Ingabe udokotela wakho ukutshelile noma othile omaziyo ukuthi unomdlavuza wesinyi? Khona-ke cishe unemibuzo eminingi mayelana nokuhlinzwa kwe-TURBT. Ungesabi ukucabanga ngakho. Kuyindlela yokwelapha evamile kakhulu futhi ephumelelayo. Namuhla, sizoxoxa kafushane ngokuthi i-TURBT iyini, yenziwa kanjani, nokuthi yini okudingeka ukwazi ngaphambi nangemva kokuyihlinzwa.
Kalula nje, iyini i-TURBT?
Igama eliphelele le-TURBT yi -Transurethral Resection of Bladder Tumor . Nakuba igama lingase lizwakale liyinkimbinkimbi, empeleni lilula kakhulu. Kuyinqubo ehlonza futhi yelaphe lesi sifo ngokuhlinzwa okukodwa.
Ake sithi unesimila esincane ngaphakathi kwesinye sakho. Manje udokotela ufuna ukwazi ukuthi umdlavuza ungakanani, uma kunjalo, ukuthi ukhule wajula kangakanani waze wafika odongeni lwesinyi (esigabeni), nokuthi amangqamuzana aso ahluke kangakanani kumaseli ajwayelekile (esigabeni). Yingakho kwenziwa ukuhlinzwa kwe-TURBT.
Lokhu kuhilela ukufaka ithuluzi elide, elincane elinekhamera enamathiselwe (ebizwa ngokuthi i-cystoscope) nge-urethra yakho iye esinyeni sakho, ukuthola isimila, bese usisika. Lokhu akuhileli noma yikuphi ukusikwa okukhulu ngaphandle komzimba wakho . Konke kwenzeka nge-urethra yakho. Isimila esisusiwe sibe sesithunyelwa elabhorethri ukuze sihlolwe udokotela wezifo.
I-TURBT iyindlela yokuhlinzwa ebaluleke kakhulu futhi ephephile esetshenziselwa ukususa isimila sesinye kanye nokuhlola umdlavuza ngasikhathi sinye.
Ungazilungiselela kanjani ngaphambi kokuhlinzwa kwe-TURBT?
Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi yini okufanele uyenze ngaphambi kokuhlinzwa. Ukulandela le miyalelo ngqo kunganciphisa kakhulu ingozi yezinkinga ezingafuneki.
| Okufanele ngikwenze | Incazelo |
|---|---|
| Ukuzila ukudla | Ungadli noma uphuze lutho cishe amahora angu-8 ngaphambi kokuhlinzwa, ngaphandle kokuthi utshelwe ukuthi uthathe umuthi kanye namanzi amancane. |
| Ukwazisa ngemithi | Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi (ikakhulukazi imithi yokunciphisa igazi) kungadingeka iyekwe ngaphambi kokuhlinzwa. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho. |
| Ukuhlela ukuya ekhaya kalula | Hlela kusenesikhathi ukuthi othile akuyise ekhaya ngemva kokuhlinzwa, njengoba ngeke ukwazi ukushayela ngenxa yokuhlinzwa. |
| Ukuhlanzeka | Geza kahle ngaphambi kokuza esibhedlela. Kodwa ungasebenzisi noma yimaphi ama-lotion, amakha, noma ama-deodorant ngalolo suku. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wezinzwa uzokuhlola bese enquma ukuthi uzokunika yini i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, noma i-anesthesia yomgogodla, eqeda ubuhlungu emhlane wakho ongezansi kuphela. Ngokuvamile, uzonikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho ngesikhathi sokuhlinzwa.
Kwezinye izimo, udokotela angase afake uketshezi olukhethekile (udayi) esinyeni sakho ngepayipi (i-catheter) cishe ihora ngaphambi kwenqubo ukuze asize ukubona isimila ngokucacile. Lolu ketshezi luyakhanya lapho kusetshenziswa ukukhanya okukhethekile ngesikhathi senqubo, okuvumela udokotela ukuthi abone kahle ukuthi isimila sikuphi.
Izinyathelo zokuhlinzwa
1. Ukufakwa kwethuluzi: Udokotela ufaka ngokucophelela i-cystoscope nge-urethra yakho bese ebhodleleni lakho.
2. Ukususa i-cyst: I-cyst itholakala ngaphakathi kwesinye futhi inqunywa ibe yizicucu kusetshenziswa ithuluzi elincane lokusika.
