Ngamanye amaxesha sibaneentlungu zesisu ezingapheliyo ngepilisi elula. Ingakumbi kwiimeko ezifana nomhlaza wepancreatic okanye i-pancreatitis, iintlungu kunzima kakhulu ukuzinyamezela. Ngoko ke namhlanje siza kuthetha ngendlela ekhethekileyo yonyango esetyenziselwa ukulawula iintlungu ezinzima kangaka.
Yintoni iCeliac Plexus Block?
Ngamafutshane, le yinaliti enikwa ukulawula iintlungu. Ngaphakathi esiswini sethu, kwinxalenye ephezulu, kukho indawo ebizwa ngokuba yi-'celiac plexus' apho kuhlanganiswa khona imithambo-luvo emininzi. Ifana neziko lemiyalezo yemithambo-luvo esiswini sethu. Iimpawu zentlungu ezivela kwizitho ezifana nesibindi sethu, isisu, ipancreas, inyongo, amathumbu ziya ebuchotsheni ngale mithambo-luvo.
Ngoko ke, kwi-'Celiac Plexus Block', iyeza lifakwa kule mithambo-luvo, lithintela okwethutyana okanye ngokusisigxina imiqondiso yentlungu ukuba ingangeni engqondweni. Kufana 'nokunciphisa' umnxeba malunga neentlungu. Olu lunyango 'lokuthintela imithambo-luvo'.
Le mithambo-luvo iqhagamshelwe kweliphi ilungu lomzimba?
- Inyongo
- Amathumbu
- Isibindi
- I-Pancreas
- Isisu
Xa kukho into engalunganga kwezi zitho kwaye le mithambo-luvo icinezelwe, kuvela iintlungu eziqatha.
Ziziphi iindlela zokusebenzisa olu nyango?
Olu nyango ludla ngokusetyenziselwa iintlungu zesisu ezinzima nezingapheliyo ekunzima ukuzilawula ngezinye izithomalalisi zentlungu.
| Imeko yezonyango | Indlela unyango olunceda ngayo |
|---|---|
| Umhlaza wePancreatic | Iithumba ezinomhlaza zinokucinezela loo mithambo-luvo. Olu nyango lunokunciphisa iintlungu eziqatha ezenzekayo. |
| I-Pancreatitis | Olu nyango lunceda ekunciphiseni iintlungu eziqatha esiswini esingaphezulu nasemqolo ezibangelwa yi-pancreatitis. |
Abantu abaninzi abafunyaniswe benomhlaza wepancreatic sele benentlungu enzima. Oogqirha banika iintlungu eziqatha zokunyanga oku. Nangona kunjalo, la mayeza anokubangela iziphumo ebezingalindelekanga ezifana nokulahlekelwa yinkumbulo, ukuqhina, kunye nokugabha . Ngamanye amaxesha, nasemva kokusela la mayeza, intlungu ayipheli ngokupheleleyo. Kwimeko ezinjalo, i-`Celiac Plexus Block` inokuba luncedo kakhulu.
Ufanele ulungiselele njani oku?
Ugqirha wakho uza kukucebisa ngezinto ekufuneka uzenze ngaphambi kolu nyango. Badla ngokuthi:
- Ukuyeka amayeza athile: Amanye amayeza, afana ne -blood thinners, anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi konyango lwakho. Nangona kunjalo, ungaze uyeke ukuwasebenzisa ngaphandle kwengcebiso kagqirha wakho.
- Ukuphepha ukutya nokusela: Uza kucelwa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi konyango. Kukhuselekile ukuba nesisu esingenanto ngexesha lonyango.
- Kuphephe ukutshaya: Ukuba ungumntu otshayayo, kungcono ukuyeka, kuba oko kunokunyusa umngcipheko weengxaki.
- Ukulungiselela imoto: Le yinkqubo yokunyanga ngaphandle kwesibhedlele. Oku kuthetha ukuba ungagoduka ngaloo mini inye. Nangona kunjalo, kuba awuyi kukwazi ukuqhuba emva kwenkqubo, kuya kufuneka uzise umntu oza kukuyisa ekhaya.
Kwenzeka ntoni ngexesha lonyango?
Kulandelwa la manyathelo alandelayo ngeli xesha lonyango:
1. Okokuqala, ukuze uzole, uza kunikwa iyeza elincinci (elithomalalisa ulusu) emthanjeni osengalweni yakho. Oku kuza kukwenza uzive ukhululekile, kodwa akuyi kukwenza ulale ngokupheleleyo.
2. Emva koko uya kulaliswa ngesisu etafileni. Umqamelo uya kubekwa phantsi kwezinqe zakho. Ukuba awukhululekanga ukulala ngaloo ndlela, unokwenziwa ulale ngomqolo.
3. Indawo yokufaka inaliti icocwe kakuhle ngesisombululo se-antiseptic.
4. Emva koko, kufakwa inaliti encinci ye-anesthetic yendawo. Kule ndawo, ungaziva uhlatywa kancinci.
5. Emva koko, kufakwa inaliti kwaye kufakwa idayi ekhethekileyo (idayi yokwahlulahlula). Le dayi inokubonwa kwi-X-ray, kwi-CT scan, okanye kwi-endoscopic ultrasound. Oku kuvumela ugqirha ukuba abone ngqo apho afaka khona iyeza.
6. Nje ukuba indawo echanekileyo ifunyenwe, kufakwa i-painkiller okanye i-steroid kwi-nerve bundle.
7. Ngamanye amaxesha, ukuba ufuna ukuyeka iintlungu ixesha elide, kufakwa ikhemikhali ebizwa ngokuba yi-alcohol okanye i-phenol ukuze kucinywe ezinye zemithambo-luvo. Oku kubizwa ngokuba yi-'neurolytic procedure'.
Lonke olu nyango ludla ngokuthatha malunga neyure. Nangona kunjalo, ukujova ngokwako kuthatha imizuzu embalwa kuphela. Kukho ixesha lokulungiselela kwangaphambili kunye nemizuzu engama-30 yokujonga emva konyango.
Kwenzeka ntoni emva konyango? Kwaye zithini iingenelo zalo?
Ungaqala ukuziva ukhululekile kwimizuzu engama-30 emva konyango. Uza kuhlolwa ubuncinane imizuzu engama-30 ngaphambi kokuba uthunyelwe ekhaya. Uza kukwazi ukuya ekhaya kwisithuba esingangeyure. Nangona kunjalo, nceda ukhumbule ukuba omnye umntu akuqhubele.
Olu nyango lunokunciphisa inani leepilisi zokuthomalalisa iintlungu ekufuneka uzithathe rhoqo, nto leyo enciphisa nemiphumo emibi yaloo mayeza.
Iingenelo eziphambili zoku zezi:
- Ukulawula iintlungu eziqatha zesisu ezingapheliyo.
- Ukunciphisa intlungu yokuqalisa.
- Ukunciphisa inani leepilisi zokuphelisa iintlungu ezithethwayo.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Iingxaki ezinkulu ezivela kolu nyango azixhaphakanga . Nangona kunjalo, ezinye iziphumo ebezingalindelekanga zinokubakho. Ugqirha wakho uza kukwazisa ngazo zonke ezi zinto ngaphambi kokuba unyango luqale.
| Uhlobo lwesiphumo esibi | Izinto ezinokwenzeka |
|---|---|
| Iziphumo ebezingalindelekanga eziqhele ukubonwa | |
| Indawo yokutofa | Ukudumba, ukudumba, okanye ubuhlungu |
| Okunye | Urhudo (intlungu yesisu), uxinzelelo lwegazi oluphantsi, ukuhlanza |
| Iimeko ezinzulu ezinokwenzeka ngokungaqhelekanga | |
| Iimpendulo kunye nomonakalo | Ukunganyamezelani ne-anesthetic okanye idayi, umonakalo wemithambo-luvo, umonakalo wezintso okanye amanye amalungu omzimba, ukuncipha kokuhamba kwegazi ukuya emgogodleni, ukulibaziseka kokukhupha ukutya esiswini (i-gastroparesis) |
| Ezinye iimeko ezinzulu | Ukukhubazeka (ngenxa yomonakalo womqolo), ukuxhuzula |
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingahlala ixesha elingakanani ndingenazintlungu?
Ungabuyela kwimisebenzi eqhelekileyo kwiiyure ezingama-24 ukuya kwezingama-48 emva konyango. Nangona kunjalo, musa ukuqhuba, ukwenza umthambo, okanye ukuphakamisa izinto ezinzima kwiiyure ezingama-24 zokuqala. Ungatya kwaye usele ngokwesiqhelo.
Ixesha elithathwayo ukuze ungabi nantlungu liyahluka ukusuka kumntu ukuya komnye.
- Umxube we-painkillers kunye ne-steroids unokubonelela ngokunciphisa iintlungu kangangeenyanga ezintathu ukuya kwezintandathu . Kusenokufuneka olunye utyando kwixesha elizayo.
- Kodwa ukuba usebenzisa indlela ye-'neurolytic' (ukujova into efana notywala), ukuphelisa iintlungu kunokuhlala ixesha elide , mhlawumbi ngonaphakade.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva konyango, qhagamshelana nogqirha wakho ngaphandle kokulibazisa.
- Iimpawu zoxinzelelo lwegazi oluphantsi ezifana nesiyezi, ukuquleka, kunye nokunxanwa kakhulu.
- Ubunzima bokuphefumla .
- Iimpawu zosulelo, ezinje ngokuba bomvu, ubomvu, okanye umkhuhlane kwindawo efakwe inaliti.
- Ukuba ndindisholo, ukurhawuzelela, okanye ukuba ndindisholo emilenzeni .
Intlungu yimeko esongela ubomi. Usenokungakwazi ukuphuma ebhedini okanye uchithe ixesha nabantu obathandayo ngenxa yentlungu. Nokuba usela amayeza okudambisa iintlungu, usenokungaziva kakuhle ngenxa yeziphumo ebezingalindelekanga. Ngoko ke ukuba intlungu yakho iphazamisana nobomi bakho bemihla ngemihla, thetha nogqirha wakho malunga nonyango olutsha olufana neCeliac Plexus Block.
Umyalezo Wokuya Ekhaya
- I-Celiac Plexus Block lunyango olukhethekileyo lwenaliti olusetyenziselwa ukulawula iintlungu eziqatha zesisu ezibangelwa zizifo ezifana nomhlaza wepancreatic okanye ukudumba.
- Oku kuthintela ukudluliselwa kwemiqondiso yentlungu engqondweni, nto leyo enika isiqabu kwiintlungu.
- Le yinkqubo ekhuselekileyo kwaye ingenziwa ngaphandle kokuhlala esibhedlele.
- Iziphumo ebezingalindelekanga ezibi kakhulu azixhaphakanga, kodwa ukuba ufumana iimpawu ezifana nesiyezi, ubunzima bokuphefumla, okanye ukungabi nangqondo emilenzeni yakho, xelela ugqirha wakho ngoko nangoko.
- Olu nyango lunokuphucula kakhulu umgangatho wobomi kwaye lunciphise ukusetyenziswa kwezidambisi-ntlungu.
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