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Luhlobo luni lotyando oluyi-cystectomy?
Ngamafutshane, i-cystectomy yinkqubo yotyando yokususa inxalenye okanye yonke i-bladder yakho. Njengoko usazi, i-bladder sisitho esimile okwebhola esiqokelela kwaye sigcine umchamo ) oveliswa zizintso zethu. Olu tyando ludla ngokwenziwa njengonyango lomhlaza we-bladder. Nangona kunjalo, ngamanye amaxesha oogqirha bagqiba ekubeni benze olu tyando nakwezinye iimeko ezingezizo zomhlaza (ezingenobungozi). Olu asilotyando oluncinci, kodwa lutyando olukhulu . Kuba lususa isitho esibalulekileyo emzimbeni wethu, i-bladder.Ngaba kunokwenzeka ukuphila ngaphandle kwesinyi?
Ewe, unako. Usenokumangaliswa kukuva oku, kodwa kunokwenzeka ukuba uphile ngaphandle kwesinyi. Kodwa ke kuya kufuneka ufumane indlela entsha yokukhupha umchamo oveliswa zizintso zethu. Ukuba ugqirha ususa isinyi sonke, kuya kuthatha ixesha ukuba uqhele inkqubo entsha. Kodwa ungakhathazeki, uya kukwazi ukwenza uninzi lwezinto obuzenza ngaphambi kotyando, nokuba emva kotyando.
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Check Availability →Yintoni omele uyazi ngaphambi kokuba wenze utyando lwe-cystectomy?
Ngaphambi kotyando, ugqirha wakho uza kukuhlola aze ahlole impilo yakho ngokubanzi. Uza kukuchazela nokuba loluphi uhlobo lotyando aza kulwenza. Kukho iintlobo ezahlukeneyo zolu tyando.- Ukususwa kweCystectomy eNcinci: Oku kuquka ukususa kuphela inxalenye yesinyi sakho enesifo. Ukuba oku kwenziwa ngenxa yomhlaza, ii-lymph nodes ezijikelezileyo nazo ziyasuswa kwaye zihlolwe ukuba umhlaza usasazekile na. Inxalenye eseleyo yesinyi sakho iyathungwa ukuze kubuyiselwe ukusebenza okuqhelekileyo.
- Ukususwa kwesinyi kuphela: Oku kuquka ukususa isinyi kuphela ngaphandle kokonakalisa amalungu angqongileyo. Oku kudla ngokwenziwa kwiimeko ezingezizo ezomhlaza . Umzekelo, iingxaki zomchamo ezibangelwa kukonakala kwemithambo-luvo ( isinyi se-neurogenic ), imithaIimeko ezifana ne -radiation cystitis kunye ne-urinary fistula ezibangelwa kunyango.
- I-Radical Cystectomy (ukususwa kwesinyi kunye namalungu angqongileyo): Kule nto, isinyi sisuswa ngokupheleleyo, kunye nee-lymph nodes ezijikelezileyo.
- Kwimeko yendoda, i-vas deferens idla ngokusikwa, kwaye i -prostate kunye ne-seminal vesicles ziyasuswa.
- Kwabasetyhini, isibeleko, iityhubhu ze-fallopian, ii-ovari, kunye nomlomo wesibeleko zihlala zisuswa. Ngamanye amaxesha, inxalenye yodonga lwesini ingasuswa.
Kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amiselwe ngugqirha, athengiswa ngaphandle kwemvume kagqirha, kwanemveliso yemifuno) ngaphambi kotyando lwakho. Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokunyusa umngcipheko wokopha ngexesha lotyando. Ngoko ke ungayeki ukuthatha nawaphi na amayeza ngaphandle kwengcebiso kagqirha wakho.
Lwenziwa njani utyando?
Olu tyando lwenziwa liqela loogqirha elikhokelwa yingcali yotyando lomchamo. Uza kunikwa i-anesthesia eqhelekileyo, ukuze ungaziva ntlungu kwaye uza kube ulele. Kukho iindlela ezimbini eziphambili zokwenza olu tyando: 1. I-Open Cystectomy: Kule ndlela, kwenziwa utyando oluyi-intshi ezi-6-7 phakathi kwenkaba kunye ne-perineum, apho ugqirha enza khona utyando. 2. I-Minitally Invasive Cystectomy: Oku kungenziwa nge-laparoscopically okanye nge-robotically. Oku kuquka ukwenza utyando oluncinci olu-5-6 esiswini, apho kufakwa khona ikhamera kunye nezixhobo ezithambileyo. Inzuzo yoku kukuba akukho zizilonda zininzi kwaye ixesha lokuphiliswa lifutshane.Indlela yokwenza indlela entsha yokuchama
Emva kokuba isinyi sonke sisusiwe, kufuneka kudalwe indlela entsha yokuphuma komchamo emzimbeni. Oku kubizwa ngokuba 'lutyando lokwakha ngokutsha'. Kukho iindlela ezintathu eziphambili zokwenza oku.| Indlela Yokwakha Kabutsha | Kwenzeka ntoni nje |
|---|---|
| Umjelo we-Ileal | Kuthathwa iqhekeza elincinci lamathumbu amancinci kwaye ii-ureters ziqhagamshelwe kwelinye icala. Elinye icala linamathele eluswini lwesisu, livuleka lingene kumngxuma obizwa ngokuba yi-stoma. Ingxowa ye-ostomy ibekwa phezu kwe-stoma ukuze kuqokelelwe umchamo. |
| Ukuphambuka Kweenxalenye Zelizwekazi | Iindawo zamathumbu amancinci namakhulu zisetyenziselwa ukwenza ingxowa encinci (indawo yokugcina amanzi) ngaphakathi emzimbeni eqokelela umchamo. Oku kukwaqhagamshelwa nolusu lwesisu nge-stoma. Kodwa akukho ngxowa yangaphandle. Izihlandlo ezininzi ngemini, kufakwa ityhubhu encinci (i-catheter) ukuze kukhutshwe le ngxowa. |
| I-Neobladder | Kuthathwa iqhekeza elide lamathumbu amancinci lize lisetyenziswe ukwenza isinyi esitsha (i-Neobladder). Eli qhekeza liqhagamshelwe ngqo kwi-urethra yakho. Ngoko ke ungachama ngokuqhelekileyo. Kodwa kufuneka uqinise izihlunu zesisu sakho ukuze uchame. Abanye abantu kufuneka basebenzise i-catheter ukuze bakhuphe yonke into. |
Yintoni onokuyilindela emva kotyando?
Emva kotyando, uza kudluliselwa kwigumbi. Amanxeba aza kufakwa ibhandeji. Uza kunikwa amayeza entlungu. Ubude bokuhlala kwakho esibhedlele buya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo. Kwinxeba elincinci, uza kuhlala esibhedlele usuku olunye okanye ezimbini, kwaye kwinxeba elivulekileyo, uza kuhlala esibhedlele malunga neveki. Ngeli xesha, abasebenzi bonyango baza kukunyamekela kakuhle. Ukuba unebhegi ye-ostomy, uza kufundiswa indlela yokuyisebenzisa, ukuyikhupha, kunye nokuyitshintsha. Kungathatha iiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuze uphile ngokupheleleyo.Zithini iingozi zolu tyando?
Njengalo naluphi na utyando olukhulu, olu luneengozi ezithile.- Ukopha
- Ukugabha kwegazi
- Iintsholongwane
- Iingxaki zamathumbu (ukuqhinwa, urhudo)
- Ukuvaleka komchamo ngenxa yezicubu ezibomvu
- Ukonakala kwamanye amalungu omzimba
- Ukuqokelelana kolwelo kwiindawo zokusikwa (i-seroma)
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando lwakho, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Iimpawu zesilumkiso ekufuneka uziqaphele
| Iimpawu zosulelo | Umkhuhlane, ukubanda, umchamo omnyama okanye onamafu. |
| Iingxaki kwiindawo zokusikwa | Ukopha kakhulu, ukudumba, iintlungu, okanye ukwanda kokuphuma kobofu. |
| Iingxaki ze-stoma | I-stoma imnyama, imdaka, okanye imfusa emnyama. |
| Ezinye iimpawu ezinzulu | Ukucaphuka nokuhlanza okungapheliyo, iintlungu ezinganyamezelekiyo, ukungakwazi okanye ubunzima bokuchama. |
Umyalezo Wokuya Ekhaya
- I-Cystectomy lutyando olukhulu nolusindisa ubomi olwenziwa kwiimeko ezinje ngomhlaza wesinyi.
- Kunokwenzeka ukuphila ngaphandle kwesinyi. Kukho iindlela ezahlukeneyo zokwakha umzimba ukuze ukhuphe umchamo. Thetha nogqirha wakho malunga nokhetho olulungele wena.
- Kuthatha ixesha ukuqhelana notshintsho emzimbeni wakho emva kotyando. Oku kuqhelekile. Musa ukuthandabuza ukufumana inkxaso yeemvakalelo neyomzimba oyifunayo.
- Ngexesha lokuchacha, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba kukho naziphi na iimpawu ezilumkisayo.
- Ngolawulo olufanelekileyo kunye nesimo sengqondo esihle, ungagcina umgangatho wobomi ulungile nasemva kotyando.
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