Ngaba ugqirha ukuxelele ukuba unethumba elincinci, i-polyp, kwi-rectum yakho? Xa usiva oko, kuvela imibuzo emininzi eyoyikisayo engqondweni, efana nokuthi "Owu, ngaba kuya kufuneka ndizinqumle isisu sam, kuya kufuneka ndihlale ixesha elingakanani esibhedlele, kuya kuba buhlungu kangakanani?" Kodwa ungoyiki. Namhlanje, amayeza aphucuke kakhulu. Kukho indlela ekhethekileyo enokususa amathumba anjalo ngaphandle kokwenza naziphi na izisikelo esiswini, ngokufaka izixhobo ezincinci kwi-rectum. Yiloo nto sithetha ngayo namhlanje.
Yintoni kanye kanye i-TEMS?
Ngamafutshane, iTransanal Endoscopic Microsurgery (TEMS) lutyando apho izixhobo zotyando ezincinci kakhulu kunye nekhamera zifakwa nge-anus yakho, oko kukuthi, kwindawo apho kuphuma khona indle, ukuze kususwe iithumba, ii-polyps, njl.njl. kwi-rectum, eyona ndawo isezantsi yamathumbu amakhulu.
Khawucinge nje, kwixesha elidlulileyo, ukuze ususe ithumba elinje elalingaphakathi nje kwe-rectum, kuya kufuneka usike isisu uze wenze utyando olukhulu. Bekuya kuthatha ixesha elide ukuphola, kube buhlungu kakhulu, kwaye kuya kufuneka uhlale esibhedlele iintsuku ezininzi.
Kodwa ngale ndlela ye-TEMS, ugqirha angangena ngqo kwi-anus, ngaphandle kokwenza naziphi na iziqwenga esiswini, afikelele kwithumba aze alisuse kakuhle. Oku kuthetha ukuba uziva iintlungu ezincinci kwaye ixesha lakho lokuchacha lifutshane kakhulu.
Yintoni umahluko phakathi kwe-TEMS ne-TAMIS?
Usenokuba ukhe weva nge-TEMS kunye ne-TAMIS. Zombini ziintlobo zotyando ezenziwa nge-anus. Kodwa kukho umahluko omncinci. Makhe sibone ukuba zeziphi.
| Uphawu | I-TEMS (i-Transanal Endoscopic Microsurgery) | I-TAMIS (Utyando oluNcinci oluNgcwabayo lweTransanal) |
|---|---|---|
| Isixhobo esisetyenzisiweyo | Kusetyenziswa isixhobo esithe nkqo nesiqinileyo esifana netyhubhu (i-rectoscope). | Kusetyenziswa i-port efana nejeli, eguquguqukayo, nejikelezayo. |
| Ukuguquguquka | Ngenxa yokuba isixhobo siqinile, ngamanye amaxesha kunokuba nzima ukufikelela kwithumba. | Izixhobo ziguquguquka ngakumbi, nto leyo eyenza kube lula ukufikelela kwiindawo ezahlukeneyo ze-rectum. |
| Izixhobo zotyando | Izixhobo ezikhethekileyo zotyando lwe-microsurgical zisetyenziselwa le njongo. | Izixhobo ezifanayo ezisetyenziswa kutyando lwe-laparoscopic zingasetyenziswa. |
Ugqirha wakho uza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe. Kuxhomekeke kwindawo, ubungakanani, kunye nezinye izinto zethumba.
Ngubani ofanelekileyo kolu tyando?
Utyando lwe-TEMS alulolwawo wonke umntu, kodwa lunokuba lukhetho oluhle kakhulu kwiimeko ezilandelayo:
- Kwabo banengxaki yokunyamezela utyando olukhulu olubandakanya ukunqunyulwa isisu ngenxa yezinye iingxaki zempilo (umzekelo, isifo sentliziyo, isifo seswekile).
- Kwabo bakwinqanaba lokuqala lomhlaza werectal.
- Kubantu abaneethumba okanye iipolyps ezingezizo ezomhlaza (ezingenobungozi), ingakumbi abantu abaselula.
- Kwabo bafuna ukuphepha iingxaki ezinokwenzeka emva kotyando olukhulu.
