Ake sifunde ngokwelashwa komdlavuza wezinso okungadingi ukuhlinzwa? (Ukususwa kwezinso)

Kuvamile ukuzizwa wesaba futhi ushaqekile lapho udokotela wakho ekutshela noma othile emndenini wakho enomdlavuza wezinso. Kodwa ngokuthuthuka kwezokwelapha zesimanje, kunezindlela zokwelapha ezisebenza kangcono kunokuhlinzwa futhi ezingenawo umthelela omkhulu emzimbeni. Enye indlela yokwelapha enjalo ibizwa ngokuthi 'i-ablation', okuwukwelashwa okukhethekile okusetshenziselwa ukubhubhisa amangqamuzana omdlavuza wezinso. Ake sixoxe ngalokhu ngamazwi alula namuhla.

Kalula nje, kuyini ukubhula?

I-Ablation iyindlela ehlukile yokuhlinzwa yokwelapha umdlavuza wezinso. Kule nqubo, udokotela wakho ufaka idivayisi encane kakhulu efana nenaliti (i-probe) esikhumbeni sakho iye endaweni lapho umdlavuza ukhona khona. Bese, idivayisi iletha ukushisa okukhulu noma ukubanda kumaseli omdlavuza. Cabanga ngakho njengomjovo oqondile, lokhu kwelashwa kubulala amaseli omdlavuza kuphela. Inzuzo enkulu yalokhu ukuthi ishiya izicubu zezinso eziphilile ezizungeze umdlavuza zingathintwanga . Lokhu kusho ukuthi ingxenye enempilo yezinso iyasinda.

Ubani lokwelashwa okufanelekela kangcono?

Lokhu kwelashwa akufanele wonke umuntu. Udokotela wakho uzohlola isimo sakho bese enquma ukuthi kufanele yini kuwe. Lokhu kwelashwa kuvame ukunconywa ezimweni ezilandelayo:

• Kulabo abangakwazi noma abangafuni ukuhlinzwa: Kwabanye abantu, ngenxa yobudala noma ezinye izimo zezokwelapha ezifana nesifo senhliziyo noma isifo sikashukela , ukuhlinzwa okukhulu (i-nephrectomy) kungaba yingozi. Futhi abanye abantu abafuni ukuhlinzwa. Lena inketho enhle kubantu abanjalo.
• Uma umdlavuza umncane: Le ndlela ivame ukusebenza kahle kakhulu ezimila zomdlavuza ezincane kune-3-4 centimeters (cishe amasentimitha angu-1.5) .
• Kulabo abanezimila ezincane eziningi enso eyodwa noma izimila ezincane kuzo zombili izinso : Esikhundleni sokususa yonke inso ngokuhlinzwa, le ndlela ingabhubhisa izimila kuphela futhi ilondoloze izinso.

Yiziphi izinhlobo eziyinhloko zokwelapha nge-ablation?

Lokhu kwelashwa kwenziwa ngezindlela ezimbili: ngokuya ngamandla asetshenziswa ukubhubhisa amangqamuzana omdlavuza.

Ngingalungiselela kanjani ngaphambi kokwelashwa?

Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ngokuvamile,

• Uyalulekwa ukuthi ugweme ukudla noma ukuphuza amahora ambalwa ngaphambi kokwelashwa.
• Ungase ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi ), amavithamini , noma imithi ye-Ayurvedic .

Kwenzekani ngesikhathi sokwelashwa?

Kunezindlela ezimbili eziyinhloko zokwenza lokhu kwelashwa. 1. Nge-Laparoscopically: Lokhu kwenziwa ngudokotela wezifo zomchamo. Uzonikezwa i-anesthesia ejwayelekile. Ngemuva kwalokho, kwenziwa imicu embalwa kakhulu esiswini, kufakwa ikhamera (i-laparoscope) ngenye yezicucu, bese kufakwa idivayisi yokukhipha ulwelwesi ngezinye izicucu. Nakuba lokhu kuyinqubo yokuhlinzwa, iphola ngokushesha ngoba imicucu mincane kakhulu. 2. Ngokwesikhumba:Lokhu kwenziwa ngudokotela we-radiologist ongenelelayo. Lokhu kuhilela ukufaka izinzwa endaweni okufanele ilashwe (i-local anesthesia) nokufaka inaliti esikhumbeni iye esigaxeni ngenkathi ubheka i-scan (CT noma i-ultrasound). Ungase futhi unikezwe imithi yokukusiza ulale. Izinyathelo ezivamile ngesikhathi sokwelashwa zifaka:

• Ukuqeda noma ukudambisa ubuhlungu esikhumbeni.
• Kungafakwa ipayipi lesikhashana (i-ureteral stent) ukuze kube lula ukugeleza komchamo .
• Kuthathwa ingxenye encane yesimila somdlavuza ukuze ihlolwe (i-biopsy). Lokhu kungasiza ekutholeni uhlobo oluqondile lomdlavuza.
• Ngesikhathi ubheka isikrini sokuskena, idivayisi yokukhipha isisu ifakwa esigaxeni, isebenze, bese amaseli omdlavuza ebhujiswa.

Lonke lolu hlelo lungathatha cishe ihora elilodwa kuya kwamathathu .

Yini ongayilindela ngemva kokwelashwa?

Ngemva kokwelashwa,

• Ungase ukwazi ukuya ekhaya ngalolo suku, noma kungase kudingeke uhlale esibhedlela usuku olulodwa .
• Ungase uzizwe ukhathele, ubuhlungu, kanye nomuzwa wokucasuka endaweni lapho ukwelashwa kwenziwe khona .
• Ungase ubone ukuphuma kwegazi noma ukushaqeka. Lokhu kuvamile.

Ziyini izinzuzo zalokhu kwelashwa?

Lokhu kwelashwa kunezinzuzo eziningana uma kuqhathaniswa nokuhlinzwa okukhulu.

• Ukululama okusheshayo: Ungalulama ngokushesha ngenxa yobuhlungu obuncane nokopha okuncane.
• Izibazi ezincane: Njengoba kwenziwa ngokusikwa okuncane kakhulu, akushiyi zibazi ezinkulu.
• Umonakalo omncane ezinso eziphilile: Lena inzuzo enkulu kunazo zonke.
• Ukuya esibhedlela akuvamile ukudingeka: ungaya ekhaya ngosuku olulodwa.
• Ingozi ephansi: Kukhona ingozi ephansi yezinkinga kunangesikhathi sokuhlinzwa okukhulu.

Ingabe akukho bungozi-ke?

Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, kodwa azivamile ukwenzeka kunangesikhathi sokuhlinzwa okukhulu.

• Ukopha noma amahlule egazi
• Izifo
• Ukuphuka noma ukushaqeka endaweni yokwelashwa
• Kunethuba elincane lokulimala emithanjeni yegazi eseduze, ezinzwa, noma kwezinye izitho zomzimba.
• Ukuvinjelwa komchamo

Udokotela wakho uzokuchazela kahle lezi zingozi.

Kufanele ngimshayele nini udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokwelashwa kwakho, kufanele ushayele udokotela wakho ucingo ngokushesha . Noma uye esibhedlela esiseduze.Yiya eYunithi Yokwelapha Eziphuthumayo (i-ETU).

• Ubuhlungu obungabekezeleleki noma ukopha ngokweqile.
• Ukuhlanza okuqhubekayo.
• Ubunzima bokuchama noma igazi emchameni.
• Izimpawu zokutheleleka, njengomkhuhlane .

Ngokuvamile ungaqhubeka nemisebenzi evamile njengokuhamba ngezinyawo nokushayela zingakapheli izinsuku ezimbili. Kodwa-ke, kufanele uthintane nodokotela wakho ngaphambi kokuqala noma yini efana nokuphakamisa izinto ezisindayo noma ukuzivocavoca okunzima.

Ingabe lokhu kwelashwa kungenziwa izikhathi ezingaphezu kwesisodwa? Yebo. Uma umdlavuza ungakapheli ngokuphelele, uma ubuya, noma uma kuvela izimila ezintsha, lokhu kwelashwa kungenziwa futhi.

Umlayezo Wokuya Nawe Ekhaya

• Ukwelashwa komdlavuza wezinso kuyindlela yokwelapha ephumelelayo engenawo umthelela omkhulu emzimbeni, njengendlela ehlukile yokuhlinzwa.
• Lokhu kufaneleka kakhulu kulabo abanezimila ezincane (ezingaphansi kuka-3-4 cm) kanye nalabo abangakwazi ukukhokhela ukuhlinzwa okukhulu.
• Lokhu kuhilela ukusebenzisa ukubanda okukhulu (i-cryoablation) noma ukushisa okukhulu (i-RFA) ukuhlasela nokubhubhisa amangqamuzana omdlavuza kuphela.
• Ubuhlungu buyancipha, ukululama okusheshayo, ukuhlala esibhedlela isikhathi esifushane, kanye nomonakalo omncane ezicutshini zezinso ezinempilo.
• Njenganoma yikuphi ukwelashwa, kunezingozi ezincane, kodwa zincane kunokuhlinzwa okukhulu. Indlela engcono kakhulu yokunquma ukuthi lokhu kwelashwa kulungile yini kuwe ukukhuluma nodokotela wakho.