Ngamanye amaxesha intlungu esezantsi kwesisu nakwisinqe inzima kangangokuba kunzima ukuyichaza ngamazwi. Ngaba ulwa nentlungu enzima kangangokuba kunzima ukwenza imisebenzi yemihla ngemihla nokuba usebenzisa amayeza? Namhlanje siza kuthetha ngendlela ethile yonyango esetyenziselwa ukulawula olu hlobo lwentlungu yexesha elide. Oku kubizwa ngokuba yi-'Hypogastric Plexus Block'.
Yintoni iHypogastric Plexus Block?
Ngamafutshane, le yinaliti ekhethekileyo enikwa ukulawula iintlungu. Kwisinqe sethu esisezantsi, kukho i-nerve bundle, indawo apho imithambo-luvo emininzi ethwala imiqondiso yentlungu enxulumene nesisu esisezantsi kunye nommandla we-pelvic idibana khona engqondweni. Oku kubizwa ngokuba yi-'Hypogastric Plexus'.
Cinga ngayo njengepali enkulu yefowuni eneentambo ezininzi ezidityaniswe kuyo. Zonke iimpawu zentlungu ezivela esiswini sakho esisezantsi, esibelekweni, kwisinyi, okanye kwizitho ezingqongileyo ziya engqondweni yakho ngale nqwaba yemithambo-luvo. Ngoko ke, into oyenzayo kolu nyango kukuba, usebenzisa i-X-ray ukuze ufumane kanye apho ikhoyo loo nqwaba yemithambo-luvo, uze ufake iyeza kuyo. Eli yeza okwethutyana okanye ixesha elide libeka imithambo-luvo ethwala iimpawu zentlungu ebuthongweni. Oko kuthetha ukuba iimpawu zentlungu ziyeka ukuhamba. Oku sikubiza ngokuba yi-'block'.
Zeziphi iintlobo zentlungu ezisetyenziswa kakhulu kolu nyango?
Oogqirha badla ngokucebisa olu nyango kubantu abaneentlungu ezingapheliyo ze-pelvic ezinzima ukuzilawula ngee-painkillers zomlomo. Lusebenza ngakumbi kwiintlungu kwezi ndawo zilandelayo:
- Isinyi
- Ikholoni
- Isibeleko okanye ama-ovari
- I-prostate okanye amasende
Le theyibhile ingezantsi idwelisa iimeko ezininzi zonyango ezinokufuna olu nyango.
| Imeko yezonyango | Inkcazo |
|---|---|
| Umhlaza | Intlungu ebuhlungu ebangelwa ngumhlaza wesisu. |
| I-Endometriosis | Iintlungu eziqatha nezingapheliyo zesinqe kubafazi. |
| I-Interstitial Cystitis | Imeko ebuhlungu kwisinyi. |
| Intlungu emva kotyando okanye unyango lwemitha | Intlungu yexesha elide emva kotyando lwesisu okanye unyango lwemitha. |
| Ezinye izifo ezingapheliyo | Iintlungu ezibangelwa zizifo ezifana ne-Irritable Bowel Syndrome (IBS) kunye nePelvic Inflammatory Disease. |
Ndingazilungiselela njani ngaphambi konyango?
Ukuba ufumana olu nyango, ugqirha wakho uza kukunika imiyalelo ethile. Eyona iphambili yile:
- Uza kucelwa ukuba uyeke ngokupheleleyo ukutya nokusela kangangeeyure ezimbalwa ngaphambi konyango.
- Amanye amayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi afana ne-Aspirin kunye ne-Warfarin) angadinga ukuyekiswa usuku okanye ezimbini ngaphambi kwexesha. Nangona kunjalo, oku kufanele kwenziwe kuphela phantsi kweliso likagqirha wakho. Ungaze uyeke okanye uqale naluphi na unyango ngaphandle kwengcebiso kagqirha wakho.
- Emva konyango, uya kuba nomsindo kangangokuba awuyi kukwazi ukuqhuba ngokwakho. Ngoko ke, kubalulekile ukuba ulungiselele umntu oza kukuqhubela ekhaya aze akubuyisele.
Indlela unyango olusebenza ngayo inyathelo ngenyathelo
Olu nyango ludla ngokuthatha malunga nemizuzu engama-30 kwaye lwenziwa ngugqirha ochwephesha ekulawuleni iintlungu.
