Kungenzeka ukuthi ushaqeke kancane lapho uzwa leli gama. Ukuhlinzwa kwe-vaginectomy... Kusho ukususwa kwesitho sangasese sowesifazane ngokuhlinzwa. Siyazi ukuthi lesi yisihloko esinzima kakhulu nesibucayi ukukhuluma ngaso. Kodwa ukuba nolwazi oluphelele ngezinto ezinjalo kuzosiza ekuqedeni ukwesaba nokungabaza okuvelayo maqondana naso. Ngakho-ke namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane oseduze.
Kalula nje, kuyini i-Vaginectomy?
Ukuhlinzwa kwe-vaginectomy kuyindlela yokuhlinzwa esusa yonke noma ingxenye yesitho sakho sangasese sowesifazane. Lokhu akuyona indlela evamile yokuhlinzwa. Odokotela bavame ukuncoma lokhu kuhlinzwa kwabesifazane abanomdlavuza wesitho sangasese sowesifazane, ikakhulukazi uma ezinye izindlela zokwelapha (ukwelashwa ngemisebe, imithi) zehlulekile ukulawula umdlavuza.
Isitho sangasese sowesifazane siyingxenye ebalulekile yesimiso sokuzala sabesifazane. Siyipayipi elenziwe ngemisipha. Sisuka esithweni sangasese sowesifazane (i-vulva) siye embotsheni yesibeletho (isibeletho). Ngakho-ke, udokotela uzonquma ukuthi iyiphi ingxenye okufanele ayisuse ngokusekelwe endaweni yomdlavuza, ubukhulu bawo, isigaba somdlavuza, nokuthi ngabe ususakazekele kwezinye izingxenye zomzimba.
Yiziphi izinhlobo eziyinhloko zalokhu kuhlinzwa?
Uhlobo lokuhlinzwa luyahlukahluka kuye ngohlobo lomdlavuza. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Kwenziwani |
|---|---|
| Ukuhlinzwa Kwesitho Sangasese Sowesifazane Okungaphelele (Ukususwa okuyingxenye) | Lapha, kususwa ingxenye engenhla yesitho sangasese sowesifazane kuphela, okungukuthi, ingxenye lapho kunomdlavuza khona. Itho sangasese sowesifazane asisuswa sonke. |
| Ukuhlinzwa Kwabesifazane Okuphelele (Ukususwa okuphelele) | Kulokhu kuhlinzwa, isitho sangasese sowesifazane siyasuswa sonke. |
| Ukuhlinzwa Kwesitho Sangasese Sowesifazane Okukhulu (ukususwa okubanzi kakhulu) | Lokhu kuhilela ukususa sonke isitho sangasese sowesifazane, kanye nezicubu ezizungezile kanye nama-lymph node aseduze. Lolu hlobo lokuhlinzwa okukhulu lwenziwa kuphela uma umdlavuza ususakazeke. |
Khumbula, umdlavuza wesitho sangasese sowesifazane uyisimo esingavamile kakhulu. Ngakho-ke, lokhu kuhlinzwa akuvamile ukwenziwa. Ezimweni eziningi, lomdlavuza ungelashwa ngokwelashwa ngemisebe kanye ne-chemotherapy.
Kwenzekani ngaphambi kokuhlinzwa?
Uma unquma ukwenza lolu hlobo lokuhlinzwa, udokotela wakho uzokuhlola ngokucophelela, athathe umlando wakho wezokwelapha ophelele, bese ekweluleka ngokuthi ungakulungiselela kanjani ukuhlinzwa.
- Imithi: Uma uthatha imithi ethile, njengemithi yokunciphisa igazi, uzocelwa ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, njengoba ingase ikhulise ukopha ngesikhathi sokuhlinzwa.
- Ukubhema: Uma ubhema, kubaluleke kakhulu ukuyeka ngaphambi kokuhlinzwa. Ukubhema kungalibazisa ukuphola kwenxeba.
- Ukudla Nokuphuza: Uzokwaziswa ukuthi ungadli noma uphuze lutho ngobusuku bangaphambi kokuhlinzwa. Lokhu kwenzelwa ukuvimbela okungaphakathi esiswini ukuthi kungangeni endleleni yokuphefumula ngesikhathi sokuhlinzwa.
Udokotela wakho uzokuchazela konke lokhu ngokucacile. Mbuze nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzolaliswa umuthi ofakwe emthanjeni engalweni yakho. Lokhu kusho ukuthi ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.
Manje ake sibone ukuthi udokotela ohlinzayo wenza kanjani lokhu kuhlinzwa. Kunezindlela eziningana zokwenza lokho.
1. Ngokwesitho sangasese sowesifazane: Udokotela ohlinzayo wenza izimbobo eziningana ezincane ngembobo yesitho sangasese sowesifazane bese ehlukanisa ngokucophelela isitho sangasese sowesifazane nezicubu ezizungezile.
2. Ngesisu (Nge-Laparoscopically): Lokhu kufana nokuhlinzwa kwe-keyhole. Lapha, ukuhlinzwa kwenziwa ngokwenza izimbobo eziningana ezincane esiswini bese kufakwa ithuluzi elincane, elide (i-laparoscope) elinekhamera enamathiselwe. Le ndlela ayidingi izimbobo ezinkulu.
Ngezinye izikhathi, ezinye izindlela zokuhlinzwa zingadinga ukwenziwa ngesikhathi esifanayo nalesi sigaba sokuhlinzwa. Isibonelo, uma umdlavuza useduze kwesibeletho, ukuhlinzwa kwesibeletho kungenziwa ngesikhathi esifanayo.
Ukwakhiwa Kabusha Kwesitho Sangasese Sowesifazane (i-Vaginoplasty)
Abanye besifazane bakhetha ukuhlinzwa kokuvuselelwa kwesitho sangasese sowesifazane (vaginoplasty) ngemva kokuhlinzwa kwesitho sangasese sowesifazane. Lokhu kuhlinzwa kubavumela ukuthi baphinde benze ucansi lwesitho sangasese sowesifazane. Lesi yisinqumo somuntu siqu ngokuphelele. Uma unesifiso salokhu, khuluma nodokotela wakho ngakho. Uzokuchazela ukuthi yiziphi izinketho zakho nokuthi isikhathi esingcono kakhulu sokuhlinzwa sinini.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe kuze kube yisonto. Ubude besikhathi buxhomeke ohlotsheni lokuhlinzwa olwenzile nokuthi ngabe wenze okunye ukuhlinzwa ngesikhathi esifanayo.
- Esibhedlela: Ngesikhathi uhlala esibhedlela, abasebenzi bezokwelapha bazokuqapha eduze. Uzonikezwa imithi yokulawula ubuhlungu, ukunciphisa ukuvuvukala, nokunciphisa ingozi yokutheleleka.
- Ngemva kokufika ekhaya: Ngaphambi kokuba uye ekhaya, uzonikezwa imiyalelo yokuthi unganakekela kanjani izimbobo zakho nokuthi ungawunakekela kanjani umzimba wakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo .
- Ukuphumula: Kuzodingeka unciphise umsebenzi womzimba amasonto amaningana. Kufanele ugweme ukuphakamisa izinto ezisindayo (isibonelo, amabhakede amanzi, amasilinda egesi), kanye nokuzivocavoca okunzima. Udokotela wakho uzokutshela ukuthi kufanele uphumule isikhathi esingakanani.
Kuvamile ukuba nobuhlungu obuthile isonto lokuqala noma ngaphezulu. Khuluma nodokotela wakho ngemithi yobuhlungu ongayithatha kanye nemisebenzi okufanele uyigweme. Isikhathi esithathayo ukuze ululame ngokugcwele sizohluka kuye ngempilo yakho iyonke kanye nohlobo lokuhlinzwa.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukususwa kwesitho sangasese sowesifazane kungaba nezingozi nezinkinga ezithile, kodwa lokhu akwenzeki kuwo wonke umuntu.
| Ingozi/Inkinga | Incazelo elula |
|---|---|
| Ukopha ngokweqile | Ukopha ngokweqile ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Ukutheleleka | Amagciwane angena enxebeni lokuhlinzwa. |
| Ubunzima bokukhipha indle | Ubunzima bokukhipha indle noma ukunyakaza kwamathumbu okungalawuleki. |
| I-fistula yesitho sangasese sowesifazane | Imbobo ephakathi kwendawo lapho kwakukhona khona isitho sangasese sowesifazane kanye nesinye isitho sangaphakathi, njengesinyi noma i-rectum. |
| Ukugcinwa komchamo | Ukungakwazi ukukhipha ngokuphelele isinye. |
Isikhathi sokubona udokotela ngokushesha
Uma usubuyile ekhaya ngemva kokuhlinzwa, kufanele uqaphele kakhulu noma yiziphi izinguquko emzimbeni wakho. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha .
- Uma kukhona ukopha ngokweqile noma ukuvuvukala esiswini.
- Uma ubonisa izimpawu zokutheleleka njengomkhuhlane , ukubomvu, kanye nokuvuvukala eduze kwezimbobo.
- Uma uzwa ubuhlungu obukhulu besisu obungabekezeleleki .
- Uma unenkinga yokungakwazi ukuzibamba ngomchamo noma ngendle.
Uma uke wahlinzwa nge-vaginoplasty, tshela udokotela wakho uma uzwa ubuhlungu ngesikhathi socansi. Lokhu kungaba uphawu lwenye inkinga, njenge-fistula.
Lokhu kuhlinzwa kuyindlela yokwelapha ephumelela kakhulu yomdlavuza wesitho sangasese sowesifazane. Izinga lokusinda kweziguli eminyakeni emibili ngemva kokuhlinzwa liphezulu ngamaphesenti angama-95. Ngakho-ke, lokhu kuyindlela yokwelapha ethembisayo.
Ukubhekana nokuhlinzwa okunje kungaba nzima ngokomzimba nangokwengqondo, ngakho-ke kubalulekile ukukhuluma ngokukhululekile ngemizwa yakho, ukwesaba, kanye nokukhathazeka nodokotela wakho, umndeni wakho, kanye nomuntu omethembayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwesitho sangasese sowesifazane noma ingxenye yaso. Kwenzelwa ikakhulukazi umdlavuza wesitho sangasese sowesifazane ongazange uphendule kwezinye izindlela zokwelapha.
- Lokhu kuhlinzwa akuvamile ukwenziwa. Iningi lomdlavuza wesitho sangasese sowesifazane lingelashwa ngemisebe kanye ne-chemotherapy.
- Kubalulekile ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa ukuqinisekisa ukuthi uyalulama ngokushesha futhi ugweme izinkinga.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, umkhuhlane, ukopha ngokweqile) ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
- Ngemva kokususwa kwesitho sangasese sowesifazane, kungenzeka ukuthi kwenziwe ukuhlinzwa kokwakhiwa kabusha (vaginoplasty) uma kudingeka. Khuluma nodokotela wakho ngalokhu.
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