Ingabe udokotela wakho ukutshelile noma othile omaziyo ukuthi udinga ukuhlinzwa ngenxa yomdlavuza we-rectal? Kuvamile ukuzizwa ukhathazekile futhi ukhathazekile ngesikhathi esinjengalesi. Ikakhulukazi uma wazi ukuthi ukuhlinzwa okukhulu njenge-'APR'. Kodwa ungakhathazeki. Ukuba nolwazi oluhle ngalezi zinhlobo zokuhlinzwa kunganciphisa kakhulu ukwesaba kwakho. Namuhla, sizoxoxa ngokuthi iyini i-APR, ukuthi ungayilungiselela kanjani, nokuthi yini ongayilindela ngemva kokuhlinzwa.
Kalula nje, kuyini lokhu kuhlinzwa kwe-APR?
Ukuhlinzwa kwesisu, okwaziwa nangokuthi i-APR, kuyindlela enkulu yokuhlinzwa eyenziwa ngokuyinhloko ukwelapha umdlavuza we-rectum engezansi. Kuyindlela yokuhlinzwa eyinkimbinkimbi ngandlela thile.
Cabanga ngakho, ingxenye yokugcina yesimiso sethu sokugaya ukudla yi-anus kanye ne-rectum. Kuye ngokuthi umdlavuza ukuphi, ukuze kususwe ngokuphelele amangqamuzana omdlavuza, indawo ezungezile nayo ingadinga ukususwa. Ukuze kube sobala, phakathi nale nqubo ye-APR, udokotela wakho ohlinzayo uzokwenza izinto ezimbalwa ezibalulekile:
- Indunu yakho, imbobo lapho kuphuma khona indle, isusiwe ngokuphelele futhi indawo iyathungwa.
- I-rectum yakho, ingxenye yokugcina yamathumbu akho amakhulu, isusiwe.
- Ingxenye yekholoni yakho nayo izosuswa.
Manje ungase uzibuze, "Ngizokhipha kanjani indle?" Yebo, lowo umehluko omkhulu kulokhu kuhlinzwa. Ngenxa yokuthi indunu isusiwe, kudingeka kudalwe indlela entsha yokuphuma kwendle emzimbeni. Yingakho kwenziwa i -colostomy ehlala njalo .
Kalula nje, ingxenye esele yekholoni lakho iyathathwa bese ingxenye yalo ixhunyaniswa nobuso besikhumba sesisu sakho. Lo mgodi ubizwa ngokuthi 'i-stoma' . Bese kuthi, kufakwe isikhwama esikhethekile (isikhwama se-ostomy) kulesi stoma. Indle yakho ibe isingena ngqo kulesi sikhwama. Lokhu kungaba yinto entsha ekuqaleni, kodwa uzojwayela ngokuhamba kwesikhathi. Kukhona abasebenzi abakhethekile bokunakekela abazokusiza ngalokhu.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kwenzelwe ukwelapha umdlavuza ngokuphelele. Ngakho-ke inselele iwukujwayela ukuphila nalezi zinguquko.
Silungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba i-APR iwukuhlinzwa okukhulu, kubaluleke kakhulu ukuyilungiselela. Ithimba lakho lezokwelapha lizokuchazela konke. Ngezansi ezinye zezinto ezingenzeka phakathi nalokhu kulungiselela.
| Izinyathelo zokulungiselela | Kwenzekani kuyo? |
|---|---|
| Ukuhlolwa kwezokwelapha | Ukuhlolwa kwegazi, ukuskena kwe-CT, kanye nokuskena kwe-MRI kungenziwa ukuze kubonakale ukuthi umzimba wakho ungakwazi yini ukumelana nokuhlinzwa. |
| Ukuhlangana nethimba lezokwelapha | Uzohlangana nodokotela obulala izinzwa, abanye odokotela abahlinzayo, kanye nalabo abanakekela impilo yakho. |
| Ukuhlangana Nomhlengikazi We-Ostomy | Lesi yisikhathi esibaluleke kakhulu . Lo mhlengikazi uzokusiza ukhethe indawo engcono kakhulu ye-stoma yakho, akufundise ukuthi ungayinakekela kanjani, futhi ashintshe isikhwama sakho. Ungesabi ukubuza noma yimiphi imibuzo ongase ube nayo. |
| Izinguquko zendlela yokuphila | Uma ubhema, uzocelwa ukuthi uyeke ukubhema amasonto ambalwa ngaphambi kokuhlinzwa. Uzocelwa ukuthi ugweme utshwala. Lezi zinto zizosiza kakhulu inqubo yokuphulukiswa. |
| Ukwazisa ngemithi ethathiwe | Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi kungadingeka iyekwe ngaphambi kokuhlinzwa. |
| Ukuphelelwa Yisikhathi Kokulala | Uma unesifo sokuphefumula esivimba ubuthongo, qiniseka ukuthi utshela udokotela wakho we-anesthesiologist. Uma usebenzisa umshini we-CPAP, bazokucela ukuthi uwulethe esibhedlela ngosuku lokuhlinzwa. |
| Ukudla kanye nokuhlanza amathumbu | Uzocelwa ukuthi udle uketshezi kuphela ngosuku olwandulela ukuhlinzwa. Ekuseni kokuhlinzwa, uzonikezwa uketshezi olukhethekile (ukulungiselela amathumbu) ukuze uhlanze amathumbu akho ngokuphelele. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ngenxa yokuthi ungaphansi kwe-anesthesia ejwayelekile, ngeke uzwe lutho ngesikhathi sokuhlinzwa. Uzolala kahle. Ithimba likadokotela ohlinzayo lizokwenza lokhu kuhlinzwa amahora amaningana.
Lokhu kuhlinzwa ngokuvamile kungenziwa ngezindlela ezimbili:
1. Ukuhlinzwa Okuvulekile: Indlela yendabuko yenziwa ngokusika okukodwa okude esiswini.
2. Ukuhlinzwa kwe-Laparoscopic/Robotic: Le ndlela yenziwa ngokusika okuncane esiswini, kusetshenziswa ikhamera namathuluzi akhethekile. Le ndlela inesikhathi esifushane sokululama futhi ayibuhlungu kakhulu.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ususa i-rectum, i-anus, kanye nengxenye yekholoni lapho umdlavuza ukhona khona. Ngesikhathi esifanayo, ama-lymph node azungeze indawo nawo ayasuswa. Lokhu kungenxa yokuthi la ma-lymph node yilapho amangqamuzana omdlavuza angasakazeka khona. Ngemuva kwalokho, njengoba kuxoxwe ngaphambilini, i-stoma idalwa esiswini bese isikhumba lapho i-anus yayikhona khona sithungwa futhi sivalwe.
Yiziphi izinkinga ezingaba khona ngemva kokuhlinzwa?
Njengoba i-APR iwukuhlinzwa okukhulu, njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile ezihilelekile. Kodwa ungakhathazeki, ithimba lezokwelapha lenza konke okusemandleni alo ukunciphisa lezi zingozi. Kubalulekile ukuqaphela izinkinga ezingaba khona.
- Ukopha: Ukopha kungase kwenzeke endaweni yokuhlinzwa.
- Ukutheleleka: Ukutheleleka kungavela emanxebeni noma ngaphakathi emzimbeni.
- Amahlule egazi: Amahlule egazi angakheka emilenzeni bese eya emaphashini. Ukuze uvimbele lokhu, welulekwa ukuba uhambe ngokushesha ngemva kokuhlinzwa.
- Ukulimala kwezitho ezizungezile: Kunethuba elincane lokulimala kwezitho ezizungezile indawo yokuhlinzwa, njengesinyi.
- Izinkinga ezihlobene nokubulala izinzwa: Ingozi yezinkinga ezinkulu njenge-pneumonia, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi iphansi kakhulu, kodwa kuhle ukuzazi.
Ngezinye izikhathi, kuba nezinkinga zesikhathi eside ezenzeka ngokuhamba kwesikhathi. Isibonelo, i-hernia ingakhula eduze kwe-stoma. Kukhona futhi ithuba le-hernia ye-perineal lapho i-anus isusiwe khona.
Kwenzekani esibhedlela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi, ithimba lezokwelapha lizokunakekela kahle ukululama kwakho.
- Amapayipi namapayipi: Kuzobekwa i-catheter ukuze kukhishwe umchamo wakho. Kuzobekwa nepayipi esiswini sakho ukuze kukhishwe noma yiluphi uketshezi oluqongelela endaweni yokuhlinzwa. Lokhu kuzosuswa ezinsukwini ezimbalwa.
- Izibulali-zinhlungu:Uzonikezwa imithi njengoba kudingeka ukuze ulawule ubuhlungu.
- Ukudla: Ngemva kokuhlinzwa, uzonikezwa uketshezi ozoluphuza kuqala. Ungaqala ukudla ukudla okuthambile njengesobho neyogathi ngosuku olulandelayo.
- Ukuhamba: Ukuvuka embhedeni ngokushesha okukhulu nokuhambahamba kubaluleke kakhulu enkambisweni yokuphulukiswa. Kungasiza ekuvimbeleni izinto ezifana nokuqhekeka kwegazi.
