Masifunde ngeRobotic Cystectomy?

Xa ugqirha wakho ekuxelela ukuba okanye umntu osapho lwakho unomhlaza wesinyi, ungaziva uloyiko olukhulu kunye nokothuka. Kwaye xa uxelelwa ukuba kuya kufuneka wenze utyando ukuze kususwe isinyi sonke, olo loyiko lunokuphinda kabini. Oko kuqhelekile kakhulu. Kodwa ungoyiki. Ngokuhambela phambili kwezonyango namhlanje, kukho iindlela zokwenza utyando olukhulu olunje olukhuselekileyo, olunentlungu encinci, kunye nokuchacha ngokukhawuleza kunangaphambili. Namhlanje, siza kuthetha ngobuchwepheshe obuphambili obusetyenziswa kwiimeko ezinjalo, obubizwa ngokuba yi-"Robotic Cystectomy."

Ngamafutshane, yintoni iRobotic Cystectomy?

Olu lutyando lokususa isinyi. Kodwa alwenziwa ngokusikwa okukhulu esiswini njengangaphambili. Le yinkqubo engeyongozi kangako. Ngamafutshane, ugqirha wenza imingxunya embalwa emincinci esiswini sakho aze afake ingalo yerobhothi kunye nekhamera emzimbeni wakho ngazo. Emva koko ugqirha ujonga isikrini sekhompyutha aze alawule ingalo yerobhothi nge-console ekhethekileyo ukuze enze utyando ngokuchanekileyo okukhulu.

Olu tyando lwenziwa ngeendlela ezimbini eziphambili:

• Ukususwa kweCystectomy eNcinci yeRobotic: Kule meko, kususwa kuphela inxalenye yesinyi equlethe umhlaza.
• I-Robotic Radical Cystectomy: Oku kuquka ukususwa kwesinyi sonke. Olu tyando ludla ngokwenziwa kumhlaza wesinyi.

Ugqirha uza kukuchazela ukuba loluphi utyando olulungele wena ngokwemeko yakho.

Kweziphi iimeko apho olu tyando lwenziwa khona?

Isizathu esiphambili solu tyando sidla ngokuba ngumhlaza wesinyi . Nangona kunjalo, ngamanye amaxesha kuyacetyiswa ukuba kunyangwe iingxaki zomchamo ezizalwa nazo.

Yintoni esuswayo ngexesha lotyando?

Okokuqala, isinyi sakho kunye nee-lymph nodes ezikufutshane ziyasuswa. Ukongeza, kuxhomekeke ekubeni umhlaza usasazeke kangakanani, amanye amalungu angqongileyo anxulumene nenkqubo yokuzala kumadoda nakubafazi nawo anokufuna ukususwa. Oku kwenzelwa ukususa ngokupheleleyo umhlaza kunye nokunciphisa umngcipheko wokuba ubuye.

Uzilungiselela njani ngaphambi kotyando?

Ngaphambi kotyando, uza kudibana nogqirha. Uza kukuchazela zonke iinkcukacha malunga notyando, afumane imvume yakho, aze akuhlole ukuze abone ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.

Ufanele ukhumbule ukuxelela ugqirha ezi zinto:

• Onke amayeza owasebenzisayo. Oko kuthetha lawo anikwe ngoogqirha, amayeza athengiswa ngaphandle kwemvume kagqirha (OTC), amayeza esintu aseSinhala, iivithamini, amayeza e-Ayurvedic, yonke into. Kuba amayeza okunciphisa igazi afana ne-aspirin anokunyusa ukopha ngexesha lotyando.
• Qiniseka ukuba usixelela ngazo naziphi na izinto ezibangela ukuba umntu angabi naso isifo sephepha . Ii-aleji ezibangelwa ngamayeza athile, izicoci zolusu (i-iodine), i-latex, kunye nokutya okuthile.

Ugqirha uza kukunika imiyalelo ecacileyo malunga nokuba kufuneka uyeke nini ukutya nokusela ngaphambi kotyando, kunye nokuba kufuneka uyeke okanye ungayeki ukuthatha amayeza.

Ngaba utyando lwerobhothi lwenziwa yirobhothi ngokwenene?

Hayi. Kulapho abantu abaninzi bengaqondi khona. Olu tyando alwenziwa yirobhothi.

Kwimeko enjalo, ugqirha oqeqeshiweyo (Urologist) ulawula ngokupheleleyo utyando. Irobhothi sisixhobo esiphucukileyo nesinobuceducedu esisetyenziswa ngugqirha. Cinga ngayo njengomzobi onobuchule osebenzisa ibrashi ethambileyo kakhulu ukupeyinta umfanekiso omhle. Irobhothi inika ugqirha ezi zibonelelo:

• Indawo yotyando ingabonakala ngokucacileyo kwi -3D , ichazwe kakuhle, kwaye ikhuliswe.
• Inokwenza iintshukumo ezithambileyo, ezichanekileyo, nezingenakushukunyiswa kangangokuba isandla somntu asinakukwazi.

Ngoko ke, ugqirha ngokwakhe wenza utyando, kwaye irobhothi isebenza nje njengolwandiso lwezandla zakhe.

Indlela okwenziwa ngayo utyando kunye neendlela ezintsha zokwenza umchamo uphume

Emva kokuba isinyi sakho sisusiwe ngokupheleleyo, kuya kufuneka udale indlela entsha yokuphuma komchamo emzimbeni wakho. Oku kubizwa ngokuba yi-"Urinary Diversion". Ugqirha uza kusebenzisa inxalenye yamathumbu akho ukudala le ndlela intsha. Kukho iindlela ezintathu eziphambili.

1. Umjelo we-Ileal:

• Yintoni eyahlukileyo: Iqhekeza lamathumbu akho amancinci liyathathwa lenziwe ityhubhu. Ii-ureters ezivela kwizintso zidibene nalo. Elinye icala lenziwe ukuba liphume ngesikhumba sesisu. Oku kubizwa ngokuba yi-``(Stoma)```.
• Umchamo uyaqokelelwa: Ingxowa yesisu incamatheliswe ngaphandle kwesi stoma ukuze kuqokelelwe umchamo. Le ngxowa kufuneka ikhutshwe rhoqo.

2. Ukuphambuka Kweenxalenye Zelizwekazi:

• Yintoni eyahlukileyo: Nalapha, iindawo zamathumbu zisetyenziselwa ukwenza ingxowa encinci (indawo yokugcina amanzi) eqokelela umchamo ngaphakathi emzimbeni. Ikwaqhagamshelwe nolusu lwesisu nge-'stoma'.
• Umchamo uyaqokelelana: Kodwa awudingi ngxowa yangaphandle. Ungayikhupha ingxowa ngaphakathi ngokufaka ityhubhu encinci (i-catheter) izihlandlo ezininzi ngemini.

3. Ukwakhiwa kwakhona kwe-Neobladder:

• Yintoni eyahlukileyo: Kule nkqubo, kuthathwa iqhekeza elide lamathumbu kwaye kuveliswa isakhiwo esitsha esifana nesinyi esibizwa ngokuba yi-"Neobladder". Siqhagamshelwe ngqo kwi-urethra yakho.
• Ukuchama: Oku kuthetha ukuba uya kukwazi ukuchama ngokwesiqhelo, njengokuba ubusenza ngaphambi kotyando. Nangona kunjalo, ekuqaleni, kuya kufuneka uziqhelise izinto ezifana nokuqinisa izihlunu zesisu sakho ukuze uchame.

Ugqirha wakho uza kukunceda ukhethe indlela ekufaneleyo kwezi ndlela zintathu.

Ziziphi iingenelo zotyando lwerobhothi?

Utyando lwerobhothi luneengenelo ezininzi kunotyando oluvulekileyo lwendabuko.

Ngaba kukho naziphi na iingozi kolu tyando?

Njengalo naluphi na utyando olukhulu, kukho iingozi ezithile ezibandakanyekileyo, kodwa ubuchwepheshe obuphambili bunokunciphisa ezi ngozi.

• Iingozi ngokubanzi: ukopha, amahlwili egazi, usulelo, iimpendulo kwi-anesthesia (ukuhlanza, intloko ebuhlungu).
• Iingozi ezithile:
• Utshintsho kwindlela ochama ngayo: Indlela ochama ngayo iya kutshintsha emva kotyando. Kuthatha ixesha ukuqhela.
• Iziphumo ebezingalindelekanga zesondo:
• Kumadoda: Ukuba i-prostate gland kunye ne-seminal vesicles zisusiwe, ukuphuma kwe-ejaculation akuyi kwenzeka. Amanye amadoda anokuba nokungasebenzi kakuhle kwe-erectile.
• Kwabasetyhini: Ukuba inxalenye yesini isusiwe, isondo sinokuba nzima. Imithambo-luvo ebandakanyeka ekuvuselelekeni kwesondo kunye nokuphuma komoya nayo inokuchaphazeleka.

Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka ndidibane nogqirha nini?

Kungathatha iiveki ukuya kwiinyanga ukuze uphile ngokupheleleyo. Olu lutyando olukhulu, ngoko ke nika umzimba wakho ixesha lokuba uphile. Kuqhelekile ukuba ungabi namdla wokutya kunye notshintsho kwindlela odla ngayo amathumbu (urhudo, ukuqhina) emva kotyando.

Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.**

• Iimpawu zosulelo, ezinje ngomkhuhlane, ukubanda, kunye nokungcangcazela .
• AyinakuthintelekaUkuhlanza .
• Ukopha kakhulu kwiindawo zotyando.
• Ukuba kukho intlungu eyandayo, ukudumba, okanye ukutshintsha kombala (obomvu, omdaka, omnyama) ojikeleze inxeba.
• Intlungu inzima kangangokuba amayeza anikwe ngugqirha awakwazi ukuyilawula .
• Ukuba kunzima ukuchama okanye ukuba ukuhamba komchamo kunciphile ngomngxuma omtsha.