Tiyeni tiphunzire za opaleshoni yokulitsa chikhodzodzo (Augmentation Cystoplasty) mwachidule.

Kodi mumakhala ndi chilakolako chofuna kukodza nthawi zonse? Kapena nthawi zina mumalephera kulamulira ngakhale pang'ono mkodzo, ndipo umatuluka pa zovala zanu? Kwa anthu ena, izi zitha kukhala chopinga chachikulu pa moyo wawo watsiku ndi tsiku. Pamene chikhodzodzo sichikugwira ntchito bwino chifukwa cha matenda ena, izi zitha kubweretsa mavuto ngati awa. Chifukwa chake, nthawi ngati izi, yankho limodzi lomwe madokotala amalimbikitsa ndi opaleshoni yokulitsa chikhodzodzo. Ndicho chimene tikukamba lero.

Kodi opaleshoni yokulitsa chikhodzodzo iyi (Augmentation Cystoplasty) ndi chiyani?

Mwachidule, chikhodzodzo chanu ndi chiwalo chonga thumba chomwe chimatha kusunga mkodzo kwa kanthawi. Opaleshoni iyi imapangitsa chikhodzodzo chanu kukhala chachikulu pang'ono. Izi zikutanthauza kuti chimawonjezera mphamvu yake.

Tangoganizani kuti botolo la madzi lomwe muli nalo ndi laling'ono, kotero muyenera kulidzaza pafupipafupi. Ngati titalumikiza chidutswa china ku botololo ndikulikulitsa, kodi tingathire madzi ambiri nthawi imodzi? Chabwino, ndicho chomwe chimachitika ndi opaleshoni iyi.

Madokotala amagwiritsa ntchito gawo la thupi lanu pa njirayi. Kunena zoona, amatenga chidutswa chaching'ono cha matumbo anu ang'onoang'ono kapena matumbo akulu ndikuchilumikiza ku chikhodzodzo chanu kuti chikulire. Ngati matumbo ang'onoang'ono agwiritsidwa ntchito, amatchedwa ``ileocystoplasty'', ndipo ngati matumbo akuluakulu agwiritsidwa ntchito, amatchedwa ``sigmoid'' kapena ceco-cystoplasty''. Koma izi sizofunika kwambiri kwa inu. Chofunika kwambiri ndichakuti izi zimapangitsa chikhodzodzo chanu kukhala chachikulu komanso kuti chizitha kusunga mkodzo wambiri.

N’chifukwa chiyani opaleshoni yamtunduwu ndi yofunika?

Si aliyense amene amafunika opaleshoniyi. Nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi vuto la chikhodzodzo chifukwa cha matenda enaake. Mwachitsanzo:

• Kuvulala kwa msana: Msana ukawonongeka chifukwa cha ngozi, mitsempha yomwe imalamulira chikhodzodzo imatha kukhudzidwa.
• Matenda a ubongo obadwa nawo: Ana ena amabadwa ndi mavuto enaake a msana kapena dongosolo lawo la mitsempha.
• Matenda ena: Matenda monga ``Multiple Sclerosis'' angayambitsenso kusintha kwa ntchito ya chikhodzodzo.

Zifukwa izi zingayambitse mavuto osiyanasiyana ndi chikhodzodzo. Tiyeni tiwone zomwe zili.

Kawirikawiri, opaleshoni iyi imachitika kwa anthu omwe akhala akugwiritsa ntchito njira yodzipangira okha kwa nthawi yayitali. Iyi ndi njira yomwe chubu chopyapyala (catheter) chimayikidwa kudzera mu urethra kuti chichotsedwe m'chikhodzodzo. Ngati njira iyi sithetsa vutoli, dokotala wanu adzakuuzani za opaleshoni iyi ngati gawo lotsatira.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Popeza iyi ndi opaleshoni yaikulu, siingachitike nthawi imodzi. Dokotala adzakuyang'anani bwino kuti aone ngati mukuyenerera. Adzachita mayeso angapo ngati awa.

• Kuyezetsa thupi: Thanzi lanu lonse layesedwa.
• Kuyezetsa magazi: Kuyang'ana momwe impso zimagwirira ntchito komanso ngati pali matenda aliwonse.
• X-ray: Jambulani chithunzi cha mkodzo.
• Cystoscopy: Kuyesa komwe chubu chokhala ndi kamera kakang'ono chimayikidwa kudzera mu urethra kuti chiwone mkati mwa chikhodzodzo.
• Kuyesa kwa Urodynamic: Kuyesa kwapadera komwe kumayesa momwe chikhodzodzo chimagwirira ntchito komanso kupanikizika komwe chimapereka chikadzaza ndi kutulutsa madzi.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Opaleshoniyi imachitika pansi pa opaleshoni yoletsa kugona (kugona) kotero simudzamva chilichonse. Dokotala wa opaleshoniyo akhoza kuchita opaleshoniyi m'njira ziwiri: kaya kudzera mu kudula kamodzi kwa nthawi yayitali m'mimba (opaleshoni yotseguka), kapena kudzera mu kudula pang'ono kangapo pogwiritsa ntchito opaleshoni ya robotic.

Komabe, njira zoyambira ndi izi:

1. Choyamba, dokotala wa opaleshoni amadula pamwamba pa chikhodzodzo .

2. Kenako, chidutswa cha kukula komwe kwatchulidwa chimadulidwa ndikulekanitsidwa ndi matumbo ang'onoang'ono kapena matumbo akulu, monga momwe zidakhazikitsidwira kale.

3. Chidutswa cha m'mimba cholekanitsidwacho chimapindidwa pakati, ndikupanga "chigamba" chathyathyathya.

4. Pomaliza, matumbo awa amaikidwa mu chikhodzodzo chomwe chinali chitatsegulidwa kale, ndipo awiriwa amalumikizidwa ndikusokedwa pamodzi .

Pambuyo pa opaleshoniyi, chikhodzodzo chidzakhala chachikulu kuposa kale. Mukadzuka pambuyo pa opaleshoni, mudzawona machubu awiri kapena atatu akutuluka m'mimba mwanu ndi m'chikhodzodzo. Izi zimayikidwa kuti mkodzo utuluke bwino ndikutsuka chikhodzodzo mpaka chikhodzodzo chatsopanocho chitachira. Musadandaule, izi ndi zakanthawi kochepa.

Kawirikawiri, opaleshoni iyi imatha kutenga pakati pa maola awiri ndi asanu ndi limodzi .

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yochira pambuyo pa opaleshoni nayonso ndi yofunika kwambiri. Kudzipereka kwanu n'kofunika panthawiyi.

Nthawi yomwe ndinali kuchipatala

Kawirikawiri muyenera kukhala m'chipatala kwa masiku asanu kapena asanu ndi awiri .

• Chakudya ndi chakumwa: Simudzaloledwa kudya kapena kumwa kwa masiku oyamba. Izi zili choncho chifukwa mukachita opaleshoni ngati iyi, matumbo amasiya kugwira ntchito kwakanthawi ndipo amakhala "ofooka". Timatcha izi kuti "ileus". Izi ndi zachilendo. Mungafunikenso kuyikidwa chubu kudzera mu mphuno yanu kuti mutulutse madzi m'mimba mwanu. Matumbo anu akayamba kugwiranso ntchito, mudzapatsidwa zakudya zamadzimadzi (monga supu) poyamba, kenako pang'onopang'ono mudzapatsidwa zakudya zachizolowezi.
• Machubu: Mukakhala kuchipatala, mudzakhala ndi machubu angapo m'mimba mwanu. Machubu osachepera awiri amaikidwa kuti atulutse mkodzo kuchokera m'chikhodzodzo chanu. Ogwira ntchito yosamalira ana adzakuphunzitsani momwe mungasamalire machubu awa, makamaka momwe mungatsukitsire mamina omwe amasonkhana m'chikhodzodzo chanu (kuthirira).

Kusamalira kwa nthawi yayitali mutabwerera kunyumba

• Kuthirira Mafinya: Ngati mafinya amenewa achulukana, amatha kutseka mkodzo, kuyambitsa miyala ya mkodzo, ndikuyambitsa matenda. Chifukwa chake, muyenera kutsuka mkati mwa chikhodzodzo chanu ndi yankho lapadera m'mawa uliwonse kwa moyo wanu wonse. Mudzaphunzitsidwa momwe mungachitire izi kuchipatala.
• Mayeso: Patatha milungu itatu kuchokera pamene opaleshoni yachitika, mudzayesedwa kuti muwonetsetse kuti chikhodzodzo chanu chatsopano sichikutuluka mkodzo. Ngati zonse zikuchira bwino, dokotala wanu adzachotsa machubu anu.
• Kudzipangira Catheter: Mukachotsa chubu, muyenera kuyamba kudzipangira catheter nokha. Musadandaule! Gulu lachipatala lidzakuphunzitsani momwe mungachitire izi mpaka mutakwanitsa kuchita nokha mosavuta.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina.

Kodi ubwino wake ndi wotani?

Ngati opaleshoniyi yapambana, ikhoza kubweretsa mpumulo waukulu pa moyo wanu.

• Pamene chikhodzodzo chikukulirakulira, kuthamanga kwa magazi mkati kumachepa .
• Izi zimaletsa kapena kuchepetsa kuwonongeka kwa impso .
• Popeza mutha kusunga mkodzo wambiri nthawi imodzi, simuyenera kukodza pafupipafupi .
• Kawirikawiri, mumatha kusakodza kwa maola osachepera anayi .
• Kutha kulamulira mkodzo wanu kumakupatsani chidaliro chachikulu mukakhala pagulu.

Zoopsa ndi zovuta

Kuchotsa mamina omwe takambirana kale kungayambitse mavuto akuluakulu ngati sikuchitidwa bwino. Kuphatikiza apo, pali zoopsa zina zomwe zimachitika chifukwa cha opaleshoniyo.

Kodi zitenga nthawi yayitali bwanji kuti munthu achire bwino?

Iyi ndi njira yomwe imatenga nthawi.

• Pambuyo pa milungu isanu ndi umodzi , mutha kuyembekezera kuti mwabwerera mwakale. Izi zikutanthauza kuti mudzamva bwino ndi 90%.
• Komabe, zingatenge miyezi itatu kuti munthu achire mokwanira mpaka kufika pamlingo womwewo asanachite opaleshoni.
• Munthawi imeneyi, muyenera kupewa chilichonse chomwe chingakupangitseni kupanikizika pamimba, monga kunyamula zolemera, kuthamanga, kusewera masewera, komanso kugonana .
• Mukhoza kubwerera kuntchito kapena kusukulu patatha milungu pafupifupi isanu ndi umodzi, kutengera mtundu wa ntchito yanu komanso liwiro la kuchira kwanu.

Kodi ndi nthawi iti yomwe muyenera kuyimbira dokotala mwadzidzidzi?

Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutabwerera kunyumba, muyenera kuyimbira foni dokotala wanu nthawi yomweyo kapena kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nanu.

• Ngati pali kutuluka magazi ambiri mozungulira chotupacho.
• Ngati kutentha kwa thupi kuli pamwamba pa madigiri 38 Celsius (100 F).
• Ngati malo a bala afiira, kutupa, kupweteka, kapena kutuluka mafinya (zizindikiro za matenda).
• Ngati simungathe kuyika catheter ya urethra kapena ikumva ngati yatsekeka.

Dokotala wanu adzakukonzerani nthawi yokumana ndi dokotala kuchipatala. Poyamba, adzakupemphani kuti mubwere kudzayang'ana bala, kudula zosokera, ndikuchotsa machubu. Pambuyo pake, adzakupemphani kuti mubwere kamodzi pachaka kudzayang'ana momwe impso zanu zilili, kuyezetsa magazi, ndikukonzanso mankhwala anu a chubu.

Opaleshoni iyi ndi chisankho chosintha moyo. Chifukwa chake, khalani omasuka komanso oona mtima kwa dokotala wanu pa nkhawa zanu zonse ndi mantha anu. Izi zikuthandizani kuyenda ulendowu.