Usenokuba unesifo se-diverticulitis, imeko ebangela iintlungu ezingapheliyo esiswini sakho kunye nomkhuhlane. Xa imeko yakho kunzima ukuyilawula nangona usela amayeza kunye nolunye unyango, ugqirha wakho unokucebisa utyando. Ngoko ke kuqhelekile ukuba uzive usoyika kancinci xa esitsho. Nangona kunjalo, wakuba wazi kakuhle ukuba loluphi olu tyando, lwenziwa njani, kwaye kwenzeka ntoni emva koko, uloyiko lwakho luya kuphela. Namhlanje, masithethe ngolu tyando lwe-diverticulitis.
Kutheni sifuna utyando lwe-diverticulitis?
Ngamafutshane, i-diverticulitis yimeko apho iingxowa ezincinci (i-diverticula) zenzeka eludongeni lwekholoni yethu, esiyibiza ngokuba yi-diverticula ngokwezonyango, zisuleleka okanye zivuvuke. Kuphela xa le meko iba nzima apho kucingelwa utyando.
Ugqirha wakho uya kucebisa utyando kwiimeko ezilandelayo:
- Ukuba imeko ayinakulawulwa nangona usela amayeza kunye nezinye iindlela zonyango ezingasebenzisi utyando.
- Ukuba le meko iphinda ivele emva konyango (i-recurrent diverticulitis).
- Unxibelelwano olungaqhelekanga, olufana ne- fistula , lwenzeka phakathi kodonga lwamathumbu amakhulu kunye namalungu akufutshane afana nesinyi okanye i-vagina.
Olu tyando lubandakanya ukusika nokususa inxalenye yamathumbu amakhulu echaphazelekileyo sesi sifo. Oku sikubiza ngokuba yi-partial colectomy .
Amaxesha amaninzi, i-sigmoid colon, inxalenye yokugqibela yamathumbu amakhulu, iyasuswa. Xa le nxalenye isusiwe, iimpawu ziyaphela phantse ngokupheleleyo.
Ngamanye amaxesha, emva kokususa inxalenye yamathumbu, ugqirha kufuneka enze i-ostomy . Makhe sijonge ukuba yintoni leyo.
Zeziphi iintlobo zotyando ezi?
Ugqirha wakho angakhetha olunye lwale misebenzi kuxhomekeke kwimeko yakho.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| Vula iColectomy | Kule nkqubo, ugqirha wenza umngxuma omkhulu othe nkqo esiswini sakho, asuse inxalenye enesifo yamathumbu akho, aze adibanise kwakhona la malungu mabini aphilileyo. Le yinkqubo yesintu. |
| Utyando lweLaparoscopic/Robotic Colectomy | Yinto esiyibiza ngokuba "lutyando lwe-key-hole." Lwenziwa ngokwenza imingxunya embalwa esiswini kunye nokufaka ikhamera (i-laparoscope) kunye nezixhobo ezithambileyo. Ayibuhlungu kangako, kwaye amanxeba aphola ngokukhawuleza. |
| Utyando lwe-Ostomy | Oku kwenziwa xa icandelo lamathumbu lisusiwe kwaye ezinye iindawo eziphilileyo azikwazi ukudityaniswa ngaxeshanye. Oku kuquka ukudala umngxuma wexeshana eluswini lwesisu ukuze indle idlule. |
Ulwazi oluthe kratya malunga notyando lwe-Ostomy
Musa ukoyika xa usiva oku. Cinga ngokwakha indlela, ukudala enye indlela okwethutyana ukuze izithuthi zidlule kuyo. Kwenzeka into efanayo apha. Le ndlela yexeshana yakhiwa ukuthintela indle ukuba ingadluli kwindawo apho kwenziwe khona utyando lwamathumbu ide iphole.
- I-Colostomy: Inxalenye yamathumbu amakhulu iqhagamshelwe kulusu lwesisu, nto leyo eyenza umngxuma. Indle iphuma ngayo ize iqokeleleke kwingxowa (ingxowa ye-colostomy) enamathele esiswini.
- Ileostomy: Le mbobo yenziwa kusetyenziswa inxalenye yamathumbu amancinci (ileum).
Into ebalulekileyo kukuba olu tyando lwe-ostomy ludla ngokuba lolwexeshana . Kwiinyanga ezimbalwa, emva kokuba amanxeba angaphakathi epholile, olunye utyando oluncinci lunokwenziwa ukuvala ukuvulwa nokubuyisela ukuhamba kwamathumbu okuqhelekileyo.
Uzilungiselela njani ngaphambi kotyando?
Kuya kufuneka wenze amalungiselelo athile ngaphambi kotyando. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ngokwesiqhelo, ezi zinto ziyenzeka.
