Ngaba ugqirha wakho ukuxelele ukuba kufuneka wenze utyando lokususa i-adrenal gland yakho ngenxa yengxaki? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva ezi ndaba. Sonke siba novalo xa sisiva igama elithi "utyando." Kodwa eneneni aloyiki njengoko sicinga. Kwiimeko ezininzi, yinkqubo ephumelele kakhulu kwaye ilula. Ngoko ke, namhlanje siza kuthetha ngenkqubo yokususwa kwe-adrenal, indlela yokuyilungiselela, kunye nendlela yokuphola ngokukhawuleza emva kwenkqubo.
Ngamafutshane, yintoni i-Adrenalectomy?
Kulungile, masiqale sijonge ukuba ziintoni ii-adrenal glands. La ngamadlala amabini amancinci ahlala phezu kwezintso zethu, njengeengubo ezimbini. Avelisa iihomoni ezininzi ezibalulekileyo emizimbeni yethu.
Kodwa ngamanye amaxesha la madlala anokuba neengxaki. Umzekelo:
- Umhlaza: La madlala anokubangela iithumba ezinomhlaza okanye ezinokuba ngumhlaza.
- Ukuveliswa kweehomoni ngokugqithisileyo: Ngamanye amaxesha la madlala aqala ukuvelisa iihomoni ezininzi kakhulu. Oku kunokukhokelela kwiimeko ezifana ne-"Hyperaldosteronism" okanye "Isifo sikaCushing."
Ngenxa yesi sizathu, oogqirha bagqiba ekubeni basuse elinye okanye omabini la madlala ngotyando. Ukuba kususwe idlala elinye kuphela, libizwa ngokuba yi-"Unilateral adrenalectomy``, kwaye ukuba omabini la madlala asusiwe, libizwa ngokuba yi-"Bilateral adrenalectomy``. Olu tyando lubizwa ngokuba yi-Adrenalectomy.
Ungazilungiselela njani ngaphambi kotyando?
Kuya kufuneka ulungiselele ngaphambi kosuku lotyando lwakho. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku.
- Usenokucelwa ukuba wenze izinto ezifana nokuskena okongeziweyo.
- Ngamanye amaxesha, amayeza akhethekileyo anokumiselwa ukuba athathwe kwiintsuku ezingaphambi kotyando.
- Mhlawumbi ingcebiso ekhethekileyo inganikwa malunga nokutya neziselo.
Eyona nto ibalulekileyo kukuba olu tyando lwenziwe phantsi kwe-anesthesia epheleleyo, oko kuthetha ukuba ulele ngokupheleleyo. Ngoko ke, kubalulekile ukuba ube nomntu oza kukusa ekhaya emva kotyando. Akunakwenzeka ukuba uqhube imoto wedwa.
Ziziphi iindlela zotyando?
Kukho iindlela ezintathu eziphambili zokususa i-adrenal gland. Ngokuxhomekeke kwimeko yakho, ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
| Indlela yotyando | Indlela yokwenza oko |
|---|---|
| Utyando lwe-Adrenal lweLaparoscopic | Le yeyona ndlela isetyenziswa kakhulu. I-gland isuswa ngokusikwa oku-1-4 okuncinci kakhulu esiswini, apho kufakwa khona ikhamera kunye nezixhobo zotyando ezithambileyo. Ukusikwa kuncinci kakhulu, ngoko ke ukuphola kuyakhawuleza kwaye akukho ntlungu ingako. |
| Utyando lwe-Adrenal oluyiRobotic | Oku kufana nendlela engasentla. Nangona kunjalo, ugqirha akalawuli izixhobo ngqo ngesandla, kodwa ngoncedo lwenkqubo yekhompyutha kunye nekhamera ye-3D. Oku kuvumela ukuba utyando lwenziwe ngobuchule nangokuchanekileyo. |
| Vula i-Adrenalectomy | Le yindlela yendabuko. Utyando lwenziwa ngokusikwa kube kanye esiswini. Le ndlela ikhethwa ukuba ithumba elikwi-gland likhulu kakhulu okanye ukuba luhlobo oluthile lomhlaza, olufana ne-"Adrenocortical carcinoma``. |
Olu tyando ludla ngokuthatha malunga neeyure ezimbini okanye ezintathu ukugqitywa.
Ungazinyamekela njani ekhaya emva kotyando?
Ukuba wenze utyando lwe-laparoscopic, mhlawumbi uya kukwazi ukuya ekhaya ngokuhlwa okanye ngosuku olulandelayo. Nangona kunjalo, ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Qiniseka ukuba ulandela la manyathelo ukuze uphile ngokukhawuleza emva kokuba ufikile ekhaya.
