Wake wahlolwa nge-endoscopy? Mhlawumbe udokotela wakho ukucele ukuthi wenze lokhu kuhlolwa kwesilonda esiswini noma okunye ukungakhululeki. Lapho wenza lokhu kuhlolwa, ngezinye izikhathi udokotela ubona ukuphuma kwegazi esilondeni esincane esiswini noma emathunjini akho, noma kuye kwavela amaqhubu amancane (ama-polyp). Esikhathini esidlule, lokhu bekuzodinga ukuhlinzwa okuncane, kodwa ngobuchwepheshe obuthuthukisiwe banamuhla, kunezindlela zokwelapha lezi zinto ngaphandle kokwenza ngisho nokusika. Lokho kungenye yezindlela zokwelapha ezithuthukisiwe esikhuluma ngazo namuhla. Kubizwa ngokuthi i-Argon Plasma Coagulation, noma i-APC ngamafuphi.
Kalula nje, iyini i-APC (i-Argon Plasma Coagulation)?
Kulungile, leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa okwenzekayo kulokhu kulula kakhulu. Cabanga ukuthi imbobo encane epayipini elingaphakathi emzimbeni wethu (njengomgudu wokugaya ukudla) iyopha. Kule ndlela ebizwa ngokuthi i-APC, udokotela uthumela elinye ipayipi elincane ngepayipi le-endoscope (i-scope), bese kufakwa igesi ekhethekile ebizwa ngokuthi 'i-Argon' ngayo. Ngemuva kwalokho, kusetshenziswa ugesi omncane kakhulu ukutshisa igesi. Ukushisa okuphezulu okubangelwa yilokhu kushisa indawo yokopha futhi kumise ukopha. Futhi, uma kukhona ukukhula okuncane okungafuneki (ama-polyp), le ndlela ingazibhubhisa ngokuphelele.
Lokhu kufana nokuxazulula inkinga ngaphakathi emzimbeni, ngaphandle kokulimaza umzimba, kodwa ngokucophelela kakhulu ngaphandle. Lokhu kusho ukuthi asikho isidingo sokuya kohlinzwa okukhulu. Yilokho esikubiza ngokuthi 'ukungenelela okuncane' kwezokwelapha.
Lokhu kwelashwa kwenziwa ngudokotela wezifo zamathumbu noma udokotela wamaphaphu.
Kukuziphi izimo lapho lokhu kwelashwa kudingeka khona?
Ukwelashwa nge-APC kusetshenziswa ngezizathu ezahlukahlukene. Ake sibheke ukuthi kwenzenjani ngokuyinhloko.
| Isimo eselashwayo | Incazelo elula |
|---|---|
| Ukuvimba ukopha emzimbeni | Isetshenziselwa ukwelapha ukopha okubangelwa izilonda esiswini nasemathunjini, ukopha okubangelwa yi-rectal, noma isimo esibizwa ngokuthi 'i-watermelon stomach' (Gastric Antral Vascular Ectasia Syndrome). |
| Ukususwa kwezicubu/izimila ezingafuneki | Le nqubo isetshenziselwa ukususa amahlumela amancane (ama-polyp) noma izicubu ezingaba umdlavuza emathunjini. Ingasetshenziswa futhi ukunciphisa isimila somdlavuza kumuntu ongakwazi ukuhlinzwa okukhulu. |
| Ukwelapha i-Barrett's Esophagus | Lokhu kubangelwa yisifo sohudo lwesisu esihlala isikhathi eside (i-GERD) esibangela izinguquko emaselini omphimbo. Ama-APC asetshenziselwa ukususa la maseli ashintshiwe ngaphambi kokuba abe umdlavuza. |
| Ukwanda kwesisindo ngemva kokuhlinzwa kokunciphisa isisindo | Ngemva kokuhlinzwa kokunciphisa isisindo, indawo lapho isisu sasinamathele khona inganwebeka futhi ikhule ngokuhamba kwesikhathi. Ngemuva kwalokho isisindo sizobuya. Ukwelashwa kwe-APC kusetshenziselwa ukuqinisa nokunciphisa leyo ndawo enwetshiwe futhi. |
| Izinkinga zamaphaphu nokuphefumula | Le ndlela isetshenziswa futhi kanye ne-bronchoscopy ukwelapha izimila ezincane noma izindawo eziphuma igazi emigwaqweni yomoya. |
Lokhu kwelashwa kusebenza kanjani?
Kunokulungiselela okuncane okudingeka ukwenze ngaphambi kwalokhu kwelashwa. Kuya ngokuthi ufuna ukukwenza kanjani.
- I-Upper Endoscopy: Lokhu kuhilela ukufaka ipayipi emlonyeni ukuze kuhlolwe isisu kanye nomphimbo.
- I-Colonoscopy: Lokhu kuhilela ukufaka ipayipi nge-rectum ukuze kuhlolwe amathumbu amakhulu.
- I-Bronchoscopy: Lokhu kuhilela ukufaka ipayipi ngekhala noma emlonyeni ukuze kubhekwe amaphaphu.
Ngaphambi kwalokhu, udokotela wakho uzokucela ukuthi ugweme ukudla noma ukuphuza amahora ambalwa . Nge-colonoscopy, uzonikezwa ukulungiswa kwamathumbu ukusiza ukuhlanza ikholoni lakho. Futhi, uma uthatha imithi yokunciphisa igazi njenge-aspirin, ungase ucelwe ukuba uyeke ukuyithatha izinsuku ezimbalwa.
Ngesikhathi sokwelashwa...
1. Uzonikezwa i-anesthesia ukuze uzizwe ukhululekile futhi ungezwa ubuhlungu. Lokhu kuhilela ukufaka ipayipi elincane (umugqa we-IV) emthanjeni ongalweni yakho bese unikezwa imithi ngalo.
2. Ngemuva kwalokho uzolaliswa embhedeni wokwelapha.
3. Udokotela ufaka ipayipi elincane neliguquguqukayo (isikophu) elinekhamera enamathiselwe emzimbeni njengoba kufanele (ngomlomo, ekhaleni, noma endunu).
4. Ukuze uvimbele umzimba wakho ukuthi ungonakaliswa amandla kagesi, i-flat pad (grounding pad) inamathele emzimbeni wakho (ngokuvamile ethangeni lakho).
5. Okulandelayo, i-catheter equkethe idivayisi ye-APC idluliselwa nge-scope iye endaweni efanele.
6. Igesi ye-Argon iqala ngokujovwa, bese kusetshenziswa ugesi ukuyivuthela. Bese kuthi izicubu eziqondiwe zishiswe.
7. Udokotela uqeda ukwelashwa ngokuhambisa idivayisi njengoba kudingeka, elawula inani legesi kanye nogesi.
8. Uma umsebenzi usuqediwe, i-scope, i-catheter, kanye ne-grounding pad kuyasuswa.
Le nqubo yonke ivame ukuthatha imizuzu eyi-15 kuya ehoreni .
Kwenzekani ngemva kokwelashwa? Ingabe ikhona imiphumela emibi?
Ngemva kokwelashwa, uzogcinwa ekamelweni lokululama isikhashana futhi uzothunyelwa ekhaya ngemva kokuba imiphumela yomuthi wokubulala izinzwa isiphelile. Kungase kube nokungakhululeki okuncane.
- Ukuzizwa sengathi isisu sakho sigcwele.
- Ukuphuma kwegesi kanye nobuhlungu obuncane besisu obubangelwa yilokhu.
- Ukukhathala kancane, isiyezi kancane.
Lokhu kuvame ukuvamile. Akukho okufanele ukhathazeke ngakho. Lokhu kungakhululeki kuzophela emahoreni ambalwa. Ngeke uzizwe ubuhlungu ngesikhathi sokwelashwa ngoba uzonikezwa i-anesthesia.
I-APC inqubo ephephile kakhulu. Izinkinga azivamile. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Ukopha, izinkinga nge-anesthesia, ukuncipha komphimbo (stenosis), noma ukuqhekeka kwezicubu kungenzeka kaningi. Yingakho kubalulekile ukuba lezi zinqubo zenziwe udokotela onolwazi.
Izimpawu ezidinga usizo lwezokwelapha ngokushesha
Ngemva kokubuyela ekhaya, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele uye esibhedlela ngokushesha, ikakhulukazi uMnyango Wezimo Eziphuthumayo (ETU). Lezi kungaba izimpawu zento engathi sína, ngakho-ke kubalulekile ukuthatha isinyathelo ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele! | |
|---|---|
| 🔴 | Ubuhlungu obukhulu besisu obungapheli ngisho nangemva kokukhipha igesi. |
| 🔴 | Ubuhlungu besifuba . |
| 🔴 | Ubunzima bokuphefumula . |
| 🔴 | Ukuhlanza igazi (okubomvu noma okufana nokudla okusanhlamvu kwekhofi). |
| 🔴 | Ukopha okubangelwa yi-rectal (igazi elibomvu noma elimnyama elisendle). |
| 🔴 | Umkhuhlane noma ukubanda. |
| 🔴 | Ubunzima bokugwinya noma ubuhlungu obukhulu bomphimbo. |
Ngemva kokubuyela ekhaya, landela imiyalelo kadokotela ngqo.
- Ngenxa yemiphumela yomuthi wokubulala izinzwa, ungashayeli noma usebenzise imishini esindayo ngalolo suku.
- Letha umuntu ozokuthatha akuyise ekhaya. Kungcono uma othile ehlala nawe amahora ambalwa ngemva kokufika ekhaya.
- Gwema ukuphuza utshwala.
- Udokotela uzokweluleka ngokuthi yini ongayidla nokuthi ungaqala nini ukudla ngendlela evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Argon Plasma Coagulation (APC) iyindlela yokwelapha ethuthukisiwe, engahlaseli esetshenziselwa ukuvimba ukopha emzimbeni nokususa izicubu ezingafuneki.
- Lokhu kwenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu.
- Ngemva kokwelashwa, ungase uzwe ukungakhululeki okuncane, njengokuqunjelwa kanye negesi, kodwa lokhu kuvame ukuphela ngokushesha.
- Uma usubuyela ekhaya ngemva kokwelashwa, landela imiyalelo kadokotela ngqo.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso njengobuhlungu obukhulu besisu, ubuhlungu besifuba, ubunzima bokuphefumula, noma ukuhlanza igazi, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
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