Kana iwe nachiremba wako maona kuti pombi yezvinodhaka inogona kuva yakakosha yekugadzirisa marwadzo ako asingagumi, unenge uchida kutanga kubvuma kutongwa kusati koni yacho isingagadziriswa zvachose.
Kuedzwa kwekumanikidzwa kunorwadza pombi - aka an infusion pump - yakagadzirirwa kushandura kurapa kwauri somunhu mumwe murwere. Kubva pakuedzwa, chiremba wako achakwanisa kupindura mibvunzo miviri inokosha inokosha yekuenderera mberi nekugadziriswa.
- Inogadziriswa mishonga yekurapa kurapa (kureva pombi inorwadza) yakakodzera iwe here?
Mushure mekutarisa munhau yako yezvechiremba, zvemagariro, nezvemari uye yepfungwa, kuedza ndiyo danho rinotevera mukugadzirisa kana iwe uye sei iwe unopindura zvakadini nemishonga inowanikwa zvakananga kumutsipa wespinha.
- Inenge mishonga yakawanda yaunoda iwe?
Panguva ino, chiremba anowana dhiyabhorosi kana kuti angashandisa kuti aone kuyerwa kwemishonga iyo pamapfupa anorwadza achaendesa. Nhamba yehuwandu inowanikwa kubva mukutongwa inongova danho rokutanga mune imwe nzira inozivikanwa sekuttering, kana kujekesa mari inodiwa ichaunza hurombo hukuru hwekununurwa nehuwandu. Nhamba yako inogona kunge ichinyatsogadziriswa mushure mekunge chigadziro chekugadziriswa chave chichigadzirwa, asi chiyero chinopa chiremba zvimwe ruzivo rwekutanga runotanga.
Kureba kwePuin Pump Chiedzo
Zvichienderana nehutano hwako, kuedzwa kunotarisa kwemazuva maviri ne14.
Kureba kwekutongwa kunoenderana nemamiriro ako. Kana iwe uine hutano hwakanaka, zvinogona kunge zvakagara kwenguva refu. Kana uine chirwere chakakomba, chinogona kuva chenguva shoma.
Chii Chinoitika Panguva Yenzira?
Munguva yekuedzwa, catheter inowanikwa mumutsana, kazhinji (asi kwete nguva dzose) munzvimbo yepidural .
Iyo catheter nemapombi zvakapfeka kunze kwemuviri. Nekugadziriswa kwekusingaperi uye mamwe mhando yemuedzo, catheter inoiswa mukatikati mumutsipa wepelinha, munzvimbo inonzi inonzi intrathecal space. Rudzi rwemuedzo runoisa catheter muchivako chinonzi intrathecal rine mukana wekunyanya kufanana nekugadzirisa nzira yekupedzisira uye nokudaro kupa zvinhu zvakanyatsonaka. Kushandiswa kwecatheter yekunze kunosimudza ngozi yehutachiona. Mune vanhu vane kenza, njodzi inowedzera. Chiremba wako angangodaro akamirira mazuva mashomanana pakati pomugumo wekutongwa uye iyo chaiyo yekugadzirisa nzira, kuongorora zviratidzo zvehutachiona.
Sezvambotaurwa pamusoro apa, panguva yekuedzwa, chiremba anotanga kuisa mishonga yemishonga inopa mukana wakanakisisa uripo pakati pekurwadziwa nemarwadzo. Chiremba anobva asarudza kana iwe uchifanira kupiwa mutsara mumwe chete, mamiriyoni, kana kuwedzerwa kuwedzerwa.
Miedzo inoitwa sechirongwa chekubuda kunze, asi chekugadziriswa kwechigarire, nzvimbo yezvipatara inofanirwa kudzora zvirwere zvinogona kuitika. Sezvo nehurongwa hunogara huripo, marwadzo emapuranga anowanzoitwa kazhinji kana muchengeti wehutano hwekurwa kana neurosurgeon.
Sources:
Dr. Sudhir Diwan, Mutungamiri Pain Medicine Fellowship Program uye Mutungamiriri weDhipatimendi reMaperembudzi paWeil-Cornell Medical College yeCornell University. Telefoni Hurukuro. May 2008.
Berner, B. Dinh, S. (eds) Zvemagetsi Zvinodzorwa Zvinodhaka Zvinotengeswa Boca Raton: CRC Press 1998
Lipov, E., MD. Ch. 34. Intrathecal Drug Therapy mu Chronic Low Back Pain. Low Back Pain: Diagnosis and Treatment. ASIPP Publishing. Physicians. Paducah, KY. 2002
Markman, J., MD, Philip, A., MD. Kupindira Kunopindira Kutambudzika Kwemarwadzo. Anesthesiology Clinics. Dec 2007. Bhuku 25, Nyaya 4. Saunders, Imprint yeEsevier
Krames, E., MD. Implantable Technologies: Mutsara Wemagetsi Kushushikana uye Kuiswa Drug Delivery Systems. National Pain Foundation website.