Dzimwe nguva kurwadziwa kwepazasi pedumbu nepachiuno kwakanyanya zvekuti zvakaoma kutaura. Unonetseka here nekurwadziwa kwakanyanya zvekuti zvinonetsa kuita mabasa ezuva nezuva kunyangwe uchishandisa mushonga? Nhasi tichataura nezvenzira chaiyo yekurapa inoshandiswa kudzora rudzi urwu rwekurwadziwa kwenguva refu. Izvi zvinonzi `Hypogastric Plexus Block`.
Chii chinonzi Hypogastric Plexus Block?
Zvichitaurwa zviri nyore, iyi ijekiseni rakakosha rinopihwa kudzora marwadzo. Mumusana wedu wepazasi, mune tsinga dzinobatanidza, nzvimbo iyo tsinga zhinji dzinotakura zviratidzo zvekurwadziwa zvine chekuita nedumbu repazasi nenzvimbo yechiuno dzinosangana kuuropi. Izvi zvinonzi `Hypogastric Plexus`.
Fungidzira nezvazvo sedanda guru refoni rine waya dzakawanda dzakabatana naro. Zviratidzo zvese zvekurwadziwa zvinobva mudumbu rako rezasi, chibereko, dundira, kana nhengo dzakakomberedza zvinoenda kuuropi hwako kuburikidza netsinga idzi. Saka, zvaunoita mukurapa uku ndezvekuti, unoshandisa X-ray kuti uwane chaipo panetsinga idzodzo, uye unoisa mushonga mauri. Mushonga uyu kwenguva pfupi kana kwenguva refu unoisa tsinga dzinotakura zviratidzo zvekurwadziwa kuhope. Izvi zvinoreva kuti zviratidzo zvekurwadziwa zvinomira kufamba. Izvi ndizvo zvatinodaidza kuti 'block'.
Ndeapi marudzi emarwadzo anonyanya kushandiswa pakurapa uku?
Vanachiremba vanowanzo kurudzira mushonga uyu kuvanhu vane kurwadziwa kwenguva refu kwechiuno uko kwakaoma kudzora nekushandisa mishonga inonyaradza marwadzo inonwiwa. Inoshanda zvikuru pakurwadziwa munzvimbo dzinotevera:
- Dundira
- Colon
- Chibereko kana mazamu
- Prostate kana machende
Tafura iri pazasi inoratidza zvirwere zvakasiyana-siyana zvingada kurapwa uku.
| Dambudziko rehutano | Tsananguro |
|---|---|
| Kenza | Kurwadziwa kwakanyanya kunokonzerwa nekenza yemudumbu. |
| Endometriosis | Kurwadziwa kwakanyanya, kusingaperi muchiuno kuvakadzi. |
| Cystitis yemukati memukati | Dambudziko rinorwadza mudundira. |
| Marwadzo mushure mekuvhiyiwa kana kurapwa nemwaranzi | Kurwadziwa kwenguva refu mushure mekuvhiyiwa mudumbu kana kurapwa nemwaranzi. |
| Zvimwe zvirwere zvisingaperi | Marwadzo anokonzerwa nezvirwere zvakaita seIrritable Bowel Syndrome (IBS) uye Pelvic Inflammatory Disease. |
Ndinofanira kugadzirira sei ndisati ndarapwa?
Kana ukapihwa mushonga uyu, chiremba wako achakupa mirairo chaiyo. Mimwe mikuru ndeiyi:
- Uchakumbirwa kuti urege kudya nekunwa zvachose kwemaawa akati wandei usati watanga kurapwa.
- Mimwe mishonga yauri kutora (kunyanya mishonga inobvisa ropa yakaita seAspirin neWarfarin) ingangoda kumira zuva rimwe kana maviri pachine nguva. Zvisinei, izvi zvinofanirwa kuitwa chete uchitarisirwa nachiremba wako. Usamborega kana kutanga chero mushonga usina kurairwa nachiremba wako.
- Mushure mekurapwa, unenge wava nepfungwa dzakapfava zvekuti hauzokwanisi kutyaira wega. Saka, zvakakosha kuronga kuti mumwe munhu akutore uende kumba nekudzoka.
Kushanda kwekurapa nhanho nhanho
Kurapa uku kunowanzotora maminetsi makumi matatu uye kunoitwa nachiremba ane hunyanzvi mukurapa marwadzo.
