Khawucinge nje ukuba umthambo wegazi omncinci kakhulu, ongabonakaliyo okanye umthambo wegazi emzimbeni wakho ungasikwa ngengozi, ngaba ungaphinda unamathele? Abantu abaninzi banokucinga ukuba akunakwenzeka. Kodwa impendulo ithi, "Ewe, kunokwenzeka." Yiloo nto siyibiza ngokuba yi-'microsurgery' yolu tyando lunobuthathaka nolunzima. Makhe sithethe ngale nto namhlanje.
Yintoni utyando oluncinci?
Ngamafutshane, utyando lwe-microsurgery yindlela ekhethekileyo yotyando esebenzisa imakroskopu enamandla kakhulu yokusebenza kunye nezixhobo ezibuthathaka kakhulu ukulungisa okanye ukwakha kwakhona iindawo ezincinci kakhulu zomzimba wethu, njengemithambo yegazi kunye nemithambo-luvo, ezincinci kune-millimeter.
Eyona njongo iphambili yoku kukubuyisela ukusebenza kwelungu lomzimba elilahlekileyo ngenxa yengozi, umhlaza, okanye esinye isizathu. Olu tyando lungenziwa naphi na emzimbeni.
Ziziphi iimeko ezifuna utyando oluncinci?
Le ndlela iqwalaselwa kwiimeko apho iindlela zotyando eziqhelekileyo zingasebenzi. Kukho iimeko ezininzi eziphambili apho oku kuyimfuneko khona. Makhe sibone ukuba zeziphi.
| Imeko | Ukucacisa ngomzekelo... |
|---|---|
| Ukonzakala komzimba | Ukugcinwa kwamalungu omzimba kubandakanya ukubopha kwakhona inxalenye yelungu, njengomnwe, isandla, okanye umlenze, eqhawulwe ngokupheleleyo ngenxa yokuwa okanye enye ingozi enkulu. Oku kubandakanya ukuxhuma kwakhona imithambo yegazi emincinci kakhulu kunye nemithambo-luvo. |
| Ngenxa yoMhlaza | Ukuvala umsantsa oshiywe sisisu esinomhlaza. Oku kuquka ukuthatha ulusu, amafutha, izihlunu kunye nemithambo yegazi kwenye indawo ephilileyo yomzimba (umz., ithanga, umqolo) uze uyifake kwindawo evulekileyo. Oku kubizwa ngokuba 'kukudluliselwa kwezicubu ngokukhululekileyo' . |
| Izinto Ezingaqhelekanga Zokuzalwa | Abanye abantwana banokuzalwa benokukhubazeka kwiindawo ezithile zomzimba. Le ndlela ikwasetyenziselwa ukulungisa ezo zinto. |
| Ukulungiswa kweNkqubo yeLymphatic | I-Lymphedema yenzeka emva kotyando oluthile lomhlaza. Oku kubangelwa kukonakala kwemithambo ye-lymph. Utyando oluncinci lukwasetyenziselwa ukulungisa le mithambo ye-lymph eyonakeleyo necolekileyo. |
Yintoni 'iflap'?
Usenokuba ufumene igama elithi 'flap' kumzekelo ongaphambili. Kalula nje, 'flap' sisiqwenga sesicwili esithathwe kwinxalenye ethile yomzimba wakho, kunye nokunikezelwa kwegazi (imithambo yegazi) . Esi siqwenga sesicwili sinokuqulatha into enye okanye ezingaphezulu, njengolusu, amafutha, okanye izihlunu. Emva koko ugqirha otyandayo uthatha esi siqwenga sesicwili, asibeke kwindawo ayifunayo, aze asinamathisele kwimithambo yegazi emitsha phantsi kwe-microscope. Oku kuvumela isicwili ukuba sifumane ukondliwa kwaye sisinde.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kokuba wenze olu tyando, kuya kufuneka ubone ugqirha ochwephesha (ukubonisana). Apho,
- Ugqirha wakho uza kuxoxa ngempilo yakho kunye nembali yakho yezonyango ngokupheleleyo.
- Baza kuxoxa ngento oyilindeleyo kolu tyando.
- Mhlawumbi baza kuthatha iifoto ukuze babone umahluko ngaphambi nasemva kotyando.
- Okubaluleke kakhulu, uya kwaziswa ngokucacileyo malunga neengozi kunye nemiphumo emibi enokubakho yolu tyando.
- Uza kunikwa nemiyalelo yendlela yokulungiselela utyando kunye nendlela yokuchacha emva kotyando.
Eli lelona xesha lifanelekileyo lokubuza ugqirha wakho ngayo nayiphi na imibuzo, iinkxalabo, okanye amathandabuzo onokuba nawo. Musa ukufihla nantoni na kuwe.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando lwenziwa esibhedlele. Uphantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuziva ntlungu, ulele .
Indlela okwenziwa ngayo utyando iyahluka ngokuxhomekeke kwinto eyenziwayo. Umzekelo, ukuba senza utyando lokudlulisa izicubu esathetha ngalo ngaphambili,
1. Okokuqala, ugqirha otyandayo ususa ngononophelo isicwili esifunekayo (i-flap) kwinxalenye esempilweni yomzimba wakho (indawo enikelayo) kunye nemithambo yegazi yayo.
2. Emva koko, kwenziwa olunye utyando kwaye indawo iyalungiswa apho izicubu ziza kufakelwa khona.
3. Ekugqibeleni, izicubu ezisusiweyo zibuyiselwa kwindawo yazo yokuqala, kwaye imithambo yegazi emincinci ekuyo ityalwa ngononophelo phantsi kwemakroskopu kwimithambo yegazi ekule ndawo intsha.
4. Nje ukuba yonke into idityaniswe kakuhle, amanxeba ayavalwa kwaye kufakwe izititshi. Ezinye zezi zititshi zinokunyibilika, okanye kusenokufuneka zinqunyulwe kamva.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, iqela lezonyango liza kukunyamekela kakuhle.
- Ingakumbi ukuba kwenziwe utyando lokufakelwa izicubu, ukuhamba kwegazi kwizicubu ezifakelweyo kuya kuhlolwa ngokusondeleyo . Iiyure ezingama-24 zokuqala emva kotyando zibaluleke kakhulu koku.
- Kungathatha iinyanga ezininzi ukuphiliswa ngokupheleleyo nokubona iziphumo zokwenyani zotyando.
- Ngokuqinisekileyo kufuneka uye kwiikliniki ngeentsuku ugqirha akuxelele zona ukuze ubone ukuba amanxeba akho aphola kakuhle na.
- Awuyi kukwazi ukuqhuba imoto, ukusebenza, okanye ukuya esikolweni okwethutyana emva kotyando.
Zithini iingozi zotyando oluncinci?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile. Ugqirha wakho uza kukuchazela ezi zinto kwangaphambili.
| Umngcipheko/Ingxaki | Ingcaciso elula |
|---|---|
| Ukopha | Ukopha kwindawo yotyando. |
| Usulelo | Iintsholongwane ezingena emanxebeni. |
| Ukulahleka kwezicubu/i-Necrosis | Ukuba igazi eliya kwizicubu ezifakelweyo liyanqanyulwa, izicwili zinokufa. Le yingxaki enkulu kakhulu. |
| Ukuba ndindisholo | Ukuncipha okanye ukulahleka kwemvakalelo ngenxa yomonakalo wemithambo-luvo kwindawo yotyando. |
| Amanxeba | Amanxeba ahlala ekhona emva kokuba amanxeba epholile. |
| Unyango olungalinganiyo | Ingakumbi kwiindlela zotyando lobuso, omabini amacala awaphili ngokulinganayo. |
| Kufuneka kwenziwe utyando olongezelelekileyo | Ngamanye amaxesha, ngenxa yeengxaki okanye ukufezekisa iziphumo ezifunekayo, kunokufuneka utyando olongezelelweyo. |
Ndingalufuna nini uncedo lwezonyango?
Kubaluleke kakhulu ukwazi ukuba wenze ntoni xa kuvela ingxaki xa ubuyela ekhaya emva kotyando.
| Ukuba unale mpawu, thetha nogqirha wakho. | |
|---|---|
| ⚫ | Ukuba kukho intlungu okanye ukudumba okukhulu kwindawo yotyando. |
| ⚫ | Ukuba inxeba libomvu kwaye libonisa iimpawu zosulelo, ezifana nobomvu. |
| Ukuba unale mpawu, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. | |
| 🔴 | Ukuba unentlungu esifubeni. |
| 🔴 | Ukuba ukubetha kwentliziyo kuba yinto engahambelaniyo. |
| 🔴 | Ukuba unengxaki yokuphefumla. |
Utyando lweMicrosurgery luphuculo olukhulu kwisayensi yezonyango. Namhlanje, kuye kwenzeka ukunyanga izinto ezininzi ebezicingelwa ukuba azinyangeki kwaye kubuyiselwe imisebenzi elahlekileyo.
Umyalezo Wokuya Ekhaya
- Utyando lweMicrosurgery yindlela ekhethekileyo yotyando eyenziwa phantsi kwemicroscope ukulungisa imithambo yegazi kunye nemithambo-luvo emincinci kakhulu ukuba ingabonwa ngamehlo enyama.
- Isetyenziswa kakhulu kwiimeko ezifana neengozi ezinkulu, ukwakhiwa ngokutsha emva kotyando lomhlaza, kunye neziphene zokuzalwa.
- Ngenxa yokuba olu lutyando oluntsonkothileyo kakhulu, kukho iingozi ezinxulumene nalo. Xoxa ngako konke oku ngononophelo nogqirha wakho ngaphambi kotyando.
- Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo, kwaye kubaluleke kakhulu ukulandela imiyalelo yezonyango ngokuchanekileyo.
- Khangela iimpawu ezilumkisayo emva kotyando, ezifana neempawu zosulelo, iintlungu eziqatha, okanye ubunzima bokuphefumla. Funa ingcebiso kagqirha ngokukhawuleza ukuba oku kuyenzeka.
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