Ngaba unokuyithelekelela intlungu enganyamezelekiyo ebangelwa lusulelo olunzima, ukudumba, okanye amatye enyongo kwinyongo yakho? Ngamanye amaxesha, kwimeko enjalo, imeko yesigulana inokuba nzulu kangangokuba utyando lokususa ngokupheleleyo inyongo alunakwenzeka. Kwimeko ezinjalo, siza kuthetha ngendlela ekhethekileyo yonyango engangenisi mandla esetyenziswa ngoogqirha ukusindisa ubomi besigulana, ukunciphisa iintlungu, nokulawula usulelo.
Yintoni i-cholecystostomy?
Ngamafutshane, i-cholecystostomy yinkqubo encinci yezonyango apho kwenziwa umngxuma omncinci kwi-gallbladder yakho kwaye kufakwa ityhubhu (i-catheter) ngayo. Njengoko igama lisitsho, igama elithi "cholecyst-" lithetha i-gallbladder, kwaye elithi "-ostomy" lithetha ukuvulwa okwenziwe ngotyando. I-gallbladder sisitho esincinci esifana nesikhwama esigcina i-bile, esifunekayo kwinkqubo yethu yokugaya ukutya.
Le ndlela idla ngokubizwa ngokuba yi- "percutaneous cholecystostomy." Igama elithi "Percutaneous" lithetha into eyenziwa ngesikhumba. Oko kuthetha ukuba ugqirha wenza umngxuma omncinci ngesikhumba sesisu sakho aze afake le tube kwi-gallbladder.
Injongo ephambili yolu nyango kukususa ulwelo olusulelekileyo (i-bile kunye ne-pus) oluqokelelene ngaphakathi kwinyongo, ukunciphisa uxinzelelo lwangaphakathi, kunye nokulawula iintlungu kunye nosulelo.
Kutheni olu hlobo lonyango luyimfuneko?
Olu nyango ludla ngokufuneka kwimeko ebizwa ngokuba yi-acute cholecystitis. Oku kwenzeka xa into efana namatye enyongo ivala umbhobho wenyongo, nto leyo ebangela ukuba inyongo idibane ize yosulelwe ziintsholongwane. Oku kubangela ukuba inyongo idumbe kwaye ibe buhlungu kakhulu.
Ngokwesiqhelo, unyango olungcono lwale meko kukuhlinzwa ukususa inyongo ngokupheleleyo (i-cholecystectomy). Nangona kunjalo, ukuba isigulana sihlushwa zezinye izifo ezinzulu ezifana nesifo sentliziyo, isifo seswekile, isifo sezintso, okanye sele sikhulile kakhulu, sisenokungakwazi ukumelana notyando olukhulu ngelo xesha. Kwiimeko ezinjalo, njengenye indlela yotyando olukhulu, olu nyango lubizwa ngokuba yi-Cholecystostomy lwenziwa ukuze kuqiniswe imeko yesigulana.
Yintoni umahluko phakathi kweCholecystostomy kunye neCholecystectomy?
La magama mabini asenokufana kancinci, ngoko ke ungadideka. Kodwa la ngamayeza amabini ahlukeneyo. Masiqonde ngokucacileyo umahluko phakathi kwawo omabini.
| Uphawu | I-Cholecystostomy (ukubekwa kwetyhubhu) | I-Cholecystectomy (ukususwa ngotyando) |
|---|---|---|
| Uhlobo lonyango | Isisombululo sexeshana. Kwenziwe into yokulawula iimpawu. | Isisombululo esisisigxina. Inyongo isusiwe ngokupheleleyo. |
| Ubundlobongela | Incinci. Yenza umngxuma omncinci kuphela. | Utyando olukhulu (oluvulekileyo okanye olusebenzisa i-laparoscopic). |
| Amatyala okusetyenziswa | Kwabo bagula kakhulu kwaye abanakukwazi ukumelana notyando olukhulu. | Izigulane ezininzi ezisempilweni entle zinokutyandwa. |
| Isiphumo | Kubekwa umbhobho wokukhupha amanzi kwinyongo. | Inyongo isuswa emzimbeni. |
Yenziwa njani le nyango?
Oku kudla ngokwenziwa yi- Interventional Radiologist . Oko kukuthi, ingcali esebenzisa ubuchwepheshe bokufota njenge-ultrasound kunye ne-CT scan ukujonga amalungu angaphakathi emzimbeni nokwenza imingxunya emincinci echanekileyo ukuze kuthathwe unyango.
Ukulungiselela ngaphambi konyango
- Ugqirha uza kukuchazela iingozi kunye neenzuzo zolu nyango aze afumane imvume yakho enolwazi.
- Uyacetyiswa ukuba uyeke ukutya okanye ukusela kangangeeyure ezimbalwa.
- Uvavanyo lwegazi lwenziwa ukujonga ukuba igazi liyakwazi na ukujiya. Ukuba kuyimfuneko, unyango luyanikwa.
- Umgca we-IV uza kufakwa emthanjeni ongalweni yakho ukuze ukunike amayeza okubulala iintsholongwane, ityuwa, kwaye, ukuba kuyimfuneko, uthomalalise.
Kwenzeka ntoni ngexesha lonyango
1. Isantya sentliziyo yakho kunye noxinzelelo lwegazi zihlala zijongwa rhoqo.
2. Coca indawo apho kuza kufakwa khona umbhobho wesisu,Ndisebenzisa iyeza lokunciphisa iintlungu.
3. I-ultrasound okanye i-CT scan iya kusetyenziswa ukufumanisa eyona ndlela ilungileyo nekhuselekileyo yokufaka umbhobho (le ndlela isenokuba ngesibindi (transhepatic) okanye ngodonga lwesisu (transperitoneal).
4. Emva koko, phantsi kwesikhokelo se-X-ray, ityhubhu ifakwa kwi-gallbladder kusetyenziswa inaliti encinci kakhulu kunye nocingo olukhokelayo.
5. Nje ukuba ityhubhu ibekwe endaweni yayo, ibotshelelwa eluswini nge-suture , kwaye elinye icala letyhubhu liqhagamshelwe kwingxowa yokukhupha amanzi.
Le nkqubo yonke idla ngokuthatha imizuzu engama-30 ukuya kwiyure.
Uyinyamekela njani ityhubhu emva konyango?
Le yeyona nxalenye ibalulekileyo. Le drain tube ihlala ihleli emzimbeni wakho kangangeeveki ezi-4 ukuya kwezi-6 . Kuya kufuneka uyinyamekele kakuhle xa ubuyela ekhaya.
- Ukhathalelo lwenxeba: Ibhandeji elikwityhubhu kufuneka litshintshwe yonke imihla. Gcina indawo icocekile kwaye yomile. Nxiba isigqubuthelo seplastiki esingangeni manzi xa uhlamba.
- Ukuhlanjwa kwetyhubhu: Ukuze uthintele ukuba inyongo ingabambeki kwityhubhu, kufuneka uhlambe ityhubhu nge -saline ecocekileyo malunga kanye ngemini. Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokwenza oku.
- Ukukhupha ulwelo ebhegini: Ingxowa eqokelela ulwelo kufuneka ikhutshwe kwangoko nje ukuba izalise. Ugqirha wakho angakuxelela ukuba ulandelele ukuba uluqokelela kangakanani ulwelo yonke imihla. Ukuba ulwelo luyanda ngequbuliso okanye luyeka ukuphuma, olo luphawu olubalulekileyo.
Ngaphambi kokuba ityhubhu isuswe, kwenziwa uvavanyo olukhethekileyo lwe-X-ray olubizwa ngokuba yi-cholangiogram ukuze kubonwe ukuba ukuhamba kwenyongo kwi-gallbladder ngoku kuqhelekile na kwaye akukho kuvinjelwa naphi na. Kuphela emva kokuba kuqinisekiswe ukuba yonke into ilungile, ityhubhu iyasuswa.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Kwelinye icala, olu lunyango olukhuselekileyo nolusebenzayo. Izinga lempumelelo ekulawuleni i-acute cholecystitis liphezulu ukuya kuma-95%. Linokubonelela ngokuchacha ngokukhawuleza kwaye lingenamngcipheko uphantsi kakhulu kwisigulana esingakwaziyo ukunyamezela utyando olukhulu.
Iingozi kunye neengxaki azixhaphakanga, kodwa kufuneka siziqaphele.
| Uhlobo lwengxaki | Izinto ezinokwenzeka |
|---|---|
| Izinto ezinokwenzeka ngexesha lonyango | Ukopha kakhulu, ukuvuza kwenyongo esiswini, kunye nokuqokelelwa kweentsholongwane egazini (i-septicemia). |
| Yintoni enokwenzeka kamva ngombhobho? | Ukuvaleka kwemibhobho, ukuphuma kwemibhobho, usulelo olujikeleze umbhobho. |
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo ngexesha lokuchacha kwakho, yazisa ugqirha wakho okanye isibhedlele apho ufumene khona unyango ngoko nangoko.
- Umkhuhlane: Umkhuhlane ongaphezulu kwama-38.3 Celsius (101 Fahrenheit).
- Intlungu: Intlungu enzima, engachazekiyo esiswini okanye apho ityhubhu ifakwe khona.
- Iimpawu zosulelo: ukubomvu kwesikhumba esijikeleze umbhobho, ukudumba, okanye ukukhupha okunuka kakubi.
- Iingxaki zetyhubhu: ukungakwazi ukuhlamba ityhubhu, ityhubhu ephuma eluswini, inyongo ephumayo kwityhubhu.
- Utshintsho kumthamo wolwelo: Ukunyuka ngequbuliso okanye ukuyeka ngokupheleleyo ubungakanani bolwelo olongezwe ebhegini.
Kwimeko enjalo, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Cholecystostomy lunyango olungenabungozi kangako nolukhuselekileyo kwizigulana ezine-acute gallbladder inflammation ezingengomntu ofanele utyando.
- Oku kuquka ukufaka ityhubhu eluswini iye kwinyongo kunye nokususa ulwelo olusulelekileyo.
- Le tube kuya kufuneka ishiywe emzimbeni kangangeeveki eziliqela, kwaye kubaluleke kakhulu ukuyinyamekela kakuhle ekhaya.
- Emva kolu nyango, xa imeko yesigulana iphucuka, ugqirha uya kugqiba ukuba ngaba utyando lokususa inyongo (i-cholecystectomy) luyimfuneko na.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga ngexesha lokuchacha kwakho, yazisa ugqirha wakho ngoko nangoko.
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