Xa ugqirha ekuxelela okanye umntu omaziyo ukuba unomhlaza, umbuzo wokuqala oza engqondweni ngulo, "Ngaba oku kungasuswa ngotyando?" Kwiimeko ezininzi, utyando lolona sisombululo silungileyo. Nangona kunjalo, kukho amaxesha apho utyando lungenzeki rhoqo. Ngamanye amaxesha, utyando lunokuba yingozi ngenxa yendawo umhlaza okhoyo kuyo okanye ezinye iimeko zempilo zesigulana. Kwiimeko ezinjalo, sithetha ngonyango olukhethekileyo oogqirha abanokucebisa ukutshabalalisa iiseli zomhlaza. Oko yiCryoablation.
Ngamafutshane, yintoni iCryoablation?
I-Cryoablation lunyango olusebenzisa ukubanda kakhulu ukukhenkceza iiseli ezingaqhelekanga, ingakumbi iiseli zomhlaza. Cinga ngale ndlela, njengokubanda kwamanzi, le ndlela ikhenkceza ulwelo olungaphakathi kwiiseli zomhlaza.
Oku kwenziwa kusetyenziswa isixhobo esikhethekileyo esifana nenaliti (i-`cryoprobe`). Esi sixhobo sinegesi ebandayo kakhulu (njenge-nitrogen engamanzi okanye igesi ye-argon). Xa ugqirha echukumisa ithumba lomhlaza ngesi sixhobo, iiseli zomhlaza ziyabanda kwaye zife ngenxa yokubanda kakhulu. Ekuhambeni kwexesha, iiseli ezifileyo ziyasuswa emzimbeni kwaye ithumba lomhlaza liyancipha. Olu nyango ngamanye amaxesha lubizwa ngokuba yi-`cryosurgery`.
Kuxa kutheni apho ugqirha angacebisa olu nyango?
Utyando ludla ngokuba lolona khetho lokuqala ukuba kunokwenzeka. Nangona kunjalo, xa utyando lungenzeki okanye lungafanelekanga, i-cryoablation lukhetho oluxabisekileyo. Nazi ezinye zeemeko eziphambili apho ugqirha angacebisa olu nyango.
| Imeko | Ingcaciso elula |
|---|---|
| Umhlaza omncinci okanye okwinqanaba lokuqala | Le ndlela isetyenziselwa izimila ezinomhlaza ezinokufikelelwa ngaphandle kokusikwa okukhulu, kuphela ngokwenza umngxuma omncinci kumphezulu wolusu. |
| Ukususwa komhlaza oyingozi ngotyando | Ukuba umhlaza ukwindawo ebuthathaka kakhulu, umzekelo, kufutshane kakhulu nesitho esibalulekileyo, utyando lunokulonakalisa elo sitho. Kwiimeko ezinjalo, le ndlela ikhuselekile. |
| Umhlaza weMetastatic | Ukuba umhlaza usasazeke kwamanye amalungu omzimba kwaye ubangela iintlungu okanye ezinye iingxaki, olu nyango lungasetyenziswa ukulawula loo ntlungu. Lubizwa ngokuba yiPalliative Cryoablation. |
Iintlobo zomhlaza ezinyangwa ngale ndlela
I-Cryoablation isetyenziselwa ukunyanga iintlobo ngeentlobo zomhlaza, kuquka:
- Umhlaza webele
- Umhlaza womlomo wesibeleko
- Umhlaza wezintso
- Umhlaza wesibindi
- Umhlaza wemiphunga
- Umhlaza weprostate
- IiSarcomas (umhlaza wezicubu ezidityanisiweyo)
- Umhlaza we-thyroid
Ulungiselela njani ngaphambi konyango?
Ukuba ugqiba ekubeni ufumane olu nyango, ugqirha wakho kunye neqela lezonyango baya kukunika imiyalelo ecacileyo malunga nokuba ulindele ntoni. Ukuba uphantsi kwe-anesthesia eqhelekileyo, uya kucelwa ukuba uzile ukutya iiyure ezimbalwa. Ezi zizinto eziqhelekileyo ekufuneka uzilungiselele.
- Lungiselela umntu ukuba akuqhubele ekhaya: Usenokungakwazi ukuqhuba ngokwakho emva konyango.
- Ukuyeka amayeza athile: Usenokucelwa ukuba uyeke ukusebenzisa amayeza okunciphisa igazi, i-aspirin, kunye ne-NSAID (izithomalalisi zentlungu) kangangeentsuku ezimbalwa. Oku kwenzelwa ukunciphisa umngcipheko wokopha ngexesha lonyango.
- Ukusela amayeza amiselwe ngugqirha: Unganikwa amayeza okuqala kwangethuba ukuthintela iintlungu okanye usulelo.
Eyona nto ibalulekileyo kukwazisa ugqirha wakho malunga nayo yonke imithi oyithathayo, kuquka neevithamini, ngaphambi kokuba unyango luqale.
Kwenzeka ntoni ngokwenene ngexesha lonyango?
Xa ungena kwigumbi lonyango, uza kuqala unikwe i-anesthesia. Le isenokuba yi-local anesthesia, ethintela kuphela indawo enyangwayo, okanye i-general anesthesia, ekwenza ulale ngokupheleleyo. Emva koko, nantsi into eyenzekayo inyathelo ngenyathelo:
1. Ugqirha wenza umngxuma omncinci kakhulu (`ukubhoboza`) eluswini apho unyango lwenziwa khona.
2. Ngaloo mngxuma, kufakwa inaliti ekhethekileyo, ebizwa ngokuba yi-'cryoprobe', kwindawo apho umhlaza ukhoyo.
3. Oku akusiyo nje into yokuqikelela. I-cryoprobe ibekwe ngokuchanekileyo ngokujonga indawo yethumba kwisikrini kusetyenziswa ubuchwepheshe obufana ne -ultrasound, i-MRI, okanye i-CT scan .
4. Emva koko, umkhuhlane omkhulu we-'cryoprobe' ufakwa kumhlaza imizuzwana embalwa okanye imizuzu embalwa. Iiseli ezikuloo ndawo ziyabanda, zibe njengebhola yomkhenkce.
5. Emva kwexesha elithile, ibhola yomkhenkce iyavunyelwa ukuba inyibilike emva kokuba ukuqandisa kuyekile. Le nkqubo yokuqandisa nokunyibilika yiyo etshabalalisa iiseli zomhlaza.
6. Ngamanye amaxesha kufuneka wenze le nkqubo izihlandlo ezininzi ukuze utshabalalise lonke ithumba.
7. Ekugqibeleni, i-cryoprobe iyasuswa kwaye into efana neplasta encinci ifakwe kuloo mngxuma mncinci.
Kwezinye iimeko, ingakumbi kumhlaza wesisu, oku kwenziwa kusetyenziswa indlela ye-'laparoscopic surgery' (keyhole surgery). Emva koko, kwenziwa imingxunya emininzi emincinci kwaye kufakwa ii-'cryoprobes' ezininzi ukuze kwenziwe unyango.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengalo naluphi na unyango, olu luneengenelo kunye neengozi ezincinci.
| Iinzuzo | Iingozi |
|---|---|
| Iintlungu azinciphi kuba akukho kusikwa okukhulu. | Ukutsha okuncinci kwesikhumba kwindawo yonyango. |
| Ixesha lokuchacha lifutshane, kwaye ungabuyela kubomi obuqhelekileyo ngokukhawuleza. | Usulelo (lunqabile kakhulu). |
| Akuyi kubakho zizilonda zinkulu. | Umonakalo omncinci kwizicwili eziphilileyo okanye kwimithambo-luvo engqongileyo. |
| Iziphumo ebezingalindelekanga zimbalwa. | Iingxaki ezinxulumene ne-anesthesia (umz. isicaphucaphu). |
Umngcipheko wokuba oku kwenzeke uphantsi kakhulu. Ugqirha uza kukuchazela yonke into.
Kwenzeka ntoni emva konyango?
Uninzi lwabantu lunokubuyela ekhaya ngaloo mini yonyango. Kusenokufuneka uhlale esibhedlele ubusuku bonke. Ngokwesiqhelo ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbini ukuya kwiveki . Nangona kunjalo, oku kunokwahluka ngokuxhomekeke kwimeko yakho, ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo .
Emva konyango, iiseli zomhlaza ezitshatyalalisiweyo ziyacocwa kancinci kancinci kwaye zisuswe yinkqubo yomzimba yethu yokuzikhusela. Ngenxa yoko, umhlaza uyancipha kancinci kancinci.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Uza kucelwa ukuba ubuye ukuze uhlolwe kwakhona emva kweeveki ezimbalwa emva konyango. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko:
- Ukudumba okugqithisileyo kwindawo enyangiweyo.
- Umkhuhlane (ongaphezulu kwama-38.4°C / 101°F).
- Into efana nobovu obuphuma emngxunyeni.
- Ubomvu okanye ukutshintsha kombala wolusu olujikeleze indawo yonyango.
Umyalezo Wokuya Ekhaya
- I-Cryoablation lunyango olungenabungozi kangako olutshabalalisa iiseli zomhlaza ngokuziqandisa ngomkhuhlane omkhulu.
- Olu lukhetho oluhle kakhulu kwiimeko apho utyando olukhulu lungenakwenzeka okanye luyingozi.
- Oku kubangela ukuba iintlungu, amanxeba, kunye nexesha lokuphola linciphe kunotyando oluqhelekileyo.
- Emva konyango, iiseli zomhlaza ezifileyo ziyasuswa ziinkqubo zendalo zomzimba.
- Olu asilonyango olufanelekileyo kuzo zonke iintlobo zomhlaza okanye kuzo zonke iimeko. Ugqirha wakho ngumntu ofanelekileyo wokugqiba ukuba oku kulungile na kuwe. Ngoko thetha nogqirha wakho ngale nto ngokukhululekileyo.
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