Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu, obungachazeki esiswini sakho esingezansi noma endaweni yesitho sangasese? Mhlawumbe lobu buhlungu benza kube nzima ukuhlala noma ukwenza imisebenzi evamile. Namuhla sikhuluma ngendlela yokwelapha ekhethekile esetshenziswa odokotela ezimweni ezinjalo. Ibizwa ngokuthi i-Pudendal Nerve Block.
Kalula nje, kuyini i-Pudendal Nerve Block?
Empeleni lokhu kuwumjovo. Uma sikhuluma iqiniso, kuhilela ukufaka umuthi oqeda ubuhlungu esifundeni sakho se-pelvic eduze kwe-pudendal nerve. Lokhu kunganikeza impumuzo yobuhlungu yesikhashana noma ngezinye izikhathi yesikhathi eside.
Cabanga ngakho, le nerve ye-pudendal iyinzwa enkulu ethwala umuzwa kusukela ngemuva kwe-pelvis yakho kuya emisipheni nasesikhumbeni ezindaweni ezifana nezitho zakho zangasese, i-anus, isitho sangasese sowesifazane, kanye ne-penis. Uma le nerve icindezelwa noma icindezelwa nganoma iyiphi indlela, ingabangela ubuhlungu obungapheli be-pelvis . Kwezokwelapha, lokhu sikubiza ngokuthi i -pudendal neuralgia . Lokhu kuvimbela imizwa kusetshenziselwa kakhulu ukwelapha izimo ezinjalo.
Yiziphi izindlela zokusebenzisa lo muthi wokugomela?
Le ndlela yokwelapha isetshenziselwa izinjongo ezintathu eziyinhloko. Ake sibone ukuthi ziyini.
| Isimo sokusetshenziswa | Incazelo elula |
|---|---|
| Ukuxilongwa (Ukuxilongwa) | Uma unesihlungu se-pelvic kodwa ungakwazi ukukhomba imbangela, udokotela wakho angakunika lo mjovo. Uma ubuhlungu bakho buthuthuka ngemva komjovo, kuqinisekisa ukuthi imbangela iyinkinga nge-pudendal nerve. Uma ubuhlungu bungathuthuki, imbangela ingaba yinto ehlukile. Lokhu kungakusiza ukuhlela ukwelashwa kwakho. |
| Njengokwelashwa | Lo mjovo usetshenziselwa ukwelapha ubuhlungu obungapheli obubangelwa yizimo ezifana ne-pudendal neuralgia. Lo mjovo uvame ukuhilela ukwengezwa kwe-anesthetic yendawo kanye ne-corticosteroid ngezinye izikhathi ukunciphisa ukuvuvukala. |
| Ukuqeda ubuhlungu endaweni (i-Regional Anesthesia) | Lo mjovo usetshenziselwa ukuqeda ubuhlungu endaweni kuphela ngesikhathi sokuhlinzwa kwezifo zabesifazane, kokubeletha, kanye nokuhlinzwa kwe-rectal. Isibonelo, usetshenziselwa ukunciphisa ubuhlungu esithweni sangasese sowesifazane ngesikhathi sokubeletha, kanye nangesikhathi sokuhlinzwa kwe-hemorrhoid. Lokhu kuyindlela ephephile yokwelapha i-anesthesia ephelele. |
Kufanele uzilungiselele kanjani lokhu?
Lokhu ngokuvamile akudingi ukulungiselela okuningi.
Kodwa-ke, ngezinye izikhathi udokotela wakho angase anqume ukukulalisa (ukudambisa) ngenkathi uthola lo mjovo. Kulesi simo, uzokwelulekwa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-6-8 . Kubalulekile futhi ukuba nomuntu ozokushayela ekhaya ngemva kokwelashwa.
Kodwa-ke, udokotela wakho uzokuchazela lokhu kusengaphambili. Landela leyo miyalelo ngqo. Ungesabi ukubuza noma yimiphi imibuzo onayo.
Ungagonywa kanjani? Yiziphi izindlela?
Udokotela usebenzisa izindlela ezintathu eziyinhloko zokunikeza lo muthi wokugoma, kuye ngohlobo lomzimba wakho kanye nenhloso yokwelashwa.
Ngesitho sangasese sowesifazane (indlela ye-Transvaginal)
Le ndlela isetshenziswa kakhulu kwezokwelapha kanye ne-gynecology.
- Uzolaliswa embhedeni okhethekile, imilenze yakho ivulekile futhi ibekwe phezulu.
- Umjovo omncane (umuthi wokudambisa) ungafakwa emthanjeni ongalweni yakho ukuze uphumule.
- Udokotela ufaka isandla sakhe ngaphakathi kwesitho sangasese sowesifazane bese ekhomba ukuthi inzwa ikuphi.
- Ngemuva kwalokho, kusetshenziswa ithuluzi elikhethekile, inaliti ifakwa ngokucophelela emthanjeni bese umuthi ufakwa. Ngezinye izikhathi lokhu kwenziwa ngosizo lobuchwepheshe bokuskena njenge- ultrasound noma i-fluoroscopy .
Ngokudlula endaweni ephakathi kwezitho zangasese kanye ne-anus (indlela ye-Transperineal)
Le ndlela isetshenziselwa ukuhlinzwa kwendunu kanye nobuhlungu be-pudendal emadodeni.
- Kulokhu, uzophinde ulale ubheke phezulu.
- Indawo yesikhumba lapho umuthi uzojovwa khona ihlanzwa ngesisombululo se-antiseptic.
- Udokotela ube esefaka umunwe e-rectum noma esithweni sangasese sowesifazane ukuze athole indawo eqondile yomthambo.
- Ngemuva kwalokho, inaliti yomjovo ifakwa ngesikhumba isuka ngaphandle bese umuthi ufakwa.
Indlela yokuqondisa
Le ndlela ivame ukusetshenziswa nasekuhlinzweni kwendunu kanye nobuhlungu be-pudendal.
- Kulokhu, uphendukela ohlangothini lwakho bese ulaliswa phansi.
- Njengakwezinye izindlela, indawo eqondile yomthambo itholakala ngokufaka umunwe noma ngokusebenzisa isikhuthazi sezinzwa .
- Ngemuva kwalokho, umuthi wokugoma unikezwa ngesikhumba esiseduze nendunu.
Into ebalulekile ukuthi kuzo zonke lezi zindlela, kuqala kunikezwa umjovo omncane ukuze indawo yomjovo ingasebenzi kahle. Ngakho ngeke uzwe ubuhlungu obukhulu. Kodwa-ke, ungase uzizwe ungakhululekile uma inaliti ifakwa.
Ziyini izinzuzo zalokhu kwelashwa?
- Ukukhululeka okwesikhashana noma unomphela ebuhlungwini: Lokhu kungaba impumuzo enkulu yokwenza imisebenzi yakho yansuku zonke kalula.
- Kunciphisa ukuvuvukala: Kunciphisa ukuvuvukala emsipheni, kusize ukuthi uphulukiswe.
- Ukuxilongwa okunembile: Lokhu kungakusiza ukuthi unqume ukuthi i-pudendal nerve iyimbangela yangempela yobuhlungu bakho noma cha.
- Ukuphepha: Le ndlela yokubulala izinzwa yesifunda iphephile kakhulu kune-anesthesia ejwayelekile.
Abanye abantu bathola ukukhululeka ebuhlungwini ngemizuzu embalwa. Uma unikezwa umjovo we-steroid, kungathatha izinsuku ezimbalwa ukuzwa imiphumela yawo. Kodwa-ke, kumelwe sikhumbule ukuthi lokhu akuqedi ubuhlungu kubo bonke.
Kuphumelela kangakanani lokhu? Ingabe zikhona izingozi?
Izinga lempumelelo yalokhu kwelashwa liyahlukahluka kumuntu nomuntu, kuye ngesimo sezokwelapha esiyisisekelo esibangela ubuhlungu nezinye izici. Ngokwesilinganiso, ungalindela izinga lempumelelo elingaphezu kuka-50%.
Uma sikhuluma ngezingozi, izinkinga ezinkulu azivamile.
| Uhlobo lwengozi | Izinto ezingase zenzeke |
|---|---|
| Imiphumela emibi evame ukubonwa | Kungase kube nobuhlungu noma ukungakhululeki endaweni yokujova izinsuku ezimbalwa. Kungase kube nokopha noma ukutheleleka endaweni yokujova. Ngezinye izikhathi kungase kube nokungazweli kwesikhashana noma ubuthakathaka emlenzeni. |
| Izinkinga ezinkulu kodwa ezingavamile | Ukulimala kwe-pudendal nerve, ukulimala kwezitho eziseduze njengesinyi noma i-rectum, kanye nobuthi be-systemic local anesthetic bungenzeka, kodwa lokhu akuvamile kakhulu. |
Ufuna ukubona udokotela futhi ngasiphi isikhathi?
Uma uthola izimpawu ezintsha ngemva kokwelashwa, kusho ukuthi:
- Uma indawo yomjovo ivuvukele kakhulu, ibomvu, noma ikhipha ubomvu (izimpawu zokutheleleka).
- Uma kukhona ubuhlungu obuvuthayo, ukungazweli, noma ubuthakathaka obuqhubekayo .
- Uma unomkhuhlane ongavamile.
Uma kwenzeka into efana nale, shayela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Pudendal Nerve Block iyindlela ekhethekile yokwelapha ubuhlungu obungapheli endaweni yesinqe kanye neyangasese.
- Lokhu kusetshenziselwa ukuxilongwa, ukwelashwa, kanye nokuqeda izinhlungu endaweni ethile.
- Ukwelashwa kwenziwa ngokucophelela okukhulu, ngokuvamile ngosizo lobuchwepheshe bokuskena.
- Impumuzo oyitholayo kulokhu nokuthi ihlala isikhathi esingakanani ingahluka kakhulu kumuntu nomuntu.
- Uma unokwesaba noma ukungabaza ngalokhu kwelashwa, xoxa ngakho ngokukhululekile nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho