Kunzwisisa Nerve Blocks: Kuongorora uye Kugadzirisa Marwadzo Ekukuvara

Kune vanhu vari kubata nekurwadziwa kusingaperi, kuitisa nerve block process kunobatsira kuderedza uye kugadzirisa zviratidzo?

Tsinga Zvidhinha

Nerve block inzira inoitwa kukanganisa/kuvharisa masaini ekurwadziwa nekuda kwekusashanda zvakanaka kwetsinga kana kukuvara. Inogona kushandiswa pakuongorora kana kurapwa, uye mhedzisiro yavo inogona kuva pfupi kana kwenguva refu, zvichienderana nerudzi rwuri kushandiswa.

• A temporary nerve block zvinogona kusanganisira kushandiswa kana jekiseni rinomisa zviratidzo zvekurwadziwa kubva pakutapurira kwenguva pfupi.
• Semuenzaniso, pakuzvitakura, jekiseni re epidural rinogona kushandiswa panguva yekuzvara uye pakusununguka.
• Permanent nerve blocks zvinosanganisira kucheka / kucheka kana kubvisa zvimwe zvikamu zvetsinga kumisa zviratidzo zvinorwadza.
• Izvi zvinoshandiswa mumatambudziko ane kukuvara kwakanyanya kana mamwe mamiriro ekurwadziwa asingagumi asina kuvandudzwa nedzimwe nzira dzekurapa.

Kushandiswa Kwekurapa

Kana vatapi vehutano vakaongorora chirwere chisingaperi chinokonzerwa nekukuvara kwetsinga kana kusashanda zvakanaka, vanogona kushandisa nerve block kuti vawane nzvimbo inogadzira zviratidzo zvinorwadza. Vanogona kuita electromyography uye/kana a nerve conduction velocity / NCV bvunzo kuratidza chikonzero chekusingaperi marwadzo etsinga. Nerve blocks inogona zvakare kurapa kusingaperi neuropathic kurwadziwa, sekurwadziwa kunokonzerwa nekukuvara kwetsinga kana kudzvanywa. Nerve blocks inogara ichishandiswa kurapa musana uye kurwadziwa kwemutsipa kunokonzerwa ne herniated discs kana spinal stenosis. (Johns Hopkins Mushonga. 2024)

Types

Mhando nhatu dzinosanganisira:

• Local
• Neurolytic
• Kugadzirwa

Zvose zvitatu zvinogona kushandiswa kumamiriro ezvinhu anokonzera kurwadziwa kusingaperi. Nekudaro, zvivharo zveurolytic uye zvekuvhiya ndezvechigarire uye zvinongo shandiswa pakurwadziwa kwakanyanya kwakawedzera nekumwe marapirwo asingakwanise kupa zororo.

Temporary Blocks

• Chivharo chemunharaunda chinoitwa nekubaya kana kushandisa anesthetics emunharaunda, senge lidocaine, kune imwe nzvimbo.
• An epidural is a local nerve block iyo inopinza steroids kana analgesics munzvimbo yakatenderedza musana.
• Izvi zvinowanzoitika panguva yekuzvitakura, yekusununguka, uye yekusununguka.
• Epidurals inogonawo kushandiswa kurapa mutsipa usingaperi kana kurwadziwa shure nekuda kwekumanikidzwa kwetsinga yemuzongoza.
• Zvivharo zvemunharaunda zvinowanzova zvenguva pfupi, asi muchirongwa chekurapa, zvinogona kudzokororwa nekufamba kwenguva kuti zvigadzirise kurwadziwa kusingaperi kubva mumamiriro akaita seArthritis, sciatica, uye migraines. (NYU Langone Health. 2023)

Permanent Blocks

• A neurolytic block inoshandisa doro, phenol, kana thermal agents kurapa marwadzo etsinga asingaperi. (National Institute of Neurological Disorders uye Stroke. 2023) Maitiro aya anokuvadza dzimwe nzvimbo dzetsinga nzira nemaune kuitira kuti zviratidzo zvekurwadziwa zvisafambiswe. A neurolytic block inonyanya kushandiswa kune akanyanya kurwadziwa asingaperi kesi, sekurwadziwa kubva kugomarara kana yakaoma region pain syndrome/CRPS. Dzimwe nguva dzinoshandiswa kurapa kurwadziwa kunoramba kuripo kubva kukusingaperi kwepancreatitis uye kurwadziwa mumadziro echipfuva mushure mekuvhiyiwa. (Johns Hopkins Mushonga. 2024) (Alberto M. Cappellari et al., 2018)
• Iyo neurosurgeon inoita yekuvhiya nerve block iyo inosanganisira kuvhiya kubvisa kana kukuvadza nzvimbo dzakanangana dzetsinga. (National Institute of Neurological Disorders uye Stroke. 2023) Kuvhiya tsinga block inongoshandiswa kune zvakanyanya kurwadziwa kesi, sekurwadziwa kwekenza kana trigeminal neuralgia.
• Kunyangwe neurolytic uye yekuvhiya nerve blocks ari maitiro echigarire, zviratidzo zvekurwadziwa, uye manzwiro anogona kudzoka kana tsinga dzikakwanisa kukura nekuzvigadzirisa. (Eun Ji Choi et al., 2016) Zvisinei, zviratidzo uye manzwiro zvinogona kusadzoka mwedzi kana makore mushure mekuvhiyiwa.

