Ngamanye amaxesha, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala xa ugqirha ekuxelela ukuba inxalenye yamathumbu akho kufuneka isuswe ngenxa yemeko ethile yempilo. "Ngaba ndiza kukwazi ukuphila ubomi obuqhelekileyo emva kokuba iqhekeza lamathumbu am lisusiwe?" "Ngaba ukutya akuyi kugaywa?" Mhlawumbi unemibuzo emininzi efana nale engqondweni yakho. Yiyo loo nto, namhlanje, siza kuthetha ngolu tyando 'lokususwa kwamathumbu amancinci' okanye `(Ukususwa kwamathumbu amancinci)` ngokulula.
Ngamafutshane, olu tyando lubandakanya ukususwa ngotyando inxalenye eyonakeleyo okanye enesifo yamathumbu akho amancinci. Amathumbu ethu amancinci sisitho eside kakhulu, esijijekileyo, nesimangalisayo esihlala siphakathi kweenyawo ezingama-20 ukuya kwezingama-30 ubude. Kulapho umzimba ufunxa uninzi lwezondlo ekutyeni esikutyayo. Ngoko ke nokuba inxalenye encinci yale mathumbu made isusiwe, umzimba wethu unokuziqhelanisa nayo kwaye ugcine amathumbu esebenza ngendlela eqhelekileyo.
Kutheni kuyimfuneko ukwenza olu hlobo lotyando?
Zininzi izizathu zokuba inxalenye yamathumbu amancinci ingasuswa. Oogqirha badla ngokucebisa olu tyando xa imeko ingalawulwanga ngamayeza okanye ukutya okukhethekileyo. Nangona kunjalo, kwiimeko zeemeko ezisongela ubomi ezifana nokuvaleka kwamathumbu, utyando lunokufuneka ngoko nangoko . Nazi ezinye zezizathu eziphambili zolu tyando.
| Isizathu | Ingcaciso elula |
|---|---|
| Uphuhliso olungaqhelekanga | Iimeko ezifana nokukhula okungengomhlaza emathunjini amancinci, njengeethumba, iipolyps, okanye umhlaza wamathumbu amancinci. |
| Iingxaki ukususela ekuzalweni | Iimeko ezifana ne-Meckel's diverticulum okanye i-malrotation yamathumbu, ezibakho ukususela ekuzalweni. |
| Usulelo lwexesha elide | Iimeko ezifana nesifo sikaCrohn zibangela ukuba iindonga zamathumbu zibe nkulu kwaye zinciphe (ukuqina). |
| I-hernia ekrwitshiweyo | Xa inxalenye yamathumbu ivaleleke kwi-hernia, ukuhamba kwegazi kuloo ndawo kuyanqanyulwa kwaye kukho umngcipheko wokufa kwezicubu. |
| Ukuvaleka kwamathumbu | Ukuvaleka kwamathumbu amancinci yimeko apho amathumbu evaleka ngokupheleleyo ngesizathu esithile. Le yimeko efuna utyando olungxamisekileyo. |
| Iingozi | Ukonakala kwamathumbu ngenxa yengozi okanye ukwenzakala, umzekelo, ukugqobhoka. |
Ziziphi iindlela zokwenza utyando?
Olu tyando lunokwenziwa ngeendlela ezintathu eziphambili. Ukukhetha enye yezi ndlela kuxhomekeke kwimeko yakho kunye nengcebiso kagqirha.
1. Utyando lweLaparoscopic: Oku akubandakanyi ukwenza umsikelo omkhulu esiswini. Endaweni yoko, kwenziwa imisikelo embalwa emincinci kakhulu kwaye kufakwa ikhamera kunye nezixhobo zotyando ngazo. Inzuzo yale ndlela kukuba iphola ngokukhawuleza kwaye ayibuhlungu kangako.
2. Utyando lweRobhothi: Oku kufana notyando lwe-laparoscopic, kodwa apha ugqirha ulawula iingalo zomatshini werobhothi, esenza utyando ngokuchanekileyo nangokulula .
3. Utyando oluvulekileyo: Le yindlela yendabuko. Apha, kwenziwa umngxuma omkhulu esiswini kwaye amathumbu ayafumaneka. Le ndlela isetyenziswa xa ezinye iindlela ezimbini zingafanelekanga.
Kwenzeka ntoni ngexesha lotyando?
Kubalulekile ukuba ube nombono othile ngale nto.
Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo, ngoko awuyi kuva nto ngexesha lotyando.
Emva koko ugqirha wenza utyando esebenzisa enye yeendlela ezikhankanyiweyo ngaphambili ukufikelela kwindawo eyonakeleyo yamathumbu. Emva koko, indawo leyo ibanjwa macala omabini ngezixhobo ezikhethekileyo (ii-clamps) kwaye indawo eyonakeleyo iyasikwa ize isuswe.
Inyathelo elilandelayo lelona libalulekileyo.
- I-Anastomosis:Kwiimeko ezininzi, iziphelo zamathumbu amabini aphilileyo aseleyo emva kokuba icandelo lisusiwe ziyadityaniswa kwaye zithungwe ndawonye. Oku kwenziwa kusetyenziswa izititshi ezikhethekileyo okanye iistaple. Le nkqubo ibizwa ngokuba yi-anastomosis.
- Ileostomy: Nangona kunjalo, ngamanye amaxesha akunakwenzeka ukudibanisa iindawo ezimbini eziseleyo zamathumbu. Umzekelo, ukuba umgama phakathi kwala macandelo mabini mkhulu kakhulu, okanye ukuba usulelo luthintela ukudibana kwakhona kwangoko, ugqirha uya kwenza enye into. Kule meko, kwenziwa umngxuma (stoma) ukuze isiphelo samathumbu amancinci sibonakale kulusu lwesisu. Indle iphuma ngale mngxuma ize iqokeleleke kwingxowa ekhethekileyo (ibhegi ye-ostomy) enamathele kulusu. Oku kubizwa ngokuba yi-ileostomy. Oku kunokuba kokwexeshana okanye okusisigxina.
Kwenzeka ntoni emva kotyando? Kuza kuthatha ixesha elingakanani ukuze umntu aphile?
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando.
- Ukutya: Kwimihla yokuqala, kuba amathumbu kufuneka aphumle, ukutya akunikelwa ngomlomo. Endaweni yoko, isondlo sinikwa ngetyhubhu (ukondla ngetyhubhu). Njengoko umntwana echacha kancinci kancinci, ulwelo nokutya okuthambileyo kunokuqaliswa ngomlomo, njengoko kuyalelwe ngugqirha.
- Ukuhamba: Xa usesibhedlele, nasemva kokuba ubuyele ekhaya, kubaluleke kakhulu ukuvuka ebhedini uhambe kancinci ukuze uthintele ukuqhekeka kwegazi .
- Ixesha lokuchacha: Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo, kodwa uninzi lwabantu luyakwazi ukubuyela kwimisebenzi yemihla ngemihla kwiiveki ezimbalwa.
Zithini iingozi kunye nemiphumo emibi yolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kwaye kubalulekile ukuba uzazi.
| Umngcipheko / Isiphumo Esibi | Inkcazo |
|---|---|
| Ukuvuza kwe-anastomotic | Ukuvuza okuvela kwi-sutures/staples. Le yimeko eyingozi kakhulu kwaye inokubeka ubomi esichengeni. |
| Urhudo | Urhudo lunokwenzeka kangangeeveki ezimbalwa emva kotyando njengoko umzimba uqhelana nemeko entsha. |
| I-Inguinal hernia | Iindawo zamathumbu zityhalelwa ngaphandle ngenxeba elenziwe ngexesha lotyando. |
| Ezinye iingozi | Usulelo, amahlwili egazi, i-anemia engapheliyo, kunye nomonakalo kwizitho ezikufutshane ezifana nesibindi okanye i-pancreas. |
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Xa ubuyela ekhaya emva kotyando, kufuneka ukhathalele umzimba wakho kakuhle. Ukuba ufumana naziphi na ezi mpawu zilandelayo, fowunela ugqirha wakho okanye uye esibhedlele ngoko nangoko .
- Ubunzima bokukhupha indle okanye ukungasebenzi kakuhle kwesisu kangangeentsuku ezininzi.
- Ukucaphuka nokuhlanza kangangokuba awukwazi ukugcina ukutya okanye ulwelo ngomlomo.
- Ubomvu okanye ukopha ngenxa yotyando.
- Intlungu ebuhlungu engapheziyo nokuba sele ithathiwe amayeza.
- Iimpawu zosulelo, ezinje ngomkhuhlane, ububomvu kunye nobushushu obujikeleze inxeba.
Khumbula, ukuba unengxaki ngezi mpawu, musa ukuchitha ixesha kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Umyalezo Wokuya Ekhaya
- `Ukususwa kwamathumbu amancinci` kukususwa kwenxalenye yamathumbu amancinci enesifo okanye eyonakeleyo. Musa ukoyika oku.
- Ngenxa yokuba amathumbu ethu amancinci amade kangaka, umzimba udla ngokusebenza ngokuqhelekileyo nokuba inxalenye encinci yawo isusiwe.
- Kuthatha ixesha elithile ukuba umntu aphile ngokupheleleyo emva kotyando. Ngeli xesha, landela imiyalelo kagqirha ngononophelo.
- Qaphela iimpawu ezinokuba yingozi (umkhuhlane, iintlungu eziqatha, ukuhlanza, ubomvu obuphuma kwinxeba) emva kotyando. Ukuba ubona nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba uneminye imibuzo malunga noku, zive ukhululekile ukuyixoxa nogqirha wakho.
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