Chithandizo cha fulguration: Dziwani njira yowonongera maselo ndi magetsi

Dokotala wanu akakuuzani za chithandizo chotchedwa 'Fulguration', mungamve zachilendo pang'ono, mwina mantha, eti? Ndani sangaope akamanena kuti 'kugwedezeka kwamagetsi'? Koma kwenikweni sizowopsa monga momwe timaganizira. Ndi njira yotetezeka komanso yothandiza yochiritsira yomwe imagwiritsidwa ntchito pa matenda ambiri. Lero, tiyeni tikambirane za Fulguration ndi chiyani komanso zomwe zimachitika nayo.

Mwachidule, kodi Fulguration ndi chiyani?

Tangoganizani kuti m'malo modula khungu ndi mpeni wochita opaleshoni, timagwiritsa ntchito magetsi kuchotsa ziwalo zosafunikira za thupi. Ndicho chimene chimachitika apa. Fulguration ndi mtundu wa chithandizo chotchedwa electrosurgery. Imagwiritsa ntchito mphamvu yamagetsi yamagetsi yapamwamba kutentha ndi kuwononga maselo osafunikira kapena osazolowereka m'thupi lathu.

Dokotala amagwiritsa ntchito chipangizo chaching'ono chofanana ndi probe. Chili ndi electrode kumapeto. Chipangizochi chikatsogolera mphamvu zamagetsi kumalo omwe maselo ali, cheza chaching'ono chimapangidwa. Kutentha kochuluka komwe kumapangidwa ndi cheza chimenecho kumawononga maselo osafunikirawo. Nthawi zina chipangizochi chingakhale ndi waya wozungulira kumapeto. Mphamvu yamagetsi imatumizidwa kudzera pamenepo. Chipangizo chomwe chimagwiritsidwa ntchito chimasiyana malinga ndi mtundu wa chithandizo chomwe mukulandira.

Kodi chithandizo cha fulguration chimagwiritsidwa ntchito pa matenda otani?

Mankhwalawa amagwiritsidwa ntchito m'malo osiyanasiyana pa matenda osiyanasiyana. Ndi othandiza kwambiri kuwononga zotupa zosaopsa, maselo oyambitsa khansa, ndi maselo ena a khansa. Nthawi zina amagwiritsidwanso ntchito poletsa kutuluka magazi pambuyo pa opaleshoni yachizolowezi.

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizochi?

Momwe mungakonzekerere izi zimasiyana malinga ndi chithandizo chomwe mukuchita. Choncho chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Nthawi zambiri, iye adzakuuzani izi:

• Kusala Kudya: Kodi ndiyenera kusiya kudya ndi kumwa ndisanalandire chithandizo, ndipo ngati ndi choncho, kwa nthawi yayitali bwanji?
• Mankhwala: Kodi muyenera kusiya kumwa mankhwala aliwonse omwe mumamwa nthawi zonse?
• Kubwerera kunyumba: Kodi ndingapite kunyumba tsiku lomwelo ndi chithandizo, kapena ndiyenera kukhalabe kuchipatala?
• Kuyendetsa Galimoto: Kaya mukufuna munthu woti akuyendetseni kunyumba (izi zimadalira mtundu wa mankhwala oletsa ululu omwe mwapatsidwa).

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Ngakhale zomwe zimachitika zimasiyana pang'ono kutengera chithandizo, izi ndi njira zodziwika bwino.

1. Kukukonzekeretsani: Dokotala adzakuikani patebulo loyezera matenda ndikuyeretsa ndikukonzekera malo oti mulandire chithandizo.

2. Mankhwala oletsa ululu: Mudzapatsidwa mankhwala oletsa ululu am'deralo, am'deralo, kapena onse kuti musamve ululu uliwonse.

