Usenokuba awukaze uve la mazwi ngaphambili. 'Ukukhupha i-pelvic' lutyando olunzima kakhulu nolubalulekileyo olucetyiswa ngoogqirha njengendlela yokugqibela ebomini bomntu olwa nomhlaza, xa zonke ezinye iindlela zonyango zingaphumelelanga. Olu asilotyando nje kuphela. Olu lunokuba lithemba elisindisa ubomi. Yiyo loo nto kubaluleke kakhulu ukuba nolwazi olupheleleyo ngalo mba ngaphambi kokuba wenze isigqibo esinzulu kangaka.
Ngamafutshane, yintoni iPelvic Exenteration?
Khawucinge nje, olu lolona tyando lukhulu olwenziwayo xa umhlaza usasazeke kwiindawo zethu zangasese kwaye kungekho ndlela yimbi yokuwususa. Okwenzekayo kukuba umhlaza kunye namalungu anokusasazeka asuswe ngokupheleleyo ngotyando.
Nangona olu tyando lwenziwa kakhulu kubafazi, kwezinye iimeko, amadoda nawo kufuneka enziwe olu tyando.
Oogqirha badla ngokusebenzisa utyando olukhulu olunje kuphela ukuba zonke ezinye iindlela zonyango, ezifana ne -chemotherapy kunye ne-radiation, ziye zasilela ukulawula umhlaza. Olu tyando lunokunciphisa iintlungu ezibangelwa ngumhlaza kwaye ngamanye amaxesha lude lunyange umhlaza ngokupheleleyo. Nangona kunjalo, lukwanomngcipheko ophezulu weengxaki ezinkulu kunye nexesha elide lokuchacha. Ngoko ke, kubalulekile ukuthetha nogqirha wakho malunga neengozi, iingenelo, kunye nenkqubo yokuchacha ngaphambi kokuba wenze isigqibo.
Ngaba kukho iintlobo eziphambili zolu tyando?
Ewe, olu tyando lwahlulwe lwaba ziintlobo ezintathu eziphambili ngokuxhomekeke kwindlela umhlaza osasazeke ngayo. Kuzo naziphi na ezi ntlobo, amalungu enkqubo yokuzala yomfazi ayasuswa ngokuyimfuneko. Oko kukuthi:
- Isibeleko: Apho umntwana akhulela khona.
- I-Cervix: Umnyango wokungena kwisibeleko.
- Amaqanda: Apho kuveliswa khona amaqanda.
- Iityhubhu zeFallopian: Iityhubhu ezithwala amaqanda ukuya esibelekweni.
- Ilungu lobufazi.
Makhe sijonge ezi ntlobo zintathu ziphambili ngale ndlela ukuze siziqonde kakuhle.
| Uhlobo lotyando | Izitho eziphambili zisusiwe |
|---|---|
| Ukukhupha iPelvic Ngaphambili (Utyando lwangaphambili) | Ukongeza kuzo zonke izitho zenkqubo yokuzalaUkususwa kwesinyi. |
| Ukukhupha iPelvic Exenteration emva (utyando lomqolo) | Ukususwa kwenxalenye yamathumbu amakhulu (i-rectum) ukongeza kuzo zonke izitho zenkqubo yokuzala. |
| Ukukhupha iPelvic iyonke (utyando olupheleleyo) | Ukususwa kwazo zonke izitho zenkqubo yokuzala, inkqubo yomchamo, kunye nenkqubo yokugaya esezantsi (isinyi, i-rectum, iindawo zekholoni). |
Kutheni usenza utyando olukhulu kangaka?
Oogqirha benza esi sigqibo sikhulu xa bengenalo olunye ukhetho. Olu tyando lwenzelwa ikakhulu umhlaza wabasetyhini obuye wavela okanye onganyangekiyo ngezinye iindlela zonyango. Umzekelo:
- Umhlaza womlomo wesibeleko
- Umhlaza wesibeleko
- Umhlaza wesisu
- Umhlaza weVulvar
Olu tyando lwenziwa nakumadoda aneemeko ezifana nomhlaza we-urethra ophindaphindayo, apho amalungu anjengesinyi sawo, i-rectum, kunye ne-prostate gland asuswa khona.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela utyando
Ngaphambi kotyando olukhulu olufana nolu, ugqirha wakho uza kukuxilonga kakuhle. Baza kwenza iimvavanyo ezifana ne -MRI kunye ne-CT scans ukuze babone ukuba umhlaza usasazeke kangakanani na. Utyando luza kucwangciswa ngokufanelekileyo. Kwakhona, amanye amayeza, afana ne-blood thinners, aya kucelwa ukuba amiswe ngaphambi kotyando. Kuya kufuneka uyeke ukutya nokusela ngobusuku bangaphambi kotyando. Konke oku kufuneka kulandelwe kanye njengoko ugqirha wakho ekuyalela.
