Ngaba ugqirha wakho ukuxelele ukuba kufuneka wenze utyando lokususa inxalenye yezintso zakho? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva into efana naleyo. "Kuza kwenzeka ntoni kwizintso zam? Ngaba ndiza kukwazi ukuphila njengangaphambili?" Imibuzo emininzi isenokufika engqondweni. Kodwa xa usazi kakuhle ukuba yintoni le, kutheni yenziwa, kwaye yenziwa njani, olo loyiko engqondweni yakho luya kuphela. Ke namhlanje, masithethe ngolu tyando lubizwa ngokuba yi-'Partial Nephrectomy', ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni iPartial Nephrectomy?
Utyando lwe-Partial Nephrectomy luyindlela yotyando esusa kuphela inxalenye yezintso zakho ezinesifo, ezonakeleyo, okanye ezinomhlaza, ngelixa igcina inxalenye eseleyo ephilileyo. Oku akususi yonke izintso. Kufana nokusika inxalenye embi yesiqhamo esibolileyo uze ushiye inxalenye elungileyo.
Eyona njongo iphambili yoogqirha bethu kukushiya uninzi lwezicubu zakho zezintso ezisempilweni kangangoko kunokwenzeka emzimbeni. Kuba, njengoko usazi, izintso zizihluzo ezibini eziphambili emzimbeni wethu. Izintso zihluza kwaye zahlule imveliso engcolileyo emzimbeni kwaye ziyikhuphe njengomchamo. Ngoko ke izintso zibalulekile ebomini. Ukuba singakwazi ukugcina zombini izintso zisebenza kakuhle, kubaluleke kakhulu kwimpilo yethu iyonke.
Ziziphi iindlela eziphambili zokwenza olu tyando?
Kukho iindlela ezintathu eziphambili zokwenza olu tyando. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe ngokusekwe kwimeko yakho, ubungakanani benxalenye eyonakeleyo yezintso zakho, kunye nendawo ekuyo.
| Indlela yotyando | Inkcazo |
|---|---|
| I-Open Partial Nephrectomy | Le yindlela yendabuko. Apha, kwenziwa umngxuma omncinci (malunga nee-intshi ezili-12) esiswini sakho okanye ecaleni elingaphantsi kweembambo zakho, apho ikhoyo intso yakho. Le ndlela idla ngokusetyenziswa ukuba ithumba lezintso likhulu kakhulu okanye lisasazeke kwiindawo ezikufutshane. |
| Utyando lweLaparoscopic | Oku akubandakanyi ukusikwa okukhulu. Endaweni yoko, kwenziwa imingxunya emincinci emi-2-4 esiswini. Ityhubhu encinci enekhamera ekupheleni (i-laparoscope) ifakwa ngenye yemingxunya ukuze ijonge kakuhle ngaphakathi emzimbeni. Izixhobo ezibuthathaka kakhulu ezifunekayo kolu tyando zifakwa ngezinye izingxunya ukuze kwenziwe utyando. Le nkqubo ifuna ixesha elincinci lokuchacha. |
| Utyando lweRobotic Partial Nephrectomy | Le yinguqulelo ephucukileyo yendlela ye-laparoscopic. Kukwakho nokusika okuncinci apha. Nangona kunjalo, ugqirha otyandayo akazichukumisi ngqo izixhobo, kodwa ulawula utyando ngengalo yerobhothi ngenkqubo yekhompyutha. Oku kuvumela ukufikelela okulula kakhulu, okulula kwiindawo ezinzima ukuzifikelela ngesandla, kunye notyando oluchanekileyo. Le ndlela idla ngokucetyiswa ukuba ithumba elisezintsoni lincinci, okanye ukuba kukho umngcipheko wokungasebenzi kakuhle kwezintso ukuba yonke intso isusiwe. |
Ingaba olu lutyando olukhulu? Ngubani ongathanda ukwenza oku?
Ewe, i-Partial Nephrectomy lutyando olukhulu . Kuba lubandakanya ukunyanga nokubuyisela izintso, isitho sangaphakathi somzimba. Kodwa ngenxa yeendlela ezifana ne-robotics, esixoxe ngazo ngaphambili, olu tyando ngoku lukhuselekile kakhulu kunangaphambili, kwaye ixesha lokuchacha lifutshane. Ugqirha wakho uza kukuchazela ngokweenkcukacha ukuba yeyiphi indlela efanelekileyo kuwe kwaye kutheni.
Khumbula, iingozi zokuphila unesifo esinganyangwanga zinkulu kakhulu kuneengozi zokwenza utyando olunje.
Kukho iimeko ezininzi apho olu tyando ludla ngokucetyiswa khona:
- Umhlaza wezintso: Olu tyando lwenziwa kakhulu ukususa izimila ezinomhlaza ezintso.
- Usulelo: Xa inxalenye yezintso yonakele ngenxa yosulelo olunzima, loo nxalenye ingadinga ukususwa.
- Umonakalo ovela kumatye ezintso: Ukuba izintso zonakaliswe ngamatye amakhulu ezintso.
- Ukwenzakala: Xa izintso zenzakele ngenxa yengozi.
- Iziphene zokuzalwa: Ukuba bekukho isiphene sezintso ngexesha lokuzalwa.
- Uxinzelelo lwegazi oluphezulu: Olu tyando ngamanye amaxesha lwenziwa ukulawula uxinzelelo lwegazi oluphezulu olubangelwa yingxaki yemithambo yegazi ehambisa igazi ezintso.
Kwenzeka ntoni ngaphambi kotyando?
Emva kokucwangcisa utyando lwakho, kuya kufuneka ubone ugqirha. Impilo yakho iyonke iya kuhlolwa. Izinto ezifana noxinzelelo lwegazi, ukubetha kwentliziyo, kunye nobushushu ziya kulinganiswa.
Kwaye unoxanduva olubaluleke kakhulu .
- Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo . Oku akubandakanyi nje kuphela amayeza kagqirha, kodwa namayeza athengiswa ngaphandle kwemvume kagqirha (OTC), iivithamini, amayeza esintu, kwanamayeza e-Ayurvedic. Oku kubaluleke kakhulu ukuba uthatha i-aspirin okanye amayeza okunciphisa igazi, njengoko la mayeza anokunyusa umngcipheko wokopha ngexesha lotyando.
- Sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile. Oku kuquka izinto ezibangela ukuba ungabi namdla kwizinto ezithile ezifana ne-iodine, i-latex, okanye ukutya.
- Ugqirha wakho uza kukunika imiyalelo ekhethekileyo malunga nento omawuyitye kwaye uyisele ngosuku olungaphambi kotyando lwakho. Ngokuqhelekileyo, kungcono ungatyi okanye ungaseli nto emva kwezinzulwini zobusuku ngobusuku obungaphambi kotyando lwakho . Ukuba ufuna ukuthatha amayeza abalulekileyo, buza ugqirha wakho ukuba ungawasela na ngamanzi nje.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando lwenziwa liqela loogqirha kunye nabahlengikazi abaziingcali. Ngokwesiqhelo, eli qela liquka ugqirha wezifo zomchamo, ingcali yokubulala iintlungu, kunye nabahlengikazi.
Okokuqala, ingcali yokubulala iintlungu iza kukufaka phantsi kwe-anesthesia eqhelekileyo . Oku kuthetha ukuba uza kube ulele ngokupheleleyo. Awuyi kuva ntlungu kwaye awuyi kuba sezingqondweni ngexesha lotyando. Emva kokuba ungekho zingqondweni, kuza kufakwa ityhubhu encinci (i-catheter yomchamo) ukuze kukhutshwe umchamo wakho.
Okwenzekayo emva koko kuya kwahluka ngokuxhomekeke kwinkqubo yotyando oyikhethileyo.
Kutyando oluvulekileyo (Utyando oluvulekileyo lwe-nephrectomy)
Ugqirha uza kwenza umngxuma omkhulu ecaleni lakho, phakathi kweembambo zakho nethanga lakho, ukuze kuvele izintso zakho. Emva koko, imithambo yegazi ehambisa igazi eliya nelibuya kwizintso ivalwe okwethutyana nge-clamp. Emva koko izintso zigqunywe ngumkhenkce. Oku kwenziwa ukunciphisa ubushushu bezintso nokunciphisa umonakalo kwizicwili xa ukuhamba kwegazi kumisiwe. Emva koko inxalenye enesifo iyasuswa kwaye izintso ziyalungiswa.
Ngexesha lotyando lwerobhothi (iRobotic partial nephrectomy)
Apha, ugqirha wenza imingxunya embalwa emincinci esiswini sakho. Emva koko, kufakwa ikhamera kunye nezixhobo zerobhothi ngaloo mingxunya. Emva koko, isisu sakho sizaliswa yigesi encinci yekhabhoni-dayoksayidi. Oku kudala isithuba ngaphakathi esiswini, okwenza kube lula kugqirha ukubona izintso ngcono aze enze utyando. Emva koko, esebenzisa iingalo zerobhothi, ukopha kuyamiswa, inxalenye enesifo iyasuswa, kwaye izintso ziyalungiswa.
Ekupheleni kotyando, amanxeba avalwa ngezititshi okanye nge-staples. Ngamanye amaxesha, iityhubhu ezincinci zokukhupha amanzi ze-silicone zinokubekwa ukuze kukhutshwe naliphi na igazi okanye ulwelo oluqokelelana ngaphakathi kwenxeba. Ezi zisuswa emva kweentsuku ezimbalwa. Lonke utyando ludla ngokuthatha malunga neeyure ezi-3-4 .
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Njengoko iziphumo ze-anesthesia ziphela, uza kubuyela ezingqondweni kancinci kancinci. Nangona kunjalo, kuyinto eqhelekileyo ukuziva unentloko ebuhlungu kwaye ulele ekuqaleni.
Emva kokuba uvukile, abahlengikazi baza kukunika amayeza entlungu. Utyando lwerobhothi alunabuhlungu kangako njengotyando oluvulekileyo, kodwa usaya kufuna amayeza okulawula iintlungu. I-anesthesia inokubangela isicaphucaphu. Ukuba oku kuyenzeka, uya kunikwa amayeza alo nyango.
- Ukutya: Uza kunikwa ukutya okumanzi usuku olunye okanye ezimbini emva kotyando. Oku kuya kunika umzimba wakho ixesha lokuphola. Emva koko, ungatya kancinci kancinci ukutya okuqhelekileyo.
- Ukuhamba: Ukususela ngosuku olulandela utyando, uya kukhuthazwa ngabahlengikazi ukuba uvuke ebhedini uhambehamba kancinci . Oku kubaluleke kakhulu. Ukuhamba kuphucula ukujikeleza kwegazi, kunceda amanxeba aphole ngokukhawuleza, kwaye kuthintela iingxaki ezifana nokuqhekeka kwegazi emilenzeni kunye ne-pneumonia.
- Ukuhlala esibhedlele: Ukuba wenze utyando lwerobhothi, uhlala esibhedlele iintsuku ezi-1-2 . Ukuba wenze utyando oluvulekileyo, uza kuhlala malunga neentsuku ezi-3-4 .
Xa oogqirha begqibe kwelokuba uphilile, ungaya ekhaya. Kodwa awunakuqhuba imoto wedwa. Kuya kufuneka ukuba ilungu losapho okanye umhlobo eze kukuthatha. Kukwangumbono olungileyo ukuba nomntu oza kukunyamekela iintsuku ezimbalwa emva kokuba ubuyele ekhaya.
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingabuyela nini emsebenzini?
Ixesha lakho lokuchacha liya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo kunye nempilo yakho ngokubanzi.
- Kuthatha malunga neeveki ezisi-8 ukuya kwezili-12 ukuqala imisebenzi eqhelekileyo emva kotyando oluvulekileyo .
- Ukuchacha emva kotyando lwerobhothi kuyakhawuleza, kwaye izigulana zibuyela kwisimo sazo sesiqhelo kwiiveki ezi-4-6 .
Ukuba umsebenzi wakho use-ofisini kwaye awunzima kakhulu emzimbeni, unokukwazi ukubuyela emsebenzini zingadlulanga iiveki ezi-4. Nangona kunjalo, ukuba umsebenzi wakho unzima ngokomzimba kwaye ubandakanya ukuphakamisa izinto ezinzima, kungcono uhlale ekhaya uphumle okwethutyana. Thetha nogqirha wakho ngale nto uze wenze isigqibo ngokuqinisekileyo.
Ziziphi iimpawu ekufuneka uziqaphele emva kotyando?
Emva kokuba ubuyele ekhaya, kufuneka uye ekliniki ngeentsuku ugqirha akuxelele zona. Baza kujonga amanxeba akho kunye nezithungo zakho. Ukuba unezithungo ezinganyibilikiyo, ziya kunqunyulwa zisuswe kwiveki enye okanye ezimbini.
Kwakhona, ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka ufowunele ugqirha wakho ngokukhawuleza.
| Iimpawu ezilumkisayo ezifuna unyango olukhawulezileyo | |
|---|---|
| Igazi kumchamo (iHematuria) | Ukuba umchamo ujika ube pinki, ube bomvu, okanye ube mdaka ngebala. |
| Ukopha kakhulu enxebeni | Ukuba inxeba liphuma igazi kangangokuba ibhandishi imanzi kwaye iphuma. |
| Ubovu obunombala oguqulwe umbala | Ukuba kukho ulwelo olumthubi, oluluhlaza, okanye olunuka kakubi oluphuma enxebeni. |
| Ifiva | Ukuba ubushushu bomzimba buyi-100 Fahrenheit (38 Celsius) okanye ngaphezulu. |
| Ukubiliswa kwenxeba | Ukuba indawo ejikeleze inxeba ibomvu, idumbile, kwaye ivakala ishushu xa uyichukumisa. |
| Ukuvulwa komthungo | Ukuba izititshi ezisenxebeni ziqhekekile kwaye kuvakala ngathi inxeba liyavuleka. |
| Intlungu eyandayo | Ukuba unentlungu eyandayo engenakulawulwa nokuba usebenzisa amayeza. |
Umyalezo Wokuya Ekhaya
- Utyando lwe-Partial Nephrectomy lutyando olususa kuphela inxalenye enesifo yezintso, endaweni yentso yonke. Oku kuvumela ukuba inxalenye ephilileyo yezintso igcinwe.
- Olu tyando lungenziwa ngokuvulelekileyo, nge-laparoscopic, okanye ngerobhothi. Ukubuyela esimeni emva kotyando lwerobhothi kukhawuleza.
- Ekubeni olu lutyando olukhulu, kubaluleke kakhulu ukulandela imiyalelo kagqirha, ingakumbi ngaphambi nasemva kotyando.
- Lumka iimpawu ezilumkisayo emva kotyando, ezinje ngomkhuhlane, ukopha kakhulu, kunye nosulelo lwamanxeba. Ukuba ubona nayiphi na kwezi, yazisa ugqirha wakho ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Basoloko bekulungele ukukunceda.
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