Kuqhelekile ukuba nabani na azive esoyika kakhulu aze othuke xa efumanisa ukuba unomhlaza, ingakumbi xa esiva ukuba usasazeke kwamanye amalungu omzimba. Nangona kunjalo, kwisayensi yezonyango yanamhlanje ephucukileyo, kukho unyango olunamandla olunokunceda ukwandisa ubomi kunye nokulawula iimpawu nakwiimeko ezinjalo. Namhlanje, siza kuthetha ngotyando olulodwa olukhethekileyo. Olu lubizwa ngokuba lutyando lweDebulking.
Ngamafutshane, yintoni utyando lwe-Debulking?
Khawucinge ukuba igadi inokhula oluninzi. Senza ntoni? Sikhupha uninzi lwalokhula kangangoko kunokwenzeka, akunjalo? Emva koko imithi emihle kunye neediliya zinethuba lokukhula kwakhona ngokufanelekileyo. Utyando lokususa i-bulking, okanye utyando lwe-`(Cytoreduction)`, lufana nolo.
Ngamafutshane, oku kuquka ukususa umhlaza omninzi kangangoko kunokwenzeka xa sele usasazeke emzimbeni wonke. Ngamanye amaxesha kusenokungenzeki ukuba ususwe ngokupheleleyo umhlaza. Kodwa ukususa umhlaza omninzi kangangoko kunokwenzeka kwenza kube lula kwezinye iindlela zonyango, ezifana ne-chemotherapy, ukulawula naziphi na iiseli zomhlaza eziseleyo.
Oku kuneenjongo eziphambili ezininzi:
- Ukunceda ukwandisa ixesha lokuphila.
- Ukucothisa ukusasazeka komhlaza.
- Ukunciphisa iimpawu ezifana noxinzelelo kunye nentlungu ebangelwa zizimila ezinomhlaza kwizitho ezingqongileyo.
- Kwezinye iimeko, olu tyando lunokunceda nokunyanga ngokupheleleyo izifo ezifana nomhlaza wesibeleko.
Zeziphi iintlobo zeemeko olu tyando lwenzelwa zona ikakhulu?
Utyando lokususa i-bulking lusetyenziswa kakhulu kumhlaza osasazeke kwisisu (ngaphakathi kwesisu) nakwi-pelvis. Oogqirha banokucinga ngolu tyando kwezi meko zilandelayo:
| Imeko yezonyango | Intshayelelo emfutshane |
|---|---|
| Umhlaza we-Ovarian | Olu tyando lwenziwa kakhulu xa umhlaza wesibeleko se-epithelial, ovela kwiiseli ezikwi-outer layer ye-ovary, usasazekile. |
| Umhlaza wePeritoneal | Isetyenziselwa umhlaza osasazeka kwi -peritoneum , i-membrane ejikeleze amalungu esiswini, njengesibindi nesisu. |
| I-Mesothelioma yePeritoneal | Olu tyando lwenziwa nakwimeko yomhlaza, enokubangelwa zizinto ezifana nokuphefumla i-asbestos. |
| I-Pseudomyxoma Peritonei | Le yimeko apho umhlaza kwi-appendix usasaza i-mucus esiswini sonke. Kwenziwa utyando lokususa i-mucus. |
Kwenzeka ntoni ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kufuneka kulungiselelwe kakuhle kwangaphambili.
Ingxoxo nogqirha
Ugqirha wakho womhlaza uza kukuchazela yonke into ngokucacileyo.
- Unyango lwangaphambi kotyando: Ngamanye amaxesha unyango lwe-neoadjuvant, olufana ne-chemotherapy, lunokunikwa ngaphambi kotyando ukunciphisa umhlaza.
- Uhlobo lotyando: Ugqirha uya kugqiba ukuba oku kuya kwenziwa njengotyando lwe-laparoscopic, oko kuthetha ukuba ikhamera ifakwa ngokusikwa okuncinci, okanye njenge-"laparotomy", oko kuthetha ukuba isisu siyavulwa.
- Izitho zomzimba ezisusiweyo: Kwimeko yomhlaza wesibeleko, ii-ovari, iityhubhu ze-fallopian, isibeleko, kunye nomlomo wesibeleko zihlala zisuswa. Ngokuxhomekeke ekubeni umhlaza usasazeke kangakanani, inxalenye yamathumbu amancinci okanye ikholoni nayo inokufuneka isuswe.
- Ixesha lotyando: Olu lutyando olukhulu oluthatha iiyure ezininzi, kodwa ixesha linokwahluka ngokuxhomekeke kwimeko yakho.
Uvavanyo olufunekayo
Kuza kwenziwa uvavanyo oluninzi ukuze kubonwe ukuba umzimba wakho ufanelekile na kolu tyando.
- Uvavanyo lwegazi: Amanqanaba eswekile egazini, ubalo olupheleleyo lwegazi (i-CBC), uvavanyo lokusebenza kwezintso kunye nesibindi.
- Uvavanyo lokufota: Izinto ezifana ne-chest X-rays, i-CT scans, i-MRI scans, kunye ne-PET scans zingenziwa.
Intlanganiso nogqirha we-anesthesiologist
Ingcali yokubulala iintlungu iza kukubuza imibuzo embalwa ngaphambi kokuba unyangwe. Umzekelo, iza kukubuza ngamava akho angaphambili nge-anesthesia, amayeza owasebenzisayo, iivithamini ozisebenzisayo, naziphi na ezinye iimeko zempilo onazo, kunye nemeko yamazinyo akho.
Ufanele ulungiselele njani utyando?
- Kuphephe ukutshaya:Ukuba usebenzisa naluphi na uhlobo lwe-nicotine, kuquka icuba kunye ne-e-cigarettes, yeka ngoko nangoko. I-nicotine inokuphazamisana nokuhamba kwegazi kwaye ilibazise ukuphola kwenxeba emva kotyando.
- Ukuzila Ukutya: Uya kucetyiswa ukuba uyeke ukutya okanye ukusela kangangeeyure ezininzi ngaphambi kotyando. Landela le miyalelo ngononophelo.
- Cwangcisa ukuhlala kwakho esibhedlele: Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa (ngesiqhelo emva kweentsuku ezi-3 ukuya kwezi-7) emva kolu tyando. Kuya kuba luncedo ukuba nemisebenzi yakho yasekhaya neyomsebenzi icwangciswe kwangaphambili ngelo xesha.
- Umntu onokukunceda emva kokuba ufikile ekhaya: Kuhle ukuba nomntu onokukunceda kwiintsuku zokuqala emva kokuba ufikile ekhaya.
Kwenzeka ntoni ngexesha lotyando?
Emva kokuba unikwe i-anesthesia, uza kube ulele ngokupheleleyo. Awuyi kuva ntlungu. Ugqirha uza kwenza utyando olunye okanye ngaphezulu esiswini sakho aze asuse ngononophelo ithumba elinomhlaza kunye nayo nayiphi na izicubu ezisasazekileyo. Kwezinye iimeko, unyango olukhethekileyo olubizwa ngokuba yi-"Hyperthermic Intraperitoneal Chemotherapy (HIPEC)``, apho amayeza e-chemotherapy ashushu afakwa khona kwisisu ngexesha lotyando, lunokwenziwa. Ekugqibeleni, utyando luya kuthungwa, kwaye ityhubhu ethi "drain`` ingafakwa ukuze kukhutshwe naluphi na ulwelo oluqokelelene emzimbeni wakho.
Kwenzeka ntoni emva kotyando?
Uza kuhlolwa ngabasebenzi bezonyango kwigumbi lokuchacha ude uvuke emva kokusebenzisa i-anesthesia. Ngeentsuku ezimbalwa oza kuba sesibhedlele, baza kukunika amayeza entlungu, bacoce inxeba lakho, njl. Baza kuqala bakunike amanzi amancinci okusela, baze emva koko bakunike ukutya okumanzi.
