Ake sifunde ngeRobotic Cystectomy?

Uma udokotela wakho ekutshela noma othile emndenini wakho ukuthi unomdlavuza wesinye, ungase uzizwe ukwesaba okukhulu nokushaqeka. Futhi uma utshelwa ukuthi kuzodingeka uhlinzwe ukuze kususwe sonke isinye, lokho kwesaba kungase kuphindwe kabili. Lokho kuvamile kakhulu. Kodwa ungesabi. Ngokuthuthuka kwezokwelapha namuhla, kunezindlela zokwenza ngisho nokuhlinzwa okukhulu okufana nalokhu okuphephile kakhulu, ngobuhlungu obuncane, nangokululama okusheshayo kunangaphambili. Namuhla, sizokhuluma ngobuchwepheshe obuthuthukisiwe kakhulu obusetshenziswa ezimweni ezinjalo, obubizwa ngokuthi "i-Robotic Cystectomy."

Kalula nje, kuyini iRobotic Cystectomy?

Lokhu futhi kuyindlela yokuhlinzwa yokususa isinyi. Kodwa akwenziwa ngokusikwa okukhulu esiswini njengakuqala. Lena inqubo engangenisi kakhulu. Kalula nje, udokotela ohlinzayo wenza izimbobo ezimbalwa ezincane kakhulu esiswini sakho bese efaka ingalo yerobhothi kanye nekhamera emzimbeni wakho ngazo. Udokotela ube esebheka isikrini sekhompyutha bese elawula ingalo yerobhothi nge-console ekhethekile ukuze enze ukuhlinzwa ngokunemba okukhulu.

Lokhu kuhlinzwa kwenziwa ngezindlela ezimbili eziyinhloko:

• Ukususwa Kwesibeletho Esiyingxenye Yerobhothi: Kulokhu, kususwa ingxenye yesinyi kuphela equkethe umdlavuza.
• Ukususwa kwe-Robotic Radical Cystectomy: Lokhu kuhilela ukususa sonke isinyi. Lokhu kuhlinzwa kuvame ukwenziwa ngenxa yomdlavuza wesinyi.

Udokotela uzokuchazela ukuthi yikuphi ukuhlinzwa okukulungele ngokusekelwe esimweni sakho.

Kukuziphi izimo lapho lokhu kuhlinzwa kwenziwa khona?

Isizathu esiyinhloko salokhu kuhlinzwa ngokuvamile umdlavuza wesinyi . Kodwa-ke, ngezinye izikhathi kuyanconywa ukwelapha izinkinga zomchamo ezizalwa nazo.

Yini ekhishwa ngesikhathi sokuhlinzwa?

Okokuqala, isinyi sakho kanye nama-lymph node azungezile kuyasuswa. Ngaphezu kwalokho, kuye ngokuthi umdlavuza ususakazeke kangakanani, ezinye zezitho ezizungezile ezihlobene nesimiso sokuzala kwabesilisa nabesifazane nazo zingadinga ukususwa. Lokhu kwenzelwa ukususa ngokuphelele umdlavuza nokunciphisa ingozi yokuthi ubuye.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Ngaphambi kokuhlinzwa, uzohlangana nodokotela. Uzokuchazela yonke imininingwane mayelana nokuhlinzwa, athole imvume yakho, futhi ahlole umzimba ukuze abone ukuthi uphilile ngokwanele yini ukuba uhlinzwe.

Kufanele ukhumbule ukutshela udokotela lezi zinto:

• Yonke imithi oyithathayo. Lokho kusho leyo enqunywe odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), imithi yendabuko yesiSinhala, amavithamini, imithi ye-Ayurvedic, konke. Ngoba imithi yokunciphisa igazi efana ne-aspirin ingandisa ukopha ngesikhathi sokuhlinzwa.
• Qiniseka ukuthi usitshela nganoma yikuphi ukungezwani komzimba onakho. Ukungezwani komzimba nemithi ethile, izihlanzi zesikhumba (i-iodine), i-latex, kanye nokudla okuthile.

Udokotela uzokunikeza imiyalelo ecacile mayelana nokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa, nokuthi kufanele uyeke yini ukuthatha imithi noma cha.

Ingabe ukuhlinzwa kwerobhothi kwenziwa ngempela yirobhothi?

Cha. Yilapho abantu abaningi bengaqondi khona. Lokhu kuhlinzwa akwenziwa yirobhothi.

Kulesi simo, udokotela ohlinzayo oqeqeshwe kahle (Urologist) ulawula ngokuphelele ukuhlinzwa. Irobhothi liyithuluzi elithuthukisiwe kakhulu nelithambile elisetshenziswa udokotela. Cabanga ngalo njengomdwebi onekhono osebenzisa ibhulashi elithambile kakhulu ukudweba isithombe esihle. Irobhothi linikeza udokotela lezi zinzuzo:

• Indawo yokuhlinza ingabonakala ngokucacile ku -3D , ichazwe kahle, futhi ikhuliswe.
• Ingenza ukunyakaza okubucayi, okunembile, nokungantengi kangangokuthi isandla somuntu asikwazi.

Ngakho-ke, udokotela ngokwakhe wenza ukuhlinzwa, futhi irobhothi lisebenza nje njengokwelulwa kwezandla zakhe.

Indlela ukuhlinzwa okwenziwa ngayo kanye nezindlela ezintsha zokwenza umchamo ugeleze

Ngemva kokuba isinyi sakho sesisusiwe ngokuphelele, kuzodingeka udale indlela entsha yokuthi umchamo uphume emzimbeni wakho. Lokhu kubizwa ngokuthi "Ukuphambuka Komchamo". Udokotela uzosebenzisa ingxenye yamathumbu akho ukudala le ndlela entsha. Kunezindlela ezintathu eziyinhloko.

1. Umsele wase-Ileal:

• Okuhlukile: Kuthathwa ingxenye yamathumbu akho amancane bese kwenziwa ipayipi. Ama-ureter avela ezinso axhunywe kuwo. Esinye isiphetho senziwe ukuba siphume ngesikhumba sesisu. Lokhu kubizwa ngokuthi ``(Stoma)``.
• Umchamo uyaqoqwa: Isikhwama se-ostomy sinamathiselwe ngaphandle kwalesi stoma ukuze kuqoqwe umchamo. Lesi sikhwama kumele sikhishwe njalo.

2. Ukuphambuka Kwezicucu Zezwekazi:

• Yini ehlukile: Nalapha futhi, izingxenye zamathumbu zisetshenziselwa ukudala isikhwama esincane (indawo yokugcina amanzi) esiqoqa umchamo ngaphakathi emzimbeni. Siphinde sixhunywe esikhumbeni sesisu nge-'stoma'.
• Umchamo uyaqoqana: Kodwa awudingi isikhwama sangaphandle. Ungathulula isikhwama ngaphakathi ngokufaka ipayipi elincane (i-catheter) izikhathi eziningana ngosuku.

3. Ukwakhiwa Kabusha Kwe-Neobladder:

• Yini ehlukile: Kule nqubo, kuthathwa ucezu olude lwamathumbu bese kwakheka isakhiwo esisha esifana nesinye esibizwa ngokuthi ``Neobladder''. Sixhunywe ngqo kwi-urethra yakho.
• Ukuchama: Lokhu kusho ukuthi uzokwazi ukuchama ngendlela evamile, njengoba nje wenza ngaphambi kokuhlinzwa. Kodwa-ke, ekuqaleni, kuzodingeka uzijwayeze izinto ezifana nokuqinisa imisipha yesisu sakho ukuze uchame.

Udokotela wakho uzokusiza ukhethe indlela ekufanele kakhulu kulezi zindlela ezintathu.

Yiziphi izinzuzo zokuhlinzwa kwerobhothi?

Ukuhlinzwa kwerobhothi kunezinzuzo eziningana kunokuhlinzwa okuvulekile okuvamile.

Ingabe zikhona izingozi kulokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile ezihilelekile, kodwa ubuchwepheshe obuthuthukisiwe bunganciphisa lezi zingozi.

• Izingozi ezijwayelekile: ukopha, amahlule egazi, ukutheleleka, ukusabela ekubulaweni yizinzwa (ukuhlanza, ikhanda elibuhlungu).
• Izingozi ezithile:
• Izinguquko ekuchameni: Indlela ochama ngayo izoshintsha ngemva kokuhlinzwa. Kuthatha isikhathi ukujwayela.
• Imiphumela emibi yocansi:
• Kwabesilisa: Uma i-prostate gland kanye nama-seminal vesicles kususiwe, ukuphuma komchamo ngeke kwenzeke. Amanye amadoda angase abe nokungasebenzi kahle kokuchama.
• Kwabesifazane: Uma ingxenye yesitho sangasese sowesifazane isusiwe, ucansi lungaba nzima. Imizwa ehilelekile ekuvukeleni ucansi kanye nokuphuma kocansi nayo ingathinteka.

Kuthatha isikhathi esingakanani ukuphulukiswa futhi kufanele ngibone udokotela nini?

Kungathatha amasonto kuya ezinyangeni ukululama ngokuphelele. Lokhu kuwukuhlinzwa okukhulu, ngakho-ke nikeza umzimba wakho isikhathi sokululama. Kujwayelekile ukulahlekelwa yisifiso sokudla kanye nezinguquko emikhubeni yamathumbu (uhudo, ukuqunjelwa) ngemva kokuhlinzwa.

Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.**

• Izimpawu zokutheleleka, njengomkhuhlane , ukubanda, nokuthuthumela .
• AkunakuvinjelwaUkuhlanza .
• Ukopha okukhulu okuvela ezindaweni zokuhlinzwa.
• Uma kukhona ubuhlungu obandayo, ukuvuvukala, noma ukushintsha kombala (obomvu, onsundu, omnyama) eduze kwesilonda.
• Ubuhlungu bukhulu kangangokuthi umuthi onikezwa udokotela awukwazi ukubulawula .
• Uma kunzima ukuchama noma uma ukugeleza komchamo kuncipha ngenxa yendlela entsha.