Ingabe udokotela wakho ukutshelile ukuthi udinga ukuhlinzwa ukuze kususwe i-adrenal gland yakho ngenxa yenkinga? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lezi zindaba. Sonke siyasaba kancane uma sizwa igama elithi "ukuhlinzwa." Kodwa empeleni akwesabisi njengoba sicabanga. Ezimweni eziningi, kuyinqubo ephumelela kakhulu futhi elula. Ngakho-ke, namuhla sizokhuluma ngenqubo yokuhlinzwa kwe-adrenal, ukuthi ungayilungiselela kanjani, nokuthi ungalulama kanjani ngokushesha ngemva kwenqubo.
Kalula nje, kuyini i-Adrenalectomy?
Kulungile, ake siqale sibheke ukuthi ziyini izindlala ze-adrenal. Lezi yizindlala ezimbili ezincane ezihlala phezu kwezinso zethu, njengezigqoko ezimbili. Zikhiqiza ama-hormone amaningana abalulekile emizimbeni yethu.
Kodwa ngezinye izikhathi lezi zindlala zingaba nezinkinga. Isibonelo:
- Umdlavuza: Lezi zindlala zingakha izimila ezinomdlavuza noma ezingaba umdlavuza.
- Ukukhiqizwa kwama-hormone ngokweqile: Ngezinye izikhathi la ma-gland aqala ukukhiqiza ama-hormone amaningi kakhulu. Lokhu kungaholela ezimweni ezifana ne-"Hyperaldosteronism" noma "Isifo sikaCushing."
Ngenxa yalesi sizathu, odokotela banquma ukususa ngokuhlinzwa eyodwa noma zombili lezi zindlala. Uma kususwa indlala eyodwa kuphela, ibizwa ngokuthi ``Unilateral adrenalectomy``, kanti uma kususwa zombili izindlala, ibizwa ngokuthi ``Bilateral adrenalectomy``. Lokhu kuhlinzwa kubizwa ngokuthi i-Adrenalectomy.
Ungazilungiselela kanjani ngaphambi kokuhlinzwa?
Kuzodingeka ulungiselele ngaphambi kosuku lokuhlinzwa kwakho. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
- Ungase ucelwe ukuthi wenze izinto ezifana nokuskena okwengeziwe.
- Ngezinye izikhathi, imithi ekhethekile inganqunywa ukuthi ithathwe ezinsukwini ezingaphambi kokuhlinzwa.
- Mhlawumbe iseluleko esikhethekile singanikezwa mayelana nokudla neziphuzo.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ephelele, okusho ukuthi ulele ngokuphelele. Ngakho-ke, kubalulekile ukuthi ube nomuntu ozokuthatha akuyise ekhaya ngemva kokuhlinzwa. Awukwazi nhlobo ukushayela imoto wedwa.
Yiziphi izindlela zokuhlinzwa?
Kunezindlela ezintathu eziyinhloko zokususa i-adrenal gland. Kuye ngesimo sakho, udokotela wakho ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
| Indlela yokuhlinzwa | Indlela yokukwenza |
|---|---|
| Ukuhlinzwa kwe-Adrenal nge-Laparoscopic | Lena yindlela evame ukusetshenziswa kakhulu. Indlala isuswa ngokusikwa okuncane kakhulu okungu-1-4 esiswini, lapho kufakwa khona ikhamera kanye nezinsimbi zokuhlinza ezibucayi. Ukusikwa kuncane kakhulu, ngakho-ke ukuphola kuyashesha futhi ubuhlungu buncane. |
| Ukuhlinzwa Kwe-Adrenal Okuyirobhothi | Lokhu kufana nendlela engenhla. Kodwa-ke, udokotela ohlinzayo akalawuli imishini ngqo ngesandla, kodwa ngosizo lohlelo lwekhompyutha kanye nekhamera ye-3D. Lokhu kuvumela ukuthi ukuhlinzwa kwenziwe ngokucophelela nangokunembile. |
| Ukuhlinzwa kwe-Adrenal okuvulekile | Lena yindlela yendabuko. Ukuhlinzwa kwenziwa ngokusika okukodwa esiswini. Le ndlela ikhethwa uma isimila esisesinqeni sikhulu kakhulu noma uma siwuhlobo oluthile lomdlavuza, njenge-"Adrenocortical carcinoma``. |
Lokhu kuhlinzwa kuvame ukuthatha amahora amabili noma amathathu ukuqedwa.
Ungazinakekela kanjani ekhaya ngemva kokuhlinzwa?
Uma uhlinzwa nge-laparoscopic, cishe uzokwazi ukuya ekhaya kusihlwa noma ngakusasa. Kodwa-ke, uma uhlinzwa ngokuvulekile, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Qiniseka ukuthi ulandela lezi zinyathelo ukuze ululame ngokushesha ngemva kokufika ekhaya.
- Phumula ngokwanele: Nika umzimba wakho isikhathi sokululama. Gwema ukuzivocavoca okunzima ngesonto lokuqala.
- Phuza imithi yakho njengoba nje uyalelwe: Phuza imithi yobuhlungu neminye imithi oyinikezwe udokotela wakho ngesikhathi esifanele nangesilinganiso esifanele.
- Phuza amanzi amaningi: Kubaluleke kakhulu ukuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku.
- Ukudla Nokuphuza: Yidla ukudla kwakho okuvamile ngaphandle kokuthi unesifo sesisu. Uma uzizwa sengathi isisu sakho sibuhlungu, qala ngento elula njengemifino ephekiwe noma iphalishi lelayisi bese kancane kancane uqhubekela ekudleni okuvamile.
- Ukukhwehlela nokuphefumula okujulile: Uma ukhwehlela, uphefumula kakhulu, noma uhleka, beka umcamelo phezu kwesilonda bese usicindezela phansi. Lokhu kuzonciphisa kakhulu ubuhlungu.
- Ukunakekelwa kwenxeba: Gcina inxeba lihlanzekile futhi lihlanzwe ngamagciwane njengoba kuqondiswe udokotela wakho.
- Ukuya endlini yangasese: Kuvamile ukuba nomlomo owomile. Uma unenkinga, ungangabazi ukukhuluma nodokotela wakho ngayo.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kufanele ubuyele esimweni esijwayelekile zingakapheli isonto noma amabili. Ukuhlinzwa okuvulekile kungathatha isikhathi eside. Kujwayelekile ukuba nobuhlungu obuthile eduze kwezimbobo. Lobuhlungu bungalawulwa ngemithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen.
Into engcono kakhulu ukuthi izimpawu owawunazo ngaphambi kokuhlinzwa (isib. umfutho wegazi ophakeme, ukukhathala) zizophela ngokushesha ngemva kokuhlinzwa.
Esimweni esinjalo, funa iseluleko sezokwelapha ngokushesha.
Uma ubona into efana nale ekhaya ngemva kokuhlinzwa, ungayinaki.
| Isimo | Okufanele ngikwenze |
|---|---|
| Khuluma nodokotela wakho. | |
| Ubuhlungu | Uma ubuhlungu bungapheli ngisho nangemva kokuthatha umuthi. |
| Inxeba | Uma izithungo zikhululekile futhi imbobo ibonakala ivulekile. |
| Izimpawu zokutheleleka | Uma inxeba libomvu, livuvukile, lizwa lishisa, likhipha ubomvu noma liphuma igazi, noma libuhlungu kakhulu. |
| Imfiva | Uma unomkhuhlane. |
| Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. | |
| Ukulahlekelwa ingqondo | Uma ulahlekelwa ingqondo ngokuzumayo. |
| Ubunzima bokuphefumula | Uma uzizwa unenkinga enkulu yokuphefumula. |
| Ubuhlungu besifuba | Uma unezinhlungu zesifuba noma ukhwehlela igazi. |
Kuvamile ukuzizwa wesaba uma utshelwa ukuthi kufanele uhlinzwe. Kodwa kumuntu onomdlavuza we-adrenal noma isifo esihlobene nama-hormone, lokhu kuhlinzwa kuyindlela engcono kakhulu yokululama. Uma udokotela wakho ekuncomele lokhu kuhlinzwa, ungesabi ukukhuluma naye ngayo yonke imibuzo yakho nokwesaba kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Adrenalectomy kuyindlela ephumelelayo futhi evame ukwenziwa yomdlavuza we-adrenal gland noma izinkinga zamahomoni.
- Lokhu kuhlinzwa kuvame ukwenziwa ngokusikwa okuncane (nge-laparoscopically), okusho isikhathi esincane sokululama kanye nobuhlungu obuncane.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba noma ukukhathazeka ongase ube nakho ngaphambi kokuhlinzwa.
- Ukulandela imiyalelo yezokwelapha ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha nangokuphumelelayo.
- Uma ubona noma yiziphi izimpawu zengozi ezibalwe ngenhla, ungangabazi ukushayela udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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