Uma udokotela wakho ekutshela ukuthi udinga ukususwa ngokuphelele enye yezinso zakho, ungase uzizwe ukwesaba okukhulu nokushaqeka. "Kuzokwenzekani kimi uma nginezinso ezimbili bese kususwa eyodwa?" "Ingabe lokhu kuwukuhlinzwa okukhulu?" Ungase ube nemibuzo eminingi engqondweni yakho. Lokho kuvamile kakhulu. Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa okubizwa ngokuthi i-Radical Nephrectomy, futhi sithole izimpendulo zayo yonke imibuzo onayo engqondweni.
Kuyini i-Radical Nephrectomy?
Kalula nje, lokhu kuyindlela yokuhlinzwa yokususa ngokuphelele enye yezinso zakho. Ngokwezokwelapha, elithi "nephr" lisho "izinso." elithi "ectomy" lisho "ukususwa." Ngakho-ke, i-nephrectomy ukususwa kwezinso.
Kulokhu kuhlinzwa, udokotela ohlinzayo ususa yonke inso yakho, kanye nezicubu ezinamafutha ezizungezile. Ngezinye izikhathi, indlala ye-adrenal engaphezulu kwezinso kanye nama-lymph node azungeze izinso nakho kungadingeka kususwe.
Kodwa khumbula lokhu: Nakuba sonke sinezinso ezimbili, singaphila impilo evamile ngaphandle kwezinkinga ngenso eyodwa enempilo. Enye inso ithatha umsebenzi wezinso ezisusiwe bese iba nkulu kancane futhi isebenze ngamandla amakhulu.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Isizathu esiyinhloko salokhu kuhlinzwa kuvame ukususa isimila sezinso esinomdlavuza. Kodwa-ke, udokotela wakho angase akuncome lokhu kuhlinzwa ngezinye izizathu eziningana.
- Ukuba nomdlavuza wezinso: Ikakhulukazi uma umdlavuza umkhulu kakhulu noma kunengozi yokusabalala ngaphandle kwezinso.
- Ukutheleleka kwezinso okuvamile: Uma izinso zonakele ngenxa yokutheleleka okuqhubekayo okungenakulawuleka ngokwelashwa.
- Ukwehluleka kwezinso: Uma inso eyodwa ingasebenzi kahle ngokuphelele ngenxa yengozi, isifo, noma esinye isizathu.
- Ukunikela Ngezinso: Uma unikela ngenso kothandekayo wakho.
Lokhu ukuhlinzwa okuvamile futhi okwenziwa njalo, ngakho-ke ungesabi ngokungadingekile.
Ungalungiselela kanjani ukuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, uzokulungela ngokucophelela kusengaphambili.
1. Ukuhlolwa kwezokwelapha:Udokotela wakho uzokwenza ukuhlolwa kwegazi kuqala. Lokhu kuzosiza ekunqumeni ukusebenza kwezinso zakho kanye nohlobo lwegazi lakho. Lokhu kuzosiza ekutholeni umbono wokuthi izinso zakho ezisele zizosebenza kahle kangakanani ngemva kokuhlinzwa. Kubalulekile futhi ukwazi uhlobo lwegazi lakho uma kwenzeka udinga ukunikela ngegazi, noma ngabe kuyisimo esiphuthumayo. Bazohlola nempilo yakho jikelele, njengokushisa kwakho, izinga lokushaya kwenhliziyo, kanye nomfutho wegazi.
2. Ukwazisa udokotela ngemithi oyithathayo: Kubalulekile ukwazisa udokotela ngayo yonke imithi oyithathayo, kungakhathaliseki ukuthi inqunywe udokotela , imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela (njenge-NSAID), imithi yokunciphisa igazi (njengemithi yokunciphisa ukugabha kwegazi), amavithamini, imithi ye-Ayurvedic noma imithi yamakhambi. Eminye imithi ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
3. Sitshele nge-allergies yakho: Uma une-allergies ethile emithini ethile, i-latex, noma i-iodine esetshenziselwa ukuhlanza isikhumba sakho, kufanele usitshele ngayo.
