Kuchiza kwa Transanal Endoscopic Microsurgery (TEMS)

Kodi dokotala anakuuzani kuti muli ndi chotupa chaching'ono, polyp, mu rectum yanu? Mukamva zimenezo, mafunso ambiri owopsa amabwera m'maganizo mwanu, monga "O, kodi ndiyenera kudula mimba yanga, ndidzakhala kuchipatala kwa nthawi yayitali bwanji, zidzapweteka bwanji?" Koma musachite mantha. Masiku ano, mankhwala ndi apamwamba kwambiri. Pali njira yapadera yomwe ingachotse zotupa zotere popanda kupanga mabala m'mimba, poika zida zazing'ono kudzera mu rectum. Ndicho chimene tikukamba lero.

Kodi TEMS kwenikweni ndi chiyani?

Mwachidule, Transanal Endoscopic Microsurgery (TEMS) ndi opaleshoni yomwe zipangizo zazing'ono kwambiri zochitira opaleshoni ndi kamera zimayikidwa kudzera mu anus yanu, kutanthauza, kudzera pamalo omwe ndowe zimatuluka, kuti zichotse zotupa, ma polyps, ndi zina zotero mu rectum, yomwe ndi gawo lotsika kwambiri la matumbo akulu.

Tangoganizirani, kale, kuti muchotse chotupa chonga ichi chomwe chinali mkati mwa rectum, mumayenera kudula mimba ndikuchita opaleshoni yayikulu. Zimatenga nthawi yayitali kuti muchiritsidwe, zimakhala zopweteka kwambiri, ndipo mumayenera kukhala kuchipatala kwa masiku angapo.

Koma ndi njira iyi ya TEMS, dokotalayo amatha kudutsa mu anus, osapanga mabala aliwonse m'mimba, kufikira chotupa ndikuchichotsa bwino. Izi zikutanthauza kuti simukumva kupweteka kwambiri ndipo nthawi yanu yochira ndi yochepa kwambiri.

Kodi kusiyana pakati pa TEMS ndi TAMIS ndi kotani?

Mwina munamvapo za TEMS komanso TAMIS. Zonsezi ndi mitundu ya opaleshoni yomwe imachitidwa kudzera mu anus. Koma pali kusiyana pang'ono. Tiyeni tiwone zomwe zili.

Dokotala wanu adzasankha njira yoyenera kwa inu. Zimatengera malo, kukula, ndi zinthu zina zomwe zili ndi chotupacho.

Ndani woyenera opaleshoni iyi?

Opaleshoni ya TEMS si ya aliyense, koma ikhoza kukhala njira yabwino kwambiri pazochitika zotsatirazi:

• Kwa iwo omwe akuvutika kuchitidwa opaleshoni yayikulu yomwe imaphatikizapo kudula m'mimba chifukwa cha mavuto ena azaumoyo (monga matenda a mtima, matenda a shuga).
• Kwa iwo omwe ali mu magawo oyambirira a khansa ya m'matumbo.
• Kwa anthu omwe ali ndi zotupa kapena ma polyps omwe si a khansa (osaopsa), makamaka achinyamata.
• Kwa iwo amene akufuna kupewa mavuto omwe angachitike pambuyo pa opaleshoni yayikulu.

Ndi matenda ati omwe amachiritsidwa ndi opaleshoni ya TEMS?

Opaleshoni imeneyi nthawi zambiri imachitika kuti ichotse zotupa zomwe zimatuluka mu rectum. Tiyeni tiwone zomwe zili.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Kukonzekera izi kuli ngati kukonzekera colonoscopy. Chofunika kwambiri ndikuyeretsa m'mimba mwanu monse. Izi zithandiza dokotalayo kuona bwino mkati mwa rectum yanu.

Dokotala wanu nthawi zambiri amakupatsirani malangizo awa:

• Pewani kudya zakudya zolimba tsiku lisanafike opaleshoni.
• Imwani zakumwa zokha (supu yoyera, tiyi, madzi) maola 12-24 musanachite opaleshoni.
• Musadye kapena kumwa chilichonse pambuyo pa pakati pausiku pa tsiku la opaleshoni.
• Mudzapatsidwa madzi apadera (otulutsa ululu) kuti mumwe kuti muyeretse matumbo anu. Muyenera kupita kuchimbudzi pafupipafupi mukatha kumwa, choncho konzani kukhala panyumba panthawiyo.
• Chofunika kwambiri: Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi. Mungapemphedwe kuti musiye kumwa masiku angapo opaleshoni isanachitike.

Kodi opaleshoniyi imachitidwa bwanji?