Kubalulekile: Uza kufundiswa imithambo ekhethekileyo esibhedlele. Imithambo yemilenze inceda ekuthinteleni ukuqhekeka kwegazi (i-deep vein thrombosis). Ukuphefumla nzulu kunye nokukhohlela kunceda ekucoceni imiphunga kwaye kunciphise umngcipheko wosulelo olufana ne-pneumonia. Ezi zibalulekile.
Zithini iziphumo ebezingalindelekanga kunye neengxaki ezinokubakho?
Njengalo naluphi na utyando olukhulu, olu lunokuba nemiphumo emibi kunye neengxaki.
- Iziphumo ebezingalindelekanga eziqhelekileyo: ukopha enxebeni, ukudinwa kakhulu, ukungabi namdla wokutya, iintlungu, kunye nobunzima bokukhupha indle.
- Iingxaki ezinokwenzeka: ukuqhekeka kwegazi, usulelo lwenxeba, i-lymphedema, kunye ne-ileus yexeshana.
Akukho mfuneko yokoyika kuba abasebenzi bezonyango basoloko beqwalasela ezi zinto.
Kuthatha ixesha elingakanani ukuchacha?
Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo. Kuqhelekile ukuba azive ediniwe ngaphezu kwesiqhelo emva kotyando.Umzimba wakho usebenzisa amandla amaninzi ukuze uphilise. Ngoko ke phumla ngokwaneleyo. Kufuneka uphephe ukuphakamisa ngaphezu kwe-4-5 kg emva kotyando. Ugqirha wakho uza kukuxelela ukuba kufuneka uhlale ixesha elingakanani ungawuphakamisi.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Ukuba ufumana ezi mpawu zilandelayo emva kokubuyela ekhaya, kufuneka uthathe amanyathelo ngoko nangoko .
| Ingxamiseko - yiya kwi-ETU ngoko nangoko! | |
|---|---|
| Iimpawu zeClot yegazi | - Ubunzima bokuphefumla - Ukukhohlela ngegazi - Intlungu esifubeni okanye emqolo ongasentla - Ukudumba, ukuba bomvu, okanye ukufudumala xa uchukumisa umlenze omnye |
| Fowunela ugqirha wakho ngoko nangoko. | |
| Iimpawu zosulelo | - Ukungcangcazela komzimba, ukuziva umanzi kwaye ubanda. - Umkhuhlane (ongaphezulu kwama-38 degrees Celsius / 100.4 Fahrenheit) |
Khumbula, ihlwili legazi emlenzeni (i-deep vein thrombosis) linokwaphuka lize lihlale emthanjeni osemaphashini (i-pulmonary embolism). Le yimeko engxamisekileyo esongela ubomi. Ngoko ke ziqaphele ezi mpawu.
Umyalezo Wokuya Ekhaya
- Utyando lokususa i-bulking lutyando olukhulu olususa umhlaza omninzi kangangoko kunokwenzeka osasazeke emzimbeni wonke.
- Oku kunokulawula iimpawu, kwenze ixesha elide lokusinda, kwaye konyuse impumelelo kwezinye iindlela zonyango lomhlaza.
- Ekubeni olu lutyando olukhulu, kuya kuthatha iinyanga ezininzi ukuba umntu aphile. Kuqhelekile ukuba azive ediniwe ngeli xesha.
- Landela imiyalelo kagqirha wakho ngononophelo emva kotyando, ingakumbi malunga nokuzilolonga kunye nokuphepha ukuphakamisa izinto ezisindayo.
- Ukuba ubonakalisa iimpawu zokuqhekeka kwegazi okanye usulelo, funa ingcebiso kagqirha ngokukhawuleza ngaphandle kokulibazisa.
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