Ngaba ugqirha wakho uthethe nawe ngentlungu yesisu okanye ingxaki yamathumbu? Kusenokwenzeka ukuba ukuxelele nangotyando olubizwa ngokuba yi-'Colectomy'. Ukuva eli gama kunokubangela uloyiko. Kodwa ukuba siyazi kakuhle ukuba yintoni, olo loyiko lunokupheliswa kakhulu. Olu lutyando olususa inxalenye enesifo yekholoni. Masibone ngokulula ukuba ithetha ukuthini, kutheni yenziwa, kunye nendlela yokujongana nayo.
Ngamafutshane, yintoni iColectomy?
I-Colectomy kukususwa kwenxalenye okanye yonke ithumbu lakho elikhulu (ikholoni). Ithumbu elikhulu liyinxalenye ebaluleke kakhulu kwinkqubo yethu yokugaya ukutya. Nangona kunjalo, ezinye izifo zingonakalisa eli thumbu likhulu. Emva koko alikwazi ukusebenza kakuhle. Kulapho oogqirha bagqiba khona ukususa eli candelo lonakeleyo.
Ziziphi iimeko zonyango ezikhokelela kolu tyando?
Ugqirha uya kucebisa utyando olukhulu olunjalo kuphela xa kukho isizathu esibalulekileyo. Zihlala zikho izizathu ezininzi eziphambili zokwenziwa i-colectomy.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza wamathumbu amakhulu | Olu tyando lwenziwa ukuze kususwe inxalenye yamathumbu eneeseli zomhlaza kwaye kuthintelwe ukusasazeka komhlaza. |
| I-Diverticulitis | Njengonyango lweemeko ezinzima ezibangelwa ziingxowa ezincinci ezikhula eludongeni lwamathumbu kwaye zisuleleke. |
| Ukopha kwamathumbu | Ukuba ukopha kuqhubeka kuphuma kwinxalenye yamathumbu oko akunakulawulwa ngezinye iindlela. |
| Ukuvaleka kwamathumbu amakhulu | Ukuba amathumbu avalekile ngokupheleleyo ngenxa yethumba okanye esinye isizathu, loo nxalenye kuya kufuneka isuswe. |
| Isifo samathumbu esidumbileyo | Iimeko ezifana nesifo sikaCrohn okanye i-ulcerative colitis eziqatha kakhulu ukuba zingalawulwa ngamayeza. |
Ukongeza, abanye abantu baneemeko zofuzo, ezifana neLynch syndrome okanye iFamilial adenomatous polyposis (FAP). Ezi meko zandisa umngcipheko wokuba nomhlaza wamathumbu amakhulu kwixesha elizayo. Kwiimeko ezinjalo, oogqirha banokucebisa olu tyando njengendlela yokuthintela ngaphambi kokuba isifo sikhule .
Ziziphi iintlobo zotyando lwe-colectomy ezikhoyo?
Olu tyando lwahlulwe ngeentlobo ezahlukeneyo ngokuxhomekeke kubungakanani bamathumbu asusiweyo.
- I-colectomy iyonke: Kule nto, amathumbu akho amakhulu onke ayasuswa.
- Utyando lwe-colectomy oluyinxenye: Kule meko, kususwa inxalenye yamathumbu amakhulu kuphela. Kukho ezinye iintlobo ezahlukeneyo zale nto.
| Uhlobo lotyando | Inxalenye eza kususwa |
|---|---|
| I-Hemicolectomy | Ukususwa kwenxalenye yecala lasekunene okanye lasekhohlo lamathumbu amakhulu. |
| I-Proctocolectomy | Ukususwa kwamathumbu amakhulu kunye ne-rectum. |
| Utyando lweSigmoid colectomy | Ukususa icandelo le-sigmoid, ukugoba kokugqibela kwamathumbu amakhulu, okuqhagamshelana ne-rectum. |
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, lufuna ukulungiselela ngononophelo. Ugqirha wakho wotyando lwesisu uza kudibana nawe aze akuchazele zonke iinkcukacha malunga notyando oza kulwenza nendlela oluza kwenziwa ngayo.
Ukongeza, uza kudlula kwiimvavanyo ezininzi ukuze ubone ukuba ungakwazi na ukumelana notyando.
- Uvavanyo lwegazi
- I-Colonoscopy
- I-EKG (i-Electrocardiogram) ukujonga ukusebenza kwentliziyo
- Uvavanyo lwemifanekiso olufana ne-CT scan okanye i-MRI scan
Ugqirha uza kukunika nemiyalelo malunga noko kufuneka ukwenze kwiintsuku ezimbalwa ngaphambi kotyando.
