Ungase ube nesifo se-diverticulitis, isimo esibangela ubuhlungu obungapheli esiswini sakho kanye nomkhuhlane. Uma isimo sakho kunzima ukusilawula naphezu kokuthatha imithi nezinye izindlela zokwelapha, udokotela wakho angase akuphakamisele ukuhlinzwa. Ngakho-ke kuyinto evamile ukuzizwa wesaba kancane lapho esho lokho. Kodwa-ke, uma usuwazi kahle ukuthi lokhu kuhlinzwa kuyini, kwenziwa kanjani, nokuthi kwenzekani ngemva kwalokho, ukwesaba kwakho kuzophela. Namuhla, ake sixoxe ngalokhu kuhlinzwa kwe-diverticulitis.
Kungani sidinga ukuhlinzwa kwe-diverticulitis?
Kalula nje, i-diverticulitis yisimo lapho kwakheka khona izikhwama ezincane (i-diverticula) ezindongeni zekholoni lethu, esilibiza ngezokwelapha ngokuthi i-diverticula , ezitheleleka noma ezivuvukalayo. Kulapho lesi simo siba sibi kakhulu lapho kucatshangelwa ukuhlinzwa.
Udokotela wakho uvame ukuncoma ukuhlinzwa ezimweni ezilandelayo:
- Uma isimo singenakulawuleka naphezu kokuthatha imithi kanye nezinye izindlela zokwelapha ezingadingi ukuhlinzwa.
- Uma lesi simo siphinde sibuye ngemva kokwelashwa (i-diverticulitis ephindaphindayo).
- Ukuxhumana okungavamile, njenge- fistula , kwakheka phakathi kodonga lwamathumbu amakhulu nezitho eziseduze njengesinye noma isitho sangasese sowesifazane.
Lokhu kuhlinzwa kuhilela ukusika nokususa ingxenye yamathumbu amakhulu ethintekile yilesi sifo. Lokhu sikubiza ngokuthi i-partial colectomy .
Ngokuvamile, ikholoni ye-sigmoid, ingxenye yokugcina yamathumbu amakhulu, iyasuswa. Uma le ngxenye isusiwe, izimpawu ziyanyamalala cishe ngokuphelele.
Ngezinye izikhathi, ngemva kokukhipha ingxenye yamathumbu, udokotela ohlinzayo kufanele enze i-ostomy . Ake sibheke ukuthi kuyini lokho.
Yiziphi izinhlobo zokuhlinzwa lezi?
Udokotela wakho ohlinzayo angakhetha okunye kwalokhu kuhlinzwa kuye ngesimo sakho.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Vula i-Colectomy | Kule nqubo, udokotela wenza ukusika okukhulu okuqonde phezulu esiswini sakho, asuse ingxenye egulayo yamathumbu akho, bese exhumanisa izingxenye ezimbili eziphilile. Lena inqubo yendabuko. |
| Ukuhlinzwa Kwe-Laparoscopic/Robotic Colectomy | Yilokho esikubiza ngokuthi "ukuhlinzwa kwembobo yokhiye." Kwenziwa ngokwenza izimbobo ezimbalwa ezincane esiswini bese kufakwa ikhamera (i-laparoscope) kanye nezinsimbi ezithambile. Akubuhlungu kakhulu, futhi amanxeba aphola ngokushesha. |
| Ukuhlinzwa kwe-Ostomy | Lokhu kwenziwa lapho ingxenye yamathumbu isusiwe futhi izingxenye ezisele eziphilile zingenakuxhunywa ngesikhathi esisodwa. Lokhu kuhilela ukudala isikhala sesikhashana esikhumbeni sesisu ukuze indle idlule. |
Ulwazi oluthe xaxa mayelana nokuhlinzwa kwe-Ostomy
Ungesabi uma uzwa lokhu. Cabanga ngakho njengokwakha umgwaqo, ukudala okwesikhashana indlela ehlukile ukuze izimoto zidlule kuyo. Kwenzeka into efanayo lapha. Le ndlela yesikhashana yakhiwa ukuvimba indle ukuthi ingadluli endaweni lapho kwenziwa khona ukuhlinzwa kwamathumbu kuze kube yilapho iphola.
- I-Colostomy: Ingxenye yamathumbu amakhulu ixhunywe esikhumbeni sesisu, okwenza kube nomgodi. Indle iphuma ngayo bese iqoqana esikhwameni (isikhwama se-colostomy) esinamathiselwe esiswini.
- Ileostomy: Lo mgodi wenziwa kusetshenziswa ingxenye yamathumbu amancane (ileum).
Into ebalulekile ukuthi lokhu kuhlinzwa kwe-ostomy kuvame ukuba okwesikhashana . Ezinyangeni ezimbalwa, ngemva kokuba amanxeba angaphakathi esepholile, kungenziwa okunye ukuhlinzwa okuncane ukuze kuvalwe isikhala futhi kubuyiselwe ukunyakaza okuvamile kwamathumbu.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Kuzodingeka wenze amalungiselelo ngaphambi kokuhlinzwa. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ngokuvamile, lezi zinto ziyenzeka.
- Ukuskena okwengeziwe: Ungase ucelwe ukuthi wenze ukuskena kwe-computed tomography (CT) noma okunye ukuhlolwa okukhethekile kwe-X-ray .
- Ukuhlolwa kwempilo: Kungase kudingeke ukuthi uhlolwe igazi, i-colonoscopy , i-EKG , njll. Ungaphinde uhlangane nethimba le-anesthesia.
- Ukulungiselela Amathumbu: Lena yingxenye enzima kakhulu. Uzocelwa ukuthi uyeke ukudla amahora ambalwa ngaphambi kokuhlinzwa bese uphuza kuphela uketshezi olufana namanzi nesobho. Uzophinde unikezwe umuthi okhethekile wokuhlanza amathumbu akho ngokuphelele.
Kwenzekani ngesikhathi sokuhlinzwa?
Kuzo zonke lezi zihlinzeko, unikezwa i-anesthesia ngokuphelele (i-anesthesia ejwayelekile), okusho ukuthi awuzwa lutho, ulele.
1. Udokotela wenza ukusika okukhulu okukodwa ekuhlinzeni okuvulekile, noma ukusika okuncane okuningana ekuhlinzeni kwe-laparoscopic ukuze kufinyelelwe emathunjini amakhulu.
2. Bese kususwa ingxenye yamathumbu enesifo ene-diverticulitis .
3. Izingxenye ezimbili zamathumbu eziphilile zixhunyaniswa kabusha kusetshenziswa ama-staple noma ama-suture.
4. Uma kudingeka, kwenziwa i-ostomy ukuze kuxhunywe ingxenye yamathumbu esikhumbeni.
5. Ekugcineni, imivimbo eyenziwe esiswini iyavalwa.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amathathu kuya kwamane , kodwa lesi sikhathi singahluka kuye ngesimo sakho kanye nohlobo lokuhlinzwa okwenziwayo.
Kwenzekani ngemva kokuhlinzwa? Futhi kuthatha isikhathi esingakanani ukululama?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Lokhu kuzoncika ekutheni ululama ngokushesha kangakanani. Phakathi nalesi sikhathi:
- Ukudla Neziphuzo: Emasontweni ambalwa okuqala, kuzodingeka udle ukudla okune-fiber encane, okulula, okumanzi njengephalishi nesobho. Ngemva kwenyanga, ungadla noma yini oyithandayo.
- Ukuzivocavoca nokuphakamisa izinsimbi: Kufanele ugweme ukuphakamisa izinsimbi amasonto ayi-6-8 .
- Ukushayela: Uzokwazi ukushayela imoto kuphela uma usuyekile ukuthatha imithi yobuhlungu.
- Ukunakekelwa kwenxeba: Abasebenzi abahlengikazi bazokufundisa indlela yokunakekela inxeba lakho. Uma une-ostomy, bazokufundisa nendlela yokusebenzisa isikhwama.
Kungathatha izinyanga eziningana ukululama ngokuphelele. Kubaluleke kakhulu ukubekezela.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Ukuvuza kwe-anastomotic, ukopha, noma ukutheleleka kwenxeba kungenzeka. Kodwa-ke, lokhu akuvamile kakhulu. Lokhu kuhlinzwa kuphumelele kakhulu , futhi cishe ama-98% eziguli awaphinde abe ne-diverticulitis.
Uzophinde ubone nini udokotela wakho
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemuva kokubuya ekhaya evela ekuhlinzweni, kufanele ushayele udokotela wakho ucingo ngokushesha :
- Ubuhlungu obukhulu besisu obungapheli ngisho nangemva kokuthatha imithi futhi buqhubeka buba bubi kakhulu.
- Ukungakwazi ukuphuma ngendle.
- Izimpawu zokutheleleka, njengokuvuvukala, ukubomvu, umkhuhlane, noma ukuhlanza eduze kwesilonda.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Diverticulitis kuyindlela yokwelapha ephumelela kakhulu ezimweni ezinzima neziphindaphindayo ezingenakulawulwa ngemithi.
- Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa: okuvulekile kanye ne-laparoscopic (umgodi okhiye). Udokotela wakho uzonquma ukuthi yikuphi okungcono kakhulu kuwe.
- Ngezinye izikhathi kungadalwa imbobo yesikhashana (i-ostomy) ukuze kuvunyelwe indle ukuthi idlule. Lokhu kuvame ukuba okwesikhashana, ngakho ungakhathazeki.
- Kuthatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba ongase ube nakho ngaphambi kokuhlinzwa.
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