Xa ugqirha ekuxelela ukuba une-hernia, umele ukuba waziva usoyika kancinci malunga notyando, akunjalo? Abantu abaninzi bacinga ukuba xa besithi utyando lwe-hernia, kuthetha into eyenziwa ngokusikwa okukhulu esiswini. Kodwa ngoku amayeza aqhubele phambili kakhulu. Kukho iindlela ezintsha nezikhuselekileyo zotyando ezisebenzisa ubuchwepheshe berobhothi ngaphandle kokusikwa okukhulu okwakunokwenzeka ngaphambili.
Yintoni utyando lwe-hernia oluyirobhothi?
Ngamafutshane, i-hernia sisitho esingaphakathi emzimbeni wethu, umzekelo inxalenye yamathumbu, ephuma ngemisipha apho kufanele ukuba ibe khona. Kwi-robotic surgery, isitho esiphumileyo siyabuyiselwa endaweni yaso, kwaye indawo ebuthathaka phakathi kwezo zihlunu iyaqiniswa kwaye ivalwe.
Kodwa into ekhethekileyo ngale nto kukuba ugqirha akawuchukumisi umzimba wakho ngqo. Ukwinkqubo yekhompyutha (iConsole) ecaleni kwebhedi yakho. Ujonga isikrini aze alawule iingalo zerobhothi zobugcisa obuphezulu (iiRobotic Arms) ukuze enze olu tyando. Le ndlela yahlukile kakhulu kutyando oluvulekileyo . Kutyando oluvulekileyo, kwenziwa umngxuma omnye omkhulu. Kodwa kutyando lwerobhothi (ngamanye amaxesha olubizwa ngokuba yi -laparoscopy ) , kwenziwa imingxunya emithathu okanye emine kuphela emincinci .
Le yikhamera encinci (i-laparoscope) efakwa ngomngxuma omnye, ivumela amalungu angaphakathi emzimbeni ukuba abonakale ngokucacileyo kwaye akhuliswe ngobukhulu obuthathu (3D). Oku kuvumela ugqirha ukuba enze utyando ngokuchanekileyo nangokuchaneka okukhulu . Ngenxa yokuba amanxeba mancinci, ukopha kuncinci, iintlungu zincinci, kwaye ukuphiliswa kukhawuleze.
Zeziphi iintlobo ze-hernias ezinokunyangwa ngotyando lwerobhothi?
Le teknoloji yanamhlanje ingasetyenziselwa ukunyanga yonke into ukusuka kwiihernias ezincinci ukuya kwiindlela ezinkulu zotyando ezakha udonga lonke lwesisu. Iintlobo zeehernias eziqhele ukunyangwa ngale ndlela zidweliswe kwitheyibhile engasezantsi.
| Uhlobo lweHernia | Ingcaciso elula |
|---|---|
| I-Inguinal Hernia | Inxalenye yamathumbu okanye izicubu ezinamafutha eziphuma kwindawo yesinqe. |
| I-Hernia ye-Femoral | Inxalenye yezicubu zesisu ephuma kwindawo yethanga, ngaphantsi nje kwe-groin. |
| I-Hiatal Hernia | Inxalenye ephezulu yesisu ityhalelwa ngaphakathi esifubeni nge-diaphragm. |
| I-Hernia yokusika | Ukuphuma kwesitho somzimba kwinxeba elivela kutyando lwangaphambili. |
| I-Umbilical Hernia | Inxalenye yamathumbu ephuma kwi-anus. |
Ndingayilungiselela njani le tyando?
Lo ngumbuzo obaluleke kakhulu. Utyando lwerobhothi alufanelekanga kuye wonke umntu. Ukuba olu tyando lufanelekile kuwe okanye akunjalo, kuxhomekeke kwingxoxo ecokisekileyo nogqirha wakho. Uza kuqwalasela ngokukodwa ezi zinto zilandelayo:
- Ubungakanani be-hernia yakho.
- Hayi indlela olu tyando oluza kuba nzima ngayo.
- Ingaba olu lutyando lwakho lokuqala lwe-hernia, okanye oludlulileyo luphinda lubuye?
- Indlela i-anesthesia eqhelekileyo ekuchaphazela ngayo.
- Ingaba kuyimfuneko na ukususa ezinye izinto ezifana namanxeba kunye notyando.
Ngamanye amaxesha, ugqirha unokubona i-hernia encinci, efihliweyo (i-hernia ye-occult) ngexesha lotyando engabonwa nakwi-scan. Kungcono ukuxoxa nogqirha kwangaphambili ngento omawuyenze ukuba kufunyenwe into efana nale.
Lwenziwa njani utyando?
Musa ukoyika utyando. Wakuba uwazi amanyathelo abandakanyekayo, uloyiko lwakho luya kuphela.
1. I-Anesthesia: Okokuqala, uza kunikwa i-anesthesia eqhelekileyo, eya kukwenza ulale ngokupheleleyo ukuze ungabi nantlungu.
2. Ukusikwa: Ugqirha uza kwenza izigcawu ezi-3 okanye ezi-4 ezincinci esiswini.
3. Ukufakwa kwekhamera: Ikhamera encinci ebizwa ngokuba yi-laparoscope ifakwa ngenye yezi zigcawu. Oku kuvumela amalungu angaphakathi ukuba abonwe ngokucacileyo kwi-3D kwisikrini.
4. Ukunyuka kwesisu: Okulandelayo, kufakwa igesi encinci yekhabhoni dayokhsayidi engenabungozi esiswini ukuze ivuthe. Oku kudala isithuba ngaphakathi, okwenza kube lula ukwenza utyando.
5. Utyando: Ugqirha ngoku usebenzisa ingalo yerobhothi elawulwa yikhompyutha ukulungisa i-hernia. Oku kunokubandakanya ukuthungwa okanye ukusetyenziswa kwe-mesh ekhethekileyo ukuqinisa indawo.
6. Ukuvalwa: Xa umsebenzi ugqityiwe, amanxeba amancinci avalwa ngezititshi ezinokunyibilika okanye izititshi eziqhelekileyo.
Ixesha elifunekayo kolu tyando liyahluka ngokuxhomekeke kuhlobo lwe-hernia. Nangona utyando olulula lungathatha malunga nemizuzu engama-30, utyando oluntsonkothileyo lungathatha iiyure ezininzi.
Ziziphi iingenelo zotyando lwerobhothi?
Le ndlela ineenzuzo ezininzi xa ithelekiswa notyando oluvulekileyo.
- Umbono ocacileyo: Ugqirha angabona ngaphakathi kwi-3D, ecace ngakumbi kunemifanekiso ye-2D yotyando oluqhelekileyo lwe-laparoscopic. Oku kwenza utyando lube luchaneke kakhulu.Kungenziwa.
- Ukuchaneka: Izandla zerobhothi zinokuhamba ngokukhululekileyo, ngobuchule, kwaye zingashukumi ngaphezu kwesandla somntu.
- Amanxeba amancinci: Endaweni yesilonda esikhulu esiqhekekileyo, kukho amanxeba amancinci ambalwa kuphela.
- Iintlungu ezingaphantsi: Iintlungu ezingaphantsi kakhulu emva kotyando kunasemva kotyando oluvulekileyo.
- Ukuchacha ngokukhawuleza: Ungachacha ngokukhawuleza kwaye uqalise imisebenzi yakho yesiqhelo.
Ngaba kukho naziphi na iingozi okanye iingxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Nangona kunjalo, yinkqubo ekhuselekileyo kakhulu. Ezinye zeengxaki ezinokubakho ziquka:
- Ukopha .
- Iimpendulo kwi-anesthesia.
- Ukuqokelelana kolwelo (iSeroma) okanye ukuqokelelana kwegazi (iHematoma) kwindawo yotyando.
- Usulelo lwenxeba.
- Ukonakala kwezicubu okanye amalungu omzimba angqongileyo (oku kunqabile kakhulu).
- Ukuphinda kwe-hernia.
Kuqhelekile ukuba nentlungu kangangeeveki ezimbalwa emva kotyando, kodwa ukuba intlungu iyaqhubeka kangangeenyanga ezingaphezu kwezintathu , ngokuqinisekileyo kufuneka uxelele ugqirha wakho.
Yintoni endimele ndiyilindele emva kotyando?
Ugqirha wakho uza kukunika iingcebiso ezichanekileyo ngexesha lakho lokuchacha.
- Ukuphuma esibhedlele: Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, ukuba wenze utyando olunzima, kunokufuneka uhlale esibhedlele malunga nosuku olunye. Musa ukuqhuba imoto xa usiya ekhaya , kwaye uhambe nomnye umntu.
- Ixesha lokuchacha: Ngokwesiqhelo, uya kucetyiswa ukuba uphephe ukuphakamisa izinto ezinzima okanye ukwenza umsebenzi onzima kangangeeveki ezimbini ukuya kwezine.
- Ukubuyela emsebenzini: Ungaqhubeka nomsebenzi olula, njengomsebenzi waseofisini, kwiintsuku ezimbalwa. Nangona kunjalo, ukuphakamisa izinto ezinzima kungathatha ixesha elide.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko:
- Ukuba unomkhuhlane kwaye uqhaqhazela kwaye uyaqhaqhazela.
- Ukuba awukwazi ukuphuma umoya okanye ukukhupha isisu.
- Ukuba ubomvu buphuma enxebeni.
- Ukuba inxeba libomvu, lidumbile, lishushu, kwaye libuhlungu.
- Ukuba igazi liphuma enxebeni phezu kwebhandishi.
Kubaluleke kakhulu: Ukuba ufumana iintlungu, ukudumba ngequbuliso, ukuba bomvu, okanye ukufudumala emlenzeni wakho (ingakumbi emva kwedolo) , okunokuba luphawu lokuqhekeka kwegazi emlenzeni wakho ( Deep Vein Thrombosis – DVT ), yiya kwiSebe lezeMpilo elikufutshane (ETU) ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Utyando lwe-hernia olusebenzisa i-robotic luyindlela yanamhlanje nekhuselekileyo eyenziwa ngokusikwa okuncinci okumbalwa, kusetyenziswa ikhamera ye-3D kunye nengalo ye-robotic.
- Le ndlela ayibuhlungu kangako, iphola ngokukhawuleza, kwaye ayishiyi amanxeba amakhulu njengotyando oluvulekileyo lwendabuko.
- Olu tyando alwenziwa yirobhothi, kodwa ngugqirha onamava olawula iteknoloji yerobhothi. Ngoko ke akukho mfuneko yokoyika.
- Thetha nogqirha wakho ngononophelo malunga nokuba olu tyando lukulungele na kwaye malunga nemiyalelo ekufuneka uyilandele emva kotyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (umkhuhlane, iintlungu ezigqithisileyo, ukudumba kwamanxeba) emva kotyando, funa ingcebiso kagqirha ngoko nangoko.
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