Xa usiva igama elithi "umhlaza we-colorectal," abanye abantu bayoyika kancinci, akunjalo? Kodwa eneneni olu luhlobo lomhlaza oluqhelekileyo kwilizwe lethu nakwihlabathi liphela. Unyango oluphambili noluphumeleleyo koku kukususa inxalenye yekholoni equlethe iiseli zomhlaza ngotyando. Ke namhlanje, masithethe ngendlela enobuhlobo, ukuba zeziphi ezi ntlobo zotyando, zenziwa njani, kunye nezona zinto zibalulekileyo ekufuneka uzazi emva kotyando.
Okokuqala, masiqonde olu hlobo lotyando kunye nentsingiselo yalo.
Uhlobo lotyando olwenziweyo luyahluka ngokuxhomekeke kuhlobo lomhlaza kunye nokuba usasazeke kangakanani. Makhe sijonge iindlela eziphambili ezisetyenzisiweyo.
| Indlela yotyando | Kalula nje... |
|---|---|
| I-Polypectomy | Oku kuquka ukususa amaqhuma amancinci (iipolyps) akhula ngaphakathi kwikholoni. La maqhuma adla ngokuba ngumhlaza kamva. La maqhuma anokususwa ngexesha le-colonoscopy. |
| Ukususwa kweendawo | Le nkqubo isetyenziselwa umhlaza we-rectal. Umhlaza kunye nenxalenye encinci yodonga lwamathumbu ajikelezileyo ziyasuswa. Oku akudingi utyando olukhulu. |
| Ukususwa kwesisu | Oku kuquka ukusika nokususa inxalenye yekholoni apho umhlaza ukhoyo kunye nezinye izicwili ezijikelezileyo. Olu lolona hlobo luqhelekileyo lotyando. |
| Utyando lweLaparoscopic | Oku kukwabizwa ngokuba "lutyando lwe-keyhole." Lutyando apho ikhamera kunye nezixhobo zifakwa ngemingxunya emininzi emincinci esiswini endaweni yesikhewu esikhulu. Makhe sithethe ngale nto ngokweenkcukacha. |
Yintoni utyando lwe-laparoscopic?
Ngaphambili, utyando lwamathumbu lwalufuna ukunqunyulwa okukhulu kubude besisu. Oku kubizwa ngokuba "lutyando oluvulekileyo." Enyanisweni kuthatha ixesha elide ukuphola kwaye kubuhlungu ngakumbi.
Kodwa ngoku ubuchwepheshe buhambele phambili. Ngendlela ye -laparoscopic , ugqirha wenza imingxunya emincinci emi-3 ukuya kwe-6, malunga ne-5-10 milimitha ngobukhulu, esiswini sakho. Ikhamera (i-laparoscope) ifakwa ngenye yezi mingxunya. Emva koko, amalungu angaphakathi esiswini anokubonwa ngendlela eyandisiweyo, njengakwisikrini seTV. Izixhobo ezikhethekileyo zifakwa ngezinye izingxunya, kwaye utyando lwenziwa ngononophelo olukhulu.
Iingenelo zale ndlela kukunciphisa iintlungu kunye namanxeba, ukuchacha ngokukhawuleza, kunye nokunciphisa umngcipheko wosulelo.
Le ndlela ngoku isetyenziswa kakhulu kwiimeko ezifana nesifo sikaCrohn, i-diverticulitis, kwanomhlaza wamathumbu amakhulu.
Ziziphi iintlobo eziphambili zotyando lomhlaza wamathumbu amakhulu?
Inxalenye yamathumbu esuswayo iyahluka ngokuxhomekeke kwindawo kunye nokusasazeka komhlaza. Makhe sijonge ezinye zeentlobo zotyando.
- Utyando lwe-Partial Colectomy: Oku kuquka ukususa inxalenye yomhlaza yekholoni yakho kunye nee-lymph nodes ezimbalwa ezikufutshane. Emva koko ezinye iindawo eziphilileyo zekholoni yakho ziyabuyiselwa kwakhona. Oku kubizwa ngokuba yi-anastomosis . Emva kotyando, imikhwa yakho yamathumbu iya kubuyela kwimeko yayo eqhelekileyo.
- Utyando lwe-Colectomy olusekunene / i-Ileocolectomy: Oku kuquka ukususa inxalenye yasekunene yamathumbu amakhulu. Ngamanye amaxesha inxalenye yokugqibela yamathumbu amancinci (ileum) enamathele kuyo nayo iyasuswa.
- Ukususwa kwesisu: Olu lutyando olukhulu. I-anus yakho, i-rectum, kunye nenxalenye esezantsi yekholoni yakho (i-sigmoid colon) zisusiwe ngokupheleleyo. Oku kuthetha ukuba kwenziwa umngxuma osisigxina eluswini lwesisu sakho kwaye kubekwa ingxowa ukuvumela inkunkuma ukuba idlule. Oku kubizwa ngokuba yi -colostomy esisigxina .
