Usenokuziva usoyika kancinci, wothukile, kwaye udanile xa usiva igama elithi 'Vaginectomy'. Yinto eqhelekileyo leyo. Nawuphi na umfazi uyaxhalaba kwaye akakhululeki xa esiva ukuba i-vagina yakhe, eyinxalenye ebuthathaka kakhulu yomzimba wakhe, isuswa ngotyando. Kodwa kufuneka siqonde ukuba oku kudla ngokwenziwa njengonyango lwemeko enzima, esongela ubomi njengomhlaza we-vagina. Ngoko ke namhlanje, masithethe ngale nto ngendlela elula neyobuhlobo yokususa lonke uloyiko lwakho, amathandabuzo, kunye nemibuzo.
Ngamafutshane, yintoni i-vaginectomy?
I-Vaginectomy yinkqubo yotyando esusa yonke okanye inxalenye yelungu lakho lobufazi. Oogqirha badla ngokucebisa olu tyando njengesisombululo sokugqibela. Oko kukuthi, ukuba ezinye iindlela zonyango ezifana nomhlaza wesibeleko, njengonyango lwemitha okanye i-chemotherapy, azisebenzanga.
Njengoko sonke sisazi, i-vagina yinxalenye ebalulekileyo yenkqubo yokuzala yabasetyhini. Ifana nombhobho owenziwe ngezihlunu. Ifikelela emlonyeni wesibeleko. Ngoko ke, ugqirha uya kugqiba ukuba loluphi uhlobo lotyando olufunekayo ngokusekwe kwindawo yomhlaza, ubungakanani bawo, inqanaba lomhlaza, kunye nokuba usasazeke na.
| Uhlobo lwe-vaginectomy | Ingcaciso elula yoko kwenzekayo |
|---|---|
| Utyando lweVaginectomy oluyinxenye | Apha, kususwa inxalenye ephezulu yesini kuphela. |
| I-Vaginectomy iyonke | Apha, lonke ilungu lobufazi liyasuswa. |
| I-Radical Vaginectomy (ukususwa ngokupheleleyo) | Apha, lonke ilungu lobufazi kunye nezicubu ezijikeleze lona ziyasuswa. |
Khumbula, olu lutyando olungaqhelekanga. Kuba umhlaza wangasese sisifo esingaqhelekanga, kwaye uninzi lwexesha, unokunyangwa ngemitha kunye ne-chemotherapy.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kukuxilonga kakuhle aze axoxe ngembali yakho epheleleyo yezonyango. Uza kukucela ukuba uyeke ukusebenzisa amayeza athile, ingakumbi amayeza okunciphisa igazi, kwiintsuku ezimbalwa ngaphambi kotyando.
Ukuba ungumntu otshayayo, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nokuyeka lo mkhwa, kuba ukutshaya kunokulibazisa ukuphiliswa kwamanxeba akho. Uya kucetyiswa nokuba ungatyi okanye usele nantoni na ngobusuku bangaphambi kotyando lwakho. Ugqirha wakho uza kukuchazela konke oku.
Lwenziwa njani olu tyando?
Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia eqhelekileyo. Oku kuthetha ukuba uza kulaliswa ubuthongo obunzulu, unikwe iyeza elisethanjeni engalweni yakho. Ngoko ke awuyi kuva ntlungu ngexesha lotyando.
Ugqirha angenza olu tyando ngeendlela ezahlukeneyo.
- Ngesitho sangasese sowesifazane: Kwenziwa imingxunya emininzi emincinci ngaphakathi kwesitho sangasese somfazi, kwaye isitho sangasese somfazi siyahlulwa kwizicubu ezijikelezileyo size sisuswe.
- NgeLaparoscopically: Oku kuquka ukwenza imingxunya embalwa esiswini kunye nokufaka ityhubhu encinci (i-laparoscope) enekhamera eqhotyoshelweyo, apho utyando lwenziwa khona.
Kwezinye iimeko, olu tyando lunokufuna olunye utyando, olufana nokususwa kwesibeleko, ukuba lwenziwe ngaxeshanye. Konke oku kwenziwa ngelixa uphantsi kwe-anesthesia.
Ukwakhiwa kwakhona kweVaginal (Vaginoplasty)
Abanye abafazi bakhetha ukwenza utyando lokulungisa i-vaginoplasty emva kotyando lwe-vaginectomy. Olu tyando lubavumela ukuba baphinde babelane ngesondo kwi-vaginal. Ukuba unomdla koku, zive ukhululekile ukuxoxa ngokukhululekileyo nogqirha wakho. Uza kuchaza ukhetho lwakho kunye nexesha elifanelekileyo lokwenza utyando.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, mhlawumbi ukuya kuthi ga kwiveki. Eli xesha lixhomekeke kuhlobo lotyando olwenzileyo kunye nokuba ukhe wenza olunye utyando na. Ngexesha lokuhlala kwakho esibhedlele, abasebenzi bezonyango baya kukunyamekela kakuhle. Baza kukunika amayeza okunciphisa iintlungu, ukunciphisa ukudumba, kunye nokunciphisa umngcipheko wosulelo.
Emva kokuba ubuyele ekhaya, ugqirha wakho uza kukunika imiyalelo eneenkcukacha malunga nendlela yokunyamekela amanxeba akho. Ukulandela loo miyalelo kubalulekile ukuze uphile ngokukhawuleza.Kuya kufuneka unciphise imisebenzi yomzimba kangangeeveki ezininzi. Kufuneka uphephe ukuphakamisa izinto ezisindayo kunye nokuzilolonga okunzima. Ugqirha wakho uza kukuxelela ukuba kufuneka uphumle ixesha elingakanani.
Zithini iingozi kunye neenzuzo zolu tyando?
Njengalo naluphi na utyando, utyando lwe-vaginectomy lunokuba neengozi ezithile. Nangona kunjalo, lukwaneengenelo ezinkulu.
- Inzuzo ephambili: Le yindlela esebenzayo kakhulu yokunyanga umhlaza wangasese. Izinga lokusinda emva kweminyaka emibini emva kolu tyando liphezulu ukuya kuthi ga kwi-95%.
- Iingxaki ezinokwenzeka:
- Ukopha kakhulu.
- Usulelo kwimikrwelo.
- Ubunzima bokukhupha indle okanye ukungakwazi ukulawula ukuhamba kwamathumbu.
- I-fistula yesini - Lo ngumngxuma ophakathi kwendawo apho isini sasikhona khona kunye nesinye isitho, njengesinyi.
- Ukungakwazi ukukhupha umchamo ngokupheleleyo (ukugcinwa komchamo).
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngokukhawuleza.
- Ukopha okanye ukudumba okugqithisileyo okuvela kwindawo yesisu.
- Ububomvu, ukudumba, okanye umkhuhlane kufutshane nendawo yokusikwa (ezi zisenokuba ziimpawu zosulelo).
- Intlungu yesisu enganyamezelekiyo neqatha.
- Ukungakwazi ukulawula umchamo okanye ilindle.
Ukuba ukhe wenziwa utyando lokwakha i-vaginal reconstruction kwaye uva iintlungu ngexesha lokwabelana ngesondo, xelela ugqirha wakho ngayo loo nto. Isenokuba luphawu lwenye ingxaki.
Umyalezo Wokuya Ekhaya
- I-Vaginectomy lutyando olwenziwa ukunyanga izifo ezinzulu ezifana nomhlaza welungu lobufazi, kodwa luneziphumo eziphumeleleyo kakhulu.
- Kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho malunga namathemba akho, uloyiko lwakho, kunye neminqweno yakho yesondo yexesha elizayo ngaphambi kotyando.
- Qaphela ukhetho lokwakha ngokutsha isitho sangasese sowesifazane (vaginoplasty) kwaye uxoxe ngalo nogqirha wakho.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza ngaphandle kweengxaki.
- Musa ukungazinaki naziphi na iimpawu ezingaqhelekanga (iintlungu ezigqithisileyo, umkhuhlane, ukopha) ezenzeka emva kotyando kwaye funa ingcebiso kagqirha ngoko nangoko.
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