Imizimba yethu iyindalo emangalisayo ngempela. Kodwa-ke, kukhona isitho esisodwa emzimbeni wethu esingazivuselela, okungukuthi, siphinde sikhule. Okungukuthi, isibindi sethu. Njengoba nje umsila we-gecko onqunyiwe ungaphinde ukhule, uma ingxenye yesibindi isuswa, leyo ngxenye izophinde ikhule ibe ngobukhulu bayo obugcwele. Ngenxa yaleli khono elimangalisayo, umuntu anganikela ngengxenye yesibindi sakhe esinempilo komunye umuntu osibindi sakhe siyahluleka ukusebenza esaphila. Yilokhu esikubiza ngokuthi ukunikela ngesibindi esiphilayo .
Kuyini ukunikela ngesibindi esiphilayo?
Kalula nje, lokhu ukuhlinzwa okubili okwenzeka ngesikhathi esisodwa. Owodwa womuntu ophilile (umnikeli) onikela ngesibindi sakhe, kanti omunye owesiguli esinesifo sesibindi (umamukeli). Uma uzinikela njengomnikeli, udokotela ohlinzayo uzosusa ingxenye yesibindi sakho (ngokuvamile ucezu, noma ngisho nengane encane) bese eyifakela kwesinye isiguli ngokushesha.
Into emangalisayo ukuthi ngemva kwalokhu kuhlinzwa, ingxenye esele yesibindi sakho, kanye nengxenye yesibindi eyatshalwa komunye isiguli, izokhula ibuyele kubukhulu bayo obugcwele phakathi nezinyanga ezimbalwa. Lokho kusho ukuthi uzoba nesibindi esisodwa esinempilo, isibindi ezimbili ezinempilo. Akumangalisi lokho?
Nginganikela ngesibindi sami? Yiziphi izimfanelo?
Uma unomzimba ophilile nesibindi esinempilo, nawe ungaba ngumnikeli osindisa impilo. Kodwa lokhu akuyona into ongayenza ngokuzumayo. Ukuze wenze lokhu, udinga ukuhlolwa okuphelele kwezokwelapha ukuqinisekisa ukuthi uyakufanelekela lokhu.
Ake sibheke ezinye zezimfanelo ezibalulekile. Ukuze uziqonde kahle lezi, bheka ithebula elingezansi.
| Ukufaneleka | Incazelo |
|---|---|
| Ubudala | Kumelwe ube phakathi kweminyaka eyi-18 nengama-60. Labo abancane noma abadala abanalo ithuba lokufaka isicelo. |
| Ukusetshenziswa kwezidakamizwa notshwala | Awukwazi ukuba umlutha wotshwala noma izidakamizwa. Lokhu kuthinta ngqo impilo yesibindi. |
| Impilo yomzimba | Kumelwe ube sesimweni esihle somzimba. Ezinye izimo zezokwelapha (isib. isifo sikashukela, ukukhuluphala ngokweqile, isifo senhliziyo) zenza lolu hlobo lokuhlinzwa lube yingozi. Ukufaneleka kwakho kuzohlolwa ngokuhlolwa kwegazi nokuhlolwa kwenhliziyo. |
| Impilo yesibindi | Ungaba nesifo sesibindi noma ungenazo izimpawu. Yingakho kwenziwa izivivinyo ezikhethekile ukuqinisekisa ukuthi isibindi sakho siphilile. |
| Impilo yengqondo | Lona umthwalo wemfanelo omkhulu. Ngakho-ke, udinga ukuba nempilo enhle yengqondo. Ithimba lezokwelapha lizoqinisekisa ukuthi uqonda ngokugcwele izingozi nokuzidela okuhilelekile, nokuthi akekho okuphoqayo. |
| Ukuntuleka kwemali noma inzuzo | Akukho emthethweni ukwamukela imali noma ezinye izipho ngokushintshana nokunikela ngesibindi. Kumelwe ufakazele ukuthi ukwenza lokhu ngokuzithandela ngokuphelele. |
Le nqubo yenzeka kanjani?
