Ingabe wena noma othile omaziyo utshelwe udokotela ukuthi inso idinga ukususwa ngokuphelele? Kuvamile ukuzizwa wesaba futhi wethukile kancane uma uzwa lawo mazwi. Imibuzo efana nokuthi "Ngizophila kanjani ngaphandle kwenso?" cishe ifika engqondweni. Kodwa ungakhathazeki. Ake sixoxe ngalokhu kuhlinzwa, okubizwa ngokuthi 'i-Radical Nephrectomy', ngamagama alula futhi sithole izimpendulo zayo yonke imibuzo onayo engqondweni.
Kuyini i-Radical Nephrectomy?
Kalula nje, lokhu kuwukuhlinzwa. Kulokhu, yonke inso yakho iyasuswa. Ngokwezokwelapha, elithi "nephro" lisho "izinso" kanti elithi "ectomy" lisho "ukususa." Ngakho igama liyakusikisela, akunjalo?
Lokhu kuhlinzwa akususi nje kuphela izinso kodwa futhi kususa nezicubu ezinamafutha ezizungezile. Ngezinye izikhathi, indlala ye-adrenal kanye nama-lymph node azungezile kungadingeka ukuthi kususwe.
Nakuba abantu abaningi benezinso ezimbili, bangaphila kahle ngenso eyodwa enempilo ngaphandle kwezinkinga. Ngokuhamba kwesikhathi, inso esele izokhula ibe nkulu futhi ibe namandla, bese iqala ukwenza umsebenzi wezinso ezimbili.
Kungani udinga lokhu kuhlinzwa?
Ngokuvamile, isizathu esiyinhloko salokhu kuhlinzwa ukususa isimila esinomdlavuza ezinso . Kodwa-ke, udokotela wakho angase akuncome lokhu kuhlinzwa ngezinye izizathu.
- Ukutheleleka kwezinso okuvamile: Abanye abantu banezifo zezinso eziphindaphindayo.
- Ukwehluleka kwezinso: Lapho izinso ziyeka ukusebenza ngokuphelele ngenxa yesifo noma ingozi.
- Ezinye izifo noma umonakalo wezinso: Ngenxa yezinye izimo zezokwelapha ezingenakulawuleka.
- Ukunikela ngezinso: Lokhu kuhlinzwa kwenziwa nalapho umuntu enikela ngezinso zakhe eziphilile komunye umuntu.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, uzokulungela ngokucophelela kusengaphambili.
- Ukuhlolwa kwezokwelapha: Ukuhlolwa kwegazi nomchamo kuzokwenziwa ukuze kuhlolwe ukusebenza kwezinso zakho njengamanje. Uhlobo lwegazi lakho luzohlolwa futhi uma kwenzeka udinga ukunikela ngegazi ngesikhathi sokuhlinzwa. Impilo yakho jikelele, njengomkhuhlane, ukushaya kwenhliziyo, kanye nomfutho wegazi, nayo izohlolwa.
- Ulwazi Lwemithi: Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela kanye nethengiswa ngaphandle kwemithi kadokotela), okuhlanganisa amavithamini kanye nezithasiselo zamakhambi . Eminye imithi yokunciphisa ubuhlungu (ama-NSAID) kanye nemithi yokunciphisa igazi (ama-anticoagulant) ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
- Ukungezwani komzimba: Sitshele nganoma yikuphi ukungezwani komzimba onakho. Isibonelo, ukungezwani komzimba nemithi ethile, i-latex, noma i-iodine esetshenziselwa ukuhlanza isikhumba.
- Gwema ukudla noma ukuphuza: Ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora ambalwa ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi uma unokudla esiswini sakho ngenkathi ungaphansi kwe-anesthesia, kunengozi yokuthi uzokuhlanza bese kungena emaphashini akho. Lokhu kungaba yingozi.
Yiziphi izindlela zokuhlinzwa?
Ukuhlinzwa kwe-Radical Nephrectomy kwenziwa ngezindlela ezintathu eziyinhloko. Udokotela wakho uzonquma indlela efanelana kahle nesimo sakho.