- I-Total Proctocolectomy: Olu lolona tyando lubanzi kakhulu lwamathumbu. Kule meko, zombini i-colon kunye ne-rectum zisuswa ngokupheleleyo.
Ziziphi ezinye iindlela ezinxulumene notyando?
Ngamanye amaxesha, kukho nezinye izinto ekufuneka zenziwe ukongeza kutyando oluphambili. Kubalulekile ukuzazi ezi zinto.
I-Stoma okanye i-Ostomy
Ngamafutshane, i-stoma yinkqubo edibanisa inxalenye yamathumbu nomphezulu wesikhumba sesisu, idala umngxuma omtsha wokuphuma kwenkunkuma.
- Ukuba udibanisa isiphelo samathumbu amakhulu kuso,Ibizwa ngokuba yi-colostomy .
- Ukuba isiphelo samathumbu amancinci sidibene, sibizwa ngokuba yi-ileostomy .
Ingxowa ekhethekileyo (iStoma Bag) isetyenziselwa ukuqokelela inkunkuma evela kule stoma. Ngamanye amaxesha ezi zizinto zexeshana . Oko kukuthi, zishiywa endaweni yazo de indawo yotyando iphole. Kwiinyanga ezimbalwa, kwenziwa olunye utyando oluncinci lokususa oku kunye nokudibanisa amathumbu ngaphakathi. Nangona kunjalo, njengoko bekutshiwo ngaphambili, kwezinye iinkqubo zotyando, ezi zinto kufuneka zishiywe endaweni yazo ngokusisigxina .
Iingxowa zangaphakathi (iipokotho)
Ngamanye amaxesha, emva kokuba i-anus isusiwe ngokupheleleyo, kwakheka ingxowa encinci ngaphakathi emzimbeni ukusuka emathunjini amancinci ukuze iqokelele kwaye igcine inkunkuma. Oku kuphelisa imfuneko yengxowa yangaphandle. Ingxowa ye-Ileal (J) yindlela ethandwayo yolu hlobo. Nangona kunjalo, olu lutyando oluntsonkothileyo.
Utyando lweSibindi
Umhlaza wamathumbu amakhulu ngamanye amaxesha unokusasazeka uye esibindini. Kwimeko enjalo, kuxhomekeke kubungakanani bomhlaza, umhlaza wesibindi unokususwa ngaxeshanye notyando lwamathumbu amakhulu.
Ukubuyisela kwimeko yesiqhelo kunye namanyathelo okhuseleko emva kotyando
Uninzi lwabantu luyaphila kakuhle emva kolu tyando. Kuya kufuneka usele amayeza okudambisa iintlungu kwiintsuku ezimbalwa zokuqala. Usenokuxelelwa ukuba utye ukutya okumanzi kuphela. Kodwa uya kukwazi ukutya ngendlela eqhelekileyo emva kweentsuku ezimbalwa.
Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezithile, ezinje ngokopha, usulelo, kunye nokuqhekeka kwegazi emilenzeni.
Into ekufuneka uyilumkele: Kunqabile kakhulu ukuba kubekho ukuvuza okuvela kwiindawo zokunxibelelana emathunjini. Ukuba oku kuyenzeka, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi , xelela ugqirha wakho okanye isibhedlele ngokukhawuleza .
* Intlungu ebuhlungu yesisu
* Ifiva
* Isisu sivakala siqinile njengelitye
Kubaluleke kakhulu ukuhlala unxibelelana neqela lakho lezonyango emva kotyando. Landela imiyalelo yabo ngokuchanekileyo. Banokucebisa ezinye iindlela zonyango, ezifana ne-chemotherapy, ukongeza kotyando.
Umyalezo Wokuya Ekhaya
- Unyango oluphambili lomhlaza wamathumbu amakhulu lutyando. Musa ukoyika, eyona nto ibalulekileyo kukwazi.
- Uhlobo lotyando oluqhutywayo luyahluka ngokuxhomekeke kuhlobo lomhlaza. Kukho iintlobo ezahlukeneyo zotyando, ukusuka ekususweni kweqhubu elincinci ukuya ekususweni kwenxalenye enkulu yekholoni.
- Utyando lwe-Laparoscopic (keyhole) yindlela yanamhlanje eyenziwa ngokusikwa okuncinci, ayibuhlungu kakhulu, kwaye iphola ngokukhawuleza.
- Emva kotyando oluthile, kunokufuneka usebenzise isikhwama sesisu (iColostomy/Ileostomy) okwethutyana okanye ngokusisigxina ukususa inkunkuma.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, iintlungu eziqatha zesisu, okanye ukudumba kwesisu emva kotyando , yazisa ugqirha wakho ngoko nangoko .
- Ukulandela imiyalelo kagqirha wakho ngokufanelekileyo kubalulekile ukuze uphile ngokukhawuleza.
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