Tose takambonzwa nezve "kuvhiyiwa" kana "kuvhiyiwa" kanenge kamwe chete muhupenyu hwedu, handiti? Pamwe mumwe wemhuri yedu kana shamwari aifanira kuzviita. Kana kuti pamwe takazviona paTV kana mufirimu. Zvakajairika kunzwa kutya uye kuda kuziva patinonzwa mazwi aya. Saka chiremba uyu ndiani? Chii chaizvo chavanoita? Nhasi tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Muchidimbu, chiremba wepfungwa chiremba ane hunyanzvi mukuongorora nekurapa zvirwere zvingada kuvhiyiwa. "Kuvhiya" chiito chekuchinja muviri wemunhu kugadzirisa chirwere kana kukuvara. Mukati mekamuri rekuvhiya, chiremba wepfungwa ndiye anotungamira timu yese. Vamwe vanachiremba nevanamukoti vanoshanda pamwe chete kuti vave nechokwadi chekuti zvese zvinofamba zvakanaka, vachitungamirirwa nachiremba wepfungwa.
Funga nezvazvo nenzira iyi: chiremba wekuvhiya akafanana nemakanika ane hunyanzvi anogadzira injini yemotokari. Asi chavari kuvaka pano muviri wedu. Ibasa rine mutoro zvikuru rinoda hunyanzvi.
Vanachiremba vanoshandisa zvishandiso zvakasiyana-siyana pabasa ravo. Semuenzaniso:
- MaLaser
- Tekinoroji yeUltrasound
- Scalpels
- Zvinhu zvakawanda zvakaita setsono.
Ndeapi marudzi ekuvhiyiwa?
Kune mhando mbiri huru dzekuvhiya.
1. Kuvhiyiwa Kwakavhurika: Izvi zvinosanganisira kuchekwa ganda diki uye kuvhiyiwa zvakananga panzvimbo yakakanganiswa yemuviri. Semuenzaniso, nzira iyi inoshandiswa kubvisa bundu guru kana mune mamwe mavhiyiwa emwoyo.
2. Kuvhiyiwa Kusingakuvadzi Zvishoma: Uku ndiko "kuvhiyiwa kunobatsirwa nekamera" kwatakambonzwa tese. Panzvimbo pekucheka kukuru, kucheka kudiki kamwe chete kana kupfuura kunogadzirwa. Kamera nezvishandiso zvakakosha zvinoiswa kuburikidza nekucheka ikoko kuti zviitwe kuvhiyiwa. Zvakanakira izvi ndezvekuti nguva yekupora ipfupi, marwadzo mashoma, uye mavanga madiki zvikuru . Zvisinei, hazvisi zvese zvinovhiyiwa zvinogona kuitwa nenzira iyi. Izvo zviri kuna chiremba wako.
Kusiyanisa kwakasiyana kwevanachiremba vanovhiya
Kune vanachiremba vanovhiya vane hunyanzvi muchikamu chimwe nechimwe chemuviri wedu. Sezvakangoita kuti pane munhu akasiyana wematayi emota nemunhu akasiyana weinjini. Ngationei kuti ndeapi maspecialist makuru ekuvhiya.
| Nyanzvi Yekuvhiya | Zvavanorapa |
|---|---|
| Chiremba Mukuru | Kuvhiyiwa kunoitwa pazvirwere zvakasiyana-siyana zvinogona kuitika chero kunhengo ipi zvayo yemuviri (semuenzaniso appendicitis, matombo emudumbu, hernias). |
| Chiremba wepfungwa | Kuvhiyiwa kunoitwa pazvirwere zvine chekuita neuropi, musana, uye tsinga (semuenzaniso, bundu remuuropi, kukuvara kwemusana, kudzvinyirirwa kwetsinga). |
| Chiremba weMafupa | Dzinorapa matambudziko ane chekuita nemapfupa, tsandanyama, uye mapfundo. Fungidzira, patinotyoka ruoko kana gumbo mutsaona, kana patinoda kuisirwa mapfundo sebvi, tinoenda kuna chiremba uyu. |
| Chiremba weChifuva / weCardiothoracic | Nyanzvi dzinoita maoparesheni (semuenzaniso kuvhiya kwepanze) pamoyo, mapapu, nedzimwe nhengo dziri muchipfuva. |
| Chiremba wezvekubereka uye wezvemadzimai (OB/GYN) | Kuvhiyiwa kwevanaamai vane pamuviri kuburikidza nekubvisa pamuviri (cerean sections) uye kuvhiyiwa kwezvirwere zvenhengo dzekubereka dzevakadzi (semuenzaniso uterine fibroids). |
| Chiremba wevana | Kubva kuvacheche kusvika kuvana vadiki, tinovhiya vana chete. |
| Chiremba wepurasitiki | Vanogadzirisa nhengo dzemuviri dzakakuvara mutsaona, vanoporesa kutsva, uye vanoita kuvhiyiwa kwekunaka. |
| Chiremba wemaziso | Vanachiremba vemaziso, vanoita maoparesheni ane chekuita nemaziso nekuona, akadai sekubvisa cataract. |
| Chiremba weNzeve, Mhino neHuro (Chiremba weENT) | Vanoita zvinhu zvakaita sekubvisa matonsi, matambudziko emusana, uye kuvhiyiwa nzeve. |
Rwendo rwekuenda kunova chiremba anovhiya
Kuva chiremba wechiremba rwendo rurefu uye rwakazvipira. Zvinoda makore ekudzidza nekudzidziswa.
- Kutanga, unofanira kupasa chikamu cheAdvanced Level Biology nemazvo uye wozopinda chikoro chekurapa.
- Mushure meizvozvo, unofanirwa kudzidza kwemakore mashanu kuchikoro chekurapa uye kuwana dhigirii reMBBS.
- Mushure meizvozvo, unofanirwa kusarudza chiremba wekusarudza kwako wozodzidziswa kwemakore (kugara) muzvipatara kusvika wava nyanzvi yechiremba wepfungwa iyoyo.
Rwendo urwu runogona kutora makore angangoita gumi kusvika gumi nemashanu. Saka unogona kunzwisisa kuti chiremba wechiremba ane ruzivo rwakakura sei. Saka kana uchizovhiyiwa, unogona kuva nechokwadi chekuti uri mumaoko akachengeteka.
Sei tichida kuvhiyiwa?
Pane zvikonzero zvakawanda zvinoita kuti kuvhiyiwa kudiwe. Zvimwe zvinongoitika zvekukurumidzira (emergent), nepo zvimwe zvisingadiwi.
Fungidzira, kana ukaita tsaona yakakura uye kubuda ropa kusingagone kumiswa, kuvhiyiwa kwekukurumidzira . Kunofanira kuitwa nekukasika. Zvikasadaro, kuvhiyiwa kwebvi, kwaunotora mushonga kwenguva yakati rebei wekurwadziwa kwebvi wozoitwa mangwana acho, kuvhiyiwa kwakarongwa .
Heano mamwe ezvikonzero zvikuru nei kuvhiyiwa kuchigona kuitwa:
- Kuongorora chirwere nemazvo: Dzimwe nguva, kuti uzive kuti chirwere chacho chii chaizvo, kuvhiyiwa kunoitwa kuti utore chidimbu chidiki chenyama kubva mumuviri wochiongorora (biopsy).
- Bvisa/gadzirisa zvikamu zvakakuvara kana kuti zvine chirwere: Semuenzaniso, kubvisa chikamu cheura kana appendicitis yaitika, kana kubvisa bundu rekenza.
- Bvisa chinovhara: Kana dombo reitsvo ranamatira, ribvise.
- Kuisirwa nhengo: Kuisirwa nhengo dzakadai seitsvo, moyo, nechiropa.
- Isa mudziyo mumuviri: Sekuisa pacemaker kuti moyo ushande zvakanaka.
- Chinja chitarisiko: Kuita shanduko muchimiro kuburikidza nekuvhiyiwa kwepurasitiki.
Kana chiremba akati unoda kuvhiyiwa, usazvitya. Chero mibvunzo kana zvinokunetsa zvaunazvo nezvazvo, chero chii zvacho...Bvunza chiremba. Achakutsanangurira zvese.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wekurapa chirwere inyanzvi yakadzidziswa zvikuru uye ine ruzivo rwakakura inorapa zvirwere kuburikidza nekuvhiyiwa.
- Kuvhiya kwacho kwakakamurwa kuita mhando mbiri: kwakavhurika uye kusingapindi zvakanyanya.
- Kune vanachiremba vanovhiya vane hunyanzvi muzvikamu zvakasiyana zvemuviri wedu (semuenzaniso, mwoyo, uropi, mapfupa).
- Kuvhiyiwa kunodiwa nekuda kwezvikonzero zvakasiyana-siyana, zvakaita sekuongorora chirwere, kugadzirisa kukuvara, kana kuponesa hupenyu.
- Kana wakarongerwa kuvhiyiwa, usatya kutaura pachena nachiremba wako kuti uwane ruzivo rwese. Vimba kuti uri mumaoko echikwata chekurapa chine hunyanzvi uye chakachengeteka.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Ndiani chaizvo chiremba wemadzimai uye chiremba wezvekubereka/ VOG?
'Gynecologist' chiremba anonyanya kubata zvirwere zve'chibereko chemukadzi (chibereko, mazamu, vagina)' (Cysts, Fibroids). Saizvozvowo, 'Obstetrician' chiremba anotarisira 'Kubata Pamuviri neKubereka'. MuSri Lanka, tinosanganisa minda miviri iyi (OB/GYN) toidaidza kuti 'VOG (Obstetrician neGynecologist)'.
💬 Mukadzi anofanira kuenda kuGynecologist (VOG) kekutanga riini?
Ndosaka vakadzi vachida VOG kwete chete pavanenge vachiedza kubata pamuviri/kubata pamuviri! Kunyangwe mukadzi akatanga kuenda kumwedzi anofanira kuona nyanzvi iyi kana 1) kuenda kwake kumwedzi kuchitora nguva yakareba zvisingawanzoitiki/kuchirwadza (kana kurwadziwa kwacho kusingatsungiririki), 2) aine kubuda ropa kwakanyanya kubva muchibereko kana kuti bundu rinofungidzirwa.
💬 Ndezvipi zviratidzo zvinouraya/zvine njodzi zvinoda kuti umhanyire kuna chiremba wevakadzi?
Njodzi huru! 1) Kana mukadzi ane pamuviri akanzwa kurwadziwa kwakanyanya mudumbu nekubuda ropa muchibereko (Ectopic Pregnancy), chubhu inoputika uye murwere anofa mukati memasekonzi! 2) Kana kubuda ropa kukadzoka mushure memakore akawanda ekuguma kuenda kumwedzi (Endometrial Cancer), unofanira kuenda kunoona chiremba nekukasika!
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