Kunezinhlobo ezithile zobuhlungu esiswini esingezansi noma endaweni ye-pelvic ezingapheli kalula ngisho nangemithi. Ngezinye izikhathi lobu buhlungu abubekezeleleki. Uma nawe ubhekene nale nkinga, namuhla sizokhuluma ngokwelashwa okukhethekile kwayo. Lokhu kubizwa ngokuthi 'i-Hypogastric Plexus Block'.
Kalula nje, iyini i-Hypogastric Plexus Block?
Empeleni lokhu kungumjovo okhethekile wokubulala izinhlungu. Cabanga ngakho njengohlelo lwezinzwa oluthwala imiyalezo yobuhlungu esuka esiswini sakho esingezansi iye ebuchosheni bakho. Okwenzayo kulokhu kwelashwa ukufaka umuthi kulesi sixha semizwa esingezansi komgogodla wakho (lokhu kubizwa ngokuthi i-Hypogastric Plexus) .
Uma lo mjovo unikezwa, ulwazi lobuhlungu oluvela kulezo zinzwa oluya ebuchosheni luvinjelwa okwesikhashana noma unomphela . Kufana nokuvala inkinobho yobuhlungu. Lokhu kunciphisa kakhulu ubuhlungu esiswini sakho esingezansi kanye nendawo ye-pelvic. Ngezinye izikhathi umjovo owodwa unikeza impumuzo, kanti ngezinye izikhathi imijovo eminingana inganikezwa njengoba kudingeka.
Yiziphi izinhlobo eziyinhloko zalokhu kwelashwa?
Kuye ngokuthi ubuhlungu bakho buvelaphi, udokotela wakho uzonquma ukuthi uzomjova kuphi. Kunezinhlobo ezimbili eziyinhloko.
| Uhlobo lokwelashwa | Indawo kanye nencazelo |
|---|---|
| I-Superior Hypogastric Plexus Block | Kulokhu, umjovo ufakwa engxenyeni engenhla yempande yemizwa emhlane wakho ongezansi. |
| I-Inferior Hypogastric Plexus Block | Umuthi wokugoma unikezwa engxenyeni engezansi yomgogodla eduze kwethambo lakho lomsila. |
Lolu hlobo luni lobuhlungu olulashwa yilo muthi wokugoma?
Lokhu kwelashwa kusetshenziselwa kakhulu ukulawula ubuhlungu obuqhubekayo esiswini sakho esingezansi kanye nasesinqeni. Lokhu kuhlanganisa ubuhlungu ezithweni zakho ezilandelayo:
- Isinye
- Ikholoni
- Amathumbu angaphansi
- I-prostate noma amasende
- Isibeletho noma ama-ovari
Lokhu kwelashwa kuvame ukunconywa ebuhlungwini besikhathi eside okunzima ukubulawula ngama-painkiller omlomo. Kungaba yisisombululo esisebenza kahle kakhulu sobuhlungu obubangelwa yizimo zezokwelapha ezilandelayo:
| Isimo sezokwelapha esingabangela ubuhlungu |
|---|
| Umdlavuza |
| I-Endometriosis |
| Umonakalo obangelwa izinto ezifana nokuhlinzwa noma ukwelashwa ngemisebe |
| I-Interstitial Cystitis - isimo esibuhlungu sesinye |
| I-Irritable Bowel Syndrome (IBS) |
| I-Pelvic Complex Regional Pain Syndrome |
| Isifo Sokuvuvukala Kwezitho Zangasese (PID) |
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Udokotela wakho uzokunikeza imiyalelo ethile okufanele uyilandele ngaphambi kwalokhu kwelashwa. Emikhulu yile:
- Gwema ukudla noma ukuphuza ngokuphelele amahora ambalwa ngaphambi kokwelashwa .
- Eminye imithi osuvele uyisebenzisa (ikakhulukazi imithi yokunciphisa igazi) kungadingeka ukuthi uyekwe okwesikhashana ngokweseluleko sikadokotela wakho. Ungalokothi uqale noma uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho kuqala.
- Njengoba ungeke ukwazi ukushayela ngemuva kokwelashwa, kubalulekile ukuhlela ukuthi othile akuyise lapho bese ebuyela ekhaya.
- Lokhu kwelashwa kwenziwa odokotela be-Interventional Pain Management, ngakho ungababuza noma yimiphi imibuzo ongase ube nayo.
Ake sifunde isinyathelo ngesinyathelo ukuthi ukwelashwa kusebenza kanjani.
Lokhu ukwelashwa kwangaphandle, okusho ukuthi akudingeki uhlale esibhedlela. Lena yindlela yonke inqubo evame ukuhamba ngayo.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukuzola | Unikezwa umuthi wokudambisa nge-cannula efakwe emthanjeni engalweni yakho. Ngeke ulale, kodwa uzokhululeka. |
| 2. Ukuma okufanele | Uzophendulwa ulale ngesisu sakho embhedeni okhethekile ohlonyiswe ngomshini we-X-ray. |
| 3. Ukuba ndikindiki kwendawo | Indawo engezansi komhlane lapho kuzojovwa khona ihlanzwa kahle bese kunikezwa umjovo omncane we-anesthetic yendawo ukuze kuncishiswe isikhumba. |
| 4. Isiqondiso se-X-ray | Uma ebheka isikrini se-X-ray, udokotela ufaka izinaliti ezimbili ngokucophelela endaweni efanele yezimpande zemizwa. |
| 5. Ukuqinisekiswa kwendawo | Ukuqinisekisa ukuthi izinaliti zisendaweni efanele, kufakwa idayi ekhethekile (idayi yokungafani) bese ihlolwa nge-X-ray. |
| 6. Ukujova umuthi | Uma indawo isiqinisekisiwe, imithi yobuhlungu (umuthi wokuqeda izinhlungu kanye/noma i-steroid) iyajovwa. |
| 7. (Kuphela uma kudingeka) | Uma ubuhlungu obukhulu bubangelwa yizimo ezifana nomdlavuza, into efana notshwala noma i-phenol ingafakwa ukuze ibhubhise ngokuphelele imizwa futhi inikeze impumuzo yesikhathi eside. |
Yonke inqubo ivame ukuthatha cishe imizuzu engama-30 . Ngemva kwalokho, uzoqashwa eminye imizuzu engama-30, futhi uzokwazi ukuya ekhaya kungakapheli ihora.
Yini ongayilindela ngemva kokwelashwa?
Ngemva kokwelashwa, indawo yakho yesinqe ingase izwakale ifudumele noma "ihlukile." Lokhu kuvamile. Abantu abaningi baqala ukuzwa ukwehla kobuhlungu kungakapheli imizuzu engama-30 kusukela ekujovweni.
Kungase kube nokuklwebheka noma ubuhlungu obuncane endaweni yokujova izinsuku ezimbili kuya kwezintathu. Lokhu kuvamile. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki, yazisa udokotela wakho ngokushesha.
Yiziphi izinzuzo nezingozi?
Inzuzo eyinhloko ukuthi iqeda ubuhlungu esiswini sakho esingezansi noma ethangeni. Iphinde isize ekunciphiseni ukuvama kokusebenzisa imithi yobuhlungu ephuzwayo.
Khumbula, ingozi yezinkinga ezivela kulokhu kwelashwa iphansi kakhulu. Kodwa-ke, njenganoma yikuphi ukwelashwa kwezokwelapha, kungase kube nezingozi ezincane.
Phakathi kwezinkinga ezingaba khona:
- Ukusabela kokungezwani komzimba nemithi esetshenziswayo.
- Ukopha.
- Ukutheleleka (umkhuhlane, ukuvuvukala okukhulu noma ubuhlungu obukhulu endaweni yokujova).
- Ukulimala kwezitho ezizungezile noma emithanjeni yegazi.
- Ukulimala kwezinye izinzwa ezingaphandle kwempande yezinzwa.
Isikhathi sokululama kanye nokuqeda ubuhlungu
Ngemva kokwelashwa, kufanele uye ekhaya uphumule kahle. Gwema imisebenzi enzima amahora angama-24. Ungaqhubeka nemisebenzi yakho evamile ngosuku olulandelayo. Qala kabusha noma yimiphi imithi oyekile ukuyisebenzisa njengoba kuqondiswe udokotela wakho.
Isikhathi sokuqeda ubuhlungu sincike emithini esetshenzisiwe.
- Uma kusetshenziswa umuthi wokubulala izinzwa kuphela, ukukhululeka kuzohlala amahora ambalwa noma izinsuku ezimbalwa .
- Uma kusetshenziswa umuthi we-steroid, ukukhululeka kungase kuthathe amasonto ambalwa kuya ezinyangeni eziningana .
Kuye ngesimo sakho, ungadinga imijovo eminingana ukuze uthole imiphumela emihle kakhulu. Udokotela wakho uzokuchazela lokhu.
Kufanele ukhulume nini nodokotela?
Shayela udokotela wakho ngokushesha uma kuvela izimpawu ezilandelayo:
- Uma ubuhlungu bukhula esikhundleni sokuncipha noma bungehli.
- Uma uhlangabezana nemiphumela emibi njengomkhuhlane , ukuvuvukala okukhulu endaweni yokujova, noma ubuhlungu obungabekezeleleki .
- Uma uzizwa ubuthakathaka emilenzeni yakho .
Ukuphila nobuhlungu obungapheli kungaba nomthelela omkhulu empilweni yakho yengqondo neyomzimba. Ngakho-ke asikho isidingo "sokubekezelela" ubuhlungu. Uma ungatholi impumuzo ekwelashweni okuvamile, khuluma nodokotela wakho ngalezi zinhlobo zokwelapha ezikhethekile bese ukhetha ikhambi elikufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypogastric Plexus Block iyindlela ekhethekile yokwelapha ubuhlungu obukhulu esiswini esingezansi kanye nendawo ye-pelvic okunzima ukuyilawula ngezinye izindlela zokwelapha.
- Lokhu ukwelashwa okuphephile kakhulu okungaqedwa ngemizuzu engama-30 nje kuphela futhi kungenziwa ngaphandle kokuhlala esibhedlela.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (njengokugwema ukudla nokuphuza, ukuhlela izinto zokuhamba) ngaphambi kokwelashwa.
- Isikhathi sokuqeda ubuhlungu singahluka kuye ngomuntu kanye nomuthi osetshenzisiwe.
- Uma ubuhlungu bukhula ngemva kokwelashwa noma uma uhlangabezana nezimpawu ezingavamile njengomkhuhlane noma ukuvuvukala, yazisa udokotela wakho ngokushesha.
- Ungahlushwa ubuhlungu obungapheli buthule. Khuluma nodokotela wakho ngezinketho zokulawula ubuhlungu ezitholakalayo.
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