Aia kekahi mau ʻano ʻeha ma ka ʻōpū haʻahaʻa a i ʻole ka ʻāpana pelvic ʻaʻole e emi maʻalahi me ka lāʻau lapaʻau. I kekahi manawa, ʻaʻole hiki ke hoʻomanawanui i kēia ʻeha. Inā ʻoe e ʻeha nei i kēia pilikia, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau kūikawā no ia. Ua kapa ʻia kēia ʻo 'Hypogastric Plexus Block'.
I ka ʻōlelo maʻalahi, he aha ka Hypogastric Plexus Block?
He ʻōʻō ʻeha kūikawā kēia. E noʻonoʻo e like me he ʻōnaehana aʻalolo kou e lawe ana i nā leka ʻeha mai kou ʻōpū haʻahaʻa a i kou lolo. ʻO ka mea āu e hana ai i kēia lāʻau lapaʻau, ʻo ia ke komo ʻana i kahi lāʻau i loko o kēia puʻupuʻu o nā aʻalolo ma lalo o kou iwi kuamoʻo (ua kapa ʻia kēia ʻo Hypogastric Plexus) .
Ke hāʻawi ʻia kēia inikini, ua ālai ʻia ka ʻike ʻeha mai kēlā mau aʻalolo a i ka lolo no kekahi manawa a mau loa paha . Ua like ia me ka hoʻopau ʻana i ke kuapo ʻeha. Hoʻemi nui kēia i ka ʻeha ma kou ʻōpū haʻahaʻa a me ka ʻāpana pelvic. I kekahi manawa hāʻawi ka inikini hoʻokahi i ka hōʻoluʻolu, a i kekahi manawa hiki ke hāʻawi ʻia kekahi mau inikini e like me ka mea e pono ai.
He aha nā ʻano nui o kēia lāʻau lapaʻau?
Ma muli o ke kumu o kou ʻeha, na kāu kauka e hoʻoholo i kahi e hāʻawi ai i ka inikini. ʻElua ʻano nui.
| ʻAno lapaʻau | Kahi a me ka wehewehe |
|---|---|
| ʻO ka Poloka Plexus Hypogastric Kiʻekiʻe | Ma kēia ʻano, ua hoʻokomo ʻia ka injection i loko o ka ʻaoʻao o luna o ke aʻa nerve ma kou kua i lalo. |
| ʻO ka Poloka Plexus Hypogastric Haʻahaʻa | Hāʻawi ʻia ka lāʻau pale ma ka ʻaoʻao haʻahaʻa o ke kaula kuamoʻo kokoke i kou iwi huelo. |
He aha ke ʻano ʻeha e ho'ōla ai kēia lāʻau pale?
Hoʻohana nui ʻia kēia lāʻau lapaʻau e kāohi i ka ʻeha mau ma kou ʻōpū haʻahaʻa a me ka ʻāpana pelvic. Hoʻokomo pū kēia i ka ʻeha ma kāu mau kino ma lalo nei:
- ʻŌpū mimi
- Kolon
- Nā ʻōpū haʻahaʻa
- ʻO ka prostate a i ʻole nā testicles
- ʻUterus a i ʻole ovaries
ʻO ka maʻamau, ua ʻōlelo ʻia kēia lāʻau lapaʻau no ka ʻeha lōʻihi i paʻakikī ke kāohi me nā lāʻau hōʻeha waha. Hiki iā ia ke lilo i hopena kūpono loa no ka ʻeha i hoʻokumu ʻia e nā kūlana olakino penei:
| ʻAno olakino e hiki ai ke hōʻeha |
|---|
| Ka maʻi ʻaʻai |
| ʻO ka Endometriosis |
| ʻO ka pōʻino i hana ʻia e nā mea e like me ke ʻoki kino a i ʻole ka radiation therapy |
| ʻO ka Cystitis Interstitial - kahi maʻi ʻeha o ka ʻōpū |
| ʻO ka maʻi ʻōpū huhū (IBS) |
| ʻO ka Pelvic Complex Regional Eye Syndrome |
| ʻO ka maʻi mumū Pelvic (PID) |
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
E hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi e hahai ai ma mua o kēia lāʻau lapaʻau. ʻO nā mea nui:
- Mai ʻai a inu paha no kekahi mau hola ma mua o ka mālama ʻana .
- Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau āu e lawe nei (ʻoiai nā lāʻau hoʻokahe koko) no kekahi manawa ma ke ʻōlelo aʻo a kāu kauka. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
- ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ka lāʻau lapaʻau, he mea nui e hoʻonohonoho i kahi kanaka e kiʻi iā ʻoe a hoʻihoʻi iā ʻoe i ka home.
- Hana ʻia kēia lāʻau e nā Kauka Interventional Pain Management, no laila hiki iā ʻoe ke nīnau iā lākou i kāu mau nīnau.
E aʻo kākou i kēlā me kēia ʻanuʻu pehea e hana ai ka lāʻau lapaʻau.
He hana lapaʻau outpatient kēia, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila. Penei ke ʻano o ke kaʻina hana holoʻokoʻa.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| 1. Hoʻomālielie | Hāʻawi ʻia kahi lāʻau hoʻomaha iā ʻoe ma o kahi cannula i kau ʻia i loko o kahi aa koko ma kou lima. ʻAʻole ʻoe e hiamoe, akā e hoʻomaha ʻoe. |
| 2. Kūlana kūpono | E hoʻohuli ʻia ʻoe a e hoʻomoe ʻia ma kou ʻōpū ma luna o kahi moena kūikawā i lako me kahi mīkini X-ray. |
| 3. Ka mae ʻana o ka ʻāpana | Hoʻomaʻemaʻe pono ʻia ka ʻaoʻao haʻahaʻa o ke kua kahi e hāʻawi ʻia ai ka inikini a hāʻawi ʻia kahi inikini liʻiliʻi (anesthesia kūloko) e hoʻomānoʻo i ka ʻili. |
| 4. Alakaʻi X-ray | Ke nānā nei i ka pale X-ray, hoʻokomo pono ke kauka i ʻelua nila i loko o ke aʻa aʻalolo kūpono. |
| 5. Hōʻoia o ka wahi | No ka hōʻoia ʻana aia nā nila ma kahi kūpono, ua hoʻokomo ʻia kahi dye kūikawā (contrast dye) a nānā ʻia me kahi X-ray. |
| 6. Ke hoʻokomo ʻana i ka lāʻau lapaʻau | Ke hōʻoia ʻia ka wahi, e hoʻokomo ʻia ka lāʻau ʻeha (kahi lāʻau hoʻomānoino a/a i ʻole steroid). |
| 7. (Inā pono wale nō) | No ka ʻeha nui i hoʻokumu ʻia e nā kūlana e like me ke kanesa, hiki ke hoʻokomo ʻia kahi mea e like me ka waiʻona a i ʻole ka phenol e hoʻopau loa i nā aʻalolo a hāʻawi i ka hoʻomaha lōʻihi. |
ʻO ka maʻamau, ma kahi o 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. Ma hope o kēlā, e nānā ʻia ʻoe no kahi o 30 mau minuke, a hiki iā ʻoe ke hoʻi i ka home i loko o hoʻokahi hola.
He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?
Ma hope o ka mālama ʻana, e ʻike paha kou ʻāpana pelvic i kahi mehana iki a "ʻokoʻa" paha. He mea maʻamau kēia. Hoʻomaka ka hapa nui o ka poʻe e ʻike i ka emi ʻana o ka ʻeha i loko o 30 mau minuke o ka inikini.
Aia paha he ʻeha iki a ʻeha iki paha ma kahi i hoʻokomo ʻia no ʻelua a ʻekolu lā. He mea maʻamau kēia. Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, e hoʻomaopopo koke i kāu kauka.
He aha nā pono a me nā pilikia?
ʻO ka pōmaikaʻi nui, ʻo ia ka hōʻoluʻolu ʻana i ka ʻeha ma kou ʻōpū haʻahaʻa a i ʻole pelvis. Kōkua nō hoʻi ia i ka hōʻemi ʻana i ke alapine (frequency) o ka hoʻohana ʻana i nā lāʻau ʻeha waha.
E hoʻomanaʻo, he haʻahaʻa loa ka pilikia o nā pilikia mai kēia lāʻau lapaʻau. Eia nō naʻe, e like me nā lāʻau lapaʻau āpau, aia paha he mau pilikia liʻiliʻi.
Ma waena o nā pilikia e hiki ke hana ʻia:
- Ka hopena aleri i nā lāʻau lapaʻau i hoʻohana ʻia.
- Ke kahe ʻana o ke koko.
- Ka maʻi (ke kuni, ka pehu nui a i ʻole ka ʻeha nui ma kahi i inikini ʻia).
- Ka hōʻino ʻana i nā ʻōpū a puni a i ʻole nā kīʻaha koko.
- Ka hōʻino ʻana i nā aʻalolo ʻē aʻe ma waho o ke aʻa aʻalolo.
Ka manawa ho'ōla a me ka ho'omaha'eha
Ma hope o ka lāʻau lapaʻau, pono ʻoe e hoʻi i ka home a hoʻomaha maikaʻi. E hōʻalo i nā hana ikaika no 24 mau hola. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i ka lā aʻe. E hoʻomaka hou i nā lāʻau lapaʻau āu i hoʻōki ai i ka lawe ʻana e like me ke kuhikuhi a kāu kauka.
ʻO ka lōʻihi o ka hoʻomaha ʻana i ka ʻeha e pili ana i ka lāʻau i hoʻohana ʻia.
- Inā hoʻohana wale ʻia ka anesthetic, e mau ana ka hōʻoluʻolu no kekahi mau hola a i ʻole kekahi mau lā .
- Inā hoʻohana ʻia kahi lāʻau steroid, hiki ke mau ka hōʻoluʻolu mai kekahi mau pule a i kekahi mau mahina .
Ma muli o kou kūlana, pono paha ʻoe i kekahi mau inikini e hoʻokō ai i nā hopena maikaʻi loa. E wehewehe kāu kauka i kēia iā ʻoe.
Āhea ʻoe e kamaʻilio ai me ke kauka?
E kāhea koke aku i kāu kauka inā loaʻa nā hōʻailona penei:
- Inā piʻi ka ʻeha ma kahi o ka emi ʻana a i ʻole ʻaʻole e emi.
- Inā loaʻa iā ʻoe nā hopena ʻaoʻao e like me ke kuni, ka pehu nui ma kahi i inikini ʻia, a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui .
- Inā ʻoe e manaʻo i ka nāwaliwali i kou mau wāwae .
ʻO ka noho ʻana me ka ʻeha mau hiki ke loaʻa ka hopena nui i kou olakino noʻonoʻo a me ke kino. No laila, ʻaʻohe pono e "hoʻomanawanui" i ka ʻeha. Inā ʻaʻole ʻoe e loaʻa ana i ka hōʻoluʻolu mai nā lāʻau lapaʻau maʻamau, e kamaʻilio me kāu kauka e pili ana i kēia mau ʻano lāʻau lapaʻau kūikawā a koho i ka hopena kūpono iā ʻoe.
Leka Lawe-Home
- ʻO ka Hypogastric Plexus Block kahi lāʻau inikini kūikawā i hoʻohana ʻia e mālama i ka ʻeha nui ma ka ʻōpū haʻahaʻa a me ka ʻāpana pelvic i paʻakikī ke kaohi me nā lāʻau ʻē aʻe.
- He lāʻau palekana loa kēia e hiki ke hoʻopau ʻia i loko o 30 mau minuke wale nō a hiki ke hana ʻia me ka ʻole o ka noho ʻana i ka haukapila.
- He mea nui loa e hahai i nā ʻōlelo a ke kauka (e like me ka pale ʻana i ka meaʻai a me ka mea inu, ka hoʻonohonoho ʻana i ka halihali) ma mua o ka mālama ʻana.
- Hiki ke ʻokoʻa ka lōʻihi o ka hoʻomaha ʻana i ka ʻeha ma muli o ke kanaka a me ka lāʻau lapaʻau i hoʻohana ʻia.
- Inā piʻi aʻe ka ʻeha ma hope o ka mālama ʻana a inā paha ʻoe e ʻike i nā hōʻailona ʻē aʻe e like me ke kuni a i ʻole ka pehu ʻana, e hoʻomaopopo koke i kāu kauka.
- Mai ʻeha mālie i ka ʻeha mau. E kamaʻilio me kāu kauka e pili ana i nā koho hoʻokele ʻeha i loaʻa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo