Wena noma othile omaziyo kungenzeka ukuthi uzizwe wesaba futhi wethukile kancane lapho udokotela ekhuluma ngokuhlinzwa okubizwa ngokuthi 'i-Proctectomy'. Lokho kuvamile kakhulu. Ubani ongawuthandi umqondo wokuhlinzwa, akunjalo? Kodwa uma sazi lezi zinto ngokucacile nangokunembile, singaqeda ukwesaba okungadingekile futhi sibhekane nakho ngokuthula kwengqondo. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa kwe-Proctectomy ngamagama alula.
Kalula nje, iyini i-Proctectomy?
Ukuhlinzwa kwe-proctectomy inqubo yokuhlinzwa esusa ingxenye noma yonke i-rectum yakho. Manje ungase uzibuze ukuthi iyini i-rectum. Yingxenye yokugcina yamathumbu akho amakhulu, cishe amasentimitha ayisithupha ubude. Ngokuqondile, yingxenye engenhla nje kwe-anus, lapho kuphuma khona indle. Kwezinye izimo, kuye ngesimo, i-rectum nayo kungadingeka isuswe phakathi nalokhu kuhlinzwa.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Kunezizathu eziningana eziyinhloko zokwenza ukuhlinzwa okukhulu kangaka. Udokotela uzoncoma lokhu kuhlinzwa kuphela ezimweni ezimbi kakhulu, uma kungekho enye indlela.
- Umdlavuza wamathumbu: Lesi yisona sizathu esiyinhloko nesivame kakhulu sokususwa kwesibeletho. Lokhu kuhlinzwa kuyadingeka ukuze kususwe amangqamuzana omdlavuza futhi kuvinjelwe ukusabalala kwawo.
- Isifo Sokuvuvukala Kwamathumbu (IBD): Kungenzeka ukuthi uke wezwa nge- ulcerative colitis noma isifo sikaCrohn . Uma lokhu kuba kubi kakhulu ukuba kungalawulwa ngemithi kanye nezinye izindlela zokwelapha, kungase kudingeke ukuhlinzwa ukuze kuncishiswe ubuhlungu kanye nesifo sohudo ezisibangelayo.
- I-Familial Adenomatous Polyposis (FAP): Lesi yisimo sofuzo. Sibangela ukwakheka kwenani elikhulu lama-polyps amancane ku-colon kanye ne-rectum. Lokhu kukhula kunethuba elikhulu lokuba nomdlavuza ngokuhamba kwesikhathi. Ngakho-ke lokhu kuhlinzwa kunconywa njengesinyathelo sokuvimbela umdlavuza ukuthi ungakhuli.
Nakuba lokhu kuhlinzwa kukhulu, usizo olukunikezayo lokukusindisa esifweni esisongela ukuphila njengomdlavuza alunakuqhathaniswa.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokwenza ukuhlolwa okuphelele ngaphambi kokuhlinzwa. Kubalulekile ukuqonda kahle impilo yakho iyonke ngaphambi kokuhlela ukuhlinzwa kwakho.
- Ukuhlolwa: Ukuhlolwa kwegazi, ukuhlolwa kwe-ECG, kanye nokunye ukuhlolwa kwezithombe uma kudingeka. Uma ungakaze wenze i- colonoscopy ngaphambili, kuzodingeka ukuthi nawe wenze lokho.
- Ukulungiswa kwamathumbu: Lokhu kubaluleke kakhulu.Ngaphambi kokuhlinzwa, amathumbu kumele abe angenalutho futhi ahlanzekile ngokuphelele. Ngenxa yalokhu, udokotela uzokunikeza umuthi wokuhlanza isisu ( i-laxative ) noma asebenzise i -enema .
- Imithi: Uma uthatha noma yimiphi imithi, njengemithi yokunciphisa igazi, uzocelwa ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
- Ukubhema: Uma ubhema, ukuyeka ngokuphelele amasonto ambalwa ngaphambi kokuhlinzwa kuzosiza kakhulu inqubo yokuphulukiswa.
Indlela ukuhlinzwa okwenziwa ngayo kanye nezinhlobo eziyinhloko
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile. Ngakho-ke uzolala phakathi nokuhlinzwa ngaphandle kokuzwa ubuhlungu.
Uhlobo lokuhlinzwa kwe-proctectomy oludlulayo luncike ohlotsheni, indawo, kanye nobukhulu besifo. Kunezinhlobo ezintathu eziyinhloko.
| Uhlobo Lokuhlinzwa | Incazelo |
|---|---|
| Ukususwa kabusha kwesisu (APR) | Kulokhu, yonke i-rectum yakho, i-anus, kanye nemisipha ezungezile (imisipha ye-sphincter) kuyasuswa. Ngenxa yokuthi i-anus isusiwe, kwenziwa imbobo esikhumbeni sesisu ukuze kuvunyelwe indle ukuthi idlule. Lokhu kubizwa ngokuthi i -ostomy . Isikhwama sinamathiselwa ngaphandle kwembobo. Isihlalo siyaqoqana kulesi sikhwama. Lesi sikhwama sidinga ukuthululwa izikhathi eziningana ngosuku. Lokhu kuhlinzwa kwenziwa uma umdlavuza useduze kakhulu ne-anus. |
| Ukususwa okuphansi ngaphambili (LAR) | Lokhu kuhilela ukuzama ukulondoloza indunu nemisipha ngangokunokwenzeka. Kususwa ingxenye egulayo kuphela, bese ingxenye esele yamathumbu enempilo ixhunyaniswa nendunu ( i-anastomosis ). Uma lokhu kuphumelele, isikhwama se-ostomy asidingeki. Ungakhipha indle ngendlela evamile. |
| Ukususwa kwe-rectal okusizwa yirobhothi | Lena indlela yesimanje, engadingi ukungenelela okuningi esetshenziswa ukwenza ukuhlinzwa kwe-LAR. Udokotela ohlinzayo usebenzisa ubuchwepheshe berobhothi ukwenza ukuhlinzwa ngokunemba okukhulu nangokucophelela. Izinzuzo zalokhu ukuncipha kokopha, ukululama okusheshayo, kanye nokunemba okukhulu. |
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe isonto, kuye ngesimo sakho.
- Ukuphathwa kobuhlungu: Uzoqhubeka nokuthola imithi yokulawula ubuhlungu obuzwayo.
- Amapayipi: I-catheter ingafakwa ukuze kukhishwe umchamo kanti amanye amapayipi (amapayipi) angafakwa ukuze kukhishwe uketshezi oluqongelela endaweni yokuhlinzwa. Lokhu kungokwesikhashana.
- Ukudla: Ungase ungakwazi ukudla ekuqaleni. Njengoba uhlelo lwakho lokugaya ukudla lululama, uzonikezwa uketshezi kuqala, bese kancane kancane uqaliswa ukudla okuthambile.
- Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba angakusiza ukuthi uthole amandla futhi uhambe.
Ngaphambi kokuba ubuyele ekhaya, ithimba lakho lezokwelapha lizochaza ukuthi ungalinakekela kanjani inxeba lakho, ukuthi ungathatha kanjani imithi yobuhlungu, ukuthi yikuphi ukudla okufanele ukudle, kanye nanoma yimiphi imiyalelo okudingeka uyilandele.
Ziyini izingozi nezinkinga zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, ukuhlinzwa kwe-proctectomy kungaba nezingozi ezithile kanye nezinkinga, futhi kubalulekile ukuzazi.
| Uhlobo Lwezinkinga | Incazelo |
|---|---|
| Izinkinga Zesikhathi Esifushane | |
| Ukutheleleka | Ukutheleleka kungavela endaweni yokusikwa noma ngaphakathi esiswini. |
| Ukopha | Uma wopha kakhulu ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa, kungadingeka ukuthi umpontshelwe igazi. |
| Amahlule egazi | Ngemva kokuhlinzwa, amahlule egazi angakheka emilenzeni ngenxa yokuma okukhulu. Uma eya emaphashini ( pulmonary embolism ), ayingozi. |
| Ukuvuza kokuxhumana | Uma kuvela ukuvuza endaweni lapho amathumbu aphinde axhumane khona (i-anastomosis), kuzodingeka kwenziwe ukuhlinzwa futhi. |
| Izinkinga Zesikhathi Eside | |
| Ukungasebenzi kahle kocansi | Ukuhlinzwa kungalimaza imizwa ehilelekile ekusebenzeni kocansi, okungabangela ukungasebenzi kahle kwe-erectile kwabesilisa noma i-anorgasmia kubo bobabili ubulili. |
| Izinguquko ekuhambeni kwamathumbu | Ungase ube nezifiso eziningi zokuya endlini yangasese, izifiso eziphuthumayo zokuya endlini yangasese, noma mhlawumbe ubunzima bokulawula amathumbu akho. |
| Izinkinga ezihlobene ne-Ostomy | Izimo ezifana nezinkinga zesikhumba, ukuvuza, noma ama-hernia zingase zenzeke eduze kwesikhwama se-ostomy. |
Kunini lapho udinga ukukhuluma nodokotela?
Uma usufikile ekhaya, kubalulekile ukuqaphela izimpawu ezithile eziyisixwayiso. Uma ubona noma yikuphi kwalokhu, shayela udokotela wakho ngokushesha.
- Uma unomkhuhlane ongama-degree Celsius angu-38 (100.4 Fahrenheit) noma ngaphezulu.
- Uma ubuhlungu buqhubeka buba bubi noma bungaqedwa yimithi yokwelapha izinhlungu.
- Uma indawo yokusikwa ibomvu, ivuvukele, noma kuphuma uketshezi olufana nobovu.
- Uma kukhona ukopha ngokweqile.
- Uma unenkinga yokuchama noma uma umchamo ungaphumi nhlobo.
- Ukucanuzela nokuhlanza okuqhubekayo.
- Ubunzima bokuphefumula.
- Uma ubona ushintsho ekusebenzeni kwesikhwama se-ostomy (umbala, usayizi).
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-proctectomy kuyindlela enkulu yokuhlinzwa, kodwa inqubo edingekayo engasindisa impilo yakho esifweni esinjengomdlavuza noma ikunikeze impumuzo esimweni esibucayi sezokwelapha.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngaphambi kokuhlinzwa ukuze uthole umphumela ophumelelayo.
- Kuthatha isikhathi ukuphulukiswa. Phakathi naleso sikhathi, bekezela, ulandele iseluleko sezokwelapha, futhi uthole ukwesekwa ngumndeni wakho.
- Kuyilungelo lakho ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
- Ngobuchwepheshe besimanje bokuhlinzwa, imiphumela yalokhu kuhlinzwa iphumelela kakhulu. Ngakho-ke, bhekana nalokhu ngengqondo enhle.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (FAQ) evela kuDokotela
💬 Kuyini ukuhlinzwa kwe-proctectomy?
I-Proctectomy ukususwa ngokuhlinzwa kwengxenye noma yonke i-rectum, okuyingxenye yokugcina yamathumbu amakhulu.
💬 Kungani kwenziwa i-proctectomy?
Kunezizathu eziningana eziyinhloko zalokhu kuhlinzwa, okuhlanganisa umdlavuza we-rectal, isifo samathumbu esibi kakhulu (i-IBD) esingenakulawulwa ngemithi, kanye nezimo zofuzo ezifana ne-Familial Adenomatous Polyposis (FAP), esetshenziselwa ukuvimbela ukukhula komdlavuza.
💬 Ingabe ukuhlinzwa kwe-proctectomy kwenziwa ngenxa yomdlavuza we-rectal?
Yebo, isizathu esiyinhloko nesivame kakhulu sokususwa kwesibeletho umdlavuza we-rectal. Lokhu kuhlinzwa kubaluleke kakhulu ukususa amangqamuzana omdlavuza nokuwavimba ukuthi angasabalali kwezinye izingxenye zomzimba.
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