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Uhlobo luni lokuhlinzwa oluyi-cystectomy?
Kalula nje, i-cystectomy inqubo yokuhlinzwa yokususa ingxenye noma yonke isinye sakho. Njengoba wazi, isinye siyisitho esimise okwebhola esiqoqa futhi sigcine umchamo ) okhiqizwa yizinso zethu. Lokhu kuhlinzwa kuvame ukwenziwa njengokwelashwa komdlavuza wesinye. Kodwa-ke, ngezinye izikhathi odokotela banquma ukwenza lokhu kuhlinzwa kwezinye izimo ezingezona ezomdlavuza (ezingemnandi). Lokhu akuyona ukuhlinzwa okuncane, kodwa ukuhlinzwa okukhulu . Ngoba kususa isitho esibalulekile emzimbeni wethu, isinye.Kungenzeka yini ukuphila ngaphandle kwesinyi?
Yebo, ungakwazi. Ungase umangale ukuzwa lokhu, kodwa kungenzeka ukuphila ngaphandle kwesinyi. Kodwa-ke kuzodingeka uthole indlela entsha yokukhipha umchamo okhiqizwa yizinso zethu. Uma udokotela esusa sonke isinyi, kuzothatha isikhathi ukuthi ujwayele uhlelo olusha. Kodwa ungakhathazeki, uzokwazi ukwenza iningi lezinto owazenza ngaphambi kokuhlinzwa, ngisho nangemva kokuhlinzwa.Yini okufanele uyazi ngaphambi kokuhlinzwa kwe-cystectomy?
Ngaphambi kokuhlinzwa, udokotela wakho uzokuxilonga futhi ahlole impilo yakho iyonke. Uzokuchazela nokuthi hlobo luni lokuhlinzwa azolwenza. Kunezinhlobo eziningana zalokhu kuhlinzwa.- Ukususwa Kwesibeletho Esiyingxenye: Lokhu kuhilela ukususa ingxenye yesinye sakho egulayo kuphela. Uma lokhu kwenziwa ngenxa yomdlavuza, ama-lymph node azungezile nawo ayasuswa futhi ahlolwe ukuze kubonakale ukuthi umdlavuza ususakazeke yini. Ingxenye esele yesinye sakho iyathungwa futhi ndawonye ukuze kubuyiselwe ukusebenza okuvamile.
- Ukususwa kwe-Simple Cystectomy (ukususwa kwesinye kuphela): Lokhu kuhilela ukususa esinye kuphela ngaphandle kokulimaza izitho ezizungezile. Lokhu kuvame ukwenziwa ezimweni ezingezona umdlavuza . Isibonelo, izinkinga zomchamo ezibangelwa ukulimala kwemizwa ( isinye esibangelwa yi-neurogenic ), imisebeIzimo ezifana ne -radiation cystitis kanye ne-urinary fistula ezibangelwa ukwelashwa.
- Ukususwa kwe-Radical Cystectomy (ukususwa kwesinyi kanye nezitho ezizungezile): Kulokhu, isinyi sisuswa ngokuphelele, kanye nama-lymph node azungezile.
- Uma kwenzeka kumuntu wesilisa, ama-vas deferens avame ukusikwa, bese kususwa i -prostate kanye nama-seminal vesicles.
- Kwabesifazane, isibeletho, amapayipi e-fallopian, ama-ovari, kanye nomlomo wesibeletho kuvame ukususwa. Ngezinye izikhathi, ingxenye yodonga lwesitho sangasese sowesifazane nayo ingasuswa.
Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, ngisho nemikhiqizo yamakhambi) ngaphambi kokuhlinzwa kwakho. Eminye imithi, ikakhulukazi imithi yokunciphisa igazi, ingandisa ingozi yokopha ngesikhathi sokuhlinzwa. Ngakho-ke ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kwenziwa yithimba lodokotela eliholwa udokotela wezifo zomchamo. Uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzizwe ubuhlungu futhi uzolala. Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlinzwa: 1. I-Open Cystectomy: Kulokhu, kwenziwa ukusika okungamasentimitha angu-6-7 phakathi kwenkaba kanye ne-perineum, lapho udokotela enza khona ukuhlinzwa. 2. I-Minimally Invasive Cystectomy: Lokhu kungenziwa nge-laparoscopically noma nge-robotically. Lokhu kuhilela ukwenza ukusika okuncane kakhulu okungu-5-6 esiswini, lapho kufakwa khona ikhamera kanye nezinsimbi ezithambile. Inzuzo yalokhu ukuthi kunezibazi ezincane futhi isikhathi sokuphulukiswa sifushane.Indlela yokwenza indlela entsha yokuchama
Ngemva kokususwa kwesinye sonke, kumele kudalwe indlela entsha yokuphuma komchamo emzimbeni. Lokhu kubizwa ngokuthi 'ukuhlinzwa okwakha kabusha.' Kunezindlela ezintathu eziyinhloko zalokhu.| Indlela Yokwakha Kabusha | Kwenzekani nje |
|---|---|
| Umsele wase-Ileal | Kuthathwa ingxenye encane yamathumbu amancane bese ama-ureter axhunywa kolunye uhlangothi. Olunye uhlangothi lunamathele esikhumbeni sesisu, luvuleka emgodini obizwa ngokuthi i-stoma. Isikhwama se-ostomy sibekwa phezu kwe-stoma ukuze kuqoqwe umchamo. |
| Ukuphambuka Kwezicucu Zezwekazi | Izingxenye zamathumbu amancane namakhulu zisetshenziselwa ukudala isikhwama esincane (indawo yokugcina amanzi) ngaphakathi emzimbeni esiqoqa umchamo. Lokhu kuxhunyaniswa nesikhumba sesisu nge-stoma. Kodwa akukho sikhwama sangaphandle. Izikhathi eziningana ngosuku, kufakwa ipayipi elincane (i-catheter) ukuze kukhishwe lesi sikhwama. |
| I-Neobladder | Kuthathwa ucezu olude lwamathumbu amancane bese lusetshenziswa ukudala isinyi esisha (i-Neobladder). Lokhu kuxhunywe ngqo kwi-urethra yakho. Ngakho-ke ungachama ngendlela evamile. Kodwa kufanele ufinyeze imisipha yesisu sakho ukuze uchame. Abanye abantu badinga ukusebenzisa i-catheter ukuze bakhiphe konke. |
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzodluliselwa ewadini. Ukusikwa kuzoboshwa. Uzonikezwa imithi yobuhlungu. Ubude bokuhlala kwakho esibhedlela buzohluka kuye ngohlobo lokuhlinzwa olwenzile. Uma usikwe okuncane, uzohlala esibhedlela usuku olulodwa noma ezimbili, kanti uma usuhlinzwe ngokuvulekile, uzohlala esibhedlela cishe isonto. Phakathi nalesi sikhathi, abasebenzi abahlengikazi bazokunakekela kahle. Uma unesikhwama se-ostomy, uzofundiswa ukuthi usisebenzise kanjani, usikhiphe, futhi usishintshe. Kungathatha amasonto ambalwa kuya ezinyangeni ezimbalwa ukuze ululame ngokugcwele.Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, lokhu kunezingozi ezithile.- Ukopha
- Ukujiya kwegazi
- Izifo
- Izinkinga zamathumbu (ukuqunjelwa, isifo sohudo)
- Ukuvaleka komchamo ngenxa yezicubu zesilonda
- Ukulimala kwezinye izitho zomzimba
- Ukuqongelela koketshezi ezindaweni zokusikwa (i-seroma)
Kufanele ubonane nodokotela ngokushesha nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Izimpawu zesixwayiso okufanele uziqaphele
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, umchamo omnyama noma onamafu. |
| Izinkinga ezindaweni zokusikwa | Ukopha ngokweqile, ukuvuvukala, ubuhlungu, noma ukwanda kokuphuma kobomvu. |
| Izinkinga ze-stoma | I-stoma imnyama, insundu, noma insomi emnyama. |
| Ezinye izimpawu ezinkulu | Ukucanuzela nokuhlanza okuqhubekayo, ubuhlungu obungabekezeleleki, ukungakwazi noma ubunzima bokuchama. |
Umlayezo Wokuya Nawe Ekhaya
- I-Cystectomy iwukuhlinzwa okukhulu, okusindisa impilo okwenziwa ezimweni ezifana nomdlavuza wesinyi.
- Kungenzeka ukuphila ngaphandle kwesinyi. Kunezindlela ezahlukene zokwakha kabusha ukusiza umzimba ukhiphe umchamo. Khuluma nodokotela wakho mayelana nenketho engcono kakhulu kuwe.
- Kuthatha isikhathi ukuzivumelanisa nezinguquko emzimbeni wakho ngemva kokuhlinzwa. Lokhu kuyinto evamile. Unganqikazi ukuthola ukwesekwa ngokomzwelo nangokomzimba okudingayo.
- Ngesikhathi sokululama, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma kuvela izimpawu eziyisixwayiso.
- Ngokuphathwa okufanele kanye nesimo sengqondo esihle, ungalondoloza izinga lempilo elihle ngisho nangemva kokuhlinzwa.
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