanga mankhwala opweteka ku Weil-Cornell Medical College, granuloma yotupa ikhoza kudzifikitsa yokha miyezi isanu ndi umodzi kuchokera pamene catheter yayikidwa.
Koma zingatenge zaka zambiri zisanachitike zizindikiro. Dr. Diwan akuti granuloma yotupa imayenderana ndi mlingo wa morphine umene umaperekedwa ndi mpope. Iye akuwonjezera kuti, "Tikufuna kuika kathete pansi, pansi pa vertebra L-1, popeza palibe mzere wa msana m'deralo, umene umachepetsera kuvulaza."
Kupewa
Kupewa granuloma yotupa kungapangidwe mwa kusintha mankhwala omwe amaperekedwa ndi mpope, pogwiritsa ntchito malo oposa a katheter kulowetsa ndi / kapena osaloleza mlingo wa morphine ndi hydromorphone kuti ukhale wapamwamba kwambiri.
Kodi Muyenera Kukhala ndi Mankhwala Osokoneza Bongo?
Mapampu amadzimadzi ndiwo njira yomaliza yopangira chitsipa chachikulu kapena ululu wammbuyo. Kotero iwo amagwira ntchito? Mwinamwake, mwina ayi. Zimadalira mtundu wa ululu umene uli nawo. Nkhani ya 2014 yomwe inalembedwa mu Journal of Pain Research inapeza kuti mapampu a mankhwala omwe amapangidwa chifukwa cha ululu wosapweteka wa khansa sanagwirizane ndi umboni koma mapampu amachimadzi omwe amapereka mankhwala a baclofen kuti athetse kuchepa kwapakhosi (chifukwa cha msana wa msana zoipa).
Zotsatira:
> Bottros, M., Christo, P. Panopo akuganiza za kupereka mankhwala osokoneza bongo. J Pain Res. July 2014.
> Sudhir Diwan, S., MD. Mtsogoleri, Pain Medicine Fellowship Program ndi Director, Division of Pain Medicine ku Weil-Cornell Medical College ya University of Cornell. Kuyankhulana kwa Telefoni. May 2008.
Patrick J. McIntyre, MD, JD; Timothy R. Deer, MDB; ndi Salim M. Hayek, MD, PhD. Zotsatira za njira zochiritsira zam'mimba za m'mphepete mwa njira zamakono Zochitika mu Regional Anesthesia and Pain Management Volume 11, Issue 3, July 2007, Zovuta za Njira Zowononga Zowawa.
Dictionary Dictionary ya Medical Stedman. 28th ed. Lippincott Williams & Wilkins. Baltimore. 2006.