Kodi dokotala wanu wakuuzani kapena munthu wina amene mumamudziwa kuti muli ndi khansa ya chikhodzodzo? Ndiye mwina muli ndi mafunso ambiri okhudza opaleshoni ya TURBT. Musaope kuganizira za opaleshoniyi. Ndi chithandizo chofala kwambiri komanso chopambana. Lero, tikambirana mwachidule za TURBT, momwe imachitikira, komanso zomwe muyenera kudziwa musanachite opaleshoniyi komanso mutachita opaleshoniyi.
Mwachidule, kodi TURBT ndi chiyani?
Dzina lonse la TURBT ndi Transurethral Resection of Bladder Tumor . Ngakhale dzinalo lingamveke lovuta, kwenikweni ndi losavuta. Ndi njira yomwe imazindikira komanso kuchiza matendawa mu opaleshoni imodzi.
Tangoganizani kuti muli ndi chotupa chaching'ono mkati mwa chikhodzodzo chanu. Tsopano dokotala akufuna kudziwa ngati ndi khansa, ngati ndi choncho, kukula kwake kufika pa khoma la chikhodzodzo (gawo), komanso kusiyana kwa maselo ake ndi maselo abwinobwino (kalasi). Ichi ndichifukwa chake opaleshoni ya TURBT imachitika.
Izi zimaphatikizapo kulowetsa chida chachitali, chopyapyala chokhala ndi kamera yolumikizidwa (yotchedwa cystoscope) kudzera mu mkodzo wanu kupita mu chikhodzodzo chanu, kupeza chotupacho, ndikuchidula. Izi sizikuphatikizapo kudula kwakukulu kunja kwa thupi lanu . Chilichonse chimachitika kudzera mu mkodzo wanu. Chotupa chochotsedwacho chimatumizidwa ku labu kuti chikaunikidwe ndi katswiri wa matenda.
TURBT ndi opaleshoni yofunika kwambiri komanso yotetezeka yomwe imagwiritsidwa ntchito kuchotsa chotupa cha chikhodzodzo ndikuyesera khansa nthawi imodzi.
Kodi mungakonzekere bwanji musanachite opaleshoni ya TURBT?
Dokotala wanu adzakupatsani malangizo omveka bwino okhudza zomwe mungachite musanachite opaleshoni. Kutsatira malangizo awa kungathandize kuchepetsa kwambiri chiopsezo cha zovuta zomwe simukuzifuna.
| Zoyenera kuchita | Kufotokozera |
|---|---|
| Kusala Kudya | Musadye kapena kumwa chilichonse kwa maola pafupifupi 8 musanachite opaleshoni, pokhapokha mutauzidwa kuti mumwe mankhwalawo ndi madzi pang'ono. |
| Chidziwitso chokhudza mankhwala | Uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mankhwala ena (makamaka ochepetsa magazi) angafunike kuyimitsidwa musanachite opaleshoni. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala. |
| Kukonzekera kupita kunyumba mosavuta | Konzani pasadakhale kuti wina akutengereni kunyumba mutachita opaleshoni, chifukwa simudzatha kuyendetsa galimoto chifukwa cha mankhwala oletsa ululu. |
| Ukhondo | Sambani bwino musanapite kuchipatala. Koma musagwiritse ntchito mafuta odzola, zonunkhira, kapena deodorants tsiku limenelo. |
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Musanachite opaleshoni, dokotala wogonetsa adzakuyang'anirani ndikusankha ngati akupatseni mankhwala oletsa ululu, omwe amakugonetsani tulo tofa nato, kapena mankhwala oletsa ululu msana, omwe amangopangitsa kuti msana wanu usagwire bwino ntchito. Nthawi zambiri, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva chilichonse panthawi ya opaleshoni.
Nthawi zina, dokotala angaike madzi apadera (dye) mu chikhodzodzo chanu kudzera mu chubu (catheter) pafupifupi ola limodzi opaleshoni isanachitike kuti athandize kuwona chotupacho bwino. Madzi awa amawala pamene kuwala kwapadera kukugwiritsidwa ntchito panthawi ya opaleshoni, zomwe zimathandiza dokotalayo kuona komwe chotupacho chili.
Masitepe a opaleshoni
1. Kuika chipangizocho: Dokotala amaika mosamala cystoscope kudzera mu mkodzo wanu ndi m'chikhodzodzo chanu.
2. Kuchotsa chiphuphu: Chiphuphuchi chimapezeka mkati mwa chikhodzodzo ndipo chimadulidwa mzidutswa pogwiritsa ntchito chipangizo chaching'ono chodulira.
3. Kuletsa kutuluka magazi: Ngati kutuluka magazi kuchokera pamalo pomwe chotupacho chinachotsedwa, tenthetsani malowo ndi chipangizo chamagetsi chaching'ono kuti chisiye kutuluka magazi.
4. Kukonza katheta: Pambuyo pa opaleshoni, ngati pakufunika, katheta imayikidwa kuti itulutse mkodzo ndi magazi kuchokera m'chikhodzodzo. Izi zimathandizanso kupewa magazi kuundana. Nthawi zina, saline imadutsa mu chubu ichi kuti ichotse chikhodzodzo. Si aliyense amene amafunikira katheta.
Kodi chidzachitike ndi chiyani pambuyo pa opaleshoni?
Simudzamva ululu uliwonse panthawi ya opaleshoni. Komabe, mukatha opaleshoni, mungamve kupweteka pang'ono kapena kutentha kwa pafupifupi sabata imodzi kapena ziwiri, makamaka mukakodza. Izi ndi zachilendo. Mungakhalenso ndi magazi pang'ono mumkodzo wanu. Izi zidzathanso pakatha masiku angapo.
Kodi ndikufunika chemotherapy pambuyo pa TURBT?
Anthu ena adzafunika chemotherapy pambuyo pa TURBT. Ngati khansayo sinafalikire kunja kwa chikhodzodzo, dokotala wanu angakulangizeni chemotherapy ya m'mimba, yomwe imaperekedwa mwachindunji m'chikhodzodzo kudzera mu chubu. Mlingo woyamba ukhoza kuperekedwa nthawi yomweyo ndi opaleshoni. Ngati khansayo yafalikira (yafalikira) ku ziwalo zina za thupi, mungafunike chemotherapy yoperekedwa kudzera mu mitsempha. Zonsezi zidzasankhidwa kutengera zotsatira za biopsy yanu.
Kodi muyenera kukhala m'chipatala?
Mudzasungidwa kuchipatala kuti mukayang'aniridwe kwa maola angapo mutachita opaleshoni. Catheter idzachotsedwa musanatumizidwe kunyumba. Komabe, ngati chotupacho ndi chachikulu kapena ngati magazi ambiri atuluka, mutha kutumizidwa kunyumba ndi catheter kwa masiku angapo.
Atabwerera kunyumba:
- Imwani madzi ambiri monga momwe dokotala wanenera.
- Mukhoza kudya ndi kumwa mwachizolowezi.
- Siyani kunyamula zolemera ndikugwira ntchito yolemetsa kwa milungu ingapo.
- Dokotala adzakuyimbirani foni lipoti lanu la biopsy litafika. Funsani pasadakhale nthawi ndi momwe mudzalilandirire.
Nthawi yoti mulankhule ndi dokotala
Ngati mukukumana ndi zizindikiro izi mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala.
- Malungo .
- Kutulutsa magazi ambiri kapena magazi ambiri m'mkodzo.
- Mkodzo uli ndi fungo loipa kapena kukoma koipa .
- Kupweteka mwadzidzidzi , kosayembekezereka.
- Kuvuta kukodza.
Nthawi zina, milungu 4-6 mutachita opaleshoni yoyamba, mungafunike kuchitidwa opaleshoni ina ('TURBT yachiwiri') kuti muwonetsetse kuti chotupacho chachotsedwa kwathunthu. Dokotala wanu adzakufotokozerani zonsezi.
Uthenga Wopita Nawo Kunyumba
- TURBT ndi opaleshoni yotetezeka yomwe imachitika kuti ipeze ndikuchiza khansa ya chikhodzodzo nthawi imodzi.
- Palibe mabala omwe amapangidwa kunja kwa thupi chifukwa cha izi. Chilichonse chimachitika kudzera mu mkodzo.
- Tsatirani malangizo a dokotala (kusala kudya, malangizo a mankhwala) musanachite opaleshoni.
- Ndi zachilendo kumva kupweteka pang'ono mukamakodza komanso magazi pang'ono mumkodzo kwa sabata imodzi kapena ziwiri mutachita opaleshoni.
- Ngati muli ndi zizindikiro monga malungo, kutuluka magazi ambiri, kapena kupweteka kwambiri, pitani kwa dokotala nthawi yomweyo.
- Kuchira kwanu ndi chithandizo chamtsogolo zidzatsimikiziridwa ndi lipoti la biopsy lomwe mudzalandira mutachita opaleshoni. Chifukwa chake, yang'anani chithandizocho molimba mtima komanso mopanda mantha.
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