Ngezinye izikhathi, asikwazi ukuthola imbangela yezinkinga zethu zesisu ngisho nangemva kochungechunge lokuhlolwa. Ingabe lokho kwenzekile kuwe? Lapho imbangela yento efana nobuhlungu obukhulu besisu noma ukuphuma kwegazi okungachazeki ingatholakali, odokotela kufanele basike isikhumba sesisu bahlole izitho ezingaphakathi. Yilokho esikubiza ngokuthi lokhu kuhlinzwa kokuxilonga, 'i-Exploratory Laparotomy' . Kalula nje, ukuhlinzwa okuvula isisu bese kubheka isifo.
Kuyini i-Exploratory Laparotomy? Kuziphi izimo lapho kwenziwa khona?
'I-laparotomy yokuhlola' iwukuhlinzwa okukhulu okwenziwa odokotela ukuze baxilonge izinkinga esiswini, okungukuthi, esiswini. Lokhu kuhlinzwa kuvame ukunconywa lapho ezinye izivivinyo, njengezikeni , zingakwazi ukukhomba inkinga.
Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela engase anqume ukwenza lolu hlobo lokuhlinzwa:
- Ukulimala kwesisu: Cabanga nje, uma ulimale kakhulu esiswini, njengasengozini yemoto. Lokhu kuhlinzwa kwenziwa ukuze kubonakale ukuthi kukhona yini izitho zangaphakathi ezonakele noma kukhona ukopha.
- Ukopha okungachazeki: Ukopha okuvela ngaphakathi esiswini, kodwa lapho noma kungani kungatholakali khona.
- Ubuhlungu obukhulu, obungabekezeleleki: Uma ungakwazi ukuthola imbangela yobuhlungu obukhulu besisu nganoma iyiphi enye indlela.
- Uma kukhona okusolakala ukuthi umdlavuza ususakazeke: Thola ukuthi umdlavuza ususakazeke kwezinye izitho esiswini.
Yini odokotela abayenzayo ngesikhathi sokuhlinzwa?
Phakathi nale nqubo, udokotela usika isikhumba sesisu bese ehlola ngokucophelela izitho ezingaphakathi kwesisu. Lapho, bafuna imbangela yobuhlungu noma ukopha. Izitho eziyinhloko ezihlolwa ngale ndlela yilezi:
- Isibindi
- Izinso
- Isisu
- Ubende
- I-Pancreas
- Amathumbu amancane namakhulu (Amathumbu)
- Izitho zokuzala kwabesifazane zifaka isibeletho, amapayipi e-fallopian , kanye nama-ovari .
- Isithasiselo
- Imithambo yegazi kanye nama-lymph nodes
Ngesikhathi sokuhlinzwa, udokotela angathatha ingxenye encane yezicubu endaweni lapho ecabanga ukuthi kunenkinga khona ayithumele elabhorethri ukuze ihlolwe. Lokhu sikubiza ngokuthi 'i-biopsy' .
Ngezinye izikhathi, uma imbangela yenkinga isitholakele, odokotela bangayilapha ngesikhathi sokuhlinzwa. Isibonelo, uma kukhona imbobo emathunjini, bangayithunga noma bamise ukuphuma kwegazi.
| Ezinye zezifo ezingatholakala ngalokhu kuhlinzwa yilezi: | |
|---|---|
| Umdlavuza | Izimo zomdlavuza ezithweni zesisu. |
| I-Endometriosis | Izicubu okufanele zibe ngaphakathi kwesibeletho zikhula ngaphandle. |
| Ukutheleleka | Isibonelo, i-appendicitis. |
| Izicubu zesibazi | Izibazi esiswini ngenxa yokuhlinzwa kwangaphambilini. |
| Amatshe enyongo | Izinkinga ezibangelwa amatshe enyongo. |
| Ukubhoboza kwamathumbu | Imbobo emathunjini. |
| Ukukhulelwa kwesisu | Ukukhulelwa okwenzeka ngaphandle kwesibeletho, ngokuvamile epayipini le-fallopian. |
Kufanele sizilungiselele kanjani ngaphambi kokuhlinzwa?
Lokhu kuhlinzwa ngezinye izikhathi kwenziwa ezimweni eziphuthumayo, njengangemva kwengozi. Ezimweni ezinjalo, asikho isikhathi sokulungiselela. Kodwa-ke, uma udokotela ekunike usuku kusengaphambili futhi ehlela ukuhlinzwa, kunezinto ezimbalwa ongazenza ukuze ulungiselele.
- Yeka ukubhema: Uma ubhema, kubaluleke kakhulu ukuyeka amasonto ambalwa ngaphambi kokuhlinzwa. Lokhu kuzosheshisa ukululama kwakho.
- Lawula ezinye izifo: Uma unezinye izifo, njengesifo sikashukela noma umfutho wegazi ophakeme, udinga ukuzilawula kusenesikhathi ngaphambi kokuhlinzwa.
- Tshela udokotela wakho ngemithi oyiphuzayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyiphuzayo, kungakhathaliseki ukuthi inqunywe udokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, noma ngisho nemithi ye-Ayurvedic.
- Thembeka ngotshwala: Uma unomkhuba wokuphuza utshwala, tshela udokotela wakho ngokwethembeka.
- Tshela udokotela wakho ngokukhulelwa kwakho: Uma kungenzeka ukuthi ukhulelwe, qiniseka ukuthi uyamazisa udokotela wakho .
Ngosuku olungaphambi kokuhlinzwa, kufanele ulandele isikhathi esiqondile udokotela wakho akutshela ngaso ukuthi uyeke ukudla nokuphuza. Ngokuvamile, utshelwa ukuthi uyeke ukudla nokuphuza amahora angu-6-8 ngaphambi kokuhlinzwa.
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Ngokuvamile kuthatha amasonto ama-4 kuya kwayi-6 ukululama ngokugcwele ngemva kokuhlinzwa kwe-laparotomy.
Ukululama esibhedlela
Ngeke ukwazi ukudla noma ukuphuza ngokujwayelekile izinsuku ezimbalwa ngemva kokuhlinzwa. Lokhu kungenxa yokuthi kuthatha isikhathi ukuthi amathumbu akho abuyele esimweni sawo esijwayelekile. Kuzodingeka uhlale esibhedlela uze ukwazi ukudla nokuphuza wedwa.
- Uzonikezwa imithi yokulawula ubuhlungu nokuvimbela ukutheleleka.
- Kufakwa ipayipi lokukhipha umchamo. Silibiza ngokuthi 'i-catheter' .
- Kungase kubekwe ipayipi elincane (idreyini) ukuze kukhishwe uketshezi oluningi oluvela endaweni eqoshiwe.
Ngokuvamile, kufanele uhlale esibhedlela cishe izinsuku eziyi-7 ngemva kwalokhu kuhlinzwa.
Ukululama ekhaya
Uma udokotela wakho enquma ukuthi ungaya ekhaya, kufanele ulandele yonke imiyalelo yakhe ngqo. Thatha yonke imithi oyinikezwe udokotela ngesikhathi. Udokotela wakho angakutshela nokuthi udle ukudla okune-fiber ephezulu ukuze kusize ukugcina amathumbu akho enyakaza kahle. Ungaphakamisi ngaphezu kwamakhilogremu angu-2.3 (2.3 kg) amasonto ayisithupha.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Uma unomkhuhlane kanye/noma ukubanda | |
| Uma kukhona ubuhlungu, ukubomvu, ukuvuvukala, noma ubomvu endaweni yokusikwa | |
| Uma unezinhlungu ezinzima ezingapheli ngisho nangemva kokuthatha imithi | |
| Uma isisu sivuvukele | |
| Uma unesifo sohudo isikhathi esingaphezu kwezinsuku ezimbili | |
| Uma kukhona igazi esitulweni | |
| Uma unenkinga yokuchama noma ubuhlungu lapho uchama | |
| Uma unezinhlungu esifubeni noma ukukhwehlela | |
| Uma unesicanucanu noma uhlanza | |
| Uma unesiyezi, uquleka, noma uvuvukele/ubuhlungu emilenzeni | |
Ziyini izingozi zalokhu kuhlinzwa?
I-Exploratory Laparotomy iwukuhlinzwa okukhulu. Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile.
Izingozi ezijwayelekile:
- Ukopha
- Izifo
- Ukusabela okungalindelekile ku-anesthesia (umuthi oqeda izinzwa)
- Ukupholisa amanxeba okulibaziseka
Izingozi eziqondene nalokhu kuhlinzwa:
- Ngezinye izikhathi, ngisho nangemva kokuhlinzwa , imbangela yalesi sifo ayitholakali . Kuleso simo, kungase kudingeke ukuhlolwa okwengeziwe.
- Kunethuba elincane lokulimala kwamathumbu noma ezinye izitho esiswini.
- I -hernia ingase yakheke endaweni yokusikwa.
Kuyini 'i-Laparoscopy' esikhundleni se-Laparotomy?
Lena futhi indlela yokubheka izinkinga esiswini. Kodwa ilula kakhulu kune-Laparotomy. Lokhu kubizwa ngokuthi 'i-Exploratory Laparoscopy' .
Okwenzekayo kulokhu ukuthi esikhundleni sokwenza ukusika okukhulu esiswini, udokotela wenza ukusika okukodwa noma ngaphezulu okuncane kakhulu.Ipayipi elincane elinekhamera elinamathiselwe kulo lifakwa esiswini. Izithombe ezivela kukhamera zibukwa kusikrini ukuze kuhlolwe izitho ezingaphakathi kwesisu. Lokhu kubizwa nangokuthi 'ukuhlinzwa kwe-keyhole'.
I-Laparoscopy ihlukile kune-laparotomy ngezindlela ezilandelayo:
- Lokhu ngokuvamile ukuhlinzwa okukuvumela ukuthi uye ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela.
- Kuthatha cishe amasonto amabili ukululama.
- Isilonda sincane kakhulu.
Kodwa-ke, akuwona wonke umuntu ongenza i-laparoscopy. Udokotela wakho uzonquma ukuthi yikuphi ukuhlinzwa okungcono kakhulu esimweni sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Exploratory Laparotomy ukuhlinzwa okukhulu okwenziwa ukuthola imbangela yenkinga esiswini. Lokhu ukuhlinzwa okukhulu.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela, kokubili ngaphambi nangemva kokuhlinzwa.
- Ngesikhathi ululama, qaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obungabekezeleleki, kanye nokuvuvukala okuzungeze inxeba. Uma uhlangabezana nanoma yikuphi kwalokhu, yazisa udokotela wakho ngokushesha.
- Kukhona futhi enye indlela yokuhlinzwa ebizwa ngokuthi i-Laparoscopy. Khuluma nodokotela wakho ngendlela efanele isimo sakho.
I-Laparotomy Yokuhlola, Ukuhlinzwa Kwesisu, Ukuhlinzwa Kwesisu, I-Laparoscopy, Ubuhlungu Besisu, Ukuvuselelwa Ngemva Kokuhlinzwa, Ukuhlinzwa
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