Ukuba wena okanye umntu omaziyo utyando lokususa inxalenye yekholoni yakhe, kuyinto eqhelekileyo ukuba uzive unexhala kwaye unomdla. Ingakumbi xa isigama sinzima kancinci. Olunye utyando olunjalo lubizwa ngokuba yi-laparoscopic proctosigmoidectomy. Nangona igama lisenokuvakala lisoyikisa, masithethe ngentsingiselo yalo elula. Khawuthelekelele umhlobo onolwazi ekuchazela lona.
Kutheni kwenziwa olu tyando? Zithini izizathu zoku?
Ngamafutshane, olu tyando lubandakanya ukusika nokususa inxalenye enesifo yekholoni yakho kunye ne-rectum. Ngokukodwa, inxalenye enomfanekiso-S yekholoni yakho, ikholoni ye-sigmoid , kunye nenxalenye ephezulu ye-rectum yakho engaphantsi kwayo.
Oogqirha bacebisa olu tyando ikakhulu njengonyango lweemeko ezithile zonyango. Makhe sibone ukuba zeziphi ezo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza wamathumbu amakhulu kunye nomhlaza wamathumbu amakhulu | Ukuba iiseli zomhlaza zisasazeke kwezi ndawo zamathumbu, olu tyando lwenziwa ukuze kususwe ngokupheleleyo indawo enesifo. |
| Ukukhula okungenamhlaza | Ngamanye amaxesha, izinto ezifana neepolyps, ezingezizo ezomhlaza kodwa ezinokubangela iingxaki, zinokuvela kwezi ndawo. Le ndlela ikwasetyenziselwa ukuzisusa. |
| I-diverticulitis enzima | Kulapho kwakheka khona iingxowa ezincinci eludongeni lwamathumbu, ezithi zisuleleke, zibole, kwaye ngamanye amaxesha ziqhume. Kwimeko enzima kangaka, inxalenye eyonakeleyo kufuneka isuswe. |
Lithetha ukuthini igama elithi 'laparoscopic'?
Nantsi into ekhethekileyo ngolu tyando. Igama elithi 'Laparoscopic' lithetha ' utyando lwe-keyhole ', njengoko sonke sisazi. Endaweni yokwenza umsikelo omde esiswini sakho njengangaphambili, ugqirha wenza imisikelo embalwa emincinci kakhulu (malunga ne-5-10 millimeters) esiswini sakho aze enze utyando ngaloo mingxunya.
Oku kuquka ukusebenzisa isixhobo esincinci esifana netyhubhu esibizwa ngokuba yi- laparoscope esinekhamera encinci eqhotyoshelweyo kuso. Xa oku kufakwa esiswini, ugqirha angabona amalungu angaphakathi esiswini ngokucacileyo kwisikrini aze enze utyando ngokuchanekileyo. Iingenelo zale ndlela kukuba ayibuhlungu kangako, iphola ngokukhawuleza, kwaye ayishiyi silonda sikhulu.
Khawuthelekelele, endaweni yokuvula ucango olukhulu ungene endlwini, okwenzekayo kufana nokukroba ngesitshixo usebenzisa izixhobo ezincinci ukwenza umsebenzi ngaphakathi endlwini.
Ngawaphi amanyathelo amahlanu aphambili kutyando?
Olu tyando ludla ngokuba namanyathelo amahlanu aphambili. Masiwaqonde ngalinye ngalinye ngokulula.
1. Ukufakwa kwe-laparoscope kunye nezixhobo
Okokuqala, uza kunikwa i-anesthesia eqhelekileyo, ukuze ungaziva nto ngexesha lotyando, uza kube ulele ngokupheleleyo. Emva koko, ugqirha uza kwenza umngxuma omncinci malunga nesentimitha kufutshane nenkaba yakho (iqhosha lesisu) aze afake ikhamera ye-laparoscopic ngayo esiswini sakho. Ngoku uyakwazi ukubona ngaphakathi esiswini sakho. Emva koko, uza kwenza umngxuma omncinci omalunga nesihlanu okanye ezintandathu ukufaka ezinye izixhobo ezithambileyo ezifunekayo kolu tyando.
2. Ukukhulula inxalenye yamathumbu enesifo
Ngoku kufuneka sinqumle i-sigmoid colon enesifo kunye nenxalenye ye-rectum. Kodwa ngaphambi koko, kufuneka sikhulule loo nxalenye kwezinye izicwili.
Amathumbu ethu aqhagamshelwe eludongeni lwesisu nge-membrane ebizwa ngokuba yi- mesentery . Ngaphakathi kolu qweqwe kukho imithambo yegazi ephambili (imithambo yegazi) ehambisa igazi kuloo nxalenye yamathumbu. Ugqirha usika ngononophelo le mithambo yegazi, ayivale (ukuze ayeke ukopha). Emva koko, inxalenye yamathumbu enesifo iyakhululwa kolu qweqwe. Ekugqibeleni, inxalenye yamathumbu echaphazelekayo isuswa kunye nenxalenye yamathumbu enesifo.
Ngamanye amaxesha, ukuba yonke i-rectum kufuneka isuswe, ibizwa ngokuba yi-Total Proctosigmoidectomy.
3. Ukulungiselela ukubuyiselwa kwamathumbu kwakhona
Emva kokuba inxalenye enesifo isusiwe, iindawo ezimbini eziseleyo zamathumbu kufuneka ziphinde zihlanganiswe. Oku kuthetha ukuba isiphelo esisempilweni sekholoni phezulu kufuneka sidityaniswe nesiphelo esisempilweni se-rectum eseleyo ezantsi.
Ukuze enze oku, ugqirha ukhupha inxalenye ephilileyo yamathumbu kwi-mesentery, ukuze itsalwe lula. Ukhupha nenxalenye eseleyo ye-rectum. Ezi zimbini zinokudityaniswa. Kwimeko yomhlaza, inxalenye eseleyo ye-rectum iyahlanjwa ize icocwe ngesisombululo esikhethekileyo sokunciphisa ukusasazeka kweeseli zomhlaza .
4. Ukususwa kwenxalenye yamathumbu enesifo emzimbeni
Ngenxa yokuba imingxunya 'yesitshixo' incinci kakhulu, inxalenye esikiweyo yamathumbu amakhulu ayinakususwa ngayo. Kusetyenziswa inkqubo ekhethekileyo koku. Ugqirha wenza enye yemingxunya yokuqala ibe nkulu kancinci aze afake ingxowa ekhethekileyo esiswini ngayo. Emva koko, inxalenye esikiweyo yamathumbu ifakwa ngaphakathi kwengxowa kwaye ingxowa itsalwa ngononophelo.
5. Ukudibanisa kwakhona iziphelo ezimbini zamathumbu (i-Anastomosis)
Eli linyathelo lokugqibela nelona libalulekileyo lotyando. Inkqubo yokudibanisa iziphelo ezimbini eziphilileyo zamathumbu ibizwa ngokuba yi-anastomosis ngokwezonyango.
Ngenxa yesi sizathu, ugqirha ufaka isixhobo esikhethekileyo sokuxhoma nge-anus. Esi sixhobo sitshisa indandatho yee-staples, sincamathisele iziphelo zombini zamathumbu. Emva koko ugqirha uhlola ukuba akukho kuvuza kwindawo yokudibanisa aze ahlambe kakuhle isisu.
Ngamanye amaxesha, 'idrayivu', ityhubhu encinci, inokubekwa kangangeentsuku ezimbalwa emva kotyando ukunceda ekukhupheni naluphi na ulwelo oluqokelelana ngaphakathi. Ekugqibeleni, zonke iziqwenga zivalwa ngemithungo okanye ngeteyipu ekhethekileyo.
Linjani ixesha lokuchacha emva kotyando?
Ixesha lokuchacha emva kotyando libaluleke njengempumelelo yotyando.
- Kuphephe ukuphakamisa iintsimbi: Kufuneka uyeke ngokupheleleyo ukuphakamisa iintsimbi nokwenza umthambo ocinezela isisu sakho (njengokuhlala phantsi) kangangeeveki ezi-6 emva kotyando.
- Ukuhambahamba kuhle: Kancinci kancinci yonyusa inqanaba lakho lomsebenzi emva kokuba ufikile ekhaya. Ukuhambahamba yeyona ndlela ilungileyo onokuyisebenzisa ngeli xesha. Ukuhambahamba kukunika amandla, kuphucula ukujikeleza kwegazi kwaye kuthintela ukuqhekeka kwegazi, kwaye kunceda ukugcina imiphunga yakho isempilweni.
- Ukutya Neziselo: Ungatya uninzi lokutya xa ubuyela ekhaya. Nangona kunjalo, kufuneka uphephe ukutya iziqhamo nemifuno eluhlaza okwethutyana. Kungcono ukulandela ukutya "okuthambileyo" ude ubone ugqirha wakho emva kotyando (ukuhlolwa emva kotyando). Ukuba unesiphene ngenxa yolu hlobo lokutya, fowunela ugqirha wakho ngoko nangoko ukuze akunike ingcebiso.
- Eminye imithambo: Ukuba ubuzilolonga ngaphambi kotyando, ungaqalisa kwakhona ukuzilolonga xa uzive ukhululekile aze ugqirha wakho athi, "Kulungile, qala ngoku."
Eyona nto ibalulekileyo kukumamela umzimba wakho. Ukuba uziva udiniwe, phumla. Ukuba unemibuzo, ungayigcini kuwe kwaye uthethe nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Laparoscopic proctosigmoidectomy lutyando 'lokuvula isithuba' olususa indawo enesifo kwikholoni. Endaweni yokusika okukhulu, kusetyenziswa imingxunya embalwa emincinci.
- Olu tyando lwenziwa ikakhulu njengonyango lweemeko ezinje ngomhlaza wamathumbu amakhulu, iithumba ezingezizo zomhlaza, kunye ne-diverticulitis enzima.
- Indlela 'yokuvula umngxuma' ibangela ukuba iintlungu zingabi ninzi, ukuhlala ixesha elifutshane esibhedlele, ukuchacha ngokukhawuleza, kunye nokuncipha kwamanxeba.
- Kubalulekile ukuphepha ukuphakamisa iintsimbi kangangeeveki ezi-6 emva kotyando kwaye wenze umthambo olula njengokuhamba.
- Ukuba unombuzo malunga nokutya okanye nantoni na enye, ungaqashi.Soloko ucela ingcebiso kugqirha wakho okanye kugqirha wakho.
I-Laparoscopy, utyando lwe-keyhole, utyando lwe-colon , umhlaza we-rectal, i-sigmoid colon, i-proctosigmoidectomy sinhala, i-laparoscopy sinhala
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