Nzvimbo dzakasiyana dzeMuviri

Inogona kupihwa munzvimbo zhinji dzemuviri, kusanganisira: (Hospital for Special Surgery. 2023) (Stanford Medicine. 2024)

• Scalp
• uso
• Neck
• Collarbone
• pamafudzi
• maoko
• shure
• bhokisi
• Ribcage
• Madzi
• Pelvis
• magaro
• makumbo
• Ankle
• Feet

Migumisiro Yechiri

Aya maitiro anogona kuve nenjodzi inogona kuitika yekusingaperi kukuvara kwetsinga. (Anthem BlueCross. 2023) Tsinga dzinonzwa uye dzinoita patsva zvishoma nezvishoma, saka kukanganisa kudiki kunogona kukonzera mhedzisiro. (D O'Flaherty et al., 2018) Zvinowanzoitika zvinosanganisira:

• Kuoma mitezo
• Kushaya simba
• Kugaronzwa chiveve
• Muzviitiko zvisingawanzoitiki, iyo block inogona kutsamwisa nerve uye kukonzera kuwedzera kurwadziwa.
• Varapi vehutano vane hunyanzvi uye vane marezinesi vakaita savanachiremba vekuvhiya, varapi vekudzora marwadzo, anesthesiologists, uye vanachiremba vemazino vanodzidziswa kuita maitiro aya nemazvo.
• Kune nguva dzose njodzi yekukuvadzwa kwetsinga kana kukuvara, asi ruzhinji rwetsinga dzinovhara zvakachengeteka uye zvinobudirira kudzikira uye kubatsira kubata marwadzo asingaperi. (Anthem BlueCross. 2023)

Zvaunotarisira

• Vanhu vanogona kunzwa chiveve kana kuvava uye/kana kucherechedza kutsvuka kana kushatirwa pedyo kana kutenderedza nzvimbo yenguva pfupi.
• Ikoko kunogonawo kuve nekuzvimba, izvo zvinomanikidza tsinga uye zvinoda nguva yekuvandudza. (Stanford Medicine. 2024)
• Vanhu vanogona kukumbirwa kuti vazorore kwenguva yakati mushure mekuita.
• Zvichienderana nerudzi rwemaitirwo acho, vanhu vangafanira kupedza mazuva mashoma vari muchipatara.
• Mamwe marwadzo anogona kunge achiripo, asi hazvirevi kuti nzira yacho haina kushanda.

Vanhu vanofanirwa kubvunzana nevarapi vehutano nezve njodzi uye mabhenefiti kuti vaone kuti ichokwadi mabatiro.

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Sciatica, Zvinokonzera, Zviratidzo, uye Mazano

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References

Johns Hopkins Mushonga. (2024). Nerve blocks. (Utano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks

NYU Langone Health. (2023). Nerve block yemigraine (Dzidzo uye Tsvagiridzo, Nyaya. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine

National Institute of Neurological Disorders uye Stroke. (2023). Marwadzo. Zvakatorwa kubva www.ninds.nih.gov/health-information/disorders/pain#3084_9

Johns Hopkins Mushonga. (2024). Chronic pancreatitis kurapwa (Hutano, Nyaya. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment

Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis yeKurapwa kwePostsurgical Thoracic Pain: Nyaya Yenyaya. Tsandanyama & tsinga, 58 (5), 671-675. doi.org/10.1002/mus.26298

Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation uye Kuberekwazve muPain Practice. Magazini yeKorea yemarwadzo, 29 (1), 3-11. doi.org/10.3344/kjp.2016.29.1.3

Hospital for Special Surgery. (2023). Regional anesthesia. www.hss.edu/condition-list_regional-anesthesia.asp

Stanford Medicine. (2024). Mhando dze nerve blocks (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html

Anthem BlueCross. (2023). Peripheral nerve blocks yekurapa marwadzo neuropathic. (Medical Policy, nyaya. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html

O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Kukuvadzwa kwetsinga mushure meperipheral nerve blockade-yazvino kunzwisisa uye nhungamiro. BJA dzidzo, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004

Stanford Medicine. (2024). Mibvunzo yakajairika yevarwere nezve nerve blocks. (Kune Varwere, Nyaya. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html