Oko kufuneka ukwazi malunga notyando lwe-Omentectomy

Kuqhelekile ukuziva uloyiko olukhulu kunye nokothuka xa sifumanisa ukuba sinomhlaza. Ngamaxesha anjalo, kunzima kuthi ukuqonda amanye amagama ezonyango kunye namagama otyando asetyenziswa ngoogqirha. Igama elithi 'omentectomy' lisenokuba lelinye lamagama anjalo. Kodwa ungakhathazeki, oku akunzima njengoko ucinga. Masithethe ngale nto ngokulula nangendlela enobuhlobo namhlanje.

Kulungile, masiqale sibone ukuba yintoni le 'omentum'.

Ngamafutshane, i-omentum lulwaleko oluncinci lwezicubu ezinamafutha ezigubungela ezinye zezitho ezingaphakathi kwesisu sethu. Ngokuchanekileyo, ifana 'ne-apron' ejinga phezu kwesisu sethu namathumbu ethu. Yenziwe ikakhulu zizicubu ezinamafutha kunye nemithambo yegazi.

Le omentum yenza imisebenzi emininzi ebalulekileyo emzimbeni wethu:

• Ukhuseleko: Lukhusela amalungu omzimba angaphakathi esiswini.
• Ukunikezelwa kwegazi: Kunceda ukunikezelwa kwegazi elifunekayo kwizitho ezingqongileyo.
• Ukungakhuseleki: Ikwasebenza njengenxalenye yenkqubo yomzimba yokuzikhusela. Ukuba kukho usulelo okanye ukwenzakala, iya kwindawo leyo ize incede ekulawuleni.

Kutheni ke le omentum isuswa ngotyando?

Isizathu esiphambili sokusebenzisa utyando lokususa i-omentum, oko kukuthi, i-omentectomy, ngumhlaza .

Uninzi lwexesha, umhlaza uqala kwi-omentum ngokwayo, nto leyo engaqhelekanga kakhulu. Nangona kunjalo, umhlaza oqala kwenye indawo esiswini, njenge-ovaries, uterus, okanye isisu, unokusasaza ngokulula kwi-omentum. Oku kungenxa yokuba i-omentum inegazi elininzi, kwaye yindawo elungileyo yokuba iiseli zomhlaza zinamathele kwaye zikhule.

Ngezantsi kukho ezinye zeentlobo eziphambili zomhlaza ekucetyiswa ukuba kwenziwe i-omentectomy kuzo.

Ngamanye amaxesha, oogqirha basusa baze bahlole inxalenye ye-omentum ukuze babone inqanaba lomhlaza. Oku kunokuba luncedo kakhulu ekuqinisekiseni ukuba umhlaza usasazeke kangakanani kwaye loluphi uhlobo lonyango olufunekayo ukuya phambili.

Kwenzeka ntoni ngaphambi nangexesha lotyando?

Ixesha elininzi, olu tyando lwe-omentectomy aluqhutywa lodwa. Lwenziwa njengenxalenye yotyando olukhulu lokususa ilungu eliphambili elinomhlaza.

Ukulungiselela utyando

Ngaphambi kotyando, iqela lakho lezonyango liza kuthetha nawe ngokupheleleyo ngalo mba. Liza kukwazisa ngezinto ezilungileyo, iingxaki kunye neengozi zotyando. Liza kwenza novavanyo oluninzi ukuze libone ukuba umzimba wakho unako na ukumelana nolu hlobo lotyando.

• Uvavanyo lwegazi
• Uvavanyo lwe-ECG ukujonga ukusebenza kwentliziyo
• Uvavanyo lokujonga ukuba ufanelekile na kwi-anesthesia jikelele

Indlela yokwenza utyando

Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili. Luxhomekeke kwimeko yakho, uhlobo lomhlaza, kunye nesigqibo sikagqirha.

1. Utyando olungenasithintelo kangako: Olu lukwabizwa ngokuba lutyando lwe-laparoscopic okanye utyando lwerobhothi . Oku kuquka ukwenza imingxunya emincinci emi-3-4 esiswini, apho kufakwa khona ikhamera kunye nezixhobo ezithambileyo. Iingenelo zale ndlela kukuba akukho zizilonda zingako, iintlungu zingako, kwaye kukhawuleze kuphole.

