Ingabe udokotela ukutshelile noma othile omaziyo ukuthi udinga ukuhlinzwa kwesibindi? Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma uzwa igama elithi 'ukususa ingxenye yesibindi'. Isibindi siyisitho esibaluleke kakhulu emzimbeni wethu. Kodwa uma usiqonda kahle , lokho kwesaba kungancishiswa kakhulu. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa, okususa ingxenye yesibindi, okubizwa ngokuthi 'i-hepatectomy', ngendlela elula kakhulu ongayiqonda.
Kalula nje, kuyini i-hepatectomy?
Ukususwa kwesibindi kuyindlela yokuhlinzwa esusa ingxenye egulayo noma sonke isibindi sakho. Into emangalisayo nenhle kakhulu ngalokhu ukuthi isibindi sethu sinekhono elimangalisayo lokuzivuselela . Uma ingxenye esele yesibindi sakho iphilile, noma ngabe ususa izingxenye ezimbili kwezintathu zaso, ingxenye esele ingakhula ibuyele kusayizi wayo wokuqala ngesikhathi esifushane. Akumangalisi lokho?
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Kunezizathu eziningana eziyinhloko zalokhu kuhlinzwa. Ngokuvamile, lokhu kuhlinzwa kwenziwa ukuze kususwe izimila ezivele esibindini. Ngezinye izikhathi, lokhu kuhlinzwa kwenziwa futhi ukuze kunikelwe ngengxenye yesibindi ukuze kusindiswe impilo yomunye umuntu.
| Isizathu | Incazelo elula |
|---|---|
| Izimila Ezinomdlavuza | Susa umdlavuza oqala esibindini (umdlavuza wesibindi oyinhloko), kanye nomdlavuza osakazekele esibindini usuka kwesinye isitho (isb., umdlavuza wamathumbu amakhulu) (umdlavuza wesibili/owe-metastatic). Izinhlobo ezivame kakhulu yi -Hepatocellular carcinoma kanye ne -Cholangiocarcinoma . |
| Amathumba Angewona Awemvelo | Lezi azizona izimila ezinomdlavuza, kodwa zisuswa ngoba zikhula ngobukhulu futhi zibangela ubuhlungu nokungakhululeki. Izibonelo zifaka phakathi i-Adenoma kanye ne-Liver Cysts (izimila ezigcwele uketshezi esibindini). |
| Amatshe enyongo esibindini | Uma amatshe evimba imisele yenyongo esibindini futhi ebangela ukutheleleka, leyo ngxenye iyasuswa. |
| Umnikeli Wesibindi Esiphilayo | Umuntu ophilile unikela ngengxenye yesibindi sakhe kumuntu odinga ukufakelwa isibindi. Ngemva kokuhlinzwa, zombili isibindi ziyakhula ziphinde zibe nobukhulu obugcwele. |
Kuyingozi kangakanani lokhu kuhlinzwa? Ingabe zikhona izingozi?
Uma ngikhuluma iqiniso, yebo. Lokhu kubhekwa njengokuhlinzwa okuyinkimbinkimbi futhi okunzima ngokobuchwepheshe . Isizathu esiyinhloko ukuthi isibindi siyisitho esinokunikezwa kwegazi okucebile. Ngakho-ke, ingozi yokopha ngesikhathi sokuhlinzwa iphezulu. Ngenxa yalesi sizathu, lokhu kuhlinzwa kwenziwa odokotela abahlinzayo abanokuqeqeshwa okukhethekile kanye nolwazi kulo mkhakha.
Izingozi zokuhlinzwa zincike kubukhulu bengxenye yesibindi esusiwe kanye nempilo yesibindi sakho iyonke.
- Ukususwa Okuncane: Uma kususwe ingxenye yesibindi, izingozi ziphansi. Lokhu kuvame ukwenziwa ngokusebenzisa ukuhlinzwa 'kwe-keyhole' (ukuhlinzwa kwe-laparoscopic) noma ukuhlinzwa kwerobhothi .
- Ukususwa Okukhulu: Uma kususwa ingxenye yesibindi, ukuhlinzwa kuba nzima kakhulu futhi kube yingozi.
Ngakho-ke, uma uzokwenza lolu hlobo lokuhlinzwa, kubaluleke kakhulu ukukhetha uchwepheshe onolwazi oluhle kanye nesibhedlela esinezikhungo .
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokukwenza ukuhlinzwa, udokotela uzohlola ngokucophelela izici eziningana.
Izinto udokotela azicabangayo
- Ingabe impilo yakho yomzimba inamandla ngokwanele ukumelana nokuhlinzwa okukhulu kangaka?
- Ingabe ikhona indawo esibindini lapho isimila singasuswa khona ngokuhlinzwa?
- Uma kungumdlavuza, ingabe ususakazekele kwezinye izindawo ezingaphandle kwesibindi?
- Ingabe ingxenye yesibindi esele ngemva kokuhlinzwa yanele ukuqhubeka nemisebenzi yomzimba?
Ukuqinisekisa lezi zinto, udokotela wakho uzokucela ukuthi wenze izivivinyo ezithile.
- Ukuhlolwa Kwezithombe: I -CT scan noma i-MRI scan .
- Ukuhlolwa kwegazi (Ukuhlolwa Kokusebenza Kwesibindi): Kala ukusebenza kwesibindi.
- Ukuhlolwa Kwesibindi: Ukuthatha ingcezu encane yezicubu esibindini ukuze ihlolwe.
Ngezinye izikhathi, ukwelashwa ngemisebe noma ngamakhemikhali kunganikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe ubukhulu bomdlavuza futhi kwenziwe ukuhlinzwa kube lula futhi kuphephe.
Yiziphi izindlela zokwenza ukuhlinzwa?
Kunezindlela ezimbili eziyinhloko: Ukuhlinzwa Okuvulekile kanye Nokuhlinzwa Okungangeni Kakhulu.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Okuvulekile | Ukuhlinzwa kwenziwa ngokuvula umgodi wesisu ngomsike owodwa omude esiswini. Le ndlela ingcono kakhulu ekususeni izimila eziyinkimbinkimbi nezinkulu. |
| Ukuhlinzwa kwe-Laparoscopic/Robotic | Ukuhlinzwa kwenziwa ngokusikwa okuncane okungu-4-6, kufakwe ikhamera namathuluzi akhethekile. Ukusikwa kuncane, ngakho-ke ubuhlungu buncane, ukuphola okusheshayo, kanye nezibazi ezincane. |
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, ungagcinwa egunjini lokunakekelwa okujulile (ICU) usuku olulodwa noma ezimbili. Uzoba nemisele yokukhipha uketshezi emzimbeni wakho kanye namapayipi okuphakela. Njengoba ululama, uzodluliselwa egunjini elivamile.
- Ukuhlala esibhedlela: Ngokuvamile, kuzodingeka uhlale esibhedlela cishe isonto lonke.
- Ukuphumula ekhaya:
- Uma uhlinzwe ngokuvulekile, kungathatha amasonto ama-4 kuya kwayi-8 ukuze ululame ngokuphelele.
- Uma kungukuhlinzwa kwe-keyhole, ukululama kungathatha phakathi kwamasonto amabili kuya kwamane .
- Okubalulekile: Gwema ukuphakamisa okunzima noma ukuzivocavoca okunzima ngokuphelele phakathi nalesi sikhathi. Ukuhamba ngezinyawo okufushane nsuku zonke kuzosiza inqubo yokuphulukiswa.
Izingozi/Izinkinga zokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke. Kubalulekile ukuzazi lezi.
- Ukutheleleka:Ukutheleleka kungenzeka enxebeni lokuhlinzwa, emaphashini, noma endleleni yomchamo.
- Ukopha: Ingozi enkulu yokuhlinzwa kwesibindi. Kungadingeka ukumpontshelwa igazi.
- Ukuvuza Kwenyongo: Uma umsele wenyongo wonakele ngesikhathi sokuhlinzwa, inyongo ingavuza esiswini.
- Ukwehluleka Kwezinso: Kwezinye izimo, ukusebenza kwezinso kungathinteka.
- Ukwehluleka Kwesibindi: Isimo esibi kakhulu esingase senzeke uma ingxenye esele yesibindi ingasebenzi kahle.
- Amahlule egazi (Deep Vein Thrombosis): Kukhona ingozi yokuqhekeka kwegazi emilenzeni ngenxa yokuphumula isikhathi eside embhedeni ngemva kokuhlinzwa.
Udokotela wakho uzokuchazela kabanzi ngalezi zingozi.
Izimpawu eziyisixwayiso ezidinga ukuvakashela udokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokuya ekhaya ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
Qaphela kakhulu lezi zimpawu. Ukwelashwa okusheshayo kungavimbela izimo ezibucayi.
- Umkhuhlane oqhubekayo ohlala izinsuku eziningana.
- Ukopha okuvela enxebeni lokuhlinzwa, njengegazi noma ubomvu .
- Ukuhlanza noma uhudo oluqhubekayo.
- Ukukhombisa ukubukeka okuvuvukile nokukhukhumele .
- Ukuphuzi kwamehlo nesikhumba (i-Jaundice) .
- Ukuqunjelwa okuhlala isikhathi esingaphezu kwezinsuku ezintathu.
Ukuhlinzwa kwesibindi kuyinto enkulu. Kodwa uma kwenziwa nethimba lezokwelapha elifanele kanye nohlelo oluhlelwe kahle, kungakunika wena noma umnikeli wakho wesibindi ithuba elisha lokuphila. Ikakhulukazi ezigulini ezinomdlavuza, kungaba ukwelashwa okungcono kakhulu okungasindisa izimpilo zazo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesibindi kuyindlela enkulu yokususa ingxenye yesibindi. Kodwa kungelapha izifo ezifana nomdlavuza futhi kusindise izimpilo.
- Isibindi sethu sinekhono elimangalisayo lokuzivuselela. Ingxenye esele enempilo ekugcineni izobuyela kusayizi wayo ojwayelekile.
- Inqubo yokuphulukiswa ithatha isikhathi, ngakho-ke yiba nesineke futhi ulandele imiyalelo kadokotela wakho ngqo.
- Gwema utshwala ngokuphelele ngemva kokuhlinzwa. Buyingozi kakhulu esibindini.
- Uma ubona noma yiziphi izimpawu ezingavamile, njengomkhuhlane, ukuphuma kwamanzi enxebeni, noma ukuphuzi kwamehlo, yazisa udokotela wakho ngokushesha.
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