Mhlawumbe wena noma othile emndenini wakho utshelwe udokotela wakho ukuthi unesimila sezinso nokuthi sidinga ukususwa ngokuphelele. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lokho. Kodwa uma wazi ulwazi olufanele ngalokhu, lokho kwesaba kuzoncipha kakhulu. Namuhla, sizokhuluma ngokuhlinzwa okususa ngokuphelele izinso, okubizwa ngokuthi 'i-radical nephrectomy.'
Kuyini i-Radical Nephrectomy?
Kalula nje, i-radical nephrectomy ukususwa kwezinso zakho ngokuhlinzwa. Lokhu kuhilela ukususa hhayi izinso kuphela kodwa nezicubu ezinamafutha ezizungezile. Ngezinye izikhathi, i-adrenal gland kanye nama-lymph node azungezile kungadingeka ukuthi kususwe.
Igama elithi "Nephro" lisho "izinso." Igama elithi "Ectom" lisho "ukususwa." Ngisho noma sinezinso ezimbili, uma inso eyodwa isebenza kahle, singaphila ngaphandle kwezinkinga.
Kungani udinga lokhu kuhlinzwa?
Isizathu esiyinhloko sokuthi abantu abaningi benze lokhu kuhlinzwa ukususa isimila esinomdlavuza ezinso . Kodwa-ke, udokotela wakho angase akuncome lokhu kuhlinzwa ngezinye izizathu eziningana.
- Uma uthola izifo zezinso njalo.
- Uma izinso zakho zingasasebenzi (ukwehluleka kwezinso).
- Njengokwelashwa kwezinye izifo zezinso noma ukulimala kwezinso.
- Uma unikela ngenso komunye umuntu (ukunikela ngezinso).
Khumbula, imizimba yethu yaklanywa ngendlela emangalisayo. Uma kususwa inso eyodwa, inso esele iyakhula ibe nkulu kancane, ibe namandla, bese iqala ukwenza umsebenzi wababili.
Ingabe lokhu ukuhlinzwa okukhulu?
Yebo, ukuhlinzwa kwe-radical nephrectomy kuwukuhlinzwa okukhulu . Kuzodingeka uhlale esibhedlela okungenani ubusuku obubodwa ngemva kokuhlinzwa. Kungase kudingeke uhlale izinsuku ezimbalwa. Kodwa manje, odokotela abahlinzayo bavame ukwenza lokhu kuhlinzwa besebenzisa indlela engangenisi kakhulu . Lokhu kusho ukuthi kwenziwa ngokusikwa okuncane, kunokuba usikwe okukhulu, ukuze ululame ngokushesha bese uya ekhaya.
Kufanele sizilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokwenza izivivinyo eziningana ukuze anqume isimo sakho sempilo esiqondile.
- Ukuhlolwa kwegazi: Lokhu kubalulekile ukuze ubone ukuthi izinso zakho zisebenza kanjani nokuthola ukuthi hlobo luni lwegazi lakho. Lokhu kungaba usizo uma udinga ukunikeza igazi ngesikhathi sokuhlinzwa (kodwa lokhu akuvamile kakhulu).
- Ukuhlolwa komzimba: Impilo yakho iyonke izohlolwa ngokuhlola izinto ezifana nokushisa komzimba wakho, ukushaya kwenhliziyo, kanye nomfutho wegazi.
Kufanele nakanjani utshele udokotela wakho ngalezi zinto:
- Uzocelwa ukuthi uyeke ukuthatha noma yimiphi imithi oyithathayo (kufaka phakathi imithi kadokotela kanye nemithi yokunciphisa ubuhlungu kanye namavithamini atholakala ngaphandle kwemithi kadokotela), ikakhulukazi imithi yokunciphisa igazi, ngaphambi kokuhlinzwa.
- Mayelana nanoma yikuphi ukungezwani komzimba onakho. Lokho kusho ukungezwani komzimba nemithi, i-latex, i-iodine, njll., esetshenziselwa ukuhlanza isikhumba.
Uzothola nemiyalelo ekhethekile mayelana nokuthi yini okufanele uyidle futhi uyiphuze ngaphambi kokuhlinzwa. Ngokuvamile, ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora ambalwa ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi uma unokudla esiswini sakho ngenkathi ungaphansi kwe-anesthesia, kungahlanzwa kungene emaphashini akho.
Yiziphi izindlela zokwenza lokhu kuhlinzwa?
