Ngezinye izikhathi, udokotela angase asikisele ukuthi udinga ukuhlinzwa ngenxa yezimo ezithile emathunjini akho. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho bethi, "Ngidinga ukususa ucezu lwamathumbu akho." Kodwa lokhu kuvame ukwenziwa ukuze kusindiswe impilo yakho, noma ukuze kuncishiswe ubuhlungu obuzwayo futhi kukunikeze impilo engcono. Ngakho-ke namuhla, ake sixoxe ngalokhu 'kuhlinzwa kwamathumbu' noma, ngokwezokwelapha, ukuhlinzwa kwamathumbu , kalula nangendlela ongayiqonda.
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Kungani udinga ngempela ukwenza lolu hlobo lokuhlinzwa?
Kalula nje, i-colonoscopy inqubo esusa ingxenye egulayo noma eyonakele yamathumbu amancane, amathumbu amakhulu (ikholoni), noma i-rectum. Lokhu kungasiza ekuvimbeleni izifo ezisongela ukuphila futhi kusize amathumbu akho asebenze kahle.
Kungase kube nezizathu eziningana eziyinhloko zokuthi kungani udokotela engase asikisele lokhu kuhlinzwa.
| Isizathu sokuhlinzwa | Incazelo elula |
|---|---|
| Umdlavuza | Ingxenye yekholoni equkethe amangqamuzana omdlavuza iyasuswa. Ingxenye yekholoni esuswayo incike kubukhulu nendawo yomdlavuza. Ama-lymph node aseduze nawo angasuswa. |
| I-Diverticulitis | Lesi yisimo sokuvuvukala kwamathumbu. Uma lokhu kubangela izinkinga ezifana nokutheleleka okukhulu noma ukubhoboka kwamathumbu, kungadingeka ukuhlinzwa. |
| Ukuvaleka kwamathumbu | Uma amathumbu evalekile ngaphakathi, ukudla, iziphuzo, kanye noketshezi akukwazi ukudlula. Lokhu kubangela ukuthi ukugeleza kwegazi kuleyo ndawo kume futhi izicubu ziqale ukufa. Lesi yisimo esiphuthumayo. |
| Ukopha okukhulu | Uma ezinye izindlela zehluleka ukuvimba ukuphuma kwegazi emathunjini, odokotela bazonquma ukususa ingxenye ephuma igazi. |
Yiziphi izindlela zokwenza ukuhlinzwa?
Kunezindlela ezintathu eziyinhloko zokwenza ukuhlinzwa kwamathumbu. Udokotela ohlinzayo uzokhetha indlela ekufanele kakhulu kuye ngesimo sakho sezokwelapha, indawo okuyo indawo enesifo, kanye nobukhulu bendawo.
- Ukuhlinzwa Okuvulekile: Kule nqubo, udokotela ohlinzayo wenza ukusika okude esiswini sakho. Ngemuva kwalokho, esebenzisa amathuluzi okuhlinzwa ajwayelekile, ingxenye yamathumbu ethintekile iyasuswa.
- Ukususwa kwe-Laparoscopic: Lena yindlela evame ukusetshenziswa kakhulu. Kwenziwa izimbobo ezimbili kuya kwezine ezincane esiswini, bese kufakwa ithubhu elincane elifakwe ikhamera (i-laparoscope) ngomunye wemimbobo. Isithombe esivela kukhamera sibukwa esikrinini se-TV, bese kufakwa amathuluzi okuhlinza akhethekile amancane ngezinye izimbobo ukuze kususwe ingxenye yamathumbu.
- Ukuhlinzwa kwe-Laparoscopic okusizwa yirobhothi: Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa lapha amathuluzi okuhlinza afakwa ezingalweni zerobhothi. Udokotela ohlinzayo wenza ukuhlinzwa ngokulawula izingalo zerobhothi ngekhompyutha.
Ngezinye izikhathi, noma ngabe ukuhlinzwa kwe-laparoscopic sekuqalile, udokotela ohlinzayo kungase kudingeke ashintshele ekuhlinzeni okuvulekile ngenxa yenkinga ephakama ngesikhathi sokuhlinzwa.
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Lokhu ukuhlinzwa okukhulu, ngakho kuzodingeka uhlale esibhedlela. Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ejwayelekile . Lokhu kusho ukuthi ukuhlinzwa kuzokwenziwa ungazi lutho, ungenabuhlungu, futhi ulele ubuthongo obukhulu.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uhlukanisa ingxenye yamathumbu egulayo nezicubu ezizungezile, ayinqume, bese ehlanganisa izingxenye ezimbili zamathumbu ezisele eziphilile. Lokhu kwenziwa kusetshenziswa izinti ezincane noma izithungo ezincibilikayo.
Kuyini i-Colostomy?
Kwezinye izimo, uma kukhona ukusola ukuthi indawo lapho amathumbu amabili axhumene khona ayipholi kahle, udokotela ohlinzayo angadinga ukwenza i-colostomy . Lokhu kuhilela ukuletha ingxenye engenhla yamathumbu ebusweni besikhumba sesisu bese uyixhuma esikhwameni esingaphandle. Lo mgodi esikhumbeni ubizwa ngokuthi i-stoma .
