Ingabe udokotela wakho ukutshelile ukuthi unokukhula okuncane okungavamile kwezicubu emathunjini akho, esiswini, noma emhubheni, noma ukuthi unesifo somdlavuza? Kuvamile kakhulu ukuzizwa wesaba kakhulu futhi ushaqekile uma uzwa into efana nale. Kodwa ungakhathazeki. Kunezindlela ezilula kakhulu, zesimanje kwezokwelapha namuhla ezingadingi ukuhlinzwa okukhulu njengokusika isisu njengasesikhathini esidlule. Yileyo ndlela esikhuluma ngayo ngendlela ekhethekile ezokulethela ukululama okusheshayo.
Kuyini ukususwa kwe-Endoscopic Mucosal?
Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, inqubo empeleni ilula kakhulu. Kalula nje, inqubo esusa izicubu ezingavamile endleleni yakho yokugaya ukudla, njengezigaxa ezincane, ama-polyps, noma izigaba zokuqala zomdlavuza, ngaphandle kokwenza i-incision esiswini sakho.
Cabanga nje, akukho zimbobo noma izibazi ezisele esiswini sakho. Lokhu kwenziwa udokotela wezifo zamathumbu. Usebenzisa ikhamera encane ekugcineni kwepayipi elide neliguquguqukayo elibizwa ngokuthi i-endoscope. Uma izicubu ezingavamile zisesifubeni sakho noma esiswini, ipayipi lifakwa ngomlomo wakho. Ngaphandle kwalokho, uma lisengxenyeni engezansi yamathumbu akho, njengamathumbu amakhulu, lifakwa nge-anus yakho.
Inzuzo enkulu yale ndlela ukuthi njengoba kungekho zimbobo ezenziwa ngaphandle komzimba, uzozwa ubuhlungu obuncane kakhulu futhi isikhathi sakho sokululama sizoba sifushane kakhulu kunokuhlinzwa okuvamile.
Yiziphi izinhlobo zezimo le ndlela esetshenziselwa zona?
Lokhu kwelashwa kusetshenziselwa kakhulu ukususa amangqamuzana angaphambi komdlavuza noma izicubu ezingavamile ezingaba umdlavuza esikhathini esizayo . Kusebenza kahle kakhulu ezimila ezikhula ku-mucosa, ulwelwesi oluncane lomgudu wokugaya ukudla.
Nazi ezinye zezindlela ezivame kakhulu zokusebenzisa le ndlela:
- Umphimbo kaBarrett: Kulesi simo, amangqamuzana asemlonyeni ashintsha ngendlela engavamile, okwandisa ingozi yokuba nomdlavuza.
- Umdlavuza we-Colorectal: Amaqhubu amancane anomdlavuza atholakala esiteji sokuqala.
- Umdlavuza we-Esophageal: Umdlavuza wesigaba sokuqala.
- Umdlavuza wamathumbu amancane: Umdlavuza owenzeka ikakhulukazi e-duodenum.
- Umdlavuza wesisu: Izimila ezincane ezakheka ebusweni besisu.
Izinto okufanele uzazi ngaphambi nangemva kokwelashwa
Umnikelo wakho ngaphambi nangemva kokwelashwa okunje nawo ubaluleke kakhulu.
Ukulungiselela ngaphambi kokwelashwa
Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungakulungiselela kanjani lokhu.
- Engxenyeni engenhla yomgudu wokugaya ukudla (ipayipi lokudla, isisu): Uzocelwa ukuthi uyeke ngokuphelele ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa (ukuzila ukudla).
- Uma kusengxenyeni engezansi yomgudu wokugaya ukudla (amathumbu amakhulu): Kungase kudingeke ukuthi ulungiselele amathumbu. Lokhu kuhilela ukuphuza umuthi owuketshezi udokotela wakho azokunika wona ukuze ahlanze amathumbu akho ngokuphelele. Yilapho udokotela ekwazi ukubona khona ingaphakathi ngokucacile nge-endoscope.
Ngesikhathi sokwelashwa
Uzonikezwa i-anesthesia ukuze ungezwa ubuhlungu noma ukungakhululeki. Ungase ulaliswe (i-anesthesia ejwayelekile) , noma ungase ulaliswe ukuze ungakhumbuli lutho ngemva kwalokho (i-conscious sedation) . Udokotela uzofaka i-endoscope, abuke indawo ngekhamera, bese esebenzisa amathuluzi amancane kakhulu adluliswa kuyo ukuze asuse izicubu ezingavamile. Yonke inqubo ivame ukuthatha imizuzu engama-30 kuya kwengama-60 kuphela.
Ngemva kokwelashwa
Ngemva kokwelashwa, uzogcinwa egumbini lokululama kuze kube yilapho imiphumela yokubulala izinzwa iphela. Okubaluleke kakhulu, uzodinga umuntu ozokuthatha akuyise ekhaya. Ngenxa yokuthi kungathatha amahora angama-24 ukuthi imiphumela yokubulala izinzwa iphele ngokuphelele, ngeke uvunyelwe ukushayela noma ukuya ekhaya wedwa.
Yiziphi izinzuzo kanye nemiphumela engemihle engaba khona?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezingase zenzeke ezimweni ezingavamile. Ake sibheke kokubili.
| Izinzuzo eziyinhloko | Imiphumela emibi kanye nezingozi ezingaba khona |
|---|---|
| Ukululama okusheshayo kakhulu (ungabuyela emsebenzini cishe ngosuku olulodwa) | Ukungakhululeki kwesikhashana njengokuqunjelwa, ukuqaqamba kwamalunga, njll. |
| Ubuhlungu buncane kakhulu kunokuhlinzwa okuvamile. | Igesi, isicanucanu, umphimbo obuhlungu (uma i-endoscope ifakwa ngomlomo). |
| Akukho zibazi zokuhlinzwa ezishiywe ngaphandle komzimba. | Akuvamile: Ukopha okuvela endaweni yokwelashwa. |
| Ingozi yezinkinga iphansi kunangesikhathi sokuhlinzwa okuvulekile. | Akuvamile kakhulu: Ukubhoboka kwesisu. |
| Amaseli omdlavuza angasuswa ngaphambi kokuba asakazeke (abe esesakazeka) kwezinye izingxenye zomzimba. | Akuvamile kakhulu: Ukuqina komlomo wesibeletho. |
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Kubaluleke kakhulu ukunakekela umzimba wakho ngemva kokuya ekhaya ngemva kokwelashwa. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, ungalibali bese ushayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma unegazi esithweni sakho (esimnyama noma esibomvu ngokumnyama)
- Uma unezinhlungu zesifuba ezinzima
- Uma uzizwa unesizungu noma uphelelwa amandla
- Uma unomkhuhlane noma ukubanda
- Uma unenkinga yokuphefumula (ukuphelelwa umoya)
Kungokwemvelo ukuzizwa wesaba uma uzwa igama elithi 'umdlavuza'. Kodwa ngenxa yezinqubo zezokwelapha zesimanje ezifana ne-Endoscopic Mucosal Resection, manje usungakwazi ukususa izimila ezincane kanye nokukhula okungaphambi komdlavuza ngaphandle kokungakhululeki kokuhlinzwa okukhulu. Lokhu akuyona indlela enkulu yokuhlinzwa. Ngakho-ke ungalulama ngokushesha, ubuyele empilweni yakho evamile ngaphandle kobuhlungu, futhi ubuyele empilweni yakho evamile ngokushesha. Uma unesifo esifanayo, khuluma nodokotela wakho ngale ndlela yokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa Kwama-Mucosal Endoscopic kuyindlela elula kakhulu nephephile yokususa izicubu ezingavamile emgudwini wokugaya ukudla ngaphandle kokwenza i-incision ngaphandle komzimba.
- Lokhu kusetshenziselwa kakhulu ukususa izigaxa ezincane namaseli angaba umdlavuza ezigabeni zokuqala zomdlavuza.
- Uma kuqhathaniswa nokuhlinzwa okuvamile, ubuhlungu buncane kakhulu, ukululama kuyashesha, futhi azikho izibazi emzimbeni.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (isib. ukuzila ukudla, ukuhlanza amathumbu) ngaphambi nje kokwelashwa.
- Uma uzwa izimpawu ezinzima njengobuhlungu besifuba, igazi esitulweni sakho, noma umkhuhlane ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
- Xoxa nodokotela wakho wezifo zamathumbu ukuthi le ndlela yokwelapha ikufanele yini.
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