Ingabe ngezinye izikhathi uzwa ubuhlungu obungajwayelekile, obungabekezeleleki esiswini sakho esingezansi, okungukuthi, eduze kwezitho zakho zangasese noma endunu yakho? Kumelwe ukuba kunzima kakhulu ukudlula usuku lonke nalolu buhlungu, akunjalo? Kumelwe ukuthi wenze izinto eziningi ukuthola imbangela yalokhu. Ngakho-ke namuhla sizokhuluma ngendlela ekhethekile odokotela abayisebenzisayo ukuthola imbangela yalolu hlobo lobuhlungu nokuyelapha.
Kuyini i-Pudendal Nerve Block?
Kalula nje, lokhu kuhilela ukujova umuthi eduze kwe-pudendal nerve, i-nerve edlula esifundeni sakho se-pelvic. Cabanga ngale nerve 'njengocingo oluyinhloko' oluthwala umuzwa ovela esiswini sethu esingezansi uye emisipheni nasesikhumbeni esizungeze izitho zethu zangasese (isitho sangasese kwabesifazane, i-penis kwabesilisa) kanye ne-anus.
Ngezinye izikhathi, uma lo mthambo ucindezelwe noma ulimele, isimo esibizwa ngokuthi i-Pudendal Neuralgia singavela. Yilapho-ke ubuhlungu obungapheli, obungenakubekezeleleka engikhulume ngabo ekuqaleni buvela khona. Ngakho-ke lokho okwenziwa yilo mjovo ukusondela kulowo mthambo bese umisa ubuhlungu okwesikhashana noma isikhathi eside.
Kungani kunikezwa lo muthi wokugoma? Ziyini izinzuzo zawo?
Kunezinjongo ezintathu eziyinhloko zokunikeza lo muthi wokugoma. Ake sibone ukuthi ziyini.
| Inhloso Eyinhloko (Inhloso) | Incazelo Elula |
|---|---|
| Ukuxilongwa (Ukuxilongwa) | Uma imbangela yobuhlungu bakho ingacaci, udokotela wakho angakunika lo mjovo. Uma ubuhlungu buphela ngemva komjovo, angaqinisekisa ukuthi inkinga isemzimbeni we-pudendal. Lokhu kuzokwenza kube lula ukuhlela ukwelashwa kwesikhathi esizayo ngokufanele. |
| Njengokwelashwa | Isetshenziselwa ukwelapha ubuhlungu obungapheli, njenge-pudendal neuralgia. Kuhilela ukujova umuthi oqeda izinhlungu futhi ngezinye izikhathi umuthi obizwa ngokuthi ama-corticosteroids, onciphisa ukuvuvukala emthanjeni. |
| I-Anesthesia Yesifunda | Ngesikhathi sokuhlinzwa okuthile kanye nezinqubo zezokwelapha, lo mjovo unikezwa ukuze kuncishiswe kuphela indawo okukhulunywa ngayo, kunokuba kuhlinzekwe nge-anesthesia ephelele. Isibonelo, le ndlela isetshenziswa ngesikhathi sokubeletha kanye nokuhlinzwa kwe-hemorrhoid. |
Kufanele ngilungiselele kanjani lo muthi wokugoma?
Ngokuvamile, lokhu akudingi ukulungiselela okuningi. Kodwa-ke, ngezinye izikhathi, uma udokotela enquma ukukunikeza umuthi wokudambisa ukuze uthule, uzokucela ukuthi uzile ukudla cishe amahora angu-6-8. Uzokucela nokuthi ulethe umuntu ongashayela nawe ngalolo suku. Noma ngabe yini okudingeka yenziwe, udokotela wakho uzokwazisa kusengaphambili. Ngakho ungesabi. Buza udokotela wakho noma yimiphi imibuzo onayo.
Lo muthi wokugoma unikezwa kanjani?
Kunezindlela eziningana eziyinhloko zokunikeza lo muthi wokugoma. Udokotela wakho uzokhetha indlela engcono kakhulu ngokusekelwe ohlotsheni lomzimba wakho kanye nenhloso yokugoma.
Izindlela eziyinhloko zokugoma
- Indlela yokwelapha i-transvaginal: Le ndlela isetshenziswa ikakhulukazi kwezokwelapha izifo zabesifazane kanye nokubeletha. Udokotela ufaka iminwe yakhe ngesitho sangasese sowesifazane bese ethola indawo eqondile yomthambo wokufaka umjovo.
- Indlela yokwelapha i-transperineal: I-perineum yindawo yesikhumba phakathi kwe-anus nezitho zangasese. Le ndlela isetshenziswa kokubili kwabesilisa nabesifazane.
- Indlela yokuhlinzwa kwe-perirectal: Le ndlela isetshenziselwa ukuhlinzwa kwe-rectal kanye nokulawula ubuhlungu.
Into ebaluleke kakhulu ukuthi kuzo zonke lezi zindlela, udokotela uqala ngokufaka umjovo omncane ukuze aqede indawo. Ngakho ngeke uzwe ubuhlungu obukhulu. Kungase kuzwakale njengokuncinza okuncane.
Indlela Eqondiswa Yisithombe
Kulezi zinsuku, odokotela abaningi banikeza lo muthi wokugoma ngosizo lomshini wokuskena njenge -ultrasound noma i-fluoroscopy (okufana ne-X-ray ehambayo). Lokhu kubavumela ukuthi babone ngqo ukuthi inzwa ikuphi futhi banikeze umuthi wokugoma ngokuphephile. Lokhu kwandisa kakhulu impumelelo yomthi wokugoma.
Kwenzekani ngemva kokunikezwa umuthi wokugomela?
Ngemva komjovo, uzocelwa ukuba uphumule cishe imizuzu eyi-15-30. Phakathi nalesi sikhathi, umhlengikazi uzokuqapha ukuze abone ukuthi kukhona yini okungajwayelekile okwenzekayo. Uma konke kuhamba kahle, ungaya ekhaya.
Yiziphi izinzuzo nezingozi zalokhu?
Izinzuzo
- Ukuthola impumuzo yesikhashana noma yesikhathi eside ebuhlungwini.
- Ukuvuvukala kwemizwa kuyancipha, okusiza imizwa ukuba ilulame .
- Ukukwazi ukuqinisekisa ukuthi imbangela yobuhlungu ingumthambo we-pudendal uqobo.
- Ukuba yindlela ephephile yokwelapha i-anesthesia ejwayelekile.
Izingozi
Izinkinga ezinkulu azivamile , futhi ngokuvamile imiphumela emibi emincane ibonakala.
- Imiphumela emibi emincane: Kungase kube nobuhlungu nokungakhululeki endaweni yomjovo izinsuku ezimbili kuya kwezintathu. Ngezinye izikhathi, ukucasuka okuncane noma ubuthakathaka emlenzeni kungase kuzwakale okwesikhashana ngenxa yomunye umthambo oseduze nomthambo we-pudendal.
- Izinkinga ezinkulu kodwa ezingavamile: Ukulimala kwemizwa, ukopha, ukutheleleka, kanye nokulimala kwezitho eziseduze njengesinye kungenzeka. Kodwa-ke, uma kwenziwa kahle ngudokotela onolwazi, lezi zingozi ziphansi kakhulu.
Ukuqeda ubuhlungu kuthatha isikhathi esingakanani?
Lona umbuzo abantu abaningi abawubuzayo. Uma sikhuluma iqiniso, uyahlukahluka kakhulu kumuntu nomuntu. Abanye abantu baphumula izinsuku ezimbalwa noma amasonto. Abanye baphila izinyanga noma iminyaka ngaphandle kobuhlungu. Kodwa abanye abantu bangase bangatholi impumuzo nhlobo. Kuya ngembangela eyinhloko yobuhlungu bakho nokuthi umzimba wakho usabela kanjani emithini.
Ngingashayela nini udokotela ucingo?
Uma uthola izimpawu ezintsha ngemuva kokuthola umuthi wokugomela, izimpawu zokutheleleka njengokuvuvukala , ukubomvu, noma umkhuhlane endaweni yokujova, noma ukungakhululeki kwemilenze okuqhubekayo, ukushisa, noma ubuthakathaka , shayela udokotela wakho ngokushesha . Uma izimpawu zakho zinzima, ungangabazi ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Pudendal Nerve Block inqubo ekhethekile yokujova elapha ubuhlungu obungapheli esiswini esingezansi kanye nasesithweni sangasese.
- Lokhu kusetshenziselwa ukuthola imbangela yobuhlungu, ukwelapha ubuhlungu, kanye nokuhlinzeka nge-anesthesia yendawo ngesikhathi sokuhlinzwa okuthile.
- Le nqubo yenziwa ngokuphephile kakhulu ngudokotela onolwazi, mhlawumbe ngosizo lomshini wokuskena.
- Impumuzo oyitholayo iyahlukahluka kuye ngomuntu nomuntu. Akuwona wonke umuntu othola imiphumela efanayo.
- Sicela uxoxe nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza onakho ngalokhu nodokotela wakho.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokugonywa, funa iseluleko sezokwelapha ngokushesha.
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