3. Ukuvimba ukopha: Uma ukopha kuvela endaweni lapho isimila sisusiwe khona, hlikihla indawo ngedivayisi encane kagesi ukuze uyimise.
4. Ukuhlanza nge-catheter: Ngemva kokuhlinzwa, uma kudingeka, kufakwa i-catheter ukuze kukhishwe umchamo negazi esinyini. Lokhu kusiza futhi ukuvimbela amahlule egazi. Ngezinye izikhathi, i-saline idluliselwa kuleli payipi ukuze kuhlanzwe isinyi. Akuwona wonke umuntu odinga i-catheter.
Kuzokwenzekani ngemva kokuhlinzwa?
Ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa. Kodwa-ke, ngemva kokuhlinzwa, ungase uzwe ubuhlungu obuncane noma ukushisa cishe isonto elilodwa noma amabili, ikakhulukazi uma uchama. Lokhu kuvamile. Ungase ube negazi elincane emchameni wakho. Lokhu kuzophela futhi ezinsukwini ezimbalwa.
Ingabe ngidinga i-chemo ngemva kwe-TURBT?
Abanye abantu bazodinga i-chemotherapy ngemuva kwe-TURBT. Uma umdlavuza ungasakazekanga ngaphandle kwesinye, udokotela wakho angase ancome i-chemotherapy yangaphakathi kwe-vesical, enikezwa ngqo esinyeni ngepayipi. Umthamo wokuqala unganikezwa ngesikhathi esifanayo nokuhlinzwa. Uma umdlavuza ususakazeke (ususakazeke) kwezinye izingxenye zomzimba, ungadinga i-chemotherapy enikezwa ngemithambo yegazi. Konke lokhu kuzonqunywa ngokusekelwe emiphumeleni yakho ye-biopsy.
Ingabe udinga ukuhlala esibhedlela?
Uzogcinwa esibhedlela ukuze uhlolwe amahora ambalwa ngemva kokuhlinzwa. I-catheter izosuswa ngaphambi kokuba uthunyelwe ekhaya. Kodwa-ke, uma isimila sikhulu noma uma kukhona ukopha okuningi, ungase uthunyelwe ekhaya ne-catheter izinsuku ezimbalwa.
Ngemva kokubuyela ekhaya:
- Phuza amanzi amaningi njengoba kusho udokotela.
- Ungadla futhi uphuze ngendlela evamile.
- Yeka ukuphakamisa izinsimbi bese wenza umsebenzi onzima amasonto ambalwa.
- Udokotela uzokufonela uma kufika umbiko wakho we-biopsy. Buza kusengaphambili ukuthi uzowuthola nini futhi kanjani.
Nini ukukhuluma nodokotela
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Imfiva .
- Ukukhipha igazi eliningi noma amahlule amakhulu egazi emchameni.
- Umchamo unephunga elibi noma ukunambitheka okubi .
- Ubuhlungu obungalindelekile, obungalindelekile.
- Ubunzima bokuchama.
Ngezinye izikhathi, emavikini angu-4-6 ngemva kokuhlinzwa kokuqala, kungadingeka ukuthi uphinde uhlinzwe (i-'TURBT' ebukeka njengesibili) ukuqinisekisa ukuthi isimila sisusiwe ngokuphelele. Udokotela wakho uzokuchazela konke lokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-TURBT iyindlela yokuhlinzwa ephephile eyenziwa ukuxilonga nokwelapha umdlavuza wesinyi ngesikhathi esisodwa.
- Akukho ukuhlikihla okwenziwe ngaphandle komzimba ngenxa yalokhu. Konke kwenzeka nge-urethra.
- Landela imiyalelo kadokotela (ukuzila ukudla, imiyalelo yemithi) ngaphambi kokuhlinzwa.
- Kuvamile ukuzwa ubuhlungu obuncane lapho uchama kanye nenani elincane legazi emchameni isonto elilodwa noma amabili ngemva kokuhlinzwa.
- Uma unezimpawu ezifana nomkhuhlane, ukopha okukhulu, noma ubuhlungu obukhulu, bonana nodokotela wakho ngokushesha.
- Ukululama kwakho kanye nokwelashwa kwesikhathi esizayo kuzonqunywa umbiko we-biopsy owutholayo ngemva kokuhlinzwa. Ngakho-ke, bhekana nokwelashwa ngesibindi nangaphandle kokwesaba.
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