Ngaba wena okanye umntu omaziyo uxelelwe ngugqirha ukuba izintso kufuneka zisuswe ngokupheleleyo? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo mazwi. Imibuzo efana nokuthi "Ndingaphila njani ngaphandle kwezintso?" mhlawumbi ifika engqondweni. Kodwa ungakhathazeki. Masithethe ngolu tyando, olubizwa ngokuba yi-'Radical Nephrectomy', ngamazwi alula kwaye ufumane iimpendulo kuyo yonke imibuzo onayo engqondweni.
Yintoni iRadical Nephrectomy?
Ngamafutshane, olu lutyando. Kule nto, yonke intso yakho iyasuswa. Ngokwezonyango, igama elithi "nephro" lithetha "izintso" kwaye elithi "ectomy" lithetha "ukususa." Ngoko ke igama lisitsho, akunjalo?
Olu tyando alususi nje kuphela izintso kodwa lususa nezicubu ezinamafutha ezizijikelezileyo. Ngamanye amaxesha, i-adrenal gland kunye ne-lymph nodes ezingqongileyo nazo zisenokufuneka zisuswe.
Nangona abantu abaninzi benezintso ezimbini, banokuphila kakuhle ngentso enye ephilileyo ngaphandle kweengxaki. Ekuhambeni kwexesha, izintso eziseleyo ziya kukhula zibe nkulu kancinci kwaye ziqine, zize ziqale ukwenza umsebenzi wezintso ezimbini.
Kutheni udinga olu tyando?
Amaxesha amaninzi, esona sizathu siphambili solu tyando kukususa ithumba elinomhlaza kwizintso . Nangona kunjalo, ugqirha wakho unokucebisa olu tyando ngezinye izizathu.
- Usulelo lwezintso oluhlala lukho: Abanye abantu banezifo zezintso ezihlala zikho.
- Ukungasebenzi kakuhle kwezintso: Xa izintso ziyeka ukusebenza ngokupheleleyo ngenxa yesifo okanye ingozi.
- Ezinye izifo zezintso okanye umonakalo: Ngenxa yezinye iimeko zempilo ezingenakulawulwa.
- Ukunikela ngezintso: Olu tyando lwenziwa xa umntu enikela ngezintso zakhe eziphilileyo komnye umntu.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, uza kululungiselela ngononophelo kwangaphambili.
- Uvavanyo lwezonyango: Uvavanyo lwegazi nomchamo luya kwenziwa ukujonga ukusebenza kwezintso zakho ngoku. Uhlobo lwegazi lakho luya kuhlolwa nokuba kufuneka unikele ngegazi ngexesha lotyando. Impilo yakho ngokubanzi, efana nomkhuhlane, ukubetha kwentliziyo, kunye noxinzelelo lwegazi, nayo iya kuhlolwa.
- Ulwazi Ngamayeza: Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha nathengiswa ngaphandle kwemvume kagqirha), kuquka iivithamini kunye nezongezo zezityalo . Ezinye izithomalalisi zentlungu (ii-NSAID) kunye nezinciphisi zegazi (i-anticoagulants) zinokunyusa umngcipheko wokopha ngexesha lotyando.
- Ii-Allergies: Sixelele ngazo naziphi na ii-allergies onazo. Umzekelo, ii-allergies kumayeza athile, i-latex, okanye i-iodine esetyenziselwa ukucoca ulusu.
- Kuphephe ukutya okanye ukusela: Awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezimbalwa ngaphambi kotyando. Oku kungenxa yokuba ukuba unokutya esiswini sakho ngelixa uphantsi kwe-anesthesia, kukho umngcipheko wokuba uza kukuhlanza kwaye kungene emiphungeni yakho. Oku kunokuba yingozi.
Ziziphi iindlela zotyando?
Utyando lwe-Radical Nephrectomy lwenziwa ngeendlela ezintathu eziphambili. Ugqirha wakho uya kugqiba indlela efanelekileyo kwimeko yakho.
| Indlela yotyando | Inkcazo |
|---|---|
| I-Open Radical Nephrectomy | Kule nkqubo, ugqirha wenza utyando olukhulu, olumalunga ne-intshi ezili-12 ubude. Le ndlela isetyenziswa ukuba ithumba elikwizintso likhulu kakhulu okanye ukuba inani elikhulu lee-lymph nodes ezijikelezileyo kufuneka lisuswe. |
| Utyando lweLaparoscopic Radical Nephrectomy | Le yindlela esetyenziswa kakhulu ngoku. Endaweni yokusika okukhulu, kwenziwa imingxunya emininzi emincinci (malunga ne-1 centimeter) esiswini okanye emqolo. Ngale mingxunya, kufakwa isixhobo esincinci esinekhamera (i-laparoscope) kunye nezinye izixhobo zotyando kwaye kwenziwa utyando. |
| Utyando lweRobotic Radical Nephrectomy | Oku kufana nendlela ye-laparoscopic, kodwa apha izixhobo zotyando zilawulwa yingalo yerobhothi elawulwa ngugqirha. Oku kuvumela utyando olunobunono kakhulu noluchanekileyo. |
Kwenzeka ntoni emva kotyando?
Utyando ludla ngokuthatha iiyure ezintathu nangaphezulu. Xa utyando luphelile, ingcali yokubulala iintlungu iza kukuvusa. Kodwa uza kuziva ulele okwethutyana.
Uza kusiwa kwigumbi lokuchacha, apho impilo yakho iza kuhlolwa khona kwaye uza kunikwa amayeza okulawula iintlungu.
- Ukutya: Kunikwa ukutya okumanzi kuphela ngosuku lokuqala. Kamva, ungatya kancinci kancinci ukutya okuqhelekileyo.
- Ukuhamba: Uyakhuthazwa ukuba uhambe kancinci ukususela ngosuku olulandela utyando. Ukuhamba kuphucula ukujikeleza kwegazi, kukunceda uphile ngokukhawuleza, kwaye kunokunceda ekuthinteleni iingxaki ezifana nokuqhekeka kwegazi emilenzeni yakho.
- I-catheter yomchamo: I-catheter yomchamo ebekwe ngexesha lotyando idla ngokususwa kusasa olulandelayo.
- Ukuphuma esibhedlele: Uza kuvunyelwa ukuba uye ekhaya xa imeko yakho iphucukile. Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Emva kotyando lwe-laparoscopic, ungaya ekhaya kungekudala. Kubalulekile ukuba kubekho umntu okukhaphayo xa usiya ekhaya.
Kuthatha ixesha elingakanani ukuphiliswa?
Ixesha lokuchacha lixhomekeke kuhlobo lotyando olwenzileyo. Utyando oluvulekileyo luthatha ixesha elide ukuchacha. Ngokwesiqhelo, kunokuthatha phakathi kweeveki ezisi-8 ukuya kwezili-12 ukuchacha ngokupheleleyo nokuqalisa imisebenzi efana nokuphakamisa iintsimbi.
Ungabuyela emsebenzini olula, njengase-ofisini , kwiiveki ezimalunga nezi-4 . Nangona kunjalo, ukuba unomsebenzi onzima ngokwasemzimbeni, kungathatha ixesha elide. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso efanelekileyo.
Iimeko apho kufuneka ubone ugqirha ngoko nangoko
Kubaluleke kakhulu ukujonga imeko yakho emva kokuba ubuyele ekhaya. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukopha kakhulu kwinxeba lotyando.
- Ukudumba, ukuba bomvu, ulwelo olufana nobovu olunuka kakubi olujikeleze inxeba, okanye umkhuhlane ongaphezulu kwama-37.8 Celsius (100 Fahrenheit) unokuba ziimpawu zosulelo.
- Igazi kumchamo (i-hematuria).
Ukuba ukhe watyandwa ngenxa yomhlaza, ugqirha wakho uya kuyalela iimvavanyo ezifana ne-CT scan kunye novavanyo lwegazi nomchamo rhoqo ukuze kuhlolwe ukuba isifo siphinde sibuye na. Kubaluleke kakhulu ukwenza ezi vavanyo rhoqo kwaye ungaze uzitsibe.
Umyalezo Wokuya Ekhaya
- I-radical nephrectomy lutyando olukhulu olususa ngokupheleleyo izintso.
- Oku kwenziwa ikakhulu ukunyanga izifo ezinzulu ezifana nomhlaza wezintso.
- Utyando lwe-Laparoscopic (utyando olwenziwa ngokusikwa okuncinci) ngoku lusetyenziswa kakhulu kwaye luvumela ukuchacha ngokukhawuleza.
- Kunokwenzeka ngokupheleleyo ukuba uphile ubomi obuqhelekileyo nobusempilweni xa unezintso eziphilileyo.
- Thetha ngokukhululekileyo nogqirha wakho malunga noloyiko, amathandabuzo, okanye imibuzo onokuba nayo malunga notyando. Oku kuya kukunika uxolo lwengqondo.
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