Uma udokotela wakho ekuncomele ukuhlinzwa kwe-cystectomy ukwelapha umdlavuza wesinye noma esinye isimo esingamahlalakhona, kuyinto evamile ukuzizwa ukhungathekile noma ukhathazekile. Kodwa-ke, ukuqonda inqubo kungenza umehluko omkhulu. Ake sihlaziye ukuthi lokhu kuhlinzwa kuyini, kungani kwenziwa, nokuthi yini ongayilindela ngesikhathi sokululama kwakho, ngendlela eqondile.
Kuyini i-Cystectomy?
Kalula nje, i-cystectomy inqubo yokuhlinzwa yokususa ingxenye noma yonke isinye sakho. Njengoba wazi, isinye siyisitho esifana nebhaluni esigcina umchamo okhiqizwa yizinso zakho. Lokhu kuhlinzwa kuvame ukwenziwa ukwelapha umdlavuza wesinye, kodwa odokotela bangase bakukhethele izimo ezingezona umdlavuza (ezingemnandi).
Lokhu kubhekwa njengokuhlinzwa okukhulu , njengoba kuhilela ukususwa kwesitho esibalulekile emzimbeni wakho.
Ungaphila Ngaphandle Kwesinye?
Yebo, impela. Kungase kubonakale kumangalisa, kodwa ungaphila impilo egcwele ngaphandle kwesinyi. Kodwa-ke, udokotela wakho ohlinzayo uzodala indlela entsha yokuthi umzimba wakho ugcine futhi ukhiphe umchamo. Kuzothatha isikhathi ukuzivumelanisa nale ndlela entsha, kodwa qiniseka ukuthi uzokwazi ukubuyela emisebenzini eminingi oyijabulele ngaphambi kokuhlinzwa.
Okufanele Ukwazi Ngaphambi Kokuhlinzwa Kwakho Kwe-Cystectomy
Ngaphambi kokuhlinzwa, udokotela wakho uzokwenza ukuhlolwa okuphelele kwempilo yakho iyonke futhi achaze uhlobo oluthile lwenqubo ozoyithatha. Kunezinhlobo eziningana:
- Ukususwa Kwesibeletho Okuyingxenye: Kule nqubo, kususwa ingxenye yesinye enesifo kuphela. Uma kwenziwa ngenxa yomdlavuza, ama-lymph node aseduze avame ukususwa ukuze kuhlolwe ukuthi umdlavuza ususakazekile yini. Isinye esisele siyalungiswa.
- Ukususwa Kwesibeletho Okulula: Lokhu kuhilela ukususa isibeletho kuphela ngaphandle kokuphazamisa izitho ezizungezile. Ngokuvamile kwenziwa ezimweni ezingezona ezomdlavuza , njengesibeletho esibangelwa yizinzwa , umonakalo ovela ku-cystitis yemisebe , noma i-fistula embi yomchamo.
- Ukususwa kwe-Radical Cystectomy: Lokhu kuhilela ukususwa ngokuphelele kwesinyi kanye nama-lymph node azungezile.
- Kwabesilisa: Ngokuvamile kuhilela ukususa i -prostate kanye nama-vesicle esidoda.
- Kwabesifazane: Ngokuvamile kuhilela ukususa isibeletho, amapayipi e-fallopian, ama-ovari, kanye nomlomo wesibeletho. Kwezinye izimo, ingxenye yodonga lwesitho sangasese sowesifazane nayo ingasuswa.
Into ebaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo—kufaka phakathi imithi kadokotela, imithi ethengwa ngaphandle kwemithi kadokotela, kanye nezithasiselo zamakhambi. Eminye imithi, ikakhulukazi imithi yokunciphisa igazi, ingandisa izingozi zokopha. Ungalokothi uyeke noma yimiphi imithi ngaphandle kokubonisana nodokotela wakho kuqala.
Kwenziwa Kanjani Ukuhlinzwa?
Le nqubo yenziwa udokotela wezifo zomchamo okhethekile kanye nethimba lokuhlinzwa. Uzobe ungaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele futhi ungazizwa ubuhlungu.
Kunezindlela ezimbili eziyinhloko:
1. Ukuhlinzwa Kwesibeletho Esivulekile: Udokotela ohlinzayo wenza ukusika okungu-6-7 intshi esiswini esingezansi ukuze enze inqubo.
2. Ukususwa Kwesibeletho Okungangeni Kakhulu:Lokhu kungenziwa nge-laparoscopically noma kusetshenziswa ubuchwepheshe obusizwa yirobhothi. Kuhilela ukuhlikihlwa okuncane kakhulu okungu-5-6, lapho kufakwa khona ikhamera namathuluzi okuhlinza. Lokhu kuvame ukuholela ekunciphiseni amanxeba kanye nesikhathi sokululama ngokushesha.
Ukudala Indlela Entsha Yokudlulisa Umchamo
Ngemva kokususwa kwesinyi, ukuhlinzwa kokuvuselela kuyadingeka. Kunezindlela ezintathu eziyinhloko:
| Indlela Yokwakha Kabusha | Kwenzakalani |
|---|---|
| Umsele wase-Ileal | Ingxenye encane yamathumbu isetshenziselwa ukudala indlela yokuphuma komchamo emzimbeni ngembobo encane esikhumbeni ebizwa ngokuthi i-stoma. Uzogqoka isikhwama esincane phezu kwalesi stoma ukuze uqoqe umchamo. |
| Ukuphambuka Kwezicucu Zezwekazi | Udokotela ohlinzayo udala indawo yokugcina amanzi yangaphakathi esebenzisa izicubu zamathumbu. Lokhu kuxhuma ne-stoma, kodwa akukho sikhwama sangaphandle. Uzosebenzisa i-catheter izikhathi eziningana ngosuku ukuze ukhiphe amanzi e-reservoir. |
| I-Neobladder | Isinye esisha sakhiwa ngengxenye yamathumbu akho bese sixhunywa ngqo kwi-urethra yakho. Lokhu kukuvumela ukuthi ukhiphe umchamo ngendlela evamile, yize kungadingeka usebenzise imisipha yesisu sakho ukuze uwukhiphe. Ezinye iziguli zingase zidingeke zisebenzise i-catheter. |
Udokotela wakho uzoxoxa nawe ngalezi zinketho ukuze anqume ukuthi iyiphi efanelana kahle nendlela yakho yokuphila.
Okufanele Ukulindele Ngemva Kokuhlinzwa
Ngemva kokuhlinzwa, uzothuthelwa ewadini yokululama. Uzoba namabhandeji ezinsikeni zakho, futhi uzonikezwa imithi yokulawula ubuhlungu. Kuye ngohlobo lokuhlinzwa, ungahlala esibhedlela izinsuku ezimbalwa kuya kwesonto. Abasebenzi abahlengikazi bazokuqondisa ekunakekeleni i-stoma yakho noma ukusebenzisa i-neobladder yakho. Ukululama okuphelele kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa.
Izingozi Ezingaba Khona
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi, okuhlanganisa ukuphuma kwegazi, amahlule egazi, ukutheleleka, izinkinga zamathumbu, noma ukulimala kwezitho eziseduze. Sicela uxoxe nganoma yiziphi izinkinga mayelana nempilo yocansi noma usebenze ngokukhululekile nodokotela wakho; bakhona ukukusiza.
Isikhathi Sokufuna Ukunakekelwa Kwezokwelapha Ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya, sicela uxhumane nodokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo oseduze:
| Izimpawu Zokutheleleka | Umkhuhlane, ukubanda, noma umchamo onamafu/onuka kabi. |
| Izinkinga Zokusikwa | Ukopha ngokweqile, ukuvuvukala okukhulu, ubuhlungu, noma ukuphuma kobomvu endaweni okuyo. |
| Ukukhathazeka Nge-Stoma | I-Stoma iba mnyama, nsundu, noma ibe nsomi ngokujulile. |
| Ezinye Izimpawu Ezingathi sína | Ukucanuzela/ukuhlanza okuqhubekayo, ubuhlungu obungabekezeleleki, noma ukungakwazi ukuchama. |
Umlayezo Wokuya Nawe Ekhaya
- I-Cystectomy inqubo yokuhlinzwa esindisa impilo, enkulu yezimo ezinjengomdlavuza wesinyi.
- Kungenzeka ngokuphelele ukuphila ngaphandle kwesinyi, ngenxa yezinketho ezahlukene zokwakha kabusha.
- Zinike umusa njengoba umzimba wakho ujwayela; ukufuna ukwesekwa ngokomzwelo nangokomzimba kuwuphawu lwamandla.
- Njalo qaphela izimpawu eziyisixwayiso bese uthintana nethimba lakho lezokwelapha uma kukhona okuzwakala kungahambi kahle.
- Ngokuphathwa okufanele kanye nombono omuhle, ungalondoloza izinga lempilo elihle kakhulu ngemva kokuhlinzwa.
Ukususwa kwe-Cystectomy, ukususwa kwesinye isinyi, umdlavuza wesinye, i-urostomy, isikhwama se-ostomy, i-neobladder, ukuhlinzwa, i-urology, umchamo
