Zimene Muyenera Kudziwa Zokhudza Kuchotsa Chiwalo cha M'mimba

Mwina inuyo kapena munthu wina m'banja mwanu mwauzidwa ndi dokotala kuti muyenera kuchitidwa opaleshoni ya chikhodzodzo chanu, kaya chifukwa cha khansa ya chikhodzodzo kapena vuto lina la nthawi yayitali. Ndizachibadwa kumva mantha ndi nkhawa kwambiri mukamva mawu akuti 'Cystectomy'. Koma lero, tiyeni tidziwe bwino izi. Kodi opaleshoni iyi ndi chiyani? Chifukwa chiyani imachitidwa? Nchiyani chimachitika pambuyo pake? Tiyeni tikambirane zonsezi mosavuta.

Kodi opaleshoni ya cystectomy ndi yotani?

Mwachidule, cystectomy ndi opaleshoni yochotsera gawo kapena chikhodzodzo chanu chonse. Monga mukudziwa, chikhodzodzo ndi chiwalo chooneka ngati mpira chomwe chimasonkhanitsa ndikusunga mkodzo (mkodzo) wopangidwa ndi impso zathu. Opaleshoni iyi nthawi zambiri imachitika ngati chithandizo cha khansa ya chikhodzodzo. Komabe, nthawi zina madokotala amasankha kuchita opaleshoni iyi pa matenda ena omwe si khansa (osaopsa). Iyi si opaleshoni yaying'ono, koma opaleshoni yayikulu . Chifukwa imachotsa chiwalo chofunikira m'thupi lathu, chikhodzodzo.

Kodi n'zotheka kukhala popanda chikhodzodzo?

Inde, mungathe. Mungadabwe kumva izi, koma n'zotheka kukhala popanda chikhodzodzo. Koma kenako muyenera kupeza njira yatsopano yotulutsira mkodzo wopangidwa ndi impso zathu. Ngati dokotala achotsa chikhodzodzo chonsecho, zimatenga nthawi kuti muzolowere dongosolo latsopanoli. Koma musadandaule, mudzatha kuchita zambiri zomwe munkachita musanachite opaleshoni, ngakhale mutachita opaleshoni.

Kodi muyenera kudziwa chiyani musanachite opaleshoni ya cystectomy?

Dokotala wanu asanachite opaleshoni, adzakuyang'anirani ndikufufuza thanzi lanu lonse. Adzakufotokozeraninso mtundu wa opaleshoni yomwe adzachita. Pali mitundu ingapo ya opaleshoni iyi.

• Kuchotsa Chikhodzodzo Chaching'ono: Izi zimaphatikizapo kuchotsa gawo lokhalo lomwe lili ndi matenda a chikhodzodzo chanu. Ngati izi zachitika chifukwa cha khansa, ma lymph nodes ozungulira amachotsedwanso ndikuyang'aniridwa kuti awone ngati khansa yafalikira. Gawo lotsala la chikhodzodzo chanu limasokedwa pamodzi kuti libwezeretse ntchito yake yachibadwa.
• Kuchotsa chikhodzodzo chosavuta (kuchotsa chikhodzodzo chokha): Izi zimaphatikizapo kuchotsa chikhodzodzo chokha popanda kuwononga ziwalo zozungulira. Izi nthawi zambiri zimachitika pa matenda omwe si a khansa . Mwachitsanzo, mavuto a mkodzo omwe amayamba chifukwa cha kuwonongeka kwa mitsempha ( chikhodzodzo cha neurogenic ), kuwala kwa dzuwa.Matenda monga radiation cystitis ndi mkodzo fistula omwe amayamba chifukwa cha chithandizo.
• Kuchotsa chikhodzodzo ndi ziwalo zozungulira: Pachifukwa ichi, chikhodzodzo chimachotsedwa kwathunthu, komanso ma lymph nodes ozungulira.
• Kwa mwamuna, mitsempha ya vas deferens nthawi zambiri imadulidwa, ndipo prostate ndi seminal vesicles zimachotsedwa.
• Mwa akazi, chiberekero, machubu a fallopian, mazira, ndi khomo lachiberekero nthawi zambiri zimachotsedwa. Nthawi zina, gawo la khoma la nyini lingachotsedwenso.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni iyi imachitika ndi gulu la madokotala lotsogozedwa ndi dokotala wa urologist. Mudzapatsidwa mankhwala oletsa ululu, kotero simudzamva kupweteka kulikonse ndipo mudzakhala mukugona. Pali njira ziwiri zazikulu zochitira opaleshoniyi: 1. Open Cystectomy: Mu izi, kudula kwa mainchesi 6-7 kumapangidwa pakati pa mchombo ndi perineum, momwe dokotala amachitira opaleshoniyi. 2. Kuduladula kwa mchombo pang'ono: Izi zitha kuchitika mwa laparoscopic kapena robotically. Izi zimaphatikizapo kudula 5-6 ang'onoang'ono kwambiri m'mimba, momwe kamera ndi zida zofewa zimayikidwa. Ubwino wa izi ndikuti pali zipsera zochepa ndipo nthawi yochira ndi yochepa.

Momwe mungapangire njira yatsopano yokodza

Chikhodzodzo chonse chikachotsedwa, njira yatsopano yotulutsira mkodzo m'thupi iyenera kupangidwa. Imeneyi imatchedwa 'opaleshoni yokonzanso.' Pali njira zitatu zazikulu zochitira izi. Dokotala wanu adzakambirana nanu ndikusankha njira yoyenera kwa inu.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Pambuyo pa opaleshoni, mudzasamutsidwira ku chipinda chosungiramo zinthu. Mabala adzakulungidwa ndi bandeji. Mudzapatsidwa mankhwala opweteka. Kutalika kwa nthawi yomwe mudzakhala kuchipatala kudzasiyana malinga ndi mtundu wa opaleshoni yomwe mudachita. Pa opaleshoni yaying'ono, mudzakhala kuchipatala kwa tsiku limodzi kapena awiri, ndipo pa opaleshoni yotseguka, mudzakhala kuchipatala kwa pafupifupi sabata imodzi. Panthawiyi, ogwira ntchito yosamalira ana adzakusamalirani bwino. Ngati muli ndi thumba la ostomy, mudzaphunzitsidwa momwe mungagwiritsire ntchito, kuchotsa, ndikusintha. Zingatenge milungu ingapo mpaka miyezi ingapo kuti muchire bwino.

Kodi zoopsa za opaleshoni iyi ndi ziti?

Monga opaleshoni iliyonse yaikulu, opaleshoni iyi ili ndi zoopsa zina.

• Kutuluka magazi
• Kuundana kwa magazi
• Matenda
• Mavuto a m'mimba (kudzimbidwa, kutsegula m'mimba)
• Kutsekeka kwa mkodzo chifukwa cha minofu ya chilonda
• Kuwonongeka kwa ziwalo zina
• Kuchulukana kwa madzi m'malo odulira (seroma)

Amuna ena angakhale ndi vuto la kukoka kwa chiberekero. Akazi angavutike kugonana ngati gawo lina la nyini lachotsedwa. Musaope kulankhula ndi dokotala wanu za mavuto ogonana awa.

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni yanu, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU) . Kuchotsa chikhodzodzo, kuchotsa chikhodzodzo, khansa ya chikhodzodzo, urostomy, thumba la ostomy, neobladder, opaleshoni, urology, mkodzo