Kungenzeka ukuthi awukaze uzwe la mazwi ngaphambili. 'Ukukhipha i-pelvic' kuyindlela yokuhlinzwa eyinkimbinkimbi kakhulu, enkulu odokotela abayincomayo njengesinyathelo sokugcina empilweni yomuntu olwa nomdlavuza, lapho zonke ezinye izindlela zokwelapha zehlulekile. Lokhu akuyona nje noma yikuphi ukuhlinzwa. Lokhu kungaba yithemba elisindisa impilo. Yingakho kubaluleke kakhulu ukuba nolwazi oluphelele ngalokhu ngaphambi kokwenza isinqumo esingathi sína kangaka.
Kalula nje, kuyini ukukhishwa kwe-pelvic?
Cabanga nje, lokhu ukuhlinzwa okukhulu kakhulu okwenziwa lapho umdlavuza ususakazekele ezithweni zomzimba endaweni yethu yesinqe futhi kungekho enye indlela yokuwususa. Okwenzekayo ukuthi umdlavuza kanye nezitho zomzimba okungenzeka ukuthi zisakazeke zisuswe ngokuphelele ngokuhlinzwa.
Nakuba lokhu kuhlinzwa kwenziwa kakhulu kwabesifazane, kwezinye izimo, amadoda nawo kufanele enze lokhu kuhlinzwa.
Odokotela bavame ukusebenzisa ukuhlinzwa okukhulu kanje kuphela uma zonke ezinye izindlela zokwelapha, njenge -chemotherapy kanye ne-radiation, zehlulekile ukulawula umdlavuza. Lokhu kuhlinzwa kunganciphisa ubuhlungu obubangelwa umdlavuza futhi ngezinye izikhathi kuze kwelaphe umdlavuza ngokuphelele. Kodwa-ke, futhi kuthwala ingozi enkulu yezinkinga ezinkulu kanye nesikhathi eside sokululama. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngezingozi, izinzuzo, kanye nenqubo yokululama ngaphambi kokwenza isinqumo.
Ingabe zikhona izinhlobo eziyinhloko zalokhu kuhlinzwa?
Yebo, lokhu kuhlinzwa kuhlukaniswe ngezinhlobo ezintathu eziyinhloko kuye ngokuthi umdlavuza usakazeke kanjani. Kunoma yiluphi kulezi zinhlobo, izitho zohlelo lokuzala lowesifazane ziyasuswa. Okungukuthi:
- Isibeletho: Lapho umntwana ekhula khona.
- I-Cervix: Umnyango wesibeletho.
- Amaqanda: Lapho kukhiqizwa khona amaqanda.
- Amapayipi e-Fallopian: Amapayipi athwala amaqanda aya esibelethweni.
- Isitho sangasese sowesifazane.
Ake sibheke lezi zinhlobo ezintathu eziyinhloko ngale ndlela ukuze siziqonde kahle.
| Uhlobo lokuhlinzwa | Izitho eziyinhloko zisusiwe |
|---|---|
| Ukukhishwa Kwe-Pelvic Ngaphambili (Ukuhlinzwa Kwangaphambili) | Ngaphezu kwazo zonke izitho zohlelo lokuzalaUkususwa kwesinye. |
| Ukukhishwa Kwe-Pelvic Yangemuva (ukuhlinzwa komhlane) | Ukususwa kwengxenye yamathumbu amakhulu (i-rectum) ngaphezu kwazo zonke izitho zohlelo lokuzala. |
| Ukukhishwa Kwesitho Sangasese Somlomo Okuphelele (ukuhlinzwa okuphelele) | Ukususwa kwazo zonke izitho zohlelo lokuzala, uhlelo lomchamo, kanye nohlelo lokugaya ukudla oluphansi (isinyi, i-rectum, izingxenye zekholoni). |
Kungani wenza ukuhlinzwa okukhulu kangaka?
Odokotela benza lesi sinqumo esikhulu uma bengenalo olunye ukhetho. Lokhu kuhlinzwa kwenziwa kakhulu kumdlavuza wezifo zabesifazane obuye wavela noma ongelapheki ngezinye izindlela zokwelapha. Isibonelo:
- Umdlavuza wesibeletho
- Umdlavuza wesibeletho
- Umdlavuza wesitho sangasese sowesifazane
- Umdlavuza we-vulvar
Lokhu kuhlinzwa kwenziwa nakubantu besilisa abanezimo ezifana nomdlavuza we-urethra ophindaphindayo, lapho kususwa khona izitho ezifana nesinye, i-rectum, kanye ne-prostate gland.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ukuhlinzwa
Ngaphambi kokuhlinzwa okukhulu okufana nalokhu, udokotela wakho uzokuxilonga kahle. Bazokwenza izivivinyo ezifana ne -MRI kanye ne-CT scans ukuze babone ukuthi umdlavuza ususakazeke kangakanani. Ukuhlinzwa kuzohlelwa ngokufanele. Futhi, eminye imithi, njengemithi yokunciphisa igazi, izocelwa ukuba iyekwe ngaphambi kokuhlinzwa. Kuzodingeka futhi uyeke ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa. Konke lokhu kumele kulandelwe njengoba nje udokotela wakho ekuyala.
