Kukho iintlobo ezithile zentlungu ezantsi kwesisu okanye kwindawo ye-pelvic ezingapheliyo lula nokuba usebenzisa amayeza. Ngamanye amaxesha le ntlungu ayinyamezeleki. Ukuba nawe unengxaki, namhlanje siza kuthetha ngonyango olukhethekileyo lwayo. Oku kubizwa ngokuba yi-'Hypogastric Plexus Block'.
Ngamafutshane, yintoni iHypogastric Plexus Block?
Le yinaliti ekhethekileyo yokubulala iintlungu. Cinga ngayo ngokungathi unenkqubo yemithambo-luvo ethwala imiyalezo yentlungu esuka esiswini sakho esisezantsi iye engqondweni yakho. Into oyenzayo kolu nyango kukufaka iyeza kule mithambo-luvo esezantsi komqolo wakho (oku kubizwa ngokuba yiHypogastric Plexus) .
Xa kunikwa olu tyando, ulwazi lwentlungu oluvela kuloo mithambo-luvo ukuya ebuchotsheni luvalwa okwethutyana okanye ngokusisigxina . Kufana nokucima iswitshi yentlungu. Oku kunciphisa kakhulu intlungu esiswini sakho esisezantsi nakwindawo ye-pelvic. Ngamanye amaxesha inaliti enye inika isiqabu, ngelixa ngamanye amaxesha inaliti ezininzi zinokunikwa njengoko kufuneka.
Ziziphi iintlobo eziphambili zolu nyango?
Ngokuxhomekeke kumthombo wentlungu yakho, ugqirha wakho uya kugqiba ukuba uza kuyinika phi inaliti. Kukho iintlobo ezimbini eziphambili.
| Uhlobo lonyango | Indawo kunye nengcaciso |
|---|---|
| Ibhloko yePlexus yeHypogastric ephezulu | Kule meko, inaliti ifakwa kwinxalenye ephezulu yengcambu yemithambo-luvo emqolo wakho ongezantsi. |
| Ibhloko yePlexus engaphantsi kweHypogastric | Isitofu sinikwa kwinxalenye esezantsi yomqolo kufutshane nethambo lomsila wakho. |
Loluphi uhlobo lwentlungu olunyangwa yile gonyo?
Olu nyango lusetyenziswa kakhulu ukulawula iintlungu ezingapheliyo kwisisu sakho esisezantsi nakwindawo ye-pelvic. Oku kuquka iintlungu kumalungu akho alandelayo:
- Isinyi
- Ikholoni
- Amathumbu asezantsi
- I-prostate okanye amasende
- Isibeleko okanye ama-ovari
Olu nyango ludla ngokucetyiswa kwiintlungu ezihlala ixesha elide ezinzima ukuzilawula ngeepilisi zokuphelisa iintlungu zomlomo. Lungaba sisisombululo esisebenzayo kakhulu kwiintlungu ezibangelwa zezi meko zilandelayo zonyango:
| Imeko yezonyango enokubangela intlungu |
|---|
| Umhlaza |
| I-Endometriosis |
| Umonakalo obangelwa zizinto ezifana notyando okanye unyango lwemitha |
| I-Interstitial Cystitis - imeko ebuhlungu yesinyi |
| Isifo samathumbu esirhawuzelelwayo (IBS) |
| Isifo seNtlungu sePelvic Complex Regional Pain Syndrome |
| Isifo Sokuvuvukala Kwesinqe (PID) |
Ndingazilungiselela njani ngaphambi konyango?
Ugqirha wakho uza kukunika imiyalelo ethile ekufuneka uyilandele ngaphambi kolu nyango. Ezona ziphambili zezi:
- Kuphephe ukutya okanye ukusela ngokupheleleyo iiyure ezimbalwa ngaphambi konyango .
- Amanye amayeza osele uwasebenzisa (ingakumbi amayeza okunciphisa igazi) angadinga ukuyekiswa okwethutyana ngokwengcebiso kagqirha wakho. Ungaze uqale okanye uyeke ukuthatha naliphi na iyeza ngaphandle kokubonisana nogqirha wakho kuqala.
- Ekubeni ungayi kukwazi ukuqhuba imoto emva konyango, kubalulekile ukulungiselela ukuba umntu akuse apho aze akubuyisele ekhaya.
- Olu nyango lwenziwa ngooGqirha boLawulo lweeNhlungu eziPhakathi, ngoko ungababuza nayiphi na imibuzo onokuba nayo.
Masifunde inyathelo ngenyathelo indlela olusebenza ngayo unyango.
Olu lunyango oluqhutywa ngaphandle kwesibhedlele, oko kuthetha ukuba akufuneki uhlale esibhedlele. Le yindlela yonke inkqubo edla ngokuhamba ngayo.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukuzola | Unikwa iyeza lokuthomalalisa nge-cannula efakwe emthanjeni engalweni yakho. Awuyi kulala, kodwa uya kuphumla. |
| 2. Indlela echanekileyo yokuma | Uza kujika uze ulaliswe ngesisu sakho ebhedini ekhethekileyo exhotyiswe ngomatshini we-X-reyi. |
| 3. Ukungabi namandla kwendawo | Indawo engaphantsi komqolo apho kuza kufakwa khona inaliti icocekile kakuhle kwaye kunikwa inaliti encinci (i-local analgesic) ukuze kuthintelwe ulusu. |
| 4. Isikhokelo se-X-reyi | Ukujonga isikrini se-X-ray, ugqirha ufaka iinaliti ezimbini ngononophelo kwiingcambu zemithambo-luvo ezichanekileyo. |
| 5. Ukuqinisekiswa kwendawo | Ukuqinisekisa ukuba iinaliti zikwindawo efanelekileyo, kufakwa idayi ekhethekileyo (idayi yokwahlulahlula) ize ihlolwe nge-X-ray. |
| 6. Ukutofa iyeza | Nje ukuba indawo leyo iqinisekisiwe, amayeza eentlungu (iyeza lokunciphisa iintlungu kunye/okanye i-steroid) ayafakwa. |
| 7. (Kuphela xa kuyimfuneko) | Kwintlungu ebuhlungu ebangelwa zizifo ezifana nomhlaza, into efana notywala okanye i-phenol ingafakwa ukuze itshabalalise ngokupheleleyo imithambo-luvo kwaye inike isiqabu sexesha elide. |
Lonke olu cwangciso ludla ngokuthatha malunga nemizuzu engama-30 . Emva koko, uya kuba phantsi kweliso malunga nemizuzu engama-30, kwaye uya kukwazi ukuya ekhaya kungekapheli neyure.
Yintoni onokuyilindela emva konyango?
Emva konyango, indawo yakho yangaphantsi isenokuvakala ifudumele okanye "yahlukile." Oku kuqhelekile. Uninzi lwabantu luqala ukuziva ukuncipha kwentlungu kwimizuzu engama-30 emva kokufakwa inaliti.
Kunokubakho ukukrweleka okanye iintlungu ezincinci kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbini ukuya kwezintathu. Oku kuqhelekile. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo, yazisa ugqirha wakho ngoko nangoko.
Zithini iingenelo kunye neengozi?
Eyona nzuzo iphambili kukuba iyanciphisa iintlungu esiswini okanye kwisinqe. Ikwanceda ekunciphiseni ukusetyenziswa rhoqo kwemithi yokuthomalalisa iintlungu ngomlomo.
Khumbula, umngcipheko weengxaki ezivela kolu nyango uphantsi kakhulu. Nangona kunjalo, njengakuyo nayiphi na indlela yonyango, kunokubakho iingozi ezincinci.
Phakathi kweengxaki ezinokubakho:
- Ukusabela kwi-allergy kumayeza asetyenzisiweyo.
- Ukopha.
- Usulelo (umkhuhlane, ukudumba okukhulu okanye iintlungu eziqatha kwindawo yokutofa).
- Ukonakala kwamalungu omzimba okanye imithambo yegazi ejikelezileyo.
- Ukonakala kwezinye imithambo-luvo engaphandle kwengcambu yemithambo-luvo.
Ixesha lokuchacha kunye nokunciphisa iintlungu
Emva konyango, kufuneka uye ekhaya uphumle kakuhle. Kuphephe ukwenza imisebenzi enzima iiyure ezingama-24. Ungaqhubeka nemisebenzi yakho yesiqhelo ngosuku olulandelayo. Qala kwakhona nawaphi na amayeza owayekile ukuwasebenzisa njengoko kuyalelwe ngugqirha wakho.
Ubude bexesha lokunciphisa iintlungu buxhomekeke kumayeza asetyenzisiweyo.
- Ukuba kusetyenziswa isithomalalisi sobuhlungu kuphela, ukukhululeka kuya kuhlala iiyure ezimbalwa okanye iintsuku ezimbalwa .
- Ukuba kusetyenziswa iyeza le-steroid, isiqabu singathatha iiveki ezininzi ukuya kwiinyanga ezininzi .
Ngokuxhomekeke kwimeko yakho, ungadinga iinaliti ezininzi ukuze ufumane iziphumo ezilungileyo. Ugqirha wakho uza kukuchazela oku.
Ufanele uthethe nini nogqirha?
Fowunela ugqirha wakho ngoko nangoko ukuba kukho ezi mpawu zilandelayo:
- Ukuba intlungu iyanda endaweni yokuncipha okanye ayinciphi.
- Ukuba ufumana iziphumo ebezingalindelekanga ezifana nomkhuhlane, ukudumba okukhulu kwindawo ohlatywe kuyo inaliti, okanye iintlungu ezinganyamezelekiyo .
- Ukuba uziva ubuthathaka emilenzeni yakho .
Ukuphila nentlungu engapheliyo kunokuba nefuthe elikhulu kwimpilo yakho yengqondo neyomzimba. Ngoko ke akukho mfuneko "yokunyamezela" intlungu. Ukuba awufumani ncedo kunyango oluqhelekileyo, thetha nogqirha wakho malunga nolu hlobo lonyango olukhethekileyo kwaye ukhethe isisombululo esifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-Hypogastric Plexus Block lunyango olukhethekileyo lwenaliti olusetyenziselwa ukunyanga iintlungu eziqatha kwisisu esisezantsi nakwindawo ye-pelvic ekunzima ukuyilawula ngezinye iindlela zonyango.
- Olu lunyango olukhuselekileyo kakhulu olunokwenziwa ngemizuzu engama-30 nje kuphela kwaye lungenziwa ngaphandle kokuhlala esibhedlele.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (njengokuphepha ukutya nokusela, ukulungiselela ukuthuthwa) ngaphambi konyango.
- Ixesha lokuphelisa iintlungu linokwahluka ngokuxhomekeke kumntu kunye namayeza asetyenzisiweyo.
- Ukuba intlungu iyanda emva konyango okanye ukuba ufumana iimpawu ezingaqhelekanga ezifana nomkhuhlane okanye ukudumba, yazisa ugqirha wakho ngoko nangoko.
- Musa ukubandezeleka buthule ngenxa yentlungu engapheliyo. Thetha nogqirha wakho malunga neendlela ezikhoyo zokulawula iintlungu.
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