2. Utyando oluvulekileyo:Oku kuquka ukwenza utyando olunye olude esiswini, ukuvula umngxuma wesisu, nokwenza utyando. Le ndlela isetyenziswa ukuba umhlaza usasazeke kakhulu kwaye amanye amalungu amaninzi kufuneka asuswe kunye nawo.

Ezinye iintlobo zotyando zenziwe ngexesha elifanayo nolu tyando

Njengoko bekutshiwo ngaphambili, i-omentectomy inokuba yinxalenye encinci yotyando olukhulu. Ke ngoko, olunye okanye ngaphezulu kolu tyando lulandelayo lunokwenziwa ngaxeshanye:

• Ukususwa kwesibeleko: Ukususwa kwesibeleko.
• Ukususwa kwe-oophorectomy: Ukususwa kwe-ovaries enye okanye zombini.
• I-Salpingectomy: Ukususwa kwetyhubhu enye okanye zombini ze-fallopian.
• Ukususwa kwesisu: Ukususwa kwenxalenye okanye sonke isisu.
• Ukususwa kwenxalenye okanye yonke ithumbu elikhulu.
• Utyando lokususa umhlaza osasazeke esiswini kangangoko kunokwenzeka.

Ngamanye amaxesha, ukuba umhlaza usekwinqanaba lokuqala, ugqirha uza kuhlamba isisu ngesisombululo se-saline (i-peritoneal wash) aze athumele ulwelo lokuhlamba kwilebhu. Oku kunokunceda ekuqinisekiseni ukuba iiseli zomhlaza zisasazekile na.

Kwenzeka ntoni emva kotyando?

Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Ukuba wenze utyando lwe-laparoscopic, ukuhlala kwakho esibhedlele kusenokuba kufutshane. Nangona kunjalo, ukuba wenze utyando olukhulu olususe amalungu amaninzi omzimba, ixesha lakho lokuchacha liza kuba lide.

Emva kotyando, ugqirha wakho uza kuxoxa nawe ngeziphumo zotyando kunye neengxelo zelebhu. Uza kuxoxa ngento omawuyenze ngokulandelayo. Rhoqo, emva kotyando lomhlaza, kunikwa ezinye iindlela zokubulala naziphi na iiseli zomhlaza eziseleyo emzimbeni. Umzekelo , i-chemotherapy okanye unyango lwe-radiation .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?

Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci.

• Ukopha
• Usulelo
• Ukonakala kwamalungu omzimba angqongileyo

Ukongeza, ingxaki ethile enokwenzeka emva kokususwa kwesisu kukuthintelwa kwamathumbu amancinci . Oku kungenxa yokuba izicubu zesilonda (ezibizwa ngokuba zii-adhesions ) ezenzeka ngaphakathi esiswini emva kotyando zinokubangela ukuba amathumbu anamathele kunye aze athintele amathumbu.

Eminye imibuzo ebuzwa rhoqo

Ngaba i-omentum iya kukhula kwakhona emva kokususwa?

Hayi. I-omentum yinxalenye ye-peritoneum, i-membrane ejikeleze isisu sethu. Ngenxa yokuba le peritoneum inamandla okuphiliswa ngokukhawuleza, abanye abantu bacinga ukuba i-omentum iya kuphinda ikhule. Nangona kunjalo, i-omentum esusiweyo ayizukuphinda ikhule.

Kuza kuthatha ixesha elingakanani ukuphiliswa?

Oku kuxhomekeke ngokupheleleyo kuhlobo lotyando olwenzileyo. Nangona utyando oluncinci olufana notyando lwe-laparoscopic lungathatha iiveki ezimbalwa ukuphola, utyando olukhulu oluvulekileyo apho amalungu amaninzi asuswayo lungathatha iiveki ezisi-8 ukuphola ngokupheleleyo.

Utyando lomhlaza lwenziwa ngethemba lokuba lunokunyangeka. Ugqirha wakho ucebise ukuba kwenziwe i-omentectomy ngethemba lokuba lunokulawula okanye lunyange umhlaza wakho.