Ngaba ugqirha wakho ukuxelele ukuba unokukhula okungaqhelekanga kwezicubu emathunjini akho, esiswini, okanye emqaleni, okanye ukuba unesifo somhlaza? Kuqhelekile ukuba uzive usoyika kakhulu kwaye wothukile xa usiva into efana nale. Kodwa ungakhathazeki. Kukho iindlela ezilula kakhulu, zanamhlanje kwezonyango namhlanje ezingadingi utyando olukhulu olufana nokusika isisu njengangaphambili. Yile ndlela sithetha ngayo ngendlela ekhethekileyo eya kukuzisela ukuchacha ngokukhawuleza.
Yintoni i-Endoscopic Mucosal Resection?
Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, le nkqubo ilula kakhulu. Ngamafutshane, yinkqubo esusa izicubu ezingaqhelekanga kwindlela yakho yokugaya ukutya, njengeziqwenga ezincinci, iipolyps, okanye amanqanaba okuqala omhlaza, ngaphandle kokwenza i-incision esiswini sakho.
Khawucinge nje, akukho zikrweqe okanye amanxeba aseleyo esiswini sakho. Oku kwenziwa yingcali yezifo zamathumbu. Usebenzisa ikhamera encinci ekupheleni kombhobho omde, oguquguqukayo obizwa ngokuba yi-endoscope. Ukuba izicubu ezingaqhelekanga zikwi-esophagus okanye esiswini sakho, umbhobho ufakwa ngomlomo wakho. Ngaphandle koko, ukuba ukwinxalenye esezantsi yamathumbu akho, njengamathumbu amakhulu, ufakwa nge-anus yakho.
Eyona nzuzo inkulu yale ndlela kukuba ekubeni kungekho zisikeko zenziwa ngaphandle komzimba, akuyi kuva ntlungu ingako kwaye ixesha lakho lokuchacha liza kuba lifutshane kakhulu kunelo lotyando oluqhelekileyo.
Zeziphi iintlobo zeemeko ezisetyenziselwa le ndlela?
Olu nyango lusetyenziswa kakhulu ukususa iiseli ezingaphambi komhlaza okanye izicubu ezingaqhelekanga ezinokukhula zibe ngumhlaza kwixesha elizayo . Lusebenza ngakumbi kwiithumba ezikhula kwi-mucosa, ulwelo oluncinci lwendlela yokugaya ukutya.
Nazi ezinye zeendlela ezisetyenziswa kakhulu yile ndlela:
- Umphimbo kaBarrett: Kule meko, iiseli ezikwimphimbo zitshintsha ngendlela engaqhelekanga, nto leyo eyonyusa umngcipheko wokuba nomhlaza.
- Umhlaza weColoral: Amaqhuqhuva amancinci anomhlaza afunyanwa kwangethuba.
- Umhlaza wesisu: Umhlaza wesigaba sokuqala.
- Umhlaza wamathumbu amancinci: Umhlaza owenzeka ngakumbi kwi-duodenum.
- Umhlaza wesisu: Iithumba ezincinci ezikhula phezu kwesisu.
Izinto ekufuneka uzazi ngaphambi nasemva konyango
Igalelo lakho ngaphambi nasemva konyango olufana nolu libaluleke kakhulu.
Ukulungiselela ngaphambi konyango
Ugqirha wakho uza kukunika imiyalelo ecacileyo yendlela yokulungiselela oku.
- Kwinxalenye ephezulu yendlela yokugaya ukutya (umbhobho wokutya, isisu): Uza kucelwa ukuba uyeke ngokupheleleyo ukutya nokusela iiyure ezimbalwa ngaphambi konyango (ukuzila ukutya).
- Ukuba ikwinxalenye esezantsi yendlela yokugaya ukutya (amathumbu amakhulu): Kusenokufuneka ulungiselele amathumbu. Oku kuquka ukusela iyeza elingamanzi eliza kukunika ugqirha wakho ukuze acoce amathumbu akho ngokupheleleyo. Kulapho ugqirha anokubona khona ngaphakathi ngokucacileyo nge-endoscope.
Ngexesha lonyango
Uza kunikwa i-anesthesia ukuze ungaziva ntlungu okanye ungonwabi. Usenokulaliswa (i-anesthesia eqhelekileyo) , okanye ungalaliswa ukuze ungakhumbuli nto emva koko (i-conscious sedation) . Ugqirha uza kufaka i-endoscope, ajonge loo ndawo ngekhamera, aze asebenzise izixhobo ezincinci kakhulu ezidluliswa kuyo ukususa izicubu ezingaqhelekanga. Yonke le nkqubo idla ngokuthatha imizuzu engama-30 ukuya kwengama-60 kuphela.
