Ukuva igama elithi 'Proctectomy' kugqirha wakho kunokuziva uxinezelekile kwaye kubangele ixhala. Kuqhelekile ukuba nexhala xa kukhankanywa utyando. Nangona kunjalo, ukuqonda le nkqubo ngokucacileyo kunokukunceda ukhululeke engqondweni kwaye kukuvumele ukuba ujongane nohambo oluya phambili ngokuzithemba. Apha eNirogi Lanka, masithethe ngento ebandakanya i-proctectomy, ichazwe ngokulula.
Ngamafutshane, yintoni i-proctectomy?
I-proctectomy yinkqubo yotyando yokususa inxalenye okanye yonke i-rectum yakho. I-rectum yi-intshi ezintandathu zokugqibela zamathumbu akho amakhulu, ngaphezulu nje kwe-anus. Ngokuxhomekeke kwimeko yakho yempilo ethile, ugqirha wakho unokufuna ukususa i-anus ngokwayo ngeli xesha lenkqubo.
Kutheni olu tyando luyimfuneko?
Kukho izizathu ezininzi ezibalulekileyo zokuba ugqirha angacebisa olu hlobo lwenkqubo. Ngokuqhelekileyo lugcinelwe iimeko apho ezinye iindlela zonyango zingakhange zisebenze okanye zingafanelekanga.
- Umhlaza Wamathumbu: Esi sesona sizathu siqhelekileyo sokususwa kwezicubu. Ukususwa kwezicubu ezichaphazelekayo kubalulekile ukuze kususwe iiseli ezinomhlaza kwaye kuthintelwe ukusasazeka kwesifo.
- Isifo Sesisu Esivuthayo Esiqatha (IBD): Iimeko ezifana ne- ulcerative colitis okanye isifo sikaCrohnNgamanye amaxesha zinokuba nzima kangangokuba azisabeli kumayeza. Ukuba ufumana iintlungu ezibuhlungu okanye iingxaki ezibangela ukuphelelwa ngamandla, utyando lunokufuneka ukuze kubuyiselwe umgangatho wobomi bakho.
- I-Familial Adenomatous Polyposis (FAP): Le yimeko yemfuza ebonakaliswa kukukhula kwee-polyps ezininzi kumathumbu amakhulu nakwi-rectum. Ngenxa yokuba ezi polyps zinomngcipheko omkhulu wokuba nomhlaza, utyando ludla ngokucetyiswa njengendlela yokuthintela.
Nangona le yinkqubo ebalulekileyo, linyathelo elisindisa ubomi ekulawuleni izifo ezinzulu ezifana nomhlaza okanye isifo samathumbu esinzima, kwaye iingenelo zayo ekuqinisekiseni impilo yakho yexesha elide azinakulinganiswa.
Ungayilungiselela njani utyando lwakho?
Ngaphambi kokuba wenze utyando, ugqirha wakho uza kuhlola umzimba wakho ngokupheleleyo. Ukuqonda impilo yakho iyonke linyathelo elibalulekileyo ekucwangciseni utyando lwakho ngokukhuselekileyo nangokufanelekileyo apha eNirogi Lanka.
- Uvavanyo: Usenokufuna uvavanyo lwegazi, i-ECG, kunye nezinye izifundo ezinokuba zezemifanekiso. Ukuba awukaze uyenze i- colonoscopy ngaphambili, ugqirha wakho uya kucwangcisa olunye.
- Ukulungiswa kwamathumbu: Eli linyathelo elibalulekileyo . Amathumbu akho kufuneka acoceke ngokupheleleyo ngaphambi kotyando. Ugqirha wakho uza kukunika irejimeni yokukhupha isisu okanye akucebise nge -enema ukuqinisekisa ukuba inkqubo yakho ilungiselelwe kakuhle.
- Amayeza: Ukuba uthatha amayeza okunciphisa igazi okanye amanye amayeza athile, ungacelwa ukuba uwamise iintsuku ezimbalwa ngaphambi kwenkqubo yakho. Nceda unike ugqirha wakho uluhlu olupheleleyo lwamayeza onke, izongezo, kunye neevithamini ozithathayo ngoku.
- Ukutshaya: Ukuba uyatshaya, ukuyeka ukutshaya iiveki ezimbalwa ngaphambi kotyando lwakho kuphucula kakhulu amandla omzimba wakho okuphiliswa kwaye kunciphisa umngcipheko weengxaki.
Inkqubo yotyando kunye neentlobo eziphambili
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia jikelele, iqinisekise ukuba uhlala ulele kwaye ungenazintlungu kulo lonke inkqubo.
Uhlobo oluthile lotyando olucwangcisiweyo oluza kwenziwa luxhomekeke kwisifo osifumeneyo, indawo esikuyo isifo, kunye nobungakanani baso. Kukho iindlela ezintathu eziphambili zotyando:
| Uhlobo lotyando | Inkcazo |
|---|---|
| Ukususwa kwesisu (APR) | Oku kuquka ukususa i-rectum, i-anus, kunye nemisipha ye-sphincter ejikelezileyo. Ngenxa yokuba i-anus isusiwe, kwakheka umngxuma phezu kwesisu sakho wokususa inkunkuma, eyaziwa ngokuba yi- ostomy . Ingxowa incamathiselwe ukuqokelela inkunkuma, ekuya kufuneka uyikhuphe rhoqo. Oku kwenzeka rhoqo xa isifo sikufutshane kakhulu nomngxuma we-anal. |
| Ukususwa okuphantsi ngaphambili (LAR) | Nanini na xa kufanelekile ngokwezonyango, sijonge ukugcina i-anus kunye nemisipha yayo ye-sphincter. Kuphela kususwa inxalenye enesifo, kwaye iziphelo eziphilileyo zamathumbu ziphinde zixhunyaniswe ( i-anastomosis ). Ukuba iphumelele, akufuneki ibhegi ye-ostomy, nto leyo evumela ukuhamba kwamathumbu okuqhelekileyo. |
| Ukususwa kwerectal ngeRobhothi | Le yindlela yanamhlanje, engenabungozi kangako kwi-LAR. Ugqirha wakho usebenzisa ubuchwepheshe obuphambili berobhothi ukwenza olu tyando ngokuchanekileyo okukhulu. Iingenelo ziquka ukopha okunciphileyo, amaxesha okuchacha ngokukhawuleza, kunye nokuchaneka okuphuculweyo kotyando. |
Kwenzeka ntoni emva kotyando?
Emva kotyando lwakho, ungalindela ukuhlala esibhedlele iintsuku ezimbalwa, okanye ukuya kuthi ga kwiveki, kuxhomekeke ekubeni uqhubekile njani nokuchacha.
- Ulawulo lweentlungu: Iqela lethu liza kubonelela ngamayeza ukuqinisekisa ukuba iintlungu zakho zilawulwa ngokufanelekileyo.
- Iityhubhu: Usenokuba ne-catheter yomchamo kunye nemisele yotyando endaweni yokususa ulwelo olugqithisileyo kwindawo yotyando. Ezi zihlala zizezexeshana.
- Isondlo: Uza kutshintsha kancinci kancinci ukusuka kwizinto ezicocekileyo ukuya kwindlela yokutya ethambileyo njengoko inkqubo yakho yokugaya ukutya ibuyela esimeni sayo.
- Unyango lomzimba: Ingcali yonyango lomzimba iya kukunceda ekubuyiseleni amandla kunye nokuhambahamba, kuquka ukukuphakamisa nokuhamba ngokukhawuleza xa kukhuselekile ukwenza njalo.
Ngaphambi kokuba uphume esibhedlele, iqela lakho lezonyango liza kubonelela ngemiyalelo eneenkcukacha malunga nokunyamekela amanxeba, ulawulo lweentlungu, izikhokelo zokutya, kunye namanyathelo okulandela emva koko ekufuneka uwathathe.
Zithini iingozi kunye neengxaki?
Njengakwezinye iindlela zotyando olukhulu, i-proctectomy ineengozi ezithile kunye neengxaki ezinokubakho. Kubalulekile ukuba nolwazi olupheleleyo malunga nezi zinto zinokwenzeka. Nceda unxibelelane nogqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu eziphathelele oku okanye, kwimeko engxamisekileyo, fowunela u-911 okanye undwendwele isebe likaxakeka elikufutshane nawe.
