Ngezinye izikhathi, ezinye zezinkinga zethu zesisu azipheli nje ngemithi, akunjalo? Ngezikhathi ezinjalo, odokotela bathi ingxenye yamathumbu egulayo idinga ukususwa. Kuvamile kakhulu ukuzizwa wesaba futhi ukhathazekile uma uzwa lokhu. Kunengqondo ukucabanga, "O, kuzokwenzekani kimi uma kususwa ingxenye yamathumbu ami?" Ngakho-ke namuhla, ake sixoxe ngalokhu kuhlinzwa kwamathumbu amancane, okubizwa ngezokwelapha ngokuthi 'ukususwa kwamathumbu amancane', ngokucacile nangokulula.
Kuyini Ukususwa Kwamathumbu Amancane?
Kalula nje, lokhu kuhilela ukususa ngokuhlinzwa ingxenye yamathumbu akho amancane eyonakele, enesifo, noma engasebenzi kahle. Okunye ukuhlinzwa kususa ingxenye encane kakhulu, kodwa ngezinye izikhathi ingxenye enkulu ingasuswa.
Manje ungase ucabange, "Ngizophila kanjani uma kukhishwe ucezu lwamathumbu ami?" Cabanga ngale ndlela, amathumbu ethu amancane ayilungu elivame ukuba ngamafidi angu-20-30 ubude . Lifana nepayipi elide eligoqeka ngaphakathi esiswini. Umsebenzi walo oyinhloko ukumunca izakhamzimba umzimba wethu ozidingayo ekudleni esikudlayo. Ngakho-ke, ukususa ingxenye encane yamathumbu amade kangaka ngokuvamile akunawo umthelela omkhulu ekusebenzeni kwawo. Umzimba wethu uyajwayela.
Ubani odinga lokhu kuhlinzwa? Yiziphi izifo?
Lokhu kuhlinzwa kuvame ukwenziwa kubantu abanezimo ezimbi kakhulu zesisu. Odokotela batusa lokhu kuhlinzwa kuphela uma isimo singenakwelashwa ngemithi yodwa. Ake sibheke ukuthi ziyini lezo zimo.
| Isimo | Kalula nje... |
|---|---|
| Ukukhula okungavamile | Izinto ezifana nomdlavuza, izimila ezingezona umdlavuza, noma ama-polyp akhula emathunjini amancane. |
| Izinkinga ze-GI zokuzalwa | Ezinye izimo ezikhona lapho kuzalwa, njenge -Meckel's diverticulum noma i-malrotation . |
| Izinkinga ze-GI ezingapheli zokuvuvukala | Ukuncipha (ukuqina) kwamathumbu ngenxa yezifo ezifana nesifo sikaCrohn . |
| I-hernia yesisu eboshiwe | I-hernia ibangela ukuthi ingxenye yamathumbu ibambeke, okubangela ukuthi ilahlekelwe ukugeleza kwegazi bese ifa. |
| I-enterocolitis ebulala amagciwane | Isimo esibi lapho izicubu zamathumbu zifa khona, esivame kakhulu ezinganeni ezizalwa ngaphambi kwesikhathi. |
| Ukuvaleka kwamathumbu amancane | Ukuvaleka kwamathumbu ngokuphelele ngaphakathi. Kungabangelwa futhi yingxenye yamathumbu ehamba ngaphakathi kwenye ingxenye (intussusception) . |
| Ukulimala | Ukulimala kwamathumbu ngenxa yengozi, isibonelo, ukubhoboka kwamathumbu. |
Into ebalulekile ukuthi lokhu kuhlinzwa kwenziwa lapho lesi sifo singenakukwazi ukulawulwa ngezinye izindlela zokwelapha, njengemithi noma ukudla okukhethekile. Kodwa-ke, ezimweni eziphuthumayo, njengokuvaleka kwamathumbu, okungaba yingozi empilweni, ukuhlinzwa kungadingeka ngokushesha .
Yiziphi izinqubo zokuhlinzwa?
Odokotela basebenzisa izindlela ezintathu eziyinhloko ukwenza lokhu kuhlinzwa. Indlela efanele kakhulu izokhethwa ngokusekelwe esimweni sakho.
| Indlela Yokuhlinzwa | Kwenzekani lapha? (Kwenzekani lapha?) |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic | Njengoba sikhuluma, "ukuhlinzwa okusizwa yikhamera" kuhilela ukwenza izimbobo ezimbalwa ezincane kakhulu esiswini. Ikhamera ifakwa ngenye yezimbobo, ibukwe kusikrini, bese kufakwa amathuluzi amancane ngezinye izimbobo ukuze kwenziwe ukuhlinzwa. Izibazi zincane futhi ukuphola kuyashesha. |
| Ukuhlinzwa kwerobhothi | Lokhu kufana nendlela ye-laparoscopic, kodwa udokotela ulawula imishini esebenzisa ubuchwepheshe berobhothi. Lokhu kuvumela udokotela ohlinzayo ukuthi asebenze ngobunono nangokulula ezindaweni okunzima ukuzifinyelela. |
| Ukuhlinzwa okuvulekile | Lena yindlela yendabuko. Kwenziwa ukusika okukhulu okukodwa phakathi kwesisu ukuze kufinyelelwe emathunjini. Le ndlela isetshenziswa ezimweni lapho izindlela ezimbili ezingenhla zingenakwenzeka. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Uma kungesona ukuhlinzwa okuphuthumayo, uzoba nezinsuku ezimbalwa zokulungiselela ukuhlinzwa.
- Ukuhlolwa: Ukuhlolwa kwegazi, ukuhlolwa komchamo, kanye nokuskena kwenziwa ukuze kubonakale ukuthi ungakwazi yini ukubekezelela ukuhlinzwa.
- Ukuyeka imithi: Uma uthatha imithi yokunciphisa igazi (njenge-aspirin) noma imithi yokunciphisa ubuhlungu, kungadingeka uyeke ukuyithatha izinsuku ezimbalwa, njengoba kuqondiswe udokotela wakho.
- Ukuhlanzwa kwamathumbu amakhulu: I-colon idinga ukuhlanzwa ngokuphelele ngaphambi kokuhlinzwa. Uzocelwa ukuba udle ukudla okune-fiber ephezulu futhi uphuze amanzi amaningi izinsuku ezimbalwa ngaphambi kokuhlinzwa. Uzocelwa ukuthi unciphise ukudla kwakho koketshezi njengoba usondela ekuhlinzweni. Ngezinye izikhathi, unganikezwa imithi yokuhlanza isisu noma i-enema ukusiza amathumbu akho anyakaze. Konke lokhu kwenzelwa ukwenza ukuhlinzwa kuphephe.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ngesikhathi sokuhlinzwa, uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe lutho, uzoba sebuthongweni obujulile. Udokotela uzokwenza i-incision ngokwendlela ekhethiwe futhi afinyelele engxenyeni yamathumbu eyonakele. Ngemuva kwalokho, esebenzisa amathuluzi akhethekile, uzobamba ingxenye nhlangothi zombili bese eyisika.
Bese kuza ingxenye ebalulekile. Manje usuneziphetho ezimbili zamathumbu ezinempilo, akunjalo? Lokho okwenzayo ngokulandelayo kuzonquma ikusasa lakho. Kunezinketho ezimbili eziyinhloko lapha.
1. Ukuxhumanisa kabusha izingxenye ezimbili zamathumbu (i-Anastomosis)
Lena inqubo evame kakhulu. Njengokubopha kabusha ipayipi eliphukile, iziphetho ezimbili zamathumbu aphilile zixhunywa ndawonye kusetshenziswa ama-suture noma ama-staple . Uma lokhu sekuphumelele, uhlelo lwakho lokugaya ukudla luzoqala ukusebenza ngendlela evamile futhi.
2. Ileostomy
Ngezinye izikhathi, izingxenye ezisele zamathumbu eziphilile zingase zingabi zinde ngokwanele ukuxhuma. Noma, ngenxa yokutheleleka, kungaba yingozi kakhulu ukuzixhumanisa zonke ngesikhathi esisodwa. Ezimweni ezinjalo, udokotela uzokhipha ingxenye yamathumbu amancane ngembobo encane (i-stoma) eyenziwe esikhumbeni sesisu. Ngemuva kwalokho, kunamathiselwa isikhwama esikhethekile kulowo mbobo. Indle iqoqana kuleyo sikhwama. Lokhu ngezinye izikhathi kungaba okwesikhashana . Kamuva, amathumbu angaxhunyaniswa kabusha ngaphakathi ngokuhlinzwa okunye. Ngezinye izikhathi, kufanele agcinwe ngale ndlela unomphela .
