Ingabe udokotela wakho usola ukuthi wena noma othile oseduze nawe unomdlavuza wesinyi? Noma, ingabe sekuqinisekisiwe futhi utshelwe ukuthi udinga ukuhlinzwa okubizwa ngokuthi 'i-TURBT'? Ungase uzizwe wesaba kancane uma uzwa leli gama. Kodwa empeleni kuyindlela evamile kakhulu yokwelapha umdlavuza wesinyi. Ngakho-ke, ungakhathazeki. Ake sixoxe ngokuthi lokhu kuhlinzwa kwe-TURBT kuyini, kwenziwa kanjani, nokuthi ungabhekana kanjani nakho ngendlela elula necacile.
Kalula nje, iyini i-TURBT?
Incazelo ephelele ye-TURBT ithi i-Transurethral Resection of Bladder Tumor . Igama elide, akunjalo? Kodwa lilula kakhulu. Kuyinqubo eyenza izinto ezimbili ngesikhathi esisodwa. Okusho ukuthi, ingaxilonga umdlavuza wesinye, futhi ingasusa futhi yelaphe umdlavuza.
Cabanga nje, udokotela wenza lokhu kuhlinzwa ngaphandle kokusikeka emzimbeni wakho. Kwenzeka kanjani lokho?
Basebenzisa ithubhu elide, elincane, neliguquguqukayo elibizwa ngokuthi i-resectoscope. Le thuluzi lifakwa ku-urethra yakho, ithubhu elithwala umchamo lisuka kwesinyeni sakho liye emzimbeni wakho. Ekugcineni kwale thuluzi kukhona ikhamera encane, ukukhanya, kanye neluphu encane engasetshenziswa ukusika nokususa umdlavuza. Udokotela ususa umdlavuza ngokucophelela ngenkathi ebuka izithombe ezivela kule khamera esikrinini egumbini lokuhlinza.
Njengoba le ndlela ingenzi noma yikuphi ukusikeka esikhumbeni, kunomonakalo omncane kakhulu emzimbeni. Yingakho ibizwa ngokuthi inqubo engangenisi kakhulu.
Udokotela angathola ulwazi olubaluleke kakhulu kulokhu kuhlinzwa.
- Luhlobo luni lomdlavuza?
- Liyini izinga lomdlavuza? (Ingabe uyingozi encane noma uyingozi enkulu?)
- Ukuthi umdlavuza ususakazeke kangakanani odongeni lwesinyi (isigaba).
Ngezinye izikhathi, kungenzeka ukususa lonke isimila esinomdlavuza ngalolu hlinzeko olulodwa.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi abantu abaningi bangeniswa esibhedlela ekuseni futhi bangaya emakhaya kusihlwa esifanayo ngemva kokuhlinzwa.
Nansi indlela yokulungiselela ngaphambi kokuhlinzwa:
Uzohlangana nodokotela wakho noma ube nengxoxo yevidiyo cishe isonto ngaphambi kokuhlinzwa kwakho. Bazonquma uhlobo lomuthi wokubulala izinzwa ozowunikezwa. Ungase futhi ucelwe ukuthi unikeze isampula yomchamo.
Ngaphambi kokuhlinzwa, udokotela wakho noma abasebenzi basesibhedlela bazokunikeza imiyalelo ethile okumele uyilandele. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
| Iseluleko | Ukubaluleka kanye nencazelo |
|---|---|
| Ukudla namanzi | Ungadli lutho amahora angu-8 ngaphambi kokuhlinzwa. Ungaphuzi amanzi ngemva kwamabili ngosuku olwandulela ukuhlinzwa. |
| Imithi | Uma uthatha imithi yokunciphisa igazi (njenge-aspirin, i-ibuprofen, noma i-naproxen), tshela udokotela wakho. Bazokutshela ukuthi uyeke ukuyithatha cishe isonto ngaphambi kokuhlinzwa. Uma uthatha eminye imithi, khuluma nodokotela wakho ngayo futhi. |
| Othile ongasiza | Hlela kusenesikhathi ukuthi othile akuyise ekhaya ngemva kokuhlinzwa. Ngeke ukwazi ukushayela ngenxa yokuhlinzwa. |
| Ukuhlanzeka | Geza kahle ngaphambi kokuya esibhedlela. Kodwa ungasebenzisi noma yiluphi uhlobo lokugcoba, iphunga elimnandi, noma i-deodorant ngalolo suku. |
Ngesikhathi sokuhlinzwa...
Ukuhlinzwa kuzoqala ngemva kokuba usuhlinzwe nge-anesthesia. Esikhathini esiningi, uzolaliswa (i-anesthesia ejwayelekile). Ngezinye izikhathi, uzozizwa ungaphilile kusukela okhalweni kuye phansi (i-anesthesia yomgogodla). Kodwa-ke, ngeke uzwe ubuhlungu .
Izinyathelo ezilandelayo yilezi:
1. Udokotela uzofaka ngokucophelela i-resectoscope esinyeni sakho nge-urethra yakho.
2. Uma bebheka izithombe ezivela kukhamera, bathola izindawo lapho kukhona khona izimila ezinomdlavuza.
3. Okulandelayo, sebenzisa iluphu kudivayisi ukusika nokususa amantongomane.
4. Uma kuvela ukopha endaweni lapho kwasuswa khona isimila, imithambo yegazi izofakwa esitofini ukuze kumiswe ukopha.
5. Ekugcineni, kungafakwa i-catheter ukuze kukhishwe umchamo negazi esinyeni futhi kuvinjelwe ukuqhekeka kwegazi.
Ukuhlinzwa kuvame ukuthatha imizuzu eyi-15 kuya kwengama-90 , kuye ngobukhulu, inani, kanye nendawo yezimila.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela amahora ambalwa. Kungase kudingeke futhi ukuthi uhlale ubusuku bonke.