| Uhlobo lwengxaki | Inkcazo |
|---|---|
| Iingxaki zexesha elifutshane | |
| Usulelo | Unokufumana usulelo nokuba kwindawo yotyando okanye ngaphakathi kwesisu. |
| Ukopha | Ukuba ukopha kakhulu kwenzeka ngexesha okanye emva kotyando, unokufuna utofelo-gazi. |
| Amahlwili egazi | Ukuncipha kokuhambahamba emva kotyando kunokubangela ukuba igazi liqhekeke emilenzeni yakho. Oku kunokuba nzima ukuba kuhamba kuye emiphungeni yakho ( pulmonary embolism ). |
| Ukuvuza | Ukuba kukho ukuvuza kwindawo apho amathumbu aphinde axhunyaniswa khona (i-anastomosis), kunokufuneka inkqubo yesibini. |
| Iingxaki Zexesha Elide | |
| Ukungasebenzi kakuhle ngokwesondo | Iinkqubo zotyando zingachaphazela imithambo-luvo ebandakanyekayo ekusebenzeni ngokwesondo. Oku kunokubangela ukungasebenzi kakuhle kwe-erectile kumadoda okanye ubunzima bokufikelela kwi-orgasm ( i-anorgasmia ) kuyo nayiphi na isini. |
| Utshintsho lwamathumbu | Ungabona ukwanda okanye ukungxamiseka kokuhamba kwamathumbu, okanye kwezinye iimeko, ubunzima bokulawula amathumbu. |
| Iingxaki ezinxulumene ne-Ostomy | Usenokuba nokurhawuzelelwa lusu ecaleni kwestoma, ukuvuza, okanye iingxaki ezinokubakho zehernia. |
Ufanele uqhagamshelane nini nogqirha wakho?
Wakuba usekhaya, kubalulekile ukuhlala uphaphile. Ukuba ubona naziphi na kwezi mpawu zilandelayo, nxibelelana nomboneleli wakho wezempilo okanye ufune unyango olungxamisekileyo ngokukhawuleza:
- Umkhuhlane ongama-38°C (100.4°F) okanye ngaphezulu.
- Intlungu eqhubeka iba mandundu okanye engalawulwa ngamayeza amiselweyo.
- Ububomvu, ukudumba, okanye ukukhupha okungaqhelekanga kwindawo otyando kuyo.
- Ukopha kakhulu okanye okungapheliyo.
- Ukungakwazi ukuchama.
- Ukucaphuka okanye ukuhlanza okungapheliyo.
- Ukuphelelwa ngumphefumlo okanye iintlungu esifubeni.
- Utshintsho olubalulekileyo kumsebenzi okanye kwinkangeleko ye-ostomy yakho.
Umyalezo Wokuya Ekhaya
- Ukususwa kwesibeleko yinkqubo ebalulekileyo, kodwa linyathelo elibalulekileyo ekulawuleni iimeko ezifana nomhlaza okanye isifo esinzima sokuvuvukala ukukhusela impilo yakho yexesha elide.
- Ukulandela imiyalelo kagqirha wakho ngaphambi kotyando nasemva kotyando kubalulekile ukuze uphumelele ekuchacheni.
- Ukuphiliswa kuthatha ixesha. Yiba nomonde kuwe, landela izikhokelo zeqela lakho lezonyango, kwaye uthembele kwinkqubo yakho yenkxaso.
- Unelungelo lokubuza imibuzo. Nceda uxoxe ngokukhululekileyo ngayo nayiphi na inkxalabo okanye uloyiko kunye neqela lakho lezonyango.
- Ngenxa yokuqhubela phambili kweendlela zotyando zanamhlanje, amazinga empumelelo aphezulu. Hlala unethemba kwaye ugxile kuhambo lwakho lokuchacha eNirogi Lanka.
👩🏽⚕️ Imibuzo Ebuzwa Rhoqo (Imibuzo Ebuzwa Rhoqo) nguNirogi Lanka
💬 Yintoni i-proctectomy?
I-proctectomy yinkqubo yotyando yokususa inxalenye okanye yonke i-rectum yakho, elilicandelo lokugqibela lamathumbu akho amakhulu.
💬 Kutheni kwenziwa i-proctectomy?
Kukho izizathu ezininzi zonyango zokuba ugqirha wakho angacebisa olu tyando. Ezi ziquka ikakhulu umhlaza we-rectal, isifo samathumbu esibuhlungu (IBD) esingaphenduliyo kumayeza, okanye iimeko zemfuza ezifana neFamilial Adenomatous Polyposis (FAP) ukuthintela ukukhula komhlaza.
💬 Ngaba i-proctectomy isetyenziselwa ukunyanga umhlaza we-rectal?
Ewe, umhlaza wamathumbu yenye yezona zizathu zixhaphakileyo zokwenza i-proctectomy. Le nkqubo ibalulekile ekususeni iiseli zomhlaza nokuthintela umhlaza ukuba ungasasazeki kwamanye amalungu omzimba wakho.
