Ndizachibadwa kumva mantha ambiri komanso kudabwa tikazindikira kuti tili ndi khansa. Nthawi ngati zimenezi, zimakhala zovuta kuti timvetse mawu ena azachipatala ndi mayina a opaleshoni omwe madokotala amagwiritsa ntchito. 'Omentectomy' ikhoza kukhala dzina limodzi mwa mayina amenewa. Koma musadandaule, izi sizovuta monga momwe mukuganizira. Tiyeni tikambirane za izi mosavuta komanso mwaubwenzi lero.
Chabwino, choyamba tiyeni tiwone kuti 'omentum' iyi ndi chiyani.
Mwachidule, omentum ndi minofu yopyapyala yamafuta yomwe imaphimba ziwalo zina mkati mwa mimba yathu. Kunena zoona, ili ngati 'epuloni' yomwe imapachikidwa pamimba ndi matumbo athu. Imakhala ndi minofu yamafuta ndi mitsempha yamagazi.
Omentum iyi imagwira ntchito zingapo zofunika m'thupi lathu:
- Chitetezo: Chimapereka chitetezo chakuthupi ku ziwalo zomwe zili mkati mwa mimba.
- Kupereka magazi: Kumathandiza kupereka magazi ofunikira ku ziwalo zozungulira.
- Chitetezo chamthupi: Chimagwiranso ntchito ngati gawo la chitetezo chamthupi. Ngati pali matenda kapena kuvulala, chimapita pamalopo ndipo chimathandiza kuwongolera.
Nanga n’chifukwa chiyani omentum iyi imachotsedwa opaleshoni?
Chifukwa chachikulu chochitira opaleshoni yochotsa omentum, kutanthauza omentectomy, ndi khansa .
Nthawi zambiri, khansa imayamba mu omentum yokha, zomwe sizimachitika kawirikawiri. Komabe, khansa yomwe imayamba kwina m'mimba, monga mazira, chiberekero, kapena m'mimba, imatha kufalikira mosavuta ku omentum. Izi zili choncho chifukwa omentum ili ndi magazi ambiri, ndipo ndi malo abwino oti maselo a khansa azilumikizana ndikukula.
Pansipa pali mitundu ikuluikulu ya khansa yomwe imalimbikitsidwa kuchitidwa omentectomy.
| Mtundu wa khansa | Kufotokozera |
|---|---|
| Khansa ya m'chiberekero | Ichi ndi chifukwa chachikulu chomwe khansa imafalikira mpaka ku omentum. |
| Khansa ya m'chiberekero | Maselo a khansa omwe amafalikira kuchokera ku chiberekero amatha kukhala pano. |
| Khansa ya m'mimba | Popeza ili pafupi kwambiri ndi mimba, pali mwayi waukulu wofalikira. |
| Khansa ya m'matumbo | Mtundu uwu wa khansa ukhozanso kufalikira ku omentum. |
| Khansa zina | Khansa ya prostate, machubu a fallopian, ndi appendix ingayambitsenso izi. |
Mwachidule, ngati dokotala wanu apeza khansa mu omentum, iye angakulangizeni kuti muchotse. Nthawi zina, ngati pali mwayi waukulu kuti khansa yapafupi ifalikire ku omentum, opaleshoniyi imachitikanso kuti khansa isafalikire .
Nthawi zina, madokotala amachotsa ndikuwunika gawo la omentum kuti adziwe gawo lenileni la khansa. Izi zitha kukhala zothandiza kwambiri podziwa momwe khansa yafalikira komanso mtundu wa chithandizo chomwe chikufunika mtsogolo.
Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?
Nthawi zambiri, opaleshoni imeneyi siichitika yokha. Imachitika ngati gawo la opaleshoni yayikulu yochotsa chiwalo chachikulu chomwe chili ndi khansa.
Kukonzekera opaleshoni
Opaleshoni isanachitike, gulu lanu lachipatala lidzakambirana nanu mokwanira za izi. Adzakuuzani za ubwino, kuipa, ndi zoopsa za opaleshoniyi. Adzachitanso mayeso angapo kuti aone ngati thupi lanu lingathe kupirira opaleshoni yamtunduwu.
- Kuyezetsa magazi
- Kuyesa kwa ECG kuti muwone momwe mtima ukugwira ntchito
- Mayeso kuti muwone ngati ndinu woyenera kugwiritsa ntchito mankhwala oletsa ululu
Momwe mungachitire opaleshoniyi
Opaleshoni iyi ingachitike m'njira ziwiri zazikulu. Zimatengera momwe mulili, mtundu wa khansa, komanso chisankho cha dokotala.
1. Opaleshoni yocheperako: Imeneyi imatchedwanso opaleshoni ya laparoscopic kapena opaleshoni ya robotic . Izi zimaphatikizapo kupanga mabala ang'onoang'ono atatu kapena anayi m'mimba, momwe kamera ndi zida zofewa zimayikidwa. Ubwino wa njira iyi ndikuti pali zipsera zochepa, ululu wochepa, komanso kuchira mwachangu.