3. Kuchotsa maselo: Kenako, dokotalayo amayatsa makina otchedwa electrosurgical generator. Izi ndi zomwe zimapangitsa magetsi amphamvu kwambiri. Kenako, pogwiritsa ntchito probe yomwe takambirana kale, amatsogolera kuwala kwa maselo omwe akufuna, kutentha ndi kuwononga minofu ya maselowo.

Fulguration (TURBT) ya khansa ya chikhodzodzo

Pa opaleshoni ya khansa ya chikhodzodzo, madokotala amagwiritsa ntchito njira iyi:Monga gawo la njira yotchedwa Transurethral Resection of Bladder Tumor (TURBT), chotupa cha m'chikhodzodzo chimadulidwa ndikuchotsedwa pogwiritsa ntchito chipangizo chotchedwa resectoscope. Kenako fluguration imagwiritsidwa ntchito kuwononga kwathunthu maselo onse a khansa otsala ndikuletsa kutuluka kwa magazi.

Kutsegula m'mimba (LEEP) kwa mavuto a m'chiberekero

Kutsegula m'mimba kumagwiritsidwa ntchito pochiza matenda monga cervical dysplasia panthawi ya opaleshoni yotchedwa Loop Electrosurgical Excision Procedure (LEEP) . Mu njirayi, speculum imayikidwa mu nyini kuti ione chiberekero. Pambuyo poti chiberekero chatha, chizunguliro chaching'ono, choyendetsa magetsi chimadutsa pamwamba pa chiberekero, ndikudula maselo ofooka.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga chithandizo chilichonse chamankhwala, ichi chili ndi ubwino ndi zoopsa zina.

Ubwino

• Uwu ndi mankhwala osavulaza kwambiri omwe safuna kuduladula kwakukulu.
• Zotupa za pakhungu ndi ziphuphu nthawi zambiri zimatha kuchotsedwa kwamuyaya .
• Kwa iwo omwe amavutika ndi matenda amkodzo pafupipafupi kapena endometriosis, imatha kupereka mpumulo mwa kuwononga minofu yomwe imayambitsa zizindikirozo.
• Magawo oyambirira a khansa ya chikhodzodzo amatha kuchiritsidwa. (Komabe, nthawi zina zotupa zimatha kubwereranso.)

Zoopsa

Ndikofunikira kukumbukira kuti zoopsazi sizichitika kawirikawiri ndipo madokotala amaphunzitsidwa kuzipewa.

• Kutuluka magazi mochedwa: Ngati bala la pakhungu layamba kutuluka magazi, dokotala wanu angakulangizeni kuti mugwiritse ntchito mphamvu kwa mphindi pafupifupi 20. Ndizabwinobwino kukhala ndi magazi mu mkodzo wanu mutalandira chithandizo cha chikhodzodzo ndi kutuluka magazi pang'ono m'mimba mutalandira chithandizo cha chiberekero.
• Kugwedezeka ndi magetsi kapena moto: Chiwopsezochi chimapezeka ngati chipangizocho chakhudza chinthu choyaka moto. Madokotala akuda nkhawa kwambiri ndi izi.
• Kupsa: Ogwira ntchito zachipatala adzaonetsetsa kuti thupi lanu silikukhudzana ndi chitsulo chilichonse panthawi ya chithandizo.
• Matenda: Pali chiopsezo chofalitsa majeremusi kudzera mu utsi wa opaleshoni. Komabe, izi zitha kupewedwa pogwiritsa ntchito njira zochotsera utsi, zophimba nkhope, ndi zoteteza maso.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo, imbani dokotala wanu nthawi yomweyo kapena, ngati kuli kofunikira, pitani ku Dipatimenti Yoona Zadzidzidzi ya Chipatala (ETU) yapafupi.

• Malungo opitirira madigiri 38.3 Celsius (38.3 Celsius).
• Kutuluka magazi mopitirira muyeso kapena kwachilendo kuchokera pamalo omwe athandizidwa.
• Kupweteka kwambiri m'mimba.