Ungase uzizwe wesaba kancane, ushaqekile, futhi udabukile ngisho nalapho uzwa igama elithi 'Vaginectomy'. Lokho kuvamile kakhulu. Noma yimuphi owesifazane uyasaba futhi akakhululeki lapho ezwa ukuthi isitho sakhe sangasese sowesifazane, esiyingxenye ebucayi kakhulu yomzimba wakhe, siyasuswa ngokuhlinzwa. Kodwa sidinga ukuqonda ukuthi lokhu kuvame ukwenziwa njengokwelashwa kwesimo esibucayi, esisongela impilo njengomdlavuza wesitho sangasese sowesifazane. Ngakho-ke namuhla, ake sixoxe ngalokhu ngendlela elula kakhulu nenobungane yokususa konke ukwesaba kwakho, ukungabaza, nemibuzo.
Kalula nje, kuyini ukuhlinzwa kwesitho sangasese sowesifazane?
Ukuhlinzwa kwe-vaginectomy kuyindlela yokuhlinzwa esusa yonke noma ingxenye yesitho sakho sangasese sowesifazane. Odokotela bavame ukuncoma lokhu kuhlinzwa njengendlela yokugcina. Okusho ukuthi, uma ezinye izindlela zokwelapha isimo esifana nomdlavuza wesitho sangasese sowesifazane, njengokwelashwa ngemisebe noma i-chemotherapy, zingazange zisebenze.
Njengoba sonke sazi, isitho sangasese sowesifazane siyingxenye ebalulekile yesimiso sokuzala sabesifazane. Sifana nepayipi elenziwe ngemisipha. Sifinyelela emlonyeni wesibeletho. Ngakho-ke, udokotela uzonquma ukuthi hlobo luni lokuhlinzwa oludingayo ngokusekelwe endaweni yomdlavuza, ubukhulu bawo, isigaba somdlavuza, nokuthi ususakazeke yini.
| Uhlobo lokuhlinzwa kwesitho sangasese sowesifazane | Incazelo elula yalokho okwenzekayo |
|---|---|
| Ukuhlinzwa Kwesitho Sangasese Sowesifazane Okungaphelele | Lapha, kususwa ingxenye engenhla yesitho sangasese sowesifazane kuphela. |
| Ukuhlinzwa Kwabesifazane Okuphelele | Lapha, isitho sangasese sowesifazane sisusiwe sonke. |
| Ukususwa ngokuphelele kwe-Vaginectomy ( i-Radical Vaginectomy ) | Lapha, kususwa yonke i-vagina kanye nezicubu ezizungezile. |
Khumbula, lokhu kuyindlela yokuhlinzwa engavamile kakhulu. Ngoba umdlavuza wesitho sangasese sowesifazane uyisimo esingavamile kakhulu, futhi esikhathini esiningi, ungelashwa ngemisebe kanye ne-chemotherapy.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokuhlola kahle futhi axoxe ngomlando wakho wezokwelapha ophelele. Uzokucela ukuthi uyeke ukuthatha imithi ethile, ikakhulukazi imithi yokunciphisa igazi, ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Uma ubhema, kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokuyeka lo mkhuba, njengoba ukubhema kungalibazisa ukuphulukiswa kwamanxeba akho. Uzokwaziswa futhi ukuthi ungadli noma uphuze lutho ngobusuku bangaphambi kokuhlinzwa kwakho. Udokotela wakho uzokuchazela konke lokhu.
Ukuhlinzwa kwenziwa kanjani?
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzolala ubuthongo obukhulu umuthi ufakwe emthanjeni engalweni yakho. Ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.
Udokotela ohlinzayo angenza lo msebenzi ngezindlela eziningana.
- Ngesitho sangasese sowesifazane: Kwenziwa izimbobo eziningana ezincane ngaphakathi kwesitho sangasese sowesifazane, bese isitho sangasese sowesifazane sihlukaniswa nezicubu ezizungezile bese sisuswa.
- Nge-Laparoscopically: Lokhu kuhilela ukwenza izimbobo eziningana ezincane esiswini nokufaka ipayipi elincane (i-laparoscope) elinekhamera enamathiselwe, lapho ukuhlinzwa kwenziwa khona.
Kwezinye izimo, lokhu kuhlinzwa kungadinga ukuhlinzwa okunye, njengokususwa kwesibeletho, ukuze kwenziwe ngesikhathi esifanayo. Konke lokhu kwenziwa ngenkathi ungaphansi kwe-anesthesia.
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. Uma unesifiso salokhu, zizwe ukhululekile ukuxoxa ngakho ngokukhululekile nodokotela wakho. Uzochaza izinketho zakho kanye nesikhathi esingcono kakhulu sokwenza ukuhlinzwa.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe kuze kube yisonto. Lesi sikhathi sincike ohlotsheni lokuhlinzwa okwenzile nokuthi ngabe uke wahlinzwa yini kwezinye izifo. Ngesikhathi uhlala esibhedlela, abasebenzi bezokwelapha bazokunakekela kahle. Bazokunikeza imithi yokunciphisa ubuhlungu, ukunciphisa ukuvuvukala, nokunciphisa ingozi yokutheleleka.
Ngemva kokubuyela ekhaya, udokotela wakho uzokunikeza imiyalelo eningiliziwe yokuthi unganakekela kanjani izimbobo zakho. Ukulandela leyo miyalelo kubalulekile ukuze ululame ngokushesha.Kuzodingeka unciphise umsebenzi womzimba amasonto amaningana. Kufanele ugweme ukuphakamisa izinto ezisindayo kanye nokuzivocavoca okunzima. Udokotela wakho uzokutshela ukuthi udinga ukuphumula isikhathi esingakanani.
Yiziphi izingozi nezinzuzo zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwe-vaginectomy kungaba nezingozi ezithile. Kodwa-ke, kunezinzuzo ezinkulu.
- Inzuzo eyinhloko: Lena yindlela ephumelela kakhulu yokwelapha umdlavuza wesitho sangasese sowesifazane. Izinga lokusinda ngemva kweminyaka emibili ngemva kwalokhu kuhlinzwa liphezulu ngamaphesenti angama-95.
- Izinkinga ezingaba khona:
- Ukopha ngokweqile.
- Ukutheleleka emanxebeni.
- Ubunzima bokukhipha indle noma ukungakwazi ukulawula ukuhamba kwamathumbu.
- I-fistula yesitho sangasese sowesifazane - Lena imbobo ephakathi kwendawo lapho isitho sangasese sowesifazane sasikhona khona kanye nesinye isitho, njengesinye.
- Ukungakwazi ukukhipha umchamo ngokuphelele (ukugcinwa komchamo).
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuya ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha.
- Ukopha noma ukuvuvukala okukhulu okuvela endaweni yesisu.
- Ubomvu, ukuvuvukala, noma umkhuhlane eduze nendawo yokusikwa (lokhu kungaba izimpawu zokutheleleka).
- Ubuhlungu besisu obungabekezeleleki, obukhulu.
- Ukungakwazi ukulawula umchamo noma indle.
Uma uke wahlinzwa ukuvuselelwa kwesitho sangasese sowesifazane futhi uzwa ubuhlungu ngesikhathi socansi, tshela udokotela wakho ngakho futhi. Kungaba uphawu lwenye inkinga.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Vaginectomy kuyindlela yokwelapha izimo ezibucayi njengomdlavuza wesitho sangasese sowesifazane, kodwa inemiphumela ephumelelayo kakhulu.
- Kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngamathemba akho, ukwesaba kwakho, kanye nezifiso zakho zocansi zesikhathi esizayo ngaphambi kokuhlinzwa.
- Qaphela inketho yokwakha kabusha isitho sangasese sowesifazane (vaginoplasty) bese uxoxa ngayo nodokotela wakho.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha ngaphandle kwezinkinga.
- Ungashalazeli noma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, umkhuhlane, ukopha) ezenzeka ngemva kokuhlinzwa futhi funa iseluleko sezokwelapha ngokushesha.
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