- Ezinye iiskeni: Usenokucelwa ukuba wenze i-computed tomography (CT) scan okanye ezinye iimvavanyo ezikhethekileyo ze-X-ray .
- Ukuhlolwa kwempilo: Kusenokufuneka wenze uvavanyo lwegazi, i-colonoscopy , i-EKG , njl. Ungadibana neqela le-anesthesia.
- Ukulungiselela Amathumbu: Le yeyona nto inzima. Uza kucelwa ukuba uyeke ukutya iiyure ezimbalwa ngaphambi kotyando kwaye usele kuphela izinto ezinje ngamanzi nesobho. Uza kunikwa neyeza elikhethekileyo lokucoca amathumbu akho ngokupheleleyo.
Kwenzeka ntoni ngexesha lotyando?
Kuzo zonke ezi ntlobo zotyando, ufakwa i-anesthesia ngokupheleleyo (i-anesthesia eqhelekileyo), oko kuthetha ukuba awuva nto, ulele.
1. Ugqirha wenza umsikelo omkhulu omnye kutyando oluvulekileyo, okanye imisikelo emincinci emininzi kutyando lwe-laparoscopic ukuze afikelele emathunjini amakhulu.
2. Emva koko inxalenye yamathumbu enesifo ene-diverticulitis iyasuswa .
3. Iindawo ezimbini eziphilileyo zamathumbu zixhunyaniswa kwakhona kusetyenziswa ii-staples okanye ii-sutures.
4. Ukuba kuyimfuneko, kwenziwa i-ostomy ukuze kuqhagamshelwe inxalenye yamathumbu eluswini.
5. Ekugqibeleni, imingxunya eyenziwe esiswini iyavalwa.
Olu tyando ludla ngokuthatha malunga neeyure ezintathu ukuya kwezine , kodwa eli xesha linokwahluka ngokuxhomekeke kwimeko yakho kunye nohlobo lotyando olwenziwayo.
Kwenzeka ntoni emva kotyando? Kwaye kuthatha ixesha elingakanani ukuba umntu aphile?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Oku kuya kuxhomekeka ekubeni uphila ngokukhawuleza kangakanani. Ngeli xesha:
- Ukutya Neziselo: Kwiiveki ezimbalwa zokuqala, kuya kufuneka utye ukutya okunefayibha encinci, okukhaphukhaphu, okumanzi okufana ne-porridge kunye nesobho. Emva kwenyanga, ungatya nantoni na oyithandayo.
- Ukuzilolonga nokuphakamisa iintsimbi: Kufuneka ukuphephe ukuphakamisa iintsimbi kangangeeveki ezi-6-8 .
- Ukuqhuba: Uya kukwazi ukuqhuba imoto kuphela emva kokuba uyekile ukusebenzisa amayeza okudambisa iintlungu.
- Ukhathalelo lwenxeba: Abasebenzi bonyango baza kukufundisa indlela yokunyamekela inxeba lakho. Ukuba une-ostomy, baza kukufundisa nendlela yokusebenzisa ibhegi.
Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo. Kubaluleke kakhulu ukuba nomonde.
Ngaba kukho naziphi na iingozi kolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile. Ukuvuza kwe-anastomotic, ukopha, okanye usulelo lwenxeba lunokwenzeka. Nangona kunjalo, ezi zinqabile kakhulu. Olu tyando luphumelele kakhulu , kwaye malunga ne-98% yezigulana aziphinde zibe ne-diverticulitis.
Uzakumbona nini ugqirha wakho kwakhona
Ukuba ufumana naziphi na ezi mpawu emva kokubuya ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko :
- Intlungu ebuhlungu yesisu engapheziyo nokuba sele ithathiwe amayeza kwaye iba mandundu.
- Ukungakwazi ukuphuma esitulweni.
- Iimpawu zosulelo, ezinje ngokudumba, ukuba bomvu, umkhuhlane, okanye ukuhlanza okujikeleze inxeba.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Diverticulitis lunyango olusebenzayo kakhulu kwiimeko ezinzima neziphindaphindayo ezingenakulawulwa ngamayeza.
- Kukho iintlobo ezimbini eziphambili zotyando: oluvulekileyo nolwe-laparoscopic (isitshixo). Ugqirha wakho uya kugqiba ukuba loluphi olukulungeleyo.
- Ngamanye amaxesha kungenziwa umngxuma wexeshana (i-ostomy) ukuvumela indle ukuba idlule. Oku kudla ngokuba yinto yexeshana, ngoko ungakhathazeki.
- Kuthatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando. Ngeli xesha, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onokuba nalo ngaphambi kotyando.
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