Ngezinye izikhathi, kuyinto evamile ukuzizwa wesaba futhi ukhathazekile kancane lapho udokotela ekutshela ukuthi ingxenye yamathumbu akho idinga ukususwa ngenxa yesimo sempilo. "Ingabe ngizokwazi ukuphila kahle ngemva kokususwa kwengxenye yamathumbu ami?" "Ingabe ukudla ngeke kugaywe?" Cishe unemibuzo eminingi efana nale engqondweni yakho. Yingakho, namuhla, sizoxoxa ngalokhu 'kuhlinzwa kwamathumbu amancane' noma '(Ukuhlinzwa Kwamathumbu Amancane)' ngamazwi alula.
Kalula nje, lokhu kuhlinzwa kuhilela ukususa ngokuhlinzwa ingxenye eyonakele noma egulayo yamathumbu akho amancane. Amathumbu ethu amancane ayilungu elide kakhulu, elisontekile, futhi elimangalisayo elivame ukuba phakathi kwamamitha angu-20 kuya kwangu-30 ubude. Yilapho umzimba umunca khona izakhamzimba eziningi ekudleni esikudlayo. Ngakho-ke noma ngabe ingxenye encane yaleli thumba elide isusiwe, umzimba wethu uvame ukuzivumelanisa nayo futhi ugcine amathumbu esebenza kahle.
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Kunezizathu eziningi zokuthi kungani ingxenye yamathumbu amancane ingasuswa. Odokotela bavame ukuncoma lokhu kuhlinzwa uma isimo singalawulwa ngemithi noma ukudla okukhethekile. Kodwa-ke, ezimweni zezimo ezisongela ukuphila njengokuvaleka kwamathumbu, ukuhlinzwa kungadingeka ngokushesha . Nazi ezinye zezizathu eziyinhloko zalokhu kuhlinzwa.
| Isizathu | Incazelo Elula |
|---|---|
| Intuthuko engavamile | Izimo ezifana nokukhula okungenawo umdlavuza emathunjini amancane, njengezimila, ama-polyps, noma umdlavuza wamathumbu amancane. |
| Izinkinga kusukela ekuzalweni | Izimo ezifana ne-Meckel's diverticulum noma i-malrotation yamathumbu, ezikhona kusukela ekuzalweni. |
| Ukutheleleka kwesikhathi eside | Izimo ezifana nesifo sikaCrohn zibangela ukuthi izindonga zamathumbu zibe zinde futhi zibe zincane (ukuqina). |
| I-hernia egobile | Uma ingxenye yamathumbu ivaleleke ngaphakathi kwe-hernia, ukugeleza kwegazi kuleyo ndawo kuyanqamuka futhi kuba nengozi yokufa kwezicubu. |
| Ukuvinjelwa kwamathumbu | Ukuvaleka kwamathumbu amancane yisimo lapho amathumbu evaleka khona ngokuphelele ngesizathu esithile. Lesi yisimo esidinga ukuhlinzwa okuphuthumayo. |
| Izingozi | Ukulimala kwamathumbu ngenxa yengozi noma ukulimala, isibonelo, ukubhoboka. |
Yiziphi izindlela zokwenza ukuhlinzwa?
Lokhu kuhlinzwa kungenziwa ngezindlela ezintathu eziyinhloko. Ukukhetha enye yalezi zindlela kuncike esimweni sakho kanye nesincomo sikadokotela ohlinzayo.
1. Ukuhlinzwa kwe-Laparoscopic: Lokhu akubandakanyi ukwenza ukusika okukhulu esiswini. Kunalokho, kwenziwa ukusika okuncane kakhulu bese kufakwa ikhamera kanye nezinsimbi zokuhlinza ngazo. Inzuzo yale ndlela ukuthi iphola ngokushesha futhi ayibuhlungu kakhulu.
2. Ukuhlinzwa kwerobhothi: Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa lapha udokotela ohlinzayo ulawula izingalo zomshini werobhothi, enza ukuhlinzwa ngokunembe kakhudlwana nangokulula .
3. Ukuhlinzwa okuvulekile: Lena yindlela yendabuko. Lapha, kwenziwa ukusika okukhulu esiswini bese kutholwa amathumbu. Le ndlela isetshenziswa uma ezinye izindlela ezimbili zingafaneleki.
Kwenzekani ngesikhathi sokuhlinzwa?
Kubalulekile ukuthi ube nombono ngalokhu.
Okokuqala, uzonikezwa i-anesthesia ephelele, ngakho ngeke uzizwe lutho ngesikhathi sokuhlinzwa.
Udokotela ohlinzayo ube esesika esebenzisa enye yezindlela ezishiwo ngaphambilini ukuze afinyelele engxenyeni yamathumbu eyonakele. Ngemuva kwalokho, ingxenye ibanjwa nhlangothi zombili ngamathuluzi akhethekile (ama-clamp) bese ingxenye eyonakele iyasikwa bese isuswa.
Isinyathelo esilandelayo yisona esibaluleke kakhulu.
- I-Anastomosis:Ezimweni eziningi, iziphetho zezingxenye ezimbili zamathumbu eziphilile ezisele ngemva kokususwa kwengxenye ziyahlanganiswa futhi zithungwe ndawonye. Lokhu kwenziwa kusetshenziswa izithungo ezikhethekile noma ama-staple. Le nqubo ibizwa ngokuthi i-anastomosis.
- I-Ileostomy: Kodwa-ke, ngezinye izikhathi akunakwenzeka ukuxhuma izingxenye ezimbili ezisele zamathumbu. Isibonelo, uma ibanga phakathi kwezingxenye ezimbili likhulu kakhulu, noma uma ukutheleleka kuvimbela ukuhlangana kabusha ngokushesha, udokotela uzokwenza okunye. Kulesi simo, kwakheka imbobo (stoma) ukuze ingxenye yamathumbu amancane ivezwe esikhumbeni sesisu. Indle iphuma ngale mbobo bese iqoqana esikhwameni esikhethekile (isikhwama se-ostomy) esinamathiselwe esikhumbeni. Lokhu kubizwa ngokuthi i-ileostomy. Lokhu kungaba okwesikhashana noma okuhlala njalo.
Kwenzekani ngemva kokuhlinzwa? Kuzothatha isikhathi esingakanani ukululama?
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa.
- Ukudla: Ezinsukwini zokuqala, ngoba amathumbu adinga ukuphumula, ukudla akunikelwa ngomlomo. Kunalokho, ukudla okunomsoco kunikezwa ngepayipi (ukondla ngepayipi). Njengoba ingane ilulama kancane kancane, uketshezi nokudla okuthambile kungaqalwa ngomlomo, njengoba kuqondiswe udokotela.
- Ukuhamba: Ngesikhathi usesibhedlela, kanye nangemva kokubuyela ekhaya, kubaluleke kakhulu ukuvuka embhedeni uhambe kancane ukuze uvimbele ukuqhekeka kwegazi .
- Isikhathi sokululama: Kungathatha izinyanga eziningana ukululama ngokugcwele, kodwa abantu abaningi bayakwazi ukubuyela emisebenzini yansuku zonke phakathi namasonto ambalwa.
Ziyini izingozi nemiphumela emibi yalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, futhi kubalulekile ukuzazi.
| Ingozi / Umphumela Ongemuhle | Incazelo |
|---|---|
| Ukuvuza kwe-anastomotic | Ukuvuza okuvela kuma-suture/staples. Lesi yisimo esiyingozi kakhulu futhi esingasongela impilo. |
| Uhudo | Uhudo lungase luvele amasonto ambalwa ngemva kokuhlinzwa njengoba umzimba ujwayela isimo esisha. |
| I-hernia ye-Inguinal | Izingxenye zamathumbu zikhishwa ngaphandle ngomsikelo owenziwe ngesikhathi sokuhlinzwa. |
| Ezinye izingozi | Ukutheleleka, amahlule egazi, i-anemia engapheli, kanye nomonakalo ezithweni eziseduze njengesibindi noma i-pancreas. |
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma ubuyela ekhaya ngemva kokuhlinzwa, udinga ukunakekela umzimba wakho kahle. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho noma uye esibhedlela ngokushesha .
- Ubunzima bokukhipha indle noma ukungaphumi kwesisu izinsuku eziningana.
- Ukucanuzela nokuhlanza kuze kube sezingeni lokungakwazi ukuphuza ukudla noma uketshezi ngomlomo.
- Ubomvu noma ukuphuma kwegazi ngenxa yokuhlinzwa.
- Ubuhlungu obukhulu obungapheli ngisho nangemva kokuthatha imithi.
- Izimpawu zokutheleleka, njengomkhuhlane, ukubomvu kanye nokufudumala okuzungeze indawo yokusikwa.
Khumbula, uma ubhekene nobunzima ngalezi zimpawu, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- `Ukususwa Kwamathumbu Amancane` ukususwa ngokuhlinzwa kwengxenye yamathumbu amancane egulayo noma eyonakele. Ungesabi lokhu.
- Ngenxa yokuthi amathumbu ethu amancane made kakhulu, umzimba uvame ukusebenza kahle ngisho noma ingxenye encane yawo isusiwe.
- Kuthatha isikhathi esithile ukululama ngokuphelele ngemva kokuhlinzwa. Phakathi naleso sikhathi, landela imiyalelo kadokotela ngokucophelela.
- Qaphela izimpawu ezingaba yingozi (umkhuhlane, ubuhlungu obukhulu, ukuhlanza, ubomvu obuphuma esithonjeni) ngemva kokuhlinzwa. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Uma uneminye imibuzo mayelana nalokhu, zizwe ukhululekile ukuxoxa ngayo nodokotela wakho.
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