Ngaba wakha waya kugqirha, mhlawumbi ukuze kwenziwe i-endoscopy (inkqubo apho ikhamera ifakwa khona kwingaphakathi lesisu sakho) ngenxa yengxaki yesisu, waza ugqirha wathi into efana nale? "Kukho ukukhula okuncinci ngaphakathi kwekholoni/isisu sakho. Siza kuyisusa." Kuqhelekile ukuba uzive usoyika xa usiva into efana nale. Kodwa ungoyiki. La kukhula kuncinci koko sikubiza ngokwezonyango ngokuba yi-"Polyps." Inkqubo elula yokuzisusa ibizwa ngokuba yi-"Polypectomy." Ke namhlanje, siza kuthetha ngayo yonke into ngendlela elula kakhulu.
Yintoni 'i-polyp'? Kutheni kufuneka isuswe?
Ngamafutshane, i-polyp kukukhula okungafunekiyo kwezicubu okwakheka eludongeni lwangaphakathi lwelungu emzimbeni wethu, ingakumbi ilungu elinomngxuma ngaphakathi (umzekelo, ikholoni, isibeleko, isisu). Cinga ngayo njengentsumpa ekhula ngaphakathi emzimbeni.
Kukho iintlobo ezahlukeneyo zezi `Polyps`:
- Intle: Ezi ziithumba eziqhelekileyo. Azibangeli monakalo.
- Umhlaza: Ngamanye amaxesha ezi thumba zinokuguquka zibe ziiseli zomhlaza.
- Umhlaza ongaphambi komhlaza: La ngamathumba angengomhlaza okwangoku, kodwa anethuba elikhulu lokuba ngumhlaza kwixesha elizayo.
Ingxaki kukuba, kunzima kugqirha ukuxelela ngokupheleleyo ukuba loluphi uhlobo lwe-polyp ngokuyijonga nje ngaphandle. Eyona ndlela ilungileyo yokwazi ngokuqinisekileyo kukuyisusa uze uyithumele kwilebhu ukuze ivavanywe (i-``(Biopsy)``).
Oogqirha badla ngokucebisa ukuba kungcono ukususa i-polyp ngokukhawuleza nje xa uyibonile, kunokulinda ukuba ibe yingxaki kamva.
| Izizathu eziphambili zokususa i-polyp | |
|---|---|
| Isizathu | Inkcazo |
| Ukuvela kweempawu | Umzekelo, izinto ezifana neentlungu zesisu, ukopha, kunye notshintsho kwindlela yokuzilungisa. |
| Umngcipheko womhlaza | Ukuba i-polyp ifana nomhlaza okanye kurhanelwa ukuba luhlobo oluthile olunokuba ngumhlaza. |
| Ukuxilongwa okuqinisekileyo | Ukuyivavanya elabhoratri ukuze kufunyaniswe ukuba loluphi uhlobo lwethumba. |
Ngaba i-polypectomy lutyando olukhulu? Ngaba ibuhlungu?
Hayi suka! Musa ukoyika ukuva oku. `I-Polypectomy` idla ngokuba lutyando olulula kakhulu noluncinci. Kwizonyango, oku sikubiza ngokuba yi-`(Inkqubo engaphantsi kakhulu)`. Oko kuthetha ukuba, yinto eyenziwa ngendlela encinci, ngaphandle kokwenza umsikelo omkhulu.
Iipolyps ezininzi ziyasuswa ngexesha lovavanyo olubizwa ngokuba yi-colonoscopy (uvavanyo lwe-colon olukhokelwa yikhamera) okanye i-endoscopy (uvavanyo lwesisu olukhokelwa yikhamera). Njengoko ugqirha efaka ityhubhu yekhamera, udlulisa izixhobo ezincinci ngetyhubhu aze ayisuse i-polyp. Awuyi kuyiva nokuziva.
Nangona kunjalo, ngamanye amaxesha, ukuba i-polyp ayifikeleleki lula, okanye ukuba inkulu kakhulu, ugqirha unokufuneka enze i-laparoscopy, equka ukwenza umngxuma omncinci wesitshixo esiswini. Oku kuqhelekile kakhulu ngoku.
Ngokuphathelele iintlungu, awuyi kuva ntlungu. Oku kungenxa yokuba uza kunikwa isibulali-zintlungu ngaphambi kwenkqubo. Ngamanye amaxesha, uza kulaliswa (`(I-General Anesthesia)`). Okanye, uza kunikwa iyeza eliza kukwenza ulale kancinci (`(I-Sedation)`). Ngoko ke, nangona uza kuva uxinzelelo oluncinci, awuyi kuva ntlungu konke konke.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela ngaphambi kotyando
Kwiimeko ezininzi, akukho mfuneko yokulungiselela okukhethekileyo. Nangona kunjalo, ukuba wenza i-"Colonoscopy" kunye ne-"Polypectomy", amathumbu akho kufuneka acoceke ngokupheleleyo. Ngenxa yoku, kuya kufuneka usele iyeza elikhethekileyo lolwelo (``(ifomyula yokulungiselela amathumbu)``) eliza kukunika ugqirha wakho. Kunye noku, uya kucetyiswa ukuba ulawule ukutya kwakho kangangeentsuku ezimbalwa. Kwakhona, ukuba uthatha amanye amayeza, kubalulekile ukuthetha nogqirha wakho malunga nokuba kufuneka uyeke na ngomhla wotyando.
