Pamwe iwe kana mumwe munhu wemumhuri mako makaudzwa nachiremba kuti muchafanira kubviswa dundira renyu, kungave nekuda kwekenza yedundira kana chimwe chirwere chinotora nguva refu. Zvakajairika kunzwa kutya kukuru uye kuzvidya mwoyo paunonzwa izwi rekuti 'Cystectomy'. Asi nhasi, ngatinyatsonzwisisa izvi. Chii chinonzi kuvhiyiwa uku? Sei kuchiitwa? Chii chinoitika mushure mezvo? Ngatitaurei nezveizvi zvese zviri nyore.
Kuvhiyiwa kwe cystectomy rudzii?
Zvichitaurwa zviri nyore,
cystectomy inzira yekuvhiya kubvisa chikamu chedundira rako rose kana kuti chikamu charo chose. Sezvaunoziva, dundira inhengo yakaita sebhora inounganidza uye inochengeta weti (weti) inogadzirwa neitsvo dzedu. Kuvhiya uku kunowanzoitwa sekurapa kenza yedundira. Zvisinei, dzimwe nguva vanachiremba vanosarudza kuita kuvhiya uku kune mamwe mamiriro asina kunaka (asina kenza). Uku hakusi kuvhiya kudiki, asi
kuvhiya kukuru . Nekuti kunobvisa nhengo inokosha mumuviri wedu, dundira.
Zvinokwanisika here kurarama usina dundira?
Ehe, unogona. Ungashamisika kunzwa izvi, asi zvinokwanisika kurarama usina dundira. Asi ipapo uchafanirwa kutsvaga nzira itsva yekubvisa weti inogadzirwa neitsvo dzedu. Kana chiremba akabvisa dundira rese, zvinotora nguva kuti ujairire sisitimu itsva. Asi usazvidya moyo, uchakwanisa kuita zvakawanda zvawaiita usati wavhiyiwa, kunyangwe mushure mekuvhiyiwa.
Chii chaunofanira kuziva usati wavhiyiwa cystectomy?
Chiremba wako asati avhiyiwa, achakuongorora uye achaongorora hutano hwako. Achakutsanangurirawo kuti rudzii rwekuvhiyiwa kwaachaita. Kune mhando dzakasiyana-siyana dzekuvhiyiwa uku.
- Kubviswa kwechikamu chetsinga : Izvi zvinosanganisira kubvisa chikamu chetsinga chako chine chirwere chete. Kana izvi zvikaitika nekuda kwegomarara, ma lymph nodes akapoteredza anobviswawo uye anoongororwa kuti kenza yapararira here. Chikamu chasara chetsinga yako chinozosonwa pamwe chete kuti chidzorere kushanda zvakanaka.
- Kubviswa kwetsinga dzemuviri (Simple Cystectomy) (kubviswa kwetsinga dzemuviri chete): Izvi zvinosanganisira kubvisa dundira chete pasina kukuvadza nhengo dzakaripoteredza. Izvi zvinowanzoitirwa zvirwere zvisina kenza . Semuenzaniso, matambudziko eweti anokonzerwa nekukuvara kwetsinga ( neurogenic dundira ), mwaranziZvirwere zvakaita se radiation cystitis uye weti fistula zvinokonzerwa nekurapwa.
- Kubviswa kwetsinga dzemudumbu (Radical Cystectomy) (kubvisa dundira nenhengo dzakapoteredza): Mukuita izvi, dundira rinobviswa zvachose, pamwe chete nelymph nodes dzakapoteredza.
- Kana ari murume, vas deferens inowanzochekwa, uye prostate ne seminal vesicles zvinobviswa.
- Muvakadzi, chibereko, machubhu efallopian, mazai, uye cervix zvinowanzobviswa. Dzimwe nguva, chikamu chemadziro emukadzi chinogonawo kubviswa.
Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba, inotengeswa kunze kwemushonga unonyorerwa chiremba, uye kunyangwe mishonga yemishonga) usati wavhiyiwa. Mimwe mishonga, kunyanya mishonga inobvisa ropa, inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa. Saka usarega kutora chero mishonga usina kurayirwa nachiremba wako.
Kuvhiyiwa uku kunoitwa sei?
Kuvhiyiwa uku kunoitwa nechikwata chevanachiremba vachitungamirirwa nachiremba wezvemukati medumbu. Uchapihwa mushonga weanesthesia, saka hauzonzwi kurwadziwa uye ucharara. Pane nzira mbiri huru dzekuita kuvhiyiwa uku: 1.
Kuvhiyiwa kweOpen Cystectomy: Mukuita izvi, kucheka kwe6-7 inch kunoitwa pakati peguvhu neperineum, uko chiremba anoita kuvhiyiwa uku. 2.
Kuvhiyiwa kweMinimally Invasive Cystectomy: Izvi zvinogona kuitwa ne laparoscopically kana nerobhoti. Izvi zvinosanganisira kucheka ka5-6 kadiki mudumbu, uko kamera nemidziyo yakapfava zvinoiswa. Chinhu chakanaka ndechekuti mavanga mashoma uye nguva yekupora ipfupi.
Nzira yekugadzira nzira itsva yekubvisa weti
Mushure mekunge dundira rese rabviswa, nzira itsva yekubuda kweweti mumuviri inofanira kugadzirwa. Izvi zvinonzi 'kuvhiyiwa kwekuvakazve.' Kune nzira nhatu huru dzekuita izvi.
| Nzira yekuvakazve | Chii chinongoitika |
|---|
| Mugero weIleal | Chidimbu chidiki cheura hudiki chinotorwa uye maureter anobatanidzwa kune rimwe divi. Rimwe divi rinonamirwa paganda redumbu, richivhurika muburi rinonzi stoma. Bag re ostomy rinoiswa pamusoro pestoma kuti riunganidze weti. |
| Kutsauswa Kwemakondinendi | Zvikamu zveura hudiki nehukuru zvinoshandiswa kugadzira kabhegi kadiki (dziva) mukati memuviri kanounganidza weti. Izvi zvakabatanawo neganda redumbu nestoma. Asi hapana kabhegi kekunze. Kakawanda pazuva, chubhu diki (catheter) inoiswa kuti ibudise zviri mubhegi iri. |
| Dundira reNeobladder | Chidimbu chirefu cheura hudiki chinotorwa choshandiswa kugadzira dundira idzva (Neobladder). Izvi zvakabatana zvakananga neurethra yako. Saka unogona kuita weti zvakanaka. Asi unofanira kukwiza tsandanyama dzemudumbu kuti ubvise weti. Vamwe vanhu vanofanira kushandisa catheter kuti vabvise weti zvachose. |
Chiremba wako achakurukura newe uye achasarudza kuti ndeipi nzira yakakunakira.
Chii chekutarisira mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, muchaendeswa kuchipatara. Mavanga acho achasungwa nebhandeji. Muchapiwa mishonga yekurwadziwa. Nguva yekugara kwenyu muchipatara ichasiyana zvichienderana nerudzi rwekuvhiyiwa kwamakaita. Pakuvhiyiwa kudiki, muchagara muchipatara kwezuva rimwe kana maviri, uye pakuvhiyiwa kwakavhurika, muchagara muchipatara kweinenge vhiki. Munguva iyi, vashandi vekuchengeta varwere vachakutarisirai zvakanaka. Kana muine bhegi re ostomy, muchadzidziswa mashandisirwo aro, kusunungura, uye kurichinja. Zvinogona kutora
mavhiki mashoma kusvika kumwedzi mishoma kuti mupore zvizere.
Ndeipi njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako kukuru, uku kune njodzi.
- Kubuda ropa
- Kugwamba kweropa
- Utachiona
- Matambudziko emudumbu (kuzvimba, manyoka)
- Kuvharika kweweti nekuda kwemavanga
- Kukuvadzwa kwemamwe nhengo dzemuviri
- Kuunganidzwa kwemvura panzvimbo dzakachekwa (seroma)
Vamwe varume vanogona kunge vaine matambudziko ekuita zvepabonde. Vakadzi vanogona kusangana nematambudziko ekuita zvepabonde kana chikamu chenhengo yemukadzi chikabviswa. Usatya kutaura nachiremba wako nezvematambudziko aya epabonde.
Unofanira kuona chiremba nekukasika rini?
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekuvhiyiwa kwako,
zivisa chiremba wako nekukasika kana kuenda
kuEmergency Department (ETU) yechipatara chiri pedyo.
Zviratidzo zvekunyevera zvekutarisira
| Zviratidzo zvehutachiona | Fivha, kutonhora, weti yakasviba kana kuti ine makore. |
| Matambudziko panzvimbo dzakachekwa | Kubuda ropa rakawanda, kuzvimba, kurwadziwa, kana kuwedzera kubuda kwehurwa. |
| Matambudziko estoma | Dumbu racho dema, brown, kana kuti purple yakasviba. |
| Zvimwe zviratidzo zvakakomba | Kuda kurutsa nguva dzose, kurwadziwa kusingatsungiririki, kutadza kuita weti kana kuoma kuita weti. |
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweCystectomy inzira huru inoponesa hupenyu inoitirwa zvirwere zvakaita sekenza yedundira.
- Zvinokwanisika kurarama usina dundira. Kune nzira dzakasiyana-siyana dzekuvakazve muviri kuti uburitse weti. Taura nachiremba wako nezvesarudzo yakanakira iwe.
- Zvinotora nguva kuti ugadzirire kuchinja kwemuviri wako mushure mekuvhiyiwa. Izvi zvakajairika. Usazengurira kuwana rutsigiro rwepfungwa nerwemuviri rwaunoda.
- Panguva yekupora, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika kana paine zviratidzo zvinonyevera.
- Kana ukabatwa zvakanaka uye uine mafungiro akanaka, unogona kuramba uine hupenyu hwakanaka kunyangwe mushure mekuvhiyiwa.
Kubviswa kweCystectomy, kubviswa kwedundira, kenza yedundira, urostomy, ostomy bag, neobladder, kuvhiyiwa, urology, weti
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