| Indlela yokuhlinzwa | Incazelo |
|---|---|
| Ukuhlinzwa Kwe-Nephrectomy Evulekile | Kule nqubo, udokotela ohlinzayo wenza ukusika okukodwa okukhulu, okungaba amasentimitha angu-12 ubude. Le ndlela isetshenziswa uma isimila esisezinso sikhulu kakhulu noma uma inani elikhulu lama-lymph node azungezile lidinga ukususwa. |
| Ukuhlinzwa Kwe-Laparoscopic Radical Nephrectomy | Lena yindlela esetshenziswa kakhulu manje. Esikhundleni sokusika okukodwa okukhulu, kwenziwa ukusika okuncane okuningana (cishe isentimitha elilodwa) esiswini noma embotsheni. Ngalezi zisikwe, kufakwa ithuluzi elincane elinekhamera (i-laparoscope) nezinye izinto zokuhlinza bese kwenziwa ukuhlinzwa. |
| Ukuhlinzwa Kwe-Robotic Radical Nephrectomy | Lokhu kufana nendlela ye-laparoscopic, kodwa lapha amathuluzi okuhlinza aphathwa ngesandla yingalo yerobhothi elawulwa udokotela. Lokhu kuvumela ukuhlinzwa okubucayi kakhulu nokunembile. |
Kwenzekani ngemva kokuhlinzwa?
Ukuhlinzwa kuvame ukuthatha amahora amathathu noma ngaphezulu. Uma ukuhlinzwa sekuphelile, udokotela wezinzwa uzokuvusa. Kodwa uzozizwa ulele isikhashana.
Uzoyiswa ekamelweni lokululama, lapho impilo yakho izoqashwa khona futhi uzonikezwa imithi yokulawula ubuhlungu.
- Ukudla: Kunikezwa ukudla okumanzi kuphela ngosuku lokuqala. Kamuva, ungadla kancane kancane ukudla okuvamile.
- Ukuhamba: Ukhuthazwa ukuba uhambe kancane kusukela ngosuku olulandela ukuhlinzwa. Ukuhamba kuthuthukisa ukujikeleza kwegazi, kukusiza ukuthi ululame ngokushesha, futhi kungasiza ekuvimbeleni izinkinga ezifana nokuqhekeka kwegazi emilenzeni yakho.
- I-catheter yomchamo: I-catheter yomchamo ebekwa ngesikhathi sokuhlinzwa ivame ukususwa ngakusasa ekuseni.
- Ukuphuma esibhedlela: Uzovunyelwa ukuya ekhaya uma isimo sakho sithuthuka. Uma uhlinzwe ngokuvulekile, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Ngemva kokuhlinzwa kwe-laparoscopic, ungaya ekhaya maduze. Kubalulekile ukuthi othile akuphelezele uye ekhaya.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Isikhathi sokululama sincike ohlotsheni lokuhlinzwa okwenzile. Ukuhlinzwa okuvulekile kuthatha isikhathi eside ukuphulukiswa. Ngokuvamile, kungathatha phakathi kwamasonto ayi-8 kuya kwayi-12 ukululama ngokugcwele nokuqala kabusha imisebenzi efana nokuphakamisa izinsimbi.
Ungabuyela emsebenzini olula, njengasehhovisi , cishe emavikini amane . Kodwa-ke, uma unomsebenzi onzima ngokomzimba, kungathatha isikhathi eside. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko esifanele.
Izimo lapho udinga ukubona udokotela ngokushesha
Kubaluleke kakhulu ukuqapha isimo sakho ngemva kokubuyela ekhaya. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
- Ukopha ngokweqile okuvela enxebeni lokuhlinzwa.
- Ukuvuvukala, ukubomvu, uketshezi olufana nobomvu olunuka kabi oluzungeze inxeba, noma umkhuhlane ongaphezu kwama-37.8 Celsius (100 Fahrenheit) kungaba izimpawu zokutheleleka.
- Igazi emchameni (i-hematuria).
Uma uke wahlinzwa ngenxa yomdlavuza, udokotela wakho uzoyala ukuhlolwa okufana ne-CT scan kanye nokuhlolwa kwegazi nomchamo ngezikhathi ezithile ukuze kuhlolwe ukuthi ungaphili yini. Kubaluleke kakhulu ukwenza lokhu kuhlolwa njalo futhi ngaphandle kokukweqa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa okukhulu kwe-radical nephrectomy kuyindlela enkulu yokususa ngokuphelele inso.
- Lokhu kwenzelwa ikakhulukazi ukwelapha izifo ezingathi sína njengomdlavuza wezinso.
- Ukuhlinzwa kwe-Laparoscopic (ukuhlinzwa okwenziwa ngokusika okuncane) manje sekusetshenziswe kabanzi futhi kuvumela ukululama okusheshayo.
- Kungenzeka ngokuphelele ukuphila impilo evamile nenempilo ngenso eyodwa enempilo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba, ukungabaza, noma imibuzo ongase ube nayo mayelana nokuhlinzwa. Lokhu kuzokunikeza ukuthula kwengqondo okukhulu.
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