Ngexesha lotyando...
Le yinkqubo elula kakhulu.
1. I-Anesthesia: Okokuqala, uza kunikwa i-sedative nge-IV (i-intravenous drip) emthanjeni osengalweni yakho. Emva kwexesha elithile, uza kuziva ukhululekile okanye ulale.
2. Ukufaka i-endoskopu:Emva koko ugqirha ufaka ityhubhu ende neguquguqukayo (i-endoscope) enekhamera eqhotyoshelweyo ngomngxuma wendalo emzimbeni wakho (umzekelo, nge-anus ukuze ufumane i-polyp kumathumbu amakhulu, okanye ngomlomo ukuze ufumane i-polyp esiswini).
3. Ukususa iPolyp: Imifanekiso evela kwikhamera ijongwa kwimonitha ukuze kufunyanwe i-polyp. Emva koko, i-polyp iyabanjwa ize isuswe kusetyenziswa isixhobo esincinci, esifana ne-forceps okanye i-wire snare, esidluliselwa kwityhubhu.
4. Ukuyeka ukopha: Ukuze kumiswe ukopha kwindawo apho i-polyp isusiwe khona kwaye kususwe ngokupheleleyo naziphi na izicwili eziseleyo, indawo itshixizwa kancinci ngesixhobo sombane (isixhobo se-electrocautery). Oku kubizwa ngokuba yi-cauterization.
Kwenzeka ntoni emva kotyando? Ngaba kukho naziphi na iingozi?
Uza kukwazi ukuya ekhaya emva nje kotyando. Nangona kunjalo, ungaziva unesizungu ngenxa yeziphumo ze-anesthesia, ngoko ke kungcono ukuba nomntu oza kuhlala nawe. Ungaziva ungakhululekanga kwaye uvuvukile kangangeentsuku ezimbalwa. Oku kuqhelekile.
I-polyp esusiweyo ithunyelwa kwilebhu. Kuthatha malunga neveki okanye ezimbini ukufumana ingxelo. Uninzi lwexesha, ezi zibikwa njengezingenamhlaza (ezingenobungozi). Ukuba kufunyenwe iiseli zomhlaza, ugqirha wakho uya kukunika iingcebiso malunga novavanyo olongezelelweyo kunye nonyango.
I-Polypectomy yinkqubo ekhuselekileyo kakhulu. Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iingozi ezincinci ezinokwenzeka rhoqo.
- Ukopha.
- Ukwenzeka kwesifo esosulelayo.
- Umngxuma okanye ukukrazuka eludongeni lwesitho somzimba. (`(Ukugqobhoza)`)
- Ukutsha okuncinci kwezicubu okubangelwa sisixhobo se-'electrocautery'.
Ezi zinto zenzeka rhoqo. Kukwakho nenye ingxaki engaqhelekanga ebizwa ngokuba yi-'Postpolypectomy coagulation syndrome (PPCS). Oku kukudumba okuncinci kwezicubu eziphantsi kwe-'Polyp' apho yatsha khona. Oku akuyonto imbi kakhulu, kwaye kuya kuphola kwiintsuku ezimbalwa ngamayeza. Nangona kunjalo, ukuba ufumana nantoni na emva kotyando, njengentlungu yesisu enganyamezelekiyo, umkhuhlane, okanye ukopha kakhulu , kufuneka uthethe nogqirha wakho ngoko nangoko.
Kuza kuthatha iintsuku ezimbalwa kuphela ukuba uphile. Uza kukwazi ukubuyela kwimisebenzi yakho yesiqhelo emva kosuku olunye okanye ezimbini.
Umyalezo Wokuya Ekhaya
- I-Polypectomy lutyando olulula nolukhuselekileyo lokususa amaqhuma amancinci (ii-polyps) akhula ngaphakathi emzimbeni.
- Ezi azisoloko zibangela umhlaza, kodwa ukuze wazi ngokuqinisekileyo ukuba zinomhlaza okanye akunjalo, kufuneka zisuswe zihlolwe.
- Olu tyando aludli ngokuba buhlungu. Awuyi kuva buhlungu kuba uza kunikwa i-anesthesia.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (iintlungu zesisu eziqatha, umkhuhlane, ukopha kakhulu) emva kotyando, yazisa ugqirha wakho ngoko nangoko.
- Musa ukoyika ukwenza oku kuba linyathelo elibalulekileyo lokuthintela ukugula okunzulu kwixesha elizayo. Xoxa nogqirha wakho ngayo nayiphi na into ekuxhalabisayo.
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