I kekahi manawa, ʻeha loa ka ʻeha ma ka ʻōpū haʻahaʻa a me ke pelvis a paʻakikī ke haʻi ʻia i nā huaʻōlelo. Ke hakakā nei ʻoe me ka ʻeha nui loa a paʻakikī ke hana i nā hana o kēlā me kēia lā me ka lāʻau lapaʻau? I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā i hoʻohana ʻia e kāohi i kēia ʻano ʻeha lōʻihi. Ua kapa ʻia kēia ʻo 'Hypogastric Plexus Block'.
He aha ka poloka o ka Hypogastric Plexus?
I ka ʻōlelo maʻalahi, he inikini kūikawā kēia i hāʻawi ʻia e kāohi i ka ʻeha. Ma ko kākou kua haʻahaʻa, aia kahi pūʻolo aʻalolo, kahi e hui pū ai nā aʻalolo he nui e lawe ana i nā hōʻailona ʻeha e pili ana i ka ʻōpū haʻahaʻa a me ka ʻāpana pelvic i ka lolo. Ua kapa ʻia kēia ʻo 'Hypogastric Plexus'.
E noʻonoʻo iā ia e like me kahi pou kelepona nui me kahi puʻu uea i pili iā ia. ʻO nā hōʻailona ʻeha a pau e puka mai ana mai kou ʻōpū haʻahaʻa, ka uterus, ka ʻōpū mimi, a i ʻole nā kikowaena e hoʻopuni ana e hele i kou lolo ma o kēia puʻupuʻu o nā aʻalolo. No laila, ʻo ka mea āu e hana ai i kēia lāʻau lapaʻau, hoʻohana ʻoe i kahi X-ray e ʻike pono ai i kahi o kēlā puʻupuʻu o nā aʻalolo, a hoʻokomo ʻoe i kahi lāʻau i loko. Hoʻomoe kēia lāʻau lapaʻau no ka manawa pōkole a lōʻihi paha i nā aʻalolo e lawe ana i nā hōʻailona ʻeha. ʻO ia hoʻi, ua pau ka hele ʻana o nā hōʻailona ʻeha. ʻO kēia ka mea a mākou e kapa nei he 'poloka'.
He aha nā ʻano ʻeha e hoʻohana pinepine ʻia ai kēia lāʻau?
ʻO ka maʻamau, ʻōlelo nā kauka i kēia lāʻau lapaʻau no ka poʻe me ka ʻeha pelvic mau loa i paʻakikī ke kāohi me nā lāʻau hōʻeha waha. He mea kūpono loa ia no ka ʻeha ma nā wahi aʻe:
- ʻŌpū mimi
- Kolon
- ʻUterus a i ʻole ovaries
- ʻO ka prostate a i ʻole nā testicles
Aia ma ka papa ma lalo nei kekahi mau kūlana olakino e pono ai kēia lāʻau.
| Kūlana olakino | Wehewehena |
|---|---|
| Ka maʻi ʻaʻai | ʻEha nui i hoʻokumu ʻia e ka maʻi ʻaʻai o ka ʻōpū. |
| ʻO ka Endometriosis | ʻEha nui a mau loa o ka ʻeha pelvic i nā wahine. |
| ʻO ka Cystitis Interstitial | He ʻeha ʻeha ma ka ʻōpū mimi. |
| ʻEha ma hope o ke ʻoki ʻana a i ʻole ka radiation therapy | ʻEha lōʻihi ma hope o ke ʻoki ʻana o ka ʻōpū a i ʻole ka radiation therapy. |
| Nā kūlana maʻi ʻē aʻe | ʻEha i hoʻokumu ʻia e nā kūlana e like me ka Irritable Bowel Syndrome (IBS) a me ka Pelvic Inflammatory Disease. |
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
Inā ʻoe e hana i kēia lāʻau lapaʻau, e hāʻawi kāu kauka iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi kikoʻī. ʻO nā mea nui:
- E noi ʻia ʻoe e hōʻole loa i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka lāʻau lapaʻau.
- Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau āu e lawe nei (ʻoiai nā lāʻau hoʻokahe koko e like me Aspirin lāua ʻo Warfarin) i hoʻokahi a ʻelua paha lā ma mua. Eia nō naʻe, pono e hana ʻia kēia ma lalo o ka nānā ʻana a kāu kauka. Mai hoʻōki a hoʻomaka paha i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Ma hope o ka lāʻau lapaʻau, e māmā loa kou poʻo a ʻaʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho. No laila, he mea nui e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home a hoʻi mai.
Pehea e hana ai ka lāʻau lapaʻau i kēlā me kēia ʻanuʻu
ʻO ka maʻamau, ma kahi o 30 mau minuke ka lōʻihi o kēia lapaʻau ʻana a hana ʻia e ke kauka i loea i ka hoʻokele ʻeha.
ʻO ka mea nui, ʻaʻole ʻoe e hoʻohiamoe ʻia i ka wā o kēia mālama ʻana. Hāʻawi wale ʻia ʻoe i kahi mea hoʻomaha (sedation) ma o ka intravenous. ʻOiai ua ala ʻoe, hiki i ke kauka ke kamaʻilio me ʻoe a hana i ka mālama ʻana.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| 1. Hoʻomākaukau | E noi ʻia ʻoe e moe ma kou ʻōpū ma kahi papa X-ray. A laila e hoʻokomo ʻia kahi cannula i loko o kahi aa koko ma kou lima a e hāʻawi ʻia kahi lāʻau lapaʻau e hoʻomaha ai ʻoe. |
| 2. Ka mae ʻana o ka ʻili | Hoʻomaʻemaʻe ʻia ka ʻāpana o ke kua i lalo kahi e hoʻokomo ʻia ai ka nila a hoʻokomo ʻia kahi anesthetic kūloko i loko o ia wahi. |
| 3. Hoʻokomo ʻana i ka nila | Me ke kōkua o kahi mīkini X-ray (fluoroscopy), hoʻokomo ke kauka i ʻelua mau nila lahilahi loa i loko o kou kua i lalo a alakaʻi iā lākou i kahi kikoʻī o ka plexus nerve. |
| 4. Hōʻoia o ka wahi | No ka hōʻoia ʻana aia nā nila ma kahi kūpono, hoʻokomo ʻia kahi waihoʻoluʻu liʻiliʻi a lawe ʻia kahi X-ray e hōʻoia. |
| 5. Hoʻokomo lāʻau lapaʻau | Ke hōʻoia ʻia ka wahi, e hoʻokomo ʻia kahi lāʻau ʻeha (pinepine he lāʻau hoʻomāʻū a me ka steroid) a puni ka pūʻolo aʻalolo. I nā hihia e like me ke kanesa, hiki ke hoʻokomo ʻia kahi hopena hoʻopau aʻalolo o ka waiʻona a i ʻole ka phenol no ka hoʻomaha lōʻihi. |
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, e mālama ʻia ʻoe ma lalo o ka nānā ʻana no kahi o ka hapalua hola a laila e ʻae ʻia e hoʻi i ka home i loko o hoʻokahi hola.
- Hoʻomaha ʻeha: Loaʻa i ka hapa nui o ka poʻe ka hoʻomaha nui ʻana o ka ʻeha i loko o 30 mau minuke o ka hoʻokomo ʻana. He mea maʻamau no ka ʻāpana pelvic ke manaʻo iki i ka mehana a i ʻole "ʻokoʻa."
- Nā hopena ʻaoʻao: Hiki ke ʻeha iki a palapū ka wahi i hoʻokomo ʻia no ʻelua a ʻekolu mau lā. He mea maʻamau kēia.
- Hoʻomaha: He mea nui e hoʻomaha no 24 mau hola ma hope o ka hoʻi ʻana i ka home. Mai hana i kekahi hana kaumaha a hoʻoikaika kino paha. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i ka lā aʻe.
Pehea ka lōʻihi o ka hoʻomaha ʻana i ka ʻeha?
Aia kēia i ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe. Inā hāʻawi ʻia ʻoe i kahi lāʻau hoʻomāʻū wale nō, e mau ana ka hōʻoluʻolu no kekahi mau hola a i ʻole kekahi mau lā. Inā hāʻawi ʻia ʻoe i kahi steroid, hiki ke mau ka hōʻoluʻolu ʻeha no nā pule a i ʻole nā mahina. Pono kekahi poʻe e loaʻa i kekahi mau inikini e loaʻa ai nā hopena maikaʻi loa.
Āhea wau e kāhea aku ai i ke kauka?
He haʻahaʻa loa ka pilikia o nā pilikia koʻikoʻi e pili ana i kēia lāʻau lapaʻau. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka .
- Inā piʻi aʻe ka ʻeha ma kahi o ka emi ʻana.
- Inā loaʻa iā ʻoe ke kuni .
- Inā ʻeha nui ka wahi i ini ʻia, pehu, a ʻulaʻula paha .
- Inā ʻoe e manaʻo i ka nāwaliwali i kou mau wāwae .
ʻO ka noho ʻana me ka ʻeha mau loa 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 ka hōʻoluʻolu mai nā lāʻau ʻeha maʻamau, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau kikoʻī e like me kēia.
Leka Lawe-Home
- ʻO ka Hypogastric Plexus Block kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia no ka ʻeha nui ma ka ʻōpū haʻahaʻa a me ka ʻāpana pelvic i hiki ʻole ke kaohi ʻia me nā lāʻau lapaʻau ʻē aʻe.
- Hoʻomalu kēia i ka ʻeha ma o ka hoʻopau ʻana i kahi hui o nā aʻalolo e lawe ana i nā hōʻailona ʻeha i ka lolo no kekahi manawa a i ʻole ka lōʻihi.
- He ʻano lapaʻau kēia i hana ʻia e kahi loea, me ka pilikia haʻahaʻa loa, a hiki ke hoʻopau ʻia i loko o ka manawa pōkole.
- Hiki i kēia ke lilo i hopena holomua no nā kūlana he nui, e like me ka endometriosis, ka ʻeha maʻi ʻaʻai, a me ka ʻeha ma hope o ke ʻoki ʻana.
- Inā ʻeha ʻoe i ka ʻeha pelvic mau loa, e kamaʻilio me kāu kauka e ʻike inā kūpono kēia ʻano lapaʻau iā ʻoe.
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