Ngezinye izikhathi, uma kunenkinga ngengxenye yamathumbu ethu, odokotela batusa ukususwa ngokuhlinzwa kwaleyo ngxenye egulayo. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho uzwa ngokuhlinzwa okunjalo. Kodwa uma usukuqonda kahle lokhu, lokho kwesaba kuyaphela kakhulu. Ngakho-ke namuhla, ake sixoxe ngalezi zihlinzeko ezisusa ingxenye yamathumbu.
Kuyini i-Ileocolectomy kanye ne-Right Colectomy?
Kalula nje, lezi izindlela ezimbili zokususa ngokuhlinzwa ingxenye egulayo yesistimu yakho yokugaya ukudla.
- I-Ileocolectomy: Kulokhu kuhlinzwa, ingxenye yokugcina yamathumbu akho amancane, i-ileum, kanye nengxenye yokuqala yamathumbu akho amakhulu, ikholoni elikhuphukayo, ziyasikwa bese zisuswa.
- Ukususwa Kwesisu Kwesokudla: Lapha, kususwa uhlangothi lwesokudla kuphela lwamathumbu amakhulu (ikholoni ekhuphukayo), okushiya i-ileum yamathumbu amancane ingathintekile.
Manje ungase uzibuze ukuthi kungani lolu hlobo lokuhlinzwa lwenziwa. Ngokuvamile kunezizathu eziningana eziyinhloko zokwenza lokhu kuhlinzwa.
- Izimo zomdlavuza ezenzeka emathunjini.
- Ukukhula okungenawo umdlavuza .
- Ukuvuvukala nokuvuvukala emathunjini okubangelwa yizimo ezifana nesifo sikaCrohn .
Into ebaluleke kakhulu ukuthi odokotela banqume ukwenza lokhu kuhlinzwa kuphela ngemva kokuhlola ngokucophelela isimo sakho nokuqinisekisa ukuthi lokhu kuyindlela engcono kakhulu yokwelapha.
Kuyini i-Laparoscopy?
Esikhathini esidlule, lolu hlobo lokuhlinzwa lwaludinga ukusikwa okukhulu esiswini. Kodwa manje, ngenxa yentuthuko kwezobuchwepheshe, lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa inqubo ebizwa ngokuthi i-laparoscopy . Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole."
Cabanga nje, esikhundleni sokwenza ukusika okukhulu esiswini, kwenziwa imicu embalwa emincane kakhulu (njengembobo yokhiye) esiswini, lapho kufakwa khona ikhamera namathuluzi athambile. Lokhu kusho ukuthi uzizwa ubuhlungu obuncane, ululama ngokushesha, futhi awunamanxeba amaningi.
Kwenzeka kanjani ukuhlinzwa? Izinyathelo ezi-4 eziyinhloko!
Lokhu kuhlinzwa kuqukethe izinyathelo ezine eziyinhloko. Ngizozichaza ngendlela ongayiqonda.
| Izinyathelo | Okwenzekayo kulula. |
|---|---|
| Isinyathelo 1: Ukufaka i-laparoscope | Ngemva kokuhlinzwa, udokotela ohlinzayo wenza ukusika okuncane kakhulu (cishe i-1/2 intshi) eduze kwenkaba yakho (inkaba). Ngale ndlela, kufakwa ithuluzi elifakwe ikhamera elibizwa ngokuthi i-laparoscope esiswini sakho. Izithombe ezivela kule khamera ziboniswa esikrinini esikhulu (imonitha) egumbini lokuhlinza. Ngemuva kwalokho, kwenziwa ukusika okuncane okungu-5 noma okungu-6 bese kufakwa ezinye izinto zokuhlinzwa. |
| Isinyathelo 2: Ukukhulula amathumbu | Manje ingxenye yamathumbu egulayo idinga ukuhlukaniswa nengxenye enempilo. Amathumbu axhunywe odongeni lwesisu nge-membrane ebizwa ngokuthi i-mesentery . Imithambo yegazi eyinhloko enikeza amathumbu igazi idlula kule membrane. Udokotela usika ngokucophelela le mithambo yegazi bese eyivala. Bese ingxenye yamathumbu egulayo ikhululwa kule mesentery. |
| Isinyathelo 3: Ukususa ingxenye egulayo | Ngenxa yokuthi ukusikwa kuncane kakhulu ngesikhathi se-laparoscopy, kusetshenziswa indlela ekhethekile ukususa ingxenye yamathumbu esikiwe. Udokotela wenza enye yezinsika zangaphambilini ibe nkulu kancane bese efaka isikhwama esikhethekile esiswini ngayo. Ingxenye yamathumbu esusiwe enesifo ibe isifakwa ngaphakathi kwalesi sikhwama bese isikhwama sisuswa ngokucophelela. |
| Isinyathelo 4: Ukuxhuma kabusha amathumbu | Ngemva kokususwa kwengxenye enesifo, iziphetho ezimbili zamathumbu asele aphilile ziyahlanganiswa. Lokhu kwenziwa kusetshenziswa i-stapler noma i-sutures encibilikayo. Le nqubo yokuxhumanisa izingxenye ezimbili zamathumbu ibizwa ngokuthi i-anastomosis . Ekugcineni, umgodi wesisu ugezwa kahle, indawo esanda kuxhunywa ihlolwe ukuthi ayinawo yini amanzi, futhi yonke imivimbo iyavalwa. |
Ake sifunde ngesikhathi sokululama ekhaya
Uma ubuyela ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukuthi uqhubeke kancane kancane nemisebenzi yakho yansuku zonke.
Ukuhamba kuyindlela engcono kakhulu yokuzivocavoca!
Yebo, ukuhamba kungasiza kakhulu enkambisweni yakho yokuphulukiswa. Ukuhamba kuqinisa imisipha , kuthuthukisa ukujikeleza kwegazi, futhi kuvimbela ukuqhekeka kwegazi., futhi kusiza ukugcina amaphaphu akho ephilile . Uma ubungumqeqetshi omuhle ngaphambi kokuhlinzwa, ungaqala isimiso sakho sokuzivocavoca esivamile uma uzizwa ukhululekile futhi udokotela wakho ekunika imvume.
Kodwa khumbula! Akukhuthazwa ukwenza ukuzivocavoca okunzima, ukuphakamisa izinsimbi, kanye nokuzivocavoca okucindezela isisu, njengokuhlala phansi, amasonto ayisithupha ngemuva kokuhlinzwa.
Kunjani ukudla?
Uma uthunyelwa ekhaya usuka esibhedlela, uzonikezwa imiyalelo yokudla okufanele ukulandele isikhathi esifushane. Ngokuvamile uzokwelulekwa ukuthi ulandele ukudla okuthambile . Lokhu kusho ukuthi ungadla izinto eziningi ngaphandle kwezithelo nemifino eluhlaza. Landela lokhu kudla uze uye emtholampilo ukuze uhlolwe ngemva kokuhlinzwa.
Okubalulekile: Uma uhlangabezana nokuqunjelwa ngenxa yalokhu kudla, sicela uxhumane nodokotela wakho ukuze uthole iseluleko. Ungaziphilisi.
Nakuba ukuhlinzwa kuyinto enkulu, ngolwazi olufanele kanye nokulandela iseluleko sezokwelapha, ungalulama ngokushesha futhi ubuyele empilweni yakho evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Ileocolectomy kanye ne-Right Colectomy yizinqubo ezimbili zokuhlinzwa ezisusa ingxenye egulayo yekholoni. Zenzelwa izimo ezifana nomdlavuza, izimila ezingezona umdlavuza, kanye nesifo sikaCrohn.
- Ngokuvamile, lokhu kuhlinzwa kwenziwa kusetshenziswa indlela "ye-keyhole" ebizwa ngokuthi i-laparoscopy. Lokhu kuholela ekunciphiseni ubuhlungu kanye nokululama okusheshayo.
- Uma ufika ekhaya ngemva kokuhlinzwa, qala kancane kancane ukuzivocavoca okulula, njengokuhamba. Kodwa gwema ukuphakamisa izinto ezisindayo kanye nokuzivocavoca okunzima amasonto ayisithupha.
- Landela imiyalelo yokudla kadokotela wakho ngqo. Uma unenkinga efana nokuqunjelwa, khuluma nodokotela wakho ngayo.
- Uma unemibuzo noma ukungabaza, ungangabazi ukubuza udokotela wakho.
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