Usenokuba wothukile kancinci xa usiva eli gama. Utyando lweVaginectomy... Lithetha ukususwa kwesini ngotyando. Siyazi ukuba le yingongoma enzima kakhulu neyinobuzaza ukuthetha ngayo. Kodwa ukuba nolwazi olupheleleyo ngezinto ezinjalo kuya kunceda ekupheliseni uloyiko kunye namathandabuzo avelayo ngokunxulumene nayo. Ke namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo osenyongweni.
Ngamafutshane, yintoni iVaginectomy?
Utyando lweVaginectomy lutyando olususa yonke okanye inxalenye yelungu lakho lobufazi. Olu asilotyando luqhelekileyo. Oogqirha badla ngokucebisa olu tyando kubafazi abanomhlaza welungu lobufazi, ingakumbi ukuba ezinye iindlela zonyango (unyango lwemitha, amayeza) ziye zasilela ukulawula umhlaza.
Ilungu lobufazi liyinxalenye ebalulekileyo yenkqubo yokuzala yabasetyhini. Lithumbu elenziwe ngezihlunu. Liqala kwilungu lobufazi langaphandle (i-vulva) ukuya emngxunyeni wesibeleko (isibeleko). Ngoko ke, ugqirha uya kugqiba ukuba leliphi ilungu aza kulisusa ngokusekwe kwindawo yomhlaza, ubungakanani bawo, inqanaba lomhlaza, kunye nokuba sele lisasazeke na kwamanye amalungu omzimba.
Ziziphi iintlobo eziphambili zolu tyando?
Uhlobo lotyando luyahluka ngokuxhomekeke kuhlobo lomhlaza. Makhe sijonge iintlobo eziphambili.
| Uhlobo lotyando | Yintoni eyenziwayo |
|---|---|
| Utyando lweVaginectomy oluyinxenye (Ukususwa okuncinci) | Apha, kususwa kuphela inxalenye ephezulu yesini, oko kukuthi, indawo apho umhlaza ukhoyo. Ini yonke ayisuswa. |
| I-Vaginectomy iyonke (Ukususwa ngokupheleleyo) | Kolu tyando, lonke ilungu lobufazi liyasuswa. |
| Utyando lweVaginectomy oluQhelekileyo (ukususwa okubanzi ngakumbi) | Oku kuquka ukususa lonke ilungu lobufazi, kunye nezicubu ezijikelezileyo mhlawumbi nee-lymph nodes ezikufutshane. Olu hlobo lotyando olukhulu lwenziwa kuphela xa umhlaza usasazekile. |
Khumbula, umhlaza wangasese sisifo esingaqhelekanga. Ngenxa yoko, olu tyando alusoloko lwenziwa. Kwiimeko ezininzi, ezi cancer zinokunyangwa ngonyango lwemitha kunye ne-chemotherapy.
Kwenzeka ntoni ngaphambi kotyando?
Ukuba ugqiba ekubeni wenze olu hlobo lotyando, ugqirha wakho uza kukuxilonga ngononophelo, abhale imbali yakho epheleleyo yezonyango, aze akucebise ngendlela yokulungiselela utyando.
- Amayeza: Ukuba usebenzisa amayeza athile, afana ne-blood thinners, uza kucelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando, kuba anokunyusa ukopha ngexesha lotyando.
- Ukutshaya: Ukuba ungumntu otshayayo, kubaluleke kakhulu ukuyeka ngaphambi kotyando. Ukutshaya kunokulibazisa ukuphola kwenxeba.
- Ukutya Neziselo: Uya kucetyiswa ukuba ungatyi okanye ungaseli nantoni na ngobusuku bangaphambi kotyando. Oku kwenzelwa ukuthintela ukuba isisu singangeni kwindlela yomoya ngexesha lotyando.
Ugqirha wakho uza kukuchazela yonke le nto ngokucacileyo. Mbuze ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
Kwenzeka ntoni ngexesha lotyando?
Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia eqhelekileyo. Oku kuthetha ukuba uza kulaliswa liyeza elifakwe emthanjeni osengalweni yakho. Oku kuthetha ukuba awuyi kuva ntlungu ngexesha lotyando.
Ngoku makhe sibone ukuba ugqirha wenza njani olu tyando. Kukho iindlela ezahlukeneyo zokwenza oko.
1. Ngokwangasese: Ugqirha wenza imingxunya embalwa emincinci ngomngxuma welungu lobufazi aze ahlukanise ngobunono ilungu lobufazi kwizicubu ezijikelezileyo.
2. Ngesisu (ngeLaparoscopically): Oku kufana notyando lwe-keyhole. Apha, utyando lwenziwa ngokwenza imingxunya embalwa emincinci esiswini kunye nokufaka isixhobo esincinci, eside (i-laparoscope) esinekhamera eqhotyoshelweyo. Le ndlela ayifuni imingxunya emikhulu.
Ngamanye amaxesha, ezinye iindlela zotyando zisenokufuneka zenziwe ngexesha elinye nolu tyando. Umzekelo, ukuba umhlaza ukufutshane nesibeleko, i-hysterectomy inokwenziwa ngexesha elinye.
Ukwakhiwa kwakhona kweVaginal (Vaginoplasty)
Abanye abafazi bakhetha ukwenza utyando lokulungisa isini (vaginoplasty) emva kotyando lokususa isini. Olu tyando lubavumela ukuba baphinde babe neentlobano zesini. Esi sisigqibo sobuqu ngokupheleleyo. Ukuba unomdla koku, thetha nogqirha wakho ngako. Uza kukuchazela ukuba zeziphi iindlela onokukhetha kuzo kunye nexesha elifanelekileyo lokwenza utyando.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, mhlawumbi ukuya kuthi ga kwiveki. Ubude bexesha buxhomekeke kuhlobo lotyando olwenzileyo kunye nokuba wenze olunye utyando ngaxeshanye na.
- Esibhedlele: Ngexesha lokuhlala kwakho esibhedlele, abasebenzi bezonyango baza kukubeka esweni ngokusondeleyo. Uza kunikwa amayeza okulawula iintlungu, ukunciphisa ukudumba, kunye nokunciphisa umngcipheko wosulelo.
- Emva kokuba ufikile ekhaya: Ngaphambi kokuba ugoduke, uza kunikwa imiyalelo yokuba ungawunyamekela njani umzimba wakho kunye nendlela yokunyamekela umzimba wakho. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo .
- Ukuphumla: Kuya kufuneka unciphise umsebenzi womzimba kangangeeveki ezininzi. Kufuneka uphephe ukuphakamisa izinto ezinzima (umzekelo, iibhakethi zamanzi, iisilinda zegesi), kunye nokuzilolonga okunzima. Ugqirha wakho uza kukuxelela ukuba kufuneka uphumle ixesha elingakanani.
Kuqhelekile ukuba nentlungu ethile kwiveki yokuqala okanye ngaphezulu. Thetha nogqirha wakho malunga neyeza lokuthomalalisa iintlungu onokuzithatha kunye nemisebenzi ekufuneka uyiphephe. Ixesha eliza kuthatha ukuze uphile ngokupheleleyo liya kwahluka ngokuxhomekeke kwimpilo yakho iyonke kunye nohlobo lotyando.
Zithini iingozi kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, i-vaginectomy inokuba neengozi kunye neengxaki ezithile, kodwa ezi azenzeki kuwo wonke umntu.
| Umngcipheko/Ingxaki | Ingcaciso elula |
|---|---|
| Ukopha kakhulu | Ukopha kakhulu ngexesha okanye emva kotyando. |
| Usulelo | Iintsholongwane ezingena emanxebeni otyando. |
| Ubunzima bokukhupha indle | Ubunzima bokukhupha indle okanye ukuhamba kwamathumbu okungalawulekiyo. |
| I-fistula yesini | Umngxuma ophakathi kwendawo apho ubufazi babukhona khona kunye nesinye isitho sangaphakathi, njengesinyi okanye i-rectum. |
| Ukugcinwa komchamo | Ukungakwazi ukukhupha yonke into kwisinyi. |
Ixesha lokubona ugqirha ngoko nangoko
Wakuba ubuyele ekhaya emva kotyando, kufuneka uqwalasele naluphi na utshintsho emzimbeni wakho. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko .
- Ukuba kukho ukopha okugqithisileyo okanye ukudumba kwindawo yesisu.
- Ukuba ubonisa iimpawu zosulelo ezifana nomkhuhlane , ukubomvu, kunye nokudumba okujikeleze izilonda.
- Ukuba ufumana iintlungu zesisu ezinzima nezingenakunyamezeleka .
- Ukuba unengxaki yokungakwazi ukuzibamba ngomchamo okanye lindle.
Ukuba ukhe wayenza i-vaginoplasty, xelela ugqirha wakho ukuba uva iintlungu ngexesha lokwabelana ngesondo. Oku kungaba luphawu lwenye ingxaki, njenge-fistula.
Olu tyando lunyango oluphumelele kakhulu kumhlaza wesibeleko. Izinga lokusinda kwezigulane emva kweminyaka emibini emva kotyando liphezulu ukuya kuthi ga kwi-95%. Ke ngoko, olu lunyango oluthembisayo.
Ukujongana notyando olunje kunokuba nzima ngokwasemzimbeni nangokwengqondo, ngoko ke kubalulekile ukuthetha ngokukhululekileyo ngeemvakalelo zakho, uloyiko lwakho, kunye neenkxalabo zakho nogqirha wakho, usapho lwakho, kunye nomntu omthembayo.
Umyalezo Wokuya Ekhaya
- Utyando lweVaginectomy kukususwa kwelungu lonke okanye inxalenye yalo. Kwenziwa ikakhulu kumhlaza walo ongasabelanga kwezinye iindlela zonyango.
- Olu tyando aluxhaphakanga. Uninzi lomhlaza wangasese lunokunyangeka ngemitha kunye ne-chemotherapy.
- Kubalulekile ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando ukuqinisekisa ukuba uyaphila ngokukhawuleza kwaye uphephe iingxaki.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu egqithisileyo, umkhuhlane, ukopha kakhulu) emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
- Emva kokuba i-vagina isusiwe, kunokwenzeka ukuba kwenziwe utyando lokwakha kwakhona (vaginoplasty) ukuba kuyimfuneko. Thetha nogqirha wakho ngale nto.
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