Palibe choopa. Opaleshoni isanayambe, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti mudzakhala mutagona tulo tofa nato ndipo simudzamva chilichonse. Nazi zina zomwe zidzachitike panthawi ya opaleshoni:

1. Dokotala amaika chipangizo chapadera (rectoscope) kudzera mu rectum yanu.

2. Kenako, kuti athe kuyang'ana mkati mwa rectum, mpweya pang'ono umadzazidwamo ndipo umatuluka mpweya.

3. Tsopano, kamera yaying'ono kwambiri ndi zida zopangira opaleshoni zimayikidwa kudzera mu chipangizocho, ndipo poyang'ana pa chowunikira, chotupacho kapena polyp imachotsedwa, pamodzi ndi minofu yaying'ono yathanzi yozungulira.

4. Malo omwe chotupacho chinachotsedwa amatsekedwa ndi ma stitches osungunuka kapena ma clamps ang'onoang'ono achitsulo. Kenako izi zimatengedwa ndi thupi kapena kuperekedwa mu ndowe.

Kodi ubwino wa opaleshoniyi ndi wotani?

Ubwino waukulu wa opaleshoni ya TEMS ndi wakuti imatha kufika ngakhale kumtunda kwa rectum popanda kudula m'mimba. Kale, kuti mufike kumadera otere, munkayenera kuchitidwa opaleshoni yaikulu. Ma opaleshoni akuluakulu oterewa angayambitse mavuto a nthawi yayitali monga kuvutika kukodza, kusagwira bwino ntchito zogonana, komanso kufunika kovala thumba lokhazikika la ndowe (colostomy).

• Kutuluka magazi ndi kochepa kwambiri.
• Chiwopsezo cha mavuto monga matenda ndi kutsekeka kwa matumbo n'chochepa kwambiri.
• Kugona kuchipatala ndi kochepa (nthawi zambiri tsiku limodzi kapena awiri).
• Posachedwapa mudzachira ndipo mudzatha kubwerera ku zochita zanu zachizolowezi.

Kodi pali zoopsa kapena zovuta zilizonse?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina. Komabe, poyerekeza ndi kutsekeka kwa mimba, zoopsa zake zimakhala zochepa kwambiri. Mavuto ang'onoang'ono omwe angachitike ndi awa:

• Kutuluka magazi
• Kukhala ndi matenda
• Kupweteka kwa m'mimba kapena m'mimba
• Kuvuta kukodza (Kusunga mkodzo)
• Kumva kufuna kudzipha mwadzidzidzi (chimbudzi mwachangu)

Ngati chinthu chonga ichi chichitika, dokotala wanu adzakupatsani chithandizo chofunikira.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Ichi ndi chinthu china chabwino kwambiri pa opaleshoni iyi.

• Mukhoza kudzuka ndikuyenda tsiku lomwelo pamene opaleshoni yanu ikuchitika.
• Mukabwerera kunyumba, mutha kuyambiranso ntchito zanu zachizolowezi patatha tsiku limodzi kapena awiri .

Chimbudzi chanu chingakhale chomasuka pang'ono kwa milungu ingapo mutachita opaleshoni. Izi ndi zachilendo. Mungafunike kuonana ndi katswiri wa zakudya kapena katswiri wa zakudya kuti musinthe zakudya zanu mpaka matumbo anu atabwerera mwakale.

Nthawi zina muyenera kupita kwa dokotala nthawi yomweyo

Mukapita kunyumba mutachita opaleshoni, ndikofunikira kuzindikira mavuto aliwonse mwachangu. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala kuti mukalandire chithandizo.

Kodi iyi ndiyo opaleshoni yokhayo ya khansa ya m'matumbo?

Ili ndi vuto kwa anthu ambiri.

Ngati khansa ili pachiyambi kwambiri , zomwe zikutanthauza kuti chotupacho ndi chaching'ono ndipo sichinafalikire kumadera ena, palibe chithandizo china chomwe chingafunike pambuyo poti chotupacho chachotsedwa kwathunthu ndi opaleshoni ya TEMS.

Komabe, nthawi zina, kuwonjezera pa opaleshoni, mankhwala ena monga chemotherapy kapena radiation therapy angafunike. Izi ndi bwino kusankha ndi dokotala wanu wochiza matenda ndi katswiri wa khansa pamodzi.

Ndizachilendo kuchita mantha ukazindikira kuti uli ndi chotupa. Koma kumbukirani kuti ndi ukadaulo wapamwamba wamakono, pali maopaleshoni omwe angachitike popanda kudula mimba, popanda kupweteka kwambiri, komanso popanda kuchira mwachangu. TEMS ndi njira imodzi yotetezeka komanso yothandiza kwambiri yochizira.