Izingozi ezingaba khona kanye nemiphumela emibi yokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Ukuvuza kwe-anastomotic: Lena inkinga enkulu kakhulu. Kwenzeka lapho amathumbu exhumene, okungukuthi lapho kwafakwa khona izithungo noma izinti. Uma lokhu kwenzeka, indle ingangena esiswini futhi ibangele ukutheleleka okukhulu. Lesi yisimo esiphuthumayo esisongela impilo .
- I-anemia engapheli: I-anemia ingenzeka isikhathi eside.
- Ukulimala kwezitho ezizungezile: Ngesikhathi sokuhlinzwa, izitho ezizungezile ezifana nesibindi kanye ne-pancreas zingase zonakale.
- Uhudo: Kuvamile ukuba nohudo amasonto ambalwa ngemva kokuhlinzwa. Kuthatha isikhathi ukuthi imizwa nemisipha emathunjini ivumelane nalolu shintsho.
- I-Hernia: I-hernia ingase ivele ngesikhathi esithile ngemva kokuhlinzwa.
- Ukuqina: Indawo lapho amathumbu axhumene khona ingancipha futhi ibangele ukuphinda kwesithiyo.
Sinjani isikhathi sokululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Ezinsukwini zokuqala, ngeke unikezwe ukudla ngomlomo ukuze uphumuze amathumbu akho. Uzonikezwa ukudla okunomsoco ngepayipi (i-enteral nutrition). Njengoba ululama, uzonikezwa uketshezi, bese kuba yisobho, bese kuba ukudla okuthambile .
Kubalulekile ukuphumula amasonto ambalwa ngemva kokubuyela ekhaya. Kodwa-ke, akukhuthazwa ukuhlala embhedeni. Kubalulekile ukuhambahamba kancane ukuze uvimbele ukuqhekeka kwegazi . Kungathatha izinyanga eziningana ukuze ululame ngokugcwele, kodwa abantu abaningi bangabuyela emisebenzini yabo evamile phakathi namasonto ambalwa.
Kulokhu, shayela udokotela wakho ngokushesha!
Kubaluleke kakhulu ukuqapha impilo yakho ngemuva kokubuyela ekhaya. Uma unezinye zezimpawu ezingezansi, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
| Izimpawu Zesixwayiso Okufanele Uziqaphele |
|---|
| - Ubunzima bokukhipha indle noma ukungaphumi kwesisu izinsuku eziningana. |
| - Ukucanuzela nokuhlanza okuqhubekayo kuze kube sezingeni lokungakwazi ukugcina ukudla noma amanzi ephansi. |
| - Ubomvu noma ukuphuma kwegazi ngenxa yokuhlinzwa. |
| - Ubuhlungu abuzange buphele ngisho nangemva kokuthatha imithi yobuhlungu enqunywe udokotela. |
| - Izimpawu zokutheleleka njengomkhuhlane, ukubanda, ukubomvu kwesikhumba esizungeze indawo yokusikwa, kanye nomuzwa wokufudumala. |
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwamathumbu amancane ukususwa ngokuhlinzwa kwengxenye yamathumbu egulayo noma eyonakele.
- Lokhu kwenziwa ezimweni ezimbi kakhulu njengomdlavuza, isifo sikaCrohn, kanye nokuvaleka kwamathumbu, lapho ezinye izindlela zokwelapha zingaphumelelanga.
- Kunezindlela ezintathu: i-laparoscopic, i-robotic, kanye nokuhlinzwa okuvulekile. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela.
- Ngenxa yokuthi amathumbu ethu amancane made kakhulu, noma ngabe ingxenye yawo isusiwe, umzimba ungawajwayela futhi usebenze ngendlela evamile. Ngakho ungesabi ngokungadingekile. Uma unemibuzo, khuluma nodokotela wakho ngokukhululekile.
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