Ziziphi izifo ezinyangwa ngotyando lwe-TEMS?
Olu tyando ludla ngokwenziwa ukuze kususwe iithumba ezikhula kwi-rectum. Makhe sijonge ukuba ziintoni.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Izimila ezingengobungozi emathunjini | Ezi azinazo izifo zomhlaza, kodwa ukuba azisuswanga, zinokubangela iingxaki kamva. |
| Umhlaza wamathumbu | Kwinqanaba lokuqala lomhlaza, olu tyando luphumelela kakhulu ukuba ithumba lincinci kwaye alikasasazeka. |
| Iipolyps ezisemacaleni | Izityalo ezincinci ezikhula ngaphakathi kwikholoni. Kubalulekile ukususa ezinye iipolyps kuba kamva zinokuguquka zibe ngumhlaza. |
| Ukuhla kwe-rectal | Le nkqubo ngamanye amaxesha isetyenziselwa ukulungisa imeko apho inxalenye ye-rectum iphuma nge-anus. |
| Ukuqina kwe-rectum | Ubunzima bokukhupha indle ngenxa yokuncitshiswa kwe-rectum. |
| I-Fistula | Iindidi ezincinci ezijikeleze i-anus. |
Uzilungiselela njani ngaphambi kotyando?
Ukulungiselela oku kufana nokulungiselela i-colonoscopy. Eyona nto iphambili kukucoca i-colon yakho ngokupheleleyo. Oku kuya kuvumela ugqirha ukuba abone kakuhle ingaphakathi le-rectum yakho.
Ugqirha wakho uza kukunika le miyalelo rhoqo:
- Kuphephe ukutya ukutya okuqinileyo ngosuku olungaphambi kotyando.
- Sela iziselo kuphela (isuphu ecocekileyo, iti, amanzi) iiyure ezili-12-24 ngaphambi kotyando.
- Musa ukutya okanye ukusela nantoni na emva kweentsuku zobusuku ngosuku lotyando.
- Uza kunikwa ulwelo olukhethekileyo (i-laxative) ukuze ulusele ukucoca amathumbu akho. Kuya kufuneka uye kwigumbi lokuhlambela rhoqo emva kokulisela, ngoko ke ceba ukuhlala ekhaya ngelo xesha.
- Kubaluleke kakhulu: Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo, ingakumbi amayeza okunciphisa igazi. Ungacelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
Lwenziwa njani utyando?
Akukho nto yokoyika. Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia jikelele. Oku kuthetha ukuba uza kube ulele ngokupheleleyo kwaye ungaziva nto. Nazi ezinye zezinto eziza kwenzeka ngexesha lotyando:
1. Ugqirha ufaka isixhobo esikhethekileyo (i-rectoscope) kwi-rectum yakho.
2. Emva koko, ukuze kukwazi ukujonga ngaphakathi kwi-rectum, kuzaliswa umoya omncinci kuwo uze uvuthelwe.
3. Ngoku, kufakwa ikhamera encinci kakhulu kunye nezixhobo zotyando kweso sixhobo, kwaye ngelixa ubukele kwisikrini, ithumba okanye i-polyp iyasuswa, kunye nenani elincinci lezicubu eziphilileyo ezijikelezileyo.
4. Indawo apho ithumba lisusiwe khona ivalwa ngezititshi ezinokunyibilika okanye iikliphu ezincinci zesinyithi. Ezi emva koko zifunxwa ngumzimba okanye zikhutshwe kwi-tube.
Ziziphi iingenelo zolu tyando?
Eyona nzuzo inkulu yotyando lwe-TEMS kukuba lunokufikelela nakwiindawo eziphezulu ze-rectum ngaphandle kokusikwa kwesisu. Ngaphambili, ukuze ufikelele kwiindawo ezinjalo, kwakufuneka wenze utyando olukhulu. Olu tyando lukhulu lunokukhokelela kwimiphumo emibi yexesha elide efana nobunzima bokuchama, ukungasebenzi kakuhle ngokwesondo, kunye nesidingo sokunxiba ibhegi yendle esisigxina (i-colostomy).
Kodwa ngendlela ye-TEMS, iintlungu zincinci, ukuchacha kuyakhawuleza, kwaye kukho nezinye izibonelelo ezininzi.
- Ukopha kuncinci kakhulu.
- Umngcipheko weengxaki ezifana nosulelo kunye nokuvaleka kwamathumbu uphantsi kakhulu.
- Ixesha lokuhlala esibhedlele lifutshane (ngesiqhelo usuku olunye okanye ezimbini).
- Kungekudala uza kuphila kakuhle kwaye ukwazi ukubuyela kwimisebenzi yakho yesiqhelo.
Ngaba kukho naziphi na iingozi okanye iingxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile. Nangona kunjalo, xa kuthelekiswa nokuqunjelwa kwesisu, iingozi ziphantsi kakhulu. Iingxaki ezincinci ezinokubakho ziquka:
- Ukopha
- Ukuba nosulelo
- Intlungu emqolo okanye esiswini
- Ubunzima bokuchama (Ukugcinwa komchamo)
- Ukuziva ufuna ukuya ngasese ngequbuliso (ungxamiseko lwendle)
Ukuba kwenzeka into efana nale, ugqirha wakho uza kukunika unyango olufunekayo.
Kuthatha ixesha elingakanani ukuphiliswa?
Le yenye into entle ngolu tyando.
- Ungavuka uhambe ngosuku olunye notyando lwakho.
- Emva kokuba ubuyele ekhaya, ungaqhubeka nemisebenzi yakho yesiqhelo malunga nosuku olunye okanye ezimbini .
Indle yakho isenokukhululeka kancinci kangangeeveki ezimbalwa emva kotyando. Oku kuqhelekile. Kusenokufuneka ubonane nengcali yesondlo okanye ingcali yokutya ukuze wenze utshintsho kwindlela otya ngayo de amathumbu akho abuyele esiqhelweni.
Iimeko apho kufuneka ubone ugqirha ngoko nangoko
Xa ubuyela ekhaya emva kotyando, kubalulekile ukuqaphela naziphi na iingxaki ngokukhawuleza. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ukuze ufumane unyango.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| 🔴 | Ukopha kakhulu emqolo. |
| 🔴 | Intlungu ebuhlungu esiswini okanye emqolo. |
| 🔴 | Umkhuhlane okanye ukubanda. |
| 🔴 | Ubunzima bokuchama okanye ukungaphumi komchamo. |
Ingaba olu lolona tyando lodwa lomhlaza werectal?
Le yingxaki kubantu abaninzi.
Ukuba umhlaza ukwinqanaba lokuqala kakhulu , oko kuthetha ukuba ithumba lincinci kwaye alikasasazekanga kwezinye iindawo, akukho nyango lungakumbi olunokufuneka emva kokuba ithumba lisuswe ngokupheleleyo ngotyando lwe-TEMS.
Nangona kunjalo, kwezinye iimeko, ukongeza kotyando, kunokufuneka olunye unyango olufana ne -chemotherapy okanye unyango lwe-radiation . Oku kungcono ukuba ugqirha wakho onyangayo kunye nogqirha we-oncologist bagqibe kunye.
Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unethumba. Kodwa khumbula ukuba ngobuchwepheshe obuphambili banamhlanje, kukho utyando olunokwenziwa ngaphandle kokusikwa kwesisu, ngaphandle kwentlungu ingako, kwaye uphole ngokukhawuleza. I-TEMS yenye yeendlela zonyango ezikhuselekileyo nezisebenzayo.
Umyalezo Wokuya Ekhaya
- I-TEMS yindlela yotyando ephucukileyo kakhulu esusa iithumba ngokudlulisa izixhobo kwi-rectum, ngaphandle kokwenza i-incision esiswini.
- Le ndlela ayibuhlungu kangako, ixesha lokuhlala esibhedlele lifutshane, kwaye ungabuyela kubomi obuqhelekileyo kwangethuba.
- Le yindlela esebenzayo kakhulu yokususa amanqanaba okuqala omhlaza wamathumbu kunye neethumba ezingezizo zomhlaza.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngaphambi nasemva kotyando.
- Ukuba ufumana naziphi na iingxaki emva kotyando, ezinje ngomkhuhlane, iintlungu ezigqithisileyo, okanye ukopha, funa ingcebiso kagqirha ngokukhawuleza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho