Uma udokotela ethi, "Ngidinga ukususwa kwesibeletho sami," ungase uzizwe ukwesaba okukhulu nokukhathazeka. Imibuzo efana nokuthi 'Ukuhlinzwa kuzohamba kanjani?', 'Kuzokwenzekani kimi?', 'Impilo yami izoshintsha kanjani esikhathini esizayo?' cishe idlula engqondweni yakho. Lokho kuvamile kakhulu. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa kokususwa kwesibeletho, okungukuthi, ukuhlinzwa kokususwa kwesibeletho, ukuthola izimpendulo zayo yonke imibuzo onayo engqondweni.
Kalula nje, kuyini i-Hysterectomy?
Ukususwa kwesibeletho kuyindlela yokuhlinzwa esusa isibeletho sakho . Ngokuvamile, isibeletho sisuswa kanye nengxenye yomlomo wesibeletho. Kuye ngesizathu sokuhlinzwa, kungadingeka futhi ukususa izitho ezizungeze isibeletho, njengemibhobho ye-fallopian nama-ovari.
Into ebaluleke kakhulu ukuthi ngemva kwalokhu kuhlinzwa, ngeke usakwazi ukuba nabantwana. Futhi umjikelezo wakho wokuya esikhathini, noma ukuya esikhathini, nawo uzoma ngokuphelele.
Yiziphi izinhlobo zokuhlinzwa kwe-hysterectomy ezikhona?
Udokotela wakho uzokuchazela ukuthi hlobo luni lokuhlinzwa oludingayo ngokusekelwe esimweni sakho sezokwelapha. Lokhu kuzonquma ukuthi ama-ovari nama-fallopian tubes azosuswa yini kanye nesibeletho. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Izinto okufanele zisuswe kanye nomphumela |
|---|---|
| Ukususwa Kwesisu Okuphelele | Isibeletho kanye nomlomo wesibeletho kuyasuswa, kodwa ama-ovari ashiywe ngaphakathi. Ngenxa yokuthi ama-ovari ashiywe ngaphakathi, awufinyeleli esikhathini sokunqamuka kokuya esikhathini ngokuzumayo. |
| Ukususwa Kwesisu Sesibeletho Esingaphezulu Kwesibeletho | Kususwa ingxenye engenhla yesibeletho kuphela, kushiye umlomo wesibeletho uphelele. Ngenxa yokuthi umlomo wesibeletho ushiywe uphelele, kuzodingeka uqhubeke nokwenza i-Pap smears. |
| Ukususwa Kwesisu Okuphelele Nge-Bilateral Salpingo-oophorectomy | Isibeletho, umlomo wesibeletho, amashubhu e-fallopian (salpingectomy), kanye nama-ovari (oophorectomy) konke kuyasuswa. Ngenxa yokuthi ama-ovari ayasuswa, uzongena esikhathini sokunqamuka kokuya esikhathini ngokushesha ngemva kokuhlinzwa. |
| Ukususwa Kwesisu Okukhulu | Ngaphezu kwakho konke okungenhla, ingxenye engenhla yesitho sangasese sowesifazane kanye nezicubu ezizungezile kanye nama-lymph node nawo ayasuswa. Le ndlela ivame ukusetshenziswa kakhulu ezimweni zomdlavuza. Nalapha futhi, ama-ovari ayasuswa, okuholela ekunqamukeni kokuya esikhathini ngokushesha. |
Kungani kudingeka i-hysterectomy?
Odokotela bavame ukuncoma ukususwa kwesibeletho njengendlela yokugcina. Lokhu kuhlinzwa kwenziwa kuphela uma ezinye izindlela zokwelapha zehlulekile. Kwezinye izimo, kungaba yisisombululo kuphela.
Nazi ezinye zezizathu eziyinhloko zokususwa kwesibeletho:
- Ukopha okungapheli, okungavamile, noma okweqile kwesitho sangasese sowesifazane .
- Ubuhlungu obukhulu obungabekezeleleki be-pelvic .
- Izimila ezingezona ezomdlavuza ezakheka esibelethweni, ikakhulukazi (i-uterine fibroids) .
- I-Endometriosis yisimo esibi kakhulu.
- Ukwehla kwesibeletho : Lokhu kungabangela ukungakwazi ukuzibamba.
- Umdlavuza wesibeletho, ama-ovari, noma isibeletho.
- Izifo zolwelwesi lwesibeletho, isibonelo (i-Hyperplasia) noma (i-Adenomyosis) .
- Izinkinga ezinkulu ngesikhathi sokubeletha, njengokuqhekeka kwesibeletho.
Yiziphi izindlela zokwenza ukuhlinzwa?
Kuye ngohlobo lokuhlinzwa oludingayo, udokotela wakho ohlinzayo uzokhetha indlela yokuhlinzwa efanele kakhulu. Sizophinde sazi ngalawo masu.
| Indlela yokuhlinzwa | Incazelo kanye nesikhathi sokutakula |
|---|---|
| Ukususwa Kwesisu Esithweni Sangasese Sowesifazane | Kwenziwa ukusika okuncane ngaphezu kwesitho sangasese sowesifazane bese kukhishwa isibeletho ngaso. Akukho ukusika esiswini. Kusetshenziswa izithungo ezincibilikayo. Lena yindlela enezinkinga ezimbalwa kakhulu futhi elulama ngokushesha (cishe amasonto ama-4). Ezimweni eziningi, ungaya ekhaya ngalolo suku. |
| Ukuhlinzwa Kwesitho Sangasese Sangasese Nge-Laparoscopic | Kufakwa ipayipi elincane elinekhamera (i-laparoscope) ngomsikelo wesitho sangasese sowesifazane ukuze kubonakale kahle izitho ezizungezile. Isibeletho sikhishwa ngesitho sangasese sowesifazane. Lokhu futhi akudingi ukusikwa kwesisu. Ukululama kuyashesha. |
| Ukuhlinzwa Kwesisu Nge-Laparoscopic | Kwenziwa ukusika okuncane eduze komlomo wesibeletho bese kufakwa i-laparoscope ngayo. Izinto zokuhlinzwa zifakwa ngezinye izindlela eziningana zokusikwa okuncane bese isibeletho sisikwa sibe yizicucu ezincane bese sisuswa ngokusikwa kwesisu noma ngesitho sangasese sowesifazane. Ungaya ekhaya ngosuku olulodwa noma ezimbili. Ubuhlungu buncane futhi ukululama kuyashesha. |
| Ukuhlinzwa kwe-Laparoscopic Hysterectomy okwenziwa ngerobhothi | Kufana nendlela engenhla, kodwa udokotela ohlinzayo ulawula ukuhlinzwa ngosizo lwerobhothi. Isikhathi sokululama sifana nokuhlinzwa kwe-laparoscopic. |
| Ukususwa Kwesisu Nge-Hysterectomy | Isibeletho sisuswa ngokusikwa okungamasentimitha angu-6-8 esiswini. Le nqubo ivame ukusetshenziswa ezimweni zomdlavuza, lapho isibeletho sikhulu kakhulu, noma lapho isifo sesisakazekele kwezinye izindawo. Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, futhi kuzothatha isikhathi eside (cishe amasonto ayisithupha) ukululama. |
Yini ongayilindela ngemva kokuhlinzwa?
Isikhathi sokutakula kanye nemikhawulo
Isikhathi sokululama sizohluka kuye ngohlobo lokuhlinzwa okwenzile. Ngokuvamile kuthatha phakathi kwamasonto angu-4-6. Phakathi nalesi sikhathi, kuzodingeka ulandele imikhawulo ethile.
- Ukuphakamisa izinto ezisindayo: Ungaphakamisi izinto ezisinda ngaphezu kwamakhilogremu angu-4.5 (amakhilogremu ayi-10) amasonto angu-4-6.
- Ucansi: Gwema ucansi amasonto ayisithupha ngemva kokuhlinzwa.
- Ezinye izinto:Gwema ukusebenzisa ama-tampon, ukubhukuda emachibini okubhukuda, noma olwandle amasonto angu-4-6.
- Ukushayela: Uma uke wahlinzwa isisu, gwema ukushayela cishe amasonto amabili. Ungashayela izinsuku ezimbalwa ngemva kokuhlinzwa kwe-laparoscopic. Kodwa-ke, uma uphuza ama-painkiller, ungashayeli uze uyeke ukuwaphuza.
- Ukubuyela emsebenzini: Kuye ngohlobo lomsebenzi wakho, ungase ukwazi ukubuyela emsebenzini zingakapheli amasonto amabili kuya kwayisithupha. Khuluma nodokotela wakho ngalokhu.
Izinguquko zomzimba nezengqondo
Kuvamile ukuzwa izinguquko ezithile emzimbeni wakho nasengqondweni ngemva kokuhlinzwa.
- Ngokomzimba: Ukuya esikhathini kwakho kuzoma ngokuphelele. Ungase uzwe ubuhlungu, ukungazweli, noma ukulunywa ezindaweni zokusikwa amasonto ambalwa. Lokhu kuzophela kancane kancane. Uma ama-ovari akho esusiwe, ungase ube nezimpawu zokunqamuka kokuya esikhathini (isib. ukushisa, ukoma kwesitho sangasese sowesifazane, ukuqwasha). Khuluma nodokotela wakho ngalokhu, njengoba kunezindlela zokwelapha ezitholakalayo.
- Okungokomzwelo: Abanye abantu bangase bazizwe bedabukile, benesizungu, noma sengathi balahlekelwe okuthile ngemva kwalokhu kuhlinzwa. Abanye bangase bazizwe bekhululekile ebuhlungwini obungapheli noma ukuphuma kwegazi ngokweqile. Uma ukhathazekile ngesimo sakho esingokomzwelo, khuluma nodokotela wakho, umndeni, noma umngane omethembayo ngakho.
Kufanele ukhulume nini nodokotela?
Uma uba nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukopha okubomvu okukhanyayo kwesitho sangasese sowesifazane.
- Umkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit).
- Ukucanuzela okukhulu noma ukuhlanza.
- Ubunzima bokuchama, ukutheleleka komgudu womchamo, noma ukuchama njalo.
- Ukubomvu, ukuvuvukala okukhulu , noma uketshezi olufana nobovu oluphuma esikhaleni.
- Ubuhlungu buyanda kancane kancane esikhundleni sokuncipha.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwesibeletho kuyindlela evamile yokuhlinzwa okukhulu. Ungakwesabi ngokungadingekile.
- Uhlobo lokuhlinzwa oludingayo nokuthi lwenziwa kanjani kuzoncika esimweni sakho.
- Kuthatha isikhathi ukululama ngokuphelele ngemva kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Impilo yengqondo ibaluleke njengempilo yomzimba. Khuluma nomuntu omethembayo ngalokho okusengqondweni yakho.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho, kokubili ngaphambi nangemva kokuhlinzwa.
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