Ngaba ugqirha wakho ukrokrela ukuba wena okanye umntu osondeleyo kuwe unomhlaza wesinyi? Okanye, ngaba kuqinisekisiwe kwaye uxelelwe ukuba kufuneka wenze utyando olubizwa ngokuba yi-'TURBT'? Usenokuziva usoyika kancinci xa usiva eli gama. Kodwa eneneni lunyango oluqhelekileyo nolukhuselekileyo lomhlaza wesinyi. Ngoko ke, ungakhathazeki. Masithethe ngokuba luyintoni olu tyando lwe-TURBT, lwenziwa njani, kwaye lunokujamelana njani nalo ngendlela elula necacileyo.
Kalula nje, yintoni iTURBT?
Intsingiselo epheleleyo ye-TURBT yi -Transurethral Resection of Bladder Tumor . Ligama elide, akunjalo? Kodwa lilula kakhulu. Yinkqubo eyenza izinto ezimbini ngaxeshanye. Oko kukuthi, inokuxilonga umhlaza wesinyi, kwaye inokususa nokunyanga umhlaza.
Khawucinge nje, ugqirha wenza olu tyando ngaphandle kokukwenza naluphi na uhlobo lotyando emzimbeni wakho. Kwenzeka njani oko?
Basebenzisa ityhubhu ende, ebhityileyo, neguquguqukayo ebizwa ngokuba yi-resectoscope. Esi sixhobo sifakwa kwi-urethra yakho, ityhubhu ethwala umchamo ukusuka kwisinyi sakho ukuya emzimbeni wakho. Ekupheleni kwale sixhobo kukho ikhamera encinci, isibane, kunye neluphu encinci enokusetyenziswa ukusika nokususa umhlaza. Ugqirha ususa umhlaza ngononophelo ngelixa ebukele imifanekiso evela kule khamera kwisikrini kwigumbi lotyando.
Ekubeni le ndlela ingenazo izikrweqe eluswini, akukho monakalo mkhulu emzimbeni. Yiyo loo nto ibizwa ngokuba yinkqubo engaphantsi kakhulu.
Ugqirha angafumana ulwazi olubaluleke kakhulu kolu tyando.
- Luhlobo luni lomhlaza?
- Ungakanani umgangatho womhlaza? (Ingaba unobungozi obuphantsi okanye unobungozi obuphezulu?)
- Ubunzulu bomhlaza osasazeke kangakanani eludongeni lwesinyi (isigaba).
Ngamanye amaxesha, kunokwenzeka ukususa lonke ithumba elinomhlaza ngolu tyando lunye.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Oku kudla ngokuba yinkqubo yokulaliswa ngaphandle kwesibhedlele. Oku kuthetha ukuba uninzi lwabantu lungeniswa esibhedlele kusasa kwaye banokuya ekhaya ngokuhlwa emva kotyando.
Nantsi indlela yokulungiselela ngaphambi kotyando:
Uza kudibana nogqirha wakho okanye ufowunelwe ngevidiyo malunga neveki ngaphambi kotyando lwakho. Baza kugqiba ngohlobo lwe-anesthesia oza kunikwa. Ungacelwa ukuba unike isampuli yomchamo.
Ngaphambi kotyando, ugqirha wakho okanye abasebenzi basesibhedlele baza kukunika imiyalelo ekufuneka uyilandele. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
| Ingcebiso | Ukubaluleka kunye nenkcazo |
|---|---|
| Ukutya namanzi | Musa ukutya nantoni na iiyure ezisi-8 ngaphambi kotyando. Musa ukusela amanzi emva kweentsuku ezisi-8 ngaphambi kotyando. |
| Amayeza | Ukuba uthatha amayeza okunciphisa igazi (afana ne-aspirin, i-ibuprofen, okanye i-naproxen), xelela ugqirha wakho. Baza kukuxelela ukuba uyeke ukuwathatha malunga neveki ngaphambi kotyando. Ukuba uthatha amanye amayeza, thetha nogqirha wakho ngawo. |
| Umntu onokunceda | Lungiselela kwangaphambili ukuba umntu akuqhubele ekhaya emva kotyando. Awuyi kukwazi ukuqhuba ngenxa ye-anesthesia. |
| Ucoceko | Hlamba kakuhle ngaphambi kokuba uye esibhedlele. Kodwa ungasebenzisi naluphi na uloyiso, iziqholo, okanye i-deodorant ngaloo mini. |
Ngexesha lotyando...
Utyando luza kuqala emva kokuba ufakwe i-anesthesia. Uninzi lwexesha, uza kulaliswa (i-anesthesia eqhelekileyo). Ngamanye amaxesha, uza kuba ne-nausea ukusuka esinqeni ukuya ezantsi (i-anesthesia yomqolo). Nangona kunjalo, awuyi kuva ntlungu .
Amanyathelo alandelayo ngala:
1. Ugqirha uza kufaka i-resectoscope ngononophelo kwi-urethra yakho nakwisinye sakho.
2. Xa bejonga imifanekiso evela kwikhamera, bafumana iindawo apho kukho khona iithumba ezinomhlaza.
3. Okulandelayo, sebenzisa iluphu ekwisixhobo ukusika nokususa amandongomane.
4. Ukuba kukho ukopha okuvela kwindawo apho ithumba lisusiwe khona, imithambo yegazi iya kutshiswa ukuze kumiswe ukopha.
5. Okokugqibela, kunokufakwa i-catheter ukuze kukhutshwe umchamo negazi esinyini kwaye kuthintelwe ukuqhekeka kwegazi.
Utyando ludla ngokuthatha imizuzu eli-15 ukuya kwengama-90 , kuxhomekeke kubukhulu, inani, kunye nendawo ezikuyo izimila.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa. Kusenokufuneka uhlale ubusuku bonke.
Ukuchacha kunye neempawu
- Intlungu: Usenokuziva utsha kancinci okanye intlungu xa uchama iintsuku ezimbalwa ukuya kwiiveki ezimbini emva kotyando. Oku kuqhelekile.
- Umbala womchamo: Umchamo wakho unokuba pinki ngenxa yegazi elisele kwisinyi. Musa ukoyika oku. Kuqhelekile.
- I-Catheter: Ukuba ugqirha wakho ufake i-catheter, iya kususwa xa umchamo wakho uyeka ukopha. Ingasuswa esibhedlele, okanye ungadinga ukuyigcina ekhaya kangangeentsuku ezimbalwa.
- Ezinye iimpawu: Ukungxamiseka kunye nokuchama rhoqo ziqhelekile kwiintsuku zokuqala ezingama-48.
Eyona ndlela ilungileyo yokunciphisa ezi mpawu nokuchacha ngokukhawuleza kukusela amanzi amaninzi imini yonke .
Eyona nto ibalulekileyo: Kuphephe ukuphakamisa izinto ezinzima okanye ukwenza imisebenzi enzima kangangeeveki ezimbalwa emva kotyando. Oku kuquka ukuphakamisa abantwana, izilwanyana zasekhaya, kunye nemithwalo. Ugqirha wakho uya kukucebisa ukuba uphephe ukulala nomntu okwethutyana.
Isinyi sihlala siphola kwiiveki ezi-2 ukuya kwezi-4. Ukuba usenentlungu, ukutsha, okanye igazi kumchamo wakho emva kwelo xesha, qiniseka ukuba wazise ugqirha wakho.
Ngaba kuya kufuneka unyango olongezelelweyo?
Ngamanye amaxesha i-TURBT inokususa lonke ithumba. Nangona kunjalo, ugqirha wakho unokucebisa i-chemotherapy ukubulala naziphi na iiseli zomhlaza eziseleyo kunye nokunciphisa umngcipheko wokubuya komhlaza.
Ukuba umhlaza uphelela kwisinyi, unyango lubizwa ngokuba yi-'intravesical chemotherapy'. Oku kuthetha ukuba iyeza le-chemotherapy elilulwelo lifakwa ngaphakathi kwisinyi, lishiywe okwethutyana, lize likhutshwe kwakhona. Oku ngamanye amaxesha kunokwenziwa ngexesha elinye notyando lwe-TURBT.
Ngaba kukho naziphi na iingozi kolu tyando?
I-TURBT yinkqubo ekhuselekileyo nephumelelayo kakhulu. Umngcipheko weengxaki ungaphantsi kwe-10%. Nangona kunjalo, kukho izinto ezimbalwa ezinokwenzeka ngokungaqhelekanga:
- Ukopha okungalawulekiyo: Oku kunqabile kakhulu. Ukuba kuyenzeka, ungadinga olunye utyando ukuze umise ukopha.
- Ukugqobhoka kwesinyi: Ngexesha lotyando, isixhobo sinokungena eludongeni lwesinyi, nto leyo ebangela umngxuma omncinci. Oku nako kunqabile kakhulu kwaye kunokunyangeka.
- Iintsholongwane:Kukho ithuba elincinci lokufumana usulelo lomchamo emva kotyando. Oku kunokunyangeka lula ngamayeza.
Iyintoni indlela yokuchacha emva komhlaza?
Lo ngumbuzo abantu abaninzi abanawo. Nangona i-TURBT yinkqubo eyenziwa phantse ngumntu wonke, ithuba lokunyangwa ngokupheleleyo komhlaza lixhomekeke kwinqanaba lomhlaza. Oogqirha badla ngokuthetha "ngezinga lokusinda kweminyaka emihlanu." Oku kuthetha ukuba kwizigulane ezili-100 ezinenqanaba elithile lomhlaza, zingaphi ezisaphila emva kweminyaka emi-5. Oku akuthethi ukuba ziya kufa kwiminyaka emi-5. Olu luqikelelo nje lwezibalo.
| Inqanaba lomhlaza | Izinga lokusinda leminyaka emihlanu |
|---|---|
| Inqanaba 0 (umhlaza ungaphezulu kuphela) | 97% |
| Inqanaba I-II (lisasazeka ngaphakathi kwesinyi) | 72% |
| Inqanaba lesi-3 (lisasazeka kwizicwili ezingqongileyo) | 40% |
| Inqanaba lesi-4 (lisasazeka kwizitho ezikude) | 9% |
Musa ukothuka zezi zibalo. Ukuba umhlaza ufunyenwe kwangoko, kokukhona amathuba okuphiliswa enyuka . Yiyo loo nto kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza xa kuvela iimpawu.
Umyalezo Wokuya Ekhaya
- I-TURBT lutyando olukhuselekileyo nolungangenisi kakhulu olusetyenziselwa ukuxilonga nokunyanga umhlaza wesinyi.
- Akukho ntlungu ngexesha lotyando. Ukudumba kunye nokungakhululeki okwenzeka emva koko kudla ngokuphela kwiiveki ezi-2-4.
- Kuqhelekile ukuba umchamo wakho utshintshe ube pinki emva kotyando. Ungakhathazeki. Kodwa sela amanzi amaninzi.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi malunga nokuphepha umsebenzi onzima nokusela amayeza akho.
- Kwanasemva kotyando, unyango olongezelelweyo (olufana ne-chemotherapy) lunokufuneka ukuthintela umhlaza ukuba ungabuyi.
- Musa ukuba neentloni malunga nemibuzo okanye uloyiko onalo, kwaye thetha ngokukhululekileyo nogqirha wakho.
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