Dzimwe Mamiriro Edziviriro Nezvepfungwa Zvinogona Kutungamirira kuHure Postoperative Pain
Hazvisi zvisizvo kutambura kurwadziwa mushure mekuvhiyiwa. Tichifunga nezvekuvhiyiwa kunosanganisira kudonha mishonga yomuviri, zvinoratidzika kuti zvakajairika kuti unenge uchinzwa kurwadziwa kana kuti kusagadzikana mushure mekuita. Zvinosuruvarisa, kune vamwe varwere, kurwadziwa kwepasoperative hakuregi shure kwekuporesa. Kune vanhu ava, kurwadziwa kusingaperi kwemashure kunova nzira yehupenyu.
Pane zvikonzero zvepamusoro zvinoita kuti munhu anzwe kurwadziwa kwepasipo kunogona kuve kusingaperi, kusanganisira mhirizhonga yehutachiona, mavara emucheka mavara, kuora kwemaviri panguva yekuvhiyiwa, uye zvinetso zveperi-chirwere, zvakadai sekuputika. Zvimwe zvikonzero zvinokonzerwa nekurwadziwa mushure mekunge zvinoshanda zvinosanganisira pfungwa dzepfungwa uye nyaya dzine chokuita nekuvhiyiwa nekudzoka pachako.
Zvimwe Zvinokonzera Zvisina Mwero Postoperative Pain
- Nzira Kuparara : kurwadziwa kweNeuropathic , kana kurwadziwa kunokonzerwa nehutano hwemhutu kana kusagadzikana, ndechimwe chezvinhu zvakajairika zvezvirwere zvisingaperi zvinopera mushure. Nepo vanachiremba vanocherechedza zvikuru kudzivirira kushungurudzwa kwemisungo panguva yekuvhiyiwa, nicks shomanana uye mitsipa kutambanudza dzimwe nguva hazvidziviriki. Mimwe mienzaniso yehutachiona hwehutachiona hwehutachiona hunosanganisa marwadzo echipfantom uye kurwadziwa kwemashure-mastectomy.
- Nyota Mucheka : Nyora mhando dzemavara apo ganda nemasukirwo anoporesa mushure mekuvhiyiwa. Zvimwe zvisikwa zvinogona kukwevera pane zviduku zvakapoteredza, kuomesa kana kuvhiringidza mitsetse yekuguma, kana chaizvoizvo kuva nemasero emasero akabatanidzwa mukati maro. Zvose izvi zvinogona kutungamirira mukurwadziwa uye kusagadzikana kunharaunda yekuvhiya. Huru maronda anorwadza anokwanisa kuramba achitsvaga mushure mekuvhiyiwa kweguru, uye anozivikanwa secholecystectomy .
- Kuparara kweTisue : Kusuruvara kusingaperi kunokonzerwa nekunyangarika kwemaviri kunonyanya kuonekwa panguva yekuvhiyiwa kwemapfupa. Tsvina uye zvinyoro zvinyoro zvingave zvakuvadzwa kana kubviswa panguva yekuvhiya, zvakadai sokubatanidza kushandiswa, uye izvi zvinogona kukonzera kusagadzikana kushure kwenguva inorwadza.
- Kukuvadzwa Kurwiswa : kurwadziwa kwemaonda kusingaperi kwakanyatsojairika mushure mekuvhiyiwa kwepfungwa; zvisinei, kazhinji kacho ndiyo inonyanya kuoma yakanyanya kurwadziwa kwepasipo. Kuvhiringidzika kwakakomberedza ronda kunogona kutungamirira kune kurwadziwa kusingaperi, asi kune zvishoma zvitsva zvinowanikwa munyaya iyi.
Mafungiro ezvepfungwa zveChirwere chepasipo Postoperative Pain
Mushonga wokuvhiya pachawo hausi wegawo muhutano husingaperi hunopedza mushure. Kutsvakurudza kwakaratidza kuti huwandu hwepfungwa dzepfungwa dzinogonawo kuita kuti kurwadziwa kunoramba kuripo kunotevera kuvhiyiwa. Izvi zvinosanganisira:
- Zvimwe zvehutano , zvakadai se fibromyalgia kana chirwere chaRaynaud
- Nhamba yakakwirira yekurwadziwa kwepamberi
- Mamiriro ezvinhu epanguva yepfungwa anenge aripo , zvakadai sekuzvidya mwoyo kana kuora mwoyo
- Kutya kana kufunganya pamusoro pekuvhiyiwa
- Nguva yakwegura
Zvimwe Zvinokonzera Upenyu Hwepasipo Postoperative Pain
Kushungurudza kwenguva refu kunogona kukonzerwa nezvimwe zvinhu panguva uye mushure mekuvhiyiwa. Semuenzaniso, kune uchapupu hwokuti kuvhiyiwa kwemaawa akawanda kwenguva refu kupfuura maawa matatu kunowedzera kukonzera kurwadziwa kusingaperi. Uyezve, mamwe marudzi emishonga inonzi radiation kana chemotherapy munguva pfupi mushure mekuvhiyiwa inogona kuwedzera njodzi yekukura kurwadziwa kwemashure.
Anesthesia kutarisira imwe imwe nzvimbo iri kuongororwa nokuda kwebasa rayo pakudzivirira kana kukonzera kushungurudzika kushure kwekurwadziwa. Kunyange zvazvo iri pasi pekuongororwa, dunhu reAnesthesia nekudzivirirwa kwekunetseka kwakanyanya kwekuita chirwere kunogona kuderedza dambudziko rekugara kwenguva refu. Izvi zvinofungidzirwa kudzivirira hurongwa hwehutano husati hwave nekusimudzirwa mushure mekuvhiyiwa.
Pasinei nechinokonzera kurwadziwa kusingaperi kwemashure, inyaya yevanhu vazhinji pasi rose. Kutsvakurudza kuri kuitika zvino kuongorora zvinhu zvinogona kufanotaura kurwadziwa kusingaperi kwemashure kuitira kuti kurapwa kunogona kutangwa kutanga.
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Visser, Eric J. Chronic Post-Surgery Pain: Epidemiology uye Clinical Zvinokonzerwa Nehutano Hwekutambudzika. Acute Pain. Bhuku 8, Nyaya 2, June 2006, Mapeji 73-81