Ngeshwa, ukuhlinzwa kwesisu ngezinye izikhathi kungabangela ubuhlungu obungapheli besisu esiswini noma ubuhlungu obungapheli benhliziyo . Kulabo abantu abanezinyosi zomzimba noma izibilini zabo eziye zahlulwa, ezonwetshiwe noma ezilimazwe ngesikhathi sokuhlinzwa kwesisu, njenge-appendectomy, ukuhlinzwa kwegazi noma ezinye izinhlobo zokulungiswa komzimba wakhe, isimo singakhubaza kakhulu.
Akuqiniseki ukuthi lokhu kwenzeka kaningi kangakanani, kodwa sifunda ukuthi ubuhlungu besisindo ngemuva kokuhlinzwa buvame kakhulu kunalokho okucatshangwa khona.
Ukulinganiswa kuhlakazekile, kodwa kwezinye izimo, ezifana nokuhlushwa kwamathumbu kanye nokulungiswa kwamakhemikhali, kuze kube yilapho owesine wabantu bangase babe nokuhlupheka okungapheli kwesifo sezinzwa.
Lokhu kungesabisa ukufunda uma uhlela ukuhlinzwa, kodwa kukhona izinto ongase ukwazi ukuzenza njengesiguli esinganciphisa ingozi yakho, futhi ucwaningo luqhubeka lubuka izindlela zombili zokunciphisa ingozi, futhi ukwelapha ukuvela, ubuhlungu benzwa ngemuva kokuhlinzwa.
Izimbangela
Ukuhlinzwa kwamathumbu kuye kwaziwa, kwezinye izimo, ukulimaza inzwa ye-ilio-inguinal, i-ilio-hypogastric nererve kanye ne- genitofemoral nerve , konke okungaholela ekuhluphekeni kwezinzwa zomzimba, noma ubuhlungu be- pelvic neuropathic . Lokho kusho ukuthi akukhona ngaso sonke isikhathi ubudlelwane obulula phakathi kokulimala kwamantombazane kanye nesipiliyoni esilandelayo sobuhlungu obuhlobene nobuhlungu. Nazi izizathu ezimbalwa ezenza lokhu kwenzeke:
- Izindebe zama-pelvic zisondele kumasayithi angaqondakali . Ngesikhathi sokuhlinzwa kokuhlinzwa kwesisu nesisu, imisipha ye-Ilio-hypogastric ne-alio-inguinal ngokuvamile iqondiswa ngqo emgqeni womlilo. Ngenxa yokuhlukana okwenziwe phakathi kwabantu, ngisho nabahlinzayo abahlinzayo abanekhono banekhono lokususa lezi zinzwa.
- Ngokwemvelo, izinzwa ze-pelvic zihlukile kumuntu ngamunye . Isakhiwo somswakama we-pelvic singashintsha kakhulu umuntu nomuntu. Kwamanye abantu, izinzwa zihlala ngaphansi kwemisipha yomzimba. Kwabanye abantu, bangadlula kuwo. Abanye abantu banamagatsha anamanzi amaningi kakhulu kunezinye. Ukugwema ukulimala kwamantombazane emzimbeni ngesikhathi sokuhlinzwa akulula uma kunezinhlobo eziningi ezingahle zibe khona.
- Ukwehlisa izinzwa ze-pelvic kungabangela nomonakalo . Akudingeki ukuba unqunywe noma unqunywe izinzwa zakho ze-pelvic ukuze uhlupheke ngenxa yobuhlungu obungapheli benhliziyo. Ngezinye izikhathi, izinzwa zisekelwe ngokwanele ngesikhathi sokuhlinzwa ukuthi umonakalo wenziwe.
- Izinzwa ze-pelvic zingase zicindezeleke ngemva kokuhlinzwa . Ukufakelwa kwesisu-ku-sutures, ukudla okuyisisekelo noma ukugcoba-kungadala futhi kuholele ekuhluphekeni kwezinzwa zomzimba, futhi kungenzeka ngemva kwezinhlobo ezithile zokuhlinzwa kwesisu nesisu.
Njengoba nje kungavamile ukuzwa ubuhlungu obunzima ngemuva kokuhlinzwa, akuqiniseki ukuthi izici eziyingozi zokuthuthukisa ubuhlungu obungapheli. Ubuhlungu obungapheliko buvame kakhulu kubantu abasha futhi kungenzeka ukuthi kwenzeke uma ukusebenza kunzima ngokwemvelo. Ngokweqile kakhulu ukuhlushwa kwesisu esiswini noma ubuhlungu besisu emva kokuhlinzwa ukuqina ubuhlungu obukhulu ngemva kokuhlinzwa.
Isizathu esibalulekile kodwa esingaziwa ngaphansi kwezibuhlungu ezingasetshenziswa ngemuva kokuhlinzekwa yisisindo somzimba wesisu. Lokhu kwenzeka lapho izinzwa eziseduze nesisu sezikhunjulwa njengoba zidlula umsila we- rectus . Lokhu kucatshangwa ukuthi yimbangela yamaphesenti angama-30 amacala obuhlungu obungapheli ngemuva kokuhlinzwa kwesisu. Ukuxilongwa kungenziwa ngokujova ukuhlinzekwa kwezinzwa zasendaweni eduze nesibindi (okungabonwa futhi kwenziwe nge-ultrasound.) Njengoba kuqhathaniswa nezinye izimbangela zezinhlungu ezingavamile zesisu emva kokuhlinzwa kokuhlinzwa kwesibindi "kulula" ukuxazulula, kubalulekile ukuthi usho lokhu udokotela wakho uma ungatholi izimpendulo.
Ubuhlungu obungapheliyo
Khuluma nodokotela wakho ohlinzayo uma ucabanga ukuthi ubuhlungu bakho bokuthutha (post-operation) bungavamile. Esikhathini esiningi, izinzwa ezelulekile zizokwelapha ngokwabo ngokunakekelwa okufanele. Futhi izikhathi eziningi, izinzwa ezithintekile zizozixazulula zodwa uma i-suture ithathwa ngumzimba. Uma usuzwa ubuhlungu ngaphezu kwezinyanga ezintathu ngemuva kokuhlinzwa kwakho, kuthathwa ubuhlungu obungapheli.
Ukwelapha
Kunezinyathelo eziningana zokwelapha ubuhlungu obungapheli benhliziyo yezinzwa ezingazixazulula zodwa.
- Imithi - Udokotela wakho angase futhi ancoma imithi ethile yemilenze. Izidakamizwa ezivame ukwenziwa ngezihlungu ezingapheli zomsindo we-pelvic zinama-anti-depressants kanye nama- anticonvulsants anjenge-Neurontin (gabapentin.) Imithi emisha efana neLyrica (pregabalin) nayo iphumelele kwabanye abantu. Nakuba le mithi yayingakakhiwa ngokuyinhloko yokwelapha ubuhlungu, zitholiwe ukukhulula ubuhlungu kwezinye izimo. Kubalulekile ukuphawula ukuthi izidakamizwa ezicindezelayo ezibekwe ubuhlungu obungapheli zicatshangelwa ukuba zisebenze nama-receptors obuhlungu ebuchosheni. Ngamanye amazwi, udokotela wakho akaqapheli le mithi ngoba ukholelwa ukuthi "ubuhlungu bakho busekhanda lakho."
- Amabhuloki emisipha aphumelela kakhulu kubantu abathile abhekana nosizi lwamazinyo angapheli.
- Amayunithi ama-TENS - TENS noma ukuvuselelwa kwamagesi kagesi ayenziwe ngogesi aye asize abanye abantu ukuba babhekane nosizi lwabo.
Ukubhekana
Ucwaningo oluningi lubonisa ukuthi ukwelashwa okungcono kakhulu kwezinhlungu zesisindo kuyinhlanganisela yemithi, nezinye izindlela zokwelapha, nezindlela zokuphila. Yini ongayenza uma uzwa ubuhlungu?
- Gcina iphephabhuku lobuhlungu - Ukubhala kumagazini wezinhlungu kungaba usizo kakhulu uma uhlupheka ngobuhlungu obungapheli. Akukona nje ukuthi kungakusiza ukuthi uqhubeke uqonda ubuhlungu bakho ukuze ukwazi ukwabelana nodokotela wakho nezimpawu zakho, kodwa kungaba yindlela ephumelelayo yokuthola ukuthi yini esebenzayo nokuthi yini engasebenzi ukuphatha ubuhlungu bakho.
- Ingqondo / Imithi yokwelashwa - Ukusuka ekuzindleni kuya kwi-yoga, izindlela zokwelapha "zemvelo" angeke zinciphise ubuhlungu bakho kuphela, kodwa zinganciphisa ukucindezeleka empilweni yakho okudambisa ubuhlungu bakho.
Ukucabangela Ukwelashwa Kwama-pelvic noma Okwesisu
Uma ukhathazekile ngobuhlungu lapho usondela ekuhlinzekeni, khumbula ukuthi iningi labantu abasebenza ngokuhlinzwa esiswini ngeke lizwe ubuhlungu obungapheli. Futhi njengoba ucwaningi oluthe xaxa luba khona, odokotela abahlinzayo basebenzisa amasu amaningi okuthuthukisa ukugwema umonakalo emithanjeni ye-pelvic ngesikhathi sokuhlinzwa kwesisu nesisu.
Ukunciphisa Ingozi Yokuhlupheka Okungapheli
Nakuba sinendlela ende yokuthola izindlela ezinhle zokuvimbela nokwelapha ubuhlungu obungapheli ngemva kokuhlinzwa, siyazi ngomqondo oqinile wezinhlungu ezingashintshwa. Njengoba ubuhlungu obukhulu be-post-operative buxhunyaniswe kakhulu nobungozi bokuhlupheka okungapheli, kubonakala sengathi ukwelashwa okufuthekayo kobuhlungu bokuthutha kuyodingeka.
Ngokuphatha ubuhlungu be-post-surgical , izifundo ziqhubeka zibonisa ukuthi ukuphathwa ngokucindezela phambili kubangela ukulawula kahle ubuhlungu. Ngamanye amazwi, ufuna ukuhlala phezu kobuhlungu bakho futhi ungazami ukudlala "ukubamba" ngemithi yobuhlungu.Tjela udokotela wakho ohlinzayo mayelana nobuhlungu obukhulu obamukelekayo ngemva kokuhlinzwa .
Yize singasazi ukuthi ukuphathwa kangcono kobuhlungu bokuthunyelwa komzimba kuzonciphisa ingozi yokubuhlungu okungapheli kamuva, kodwa kungase kube khona nezinye izizathu zokuqinisekisa ukuthi ukulawulwa kwakho ubuhlungu kukwanele ngokulandela ukuhlinzeka ngokuqondile.
Imithombo:
Beyaz, S., Ozocak, H., Ergonenc, T. et al. I-Posturgical Pain Chronic and Symptoms Neuropathic emva kwe-Hysterectomy Yomzimba: Isifo Esiyingozi. Imithi (Baltimore) . 2016. 95 (33): e4484.
U-Clarke, S., no-S. Kanakarajan. I-Abdominal Cutaneous Nerve Entrapment Syndrome. Ukuqhubeka nemfundo ku-Anesthesia, ukunakekelwa okubalulekile, nokubuhlungu . Ishicilelwe ku-intanethi 05/17/14.
I-Macrae, i-Chronic Chronic-Surgical Pain Pain: Iminyaka eyishumi. I-British Journal ye-Anesthesia . 2008. 101 (1): 77-86.
Montes, A., Roca, G., Sabate, S. et al. Izakhi ze-Genetic and Clinical ezihambisana ne-Chronic Postsurgical Pain emva kokulungisa i-Hernia, Hysterectomy, ne-Thoracotomy: Isifundo se-Two Multicenter Cohort Study. Anesthesiology . 2015. 122 (5): 1123-41.