Mhlawumbi wena okanye umntu osapho lwakho uxelelwe ngugqirha wakho ukuba unethumba lezintso kwaye kufuneka lisuswe ngokupheleleyo. Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva loo nto. Kodwa xa usazi ulwazi oluchanekileyo malunga noku, olo loyiko luya kuncipha kakhulu. Namhlanje, siza kuthetha ngotyando olususa ngokupheleleyo izintso, olubizwa ngokuba yi-'radical nephrectomy.'
Yintoni iRadical Nephrectomy?
Ngamafutshane, i-radical nephrectomy kukususwa kwesinye sezintso zakho ngotyando. Oku kuquka ukususa kungekuphela nje izintso kodwa kunye nezicubu ezinamafutha ezizijikelezileyo. Ngamanye amaxesha, i-adrenal gland kunye ne-lymph nodes ezingqongileyo nazo zinokufuneka zisuswe.
Igama elithi "Nephro" lithetha "izintso." Igama elithi "Ectom" lithetha "ukususwa." Nangona sinezintso ezimbini, ukuba intso enye isebenza kakuhle, singaphila ngaphandle kweengxaki.
Kutheni udinga olu tyando?
Eyona sizathu sokuba abantu abaninzi benze olu tyando kukususa ithumba elinomhlaza kwizintso . Nangona kunjalo, ugqirha wakho angacebisa olu tyando ngenxa yezizathu ezininzi.
- Ukuba ufumana usulelo lwezintso rhoqo.
- Ukuba izintso zakho azisasebenzi (ukungasebenzi kakuhle kwezintso).
- Njengonyango lwezinye izifo zezintso okanye umonakalo wezintso.
- Ukuba unikela ngentso komnye umntu (umnikelo wezintso).
Khumbula, imizimba yethu yenzelwe ngendlela emangalisayo. Xa kususwa intso enye, intso eseleyo ikhula ibe nkulu kancinci, ibe namandla, ize iqalise ukwenza umsebenzi wabantu ababini.
Ingaba olu lutyando olukhulu?
Ewe, i-radical nephrectomy lutyando olukhulu . Kuya kufuneka uhlale esibhedlele ubuncinane ubusuku obunye emva kotyando. Kusenokufuneka uhlale iintsuku ezimbalwa. Kodwa ngoku, oogqirha botyando badla ngokwenza olu tyando besebenzisa indlela encinci yokungenelela . Oku kuthetha ukuba lwenziwa ngokusikwa okuncinci okumbalwa, endaweni yokusikwa okukhulu, ukuze ukwazi ukuchacha ngokukhawuleza kwaye ugoduke.
Sifanele sizilungiselele njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kwenza iimvavanyo ezininzi ukuze aqinisekise imeko yakho yempilo.
- Uvavanyo lwegazi: Oku kubalulekile ukuze ubone indlela ezisebenza ngayo izintso zakho nokufumanisa ukuba loluphi uhlobo lwegazi lakho. Oku kunokuba luncedo ukuba kufuneka unike igazi ngexesha lotyando (kodwa oku kunqabile kakhulu).
- Uvavanyo lomzimba: Impilo yakho iyonke iya kuhlolwa ngokujonga izinto ezifana nobushushu bakho, ukubetha kwentliziyo, kunye noxinzelelo lwegazi.
Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngezi zinto zilandelayo:
- Uza kucelwa ukuba uyeke ukusebenzisa amayeza owasebenzisayo (kuquka amayeza kagqirha kunye namayeza okunciphisa iintlungu kunye neevithamini), ingakumbi amayeza okunciphisa igazi, ngaphambi kotyando.
- Malunga nazo naziphi na izinto ezibangela ukuba umntu angabi naso isifo . Oko kuthetha ukuba umntu angabi naso isifo xa efumana amayeza, i-latex, i-iodine, njl.njl., asetyenziselwa ukucoca ulusu.
Uza kufumana nemiyalelo ekhethekileyo malunga nokuba uza kutya ntoni kwaye usele ntoni ngaphambi kotyando. Ngokwesiqhelo, awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezimbalwa ngaphambi kotyando. Oku kungenxa yokuba ukuba unokutya esiswini sakho ngelixa uphantsi kwe-anesthesia, kunokuhlanzwa kungene emiphungeni yakho.
Ziziphi iindlela zokwenza olu tyando?
Utyando lwe-radical nephrectomy lwenziwa ngeendlela ezintathu eziphambili. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
| Indlela yotyando | Inkcazo |
|---|---|
| I-Open Radical Nephrectomy | Kule meko, ugqirha wenza utyando olukhulu, olumalunga ne-intshi ezili-12 ubude. Le ndlela isetyenziswa ukuba ithumba lezintso likhulu kakhulu okanye ukuba uninzi lwamadlala e-parotid ajikelezileyo kufuneka asuswe. |
| Utyando lweLaparoscopic Radical Nephrectomy | Endaweni yokusikwa okukhulu, kwenziwa imingxunya embalwa emincinci, engaphantsi kwe-intshi ngobukhulu. Ikhamera (i-laparoscope) ifakwa nge-incision enye ize ijongwe kwimonitha, ngelixa izixhobo ezincinci zifakwa ngezinye izigcawu ukwenza utyando. Le yindlela esetyenziswa kakhulu ngoku. |
| Utyando lweRobotic Radical Nephrectomy | Oku kufana nendlela ye-laparoscopic, kodwa apha izixhobo zotyando zilawulwa ziingalo zerobhothi ezilawulwa ngugqirha wotyando. Oku kuvumela utyando olunobunono kakhulu noluchanekileyo. |
Kwenzeka ntoni ngexesha lotyando?
