Mukamva mawu akuti 'opaleshoni ya chikhodzodzo', mungakhale ndi mantha pang'ono. Zimenezo ndi zachilendo. Koma, mukadziwa bwino lomwe kuti ndi chiyani, chifukwa chake chachitika, komanso momwe zimachitikira, mantha ndi nkhawa zanu zidzachepa kwambiri. Chifukwa chake, lero tikambirana izi momveka bwino komanso mosavuta, ngati kuti tikulankhula ndi mnzanu.
Choyamba, tiyeni tiwone, kodi opaleshoni ya chikhodzodzo ndi chiyani?
Mwachidule, chikhodzodzo ndi chiwalo chonga thumba m'thupi lathu chomwe chimasonkhanitsa ndikusunga mkodzo kwakanthawi ( mkodzo ) womwe umasefedwa ndi impso. Opaleshoni iyi timaitcha opaleshoni ya chikhodzodzo.
Mtundu wa opaleshoni yomwe mukufuna idzadalira vuto lomwe likukhudza chikhodzodzo chanu, kotero opaleshoniyo ingasiyane malinga ndi munthu aliyense.
Kodi opaleshoni ya chikhodzodzo imafunika liti?
Madokotala angalimbikitse opaleshoni imeneyi pazifukwa zingapo zazikulu.
- Khansa ya chikhodzodzo: Ichi ndiye chifukwa chachikulu komanso chofala kwambiri cha opaleshoni ya chikhodzodzo.
- Chikhodzodzo chogwa / Kutuluka kwa chikhodzodzo / Cystocele: Matenda omwe amapezeka kwambiri pakati pa akazi.
- Kusadziletsa mkodzo: Kutaya mkodzo mwadala mukatsokomola kapena kuseka.
Kodi ndi mitundu iti ya opaleshoni ya chikhodzodzo yomwe imachitika kawirikawiri?
Pali mitundu yambiri ya opaleshoni ya chikhodzodzo. Tiyeni tiwone zina mwa zomwe zimafala kwambiri. Mayina a awa ndi ovuta pang'ono, koma ndi osavuta kumva mukadziwa zomwe amatanthauza.
| Mtundu wa Opaleshoni | Mwachidule, kodi chimachitika ndi chiyani ndi izi? |
|---|---|
| Kuchotsa Mimba | Kuchotsa gawo la chikhodzodzo (gawo) kapena chikhodzodzo chonse (chovuta kwambiri) ngati munthu ali ndi khansa. |
| TURBT (Kuchotsa Chotupa cha Chikhodzodzo Pogwiritsa Ntchito Mtsempha wa Mkodzo) | Chida chopyapyala chokhala ndi kamera (cystoscope) chimadutsa mu mkodzo kuti chichotse zotupa za khansa mu chikhodzodzo. Palibe mabala akunja. |
| Kukonzanso ndi Kusintha kwa Mkodzo | Chikhodzodzo chikachotsedwa, njira yatsopano yotulutsira mkodzo m'thupi imapangidwa. |
| Kuyimitsidwa kwa Retropub | Kubwezeretsa chikhodzodzo ndi urethra zomwe zatuluka m'thupi mwawo ndikuzikonza. |
Kodi muyenera kukonzekera bwanji musanachite opaleshoni?
Dokotala wanu adzakumana nanu opaleshoni isanachitike. Panthawiyi, zinthu zotsatirazi zidzachitika:
- Kambiranani za mbiri yanu yonse ya thanzi.
- Kuyezetsa thupi kudzachitika kuti muwone ngati muli ndi thanzi labwino lokwanira kupirira opaleshoni.
- Zinthu monga kutentha, kugunda kwa mtima, ndi kuthamanga kwa magazi zimayesedwa.
- Kuyezetsa magazi ndi mkodzo (kusanthula mkodzo) kumachitika kuti aone ngati pali matenda.
Izi ndizofunikira kwambiri: Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe amaperekedwa ndi dokotala wanu, omwe amaperekedwa ndi mankhwala ochokera ku zitsamba, komanso mavitamini). Mungapemphedwe kuti musiye kumwa mankhwala enaake, makamaka aspirin, NSAIDs, ndi mankhwala oletsa magazi kutuluka m'magazi, zomwe zingapangitse kuti magazi azituluka m'magazi. Komabe, musasiye kumwa mankhwala aliwonse mpaka dokotala wanu atakuuzani kuti mutero.
Komanso, tiuzeni za ziwengo zilizonse zomwe muli nazo. Mwachitsanzo,
- Matenda a chifuwa cha mankhwala
- Matenda a ziwengo ku zotsukira khungu (monga ayodini)
- Matenda a latex
- Ziwengo za chakudya
Ngati mukusuta fodya, dokotala wanu angakulangizeninso kuti musiye, chifukwa kusuta fodya kungachedwetse kuchira pambuyo pa opaleshoni.
Mudzapatsidwanso malangizo apadera okhudza zomwe muyenera kudya ndi kumwa musanachite opaleshoni. Mungapemphedwe kuti mudye zakumwa zokha (supu zopanda asidi, madzi a zipatso, jelly) kwa maola 8-12 musanachite opaleshoni.
Kodi chimachitika ndi chiyani tsiku la opaleshoni?
Opaleshoni ya chikhodzodzo ingachitike m'njira zitatu zazikulu.
1. Opaleshoni Yosavulaza Kwambiri / Yosagwiritsa Ntchito Ma Robotic
Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri masiku ano. Dokotala wa opaleshoni amadula pang'ono m'mimba mwanu ndipo amaika chipangizo chonga mkono cha robotic kudzera mwa iwo kuti achite opaleshoniyo. Njirayi ili ndi nthawi yochepa yochira, zipsera zochepa, komanso zoopsa zochepa.
2. Opaleshoni Yotseguka
Pankhaniyi, dokotalayo amapanga chotupa chimodzi chachitali m'mimba kuti chifike pachikhodzodzo. Njirayi tsopano sigwiritsidwa ntchito kawirikawiri.
3. Opaleshoni ya Endoscopic
Pa izi, palibe kudula kwakunja komwe kumachitika. Opaleshoniyi imachitika podutsa chipangizo chokhala ndi kamera m'njira ya mkodzo. Opaleshoni yotchedwa `(TURBT)` yomwe takambirana pamwambapa ndi chitsanzo chabwino cha izi.
Kodi ndidzakhala ndi chikumbumtima panthawi ya opaleshoni?
Ayi. Musanachite opaleshoni, dokotala wogonetsa adzakupatsani mankhwala ogonetsa. Izi zikutanthauza kuti mudzakhala mukugona mokwanira panthawi ya opaleshoni. Simudzamva kupweteka kulikonse.
Kodi mungayembekezere chiyani mutachita opaleshoni?
Opaleshoni ikatha, madokotala adzasoka mabala anu ndi kuwamanga. Mankhwala oletsa ululu akatha, mudzayambanso kuzindikira pang'onopang'ono. Poyamba mudzamva tulo pang'ono. Mukadzuka bwino, mudzapatsidwa mankhwala oletsa ululu.
Zinthu zotsatirazi zimatha kuchitika kawirikawiri pambuyo pa opaleshoni:
- Kufunika kukodza pafupipafupi.
- Mwadzidzidzi ndimafunika kukodza.
- Kuchuluka kwa magazi pang'ono m'mkodzo (Hematuria).
Dokotala wanu adzakuuzani za izi pasadakhale.
Tiyeni tiphunzire za nthawi yochira.
Nthawi yomwe imatenga kuti munthu achire mokwanira imasiyana malinga ndi opaleshoni yomwe mudachita. Nthawi zambiri zimatenga milungu ingapo. Zingatenge mwezi umodzi kapena iwiri kuti munthu akhalenso ndi mphamvu zonse.
- Zochita: Pewani kuchita masewera olimbitsa thupi kapena kunyamula chilichonse cholemera kuposa makilogalamu 4 (pafupifupi galoni imodzi ya madzi) kwa milungu ingapo mutachita opaleshoni.
- Chakudya: Imwani madzi ambiri, apo ayi mudzakhala pachiwopsezo chachikulu chotenga matenda a mkodzo (UTI). Ndibwinonso kudya zakudya zopatsa thanzi (zipatso zatsopano, ndiwo zamasamba, mtedza, nyama yopanda mafuta ambiri) kuti muchiritse.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, dziwitsani dokotala wanu nthawi yomweyo kapena pitani kuchipatala.
| Zizindikiro Zochenjeza | |
|---|---|
| 🔴 | Ululu waukulu, makamaka pokodza (Dysuria). |
| 🔴 | Kulephera kukodza. |
| 🔴 | Kutuluka magazi ambiri mu mkodzo. |
| 🔴 | Zizindikiro za matenda (malungo, kuzizira, kufiira/kusintha kwa mtundu wofiirira mozungulira malo odulidwawo, kutuluka kwa mafinya). |
| 🔴 | Kutuluka magazi ambiri chifukwa cha mabala. |
Nanga bwanji ngati chikhodzodzo chachotsedwa kwathunthu?
Ili ndi vuto lalikulu kwa anthu ambiri. Inde, n'zotheka kukhala popanda chikhodzodzo. Ngati dokotala achotsa chikhodzodzo chanu chonse, adzapanga njira yatsopano yosungira ndikutulutsa mkodzo m'thupi lanu. Pali njira zitatu zazikulu zochitira izi.
- Mtsempha wa Ileal: Izi zimaphatikizapo kutenga gawo la matumbo ang'onoang'ono ndikulilumikiza ku njira ya mkodzo kuchokera ku impso kumapeto kwina ndi kabowo kakang'ono (stoma) m'mimba kumapeto kwina. Kenako mkodzo umasonkhanitsidwa mu thumba (thumba la ostomy) lomwe limalumikizidwa kunja kwa kabowo.
- Chikhodzodzo Cham'mimba: Apanso, gawo la matumbo ang'onoang'ono limagwiritsidwa ntchito kupanga thumba latsopano lofanana ndi chikhodzodzo ndikulilumikiza pamalo omwewo ndi chikhodzodzo chakale. Ndi njirayi, mutha kukodza bwino kudzera mu urethra.
- Kusinthasintha kwa Cutaneous Cutaneous: Izi zimaphatikizaponso kupanga thumba m'mimba kuti mutenge mkodzo. Komabe, umatulutsidwa kangapo patsiku pogwiritsa ntchito chubu chopyapyala (catheter) chomwe mumachilowetsa kudzera m'bowo (stoma) m'mimba.
Ngakhale njira izi zingawoneke zovuta pang'ono, dokotala wanu adzasankha njira yomwe ili yoyenera kwa inu ndikufotokozera bwino. Ngakhale zimatenga nthawi kuti uzolowere njira izi, anthu ambiri amapitiriza kuchita zinthu zomwe ankachita asanachite opaleshoni (kuchita masewera olimbitsa thupi, kuyenda) mwachizolowezi.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya chikhodzodzo si chinthu choopa. Ndi opaleshoni yofala yomwe imachiritsa matenda osiyanasiyana.
- Ndikofunikira kwambiri kuuza dokotala wanu zonse zokhudza thanzi lanu komanso mankhwala omwe mukumwa musanachite opaleshoni.
- Tsatirani malangizo a dokotala wanu mosamala pamene mukuchira mutachita opaleshoni. Pewani kunyamula zinthu zolemera ndipo imwani madzi ambiri.
- Dziwani zizindikiro zochenjeza monga malungo, kupweteka kwambiri, komanso kulephera kukodza. Ngati chimodzi mwa izi chikachitika, pitani kwa dokotala nthawi yomweyo.
- Ngakhale chikhodzodzo chanu chitachotsedwa kwathunthu, mutha kukhala moyo wabwinobwino. Pali njira zosiyanasiyana zochitira izi, ndipo zimafunika nthawi kuti zizolowere.
- Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Kutaya Chikhodzodzo/Kusadziletsa Kudziletsa ndi Chiyani?
Izi sizimachitika mukachedwa kupita kuchimbudzi! 'Kusadziletsa' ndi vuto losasangalatsa/lochititsa manyazi lomwe limakupangitsani kutaya mphamvu mwadzidzidzi, mukaseka, kutsokomola, kapena kuganiza zopita kuchimbudzi, ndipo mkodzo (ndipo nthawi zina ndowe) umatuluka mwadzidzidzi pa zovala zanu (Involuntary Leakage)! Chifukwa cha izi, anthu ambiri amaopa kutuluka m'nyumba ndikukhala kutali ndi anthu.
💬 Kodi zifukwa zazikulu zomwe zimapangitsa kuti munthu asagwiritse ntchito bwino chikhodzodzo ndi ziti?
Zifukwa zazikulu za izi ndi izi: 1) Kusadziletsa - Pambuyo pobereka (chifukwa cha kufooka kwa minofu), akazi amataya mkodzo akamatsokomola. 2) Chikhodzodzo Chogwira Ntchito Kwambiri (Kufuna Kwambiri) - Chikhodzodzo chimachepa ngati sichinadzale (chifukwa cha matenda a shuga/mitsempha). 3) Kusamba kwa akazi. 4) Kukula kwa Prostate/BPH mwa amuna. 5) Matenda Oopsa a Mkodzo (UTI).
💬 Kodi vuto la kusadziletsa lingachiritsidwe? Kodi ndiyenera kupita kuchipatala nthawi yomweyo liti?
Iyi si matenda oti munthu achite manyazi nawo ndikukhala panyumba, akhoza kuchiritsidwa 100% ndi mankhwala (maseŵero a Kegel/mankhwala/opaleshoni)! Koma choopsa chachikulu! Ngati munthu amene anali wathanzi, limodzi ndi ululu wa msana, 'sangathe kulamulira kukodza kapena kutuluka chimbudzi mwadzidzidzi', ndipo atataya miyendo, ndithudi ndi kusweka kwa msana (Cauda Equina Syndrome / kufa)! Muyenera kupita kuchipatala nthawi yomweyo ndikupulumutsa miyendo yonse kuti isataye ntchito yawo (kupunduka)!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment