Kuqhelekile ukuziva usoyika kwaye wothukile xa ugqirha wakho ekuxelela ukuba okanye umntu kusapho lwakho unomhlaza wezintso. Kodwa ngokuhambela phambili kwezonyango zanamhlanje, kukho unyango olusebenza ngakumbi kunotyando kwaye alunampembelelo ingako emzimbeni. Olunye unyango olunjalo lubizwa ngokuba yi-'ablation', olunyango olukhethekileyo olusetyenziselwa ukutshabalalisa iiseli zomhlaza wezintso. Makhe sithethe ngale nto ngokulula namhlanje.
Kalula nje, yintoni i-ablation?
Ukukhupha isisu yindlela eyahlukileyo yotyando yokunyanga umhlaza wezintso. Kule nkqubo, ugqirha wakho ufaka isixhobo esincinci kakhulu esifana nenaliti (iprobe) eluswini lwakho ukuya kwindawo apho umhlaza ukuyo. Emva koko, esi sixhobo sihambisa ubushushu obukhulu okanye ukubanda kwiiseli zomhlaza. Cinga ngayo njengonyango oluchanekileyo, olu nyango lubulala kuphela iiseli zomhlaza. Eyona nzuzo inkulu yoku kukuba
ishiya izicubu zezintso eziphilileyo ezijikeleze umhlaza zingachukunyiswanga . Oku kuthetha ukuba inxalenye ephilileyo yezintso ayichaphazeleki.
Ngubani olu nyango lufanelekileyo kuye?
Olu nyango alufanelekanga kuye wonke umntu. Ugqirha wakho uza kuhlola imeko yakho aze agqibe ukuba ifanelekile na kuwe. Olu nyango ludla ngokucetyiswa kwiimeko ezilandelayo:
- Kwabo bangakwaziyo okanye abangafuniyo ukwenza utyando: Kwabanye abantu, ngenxa yobudala okanye ezinye iimeko zonyango ezifana nesifo sentliziyo okanye isifo seswekile , utyando olukhulu (i-nephrectomy) lunokuba yingozi. Kwaye abanye abantu abafuni ukwenza utyando. Olu lukhetho olufanelekileyo kubantu abanjalo.
- Ukuba umhlaza mncinane: Le ndlela idla ngokuba yeyona isebenzayo kwiithumba zomhlaza ezingaphantsi kweesentimitha ezi-3-4 (malunga ne-1.5 intshi) .
- Kwabo banezimila ezincinci ezininzi kwintso enye okanye izimila ezincinci kuzo zombini izintso : Endaweni yokususa yonke intso ngotyando, le ndlela inokutshabalalisa izimila kuphela kwaye igcine intso.
Utyando lwesintu lubandakanya ukususa ithumba kunye nenxalenye yezicubu eziphilileyo ezijikeleze lona (i-partial nephrectomy) okanye intso yonke (i-radical nephrectomy). I-Ablation iyawunciphisa loo monakalo.
Ziziphi iintlobo eziphambili zonyango lwe-ablation?
Olu nyango lwenziwa ngeendlela ezimbini: ngokwendlela amandla asetyenziswa ngayo ukutshabalalisa iiseli zomhlaza.
| Indlela yonyango | Okwenzekayo kulula. |
|---|
| Ukucima | Oku kukwabizwa ngokuba yi-cryotherapy. Oku kuquka ukusebenzisa umoya obandayo kakhulu ukukhenkceza iiseli zomhlaza. Emva koko iiseli ziyavunyelwa ukuba zinyibilike. Le nkqubo ithintela igazi kunye neoksijini kwiiseli zomhlaza, nto leyo ebangela ukuba zife. |
| Ukususwa kweRadiofrequency (RFA) | Oku kuquka ukusebenzisa amaza erediyo (amandla ombane) ukudala amanqanaba aphezulu obushushu nokutshisa iiseli zomhlaza. Ukususwa kwe-microwave kunye nokususwa kwe-laser zezinye iindlela ezisebenzisa olu hlobo lobushushu. |
Ndingazilungiselela njani ngaphambi konyango?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ngokwesiqhelo,
Kwenzeka ntoni ngexesha lonyango?
Kukho iindlela ezimbini eziphambili zokwenza olu nyango. 1.
Nge-Laparoscopically: Oku kwenziwa yingcali ye-urologist. Uza kunikwa i-anesthesia jikelele. Emva koko, kwenziwa imingxunya emininzi emincinci esiswini, ikhamera (i-laparoscope) ifakwe ngenye yemingxunya, kwaye isixhobo sokukhupha sifakwe ngezinye izingxunya. Nangona le ikwayindlela yotyando, iphola ngokukhawuleza kuba imingxunya mincinci kakhulu. 2.
Ngokwe-percutaneously:Oku kwenziwa yingcali ye-radiology engenelelayo. Oku kuquka ukufiphaza indawo eza kunyangwa kuyo (i-local anesthesia) kunye nokufaka inaliti eluswini kwithumba ngelixa ujonge iskeni (CT okanye i-ultrasound). Unganikwa amayeza okukunceda ulale.
Amanyathelo aqhelekileyo ngexesha lonyango aquka:- Ukuyenza buthathaka okanye ukuthomalalisa ulusu.
- Ityhubhu yexeshana (i-ureteral stent) inokufakwa ukuze kube lula ukuhamba komchamo .
- Kuthathwa iqhekeza elincinci lethumba lomhlaza ukuze livavanywe (i-biopsy). Oku kunokunceda ekufumaneni uhlobo lomhlaza oluchanekileyo.
- Ngethuba ujonge isikrini sokuskena, isixhobo sokukhupha igazi sifakwa kwithumba, sisebenze, kwaye iiseli zomhlaza ziyatshatyalaliswa.
Le nkqubo yonke idla ngokuthatha malunga
neyure enye ukuya kwezintathu .
Yintoni onokuyilindela emva konyango?
Emva konyango,
- Usenokukwazi ukuya ekhaya ngaloo mini inye, okanye kusenokufuneka uhlale esibhedlele usuku olunye .
- Usenokuziva udiniwe, uneentlungu, kwaye uzive ngathi kukho into ebuhlungu kwindawo apho unyango lwenziwe khona .
- Usenokubona ukopha okanye ukukrweleka. Oku kuqhelekile.
Zithini iingenelo zolu nyango?
Olu nyango luneengenelo ezininzi xa luthelekiswa notyando olukhulu.
- Ukuchacha ngokukhawuleza: Ungachacha ngokukhawuleza ngenxa yentlungu encinci kunye nokopha kancinci.
- Ukusikwa okuncinci: Ekubeni kwenziwa ngokusikwa okuncinci kakhulu, akushiyi naziphi na izibazi ezinkulu.
- Umonakalo omncinci kwizintso eziphilileyo: Le yeyona nzuzo inkulu.
- Ukuya esibhedlele akufuneki rhoqo: unokuya ekhaya ngemini enye.
- Umngcipheko ophantsi: Kukho umngcipheko ophantsi weengxaki kunaxa utyando olukhulu.
Ngaba akukho mngcipheko ngoko?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci, kodwa azinakwenzeka kangako kunakwinkqubo enkulu yotyando.
- Ukopha okanye amahlwili egazi
- Iintsholongwane
- Ukugruzuka okanye amanxeba kwindawo yonyango
- Kukho ithuba elincinci lokonakala kwemithambo yegazi ekufutshane, imithambo-luvo, okanye ezinye izitho zomzimba.
- Ukuthintelwa komchamo
Ugqirha wakho uza kukuchazela kakuhle ezi ngozi.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva konyango lwakho, kufuneka
ufowunele ugqirha wakho ngoko nangoko . Okanye uye esibhedlele esikufutshane.
Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU).- Intlungu enganyamezelekiyo okanye ukopha kakhulu.
- Ukuhlanza okungapheliyo.
- Ubunzima bokuchama okanye igazi kumchamo.
- Iimpawu zosulelo, ezinje ngomkhuhlane .
Ngokwesiqhelo ungaphinda uqalise imisebenzi eqhelekileyo efana nokuhamba ngeenyawo nokuqhuba kungekapheli usuku okanye ezimbini. Nangona kunjalo, kufuneka udibane nogqirha wakho ngaphambi kokuba uqale nantoni na efana nokuphakamisa izinto ezisindayo okanye umthambo onzima. Ngaba olu nyango lungenziwa ngaphezu kwesihlandlo esinye? Ewe. Ukuba umhlaza awukapheli ngokupheleleyo, ukuba uyabuya, okanye ukuba kuvela amathumba amatsha, olu nyango lunokwenziwa kwakhona.
Umyalezo Wokuya Ekhaya
- Ukukhupha isisu kumhlaza wezintso yindlela yonyango esebenzayo engenampembelelo ingako emzimbeni, njengendlela yokukhetha utyando.
- Oku kulungele ngakumbi abo banezimila ezincinci (ezingaphantsi kwe-3-4 cm) kunye nabo bangenako ukuhlawulela utyando olukhulu.
- Oku kuquka ukusebenzisa ubushushu obugqithisileyo (i-cryoablation) okanye ubushushu obugqithisileyo (i-RFA) ukujolisa nokutshabalalisa iiseli zomhlaza kuphela.
- Iintlungu azinciphi, ukuchacha ngokukhawuleza, ukuhlala ixesha elifutshane esibhedlele, kunye nomonakalo omncinci kwizintso ezisempilweni.
- Njengakwezinye iindlela zonyango, kukho iingozi ezincinci, kodwa azikho ngaphantsi kotyando olukhulu. Eyona ndlela ilungileyo yokugqiba ukuba olu nyango lukulungele na kukuthetha nogqirha wakho.
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