Indlela oluqhutywa ngayo utyando
Uza kunikwa i-anesthesia epheleleyo kulo lonke utyando, ngoko awuyi kuva ntlungu. Olu tyando lungathatha iiyure ezili-10-12 okanye nangaphezulu.
Eyona nto ibalulekileyo kukuba ukuba isinyi sakho kunye neendawo ezithile zekholoni yakho zisusiwe, kuya kufuneka ufumane iindlela ezintsha zokususa inkunkuma (umchamo kunye nendle) emzimbeni wakho.
- Ukuchama: Ugqirha angasebenzisa inxalenye yamathumbu akho ukwenza into efana nesinyi esitsha. Okanye, imibhobho evela kwizintso zakho iqhagamshelwe ngqo kumngxuma omncinci owenziwe eluswini lwesisu sakho. Oku kubizwa ngokuba yi-urostomy.Emva koko umchamo uqokelelwa kwingxowa eqhagamshelwe kuloo mngxuma.
- Ukuqubha indle: Xa kususwa iindawo zamathumbu amakhulu, njenge-rectum, inxalenye eseleyo yamathumbu iqhagamshelwe kumngxuma owenziwe eluswini lwesisu. Oku kubizwa ngokuba yi-colostomy . Ingxowa ingaqhagamshelwa kule nto ukuze kuqokelelwe indle.
Nangona kunokuba nzima ukuqhelana nezi ndlela ekuqaleni, ekuhambeni kwexesha unokuphila ubomi obuqhelekileyo.
Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?
Eli lelona xesha linzima kakhulu. Kusenokufuneka uhlale esibhedlele iiveki ezininzi. Nangona unikwa amayeza okulawula iintlungu, impilo yakho isoloko ijongwa ngoogqirha kunye nabahlengikazi.
Uza kufundiswa indlela yokunyamekela amanxeba akho emva kotyando kunye nendlela yokucoca iibhegi zakho ezisandula ukwenziwa ze-colostomy/urostomy.
Ixesha lokuphiliswa lingathatha iinyanga ezininzi.
- Akunakwenziwa naluphi na uhlobo lomsebenzi womzimba kangangeeveki eziliqela.
- Ngokuxhomekeke kuhlobo lotyando, usenokungakwazi ukuhlala kakuhle kangangeeveki ezi-6-8. Usenokukwazi ukuma, ujike ecaleni, uze ulale phantsi ulule iingalo zakho.
- Kubalulekile ukuba nomntu oza kukunceda kwasekuqaleni.
- Ngenxa yokuba inani elikhulu lamalungu omzimba lisuswa emzimbeni, inkxaso yesisu iyancitshiswa, nto leyo eyenza kube nzima kwabanye abantu ukuhlala nkqo kangangeenyanga okanye iminyaka. Ukuzilolonga ngomzimba kunokunceda ukuqinisa izihlunu zesisu.
Kuthatha ixesha ukuba umzimba nengqondo ziphile emva kolu tyando. Kungoko ke, kubaluleke kakhulu ukufumana inkxaso yosapho kunye nabahlobo, kwaye ukuba kuyimfuneko, funa iingcebiso zengqondo. Ukujoyina amaqela enkxaso nabantu abaye benza utyando olufanayo nako kungumthombo omkhulu wamandla.
Ziziphi iimpawu ezifuna ukuba ubone ugqirha ngokukhawuleza?
Uza kunikwa amaxesha okulandela emva kotyando rhoqo. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezilandelayo , funa ingcebiso kagqirha ngoko nangoko.
- Ukopha okanye ukudumba okugqithisileyo okuvela kwindawo yesisu.
- Umkhuhlane, ukubomvu, kunye nokudumba kufutshane namanxeba (ezi ziimpawu zosulelo).
- Intlungu ebuhlungu yesisu.
- Ubunzima bokuchama okanye bokukhupha indle.
- Ukucaphuka nokuhlanza okungapheliyo.
- Ukuqhinwa.
Umyalezo Wokuya Ekhaya
- Ukukhupha isisu esiswini lutyando olunzima kakhulu nolunobungozi olusetyenziswa kunyango lomhlaza, oluthathwa njengonyango lokugqibela.
- Olu tyando lubandakanya ukususa amalungu okuzala, kunye nesinyi kunye/okanye iindawo zamathumbu, kunye nokudala umngxuma osisigxina (i-stoma) esiswini ukuvumela inkunkuma ukuba idlule.
- Ixesha lokuchacha lide kakhulu, kwaye linokuba nzima ngokwasemzimbeni nangokwengqondo kangangeenyanga. Inkxaso yosapho kunye noncedo lobuchwephesha zibalulekile.
- Ngaphambi kokuba wenze isigqibo malunga nolu tyando, kubalulekile ukuba nengxoxo evulekileyo necacileyo nogqirha wakho malunga neengozi kunye neenzuzo ezinzulu.
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