Ngaba ugqirha ukuxelele ukuba unethumba elincinci kumathumbu okanye emqaleni wakho ekufuneka lisuswe? Xa usiva oko, uninzi lwethu luyoyika kwaye luxhalabile, lucinga, "Owu, kuya kufuneka ndenze utyando olukhulu?" Kodwa ngobuchwepheshe bezonyango obuphambili obufumanekayo namhlanje, kukho iindlela ezimangalisayo zokususa ezi zinto ngaphandle kokwenza umsi omkhulu emzimbeni. Namhlanje, siza kuthetha ngenye indlela yonyango ekhethekileyo, engenakungenelela kakhulu.
Ngamafutshane, yintoni i-Endoscopic Submucosal Dissection (ESD)?
Kulula kakhulu ukuyiqonda le nto. Mhlawumbi ukhe weva ngovavanyo lwe- 'endoscopy '. Inkqubo apho kufakwa khona ityhubhu eguquguqukayo enekhamera ngomlomo okanye empundu ukuze kuhlolwe umbhobho wokutya . Le yinto efanayo. Kodwa iphucuke kancinci.
Kwi-ESD, ugqirha wezifo zamathumbu usebenzisa i-endoscope ukufaka izixhobo zotyando ezintle kakhulu. Emva koko, izicwili ezingaqhelekanga eludongeni lomgudu wakho wokugaya ukutya, inxalenye efana nethumba , zisikwa ngononophelo zize zisuswe. Eyona nto ilungileyo kukuba konke oku kwenzeka ngaphandle kokwenza naziphi na izisikelo ngaphandle komzimba wakho. Oku kuthetha ukuba kukho iintlungu ezincinci kunasemva kotyando olukhulu, kwaye ungaphila ngokukhawuleza.
Zeziphi iintlobo zeemeko eziluncedo kuzo indlela ye-ESD?
Olu nyango ludla ngokusetyenziselwa ukususa izihluma ezinomhlaza okanye ezingaphambi komhlaza, iipolyps , okanye izilonda kwindlela yokugaya ukutya. I-ESD isebenza ngakumbi kwezi meko zilandelayo:
- Umphimbo kaBarrett : Kule meko, iiseli ezikwinxalenye esezantsi yomphimbo zitshintsha ngendlela engaqhelekanga. Ezi zinokuguquka zibe ngumhlaza kamva.
- Umhlaza weColoral
- Umhlaza wesisu
- Umhlaza wamathumbu amancinci
- Umhlaza wesisu
Eyona nto ibalulekileyo kukuba le ndlelaUkukwazi ukususa ngokupheleleyo iiseli zomhlaza okanye izicwili ezingaqhelekanga kwiqhekeza elinye . Oku kwenza kube lula ukuqinisekisa ukuba isifo sisusiwe ngokupheleleyo na.
Yintoni umahluko phakathi kwe-ESD kunye ne-EMR?
Usenokuba ukhe weva ngenye inkqubo ebizwa ngokuba yi-`Endoscopic Mucosal Resection (EMR).` Zombini ezi nkqubo ziindlela zonyango ezingenelelayo kancinci ezenziwa kusetyenziswa i-endoscope. Nangona kunjalo, kukho umahluko omncinci phakathi kwezi zimbini. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Ukususwa kweMucosal ye-Endoscopic (EMR) | Ukuqhaqhazwa kwe-Endoscopic Submucosal (ESD) |
|---|---|---|
| Indawo ekujoliswe kuyo | Iithumba ezikumphezulu wolwelo lwangaphakathi lwendlela yokugaya ukutya (i-mucosa) ziyasuswa. | Ngaphandle kweethumba ezikumphezulu, iithumba ezingene nzulu kancinci kwi-membrane nazo zingasuswa. |
| Indlela esetyenzisiweyo | Ithumba lisuswa ngokufaka ulwelo phantsi kwalo, uliphakamise, uze ulinqumle ngento efana nentsimbi. Ngamanye amaxesha lisuswa libe ziingceba ezininzi. | Kusetyenziswa imela ekhethekileyo yombane, isiqhamo sinqunyulwa kakuhle kakhulu ngaphantsi nangaphakathi, sisuswe sibe yingcezu enye . |
| Izihlandlo ezifanelekileyo kakhulu | Kwizinto ezincinci, ezingaphandle. | Kwizimila ezinkulu, ezithe tyaba, okanye ezikhule kancinci, ingakumbi kwiimeko zezimila ezinomhlaza, kuyacetyiswa ukuba zisuswe ngokupheleleyo. |
Ulungiselela njani ngaphambi konyango?
Oku akudingi kulungiselela okuninzi. Ugqirha wakho uza kukunika imiyalelo echanekileyo oyifunayo.
- Ukuba i-endoscope ifakwa ngomlomo (umz. isisu, umphimbo): Uya kucelwa ukuba uyeke ukutya okanye ukusela iiyure ezimbalwa ngaphambi konyango.
