Ukwelashwa kwe-Fulguration: Funda ngendlela yokubhubhisa amaseli ngogesi

Uma udokotela wakho ekutshela ngokwelashwa okubizwa ngokuthi 'i-Fulguration', ungase uzizwe ungajwayelekile, mhlawumbe wesaba, akunjalo? Ubani ongeke esabe uma ethi 'ukushaqeka ngogesi'? Kodwa empeleni akwesabisi njengoba sicabanga. Kuyindlela yokwelapha ephephile kakhulu futhi ephumelelayo esetshenziselwa izifo eziningi. Namuhla, ake sixoxe ngokuthi iyini i-Fulguration nokuthi kwenzekani ngayo.

Kalula nje, kuyini i-Fulguration?

Cabanga ukuthi esikhundleni sokusika isikhumba ngommese wokuhlinzwa, sisebenzisa ugesi ukususa izingxenye zomzimba ezingafuneki. Yilokho okwenzekayo lapha. I-Fulguration uhlobo lokwelashwa olubizwa ngokuthi i-electrosurgery. Isebenzisa ugesi osebenza ngesivinini esiphezulu ukushisa nokubhubhisa amaseli angafuneki noma angajwayelekile emzimbeni wethu.

Udokotela usebenzisa idivayisi encane efana ne-probe. Ine-electrode ekugcineni. Uma le divayisi iqondisa amandla kagesi endaweni lapho amangqamuzana akhona khona, kudalwa inhlansi encane. Ukushisa okukhulu okubangelwa yileyo nhlansi kubhubhisa lawo maseli angafuneki. Ngezinye izikhathi le divayisi ingaba ne-wire loop encane ekugcineni. Ugesi uthunyelwa ngaleyo ndlela. Idivayisi esetshenziswayo izohluka kuye ngohlobo lokwelashwa olutholayo.

Yiziphi izimo ezisetshenziswayo ukwelashwa nge-Fulguration?

Lokhu kwelashwa kusetshenziswa ezindaweni eziningana ngenxa yezimo ezahlukahlukene. Kusebenza kahle kakhulu ekubhubhiseni izimila ezingengozini, amangqamuzana angaphambi komdlavuza, kanye namanye amangqamuzana omdlavuza. Ngezinye izikhathi kusetshenziselwa futhi ukuvimba ukopha ngemva kokuhlinzwa okuvamile.

Ngingalungiselela kanjani ngaphambi kwalokhu kwelashwa?

Indlela ozilungiselela ngayo lokhu izohluka kuye ngokwelashwa okutholayo. Ngakho into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngokuvamile, uzokutshela ngalokhu okulandelayo:

• Ukuzila Ukudla: Ingabe kufanele ngiyeke ukudla nokuphuza ngaphambi kokwelashwa, futhi uma kunjalo, isikhathi esingakanani?
• Imithi: Ingabe udinga ukuyeka okwesikhashana ukuthatha noma yimiphi imithi ovame ukuyithatha?
• Ukubuyela ekhaya: Ngingaya ekhaya ngosuku olufanayo nokwelashwa, noma kuzodingeka ngihlale esibhedlela?
• Ukushayela: Kungakhathaliseki ukuthi udinga umuntu ozokushayela ekhaya (lokhu kuncike ohlotsheni lwe-anesthesia olunikezwayo).

Kwenzekani ngesikhathi sokwelashwa?

Nakuba okwenzekayo kuyahlukahluka kancane kuye ngokwelashwa, lezi yizinyathelo ezijwayelekile.

1. Ukukulungiselela: Udokotela uzokubeka etafuleni lokuhlolwa bese ehlanza futhi alungiselele indawo okufanele ilashwe.

2. I-Anesthesia: Uzonikezwa i-anesthesia yendawo, yesifunda, noma ejwayelekile ukuze ungezwa ubuhlungu.

3. Ukususwa kweseli: Okulandelayo, udokotela uvula umshini obizwa ngokuthi i-electrosurgical generator. Yilokhu okudala ugesi osebenza ngesivinini esiphezulu. Bese, esebenzisa i-probe esikhulume ngayo ekuqaleni, uqondisa inhlansi emaselini aqondiwe, ashise futhi abhubhise lezo zicubu zeseli.

