Kuqhelekile ukuziva usoyika kwaye unexhala xa ugqirha wakho ekuxelela ukuba kufuneka wenze utyando lwamathumbu amakhulu, i-colectomy. Sonke siyaxhalaba xa sisiva igama elithi "utyando." Kodwa wakuba uyazi kakuhle ukuba yintoni, kutheni lwenziwa, kwaye lwenziwa njani, uloyiko lwakho luya kuphela. Ke namhlanje, masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Yintoni i-colectomy?
Ngamafutshane, i-colectomy kukususwa kwenxalenye okanye yonke ithumbu lakho elikhulu (ikholoni). Ithumbu elikhulu liyinxalenye ebaluleke kakhulu kwinkqubo yethu yokugaya ukutya. Xa le nxalenye yonakele ngenxa yemeko yempilo, ayisebenzi kakuhle. Kulapho oogqirha bagqiba khona ukwenza olu tyando.
Olu tyando lucetyiswa ngokubanzi phantsi kwezi meko zilandelayo:
- Umhlaza wekholoni: Susa inxalenye yekholoni eneeseli zomhlaza.
- I-Diverticulitis: Le yimeko apho iingxowa ezincinci zenzeka eludongeni lwamathumbu amakhulu, ezithi zosulele kwaye zivuvuke.
- Ukopha kwamathumbu: Ukuba unesifo sokopha okungalawulekiyo emathunjini.
- Ukuvaleka kwamathumbu amakhulu: Ukuba amathumbu avalekile ngokupheleleyo ngesizathu esithile.
- Isifo samathumbu esibuhlungu kakhulu: Xa iimeko ezifana nesifo sikaCrohn okanye i-ulcerative colitis ziba nzima.
Ngamanye amaxesha, ukuba kukho umngcipheko omkhulu kakhulu wokuba nomhlaza kwixesha elizayo ngenxa yeemeko zemfuza ezizuzwe njengelifa (umzekelo, i-Lynch syndrome), oku kungenziwa njengendlela yokuthintela i-colectomy ukunciphisa loo mngcipheko.
Ngaba kukho iintlobo ezahlukeneyo zolu tyando?
Ewe, olu tyando lwahlulwe ngeentlobo ezahlukeneyo ngokuxhomekeke kwinxalenye yamathumbu esusiweyo. Oku kugqitywa ngugqirha onyangayo ngokwemeko yakho yempilo.
| Uhlobo lotyando | Kalula nje, kwenzeka ntoni? |
|---|---|
| I-Colectomy iyonke | Ikholoni yakho yonke iya kususwa. |
| Utyando lweColon oluNgaphelelanga | Kuphela yinxalenye enesifo yekholoni esuswayo. Zikho nezinye iintlobo zale nto. |
| I-Hemicolectomy | Icala elinye lamathumbu amakhulu, nokuba licala lasekunene okanye lasekhohlo, liyasuswa. |
| I-Proctocolectomy | Zombini i-large intestine kunye ne-rectum ziyasuswa. |
| Utyando lweSigmoid Colectomy | Inxalenye yokugqibela yamathumbu amakhulu, i-sigmoid colon, edibanisa ne-rectum, iyasuswa. |
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukululungiselela.
Okokuqala, ugqirha wakho uza kuthetha nawe aze akuchazele uhlobo lotyando oza kulwenza, indlela oluza kwenziwa ngayo (nokuba luza kwenziwa nge-incision enkulu okanye ngekhamera). Emva koko, baza kwenza uvavanyo oluthile ukuze babone ukuba umzimba wakho unako na ukumelana notyando.
- Uvavanyo lwegazi
- I-Colonoscopy
- Uvavanyo lwe-EKG (i-Electrocardiogram) olujonga ukusebenza kwentliziyo
- Uvavanyo lokucinga, olufana ne-CT scans okanye i-MRI scans
Ukongeza, iqela lezonyango liza kukwazisa ngezinto ekufuneka uzilandele kwiintsuku ezimbalwa ngaphambi kotyando. Ezi ziquka:
- Lungiselela umntu oza kukuyisa ekhaya esibhedlele: Awuyi kukwazi ukuqhuba imoto yakho emva kotyando.
- Qala ukutya okumanzi: Uza kucelwa ukuba usele kuphela izinto ezifana nesuphu kunye nejusi yeziqhamo kangangeentsuku ezimbalwa ngaphambi kotyando.
- Ukulungiswa kwamathumbu: Ngosuku olungaphambi kotyando, uza kunikwa ulwelo olukhethekileyo lokusela ukuze ukhuphe amathumbu akho ngokupheleleyo. Oku akukhululeki kancinci, kodwa kubaluleke kakhulu kwimpumelelo yotyando.
- Ukuzila Ukutya: Akunakutya okanye ukusela nantoni na ukususela ezinzulwini zobusuku ngomhla wotyando.
Kwenzeka ntoni ngexesha nasemva kotyando?
Ngexesha lotyando, uza kuhlanjwa i-anesthesia ngokupheleleyo, ngoko awuyi kuva nto. Ugqirha uza kwenza i-incision enye ende esiswini sakho (i-Open Colectomy) okanye amanxeba amancinci amaninzi ngoncedo lwekhamera (i-Laparoscopic Colectomy). Baza kususa inxalenye enesifo yekholoni yakho baze baphinde badibanise la malungu mabini aphilileyo. Oku kubizwa ngokuba yi-anastomosis .
Nangona kunjalo, ngamanye amaxesha akunakwenzeka ukudibanisa la malungu mabini aphilileyo kunye. Umzekelo, ukuba umsantsa phakathi kwala malungu mabini aseleyo mkhulu kakhulu, okanye ukuba akunakwenzeka ukuwadibanisa ngoko nangoko ngenxa yosulelo, ugqirha otyandayo unokugqiba ekubeni enze i -ostomy .
Yintoni i-Ostomy?
I-ostomy ibandakanya ukuzisa isiphelo esisempilweni samathumbu kumphezulu wesikhumba esiswini, kudala umngxuma omtsha (stoma) ukuze indle idlule. Emva koko indle iqokelelwa kwingxowa ekhethekileyo (ibhegi ye-ostomy) eqhotyoshelwe kuloo mngxuma.
Siyazi ukuba olu lutshintsho olukhulu ebomini bakho. Kodwa uza kufumana lonke icebiso noqeqesho olufunekayo ukuze ukwazi ukulawula oku kwaye uqhubeke uphila ubomi obuqhelekileyo esibhedlele. Ngoko ke musa ukoyika.
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa okanye iveki. Uza kuthintelwa kukutya okumanzi nokutya okuthambileyo kwiintsuku ezimbalwa zokuqala. Ungabuyela ekutyeni okuqhelekileyo njengoko uphila. Kungathatha ukuya kuthi ga kwiiveki ezi-6 ukuba uphile ngokupheleleyo emva kokuba ubuyele ekhaya. Nangona kunjalo, uninzi lwabantu lunokubuyela kwimisebenzi yalo eqhelekileyo kwiiveki ezimbini.
Ufanele uthethe nini nogqirha?
Kubaluleke kakhulu ukuqaphela naziphi na iimpawu ezilumkisayo ezinokuvela xa ubuyela ekhaya emva kotyando. Ukuba unezinye zezi mpawu zilandelayo, yazisa ugqirha wakho okanye ugqirha wakho ngokukhawuleza.
| Isilumkiso | Inkcazo |
|---|---|
| Umkhuhlane ophezulu | Ukwanda kobushushu bomzimba, ukuziva ubuthathaka. |
| Iimpawu zosulelo kwindawo yokusikwa | Ububomvu, ukudumba, iintlungu eziqatha, okanye ubomvu obujikeleze inxeba. |
| Iintlungu zesisu ezikhula kancinci kancinci | Ukuba intlungu yesisu iyanda kancinci kancinci endaweni yokuncipha. |
| Ubunzima bokukhupha indle | Akukho ntshukumo yamathumbu okanye ukuqunjelwa kangangeentsuku ezininzi. |
Utyando lwe-colectomy lunokuba ngamava atshintsha ubomi. Lunokuphelisa iimpawu zakho ezibuhlungu, lunyange umhlaza wakho, okanye lukuncede uphile ixesha elide unomhlaza. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Bahlala bekulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Colectomy kukususwa kwenxalenye eyonakeleyo yamathumbu amakhulu ngotyando.
- Olu tyando lwenziwa kwiimeko ezinzima zempilo ezifana nomhlaza kunye ne-diverticulitis.
- Kubaluleke kakhulu ukulandela imiyalelo yezonyango, kuquka nokucoca amathumbu, ngaphambi kotyando.
- Usenokufuna ibhegi ye-ostomy ukuze uphume esitulweni, kodwa uya kufumana lonke uncedo olufunekayo ukuze uphile naso.
- Kuthatha ixesha ukuphiliswa, ngoko ke yiba nobubele kuwe kwaye uzinike ixesha lokuphiliswa.
- Ukuba ufumana iimpawu ezilumkisayo ezifana nomkhuhlane okanye intlungu eqatha emva kotyando, qhagamshelana nogqirha wakho ngoko nangoko.
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