Kupisa simba granuloma (inokwanisika) dambudziko rinogona kuitika mushure mekunge mune chirongwa chekushandisa zvinodhaka (morphine pump) yakaiswa mumutsipa wako. Ichi chinetso, kana chisingawanzoiti, chikonzero chekuvhiya.
Nhau dzakanaka ndeyokuti chete 1% yezvokugadzirwa kwezvinodhaka zvirongwa zvevashandi (avo vari pangozi yekuputika granuloma) chaizvoizvo vanovandudza mamiriro acho ezvinhu.
Izwi rokuti inflammatory granuloma rinotsanangura kuumbwa kweiyo inopisa mashizha emuviri uko apo catheter inowanikwa panguva inoitwa.
Kupisa granuloma kunowanzoitika kakawanda apo chirongwa chekushandisa zvinodhaka chinowanikwa munzvimbo inonzi intrathecal (nzvimbo inowanikwa mukati mezvikamu zvepelinha), kusiyana nechepidural space (iyo iri kunze).
Zviratidzo nezviratidzo
Zvimwe zvezviratidzo zvepakutanga zvegorofu zvinokonzera kuparara kwekunzwa uye kurwadziwa mumharau inofananidzwa nehupamhi hwepelinha iyo iyo catheter Inowanikwa. Zviratidzo zvinotevera zvinosanganisira kuora mitezo uye maronda uye / kana kushaya simba. Kana chiremba wako achifunga kuti iwe une chirwere chinopisa granuloma, angangomira chirongwa chemishonga pakarepo, uye iwe unogonawo kuvhiyiwa.
Maererano naDkt. Sudhir Diwan, mutungamiriri wekuparadzaniswa kwemarwadzo ekurwadziwa paWeil-Cornell Medical College, guruloma inoputika inogona kuzvipa iyo mwedzi mitanhatu mushure mekunge catheter yaiswa.
Asi zvakare zvinogona kutora makore asati aine zviratidzo. Dhiyabhorosi Diwan anotaura kuti guruloma inoputika inobatanidza kuyerwa kana kumira kwe morphine inowanikwa nepombi. Anowedzera, "tinoda kuisa catheter pasi pasi, pasi pemiti yeL-1, sezvo pasina musana weropa mumunda iwoyo, unoderedza kukuvara."
Kudzivirira
Kudzivirira glamuloma inoputika kunogona kuitwa kuburikidza nekushandura mishonga inowanikwa nepombi, kushandisa nzvimbo inopfuura imwechete ye catheter kuisa uye / kana kusabvumira dhesine ne hydromorphone kuti iwedzere.
Unofanira Kuva NePukisa Dhiragi Kuisa Here?
Mishonga yemishonga inowanzova yekupedzisira nzira yekurapa kwekugara mushungu kana kurwadziwa shure. Saka vanoshanda? Pamwe, zvichida kwete. Inogona kuvimba nemhando yekutambudzika kwaunako. Nyaya yegore ra2014 yakabudiswa mu Journal of Pain Research yakawana kuti mapurisa emishonga akaiswa mukurwirwa kwenguva refu kwemarwadzo asina kenza akanga asina kutsigirwa zvakanaka nehupupuriro asi kuti mapiritsi emishonga anounza mishonga baclofen kubatsira kubatsira kuderedza kupisa kuipa) zvaiva.
Sources:
> Bottros, M., Christo, P. Parizvino maonero ekutengeswa kwemishonga inopinza. J Pain Res. July 2014.
> Sudhir Diwan, S., MD. Mutungamiriri, Pain Medicine Fellowship Program uye Director, Division of Pain Medicine paWeil-Cornell Medical College yeCornell University. Telefoni Hurukuro. May 2008.
Patrick J. McIntyre, MD, JD; Timothy R. Deer, MDb; uye Salim M. Hayek, MD, PhD. Matambudziko epamapini ekurapa maitiro Maitiro mu Regional Anesthesia uye Pain Management Volume 11, Issue 3, July 2007, Zvinetso zveNzira Dzokurwadziwa Kwepakati.
Stedman's Medical Dictionary. 28th ed. Lippincott Williams & Wilkins. Baltimore. 2006.