Chinhu chakakosha ndechekuti haurare panguva yekurapwa uku. Unongopihwa mushonga wekunyaradza (kunyaradza) netsinga. Sezvo wakamuka, chiremba anogona kutaura newe oita kurapwa.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Kugadzirira | Uchakumbirwa kurara nedumbu rako patafura yeX-ray. Zvadaro cannula ichaiswa mutsinga iri muruoko rwako uye mushonga uchapihwa kuti unzwe wakasununguka. |
| 2. Kusanzwa ganda | Nzvimbo yepazasi pemusana pachaiswa tsono inocheneswa uye mushonga wekurwadziwa unopinzwa munzvimbo yacho. |
| 3. Kupinza tsono | Nerubatsiro rwemuchina weX-ray (fluoroscopy), chiremba anoisa tsono mbiri dzakatetepa mumusana wako wepazasi uye anodzitungamirira kunzvimbo chaiyo yetsinga dzeropa. |
| 4. Kusimbiswa kwenzvimbo | Kuti tive nechokwadi chekuti tsono dziri panzvimbo chaiyo, tinobaya dhayi diki tobva tatora X-ray kuti tione kuti ganda racho rakagadzirwa zvakanaka here. |
| 5. Jekiseni remushonga | Kana nzvimbo yacho yasimbiswa, mushonga wekuderedza marwadzo (unowanzova mushonga unopedza marwadzo uye steroid) unobayiwa wakatenderedza tsinga. Muzviitiko zvakaita sekenza, mushonga unouraya tsinga wedoro kana phenol unogona kubayiwawo kuti ureruke kwenguva refu. |
Chii chinoitika mushure mekurapwa?
Mushure mekurapwa, muchachengetwa muchiongororwa kweinenge hafu yeawa mozobvumirwa kudzokera kumba mukati meawa imwe chete.
- Kurerutswa kwemarwadzo: Vanhu vazhinji vanorerutswa zvakanyanya mumarwadzo mukati memaminitsi makumi matatu ekubaiwa jekiseni. Zvakajairika kuti nzvimbo yechiuno inzwe ichidziya zvishoma kana kuti "yakasiyana."
- Migumisiro: Nzvimbo yekubaiwa jekiseni inogona kuva inorwadza zvishoma uye yakakuvara kwemazuva maviri kusvika matatu. Izvi zvakajairika.
- Zorora: Zvakakosha kuzorora kwemaawa makumi maviri nemana mushure mekuenda kumba. Usaite basa rinorema kana maekisesaizi. Unogona kutangazve mabasa ako ezuva nezuva mangwana acho.
Kurerukirwa kwemarwadzo kunogara kwenguva yakareba sei?
Izvi zvinoenderana nerudzi rwemushonga waunopiwa. Kana ukapihwa mushonga unopedza marwadzo chete, zororo racho rinotora maawa mashoma kana mazuva mashoma. Kana ukapihwa mushonga westeroid, marwadzo anogona kutora mavhiki kusvika kumwedzi. Vamwe vanhu vanofanira kubaiwa majekiseni akawanda kuti vawane mhedzisiro yakanaka.
Ndinofanira kufonera chiremba rini?
Njodzi yematambudziko akakomba anokonzerwa nekurapwa uku yakaderera zvikuru. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, unofanira kuonana nachiremba wako nekukasika .
- Kana kurwadziwa kukawedzera pachinzvimbo chekuderera.
- Kana ukanzwa fivha .
- Kana nzvimbo yekubaiwa jekiseni ichirwadza zvakanyanya, yakazvimba, kana kuti yakatsvuka .
- Kana uchinzwa kushaya simba mumakumbo ako .
Kurarama nekurwadziwa kusingaperi kunogona kukanganisa hutano hwako hwepfungwa nehwemuviri. Saka hapana chikonzero cheku "tsungirira" kurwadziwa. Kana usiri kuwana zororo kubva kumishonga yekurwadziwa yenguva dzose, taura nachiremba wako nezvemishonga chaiyo yakaita seiyi.
Mharidzo Yekuenda Nayo Kumba
- Hypogastric Plexus Block inzira yekurapa nejekiseni rakanyanya kushandiswa pakurwadziwa kwakanyanya mudumbu rezasi nepahudyu uko kusingadzoreki nemimwe mishonga.
- Izvi zvinodzora marwadzo nekukanganisa kwenguva pfupi kana kwenguva refu tsinga dzinotakura zviratidzo zvekurwadziwa kuenda kuuropi.
- Iyi inzira yekurapa inoitwa nenyanzvi, ine njodzi shoma, uye inogona kupedzwa munguva pfupi.
- Izvi zvinogona kuva mhinduro inobudirira kune zvirwere zvakawanda, zvakaita se endometriosis, marwadzo ekenza, uye marwadzo epashure pekuvhiyiwa.
- Kana uchirwadziwawo kwenguva refu muchiuno, taura nachiremba wako kuti uone kana nzira iyi yekurapa yakakunakira.
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