Uma uya kudokotela ukuze asuse i-mole encane noma isimila esikhumbeni sakho, kungenzeka ukuthi umbone 'esiklwebha' ngethuluzi elincane. Ngaleso sikhathi, ungase uzwe iphunga elincane lentuthu kanye nephunga elivuthayo. Abantu abaningi bacabanga ukuthi lokhu ukwelashwa nge-laser. Kodwa empeleni kuyindlela ekhethekile yokwelapha esebenzisa ugesi. Lokhu sikubiza ngokuthi ukuhlinzwa kwe-electro. Nakuba igama lingase lizwakale liyesabeka kancane, lokhu ubuchwepheshe bezokwelapha obuphephile kakhulu futhi obuthuthukisiwe. Namuhla, sizokhuluma ngakho kalula.
Kalula nje, kuyini ukuhlinzwa ngogesi?
Ukuhlinzwa nge-electrosurgery kumane nje kuyindlela yokusebenzisa ugesi olawulwayo ukwenza ukuhlinzwa. Kungafeza izinto ezintathu eziyinhloko:
1. Ukusika: Le ndlela isetshenziselwa ukusika izicubu, njengommese wokuhlinzwa.
2. Ukubhubhisa izicubu: Kusetshenziselwa ukubhubhisa ukukhula okungafuneki esikhumbeni, njenge-mole.
3. Ukuvimba ukopha: Lokhu kusetshenziselwa ukuvimba ukopha ngokushesha 'ngokuvala' umthambo wegazi ophuma igazi ngenxa yokusikeka.
Kukhona umshini okhethekile obizwa ngokuthi i-Electrosurgical Unit (ESU) walo mgomo. Ugesi ovela kulo mshini uxhunywe kudivayisi encane ebizwa ngokuthi i-electrode esetshenziswa udokotela. Uma le electrode ibekwe eduze kwendawo yakho yokwelapha (isibonelo, ikhwapha lakho), ukushisa okukhulu okubangelwa ugesi kuyabhubhisa noma kusike izicubu okukhulunywa ngazo.
Cabanga ngakho, umonakalo odalwa yilokhu empeleni ukwelapha umonakalo. Okusho ukuthi, kususa izinto ezingadingekile, kumise ukopha, futhi kusiza umzimba ukuba ululame.
Yiziphi izindlela ezahlukene zokwelapha lokhu?
Le ndlela yokuhlinzwa ngogesi ayenziwa ngendlela eyodwa kuphela. Kunezindlela ezahlukahlukene ezisetshenziswayo kuye ngesidingo. Ake sibheke lezi ngale ndlela ukuze kube lula ukuziqonda.
| Igama lendlela | Yenziwa kanjani futhi isetshenziselwani? |
|---|---|
| Ukushintshashintsha kwe-electrofulguration | Lapha, i-electrode kufanele ibekwe ngqo esikhumbeni.Cha. Kudala inhlansi kagesi ngokuyibeka ngamamilimitha ambalwa ngaphezu kwesikhumba. Lokhu kushintsha kuphela ungqimba oluphezulu lwesikhumba. |
| Ukuhlanza ngogesi | Lapha, i-electrode ibekwa ngqo endaweni ephathwayo. Ugesi udlula ezicutshini bese 'uyomisa'. Le ndlela ivame ukusetshenziswa ukususa amaqhubu. |
| Ukwakheka kwe-electrocoagulation | Lokhu kungabangela umonakalo othile ezicutshini ezijulile. Ngokuyinhloko kukhuthaza ukujiya kwegazi futhi kumise ukopha. |
| Ukususwa Kwama-Electro | Lokhu kuvumela ukusika izicubu ngendlela enembile kakhulu . Kungaba lula njengokusika ucezu lwebhotela ngommese oshisayo, ukopha okuncane. |
Ingabe i-electrocautery ihlukile?
Yebo, kunomehluko omncane. Abantu abaningi bayadida lokhu kokubili. Ezindleleni ezingenhla, ugesi udlula ezicutshini zomzimba. Kodwa ku-electrocautery, ugesi usetshenziselwa ukushisa kuphela isihloko se-electrode. Bese kuthi, isihloko esishisayo sifakwe ezicutshini ukuze kubhujiswe izicubu. Lapha, ugesi awudluli emzimbeni.
Yiziphi izimo ezisetshenziselwa ukuhlinzwa ngogesi?
Lobu buchwepheshe busetshenziswa emikhakheni eminingi yezokwelapha.
- Ngezifo zesikhumba: Lokhu kuvame ukusetshenziswa odokotela besikhumba. Kusebenza kahle kakhulu ekususeni izimila zesikhumba ezingalimazanga, amaqhubu, kanye namathegi esikhumba.
- Ngomdlavuza wesikhumba: Le ndlela isetshenziswa futhi ekwelapheni ezinye izinhlobo zomdlavuza wesikhumba, njenge-basal cell carcinoma kanye ne-squamous cell carcinoma. Lokhu kuhilela kuqala ukukhuhla ungqimba lomdlavuza ngethuluzi elibukhali (i-curettage), bese kuba ukuhlinzwa ngogesi ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele.
- Okunye ukuhlinzwa: Le ndlela isetshenziswa ekuhlinzeni okufana ne-endoscopy (kusetshenziswa ikhamera ukubheka ngaphakathi emzimbeni) ukususa izimila ezincane nama-polyp emzimbeni kanye nokuvimba ukopha.
Kwenzekani ngempela ngesikhathi sokwelashwa?
Okokuqala, unikezwa i-anesthesia ukuze uvale indawo ukuze ungezwa ubuhlungu. Okwenzekayo ngokulandelayo kuncike endleleni esetshenzisiwe. Kunezindlela ezimbili eziyinhloko.
Indlela ye-Monopolar
Lena yindlela evame ukusetshenziswa kakhulu. Igama elithi "Mono" lisho "okukodwa". Lokhu kusho ukuthi kufakwa ithiphu elilodwa kuphela le-electrode emzimbeni wakho.
- Ugesi ovela emshinini we-ESU ufika ku-electrode esebenzayo.
- Uma le electrode ithintwa endaweni yokwelapha, ugesi uhamba ngezicubu zomzimba wakho.
- Ugesi ube usuya ku-electrode engasebenzi (i-electrode ehlakazayo) enamathiselwe kwenye ingxenye yomzimba. Lokhu kufana "nepuleti lomhlaba." Lokhu kungaba yiphedi onamathela ethangeni lakho.
- Ekugcineni, ugesi ovela kuleyo electrode engasebenzi ubuyela emshinini we-ESU, uqedela isekethe.
Indlela ye-Bipolar
Igama elithi "Bi" lisho "ezimbili." Lapha, kufakwe amathiphu amabili e-electrode emzimbeni wakho. Cabanga ngakho njengedivayisi efana ne-forceps. Ugesi ungena ohlangothini olulodwa bese uphuma kolunye.
- Ugesi ovela emshinini we-ESU ufika ku-electrode esebenzayo.
- Ugesi uhamba ngezicubu bese uya ku-electrode ngakolunye uhlangothi lomgodi ofanayo.
- Ugesi awuhambi ibanga elide emzimbeni, uhamba nje phakathi kwezinhlangothi ezimbili zenaliti bese ubuyela emshinini we-ESU. Lokhu kusetshenziselwa ukuhlinzwa okubucayi kakhulu .
Yiziphi izinzuzo zale ndlela yokwelapha?
Le ndlela inezinzuzo eziningana kunokusika ngommese ojwayelekile wokuhlinzwa.
- Kunomonakalo omncane kakhulu ezicutshini ezizungezile, futhi indawo eqondiwe kuphela engelashwa.
- Ukushaqeka akuvamile kakhulu .
- Ingabhubhisa ngokushesha izicubu (ezingenasici).
- Ukopha kungamiswa ngokushesha. Lokhu kungenye yezinzuzo ezinkulu.
Uma le ndlela isetshenziswa umdlavuza wesikhumba, kunezinga eliphezulu lokuphulukiswa elingu-90% - 95%.
Ingabe kukhona izingozi kulokhu?
