Ngamanye amaxesha, xa kukho ingxaki ngenxalenye yamathumbu ethu, oogqirha bacebisa ukuba loo nxalenye inesifo isuswe ngotyando. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva ngotyando olunjalo. Kodwa wakuba ukuqonde ngokuchanekileyo oku, olo loyiko luyaphela kakhulu. Ngoko ke namhlanje, masithethe ngezi ntlobo zotyando ezisusa inxalenye yamathumbu.
Yintoni i-Ileocolectomy kunye ne-Right Colectomy?
Ngamafutshane, ezi ziindlela ezimbini zokususa ngotyando inxalenye enesifo kwinkqubo yakho yokugaya ukutya.
- I-Ileocolectomy: Kolu tyando, inxalenye yokugqibela yamathumbu akho amancinci, i-ileum, kunye nenxalenye yokuqala yamathumbu akho amakhulu, ikholoni enyukayo, ziyasikwa zize zisuswe.
- Utyando lwe-Colectomy olusekunene: Apha, kususwa icala lasekunene kuphela le-large intestine (ascending colon), ngaphandle kokushiya i-ileum ye-small intestine.
Ngoku usenokuba uzibuza ukuba kutheni olu hlobo lotyando lwenziwa. Zihlala zikho izizathu ezininzi eziphambili zokwenza olu tyando.
- Iimeko zomhlaza ezenzeka emathunjini.
- Ukukhula okungenamhlaza .
- Ukudumba kunye nokuvuvukala kwamathumbu okubangelwa zizifo ezifana nesifo sikaCrohn .
Eyona nto ibalulekileyo kukuba oogqirha bagqibe ekubeni benze olu tyando kuphela emva kokuba behlolisise imeko yakho ngononophelo kwaye beqinisekisa ukuba olu lolona nyango lufanelekileyo kuwe.
Yintoni iLaparoscopy?
Ngaphambili, olu hlobo lotyando lwalufuna ukunqunyulwa okukhulu esiswini. Kodwa ngoku, ngenxa yokuqhubela phambili kwezobuchwepheshe, olu tyando ludla ngokwenziwa kusetyenziswa indlela ebizwa ngokuba yi-laparoscopy . Oku kukwabizwa ngokuba "lutyando lwe-keyhole."
Khawuthelekelele, endaweni yokwenza umngxuma omkhulu esiswini, kwenziwa imingxunya embalwa emincinci kakhulu (njengomngxuma wesitshixo) esiswini, apho kufakwa khona ikhamera nezixhobo ezithambileyo. Oku kuthetha ukuba uziva iintlungu ezincinci, uphola ngokukhawuleza, kwaye awunamanxeba amaninzi.
Utyando lwenzeka njani? Amanyathelo ama-4 aphambili!
Olu tyando lunamanyathelo amane aphambili. Ndiza kuwachaza ngendlela onokuyiqonda.
| Amanyathelo | Okwenzekayo kulula. |
|---|---|
| Inyathelo 1: Ukufaka i-laparoscope | Emva kokuba uhlatywe i-anesthesia, ugqirha wenza utyando oluncinci kakhulu (malunga ne-1/2 intshi) kufutshane neqhosha lesisu sakho (inkaba). Ngale ndlela, kufakwa isixhobo esinekhamera esibizwa ngokuba yi-laparoscope esiswini sakho. Imifanekiso evela kule khamera iboniswa kwisikrini esikhulu (imonitha) kwigumbi lotyando. Emva koko, kwenziwa ezinye izigcawu ezincinci ezi-5 okanye ezi-6 kwaye ezinye izixhobo zotyando ziyafakwa. |
| Inyathelo lesi-2: Ukukhulula amathumbu | Ngoku inxalenye yamathumbu enesifo kufuneka yahlulwe kwindawo ephilileyo. Ithumbu linamathele eludongeni lwesisu nge-membrane ebizwa ngokuba yi-mesentery . Imithambo yegazi ephambili enika amathumbu igazi idlula kule membrane. Ugqirha uyayisika ngononophelo le mithambo yegazi aze ayivale. Emva koko inxalenye yamathumbu enesifo iyakhululwa kule mesentery. |
