Ngelishwa, ukuhlinzwa kwangasese ngamanye amaxesha kungakhokelela ekubandezelekeni kwesisu esiswini esingapheliyo okanye intlungu ye- pelvic intlungu . Kubantu abanesifo somzimba okanye esiswini se-pelvic esinqunywe, esoluliwe, okanye ewonakaliswe ngexesha lotyando olusiswini, njenge-appendectomy, ukuhlinzwa kwengqondo okanye ezinye iintlobo zokulungiswa kwe-hernia, imeko iya kuphazamisa kakhulu.
Akuqinisekanga ukuba oko kwenzeka kaninzi, kodwa sifunda ukuba iintlungu zesifo emva kokuhlinzwa zixhaphake kakhulu kunokuba zicingwe.
Uqikelelo luye lwasasazeka, kodwa kwezinye iimeko, ezifana nokulungiswa kwesisu kunye nokulungiswa kwe-hernia, ukuya kwesahlulo sesine abantu banokuba neentlungu ezingapheliyo.
Oku kunokubangela ukuba ufunde ukuba uceba ukwenza utyando, kodwa kukho ezinye izinto onokukwazi ukuzenza njengesigulane esinokunciphisa umngcipheko wakho, kwaye uphando luqhubeka lujonge kwiindlela zombini zokunciphisa umngcipheko, kwaye unyamekele ukuba kwenzeke, intlungu yesifo emva kokuhlinzwa.
Izizathu
Utyando olusiswini lomzimba luye lwaziwa, ngezinye iimeko, ukudala umonakalo kwi-nero-inguinal nerve, i -oo-hypogastric nererve kunye ne- genitofemoral nerve , yonke into engakhokelela ekubandezelekeni kwentlungu ye-pelvic, okanye intlungu ye- pelvic ye- neuropathic . Oko kwathiwa, akusoloko kulwalamano olulula phakathi komonakalo weentlanzi kunye nolwazi olulandelayo lweentlungu ezinxulumene neentliziyo. Nazi izizathu ezimbalwa ezenza ukuba oku kwenzeke:
- Iimbulunga zama-pelvic zisondele kwiindawo ezinobungozi . Ngexesha eliqhelekileyo ukuhlinzwa kwamathumbu kunye ne-pelvic, i-ioo-hypogastric kunye ne-neo-inguinal neerves idla ngokuthe ngqo kumgca womlilo. Ngenxa yokwahlukana kwama-anatomical phakathi kwabantu, kwagqitywa ukuba oogqirha abanezakhono banokukhupha amaninzi.
- I-Anatomically, iintsholongwane ze-pelvic zihlukile kumntu ngamnye . Isakhiwo somlenze wepelvic singahluka kakhulu kumntu kumntu. Kwamanye abantu, izibilini zihlala phantsi kwezihlunu zesisu. Kwabanye abantu, banokudlula ngqo kuwo. Abanye abantu banamagatsha amaninzi e-pelvic ngaphezu kwamanye. Ukukhusela umonakalo weentlaba zeplasvic ngexesha lotyando akulula xa kuninzi ukuhluka.
- Ukubethelela iimbilini ze-pelvic kunokudala umonakalo . Akudingeki ukuba unqunywe okanye unqunywe ngeentlungu zakho ze-pelvic ukuze uhlupheke kwiintlungu ze-pelvic. Ngamanye amaxesha, iimbilini zoluliwe ngokwaneleyo ngexesha lotyando olwenziwe ngumonakalo.
- Iimbilini zepelvic zinganyanzeliswa emva kokuhlinzwa . Ukufakelwa kwamagxa-kwi-sutures, kwi-staples okanye kwi-mesh-kunokukhokelela ekubandezelekeni kwentsholongwane ye-pelvic, kwaye kunokuvela emva kweentlobo ezithile zokuhlinzwa kwangasese nangesisu.
Kanye njengoko kungasaziwa ngokuthe ngqo oko kubangelwa ubuhlungu obungapheliyo emva kokuhlinzwa, akuqinisekanga ukuba izinto ezinobungozi zenzelwe ukuvelisa ubuhlungu obungapheliyo. Ubuhlungu obungapheliyo bwenzeka ngokuphindaphindiweyo kubantu abancinci kwaye kunokwenzeka ukuba kwenzeke xa umsebenzi unzima kakhulu. Ngokwexesha eliqhelekileyo ulungelelaniso lwesifo esiswini esingasaphantsi okanye esiswini se-pelvic emva kokuhlinzwa kukuba ubunzima beentlungu ezinzima emva kokuhlinzwa.
Isizathu esibalulekileyo kodwa esingaziwa phantsi kweentlungu zesisu esingapheliyo emva kokuba utyando lugxothwe. Oku kwenzeka xa iisondlo ezikufuphi ebusweni bebilini zithinjwa njengoko zidlula i-muscular rectus . Oku kucatshangelwa ukuba yimbangela ye-30 ekhulwini yamatyala angapheliyo emva kokuhlinzwa kwesisu. Ukuxilongwa kungenziwa ngokujoba i-anesthetic yendawo ecaleni kwentsholongwane (engabonakaliswa kwaye yenziwe nge-ultrasound.) Ekubeni inxulumene nezinye ezininzi izibangela zesifo esingasaphantsi esiswini emva kokuba utyando lwe-nerve entrapment "kulula" ukulungisa, kubalulekile ukuba ukhankanye oku ugqirha ukuba awufumani iimpendulo.
Ubuhlungu obungapheliyo
Thetha ugqirha wakho ukuba ucinga ukuba i-post-operative (post-surgery) intlungu ingaba yinto engavamile. Ubuninzi bexesha, iimbilini zoluleko ziya kuphulukisa ngokwabo kunye nokunyamekela. Kwaye amaxesha amaninzi, iintsholongwane ezithintekayo ziza kuzincoma zodwa xa i-suture ithathwa ngumzimba. Ukuba usenokuba nobunzima ngaphezu kweenyanga ezintathu emva kokuhlinzwa kwakho, kuthathwa njengentlungu engapheliyo.
Unyango
Kukho unyango oluninzi olunokuthi lube luhlungu lwentlungu engapheliyo ye-pelvic engazisombululi ngokwazo.
- Amachiza - Ugqirha wakho unokunyusa kwakhona amayeza athile ngenxa yentlungu. Izidakamizwa eziqhelekileyo eziqhelekileyo zentlungu engapheliyo ye-pelvic intlungu i-tricyclic antidepressants kunye ne- anticonvulsants ezifana ne-Neurontin (gabapentin.) Amachiza amatsha afana neLyrica (pregabalin) nawo asebenzayo kwabanye abantu. Nangona la mayeza awazange aphuhliswe okokuqala ukunyanga iintlungu, ziye zafunyanwa ukukhulula intlungu kwezinye iimeko. Kubalulekile ukuba uqaphele ukuba izidalwa ezixinzelelekileyo ezinqunyanyelwe ukubuhlungu okungapheli zicinga ukuba zisebenza kunye neentlungu zokufumana ingqondo ebuchosheni. Ngamanye amazwi, ugqirha wakho akayichazi la mayeza ngoba ukholelwa ukuba "intlungu yakho isentloko yakho."
- Iibhloko zeentambo zisebenza kakhulu kubantu abathile bejamelana neentlungu zesifo se-pelvic.
- IINYUNYUNTU - IINYUNYANYA zeeTENS okanye i- transcutaneous electrical nerve stimulation ziye zabanceda abanye abantu ukuba banyamezele intlungu.
Ukujamelana
Uninzi lweengcaphephe lubonisa ukuba unyango olungcono kakhulu lweentlungu zentlungu luhlanganiswe ngamachiza, ezinye iindlela zokwelapha, kunye nemilinganiselo yokuphila. Yintoni onokwenza ngayo ukuba unentlungu?
- Gcina uncwadi lweentlungu - Ukubhala kwincwadi yeentlungu kunokunceda gqitha xa unobandezeleka obungapheliyo. Kungekuphela nje kunokukunceda uqhubeke uqonda intlungu yakho ukuze ukwazi ukuxelela abanye ugqirha wakho, kodwa ingaba yindlela efanelekileyo yokufumanisa oko kusebenzayo noko kungasebenzi ukulawula intlungu yakho.
- Ingqondo / Iimpawu zonyango - Ukucamngca kwi-yoga, "izidalwa zendalo" akunokuthi zinciphise intlungu, kodwa inganciphisa uxinzelelo ebomini bakho obangela intlungu yakho.
Ukuqwalasela i-Pelvic or Surgery
Ukuba ukhathazeke ngeentlungu njengoko usebenza ngokuhlinzwa, khumbula ukuba uninzi lwabantu abaye bahlinzwa ngokusesikweni abangekhe babe neentlungu ezingapheliyo emva koko. Kwaye njengoko uphando oluninzi luyafumaneka, oogqirha basebenzisa amacandelo okuqhubela phambili ukukhusela umonakalo kwiimbilini zeplavic ngexesha lotyando lobubele besisu.
Ukunciphisa Ubungozi Bokugula Okungapheliyo
Nangona sinomgama omde wokuya ekunqumeni iindlela ezifanelekileyo zokuthintela nokuphatha ubuhlungu obungapheliyo emva kokuhlinzwa, siyazi ngokuqinileyo kwintlungu engatshintshwa. Ekubeni ubunzima beentlungu ezihamba phambili zixhomekeke kakhulu engozini yokubandezeleka okungapheliyo, kubonakala ngathi unyango olushushu luya kuba luyimfuneko.
Xa uphatha intlungu emva kokuhlinzwa , iifundo zihlala zibonisa ukuba ukuphathwa kakubi kulawulo kubangela ukulawula kakuhle intlungu. Ngamanye amagama, ufuna ukuhlala phezu kwentlungu yakho kwaye ungazami ukudlala "ukubamba" ngeempawu zonyango. Xelela udokotela ogqirha malunga nokuba buhlungu bunjani bumkelekile emva kokuhlinzwa .
Nangona singayazi ukuba ulawulo olungcono lweentlungu zentlungu luya kunciphisa umngcipheko weentlungu ezingapheliyo kamva, kodwa kunokwenzeka ukuba, kukho ezinye izizathu kunye nokuqinisekisa ukuba ulawulo lwakho lweentlungu lwanele ngokulandela ukuhlinzwa.
Imithombo:
Beyaz, S., Ozocak, H., Ergonenc, T. et al. I-Posturgical Pain ne-Neuropathic Symptoms emva kwe-Hysterectomy yamathumbu: I-Epidemic eyiyo. Amachiza (iBaltimore) . 2016. 95 (33): e4484.
Clarke, S., kunye no-S. Kanakarajan. Isisu seNqwelana yeMigudu yeNetyana. Imfundo eqhubekayo kwi-Anesthesia, ukunakekelwa okubalulekileyo, kunye nobuhlungu . Ishicilelwe kwi-intanethi 05/17/14.
I-Macrae, i-Wrap Post-Surgical Pain: Iminyaka eyi-10. IBritish Journal of Anesthesia . 2008. 101 (1): 77-86.
Montes, A., Roca, G., Sabate, S. et al. I-Genetic and Clinical Factors Edibene ne-Chronicurgical Pain emva kokulungiswa kwe-Hernia, i-Hysterectomy, ne-Thoracotomy: Isifundo seminyaka emibini ye-Multicenter Cohort Study. Anesthesiology . 2015. 122 (5): 1123-41.