Sɔntɛnde di pen na di bɛlɛ we de dɔŋ ɛn di bɛlɛ kin so bad dat i nɔ kin izi fɔ tɔk bɔt am. Yu kin strɛs wit pen we kin so bad dat i nɔ kin izi fɔ du ɛvride ivin if yu tek mɛrɛsin? Tide wi go tɔk bɔt wan patikyula tritmɛnt we dɛn kin yuz fɔ kɔntrol dis kayn pen we kin de fɔ lɔng tɛm. dis dεn kכl am di `Hypogastric Plexus Block`.
Wetin na di Hypogastric Plexus Blɔk?
Fɔ tɔk am simpul wan, dis na spɛshal injɛkshɔn we dɛn kin gi fɔ kɔntrol di pen. insay wi lכw bכk, wan nεv bכndεl de, we na ples we bכku nεv dεm we de kכri pen signal dεm we de rilet to di lכw bכdi εn di pεlvik εria de kam togεda to di bren. dis dεn kכl am di `Hypogastric Plexus`.
Tink bɔt am lɛk big tɛlifon pol we gɛt bɔku waya dɛn we dɛn kɔnɛkt to am. כl di pen signal dεm we de kכmכt frכm yu lכw bכdi, uterus, blad, כ di כgan dεm we de rawnd de go to yu bren tru dis bכndεl כf nεv dεm. So, wetin yu de du na dis tritmɛnt na, yu de yuz ɛkstrem rayt fɔ fɛn ɛksaktɔli usay da bɔndɛl nerv dɛn de, ɛn yu injɛkt wan drɔg insay. Dis drɔg fɔ sɔm tɛm ɔ fɔ lɔng tɛm kin put di nɛv dɛm we de kɛr di pen signal dɛm na slip. Dat min se di pen signal dɛn kin stɔp fɔ travul. Dis na wetin wi de kɔl `blɔk`.
Us kayn pen wae dɛn kin yuse dis tritmɛnt fɔ pasmak?
Dɔktɔ dɛn kin tɛl dɛn dis tritmɛnt fɔ pipul dɛn we gɛt pen na dɛn bɛlɛ we nɔ kin izi fɔ kɔntrol wit mɛrɛsin we dɛn kin yuz fɔ mɛn pen na dɛn mɔt. I kin woke mɔ fɔ pen pan dɛn tin ya:
- Blada we de na di bɔdi
- Kɔlɔn
- Uterus ɔ ovaria dɛn
- Prɔstat ɔ tɛstikul dɛn
Di tebul we de dɔŋ ya de sho sɔm mɛrɛsin dɛn we kin mek dɛn nid dis tritmɛnt.
| Mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Kansa | Big pen we pɔsin kin gɛt we i gɛt kansa na in bɛlɛ. |
| Endometriosis we de mek pɔsin gɛt sik | Sivεr, krεse pεlvik pen na uman dεm. |
| Intɛrsitial Sistayt | Wan kɔndishɔn we de mek pɔsin fil pen na di blad. |
| Pen afta dɛn dɔn ɔpreshɔn yu ɔ yu gɛt redyushɔn tɛrapi | Pen we kin de fɔ lɔng tɛm afta dɛn dɔn du ɔpreshɔn pan yu bɛlɛ ɔ we yu gɛt raytin. |
| Ɔda sik dɛn we nɔ de mɛn | Pen we kin kam bikɔs ɔf tin dɛn lɛk Irritable Bowel Syndrome (IBS) ɛn Pɛlvik Inflammatory Disease. |
Aw a fɔ pripia bifo a gɛt tritmɛnt?
If yu du dis tritmɛnt, yu dɔktɔ go gi yu sɔm patikyula instrɔkshɔn dɛn. Di men wan dɛn na:
- Dɛn go aks yu fɔ lɛf fɔ it ɛn drink fɔ sɔm awa bifo di tritmɛnt.
- Sɔm mɛrɛsin dɛn we yu de tek (especially blood thinners lɛk Aspirin ɛn Warfarin) kin nid fɔ stɔp wan ɔ tu de bifo tɛm. Bɔt, yu fɔ jɔs du dis ɔnda yu dɔktɔ in sɔpɔtishɔn. Nɔ ɛva stɔp ɔ bigin ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Afta yu dɔn trit yu, yu go so layt ed dat yu nɔ go ebul fɔ drayv yusɛf. So, i impɔtant fɔ mek yu arenj fɔ mek pɔsin drayv yu go na os ɛn kam bak.
Aw di tritmɛnt de wok stɛp bay stɛp
Dis tritmɛnt kin tek lɛk 30 minit ɛn na dɔktɔ we spɛshal pan aw fɔ mɛn pen kin du am.