4. Ukudla Nokuphuza: Uzonikezwa imiyalelo ecacile yokuthi kufanele uzile amahora amangaki ngaphambi kokuhlinzwa nokuthi kufanele uyeke nini ukuphuza amanzi. Uma unokudla esiswini sakho ngenkathi ungaphansi kwe-anesthesia, ungase uhlanze futhi ukudla kungase kungene emaphashini akho. Lokhu kuyingozi. Ngakho-ke landela imiyalelo ngqo.
Yiziphi izindlela zokwenza lokhu kuhlinzwa?
Kunezindlela ezintathu eziyinhloko zokwenza i-radical nephrectomy. Udokotela wakho ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Kwe-Nephrectomy Evulekile | Kule nqubo, udokotela wenza ukusika okukhulu okungaba amasentimitha angu-12 ubude bese enza ukuhlinzwa. Le ndlela isetshenziswa uma umdlavuza wezinso mkhulu kakhulu noma uma kudingeka kususwe inani elikhulu lama-lymph node azungezile. |
| Ukuhlinzwa Kwe-Laparoscopic Radical Nephrectomy | Kulokhu, esikhundleni sokusika okukodwa okukhulu, kwenziwa izimbobo eziningana ezincane, ezingaba yisentimitha elilodwa ngobukhulu. Ithuluzi elincane elinekhamera (i-laparoscope) lifakwa ngembobo eyodwa, libukwe kusikrini, bese kufakwa amathuluzi amancane ngezinye izimbobo ukuze kususwe inso. Lena yindlela esetshenziswa kakhulu manje. |
| Ukuhlinzwa Kwe-Robotic Radical Nephrectomy | Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa lapha amathuluzi okuhlinza aphathwa ngezandla zamarobhothi ezilawulwa udokotela. Lokhu kuvumela ukuthi ukuhlinzwa kwenziwe ngobunono nangokunembile. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ngemva kokuba uyiswe egumbini lokuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile. Lokhu kusho ukuthi ngeke uzwe ubuhlungu futhi uzolala kahle kuze kube yilapho ukuhlinzwa kuphelile.
Ngemva kwalokho,
- Uzonikezwa i-catheter yomchamo ukuze ukhiphe isinye sakho.
- Uma kwenziwa ukuhlinzwa kwe-laparoscopic noma kwe-robotic, kwenziwa izimbobo ezimbalwa ezincane bese isisu sigcwala inani elincane legesi ye-carbon dioxide ukuze kudalwe isikhala phakathi kwezitho zomzimba.
- Udokotela usika ngokucophelela imithambo yegazi exhunywe enso bese esusa inso, izicubu ezizungezile, nezinye izingxenye uma kudingeka.
- Ngemva kokuhlinzwa, kungafakwa ipayipi elincane (idreyini yokuhlinzwa) ukuze kususwe uketshezi oluningi kanye negazi eliqongelela ngaphakathi.
- Ekugcineni, izimbobo zivalwa ngezithungo noma ngezinduku.
Lonke lolu hlelo lungathatha amahora amathathu noma ngaphezulu.
Kwenzekani ngemva kokuhlinzwa?
Uma ukuhlinzwa sekuqediwe, uzodluliselwa ekamelweni lokululama. Ithimba lezokwelapha lizokunakekela kahle uze ubuye uqaphile futhi isimo sakho sizinze.
- Ukulawula ubuhlungu: Uma uzwa ubuhlungu, unikezwa imithi edingekayo.
- Ukudla: Kunikezwa ukudla okumanzi kuphela ngosuku lokuqala noma ezimbili. Bese kancane kancane wethula ukudla okuvamile.
- Ukuhamba: Uzokhuthazwa ukuhamba kancane kusukela ngosuku olulandela ukuhlinzwa. Ukuhamba kuthuthukisa ukujikeleza kwegazi futhi kusiza amanxeba ukuba aphole ngokushesha. Kubaluleke kakhulu futhi ukuvimbela izinkinga ezifana nokuqhekeka kwegazi emilenzeni kanye ne-pneumonia.
- Ukubuyela ekhaya: Uma ithimba lezokwelapha selinqume ukuthi usuphilile, uzovunyelwa ukuya ekhaya. Njengoba ungeke ukwazi ukushayela, cela ilungu lomndeni noma umngane ukuthi eze nawe. Kubalulekile ukuba nomuntu ozokunakekela ezinsukwini ezimbalwa zokuqala ngemva kokubuyela ekhaya.
Kuzothatha isikhathi esingakanani ukululama? Futhi kungenzeka yini ukuthi uphinde ubuye?
Isikhathi esithathayo ukuze ululame ngokugcwele sincike ohlotsheni lokuhlinzwa olwenzile. Nakuba ukuhlinzwa okuvulekile kuthatha cishe amasonto angu-8-12, ukululama ngemva kokuhlinzwa kwe-laparoscopic kushesha kakhulu. Kungase kudingeke ugweme ukuphakamisa okunzima kanye nemisebenzi enzima okwesikhashana.
Ngokuvamile ungabuyela emsebenzini cishe emavikini amane. Kodwa-ke, uma unomsebenzi onzima ngokomzimba, kungadingeka uphumule isikhathi eside. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
Uma uhlinzwa umdlavuza wezinso, akuvamile ukuthi umdlavuza ubuye kwenye ingxenye yomzimba noma eduze nendawo yokuhlinzwa. Yingakho kubaluleke kakhulu ukuba nokuhlolwa njalo ngemva kokuhlinzwa.
Uzobona nini udokotela
Ngemva kokuhlinzwa, kuzohlelwa ukuthi uhlolwe amanxeba akho futhi kususwe imithungo. Uma uhlinzwe ngenxa yomdlavuza, kuzodingeka ukuthi uhlolwe njengezikena ze-CT , ukuhlolwa kwegazi nomchamo njalo ngezikhathi ezithile ukuze kuhlolwe ukuthi ukuphinda kwenzeke yini.
Futhi, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Ukopha ngokweqile okuvela enxebeni | Uma kukhona ukopha okuqhubekayo okuvela emanxebeni. |
| Izimpawu zokutheleleka | Inxeba livuvukile, libomvu, likhipha uketshezi olufana nobomvu olunuka kabi, noma linomkhuhlane ongaphezu kwama-37.8 Celsius (100 Fahrenheit). |
| Igazi emchameni (i-Hematuria) | Uma unegazi emchameni wakho. |
| Ubuhlungu obukhulu | Ubuhlungu obukhulu obuzungeze inxeba noma esiswini obungenakulawuleka ngisho nangemithi. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa okukhulu kwe-radical nephrectomy kuwukuhlinzwa okukhulu okususa ngokuphelele inso eyodwa. Ngokuvamile kwenziwa ngenxa yomdlavuza wezinso.
- Uma usele nenso eyodwa enempilo, ungaphila impilo evamile negcwele ngayo. Inso esele izoqina ngokuhamba kwesikhathi.
- Ngaphambi kokuhlinzwa, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo kanye nanoma yikuphi ukungezwani komzimba onakho.
- Ukululama ngemva kokuhlinzwa kwe-laparoscopic kanye ne-robotic kuyashesha.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso ngemva kokuhlinzwa, njengomkhuhlane, ukopha ngokweqile, noma ubomvu obuvela esilondeni, funa iseluleko sezokwelapha ngokushesha.
- Ukulandela indlela yokuphila enempilo kanye nokuya ekuhlolweni kwezokwelapha okuhleliwe ngemva kokuhlinzwa kubalulekile enhlalakahleni yakho yesikhathi eside.
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