Nthawi zina ululu m'mimba ndi m'chiuno umakhala waukulu kwambiri moti zimakhala zovuta kufotokoza. Kodi mumavutika ndi ululu waukulu kwambiri moti zimakhala zovuta kuchita zinthu za tsiku ndi tsiku ngakhale mutagwiritsa ntchito mankhwala? Lero tikambirana za njira yeniyeni yothandizira yomwe imagwiritsidwa ntchito poletsa ululu wamtunduwu kwa nthawi yayitali. Izi zimatchedwa `Hypogastric Plexus Block`.
Kodi Hypogastric Plexus Block ndi chiyani?
Mwachidule, iyi ndi jakisoni yapadera yomwe imaperekedwa kuti ichepetse ululu. Kumsana kwathu, pali mtolo wa mitsempha, malo omwe mitsempha yambiri yomwe imanyamula zizindikiro za ululu zokhudzana ndi m'mimba ndi m'chiuno zimasonkhana ku ubongo. Izi zimatchedwa `Hypogastric Plexus`.
Taganizirani ngati ndodo yayikulu ya foni yokhala ndi zingwe zambiri zolumikizidwa. Zizindikiro zonse za ululu zochokera m'mimba mwanu, chiberekero, chikhodzodzo, kapena ziwalo zozungulira zimapita ku ubongo wanu kudzera mu mtolo wa mitsempha iyi. Chifukwa chake, chomwe mumachita pa chithandizochi ndichakuti, mumagwiritsa ntchito X-ray kuti mupeze komwe mtolo wa mitsempha uli, ndipo mumalowetsa mankhwala. Mankhwalawa kwakanthawi kapena kwa nthawi yayitali amagonetsa mitsempha yomwe imanyamula zizindikiro za ululu. Izi zikutanthauza kuti zizindikiro za ululu zimasiya kuyenda. Ichi ndi chomwe timachitcha 'block'.
Ndi mitundu iti ya ululu yomwe mankhwalawa amagwiritsidwa ntchito kwambiri?
Madokotala nthawi zambiri amalimbikitsa mankhwalawa kwa anthu omwe ali ndi ululu wosatha wa m'chiuno womwe ndi wovuta kuuthetsa pogwiritsa ntchito mankhwala ochepetsa ululu pakamwa. Ndi othandiza kwambiri pa ululu m'mbali zotsatirazi:
- Chikhodzodzo
- M'mimba
- Chiberekero kapena mazira
- Prostate kapena machende
Gome ili m'munsimu likuwonetsa matenda angapo omwe angafunike chithandizo ichi.
| Matenda | Kufotokozera |
|---|---|
| Khansa | Ululu waukulu womwe umabwera chifukwa cha khansa ya m'mimba. |
| Endometriosis | Kupweteka kwambiri m'chiuno mwa akazi. |
| Matenda a Interstitial Cystitis | Matenda opweteka m'chikhodzodzo. |
| Ululu pambuyo pa opaleshoni kapena chithandizo cha radiation | Kupweteka kwa nthawi yayitali pambuyo pa opaleshoni ya m'mimba kapena chithandizo cha radiation. |
| Matenda ena osatha | Ululu woyambitsidwa ndi matenda monga Irritable Bowel Syndrome (IBS) ndi Pelvic Inflammatory Disease. |
Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?
Ngati mulandira chithandizochi, dokotala wanu adzakupatsani malangizo enaake. Malangizo akuluakulu ndi awa:
- Mudzapemphedwa kuti musiye kudya ndi kumwa kwa maola angapo musanalandire chithandizo.
- Mankhwala ena omwe mukumwa (makamaka mankhwala ochepetsa magazi monga Aspirin ndi Warfarin) angafunike kuyimitsidwa tsiku limodzi kapena awiri pasadakhale. Komabe, izi ziyenera kuchitika pokhapokha ngati dokotala wanu akuyang'anira. Musasiye kapena kuyamba mankhwala aliwonse popanda upangiri wa dokotala wanu.
- Mukalandira chithandizo, mudzakhala opusa kwambiri moti simungathe kuyendetsa galimoto nokha. Chifukwa chake, ndikofunikira kukonza kuti wina akuyendetseni kunyumba ndikubwerera.
Momwe chithandizochi chimagwirira ntchito pang'onopang'ono
Chithandizochi nthawi zambiri chimatenga pafupifupi mphindi 30 ndipo chimachitidwa ndi dokotala yemwe ndi katswiri pakuwongolera ululu.