- Ukuqeqeshwa kwe-Ostomy: Lolu uqeqesho olubaluleke kakhulu ozoluthola esibhedlela. Umhlengikazi we-ostomy uzofika akufundise ukuthi ungayinakekela kanjani i-stoma yakho entsha, ushintshe isikhwama, futhi ugcine isikhumba sakho sihlanzekile. Ungesabi ukubuza kaninginingi uze uqonde. Cela ilungu lomndeni ukuthi lihlanganyele nawe ngalesi sikhathi. Ngaleyo ndlela, uzoba nomuntu ozokusiza uma usuya ekhaya.
Uzovunyelwa ukuya ekhaya uma usukwazi ukudla ukudla okuthambile, ulawule ubuhlungu ngemithi yasekhaya, futhi uzizwe uqiniseka ngokwanele ukunakekela i-ostomy yakho wedwa.
Isikhathi sokululama sinjani ngemva kokubuyela ekhaya?
Kuzothatha isikhathi ukuthi ululame ngokugcwele ngemva kokubuyela ekhaya. Phakathi nalesi sikhathi, lalela umzimba wakho. Uma ukhathele, phumula.
| Izinto okungafanele zenziwe | Isizathu neseluleko |
|---|---|
| Ukuma emanzini | Akuyona into enhle ukugeza noma ukusebenzisa ichibi lokubhukuda kuze kube yilapho amanxeba ephola. Kodwa ukugeza kulungile. |
| Phakamisa izinsimbe ezisindayo | Ungaphakamisi izinsimbi amasonto ayi-6-8. Ukuphakamisa izinsimbi kwandisa ingozi yokuba ne-hernia. |
| Ukushayela | Ungashayeli uze uthathe imithi yobuhlungu yezidakamizwa. Futhi, ungashayeli uze uqiniseke ukuthi ungabhuleka ngokushesha esimweni esiphuthumayo. |
Uma usebenza, kungathatha amasonto ambalwa noma inyanga ukubuyela emsebenzini, kuye ngokuthi ukulimala kwakho kuphulukiswa kanjani kanye nohlobo lomsebenzi wakho.
Ukushayela nini udokotela ucingo
Uma unezinkinga ngesikhathi sokululama kwakho, shayela udokotela wakho noma isibhedlela lapho uhlinzwe khona ngokushesha. Qiniseka ukuthi ubika noma yiziphi izimpawu ezilandelayo:
- Ubuhlungu obukhulu besisu obungenakulawuleka ngisho nangemithi yobuhlungu.
- Umkhuhlane. Umkhuhlane ongama-degree Celsius angu-38.6 (101.5 Fahrenheit) noma ngaphezulu.
- Uma ukuhlanza nokucasuka kuqhubeka.
- Ukuqunjelwa noma uhudo.
- Uma izindawo zokusikwa zibomvu, zivuvukele, noma zibuhlungu .
- Uma unenkinga noma unezinkinga nge-ostomy yakho .
Ukuhlinzwa kwe-APR kuyinto eshintsha impilo. Kuzothatha isikhathi ukujwayela. Khuluma nodokotela wakho, umndeni wakho, nabangani bakho ngezinto ezikukhathazayo, ukwesaba kwakho, kanye nemizwa yakho. Akudingeki ukuthi udlule kulolu hambo wedwa.
Umlayezo Wokuya Nawe Ekhaya
- I-APR (Abdominoperineal Resection) iyindlela ebalulekile yokuhlinzwa esindisa impilo yomdlavuza wamathumbu.
- Kulokhu kuhlinzwa, i-anus kanye ne-rectum kuyasuswa, bese kwakheka imbobo ehlala njalo (i-colostomy) esiswini ukuze kudlule indle.
- Ukulungiselela kahle ngaphambi kokuhlinzwa nokugwema ukubhema notshwala kusiza kakhulu enkambisweni yokuphulukiswa.
- Nakuba ukufunda ukunakekela i-ostomy kungaba nzima ekuqaleni, ngokuhamba kwesikhathi kungaba yingxenye yokuphila kwansuku zonke. Ngosizo lwabahlengikazi abaqeqeshwe ngokukhethekile,
- Landela imiyalelo kadokotela wakho ngokucophelela ngesikhathi ululama. Gwema ukuphakamisa izinto ezisindayo. Uma uhlangabezana nanoma yiziphi izinkinga, yazisa udokotela wakho ngokushesha.
- Lolu uhambo oluyinselele, ngokomzimba nangokwengqondo. Unganqikazi ukufuna ukwesekwa eqenjini lakho lezokwelapha, emndenini nakubangani.
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