Emva konyango
Emva konyango, uza kugcinwa kwigumbi lokuchacha de iphele imiphumo ye-anesthesia. Okubaluleke kakhulu, uza kufuna umntu oza kukusa ekhaya. Ngenxa yokuba kungathatha ukuya kuthi ga kwiiyure ezingama-24 ukuba imiphumo ye-anesthesia iphele ngokupheleleyo, awuyi kuvunyelwa ukuba uqhube okanye uye ekhaya wedwa.
Zithini iingenelo kunye nemiphumo enokubakho?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezinokwenzeka kwiimeko ezingaqhelekanga. Makhe sijonge zombini ezi ndlela.
| Iingenelo eziphambili | Iziphumo ebezingalindelekanga kunye neengozi ezinokubakho |
|---|---|
| Ukuchacha ngokukhawuleza kakhulu (ungabuyela emsebenzini emva kosuku olunye) | Ukungakhululeki okwethutyana okufana nokudumba, ukuqaqamba kwesisu, njl.njl. |
| Intlungu incinci kakhulu kunotyando oluqhelekileyo. | Igesi, isicaphucaphu, umphimbo obuhlungu (ukuba i-endoscope ifakiwe ngomlomo). |
| Akukho manxeba otyando ashiyekileyo ngaphandle komzimba. | Akuvamile: Ukopha kwindawo yonyango. |
| Umngcipheko weengxaki uphantsi kunaxa utyando luvulekile. | Kunqabile kakhulu: Ukugqobhoka kwamathumbu. |
| Iiseli zomhlaza zingasuswa ngaphambi kokuba zisasazeke (zitshintshe i-metastasize) kwezinye iindawo zomzimba. | Kunqabile kakhulu: Ukuqiniswa komlomo wesibeleko. |
Kufuneka nini udibane nogqirha ngokukhawuleza?
Kubaluleke kakhulu ukunyamekela umzimba wakho emva kokuba ubuyele ekhaya emva konyango. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, ungalibazisi kwaye utsalele umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba unegazi kwindle yakho (mnyama okanye ubomvu obumnyama)
- Ukuba unentlungu eqatha esifubeni
- Ukuba uziva unesizungu okanye utyhafile
- Ukuba unomkhuhlane okanye umkhuhlane
- Ukuba unengxaki yokuphefumla (ukuphelelwa ngamandla)
Kungokwemvelo ukuziva usoyika xa usiva igama elithi 'umhlaza'. Kodwa ngenxa yeenkqubo zonyango zanamhlanje ezifana ne-Endoscopic Mucosal Resection, ngoku unokususa iithumba ezincinci kunye nokukhula okungaphambi komhlaza ngaphandle kokungonwabi kotyando olukhulu. Olu asilotyando olukhulu. Ngoko ungaphila ngokukhawuleza, ubuyele kubomi bakho obuqhelekileyo ngaphandle kwentlungu, kwaye ubuyele kubomi bakho obuqhelekileyo ngokukhawuleza. Ukuba unesimo esifanayo, thetha nogqirha wakho malunga nolu khetho lonyango.
Umyalezo Wokuya Ekhaya
- Ukususwa kwe-Endoscopic Mucosal yindlela elula nekhuselekileyo yokususa izicwili ezingaqhelekanga kwindlela yokugaya ukutya ngaphandle kokwenza i-incision ngaphandle komzimba.
- Oku kusetyenziswa kakhulu ukususa amaqhuma amancinci kunye neeseli ezinokuba ngumhlaza kwisigaba sokuqala somhlaza.
- Xa kuthelekiswa notyando oluqhelekileyo, iintlungu zincinci kakhulu, ukuchacha kuyakhawuleza, kwaye akukho zikrweqe emzimbeni.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (umz. ukuzila ukutya, ukucoca amathumbu) ngaphambi kokuba unyango luqale.
- Ukuba ufumana iimpawu ezinzima ezifana neentlungu zesifuba, igazi eliphuma esitulweni sakho, okanye umkhuhlane emva konyango, funa ingcebiso kagqirha ngoko nangoko.
- Xoxa nogqirha wakho wezifo zamathumbu ukuba le ndlela yonyango ikulungele na.
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