2. Opaleshoni yotseguka:Izi zimaphatikizapo kudula kamodzi kokha m'mimba, kutsegula m'mimba, ndikuchita opaleshoni. Njirayi imagwiritsidwa ntchito ngati khansa yafalikira kwambiri ndipo ziwalo zina zingapo ziyenera kuchotsedwa pamodzi nayo.
Maopaleshoni ena anachitika nthawi yomweyo ndi opaleshoni iyi
Monga tanenera kale, opaleshoni ya omentectomy ingakhale gawo laling'ono la opaleshoni yayikulu. Chifukwa chake, opaleshoni imodzi kapena zingapo zotsatirazi zitha kuchitidwa nthawi imodzi:
- Kuchotsa chiberekero: Kuchotsa chiberekero.
- Kuchotsa mazira m'chiberekero: Kuchotsa mazira m'chiberekero chimodzi kapena zonse ziwiri.
- Salpingectomy: Kuchotsa payipi imodzi kapena zonse ziwiri za fallopian.
- Kuchotsa mimba: Kuchotsa gawo la m'mimba kapena m'mimba yonse.
- Kuchotsa matumbo akuluakulu: Kuchotsa gawo la matumbo akuluakulu kapena matumbo onse akuluakulu.
- Opaleshoni yochotsa kutupa m'mimba: Kuchotsa khansa yambiri yomwe yafalikira m'mimba momwe mungathere.
Nthawi zina, ngati khansa ili pachiyambi, dokotalayo amatsuka m'mimba ndi saline solution (peritoneal wash) ndikutumiza madzi otsukira ku labotale. Izi zingathandize kudziwa ngati maselo a khansa afalikira.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Muyenera kukhala m'chipatala kwa masiku angapo mutachita opaleshoniyi. Ngati munachitidwa opaleshoni ya laparoscopic, nthawi yanu yoti mugone kuchipatala ikhoza kukhala yochepa. Komabe, ngati munachitidwa opaleshoni yayikulu yomwe inachotsa ziwalo zingapo, nthawi yanu yochira idzakhala yayitali.
Pambuyo pa opaleshoni, dokotala wanu adzakambirana nanu zotsatira za opaleshoni ndi malipoti a labu. Mudzakambirananso zomwe mungachite kenako. Nthawi zambiri, pambuyo pa opaleshoni ya khansa, mankhwala ena amaperekedwa kuti aphe maselo otsala a khansa m'thupi. Mwachitsanzo , chemotherapy kapena radiation therapy .
Kodi pali zotsatirapo kapena zoopsa zilizonse?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa.
- Kutuluka magazi
- Matenda
- Kuwonongeka kwa ziwalo zozungulira
Kuphatikiza apo, vuto linalake lomwe lingachitike pambuyo pa opaleshoni ya omentectomy ndi kutsekeka kwa matumbo ang'onoang'ono . Izi zili choncho chifukwa minofu ya zipsera (yotchedwa adhesions ) yomwe imapanga mkati mwa mimba pambuyo pa opaleshoni ingayambitse matumbo kumamatirana ndikutseka matumbo.
Mafunso ena omwe amafunsidwa kawirikawiri
Kodi omentum idzakulanso pambuyo pochotsa?
Ayi. Omentum ndi gawo la peritoneum, nembanemba yomwe ili m'mimba mwathu. Chifukwa peritoneum iyi imatha kuchira mwachangu, anthu ena amaganiza kuti omentum idzakulanso. Komabe, omentum yochotsedwa sidzakulanso.
Zitenga nthawi yayitali bwanji kuti munthu achire?
Izi zimadalira kwathunthu mtundu wa opaleshoni yomwe mudachita. Ngakhale opaleshoni yaying'ono monga opaleshoni ya laparoscopic ingatenge milungu ingapo kuti ichiritse, opaleshoni yayikulu yotseguka pomwe ziwalo zingapo zimachotsedwa ingatenge milungu 8 kuti ichiritse bwino.
Opaleshoni ya khansa imachitika ndi chiyembekezo choti ikhoza kuchiritsidwa. Dokotala wanu wakulangizani kuti muchotsedwe omentectomy ndi chiyembekezo choti ikhoza kulamulira kapena kuchiritsa khansa yanu.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa omentum ndi opaleshoni yochotsa omentum, nembanemba yamafuta m'mimba.
- Chifukwa chachikulu cha izi ndi kufalikira kapena chiopsezo cha kufalikira kwa khansa kuchokera ku ziwalo monga mazira ndi mimba kupita ku omentum.
- Opaleshoni iyi imathandiza kuchotsa khansa, kuiletsa kufalikira, komanso kudziwa siteji ya khansa.
- Nthawi yochira imadalira mtundu wa opaleshoni (yochitidwa opaleshoni yaying'ono kapena yotseguka) komanso kukula kwake.
- Iyi ndi sitepe yofunika kwambiri komanso yosangalatsa kwambiri pa chithandizo cha khansa. Khalani omasuka kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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