Uma unesifiso sokuba ngumnikeli, kufanele uqale ukhulume nomxhumanisi esibhedlela esenza ukuhlinzwa kokufakelwa isibindi. Bazothatha ulwazi oluyisisekelo kuwe bese bephendula imibuzo yakho. Uma becabanga ukuthi ufanelekile, bazokudlulisela esibhedlela ukuze uthole ukuhlolwa okwengeziwe.
Lapho kuzodingeka ubone odokotela abangochwepheshe abahlukahlukene.
- Udokotela wezinzwa
- Udokotela ogxile ezifweni zesibindi (Hepatologist)
- Udokotela ohlinzayo wezitshalo
- Isazi sezengqondo noma isazi sezengqondo
Ngemva kwazo zonke lezi zivivinyo kanye nezingxoxo, amaqembu amabili ezokwelapha azimele azobuyekeza isicelo sakho. Ithimba elilodwa lizobheka ukuphepha kwakho. Elinye iqembu lizothatha isinqumo sokugcina sokuthi ungumnikeli ofanelekile yini nokuthi ubani ozokwamukela isibindi sakho esinikelwe.
Ubani ozokwamukela ingxenye yesibindi enginikela ngayo?
Unganikela ngesibindi sakho kumuntu omaziyo, isibonelo ilungu lomndeni. Lokhu kubizwa ngokuthi “Ukunikela Okuqondisiwe.” Kodwa uhlobo lwegazi lakho kanye nosayizi wesibindi kumele kufane nesiguli.
Ake sithi omunye wezihlobo zakho udinga isibindi, kodwa uhlobo lwegazi lakho aluhambisani. Uma kunjalo, kunezindlela zokushintshana ngabanikeli ngokuhlangana nomunye umbhangqwana ongahambisani nomnikeli nomtholi, njengawe.
Unganikela ngesibindi sakho kumuntu ongamazi nhlobo. Lokhu kubizwa ngokuthi "Umnikelo Ongaqondiswanga." Isibhedlela sizobe sesinikeza isibindi sakho isiguli esifaneleka kakhulu ohlwini lokulinda. Ungahlala ungaziwa uma uthanda, noma ungahlangana kamuva uma nobabili nivumelana.
Ungalungiselela kanjani ukuhlinzwa?
Uma wena kanye nomuntu ozokwamukela senikhethiwe, ithimba lezokwelapha lizohlangana nawe ukuhlela ukuhlinzwa. Kuzodingeka uhlale esibhedlela cishe isonto elilodwa ngemva kokuhlinzwa. Kuzothatha cishe amasonto ayisithupha ukuze ululame ngokugcwele ngemva kokubuyela ekhaya. Ngakho kuzodingeka uhlele kusenesikhathi, njengokuthatha ikhefu emsebenzini nokuthola umuntu ozokusiza ngemisebenzi yasekhaya.
Ngaphambi kokuhlinzwa,
- Yenza izinguquko ekudleni kwakho, emithini, nakwezinye izinguquko zendlela yokuphila njengoba kuyalelwe udokotela wakho.
- Thola i-CT scan noma i-MRI scan ukuze uthole ngisho nezithombe zesibindi ze-3D.
- Sayina amadokhumenti asemthethweni abonisa ukuzimisela kwakho ukuba ngumnikeli.
Kwenzekani ngesikhathi sokuhlinzwa?
Wena kanye nomuntu othola isibindi nizoyiswa egumbini lokuhlinzwa ngesikhathi esifanayo. Ngenkathi iqembu elilodwa lokuhlinzwa lisusa ingxenye yesibindi sakho, elinye iqembu lisusa isibindi sesiguli esingasebenzi kahle bese lilungiselela ingxenye entsha ukuze ifakelwe. Ukuhlinzwa kwakho kuzothatha cishe amahora angu-4-6. Uzonikezwa i-anesthesia ejwayelekile , ngakho ngeke uzwe lutho.
Ukuhlinzwa kungenziwa ngezindlela ezimbili:
1. Ukuhlinzwa kwe-Laparoscopic : Lena inqubo lapho kufakwa khona ikhamera namathuluzi ngokusebenzisa imivimbo embalwa emincane, kunokuba kube ukusikwa okukhulu. Le ndlela iholela ekupholeni okusheshayo kanye nokuncipha kwezibazi.
2. Ukuhlinzwa kwesisu okuvulekile: Uma ukuhlinzwa kwe-laparoscopic kungenzeki, lokhu kuhlinzwa kwenziwa ngokusikwa kwesisu okungamasentimitha angu-6-12.
Yiziphi izinzuzo zalesi senzo esihle?
Kunezinkulungwane zeziguli ezweni lakithi ezilinde ukufakelwa isibindi. Abanye basesimweni lapho izimpilo zabo zingase zilahleke khona ezinsukwini ezimbalwa ngenxa yokwehluleka kwesibindi okungazelelwe. Abanye badinga isibindi ngenxa yomdlavuza. Isikhathi siyigugu kubo bonke.
Bangase bagule kakhulu ngenkathi belinde isibindi esifile. Kodwa uma kukhona umuntu ophilayo onikelayo, bangasindisa impilo ngokuhlela ukuhlinzwa ngokushesha, ngaphandle kokulinda kulolo hlu lokulinda.
Ngaphezu kwalokho, njengomuntu onikelayo, uthola nokwaneliseka okukhulu kwengqondo.
- Ukuzethemba kwabo kuyanda.
- Kwenezela injongo enkulu ekuphileni.
- Ucwaningo lubonise ukuthi cishe amaphesenti ayi-100 abanikeli bathi bangenza isinqumo esifanayo uma benikezwa ithuba futhi.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile ezihilelekile. Kodwa khumbula, ukuphepha kwakho kuyinto eza kuqala eqenjini lezokwelapha. Ngeke bakuvumele ukuthi uhlinzwe ngisho noma kukhona ingozi encane.
Izingozi ezivamile zifaka:
- Ukopha
- Ukujiya kwegazi
- Izifo
- Ubuhlungu ngemva kokuhlinzwa
Kunezingozi ezithile eziqondile ezihlobene nokuhlinzwa kwesibindi. Kodwa azivamile kakhulu. Khuluma nodokotela wakho ngalokhu ngokukhululekile bese ubuza noma yimiphi imibuzo ongase ube nayo.
Sinjani isikhathi sokululama?
Ngemva kokuhlinzwa, impilo yakho izobuyela esimweni sayo esijwayelekile kancane kancane.
- Isonto lokuqala: Kuzodingeka uhlale esibhedlela. Uzonikezwa imithi yokwelapha izinhlungu kanye ne-saline. Ungaqala kancane kancane ukuhamba nokudla.
- Amaviki 2-3: Uzokwazi ukushayela imoto uma usubuyele ekhaya.
- Amasonto 2-6: Izibazi zokuhlinzwa ziyaphola.
- Amaviki 6-8: Ungabuyela emisebenzini evamile yansuku zonke.
- Izinyanga ezi-2-3: Isibindi sakho sikhula siphinde sibe nosayizi ogcwele.
Phakathi nalesi sikhathi, udokotela wakho uzokuxilonga njalo futhi akunike iseluleko esidingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Umuntu ophilayo nophilile angasindisa impilo yomunye umuntu ngokunikela ngengxenye yesibindi sakhe. Lesi isenzo esihle kakhulu.
- Ingxenye esele yesibindi sakho kanye nengxenye etshalwe kabusha kuzokhula ngokugcwele ezinyangeni ezimbalwa.
- Ukuze ube ngumnikeli, kumele ube phakathi kweminyaka eyi-18-60, ube nempilo enhle, futhi ungenazo izidakamizwa.
- Lesi yisinqumo esikhulu, ngakho khuluma nodokotela wakho ngaso, lalela konke okusengqondweni yakho, bese wenza isinqumo ngemva kokuqonda lonke ulwazi.
- Ithimba lezokwelapha lizonakekela kakhulu ukuphepha kwakho kanye nenhlalakahle yakho kulo lonke lolu hlelo.
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