1. Umntu oza kukusa ekhaya: Lungiselela kwangaphambili ukuba umntu akuse ekhaya emva kotyando.
2. Ukutya okumanzi: Uza kucelwa ukuba utye ukutya okumanzi okucacileyo kuphela iintsuku ezimbalwa ngaphambi kotyando. Umzekelo, izinto ezifana namanzi esuphu kunye nejusi yeorenji.
3. Ukucoca amathumbu: Ngaphambi kotyando, amathumbu akho kufuneka akhutshwe ngokupheleleyo aze acocwe. Uza kunikwa ulwelo olukhethekileyo (ukulungiselela amathumbu) ukuze ulusele. Oku kunokuba yinto engathandekiyo kancinci, kodwa kubaluleke kakhulu ukuba utyando luphumelele.
4. Ukuzila ukutya: Uyacetyiswa ukuba ungatyi okanye ungaseli nto ukususela ezinzulwini zobusuku ngosuku olungaphambi kotyando.
Kwenzeka ntoni ngexesha lotyando?
Awuyi kuva nto ngexesha lotyando kuba utyando luza kuqala emva kokuba ufumene i-anesthesia epheleleyo (i-anesthesia eqhelekileyo) kwaye ulele kakuhle.
Kalula nje, nantsi into eyenzekayo:
- Ingcali yakho yokubulala iintlungu iza kukufaka phantsi kwe-anesthesia eqhelekileyo.
- Ugqirha wenza umsikelo omnye omde esiswini sakho (i-open colectomy) okanye imisikelo emininzi emincinci (i-laparoscopic colectomy okanye i-robotic colectomy). Ukuchacha kuyakhawuleza ngotyando lwe-laparoscopic.
- Emva koko, inxalenye yamathumbu eyonakeleyo okanye enesifo iyachongwa ize inqunyulwe.
- Okulandelayo, iziphelo ezibini zamathumbu aphilileyo aseleyo ziyadityaniswa.
- Ngamanye amaxesha kukho amaxesha apho ezi ziphelo zimbini zingenakudityaniswa. Kwimeko ezinjalo, kulandelwa indlela eyahlukileyo (siza kuthetha ngaloo nto).
- Ekugqibeleni, amanxeba avalwa ngezititshi.
Olu tyando lonke ludla ngokuthatha malunga neyure enye ukuya kwezine.
Yintoni i-Anastomosis kunye ne-Ostomy? Oku kubaluleke kakhulu.
Emva kokuba icandelo lamathumbu lisusiwe, kubaluleke kakhulu ukwazi ukuba kwenzeka ntoni kwiindawo ezimbini eziseleyo. Kukho iindlela ezimbini eziphambili apha. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe.
Olu tshintsho lunokuba nefuthe elikhulu ebomini bakho, ngoko ke kubalulekile ukuluqonda kakuhle.
| Indlela | Inkcazo |
|---|---|
| I-Anastomosis (ukudibana kwakhona) | Oku kuquka ukuthunga iziphelo ezimbini zamathumbu aphilileyo ezisele emva kokuba icandelo elisusiweyo liphinde lahlanganiswa. Ukuba oku kuphumelele, iintshukumo zakho zamathumbu ziya kubuyela esiqhelweni. |
| I-Ostomy (edala indlela esuka esiswini ukuya ngaphandle) | Ngamanye amaxesha iziphelo ezimbini zamathumbu azikwazi ukudityaniswa ngaxeshanye (umzekelo, ngenxa yosulelo). Kule meko, kwenziwa umngxuma ukuze isiphelo senxalenye ephezulu yamathumbu sifike kumphezulu wesikhumba sesisu. Oku kubizwa ngokuba yi-stoma. Indle iphuma kulo mngxuma, kwaye kufuneka kunxitywe ibhegi ekhethekileyo (ibhegi ye-ostomy) ukuze iqokelelwe. Oku kunokuba kokwexeshana okanye kube ngunaphakade. |
Kuqhelekile ukuziva usoyika kwaye uxhalabile xa uxelelwa ukuba uza kuhlala ne-ostomy. Kodwa oogqirha kunye nabasebenzi bonyango baza kukufundisa indlela engcono yokuqhelana nayo, indlela yokusebenzisa ibhegi, kunye nendlela yokuphila ubomi obuqhelekileyo ngayo.
Ziziphi iingozi ezinokubakho ngenxa yolu tyando?
Njengalo naluphi na utyando olukhulu, utyando lwe-colectomy lunezinye iingozi, kodwa oogqirha benza konke okusemandleni abo ukunciphisa ezi ngozi.
- Ukuvuza kwe-anastomotic: Ukuvuza kwendle ingene kwisisu ukusuka kwindawo apho amathumbu adibene khona.
- Ukopha kakhulu: Ukopha kakhulu ngexesha lotyando okanye emva kwalo.
- Izifo: Izifo ezikwinxeba lotyando okanye ngaphakathi esiswini.
- Ukonakala kwamalungu akufutshane: Kukho umngcipheko omncinci wokonakala kwamalungu akufutshane, njengesinyi kunye namathumbu amancinci.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, mhlawumbi ukuya kuthi ga kwiveki. Ngeli xesha:
- Ude amathumbu akho aqale ukusebenza kwakhona, uza kuqala unikwe ulwelo olufakwa emthanjeni, emva koko ulwelo oluselwa ngomlomo kunye nokutya okuthambileyo.
- Abasebenzi bonyango bahlala bejonga ukuba inxeba lotyando liyaphola na kwaye kukho naziphi na iimpawu zosulelo.
- Uza kunikwa imiyalelo eneenkcukacha malunga nendlela yokunyamekela inxeba emva kokuba ubuyele ekhaya.
- Ukuba une-ostomy, uza kunikwa uqeqesho olukhethekileyo malunga nendlela yokunyamekela i-stoma kunye nendlela yokutshintsha ibhegi.
- Emva kokuba ubuyele ekhaya, baza kukunika iingcebiso malunga nokutya omawukutye kunye nemisebenzi emincinci onokuyenza (njengokuhamba ngeenyawo).
Ngeli xesha, kufuneka ukhumbule izinto ezininzi ngaxeshanye. Ngoko ke licebo elihle ukuba nelungu losapho okanye umhlobo wakho ngelixa ugqirha ethetha.
Kuthatha ixesha elingakanani ukuphiliswa?
Kungathatha ukuya kuthi ga kwiiveki ezintandathu ukuze uphile ngokupheleleyo emva kokubuyela ekhaya. Nangona kunjalo, uninzi lwabantu lunokuphinda luqalise imisebenzi yabo yesiqhelo kwiiveki ezimbini. Kodwa musa ukungxama. Mamela umzimba wakho. Ukuba uziva udiniwe, phumla.
Ndifanele nditye ntoni emva kotyando?
Ngokwesiqhelo, kwinyanga yokuqala okanye ngaphezulu, kufuneka utye ukutya okunefayibha encinci . Kuba kulula ukuba amathumbu akugaye. Ungatya izinto ezifana nerayisi emhlophe, iilentili eziphekiweyo kakuhle, imifuno ephekiweyo kakuhle, intlanzi kunye nenkukhu. Ugqirha ukucebisa ukuba uyeke ukutya ukutya okunefayibha eninzi njengemifuno eluhlaza enamagqabi kunye neenkozo ezipheleleyo okwethutyana.
Ufanele uthethe nini nogqirha?
Lumka kakhulu ngomzimba wakho emva kokuba ubuyele ekhaya. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngokukhawuleza .
| Iimpawu eziyingozi - xelela ugqirha ngoko nangoko! | |
|---|---|
| Intlungu yesisu | Intlungu yesisu esibuhlungu esiba mandundu ngokuhamba kwexesha. |
| Iimpawu zosulelo | Umkhuhlane, ukubomvu, ukudumba, iintlungu, okanye ubomvu obuvela kwinxeba lotyando. |
| Ubunzima bokukhupha indle | Ukungakwazi ukukhupha indle okanye urhudo olungapheliyo. |
Utyando olufana nolu lutshintsha ubomi. Lunokunciphisa iimpawu zakho ezibuhlungu, lukuphelise umhlaza, okanye lukunike ubomi obude. Ukuphila ne-ostomy kunokuba lutshintsho olukhulu. Kodwa baninzi abantu abanokukunceda ulungelelane nayo. Ngoko ke thetha nogqirha wakho ngemibuzo yakho, uloyiko lwakho, kunye neenkxalabo zakho.
Umyalezo Wokuya Ekhaya
- I-Colectomy lutyando lokususa inxalenye egulayo okanye lonke ikholoni.
- Oku kwenziwa njengonyango lwezifo ezinzima ezifana nomhlaza, ukuvaleka kwamathumbu, kunye nosulelo olunzima.
- Landela imiyalelo kagqirha (ukutya, ukucoca amathumbu) ngaphambi kotyando.
- Kuthatha ixesha ukuphiliswa emva kotyando, ngoko ke yiba nomonde kwaye unike umzimba wakho ukuphumla okwaneleyo.
- Ngamanye amaxesha, kunokufuneka kwenziwe umngxuma (i-ostomy) phezu kolusu olusesiswini sakho ukuze kungene indle, kwaye abasebenzi bezonyango baya kukunceda ukuba uyiqhele.
- Ukuba ubona naziphi na iimpawu eziyingozi ezifana nomkhuhlane, iintlungu zesisu eziqatha, okanye ukuphuma kobovu enxebeni, tsalela umnxeba ugqirha wakho ngokukhawuleza.
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