Ukuhlinzwa kwe-radical nephrectomy kwenziwa ngezindlela ezintathu eziyinhloko. Udokotela wakho ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Kwe-Nephrectomy Evulekile | Kulokhu, udokotela ohlinzayo wenza ukusika okukodwa okukhulu, okungaba amasentimitha angu-12 ubude. Le ndlela isetshenziswa uma isimila sezinso sikhulu kakhulu noma uma kudingeka kususwe izindlala eziningi ze-parotid ezizungezile. |
| Ukuhlinzwa Kwe-Laparoscopic Radical Nephrectomy | Esikhundleni sokusika okukhulu, kwenziwa ukusika okuncane okumbalwa, okungaphansi kwe-intshi ngobukhulu. Ikhamera (i-laparoscope) ifakwa ngokusika okukodwa bese ibukwa kusikrini, kuyilapho amathuluzi amancane efakwa ngezinye izimbobo ukuze kwenziwe ukuhlinzwa. Lena yindlela esetshenziswa kakhulu manje. |
| Ukuhlinzwa Kwe-Robotic Radical Nephrectomy | Lokhu kufana nendlela ye-laparoscopic, kodwa lapha amathuluzi okuhlinza alawulwa yizingalo zamarobhothi ezilawulwa udokotela ohlinzayo. Lokhu kuvumela ukuhlinzwa okubucayi kakhulu nokunembile. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ngeke uzwe lutho ngesikhathi sokuhlinzwa. Udokotela wezinzwa uzokunikeza i-anesthesia ejwayelekile, ngakho-ke uzolala kahle kuze kube yilapho ukuhlinzwa kuphelile. Ngemva kokulahlekelwa ingqondo, umhlengikazi uzofaka i-catheter yomchamo.
Ngesikhathi sokuhlinzwa kwe-laparoscopic noma kwerobhothi, udokotela wakho ugcwalisa isisu sakho ngegesi ye-carbon dioxide. Lokhu kwenza kube lula ukubona izitho ngaphakathi. Imithambo yegazi exhumene nezinso ivaliwe, bese izinso nezinye izingxenye ezidingekayo zisuswa ngokucophelela. Amanxeba abe esevalwa ngokuthunga.
Ukuhlinzwa konke kungathatha amahora amathathu noma ngaphezulu.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Njengoba ubuyela kancane kancane engqondweni, ithimba lezokwelapha lizoqapha isimo sakho ngokucophelela.
- Uzonikezwa imithi yokunciphisa ubuhlungu ukuze ulawule ubuhlungu.
- Osukwini lokuqala noma ezimbili, ngeke unikezwe lutho lokudla. Kuzonikezwa uketshezi kuphela. Ngemuva kwalokho, uzoqala kancane kancane ukudla okuvamile.
- Uzokhuthazwa ukuthi uhambe kusukela ngosuku olulandela ukuhlinzwa. Ukuhamba kusheshisa inqubo yokuphulukiswa futhi kunciphisa ingozi yezinkinga ezifana nokuqhekeka kwegazi kanye ne-pneumonia.
- I-catheter yomchamo ivame ukususwa cishe ngosuku.
Uma impilo yakho isivele ilungile, uzovunyelwa ukuya ekhaya. Kuzodingeka uphelekezelwe yilungu lomndeni ngoba ngeke ukwazi ukushayela. Kubaluleke kakhulu futhi ukuba nomuntu ozokunakekela izinsuku ezimbalwa ngemuva kokubuyela ekhaya.
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Ukutheleleka
- Ukopha
- Amahlule egazi
- Izinkinga ezibangelwa ukubulala izinzwa
- Izibazi
Akuvamile kakhulu ukuthi izinso zakho ezisele zingase zingasebenzi kahle noma zibe nesifo. Udokotela wakho uzokutshela okwengeziwe ngalokhu.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Isikhathi sokululama sincike ohlotsheni lokuhlinzwa okwenzile. Uzolulama ngokushesha ngemva kokuhlinzwa kwe-laparoscopic kunangemva kokuhlinzwa okuvulekile.
Ngokuvamile ungabuyela emsebenzini noma esikoleni ngemva kwamasonto angaba ngu-4. Kodwa-ke, kungadingeka ulinde cishe amasonto angu-8 kuya kwangu-12 ngaphambi kokwenza noma yini enzima, njengokuphakamisa izinsimbi. Udokotela wakho uzokweluleka ngesikhathi esifanele.
Kunini lapho udinga ukukhuluma nodokotela?
Ngemva kokuhlinzwa, kuzodingeka uye emtholampilo ngezinsuku ezihleliwe ukuze ubonane nodokotela wakho. Futhi, uma uhlinzwe umdlavuza wezinso, kuzodingeka wenze izivivinyo zokulandelela , njenge -CT scans , ukuze ubone ukuthi umdlavuza ubuyile yini.
Uma uba nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukopha okukhulu ngenxa yokusikeka.
- Izimpawu zokutheleleka (iphunga elibi elivela esilondeni, ukuphuma kobomvu ophuzi/oluhlaza, umkhuhlane ).
- Igazi emchameni (i-hematuria).
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-radical nephrectomy kuyindlela enkulu yokuhlinzwa esusa ngokuphelele inso. Kodwa manje sekuyinqubo eyenziwa kabanzi futhi ephumelelayo.
- Lokhu kuhlinzwa kungenziwa ngezizathu ezifana nomdlavuza wezinso, ukutheleleka okuvamile, noma ukwehluleka kwezinso.
- Umzimba wethu ungasinda ngokujwayelekile ngenso eyodwa enempilo. Inso esele izoqina ngokuhamba kwesikhathi.
- Kubaluleke kakhulu ukuze umuntu alulame ngokushesha ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa.
- Uma uhlangabezana nezimpawu eziyisixwayiso ezifana nomkhuhlane noma ukopha okukhulu ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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