Ngaba ugqirha ukuxelele okanye umntu omaziyo ukuba kufuneka wenze utyando lwesibindi? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva igama elithi 'ukususa iqhekeza lesibindi'. Isibindi sisitho esibaluleke kakhulu emzimbeni wethu. Kodwa ukuba usiqonda ngokuchanekileyo , olo loyiko lunokuncipha kakhulu. Ke namhlanje, masithethe ngolu tyando, olususa inxalenye yesibindi, ebizwa ngokuba yi-'hepatectomy', ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni i-hepatectomy?
I-Hepatectomy yinkqubo yotyando esusa inxalenye enesifo okanye sonke isibindi sakho. Into emangalisayo neyona ilungileyo ngale nto kukuba isibindi sethu sinamandla amangalisayo okuzivuselela . Ukuba inxalenye eseleyo yesibindi sakho iphilile, nokuba ususa isibini kwisithathu sayo, inxalenye eseleyo inokukhula ibuyele kubukhulu bayo bokuqala ngexesha elifutshane. Ayimangalisi loo nto?
Kutheni kuyimfuneko ukwenza olu hlobo lotyando?
Kukho izizathu ezininzi eziphambili zokwenza olu tyando. Ngokuqhelekileyo, olu tyando lwenziwa ukuze kususwe iithumba eziye zavela esibindini. Ngamanye amaxesha, olu tyando lwenziwa ukuze kunikelwe ngenxalenye yesibindi ukusindisa ubomi bomnye umntu.
| Isizathu | Ingcaciso elula |
|---|---|
| Iithumba ezinomhlaza | Susa umhlaza oqala esibindini (umhlaza wesibindi oyintloko), kunye nomhlaza osasazeke esibindini usuka kwelinye ilungu (umz., ikholoni) (umhlaza wesibini/okhula ngokukhawuleza). Ezona ntlobo zixhaphakileyo yi -Hepatocellular carcinoma kunye ne -Cholangiocarcinoma . |
| Iithumba ezingeyongozi | Ezi azingomhlaza, kodwa zisuswa kuba zikhula ngobukhulu kwaye zibangela iintlungu nokungonwabi. Imizekelo ibandakanya i-Adenoma kunye ne -Liver Cysts (ii-cysts ezizaliswe lulwelo esibindini). |
| Amatye enyongo esibindini | Ukuba amatye avala imibhobho yenyongo esibindini aze abangele usulelo, loo nxalenye iyasuswa. |
| Umnikeli wesibindi esiphilayo | Umntu ophilileyo unikela ngenxalenye yesibindi sakhe kumntu ofuna ukufakelwa isibindi. Emva kotyando, zombini izibilini zikhula zibuyele kubukhulu obupheleleyo. |
Ingaba olu tyando lunzulu kangakanani? Ngaba kukho naziphi na iingozi?
Ukuthetha inyani, ewe. Olu tyando luthathwa njengotyando oluntsonkothileyo nolunzima . Isizathu esiphambili kukuba isibindi sisitho esinomthombo wegazi otyebileyo. Ngoko ke, umngcipheko wokopha ngexesha lotyando uphezulu. Ngenxa yesi sizathu, olu tyando lwenziwa ngoogqirha abaqeqeshwe ngokukhethekileyo namava kweli candelo.
Iingozi zotyando zixhomekeke kubukhulu becandelo lesibindi elisusiweyo kunye nempilo yesibindi sakho iyonke.
- Ukususwa kwesibindi okuncinci: Ukuba kususwe ngaphantsi kwesiqingatha sesibindi, iingozi ziphantsi. Oku kudla ngokwenziwa ngotyando lwe-'keyhole' (utyando lwe-laparoscopic) okanye utyando lwerobhothi .
- Ukususwa kwesibindi okubalulekileyo: Ukuba isibindi esingaphezulu kwesiqingatha sisusiwe, utyando luba nzima kwaye lube yingozi.
Ngoko ke, ukuba uza kwenza olu hlobo lotyando, kubaluleke kakhulu ukukhetha ingcali enamava amahle kunye nesibhedlele esinezibonelelo .
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba akwenzele utyando, ugqirha uza kuhlola ngononophelo izinto ezininzi.
Izinto eziqwalaselwa ngugqirha
- Ngaba impilo yakho yomelele ngokwaneleyo ukuba ingamelana notyando olukhulu kangaka?
- Ngaba kukho indawo esibindini apho ithumba linokususwa khona ngotyando?
- Ukuba ngumhlaza, ngaba usasazeke nakwezinye iindawo ezingaphandle kwesibindi?
- Ingaba inxalenye yesibindi eseleyo emva kotyando yanele ukuqhubeka nemisebenzi yomzimba?
Ukuqinisekisa ezi zinto, ugqirha wakho uza kukucela ukuba wenze uvavanyo oluthile.
- Uvavanyo lweMifanekiso: I -CT scan okanye i-MRI scan .
- Uvavanyo lwegazi (Uvavanyo Lokusebenza Kwesibindi): Linganisa ukusebenza kwesibindi.
- I-Biopsy yesibindi: Ukuthatha iqhekeza elincinci lesicwili esibindini ukuze lihlolwe.
