Zvinosuruvarisa, kuvhiyiwa mumimba dzimwe nguva kunotungamirira kumarwadzo asingasuruki mumimba kana kusagadzikana kwepelvic nerve pain . Kune vanhu vane mimba yemapfupa kana maperemvic vakagurwa, vakatsemuka, kana kuti zvimwe zvakakuvadzwa panguva yekuvhiyiwa mumimba, zvakadai seappendectomy, chirwere chekuita gynecological kana mamwe marudzi ekugadzirisa hernia, mamiriro acho anogona kunge asingagoni kudzivisa.
Hazvinyatsozivi kuti izvi zvinowanzoitika sei, asi tiri kudzidza kuti kurwadziwa kwehutano mushure mekuvhiyiwa kunowanzova kwakajairika kupfuura yaimbofunga.
Zvinotaridzika zvakapararira, asi pane dzimwe nguva, zvakadai sekudzivirira kwepamuviri nekugadziriswa kwemunda wake, kusvika kune chechina yevanhu vangave neine chirwere chinogara chisingaperi.
Izvi zvinogona kutyisa kuverenga kana uri kuronga kuti uite chirwere, asi kune zvimwe zvinhu zvaungagona kuita semurwere zvinogona kuderedza ngozi yako, uye kutsvakurudza kuri kuenderera mberi kutarisa munzira mbiri dzekudzikisa ngozi, uye kubata chirwere chacho, kurwadziwa kwehutano mushure mekuvhiyiwa.
Zvinokonzera
Kuvhiyiwa kwepamuviri kwave kuchizivikanwa, mune dzimwe nguva, kukonzera kukanganisa mutsara weiyo-inguinal, the ilio-hypogastric neerve genitofemoral nerve , izvo zvose zvinogona kutungamirira mukurwadziwa kwepelvic, kana kurwadziwa kwepelvic neuropathic . Izvozvo zvakati, hapasi nguva dzose hukama huri nyore pakati pemigunha yehutano uye humwe hutano hwehutano hwakanamatira hunoita. Heano zvikonzero zvishoma nei izvi zvingaitika:
- Tsvina yemasvivhe inoswedera kune nzvimbo dzisina kufanira . Pakugara kwepamuviri nekuvhiya kweplavic, iyooo-hypogastric uye irio-inguinal mitsipa inowanzova mumutsara wemoto. Pamusana pekusiyana kwevanhu pakati pevanhu, kunyange vaongorori vezvechiremba vane unyanzvi hwekuvhara mitsipa iyi.
- Anatomically, mitsetse yepracvic yakasiyana mumunhu mumwe nomumwe . Pelvic nerve structure inogona kusiyana zvakasiyana kubva kumunhu kusvika kune munhu. Mune vamwe vanhu, mishonga inogara pasi pemisungo yemimba. Mune vamwe vanhu, vanogona kupfuura nepakati pavo. Vamwe vanhu vane mamwe mapepa emagetsi epelvic kupfuura mamwe. Kudzivisa kusvibiswa kwehutano hwepelvic panguva yekuvhiyiwa hakusi nyore kana pane zvakawanda zvakasiyana-siyana zvingangosiyana.
- Kutambanudza mitsetse yeplavic kunogona kukonzera kukanganisa . Iwe haufaniri kunge uine mishonga yako yeplvic kana kucheka kuitira kuti utambure kubva kumarwadzo asingagoneki emaperembudzi. Dzimwe nguva, mitsipa yakatambanudzwa zvakakwana panguva yekuvhiyiwa iyo kukanganisa kunoitwa.
- Pelvic nerve inogona kuomeswa mushure mekuvhiyiwa . Nhengo yakagadziriswa-mu sutures, staples kana mesh-inogonawo kukonzera kurwadziwa kwepelvic, uye inogona kuitika pashure pemamwe marudzi emimba uye chirwere chepilvic.
Sezvo zvisingawanzozivikanwa chaizvoizvo zvinokonzera marwadzo asingagumi mushure mekuvhiyiwa, hazvizivi kuti chii chinokonzera ngozi kune yekukura nekurwadziwa kusingaperi. Kuora kwenguva refu kunowanzoitika kakawanda kuvanhu vaduku uye zvinowanzoitika apo kushanda kwakanyanya kukura mune zvakasikwa. Nechiremba chinonyanya kufanirwa chekugara mushure kana kurwadziwa kwepachivi mushure mekuvhiyiwa ndiko kunetseka kwekunetseka kwakanyanya mushure mekuvhiyiwa.
Chikonzero chakakosha asi chisingazivikanwe chekusarwa kwepamuviri kusingaperi mushure mekuvhiyiwa inopinza mishonga yakaoma. Izvi zvinoitika kana mitsetse iri pedyo nechepamusoro pemimba inobatwa mumukati sezvavanopfuura nepamuviri we rectus . Izvi zvinofungidzirwa kuti ndizvo zvinokonzera makumi mapfumbamwe kubva muzana ematambudziko ekusava nekusingaperi mushure mekuvhiyiwa mumimba. Kuongororwa kunogona kugadzirwa nekujova chirwere chekushaya maitiro chinowanikwa munzvimbo ino pedyo nehutachiona (iyo inogona kuonekwa uye inogadzirwa kuburikidza ne ultrasound.) Sezvo ichienderana nezvimwe zvikonzero zvinokonzera kurwadziwa kwepamuviri mushure mekuvhiyiwa musungo mushure mutsva "zviri nyore" kugadzirisa, zvakakosha kuti utaure izvi kuna chiremba wako kana iwe uri kuwana mhinduro.
Chronic Pain
Taura nechiremba wako kana iwe uchifunga kuti post-operative (mushure mekuvhiyiwa) marwadzo angave asina kujairika. Nguva yakawanda yenguva, kutapudzwa kwemishonga kunoporesa ivo pachavo nekutarisira kwakakodzera. Uye nguva dzakawanda, mitsetse iyo yakabatwa mumakumbo ichagadzirisa pachayo pachayo iyo suture inobatwa nemuviri. Kana iwe uchiri kurwadziwa kwemwedzi inopfuura mitatu mushure mekuvhiyiwa kwako, kunonzi kurwadziwa kusingaperi.
Kurapa
Pane mishonga yakawanda inogona kuitika yekusagadzikana kwepelvic nerve pain isingagadzirisisi payo.
- Mishonga - Chiremba wako anogonawo kukurudzira mamwe mishonga yemarwadzo. Mishonga inonyanya kupiwa yakagadziriswa yepracvic nerve pain is tricyclic antidepressants uye anticonvulsants dzakadai saNeurontin (gabapentin.) Mishonga mitsva yakadai seLyrica (pregabalin) yakashandawo kune vamwe vanhu. Kunyange zvazvo mishonga iyi yakanga isina kutanga yakagadzirirwa kurapa marwadzo, yakawanikwa kurerutsa marwadzo mune mamwe mamiriro ezvinhu. Zvakakosha kuziva kuti vanorwara nehutachiona vanorayirwa kuti varwadzire kusingaperi vanofungidzirwa kuti vanoshanda nemarwadzo ekurwadza muuropi. Mune mamwe mazwi, chiremba wako haasi kunyora mishonga iyi nokuti anotenda "marwadzo ako ari mumusoro wako."
- Nzivo dzinobatsira zvikuru kune vamwe vanhu vanorwisana nemarwadzo asingagumi emaperembudzi.
- TENS - TENS unit kana transcutaneous magetsi emushumo anokurudzira akabatsira vamwe vanhu kuti vatsungirire kurwadziwa kwavo.
Kutsungirira
Nyanzvi dzakawanda dzinotsanangura kuti kurapa kwakanakisisa kwekunetseka kweputi kunosanganiswa kwemishonga, mamwe mazano ekurapa, uye mararamiro emararamiro. Iwe ungaitei iwe kana uri kutambura nemarwadzo?
- Chengetedza bhuku rinorwadziwa - Kunyora mumagazini inorwadza kunogona kubatsira zvikuru apo iwe unotambura nekurwadziwa kusingaperi. Kwete kungangokubatsira kuti urambe uchinzwisisa marwadzo ako kuitira kuti ugone kugoverana zviratidzo zvako nachiremba wako, asi inogona kuva nzira inobatsira yekuziva kuti chii chinoshanda uye chisingaiti kuti utarisire marwadzo ako.
- Pfungwa / Mishonga yekurapa - Kubva kufungisisa kusvika ku yoga, "masikirwo" emakwenzi haangoiti kuderedza marwadzo ako chete, asi kunogona kuderedza kushungurudzika muupenyu hwako kunotambudza marwadzo ako.
Kufunga nezveUkuvhima Kwepelvic kana Kumimba
Kana iwe uchinetseka pamusoro pekutambudzika apo iwe unosangana nekuvhiyiwa, ramba uchifunga kuti vazhinji vevanhu vanovhiyiwa mumimba havaoni kurwadziwa kwenguva refu mushure mekunge. Uye sezvo kuwedzera uye kutsvakurudza kuri kuwanika, vanachiremba vanovhiya vari kushandisa maitiro ekufambira mberi akawanda kuti vasakanganiswa nemishonga yeplavic munguva yekuvhiyiwa kwepamuviri uye yeplavic.
Kuchengetedza Njodzi Yekurwadziwa Kusingaperi
Kunyangwe tine nzira yakareba yekuenda mukugadzirisa nzira dzakanakisisa dzekudzivirira nekubata marwadzo asingagumi mushure mekuvhiyiwa, tinoziva nezvehutano hwakasimba hwekutambudzika kunogona kuchinjwa. Sezvo kuoma kwemarwadzo akaoma mushure mekushanda kwakanyanyobatanidzwa nehutano hwekurwadziwa kusingaperi, zvinoita sokuti kushungurudzwa kunorwadza kwekurwadziwa kwemashure kunoshanda.
Nekurapa kurwadziwa kwepashure-kupora , zvidzidzo zvinoramba zvichiratidzira kuti utsinye huri mberi-kutungamira hunoita kuti pave nekugadzirisa kunaka kwekutambudzika. Mune mamwe mazwi, unoda kuramba uri pamusoro pemarwadzo ako uye usaedza kutamba "catch up" nemishonga inorwadza.Taura kuna chiremba wako nezvekurwadziwa kwakagamuchirwa mushure mekuvhiyiwa .
Kunyangwe tisati tati kuziva kana kutarisana kwakanaka kwekutambudzika kwepas-op kuchaderedza dambudziko remarwadzo asingagumi mushure mekunge, asi zvakanaka kwazvo, pane zvimwe zvikonzero zvakare kuti uone kuti kurwadziwa kwako kunokwana zvakakwana pakutevera chirwere.
Sources:
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Clarke, S., uye S. Kanakarajan. Abdominal Cutaneous Nerve Entrapment Syndrome. Kuenderera mberi Dzidzo muAnesthesia, Kuchengetedza Kunokosha, uye Nhamo . Yakabudiswa paIndaneti 05/17/14.
Macrae, W. Chronic Post-Surgical Pain: 10 Makore. British Journal yeAnesthesia . 2008. 101 (1): 77-86.
Montes, A., Roca, G., Sabate, S. et al. Genetic and Clinical Factors Yakasangana ne Chronic Chronicurg Postinical after Hernia Repair, Hysterectomy, uye Thoracotomy: A Two-year Multicenter Cohort Study. Anesthesiology . 2015. 122 (5): 1123-41.