Xa ugqirha wakho ekuxelela okanye umntu omaziyo ukuba kufuneka wenze utyando olubizwa ngokuba yi-'nephrureterectomy', ungaziva usoyika kancinci kwaye uxhalabile xa usiva eli gama. Ligama elikhulu kakhulu nelinzima. Enyanisweni, nabani na unokoyika kancinci xa esiva eli gama. Kodwa ungoyiki. Namhlanje, masithethe ngale nto ngendlela elula, ngokungathi uthetha nomhlobo. Siza kuthetha ngayo, ukuba yintoni, kutheni yenziwa, kwaye kwenzeka njani.
Yintoni iNephroureterectomy?
Eli ligama elide kancinci, ngoko masiqale silihlalutye size siliqonde.
- Nephro-: Eli livela kwigama lesiGrike. Lithetha "izintso."
- Umchamo: Lo ngumbhobho othwala umchamo owenziwe kwizintso zethu ukuya kwisinyi.
- I-Ectomy (-ectomy): Oku kuthetha "ukususa ngotyando" .
Ngamafutshane, i-nephroureterectomy yinkqubo yotyando esusa iindawo ezininzi zomzimba wakho. Nazi iindawo ezisuswayo:
- Intso enye ngokupheleleyo.
- Lonke i-ureter lidibene neso sintso.
- Iqhekeza elincinci lethishu apho i-urethra iqhagamshela khona kwisinyi libizwa ngokuba yi-bladder cuff.
Kutheni kufuneka wenze olu hlobo lotyando?
Ugqirha udla ngokucebisa olu tyando ukuba unomhlaza kwindlela yakho ephezulu yomchamo, oko kukuthi, izintso zakho okanye i-urethra (umhlaza we-urothelial okanye umhlaza we-transitional cell cancer). Olu tyando ludla ngokuthathwa njengotyando "oluqatha" .
Yintoni utyando "olugqithisileyo"? Kuthetha ukuba ugqirha akasusi umhlaza kuphela, kodwa ususa nezihlunu okanye amalungu angqongileyo apho umhlaza usenokuba usasazeke khona. Umzekelo, ukuba umhlaza usasazeke kwiindawo ze-lymph ezikufutshane, izintso kunye ne-ureter zinokususwa kunye nezo ndawo ze-lymph. Injongo ephambili yoku kukususa ngokupheleleyo umhlaza emzimbeni kunye nokunciphisa umngcipheko wokuba ubuye.
Ungazilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, uza kudibana nogqirha wakho. Uza kuxoxa ngembali yakho yezonyango aze ajonge ubude bakho, ubunzima, kunye noxinzelelo lwegazi ukuze abone ukuba ukulungele na utyando. Eli lixesha elibalulekileyo kuwe. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho ngokuqinisekileyo :
- Onke amayeza owasebenzisayo:Kubalulekile ukuthetha ngamayeza amiselwe ngugqirha, kunye namayeza athengiswa ngaphandle kwemvume kagqirha (OTC), iivithamini, amayeza esintu, kunye namayeza e-Ayurvedic. Kubaluleke kakhulu ukuthetha ngamayeza okunciphisa igazi afana ne-aspirin.
- Ii-Allergy: Qiniseka ukuba uxelela ugqirha wakho ukuba une-allergies kumayeza athile, izinto zokucoca ulusu ezifana ne-iodine, ukutya, okanye i-latex.
Ugqirha wakho uza kukunika imiyalelo yokuba uza kutya ntoni kwaye uyisele ntoni ngosuku olungaphambi kotyando. Ngokwesiqhelo baza kukuxelela ukuba utye kuphela ulwelo olucacileyo iiyure ezingama-24 ngaphambi kotyando, kwaye ungatyi okanye usele nantoni na malunga neeyure ezisi-8 ngaphambi kotyando. Kubaluleke kakhulu kukhuseleko lwakho ukulandela le miyalelo ngokuchanekileyo.
Ziziphi iindlela eziphambili zokwenza olu tyando?
Kukho iindlela ezimbini eziphambili zokwenza i-nephroureterectomy. Makhe sijonge umahluko phakathi kwezi zimbini.
| Indlela yotyando | Kalula nje... |
|---|---|
| Utyando lwe-nephroureterectomy oluvulekileyo | Le yindlela yesintu. Ugqirha wenza umsikelo omnye okanye emibini emikhulu esiswini sakho. Ngamanye amaxesha imbambo nayo ingadinga ukususwa. Le ndlela isetyenziswa ukuba umhlaza mkhulu kakhulu okanye kwindawo enzima ukuyisusa. |
| Utyando lwe-laparoscopic nephroureterectomy oluncediswa yirobhothi | Le yindlela yanamhlanje nesetyenziswa kakhulu. Ibandakanya ukwenza imingxunya emincinci emi-3-5 kuphela esiswini. Isixhobo esincinci (i-laparoscope) esinekhamera sifakwa ngale mingxunya kwaye amalungu angaphakathi akhuliswa kwiscreen sekhompyutha. Ugqirha ulawula iingalo zomatshini werobhothi ukuze enze utyando ngokuchanekileyo nangokuchaneka okukhulu. |
Utyando lwe-laparoscopic olusebenzisa ubuchwepheshe berobhothi luneengenelo ezininzi, ezinje ngamanxeba amancinci, iintlungu ezincinci, kunye nokuphola ngokukhawuleza.
Kwenzeka ntoni emva kotyando?
Utyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezine. Emva koko, uza kusiwa kwigumbi lokuchacha. Oogqirha kunye nabahlengikazi baza kukunyamekela kakuhle ude ubuyele ezingqondweni.
- Intlungu: Kuqhelekile ukuba uzive iintlungu emva kotyando. Uza kunikwa amayeza okudambisa iintlungu ukuze akuncede koku.
- Isicaphucaphu: Abanye abantu banokuba nesicaphucaphu ngenxa ye-anesthesia. Kukho namayeza aloo nto.
- Ukutya: Ukutya okumanzi kunikwa ngosuku lokuqala okanye ezimbini. Emva koko, kancinci kancinci wazise ukutya okuqhelekileyo.
- Ukuhamba: Uza kukhuthazwa ukuba uhambe ukususela ngosuku olulandela utyando. Nangona kunokuba nzima, oku kubaluleke kakhulu. Ukuhamba kunokunceda ukuthintela ukuqhekeka kwegazi emilenzeni kunye ne-pneumonia.
Ngokwesiqhelo uza kukwazi ukuya ekhaya kwiintsuku ezimbalwa, kodwa kuya kufuneka ube nelungu losapho okanye umhlobo oza kukuthatha akuse ekhaya.
Linjani ixesha lokuchacha emva kokubuyela ekhaya?
Emva kokuba ubuyele ekhaya, kufuneka uphumle ngokwaneleyo. Kufuneka uzinike ixesha lokuchacha ngokupheleleyo, okuhlala kuthatha malunga neeveki ezintandathu .
- Ukuqhuba: Kuphephe ukuqhuba ubuncinane iiveki ezimbini.
- Ukuphakamisa izinto ezinzima: Kuphephe ukwenza imisebenzi enzima efana nokuphakamisa umzimba ngaphezu kweekhilogram ezingama-20 (malunga neekhilogram ezili-9) okanye ukubaleka malunga neeveki ezi-6. Ezi zinto zingonakalisa imithungo kwaye zibangele izifo ezifana ne-hernias.
- Ukuhamba: Ukuhamba yindlela entle yokuzilolonga.
Umzimba wakho ungaphila ngesantya esahlukileyo kunezinye. Ngoko ke, mamela umzimba wakho. Ukuba kunzima, phumla.
Ufanele uye nini kugqirha ngoko nangoko?
Uza kunikwa idinga lokulandelelana, oko kukuthi, umhla wokuphinda ubonane nogqirha. Qiniseka ukuba uyaya kuloo mihla. Emva koko izithungo ziya kuhlolwa kwaye, ukuba kuyimfuneko, zinqunyulwe zisuswe. Nangona kunjalo, ukuba kukho naziphi na iimpawu ezilandelayo ezibonakala, fowunela ugqirha wakho ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Umkhuhlane ophezulu | Ukuba ubushushu bomzimba buyi-100 Fahrenheit (38 Celsius) okanye ngaphezulu. |
| Ukopha kwindawo yokusikwa | Ukuba ukopha kukhulu kwaye akupheli. |
| Ukukhupha ulwelo ngendlela engaqhelekanga | Ukuba kukho ivumba elibi okanye ubomvu obumthubi/oluhlaza obuvela kwindawo etyumkileyo. |
| Intlungu eyandayo | Intlungu iya isiba mandundu imihla ngemihla, kwaye ayinakulawulwa nokuba ngamayeza. |
| Ukwahlulwa komthungo | Ukuba izithungo kwindawo yokusikwa ziyakhululeka kwaye inxeba liyavuleka. |
Kuqhelekile ukuziva usoyika, uxhalabile, kwaye ungaqinisekanga ngaphambi kokuba wenze utyando. "Ngaba utyando luza kuphumelela?", "Kuthekani ukuba umhlaza usasazeke kwamanye amalungu omzimba?", "Ngaba kuza kuba nzima ukuchacha?", njl. Musa ukuzibamba ezi mvakalelo. Thetha nogqirha wakho kunye nosapho lwakho ngayo. Okukhona usazi ngakumbi ngolu tyando, kokukhona uza kuncipha uloyiko.
Umyalezo Wokuya Ekhaya
- I-Nephroureterectomy yinkqubo yotyando esusa izintso, i-ureter enxulumene nayo, kunye nenxalenye encinci yesinyi. Yenziwa ikakhulu njengonyango lomhlaza.
- Kukho iindlela ezivulekileyo kunye ne-laparoscopic (keyhole) zokwenza olu tyando. Indlela ye-laparoscopic ayibuhlungu kakhulu kwaye ayinazibazi kangako.
- Kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza kunye nee-allergies ozithathayo ngaphambi kotyando.
- Kungathatha malunga neeveki ezi-6 ukuze uphile ngokupheleleyo. Kuphephe ukuthwala izinto ezisindayo ngeli xesha.
- Ukuba ubona nantoni na ngexesha lokuchacha kwakho, njengomkhuhlane, iintlungu eziqatha, okanye ukukhupha okungaqhelekanga enxebeni, funa ingcebiso kagqirha ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Basoloko bekulungele ukukunceda.
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