- Ukuba ifakwe ngaphakathi kwesisu (umz., kwikholoni): Uza kucelwa ukuba "ulungiselele amathumbu." Oku kuthetha ukuba kuya kufuneka uthathe i-laxative eza kucetyiswa ngugqirha wakho ukuze acoce ngokupheleleyo ikholoni yakho. Oku kuya kuvumela ugqirha ukuba abone kakuhle ingaphakathi lekholoni yakho.
Kwenzeka ntoni ngexesha lonyango?
Akukho mfuneko yokukhathazeka ngale nto. Ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo (`i-General Anesthesia`), okanye ikunike amayeza okukugcina uphumle kwaye ungenazintlungu. Awuyi kuva nto ngeli xesha.
Ngexesha lonyango, ugqirha uza kulandela la manyathelo:
1. Ityhubhu ye-endoscope ifakwa ngomlomo okanye kwi-rectum.
2. Ujonge ngekhamera, yiya apho kukho ithumba elingaqhelekanga.
3. Indawo yethumba iphawulwe ngesixhobo esikhethekileyo.
4. Ukuze kuthintelwe ukonakalisa izicwili ezisempilweni ezingaphantsi kwethumba, kufakwa ulwelo olukhethekileyo phantsi kwethumba. Oku kudala "umqamelo" phantsi kwethumba, ophakamisa ithumba phezulu.
5. Emva koko, kusetyenziswa imela yombane esebenza rhoqo, ithumba liyasikwa lize lisuswe ngokupheleleyo.
Le nkqubo yonke idla ngokuthatha malunga neyure enye ukuya kwezintathu.
Kwenzeka ntoni emva konyango? Kwaye zithini iingozi?
Emva konyango, uza kuhlolwa kwigumbi lokuchacha ude uvuke emva kotyando lokubulala iintlungu. Izicubu ezisusiweyo zithunyelwa kwilebhu ukuze zixilongwe. Apho, ingcali yezifo iyawuhlola ukuze ibone ukuba kukho iiseli zomhlaza na nokuba umhlaza wonke ususiwe na.
Usenokukwazi ukuya ekhaya ngaloo mini inye, okanye kusenokufuneka uhlale esibhedlele ubusuku bonke. Okubaluleke kakhulu, kuthatha malunga neeyure ezingama-24 ukuba iziphumo ze-anesthesia ziphele ngokupheleleyo, ngoko ke ngokuqinisekileyo kuya kufuneka uze nomntu uze umqhubele ekhaya ngemoto.
Kusenokubakho ukungakhululeki okuncinci kangangeentsuku ezimbini emva konyango, kodwa kukho izinto ezithile ekufuneka uzazi.
| Iziphumo ebezingalindelekanga eziqhelekileyo, zexeshana (ziya kuphinda zibuyele esiqhelweni emva kweentsuku ezi-1-2) | Ixesha lokuya kugqirha wakho okanye kwiSebe leeNgxamiseko lesibhedlele (i-ETU) ngoko nangoko |
|---|---|
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Iingxaki ze-ESD azixhaphakanga, kodwa zinokubandakanya ukopha, ukugqobhoka kwamathumbu, okanye ukuxinana komphimbo. Ezi azixhaphakanga kakhulu.
Kuthatha ixesha elingakanani ukuchacha?
Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo emva kweentsuku ezi-5. Nangona kunjalo, ukuba unomsebenzi onzima ngokwasemzimbeni, ugqirha wakho unokukucebisa ukuba uphumle okwethutyana. Ukuhamba kwakho kwamathumbu kusenokungaqheleki kangangeveki emva konyango.
Uza kucelwa ukuba uphinde ubonane nogqirha emva kweeveki ezimbini emva konyango. Emva koko ungaxoxa ngeziphumo zengxelo yelabhoratri kunye nokuba ufuna unyango olongezelelweyo na.
Umyalezo Wokuya Ekhaya
- I-Endoscopic Submucosal Dissection (ESD) yindlela yonyango ephucukileyo kakhulu esusa umhlaza okwinqanaba lokuqala okanye iithumba ezingaqhelekanga kwinkqubo yokugaya ukutya ngaphandle kokwenza umngxuma omkhulu ngaphandle komzimba.
- Oku kususa izicubu ezingaqhelekanga zibe yinxalenye enye, okwenza kube lula ukuqinisekisa ukuba isifo sisusiwe ngokupheleleyo.
- Ayibuhlungu kangako njengotyando lwesintu, ukuchacha kuyakhawuleza kakhulu, kwaye akukho zinxeba zinkulu.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva konyango.
- Ukuba ufumana iimpawu ezinje ngokopha kakhulu, iintlungu eziqatha, umkhuhlane, okanye ubunzima bokuphefumla emva konyango, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
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