Paunonzwa izwi rekuti "kenza yemudumbu," vamwe vanhu vanotya zvishoma, handiti? Asi iyi imhando yekenza inowanikwa munyika medu nepasi rese. Kurapa kukuru uye kunobudirira kweizvi kubvisa chikamu chemudumbu chine masero ekenza kuburikidza nekuvhiyiwa. Saka nhasi, ngatitaurei nenzira yeushamwari, kuti mhando idzi dzekuvhiyiwa ndedzipi, kuti dzinoitwa sei, uye zvinhu zvakakosha zvaunofanira kuziva mushure mekuvhiyiwa.
Kutanga, ngatinzwisisei mhando idzi dzekuvhiyiwa uye zvadzinoreva.
Rudzi rwekuvhiyiwa runoitwa runosiyana zvichienderana nerudzi rwegomarara uye kuti rakapararira kusvika papi. Ngatitarisei nzira huru dzinoshandiswa.
| Nzira yekuvhiya | Zvichitaurwa zviri nyore... |
|---|---|
| Kuvhiyiwa kwePolypectomy | Izvi zvinosanganisira kubvisa tumbuyu tudiki (polyps) tunoumba mukati meura. Tumbuyu utwu tunowanzova kenza gare gare. Izvi zvinogona kubviswa panguva yekuongorora colonoscopy. |
| Kubviswa Kwenzvimbo | Maitiro aya anoshandiswa pakurapa kenza yemudumbu. Gomarara nechikamu chidiki chemadziro emudumbu zvakatenderedza zvinobviswa. Izvi hazvidi kuvhiyiwa kukuru. |
| Kuvhiyiwazve kwenhengo | Izvi zvinosanganisira kucheka nekubvisa chikamu cheura huri kenza pamwe nenyama dzakapoteredza. Uku ndiko kuvhiyiwa kunowanzoitwa. |
| Kuvhiyiwa kweLaparoscopic | Izvi zvinonziwo "keyhole surgery." Kuvhiya uko kamera nemidziyo zvinopinzwa kuburikidza nemaburi madiki akawanda mudumbu pachinzvimbo chekucheka kukuru. Ngatitaurei nezvazvo zvakadzama. |
Chii chinonzi laparoscopic surgery?
Kare, kuvhiyiwa kwemudumbu kwaida kuchekwa kukuru mudumbu. Izvi zvinonzi "kuvhiyiwa kwakavhurika." Zvinotora nguva yakareba kuti zvipore uye zvinorwadza zvakanyanya.
Asi ikozvino tekinoroji yafambira mberi. Nenzira ye laparoscopic , chiremba anochekwa zvidimbu zvidiki zvitatu kusvika zvitanhatu, zvakakura mamirimita mashanu kusvika gumi, mudumbu mako. Kamera (laparoscope) inopinzwa kuburikidza neimwe yezvidimbu. Zvadaro, nhengo dziri mukati medumbu dzinogona kutariswa nenzira yakakura, senge paTV screen. Zvishandiso zvakakosha zvinopinzwa kuburikidza nedzimwe zvidimbu, uye kuvhiyiwa kunoitwa zvinyoro nyoro.
Zvakanakira nzira iyi kuderedza marwadzo nemavanga, kupora nekukurumidza, uye kuderedza njodzi yehutachiona.
Nzira iyi yava kushandiswa zvakanyanya pazvirwere zvakaita sechirwere cheCrohn, diverticulitis, uye kunyange kenza yemuura.
Ndedzipi mhando huru dzekuvhiyiwa kwegomarara remudumbu?
Chikamu cheura chinobviswa chinosiyana zvichienderana nenzvimbo uye kupararira kwegomarara. Ngatitarisei mamwe marudzi ekuvhiyiwa.
- Kubviswa kwechikamu chemasero eropa: Izvi zvinosanganisira kubvisa chikamu chegomarara muura wako uye mamwe ma lymph nodes ari pedyo. Zvadaro zvimwe zvikamu zvine hutano muura wako zvinobatanidzwa zvakare. Izvi zvinonzi anastomosis . Mushure mekuvhiyiwa, maitiro ako ekubvisa ura anodzokera kune zvawo zvakajairika.
- Kuvhiyiwa kweColectomy Yakarurama / Ileocolectomy: Izvi zvinosanganisira kubvisa chikamu chekurudyi cheura hukuru. Dzimwe nguva chikamu chekupedzisira cheura hudiki (ileum) chakabatana nacho chinobviswawo.
- Kubviswa kweAbdominoperineal Resection: Uku kuvhiyiwa kukuru. Anus yako, rectum, uye chikamu chezasi chemudumbu wako (sigmoid colon) zvinobviswa zvachose. Izvi zvinoreva kuti panowanikwa buri rinogara riripo muganda redumbu rako uye panobva paiswa chikwama kuti tsvina ipfuure nepairi. Izvi zvinonzi permanent colostomy .
- Kuvhiyiwa kweProctocolectomy Yese: Uku ndiko kuvhiyiwa kweura kwakanyanya. Mukuita izvi, ura hwemudumbu nehwemudumbu zvinobviswa zvachose.
Ndedzipi dzimwe nzira dzakabatana nekuvhiyiwa?
Dzimwe nguva, pane zvimwe zvinhu zvinoda kuitwa pamusoro pekuvhiyiwa kukuru. Zvakakosha kuziva izvi zvakare.
Stoma kana Ostomy
Zvichitaurwa zviri nyore, stoma inzira inobatanidza chikamu cheura neganda redumbu, zvichiita kuti pave nemukana mutsva wekubuda tsvina.
- Kana ukabatanidza mugumo weura hukuru nawo,Inonzi colostomy .
- Kana mugumo weura hudiki wakabatana, unonzi ileostomy .
Bhegi rakakosha (Stoma Bag) rinoshandiswa kuunganidza tsvina kubva mudumbu iri. Dzimwe nguva izvi ndezvenguva pfupi . Kureva kuti, zvinongochengetwa chete kusvika nzvimbo yekuvhiyiwa yapora. Mumwedzi mishoma, kumwe kuvhiyiwa kudiki kunoitwa kubvisa izvi uye kubatanidzazve ura kubva mukati. Zvisinei, sezvambotaurwa, mune mamwe mavhiyiwa, izvi zvinofanirwa kuchengetwa zvachose .
Mabhegi emukati (Mabhegi)
Dzimwe nguva, mushure mekunge anus yabviswa zvachose, kabhegi kadiki kanogadzirwa mukati memuviri kubva muura hudiki kuti kaunganidze nekuchengetedza tsvina. Izvi zvinobvisa kudiwa kwekabhegi kekunze. Ileal (J) Pouch inzira inozivikanwa yerudzi urwu. Zvisinei, aya mavhiyiro akaoma.
Kuvhiyiwa kwechiropa
Kenza yemudumbu inogona kupararira kusvika kuchiropa. Kana zvakadaro, zvichienderana nehukuru hwekenza, kenza yechiropa inogonawo kubviswa panguva imwe chete nekuvhiyiwa kwemudumbu.
Kupora uye matanho ekudzivirira mushure mekuvhiyiwa
Vanhu vazhinji vanopora mushure mekuvhiyiwa uku. Uchafanira kutora mishonga inoderedza marwadzo kwemazuva mashoma ekutanga. Ungangoudzwa kuti udye chikafu chemvura chete. Asi uchakwanisa kudya zvakajairika mushure memazuva mashoma.
Zvisinei, semamwe maoparesheni, kune dzimwe njodzi, dzakadai sekubuda ropa, hutachiona, uye kuvharika kweropa mumakumbo.
Chimwe chinhu chekucherechedza: Kashoma, kubuda kwemvura kunogona kuitika kubva panzvimbo dzinobatana muura. Kana izvi zvikaitika, chenjerera zviratidzo izvi. Kana uine chimwe cheizvi , taurira chiremba wako kana chipatara nekukasika .
* Kurwadziwa kwakanyanya mudumbu
* Kupindwa nechando
* Dumbu rinonzwa rakaomarara sedombo
Zvakakosha kuti ugare uchitaurirana nechikwata chako chekurapa mushure mekuvhiyiwa. Tevedzera mirairo yavo nemazvo. Vanogona kukurudzira mamwe marapirwo, akadai sechemotherapy, pamusoro pekuvhiyiwa.
Mharidzo Yekuenda Nayo Kumba
- Mushonga mukuru wegomarara remudumbu kuvhiyiwa. Usatya nazvo, chinhu chakakosha ndechekuziva.
- Rudzi rwekuvhiyiwa runoitwa runosiyana zvichienderana nerudzi rwegomarara. Kune mhando dzakasiyana dzekuvhiyiwa, kubva pakubvisa bundu diki kusvika pakubvisa chikamu chikuru cheura.
- Kuvhiyiwa kweLaparoscopic (keyhole) inzira yemazuva ano inoitwa nekucheka kudiki, hainyanyi kurwadza, uye inopora nekukurumidza.
- Mushure mekuvhiyiwa, ungangoda kushandisa bhegi remudumbu (Colostomy/Ileostomy) kwenguva pfupi kana zvachose kubvisa tsvina.
- Kana ukaona zviratidzo zvakaita sefivha, kurwadziwa kwakanyanya mudumbu, kana kuzvimba kwedumbu mushure mekuvhiyiwa , zivisa chiremba wako nekukasika .
- Kutevedzera mirairo yachiremba wako nemazvo kwakakosha kuti munhu akurumidze kupora.
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