Sɔm kayn pen de na di bɛlɛ we de dɔŋ ɔ di bɛlɛ we nɔ kin stɔp izi wan ivin if yu tek mɛrɛsin. Sɔntɛnde, dis pen nɔ kin bia. If yusɛf de sɔfa wit dis prɔblɛm, tide wi go tɔk bɔt wan spɛshal tritmɛnt fɔ am. dis dεn kכl am di ‘Hypogastric Plexus Block’.
Fɔ tɔk am simpul wan, wetin na Hypogastric Plexus Block?
Dis na rili spɛshal injɛkshɔn we de mek pɔsin fil pen. Tink bɔt am lɛk se yu gɛt wan nerve system we de kɛr pen mɛsej frɔm yu ɔnda bɛlɛ to yu bren. Wetin yu de du na dis tritmɛnt na fɔ injɛkt wan drɔg insay dis bɔndɛl ɔf nɛv dɛn we de dɔŋ yu spayna (dɛn kɔl dis di Hypogastric Plexus) .
We dɛn gi dis injɛkshɔn, di pen infɔmeshɔn frɔm dɛn nɛv dɛn de to di bren kin blok fɔ sɔm tɛm ɔ fɔ ɔltɛm . I tan lɛk se yu dɔn ɔf di pen switch. dis kin ridyus di pen na yu bכdi we de dכn εn yu bכdi εria bכku bכku wan. Sɔntɛnde, wan injɛkshɔn kin mek pɔsin fil fri, ɔda tɛm dɛn kin gi am bɔku injɛkshɔn dɛn as nid de.
Wetin na di men kayn tritmɛnt wae dɛn kin gi dis tritmɛnt?
Dipen pan usay yu de fil pen, yu dɔktɔ go disayd usay fɔ gi di injɛkshɔn. Tu men kayn dɛn de.
| Di kayn tritmɛnt we dɛn kin gi | Di say we dɛn de ɛn aw fɔ ɛksplen am |
|---|---|
| Supiriɔ Hypogastric Plɛks Blɔk | insay dis, dεn de gi di injεkshכn insay di כp pat pan di nεv rכt na yu lכw bכk. |
| Infεriכr Hypogastric Plexus Blɔk | Dɛn kin gi di vaysin na di ɔda pat na di spɛshal kɔd nia yu telbon. |
Us kayn pen dis vaysin de mɛn?
Dɛn kin yuz dis tritmɛnt mɔ fɔ kɔntrol di pen we de kɔntinyu fɔ de na yu bɛlɛ we de dɔŋ ɛn yu bɛlɛ. Dis inklud pen na yu ɔgan dɛn we de dɔŋ ya:
- Blada we de na di bɔdi
- Kɔlɔn
- Di intestin dɛn we de dɔŋ
- Prɔstat ɔ tɛstikul dɛn
- Uterus ɔ ovaria dɛn
Dɛn kin rɛkɔmɛnd dis tritmɛnt fɔ lɔng tɛm pen we at fɔ kɔntrol wit ɔral pen kil. I kin bi wan rili fayn sɔlv fɔ di pen we dɛn kin gɛt bikɔs ɔf dɛn mɛrɛsin ya:
| Mɛdikal kɔndishɔn we kin mek pɔsin fil pen |
|---|
| Kansa |
| Endometriosis we de mek pɔsin gɛt sik |
| Damej we tin dɛn lɛk ɔpreshɔn ɔ redyushɔn tɛrapi kin kam wit |
| Interstitial Cystitis - na wan sik we de mek yu fil pen na di blad |
| Irritable Bowel Syndrome (IBS) we pɔsin kin gɛt . |
| Pɛlvik Kɔmpleks Rijinal Pen Sindrɔm |
| Pelvik Inflammatory Disease (PID) we de mek pɔsin gɛt sik we dɛn kɔl PID . |
Aw a fɔ pripia bifo a gɛt tritmɛnt?
