Utyando lwe-APR: Utyando lwe-Laparoscopic Abdominoperineal Resection lomhlaza we-rectal ngokulula

Xa ugqirha wakho ekuxelela ukuba kufuneka wenze i-abdominoperineal resection, okanye i-APR, usenokuba uziva uloyiko olukhulu kunye nexhala. Usenokuba nemibuzo emininzi engqondweni yakho, efana nokuthi "Luhlobo luni lotyando olu?", "Ngaba luza kuba buhlungu kakhulu?", "Ubomi bam buza kuba njani emva kotyando?" Kuqhelekile kakhulu. Ke namhlanje, masithethe ngokuba olu tyando lwe-APR luyintoni, indlela yokululungiselela, kunye nokuba kwenzeka ntoni emva kotyando. Ukwazi ezi zinto ngokucacileyo kuya kunceda ukunciphisa uloyiko lwakho kakhulu.

Yintoni kanye kanye utyando lwe-Abdominoperineal Resection (APR)?

Ngamafutshane, oku kuquka ukususwa ngotyando i-anus yakho, i-rectum, kunye nenxalenye esezantsi yamathumbu akho amakhulu (i-sigmoid colon) . Isizathu esiphambili solu tyando kumhlaza okhula kancinci kakhulu kwi-rectum, kufutshane kakhulu ne-anus.

Kwiimeko ezininzi, usenokuba ukhe wathatha imijikelo emininzi yemitha kunye/okanye i-chemotherapy ukulawula umhlaza ngaphambi kolu tyando. Emva kokuba unyango lunciphise iiseli zomhlaza, ugqirha uza kususa yonke indawo ngolu tyando.

Ndingayilungiselela njani le nkqubo yotyando?

Ugqirha wakho uza kukukhokela ngononophelo ukuze ulungiselele oku. Uza kukubuza ngembali yakho epheleleyo yezonyango. Qiniseka ukuba uxelela ugqirha wakho ngayo nayiphi na imithi, iivithamini, okanye izongezo ozisebenzisayo ngoku.

Kwakhona, ukuba unesifo sokuphefumla xa ulele , kufuneka usixelele ngaso. Ukuba usebenzisa umatshini we-CPAP, yizise esibhedlele ngomhla wotyando.

Lwenziwa njani olu tyando?

Olu tyando lwenziwa esibhedlele, phantsi kwe-anesthesia jikelele. Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando, kwaye uya kube ulele ngokupheleleyo. Olu tyando lwenziwa ngamanyathelo aliqela aphambili.

1. Ukulungiselela ukususa iindawo zamathumbu

Okokuqala, ugqirha wenza imingxunya embalwa esiswini (i-laparoscopy), achonge aze asike imithambo yegazi ephambili ehambisa igazi kwiindawo zekholoni ukuze zisuswe. Emva koko, inxalenye esezantsi yekholoni (ikholoni ye-sigmoid) kunye ne-rectum ziyakhululwa kwizicubu ezijikelezileyo. Okulandelayo, inxalenye eza kususwa yahlulwe kwinxalenye eseleyo yekholoni ephilileyo.

2. Ukususwa kwempundu

Emva koko, ugqirha wenza olunye utyando kwindawo ye-perineal aze asuse i-anus. Oku kususa yonke i-anus, i-rectum, kunye ne-colon. Ulusu oluphezu kwe-anus luyathungwa luvalwe.

3. Ukudala iColostomy

Ngoku usenokuba uzibuza, "Indle iya kuphuma njani emva kokuba kususwe i-anus kunye ne-rectum?" Yiyo loo nto kwenziwa i -colostomy esisigxina.

Ngamafutshane, oku kuquka ukuzisa inxalenye ephilileyo yenxalenye ephezulu yekholoni yakho kumphezulu wesikhumba sakho sesisu kunye nokudala umngxuma omtsha ovulekela ngaphandle. Lo mngxuma mtsha ubizwa ngokuba yi -'stoma' . Ngokwesiqhelo ngumngxuma opinki ophakathi kwe-1 kunye ne-1 ½ intshi ngobukhulu.

Ngoku inkunkuma yomzimba wakho, oko kukuthi, ilindle nomoya, iphuma kule stoma. Kufuneka unxibe ibhegi ekhethekileyo (isikhwama se-ostomy) phezu kwayo. Le bhegi iqokelela inkunkuma. Ekubeni ungenayo i-anus, awusenawo amandla okulawula ukuhamba kwendle. Ngoko ke, kufuneka unxibe le bhegi ngamaxesha onke.

Linjani ixesha lokuchacha emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ibhegi ye-ostomy iya kubekwa phezu kwe-stoma yakho emva kotyando. Nangona kunjalo, kuya kuthatha iintsuku ezimbalwa ukuba inkqubo yakho yokugaya ukutya isebenze kwakhona. Ngoko ke uya kunikwa ulwelo lokusela ekuqaleni. Njengoko amathumbu akho eqala ukusebenza, uya kuqaliswa kancinci kancinci ukutya okuqinileyo.

Ziziphi iingenelo zokwenza olu tyando nge-laparoscopically?

Kukho iingenelo ezininzi zokwenza olu tyando nge-keyhole okanye i-laparoscopic indlela kunotyando oluvulekileyo lwendabuko.

• Amanxeba mancinci kakhulu: Endaweni yokusikwa okukodwa okukhulu, kusetyenziswa amanxeba ambalwa amancinci kuphela.
• Intlungu enciphileyo: Intlungu evakalayo emva kotyando incinci kakhulu.
• Ukopha okunciphileyo: Igazi elincinci eliphuma emzimbeni ngexesha lotyando.
• Umngcipheko oncitshisiweyo weengxaki:Amathuba okuba kubekho izinto ezifana nokosuleleka ngamanxeba mancinci.
• Ukuchacha ngokukhawuleza: Ixesha lokuhlala esibhedlele lifutshane, kwaye ungabuyela kubomi obuqhelekileyo ngokukhawuleza.

Ziziphi iingxaki ezinokubakho ngenxa yolu tyando?

Njengalo naluphi na utyando, kukho iingozi ezincinci, kodwa ezi azibonakali rhoqo.

• I-hernia ye-perineal inokwenzeka xa ulusu lutsalwa emva kokuba i-anus isusiwe. Ukuba kuyimfuneko, oku kungalungiswa ngotyando olunye.
• Ukopha kakhulu.
• Iingxaki ezinxulumene nokusikwa (amanxeba ayadumba, awaphili).
• Xa inxeba liphola, kusala umngxuma omncinci eluswini (i-perineal sinus).

Ukuba kwenzeka into efana nale, oogqirha bayayilawula ngonyango olufana nokunika amayeza okubulala iintsholongwane okanye, ukuba kuyimfuneko, benze utyando oluncinci, kuxhomekeke kubukhali bayo.

Kudla ngokuthatha iiveki ezintathu ukuya kwezintandathu ukuze uphile ngokupheleleyo kolu tyando. Nangona kunjalo, eli xesha linokwahluka ngokuxhomekeke kwizinto ezifana nempilo yakho iyonke. Buza ugqirha wakho ukuba ungabuyela nini emsebenzini.

Kuqhelekile ukuziva uxhalabile kwaye ukhathazekile malunga nokuba kufuneka wenze utyando olukhulu kangaka. Ngoko ke, vuleleka kugqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo. Kwakhona, ukuba ungajoyina amaqela enkxaso nabantu abaye benza utyando olunjalo kwaye ngoku bayaphola, uya kufumana amandla engqondo nesibindi kumava abo.