Ngaba ugqirha wakho ukuxelele okanye umntu omaziyo ukuba kufuneka wenze utyando olubizwa ngokuba yi-"Nephroureterectomy"? Xa usiva elo gama, woyika kancinci, wawungakwazi ukuqonda ukuba yintoni, akunjalo? Kuqhelekile kakhulu. Xa sisiva amagama anje, sinemibuzo emininzi. Ngoko ke namhlanje, masithethe ngolu tyando, ngokulula, ngendlela onokuyiqonda, njengokuthetha nomhlobo.
Okokuqala, yintoni iNephroureterectomy?
Kulungile, eli ligama elide nelingaqhelekanga, akunjalo? Masilihlalutye? Emva koko kulula kakhulu ukuliqonda.
- I-Nephro- (nephros): Eli livela kwigama lesiGrike elithi "nephros." Intsingiselo yalo elula yi "izintso" okanye into enxulumene nezintso.
- Umchamo: Le yi "ureter" yethu. Ngokuchanekileyo, yityhubhu encinci ethwala umchamo owenziwe kwizintso ukuya kwisinyi.
- -ectomy (-ektomi): Eli ligama lesiGrike. Lithetha "ukusika." Oko kukuthi, ukususa ngotyando.
Ngoku, masibone ukuba kuthetha ukuthini konke oku. I-Nephroureterectomy yinkqubo yotyando esusa izintso kunye ne-ureter yonke. Enye into isuswa ngexesha lotyando. Leyo yingcezu encinci yezicubu apho i-ureter iqhagamshela khona kwisinyi. Ibizwa ngokuba yi-bladder cuff .
Ngamafutshane, olu tyando lususa amalungu amathathu omzimba wakho:
1. Intso enye
2. Lonke umzila womchamo odibene neso sintso
3. Isiciko sesinyi, iqhekeza elincinci lesicubu apho i-urethra idibana khona nesinyi
Kutheni kufuneka wenze olu hlobo lotyando?
Amaxesha amaninzi, ugqirha uya kucebisa olu tyando ukuba unomhlaza we-transitional cell, okwaziwa ngokuba ngumhlaza we-urothelial .
Lo mhlaza ukhula kwizicubu ezingaphakathi kwenkqubo yethu yomchamo. Oko kukuthi, unokukhula kwizintso, kwii-ureters, nakwi-bladder. Ingakumbi ukuba lo mhlaza ukhula kwicandelo eliphezulu lenkqubo yomchamo, oko kukuthi, kwizintso okanye kwii-ureters, kukho ithuba elikhulu lokuba iiseli zomhlaza ziya kusasazeka ziye kwi-bladder.
Ukuze kuthintelwe loo mngcipheko ngokupheleleyo, izintso ezinomhlaza, i-ureter yonke edibene nayo, kunye neqhekeza elincinci lesinyi zonke zisuswa ngaxeshanye. Kufana nokususa ingxaki kuqala.
Olu lutyando "oluqatha".Iphathwa ngolo hlobo. Utyando olukhulu lubandakanya ukususa kungekuphela nje umhlaza kodwa nazo naziphi na izicwili okanye amalungu angqongileyo apho umhlaza kucingelwa ukuba usasazeke khona. Umzekelo, ukuba umhlaza usasazeke kwii-lymph nodes ezikufutshane, ugqirha uya kususa ii-lymph nodes kunye nezintso kunye ne-ureter. Oku kubizwa ngokuba yi -metastasis .
Ndingazilungiselela njani ngaphambi kotyando?
Kulungile, masithi ugqirha ukuxelela ukuba kufuneka wenze olu tyando. Ufanele wenze ntoni ke ngoko? Ungakhathazeki, iqela lezonyango liza kukuchazela yonke into. Kodwa kubaluleke kakhulu ukuba nawe uzazi ezi zinto.
Ngaphambi kotyando, kuya kufuneka ubone ugqirha wakho. Uza kuthatha imbali yakho epheleleyo yempilo aze ajonge ubude bakho, ubunzima, uxinzelelo lwegazi kunye nobushushu ukuqinisekisa ukuba usempilweni ngokwaneleyo ukuba ungatyandwa.
Kukho izinto ezibalulekileyo ekufuneka uzazi uze uzixelele ugqirha wakho .
| Oko kufuneka ukwazise | Kutheni kubalulekile? |
|---|---|
| Ndixelele ngazo zonke amayeza owasebenzisayo. | Oku kuquka amayeza kagqirha, amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanezongezo zezityalo. Amanye amayeza, anjenge-aspirin, anokunyusa umngcipheko wokopha. Ngoko ke musa ukuqala okanye uyeke ukuthatha naliphi na iyeza ngaphandle kokujonga ugqirha wakho kuqala. |
| Sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla. | Zingaba zii-allergies kumayeza, izinto zokucoca ulusu ezifana ne-iodine, ukutya, okanye i-latex. Oku kubaluleke kakhulu. |
| Landela imiyalelo malunga nokutya nokusela. | Uza kucelwa ukuba utye ukutya okucacileyo kuphela kangangeeyure ezingama-24 ngaphambi kotyando. Akufanele utye okanye usele nantoni na ubuncinane iiyure ezisi-8 ngaphambi kotyando. Ukuba ufuna ukuthatha amayeza abalulekileyo, wasele namanzi. Kubaluleke kakhulu kukhuseleko lwakho ukulandela le miyalelo ngokuchanekileyo. |
Ziziphi iindlela zokwenza olu tyando?
Kukho iindlela ezimbini zokwenza olu tyando.
1. Utyando oluvulekileyo (Utyando lwe-nephroureterectomy oluvulekileyo)
2. Utyando lwe-laparoscopic nephroureterectomy oluncediswa yirobhothi
Utyando Oluvulekileyo
Le yindlela yesintu. Apha, ugqirha wenza umsikelo omnye okanye emibini emikhulu esiswini sakho. Olu siko lunokuba malunga ne-intshi ezi-8-12 ubude. Ngamanye amaxesha kunokufuneka kususwe ubambo. Le ndlela ingasetyenziswa ukuba umhlaza mkhulu kakhulu okanye usasazeke ngaphakathi.
Utyando lweLaparoscopic oluncediswa yiRobhothi
Le yeyona ndlela isetyenziswa kakhulu namhlanje. Nantsi into eyenzekayo:
Ugqirha uza kwenza imingxunya emincinci emithathu okanye emihlanu, malunga nesiqingatha se-intshi ubude, esiswini sakho esisezantsi. Emva koko, ngenye yezi mingxunya, kuza kufakwa ityhubhu encinci enekhamera eqhotyoshelweyo ( i-laparoscope ). Utyando lwenziwa ngelixa ubukela imifanekiso emikhulu evela kule khamera kwiscreen sekhompyutha.
Izixhobo zotyando zifakwa ngezinye izigcawu ezincinci. Ezi zixhobo ziphathwa yirobhothi yotyando . Kodwa ungakhathazeki, irobhothi ayenzi nto yodwa. Ugqirha uhleli kwikhonsoli aze ayilawule ngokupheleleyo irobhothi. Ngale ndlela, kunokwenzeka ukufikelela nakwiindawo ezinzulu zomzimba ngokuchanekileyo okukhulu, ngaphandle kweempazamo. Kungathi izandla zikagqirha ziya ziba buthathaka kwaye zichanekile.
Kwenzeka ntoni ngomhla wotyando?
Ingcali yokubulala iintlungu iza kuqala ize ikunike i-anesthesia jikelele . Oku kuthetha ukuba uza kulala ubuthongo ngokupheleleyo de utyando luphele. Awuyi kuva ntlungu kwaye awuyi kukhumbula nto. Emva koko isisu sakho siza kugcwala igesi yekhabhoni diokside ukuze ugqirha asebenze.
Emva koko ugqirha wenza iziqwenga aze aqalise utyando.
- Kwityando elivulekileyo, kwenziwa imingxunya emikhulu kwaye amalungu achaphazelekayo ayasuswa.
- Indlela ye-laparoscopic ibandakanya ukwenza imingxunya emincinci kunye nokususa izintso kunye ne-ureter kusetyenziswa i-laparoscope kunye nezixhobo zerobhothi.
Ekugqibeleni, ugqirha wotyando uvala amanxeba ngokuthunga. Ngamanye amaxesha imibhobho yokukhupha amanzi isetyenziselwa ukukhupha igazi kunye nolwelo oluvela kumanxeba.Ungafaka ityhubhu encinci yesilicone ebizwa ngokuba yi ".
Umbuzo ofika engqondweni yakho ngulo, kwenzeka ntoni xa kususwa enye yezintso? Umntu ophilileyo angaphila ubomi obuqhelekileyo enenye izintso ngaphandle kwengxaki. Enye izintso ithatha indawo ize yenze yomibini imisebenzi.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezine.
Yintoni onokuyilindela emva kotyando?
Xa utyando luphelile, ingcali yokubulala iintlungu iya kuyeka ukukunika i-anesthesia. Uza kuqala ukuvuka kancinci kancinci. Emva koko uza kusiwa kwigumbi lokuchacha . Apho, abasebenzi bezonyango baza kujonga impilo yakho ngononophelo.
- Intlungu: Xa uziva intlungu, unikwa amayeza ayo.
- Isicaphucaphu: Abanye abantu baziva benesicaphucaphu ngenxa ye-anesthesia. Ukuba kunjalo, bayanikwa namayeza aloo nto.
- Ukutya: Ngosuku lokuqala okanye ezimbini, banikwa ukutya okumanzi. Emva koko bafundiswa ukutya okuqhelekileyo kancinci kancinci.
- Ukuhamba: Uza kucelwa ukuba uvuke ebhedini uhambe kancinci ukususela ngosuku olulandela utyando. Oku kubaluleke kakhulu. Ukuhamba kunciphisa umngcipheko wokuqhekeka kwegazi emilenzeni kwaye kuthintela iimeko ezifana ne-pneumonia.
Xa imeko yakho iqinisekisiwe ukuba izinzile, uya kuvunyelwa ukuba uye ekhaya. Ngokuqinisekileyo kufuneka ukhatshwe lilungu losapho okanye umhlobo xa usiya ekhaya. Kukwalungile kakhulu ukuba nomntu oza kukunyamekela kwiintsuku ezimbalwa zokuqala.
Iingenelo kunye neengozi eziqhelekileyo zotyando lwerobhothi
Masizijonge zombini ezi zinto ngokwahlukeneyo.
| Iingenelo zotyando lwerobhothi (xa kuthelekiswa notyando oluvulekileyo) | |
|---|---|
| Phila kwangoko | Ixesha elincinci esibhedlele |
| Iintlungu ezimbalwa emva kotyando | Imfuneko encinci yeepilisi zentlungu |
| Ngamana ungaphila kungekudala. | Ungabuyela kwimisebenzi yesiqhelo kwaye usebenze ngokukhawuleza. |
| Amanxeba mancinci kakhulu. | Amanxeba amancinci |
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Iingozi ezinxulumene ne-anesthesia
- Iingxaki zokuphiliswa kwamanxeba
- Mhlawumbi kufuneka unikele ngegazi
- Usulelo lweebhaktheriya
- Ihlwili legazi (i-hematoma)
- Ukuqokelelwa kolwelo kufutshane namanxeba (i-seroma)
Musa ukoyika ezi ngozi. Iqela lakho lezonyango liza kwenza konke okusemandleni alo ukuzithintela, kwaye ukuba ziyenzeka, lizilawule.
Yintoni endifanele ndiyiqwalasele emva kokuba ndibuyele ekhaya?
Ixesha lokuchacha liyahluka kumntu nomntu, kodwa ngokubanzi, kufuneka uphumle malunga neeveki ezintandathu.
- Ukuqhuba: Musa ukuqhuba ubuncinane iiveki ezimbini emva kotyando.
- Ukuphakamisa iintsimbi: Musa ukuphakamisa iintsimbi ezinzima ngaphezu kwe-9-10 kg (malunga nobunzima beelitha ezili-10 zamanzi). Musa ukwenza umthambo onzima njengokubaleka. Oku kungonakalisa imithungo kwaye kubangele iimeko ezifana ne-hernia.
- Ukuhamba: Ukuhamba kakuhle kakhulu. Kuyanceda kwinkqubo yokuphiliswa.
- Ukubuyela emsebenzini: Ukuba umsebenzi wakho awunzima kakhulu emzimbeni, kufuneka ukwazi ukubuyela emsebenzini kwiiveki ezine. Nangona kunjalo, ukuba umsebenzi wakho ubandakanya ukuphakamisa izinto ezinzima okanye umsebenzi onzima, kungcono uthathe ixesha elide.
Ngaba kufuneka uphinde uye kugqirha? Zeziphi iimeko ekufuneka uthethe nazo ngokukhawuleza?
Ewe, ngokuqinisekileyo. Ugqirha uza kukunika usuku lokubuya. Ngaloo mini, uza kujonga amanxeba akho kunye nemithungo. Ukuba kukho imithungo enganyibiliki, iya kusikwa ize isuswe kwiveki okanye ezimbini. Ukuba kukho imibhobho yamanzi, iya kususwa nayo.
Kwakhona, kuya kwenziwa uvavanyo ukuqinisekisa ukuba utyando luwususile ngokupheleleyo umhlaza. Ukuba umhlaza usasazekile okanye ungowohlobo olunamandla ngakumbi, ugqirha wakho uya kukuchazela amanyathelo akho onyango alandelayo (umz. i-chemotherapy).
Ukuba unale mpawu, ungalibazisi, tsalela umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukopha kakhulu ngenxa yokusikeka
- Ulwelo olufana nobovu olunombala omdaka, olunuka kakubi luphuma kumanxeba
- Umkhuhlane (ngaphezulu kwama-38 degrees Celsius / 100 degrees Fahrenheit)
- Izititshi ziyaqhekeka
- Intlungu iya isiba mandundu.
Ukuba ubona into efana nale, musa ukuhlala ekhaya. Funa ingcebiso kagqirha ngoko nangoko.
Okokugqibela, kuyinto eqhelekileyo ukuba noloyiko, amaxhala, kunye namathandabuzo ngaphambi kokuba wenze utyando olunje. Imibuzo efana nokuthi "Kuthekani ukuba utyando luhambe gwenxa?", "Ngaba umhlaza uza kusasazeka kwamanye amalungu omzimba?", "Ngaba kuza kuba nzima ukuchacha?" isenokufika engqondweni.
Kuqhelekile ukuba nezi ngcinga. Kodwa kwangaxeshanye, cinga ngeenzuzo oza kuzifumana kolu tyando. Lungasindisa ubomi bakho, lunokuphucula umgangatho wobomi bakho. Thetha nogqirha wakho kunye neqela lezonyango ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Balapha ukukunceda kwaye bangakuyeki wedwa kolu hambo.
Umyalezo Wokuya Ekhaya
- I-Nephroureterectomy lutyando olwenziwa ikakhulu kumhlaza we-urothelial owenzeka kwinxalenye ephezulu yenkqubo yomchamo.
- Olu tyando lususa izintso ezichaphazelekayo, i-ureter yonke, kunye nenxalenye encinci yesinyi.
- Utyando lwe-laparoscopic, olusebenzisa ubuchwepheshe berobhothi, ngokubanzi alunazintlungu zingako kwaye luyaphola ngokukhawuleza.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngaphambi nasemva kotyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, ezinje ngomkhuhlane, ukopha kakhulu, okanye ubomvu obuphuma enxebeni, yazisa ugqirha wakho ngoko nangoko.
- Umntu ophilileyo angaphila ubomi obuqhelekileyo enezintso enye.
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