Yu dɔktɔ go gi yu sɔm instrɔkshɔn dɛn fɔ fala bifo dis tritmɛnt. Di men wan dɛn na:
- Nɔ it ɔ drink ɔltin fɔ sɔm awa bifo yu gɛt tritmɛnt .
- Sɔm mɛrɛsin dɛn we yu dɔn ɔlrɛdi de tek (espɛshali di wan dɛn we de mek yu blɔd tan) kin nid fɔ stɔp fɔ sɔm tɛm we yu dɔktɔ tɛl yu. Nɔ ɛva bigin ɔ stɔp fɔ tek ɛni mɛrɛsin if yu nɔ go to yu dɔktɔ fɔs.
- Bikɔs yu nɔ go ebul fɔ drayv afta yu dɔn trit yu, i rili impɔtant fɔ mek yu arenj fɔ mek pɔsin kam tek yu ɛn briŋ yu kam bak na os.
- Na Interventional Pain Management Physicians de du dis tritmɛnt, so yu kin aks dɛn ɛni kwɛstyɔn we yu gɛt.
Lɛ wi lan stɛp bay stɛp aw di tritmɛnt de wok.
Dis na ɔutpatient tritmɛnt, we min se yu nɔ nid fɔ de na ɔspitul. Dis na aw di ɔl di prɔses kin go.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ mek pɔsin kol | Dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn tru wan kanula we dɛn put insay wan vein na yu an. Yu nɔ go slip, bɔt yu go rilaks. |
| 2. Kɔrɛkt di we aw yu de tinap | Dɛn go tɔn yu ɛn mek yu ledɔm na yu bɛlɛ pan spɛshal bed we gɛt ɛkstrem rayt mashin. |
| 3. Di say we de na di say we yu de, nɔ gɛt bɛtɛ trɛnk | di lכw bak εria usay dεn go gi di injεkshכn dεn klin am gud gud wan εn dεn gi sכm injεkshכn (lokal anεsthεtik) fכ mek di skin nכm. |
| 4. Fɔ gayd yu wit ɛkstrem rayt | We di dɔktɔ luk di ɛkstrem rayt, i kin tek tɛm put tu nidul dɛn insay di kɔrɛkt nɛv rut. |
| 5. Fɔ kɔnfɔm di say we yu de | Fɔ mek dɛn no se di nidul dɛn de na di rayt ples, dɛn kin injɛkt wan spɛshal day (kɔntrast day) ɛn chɛk am wit ɛkstrem rayt. |
| 6. Fɔ injekt di drɔg | We dɛn dɔn kɔnfyus di say we dɛn de, dɛn kin injɛkt di mɛrɛsin fɔ mek pɔsin fil pen (wan mɛrɛsin we de mek pɔsin nɔ fil fayn ɛn/ɔ wan stɛroyd). |
| 7. (Na if nid de nɔmɔ) | Fɔ siriɔs pen we pɔsin kin fil lɛk kansa, dɛn kin injɛkt sɔntin lɛk alkol ɔ fɛnol fɔ pwɛl di nerv dɛn kpatakpata ɛn gi am rilif fɔ lɔng tɛm. |
Di wan ol tin we dɛn kin du kin tek lɛk 30 minit so . Afta dat, dɛn go de wach yu fɔ lɛk 30 minit so, ɛn yu go ebul fɔ go na os insay lɛk wan awa so.
Wetin fɔ ɛkspɛkt afta dɛn dɔn trit yu?
Afta di tritmɛnt, yu bɛlɛ eria kin fil wam smɔl ɔ "difrɛn." Dis na nɔmal tin. Bɔrku pipul dɛn kin bigin fɔ fil se dɛn nɔr de fil pen insay 30 minit afta dɛn dɔn gi dɛn injɛkshɔn.
Sɔm brus ɔ smɔl pen kin de na di say we dɛn injekt fɔ tu to tri dez. Dis na nɔmal tin. Bɔt if yu fil pen we yu nɔ go ebul fɔ bia, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Di men bɛnifit na dat i de mek yu nɔ gɛt pen na yu bɛlɛ we de dɔŋ ɔ yu bɛlɛ. I kin ɛp bak fɔ ridyus di frɛkuɛns we dɛn kin yuz mɛrɛsin fɔ mɛn pen we dɛn kin it.