Awuyi kuva nto ngexesha lotyando. Ingcali yokubulala iintlungu iza kukunika i-anesthesia eqhelekileyo, ngoko ke uza kulala ubuthongo obunzulu de utyando luphele. Emva kokuba ulahlekelwe zingqondo, umongikazi uza kufaka i-catheter yomchamo.
Ngexesha lotyando lwe-laparoscopic okanye lwerobhothi, ugqirha wakho ufutha isisu sakho ngegesi yekhabhoni diokside. Oku kwenza kube lula ukubona amalungu angaphakathi. Imithambo yegazi edibene nezintso ivaliwe, kwaye izintso kunye nezinye iindawo ezifunekayo zisuswa ngononophelo. Amanxeba avaliwe emva koko ngemithungo.
Lonke utyando lungathatha iiyure ezintathu nangaphezulu.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Njengoko ubuyela engqondweni kancinci kancinci, iqela lezonyango liza kuyijonga ngokusondeleyo imeko yakho.
- Uza kunikwa amayeza okuthomalalisa iintlungu ukuze ulawule iintlungu.
- Kwisuku lokuqala okanye ezimbini, awuyi kunikwa nto yokutya. Kuphela zizinto eziselwayo . Emva koko, uya kuqhela kancinci kancinci ukutya okuqhelekileyo.
- Uza kukhuthazwa ukuba uhambe ukusuka ngosuku olulandela utyando. Ukuhamba kukhawuleza inkqubo yokuphiliswa kwaye kunciphisa umngcipheko weengxaki ezifana nokuqhekeka kwegazi kunye ne-pneumonia.
- I-catheter yomchamo idla ngokususwa kwisithuba semini enye.
Xa impilo yakho iqinisekisiwe ukuba ilungile, uza kuvunyelwa ukuba ugoduke. Kuya kufuneka ukhatshwe lilungu losapho kuba awuzukwazi ukuqhuba imoto. Kubaluleke kakhulu nokuba nomntu oza kukukhathalela iintsuku ezimbalwa emva kokuba ugoduke.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengalo naluphi na utyando, olu lunemingcipheko ethile.
- Usulelo
- Ukopha
- Amahlwili egazi
- Iingxaki ezibangelwa yi-anesthesia
- Amanxeba
Kunqabile kakhulu ukuba izintso zakho eziseleyo zingasebenzi kakuhle okanye zibe nesifo. Ugqirha wakho uza kukuxelela okungakumbi ngale nto.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Ixesha lokuchacha lixhomekeke kuhlobo lotyando olwenzileyo. Uza kuchacha ngokukhawuleza emva kotyando lwe-laparoscopic kunasemva kotyando oluvulekileyo.
Ngokwesiqhelo ungabuyela emsebenzini okanye esikolweni emva kweeveki ezi-4. Nangona kunjalo, kunokufuneka ulinde malunga neeveki ezi-8 ukuya kwezi-12 ngaphambi kokuba wenze nantoni na enzima, njengokuphakamisa iintsimbi. Ugqirha wakho uza kukunika iingcebiso ngexesha elifanelekileyo kuwe.
Kufuneka uthethe nini nogqirha?
Emva kotyando, kuya kufuneka uye ekliniki ngeentsuku ezicwangcisiweyo ukuze ubone ugqirha wakho. Kwakhona, ukuba utyando lomhlaza wezintso, kuya kufuneka wenze uvavanyo olulandelayo , olufana ne -CT scans , ukuze kubonwe ukuba umhlaza ubuyile na.
Ukuba ufumana naziphi na ezi mpawu ngelixa usekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukopha kakhulu ngenxa yamanxeba.
- Iimpawu zosulelo (ivumba elibi elivela enxebeni, ukuphuma kobomvu obumthubi/oluhlaza, umkhuhlane ).
- Igazi kumchamo (i-hematuria).
Umyalezo Wokuya Ekhaya
- Utyando olukhulu olususa ngokupheleleyo izintso. Kodwa ngoku luyinkqubo eyenziwa ngokubanzi kwaye iphumelele kakhulu.
- Olu tyando lunokwenziwa ngezizathu ezinje ngomhlaza wezintso, usulelo oluqhelekileyo, okanye ukungasebenzi kakuhle kwezintso.
- Umzimba wethu ungaphila ngokuqhelekileyo xa unezintso eziphilileyo. Izintso eziseleyo ziya kuba namandla ngokuhamba kwexesha.
- Kubaluleke kakhulu ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando.
- Ukuba ufumana iimpawu ezilumkisayo ezinje ngomkhuhlane okanye ukopha kakhulu emva kotyando, funa ingcebiso kagqirha ngoko nangoko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment