Dzimwe nguva, hatigoni kuwana chikonzero chematambudziko edu emudumbu kunyangwe mushure mekuongororwa kwakawanda. Izvozvo zvakaitika kwauri here? Kana chikonzero chechimwe chinhu chakadai sekurwadziwa kwemudumbu kwakanyanya kana kubuda ropa kusingatsananguriki chikasawanikwa, vanachiremba vanofanirwa kucheka ganda remudumbu voongorora nhengo dziri mukati. Ndiyo yatinodaidza kuti iyi kuvhiyiwa kwekuongorora chirwere, 'Exploratory Laparotomy' . Zvichitaurwa zviri nyore, kuvhiyiwa kunovhura dumbu uye kutsvaga chirwere chacho.
Chii chinonzi Exploratory Laparotomy? Ndedzipi nguva dzinoitwa?
'Exploratory laparotomy' kuvhiyiwa kukuru kunoitwa navanachiremba kuti vaongorore matambudziko ari mudumbu, kureva mudumbu. Kuvhiyiwa uku kunowanzo kurudzirwa kana mimwe miedzo, yakaita se scans , isingakwanise kuona dambudziko racho.
Pane zvikonzero zvikuru zvakawanda nei chiremba angasarudza kuita rudzi urwu rwekuvhiyiwa:
- Kukuvara mudumbu: Fungidzira, kana wakakuvara zvakanyanya mudumbu, senge tsaona yemotokari. Kuvhiyiwa uku kunoitwa kuti uone kana paine nhengo dzemukati dzakakuvara kana kubuda ropa kuri kuitika.
- Kubuda ropa kusingatsanangurike: Kubuda ropa kubva mudumbu, asi kwarisingawanikwe kana kuti nei.
- Kurwadziwa kwakanyanya, kusingatsungiririki: Kana usingakwanise kuwana chikonzero chekurwadziwa kwemudumbu neimwe nzira.
- Kana paine fungidziro yekuti kenza yapararira: Tsvagai chaizvo kana kenza yapararira kune dzimwe nhengo dzemuviri dziri mudumbu.
Vanachiremba vanoitei panguva yekuvhiyiwa?
Munguva iyi, chiremba anocheka ganda remudumbu uye anoongorora nhengo dziri mukati medumbu nokungwarira. Ipapo, vanotsvaga chikonzero chekurwadziwa kana kubuda ropa. Nhengo huru dzinoongororwa nenzira iyi ndedzi:
- Chiropa
- Itsvo
- Dumbu
- Chidendene
- Pancreas
- Ura hudiki nehukuru (Matumbu)
- Nhengo dzekubereka muvakadzi dzinosanganisira chibereko, machubhu efallopian , uye maovari .
- Chinyorwa Chekuwedzera
- Mitsipa yeropa uye Lymph nodes
Panguva yekuvhiyiwa, chiremba anogona kutora kanyama kadiki kubva panzvimbo yaanofunga kuti pane dambudziko okatumira kurabhoritari kuti kaongororwe. Tinoti izvi 'biopsy' .
Dzimwe nguva, kana chikonzero chedambudziko chaonekwa, vanachiremba vanogona kuchirapa panguva yekuvhiyiwa. Semuenzaniso, kana paine buri muura, vanogona kurisona kana kumisa kubuda ropa.
| Zvimwe zvezvirwere zvinogona kuonekwa nekuvhiyiwa uku ndezvi: | |
|---|---|
| Kenza | Zvirwere zvegomarara munhengo dzemudumbu. |
| Endometriosis | Nyama inofanira kunge iri mukati mechibereko inokura kunze. |
| Utachiona | Semuenzaniso, appendicitis. |
| Mavanga | Mavanga ari mudumbu kubva pakuvhiyiwa kwakapfuura. |
| Matombo eGallstone | Matambudziko anokonzerwa nematombo emunduru. |
| Kuboorwa kweura | Buri riri muura. |
| Pamuviri wepamuviri | Mimba inoitika kunze kwechibereko, kazhinji muchubhu yefallopian. |
Tinofanira kugadzirira sei tisati tavhiyiwa?
Kuvhiyiwa uku dzimwe nguva kunoitwa kana paine dambudziko rekukurumidza, senge mushure metsaona. Muzviitiko zvakadaro, hapana nguva yekugadzirira. Zvisinei, kana chiremba akakupa zuva pachine nguva uye ari kuronga kuvhiyiwa, pane zvinhu zvishoma zvaunogona kuita kuti ugadzirire.
- Rega kusvuta: Kana uchisvuta, zvakakosha kuti urege mavhiki mashoma usati wavhiyiwa. Izvi zvinokurumidzisa kupora kwako.
- Dzora zvimwe zvirwere: Kana uine zvimwe zvirwere, zvakaita sechirwere cheshuga kana BP, unofanira kuzvidzora nguva isati yakwana usati wavhiyiwa.
- Udza chiremba wako nezvemishonga yauri kutora: Unofanira kuudza chiremba wako nezvemishonga yese yauri kutora, ingave yakanyorerwa nachiremba, mishonga inotengeswa pasina kunyorerwa chiremba, mavhitamini, kana mishonga yeAyurvedic.
- Taura chokwadi nezvedoro: Kana uine tsika yekunwa doro, udza chiremba wako nezvazvo zvechokwadi.
- Udza chiremba wako nezvepamuviri pako: Kana paine mukana wekuti ungave nepamuviri, iva nechokwadi chekuzivisa chiremba wako .
Zuva risati rasvika rekuvhiyiwa, unofanira kutevedzera nguva chaiyo inorayirwa nachiremba wako kuti urege kudya nekunwa. Kazhinji, unoudzwa kuti urege kudya nekunwa maawa matanhatu kusvika masere usati wavhiyiwa.
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Zvinowanzo tora mavhiki mana kusvika matanhatu kuti unyatsopora mushure mekuvhiyiwa ne laparotomy.
Kupora muchipatara
Hauzokwanisi kudya kana kunwa zvakajairika kwemazuva mashoma mushure mekuvhiyiwa. Izvi zvinodaro nekuti zvinotora nguva kuti ura hwako hudzokere pahwakajairika. Uchafanira kugara muchipatara kusvika wakwanisa kudya nekunwa wega.
- Uchapihwa mushonga wekuderedza marwadzo nekudzivirira hutachiona.
- Chubhu inoiswa kuti ibudise weti. Tinoidaidza kuti 'catheter' .
- Chubhu diki (drain) inogona kuiswa kuti ibudise mvura yakawandisa kubva pakachekwa.
Kazhinji, unofanira kugara muchipatara kwemazuva angangoita manomwe mushure mekuvhiyiwa uku.
Kupora kumba
Kana chiremba wako asarudza kuti unogona kudzokera kumba, unofanira kutevedzera mirairo yavo yese nemazvo. Inwa mishonga yako yese nenguva. Chiremba wako anogonawo kukuudza kuti udye chikafu chine fiber yakawanda kuti ura hwako hurambe huchifamba zvakanaka. Usasimudza uremu hunopfuura mapaundi mashanu (2.3 kg) kwemavhiki matanhatu.
| Kana uine zviratidzo izvi, fonera chiremba wako nekukasika. | |
|---|---|
| Kana uine fivha uye/kana chills | |
| Kana paine kurwadziwa, kutsvuka, kuzvimba, kana kuti urwa panzvimbo yakachekwa | |
| Kana uine kurwadziwa kwakanyanya kusingaderere kunyangwe mushure mekutora mushonga | |
| Kana dumbu rakazvimba | |
| Kana uine manyoka kwemazuva anopfuura maviri | |
| Kana paine ropa mutsvina | |
| Kana uchinetseka kuita weti kana kurwadziwa paunenge uchiita weti | |
| Kana uine kurwadziwa muchipfuva kana kukosora | |
| Kana uine kuda kurutsa kana kurutsa | |
| Kana uine dzungu, kupera simba, kana kuzvimba/kurwadziwa kwemakumbo | |
Ndeipi njodzi dzekuvhiyiwa uku?
Kuvhiyiwa kweLaparotomy yekuongorora (Exploratory Laparotomy) kuvhiyiwa kukuru. Kufanana nekuvhiyiwa kupi zvako kukuru, kune njodzi dzakati wandei.
Njodzi dzakawanda:
- Kubuda ropa
- Utachiona
- Kuita zvisingatarisirwi mushure mekunzwa kuneta (mushonga unopedza simba)
- Kunonoka kupora kweronda
Njodzi dzakanangana nekuvhiyiwa uku:
- Dzimwe nguva, kunyangwe mushure mekuvhiyiwa , chikonzero chechirwere hachiwanikwe . Kana zvakadaro, bvunzo dzakawanda dzingadiwa.
- Pane mukana mudiki wekukuvadzwa kwematumbu kana dzimwe nhengo dziri mudumbu.
- Hernia inogona kuumbwa panzvimbo yakachekwa.
Chii chinonzi 'Laparoscopy' pachinzvimbo cheLaparotomy?
Iyi inzira yekutsvagawo matambudziko mudumbu. Asi iri nyore kupfuura Laparotomy. Iyi inonzi 'Exploratory Laparoscopy' .
Chinoitika apa ndechekuti pachinzvimbo chekucheka dumbu guru, chiremba anoita kucheka kudiki kana kupfuura.Chubhu diki ine kamera yakabatanidzwa inopinzwa mudumbu. Mifananidzo kubva pakamera inoonekwa pamonitor kuti iongorore nhengo dziri mukati medumbu. Izvi zvinonziwo 'keyhole surgery'.
Laparoscopy yakasiyana ne laparotomy nenzira dzinotevera:
- Kazhinji uku kuvhiyiwa kunokubvumira kuti udzokere kumba zuva rimwe chete usingafaniri kugara muchipatara.
- Zvinotora mavhiki maviri kuti munhu apore.
- Vanga racho diki kwazvo.
Zvisinei, havasi vese vanogona kuitwa laparoscopy. Chiremba wako ndiye achasarudza kuti ndeipi nzira yekuvhiya yakanakira chirwere chako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweLaparotomy yekuongorora (Exploratory Laparotomy) kuvhiyiwa kukuru kunoitwa kuti paonekwe chikonzero chedambudziko mudumbu. Uku kuvhiyiwa kukuru.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba wako nokungwarira, usati wavhiyiwa uye mushure mekuvhiyiwa.
- Paunenge uchipora, chenjerera zviratidzo zvekunyevera zvakaita sefivha, kurwadziwa kusingatsungiririki, uye kuzvimba kwakakomberedza cheni. Kana ukasangana nechimwe cheizvi, zivisa chiremba wako nekukasika.
- Kune imwe nzira yekuvhiya iyi inonzi Laparoscopy. Taura nachiremba wako nezvenzira yakakodzera mamiriro ako ezvinhu.
Kuvhiyiwa kweLaparotomy yekuongorora, Kuvhiyiwa kweDumbu, Kuvhiyiwa kweDumbu, Laparoscopy, Marwadzo eDumbu, Kupora Mushure mekuvhiyiwa, Kuvhiyiwa
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga