Ngaba ugqirha wakho ukuxelele okanye umntu omaziyo ukuba unomhlaza wesinyi? Ngoko ke mhlawumbi unemibuzo emininzi malunga notyando lwe-TURBT. Musa ukoyika ukucinga ngalo. Lunyango oluqhelekileyo noluphumelelayo. Namhlanje, siza kuthetha ngokufutshane malunga nokuba i-TURBT yintoni, yenziwa njani, kunye noko kufuneka ukwazi ngaphambi nasemva kokuyenza.
Kalula nje, yintoni iTURBT?
Igama elipheleleyo le-TURBT yi -Transurethral Resection of Bladder Tumor . Nangona igama lisenokuvakala liyinkimbinkimbi, kodwa lilula kakhulu. Yinkqubo exilonga kwaye inyange isifo ngotyando olunye.
Khawuthelekelele ukuba unethumba elincinci ngaphakathi kwesinyi sakho. Ngoku ugqirha ufuna ukwazi ukuba ngumhlaza na, ukuba kunjalo, ukuba ukhule kangakanani waya eludongeni lwesinyi (isigaba), kwaye iiseli zalo zahluke kangakanani kwiiseli eziqhelekileyo (ibanga). Yiyo loo nto kwenziwa utyando lwe-TURBT.
Oku kuquka ukufaka isixhobo eside, esincinci esinekhamera eqhotyoshelweyo (ebizwa ngokuba yi-cystoscope) nge-urethra yakho iye kwisinyi sakho, ukufumana ithumba, nokulisika. Oku akubandakanyi naziphi na izithuba ezinkulu ngaphandle komzimba wakho . Yonke into yenzeka nge-urethra yakho. Ithumba elisusiweyo emva koko lithunyelwa kwilabhoratri ukuze lihlolwe yingcali yezifo.
I-TURBT lutyando olubaluleke kakhulu nolukhuselekileyo olusetyenziselwa ukususa ithumba lesinyi kunye nokuvavanya umhlaza ngaxeshanye.
Ungazilungiselela njani ngaphambi kotyando lwe-TURBT?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nento omawuyenze ngaphambi kotyando. Ukulandela le miyalelo ngokuthe ngqo kunokunciphisa kakhulu umngcipheko weengxaki ezingafunekiyo.
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukuzila ukutya | Musa ukutya okanye ukusela nantoni na kangangeeyure ezisi-8 ngaphambi kotyando, ngaphandle kokuba uxelelwe ukuba usele amayeza kunye nethamo lamanzi. |
| Ukwazisa malunga namayeza | Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Amanye amayeza (ingakumbi amayeza okunciphisa igazi) anokufuneka amiswe ngaphambi kotyando. Musa ukuyeka ukuthatha nawaphi na amayeza ngaphandle kwengcebiso kagqirha wakho. |
| Ukucwangcisa indlela elula yokuya ekhaya | Lungiselela kwangaphambili ukuba umntu akuse ekhaya emva kotyando, kuba awuyi kukwazi ukuqhuba imoto ngenxa ye-anesthesia. |
| Ucoceko | Hlamba kakuhle ngaphambi kokuba uye esibhedlele. Kodwa musa ukusebenzisa naziphi na iilotion, iziqholo, okanye iideodorants ngaloo mini. |
Kwenzeka ntoni ngexesha lotyando?
Ngaphambi kotyando, ingcali ye-anesthesiologist iza kukuhlola ize igqibe kwelokuba ikunike i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo, okanye i-anesthesia yomqolo, evala umqolo wakho ongezantsi kuphela. Amaxesha amaninzi, uza kunikwa i-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando.
Kwezinye iimeko, ugqirha unokufaka ulwelo olukhethekileyo (idayi) kwisinyi sakho ngetyhubhu (i-catheter) malunga neyure ngaphambi kwenkqubo ukunceda ukubona ithumba ngokucacileyo. Olu lwelo luyakhanya xa kusetyenziswa ukukhanya okukhethekileyo ngexesha lenkqubo, okuvumela ugqirha ukuba abone ngqo apho ithumba likhoyo.
Amanyathelo otyando
1. Ukufakwa kwesixhobo: Ugqirha ufaka i-cystoscope ngononophelo nge-urethra yakho nakwisinye sakho.
2. Ukususa i-cyst: I-cyst ifumaneka ngaphakathi kwisinyi kwaye inqunyulwa ibe ziingceba kusetyenziswa isixhobo esincinci sokusika.
3. Ukuyeka ukopha: Ukuba ukopha kuvela kwindawo apho ithumba lisuswe khona, faka umbane kwindawo leyo ngesixhobo sombane esincinci ukuze uyiyeke.
4. Ukucoca ngeCatheter: Emva kotyando, ukuba kuyimfuneko, kufakwa i-catheter yokukhupha umchamo kunye negazi kwisinyi. Oku kunceda nokuthintela ukuqhekeka kwegazi. Ngamanye amaxesha, i-saline idluliselwa kule tube ukuze kuhlanjwe isinyi. Asinguye wonke umntu ofuna i-catheter.
Kuza kwenzeka ntoni emva kotyando?
Awuyi kuva ntlungu ngexesha lotyando. Nangona kunjalo, emva kotyando, ungaziva intlungu okanye ukutshisa kancinci kangangeveki okanye ezimbini, ingakumbi xa uchama. Oku kuqhelekile. Usenokuba negazi elincinci kumchamo wakho. Oku kuya kuncipha nakwiintsuku ezimbalwa.
Ngaba ndifuna i-chemo emva kwe-TURBT?
Abanye abantu baya kufuna i-chemotherapy emva kwe-TURBT. Ukuba umhlaza awusasazekanga ngaphandle kwesinyi, ugqirha wakho unokucebisa i-intravesical chemotherapy, enikwa ngqo kwisinyi ngetyhubhu. Idosi yokuqala inokunikwa ngexesha elinye notyando. Ukuba umhlaza usasazeke (usasazeke) kwamanye amalungu omzimba, unokufuna i-chemotherapy enikwa ngemithambo yegazi. Konke oku kuya kugqitywa ngokusekelwe kwiziphumo zakho ze-biopsy.
Ngaba kufuneka uhlale esibhedlele?
Uza kugcinwa esibhedlele ukuze ujongwe iiyure ezimbalwa emva kotyando. I-catheter iza kususwa ngaphambi kokuba uthunyelwe ekhaya. Nangona kunjalo, ukuba ithumba likhulu okanye ukuba kukho ukopha okuninzi, ungathunyelwa ekhaya ne-catheter kangangeentsuku ezimbalwa.
Emva kokubuyela ekhaya:
- Sela amanzi amaninzi njengoko ugqirha esitsho.
- Ungatya kwaye usele ngokwesiqhelo.
- Yeka ukuphakamisa iintsimbi uze wenze umsebenzi onzima kangangeeveki ezimbalwa.
- Ugqirha uza kukufowunela xa kufika ingxelo yakho ye-biopsy. Buza kwangaphambili ukuba uza kuyifumana nini kwaye njani.
Uthetha nini nogqirha
Ukuba ufumana naziphi na ezi mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ifiva .
- Ukuphuma kwegazi elininzi okanye amahlwili egazi amaninzi emchameni.
- Umchamo unevumba elibi okanye incasa engathandekiyo .
- Intlungu engalindelekanga, ngequbuliso.
- Ubunzima bokuchama.
Ngamanye amaxesha, kwiiveki ezi-4-6 emva kotyando lokuqala, kunokufuneka wenze olunye utyando (i-'second-look TURBT') ukuqinisekisa ukuba ithumba lisusiwe ngokupheleleyo. Ugqirha wakho uza kukuchazela konke oku.
Umyalezo Wokuya Ekhaya
- I-TURBT lutyando olukhuselekileyo olwenziwayo ukuxilonga nokunyanga umhlaza wesinyi ngaxeshanye.
- Akukho mingxunya yenziwayo ngaphandle komzimba ngenxa yoku. Yonke into yenzeka nge-urethra.
- Landela imiyalelo kagqirha (ukuzila ukutya, imiyalelo yamayeza) kanye ngaphambi kotyando.
- Kuqhelekile ukuba nentlungu encinci xa uchama kunye negazi elincinci kumchamo kangangeveki okanye ezimbini emva kotyando.
- Ukuba uneempawu ezinje ngomkhuhlane, ukopha kakhulu, okanye iintlungu eziqatha, bonana nogqirha wakho ngoko nangoko.
- Ukuchacha kwakho kunye nonyango oluzayo luya kuxhomekeka kwingxelo ye-biopsy oyifumanayo emva kotyando. Ngoko ke, jongana nonyango ngenkalipho nangaphandle koloyiko.
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