Ngezinye izikhathi ubuhlungu esiswini esingezansi kanye nasesinqeni bunzima kakhulu kangangokuthi kunzima ukubuchaza ngamazwi. Ingabe ulwa nobuhlungu obukhulu kangangokuthi kunzima ukwenza imisebenzi yansuku zonke ngisho nangemithi? Namuhla sizokhuluma ngendlela ethile yokwelapha esetshenziswa ukulawula lolu hlobo lobuhlungu besikhathi eside. Lokhu kubizwa ngokuthi 'i-Hypogastric Plexus Block'.
Kuyini i-Hypogastric Plexus Block?
Kalula nje, lokhu kuwumjovo okhethekile onikezwa ukulawula ubuhlungu. Emhlane wethu ongezansi, kunesixha semizwa, indawo lapho imizwa eminingi ethwala izimpawu zobuhlungu ezihlobene nesisu esingezansi kanye nendawo ye-pelvic ihlangana khona ebuchosheni. Lokhu kubizwa ngokuthi 'i-Hypogastric Plexus'.
Cabanga ngakho njengesigxobo esikhulu sefoni esinezintambo eziningi ezixhunywe kuso. Zonke izimpawu zobuhlungu ezivela esiswini sakho esingezansi, esibelethweni, kwesinye, noma ezithweni ezizungezile ziya ebuchosheni bakho ngaleli qoqo lezinzwa. Ngakho-ke, okwenzayo kulokhu kwelashwa ukuthi, usebenzisa i-X-ray ukuthola ukuthi lelo qoqo lezinzwa likuphi, bese ufaka umuthi kuso. Lo muthi okwesikhashana noma isikhathi eside ubeka izinzwa ezithwala izimpawu zobuhlungu ebuthongweni. Lokho kusho ukuthi izimpawu zobuhlungu ziyeka ukuhamba. Lokhu yilokho esikubiza ngokuthi 'ibhlokhi'.
Yiziphi izinhlobo zobuhlungu lokhu kwelashwa okuvame ukusetshenziselwa zona?
Odokotela bavame ukuncoma lokhu kwelashwa kubantu abanobuhlungu obungapheli be-pelvic okunzima ukubulawula ngama-painkiller omlomo. Kusebenza kahle kakhulu ezinhlungwini kulezi zindawo ezilandelayo:
- Isinye
- Ikholoni
- Isibeletho noma ama-ovari
- I-prostate noma amasende
Ithebula elingezansi libala izimo eziningana zezokwelapha ezingadinga lokhu kwelashwa.
| Isimo sezokwelapha | Incazelo |
|---|---|
| Umdlavuza | Ubuhlungu obukhulu obubangelwa umdlavuza wesisu. |
| I-Endometriosis | Ubuhlungu obukhulu, obungapheli be-pelvic kwabesifazane. |
| I-Interstitial Cystitis | Isimo esibuhlungu esinyeni. |
| Ubuhlungu ngemva kokuhlinzwa noma ukwelashwa ngemisebe | Ubuhlungu besikhathi eside ngemva kokuhlinzwa kwesisu noma ukwelashwa ngemisebe. |
| Ezinye izimo ezingamahlalakhona | Ubuhlungu obubangelwa yizimo ezifana ne-Irritable Bowel Syndrome (IBS) kanye ne-Pelvic Inflammatory Disease. |
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Uma uthatha lolu hlobo lokwelashwa, udokotela wakho uzokunikeza isethi yemiyalelo ethile. Eyinhloko yile:
- Uzocelwa ukuthi uyeke ngokuphelele ukudla nokuphuza amahora amaningana ngaphambi kokwelashwa.
- Eminye imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi efana ne-Aspirin ne-Warfarin) kungadingeka ukuthi uyekwe usuku noma ezimbili kusengaphambili. Kodwa-ke, lokhu kufanele kwenziwe kuphela ngaphansi kokuqondisa kukadokotela wakho. Ungalokothi uyeke noma uqale noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
- Ngemva kokwelashwa, uzobe ulula kakhulu kangangokuthi ngeke ukwazi ukushayela wena. Ngakho-ke, kubalulekile ukuhlela ukuthi othile akushayele ekhaya futhi akubuyisele.
Indlela ukwelashwa okusebenza ngayo isinyathelo ngesinyathelo
Lokhu kwelashwa kuvame ukuthatha imizuzu engama-30 futhi kwenziwa udokotela ochwepheshe ekulawuleni ubuhlungu.
Into ebalulekile ukuthi ungalaliswa ngesikhathi sokwelashwa. Unikwa umuthi wokudambisa (ukudambisa) kuphela ngemithambo yegazi. Njengoba uvukile, udokotela angakhuluma nawe futhi akwenzele ukwelashwa.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Uzocelwa ukuba ulale ngesisu sakho etafuleni le-X-ray. Ngemuva kwalokho kuzofakwa i-cannula emthanjeni osengalweni yakho bese kunikezwa umuthi wokukwenza uzizwe ukhululekile. |
| 2. Ukungabi nandaba kwesikhumba | Indawo yomhlane ongezansi lapho kuzofakwa khona inaliti iyahlanzwa bese kufakwa umuthi wokubulala izinzwa wendawo endaweni. |
| 3. Ukufakwa kwenaliti | Ngosizo lomshini we-X-ray (fluoroscopy), udokotela ufaka izinaliti ezimbili ezincane kakhulu emhlane wakho ongezansi bese eziqondisa endaweni eqondile ye-nerve plexus. |
| 4. Ukuqinisekiswa kwendawo | Ukuqinisekisa ukuthi izinaliti zisendaweni efanele, kufakwa idayi encane bese kuthathwa i-X-ray ukuqinisekisa. |
| 5. Umjovo wemithi | Uma indawo isiqinisekisiwe, umuthi wokuqeda izinhlungu (ngokuvamile umuthi wokuqeda izinhlungu kanye ne-steroid) ufakwa eduze kwenqwaba yezinzwa. Ezimweni ezifana nomdlavuza, isixazululo sotshwala noma i-phenol esibhubhisa izinzwa singase sifakwe ukuze kutholakale impumuzo yesikhathi eside. |
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, uzogcinwa uqashwe cishe isigamu sehora bese uvunyelwa ukuya ekhaya kungakapheli ihora.
- Ukuqeda ubuhlungu: Iningi labantu lithola ukukhululeka okukhulu ebuhlungwini zingakapheli imizuzu engama-30 kusukela ekujovweni. Kujwayelekile ukuthi indawo ye-pelvic izwe ifudumele kancane noma "ihlukile."
- Imiphumela emibi: Indawo yomjovo ingaba buhlungu kancane futhi ivuvuke izinsuku ezimbili kuya kwezintathu. Lokhu kuvamile.
- Ukuphumula: Kubalulekile ukuphumula amahora angama-24 ngemva kokubuyela ekhaya. Ungazibandakanyi emsebenzini onzima noma ekuzivocavoceni. Ungaqhubeka nemisebenzi yakho evamile ngosuku olulandelayo.
Ukuqeda ubuhlungu kuthatha isikhathi esingakanani?
Lokhu kuncike ohlotsheni lomuthi owunikezwayo. Uma unikezwa umuthi wokuqeda izinhlungu wodwa, ukukhululeka kuzohlala amahora ambalwa noma izinsuku ezimbalwa. Uma unikezwa i-steroid, ukukhululeka kobuhlungu kungase kuhlale amasonto kuya ezinyangeni. Abanye abantu badinga ukujovwa kaningana ukuze bathole imiphumela emihle kakhulu.
Kufanele ngimshayele nini udokotela?
Ingozi yezinkinga ezinkulu ezihlobene nalokhu kwelashwa iphansi kakhulu. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uxhumane nodokotela wakho ngokushesha .
- Uma ubuhlungu bukhula esikhundleni sokuncipha.
- Uma uthola umkhuhlane .
- Uma indawo yomjovo ibuhlungu kakhulu, ivuvukile, noma ibomvu .
- Uma uzizwa ubuthakathaka emilenzeni yakho .
Ukuphila nobuhlungu obungapheli kungaba nomthelela omkhulu empilweni yakho yengqondo neyomzimba. Ngakho-ke akudingeki "ubekezelele" ubuhlungu. Uma ungatholi impumuzo emithini yobuhlungu evamile, khuluma nodokotela wakho mayelana nokwelashwa okufana nalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypogastric Plexus Block iyindlela yokwelapha ekhethekile esetshenziselwa ubuhlungu obukhulu esiswini esingezansi kanye nendawo ye-pelvic engenakukwazi ukulawulwa ngeminye imithi.
- Lokhu kulawula ubuhlungu ngokukhubaza okwesikhashana noma isikhathi eside inqwaba yezinzwa ezithwala izimpawu zobuhlungu ziye ebuchosheni.
- Lena indlela yokwelapha eyenziwa uchwepheshe, enengozi encane kakhulu, futhi ingaqedwa ngesikhathi esifushane.
- Lokhu kungaba yisisombululo esiphumelelayo ezimweni eziningi, njenge-endometriosis, ubuhlungu bomdlavuza, kanye nobuhlungu obungemva kokuhlinzwa.
- Uma ubhekene nobuhlungu obungapheli be-pelvic, khuluma nodokotela wakho ukuze ubone ukuthi le ndlela yokwelapha ikufanele yini.
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