Into ebalulekileyo kukuba ungalali ngexesha lonyango. Unikwa kuphela isithomalalisi (isithomalalisi) ngemithambo yegazi. Ekubeni uvukile, ugqirha angathetha nawe aze enze unyango.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uza kucelwa ukuba ulale ngesisu sakho kwitafile ye-X-ray. Emva koko i-cannula iza kufakwa kumthambo osengalweni yakho kwaye uza kunikwa iyeza lokukwenza uzive ukhululekile. |
| 2. Ulusu lubuthathaka | Indawo yomqolo ongezantsi apho inaliti iza kufakwa khona iyacocwa kwaye kufakwa i-anesthetic yendawo kuloo ndawo. |
| 3. Ukufakwa kwenaliti | Ngoncedo lomatshini we-X-ray (fluoroscopy), ugqirha ufaka iinaliti ezimbini ezincinci kakhulu emqolo wakho ongezantsi aze azikhokelele kwindawo echanekileyo ye-nerve plexus. |
| 4. Ukuqinisekiswa kwendawo | Ukuqinisekisa ukuba iinaliti zikwindawo efanelekileyo, kufakwa idayi encinci kwaye kuthathwa i-X-ray ukuqinisekisa. |
| 5. Inaliti yeyeza | Nje ukuba indawo leyo iqinisekisiwe, kufakwa i-painkiller (edla ngokuba liyeza lokubulala iintlungu kunye ne-steroid) ejikeleze i-nerve bundle. Kwiimeko ezifana nomhlaza, isisombululo sotywala okanye i-phenol esitshabalalisa imithambo-luvo sinokufakwa ukuze kuthomalaliswe ixesha elide. |
Kwenzeka ntoni emva konyango?
Emva konyango, uza kugcinwa phantsi koqwalaselo malunga nesiqingatha seyure uze emva koko uvunyelwe ukuba ugoduke kungekapheli neyure.
- Ukuphelisa iintlungu: Uninzi lwabantu lufumana ukukhululeka okukhulu kwiintlungu kwimizuzu engama-30 emva kokufakwa inaliti. Kuqhelekile ukuba indawo ye-pelvic ivakale ishushu kancinci okanye "yahlukile."
- Iziphumo ebezingalindelekanga: Indawo efakwe kuyo inaliti inokuba buhlungu kancinci kwaye ivuthuluke kangangeentsuku ezimbini ukuya kwezintathu. Oku kuqhelekile.
- Ukuphumla: Kubalulekile ukuphumla iiyure ezingama-24 emva kokuba ubuyele ekhaya. Musa ukwenza nawuphi na umsebenzi onzima okanye umthambo. Ungaqhubeka nemisebenzi yakho yesiqhelo ngosuku olulandelayo.
Ihlala ixesha elingakanani le ntlungu?
Oku kuxhomekeke kuhlobo lwamayeza owanikwayo. Ukuba unikwa amayeza okuphelisa iintlungu kuphela, ukukhululeka kuya kuhlala iiyure ezimbalwa okanye iintsuku ezimbalwa. Ukuba unikwa i-steroid, ukukhululeka kwentlungu kunokuhlala iiveki ukuya kwiinyanga. Abanye abantu kufuneka bafakwe inaliti ezininzi ukuze bafumane iziphumo ezilungileyo.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Umngcipheko weengxaki ezinkulu ezinxulumene nolu nyango uphantsi kakhulu. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko .
- Ukuba intlungu iyanda endaweni yokuncipha.
- Ukuba ufumana umkhuhlane .
- Ukuba indawo efakwe kuyo inaliti ibuhlungu kakhulu, idumbile, okanye ibomvu .
- Ukuba uziva ubuthathaka emilenzeni yakho .
Ukuphila neentlungu ezingapheliyo kunokuba nefuthe elikhulu kwimpilo yakho yengqondo neyomzimba. Ngoko ke akukho mfuneko "yokunyamezela" iintlungu. Ukuba awufumani ncedo kwiipilisi zentlungu eziqhelekileyo, thetha nogqirha wakho malunga nonyango oluthile olufana nolu.
Umyalezo Wokuya Ekhaya
- I-Hypogastric Plexus Block lunyango olukhethekileyo lwenaliti olusetyenziselwa iintlungu eziqatha esiswini esisezantsi nakwindawo ye-pelvic engenakulawulwa ngamanye amayeza.
- Oku kulawula iintlungu ngokukhubaza okwethutyana okanye ixesha elide iqela leemithambo-luvo ezithwala imiqondiso yeentlungu eziya engqondweni.
- Le yindlela yonyango eyenziwa yingcali, enomngcipheko omncinci kakhulu, kwaye ingagqitywa ngexesha elifutshane.
- Oku kungaba sisisombululo esiphumelelayo kwiimeko ezininzi, ezifana ne-endometriosis, iintlungu zomhlaza, kunye neentlungu emva kotyando.
- Ukuba unesifo esingapheliyo se-pelvic pain, thetha nogqirha wakho ukuze ubone ukuba le ndlela yonyango ikulungele na.
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