| Inyathelo lesi-3: Ukususa inxalenye enesifo | Ngenxa yokuba amanxeba mancinci kakhulu ngexesha le-laparoscopy, kusetyenziswa indlela ekhethekileyo yokususa iqhekeza lamathumbu elisikiweyo. Ugqirha wenza elinye lamanxeba angaphambili libe likhulu kancinci aze afake ibhegi ekhethekileyo esiswini ngalo. Inxalenye yamathumbu esusiweyo enesifo emva koko ifakwa ngaphakathi kweli bhegi kwaye ibhegi isuswe ngononophelo. |
| Inyathelo lesi-4: Ukudibanisa amathumbu kwakhona | Emva kokuba inxalenye enesifo isusiwe, iziphelo ezimbini zamathumbu aphilileyo aseleyo ziyadityaniswa. Oku kwenziwa kusetyenziswa i-stapler okanye i-sutures enyibilikayo. Le nkqubo yokudibanisa kwakhona iindawo ezimbini zamathumbu ibizwa ngokuba yi-anastomosis . Ekugqibeleni, umngxuma wesisu uhlanjwa kakuhle, indawo esanda kudityaniswa ijongwa ukuba ayinakuvuza na, kwaye zonke izikrwelo ziyavalwa. |
Masifunde ngexesha lokuchacha ekhaya
Xa ubuyela ekhaya emva kotyando, kubaluleke kakhulu ukuba uqalise imisebenzi yakho yemihla ngemihla kancinci kancinci.
Ukuhamba ngeenyawo yeyona ndlela ilungileyo yokuzilolonga!
Ewe, ukuhamba kunokunceda kakhulu kwinkqubo yakho yokuphiliswa. Ukuhamba kuqinisa izihlunu , kuphucula ukujikeleza kwegazi, kwaye kuthintela ukuqhekeka kwegazi., kwaye ikwanceda ukugcina imiphunga yakho isempilweni . Ukuba ubungumlolongi olungileyo ngaphambi kotyando, ungaqala umthambo wakho wesiqhelo xa uzive ukhululekile kwaye ugqirha wakho ekunika imvume.
Kodwa khumbula! Akukhuthazwa ukwenza umthambo onzima, ukuphakamisa iintsimbi, kunye nokwenza umthambo obeka uxinzelelo esiswini, njengokwenza i-sit-up, kangangeeveki ezintandathu emva kotyando.
Injani indlela yokutya?
Xa uthunyelwa ekhaya usuka esibhedlele, uya kunikwa imiyalelo yokutya omawukulandele ixesha elifutshane. Ngokuqhelekileyo uya kucetyiswa ukuba ulandele ukutya okuthambileyo . Oku kuthetha ukuba ungatya uninzi lwezinto ngaphandle kweziqhamo nemifuno eluhlaza. Landela olu hlobo lokutya ude uye ekliniki ukuze uhlolwe emva kotyando.
Kubalulekile: Ukuba unesiphene ngenxa yolu hlobo lokutya, nceda udibane nogqirha wakho ukuze akunike icebiso. Musa ukuzinyanga.
Nangona utyando luyinto enkulu, ngolwazi olufanelekileyo kunye nokulandela iingcebiso zonyango, ungaphila ngokukhawuleza kwaye ubuyele ebomini bakho besiqhelo.
Umyalezo Wokuya Ekhaya
- I-Ileocolectomy kunye ne-Right Colectomy ziinkqubo ezimbini zotyando ezisusa inxalenye enesifo yekholoni. Zenzelwa iimeko ezifana nomhlaza, iithumba ezingezizo zomhlaza, kunye nesifo sikaCrohn.
- Amaxesha amaninzi, olu tyando lwenziwa kusetyenziswa indlela "yokuvula isitshixo" ebizwa ngokuba yi-laparoscopy. Oku kubangela ukuba iintlungu zingabi ninzi kwaye kukhawuleze kuphole.
- Xa ufika ekhaya emva kotyando, qala kancinci kancinci umthambo olula, njengokuhamba. Kodwa kuphephe ukuphakamisa izinto ezisindayo kunye nomthambo onzima kangangeeveki ezi-6.
- Landela imiyalelo kagqirha wakho ngendlela echanekileyo. Ukuba unengxaki efana nokuqhinwa, thetha nogqirha wakho ngayo.
- Ukuba unamathandabuzo okanye imibuzo, ungathandabuzi ukubuza ugqirha wakho.
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