De impɔtant tin na fɔ mek yu nɔr de slip pan dis tritmɛnt. Dɛn kin jɔs gi yu wan mɛrɛsin we de mek yu fil fayn (sedation) insay yu bɛlɛ. Bikɔs yu wek, di dɔktɔ kin tɔk to yu ɛn du di tritmɛnt.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| 1. Fɔ pripia | Dɛn go aks yu fɔ ledɔm na yu bɛlɛ pan ɛkstrem tebul. Dɔn dɛn go put kanula insay wan vein na yu an ɛn dɛn go gi yu mɛrɛsin fɔ mek yu fil rilaks. |
| 2. Skin we de mek yu bɔdi nɔ gɛt bɛtɛ trɛnk | di εria na di lכw bכk usay dεn go put di nidul dεn kin klin εn dεn injεkt wan lokal anεsthεtik insay di εria. |
| 3. Fɔ put nidul insay | Wit di ɛp fɔ wan X-ray (fluoroscopy) mashin, di dɔktɔ kin put tu rili fayn nidul dɛn na yu bɔdi we de dɔŋ ɛn gayd dɛn fɔ go na di rayt say we di nerve plexus de. |
| 4. Fɔ kɔnfɔm di say we yu de | Fɔ mek shɔ se di nidul dɛn de na di rayt ples, dɛn kin injɛkt smɔl day ɛn tek ɛkstrem rayt fɔ kɔnfɔm. |
| 5. Injɛkshɔn fɔ mɛrɛsin | we dεn kכnfכm di say we dεn de, dεn kin injεkt wan pen kil (bכku tεm na mεdisin we de mek yu nכm εn wan stεroyd) rawnd di nεv bכndεl. Insay kes dɛm lɛk kansa, dɛn kin injɛkt wan sɔlvushɔn we de pwɛl di nerv dɛm we gɛt alkol ɔ fɛnol bak fɔ mek i fil fayn fɔ lɔng tɛm. |
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt, dɛn go de wach yu fɔ lɛk af awa so ɛn afta dat dɛn go alaw yu fɔ go na os insay wan awa.
- Di pen we de mek dɛn nɔ fil pen: Bɔrku pipul dɛn kin gɛt bɔrku pen rilif insay 30 minit afta dɛn dɔn gi dɛn injɛkshɔn. i nכmal fכ di pεlvik εria fכ fil sכm wam כ "difrεnt."
- Di sayd ɛfɛkt dɛm: Di say we dɛn injεkt kin at smɔl ɛn i kin brus fɔ tu to tri dez. Dis na nɔmal tin.
- Rɛst: I impɔtant fɔ rɛst fɔ 24 awa afta yu dɔn go na os. Nɔ du ɛni ebi wok ɔ ɛksesaiz. Yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.
Aw lɔng di pen rilif kin las?
Dis kin dipen pan di kayn mɛrɛsin we dɛn gi yu. If dɛn gi yu wan mɛrɛsin we de mek yu nɔ fil fayn, di rilif go las fɔ sɔm awa ɔ sɔm dez. If dɛn gi yu wan stɛroyd, di pen we de mek yu nɔ fil pen kin las fɔ sɔm wik to mɔnt. Sɔm pipul dɛn nid fɔ gɛt bɔku injɛkshɔn fɔ mek dɛn gɛt di bɛst rizɔlt.
Ustɛm a fɔ kɔl di dɔktɔ?
Di risk fɔ gɛt siriɔs prɔblɛm dɛn we gɛt fɔ du wit dis tritmɛnt rili smɔl. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to yu dɔktɔ wantɛm wantɛm .
- If di pen de bɔku instead fɔ stɔp.
- If yu gɛt fiva .
- If di say we dɛn injɛkshɔn de fil bad bad wan, i swel, ɔ i rɛd .
- If yu fil se yu leg dɛn wik .
Fɔ liv wit pwɛl hat kin gɛt big impak pan yu maynd ɛn bɔdi wɛl bɔdi. So no nid fɔ "put up wit" di pen. If yu nɔ de gɛt rilif frɔm di mɛrɛsin dɛn we yu kin yuz fɔ mɛn yu pen ɔltɛm, tɔk to yu dɔktɔ bɔt sɔm patikyula tritmɛnt dɛn lɛk dɛn wan ya.
Mɛsej we dɛn kin kɛr go na os
- Hypogastric Plexus Block na spɛshal injɛkshɔn tritmɛnt we dɛn kin yuz fɔ siriɔs pen na di ɔnda bɛlɛ ɛn di bɛlɛ eria we dɛn nɔ kin ebul fɔ kɔntrol wit ɔda mɛrɛsin.
- dis de kכntro di pen bay we i de disable fכ sכm tεm כ fכ lכng tεm wan kכlכsta כf nεv dεm we de kכri pen signal to di bren.
- Dis na tritmɛnt we spɛshal pɔsin kin du, wit rili smɔl risk, ɛn dɛn kin dɔn am insay shɔt tɛm.
- Dis kin bi wan fayn sɔlv fɔ bɔku tin dɛm, lɛk ɛndometriɔsis, kansa pen, ɛn pen afta dɛn du ɔpreshɔn.
- If yu de sɔfa bak wit pen na yu bɛlɛ we nɔ de dɔn, tɔk to yu dɔktɔ fɔ si if dis tritmɛnt we yu de du fayn fɔ yu.
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