Ngamanye amaxesha, asikwazi ukufumana unobangela weengxaki zethu zesisu nasemva kovavanyo oluninzi. Ngaba oko kuye kwenzeka kuwe? Xa unobangela wento efana nentlungu enzima yesisu okanye ukopha okungachazwanga ungafumaneki, oogqirha kufuneka bavule ulusu lwesisu baze bahlole amalungu angaphakathi. Yiloo nto siyibiza ngokuba lutyando lokuxilonga, 'i-Exploratory Laparotomy' . Ngamafutshane, lutyando oluvula isisu luze lukhangele isifo.
Yintoni i-Exploratory Laparotomy? Kwenziwa phantsi kwaziphi iimeko?
'I-laparotomy yokuhlola' lutyando olukhulu oluqhutywa ngoogqirha ukuze kufunyanwe iingxaki esiswini, oko kukuthi, isisu. Olu tyando ludla ngokucetyiswa xa ezinye iimvavanyo, ezifana neeskeni , zingakwazi ukubona ingxaki.
Kukho izizathu ezininzi eziphambili zokuba ugqirha agqibe ekubeni enze olu hlobo lotyando:
- Ukulimala kwesisu: Khawucinge nje, ukuba wenzakele kakhulu esiswini, njengokwenzakala kwengozi yemoto. Olu tyando lwenziwa ukuze kubonwe ukuba kukho amalungu angaphakathi onakeleyo okanye kukho ukopha.
- Ukopha okungachazwanga: Ukopha ngaphakathi esiswini, kodwa apho okanye kutheni kungafumaneki khona.
- Intlungu enzima nenganyamezelekiyo: Ukuba awukwazi ukufumana unobangela wentlungu enzima yesisu nangayiphi na indlela.
- Ukuba kukho ukurhaneleka kokuba umhlaza usasazekile: Fumanisa ukuba umhlaza usasazeke na kwamanye amalungu esiswini.
Yintoni eyenziwa ngoogqirha ngexesha lotyando?
Ngexesha le nkqubo, ugqirha usika ulusu lwesisu aze ahlolisise ngononophelo amalungu angaphakathi esiswini. Apho, bakhangela unobangela wentlungu okanye ukopha. Amalungu aphambili ahlolwa ngolu hlobo ngala:
- Isibindi
- Izintso
- Isisu
- Ispleen
- I-Pancreas
- Amathumbu amancinci namakhulu (Amathumbu)
- Izitho zokuzala kubasetyhini ziquka isibeleko, iityhubhu ze-fallopian , kunye nama-ovari .
- Isihlomelo
- Imithambo yegazi kunye ne-lymph nodes
Ngexesha lotyando, ugqirha usenokuthatha iqhekeza elincinci lesicwili kwindawo acinga ukuba kukho ingxaki aze alithumele kwilabhoratri ukuze livavanywe. Oku sikubiza ngokuba yi -'biopsy' .
Ngamanye amaxesha, xa sele kufunyenwe unobangela wengxaki, oogqirha banokuyinyanga ngexesha lotyando. Umzekelo, ukuba kukho umngxuma emathunjini, banokuyithunga okanye bayeke ukopha.
| Ezinye zezifo ezinokufunyaniswa ngolu tyando zezi: | |
|---|---|
| Umhlaza | Iimeko zomhlaza kwizitho zesisu. |
| I-Endometriosis | Izicubu ezifanele ukuba ngaphakathi kwesibeleko zikhula ngaphandle. |
| Usulelo | Umzekelo, i-appendicitis. |
| Isiva | Amanxeba ngaphakathi esiswini ngenxa yotyando lwangaphambili. |
| Amatye enyongo | Iingxaki ezibangelwa ngamatye enyongo. |
| Ukugqobhoka kwamathumbu | Umngxuma emathunjini. |
| Ukukhulelwa kwesibeleko | Ukukhulelwa okwenzeka ngaphandle kwesibeleko, ngesiqhelo kwityhubhu ye-fallopian. |
Sifanele sizilungiselele njani ngaphambi kotyando?
Olu tyando ngamanye amaxesha lwenziwa xa kukho imeko engxamisekileyo, njengasemva kwengozi. Kwimeko ezinjalo, akukho xesha lokulungiselela. Nangona kunjalo, ukuba ugqirha ukunike usuku kwangaphambili kwaye uceba utyando, kukho izinto ezimbalwa onokuzenza ukuze ulungiselele.
- Yeka ukutshaya: Ukuba uyatshaya, kubaluleke kakhulu ukuyeka kwiiveki ezimbalwa ngaphambi kotyando. Oku kuya kukhawulezisa ukuchacha kwakho.
- Lawula ezinye izifo: Ukuba unezinye izifo, ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, kufuneka uzilawule ngaphambi kotyando.
- Xelela ugqirha wakho ngamayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, nokuba amiselwe ngugqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, okanye amayeza e-Ayurvedic.
- Thembeka ngotywala: Ukuba unengxaki yokusela utywala, xelela ugqirha wakho ngokunyaniseka.
- Xelela ugqirha wakho ngokukhulelwa kwakho: Ukuba kukho ithuba lokuba ukhulelwe, qiniseka ukuba uyamxelela ugqirha wakho .
Ngosuku olungaphambi kotyando, kufuneka ulandele ixesha elichanekileyo ugqirha wakho akuxelele lona ukuba uyeke ukutya nokusela. Ngokwesiqhelo, uxelelwa ukuba uyeke ukutya nokusela iiyure ezi-6-8 ngaphambi kotyando.
Linjani ixesha lokuchacha emva kotyando?
Ngokuqhelekileyo kuthatha phakathi kweeveki ezi-4 nezi-6 ukuze kuphinde kuphile ngokupheleleyo emva kokuhlinzwa nge-laparotomy.
Ukuchacha esibhedlele
Awuyi kukwazi ukutya okanye ukusela ngokwesiqhelo kangangeentsuku ezimbalwa emva kotyando. Oku kungenxa yokuba kuthatha ixesha elithile ukuba amathumbu akho abuyele esiqhelweni. Kuya kufuneka uhlale esibhedlele ude ukwazi ukutya nokusela wedwa.
- Uza kunikwa amayeza okulawula iintlungu nokuthintela usulelo.
- Kufakwa ityhubhu yokukhupha umchamo. Siyibiza ngokuba yi-'catheter' .
- Ityhubhu encinci (idrain) ingafakwa ukuze kukhutshwe ulwelo olugqithisileyo kwindawo etyumkileyo.
Ngokwesiqhelo, kufuneka uhlale esibhedlele malunga neentsuku ezisi-7 emva kolu tyando.
Ukuchacha ekhaya
Xa ugqirha wakho egqibe kwelokuba ungaya ekhaya, kufuneka ulandele yonke imiyalelo yakhe ngokuchanekileyo. Thatha onke amayeza akho owanikwe ngugqirha ngexesha. Ugqirha wakho angakuxelela nokuba utye ukutya okunefayibha eninzi ukuze amathumbu akho aqhubeke kakuhle. Musa ukuphakamisa ngaphezu kweekhilogram ezi-5 (2.3 kg) kangangeeveki ezi-6.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| Ukuba unomkhuhlane kunye/okanye ukubanda | |
| Ukuba kukho intlungu, ubomvu, ukudumba, okanye ubomvu kwindawo yokusikwa | |
| Ukuba unentlungu ebuhlungu engapheziyo nokuba sele usele amayeza | |
| Ukuba isisu sidumbile | |
| Ukuba unesifo sohudo ngaphezu kweentsuku ezimbini | |
| Ukuba kukho igazi esitulweni | |
| Ukuba unengxaki yokuchama okanye unentlungu xa uchama | |
| Ukuba uneentlungu esifubeni okanye ukhwehlela | |
| Ukuba unesicaphucaphu okanye ukuhlanza | |
| Ukuba unesiyezi, ukuphelelwa ngamandla, okanye ukuvuvukala/intlungu yemilenze | |
Zithini iingozi zolu tyando?
I-Exploratory Laparotomy lutyando olukhulu. Njengalo naluphi na utyando olukhulu, luneengozi ezithile.
Iingozi ngokubanzi:
- Ukopha
- Iintsholongwane
- Impendulo engalindelekanga kwi-anesthesia (iyeza elibangela ukuba umntu angakwazi ukuzibamba)
- Ukuphola kwenxeba okulibazisekileyo
Iingozi ezithile kolu tyando:
- Ngamanye amaxesha, nokuba emva kotyando , unobangela wesifo awufumaneki . Kwimeko enjalo, kunokufuneka uvavanyo olongezelelweyo.
- Kukho ithuba elincinci lokonakala kwamathumbu okanye ezinye izitho esiswini.
- I -hernia ingenzeka kwindawo yokusika.
Yintoni 'iLaparoscopy' endaweni yeLaparotomy?
Le yindlela yokukhangela iingxaki esiswini. Kodwa ilula kakhulu kuneLaparotomy. Oku kubizwa ngokuba yi -'Exploratory Laparoscopy' .
Okwenzekayo koku kukuba endaweni yokwenza umsikelo omkhulu esiswini, ugqirha wenza umsikelo omnye okanye ngaphezulu omncinci kakhulu.Ityhubhu encinci enekhamera eqhotyoshelwe kuyo ifakwa esiswini. Imifanekiso evela kwikhamera ijongwa kwisikrini ukuze kuhlolwe amalungu angaphakathi esiswini. Oku kukwabizwa ngokuba 'lutyando lwe-keyhole'.
I-Laparoscopy yahlukile kwi-laparotomy ngeendlela ezilandelayo:
- Olu lutyando oluhlala lukuvumela ukuba uye ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele.
- Kuthatha malunga neeveki ezimbini ukuba umntu aphile.
- Isilonda sincinci kakhulu.
Nangona kunjalo, ayinguye wonke umntu onokwenza i-laparoscopy. Ugqirha wakho uya kugqiba ukuba loluphi utyando olulungele imeko yakho.
Umyalezo Wokuya Ekhaya
- I-Exploratory Laparotomy lutyando olukhulu olwenziwayo ukuze kufunyanwe unobangela wengxaki esiswini. Olu lutyando olukhulu.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo, ngaphambi nasemva kotyando.
- Ngexesha lokuchacha kwakho, jonga iimpawu ezilumkisayo ezinje ngomkhuhlane, iintlungu ezinganyamezelekiyo, kunye nokudumba okujikeleze inxeba. Ukuba ufumana nayiphi na kwezi, yazisa ugqirha wakho ngoko nangoko.
- Kukwakho nenye indlela yotyando olubizwa ngokuba yiLaparoscopy. Thetha nogqirha wakho ngendlela efanelekileyo kwimeko yakho.
I-Laparotomy yokujonga, Utyando lwesisu, Utyando lwesisu, i-Laparoscopy, Intlungu yesisu, Ukubuyiselwa emva kotyando, Utyando
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