Ngezinye izikhathi siba nobuhlungu besisu obungapheli ngephilisi elilula. Ikakhulukazi ezimweni ezifana nomdlavuza we-pancreatic noma i-pancreatitis, ubuhlungu kunzima kakhulu ukubuthwala. Ngakho-ke namuhla sizokhuluma ngendlela yokwelapha ekhethekile esetshenziswa ukulawula ubuhlungu obukhulu kangaka.
Kuyini i-Celiac Plexus Block?
Kalula nje, lokhu kuwumjovo onikezwa ukulawula ubuhlungu. Ngaphakathi esiswini sethu, engxenyeni engenhla, kunendawo ebizwa ngokuthi 'i-celiac plexus' lapho kuhlangana khona imizwa eminingi. Kufana nesikhungo somyalezo wemizwa esiswini sethu. Izimpawu zobuhlungu ezivela ezithweni ezifana nesibindi sethu, isisu, i-pancreas, i-gallbladder, amathumbu ziya ebuchosheni ngaleli qembu lemizwa.
Ngakho-ke, ku-'Celiac Plexus Block', umuthi ufakwa kulesi sixha semizwa, uvimba okwesikhashana noma unomphela izimpawu zobuhlungu ukuthi zingayi ebuchosheni. Kufana 'nokunciphisa' ucingo mayelana nobuhlungu. Lokhu kuyindlela yokwelapha 'yokuvimba imizwa'.
Lesi sixha semizwa sixhunywe kusiphi isitho?
- Inyongo
- Amathumbu
- Isibindi
- I-Pancreas
- Isisu
Uma kukhona okungahambi kahle kulezi zitho futhi lezi zinzwa zicindezelwa, kuvela ubuhlungu obukhulu.
Yiziphi izindlela zokusebenzisa lokhu kwelashwa?
Lokhu kwelashwa kuvame ukusetshenziselwa ubuhlungu obukhulu besisu obuqhubekayo okunzima ukubulawula ngezinye izidakamizwa zobuhlungu.
| Isimo sezokwelapha | Indlela ukwelashwa okusiza ngayo |
|---|---|
| Umdlavuza we-pancreatic | Izimila zomdlavuza zingacindezela leso sibopho sezinzwa. Lokhu kwelashwa kunganciphisa ubuhlungu obukhulu obuvelayo. |
| I-Pancreatitis | Lokhu kwelashwa kusiza ekunciphiseni ubuhlungu obukhulu esiswini esingaphezulu nasemhlane obubangelwa yi-pancreatitis. |
Abantu abaningi abatholakala benomdlavuza we-pancreatic sebevele benobuhlungu obukhulu. Odokotela banikeza amaphilisi obuhlungu anamandla kulokhu. Kodwa-ke, le mithi ingabangela imiphumela emibi njengokulahlekelwa yinkumbulo, ukuqunjelwa, kanye nesicanucanu . Ngezinye izikhathi, ngisho nangemva kokuthatha le mithi, ubuhlungu abupheli ngokuphelele. Ezimweni ezinjalo, i-`Celiac Plexus Block` ingaba usizo kakhulu.
Kufanele uzilungiselele kanjani lokhu?
Udokotela wakho uzokweluleka ngezinto okudingeka uzenze ngaphambi kwalokhu kwelashwa. Ngokuvamile bazokusho izinto ezifana nalezi:
- Ukuyeka imithi ethile: Eminye imithi, njengemithi yokunciphisa igazi , ingadinga ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho. Kodwa-ke, ungalokothi uyeke ukuyithatha ngaphandle kweseluleko sikadokotela wakho.
- Ukugwema ukudla nokuphuza: Uzocelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa. Kuphephile kakhulu ukuba nesisu esingenalutho ngesikhathi sokubulala izinzwa.
- Gwema ukubhema: Uma ubhema, kungcono ukuyeka, ngoba kungandisa ingozi yezinkinga.
- Ukulungisa imoto: Lena inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, njengoba ungeke ukwazi ukushayela ngemva kwenqubo, kuzodingeka ulethe othile ozokushayela ekhaya.
Kwenzekani ngesikhathi sokwelashwa?
Kulandelwa izinyathelo ezilandelayo phakathi nalokhu kwelashwa:
1. Okokuqala, ukuze uzole, kuzofakwa umuthi omncane (i-sedative) emthanjeni osengalweni yakho. Lokhu kuzokwenza uzizwe ukhululekile, kodwa ngeke kukuqede ubuthongo.
2. Uzobe usubekwa phansi kwesisu etafuleni. Umcamelo uzobekwa ngaphansi kwezinqe zakho. Uma ungakhululekile ukulala ngaleyo ndlela, ungase ubekwe ngomhlane.
3. Indawo yomjovo ihlanzwa kahle ngesisombululo se-antiseptic.
4. Okulandelayo, kunikezwa umjovo omncane we-anesthetic yendawo. Kuleli qophelo, ungase uzwe ukugwazwa okuncane.
5. Ngemuva kwalokho, kufakwa inaliti bese kufakwa idayi ekhethekile (idayi yokungafani). Le dayi ingabonakala ku-X-ray, i-CT scan, noma i-endoscopic ultrasound. Lokhu kuvumela udokotela ukuthi abone ngqo ukuthi angayifaka kuphi imithi.
6. Uma indawo eqondile isitholakele, umuthi wokuqeda izinhlungu noma i-steroid ufakwa esikhungweni sezinzwa.
7. Ngezinye izikhathi, uma ufuna ukuqeda ubuhlungu isikhathi eside, kufakwa ikhemikhali ebizwa ngokuthi utshwala noma i-phenol ukuze kucinywe eminye yemizwa. Lokhu kubizwa ngokuthi 'inqubo ye-neurolytic'.
Inqubo yonke ivame ukuthatha cishe ihora. Kodwa-ke, umjovo ngokwawo uthatha imizuzu embalwa kuphela. Kukhona isikhathi sokulungiselela kusengaphambili kanye nemizuzu engaba ngu-30 yokubheka ngemva kokwelashwa.
Kwenzekani ngemva kokwelashwa? Futhi yiziphi izinzuzo?
Ungase uqale ukuzwa impumuzo ethile zingakapheli imizuzu engama-30 yokwelashwa. Uzoqashwa okungenani imizuzu engama-30 ngaphambi kokuba uthunyelwe ekhaya. Uzokwazi ukuya ekhaya cishe ngehora. Kodwa-ke, sicela ukhumbule ukuthi omunye umuntu akushayele imoto.
Lokhu kwelashwa kunganciphisa inani lemithi yokubulala izinhlungu okudingeka uyiphuze njalo, okunciphisa nemiphumela emibi yaleyo mithi.
Izinzuzo eziyinhloko zalokhu yilezi:
- Ukulawula ubuhlungu obukhulu besisu obuqhubekayo.
- Ukunciphisa ubuhlungu obungapheli.
- Ukunciphisa inani lemithi yokwelapha izinhlungu ngomlomo.
Ingabe ikhona imiphumela emibi?
Izinkinga ezinkulu ezivela kulokhu kwelashwa azivamile . Kodwa-ke, kungase kube nemiphumela emibi emincane. Udokotela wakho uzokwazisa ngakho konke lokhu ngaphambi kokwelashwa.
| Uhlobo lomphumela ongemuhle | Izinto ezingase zenzeke |
|---|---|
| Imiphumela emibi evame ukubonwa | |
| Indawo yokujova | Ukudumba, ukuvuvukala, noma ubuhlungu |
| Okunye | Uhudo (ubuhlungu besisu), umfutho wegazi ophansi, ukuhlanza |
| Izimo ezibucayi ezingavela kaningi kakhulu | |
| Ukusabela kanye nomonakalo | Ukungezwani komzimba nokudla okudayiswayo noma okudayiswayo, ukulimala kwemizwa, ukulimala kwezinso noma ezinye izitho zomzimba, ukwehla kokugeleza kwegazi kuya emgogodleni, ukubambezeleka kokukhipha ukudla esiswini (i-gastroparesis) |
| Ezinye izimo ezibucayi | Ukukhubazeka (ngenxa yokulimala komgogodla), ukuxhuzula |
Kuzothatha isikhathi esingakanani ukululama? Ngingahlala isikhathi esingakanani ngingenazo izinhlungu?
Ungabuyela emisebenzini evamile zingakapheli amahora angu-24 kuya kwangu-48 ngemva kokwelashwa. Kodwa-ke, ungashayeli, ungavocavoci umzimba, noma uphakamise izinto ezisindayo emahoreni okuqala angu-24. Ungadla futhi uphuze ngendlela evamile.
Isikhathi esithathwayo ukuze umuntu angabi nobuhlungu siyahlukahluka kuye ngomuntu.
- Inhlanganisela yemithi yokuqeda izinhlungu kanye nama-steroid inganikeza ukukhululeka ebuhlungwini izinyanga ezintathu kuya kweziyisithupha . Kungase kudingeke omunye umjovo esikhathini esizayo.
- Kodwa uma usebenzisa indlela ethi 'neurolytic' (ukufaka into efana notshwala), ukuqeda ubuhlungu kungahlala isikhathi eside kakhulu , mhlawumbe unomphela.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokwelashwa, xhumana nodokotela wakho ngokushesha.
- Izimpawu zomfutho wegazi ophansi njengokuzizwa unesizungu, ukuquleka, kanye nokoma ngokweqile.
- Ubunzima bokuphefumula .
- Izimpawu zokutheleleka, njengokubomvu, ubomvu, noma umkhuhlane endaweni yokujova.
- Ukuba ndikindiki, ukuqaqamba, noma ukuba ndikindiki emilenzeni .
Ubuhlungu buyisimo esisongela impilo. Ungase ungakwazi ukuvuka embhedeni noma ukuchitha isikhathi nabathandekayo bakho ngenxa yobuhlungu. Ngisho noma uthatha imithi yobuhlungu, ungase ungazizwa kahle ngenxa yemiphumela emibi. Ngakho-ke uma ubuhlungu bakho buphazamisa impilo yakho yansuku zonke, khuluma nodokotela wakho mayelana nemithi emisha efana ne-Celiac Plexus Block.
Umlayezo Wokuya Nawe Ekhaya
- I-Celiac Plexus Block iyindlela ekhethekile yokwelapha ngomjovo esetshenziselwa ukulawula ubuhlungu obukhulu besisu obubangelwa yizimo ezifana nomdlavuza we-pancreatic noma ukuvuvukala.
- Lokhu kuvimbela ukudluliselwa kwezimpawu zobuhlungu ebuchosheni, okuhlinzeka ngokukhululeka kobuhlungu.
- Lokhu ngokuvamile kuyinqubo ephephile futhi ingenziwa ngaphandle kokuhlala esibhedlela.
- Imiphumela emibi kakhulu ayivamile, kodwa uma uzwa izimpawu ezifana nokuzungeza, ubunzima bokuphefumula, noma ukungakhululeki emilenzeni yakho, tshela udokotela wakho ngokushesha.
- Lokhu kwelashwa kungathuthukisa kakhulu ikhwalithi yokuphila futhi kunciphise ukusetshenziswa kwemithi yokubulala izinhlungu.
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