Pali mitundu ina ya ululu m'mimba kapena m'chiuno yomwe siimatha mosavuta ngakhale mutamwa mankhwala. Nthawi zina ululuwu ndi wosapiririka. Ngati inunso mukuvutika ndi vutoli, lero tikambirana za chithandizo chapadera cha vutoli. Izi zimatchedwa 'Hypogastric Plexus Block'.
Mwachidule, kodi Hypogastric Plexus Block ndi chiyani?
Iyi ndi jakisoni yapadera yochepetsera ululu. Taganizirani ngati muli ndi mitsempha yomwe imanyamula mauthenga opweteka kuchokera m'mimba mwanu kupita ku ubongo wanu. Chomwe mumachita pa chithandizochi ndikulowetsa mankhwala mu mitsempha iyi yomwe ili pansi pa msana wanu (izi zimatchedwa Hypogastric Plexus) .
Jakisoni akaperekedwa, chidziwitso cha ululu wochokera ku mitsempha kupita ku ubongo chimatsekedwa kwakanthawi kapena kosatha . Zili ngati kuzimitsa switch ya ululu. Izi zimachepetsa kwambiri ululu m'mimba mwanu ndi m'chiuno. Nthawi zina jakisoni imodzi imapereka mpumulo, pomwe nthawi zina jakisoni angapo amatha kuperekedwa ngati pakufunika.
Kodi mitundu ikuluikulu ya chithandizochi ndi iti?
Kutengera ndi komwe kwachokera ululu wanu, dokotala wanu adzasankha komwe angakupatseni jakisoni. Pali mitundu iwiri ikuluikulu.
| Mtundu wa chithandizo | Malo ndi kufotokozera |
|---|---|
| Choletsa Chapamwamba cha Hypogastric Plexus | Mu izi, jakisoni amaperekedwa kumtunda kwa muzu wa mitsempha womwe uli pansi pa msana wanu. |
| Choletsa Chotsika cha Hypogastric Plexus | Katemerayu amaperekedwa pansi pa msana pafupi ndi fupa la mchira wanu. |
Kodi katemerayu amachiritsa ululu wamtundu wanji?
Mankhwalawa amagwiritsidwa ntchito makamaka pochepetsa ululu wosatha m'mimba mwanu ndi m'chiuno. Izi zikuphatikizapo ululu m'ziwalo zanu zotsatirazi:
- Chikhodzodzo
- M'mimba
- Matumbo apansi
- Prostate kapena machende
- Chiberekero kapena mazira
Mankhwalawa nthawi zambiri amalimbikitsidwa pa ululu wa nthawi yayitali womwe ndi wovuta kuuthetsa ndi mankhwala ochepetsa ululu akumwa. Ungakhale njira yothandiza kwambiri pa ululu woyambitsidwa ndi matenda awa:
| Matenda omwe angayambitse ululu |
|---|
| Khansa |
| Endometriosis |
| Kuwonongeka komwe kumachitika chifukwa cha zinthu monga opaleshoni kapena chithandizo cha radiation |
| Interstitial Cystitis - vuto lopweteka la chikhodzodzo |
| Matenda a m'mimba okwiya (IBS) |
| Matenda a Ululu Wachigawo cha Pelvic Complex |
| Matenda Otupa a M'chiuno (PID) |
Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?
Dokotala wanu adzakupatsani malangizo ena oti mutsatire musanalandire chithandizochi. Malangizo akuluakulu ndi awa:
- Pewani kudya kapena kumwa kwathunthu kwa maola angapo musanalandire chithandizo .
- Mankhwala ena omwe mukumwa kale (makamaka ochepetsa magazi) angafunike kuyimitsidwa kwakanthawi malinga ndi upangiri wa dokotala wanu. Musayambe kapena kusiya kumwa mankhwala aliwonse musanafunse dokotala wanu kaye.
- Popeza simudzatha kuyendetsa galimoto mutalandira chithandizo, ndikofunikira kukonza kuti wina akutengereni kumeneko ndikubwerera kwanu.
- Chithandizochi chimachitidwa ndi Madokotala Othandizira Kuchepetsa Ululu, kotero mutha kuwafunsa mafunso aliwonse omwe mungakhale nawo.
Tiyeni tiphunzire pang'onopang'ono momwe chithandizochi chimagwirira ntchito.
Uwu ndi chithandizo chakunja kwa chipatala, zomwe zikutanthauza kuti simuyenera kukhala m'chipatala. Umu ndi momwe machitidwe onse amachitikira nthawi zambiri.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kutonthoza | Mankhwala ochepetsa ululu amaperekedwa kwa inu kudzera mu kanula yomwe imayikidwa mumtsempha womwe uli m'dzanja lanu. Simudzagona, koma mudzakhala omasuka. |
| 2. Kaimidwe koyenera | Mudzatembenuzidwa ndikugonekedwa chagada pabedi lapadera lokhala ndi makina a X-ray. |
| 3. Kusagwira bwino ntchito kwa dera | Malo a m'munsi mwa msana kumene jakisoni adzaperekedwa amatsukidwa bwino ndipo jakisoni kakang'ono ka mankhwala oletsa ululu amaperekedwa kuti khungu lizizizira. |
| 4. Chitsogozo cha X-ray | Poyang'ana chithunzi cha X-ray, dokotalayo amaika singano ziwiri mosamala pamalo oyenera a muzu wa mitsempha. |
| 5. Chitsimikizo cha malo | Kuti atsimikizire kuti singano zili pamalo oyenera, utoto wapadera (utoto wosiyana) umabayidwa ndi X-ray. |
| 6. Kubaya mankhwala | Malo akatsimikizika, mankhwala opweteka (mankhwala ochepetsa ululu ndi/kapena steroid) amabayidwa. |
| 7. (Pokhapokha ngati pakufunika) | Pa ululu waukulu womwe umabwera chifukwa cha matenda monga khansa, chinthu monga mowa kapena phenol chingalowetsedwe kuti chiwononge mitsempha yonse ndikupatsa mpumulo kwa nthawi yayitali. |
Njira yonseyi nthawi zambiri imatenga mphindi 30. Pambuyo pake, mudzakhala pansi pa kuyang'aniridwa kwa mphindi pafupifupi 30, ndipo mudzatha kupita kunyumba mkati mwa ola limodzi.
Kodi mungayembekezere chiyani mutalandira chithandizo?
Pambuyo pa chithandizo, malo anu a m'chiuno angamve kutentha pang'ono kapena "kusiyana." Izi ndi zachilendo. Anthu ambiri amayamba kumva kupweteka pang'ono mkati mwa mphindi 30 kuchokera pamene adapatsidwa jakisoni.
Pakhoza kukhala mabala kapena kupweteka pang'ono pamalo obayira jakisoni kwa masiku awiri kapena atatu. Izi ndi zachilendo. Komabe, ngati mukumva ululu wosapiririka, dziwitsani dokotala wanu nthawi yomweyo.
Kodi ubwino ndi zoopsa zake ndi ziti?
Phindu lalikulu ndilakuti zimathandiza kuchepetsa ululu m'mimba kapena m'chiuno. Zimathandizanso kuchepetsa kugwiritsa ntchito mankhwala ochepetsa ululu pakamwa pafupipafupi.
Kumbukirani, chiopsezo cha mavuto chifukwa cha chithandizochi n'chochepa kwambiri. Komabe, monga momwe zimakhalira ndi chithandizo china chilichonse, pakhoza kukhala zoopsa zazing'ono.
Zina mwa zovuta zomwe zingatheke:
- Kusamva bwino kwa mankhwala omwe amagwiritsidwa ntchito.
- Kutuluka magazi.
- Matenda (malungo, kutupa kwambiri kapena kupweteka kwambiri pamalo omwe jakisoni waperekedwa).
- Kuwonongeka kwa ziwalo zozungulira kapena mitsempha yamagazi.
- Kuwonongeka kwa mitsempha ina yomwe ili kunja kwa muzu wa mitsempha.
Kuchira ndi nthawi yopumula ululu
Mukamaliza kulandira chithandizo, muyenera kupita kunyumba kukapuma bwino. Pewani kuchita zinthu zolimbitsa thupi kwa maola 24. Mutha kuyambiranso kuchita zinthu zanu zachizolowezi tsiku lotsatira. Yambitsaninso mankhwala aliwonse omwe munasiya kumwa monga momwe dokotala wanu wanenera.
Kutalika kwa nthawi yochepetsera ululu kumadalira mankhwala omwe agwiritsidwa ntchito.
- Ngati mankhwala oletsa ululu okha agwiritsidwa ntchito, mpumulowo udzakhalapo kwa maola angapo kapena masiku angapo .
- Ngati mankhwala a steroid agwiritsidwa ntchito, mpumulo ungatenge milungu ingapo mpaka miyezi ingapo .
Kutengera ndi matenda anu, mungafunike jakisoni kangapo kuti mupeze zotsatira zabwino. Dokotala wanu adzakufotokozerani izi.
Kodi muyenera kulankhula ndi dokotala liti?
Imbani dokotala wanu nthawi yomweyo ngati zizindikiro zotsatirazi zikuchitika:
- Ngati ululu ukuwonjezeka m'malo mochepa kapena osachepa.
- Ngati mukukumana ndi mavuto monga kutentha thupi, kutupa kwambiri pamalo omwe munabayira jakisoni, kapena kupweteka kosapiririka .
- Ngati mukumva kufooka m'miyendo yanu .
Kukhala ndi ululu wosatha kungakhudze kwambiri thanzi lanu la maganizo ndi thupi. Choncho palibe chifukwa chopirira ululuwo. Ngati simukupeza mpumulo kuchokera ku chithandizo chanthawi zonse, lankhulani ndi dokotala wanu za mitundu iyi ya chithandizo chapadera ndikusankha njira yoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Hypogastric Plexus Block ndi jakisoni wapadera womwe umagwiritsidwa ntchito pochiza ululu waukulu m'mimba ndi m'chiuno womwe ndi wovuta kuuletsa ndi mankhwala ena.
- Uwu ndi mankhwala otetezeka kwambiri omwe amatha kuchitidwa mu mphindi 30 zokha ndipo angathe kuchitidwa popanda kukhala m'chipatala.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala (monga kupewa kudya ndi kumwa, kukonza mayendedwe) musanalandire chithandizo.
- Kutalika kwa nthawi yochepetsera ululu kungasiyane malinga ndi munthuyo komanso mankhwala omwe agwiritsidwa ntchito.
- Ngati ululu ukuwonjezeka mutalandira chithandizo kapena ngati mukukumana ndi zizindikiro zachilendo monga malungo kapena kutupa, dziwitsani dokotala wanu nthawi yomweyo.
- Musamavutike chete chifukwa cha ululu wosatha. Lankhulani ndi dokotala wanu za njira zomwe zilipo zothetsera ululu.
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