Masithethe ngotyando olukhulu lomhlaza, olunye lotyando olukhulu lomhlaza, ngamazwi alula.

Siyazi ukuba kunzima kangakanani ukulwa nomhlaza. Amagama awanakuchaza intlungu oyivayo xa umhlaza ubuya emva konyango notyando. Kwimeko enjalo, ugqirha wakho usenokuba uthetha nawe ngotyando olukhulu olubizwa ngokuba yi "Pelvic Exenteration." Kuqhelekile ukuziva usoyika kwaye wothukile xa usiva eli gama. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngokucacileyo nangokulula malunga nokuba oku kuthetha ukuthini ngokwenene, kutheni kwenziwa, kunye noko kuya kufuneka ujongane nako emva kwako.

Ngamafutshane, yintoni iPelvic Exenteration?

Ukukhupha i-pelvic exenteration lutyando olukhulu kakhulu nolunzima lokunyanga umhlaza ngaphakathi kwi-pelvis yakho. Ngokuqhelekileyo kwenziwa njengenyathelo lokugqibela xa zonke ezinye iindlela zonyango (ezifana ne-chemotherapy kunye ne-radiation therapy) zingaphumelelanga ukulawula umhlaza okanye xa umhlaza ubuyile.

Olu tyando lubandakanya kakhulu ukususwa kwamalungu okuzala apho umhlaza usasazeke khona. Amaxesha amaninzi, olu tyando lwenziwa kubafazi. Nangona kunjalo, kwezinye iimeko, amadoda nawo kufuneka enziwe olu tyando.

Oku kuquka ukususa amalungu omzimba anjengelungu lakho lobufazi, isibeleko, kunye nomlomo wesibeleko. Ngokuxhomekeke ekubeni umhlaza usasazeke kangakanani, iindawo ezithile zomchamo wakho kunye nomgudu wokugaya ukutya, ezifana nesinyi sakho kunye namathumbu, nazo zinokufuneka zisuswe.

Ziziphi iintlobo eziphambili zolu tyando?

Utyando lokukhupha isisu esinqeni lwabasetyhini lunokwahlulwa lube ziintlobo ezintathu eziphambili: Ngaphambili, Emva, kunye Nokupheleleyo. Ugqirha wakho uya kugqiba uhlobo lotyando olulungele wena ngokusekwe kwindawo kunye nobungakanani bomhlaza wakho.

Nokuba loluphi uhlobo lotyando oza kulutyanda, amalungu akho okuzala aza kususwa. Ungafumana umbono ocacileyo ngale nto kwitheyibhile engasezantsi.

Kuthekani ukuba olu tyando lwenziwa kumadoda?

Ukuba indoda ityandwa ngolu hlobo lomhlaza we-pelvic ophindaphindayo (njengomhlaza we-urethral), oogqirha basusa isinyi, i-rectum, i-anus, kunye nenxalenye ye-colon. Ukongeza, iindawo zenkqubo yokuzala, ezifana ne-prostate gland kunye ne-seminal vesicles, nazo zinokususwa.

Kutheni kucetyiswa utyando olukhulu kangaka?

Ngenxa yokuba olu lutyando olukhulu kakhulu, oogqirha bacebisa ukuba lusetyenziswe kuphela njengesisombululo sokugqibela. Izizathu eziphambili zezi:

• Xa ezinye iindlela zonyango (imitha, i-chemotherapy) zingenakunyanga umhlaza.
• Nokuba ithumba elinomhlaza lisusiwe ngotyando, umhlaza usenokubuyela kwindawo enye okanye usasazeke kwizitho ezikufutshane.

Olu tyando ludla ngokwenziwa kubantu abanomhlaza wabasetyhini. Umzekelo:

• Umhlaza wesisu
• Umhlaza wesibeleko
• Umhlaza womlomo wesibeleko
• Umhlaza weVulvar

Kwenzeka ntoni ngaphambi kotyando?

Ngaphambi kotyando olukhulu olufana nolu, uza kuhlolwa kakuhle. Ugqirha wakho usenokuyalela iimvavanyo ezifana ne-MRI scan okanye i-CT scan ukuze afumane imifanekiso ecacileyo yamalungu akho esinqe. Le mifanekiso iya kumnceda ukuba acwangcise utyando.

Ukongeza, ikwakuxelela ukuba wenze izinto ezinje:

• Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokufuneka ayekiswe kwiintsuku ezimbalwa ngaphambi kotyando.
• Bakuxelela ukuba ungatyi okanye usele nantoni na ngobusuku bangaphambi kotyando.
• Ugqirha wakho uza kukunika imiyalelo ecacileyo ngayo yonke le nto.

Kwenzeka ntoni ngexesha lotyando?

Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthetic eqhelekileyo (iyeza elifakwa ngemithambo engalweni yakho). Oku kuthetha ukuba uza kube ulele kulo lonke utyando, ngoko awuyi kuva ntlungu.

Iinkcukacha zotyando ziya kwahluka ngokuxhomekeke kuhlobo lotyando olwenziwayo. Ugqirha uza kwenza imingxunya emininzi esiswini sakho aze asuse ngononophelo amalungu okuzala anomhlaza, kwaye ukuba kuyimfuneko, namanye amalungu. Ngamanye amaxesha, kunokwenziwa inkqubo engangenisi mzimba kakhulu.

Indlela entsha yokukhupha umchamo kunye nendle

Lo ngumahluko omkhulu kolu tyando.

• Ukuba isinyi sakho sisusiwe: Kuya kufuneka udale indlela entsha yokuba umchamo uphume emzimbeni wakho. Ngamanye amaxesha kuthathwa inxalenye yamathumbu akho ize isetyenziswe ukwenza into efana nesinyi esitsha. Okanye, imibhobho ephuma kwizintso zakho iqhagamshelwe kumngxuma omncinci eluswini lwesisu sakho. Oku kubizwa ngokuba yi-urostomy . Umchamo uqokelelwa kwingxowa eqhagamshelwe kulo mngxuma.
• Ukuba inxalenye yamathumbu kunye ne-anus (iColon/Rectum/Anus) isusiwe: Indlela entsha yokuphuma kwendle yenziwa ngendlela efanayo. Inxalenye eseleyo yamathumbu iqhagamshelwe kumngxuma owenziwe eluswini lwesisu. Oku kubizwa ngokuba yi-colostomy . Ingxowa eqhagamshelwe koku iqokelela indle.

Olu tyando lonke ludla ngokuthatha malunga neeyure ezili-12 .

Kwenzeka ntoni emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele ixesha elide. Abanye abantu kufuneka bahlale esibhedlele iiveki ezininzi. Ngeli xesha, oogqirha kunye nabahlengikazi baya kujonga impilo yakho ngokusondeleyo kwaye bakunike amayeza okulawula iintlungu.

Abanye abafazi bakhetha ukwenziwa uhlengahlengiso lwesini ( vaginoplasty ) emva kolu tyando. Ukuba unomdla koku, ungathetha nogqirha wakho ngako.

Emva kokuba ubuyele ekhaya, isibhedlele siza kukunika imiyalelo eneenkcukacha malunga nendlela yokunyamekela izisikelo zakho zotyando kunye nendlela yokuzigcina zicocekile ukuba une-colostomy okanye i-urostomy. Kubaluleke kakhulu ukulandela imiyalelo ngononophelo ukuze uphephe naziphi na iingxaki.

Ziziphi iingenelo kunye neengozi zalo tyando?

Nangona kunjalo, njengazo zonke iintlobo zotyando ezinkulu, kukho iingozi ezithile. Ezi ziquka:

• Ukuvaleka kwamathumbu , oko kuthetha ukuba ukutya akushukumi kakuhle.
• Usulelo.
• Iingxaki ngemingxuma emitsha (ii-ostomies) ezidalwe ukuvumela umchamo kunye nendle ukuba ziphume.
• Ukusasazeka kosulelo egazini ( iSepsis ).
• Ukopha kakhulu okanye ukuqhekeka kwegazi .
• Amanxeba otyando ayadumba, abe bomvu, okanye aphinde avuleke.
• I-fistula yesini ngumngxuma ophakathi kwesini kunye nezinye izitho zangaphakathi (umz., isinyi).
• Nangona kunqabile kakhulu, kukho umngcipheko wokufa emva kolu tyando. Ugqirha wakho uza kuxoxa nawe ngale nto ngokukhululekileyo.

Kuthatha ixesha elingakanani ukuphiliswa?

Le yeyona nxalenye inzima. Ixesha lokuchacha lide kwaye linzima.

• Kuya kufuneka uphumle ngokupheleleyo iiveki ezimbalwa emva kotyando. Akukhuthazwa ukuba wenze nayiphi na imisebenzi yomzimba.
• Ude uzive ungcono kancinci, ngokuqinisekileyo uya kufuna uncedo oluvela kwilungu losapho ngezinto ezifana nokuhlamba, ukunxiba nokuhamba.
• Ngokuxhomekeke kuhlobo lotyando olwenzileyo, usenokungakwazi ukuhlala phantsi kangangeeveki ezisi-8. Usenokukwazi ukuma nokugoba, kodwa kuya kuba nzima ukuma ixesha elide.
• Abanye abantu bakufumanisa kunzima ukuhlala nkqo kangangeenyanga, kwaneminyaka, emva kotyando. Oku kungenxa yokuba inani elikhulu lamalungu kunye nezicubu ezazibonelela ngenkxaso yesakhiwo esiswini sakho nakwisinqe zisusiwe.
• Buza ugqirha wakho malunga nokuzilolonga kunye nonyango lomzimba onokulwenza ukuqinisa izihlunu zakho zesisu kunye nomqolo.
• Kukwabalulekile kakhulu ukuhlala uqinile engqondweni ngeli xesha. Ukunika iingcebiso nokuthetha namaqela enkxaso nabantu abaye badlula kolu tyando njengani kuya kuba ngumthombo omkhulu wamandla.

Kuphantsi kweziphi iimeko apho kufuneka ubone ugqirha ngokukhawuleza?

Emva kotyando, kuya kufuneka ubone ugqirha wakho rhoqo ukuze ahlolwe. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, fowunela ugqirha wakho ngoko nangoko.

• Ukopha okanye ukudumba okugqithisileyo okuvela kwindawo yesisu.
• Umkhuhlane, ukubomvu kunye nokudumba okujikeleze inxeba lotyando (ezi ziimpawu zosulelo).
• Intlungu yesisu enganyamezelekiyo.
• Ubunzima okanye ukungakwazi ukulawula ukuchama okanye ukukhupha indle.
• Isicaphucaphu nokuhlanza.
• Ukuqhinwa.

Ukukhupha isisu esiswini lutyando olutshintsha ubomi. Kodwa lunokuba lukhetho olusindisa ubomi nolusindisa ubomi. Ngaphambi kokuba wenze esi sigqibo, kubalulekile ukuxoxa ngazo zonke iingxaki zakho nogqirha wakho kwaye ufumane ukuqonda okucacileyo nokwenyani.