Uma wena noma othile omaziyo ehlinzwa ukuze kususwe ingxenye yekholoni lakhe, kuvamile ukuzizwa ukhathazekile futhi unelukuluku. Ikakhulukazi uma amagama eyinkimbinkimbi kancane. Okunye ukuhlinzwa okunjalo kubizwa ngokuthi i-laparoscopic proctosigmoidectomy. Nakuba igama lingase lizwakale lesabeka, ake sixoxe ngencazelo yalo elula. Cabanga ngomngane onolwazi ekuchazela lona.
Kungani kwenziwa lokhu kuhlinzwa? Yiziphi izizathu zalokhu?
Kalula nje, lokhu kuhlinzwa kuhilela ukusika nokususa ingxenye egulayo yekholoni lakho kanye ne-rectum. Ikakhulukazi, ingxenye enobunjwa obungu-S yekholoni lakho, ikholoni le-sigmoid , kanye nengxenye engenhla ye-rectum yakho ngaphansi kwayo.
Odokotela batusa lokhu kuhlinzwa ikakhulukazi njengokwelashwa kwezimo ezithile zezokwelapha. Ake sibone ukuthi ziyini lezo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Umdlavuza wamathumbu amakhulu kanye nomdlavuza wamathumbu amakhulu | Uma amangqamuzana omdlavuza esakazekele kulezi zingxenye zamathumbu, lokhu kuhlinzwa kwenziwa ukuze kususwe ngokuphelele ingxenye enesifo. |
| Ukukhula okungenawo umdlavuza | Ngezinye izikhathi, izinto ezifana nama-polyp, angewona umdlavuza kodwa angabangela izinkinga, zingavela kulezi zindawo. Le ndlela isetshenziswa futhi ukuzisusa. |
| I-diverticulitis eyinkimbinkimbi | Lokhu kwenzeka lapho kwakheka amaphakethe amancane odongeni lwamathumbu, atheleleke, aqhume, futhi ngezinye izikhathi aqhume. Esimweni esiyinkimbinkimbi kangaka, ingxenye eyonakele kufanele isuswe. |
Lisho ukuthini igama elithi 'laparoscopic'?
Nakhu okukhethekile ngalokhu kuhlinzwa. I-'Laparoscopic' imele ' ukuhlinzwa kwe-keyhole ', njengoba sonke sazi. Esikhundleni sokwenza ukusika okude esiswini sakho njengakuqala, udokotela ohlinzayo wenza ukusika okuncane kakhulu (cishe amamilimitha angu-5-10) esiswini sakho bese enza ukuhlinzwa ngalezo zimbobo.
Lokhu kuhilela ukusebenzisa ithuluzi elincane elifana nethubhu elibizwa ngokuthi i-laparoscope elinekhamera encane enamathiselwe kulo. Uma lokhu kufakwa esiswini, udokotela ohlinzayo angabona izitho ezingaphakathi esiswini ngokucacile kusikrini futhi enze ukuhlinzwa ngokunembe kakhulu. Izinzuzo zale ndlela ukuthi ayibuhlungu kakhulu, iphola ngokushesha, futhi ayishiyi isilonda esikhulu.
Cabanga nje, esikhundleni sokuvula umnyango omkhulu bese ungena endlini, okwenzekayo kufana nokubheka ngembobo yokhiye bese usebenzisa amathuluzi amancane ukwenza umsebenzi ngaphakathi endlini.
Yiziphi izinyathelo ezinhlanu eziyinhloko ekuhlinzeni?
Lokhu kuhlinzwa kuvame ukuba nezinyathelo ezinhlanu eziyinhloko. Ake siziqonde ngasinye ngasinye ngamagama alula.
1. Ukufakwa kwe-laparoscope kanye nezinsimbi
Okokuqala, uzonikezwa i-anesthesia ejwayelekile, ukuze ungezwa lutho ngesikhathi sokuhlinzwa, uzobe ulele ngokuphelele. Ngemuva kwalokho, udokotela ohlinzayo uzokwenza i-incision encane cishe ngesentimitha eduze kwenkaba yakho (inkinobho yesisu) bese efaka ikhamera ye-laparoscopic ngayo esiswini sakho. Manje usengakwazi ukubona ngaphakathi kwesisu sakho. Ngemuva kwalokho, uzokwenza i-incision encane engaba yisihlanu noma eyisithupha ukuze afake ezinye izinto ezithambile ezidingekayo ekuhlinzweni.
2. Ukukhulula ingxenye yamathumbu egulayo
Manje sidinga ukusika ikholoni ye-sigmoid egulayo kanye nengxenye ye-rectum. Kodwa ngaphambi kwalokho, sidinga ukukhulula leyo ngxenye kwezinye izicubu.
Amathumbu ethu axhunywe odongeni lwesisu ngendwangu ebizwa ngokuthi i- mesentery . Ngaphakathi kwale ndwangu kukhona imithambo yegazi eyinhloko (imithambo yegazi) ehambisa igazi kuleyo ngxenye yamathumbu. Udokotela ohlinzayo usika ngokucophelela le mithambo yegazi, ayivale (ukuze ayeke ukopha). Ngemuva kwalokho, ingxenye yamathumbu egulayo iyakhululwa kule ndwangu. Ekugcineni, ingxenye yamathumbu ethintekile isuswa kanye nengxenye yamathumbu egulayo.
Ngezinye izikhathi, uma yonke i-rectum kufanele isuswe, ibizwa ngokuthi i-Total Proctosigmoidectomy.
3. Ukulungiselela ukuhlangana kwamathumbu
Ngemva kokususwa kwengxenye enesifo, izingxenye ezimbili ezisele zamathumbu aphilile zidinga ukuhlanganiswa kabusha. Lokhu kusho ukuthi ingxenye enempilo yamathumbu aphezulu idinga ukuhlanganiswa nengxenye enempilo yamathumbu asele phansi.
Ukuze enze lokhu, udokotela ohlinzayo ukhipha ingxenye eningi yamathumbu enempilo kusuka ku-mesentery, ukuze idonswe kalula. Uphinde akhiphe ingxenye esele ye-rectum. Lokhu kokubili kungaxhunyaniswa ndawonye. Uma kwenzeka umdlavuza, ingxenye esele ye-rectum iyagezwa futhi ihlanzwe ngesisombululo esikhethekile sokunciphisa ukusabalala kwamaseli omdlavuza .
4. Ukususwa kwengxenye yamathumbu egulayo emzimbeni
Ngenxa yokuthi ukusikwa 'kwembobo yokhiye' kuncane kakhulu, ingxenye esikiwe yamathumbu amakhulu ayikwazi ukususwa ngayo. Kusetshenziswa inqubo ekhethekile kulokhu. Udokotela ohlinzayo wenza enye yezinsika zokuqala ibe nkulu kancane bese efaka isikhwama esikhethekile esiswini ngayo. Ngemuva kwalokho, ingxenye esikiwe yamathumbu ifakwa ngaphakathi kwesikhwama bese isikhwama sikhishwa ngokucophelela.
5. Ukuxhumanisa kabusha izinhlangothi ezimbili zamathumbu (i-Anastomosis)
Lesi yisinyathelo sokugcina nesibaluleke kakhulu sokuhlinzwa. Inqubo yokuxhumanisa iziphetho ezimbili ezinempilo zamathumbu ibizwa ngokuthi i-anastomosis ngokwezokwelapha.
Ngenxa yalokhu, udokotela ohlinzayo ufaka idivayisi ekhethekile yokufaka i-staple nge-anus. Le divayisi ifaka indandatho yama-staple, inamathisele izinhlangothi zombili zamathumbu ndawonye. Udokotela ohlinzayo ube esehlola ukuthi akukho yini ukuvuza endaweni yokuxhuma bese egeza kahle isisu.
Ngezinye izikhathi, 'idreyini', ipayipi elincane, lingafakwa izinsuku ezimbalwa ngemva kokuhlinzwa ukuze kusizwe ekukhipheni noma yiluphi uketshezi oluqoqana ngaphakathi. Ekugcineni, zonke izimbobo zivalwa ngezitishi noma ngeteyipu ekhethekile.
Isikhathi sokululama sinjani ngemva kokuhlinzwa?
Isikhathi sokululama ngemva kokuhlinzwa sibaluleke njengokuphumelela kokuhlinzwa.
- Gwema ukuphakamisa izinsimbi: Kufanele uyeke ngokuphelele ukuphakamisa izinsimbi nokwenza izivivinyo ezicindezela isisu sakho (njenge-sit-up) amasonto ayisithupha ngemuva kokuhlinzwa.
- Ukuhamba kuhle: Khulisa kancane kancane izinga lakho lomsebenzi ngemva kokufika ekhaya. Ukuhamba kuyindlela engcono kakhulu yokuzilolonga ongayenza phakathi nalesi sikhathi. Ukuhamba kukunika amandla, kuthuthukisa ukujikeleza kwegazi futhi kuvimbela ukujiya kwegazi, futhi kusiza ukugcina amaphaphu akho ephilile.
- Ukudla Neziphuzo: Ungadla ukudla okuningi uma ubuyela ekhaya. Kodwa-ke, kufanele ugweme ukudla izithelo nemifino eluhlaza okwesikhashana. Kungcono ukulandela ukudla "okuthambile" uze ubone udokotela wakho ngemva kokuhlinzwa (ukuhlolwa ngemva kokuhlinzwa). Uma uzwa ukuqunjelwa ngenxa yalokhu kudla, shayela udokotela wakho ngokushesha ukuze uthole iseluleko.
- Okunye ukuzivocavoca: Uma ubuzivocavoca ngaphambi kokuhlinzwa, ungaqala ukuzivocavoca futhi uma uzizwa ukhululekile futhi udokotela wakho ethi, "Kulungile, qala manje."
Into ebaluleke kakhulu ukulalela umzimba wakho. Uma uzizwa ukhathele, phumula. Uma unemibuzo, ungayigcini kuwe bese ukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Laparoscopic proctosigmoidectomy iwukuhlinzwa 'kwe-keyhole' okususa ingxenye egulayo yekholoni. Esikhundleni sokusika okukodwa okukhulu, kusetshenziswa imigodi emincane embalwa kuphela.
- Lokhu kuhlinzwa kwenziwa ikakhulukazi njengokwelashwa kwezimo ezifana nomdlavuza wamathumbu amakhulu, izimila ezingezona umdlavuza, kanye ne-diverticulitis eyinkimbinkimbi.
- Indlela 'yokufaka ukhiye' iholela ekunciphiseni ubuhlungu, ukuhlala esibhedlela isikhathi esifushane, ukululama okusheshayo, kanye nokuncipha kwezibazi.
- Kubalulekile ukugwema ukuphakamisa izinsimbi amasonto ayisithupha ngemva kokuhlinzwa futhi uhlanganyele ekuzilolongeni okulula njengokuhamba.
- Uma unombuzo mayelana nokudla noma yini enye, ungaqageli.Hlala ufuna iseluleko kudokotela wakho ohlinzayo noma kudokotela.
I-Laparoscopy, ukuhlinzwa kwe-keyhole, ukuhlinzwa kwe-colon , umdlavuza we-rectal, i-sigmoid colon, i-proctosigmoidectomy sinhala, i-laparoscopy sinhala
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