Kuvamile ukuzizwa ukwesaba okukhulu nokushaqeka lapho sizwa ukuthi sinomdlavuza. Ngezikhathi ezinjalo, kunzima ngathi ukuqonda amanye amagama ezokwelapha namagama okuhlinzwa asetshenziswa odokotela. Igama elithi 'omentectomy' lingaba elinye lamagama anjalo. Kodwa ungakhathazeki, lokhu akulona inkimbinkimbi njengoba ucabanga. Ake sixoxe ngalokhu kalula nangendlela enobungane namuhla.
Kulungile, ake siqale sibone ukuthi iyini le 'omentum'.
Kalula nje, i-omentum iwungqimba oluncane lwezicubu ezinamafutha ezimboza ezinye zezitho ezingaphakathi kwesisu sethu. Uma sikhuluma iqiniso, ifana 'ne-apron' elenga phezu kwesisu namathumbu ethu. Yakhiwe kakhulu ngezicubu ezinamafutha nemithambo yegazi.
Lo mkhiqizo wenza imisebenzi eminingana ebalulekile emzimbeni wethu:
- Isivikelo: Sivikela izitho zomzimba ezingaphakathi kwesisu.
- Ukunikezwa kwegazi: Kusiza ekuhlinzekeni igazi elidingekayo ezithweni ezizungezile.
- Ukungavikeleki: Kusebenza futhi njengengxenye yesimiso somzimba sokuzivikela. Uma kukhona ukutheleleka noma ukulimala, kuya endaweni futhi kuyasiza ekulawuleni.
Pho kungani le omentum isuswa ngokuhlinzwa?
Isizathu esiyinhloko sokusebenzisa ukuhlinzwa ukuze kususwe i-omentum, okungukuthi i-omentectomy, umdlavuza .
Esikhathini esiningi, umdlavuza uqala ku-omentum uqobo, okuyinto engavamile kakhulu. Kodwa-ke, umdlavuza oqala kwenye indawo esiswini, njengezitho zokuzala, isibeletho, noma isisu, ungasakazeka kalula uye ku-omentum. Lokhu kungenxa yokuthi i-omentum inegazi elicebile, futhi iyindawo enhle yokuthi amangqamuzana omdlavuza anamathele futhi akhule.
Ngezansi kunezinye zezinhlobo eziyinhloko zomdlavuza okunconywa ukuthi zihlinzwe nge-omentectomy.
| Uhlobo lomdlavuza | Incazelo |
|---|---|
| Umdlavuza wesibeletho | Lesi yisona sizathu esiyinhloko esenza umdlavuza usabalale uye e-omentum. |
| Umdlavuza wesibeletho | Amaseli omdlavuza asakazeka esibelethweni angahlala lapha. |
| Umdlavuza wesisu | Ngenxa yokuthi iseduze kakhulu nesisu, kunethuba elikhulu lokusabalala. |
| Umdlavuza we-Colorectal | Lolu hlobo lomdlavuza lungasakazeka nase-omentum. |
| Eminye imidlavuza | Umdlavuza we-prostate, amashubhu e-fallopian, kanye ne-appendix nakho kungabangela lokhu. |
Kalula nje, uma udokotela wakho ethola umdlavuza ku-omentum, uzoncoma ukuthi ususwe. Ngezinye izikhathi, uma kunethuba elikhulu lokuthi umdlavuza oseduze uzosakazekela ku-omentum, lokhu kuhlinzwa kwenziwa futhi ukuze kuvinjelwe umdlavuza ukuthi ungasabalali .
Ngezinye izikhathi, odokotela basusa futhi bahlole ingxenye ye-omentum ukuze bathole isigaba esiqondile somdlavuza. Lokhu kungaba usizo kakhulu ekunqumeni ukuthi umdlavuza ususakazeke kangakanani nokuthi hlobo luni lokwelashwa oludingekayo esikhathini esizayo.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Esikhathini esiningi, lokhu kuhlinzwa kwe-omentectomy akwenziwa ngokwako. Kwenziwa njengengxenye yokuhlinzwa okukhulu ukususa isitho esiyinhloko esiqukethe umdlavuza.
Ukulungiselela ukuhlinzwa
Ngaphambi kokuhlinzwa, ithimba lakho lezokwelapha lizokhuluma nawe ngakho ngokuphelele. Lizokwazisa ngezinzuzo, ububi, kanye nezingozi zokuhlinzwa. Lizophinde lenze izivivinyo eziningana ukuze libone ukuthi umzimba wakho ungamelana nalolu hlobo lokuhlinzwa.
- Ukuhlolwa kwegazi
- Ukuhlolwa kwe-ECG ukuhlola ukusebenza kwenhliziyo
- Ukuhlolwa ukuze kubonakale ukuthi uyakufanelekela yini ukubulala izinzwa okuvamile
Indlela yokwenza ukuhlinzwa
Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili eziyinhloko. Kuncike esimweni sakho, uhlobo lomdlavuza, kanye nesinqumo sikadokotela ohlinzayo.
1. Ukuhlinzwa Okungenasidingo: Lokhu kubizwa nangokuthi ukuhlinzwa kwe-laparoscopic noma ukuhlinzwa kwerobhothi . Lokhu kuhilela ukwenza izimbobo ezincane ezingu-3-4 esiswini, lapho kufakwa khona ikhamera namathuluzi abucayi. Izinzuzo zale ndlela ukuthi kunezibazi ezincane, ubuhlungu obuncane, kanye nokululama okusheshayo.
2. Ukuhlinzwa okuvulekile:Lokhu kuhilela ukwenza ukusika okukodwa okude esiswini, ukuvula umgodi wesisu, nokwenza ukuhlinzwa. Le ndlela isetshenziswa uma umdlavuza ususakazeke kabanzi futhi ezinye izitho eziningana zidinga ukususwa kanye nawo.
Okunye ukuhlinzwa okwenziwe ngesikhathi esifanayo nalokhu kuhlinzwa
Njengoba kushiwo ngaphambili, i-omentectomy ingaba yingxenye encane yokuhlinzwa okukhulu. Ngakho-ke, ukuhlinzwa okukodwa noma ngaphezulu kwalokhu okulandelayo kungenziwa ngesikhathi esisodwa:
- Ukususwa kwesibeletho: Ukususwa kwesibeletho.
- Ukususwa kwe-oophorectomy: Ukususwa kwe-ovarian eyodwa noma zombili.
- I-Salpingectomy: Ukususwa kwepayipi elilodwa noma womabili ama-fallopian.
- Ukususwa kwesisu: Ukususwa kwengxenye noma sonke isisu.
- Ukususwa kwesisu: Ukususwa kwengxenye noma wonke amathumbu amakhulu.
- Ukuhlinzwa kwe-Cytoreductive noma i-debulking: Ukususa umdlavuza omningi osakazeke kuyo yonke indawo esiswini ngangokunokwenzeka.
Ngezinye izikhathi, uma umdlavuza usesigabeni sokuqala, udokotela ohlinzayo uzogeza isisu ngesisombululo se-saline (i-peritoneal wash) bese ethumela uketshezi lokugeza elabhorethri. Lokhu kungasiza ekunqumeni ukuthi amangqamuzana omdlavuza asakazeke yini.
Kwenzekani ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Uma uhlinzwe nge-laparoscopic, ukuhlala kwakho esibhedlela kungase kube kufushane. Kodwa-ke, uma uhlinzwe kakhulu okwasusa izitho eziningana, isikhathi sakho sokululama sizoba side.
Ngemva kokuhlinzwa, udokotela wakho uzoxoxa nawe ngemiphumela yokuhlinzwa kanye nemibiko yelabhorethri. Uzoxoxa nangokuthi yini okufanele uyenze ngokulandelayo. Ngokuvamile, ngemva kokuhlinzwa komdlavuza, kunikezwa ezinye izindlela zokwelapha ukubulala noma yimaphi amangqamuzana omdlavuza asele emzimbeni. Isibonelo , ukwelashwa ngamakhemikhali noma ngemisebe .
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma yikuphi ukuhlinzwa, kunengozi encane.
- Ukopha
- Ukutheleleka
- Ukulimala kwezitho ezizungezile
Ngaphezu kwalokho, inkinga ethile engenzeka ngemva kokuhlinzwa kwe-omentectomy ukuvaleka kwamathumbu amancane . Lokhu kungenxa yokuthi izicubu zesilonda (ezibizwa ngokuthi ukunamathela ) ezakheka ngaphakathi esiswini ngemva kokuhlinzwa zingabangela ukuthi amathumbu anamathele ndawonye futhi avale amathumbu.
Eminye imibuzo evame ukubuzwa
Ingabe i-omentum izokhula futhi ngemva kokususwa?
Cha. I-omentum iyingxenye ye-peritoneum, ulwelwesi olumboze umgodi wesisu sethu. Ngenxa yokuthi le peritoneum inamandla okuphulukisa ngokushesha, abanye abantu bacabanga ukuthi i-omentum izophinde ikhule. Kodwa-ke, i-omentum esusiwe ngeke iphinde ikhule.
Kuzothatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuncike ngokuphelele ohlotsheni lokuhlinzwa okwenzile. Nakuba ukuhlinzwa okuncane njengokuhlinzwa kwe-laparoscopic kungathatha amasonto ambalwa ukuphulukiswa, ukuhlinzwa okukhulu okuvulekile lapho kususwa khona izitho eziningi kungathatha amasonto afinyelela kwayi-8 ukuphulukiswa ngokuphelele.
Ukuhlinzwa komdlavuza kwenziwa ngethemba lokuthi ungelapheka. Udokotela wakho uncome i-omentectomy ngethemba lokuthi ingalawula noma yelaphe umdlavuza wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Omentectomy iwukuhlinzwa kokususa i-omentum, ulwelwesi olunamafutha esiswini.
- Isizathu esiyinhloko salokhu ukusabalala noma ingozi yokusabalala komdlavuza kusuka ezithweni ezifana nama-ovari kanye nesisu kuya e-omentum.
- Lokhu kuhlinzwa kusiza ukususa umdlavuza, ukuwuvimbela ukuthi ungasabalali, kanye nokunquma isigaba somdlavuza.
- Isikhathi sokululama sincike ohlotsheni lokuhlinzwa (okusikiwe okuncane noma okuvulekile) kanye nobukhulu balo.
- Lesi isinyathelo esibaluleke kakhulu nesijabulisayo enkambisweni yokwelashwa komdlavuza. Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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