Ngamanye amaxesha, ezinye zezifo zethu zesisu azipheli nje ngamayeza, akunjalo? Ngamaxesha anjalo, oogqirha bathi inxalenye yamathumbu enesifo kufuneka isuswe. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva oku. Kusengqiqweni ukucinga, "Owu, kuya kwenzeka ntoni kum ukuba iqhekeza lamathumbu am lisusiwe?" Ke namhlanje, masithethe ngolu tyando lwamathumbu amancinci, olubizwa ngokuba yi-'Small Bowel Resection' ngokwezonyango, ngokucacileyo nangokulula.
Yintoni i-Small Tuwel Resection?
Ngamafutshane, oku kuquka ukususwa ngotyando inxalenye eyonakeleyo, enesifo, okanye engasebenzi kakuhle yamathumbu akho amancinci. Ezinye iinzame zotyando zisusa inxalenye encinci kakhulu, kodwa ngamanye amaxesha inxalenye enkulu ingasuswa.
Ngoku usenokuba ucinga, "Ndiza kuphila njani ukuba iqhekeza lesisu sam lisusiwe?" Cinga ngale ndlela, ithumbu lethu elincinci lilungu elihlala limalunga neenyawo ezingama-20-30 ubude . Lifana nombhobho omde ojikeleza ngaphakathi esiswini. Umsebenzi walo ophambili kukufunxa izondlo ezifunwa ngumzimba wethu ekutyeni esikutyayo. Ngoko ke, ukususa inxalenye encinci yesisu eside kangaka akusoloko kunempembelelo enkulu ekusebenzeni kwaso. Umzimba wethu uyasiqhela.
Ngubani odinga olu tyando? Zeziphi izifo?
Olu tyando ludla ngokwenziwa kubantu abaneengxaki ezinkulu zesisu. Oogqirha bacebisa olu tyando kuphela xa imeko ingenakunyangwa ngamayeza kuphela. Makhe sijonge ukuba zeziphi ezo meko.
| Imeko | Kalula nje... |
|---|---|
| Ukukhula okungaqhelekanga | Izinto ezifana nomhlaza, iithumba ezingezizo ezomhlaza, okanye iipolyps ezikhula emathunjini amancinci. |
| Iingxaki ze-GI zokuzalwa | Ezinye zeemeko ezikhoyo xa umntwana ezalwa, ezifana ne -Meckel's diverticulum okanye i-malrotation . |
| Iingxaki ze-GI ezingapheliyo zokuvuvukala | Ukuxinana kwamathumbu ngenxa yezifo ezifana nesifo sikaCrohn . |
| I-hernia yesisu evalelwe entolongweni | I-hernia ibangela ukuba inxalenye yamathumbu ivaleleke, nto leyo ebangela ukuba ilahlekelwe kukuhamba kwegazi ize ife. |
| I-enterocolitis ebulala iintsholongwane | Imeko embi apho izicwili zamathumbu ziyafa khona, exhaphakileyo kwiintsana ezizelwe ngaphambi kwexesha. |
| Ukuvaleka kwamathumbu amancinci | Ukuvaleka ngokupheleleyo kwamathumbu ngaphakathi. Kunokubangelwa nakukushukuma kwenxalenye yamathumbu ngaphakathi kwenye indawo (intussusception) . |
| Ukonzakala | Ukonakala kwamathumbu ngenxa yengozi, umzekelo, ukugqobhoka kwamathumbu. |
Into ebalulekileyo kukuba olu tyando lwenziwe xa isifo singenakulawulwa ngolunye unyango, olufana namayeza okanye ukutya okukhethekileyo. Nangona kunjalo, kwiimeko ezingxamisekileyo, ezifana nokuvaleka kwamathumbu, okunokuba yingozi ebomini, utyando lunokufuneka ngoko nangoko .
Zithini iinkqubo zotyando?
Oogqirha basebenzisa iindlela ezintathu eziphambili zokwenza olu tyando. Eyona ndlela ifanelekileyo iya kukhethwa ngokuxhomekeke kwimeko yakho.
| Indlela Yotyando | Kwenzeka ntoni apha? (Kwenzeka ntoni apha?) |
|---|---|
| Utyando lweLaparoscopic | Njengoko sithetha, "utyando oluncediswa yikhamera" lubandakanya ukwenza imingxunya embalwa kakhulu esiswini. Ikhamera ifakwa ngenye yezi mingxunya, ijongwe kwisikrini, kwaye kufakwa izixhobo ezincinci kwezinye izigcawu ukuze kwenziwe utyando. Amanxeba mancinci kwaye ukuphola kuyakhawuleza. |
| Utyando lwerobhothi | Oku kufana nendlela ye-laparoscopic, kodwa ugqirha ulawula izixhobo esebenzisa ubuchwepheshe berobhothi. Oku kuvumela ugqirha ukuba asebenze ngobuchule nangokulula kwiindawo ezikude kakhulu. |
| Utyando oluvulekileyo | Le yindlela yendabuko. Kwenziwa umngxuma omnye omkhulu phakathi kwesisu ukuze kufikelelwe emathunjini. Le ndlela isetyenziswa kwiimeko apho ezi ndlela zimbini zingasentla zingenakwenzeka. |
Uzilungiselela njani ngaphambi kotyando?
Ukuba ayilotyando olungxamisekileyo, uya kuba neentsuku ezimbalwa zokulungiselela utyando.
- Uvavanyo: Uvavanyo lwegazi, uvavanyo lomchamo, kunye neeskeni zenziwa ukuze kubonwe ukuba ungakwazi na ukunyamezela utyando.
- Ukuyeka amayeza: Ukuba uthatha amayeza okunciphisa igazi (njenge-aspirin) okanye ezinye iintlungu, kunokufuneka uyeke ukuzisebenzisa kangangeentsuku ezimbalwa, njengoko ugqirha wakho eyalele.
- Ukucocwa kwamathumbu amakhulu: Ikholoni kufuneka icocwe ngokupheleleyo ngaphambi kotyando. Uza kucelwa ukuba utye ukutya okunefayibha eninzi kwaye usele amanzi amaninzi kangangeentsuku ezimbalwa ngaphambi kotyando. Uza kucelwa ukuba unciphise ukutya kwakho kwizinto ezilulwelo njengoko usondela kutyando. Ngamanye amaxesha, unokunikwa amayeza okuhambisa isisu okanye i-enema ukunceda amathumbu akho ashukume. Konke oku kwenzelwa ukwenza utyando lukhuseleke.
Kwenzeka ntoni ngexesha nasemva kotyando?
Ngexesha lotyando, uza kunikwa i-anesthesia eqhelekileyo, ukuze ungaziva nto, uza kuba sebuthongweni obunzulu. Ugqirha uza kwenza i-incision ngokwendlela ekhethiweyo aze afikelele kwindawo eyonakeleyo yamathumbu. Emva koko, esebenzisa izixhobo ezikhethekileyo, uza kuyibamba loo ndawo kumacala omabini aze ayinqumle.
Emva koko kuza inxalenye ebalulekileyo. Ngoku uneziphelo ezimbini zamathumbu eziphilileyo, akunjalo? Okwenzayo emva koko kuya kumisela ikamva lakho. Kukho iindlela ezimbini eziphambili apha.
1. Ukudibanisa kwakhona amacandelo amabini amathumbu (i-Anastomosis)
Le yeyona nkqubo ixhaphakileyo. Njengokubopha kwakhona umbhobho ophukileyo, iziphelo ezimbini zamathumbu aphilileyo zidityaniswa kusetyenziswa imithungo okanye ii-staples . Nje ukuba oku kuphumelele, inkqubo yakho yokugaya ukutya iya kuqala ukusebenza ngokuqhelekileyo kwakhona.
2. Ileostomy
Ngamanye amaxesha, iindawo eziseleyo zamathumbu eziphilileyo zisenokungabi zinde ngokwaneleyo ukuba ziqhagamshelane. Okanye, ngenxa yosulelo, kunokuba yingozi kakhulu ukuzidibanisa zonke ngaxeshanye. Kwiimeko ezinjalo, ugqirha uza kukhupha isiphelo samathumbu amancinci ngomngxuma omncinci (stoma) owenziwe eluswini lwesisu. Emva koko, ibhegi ekhethekileyo incamathiselwa kuloo mngxuma. Indle iqokelelana kuloo ngxowa. Oku ngamanye amaxesha kunokuba yinto yexeshana . Kamva, amathumbu anokuxhunyaniswa kwakhona ngaphakathi ngotyando olunye. Ngamanye amaxesha, kufuneka agcinwe ngolu hlobo ngonaphakade .
Iingozi ezinokubakho kunye nemiphumo emibi yotyando
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Ukuvuza kwe-anastomotic: Le yeyona ngxaki inzima kakhulu. Yenzeka xa amathumbu edibene, oko kukuthi, apho kwakufakwa khona izititshi okanye izitapile. Ukuba oku kuyenzeka, indle ingangena esiswini kwaye ibangele usulelo olukhulu. Le yimeko engxamisekileyo esongela ubomi .
- I-anemia engapheliyo: I-anemia inokwenzeka ixesha elide.
- Ukonakala kwamalungu angqongileyo: Ngexesha lotyando, amalungu angqongileyo anjengesibindi kunye nepancreas angonakala.
- Urhudo: Kuqhelekile ukuba norhudo kangangeeveki ezimbalwa emva kotyando. Kuthatha ixesha ukuba imithambo-luvo kunye nemisipha emathunjini iqhele olu tshintsho.
- I-Hernia: I-hernia inokukhula ngaxa lithile emva kokuhlinzwa.
- Ukuqina: Indawo apho amathumbu adibene khona inokuncipha ize ibangele ukuphinda kuvele ukuvaleka kwamathumbu.
Linjani ixesha lokuchacha?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Kwiintsuku zokuqala, awuyi kunikwa ukutya ngomlomo ukuze uphumze amathumbu akho. Uya kunikwa ukutya okunesondlo ngetyhubhu (isondlo sangaphakathi). Njengoko ululama, uya kunikwa ulwelo, emva koko iisuphu, uze emva koko ufumane ukutya okuthambileyo .
Kubalulekile ukuphumla iiveki ezimbalwa emva kokuba ubuyele ekhaya. Nangona kunjalo, akucetyiswa ukuba uhlale ebhedini. Kubalulekile ukuhambahamba kancinci ukuze uthintele ukuqhekeka kwegazi . Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo, kodwa uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo kwiiveki ezimbalwa.
Kwimeko enjalo, fowunela ugqirha wakho ngokukhawuleza!
Kubaluleke kakhulu ukujonga impilo yakho emva kokuba ubuyele ekhaya. Ukuba unayo nayiphi na kwezi mpawu zingezantsi, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
| Iimpawu Zesilumkiso Okufanele Uziqaphele |
|---|
| - Ubunzima bokukhupha indle okanye ukungasebenzi kakuhle kwesisu kangangeentsuku ezininzi. |
| - Ukugabha okungapheliyo nokugabha kangangokuba awukwazi ukugcina ukutya okanye amanzi ehlile. |
| - Ubomvu okanye ukopha ngenxa yotyando. |
| - Intlungu ayizange iphele nasemva kokusela amayeza okudambisa iintlungu achazwe ngugqirha. |
| - Iimpawu zosulelo ezifana nomkhuhlane, ukubanda, ukubomvu kolusu olujikeleze inxeba, kunye nokuziva ufudumele. |
Umyalezo Wokuya Ekhaya
- Ukususwa kwamathumbu amancinci kukususwa kwenxalenye yamathumbu enesifo okanye eyonakeleyo ngotyando.
- Oku kwenziwa kwiimeko ezinzima ezifana nomhlaza, isifo sikaCrohn, kunye nokuvaleka kwamathumbu, xa ezinye iindlela zonyango zingaphumelelanga.
- Kukho iindlela ezintathu: i-laparoscopic, i-robotic, kunye notyando oluvulekileyo. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Kuthatha ixesha ukuchacha emva kotyando. Kubaluleke kakhulu ukulandela imiyalelo kagqirha.
- Ngenxa yokuba amathumbu ethu amancinci made kakhulu, nokuba inxalenye yawo isusiwe, umzimba unokuziqhelanisa nawo kwaye usebenze ngokuqhelekileyo. Ngoko ke ungoyiki ngokungeyomfuneko. Ukuba unemibuzo, thetha ngokukhululekileyo nogqirha wakho.
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