Indlela ukuhlinzwa okwenziwa ngayo
Uzonikezwa i-anesthesia ejwayelekile phakathi nokuhlinzwa, ngakho ngeke uzwe ubuhlungu. Lokhu kuhlinzwa kungathatha amahora ayi-10-12 noma ngaphezulu.
Into ebaluleke kakhulu ukuthi uma isinyi sakho kanye nezingxenye zekholoni lakho zisusiwe, kuzodingeka uthole izindlela ezintsha zokususa imfucuza (umchamo kanye nendle) emzimbeni wakho.
- Ukuchama: Udokotela ohlinzayo angasebenzisa ingxenye yamathumbu akho ukudala into efana nesinye esisha. Noma, amapayipi avela ezinso zakho axhunywe ngqo embotsheni encane eyenziwe esikhumbeni sesisu sakho. Lokhu kubizwa ngokuthi i-urostomy.Ngemuva kwalokho umchamo uqoqwa esikhwameni esixhunywe kulowo mgodi.
- Ukuthulula indle: Uma izingxenye zamathumbu amakhulu, njenge-rectum, zisuswa, ingxenye esele yamathumbu ixhunywe embotsheni eyenziwe esikhumbeni sesisu. Lokhu kubizwa ngokuthi i-colostomy . Isikhwama singaxhunywa naso ukuze kuqoqwe indle.
Nakuba kungase kube nzima ukujwayela lezi zindlela ekuqaleni, ngokuhamba kwesikhathi ungaphila ngendlela evamile.
Kwenzekani ngemva kokuhlinzwa? Sinjani isikhathi sokululama?
Lesi yisikhathi esinzima kakhulu. Kungase kudingeke uhlale esibhedlela amasonto amaningana. Ngenkathi unikezwa imithi yokulawula ubuhlungu, impilo yakho iqashwe njalo odokotela nabahlengikazi.
Uzofundiswa ukuthi unganakekela kanjani izimbobo zakho ngemva kokuhlinzwa nokuthi ungahlanza kanjani izikhwama zakho ezintsha ze-colostomy/urostomy.
Isikhathi sokuphulukiswa singathatha izinyanga eziningana.
- Awukwazi ukwenza noma yimuphi umsebenzi womzimba amasonto amaningana.
- Kuye ngohlobo lokuhlinzwa, ungase ungakwazi ukuhlala kahle cishe amasonto ayi-6-8. Ungase ukwazi ukuma, uphendukele ohlangothini, bese ulala phansi izingalo zakho zeluliwe.
- Kubalulekile ukuba nomuntu ozokusiza ekuqaleni.
- Ngenxa yokuthi inani elikhulu lezitho zomzimba liyasuswa emzimbeni, ukusekelwa kwesisu kuyancishiswa, okwenza kube nzima kwabanye abantu ukuhlala baqonde izinyanga noma ngisho neminyaka. Ukuzivocavoca umzimba kungasiza ekuqiniseni imisipha yesisu.
Kuthatha isikhathi ukuthi umzimba nengqondo kuphulukiswe ngemva kwalokhu kuhlinzwa. Ngakho-ke, kubaluleke kakhulu ukuthola ukwesekwa ngumndeni nabangane, futhi uma kudingeka, funa ukwelulekwa ngokwengqondo. Ukujoyina amaqembu okusekelana nabantu abaye bahlinzwa ngendlela efanayo nakho kuwumthombo omkhulu wamandla.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha?
Uzonikezwa ama-aphoyintimenti okulandelela njalo ngemva kokuhlinzwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo , funa iseluleko sezokwelapha ngokushesha.
- Ukopha noma ukuvuvukala okukhulu okuvela endaweni yesisu.
- Umkhuhlane, ukubomvu, kanye nokuvuvukala eduze kwezimbobo (lezi yizimpawu zokutheleleka).
- Ubuhlungu obukhulu esiswini.
- Ubunzima bokuchama noma ukukhipha indle.
- Ukucanuzela nokuhlanza okuqhubekayo.
- Ukuqunjelwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhipha isisu esiswini kuyindlela eyinkimbinkimbi kakhulu futhi eyingozi yokuhlinzwa esetshenziswa ekwelapheni umdlavuza, ebhekwa njengendlela yokugcina yokwenza kanjalo.
- Lokhu kuhlinzwa kuhilela ukususa izitho zokuzala, kanye nesinye kanye/noma izingxenye zamathumbu, nokudala umgodi ohlala njalo (i-stoma) esiswini ukuze kuvunyelwe ukungcola ukuthi kudlule.
- Isikhathi sokululama side kakhulu, futhi singaba nzima ngokomzimba nangokwengqondo izinyanga eziningi. Ukusekelwa komndeni kanye nosizo lochwepheshe kubalulekile.
- Ngaphambi kokwenza isinqumo mayelana nalokhu kuhlinzwa, kubalulekile ukuba nengxoxo evulekile necacile nodokotela wakho mayelana nezingozi nezinzuzo ezinkulu.
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