Ingabe udokotela wakho ukutshelile ukuthi udinga ukususa iqhubu elincane, isilonda, noma amangqamuzana angajwayelekile esinyeni sakho usebenzisa ugesi? Kungenzeka ukuthi wesaba kancane lapho uzwa lokhu kubizwa ngokuthi 'i-Fulguration'. Ubani ongeke esabe uma ethi "ukushisa ngogesi", akunjalo? Kodwa empeleni lokhu akukho okufanele ukwesabe. Lokhu ukwelashwa okuthuthukisiwe okwenziwa ngendlela elawulwa kakhulu nephephile ngaphandle kokwenza i-incision enkulu njengokuhlinzwa. Ngakho-ke ake sixoxe ngalokhu ngqo, kalula, futhi sixazulule yonke imibuzo onayo engqondweni.
Kalula nje, kuyini i-Fulguration?
Cabanga ngendlela umbani oshaya ngayo isibhakabhaka, udale ukukhanya nokushisa. Igama elithi fulguration livela egameni lesiLatini elisho "ukushaya ngombani." Kodwa lokhu akuyingozi njengombani.
Kalula nje, le ndlela ihilela udokotela wezifo zomchamo esebenzisa idivayisi ekhethekile ukudala inhlansi kagesi encane kakhulu, elawulwayo. Le divayisi ayifakwa ngqo esikhumbeni sakho. Kunalokho, inhlansi kagesi idlula emoyeni phakathi kwedivayisi nezicubu eziphathwayo, ibhubhise amangqamuzana angavamile. Ngamanye amazwi, iyashisa, iphule, futhi isuse lawo maseli.
Ukushisa okukhiqizwa ngale ndlela kuthinta kuphela izingqimba ezingaphezulu zesikhumba noma udonga lwesinye. Ngakho-ke, akukho monakalo ezithweni ezibalulekile noma ezicutshini ezijulile ngaphakathi. Futhi, le ndlela ingamisa ukopha.
Ngokuvamile, uma udokotela wakho ekuncomele lokhu kwelashwa, kuyadingeka ngokwezokwelapha. Esibhedlela sikahulumeni, akukho mali eyengeziwe. Esibhedlela esizimele, umshwalense wakho uzokhokhela lokhu. Udokotela wakho kanye nabasebenzi besibhedlela bazokwazisa ngalokhu.
Kungani ufuna ukwenza lokhu kwelashwa kwe-Fulguration?
Lokhu kwelashwa kusetshenziselwa ukwelapha izifo ezahlukahlukene zesinye. Kuyindlela ephumelela kakhulu yokubhubhisa amangqamuzana anomdlavuza, amangqamuzana angaphambi komdlavuza, kanye nezimila ezingenabungozi.
| Isimo sezokwelapha | I-Fulguration isisiza kanjani? |
|---|---|
| Umdlavuza Wesinye | Ukuhlinzwa okubizwa ngokuthi i-TURBT (Transurethral Resection of Bladder Tumor) kwenziwa ukuze kutholakale futhi kwelashwe umdlavuza ongakasabalali uye emisipheni yesinye. I-Fulguration isetshenziselwa ukususa amangqamuzana omdlavuza nokuvimba ukopha. |
| I-Interstitial Cystitis | Lokhu kubangela ukuthi izindonga zesinyi zivuvuke futhi zibe buhlungu. Ungase futhi uzwe igazi emchameni wakho. Le nqubo isiza ekunciphiseni izimpawu ngokususa izicubu ezibuhlungu kanye nezilonda ezakheka ngenxa yalesi simo. |
| Ama-polyp esinyini | Lezi yizigaxa ezincane, ezingezona ezomdlavuza. Zingabangela ubuhlungu nesidingo sokuchama njalo. Ukuhlanza kungasusa kalula lezi zigaxa. |
| Ama-UTI aphindaphindayo | Lokhu kwelashwa kungasetshenziswa ukunciphisa ingozi yokutheleleka, ikakhulukazi kwabesifazane abanezifo ezingapheli zomgudu womchamo ezingenakulawuleka ngama-antibiotic, ikakhulukazi ngemva kokunqamuka kokuya esikhathini. |
| I-Diverticula yesinye | Lezi yizikhwama ezincane ezakheka odongeni lwesinye. Lezi zingenza kube nzima ukukhipha konke esinyini futhi kubangele ukungakhululeki. I-Fulguration nayo isetshenziselwa ukususa lezi zikhwama. |
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Lokhu kuyindlela yokwelapha engadingi ukungenelela okuningi, ngakho-ke akukho okufanele ukhathazeke ngakho.
Yazi lezi zinto ngaphambi kokwelashwa
Udokotela wakho uzokunikeza iseluleko osidingayo, kodwa ungabuza futhi ucacise lezi zinto:
- Ingabe kukhona isikhathi lapho kudingeka ngiyeke ukudla nokuphuza ngaphambi kokwelashwa ?
- Ingabe kudingeka ngiyeke ukuthatha noma yimiphi imithi engivame ukuyithatha?
- Ngingaya ekhaya ngalolo suku ngemva kokwelashwa, noma kuzodingeka ngihlale esibhedlela?
- NgipheUhlobo luni lokubulala izinzwa olusetshenziswayo? (Ingabe luqeda amandla wonke umzimba, noma indawo nje?)
- Udinga umuntu ozokuthatha akuyise ekhaya?
Ngesikhathi sokwelashwa
Uzokwenziwa le nqubo egumbini lokuhlinza. Uma unikezwa i-anesthesia ejwayelekile, ngeke uzwe lutho, uzobe ulele. Ngezinye izikhathi unganikezwa ne-anesthesia yendawo ukuze uqede indawo kuphela.
1. Okokuqala, udokotela ufaka idivayisi ebizwa ngokuthi i-cystoscope nge-urethra yakho. Lena yipayipi elide, elincane elinekhamera kanye nokukhanya. Lokhu kukuvumela ukuthi ubone ngaphakathi kwesinye sakho.
2. Bese kuba khona izindawo lapho kutholakala khona izicubu ezingavamile, amaqhubu, noma izilonda.
3. Manje, kusetshenziswa enye ithuluzi elibizwa ngokuthi i-resectoscope . Yilapho ugesi olawulwayo uthunyelwa khona ngeluphu encane yocingo.
4. Le nhlansi kagesi ibhubhisa izicubu ezingavamile. Iphinde ivale imithambo yegazi ebucayi kuleyo ndawo, imise ukopha.
Isikhathi esithathayo kulo lonke lolu hlelo sincike enanini lezicubu okufanele zisuswe. Nakuba kungathatha imizuzu emi-5 ukubhubhisa iqhubu elincane, kungathatha noma yikuphi kusukela kumaminithi angu-15 kuya kwangu-90 uma kwenziwa ngenqubo yokuhlinzwa efana ne-TURBT.
Isikhathi sokululama kanye nemiphumela emibi ngemva kokwelashwa
Isikhathi sokululama siyahlukahluka kuye ngohlobo lomzimba wakho kanye nobukhulu bokwelashwa.
Imiphumela emibi engaba khona
Ezinye noma zonke lezi zinto zingase zenzeke, kodwa ngokuvamile ziyaphela zingakapheli izinsuku ezimbalwa.
- Igazi elincane emchameni wakho: Umchamo wakho ungase uphenduke upinki noma ubomvu izinsuku ezimbalwa. Lokhu kuvamile.
- Ukushisa noma ubuhlungu lapho uchama: Lokhu kuzophela futhi ezinsukwini ezimbalwa. Udokotela uzokunikeza imithi edingekayo yalokhu.
- Ukuchama njalo: Lokhu kungenzeka ngoba isinye sesibe nomuzwa omncane. Lokhu kuzophela nangemva kwezinsuku ezimbalwa.
- Ukuqaqamba kwesinyi: Lokhu futhi kungokwesikhashana.
- Ukutheleleka ngomgudu womchamo (UTI): Umkhuhlane, umuzwa wokushisa lapho uchama, kanye nomchamo onephunga elibi noma onamafu kungaba izimpawu zokutheleleka. Uma kunjalo, yazisa udokotela wakho ngokushesha.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lena inqubo efana nendlela imizimba yethu ephulukisa ngayo lapho sisha endaweni ethile. Njengoba nje uqweqwe luvela phezu kokusha, luyaxebuka bese kukhula isikhumba esisha, ingaphakathi lesinye liyaphola ngendlela efanayo.
Isilonda esingaphakathi emzimbeni futhi esisezindaweni ezimanzi sithatha isikhathi eside ukuphola kunesilonda esivulekile. Ngokuvamile kungathatha izinsuku ezi-5-7 noma amasonto amabili ukuphola ngokugcwele.
Phakathi nalesi sikhathiKubaluleke kakhulu ukuthola ukuphumula okwanele. Gwema ukuphakamisa izinto ezisindayo kanye nokuzivocavoca okunzima. Lokhu kuzonikeza isinyi isikhathi sokuphola futhi kunciphise ingozi yokopha kamuva.
Nakani lezi zimpawu!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kungaba uphawu lokutheleleka noma olunye uhlobo lwenkinga. Shayela udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Umkhuhlane (ngaphezu kuka-101°F / 38.3°C)
- Ukopha okukhulu okungenakuvinjelwa (uma umchamo ubomvu ngokumnyama futhi unamahlule)
- Ubuhlungu obukhulu besisu
Ingabe zikhona izingozi kulokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezincane kakhulu. Kodwa-ke, ngenxa yokuthi uchwepheshe wakho uqeqeshwe ukunciphisa lezi zingozi, imiphumela emibi emibi ayivamile kakhulu.
- Ukusabela ekubulaweni yizinzwa: Abanye abantu bangase babe nesicanucanu nokuhlanza ngenxa yokubulawa yizinzwa.
- Ukulimala kwezicubu: Akuvamile kakhulu, idivayisi ingabangela umonakalo omncane esinyeni noma e-urethra.
- Ukubhoboka kwesinye: Lokhu akuvamile kakhulu. Uma kwenzeka, ungase udinge olunye ukuhlinzwa ukuze kulungiswe .
- Ukutheleleka: Le ngozi iphansi kakhulu ngoba zonke izinyathelo ezidingekayo zithathwa ukuvimbela ukutheleleka egumbini lokuhlinza.
Udokotela wakho uzokunakekela konke lokhu futhi aqinisekise ukuphepha kwakho okuphezulu. Ngakho-ke ungesabi ngokungadingekile ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala kwe-Bladder kuyindlela yokwelapha ephephile nephumelelayo esebenzisa inhlansi kagesi ukususa izicubu ezingavamile, amaqhubu, noma izilonda esinyeni.
- Lokhu kwenziwa ngaphandle kokusikwa okukhulu, ngakho-ke isikhathi sokuphulukiswa sifushane.
- Lokhu kwelashwa kusetshenziselwa izifo eziningana, njengomdlavuza wesinyi, i-interstitial cystitis, kanye nokutheleleka kwe-urinary tract okuphindaphindiwe.
- Kujwayelekile ukuzwa igazi elithile emchameni kanye nokusha ngemva kokwelashwa. Lokhu kuzophela ezinsukwini ezimbalwa.
- Funa iseluleko sezokwelapha ngokushesha uma unomkhuhlane ophakeme, ukopha okukhulu, noma ubuhlungu obukhulu.
- Ukulandela imiyalelo kadokotela ngemva kokwelashwa nokuphumula ngokwanele kubalulekile ukuze ululame ngokushesha.
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