Ngaba ugqirha wakho ukuxelele okanye umntu omaziyo ukuba udinga utyando lomhlaza werectal? Kuqhelekile ukuba novalo kwaye uxhalabile ngexesha elinje. Ingakumbi xa usazi ukuba lutyando olukhulu olufana ne-'APR'. Kodwa ungakhathazeki. Ukuba nolwazi olupheleleyo malunga nolu hlobo lotyando kunokunciphisa kakhulu uloyiko lwakho. Namhlanje, siza kuthetha ngokuba yintoni i-APR, indlela yokuyilungiselela, kunye nento omawuyilindele emva kotyando.
Ngamafutshane, yintoni le nkqubo yotyando lwe-APR?
Utyando lwe-Abdominoperineal, olukwaziwa ngokuba yi-APR, lutyando olukhulu olwenziwa ngokuyintloko ukunyanga umhlaza we-rectum esezantsi. Lutyando oluntsonkothileyo.
Cinga ngako oku, inxalenye yokugqibela yenkqubo yethu yokugaya ukutya yi-anus kunye ne-rectum. Ngokuxhomekeke ekubeni umhlaza ukuphi na, ukuze kususwe ngokupheleleyo iiseli zomhlaza, indawo ejikelezileyo nayo inokufuneka isuswe. Ukuze kube yinyani, ngexesha lenkqubo ye-APR, ugqirha wakho uza kwenza izinto ezimbalwa ezibalulekileyo:
- Impundu yakho, umngxuma ophuma kuwo ilindle, isusiwe ngokupheleleyo kwaye loo ndawo ithungiwe.
- I-rectum yakho, inxalenye yokugqibela yamathumbu akho amakhulu, isusiwe.
- Inxalenye yekholoni yakho nayo iya kususwa.
Ngoku usenokuba uzibuza, "Ndiza kuyikhupha njani indle ke ngoko?" Ewe, ngulo mahluko mkhulu kolu tyando. Ngenxa yokuba i-anus isusiwe, kufuneka kudalwe indlela entsha yokuphuma kwendle emzimbeni. Yiyo loo nto kwenziwa i -colostomy esisigxina .
Ngamafutshane, inxalenye eseleyo yekholoni yakho iyathathwa kwaye isiphelo sayo siqhagamshelwe kumphezulu wesikhumba sesisu sakho. Lo mngxuma ubizwa ngokuba yi-'stoma' . Emva koko, ibhegi ekhethekileyo (ibhegi ye-ostomy) incamathiselwa kule stoma. Indle yakho ingena ngqo kule bhegi. Oku kusenokuba yinto entsha ekuqaleni, kodwa uya kuqhelana nako ngokuhamba kwexesha. Kukho abasebenzi abakhethekileyo bokukunceda ngale nto.
Eyona nto ibalulekileyo kukuba olu tyando lwenzelwe ukunyanga umhlaza ngokupheleleyo. Ngoko ke umceli mngeni kukuqhelana nokuphila ngolu tshintsho.
Sizilungiselela njani ngaphambi kotyando?
Ekubeni i-APR ilutyando olukhulu, kubaluleke kakhulu ukuyilungiselela. Iqela lakho lezonyango liza kukuchazela yonke into. Nazi ezinye zezinto ezinokwenzeka ngeli xesha lokulungiselela.
| Amanyathelo okulungiselela | Kwenzeka ntoni kuyo? |
|---|---|
| Uvavanyo lwezonyango | Uvavanyo lwegazi, ii-CT scans, kunye nee-MRI scans zingenziwa ukuze kubonwe ukuba umzimba wakho unako na ukumelana notyando. |
| Ukudibana neqela lezonyango | Uza kudibana nogqirha we-anesthesia, abanye oogqirha botyando, kunye nabo bajongana nempilo yakho. |
| Intlanganiso noMhlengikazi we-Ostomy | Eli lidinga elibaluleke kakhulu . Lo mongikazi uza kukunceda ukhethe indawo efanelekileyo yestoma yakho, akufundise indlela yokuyinyamekela, aze atshintshe ingxowa yakho. Ungoyiki ukubuza nayiphi na imibuzo onokuba nayo. |
| Utshintsho kwindlela yokuphila | Ukuba uyatshaya, uza kucelwa ukuba uyeke ukutshaya kwiiveki ezimbalwa ngaphambi kotyando. Uza kucelwa ukuba uphephe utywala. Ezi zinto ziza kunceda kakhulu inkqubo yokuphiliswa. |
| Ukwazisa ngamayeza athathiweyo | Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Amanye amayeza anokufuneka amiswe ngaphambi kotyando. |
| I-Apnea yokulala | Ukuba unesifo sokungalali kakuhle, qiniseka ukuba uxelela ingcali yakho ye-anesthesiologist. Ukuba usebenzisa umatshini we-CPAP, baya kukucela ukuba uwuzise esibhedlele ngomhla wotyando. |
| Ukutya kunye nokucoca amathumbu | Uza kucelwa ukuba utye ulwelo kuphela ngosuku olungaphambi kotyando. Ngentsasa yotyando, uza kunikwa ulwelo olukhethekileyo (ukulungiselela amathumbu) ukuze ucoce amathumbu akho ngokupheleleyo. |
Kwenzeka ntoni ngexesha lotyando?
Ngenxa yokuba uphantsi kwe-anesthesia eqhelekileyo, awuyi kuva nto ngexesha lotyando. Uza kube ulele ubuthongo. Iqela logqirha liza kwenza olu tyando kangangeeyure ezininzi.
Olu tyando lunokwenziwa ngeendlela ezimbini:
1. Utyando Oluvulekileyo: Le ndlela yendabuko yenziwa ngokusikwa kube kanye okude esiswini.
2. Utyando lweLaparoscopic/Robotic: Le ndlela yenziwa ngokusika kancinci esiswini, kusetyenziswa ikhamera kunye nezixhobo ezikhethekileyo. Le ndlela inexesha elifutshane lokuchacha kwaye ayibuhlungu kangako.
Ngexesha lotyando, ugqirha ususa i-rectum, i-anus, kunye nenxalenye yekholoni apho umhlaza ukhoyo. Kwangaxeshanye, ii-lymph nodes ezijikeleze loo ndawo nazo ziyasuswa. Oku kungenxa yokuba ezi lymph nodes zilapho iiseli zomhlaza zinokusasazeka khona. Emva koko, njengoko bekuxoxiwe ngaphambili, i-stoma yenziwa esiswini kwaye ulusu apho i-anus yayikhona luthungwa luze luvalwe.
Ziziphi iingxaki ezinokubakho emva kotyando?
Ekubeni i-APR ilutyando olukhulu, njengalo naluphi na utyando olukhulu, kukho iingozi ezithile ezibandakanyekileyo. Kodwa ungakhathazeki, iqela lezonyango lenza konke okusemandleni alo ukunciphisa ezi ngozi. Kubalulekile ukuqaphela iingxaki ezinokubakho.
- Ukopha: Ukopha kungenzeka kwindawo yotyando.
- Usulelo: Usulelo lunokwenzeka emanxebeni okanye ngaphakathi emzimbeni.
- Amahlwili egazi: Amahlwili egazi anokwenzakala emilenzeni aze aye emiphungeni. Ukuthintela oku, uyacetyiswa ukuba uhambe ngokukhawuleza emva kotyando.
- Ukonakala kwamalungu angqongileyo: Kukho ithuba elincinci lokonakala kwamalungu ajikeleze indawo yotyando, njengesinyi.
- Iingxaki ezinxulumene ne-anesthesia: Umngcipheko weengxaki ezinzima ezifana ne-pneumonia, ukuhlaselwa yintliziyo, kunye nesifo sohlangothi uphantsi kakhulu, kodwa kulungile ukuzazi.
Ngamanye amaxesha, kukho iingxaki ezihlala ixesha elide ezenzeka ngokuhamba kwexesha. Umzekelo, i-hernia inokukhula ijikeleze i-stoma. Kukwakho nokwenzeka kwe-perineal hernia apho i-anus isusiwe khona.
Kwenzeka ntoni esibhedlele emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, iqela lezonyango liza kukunyamekela kakuhle ukuchacha kwakho.
- Iityhubhu kunye neetyhubhu: Kuza kufakwa i-catheter yokukhupha umchamo wakho. Ityhubhu yokukhupha iza kufakwa esiswini sakho ukuze kukhutshwe naluphi na ulwelo oluqokelelwa kwindawo yotyando. Ezi ziza kususwa kwiintsuku ezimbalwa.
- Izibulali-ntlungu:Uza kunikwa amayeza xa kufuneka ukulawula iintlungu.
- Ukutya: Emva kotyando, uza kunikwa iziselo oza kuzisela kuqala. Ungaqala ukutya ukutya okuthambileyo okufana nesuphu kunye neyogathi ngosuku olulandelayo.
- Ukuhamba: Ukuphuma ebhedini ngokukhawuleza nokuhambahamba kubaluleke kakhulu kwinkqubo yokuphiliswa. Kunokunceda ukuthintela izinto ezifana nokuqhekeka kwegazi.
