Wake waya kudokotela, mhlawumbe ukuze uyohlolwa i-endoscopy (inqubo lapho kufakwa khona ikhamera odongeni lwesisu sakho) ngenxa yenkinga yesisu, bese udokotela esho into efana nale? "Kukhona ukukhula okuncane ngaphakathi kwekholoni/esiswini sakho. Sizokususa." Kuvamile ukuzizwa wesaba kancane uma uzwa into efana nale. Kodwa ungesabi. Lokhu kukhula okuncane yilokho esikubiza ngokuthi "ama-Polyps." Inqubo elula yokuwasusa ibizwa ngokuthi "ama-Polypectomy." Ngakho-ke namuhla, sizokhuluma ngakho konke ngendlela elula kakhulu.
Kuyini 'i-polyp'? Kungani kudingeka isuswe?
Kalula nje, i-polyp ukukhula okuncane, okungafunwa kwezicubu okwakheka odongeni lwangaphakathi lwesitho emzimbeni wethu, ikakhulukazi isitho esinomgodi ngaphakathi (isibonelo, umathumbu omkhulu, isibeletho, isisu). Cabanga ngakho njengesigaxa esikhula ngaphakathi emzimbeni.
Kunezinhlobo eziningana zalezi 'Polyps':
- Okuhle: Lezi izimila ezivamile. Azibangeli monakalo.
- Umdlavuza: Ngezinye izikhathi lezi zimila zingaphenduka amangqamuzana omdlavuza.
- Umdlavuza Ongaphambi Kokuba Umdlavuza: Lawa amathumba angewona umdlavuza okwamanje, kodwa anethuba elikhulu lokuba nomdlavuza esikhathini esizayo.
Inkinga iwukuthi, kunzima ngodokotela ukutshela ngokuqiniseka ukuthi uhlobo luni lwe-polyp ngokuyibuka nje ngaphandle. Indlela engcono kakhulu yokwazi ngokuqinisekile ukuyisusa bese uyithumela elebhu ukuze iyohlolwa (i-``(Biopsy)``).
Odokotela bavame ukweluleka ngokuthi kungcono kakhulu ukususa i-polyp ngokushesha nje lapho uyibona, kunokulinda ukuthi ibe yinkinga kamuva.
| Izizathu eziyinhloko zokususa i-polyp | |
|---|---|
| Isizathu | Incazelo |
| Ukuvela kwezimpawu | Isibonelo, izinto ezinjengobuhlungu besisu, ukopha, kanye nezinguquko emikhubeni yamathumbu. |
| Ingozi yomdlavuza | Uma i-polyp ibukeka njengomdlavuza noma kusolwa ukuthi uhlobo oluthile lokho kungaba umdlavuza. |
| Ukuxilongwa okuqondile | Ukuyihlola elabhorethri ukuthola ukuthi uhlobo luni lwesimila. |
Ingabe ukuhlinzwa kwe-polypectomy kuwukuhlinzwa okukhulu? Ingabe kubuhlungu?
Lutho neze! Ungesabi ukuzwa lokhu. `I-Polypectomy` ivame ukuba ukuhlinzwa okulula kakhulu, okuncane. Kwezokwelapha, lokhu sikubiza ngokuthi `(Inqubo engavamile kakhulu)`. Lokho kusho ukuthi, kuyinto eyenziwa ngendlela encane, ngaphandle kokwenza ukusika okukhulu.
Ama-polyp amaningi asuswa ngesikhathi sokuhlolwa okubizwa ngokuthi i-colonoscopy (ukuhlolwa kwe-colon okuqondiswa yikhamera) noma i-endoscopy (ukuhlolwa kwesisu okuqondiswa yikhamera). Njengoba udokotela efaka ithubhu lekhamera, udlulisa amathuluzi amancane ngethubhu bese esusa i-polyp. Ngeke uze uyizwe.
Kodwa-ke, ngezinye izikhathi, uma i-polyp ingafinyeleleki kalula, noma uma inkulu kakhulu, udokotela kungadingeka enze i-laparoscopy, ehilela ukwenza imbobo encane yesihluthulelo esiswini. Lokhu futhi kuvamile kakhulu manje.
Ngokuphathelene nobuhlungu, ngeke uzwe ubuhlungu. Lokhu kungenxa yokuthi uzonikezwa umuthi wokubulala izinzwa ngaphambi kwenqubo. Ngezinye izikhathi, uzolaliswa (`(General Anesthesia)`). Noma, uzonikezwa umuthi ozokulalisa kancane (`(Sedation)`). Ngakho-ke, yize uzozwa ukucindezeleka okuncane, ngeke uzwe ubuhlungu nhlobo.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ngaphambi kokuhlinzwa
Ezimweni eziningi, akudingeki ukulungiselela okukhethekile. Kodwa-ke, uma wenza i-"Colonoscopy" kanye ne-"Polypectomy", amathumbu akho kudingeka ahlanzeke ngokuphelele. Ngenxa yalokhu, kuzodingeka uphuze umuthi okhethekile woketshezi (``(ifomula yokulungiselela amathumbu)``) ozonikezwa udokotela wakho. Kanye nalokhu, uzokwelulekwa ukuthi ulawule ukudla kwakho izinsuku ezimbalwa. Futhi, uma uthatha eminye imithi, kubalulekile ukukhuluma nodokotela wakho mayelana nokuthi udinga yini ukuyiyeka ngosuku lokuhlinzwa.
Ngesikhathi sokuhlinzwa...
Lena inqubo elula kakhulu.
1. I-Anesthesia: Okokuqala, uzonikezwa umuthi wokudambisa nge-IV (i-intravenous drip) ungene emthanjeni osengalweni yakho. Ngemva kwesikhashana, uzozizwa ukhululekile noma ulale.
2. Ukufaka i-endoscope:Udokotela ube esefaka ithubhu ende neguquguqukayo (i-endoscope) enekhamera exhunywe ngembobo yemvelo emzimbeni wakho (isibonelo, nge-anus ukuthola i-polyp emathunjini, noma ngomlomo ukuthola i-polyp esiswini).
3. Ukususa i-Polyp: Izithombe ezivela kukhamera zibukwa kusikrini ukuze kutholakale i-polyp. Ngemuva kwalokho, i-polyp iyabanjwa bese isuswa kusetshenziswa ithuluzi elincane, njenge-forceps noma i-wire snare, elidlula ngepayipi.
4. Ukuvimba ukuphuma kwegazi: Ukuze kumiswe noma yikuphi ukuphuma kwegazi endaweni lapho i-polyp isusiwe khona futhi kususwe ngokuphelele noma yiziphi izicubu ezisele, indawo ifakwa i-cauterization kancane ngedivayisi kagesi (idivayisi ye-electrocautery). Lokhu kubizwa ngokuthi i-cauterization.
Kwenzekani ngemva kokuhlinzwa? Ingabe zikhona izingozi?
Uzokwazi ukuya ekhaya ngokushesha ngemva kokuhlinzwa. Kodwa-ke, ungase uzizwe unesiyezi kancane ngenxa yemiphumela yomuthi wokubulala izinzwa, ngakho-ke kungcono ukuba nomuntu oseduze nawe. Ungase uzizwe ungakhululekile futhi uvuvukele izinsuku ezimbalwa. Lokhu kuvamile.
I-polyp esusiwe ithunyelwa elabhorethri. Kuthatha cishe isonto noma amabili ukuthola umbiko. Esikhathini esiningi, lawa abikwa njengangenawo umdlavuza (angabi yingozi). Uma kutholakala amangqamuzana omdlavuza, udokotela wakho uzokweluleka ngokuhlolwa okwengeziwe kanye nokwelashwa.
I-polypectomy inqubo ephephile kakhulu. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane ezingavela kaningi.
- Ukopha.
- Ukuvela kwesimo esithathelwanayo.
- Imbobo noma ukudabuka odongeni lwesitho. (`(Ukubhoboka)`)
- Ukusha okuncane kwezicubu okubangelwa yidivayisi ethi 'electrocautery'.
Lezi zinto zenzeka kaningi kakhulu. Kukhona futhi enye inkinga engavamile kakhulu ebizwa ngokuthi i-'Postpolypectomy coagulation syndrome (PPCS). Lokhu ukuvuvukala okuncane kwezicubu ngaphansi kwe-'Polyp' lapho kwashiswa khona. Lokhu akukubi kakhulu, futhi kuzophola ezinsukwini ezimbalwa ngemithi. Kodwa-ke, uma uhlangabezana nanoma yini ngemva kokuhlinzwa, njengobuhlungu besisu obungabekezeleleki, umkhuhlane, noma ukopha okukhulu , kufanele ukhulume nodokotela wakho ngokushesha.
Kuzothatha izinsuku ezimbalwa nje ukululama. Uzokwazi ukubuyela emisebenzini evamile ngosuku olulodwa noma ezimbili.
Umlayezo Wokuya Nawe Ekhaya
- I-Polypectomy iyindlela elula nephephile yokususa amahlumela amancane (ama-polyp) akhula emzimbeni.
- Lezi ngokuvamile azizona ezibangela umdlavuza, kodwa ukuze wazi ngokuqinisekile ukuthi zinomdlavuza noma cha, kudingeka zisuswe futhi zihlolwe.
- Ukuhlinzwa ngokuvamile akubuhlungu. Ngeke uzizwe ungakhululekile ngoba uzonikezwa i-anesthesia.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu besisu, umkhuhlane, ukopha okukhulu) ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Ungesabi ukwenza lokhu ngoba kuyisinyathelo esibalulekile sokuvimbela ukugula okungathí sina esikhathini esizayo. Xoxa nganoma yiziphi izinkinga nodokotela wakho.
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