Kodi mungachotsedwe chikhodzodzo chanu ndikupangira chatsopano? Tiyeni tikambirane za opaleshoni ya Neobladder (Neobladder Reconstruction)

Nthawi zina, chifukwa cha khansa kapena matenda ena akuluakulu, chikhodzodzo chonse cha munthu chiyenera kuchotsedwa. Anthu ambiri amaopa kuti, "Ndikodza bwanji tsopano?" Koma musachite mantha, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, pali njira yabwino yothetsera izi. Izi zikutanthauza kuti, pogwiritsa ntchito gawo la m'mimba mwanu, chikhodzodzo chatsopano chimapangidwa mkati mwa thupi. Lero, tikulankhula za opaleshoni yodabwitsa iyi, yomwe imatchedwa opaleshoni ya Neobladder.

Kodi opaleshoni ya 'Neobladder' ndi chiyani?

Mwachidule, iyi ndi opaleshoni yopangira chikhodzodzo chatsopano kuti chilowe m'malo mwa chikhodzodzo chanu chodwala komanso chosagwira ntchito bwino. Pankhaniyi, madokotala amachotsa chikhodzodzo chanu choyamba kudzera mu opaleshoni. Izi zimatchedwa cystectomy . Kenako, amatenga chidutswa chaching'ono cha matumbo anu ang'onoang'ono ndikuchigwiritsa ntchito kupanga chikhodzodzo chatsopano (neobladder) chomwe chimaoneka ngati mpira.

Chikhodzodzo chatsopanochi chimayikidwa pamalo omwewo ndi chikhodzodzo chanu chakale. Ndicho chifukwa chake nthawi zina chimatchedwa neobladder ya 'orthotopic'. 'Orthotopic' imatanthauza "malo omwewo." Ichi ndi chomwe timachitcha kuti neobladder reconstruction, yomwe imapanga njira yatsopano yosungira ndi kutulutsa mkodzo.

Koma opaleshoni iyi si ya aliyense. Madokotala adzasankha ngati ndinu woyenera opaleshoniyi potengera zinthu zingapo, monga thanzi la impso ndi chiwindi chanu komanso ngati muli ndi khansa ya chikhodzodzo.

Ndi nthawi ziti pamene opaleshoniyi ikufunika?

Dokotala angakulimbikitseni opaleshoni iyi pa matenda osiyanasiyana omwe amakhudza thanzi kapena ntchito ya chikhodzodzo chanu. Tiyeni tiwone zomwe zili.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Musanachite opaleshoniyi, mudzakumana ndi dokotala wa urologist. Iye adzakufotokozerani zabwino ndi zoyipa za opaleshoniyi, komanso njira zina, ndipo adzawunikanso mbiri yanu yachipatala ndikukuyesani kuti muwone thanzi lanu lonse.

Kuphatikiza apo, mudzafunsidwa za zinthu izi:

• Mankhwala omwe mumamwa: Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mukumwa (onse omwe amaperekedwa ndi dokotala komanso omwe amaperekedwa ndi dokotala). Mankhwala ena ochepetsa ululu (NSAIDs) ndi mankhwala ochepetsa magazi (anticoagulants) amatha kuwonjezera chiopsezo cha kutuluka magazi panthawi ya opaleshoni. Koma kumbukirani, musasiye kumwa mankhwala aliwonse musanafunse dokotala wanu kaye.
• Matenda Anu a Chifuwa: Onetsetsani kuti mwatiuza za matenda aliwonse a chifuwa omwe muli nawo chifukwa cha mankhwala, mankhwala oyeretsera khungu (monga ayodini), latex, kapena zakudya.
• Chakudya ndi Chakumwa: Mudzalangizidwa kuti musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku woti opaleshoni ichitike. Ngati muli ndi mankhwala ofunikira, mutha kumwa ndi madzi pang'ono.

Momwe opaleshoni imachitikira sitepe ndi sitepe

Iyi ndi opaleshoni yaikulu yomwe imatenga maola awiri kapena asanu ndi limodzi. Tiyeni tiwone pang'onopang'ono zomwe zimachitika panthawiyi.

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

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo. Mudzamva kutopa pang'ono mukadzachira. Ku chipatala, gulu lachipatala lidzakupatsani mankhwala oletsa ululu wanu ndikuyang'anira thanzi lanu.

Pa nthawi yochira, mudzaphunzitsidwa za:

• Masewero olimbitsa thupi a pansi pa chiuno (Masewero a Kegel): Izi ndizofunikira kwambiri. Masewerowa amalimbitsa minofu yomwe imalamulira chikhodzodzo chanu. Chifukwa chake, izi zimathandiza kwambiri kupewa kusadziletsa kwa mkodzo.
• Kudzipaka m'chikhodzodzo: Si aliyense amene akufunikira, koma pafupifupi 15% ya anthu ayenera kugwiritsa ntchito njira imeneyi kuti atulutse madzi onse m'chikhodzodzo chawo poyamba. Musadandaule, tidzakusonyezani momwe mungachitire.

Zingatenge miyezi ingapo kuti muchire bwino. Zimatenga nthawi kuti muzolowere chikhodzodzo chanu chatsopano, kuphunzira momwe mungachotsere madzi m'thupi, komanso kulimbitsa minofu yanu. Dokotala wanu ndi ogwira ntchito yosamalira anamwino adzakuthandizani pa zonsezi.

Kodi ubwino ndi kuipa kwa neobladder ndi chiyani?

Koma monga chilichonse, pali zoopsa ndi zovuta zina pa izi.

• Kulamulira chikhodzodzo: Zingakhale zovuta kulamulira chikhodzodzo chanu poyamba, makamaka usiku. Komabe, pakapita nthawi, makamaka ndi masewera olimbitsa thupi a Kegel, pafupifupi 90% ya anthu amakhala ndi ulamuliro wabwino masana.
• Mafinya mu mkodzo: Popeza chikhodzodzo chatsopano chimapangidwa kuchokera ku gawo la m'mimba, chimapanga mafinya ofanana ndi mafinya. Chifukwa chake, kuti mupewe matenda, nthawi zina ndikofunikira kuyika catheter ndikuthirira chikhodzodzo.
• Zoopsa zina: Kutuluka magazi, magazi kuundana, matenda a bakiteriya, matenda a mkodzo (UTIs), kusunga mkodzo, ndi zina zotero. Nthawi zina, kusalinganika kwa ma electrolyte kumachitika.

Kodi n'zotheka kukhala ndi moyo wabwinobwino ndi neobladder?

Inde, ndithudi! Anthu ambiri omwe ali ndi neobladder amatha kupitiriza ntchito zawo zachizolowezi.

Poyamba, muyenera kukodza pafupifupi maola awiri aliwonse. Koma pakapita nthawi, pamene chikhodzodzo chanu chatsopano chikukulirakulira, mudzatha kusunga mkodzo wanu kwa maola pafupifupi 4-6. Pakatha milungu ingapo, mudzatha kugwira ntchito yopepuka ndikupita kuntchito. Palibe malamulo apadera okhudza chakudya, ndipo mutha kuyenda popanda malamulo aliwonse.

Nthawi zina pamene mukufuna kupita kwa dokotala

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo. Ngati zizindikirozo zili zazikulu, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

• Zizindikiro za matenda monga malungo, kuzizira, ndi mkodzo wodzaza ndi mitambo.
• N'zovuta kuyika catheter yokha.
• Magazi mu mkodzo (hematuria) .
• Kupweteka kwambiri m'mimba kapena pakati pa nthiti ndi chiuno.