Ingabe udokotela wakho ukutshelile noma othile omaziyo ukuthi udinga ukuhlinzwa okubizwa ngokuthi "i-Nephroureterectomy"? Lapho uzwa lelo gama, wesaba kancane, wawungakwazi ukuthola ukuthi liyini, akunjalo? Kuvamile kakhulu. Uma sizwa amagama anjengalawa, sinemibuzo eminingi. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa, kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane.
Okokuqala, kuyini i-Nephroureterectomy?
Kulungile, leli yigama elide nelingavamile, akunjalo? Ake silichaze kahle? Khona-ke kulula kakhulu ukuliqonda.
- I-Nephro- (nephros): Lokhu kuvela egameni lesiGreki elithi "nephros." Incazelo yalo elula kakhulu ithi "izinso" noma into ehlobene nezinso.
- I-Ureter: Lena "i-ureter" yethu. Uma sikhuluma iqiniso, yipayipi elincane elithwala umchamo okhiqizwa ezinso uye esinyeni.
- -ectomy (-ektomi): Leli futhi igama lesiGreki. Lisho "ukusika." Okusho ukuthi, ukususa ngokuhlinzwa.
Manje, ake sibone ukuthi kusho ukuthini konke lokhu. I-Nephroureterectomy inqubo yokuhlinzwa esusa izinso kanye ne-ureter yonke. Enye into isuswa phakathi nalokhu kuhlinzwa. Leso yisicucu esincane sezicubu lapho i-ureter ixhuma khona nesinye. Ibizwa ngokuthi i-bladder cuff .
Kalula nje, lokhu kuhlinzwa kususa izingxenye ezintathu zomzimba wakho:
1. Inso eyodwa
2. Umgudu womchamo wonke oxhumene naleyo ntso
3. I-bladder cuff, ingcezu encane yethishu lapho i-urethra ihlangana khona nesinye
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Ngokuvamile, udokotela uzoncoma lokhu kuhlinzwa uma unomdlavuza we-transitional cell, owaziwa nangokuthi umdlavuza we-urothelial .
Lo mdlavuza ukhula ezicutshini ezingaphakathi kohlelo lwethu lomchamo. Okusho ukuthi, ungakhula ezinso, kuma-ureter, kanye nasesinyeni. Ikakhulukazi uma lo mdlavuza ukhula engxenyeni engenhla yohlelo lomchamo, okungukuthi, ezinso noma kuma-ureter, kunethuba elikhulu lokuthi amangqamuzana omdlavuza azosakazeka aye kwesinye.
Ukuze kumiswe ngokuphelele leyo ngozi, izinso ezinomdlavuza, i-ureter yonke exhunywe kuyo, kanye nengxenye encane yesinyi konke kususwa ngesikhathi esisodwa. Kufana nokususa inkinga kuqala.
Lokhu ukuhlinzwa "okukhulu".Kuphathwa kanjalo. Ukuhlinzwa okukhulu kuhilela ukususa hhayi umdlavuza kuphela kodwa nanoma yiziphi izicubu noma izitho ezizungezile lapho kucatshangwa ukuthi umdlavuza usakazeke khona. Isibonelo, uma umdlavuza ususakazeke kuma-lymph node aseduze, udokotela uzosusa ama-lymph node kanye nezinso kanye ne-ureter. Lokhu kubizwa ngokuthi i-metastasis .
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Kulungile, ake sithi udokotela ukutshela ukuthi udinga ukuhlinzwa. Yini okufanele uyenze-ke? Ungakhathazeki, ithimba lezokwelapha lizokuchazela konke. Kodwa kubaluleke kakhulu ukuthi nawe uzazi lezi zinto.
Ngaphambi kokuhlinzwa, kuzodingeka ubone udokotela wakho. Uzothatha umlando wakho wezempilo ophelele bese ehlola ukuphakama kwakho, isisindo, umfutho wegazi kanye nokushisa ukuze aqinisekise ukuthi uphilile ngokwanele ukuba uhlinzwe.
Kunezinto ezibalulekile okudingeka uzazi futhi uzitshele udokotela wakho .
| Okudingayo ukukwazisa | Kungani kubalulekile? |
|---|---|
| Ngitshele ngayo yonke imithi oyiphuzayo. | Lokhu kufaka phakathi imithi kadokotela, imithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela, amavithamini, ngisho nezithasiselo zamakhambi. Eminye imithi, njenge-aspirin, ingandisa ingozi yokopha. Ngakho-ke ungaqali noma uyeke ukuthatha noma yimuphi umuthi ngaphandle kokuhlola udokotela wakho kuqala. |
| Sitshele nganoma yikuphi ukungezwani komzimba onakho. | Kungaba ukungezwani komzimba nemithi, izihlanzi zesikhumba ezifana ne-iodine, ukudla, noma i-latex. Lokhu kubaluleke kakhulu. |
| Landela imiyalelo mayelana nokudla neziphuzo. | Uzocelwa ukuthi udle ukudla okuhlanzekile kuphela amahora angama-24 ngaphambi kokuhlinzwa. Akufanele udle noma uphuze lutho okungenani amahora ayi-8 ngaphambi kokuhlinzwa. Uma udinga ukuthatha noma yimiphi imithi ebalulekile, yiphuze namanzi. Kubaluleke kakhulu ekuphepheni kwakho ukulandela le miyalelo ngqo. |
Yiziphi izindlela zokwenza lokhu kuhlinzwa?
Kunezindlela ezimbili ngokuyinhloko zokwenza lokhu kuhlinzwa.
1. Ukuhlinzwa okuvulekile (Ukuhlinzwa kwe-nephroureterectomy okuvulekile)
2. Ukuhlinzwa kwe-laparoscopic nephroureterectomy okwenziwa ngerobhothi
Ukuhlinzwa Okuvulekile
Lena yindlela yendabuko. Lapha, udokotela ohlinzayo wenza ukusika okukodwa noma okubili okukhulu esiswini sakho. Lokhu kusikwa kungaba ngamasentimitha angu-8-12 ubude. Ngezinye izikhathi kungase kudingeke kususwe ubambo. Le ndlela ingasetshenziswa uma umdlavuza umkhulu kakhulu noma ususakazeke ngaphakathi.
Ukuhlinzwa kwe-Laparoscopic okwenziwa yirobhothi
Lena yindlela evame ukusetshenziswa kakhulu namuhla. Nakhu okwenzekayo:
Udokotela uzokwenza imicu emincane emithathu noma emihlanu, cishe isigamu sesentimitha ubude, esiswini sakho esingezansi. Ngemuva kwalokho, ngokusika okukodwa, kuzofakwa ipayipi elincane elinekhamera ( i-laparoscope ). Ukuhlinzwa kwenziwa ngenkathi kubukelwa izithombe ezikhulisiwe ezivela kule khamera esikrinini sekhompyutha.
Izinsimbi zokuhlinza zifakwa ngezinye izimbobo ezincane. Lezi zinsimbi ziphathwa yirobhothi lokuhlinza . Kodwa ungakhathazeki, irobhothi alenzi lutho ngokwalo. Udokotela ohlinzayo uhlala endaweni yokuhlinza futhi ulawula irobhothi ngokuphelele. Ngale ndlela, kungenzeka ukufinyelela ngisho nasezindaweni ezijulile zomzimba ngokunemba okukhulu, ngaphandle kwamaphutha. Kunjengokungathi izandla zikadokotela ziya ngokuya ziba buthakathaka futhi zinembile.
Kwenzekani ngosuku lokuhlinzwa?
Udokotela wezinzwa uzofika kuqala akunikeze umuthi wokubulala izinzwa ojwayelekile . Lokhu kusho ukuthi uzolala ngokuphelele kuze kube yilapho ukuhlinzwa kuphelile. Ngeke uzwe ubuhlungu futhi ngeke ukhumbule lutho. Ngemuva kwalokho isisu sakho sizogcwala igesi ye-carbon dioxide ukuze kuvule indawo yokuthi udokotela ohlinzayo asebenze.
Udokotela ohlinzayo ube esesika bese eqala ukuhlinzwa.
- Ekuhlinzeni okuvulekile, kwenziwa imicu emikhulu bese izitho ezithintekile zisuswa.
- Indlela ye-laparoscopic ihilela ukwenza imicu emincane nokususa izinso kanye ne-ureter kusetshenziswa i-laparoscope kanye nemishini yerobhothi.
Ekugcineni, udokotela ohlinzayo uvala izimbobo ngezithungo. Ngezinye izikhathi amapayipi okukhipha amanzi asetshenziswa ukukhipha igazi noketshezi oluvela ezimbobo.Ungafaka ipayipi elincane le-silicone elibizwa ngokuthi ".
Umbuzo ofika engqondweni yakho uthi, kwenzekani uma kususwa inso eyodwa? Umuntu ophilile angaphila impilo ejwayelekile ngenso eyodwa ngaphandle kwezinkinga. Enye inso ithatha izintambo futhi yenze yomibili imisebenzi.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamane.
Yini ongayilindela ngemva kokuhlinzwa?
Uma ukuhlinzwa sekuphelile, udokotela wezinzwa uzoyeka ukukunikeza umuthi wokubulala izinzwa. Uzoqala ukuvuka kancane kancane. Ngemuva kwalokho uzoyiswa egumbini lokululama . Lapho, abasebenzi bezokwelapha bazoqapha impilo yakho ngokucophelela.
- Ubuhlungu: Uma uzwa ubuhlungu, unikezwa umuthi walo.
- Isicanucanu: Abanye abantu bazizwa benesicanucanu ngenxa yokusetshenziswa kwe-anesthesia. Uma kunjalo, kunikezwa nemithi yalokho.
- Ukudla: Ngosuku lokuqala noma ezimbili, banikezwa ukudla okumanzi. Bese kancane kancane bangeniswa ekudleni okuvamile.
- Ukuhamba: Uzocelwa ukuthi uvuke embhedeni uhambe kancane kusukela ngosuku olulandela ukuhlinzwa. Lokhu kubaluleke kakhulu. Ukuhamba kunciphisa ingozi yokuqhekeka kwegazi emilenzeni futhi kuvimbela izimo ezifana ne-pneumonia.
Uma isimo sakho sesiqinisekisiwe ukuthi sizinzile, uzovunyelwa ukuya ekhaya. Kufanele nakanjani uhambisane nelungu lomndeni noma umngane lapho uya ekhaya. Kuhle kakhulu futhi ukuba nomuntu ozokunakekela ezinsukwini ezimbalwa zokuqala.
Izinzuzo kanye nezingozi ezivamile zokuhlinzwa kwerobhothi
Ake sibheke zombili lezi ngokwehlukana.
| Izinzuzo zokuhlinzwa kwerobhothi (uma kuqhathaniswa nokuhlinzwa okuvulekile) | |
|---|---|
| Uphole ngokushesha | Isikhathi esincane esibhedlela |
| Ubuhlungu obuncane ngemva kokuhlinzwa | Isidingo esincane sama-painkiller |
| Kwangathi ungalulama maduze. | Ungabuyela emisebenzini evamile futhi usebenze ngokushesha. |
| Ukusikwa kuncane kakhulu. | Izibazi ezincane |
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Izingozi ezihlobene nokubulala izinzwa
- Izinkinga zokuphulukisa amanxeba
- Mhlawumbe kudingeka ukunikela ngegazi
- Ukutheleleka ngamagciwane
- I-blood clot (i-hematoma)
- Ukuqoqwa koketshezi eduze kokusikwa (i-seroma)
Ungesabi lezi zingozi. Ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukuzivimbela futhi, uma zenzeka, lizilawule.
Yini okufanele ngiyinake ngemva kokubuyela ekhaya?
Isikhathi sokululama siyahlukahluka kumuntu nomuntu, kodwa ngokuvamile, kufanele uphumule cishe amasonto ayisithupha.
- Ukushayela: Ungashayeli okungenani amasonto amabili ngemva kokuhlinzwa.
- Ukuphakamisa izinsimbi: Ungaphakamisi izinsimbi ezisindayo ezingaphezu kuka-9-10 kg (cishe isisindo samalitha ayi-10 amanzi). Ungenzi izivivinyo ezinzima njengokugijima. Lokhu kungalimaza izithungo futhi kubangele izimo ezifana ne-hernia.
- Ukuhamba: Ukuhamba kuhle kakhulu. Kuyasiza enkambisweni yokuphulukiswa.
- Ukubuyela emsebenzini: Uma umsebenzi wakho ungenzima kakhulu ngokomzimba, kufanele ukwazi ukubuyela emsebenzini cishe emavikini amane. Kodwa-ke, uma umsebenzi wakho uhilela ukuphakamisa izinto ezisindayo noma umsebenzi onzima, kungcono ukuthatha isikhathi eside.
Ingabe udinga ukubona udokotela futhi? Yiziphi izimo okudingeka ukhulume nazo ngokushesha?
Yebo, nakanjani. Udokotela uzokunika usuku lokubuya. Ngalolo suku, uzohlola ukusikwa kwakho kanye nezithungo. Uma kukhona izithungo ezingancibiliki, zizosikwa bese zisuswa ngemva kwesonto noma amabili. Uma kukhona amapayipi okudonsa amanzi, azosuswa nawo.
Futhi, kuzokwenziwa izivivinyo ukuqinisekisa ukuthi ukuhlinzwa kususe ngokuphelele umdlavuza. Uma umdlavuza ususakazeke noma ungowohlobo olunamandla kakhulu, udokotela wakho uzochaza izinyathelo zakho ezilandelayo zokwelapha (isib. i-chemotherapy).
Uma unalezi zimpawu, ungalibali, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukopha ngokweqile ngenxa yokusikeka
- Uketshezi olufana nobomvu olushintsha umbala, olunuka kabi luphuma emanxebeni
- Umkhuhlane (ngaphezu kwama-degree Celsius angu-38 / ama-degree Fahrenheit angu-100)
- Izitishi ziyahlukana
- Ubuhlungu buya bukhula.
Uma ubona into efana nale, ungahlali ekhaya. Funa iseluleko sezokwelapha ngokushesha.
Okokugcina, kuyinto evamile ukuba nokwesaba, ukukhathazeka, nokungabaza ngaphambi kokuhlinzwa kanje. Imibuzo efana nokuthi "Kuthiwani uma ukuhlinzwa kungahambi kahle?", "Ingabe umdlavuza uzosakazekela kwezinye izingxenye zomzimba?", "Ingabe ukululama kuzoba nzima?" ingase ifike engqondweni.
Kuvamile ukuba nemicabango enjalo. Kodwa ngesikhathi esifanayo, cabanga ngezinzuzo ozothola kulokhu kuhlinzwa. Kungasindisa impilo yakho, kungathuthukisa ikhwalithi yempilo yakho. Khuluma nodokotela wakho kanye nethimba lezokwelapha ngazo zonke izinto ezikukhathazayo nokwesaba kwakho. Balapha ukuzokusiza futhi bangakuyeki wedwa kulolu hambo.
Umlayezo Wokuya Nawe Ekhaya
- I-Nephroureterectomy ukuhlinzwa okwenziwa ngokuyinhloko kumdlavuza we-urothelial owenzeka engxenyeni engenhla yesistimu yomchamo.
- Lokhu kuhlinzwa kususa izinso ezithintekile, i-ureter yonke, kanye nengxenye encane yesinye.
- Ukuhlinzwa kwe-Laparoscopic, okusebenzisa ubuchwepheshe berobhothi, ngokuvamile akubuhlungu kakhulu futhi kululama ngokushesha.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngaphambi nangemva kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, njengomkhuhlane, ukopha ngokweqile, noma ubomvu obuphuma esilondeni, yazisa udokotela wakho ngokushesha.
- Umuntu ophilile angaphila impilo ejwayelekile ngenso eyodwa.
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