Ungakhathazeki uma uzwa lokhu. Isikhathi esiningi, lesi stoma singesesikhashana. Ngemva kwezinyanga ezimbalwa (cishe amasonto ayi-6-12), lapho amanxeba angaphakathi esiswini esepholile, kwenziwa olunye ukuhlinzwa okuncane ukuze kususwe istoma futhi kuxhunywe amathumbu amabili ngaphakathi.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, uzohlangana nodokotela wakho ohlinzayo. Umlando wakho wezokwelapha ophelele uzoxoxwa ngawo, kanye nanoma yimiphi imithi oyithathayo. Uzocelwa futhi ukuthi wenze i-X-ray yesifuba, i-ECG, kanye nokuhlolwa kwegazi okuthile. Lokhu kuzosiza ekunqumeni ukuthi kukhona yini izinkinga ezingathinta ukuhlinzwa.
Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, udokotela wakho uzokutshela ukuthi uyeke ukuthatha imithi ethile (isibonelo, imithi yobuhlungu efana ne-ibuprofen). Uzochaza nokuthi ungalungiselela kanjani ukuhlinzwa.
- Ukuhlanza amathumbu amakhulu: Kuzodingeka uyeke ukudla ukudla okuqinile ngosuku olwandulela ukuhlinzwa. Ungaphuza kuphela uketshezi olufana nesobho kanye nojusi we-apula. Uzonikezwa nomuthi wokuhlambulula amathumbu amakhulu ukuze uhlanze amathumbu amakhulu ngokuphelele.
- Insipho yokulwa namagciwane: Ungase ucelwe ukuba ugeze ngensipho ewuketshezi elwa namagciwane ngobusuku bangaphambi kokuhlinzwa kanye nasekuseni kokuhlinzwa. Lokhu kunganciphisa ingozi yokutheleleka kwenxeba ngemva kokuhlinzwa.
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kuhlinzwa kungaba nezingozi ezithile kanye nezinkinga.
- Ukutheleleka: Inxeba lokuhlinzwa lingatheleleka. Kukhona futhi amathuba okuba ne-pneumonia noma izifo zomgudu womchamo.
- Ukulimala kwezitho ezizungezile: Ngesikhathi sokuhlinzwa, ezinye izingxenye zamathumbu, esinyeni, noma imithambo yegazi eduze kwamathumbu zingase zonakale.
- Ukuvuza Kwe-Anastomotic: Lokhu kuyinkinga enkulu. Uma ukuvuza kwe-anastomotic kungapholi kahle, kungavuza esiswini. Lokhu kungabangela ukopha kanye nokutheleleka okukhulu. Uma uzwa izimpawu ezifana nobuhlungu besisu, umkhuhlane, noma ukushaya kwenhliziyo okusheshayo, kufanele ushayele udokotela wakho ucingo ngokushesha.
- I-Hernia: Udonga lwesisu lungase lube buthaka ngenxa yokuhlinzwa, okungase kuholele ekutheni kube ne-hernia esikhathini esizayo.
- Izicubu zezibazi: Njengoba amathumbu ephola, izicubu zezibazi zingakheka ngaphakathi. Ngokuhamba kwesikhathi, lezi zicubu zezibazi zingabangela ukuthi amathumbu aphinde avaleke.
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezine. Uzonikezwa imithi yokulawula ubuhlungu. Umhlengikazi noma udokotela uzochaza ukuthi ungalinakekela kanjani inxeba lakho. Uma une-stoma, bazokukhombisa nokuthi ungalinakekela kanjani.
Ngemva kokuhlinzwa, ungaphuza uketshezi ekuqaleni. Ungase ukwazi ukudla ukudla okuqinile ngosuku olulandelayo. Kodwa-ke, udokotela wakho angase akucebise ukuthi ulandele ukudla okune-fiber ephansi cishe inyanga.
Ukululama ekuhlinzweni kwe-laparoscopic kuyashesha kunokuhlinzwa okuvulekile. Kunobuhlungu obuncane futhi izibazi zincane kakhulu.
Kufanele ukwazi ukuqhubeka nemisebenzi eminingi evamile, njengokuhamba nokuhamba nokuya emsebenzini, zingakapheli isonto eli-1-2. Kodwa-ke, kufanele uthintane nodokotela wakho ngaphambi kokwenza noma yini engaphezu kwamakhilogremu angu-4-5 noma ukwenza ukuzivocavoca okunzima. Ngokuvamile kuthatha cishe amasonto ayisithupha ukululama ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwamathumbu kuyindlela evamile yokuhlinzwa esusa ingxenye yamathumbu egulayo. Asikho isidingo sokwesaba lokhu.
- Lokhu kuhlinzwa kungenziwa ngezindlela eziningana. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Kubaluleke kakhulu ukulandela imiyalelo enikezwe ngaphambi kokuhlinzwa (ukudla, imithi, ukugeza) ngqo.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Phakathi naleso sikhathi, lalela umzimba wakho futhi uphumule.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, njengomkhuhlane, ubuhlungu obukhulu besisu, noma ukushaya kwenhliziyo okwandayo, ungangabazi ukwazisa udokotela wakho ngokushesha.
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