Kungenzeka ukuthi ube novalo kancane lapho udokotela wakho ekutshela ukuthi udinga 'ukuhlinzwa kwe-omentectomy'. Igama elingajwayelekile kancane, ngakho-ke kungenzeka ukuthi uke wazibuza, 'Luhlobo luni lokuhlinzwa lokho?' Ungakhathazeki, namuhla sizoxoxa ngokuthi kuyini ukuhlinzwa kwe-omentectomy, ukuthi kwenziwa ngani, nakho konke okudingeka ukwazi ngakho ngendlela elula kakhulu.
Okokuqala, ake sibone, iyini le 'omentum'?
Kalula nje, i-omentum iwungqimba olunamafutha olumboza izitho ezingaphakathi kwesisu sakho, njengesisu sakho namathumbu. Ifana nesimbozo sokuvikela izitho zethu ezibalulekile. Yilokhu esikubiza ngokuthi 'i-omentum'. Ayenziwa nje kuphela ngezicubu ezinamafutha, kodwa futhi inemithambo yegazi edlula kuyo. Ngakho-ke inikeza isivikelo somzimba ngenkathi inikeza igazi ezithweni zethu. I-omentectomy ukususwa ngokuhlinzwa kwayo yonke noma ingxenye yayo.
Ngakho-ke siyini isizathu sokwenza i-omentectomy?
Isizathu esiyinhloko sokususwa kwe-omentum ngokuvamile umdlavuza . Kodwa-ke, isikhathi esiningi, umdlavuza awuqali e-omentum. Uqala kwenye indawo esiswini, njengezitho zokuzala, isibeletho, noma isisu, bese usakazekela e-omentum (i-metastasis).
I-omentum yindawo lapho amangqamuzana omdlavuza angafinyelela futhi asakazeke kalula khona. Yingakho odokotela benquma ukususa le ngxenye ngesikhathi sokuhlinzwa komdlavuza.
Ukususwa kwe-omentectomy kungadingeka kulezi zinhlobo ezilandelayo zomdlavuza:
| Uhlobo lomdlavuza | Incazelo |
|---|---|
| Umdlavuza wesibeletho | Uhlobo lomdlavuza okungenzeka kakhulu ukuthi lusakazekele esikhumbeni. |
| Umdlavuza wesibeletho/we-Endometrial | Lo mdlavuza ungasakazeka nase-omentum. |
| Umdlavuza wesisu | Kukhona ingozi yokusabalala ngoba iseduze nesisu. |
| Umdlavuza we-Colorectal | Lawa maseli omdlavuza angasakazeka futhi aye e-omentum. |
| Eminye imidlavuza | Umdlavuza wezitho zomzimba ezifana ne-fallopian tube, i-prostate, kanye ne-appendix. |
Ngezinye izikhathi, odokotela basusa i-omentum ukuze bahlole amangqamuzana omdlavuza amancane. Uma esesabalele, banganquma isigaba somdlavuza nokuthi yiluphi ukwelashwa okudingekayo. Futhi, uma kucatshangwa ukuthi umdlavuza ususabalele e-omentum, lokhu kuhlinzwa kwenziwa ukuze kuvinjelwe ukuthi ungasabalali esikhathini esizayo .
Ake sixoxe ngendlela ukuhlinzwa okwenziwa ngayo.
Ukuhlinzwa kwe-omentectomy kungenziwa ngezindlela ezimbili eziyinhloko: ukuhlinzwa kwe-laparoscopic kanye nokuhlinzwa okuvulekile.
- Ukuhlinzwa kwe-Laparoscopic: Lokhu kuhilela ukwenza izimbobo ezincane ezingu-3-4 esiswini nokufaka ikhamera (i-laparoscope) kanye namathuluzi abucayi. Le ndlela iholela ezibazini ezincane, ubuhlungu obuncane, kanye nesikhathi sokululama ngokushesha.
- Ukuhlinzwa Okuvulekile: Kulokhu, kwenziwa ukusika okude esiswini, kuhlolwe izitho ezingaphakathi kwesisu, bese kususwa i-omentum kanye nawo wonke umdlavuza. Le ndlela isetshenziselwa ukususa izimila ezinkulu, noma uma umdlavuza ususakazekele ezithweni eziningi.
Okunye ukuhlinzwa okwenziwe nge-omentectomy
Lokhu kuhlinzwa akuvamile ukwenziwa wedwa. Kuye ngokuthi umdlavuza uqale kuphi nokuthi usakazeke kuphi, leyo ngxenye yomzimba nayo iyasuswa ngesikhathi esifanayo.
| Igama lokuhlinzwa (Igama lesiNgisi) | Isitho/ingxenye ezosuswa |
|---|---|
| Ukususwa kwesisu | Isibeletho |
| Ukususwa kwe-salpingo-oophorectomy | Ama-ovari nama-tubes e-fallopian |
| Ukuhlinzwa kwesisu | Ingxenye noma sonke isisu |
| Ukuhlinzwa kwe-Colectomy | Ingxenye yamathumbu amakhulu |
| Ukuhlinzwa kwe-Cytoreductive | Ukususa umdlavuza omningi ngangokunokwenzeka osakazeke esiswini sonke |
Kwenzekani ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Uma uhlinzwe imbobo yokhiye ehlombe lakho, kungadingeka uhlale isikhashana, kodwa uma uhlinzwe kakhulu okwasusa izitho eziningana zomzimba, kungadingeka uhlale isonto noma ngaphezulu. Udokotela wakho ohlinzayo uzokhuluma nawe ngemiphumela yokuhlinzwa kanye nemibiko yelabhorethri.
Khumbula, ngemva kokuhlinzwa komdlavuza, kungase kudingeke ukwelashwa okwengeziwe ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele.
Ngakho-ke, izinyathelo ezilandelayo, njengokwelashwa ngemisebe noma ngamakhemikhali, zinqunywa kuphela ngemva kwalokho.
Yiziphi izinkinga ezingaba khona ngenxa yalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane.
- Ukopha
- Ukutheleleka
- Ukulimala kwezitho ezizungezile
Ngaphezu kwalokho, inkinga ethile engase ivele kamuva ukuvaleka kwamathumbu amancane . Lokhu kungenzeka ngenxa yokunamathelana okwakheka esiswini ngemva kokuhlinzwa, okubangela ukuba amathumbu ahlangane futhi avaleke. Uma uzwa izimpawu ezifana nokuvuvukala, ukuhlanza, noma ubuhlungu besisu, kufanele ubonane nodokotela ngokushesha.
Eminye imibuzo evame ukubuzwa
Ingabe i-omentum esusiwe izophinde ikhule?
Cha. Lokhu kuyiphutha abantu abaningi abanalo. I-omentum iyingxenye ye-peritoneum. Nakuba izicubu ze-peritoneal zinamandla okuphulukisa ngokushesha, i-omentum esusiwe ngokuhlinzwa ngeke iphinde ikhule.
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Lokhu kuzohluka kuye ngohlobo lokuhlinzwa okwenzile. Ukuhlinzwa okuncane, njengokuhlinzwa kwe-keyhole, kungathatha amasonto ambalwa ukuphulukiswa. Kodwa-ke, ukuhlinzwa okukhulu okuvulekile lapho izitho eziningana zisuswa khona kungathatha amasonto afinyelela kwayi-8 ukuphulukiswa ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-Omentectomy ukususwa kokuhlinzwa kwe-fatty membrane ebizwa ngokuthi i-omentum esiswini.
- Lokhu kwenziwa kakhulu uma umdlavuza ofana nomdlavuza wesibeletho kanye nomdlavuza wesisu ususakazekele e-omentum noma ukuze uvimbele ukusabalala kwawo.
- Lokhu kuhlinzwa kungenziwa nge-laparoscopically noma ngokuvulwa, futhi kuvame ukwenziwa kanye nokususwa kwezinye izitho ezihlobene nomdlavuza.
- Isikhathi sokululama sincike ekutheni ukuhlinzwa kuzothatha isikhathi esingakanani, futhi kungase kudingeke ukwelashwa okwengeziwe, njengokwelashwa ngamakhemikhali, ngemva kwalokho.
- Uma unemibuzo noma ukukhathazeka ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho. Bahlala bekulungele ukukunikeza ulwazi olunembile kakhulu kanye nenduduzo.
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