- Uqeqesho lwe-Ostomy: Olu lolona qeqesho lubalulekileyo oza kulufumana esibhedlele. Umongikazi we-ostomy uza kuza akufundise indlela yokunyamekela i-stoma yakho entsha, ukutshintsha isikhwama, kunye nokugcina ulusu lwakho lucocekile. Ungoyiki ukubuza ngokuphindaphindiweyo ude uqonde. Cela ilungu losapho ukuba lize nawe ngeli xesha. Ngaleyo ndlela, uya kuba nomntu oza kukunceda xa ugoduka.
Uza kuvunyelwa ukuba uye ekhaya xa ukwazi ukutya ukutya okuthambileyo, ukulawula iintlungu ngamayeza asekhaya, kwaye uzive uqinisekile ukuba unganyamekela i-ostomy yakho wedwa.
Linjani ixesha lokuchacha emva kokubuyela ekhaya?
Kuza kuthatha ixesha ukuba uphile ngokupheleleyo emva kokuba ubuyele ekhaya. Ngeli xesha, mamela umzimba wakho. Ukuba udiniwe, phumla.
| Izinto ekungamele zenziwe | Isizathu kunye neengcebiso |
|---|---|
| Ukuma emanzini | Akuyonto ilungileyo ukuhlamba okanye ukusebenzisa ichibi lokudada de amanxeba aphole. Kodwa ukuhlamba kulungile. |
| Ukwenyusa iintsimbi | Musa ukuphakamisa iintsimbi kangangeeveki ezi-6-8. Ukuphakamisa iintsimbi kwandisa umngcipheko wokuba ne-hernia. |
| Ukuqhuba | Musa ukuqhuba ude uthathe amayeza okudambisa iintlungu. Kwakhona, musa ukuqhuba ude uqiniseke ukuba ungazikhwela ngokukhawuleza xa kukho imeko engxamisekileyo. |
Ukuba usebenza, kungathatha iiveki ezimbalwa okanye inyanga ukubuyela emsebenzini, kuxhomekeke kwindlela ophola ngayo ukwenzakala kwakho kunye nohlobo lomsebenzi wakho.
Uzakufowunela nini ugqirha
Ukuba uneengxaki ngexesha lokuchacha kwakho, fowunela ugqirha wakho okanye isibhedlele apho wenze khona utyando lwakho ngoko nangoko. Qiniseka ukuba uxela naziphi na kwezi mpawu zilandelayo:
- Intlungu ebuhlungu esiswini engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu.
- Umkhuhlane. Umkhuhlane ongama-38.6 degrees Celsius (101.5 Fahrenheit) okanye ngaphezulu.
- Ukuba ukuhlanza kunye nesicaphucaphu kuyaqhubeka.
- Ukuqhinwa okanye urhudo.
- Ukuba iindawo ezisikiweyo zibomvu, zidumbile, okanye zibuhlungu .
- Ukuba unengxaki okanye uneengxaki nge-ostomy yakho .
Utyando lwe-APR lutshintsho olukhulu ebomini. Kuya kuthatha ixesha ukuqhela. Thetha nogqirha wakho, usapho, kunye nabahlobo malunga neenkxalabo zakho, uloyiko kunye neemvakalelo zakho. Akunyanzelekanga ukuba uhambe wedwa kolu hambo.
Umyalezo Wokuya Ekhaya
- I-APR (Abdominoperineal Resection) lutyando olubalulekileyo nolusindisa ubomi kumhlaza werectal.
- Kolu tyando, i-anus kunye ne-rectum ziyasuswa, kwaye kwenziwa umngxuma osisigxina (i-colostomy) esiswini ukuze kudlule indle.
- Ukulungiselela kakuhle ngaphambi kotyando nokuphepha ukutshaya notywala kunceda kakhulu kwinkqubo yokuphiliswa.
- Nangona ukufunda indlela yokunyamekela i-ostomy ekuqaleni kunokuba nzima, ekuhambeni kwexesha inokuba yinxalenye yobomi bemihla ngemihla. Ngoncedo lwabahlengikazi abaqeqeshwe ngokukodwa,
- Landela imiyalelo kagqirha wakho ngononophelo ngexesha lokuchacha kwakho. Kuphephe ukuphakamisa izinto ezinzima. Ukuba ufumana naziphi na iingxaki, yazisa ugqirha wakho ngoko nangoko.
- Olu luhambo olunzima, ngokwasemzimbeni nangokwengqondo. Musa ukuthandabuza ukufuna inkxaso kwiqela lakho lezonyango, kusapho, nakubahlobo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho