Kuvhiyiwa kweAPR: Kuvhiyiwa kweLaparoscopic Abdominoperineal Resection yekenza yemudumbu nenzira iri nyore

Kana chiremba wako akakuudza kuti unofanira kubviswa abdominoperineal resection, kana kuti APR, unogona kunge uchitya uye uchinetseka. Ungave uine mibvunzo yakawanda mupfungwa dzako, yakaita sekuti "Rudzii rwekuvhiyiwa uku?", "Zvicharwadza here?", "Hupenyu hwangu huchava hwakaita sei mushure mekuvhiyiwa?" Zvakajairika. Saka nhasi, ngatitaurei nezvechinonzi ichi chirwere cheAPR, kuti ungachigadzirira sei, uye zvinoitika mushure mekuvhiyiwa. Kuziva zvinhu izvi zvakajeka kuchabatsira kuderedza kutya kwako zvakanyanya.

Chii chinonzi Abdominoperineal Resection (APR) surgery?

Zvichitaurwa zviri nyore, izvi zvinosanganisira kubviswa kwehuro yako, rectum, nechikamu chezasi cheura hwako hukuru (sigmoid colon) . Chikonzero chikuru chekuvhiyiwa uku ndechekurwara kwegomarara rinokura zvishoma murectum, pedyo neanus.

Kazhinji, unogona kunge wakambopiwa mishonga yemwaranzi uye/kana chemotherapy kakawanda kuti udzore kenza usati wavhiyiwa. Mushure mekunge kurapwa kwapera, chiremba anovhiya anobvisa nzvimbo yese nekuvhiya uku.

Ndinofanira kugadzirira sei kuvhiyiwa?

Chiremba wako achakutungamirira nokungwarira kuti ugadzirire izvi. Achakubvunza nezvenhoroondo yako yese yezvekurapa. Iva nechokwadi chekuudza chiremba wako nezvemishonga, mavhitamini, kana zvimwe zvinovaka muviri zvauri kutora parizvino.

Uyewo, kana uine chirwere chesleep apnea , unofanira kutiudza nezvazvo. Kana uchishandisa muchina weCPAP, uuye nacho kuchipatara pazuva rekuvhiyiwa.

Kuvhiyiwa uku kunoitwa sei?

Kuvhiyiwa uku kunoitwa muchipatara, pasi peanesthesia. Izvi zvinoreva kuti hauzonzwi chero chinhu panguva yekuvhiyiwa, uye uchange wakarara zvachose. Kuvhiyiwa uku kunoitwa mumatanho akati wandei.

1. Kugadzirira kubvisa zvikamu zveura

Kutanga, chiremba anochera dumbu zvishoma nezvishoma (laparoscopy), anoona uye anocheka tsinga huru dzeropa dzinopa ropa kuzvikamu zveura kuti zvibviswe. Zvadaro, chikamu chezasi cheura (sigmoid colon) nerectum zvinosunungurwa kubva munyama yakapoteredza. Tevere, chikamu chinofanira kubviswa chinoparadzaniswa nechikamu chasara cheura chine hutano.

2. Kubviswa kwehuro

Zvadaro, chiremba anocherazve nzvimbo yemudumbu obvisa anus. Izvi zvinobvisa anus yese, rectum, neura. Ganda riri pamusoro pe anus rinozosonerwa.

3. Kugadzira Colostomy

Zvino ungave uchishamisika kuti, "Nzvimbo yetsvina ichabuda sei mushure mekunge anus nerectum zvabviswa?" Ndosaka pakagadzirwa colostomy inogara iripo.

Zvichitaurwa zviri nyore, izvi zvinosanganisira kuunza chikamu chakanaka chekumusoro kwedumbu rako pamusoro peganda remudumbu rako uye kugadzira buri idzva rinovhurika kunze. Iri buri idzva rinonzi 'stoma' . Kazhinji iburi repingi rine saizi iri pakati pe 1 ne 1 ½ inches.

Zvino tsvina yemuviri wako, kureva tsvina nemhepo, zvinobuda mudumbu iri. Unofanira kupfeka bhegi rakakosha (ostomy pouch) pamusoro paro. Bhegi iri rinounganidza tsvina. Sezvo usina anus, hausisina simba rekudzora kufamba kwetsvina. Saka, unofanira kupfeka bhegi iri nguva dzese.

Nguva yekupora mushure mekuvhiyiwa inomira sei?

Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma. Bhegi re ostomy richaiswa pamusoro pestoma yako mushure mekuvhiyiwa. Zvisinei, zvinotora mazuva mashoma kuti kugaya kwako kushande zvakare. Saka uchapihwa mvura yekunwa pakutanga. Sezvo ura hwako huchatanga kushanda, zvishoma nezvishoma uchatanga kudya chikafu chakasimba.

Ndezvipi zvakanakira kuita kuvhiyiwa uku uchishandisa laparoscopically?

Kune mabhenefiti akawanda ekuita kuvhiyiwa uku kuburikidza nenzira yekiyi kana laparoscopic pane kuvhiyiwa kwakavhurika kwechinyakare.

• Machekwa acho madiki zvakanyanya: Panzvimbo pekucheka kamwe chete kukuru, kucheka kudiki kushoma chete ndiko kunoshandiswa.
• Kurwadziwa kwakaderera: Kurwadziwa kunonzwa mushure mekuvhiyiwa kushoma kwazvo.
• Kubuda ropa kwakaderera: Ropa shoma rinobuda mumuviri panguva yekuvhiyiwa.
• Kuderedzwa kwenjodzi yematambudziko:Mikana yekuti zvinhu zvakaita semaronda apinde muropa hainyanyi kukura.
• Kupora nekukurumidza: Nguva yekugara muchipatara ipfupi, uye unogona kudzokera kuhupenyu hwemazuva ese nekukurumidza.

Ndezvipi zvinetso zvinogona kuitika nekuda kwekuvhiyiwa uku?

Kufanana nekuvhiyiwa kupi zvako, kune dzimwe njodzi diki, asi idzi hadziwanzoonekwa.

• Hernia yemudumbu inogona kuitika kana ganda rikadhonzwa shure mushure mekubviswa kwetsvina. Kana zvichidikanwa, izvi zvinogona kugadziriswa nekuvhiyiwa kumwe.
• Kubuda ropa zvakanyanya.
• Matambudziko ane chekuita nekuchekwa (maronda ari kuzvimba, asingapore).
• Kana ronda rapora, kaburi kadiki paganda kanosara (perineal sinus).

Kana chimwe chinhu chakadai chikaitika, vanachiremba vanochigadzirisa nekurapwa kwakadai sekupa mishonga inorwisa mabhakitiriya kana, kana zvichidikanwa, kuita oparesheni diki, zvichienderana nekuoma kwacho.

Zvinowanzo tora mavhiki matatu kusvika matanhatu kuti unyatsopora kubva pakuvhiyiwa uku. Zvisinei, nguva ino inogona kusiyana zvichienderana nezvinhu zvakaita sehutano hwako hwese. Bvunza chiremba wako kuti unogona kudzokera kubasa riini.

Zvakajairika kuti unzwe kunetseka uye kunetseka nezvekuvhiyiwa kukuru kwakadaro. Saka, taura nachiremba wako pachena nezvemibvunzo kana zvinokunetsa. Zvakare, kana ukakwanisa kubatana nemapoka ekutsigirana nevanhu vakavhiyiwa zvakadaro uye vari kupora, uchawana simba guru repfungwa neushingi kubva muzviitiko zvavo.