Ngamanye amaxesha, unyango lwe-radiation okanye i-chemotherapy inokunikwa ngaphambi kotyando ukunciphisa ubukhulu bomhlaza nokwenza utyando lube lula kwaye lukhuseleke.
Ziziphi iindlela zokwenza utyando?
Kukho iindlela ezimbini eziphambili: Utyando Oluvulelekileyo kunye notyando olungenabungozi kangako.
| Indlela yotyando | Inkcazo |
|---|---|
| Utyando Oluvulekileyo | Olu tyando lwenziwa ngokuvula umngxuma wesisu ngomngxuma omnye omde esiswini. Le ndlela ilungele ukususa iithumba ezintsonkothileyo nezinkulu. |
| Utyando lweLaparoscopic/Robotic | Olu tyando lwenziwa ngokusikwa okuncinci oku-4-6, kufakwa ikhamera kunye nezixhobo ezikhethekileyo. Ukusikwa okuncinci, ngoko ke akukho ntlungu ingako, kuphola ngokukhawuleza, kwaye kukho amanxeba amancinci. |
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, ungagcinwa kwigumbi lokhathalelo olunzulu (ICU) usuku olunye okanye ezimbini. Uya kuba nemisele yokukhupha ulwelo emzimbeni wakho kunye nemibhobho yokondla. Njengoko uphila, uya kudluliselwa kwigumbi eliqhelekileyo.
- Ukuhlala esibhedlele: Ngokwesiqhelo, kuya kufuneka uhlale esibhedlele kangangeveki.
- Ukubuyela ekhaya:
- Ukuba wenze utyando oluvulekileyo, kungathatha phakathi kweeveki ezi-4 nezi-8 ukuze uphile ngokupheleleyo.
- Ukuba lutyando lokuvula isitshixo, ukuchacha kungathatha phakathi kweeveki ezi-2 nezi-4 .
- Kubalulekile: Kuphephe ukuphakamisa izinto ezisindayo okanye ukwenza umthambo onzima ngokupheleleyo ngeli xesha. Ukuhambahamba kancinci yonke imihla kuya kunceda inkqubo yokuphiliswa.
Iingozi/Iingxaki zotyando
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokubakho. Kubalulekile ukuzazi ezi zinto.
- Usulelo:Iintsholongwane zinokwenzeka kwinxeba lotyando, imiphunga, okanye indlela yomchamo.
- Ukopha: Ingozi enkulu yotyando lwesibindi. Kusenokufuneka utofelo-gazi.
- Ukuvuza kwenyongo: Ukuba umbhobho wenyongo wonakele ngexesha lotyando, inyongo inokuvuza esiswini.
- Ukungasebenzi kakuhle kwezintso: Kwezinye iimeko, ukusebenza kwezintso kunokuchaphazeleka.
- Ukungasebenzi kakuhle kwesibindi: Yimeko enzima kakhulu enokwenzeka ukuba inxalenye eseleyo yesibindi ayisebenzi kakuhle.
- Amahlwili egazi (Deep Vein Thrombosis): Kukho umngcipheko wokuqhekeka kwegazi emilenzeni ngenxa yokuphumla ixesha elide ebhedini emva kotyando.
Ugqirha wakho uza kukuchazela ezi ngozi ngokweenkcukacha.
Iimpawu zesilumkiso ezifuna ukutyelela ugqirha
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
Lumka kakhulu ngezi mpawu. Unyango olukhawulezileyo lunokuthintela izifo ezinzulu.
- Umkhuhlane ongapheliyo ohlala iintsuku eziliqela.
- Ukopha igazi elivela kwinxeba lotyando, njengegazi okanye ubomvu .
- Ukuhlanza okanye urhudo olungapheliyo.
- Ukubonisa inkangeleko evuvukileyo nedumbileyo .
- Ukutyheli kwamehlo nolusu (i-Jaundice) .
- Ukuqunjelwa okuhlala ixesha elingaphezu kweentsuku ezintathu.
Utyando lwesibindi luyinto enkulu. Kodwa xa lwenziwe neqela elifanelekileyo lezonyango kunye nesicwangciso esicwangcisiweyo kakuhle, lunokunika wena okanye umntu onikela ngesibindi sakho ithuba elitsha. Ingakumbi kwizigulana ezinomhlaza, lunokuba lolona nyango lungcono olunokusindisa ubomi bazo.
Umyalezo Wokuya Ekhaya
- Utyando lweHepatectomy lutyando olukhulu olususa inxalenye yesibindi. Kodwa lunokunyanga izifo ezifana nomhlaza kwaye lusindise ubomi.
- Isibindi sethu sinamandla amangalisayo okuzivuselela. Inxalenye eseleyo esempilweni ekugqibeleni iya kubuyela kubukhulu bayo obuqhelekileyo.
- Inkqubo yokuphiliswa ithatha ixesha, ngoko ke yiba nomonde kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo.
- Musa utywala ngokupheleleyo emva kotyando. Buyingozi kakhulu kwisibindi.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga, ezinje ngomkhuhlane, ukuphuma kwamanzi emanxebeni, okanye ukutyheli kwamehlo, yazisa ugqirha wakho ngokukhawuleza.
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