Uma udokotela ekutshela noma othile omaziyo ukuthi unomdlavuza, umbuzo wokuqala ofika engqondweni uthi, "Ingabe lokhu kungasuswa ngokuhlinzwa?" Ezimweni eziningi, ukuhlinzwa kuyisisombululo esingcono kakhulu. Kodwa-ke, kunezikhathi lapho ukuhlinzwa kungenzeki ngaso sonke isikhathi. Ngezinye izikhathi, ukuhlinzwa kungaba yingozi ngenxa yendawo umdlavuza okhona kuyo noma ezinye izimo zempilo zesiguli. Ezimweni ezinjalo, sikhuluma ngokwelashwa okukhethekile odokotela abangase bakuncome ukubhubhisa amangqamuzana omdlavuza. Lokho kuyi-Cryoablation.
Kalula nje, kuyini i-Cryoablation?
I-Cryoablation iyindlela yokwelapha esebenzisa ukubanda okukhulu ukuze kuqandiswe amangqamuzana angavamile, ikakhulukazi amangqamuzana omdlavuza. Cabanga ngale ndlela, njengokuqandiswa kwamanzi, le ndlela iqandisa uketshezi olungaphakathi kwamangqamuzana omdlavuza.
Lokhu kwenziwa kusetshenziswa idivayisi ekhethekile efana nenaliti (i-`cryoprobe`). Le divayisi iqukethe igesi ebanda kakhulu (njenge-nitrogen ewuketshezi noma igesi ye-argon). Uma udokotela ethinta isimila somdlavuza ngale divayisi, amangqamuzana omdlavuza ayabanda futhi afe ngenxa yokubanda okukhulu. Ngokuhamba kwesikhathi, amangqamuzana afile ayasuswa emzimbeni futhi isimila somdlavuza siyancipha. Lokhu kwelashwa ngezinye izikhathi kubizwa ngokuthi i-`cryosurgery`.
Kukuziphi izimo lapho udokotela angancoma khona lokhu kwelashwa?
Ukuhlinzwa ngokuvamile kuyisinqumo sokuqala uma kungenzeka. Kodwa-ke, uma ukuhlinzwa kungenzeki noma kungafaneleki, i-cryoablation iyindlela ewusizo. Nazi ezinye zezimo eziyinhloko lapho udokotela angase ancome khona lokhu kwelashwa.
| Isimo | Incazelo Elula |
|---|---|
| Umdlavuza omncane noma osesigabeni sokuqala | Le ndlela isetshenziselwa izimila ezinomdlavuza ezingafinyelelwa ngaphandle kokusikwa okukhulu, kuphela ngokwenza imbobo encane ebusweni besikhumba. |
| Ukususwa komdlavuza oyingozi ngokuhlinzwa | Uma umdlavuza usesendaweni ebucayi kakhulu, isibonelo, eduze kakhulu nesitho esibalulekile, ukuhlinzwa kungalimaza leso sitho. Ezimweni ezinjalo, le ndlela iphephile. |
| Umdlavuza Owasakazeka Kakhulu | Uma umdlavuza ususakazekele kwezinye izingxenye zomzimba futhi ubangela ubuhlungu noma ukungakhululeki okunye, lokhu kwelashwa kungasetshenziswa ukulawula lobo buhlungu. Kubizwa ngokuthi i-Palliative Cryoablation. |
Izinhlobo zomdlavuza ezilashwa ngale ndlela
I-Cryoablation isetshenziselwa ukwelapha izinhlobo ezahlukene zomdlavuza, okuhlanganisa:
- Umdlavuza webele
- Umdlavuza wesibeletho
- Umdlavuza wezinso
- Umdlavuza wesibindi
- Umdlavuza wamaphaphu
- Umdlavuza we-prostate
- Ama-Sarcomas (umdlavuza wezicubu ezixhumeneyo)
- Umdlavuza we-thyroid
Uzilungiselela kanjani ngaphambi kokwelashwa?
Uma unquma ukuthola lokhu kwelashwa, udokotela wakho kanye nethimba lezokwelapha bazokunikeza imiyalelo ecacile mayelana nokuthi yini ongayilindela. Uma ungaphansi kwe-anesthesia ejwayelekile, uzocelwa ukuba uzile ukudla amahora ambalwa. Lezi yizinto ezijwayelekile okudingeka uzilungiselele.
- Hlela ukuthi othile akushayele imoto uye ekhaya: Ungase ungakwazi ukuzishayela imoto ngemva kokwelashwa.
- Ukuyeka imithi ethile: Ungase ucelwe ukuthi uyeke ukuthatha imithi yokunciphisa igazi, i-aspirin, kanye ne-NSAID (imithi yokunciphisa ubuhlungu) izinsuku ezimbalwa. Lokhu kwenzelwa ukunciphisa ingozi yokopha ngesikhathi sokwelashwa.
- Ukuthatha imithi enqunywe udokotela: Ungase unikezwe imithi yokuqala kusenesikhathi ukuvimbela ubuhlungu noma ukutheleleka.
Into ebaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho namavithamini, ngaphambi kokwelashwa.
Kwenzekani ngempela ngesikhathi sokwelashwa?
Uma ungena egumbini lokwelashwa, uzoqala unikezwe i-anesthesia. Lokhu kungaba i-anesthesia yendawo, eqeda ubuhlungu endaweni ephathwayo kuphela, noma i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele. Bese, nakhu okwenzekayo isinyathelo ngesinyathelo:
1. Udokotela wenza imbobo encane kakhulu (`ukubhoboza`) esikhumbeni lapho kwenziwa khona ukwelashwa.
2. Ngaleyo mbobo, inaliti ekhethekile, ebizwa ngokuthi i-'cryoprobe', ifakwa endaweni lapho umdlavuza ukhona khona.
3. Lokhu akukhona nje ukuqagela. I-cryoprobe ibekwe kahle ngokubheka indawo yesimila esikrinini kusetshenziswa ubuchwepheshe obufana ne -ultrasound, i-MRI, noma i-CT scan .
4. Bese kuba umkhuhlane omkhulu we-'cryoprobe' ofakwa kumdlavuza imizuzwana embalwa noma imizuzu embalwa. Amaseli akuleyo ndawo ayaqina, abe njengebhola leqhwa.
5. Ngemva kwesikhashana, ibhola leqhwa liyavunyelwa ukuba lincibilike ngemva kokuba ukuqandisa kuyekile. Le nqubo yokuqandisa nokuncibilika yiyo ebhubhisa amangqamuzana omdlavuza.
6. Ngezinye izikhathi le nqubo kufanele iphindwe izikhathi eziningana ukuze kubhujiswe lonke isimila.
7. Ekugcineni, i-cryoprobe iyasuswa bese kufakwa into efana ne-plaster encane kulowo mgodi omncane.
Kwezinye izimo, ikakhulukazi kumdlavuza wesisu, lokhu kwenziwa kusetshenziswa indlela ethi `laparoscopic surgery` (keyhole surgery). Ngemuva kwalokho, kwenziwa izimbobo eziningana ezincane bese kufakwa `cryoprobes` eziningana ukuze kwenziwe ukwelashwa.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi |
|---|---|
| Ubuhlungu buyancipha ngoba akukho ukusikwa okukhulu. | Ukusha okuncane kwesikhumba endaweni yokwelashwa. |
| Isikhathi sokululama sifushane, futhi ungabuyela empilweni evamile ngokushesha. | Ukutheleleka (okungavamile kakhulu). |
| Ngeke kube khona izibazi ezinkulu. | Umonakalo omncane ezicutshini noma ezinzwa ezizungezile ezinempilo. |
| Imiphumela emibi embalwa. | Izinkinga ezihlobene nokubulala izinzwa (isib. isicanucanu). |
Ingozi yokuthi lokhu kwenzeke incane kakhulu. Udokotela uzochaza konke kuwe.
Kwenzekani ngemva kokwelashwa?
Iningi labantu lingaya ekhaya ngosuku olufanayo lokwelashwa. Kungase kudingeke uhlale esibhedlela ubusuku bonke. Ngokuvamile ungabuyela emisebenzini yakho evamile zingakapheli izinsuku ezimbili kuya kwesonto . Kodwa-ke, lokhu kungahluka kuye ngesimo sakho, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela .
Ngemva kokwelashwa, amangqamuzana omdlavuza abhujisiwe “ahlanzwa” kancane kancane futhi asuswe amasosha omzimba wethu. Ngenxa yalokho, umdlavuza uyancipha kancane kancane.
Kufanele ngiphinde ngimbone nini udokotela?
Uzocelwa ukuthi ubuye uzohlolwa kabusha ngemva kwamasonto ambalwa ngemva kokwelashwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uxhumane nodokotela wakho ngokushesha:
- Ukuvuvukala okukhulu endaweni elashwe kuyo.
- Umkhuhlane (ongaphezu kuka-38.4°C / 101°F).
- Okufana nobomvu obuphuma emgodini.
- Ukubomvu noma ukushintsha kombala wesikhumba endaweni yokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Cryoablation iyindlela yokwelapha engangenisi kakhulu ebhubhisa amangqamuzana omdlavuza ngokuwaqandisa ngamakhaza amakhulu.
- Lena inketho enhle kakhulu ezimweni lapho ukuhlinzwa okukhulu kungenzeki noma kuyingozi.
- Lokhu kuholela ekunciphiseni ubuhlungu, izibazi, kanye nesikhathi sokuphulukiswa kunokuhlinzwa okuvamile.
- Ngemva kokwelashwa, amangqamuzana omdlavuza afile ayasuswa yizinqubo zemvelo zomzimba.
- Lokhu akuyona indlela yokwelapha efanelekela zonke izinhlobo zomdlavuza noma zonke izimo. Udokotela wakho ungumuntu ongcono kakhulu wokunquma ukuthi lokhu kulungile yini kuwe. Ngakho khuluma nodokotela wakho ngalokhu ngokukhululekile.
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