Ngaba wakha wayenza i-endoscopy? Mhlawumbi ugqirha wakho ukucele ukuba wenze olu vavanyo lwesilonda esiswini okanye olunye uhlobo lokungakhululeki. Xa usenza olu vavanyo, ngamanye amaxesha ugqirha ubona ukopha kwinxeba elincinci esiswini okanye emathunjini akho, okanye kuye kwavela amaqhuma amancinci (ii-polyps). Ngaphambili, oku bekuya kufuna utyando oluncinci, kodwa ngobuchwepheshe obuphambili banamhlanje, kukho iindlela zokunyanga ezi zinto ngaphandle kokwenza i-incision. Le yenye yeendlela zonyango eziphambili esithetha ngazo namhlanje. Ibizwa ngokuba yi-Argon Plasma Coagulation, okanye i-APC ngamafutshane.
Ngamafutshane, yintoni i-APC (i-Argon Plasma Coagulation)?
Kulungile, eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa okwenzekayo koku kulula kakhulu. Khawucinge ukuba umngxuma omncinci kwityhubhu ngaphakathi emzimbeni wethu (njengomjelo wokugaya ukutya) uyopha. Kule ndlela ebizwa ngokuba yi-APC, ugqirha uthumela enye ityhubhu encinci ngetyhubhu ye-endoscope (scope), kwaye kufakwa igesi ekhethekileyo ebizwa ngokuba yi-'Argon' kuyo. Emva koko, kusetyenziswa umbane omncinci kakhulu ukutshisa igesi. Ubushushu obukhulu obuveliswa yile nto butshisa indawo yokopha kwaye buyeke ukopha. Kwakhona, ukuba kukho ukukhula okungafunekiyo okuncinci (ii-polyps), le ndlela inokuzitshabalalisa ngokupheleleyo.
Oku kufana nokusombulula ingxaki engaphakathi emzimbeni, ngaphandle kokusikeka emzimbeni, kodwa ngobuchule obuvela ngaphandle. Oku kuthetha ukuba akukho mfuneko yokuya kutyando olukhulu. Yiloo nto siyibiza ngokuba 'yi-minimally invasive' kwezonyango.
Olu nyango lwenziwa yingcali yezifo zesisu okanye ingcali yezifo zamaphaphu.
Kukweziphi iimeko apho olu nyango lufunekayo?
Unyango lwe-APC lusetyenziswa ngezizathu ezahlukeneyo. Makhe sijonge ukuba yintoni eyenzayo ngokuyintloko.
| Imeko enyangwayo | Ingcaciso elula |
|---|---|
| Ukuyeka ukopha emzimbeni | Isetyenziselwa ukunyanga ukopha okubangelwa zizilonda esiswini nasemathunjini, ukopha emqolo, okanye imeko ebizwa ngokuba yi-'watermelon stomach' (Gastric Antral Vascular Ectasia Syndrome). |
| Ukususwa kwezicubu/iithumba ezingafunekiyo | Le nkqubo isetyenziselwa ukususa amaqhuma amancinci (iipolyps) okanye izicubu ezinokuba ngumhlaza emathunjini. Ingasetyenziswa nokunciphisa ithumba elinomhlaza kumntu ongenakukwazi ukwenza utyando olukhulu. |
| Ukunyanga i-Barrett's Esophagus | Oku kubangelwa yi-long term gastritis (GERD) ebangela utshintsho kwiiseli zomqala. Ii-APC zisetyenziselwa ukususa ezi seli zitshintshileyo ngaphambi kokuba zibe ngumhlaza. |
| Ukwanda kobunzima emva kotyando lokunciphisa umzimba | Emva kotyando lokunciphisa umzimba, indawo apho isisu sasinamathele khona inokolulwa ize ikhule ngokuhamba kwexesha. Emva koko ubunzima buya kubuyiselwa. Unyango lwe-APC lusetyenziselwa ukuqinisa nokunciphisa loo ndawo yoluliweyo kwakhona. |
| Iingxaki zemiphunga kunye nokuphefumla | Le ndlela ikwasetyenziswa kunye ne-bronchoscopy ukunyanga iithumba ezincinci okanye iindawo eziphuma igazi kwiindlela zomoya. |
Lusebenza njani olu nyango?
Kukho amalungiselelo amancinci ekufuneka uwalungiselele ngaphambi kolu nyango. Kuxhomekeke kwindlela ofuna ukuyenza ngayo.
- I-Upper Endoscopy: Oku kuquka ukufaka ityhubhu emlonyeni ukuze kuhlolwe isisu kunye nomqala.
- I-Colonoscopy: Oku kuquka ukufaka ityhubhu kwi-rectum ukuze kuhlolwe amathumbu amakhulu.
- I-Bronchoscopy: Oku kuquka ukufaka ityhubhu ngempumlo okanye emlonyeni ukuze kujongwe imiphunga.
Ngaphambi koku, ugqirha wakho uza kukucela ukuba ungatyi okanye usele iiyure ezimbalwa . Nge-colonoscopy, uza kunikwa ilungiselelo lamathumbu ukunceda ukucoca ikholoni yakho. Kwakhona, ukuba uthatha amayeza okunciphisa igazi njenge-aspirin, unokucelwa ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa.
Ngexesha lonyango...
1. Uza kunikwa i-anesthesia ukuze uzive ukhululekile kwaye ungeva ntlungu. Oku kuquka ukufaka ityhubhu encinci (IV line) emthanjeni engalweni yakho kwaye unikwe amayeza ngayo.
2. Emva koko uza kulaliswa ebhedini yonyango.
3. Ugqirha ufaka ityhubhu ebhityileyo neguquguqukayo (i-scope) enekhamera eqhotyoshelwe emzimbeni njengoko kufanelekile (ngomlomo, impumlo, okanye i-anus).
4. Ukuthintela umzimba wakho ukuba wonakaliswe ngumbane, i-flat pad (grounding pad) inamathele emzimbeni wakho (ngesiqhelo ethangeni lakho).
5. Okulandelayo, i-catheter equlethe isixhobo se-APC idluliselwa kwi-scope ukuya kwindawo efanelekileyo.
6. Igesi ye-Argon iqala ifakelwe, emva koko kusetyenziswa umbane ukuyitshisa. Emva koko izicubu ezijoliswe kuzo ziyatshiswa.
7. Ugqirha ugqiba unyango ngokuhambisa isixhobo njengoko kufuneka, elawula ubungakanani begesi kunye nombane.
8. Xa umsebenzi ugqityiwe, i-scope, i-catheter, kunye ne-grounding pad ziyasuswa.
Le nkqubo yonke idla ngokuthatha malunga nemizuzu eli-15 ukuya kwiyure .
Kwenzeka ntoni emva konyango? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Emva konyango, uza kugcinwa kwigumbi lokuchacha okwethutyana kwaye uza kuthunyelwa ekhaya emva kokuba iziphumo ze-anesthesia ziphelile. Kusenokubakho ukungakhululeki okuncinci.
- Ukuziva ngathi isisu sakho sigcwele.
- Ukuphuma kwegesi kunye nentlungu encinci yesisu ebangelwa yiyo.
- Ndidiniwe kancinci, ndinesizungu.
Ezi zinto zihlala ziqhelekile. Akukho nto inokubangela uxhalaba ngazo. Ezi ntlungu ziya kuphela emva kweeyure ezimbalwa. Awuyi kuva ntlungu ngexesha lonyango kuba uza kunikwa i-anesthesia.
I-APC yinkqubo ekhuselekileyo kakhulu. Iingxaki azixhaphakanga. Nangona kunjalo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Ukopha, iingxaki ze-anesthesia, ukucutheka komphimbo (stenosis), okanye ukuqhekeka kwezicubu zinokwenzeka rhoqo. Yiyo loo nto kubalulekile ukuba ezi nkqubo zenziwe ngugqirha onamava.
Iimpawu ezifuna unyango olukhawulezileyo
Emva kokubuyela ekhaya, ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka uye esibhedlele ngokukhawuleza, ingakumbi iSebe leeNgxamiseko (ETU). Ezi zinokuba ziimpawu zento enzulu, ngoko ke kubalulekile ukuba uthathe amanyathelo ngokukhawuleza.
| Iimpawu zesilumkiso ekufuneka uziqaphele! | |
|---|---|
| 🔴 | Intlungu ebuhlungu yesisu engapheziyo nokuba sele iphume igesi. |
| 🔴 | Iintlungu zesifuba . |
| 🔴 | Ubunzima bokuphefumla . |
| 🔴 | Ukuhlanza igazi (elibomvu okanye elifana nekofu). |
| 🔴 | Ukopha emqolo (igazi elibomvu okanye elimnyama elikwindle). |
| 🔴 | Umkhuhlane okanye ukubanda. |
| 🔴 | Ubunzima bokuginya okanye ukwanda kwentlungu emqaleni. |
Emva kokuba ubuyele ekhaya, landela imiyalelo kagqirha ngokuchanekileyo.
- Ngenxa yemiphumo yeyeza lokubulala iintlungu, musa ukuqhuba okanye ukusebenzisa oomatshini abanzima ngaloo mini.
- Zisa umntu oza kukuthatha akuse ekhaya. Kungcono ukuba umntu ahlale nawe iiyure ezimbalwa emva kokuba ufikile ekhaya.
- Kuphephe ukusela utywala.
- Ugqirha uza kukunika iingcebiso malunga noko unokukutya kunye nexesha onokuqala ngalo ukutya ngendlela eqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-Argon Plasma Coagulation (APC) lunyango oluphucukileyo nolungangenisi gazi olusetyenziselwa ukunqanda ukopha emzimbeni nokususa izicubu ezingafunekiyo.
- Oku kwenziwa phantsi kwe-anesthesia, ukuze ungaziva ntlungu.
- Emva konyango, unokufumana ukungakhululeki okuncinci, njengokudumba kunye negesi, kodwa oku kudla ngokunyamalala ngokukhawuleza.
- Xa ubuyela ekhaya emva konyango, landela imiyalelo kagqirha ngokuchanekileyo.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo ezifana nentlungu eqatha yesisu, iintlungu zesifuba, ubunzima bokuphefumla, okanye ukuhlanza igazi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
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