Masithethe ngeCryoablation, indlela "eqandisa" iiseli zomhlaza ngomkhuhlane omkhulu kwaye izitshabalalise.

Xa sisiva igama elithi umhlaza, into yokuqala efika engqondweni kukwenza utyando lokususa ithumba, akunjalo? Enyanisweni, kwiimeko ezininzi, eso sisisombululo esingcono nesiphumeleleyo. Nangona kunjalo, kukho amaxesha apho utyando lungenzeki rhoqo. Ngokuxhomekeke kwindawo ekuyo umhlaza okanye imeko yakho yempilo, utyando lunokuba yingozi. Kwiimeko ezinjalo, namhlanje siza kuthetha ngendlela yonyango ephucukileyo nekhethekileyo esetyenziswa ngoogqirha. Oku kubizwa ngokuba yiCryoablation .

Ngamafutshane, yintoni iCryoablation?

Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa okwenzekayo kweli tyala kulula kakhulu. I-Cryoablation lunyango olusebenzisa ukubanda kakhulu, oko kukuthi, ukubanda kakhulu njengomkhenkce, 'ukuqandisa' nokutshabalalisa izicubu ezingaqhelekanga eziyingozi emzimbeni wethu, njengeeseli zomhlaza.

Khawucinge ukuba ugqirha usebenzisa isixhobo esikhethekileyo, njengenaliti, aze athumele igesi ebandayo kakhulu ngaphakathi kuso kwithumba elinomhlaza. Lo mkhuhlane ugqithisileyo uqandisa iiseli zomhlaza, nto leyo ebangela ukuba zingasebenzi kakuhle kwaye ekugqibeleni zife. Le ndlela ngamanye amaxesha ibizwa ngokuba yi-"cryosurgery" okanye "percutaneous cryotherapy".

Utyando lokususa ithumba elinomhlaza ludla ngokuba lolona khetho lokuqala. Nangona kunjalo, ukuba oko akunakwenzeka, ugqirha wakho unokucebisa olu nyango ukuba uvakalelwa kukuba lolona khetho lulungileyo nolukhuselekileyo kuwe.

Kuxa kutheni apho ugqirha angacebisa olu nyango?

Kukho amaxesha amaninzi apho ugqirha wakho anokukuxelela ngale ndlela yonyango.

• Ukuba umhlaza ukwinqanaba lokuqala: Le ndlela isetyenziswa ukuba umhlaza usemncinci, oko kukuthi, kwinqanaba lokuqala, kwaye ithumba lingafikelelwa ngaphandle kokwenza umsikelo omkhulu.
• Iingozi zokususwa ngotyando: Ngamanye amaxesha ithumba linokuba kwindawo ebuthathaka kakhulu. Oku kuthetha ukuba kunokuba yingozi kakhulu ukulisusa ngotyando ngaphandle kokonakalisa amalungu abalulekileyo alijikelezileyo. Le ndlela iluncedo kakhulu kwiimeko ezinjalo.
• Ukuba umhlaza usasazeke emzimbeni wonke: Ngamanye amaxesha umhlaza ungasasazeka uye kwamanye amalungu omzimba (umhlaza osasazekayo). Kwiimeko ezinjalo, olu nyango lusetyenziselwa ukunciphisa iintlungu ezibangelwa kukwanda kweethumba kunye nokunciphisa ubukhulu beethumba. Oku kubizwa ngokuba yi -palliative cryoablation . Oku kuthetha ukuba lwenziwa ukunceda ukulawula iimpawu kunye nentlungu, endaweni yokunyanga isifo ngokupheleleyo.

Zeziphi iintlobo zomhlaza ezinyangwa ngale ndlela?

Unyango lwe-cryoablation lungasetyenziswa kwiintlobo ezahlukeneyo zomhlaza. Itheyibhile engasezantsi iya kukunika umbono olungileyo wento enokuyenza.

Lusebenza njani olu nyango?

Kulapho kwenzeka khona into enomdla kakhulu. Ugqirha uvula umngxuma omncinci eluswini lwakho. Emva koko ufaka isixhobo esikhethekileyo esifana nenaliti esibizwa ngokuba yi-cryoprobe kuloo mngxuma aze asiqondise kwindawo apho umhlaza ukhoyo khona.

Le `cryoprobe` inegesi ebandayo kakhulu ngaphakathi. Umzekelo, into efana ne-`liquid nitrogen`, i-`liquid nitrous oxide`, okanye i-`compressed argon gas` ingasetyenziswa.

Xa ugqirha efaka incam yale 'cryoprobe' kwithumba, umoya obandayo kakhulu ubangela ukuba kubekho ii-ice cubes ngaphakathi kweeseli zethumba. Kanye njengokuba amanzi ebanda xa uwafaka efrijini. Emva koko, xa umkhuhlane ususiwe, izicubu ziqala ukunyibilika. Le nkqubo 'yokuqandisa-ukunyibilika' yonakalisa iiseli zethumba kwaye ibangele ukuba zife. Ngale ndlela, ithumba liyancipha kancinci kancinci kwaye ekugqibeleni liyanyamalala.

Ndingazilungiselela njani ngaphambi konyango?

Kukho amalungiselelo athile afunekayo ngaphambi kokuba kwenziwe naluphi na unyango olufana nolu. Ugqirha wakho kunye neqela lezonyango baya kukunika imiyalelo ecacileyo malunga nento omawuyenze. Kodwa kukho izinto ezimbalwa eziqhelekileyo omawuzilungiselele:

• Lungiselela umntu oza kukuyisa ekhaya: Usenokungakwazi ukuqhuba emva konyango, ngoko ke kubalulekile ukulungiselela umntu oza kukuyisa ekhaya kwangethuba.
• Kusenokufuneka uyeke ukusebenzisa amayeza athile: Ukuba usebenzisa amayeza athile, anjenge-aspirin, amayeza okunciphisa iintlungu (ii-NSAID), kunye namayeza okunciphisa igazi, ugqirha wakho angakucela ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi konyango lwakho.
• Amayeza okunciphisa iintlungu okanye ukuthintela usulelo: Ugqirha wakho unokucebisa ukuba uthathe amanye amayeza okunciphisa iintlungu okanye ukuthintela usulelo ngaphambi konyango.
• Ukuzila ukutya: Ukuba unikwa i-anesthesia jikelele, oko kuthetha ukuba ulala ngokupheleleyo, uya kuxelelwa ukuba ungatyi okanye usele iiyure ezimbalwa ngaphambi konyango.

Kwenzeka ntoni ngokwenene ngexesha lonyango?

Makhe sibone indlela le nkqubo esebenza ngayo inyathelo ngenyathelo.

1. I-Anesthesia: Okokuqala, ingcali ye-anesthesia iza kukunika iyeza lokukubangela ukuba ungabi nantlungu. Le isenokuba yi-local anesthesia, okanye ungalaliswa ngokupheleleyo (i-general anesthesia).

2. Ukwenza umngxuma omncinci: Ugqirha wenza umngxuma omncinci kakhulu eluswini kwindawo yonyango.

3. Ukufaka i-cryoprobe: Okulandelayo, i-cryoprobe equlethe igesi ebanda kakhulu ifakwa ngaloo mngxuma.

4. Ukuqandisa umhlaza: Ugqirha uchukumisa incam ye-'cryoprobe' kumhlaza imizuzwana embalwa okanye imizuzu embalwa. Umkhuhlane omkhulu uqandisa iiseli zomhlaza uze uzitshabalalise.

5. Ukujonga ngeScan: Konke oku akwenziwanga simahla. Ugqirha usebenzisa iteknoloji efana ne-Ultrasound, i-MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) scan aze ajonge isikrini ukuze abone ukuba i-cryoprobe isondela ngqo kwithumba na kwaye ukuba ithumba liyaqina na.

6. Phinda: Ngamanye amaxesha le nkqubo yokwenza amatye isenokufuneka iphindwe izihlandlo ezininzi ukuze kutshatyalaliswe isiqhamo sonke.

7. Ukususa isixhobo: Emva kokuba iiseli zomhlaza zitshatyalalisiwe kangangoko, i-cryoprobe iyasuswa kwaye into efana neplasta ifakwe kumngxuma omncinci.

Ngaba oku kungenziwa njengotyando lwe-laparoscopic?

Ewe, kunokwenzeka. Utyando lwe-LaparoscopicLe yinkqubo yotyando esebenzisa ikhamera kunye nezixhobo ezikhethekileyo ukwenza utyando ngokusebenzisa imingxunya emininzi emincinci endaweni yomngxunya omnye omkhulu. Unyango lwe-cryoablation lunokwenziwa ngale ndlela. Oku kuvumela ukusetyenziswa kwee-cryoprobes ezininzi ngaxeshanye ukutshabalalisa iiseli zomhlaza.

Kwenzeka ntoni emva konyango kwaye zithini izibonelelo?

Ukuba unikwe i-anesthesia eqhelekileyo, uza kuthathwa uye kwigumbi lokuchacha apho iqela lezonyango liza kujonga izinto ezifana nesantya sentliziyo yakho kunye noxinzelelo lwegazi.

Uninzi lwabantu lunokubuyela ekhaya ngosuku olufanayo emva konyango. Nangona kunjalo, kwezinye iimeko, kunokufuneka uhlale esibhedlele ubusuku bonke ukuba imeko yakho ifuna ukujongwa ngakumbi.

Iingenelo zonyango lwe-cryoablation:

• Ingenziwa ngaphandle kokusika okukhulu.
• Iziphumo ebezingalindelekanga kunye nokuqhekeka kwamanxeba azifumaneki rhoqo.
• Umonakalo kwizicubu eziphilileyo ezijikeleze umhlaza mncinane kakhulu.

Zithini iingozi kunye neengxaki zoku?

I-cryoablation ngokuqhelekileyo lunyango olukhuselekileyo kakhulu, kodwa njengakweyiphi na inkqubo ebandakanya ukufaka isixhobo eluswini, kukho iingozi ezithile.

Kuthatha ixesha elingakanani ukuphiliswa?

Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo kwiintsuku ezimbini ukuya kwezisixhenxe. Nangona kunjalo, imeko yakho inokwahluka, ngoko qiniseka ukuba ubuza ugqirha wakho into ongafanele uyenze ude uphile.

Ndifanele ndimtsalele umnxeba nini ugqirha?

Ugqirha wakho uza kukuxelela ukuba kufuneka ubuye nini ukuza kubona ugqirha wakho emva konyango lwakho. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezilandelayo, ezinokuba ziimpawu zosulelo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.

Kwenzeka ntoni kumhlaza emva konyango?

Lo ngumbuzo obalulekileyo. Xa unyango luphelile, izicubu zomhlaza eziqinileyo ziyanyibilika kwaye ziqale ukushwabana kancinci kancinci. Ekuhambeni kwexesha, inkqubo yokucoca yomzimba wethu yendalo isusa ezi seli zifileyo. Kanye njengokuba inxeba liphola, umzimba wethu ukhupha ulusu olufileyo. Ngale ndlela, umhlaza uyanyamalala kancinci kancinci.

Ukuba unomhlaza, thetha nogqirha wakho ngale ndlela yonyango. Angaphendula yonke imibuzo yakho aze akuncede ukhethe ukuba loluphi unyango olulungele wena.