Ukululama kanye nezimpawu
- Ubuhlungu: Ungase uzwe ukushisa okuncane noma ubuhlungu lapho uchama izinsuku ezimbalwa kuya emavikini amabili ngemva kokuhlinzwa. Lokhu kuvamile.
- Umbala womchamo: Umchamo wakho ungase ube pinki ngenxa yegazi elisele esinyeni. Ungakhathazeki ngalokhu. Kujwayelekile.
- I-Catheter: Uma udokotela wakho efake i-catheter, izokhishwa uma umchamo wakho uyeka ukuphuma kwegazi. Ingase ikhishwe esibhedlela, noma kungadingeka uyigcine ekhaya izinsuku ezimbalwa.
- Ezinye izimpawu: Ukuphuthuma kanye nokuvama kokuchama kuvamile ezinsukwini zokuqala ezingu-48.
Indlela engcono kakhulu yokunciphisa lezi zimpawu nokululama ngokushesha ukuphuza amanzi amaningi usuku lonke .
Okubaluleke kakhulu: Gwema ukuphakamisa izinto ezisindayo noma ukwenza imisebenzi enzima amasonto ambalwa ngemva kokuhlinzwa. Lokhu kuhlanganisa ukuphakamisa izingane, izilwane ezifuywayo, kanye nemithwalo. Udokotela wakho uzokweluleka nokuthi ugweme ukuya ocansini isikhashana.
Isinyi sivame ukuphola zingakapheli amasonto amabili kuya kwamane. Uma usenobuhlungu, ukusha, noma igazi emchameni wakho ngemva kwaleso sikhathi, qiniseka ukuthi wazisa udokotela wakho.
Ingabe kuzodingeka ukwelashwa okwengeziwe?
Ngezinye izikhathi i-TURBT ingasusa sonke isimila. Kodwa-ke, udokotela wakho angase akuncomele ukwelashwa ngamakhemikhali ukuze kubulawe noma yimaphi amangqamuzana omdlavuza asele futhi kuncishiswe ingozi yokuthi umdlavuza uphinde ubuye.
Uma umdlavuza uphelela esinyeni, ukwelashwa kubizwa ngokuthi 'i-intravesical chemotherapy'. Lokhu kusho ukuthi umuthi we-chemotherapy owuketshezi ufakwa ngaphakathi kwesinyeni, ushiywe isikhashana, bese ukhishwa futhi. Lokhu ngezinye izikhathi kungenziwa ngesikhathi esifanayo nokuhlinzwa kwe-TURBT.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
I-TURBT inqubo ephephile kakhulu futhi ephumelelayo . Ingozi yezinkinga ingaphansi kuka-10%. Kodwa-ke, kunezinto ezimbalwa ezingenzeka kaningi:
- Ukopha okungalawuleki: Lokhu akuvamile kakhulu. Uma kwenzeka, ungase udinge ukuhlinzwa okunye ukuze umise ukopha.
- Ukubhoboka kwesinye: Ngesikhathi sokuhlinzwa, ithuluzi lingase lingene odongeni lwesinye, okubangela imbobo encane. Lokhu nakho akuvamile futhi kungelashwa.
- Izifo:Kunethuba elincane lokutheleleka ngomgudu womchamo ngemva kokuhlinzwa. Lokhu kungelashwa kalula ngemithi.
Iyini indlela yokululama emdlavuza?
Lona umbuzo abantu abaningi abanawo. Nakuba i-TURBT iyinqubo cishe wonke umuntu ayenzayo, ithuba lokwelashwa okuphelele komdlavuza lincike esigabeni somdlavuza. Odokotela bavame ukukhuluma "ngesilinganiso sokusinda seminyaka emihlanu." Lokhu kusho ukuthi ezigulini eziyi-100 ezinesigaba esithile somdlavuza, zingaki ezisaphila ngemva kweminyaka emi-5. Lokhu akusho ukuthi zizofa eminyakeni emi-5. Lokhu kumane kuyizibalo.
| Isigaba Somdlavuza | Izinga lokusinda kweminyaka emihlanu |
|---|---|
| Isigaba 0 (umdlavuza kuphela ebusweni) | 97% |
| Isigaba I-II (sisabalala ngaphakathi kwesinye) | 72% |
| Isigaba III (sisakazekela ezicutshini ezizungezile) | 40% |
| Isigaba IV (sisabalala ezithweni ezikude) | 9% |
Ungakhathazeki ngalezi zibalo. Uma umdlavuza utholakala kusenesikhathi, amathuba okwelashwa ayanda . Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-TURBT iyindlela yokuhlinzwa ephephile nengenasidingo esetshenziselwa ukuxilonga nokwelapha umdlavuza wesinye.
- Akukho ubuhlungu ngesikhathi sokuhlinzwa. Ukuvuvukala nokungakhululeki okwenzeka ngemva kwalokho kuvame ukuphela emavikini ama-2-4.
- Kujwayelekile ukuthi umchamo wakho uphenduke ube pinki ngemva kokuhlinzwa. Ungakhathazeki. Kodwa phuza amanzi amaningi.
- Landela imiyalelo kadokotela wakho ngqo, ikakhulukazi mayelana nokugwema umsebenzi onzima nokuphuza imithi yakho.
- Ngisho nangemva kokuhlinzwa, kungadingeka ukwelashwa okwengeziwe (njengokwelashwa ngamakhemikhali) ukuze kuvinjelwe umdlavuza ukuthi ungabuyi.
- Ungabi namahloni nganoma yimiphi imibuzo noma ukwesaba onakho, futhi khuluma ngokukhululekile nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho