Tiyeni tiphunzire za chithandizo cha ululu wosapiririka m'mimba (Celiac Plexus Block)?

Nthawi zina timakhala ndi ululu wa m'mimba womwe sumatha ndi piritsi losavuta. Makamaka pazochitika monga khansa ya kapamba kapena kapamba, ululuwo umakhala wovuta kwambiri kupirira. Chifukwa chake lero tikambirana za njira yapadera yothandizira yomwe imagwiritsidwa ntchito poletsa ululu waukulu wotere.

Kodi Celiac Plexus Block ndi chiyani?

Mwachidule, iyi ndi jakisoni yomwe imaperekedwa kuti ichepetse ululu. Mkati mwa mimba mwathu, kumtunda, pali malo otchedwa 'celiac plexus' komwe mitsempha yambiri imasonkhana. Zili ngati malo olumikizirana mauthenga a mitsempha m'mimba mwathu. Zizindikiro za ululu zomwe zimachokera ku ziwalo monga chiwindi, m'mimba, kapamba, ndulu, matumbo zimapita ku ubongo kudzera mu gulu la mitsempha ili.

Kotero, mu `Celiac Plexus Block`, mankhwala amalowetsedwa mu mtsempha uwu, ndikuletsa kwakanthawi kapena kosatha zizindikiro za ululu kuti zisapite ku ubongo. Zili ngati 'kudula' foni yokhudza ululu. Ichi ndi chithandizo cha 'kutseka mitsempha'.

Kodi mtolo wa mitsempha uwu umalumikizidwa ndi chiwalo chiti?

• Chidulo cha ndulu
• Matumbo
• Chiwindi
• Pancreas
• Mimba

Pamene chinachake chalakwika ndi ziwalo izi ndipo mitsempha iyi ikakanikizidwa, ululu waukulu umachitika.

Kodi ntchito za chithandizochi ndi ziti?

Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pa ululu waukulu komanso wopitirira m'mimba womwe ndi wovuta kuuthetsa ndi mankhwala ena ochepetsa ululu.

Anthu ambiri omwe apezeka ndi khansa ya kapamba amakhala kale ndi ululu waukulu. Madokotala amapereka mankhwala amphamvu ochepetsa ululu pa izi. Koma mankhwalawa angayambitse mavuto monga kuiwalaiwala, kudzimbidwa, komanso nseru . Nthawi zina, ngakhale mutamwa mankhwalawa, ululu sumatha konse. Pazochitika zotere, `Celiac Plexus Block` ingakhale yothandiza kwambiri.

Kodi muyenera kukonzekera bwanji izi?

Dokotala wanu adzakupatsani malangizo pa zomwe muyenera kuchita musanalandire chithandizochi. Nthawi zambiri amanena zinthu monga:

• Kusiya mankhwala ena: Mankhwala ena, monga ochepetsa magazi , angafunike kuti musiye kuwamwa masiku angapo musanayambe kulandira chithandizo. Komabe, musasiye kuwamwa popanda upangiri wa dokotala.
• Kupewa kudya ndi kumwa: Mudzapemphedwa kuti musiye kudya ndi kumwa kwa maola angapo musanalandire chithandizo. Ndi bwino kukhala ndi m'mimba yopanda kanthu panthawi yopereka mankhwala oletsa ululu.
• Pewani kusuta: Ngati ndinu wosuta fodya, ndi bwino kusiya, chifukwa kungayambitse mavuto ambiri.
• Kukonzekera galimoto: Iyi ndi njira yoperekera chithandizo chakunja kwa dokotala. Izi zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Komabe, popeza simungathe kuyendetsa galimoto mukamaliza opaleshoni, muyenera kubweretsa munthu wina kuti akuyendetseni kunyumba.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Njira zotsatirazi zimatsatiridwa panthawi ya chithandizochi:

1. Choyamba, kuti mutonthoze mtima wanu, mudzapatsidwa mankhwala ochepa (ochepetsa ululu) m'mitsempha ya m'dzanja lanu. Izi zidzakupangitsani kumva bwino, koma sizidzakupangitsani kugona mokwanira.

2. Kenako mudzagonedwa chagada patebulo. Pilo idzaikidwa pansi pa chiuno chanu. Ngati simukumva bwino kugona choncho, mungagonedwe chagada.

3. Malo obayira jakisoni amatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda.

4. Kenako, jakisoni kakang'ono ka mankhwala oletsa ululu am'deralo amaperekedwa. Pa nthawiyi, mungamve kubaya pang'ono.

5. Kenako, singano imayikidwa ndipo utoto wapadera (utoto wosiyana) umabayidwa. Utoto uwu ukhoza kuwoneka pa X-ray, CT scan, kapena endoscopic ultrasound. Izi zimathandiza dokotala kuona komwe angabayire mankhwalawo.

6. Malo enieni akapezeka, mankhwala ochepetsa ululu kapena steroid amabayidwa mu mtsempha.

7. Nthawi zina, ngati mukufuna kuthetsa ululu kwa nthawi yayitali, mankhwala otchedwa mowa kapena phenol amabayidwa kuti athetse mitsempha ina. Izi zimatchedwa `njira ya neurolytic`.

Njira yonseyi nthawi zambiri imatenga pafupifupi ola limodzi. Komabe, jakisoni yokha imatenga mphindi zochepa zokha. Pali nthawi yokonzekera pasadakhale komanso mphindi 30 zowonera pambuyo pa chithandizo.

Kodi chimachitika ndi chiyani mukalandira chithandizo? Ndipo ubwino wake ndi wotani?

Mungayambe kumva mpumulo mkati mwa mphindi 30 kuchokera pamene mwalandira chithandizo. Mudzayang'aniridwa kwa mphindi zosachepera 30 musanatumizidwe kunyumba. Mudzatha kupita kunyumba patatha pafupifupi ola limodzi. Komabe, kumbukirani kuti wina akuyendetseni pagalimoto.

Ubwino waukulu wa izi ndi:

• Kuletsa kupweteka kwambiri m'mimba kosalekeza.
• Kuchepetsa ululu wopweteka.
• Kuchepetsa kuchuluka kwa mankhwala ochepetsa ululu operekedwa pakamwa.

Kodi pali zotsatirapo zilizonse?

Mavuto aakulu ochokera ku chithandizochi ndi osowa . Komabe, zotsatirapo zina zazing'ono zingachitike. Dokotala wanu adzakudziwitsani zonsezi musanalandire chithandizo.

Kodi zitenga nthawi yayitali bwanji kuti ndichire? Kodi ndingakhale nthawi yayitali bwanji popanda ululu?

Mukhoza kubwerera ku zochita zanu zachizolowezi mkati mwa maola 24 mpaka 48 mutatha kulandira chithandizo. Komabe, musayendetse galimoto, kuchita masewera olimbitsa thupi, kapena kunyamula zinthu zolemera kwa maola 24 oyambirira. Mutha kudya ndi kumwa mwachizolowezi.

Nthawi yomwe imatenga kuti munthu asamve ululu imasiyana malinga ndi munthu.

• Kuphatikiza mankhwala ochepetsa ululu ndi ma steroid kungathandize kuchepetsa ululu kwa miyezi itatu mpaka isanu ndi umodzi . Jakisoni wina angafunike mtsogolo.
• Koma ngati mugwiritsa ntchito njira ya `neurolytic` (kulowetsamo jakisoni monga mowa), kuchepetsa ululu kumatha kukhala kwa nthawi yayitali , mwina kwamuyaya.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo, funsani dokotala mwamsanga.

• Zizindikiro za kuthamanga kwa magazi monga chizungulire, kukomoka, komanso ludzu lochuluka.
• Kuvuta kupuma .
• Zizindikiro za matenda, monga kufiira, mafinya, kapena malungo pamalo obayira jakisoni.
• Kusanza, kumva kuwawa, kapena kusanza m'miyendo .

Ululu ndi vuto lomwe lingayambitse imfa. Simungathe kudzuka pabedi kapena kukhala ndi okondedwa anu chifukwa cha ululu. Ngakhale mutamwa mankhwala ochepetsa ululu, simungamve bwino chifukwa cha zotsatirapo zake. Chifukwa chake ngati ululu wanu ukusokoneza moyo wanu watsiku ndi tsiku, lankhulani ndi dokotala wanu za mankhwala atsopano monga Celiac Plexus Block.