Usenokuba ube nexhala kancinci xa ugqirha wakho ekuxelela ukuba kufuneka wenze i-'omentectomy'. Ligama elingaziwayo kancinci, ngoko usenokuba uzibuze, 'Luhlobo luni lotyando olo?' Ungakhathazeki, namhlanje siza kuthetha ngokuba yintoni i-omentectomy, isizathu sokuba yenziwe, kunye nayo yonke into ekufuneka uyazi ngayo ngendlela elula kakhulu.
Okokuqala, masibone, yintoni le 'omentum'?
Ngamafutshane, i-omentum lulwaleko olunamafutha olugubungela amalungu angaphakathi kwesisu sakho, njengesisu sakho namathumbu. Ifana nesigqubuthelo sokukhusela amalungu ethu abalulekileyo. Oku sikubiza ngokuba yi-'omentum'. Ayenziwanga kuphela ziithishu ezinamafutha, kodwa ikwanayo nemithambo yegazi ehamba kuyo. Ngoko ke ibonelela ngokhuseleko lomzimba ngelixa ibonelela ngegazi kumalungu ethu. I-omentum kukususwa ngotyando kwayo yonke okanye inxalenye yayo.
Ngoko ke yintoni isizathu sokwenza i-omentectomy?
Isizathu esiphambili sokususwa kwe-omentum sidla ngokuba ngumhlaza . Nangona kunjalo, uninzi lwexesha, umhlaza awuqali kwi-omentum. Uqala kwenye indawo esiswini, njenge-ovari, isibeleko, okanye isisu, kwaye usasazeka uye kwi-omentum (i-metastasis).
I-omentum yindawo apho iiseli zomhlaza zinokufikelela kwaye zisasazeke lula. Yiyo loo nto oogqirha begqiba ekubeni bayisuse le ndawo ngexesha lotyando lomhlaza.
Utyando lwe-omentectomy lunokuba yimfuneko kwezi ntlobo zilandelayo zomhlaza:
| Uhlobo lomhlaza | Inkcazo |
|---|---|
| Umhlaza wesibeleko | Uhlobo lomhlaza olunokuthi lusasazeke kakhulu kwi-omentum. |
| Umhlaza wesibeleko/we-Endometrial | Lo mhlaza ungasasazeka uye kwi-omentum. |
| Umhlaza wesisu | Kukho umngcipheko wokusasazeka kuba ikufutshane nesisu. |
| Umhlaza weColoral | Ezi seli zomhlaza zinokusasazeka ziye kwi-omentum. |
| Eminye imihlaza | Umhlaza wamalungu omzimba anjenge-fallopian tube, i-prostate, kunye ne-appendix. |
Ngamanye amaxesha, oogqirha bayayisusa i-omentum ukuze bajonge iiseli zomhlaza ezincinci. Ukuba zisasazekile, banokubona inqanaba lomhlaza kunye nonyango olufunekayo. Kwakhona, ukuba umhlaza kucingelwa ukuba usasazeke kwi-omentum, olu tyando lwenziwa ukuze luthintelwe ukuba lungasasazeki kwixesha elizayo .
Masithethe ngendlela olu tyando lwenziwa ngayo.
Utyando lwe-omentectomy lunokwenziwa ngeendlela ezimbini eziphambili: utyando lwe-laparoscopic kunye notyando oluvulekileyo.
- Utyando lweLaparoscopic: Oku kuquka ukwenza imingxunya emincinci emi-3-4 esiswini kunye nokufaka ikhamera (i-laparoscope) kunye nezixhobo ezithambileyo. Le ndlela ibangela amanxeba amancinci, iintlungu ezincinci, kunye nexesha lokuphola ngokukhawuleza.
- Utyando Oluvulekileyo: Kule ndlela, kwenziwa utyando olude esiswini, kuhlolwe amalungu angaphakathi esiswini, kwaye i-omentum isuswe kunye nayo yonke i-cancer. Le ndlela isetyenziselwa ukususa amathumba amakhulu, okanye ukuba umhlaza usasazeke kumalungu amaninzi.
Ezinye iintlobo zotyando ezenziwe nge-omentectomy
Olu tyando alusoloko lwenziwa lodwa. Ngokuxhomekeke ekubeni umhlaza uqale phi kwaye usasazeke phi, loo nxalenye yomzimba nayo iyasuswa ngaxeshanye.
| Igama lotyando (Igama lesiNgesi) | Isitho/inxalenye eza kususwa |
|---|---|
| Utyando lwe-Hysterectomy | Isibeleko |
| Utyando lwe-Salpingo-oophorectomy | Amaqanda kunye nemibhobho ye-fallopian |
| Utyando lwesisu | Inxalenye okanye yonke isisu |
| Utyando lweColectomy | Inxalenye yamathumbu amakhulu |
| Utyando lwe-Cytoreduction | Ukususa umhlaza omninzi osasazeke esiswini kangangoko kunokwenzeka |
Kwenzeka ntoni emva kotyando?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Ukuba wenze utyando lwe-keyhole egxalabeni lakho, kusenokufuneka uhlale ixesha elifutshane, kodwa ukuba wenze utyando olukhulu olususe amalungu amaninzi omzimba, kusenokufuneka uhlale iveki okanye nangaphezulu. Ugqirha wakho uza kuthetha nawe ngeziphumo zotyando kunye neengxelo zelebhu.
Khumbula, emva kotyando lomhlaza, unyango olongezelelweyo lunokufuneka ukuze kutshatyalaliswe naziphi na iiseli zomhlaza eziseleyo.
Ngoko ke, amanyathelo alandelayo, anje ngonyango lwemitha okanye i-chemotherapy, agqitywa emva koko.
Ziziphi iingxaki ezinokubakho ngenxa yolu tyando?
Njengakwezinye iindlela zotyando, kukho iingozi ezincinci.
- Ukopha
- Usulelo
- Ukonakala kwamalungu omzimba angqongileyo
Ukongeza, ingxaki ethile enokuthi ivele kamva kukuvaleka kwamathumbu amancinci . Oku kungenzeka ngenxa yokunamathelana okwakheka esiswini emva kotyando, okubangela ukuba amathumbu adibane aze avaleke. Ukuba ufumana iimpawu ezifana nokudumba, ukuhlanza, okanye iintlungu zesisu, kufuneka ubone ugqirha ngoko nangoko.
Eminye imibuzo ebuzwa rhoqo
Ngaba i-omentum esusiweyo iya kuphinda ikhule?
Hayi. Le yingcamango ephosakeleyo abantu abaninzi abanayo. I-omentum yinxalenye ye-peritoneum. Nangona izicubu ze-peritoneal zinamandla okuphola ngokukhawuleza, i-omentum esusiwe ngotyando ayizukuphinda ikhule.
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Oku kuya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo. Utyando oluncinci, olufana notyando lokufaka isitshixo, lungathatha iiveki ezimbalwa ukuphola. Nangona kunjalo, utyando olukhulu oluvulekileyo apho amalungu amaninzi asuswayo lungathatha iiveki ezisi-8 ukuphola ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-Omentectomy kukususwa kwe-fatty membrane ebizwa ngokuba yi-omentum esiswini ngotyando.
- Oku kwenziwa ikakhulu xa umhlaza ofana nomhlaza wesibeleko kunye nomhlaza wesisu usulele kwi-omentum okanye ukuthintela ukusasazeka kwayo.
- Olu tyando lunokwenziwa nge-laparoscopically okanye luvuliwe, kwaye ludla ngokwenziwa kunye nokususwa kwamanye amalungu anxulumene nomhlaza.
- Ixesha lokuchacha lixhomekeke kubungakanani botyando, kwaye unyango olongezelelweyo, olufana ne-chemotherapy, lunokufuneka emva koko.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha ngazo ngokukhululekileyo nogqirha wakho. Bahlala bekulungele ukukunika ulwazi oluchanekileyo kunye nentuthuzelo.
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