Ukuhlinzwa nge-electrosurgery kuyindlela ephephile kakhulu uma yenziwa udokotela onolwazi. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Ake sibheke ukuthi odokotela benzani ukuze bazivimbele.
| Ingozi | Yini odokotela abayenzayo ukuze bayivimbele? |
|---|---|
| Ukusha | Uma amandla kagesi ephezulu kakhulu, kungenzeka ukusha. Odokotela bahlala bekuvimbela lokhu ngokuqala ngamandla aphansi kakhulu adingekayo bese besebenzisa izilungiselelo ezifanele. |
| Ukushaqeka kukagesi | Le ngozi ikhona uma ugesi ungafakwanga kahle. Ithimba lezokwelapha liyaqaphela kakhulu ngalokhu futhi liqinisekisa ukuthi imishini ifakwe kahle. |
| Izifo | Amagciwane angasakazeka ngokusebenzisa imishini engahlanzwanga. Futhi, intuthu ekhiqizwa ngesikhathi sokwelashwa ingasakaza amagciwane. Ngenxa yalesi sizathu, odokotela basebenzisa njalo imishini ehlanzwanga futhi benza lokhu kwelashwa emakamelweni anomoya wokungenisa intuthu. |
| Ukushintsha kombala wesikhumba (i-Hypopigmentation) | Ngemva kokwelashwa okujulile, isikhumba kuleyo ndawo singase sibe lula kancane kunesikhumba esizungezile. Uma kukhona ingozi, udokotela wakho uzokwazisa ngalokhu ngaphambi kokwelashwa. |
| Imiphumela kumadivayisi afakwe emzimbeni | Abantu abanamadivayisi afakwe njenge-pacemakers kanye ne-defibrillators bangase bathintwe yilo gesi. Uma unedivayisi enjalo, kufanele utshele udokotela wakho ngayo. Uzobe esethatha izinyathelo zokuphepha ezidingekayo. |
Kuzothatha isikhathi esingakanani ukuphulukiswa? Kufanele ngibone nini udokotela?
Isikhathi sokuphulukiswa sincike ekujuleni kokwelashwa.
- Uma iqhubu elincane noma into efana nensumpa isuswa esikhumbeni, kuzothatha cishe isonto ukuthi inxeba liphole.Ungahamba.
- Uma kuyinxeba elijulile, kungathatha amasonto amabili kuya kwamane noma ngaphezulu.
Udokotela uzochaza isikhathi sokululama ngokusekelwe esimweni sakho.
Ukushayela nini udokotela wakho ucingo:
Uma, ngemva kokwelashwa kwesikhumba, ucindezele inxeba imizuzu engama-20 futhi ukopha kungayeki , kufanele nakanjani ushayele udokotela wakho ucingo. Futhi, uma inxeba libonisa izimpawu zokutheleleka (njengokubomvu, ukuvuvukala, ubomvu) futhi lingapholi njengoba kulindelekile, funa iseluleko sezokwelapha ngokushesha.
Ingabe lokhu kufana nokuhlinzwa nge-laser?
Cha. Lezi ubuchwepheshe obubili obuhlukene ngokuphelele.
- Ukuhlinzwa ngogesi kusebenzisa amandla kagesi .
- Ukuhlinzwa nge-laser kusebenzisa amandla okukhanya .
Nakuba zombili lezi zindlela zingasika, zibhubhise izicubu, futhi ziyeke ukopha, izimiso ezisebenza ngazo zihlukile.
Ekugcineni, ukuhlinzwa ngogesi kuyindlela ephephile nephumelelayo yokwelapha izimo ezahlukahlukene usebenzisa amandla okuphulukisa okushisa. Ungase ukwazi ukubona lokhu ngenkathi isimila sakho sisuswa. Ungase ungazi nokuthi le ndlela isetshenziswe ngoba ungaphansi kwe-anesthesia ngesikhathi senqubo enkulu, njenge-endoscopy. Kodwa-ke, khumbula ukuthi odokotela basebenza ngenkuthalo ukukugcina uphephile phakathi nalokhu kwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa ngogesi kuyindlela yokwelapha esebenzisa ugesi olawulwayo. Lokhu akuyona indlela yokwelapha nge-laser.
- Isetshenziselwa izinto eziningi, kusukela ekususeni uphawu lwesikhumba oluncane kuya ekumiseni ukopha ngesikhathi sokuhlinzwa okukhulu.
- Uma kwenziwa udokotela oqeqeshiwe nonolwazi, lena yindlela yokwelapha ephephile kakhulu .
- Uma unedivayisi efakwe emzimbeni wakho, njenge-pacemaker, qiniseka ukuthi utshela udokotela wakho ngayo ngaphambi kokwelashwa.
- Uma uzwa ukopha ngokweqile, izimpawu zokutheleleka, noma ukuphola okulibazisekile ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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