Uma sicabanga ngokuhlinzwa, sicabanga ngokusikwa okukhulu, izinsuku ezimbalwa esibhedlela, kanye nobuhlungu obukhulu, akunjalo? Lokho kwesaba empeleni kuyafaneleka. Kodwa manje ezokwelapha sezithuthuke kakhulu. Ikakhulukazi lapho kwelashwa izifo ezihlobene nohlelo lomchamo, manje sekunezindlela zokuhlinzwa ezivame ukwenziwa ngaphandle kokwenza ukusikwa okukhulu, kodwa ngokusebenzisa imigodi emincane. Lokhu yilokho esikubiza ngokuthi ukuhlinzwa okuncane okungavamile. Namuhla sikhuluma ngalesi sihloko esibalulekile kubantu abaningi.
Kalula nje, kuyini ukuhlinzwa okungadingi ukungenelela okukhulu?
Lokhu kunjengoba igama lisho. Esikhundleni sokusikwa okukhulu, sisebenzisa leli gama ukubhekisela ekuhlinzeni okwenziwa ngokusikwa okukodwa noma ngaphezulu okuncane kakhulu, okulingana ne-dime, uma kukhulunywa ngqo. Kule ndlela, kunomonakalo omncane kakhulu ezicutshini ezinempilo, futhi inani legazi elilahlekile ngesikhathi sokuhlinzwa nalo liphansi kakhulu .
Ngalezi zinqubo zokuhlinzwa, ochwepheshe bangelapha izifo eziningi ezihlobene nohlelo lwakho lomchamo (izinso, isinyi, i-urethra), uhlelo lokuzala lwabesifazane, kanye nohlelo lokuzala lwabesilisa.
Yiziphi izindlela ezahlukene zokwenza lokhu kuhlinzwa?
Kunezindlela eziningana eziyinhloko zokwenza lokhu kuhlinzwa okungadingi ukungenelela okuningi. Udokotela wakho uzokhetha indlela efanele kakhulu ngokusekelwe esimweni sakho.
Ukuhlinzwa kwe-Laparoscopic
Lena indlela ethandwa kakhulu. Okwenzekayo lapha ukuthi ipayipi elincane elinekhamera enamathiselwe kulo (i-laparoscope) lidluliswa ngomsikelo omncane emzimbeni. Izithombe ezivela kule khamera zingakhuliswa futhi zibukwe ngokucacile esikrinini. Ngemuva kwalokho, kwenziwa umsikelo owodwa noma emibili emincane bese kufakwa amathuluzi abucayi adingekayo ekuhlinzeni ukuze kwenziwe ukuhlinzwa. Ukuze kube sobala, udokotela wenza ukuhlinzwa emzimbeni wakho ngenkathi ebuka isikrini esikhulu.
Ukuhlinzwa Kwerobhothi
Lena enye indlela ethuthukisiwe. Lapha, udokotela akasebenzisi ngqo amathuluzi okuhlinza. Kunalokho, uhlala ohlelweni lokulawula ikhompyutha (i-Surgical Console) futhi ulawula izingalo eziningana zamarobhothi. Amathuluzi okuhlinza amancane axhunywe kulezi zingalo zamarobhothi angahamba ngokunembile futhi adlule ibanga elikhulu kunengalo yomuntu. Futhi, njengoba ikhamera ekhethekile esetshenziselwa lokhu inikeza izithombe ezinezinhlangothi ezintathu (3D) ngaphakathi emzimbeni, udokotela kanye nethimba lokuhlinzwa bangabona konke ngokucacile. Lokhu kuvumela ngisho nokuhlinzwa okubucayi kakhulu nokuyinkimbinkimbi ukuthi kwenziwe ngokunemba okukhulu.
Ukuhlinzwa Kwe-Single-port
Ngale ndlela, ukuhlinzwa kwenziwa ngokusika okuncane esiswini noma embotsheni. Okokuqala, kufakwa inani elincane legesi yekhabhoni dioksijini esiswini ukuze lifuthwe. Lokhu kuvumela umbono ongcono wezitho zangaphakathi futhi kuvumela ukusetshenziswa kwezinsimbi zokuhlinza. Ngemuva kwalokho, kufakwa ikhamera nezinye izinto ezidingekayo ngaleyo ndlela yokusika okukodwa bese kwenziwa ukuhlinzwa.
Ukuhlinzwa kwe-Endoscopic
Akukho ukusikwa emzimbeni. Kunalokho, ukuhlinzwa kwenziwa ngembobo yemvelo emzimbeni (njenge-urethra). Ithubhu ende, eguquguqukayo, nencane (i-endoscope) enekhamera kanye nezinsimbi zokuhlinza ekugcineni ifakwa ngale mbobo ukuze kwelashwe izinkinga esinyeni, ema-ureter, noma ezinso.
Kwezinye izimo, kusetshenziswa amagagasi okushaqeka anamandla aphezulu noma ama-laser esikhundleni sokuhlinzwa ukwelapha izimo ezithile (isibonelo, amatshe ezinso).
Izimo ezivamile eziphathwa ngalezi zindlela
Kunezimo eziningi ezingelashwa ngokusebenzisa lezi zindlela zokuhlinzwa zesimanje. Ake sibheke ezimbalwa zazo.
| Isimo | Incazelo elula |
|---|---|
| Umdlavuza Wesinye | Ukususwa kwamangqamuzana anomdlavuza esinyeni noma ukususwa kwesinye uqobo. |
| Umdlavuza Wezinso | Ukususwa kwesimila somdlavuza enso noma enso yonke. |
| Umdlavuza Wendlala Yesitho Sangasese | Ukususwa kwendlala ngenxa yomdlavuza we-prostate ongakasabalali kwezinye izingxenye zomzimba. |
| Amatshe Ezinso | Ukuchoboza amatshe ngamaza okushaqeka noma ukususa amatshe nge-endoscopy. |
| Ama-Cysts Ezinso | Ukususa ama-cyst amakhulu anamanzi abangela ubuhlungu noma ezinye izinkinga. |
| Ukwehla Kwesitho Se-pelvic | Ukubuyiselwa kokuwa kwesibeletho noma kwesitho sangasese sowesifazane kwabesifazane. |
| Amasende Angaphansi | Ukubeka amasende ezingane ezincane endaweni yawo efanele. |
| I-Benign Prostatic Hyperplasia (BPH) | Ukususwa kwengxenye engaphakathi yendlala ye-prostate ekhulisiwe futhi evimbela ukuchama. |
Yini ongayilindela ngaphambi nangemva kokuhlinzwa?
Uma kunconywa ukuthi wenze lolu hlobo lokuhlinzwa, udokotela uzokuchazela konke.
- Uzokubuza ngesimo sakho sezempilo, imithi oyiphuzayo, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Uzohlolwa ukuze kubonakale ukuthi usesimweni esifanele yini somzimba sokuhlinzwa.
- Bazokweluleka nangokuthi yini okufanele uyidle futhi uyiphuze ngosuku olwandulela ukuhlinzwa.
Kusetshenziswa i-anesthesia phakathi nalokhu kuhlinzwa. Isikhathi esiningi, uphathwa i-anesthesia ngokuphelele, ngakho awuzwa lutho. Ngemva kokuhlinzwa, impilo yakho izoqashwa, uzonikezwa imithi yobuhlungu, futhi uzonikezwa imiyalelo yokuthi yini okufanele uyenze ukuze ululame ngokushesha. Uma usukulungele ukuya ekhaya, uzokhishwa esibhedlela.
Umehluko phakathi kokuhlinzwa okuvulekile kwendabuko kanye nale ndlela yesimanje
Uma usuqonda umehluko phakathi kwalezi zindlela ezimbili, uzoqonda kangcono izinzuzo zokuhlinzwa okungangenisi kakhulu.
| Isici | Ukuhlinzwa Okungangeni Kakhulu | Ukuhlinzwa Okuvulekile |
|---|---|---|
| Usayizi wesitho | Izingcezu ezimbalwa ezincane kakhulu (ezicishe zibe usayizi we-dime). | Ukusika okukodwa okukhulu, okungamasentimitha amathathu kuya kwangu-12 noma ngaphezulu. |
| Ukopha | Kuphansi kakhulu. | Kuphezulu kakhulu. |
| Isikhathi esibhedlela | Ngokuvamile kufushane (izinsuku ezingu-1-3). | Isikhathi eside (izinsuku eziningana noma amasonto). |
| Ubuhlungu | Ubuhlungu buncane ngesikhathi sokululama. Isidingo esincane samaphilisi okudambisa izinhlungu. | Ubuhlungu bukhulu kakhulu ngesikhathi sokululama. |
| Isikhathi sokuphulukiswa | Ngokushesha. Ungabuyela ngokushesha emisebenzini evamile. | Sekuhlwile. |
| Izibazi | Izibazi ezincane kakhulu, ezingabonakali kahle. | Kusala isilonda esikhulu, esibonakala kahle. |
| Ingozi yokutheleleka | Ngaphansi. | Kakhulu. |
Njengazo zonke izinhlobo zokuhlinzwa, ingabe zikhona izingozi ngalokhu?
Yebo, kunengozi encane nganoma yikuphi ukuhlinzwa. Lokhu kuhlinzwa kungase kube nezingozi ezithile ezivamile.
- Izingozi ezihambisana nokubulala izinzwa.
- Ukutheleleka.
- Ukulimala kwezinye izitho ezizungezile.
- Izinkinga zokuphulukisa izicubu.
Kodwa khumbula, lezi zingozi azivamile ukwenzeka ngokuhlinzwa okuvulekile. Qiniseka ukuthi ukhuluma nodokotela wakho nganoma yiziphi ezinye izingozi ezihlobene nokuhlinzwa okuthile okwenzayo.
Isikhathi sokukhuluma nodokotela ngemva kokuhlinzwa
Ngemva kokubuyela ekhaya ngemva kokuhlinzwa, uma uba nanoma yiziphi izimpawu ezilandelayo , yazisa udokotela wakho ngokushesha .
- Izimpawu zokutheleleka, njengomkhuhlane kanye nokubanda.
- Ukucanuzela nokuhlanza okuqhubekayo.
- Ukopha ngokweqile ngenxa yokusikeka.
- Uma kukhona ukuvuvukala okwandayo, ubuhlungu, ukushintsha kombala, noma ubomvu obuzungeze imbobo.
- Ubuhlungu bukhulu kangangokuthi imithi yokwelapha ubuhlungu enikezwe udokotela ayikwazi ukubulawula.
Lobu buchwepheshe besimanje bunciphise kakhulu ukwesaba ukuhlinzwa. Kuyindlela elula kakhulu futhi esheshayo yokululama ezigulini. Uma udinga nokuhlinzwa ngenxa yenkinga yomgudu womchamo, khuluma nodokotela wakho ngalezi zindlela ezingangenisi kakhulu. Uzokwazisa ngokwelashwa okufanele kakhulu kwesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Okungangeni Kakhulu kuyindlela yesimanje nephumelela kakhulu yokwelapha izifo zesimiso somchamo.
- Ngenxa yokuthi kusetshenziswa imicu emincane esikhundleni sokusikwa okukhulu, ubuhlungu buyancipha, ukuhlala esibhedlela kuncane, ukululama okusheshayo, kanye nezibazi ezincane.
- Lokhu kuhlinzwa kwenziwa kusetshenziswa izindlela ezahlukene ezifana ne-laparoscopy kanye nobuchwepheshe berobhothi.
- Le ndlela ingase ingafaneleki kuzo zonke izimo. Udokotela wakho uzonquma ukuthi iyiphi indlela yokuhlinzwa engcono kakhulu kuwe.
- Uma uhlelelwe ukuhlinzwa, xoxa ngokukhululekile ngobuhle, ububi kanye nezingozi nodokotela wakho bese wenza isinqumo.
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