I-Fulguration (TURBT) yomdlavuza wesinyi

Ngesikhathi sokuhlinzwa komdlavuza wesinye, odokotela basebenzisa le ndlela:Njengengxenye yenqubo ebizwa ngokuthi i-Transurethral Resection of Bladder Tumor (TURBT), isimila esisesinyeni siyasikwa bese sisuswa kusetshenziswa idivayisi ebizwa ngokuthi i-resectoscope. I-Fulguration bese isetshenziswa ukubhubhisa ngokuphelele noma yimaphi amangqamuzana omdlavuza asele futhi kumiswe ukopha.

I-Fulguration (LEEP) yezinkinga zomlomo wesibeletho

I-Fulguration isetshenziselwa ukwelapha izimo ezifana ne-cervical dysplasia ngesikhathi senqubo ebizwa ngokuthi i-Loop Electrosurgical Excision Procedure (LEEP) . Kule nqubo, kufakwa i-speculum esithweni sangasese sowesifazane ukuze kuhlolwe umlomo wesibeletho. Ngemva kokuba umlomo wesibeletho usuphelelwe amandla, kudluliswa iluphu encane, eqhuba ugesi phezu kobuso bomlomo wesibeletho, isuse ungqimba oluncane lwamaseli angajwayelekile.

Yiziphi izinzuzo nezingozi zalokhu kwelashwa?

Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi ezithile.

Izinzuzo

• Lokhu kuyindlela yokwelapha engadingi ukusikwa okukhulu.
• Izimila zesikhumba kanye nama-warts ngokuvamile zingasuswa unomphela .
• Kulabo abahlushwa izifo zomgudu womchamo noma i-endometriosis, kunganikeza impumuzo ngokubhubhisa izicubu ezibangela izimpawu.
• Izigaba zokuqala zomdlavuza wesinye zingelapheka. (Kodwa-ke, ngezinye izikhathi izimila zingabuya.)

Izingozi

Kubalulekile ukukhumbula ukuthi lezi zingozi azivamile futhi odokotela baqeqeshwe ukuzivimbela.

• Ukopha okubambezelekile: Uma isilonda sesikhumba siqala ukopha, udokotela wakho angase akuncome ukufaka ingcindezi cishe imizuzu engama-20. Kujwayelekile ukuba negazi elithile emchameni wakho ngemva kokwelashwa kwesinye kanye nokopha okuthile kwesitho sangasese sowesifazane ngemva kokwelashwa komlomo wesibeletho.
• Ukushaqeka kukagesi noma umlilo: Le ngozi ikhona uma idivayisi ithinta into evuthayo. Odokotela bakhathazekile kakhulu ngalokhu.
• Ukusha: Abasebenzi bezokwelapha bazoqinisekisa ukuthi umzimba wakho awuthinti lutho oluyinsimbi ngesikhathi sokwelashwa.
• Ukutheleleka: Kukhona ingozi yokusabalalisa amagciwane ngentuthu yokuhlinzwa. Kodwa-ke, lokhu kungavinjelwa ngokusebenzisa izinhlelo zokususa intuthu, imaski yobuso, kanye nezivikelo zamehlo.

Kufanele ubonane nini nodokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokwelashwa, shayela udokotela wakho ngokushesha noma, uma kudingeka, uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

• Umkhuhlane ongaphezu kwama-degrees Fahrenheit angu-101 (38.3 Celsius).
• Ukopha ngokweqile noma okungajwayelekile okuvela endaweni elashwe kuyo.
• Ubuhlungu obukhulu esiswini.