Chofunika kwambiri ndichakuti musagone panthawi ya chithandizochi. Mumangopatsidwa mankhwala ochepetsa ululu (sedation) kudzera m'mitsempha. Popeza muli maso, dokotala akhoza kulankhula nanu ndikuchita chithandizocho.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kukonzekera | Mudzapemphedwa kugona chagada pa tebulo la X-ray. Kenako cannula idzaikidwa mu mtsempha womwe uli m'dzanja lanu ndipo mudzapatsidwa mankhwala oti mupumule. |
| 2. Khungu la dzanzi | Malo a m'munsi mwa msana kumene singano idzalowetsedwa amatsukidwa ndipo mankhwala oletsa ululu amalowetsedwa m'malo mwake. |
| 3. Kuyika singano | Pogwiritsa ntchito makina a X-ray (fluoroscopy), dokotalayo amaika singano ziwiri zazing'ono kwambiri kumbuyo kwanu ndikuwatsogolera kumalo enieni a mitsempha ya mitsempha. |
| 4. Chitsimikizo cha malo | Kuti zitsimikizo za singano zili pamalo oyenera, utoto pang'ono umayikidwa ndipo X-ray imatengedwa kuti itsimikizire. |
| 5. Jakisoni wa mankhwala | Akatsimikizira malo ake, mankhwala ochepetsa ululu (nthawi zambiri amakhala mankhwala ochepetsa ululu ndi steroid) amabayidwa mozungulira mtolo wa mitsempha. Pa milandu monga khansa, mankhwala ophera mitsempha a mowa kapena phenol amathanso kubayidwa kuti athetse vutoli kwa nthawi yayitali. |
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukamaliza kulandira chithandizo, mudzayang'aniridwa kwa pafupifupi theka la ola kenako mudzaloledwa kupita kunyumba mkati mwa ola limodzi.
- Kuchepetsa ululu: Anthu ambiri amamva kupweteka kwambiri mkati mwa mphindi 30 kuchokera pamene adabayidwa jakisoni. Ndizachilendo kuti dera la m'chiuno limve kutentha pang'ono kapena "losiyana."
- Zotsatirapo zake: Malo omwe jakisoniyo adayikidwa akhoza kukhala opweteka pang'ono komanso ovulala kwa masiku awiri kapena atatu. Izi ndi zachilendo.
- Kupuma: Ndikofunikira kupuma kwa maola 24 mutabwerera kunyumba. Musachite ntchito yolemetsa kapena kuchita masewera olimbitsa thupi. Mutha kuyambiranso ntchito zanu zachizolowezi tsiku lotsatira.
Kodi mpumulo wa ululu umatenga nthawi yayitali bwanji?
Izi zimadalira mtundu wa mankhwala omwe mwapatsidwa. Ngati mwapatsidwa mankhwala ochepetsa ululu okha, mpumulo udzakhalapo kwa maola angapo kapena masiku angapo. Ngati mwapatsidwa mankhwala a steroid, mpumulo wa ululu ungakhalepo kwa milungu ingapo mpaka miyezi. Anthu ena amafunika jakisoni kangapo kuti apeze zotsatira zabwino.
Kodi ndiyenera kuyimbira dokotala liti?
Chiwopsezo cha mavuto aakulu okhudzana ndi chithandizochi n'chochepa kwambiri. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kulankhulana ndi dokotala nthawi yomweyo .
- Ngati ululu ukuwonjezeka m'malo mochepa.
- Ngati mukumva malungo .
- Ngati malo obayira jakisoni ndi opweteka kwambiri, otupa, kapena ofiira .
- 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 mankhwala ochepetsa ululu wamba, lankhulani ndi dokotala wanu za mankhwala enaake ngati awa.
Uthenga Wopita Nawo Kunyumba
- Hypogastric Plexus Block ndi jakisoni wapadera womwe umagwiritsidwa ntchito pochiza ululu waukulu m'mimba ndi m'chiuno womwe sungathetsedwe ndi mankhwala ena.
- Izi zimalamulira ululu mwa kulepheretsa kwakanthawi kapena kwa nthawi yayitali mitsempha yomwe imanyamula zizindikiro za ululu kupita ku ubongo.
- Iyi ndi njira yochizira yomwe imachitidwa ndi katswiri, yokhala ndi chiopsezo chochepa kwambiri, ndipo imatha kuchitidwa nthawi yochepa.
- Izi zitha kukhala njira yabwino yothetsera mavuto ambiri, monga endometriosis, ululu wa khansa, ndi ululu wotsatira opaleshoni.
- Ngati mukuvutikanso ndi ululu wosatha wa m'chiuno, lankhulani ndi dokotala wanu kuti muwone ngati njira iyi yochiritsira ndi yoyenera kwa inu.
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