- Phumla ngokwaneleyo: Nika umzimba wakho ixesha lokuphola. Kuphephe ukuzilolonga okunzima kwiveki yokuqala.
- Sela amayeza akho kanye njengoko uyalelwe: Sela amayeza okudambisa iintlungu kunye namanye amayeza owalelwe ngugqirha wakho ngexesha elifanelekileyo nangedosi efanelekileyo.
- Sela amanzi amaninzi: Kubaluleke kakhulu ukusela ubuncinane iiglasi ezisi-8 zamanzi ngosuku.
- Ukutya Neziselo: Yitya ukutya kwakho okuqhelekileyo ngaphandle kokuba unesisu esibuhlungu. Ukuba uziva ngathi isisu sakho sibuhlungu, qala ngento ekhaphukhaphu efana nemifuno ephekiweyo okanye irayisi uze uqhubekele ekutyeni okuqhelekileyo kancinci kancinci.
- Ukukhohlela nokuphefumla nzulu: Xa ukhohlela, uphefumla kakhulu, okanye uhleka, beka umqamelo phezu kwenxeba uze ulicinezele phantsi. Oku kuya kunciphisa kakhulu intlungu.
- Ukunyamekela inxeba: Gcina inxeba licocekile kwaye lihlanjululwe iintsholongwane njengoko kuyalelwe ngugqirha wakho.
- Ukuya kwindlu yangasese: Kuqhelekile ukuba uzive unesicaphucaphu. Ukuba unengxaki, ungathandabuzi ukuthetha nogqirha wakho ngayo.
Kuthatha ixesha elingakanani ukuphiliswa?
Ufanele ukuba ubuyele esiqhelweni kwiveki enye okanye ezimbini. Utyando oluvulekileyo lungathatha ixesha elide. Kuqhelekile ukuba neentlungu ezithile ezijikeleze imingxunya. Le ntlungu inokulawulwa ngamayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen.
Eyona nto ingcono kukuba iimpawu obunazo ngaphambi kotyando (umz. uxinzelelo lwegazi oluphezulu, ukudinwa) ziya kuphela ngokukhawuleza emva kotyando.
Kwimeko enjalo, funa ingcebiso kagqirha ngokukhawuleza.
Ukuba ubona into efana nale ekhaya emva kotyando, musa ukuyityeshela.
| Imeko | Kwenziwe ntoni |
|---|---|
| Thetha nogqirha wakho. | |
| Intlungu | Ukuba intlungu ayipheli nokuba sele ithathiwe. |
| Inxeba | Ukuba izititshi zikhululekile kwaye inxeba libonakala livulekile. |
| Iimpawu zosulelo | Ukuba inxeba libomvu, lidumbile, livakala lishushu, likhupha ubomvu okanye liphuma igazi, okanye libuhlungu kakhulu. |
| Ifiva | Ukuba unomkhuhlane. |
| Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. | |
| Ukulahlekelwa yingqondo | Ukuba ngequbuliso ulahlekelwa zingqondo. |
| Ubunzima bokuphefumla | Ukuba uziva ubunzima obukhulu bokuphefumla. |
| Iintlungu zesifuba | Ukuba unentlungu eqatha esifubeni okanye ukhwehlela igazi. |
Kuqhelekile ukuziva usoyika xa uxelelwa ukuba kufuneka wenze utyando. Kodwa kumntu onomhlaza we-adrenal okanye isifo esinxulumene namahomoni, olu tyando yeyona ndlela ilungileyo yokuchacha. Ukuba ugqirha wakho ukucebise olu tyando, ungoyiki ukuthetha naye ngayo yonke imibuzo yakho kunye noloyiko lwakho.
Umyalezo Wokuya Ekhaya
- I-Adrenalectomy lutyando oluphumelelayo nolwenziwa rhoqo kumhlaza we-adrenal gland okanye iingxaki zehomoni.
- Olu tyando ludla ngokwenziwa ngokusikwa okuncinci (nge-laparoscopically), nto leyo ethetha ukuba ixesha lokuchacha lincinci kwaye iintlungu zincinci.
- Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na uloyiko okanye iinkxalabo onokuba nazo ngaphambi kotyando.
- Ukulandela imiyalelo yezonyango kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza nangendlela ephumelelayo.
- Ukuba ubona naziphi na iimpawu zomngcipheko ezikhankanyiweyo apha ngasentla, ungathandabuzi ukufowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
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