Ngaba wakha waziva ngathi isisu sakho sidumbile kwaye sidumbile njengebhaluni egcwele amanzi? Ngaba ukufumanisa kunzima ukuphefumla kwaye uzive ngathi awukwazi ukutya okanye ukusela kakuhle? Oku kusenokuba kungenxa yokuba isisu sakho sizaliswe ngamanzi angaqhelekanga. Kwizonyango, le meko ibizwa ngokuba yi-ascites. Ngoko ke namhlanje siza kuthetha ngenkqubo yezonyango elula, kodwa ebaluleke kakhulu yokususa la manzi aqokelelweyo. Oko yi-paracentesis.
Ngamafutshane, yintoni i-paracentesis?
I-Paracentesis yinkqubo esusa ulwelo olugqithisileyo (amanzi) esiswini sakho, okanye kwisisu sakho. Khawuthelekelele ukuba amalungu angaphakathi esiswini sakho, njengesibindi sakho namathumbu, ajikelezwe ngumaleko omncinci wezicubu ezibizwa ngokuba yi-peritoneum. Le yindawo ephakathi kwezi layer zimbini, apho olu lwelo olubizwa ngokuba yi-ascites luqokelelana khona.
Kolu nyango, ugqirha usebenzisa inaliti encinci kunye nombhobho omncinci weplastiki (i-catheter) eqhotyoshelwe kuyo ukususa la manzi aqokelelweyo. Kufana nokukhuhla amanzi etankini. Xa amanzi esuswa ngale ndlela, uxinzelelo kunye nokungonwabi esiswini, okufana nokudumba, kuncipha kakhulu.
Kutheni le nto kwenziwa olu nyango?
Oku kwenziwa ngezizathu ezibini eziphambili: esinye sokuxilongwa , esinye njengonyango .
- Ukuxilongwa kweParacentesis: Ngamafutshane, ukufumanisa ukuba kutheni isisu sizele lulwelo. Ugqirha ususa isampuli yolwelo aze aluthumele kwilebhu. Iziphumo zovavanyo ziya kunceda ekufumaneni unobangela ochanekileyo wesifo.
- I-Therapeutic Paracentesis: Oku kwenzelwa ukunciphisa ukungakhululeki okubangelwa lulwelo esiswini. Ngokuqhelekileyo, oogqirha basebenzisa olu nyango xa amayeza okukhupha isisu okanye ukutya okunetyuwa encinci kungaphumeleli ukulawula imeko.
| Uhlobo lolwazi | Inkcazo |
|---|---|
| Izizathu eziphambili ze-ascites | |
| Isifo sesibindi | Le yeyona nto ibangela ukudumba. |
| Uxinzelelo lwegazi oluphezulu lwePortal | Uxinzelelo lwegazi oluphezulu kumthambo oyintloko wesibindi. Luxhaphakile kwizigulana ezine-cirrhosis. |
| Iintsholongwane | I-Peritonitis sisifo solwelo olukwisisu. |
| Umhlaza | Umhlaza wamaqanda, wesibeleko, isibindi, ipancreas, okanye ikholoni. |
| Ukungasebenzi kakuhle kwamalungu omzimba | Ukungasebenzi kakuhle kwesibindi okanye intliziyo. |
| Iimpawu ezinciphayo xa kutsalwa amanzi | |
| Iimpawu | Intlungu yesisu kunye noxinzelelo, ukudumba kwesisu, ubunzima bokuphefumla, ukuqhina, ukudumba, kunye nokuphelelwa ngumdla wokutya. |
Ulungiselela njani oku?
Olu asilotyando olukhulu, kodwa kuya kufuneka ulungiselele kancinci kwangethuba. Ugqirha wakho uza kukuchazela yonke into.
- Imbali yezonyango: Ugqirha wakho uza kukubuza ngezifo zakho zangaphambili, utyando, kunye nee-aleji. Kubalulekile ukubazisa ukuba ukhulelwe.
- Ingcebiso ngamayeza: Ukuba uthatha amayeza okunciphisa igazi afana ne-`(Aspirin)` okanye `(Warfarin),` ugqirha wakho unokukucebisa ukuba uyeke ukuthatha loo mayeza kangangeentsuku ezimbalwa. Ugqirha wakho unokukucebisa ukuba uyeke ukuthatha amayeza okuphelisa iintlungu `(NSAIDs)` okanye amanye amayeza esifo seswekile. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
- Ukuzila Ukutya: Uya kucetyiswa ukuba uyeke ukutya okanye ukusela kangangeeyure ezimbalwa ngaphambi konyango.
Kwenzeka ntoni ngexesha lonyango?
Oku kungenziwa eofisini kagqirha okanye esibhedlele. Kungcono ukuchama nokukhupha isinyi sakho ngaphambi konyango.
1. Ukukulungiselela: Okokuqala, uza kulaliswa ebhedini.
2. Ukucoca nokufaka iintlungu: Emva koko, indawo ebhoboziweyo iyacocwa kakuhle kwaye indawo ebhoboziweyo iyaphelelwa ziintlungu . Kunikwa inaliti encinci ngenxa yoku. Xa ibhoboziwe, ivakala ibuhlungu kancinci, njengokulunywa imbovane, kodwa emva koko, akukho ntlungu kuloo ndawo.
3. Ukufaka i-catheter: Ugqirha udla ngokusebenzisa i -ultrasound scan ukuze abone ukuba amanzi aphi kanye kanye. Emva koko, kwindawo yokubhoboza, i-catheter kunye nombhobho omncinci weplastiki (i-catheter) eqhotyoshelwe kuyo ziya kufakwa kancinci esiswini.
4. Ukususa amanzi: Emva koko sebenzisa isirinji okanye ibhotile yokufunxa amanzi. Ukuba uneelitha ezininzi zamanzi oza kuzisusa, sebenzisa le bhotile yokufunxa amanzi ukukhawulezisa inkqubo.
5. Ukususa i-stinger kunye ne-banding: Nje ukuba amanzi akhutshwe, i-stinger isusiwe, uxinzelelo lufakwa kwindawo leyo ukuze kumiswe ukopha, kwaye kufakwa i-band ecocekileyo.
Kwabanye abantu, nokuba ulwelo lususiwe ngale ndlela, luhlala lubuya. Kwabo bantu, kufakwa ityhubhu ekhethekileyo yexesha elide (iTunneled Peritoneal Drainage Catheter). Emva koko ungalususa ulwelo ekhaya. Ugqirha wakho uya kugqiba ukuba lufanelekile na kuwe.
Ingaba oku kubuhlungu? Kuza kuthatha ixesha elingakanani?
Usenokuziva iintlungu ezincinci xa ufumana inaliti ebangela ukuba umntu angakwazi ukuzibamba, kodwa awuyi kuva iintlungu ezininzi xa amanzi esusiwe. Nangona kunjalo, usenokuziva uxinezelekile okanye ungonwabanga esiswini sakho. Ukuba uziva ungonwabanga okanye unesiyezi, ungoyiki ukuxelela ugqirha okanye umongikazi apho.
Le nkqubo idla ngokuthatha imizuzu engama-20 ukuya kwengama-45 . Iyahluka ngokuxhomekeke kubungakanani bolwelo olususwayo. Ngeenjongo zokuxilonga, kuthathwa isixa esincinci, malunga neemililitha ezingama-25. Unyango, ngamanye amaxesha iilitha ezi-5 nangaphezulu zinokususwa.
Ungayigcina njani ingqiqo xa ubuyela ekhaya?
Kungcono ukuphumla kwiiyure ezingama-24 zokuqala emva konyango. Ugqirha wakho uza kukunika iingcebiso malunga nendlela yokunyamekela inxeba.
- Ukunyamekela inxeba: Hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba utshintshe ibhandeji. Xelela ugqirha wakho ukuba inxeba liba bomvu, lidumbile, okanye likhupha ubovu.
- Ukutya: Kuya kufuneka unciphise ityuwa ekutyeni kwakho, njengoko ityuwa inyusa ukugcinwa kwamanzi emzimbeni.
- Amayeza: Sela amayeza okukhupha isisu achazwe ngugqirha wakho ngexesha elifanelekileyo.
- Ucoceko:Musa ukuvumela inxeba limanzi lide liphole. Kungoko ke, kungcono ukungayihlambi kwaye uhlambe ngesiponji.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Iingxaki azixhaphakanga kakhulu, kodwa kubalulekile ukuthatha amanyathelo ngokukhawuleza ukuba kukho naziphi na iimpawu zomngcipheko.
| Amathuba | Iimpawu |
|---|---|
| Fowunela ugqirha wakho. | |
| Iimpawu zosulelo | Umkhuhlane kunye nokubanda, ukubomvu okanye intlungu kwindawo yokuhlatywa, kunye nokukhupha okanye ubomvu obunuka kakubi. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
| Iimeko ezingxamisekileyo | Intlungu esifubeni, ubunzima obukhulu bokuphefumla, isiyezi, intlungu ebuhlungu esiswini okanye ukudumba. |
Umyalezo Wokuya Ekhaya
- I-Paracentesis yinkqubo yezonyango ekhuselekileyo kakhulu esusa ulwelo olugqithisileyo esiswini.
- Oku kunokukunceda ufumane unobangela wokudumba kwaye kunciphise ukungonwabi okubangelwa kuko.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngqo, ngaphambi nasemva konyango.
- Khangela iimpawu ezilumkisayo ezinje ngomkhuhlane, ukudumba kwenxeba, kunye nentlungu eqatha yesisu. Ukuba kukho nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
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