He hopena no ka ʻeha o ka ʻōpū haʻahaʻa a me ka ʻōpū wahine: E aʻo e pili ana i ka Pudendal Nerve Block

Ke ʻike nei ʻoe i kekahi manawa i ka ʻeha ʻē a hiki ʻole ke hoʻomanawanui ma kou ʻōpū haʻahaʻa, ʻo ia hoʻi, a puni kou ʻōpū a i ʻole ma kou anus? He mea paʻakikī loa paha ke hele i ka lā me kēia ʻeha, ʻeā? Pono ʻoe i hana i nā mea he nui e ʻike ai i ke kumu o kēia. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana kūikawā a nā kauka e hoʻohana ai e ʻike ai i ke kumu o kēia ʻano ʻeha a mālama iā ia.

He aha ka poloka aʻalolo Pudendal?

I ka ʻōlelo maʻalahi, pili kēia i ka hoʻokomo ʻana i kahi lāʻau lapaʻau kokoke i ke aʻalolo pudendal, kahi aʻalolo e holo ana ma kou ʻāpana pelvic. E noʻonoʻo i kēia aʻalolo ma ke ʻano he 'uea nui' e lawe ana i ka manaʻo mai ko mākou ʻōpū haʻahaʻa i nā ʻiʻo a me ka ʻili a puni ko mākou genital (vagina i nā wahine, penis i nā kāne) a me ka anus.

I kekahi manawa, inā ua ʻūmiʻi ʻia a ʻeha paha kēia aʻalolo, hiki ke loaʻa kahi maʻi i kapa ʻia ʻo Pudendal Neuralgia . ʻO ia ka manawa e loaʻa ai ka ʻeha mau loa a hiki ʻole ke hoʻomanawanui aʻu i ʻōlelo ai ma mua. No laila, ʻo ka hana a kēia inikini, ʻo ia ke hele kokoke i kēlā aʻalolo a hoʻōki i ka ʻeha no ka manawa pōkole a lōʻihi paha.

No ke aha i hāʻawi ʻia ai kēia lāʻau pale? He aha nā pōmaikaʻi o ia mea?

ʻEkolu mau kumu nui no ka hāʻawi ʻana i kēia lāʻau pale. E nānā kākou i ke ʻano o lākou.

Pehea e hoʻomākaukau ai no kēia lāʻau pale?

ʻO ka maʻamau, ʻaʻole pono kēia i ka hoʻomākaukau nui. Eia nō naʻe, i kekahi manawa, inā hoʻoholo ke kauka e hāʻawi iā ʻoe i kahi mea hoʻomaha e hōʻoluʻolu iā ʻoe, e noi ʻo ia iā ʻoe e hoʻokē ʻai no kahi o 6-8 mau hola. E noi pū ʻo ia iā ʻoe e lawe mai i kahi mea hiki ke hoʻokele pū me ʻoe i kēlā lā. ʻO nā mea e pono ai ke hana, e hoʻomaopopo mua kāu kauka iā ʻoe. No laila, mai makaʻu. E nīnau i kāu kauka i nā nīnau āu e loaʻa ai.

Pehea e hāʻawi ʻia ai kēia lāʻau pale?

Aia kekahi mau ala nui e hāʻawi ai i kēia lāʻau pale. E koho kāu kauka i ke ʻano maikaʻi loa ma muli o ke ʻano o kou kino a me ke kumu o ka lāʻau pale.

Nā ʻano hana nui o ka lāʻau pale

• ʻAno hana transvaginal: Hoʻohana nui ʻia kēia ʻano hana i ka gynecology a me ka obstetrics. Hoʻokomo ke kauka i kona mau manamana lima ma o ka vagina a huli i kahi kikoʻī o ke aʻalolo e hāʻawi i ka injection.
• ʻO ke ʻano transperineal: ʻO ka perineum ka ʻāpana o ka ʻili ma waena o ka anus a me nā ʻōpū. Hoʻohana ʻia kēia ʻano hana no nā kāne a me nā wahine.
• ʻAno hana peirectal: Hoʻohana ʻia kēia ʻano hana no ke ʻoki ʻana i ka rectal a me ka hoʻokele ʻeha.

Ke Ala i Alakaʻi ʻia e ke Kiʻi

I kēia mau lā, nui nā kauka e hāʻawi i kēia lāʻau pale me ke kōkua o kahi mīkini scan e like me ka ultrasound a i ʻole ka fluoroscopy (e like me ka X-ray e neʻe ana). ʻAe kēia iā lākou e ʻike pono i kahi o ke aʻalolo a hāʻawi palekana i ka lāʻau pale. Hoʻonui nui kēia i ka holomua o ka lāʻau pale.

He aha ka mea e hana ʻia ma hope o ka hāʻawi ʻia ʻana o ka lāʻau pale?

Ma hope o ke kuʻi ʻana, e noi ʻia ʻoe e hoʻomaha no kahi o 15-30 mau minuke. I loko o kēia manawa, e nānā ke kahu maʻi iā ʻoe e ʻike inā he mea ʻē aʻe e hana ʻia. Inā maikaʻi nā mea āpau, hiki iā ʻoe ke hoʻi i ka home.

He aha nā pōmaikaʻi a me nā pilikia o kēia?

Nā Pōmaikaʻi

• Ke loaʻa ʻana o ka hōʻoluʻolu no ka manawa pōkole a i ʻole ka wā lōʻihi mai ka ʻeha.
• Hoʻēmi ʻia ka pehu ʻana o ke aʻalolo, e kōkua ana i ke aʻalolo e ho'ōla .
• ʻO ka hiki ke hōʻoia inā ʻo ke kumu o ka ʻeha ke aʻalolo pudendal ponoʻī.
• ʻOiai he koho palekana aʻe i ka anesthesia laulā.

Nā Pōʻino

He mea kākaʻikahi nā pilikia koʻikoʻi, a ʻike pinepine ʻia nā hopena ʻaoʻao liʻiliʻi wale nō.

• Nā hopena ʻaoʻao liʻiliʻi: Aia paha kekahi ʻeha a me ka ʻoluʻolu ʻole ma kahi i inikini ʻia no ʻelua a ʻekolu mau lā. I kekahi manawa, hiki ke ʻike ʻia kahi ʻūlū liʻiliʻi a nāwaliwali paha i ka wāwae no kekahi manawa ma muli o kekahi aʻalolo ʻē aʻe e kokoke ana i ke aʻalolo pudendal.
• Nā pilikia koʻikoʻi akā kakaʻikahi: Hiki ke hōʻino ʻia nā aʻalolo, ke kahe ʻana o ke koko, ka maʻi, a me ka hōʻino ʻana i nā ʻōpū kokoke e like me ka ʻōpū mimi. Eia nō naʻe, ke hana pololei ʻia e ke kauka akamai, he haʻahaʻa loa kēia mau pilikia.

Pehea ka lōʻihi o ka hoʻomaha ʻana i ka ʻeha?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO ka ʻoiaʻiʻo, ʻokoʻa loa ia mai kēlā kanaka a kēia kanaka. Loaʻa i kekahi poʻe ka hōʻoluʻolu no kekahi mau lā a i ʻole mau pule. ʻO kekahi poʻe e hala i nā mahina a i ʻole nā ​​​​makahiki me ka ʻeha ʻole. Akā ʻaʻole paha e loaʻa i kekahi poʻe kekahi hōʻoluʻolu. Aia ia i ke kumu o kou ʻeha a pehea e pane ai kou kino i ka lāʻau lapaʻau.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou ma hope o ka loaʻa ʻana o ka lāʻau pale, nā hōʻailona o ka maʻi e like me ka pehu ʻana, ka ʻulaʻula, a i ʻole ke kuni ma kahi i hoʻokomo ʻia ai, a i ʻole ka mae mau ʻana o ka wāwae, ka wela, a i ʻole ka nāwaliwali , e kāhea koke aku i kāu kauka . Inā koʻikoʻi kāu mau hōʻailona, ​​mai kānalua e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.