Mɛmba se di risk fɔ gɛt kɔmplikeshɔn frɔm dis tritmɛnt rili smɔl. Bɔt jɔs lɛk ɛni ɔda tritmɛnt, smɔl smɔl prɔblɛm dɛn kin de.
Sɔm pan di prɔblɛm dɛn we kin apin:
- Alɛji riakshɔn to di mɛrɛsin dɛn we dɛn yuz.
- Blɔd we de kɔmɔt.
- Infεkshכn (fiva, bad bad swεla כ bad bad pen na di say we dεn injεkt).
- Damej to di ɔgan ɔ blɔd vesel dɛn we de rawnd.
- Damej to ɔda nεv dεm we de ausayd di nεv rכt.
Tɛm fɔ wɛl ɛn fɔ mek yu nɔ fil pen
Afta di tritmɛnt, yu fɔ go na os ɛn rɛst fayn. Nɔ du tin dɛn we de mek yu tranga fɔ 24 awa. Yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de. Ristart ɛni mɛrɛsin we yu dɔn stɔp fɔ tek lɛk aw yu dɔktɔ tɛl yu.
Di tɛm we pɔsin kin tek fɔ mek i nɔ fil pen, kin dipen pan di mɛrɛsin we dɛn yuz.
- If na wan anestetik nɔmɔ dɛn yuz, di rilif go las fɔ sɔm awa ɔ sɔm dez .
- If dɛn yuz sterɔyd mɛrɛsin, i kin tek sɔm wiks to sɔm mɔnt .
Dipen pan yu kɔndishɔn, yu kin nid fɔ tek bɔku injɛkshɔn fɔ mek yu gɛt di bɛst rizɔlt. Yu dɔktɔ go ɛksplen dis to yu.
Ustɛm yu fɔ tɔk to di dɔktɔ?
Kɔl yu dɔktɔ wantɛm wantɛm if dɛn tin ya apin:
- If di pen de bɔku instead fɔ de dɔŋ ɔ nɔr de go dɔŋ.
- If yu gɛt sayd ɛfɛkt lɛk fiva, swɛlin bad bad wan na di say we dɛn inj yu, ɔ pen we yu nɔ go ebul fɔ bia .
- If yu fil se yu leg dɛn wik .
If yu liv wit pen ɔltɛm, dat kin rili afɛkt yu maynd ɛn bɔdi. So no nid fɔ "put up wit" di pen. If yu nɔr de gɛt rilif frɔm di tritmɛnt dɛm wae yu kin gɛt ɔltɛm, tɔk to yu dɔktɔ bɔt dɛn kayn spɛshal tritmɛnt ya ɛn pik di sɔlv wae fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Hypogastric Plexus Block na spɛshal injɛkshɔn tritmɛnt we dɛn kin yuz fɔ trit bad bad pen na di bɛlɛ we de dɔŋ ɛn di bɛlɛ eria we at fɔ kɔntrol wit ɔda tritmɛnt dɛn.
- Dis na tritmɛnt we rili sef we dɛn kin dɔn insay lɛk 30 minit ɛn dɛn kin du am we yu nɔ nid fɔ de na ɔspitul.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (lɛk fɔ avɔyd fɔ it ɛn drink, arenj fɔ transpɔt) bifo yu gɛt tritmɛnt.
- Di tɛm we pɔsin kin tek fɔ mek i nɔ fil pen kin difrɛn fɔ di pɔsin ɛn di mɛrɛsin we i yuz.
- If yu de fil pen afta yu dɔn trit yu ɔ if yu gɛt sɔm kayn tin dɛn we nɔ kɔmɔn lɛk fiva ɔ swɛlin, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ sɔfa kwayɛt wan bikɔs yu de fil pen ɔltɛm. Tɔk to yu dɔktɔ bɔt di tin dɛn we de fɔ mɛn yu pen.
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