Ngamanye amaxesha, ugqirha unokucebisa ukuba udinga utyando ngenxa yeemeko ezithile emathunjini akho. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa ekuxelela athi, "Ndifuna ukususa iqhekeza lethumbu lakho." Kodwa oku kudla ngokwenziwa ukuze kusindiswe ubomi bakho, okanye ukunciphisa intlungu oyifumanayo nokukunika ubomi obungcono. Ngoko ke namhlanje, masithethe ngolu 'tyando lwamathumbu' okanye, ngokwezonyango, i-Bowel Resection , ngokulula nangendlela onokuyiqonda.
Kutheni ngokwenene kufuneka wenze olu hlobo lotyando?
Ngamafutshane, i-colonoscopy yinkqubo esusa inxalenye enesifo okanye eyonakeleyo yamathumbu amancinci, amathumbu amakhulu (ikholoni), okanye i-rectum. Oku kunokunceda ukuthintela izifo ezisongela ubomi kwaye kuncede amathumbu akho asebenze kakuhle.
Kusenokuba kukho izizathu ezininzi eziphambili zokuba ugqirha angacebisa olu tyando.
| Isizathu sotyando | Ingcaciso elula |
|---|---|
| Umhlaza | Inxalenye yekholoni equlethe iiseli zomhlaza iyasuswa. Inxalenye yekholoni esuswayo ixhomekeke kubukhulu kunye nendawo yomhlaza. Ii-lymph nodes ezikufutshane nazo zinokususwa. |
| I-Diverticulitis | Le yimeko yokudumba kwamathumbu. Ukuba oku kubangela iingxaki ezifana nosulelo olunzima okanye ukugqobhoka kwamathumbu, kunokufuneka utyando. |
| Ukuvaleka kwamathumbu | Xa amathumbu evalekile ngaphakathi, ukutya, izinto eziselwayo kunye nolwelo azikwazi ukudlula. Oku kubangela ukuba ukuhamba kwegazi kuloo ndawo kume kwaye izicubu ziqale ukufa. Le yimeko engxamisekileyo. |
| Ukopha kakhulu | Ukuba ezinye iindlela aziphumeleli ukunqanda ukopha emathunjini, oogqirha baya kugqiba ekubeni bayisuse loo ndawo yophayo. |
Ziziphi iindlela zokwenza utyando?
Kukho iindlela ezintathu eziphambili zokwenza utyando lwamathumbu. Ugqirha uza kukhetha indlela efanelekileyo kuwe ngokusekwe kwimeko yakho yempilo, indawo ekuyo indawo enesifo, kunye nobukhulu bendawo.
- Ukususwa kwesisu okuvulekileyo: Kule nkqubo, ugqirha wenza utyando olude esiswini sakho. Emva koko, esebenzisa izixhobo zotyando eziqhelekileyo, inxalenye yamathumbu echaphazelekayo iyasuswa.
- Ukususwa kweLaparoscopic: Le yindlela esetyenziswa kakhulu. Kwenziwa imingxunya emibini ukuya kwemine esiswini, kwaye kufakwa ityhubhu encinci enekhamera (i-laparoscope) ngenye yezi mingxunya. Umfanekiso ovela kwikhamera ujongwa kwisikrini seTV, kwaye izixhobo ezikhethekileyo zotyando ezincinci zifakwa ngezinye izingxunya ukususa icandelo lamathumbu.
- Ukususwa kweLaparoscopic okuncediswa yiRobhothi: Oku kufana notyando lwe-laparoscopic, kodwa apha izixhobo zotyando zifakelwa kwiingalo zerobhothi. Ugqirha wenza utyando ngokulawula iingalo zerobhothi ngekhompyutha.
Ngamanye amaxesha, nokuba utyando lwe-laparoscopic luqalisiwe, ugqirha otyandayo unokufuneka atshintshele kutyando oluvulekileyo ngenxa yengxaki eyenzeka ngexesha lotyando.
Kwenzeka ntoni ngokwenene ngexesha lotyando?
Olu lutyando olukhulu, ngoko ke kuya kufuneka uhlale esibhedlele. Ngomhla wotyando, uya kunikwa i-anesthesia jikelele . Oku kuthetha ukuba olu tyando luya kwenziwa ngelixa ungekho zingqondweni, ungenazintlungu, kwaye ulele ubuthongo obunzulu.
Ngexesha lotyando, ugqirha wotyando uyahlula inxalenye yamathumbu enesifo kwizicwili ezijikelezileyo, ayinqumle, aze adibanise iindawo ezimbini eziphilileyo zamathumbu kunye. Oku kwenziwa kusetyenziswa iziqwenga ezincinci okanye imithungo enyibilikayo.
Yintoni iColostomy?
Kwezinye iimeko, ukuba kukho ukurhaneleka kokuba indawo apho amathumbu omabini adibene khona ayipholi kakuhle, ugqirha wotyando unokufuna ukwenza i-colostomy . Oku kuquka ukuzisa incam engasentla yamathumbu kumphezulu wesikhumba sesisu aze ayidibanise nengxowa engaphandle. Lo mngxuma eluswini ubizwa ngokuba yi-stoma .
Musa ukoyika xa usiva oku. Uninzi lwexesha, esi stoma sisesexeshana. Emva kweenyanga ezimbalwa (malunga neeveki ezi-6-12), xa amanxeba angaphakathi esiswini epholile, kwenziwa olunye utyando oluncinci lokususa istoma nokudibanisa amathumbu amabini ngaphakathi.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, uza kudibana nogqirha wakho. Imbali yakho epheleleyo yezonyango iza kuxutyushwa, kunye nayo nayiphi na imithi oyithathayo. Uza kucelwa ukuba wenze i-X-ray yesifuba, i-ECG, kunye novavanyo lwegazi. Oku kuya kunceda ekuqinisekiseni ukuba kukho naziphi na iingxaki ezinokuchaphazela utyando.
Kwiintsuku ezimbalwa ngaphambi kotyando, ugqirha wakho uza kukuxelela ukuba uyeke ukusebenzisa amayeza athile (umzekelo, amayeza okudambisa iintlungu afana ne-ibuprofen). Uza kuchaza nendlela yokulungiselela utyando.
- Ukucoca amathumbu amakhulu: Kuya kufuneka uyeke ukutya ukutya okuqinileyo ngosuku olungaphambi kotyando. Ungasela kuphela izinto ezilulwelo ezifana nesuphu kunye nejusi yeapile. Uya kunikwa neyeza lokucoca amathumbu amakhulu ngokupheleleyo.
- Isepha yokubulala iintsholongwane: Usenokucelwa ukuba uhlambe ngesepha yolwelo yokubulala iintsholongwane ngobusuku bangaphambi kotyando nakusasa lotyando. Oku kunokunciphisa umngcipheko wokosuleleka kwamanxeba emva kotyando.
Zithini iingozi zolu tyando?
Njengalo naluphi na utyando, olu tyando lunokuba neengozi ezithile kunye neengxaki.
- Usulelo: Inxeba elityandwayo linokuba losulelo. Kukwakho nethuba lokuba ne-pneumonia okanye usulelo lomchamo.
- Ukonakala kwamalungu angqongileyo: Ngexesha lotyando, ezinye iindawo zamathumbu, isinyi, okanye imithambo yegazi ekufutshane namathumbu zinokonakala.
- Ukuvuza kwe-Anastomotic: Le yingxaki enkulu. Ukuba ukuvuza kwe-anastomotic akuphili kakuhle, kunokuvuza esiswini. Oku kunokubangela ukopha kunye nosulelo olukhulu. Ukuba ufumana iimpawu ezifana nentlungu yesisu, umkhuhlane, okanye ukubetha kwentliziyo ngokukhawuleza, kufuneka ufowunele ugqirha wakho ngoko nangoko.
- I-Hernia: Udonga lwesisu luye lwaba buthathaka ngenxa yotyando, nto leyo enokubangela i-hernia kwixesha elizayo.
- Izicubu ezibuhlungu: Njengoko amathumbu ephola, izicubu ezibuhlungu zinokwakheka ngaphakathi. Ekuhambeni kwexesha, ezi zicubu ezibuhlungu zinokubangela ukuba amathumbu aphinde avaleke.
Linjani ixesha lokuchacha emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezi-2 ukuya kwezi-4. Uya kunikwa amayeza okulawula iintlungu. Umongikazi okanye ugqirha uya kukuchazela indlela yokunyamekela inxeba lakho. Ukuba une-stoma, baya kukubonisa nendlela yokunyamekela.
Emva kotyando, ungasela ulwelo ekuqaleni. Usenokukwazi ukutya ukutya okuqinileyo ngosuku olulandelayo. Nangona kunjalo, ugqirha wakho unokukucebisa ukuba ulandele ukutya okunefayibha encinci kangangenyanga.
Ukuchacha emva kotyando lwe-laparoscopic kukhawuleza kunokuchacha emva kotyando oluvulekileyo. Iintlungu azincinci kwaye amanxeba mancinci kakhulu.
Ufanele ukwazi ukuqalisa imisebenzi eqhelekileyo, njengokuhamba nokuhamba nokuya emsebenzini, kwiiveki ezi-1-2. Nangona kunjalo, kufuneka udibane nogqirha wakho ngaphambi kokuba wenze nantoni na engaphezulu kweekhilogram ezi-4-5 okanye wenze umthambo onzima. Ngokuqhelekileyo kuthatha malunga neeveki ezi-6 ukuze uphile ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Ukususwa kwamathumbu lutyando oluqhelekileyo olususa inxalenye yamathumbu enesifo. Akukho mfuneko yokoyika oku.
- Olu tyando lwenziwa ngeendlela ezahlukeneyo. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Kubaluleke kakhulu ukulandela imiyalelo enikiweyo ngaphambi kotyando (ukutya, amayeza, ukuhlamba) ngokuchanekileyo.
- Kuthatha ixesha elithile ukuba uphile emva kotyando. Ngeli xesha, mamela umzimba wakho uze uphumle.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, ezinje ngomkhuhlane, iintlungu zesisu eziqatha, okanye ukunyuka kwentliziyo, ungathandabuzi ukwazisa ugqirha wakho ngoko nangoko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment