Uma udokotela ekhuluma nawe noma nomuntu oseduze nawe ngokuhlinzwa okukhulu njengokuhlinzwa okukhulu, kuyinto evamile ukuzizwa ukwesaba okukhulu nokushaqeka. Lapho nje sizwa igama elifana naleli, kuvela imibuzo eminingana ezingqondweni zethu. "Luhlobo luni lwento lolu?", "Kungani ngidinga ukwenza lokhu?", "Impilo yami izobe injani ngemva kwalokhu?" Ungase ube nemibuzo engqondweni yakho. Yingakho, ukuze sinciphise ukwesaba kwakho nokungabaza ngalokhu, sicabange ukuthi sizokhuluma ngalokhu kuhlinzwa ngendlela elula kakhulu nenobungane.
Kuyini ngempela i-maxillectomy?
Kalula nje, i-maxillectomy ukususwa ngokuhlinzwa kwethambo lakho lomhlathi ongaphezulu noma ingxenye yalo (i-maxilla). Umhlathi ongaphezulu uqukethe amazinyo angaphezulu. Lokhu akukhona nje ukususwa okulula. Ngokuvamile, lokhu kuhlinzwa kuhambisana nokuhlinzwa okwakha kabusha ukuze kubuyiselwe ingxenye esusiwe, okungukuthi, ukuthuthukisa ukubukeka. Ngakho-ke, lena inqubo eyinkimbinkimbi kakhulu futhi ehlelwe kahle eyenziwa yiqembu lodokotela abanekhono.
Kungani kudingeka ukuhlinzwa okukhulu kangaka?
Isizathu esiyinhloko salokhu umdlavuza. Ikakhulukazi uma umdlavuza uvela emhlathini wakho ongenhla noma uma umdlavuza ovela kwenye indawo ususakazekele kule ndawo, lokhu kuhlinzwa kubalulekile ukuze kususwe ngokuphelele amangqamuzana omdlavuza.
Kunezimo eziningana eziyinhloko lapho odokotela batusa khona lokhu kuhlinzwa:
- Umdlavuza we-Maxilla: Uma umdlavuza uvela ngqo ethanjeni le-maxilla.
- Umdlavuza Wekhala: Uma umdlavuza oqala ekhaleni usakazekela emhlathini ongaphezulu.
- Umdlavuza Womlomo: Umdlavuza owenzeka ophahleni lomlomo.
- Izimila zaseSinonasal: Umdlavuza okhula ezimbotsheni ze-sinus ngaphakathi kobuso bese usakazekela emhlathini ongaphezulu.
Ngaphezu kwalezi zinhlobo zomdlavuza, lokhu kuhlinzwa ngezinye izikhathi kwenziwa ezimweni zokutheleleka okukhulu kwesikhunta (invasive fungal sinusitis) . Lokhu ukutheleleka okukhulu okwenzeka lapho izinhlobo ezithile zesikhunta ziphefumulwa, ezisakazeka futhi zibhubhise izicubu ezingaphakathi kwama-sinuses.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kwenziwa ngenhloso eyinhloko yokususa ngokuphelele umdlavuza nokusindisa impilo yakho.
Ingabe lokhu kuhlinzwa kususa umhlathi ongaphezulu kuphela?
Lokhu kuyinkinga kubantu abaningi. Kuye ngobukhulu bomdlavuza nokuthi ususakazeke kangakanani, kungadingeka ukususa izicubu noma izitho eziseduze ngaphezu komhlathi ongaphezulu. Lokhu kungase kuzwakale kusabisa, kodwa kuyadingeka ukususa umdlavuza ngokuphelele.
Izindawo ezizungezile ezingadinga ukususwa yilezi:
- Iso: Uma umdlavuza usuhlasele iso.
- Ulimi Oluqinile: Ingxenye ephezulu yomlomo.
- I-Orbit: Imbobo yamathambo lapho iso likhona khona.
- Isitezi Esijikelezayo: Isitezi esinamathambo esibamba inhlamvu yeso endaweni yaso .
- Inzwa enikeza umuzwa esikhumbeni esingaphansi kweso: Lokhu kungabangela ukuqaqamba esihlathini ngemva kokuhlinzwa.
- Amazinyo ahlobene nomhlathi ongaphezulu asuswayo.
- Umsele Wokuklebhula: Ipayipi elithwala izinyembezi lisuka esweni liye ekhaleni.
Ukuthi lezi zinto ziyasuswa noma cha kuncike esigabeni somdlavuza wakho. Udokotela wakho uzochaza konke lokhu kuwe.
Yiziphi izinhlobo eziyinhloko zalokhu kuhlinzwa?
Uhlobo lokuhlinzwa kwe-maxillectomy okwenziwayo luyahlukahluka kuye ngobukhulu nendawo yesimila. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Kuchazwe kalula |
|---|---|
| Ukuhlinzwa Okukhulu Kwangaphakathi | Lokhu kuhilela ukususa ingxenye yomhlathi ongaphezulu eduze kwekhala kanye namazinyo ahlobene nalo. Lokhu kuvame ukwenziwa ngezimila ezincane ngaphakathi kwekhala. Lokhu kungenziwa ngokusika okuncane ohlangothini lwekhala noma ngepayipi elincane (i-endoscope) elifakwe ngekhala. Lokhu ngokuvamile akudingi ukuhlinzwa okukhulu okwakha kabusha. |
| Ukuhlinzwa Kwengqalasizinda Enkulu | Kule nqubo, kususwa ingxenye engezansi yomhlathi ongaphezulu, amazinyo, kanye nolwanga. Lokhu kudala imbobo ophahleni lomlomo. Ukuvala lembobo, kuthathwa izicubu ezigoqekile kwenye ingxenye yomzimba bese zitshalwa. Ngaphandle kwalokho, kusetshenziswa i-prosthetic ekhethekile ukuvala imbobo. |
| Ukuhlinzwa kwe-Suprastructure Maxillectomy | Lokhu kuhilela ukususa ingxenye engenhla yomhlathi ongaphezulu. Kungase futhi kuhilele ukususa amazinyo, phansi kwe-orbital, i-orbit, iso, i-dringer duct, kanye nemizwa ezungezile. Kudingeka ukuhlinzwa okukhulu okwakha kabusha ukuze kulungiswe izingxenye ezisusiwe. Uma iso lisusiwe, iso lokufakelwa lingafakwa ukuze kubuyiselwe ukubukeka, kodwa kubalulekile ukukhumbula ukuthi ngeke libuyisele umbono . |
| Isamba Esingaphansi (Esiyingxenye) Ukuhlinzwa Kwe-Maxillectomy | Kulokhu, kususwa ingxenye yomhlathi ongaphezulu kuphela kusetshenziswa enye yezindlela ezishiwo ngenhla. |
| Ukuhlinzwa Okuphelele Kwe-Maxillectomy | Lena yingxenye ebanzi kakhulu yokuhlinzwa. Umhlathi ongaphezulu wonke ohlangothini olulodwa lobuso uyasuswa, kanye nolwanga kanye nephansi elizungezile. Lokhu kudinga ukuhlinzwa okukhulu okwakha kabusha kanye namadivayisi okufakelwa. |
Ingabe kukhona ezinye izinto ezengeziwe okufanele zenziwe ngalokhu kuhlinzwa?
Yebo, ngezinye izikhathi ukuhlinzwa kwe-maxillectomy kukodwa kungase kunganeli. Kuye ngesimo sakho, kungadingeka ukuthi kwenziwe ezinye izinqubo eziningana ngesikhathi esisodwa noma ngemva kwalokhu kuhlinzwa.
- Ukubekwa Kwepayipi Lokondla: Njengoba kunzima ukudla noma ukuphuza ngokujwayelekile ngomlomo isikhashana ngemva kokuhlinzwa, ipayipi lifakwa ngekhala noma ngqo esiswini ukuze linikeze ukudla okunomsoco okudingekayo.
- I-Dacryocystorhinostomy: Ukuhlinzwa kokususa umsele wokukhala, okudala indlela entsha yokuthi izinyembezi ziphume emehlweni.
- Ukusikwa Kwentamo: Uma kukhona okusolakala ukuthi umdlavuza ususakazekele kuma-lymph node entanyeni, ayasuswa bese ehlolwa.
- I-Tracheostomy: Uma odokotela becabanga ukuthi ukuvuvukala ebusweni kuzobangela ubunzima bokuphefumula ngemva kokuhlinzwa, bangase bafake ipayipi ngqo epayipini lomoya ngaphambili kwentamo ukuze bakusize uphefumule okwesikhashana.
- Ukuhlinzwa Okwakha Kabusha: Lokhu kuhlinzwa kwenziwa ukuze kubuyiselwe ukubukeka nokusebenza kobuso ngangokunokwenzeka.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, lokhu kunezinzuzo nezingozi zako.
| Inzuzo eyinhloko | Izingozi ezingaba khona kanye nezinkinga |
|---|---|
Ukusindisa izimpilo. Inzuzo enkulu newukuphela kwayo yalokhu kuhlinzwa ukuthi kuvimbela ukusabalala kwalesi sifo futhi kunikeza ithuba elingcono lokusinda ngokususa izicubu zomdlavuza emzimbeni. |
|
Isikhathi sokululama sinjani ngemva kokuhlinzwa?
Lolu uhambo olude. Udinga ukululungiselela kokubili ngokomzimba nangokwengqondo. Inqubo yokuphulukiswa ingahlukaniswa izingxenye eziningana.
Isikhathi esibhedlela
Kuye ngohlobo lokuhlinzwa, kungadingeka uhlale esibhedlela isonto elilodwa kuya kwamasonto amabili noma ngaphezulu . Lesi sikhathi singaba isikhathi eside uma uhlinzwe kakhulu ngokuvuselela umzimba. Phakathi nalesi sikhathi:
- Imithi inikezwa ukulawula ubuhlungu nokuvimbela ukutheleleka.
- Umoya-mpilo unganikezwa ukusiza ekuphefumuleni (ngokusebenzisa i-tracheostomy uma umuntu ebekwe).
- Ukudla okunomsoco kunikezwa ngokunikeza ukudla okumanzi ngepayipi lokuphakela.
Izinto okufanele uzinakekele ngemva kokubuyela ekhaya
Kusadingeka uqaphele kakhulu ngemva kokufika ekhaya uvela esibhedlela.
- Gwema imisebenzi enzima ngokuphelele kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
- Yidla uketshezi nokudla okuthambile kuphela kuze kube yilapho amanxeba ephola.
- Gwema ukudla okushisayo neziphuzo ngoba ezinye izingxenye zomlomo zingase zizwele ekushiseni, okungashisa umlomo.
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Lokhu kungathatha izinyanga. Kuzothatha isikhathi ukuthi ikhono lakho lokukhuluma nokugwinya libuyele esimweni esijwayelekile. Isikhathi sokululama sizoncika ohlotsheni lokuhlinzwa olwenzile.
- Njengoba i-medial maxillectomy iyindlela yokuhlinzwa engadingi ukungenelela okukhulu, ukululama kuyashesha.
- Ingqalasizinda, i-Suprastructure, kanye ne-Total maxillectomy kuyizindlela zokuhlinzwa eziyinkimbinkimbi kakhulu, ngakho-ke ukuhlala esibhedlela kanye nesikhathi sokululama ekhaya kungaba isikhathi eside kakhulu.
Kufanele ukhulume nini nodokotela?
Uma uba nanoma yiziphi izimpawu eziyingozi ngesikhathi sokululama kwakho, kufanele wazise udokotela wakho noma isibhedlela lapho uthole khona ukwelashwa. Qaphela kakhulu lezi zimpawu.
* Uma kukhona ukuvuvukala okungavamile .
* Uma uzizwa unenkinga yokuphefumula .
* Uma uba nomkhuhlane (lokhu kungaba uphawu lokutheleleka).
* Uma uzwa ubuhlungu obukhulu obungenakulawulwa yimithi yobuhlungu enikeziwe.
Esimweni esinjengalesi, ungaphuzi.
Kuzoba namuphi umthelela empilweni yami ngemva kokululama?
Iningi labantu liyalulama ngempumelelo kulokhu kuhlinzwa. Ukusikwa kuyaphola kahle. Kodwa-ke, ukususa umhlathi ongaphezulu nezindawo ezizungezile kuletha izinguquko ezithile empilweni. Izinto ezazilula kakhulu ngaphambili, njengokudla, ukukhuluma, nokugwinya, kungaba yinselele.
Kodwa ungakhathazeki. Baningi abantu abangakusiza unqobe lezi zinselele.
- Ochwepheshe Bezokwelapha Inkulumo: Bakusiza ukuthi uphinde ufunde ukukhuluma, ukugwinya, nokudla.
- Ochwepheshe Bezokudla: Ukusiza umzimba ukuthi uthole ukudla okunomsoco okudingayo, ngisho noma kunzima ukudla.
- Odokotela bamazinyo: Bangakwenzela amazinyo okufakelwa akhethekile futhi bakusize uphinde uthole ikhono lokuhlafuna ukudla.
- Odokotela Bezifo Zomdlavuza: Hlela ukwelashwa okwengeziwe komdlavuza, njengokwelashwa ngamakhemikhali noma ngemisebe, okungadingeka ngemva kokuhlinzwa.
Ukululama kwakho ekugcineni kuncike ohlotsheni lomdlavuza kanye nobunzima bawo. Kodwa ngokunakekelwa okufanele kwezokwelapha kanye nemizamo yakho, abantu abaningi bakwazile ukunqoba lezi zinselele futhi babuyela empilweni ejwayelekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Maxillectomy kuyindlela ebaluleke kakhulu, engase isindise impilo yomdlavuza wekhanda nentamo.
- Isikhathi sokululama ngemva kwalokhu kuhlinzwa singase sibe side. Ukudla nokukhuluma kungathinteka.
- Kukhona ithimba elikhulu lezokwelapha, okuhlanganisa odokotela, abelaphi bezokukhuluma, kanye nochwepheshe bezokudla, abazokusiza. Thola ukwesekwa kwabo.
- Bika noma yiziphi izimpawu eziyingozi (umkhuhlane, ubuhlungu obukhulu, ubunzima bokuphefumula) kudokotela wakho ngokushesha ngesikhathi sokululama kwakho.
- Nakuba lolu hambo luyinselele, ngokusekelwa okufanele kanye nesimo sengqondo esihle, ungaphila impilo enhle futhi.











💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho