Ngaba ngamanye amaxesha ukhe ube nentlungu engathethekiyo esiswini sakho esisezantsi okanye kwindawo yangasese? Mhlawumbi le ntlungu yenza kube nzima ukuhlala okanye ukwenza imisebenzi eqhelekileyo. Namhlanje sithetha ngendlela ekhethekileyo yonyango esetyenziswa ngoogqirha kwiimeko ezinjalo. Ibizwa ngokuba yiPudendal Nerve Block.
Kalula nje, yintoni iPudendal Nerve Block?
Oku ngenene yinaliti. Ukuchaneka, kubandakanya ukufaka iyeza lokunciphisa iintlungu kwindawo yakho ye-pelvic kufutshane ne-pudendal nerve. Oku kunokubonelela ngoncedo lwentlungu okwethutyana okanye ngamanye amaxesha ixesha elide.
Cinga nje, le nerve ye-pudendal yi-nerve enkulu ethwala imvakalelo ukusuka ngasemva kwe-pelvis yakho ukuya kwimisipha kunye nolusu kwiindawo ezifana nezitho zakho zangasese, i-anus, i-vagina, kunye ne-penis. Ukuba le nerve icinezelwe okanye icinezelwe nangayiphi na indlela, inokubangela intlungu engapheliyo ye-pelvis . Kwizonyango, sibiza oku ngokuba yi-pudendal neuralgia . Le nerve block isetyenziselwa kakhulu ukunyanga ezo meko.
Ziziphi iindlela ezisetyenziswa ngayo le gonyo?
Le ndlela yonyango isetyenziselwa iinjongo ezintathu eziphambili. Masibone ukuba zeziphi.
| Imeko yokusetyenziswa | Ingcaciso elula |
|---|---|
| Ukuxilongwa (Ukuxilongwa) | Ukuba unentlungu yesinqe kodwa awukwazi ukubona unobangela, ugqirha wakho angakunika le naliti. Ukuba intlungu yakho iyaphucuka emva kokufakwa inaliti, oko kuqinisekisa ukuba unobangela yingxaki ye-pudendal nerve. Ukuba intlungu ayiphucuki, unobangela usenokuba yinto eyahlukileyo. Oku kunokukunceda ucwangcise unyango lwakho. |
| Njengonyango | Le naliti isetyenziselwa ukunyanga iintlungu ezingapheliyo ezibangelwa zizifo ezifana ne-pudendal neuralgia. Le naliti idla ngokubandakanya ukongezwa kwe-anesthetic yendawo kwaye ngamanye amaxesha i-corticosteroid ukunciphisa ukudumba. |
| Ukuvala indawo nge-tint (i-Regional Anesthesia) | Olu tyando lusetyenziselwa ukuvala indawo kuphela ngexesha lotyando lwezifo zabasetyhini, utyando lokubeleka, kunye notyando lwamathumbu. Umzekelo, lusetyenziselwa ukunciphisa iintlungu kwilungu lobufazi ngexesha lokubeleka, nangexesha lotyando lwe-hemorrhoid. Olu lolunye uhlobo olukhuselekileyo lwe-anesthesia epheleleyo. |
Ufanele ulungiselele njani oku?
Oku akusoloko kufuna amalungiselelo amaninzi.
Nangona kunjalo, ngamanye amaxesha ugqirha wakho angagqiba ekubeni akulalise (uthomalalise) ngelixa ufumana olu hlaselo. Kwimeko enjalo, uya kucetyiswa ukuba uyeke ukutya okanye ukusela malunga neeyure ezi-6-8 . Kubalulekile nokuba nomntu oza kukuyisa ekhaya emva konyango.
Nangona kunjalo, ugqirha wakho uza kukuchazela oku kwangaphambili. Landela loo miyalelo ngokuchanekileyo. Ungoyiki ukubuza nayiphi na imibuzo onayo.
Ungagonywa njani? Ziziphi iindlela?
Ugqirha usebenzisa iindlela ezintathu eziphambili zokunika olu gonyo, kuxhomekeke kuhlobo lomzimba wakho kunye nenjongo yonyango.
Ngesitho sangasese sowesifazane (indlela ye-Transvaginal)
Le ndlela isetyenziswa kakhulu kwi-obstetrics nakwi-gynecology.
- Uza kulaliswa ebhedini ekhethekileyo, imilenze yakho ibekwe phezulu.
- Inaliti encinci (i-sedative) ingafakwa emthanjeni osengalweni yakho ukuze ikuphumze.
- Emva koko, ugqirha ufaka isandla sakhe ngaphakathi kwilungu lobufazi aze abone apho ikhoyo imithambo-luvo.
- Emva koko, kusetyenziswa isixhobo esikhethekileyo, inaliti ifakwa ngononophelo kwimithambo-luvo kwaye iyeza lifakwa. Ngamanye amaxesha oku kwenziwa ngoncedo lwetekhnoloji yokuskena efana ne -ultrasound okanye i-fluoroscopy .
Ngokudlula kwindawo ephakathi kwezitho zangasese kunye ne-anus (indlela ye-Transperineal)
Le ndlela isetyenziselwa utyando lwempundu kunye neentlungu zomlomo kumadoda.
- Kwimeko enjalo, uya kunyanzelwa ukuba ulale ujonge phezulu.
- Indawo yesikhumba apho iyeza liza kufakwa khona icocwa ngesisombululo se-antiseptic.
- Emva koko, ugqirha ufaka umnwe kwi-rectum okanye kwi-vaginal ukuze afumane indawo echanekileyo yomthambo.
- Emva koko, inaliti yokufaka inaliti ifakwa ngesikhumba ngaphandle kwaye iyeza liyafakwa.
Indlela yokujonga ngqo
Le ndlela ikwasetyenziswa kakhulu kwiindlela zotyando lweempundu kunye neentlungu zomlomo wesibeleko.
- Kule meko, ujikwa ulale phantsi.
- Njengakwezinye iindlela, indawo echanekileyo yomthambo ifumaneka ngokufaka umnwe okanye ngokusebenzisa isixhobo sokuvuselela umthambo .
- Emva koko, isitofu sinikwa ngesikhumba esikufutshane ne-anus.
Into ebalulekileyo kukuba kuzo zonke ezi ndlela, kuqala kufakwe inaliti encinci ukuze kuthintelwe indawo efakwe kuyo inaliti. Ngoko awuyi kuva ntlungu ingako. Nangona kunjalo, ungaziva ungakhululekanga xa kufakwa inaliti.
Zithini iingenelo zolu nyango?
- Ukunceda intlungu yakho iphele okwethutyana okanye ngokusisigxina: Oku kunokuba luncedo kakhulu ekwenzeni imisebenzi yakho yemihla ngemihla ngokulula.
- Inciphisa ukudumba: Inciphisa ukudumba kwimithambo-luvo, inceda ukuba iphilise.
- Ukuxilongwa ngokuchanekileyo: Oku kunokukunceda ubone ukuba ngaba i-pudendal nerve yeyona nto ibangela intlungu yakho.
- Ukhuseleko: Le ndlela ye-anesthesia yengingqi ikhuselekile kakhulu kune-anesthesia eqhelekileyo.
Abanye abantu bafumana ukukhululeka kwiintlungu kwimizuzu embalwa. Ukuba unikwa inaliti ye-steroid, kungathatha iintsuku ezimbalwa ukuze uve iziphumo zayo. Nangona kunjalo, kufuneka sikhumbule ukuba oku akuphelisi iintlungu kubo bonke abantu.
Ingaba oku kuphumelele kangakanani? Ngaba kukho iingozi?
Izinga lempumelelo yolu nyango liyahluka kumntu nomntu, kuxhomekeke kwimeko yezonyango ebangela iintlungu kunye nezinye izinto. Ngokomyinge, ungalindela izinga lempumelelo elingaphezulu kwama-50%.
Xa sithetha ngeengozi, iingxaki ezinkulu azixhaphakanga.
| Uhlobo lomngcipheko | Izinto ezinokwenzeka |
|---|---|
| Iziphumo ebezingalindelekanga eziqhele ukubonwa | Kusenokuba neentlungu okanye ukungakhululeki kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbalwa. Kusenokuba nokopha okanye usulelo kwindawo ehlatywe kuyo inaliti. Ngamanye amaxesha kunokubakho ukungaziva okanye ubuthathaka bomlenze okwethutyana. |
| Iingxaki ezinzulu kodwa ezingaqhelekanga | Ukonakala komthambo we-pudendal, umonakalo kwizitho ezikufutshane ezifana nesinyi okanye i-rectum, kunye nobuthi be-systemic local anesthetic bunokwenzeka, kodwa ezi azixhaphakanga kakhulu. |
Ufuna ukubona ugqirha kwakhona ngaliphi ixesha?
Ukuba ufumanisa iimpawu ezintsha emva konyango, oko kuthetha ukuba:
- Ukuba indawo efakwe kuyo inaliti idumbile kakhulu, ibomvu, okanye ikhupha ubomvu (iimpawu zosulelo).
- Ukuba kukho intlungu evuthayo, ukungaziva, okanye ubuthathaka obungapheliyo .
- Ukuba unomkhuhlane ongaqhelekanga.
Ukuba kukho into efana nale eyenzekayo, fowunela ugqirha wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Pudendal Nerve Block yindlela ekhethekileyo yonyango lwe-injection kwiintlungu ezingapheliyo kwindawo ye-pelvic kunye neye-genital.
- Oku kusetyenziselwa ukuxilonga, unyango, kunye nokunciphisa iintlungu kwindawo ethile.
- Unyango lwenziwa ngononophelo olukhulu, rhoqo ngoncedo lwetekhnoloji yokuskena.
- Ukukhululeka okufumanayo koku kunye nokuba kuthatha ixesha elingakanani kunokwahluka kakhulu kumntu nomntu.
- Ukuba uneenkxalabo okanye amathandabuzo malunga nolu nyango, thetha ngalo ngokukhululekileyo nogqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho