Okudingeka Ukwazi Ngale Nqubo Yokususwa Kwendlela
Ukulungiselela i-proctectomy kuhilela ukuqala ukufunda ukuthi kuyini. Ngokuvamile, lokhu kuvulwa kukhethwe ukuphatha ukwelashwa kwamakholoni noma ama- rectal , kodwa kungasetshenziswa futhi ukuphatha abantu abanezifo ezifuywayo ezikhungathekile ezifana ne-Crohn's noma i-ulcerative colitis.
Amasentimitha ayisithupha noma ayisithupha ekholoni yakho abizwa ngokuthi i-rectum yakho. Ngokungafani nenye yonke ikoloni, i-rectum inesikhwama esifana nesitokisi se-stool kanye nokuvuleka okuvuliwe (i-anus), lapho isitolishi ixoshwa emzimbeni wakho.
Kungenzeka ukuthi awukaze uzwe igama elithi " proctectomy " ngaphandle kokuthi wena noma othandekayo kudingeka ube nokuhlinzwa, lapho yonke irectum isusiwe khona.
Izinhlobo ze-Proctectomy Surgeries
Kunezinhlobo eziningi ezihlukahlukene zokuhlinza umdlavuza wekoloni lapho irectum yakho isusiwe khona. Udokotela wakho ohlinzayo usebenzisa isiteji , ibanga, indawo, nobukhulu bomdlavuza wakho ukucacisa okukhethwa kukho okungcono kunakho konke. Uma izicubu zihlukaniswe ne-rectum yodwa, udokotela wakho ohlinzayo angase akhuthaze i-proctectomy nge-anus, okuthiwa i-proctectomy ye-transanal.
Uma udinga ingxenye yekoloni yakho isuswe, unomsoco wokubandakanyeka kwe-lymph node , noma ube nezindawo zendawo zemetastasis ezidinga ukususwa, ungathola i-proctectomy njengengxenye yocwaningo olubizwa ngokuthi i-low abdominoperineal resection. Kulo msebenzi, udokotela uvula isisu sakho ukuze akwazi ukubona ngeso lengqondo futhi asuse izingxenye eziningana zesilonda namathiski azungezile (njengama-lymph nodes) ukukunikeza umdlavuza ocacile nemiphumela ethuthukisiwe.
Cishe yonke imikhawulo ye-abdominoperineal ephansi iphela ngokuvalwa kwesilwane, okuzodinga i- ostomy ehlala njalo yokususwa kwesitokisi.
Ngingakwazi Yini Ukuhambisa Amathumbu Angivamile?
Ngaphandle kokuthi i-proctectomy yakho ihlanganise ukuvalwa kwesilwane, kufanele ukwazi ukuhambisa amathumbu akho njengokulandela njalo ukuhlinzwa. Kuye ngokuthi iyiphi ingxenye yekoloni yakho isusiwe eceleni kwe-rectum yakho, udokotela ohlinzayo unezinketho ezimbalwa ezihlukile ukuze asize ukubuyisela imikhuba yakho evamile yobilonda.
Ukulandela i-proctectomy yakho, angathatha ingxenye esele yekholoni yakho bese uyixhuma ngokuyikho ku-anus yakho. Lokhu kuhlinzekwa kubizwa ngokuthi i-anastomosis enombala okuvumela ukuthi uqhubeke nokuhambisa amabilini akho njengoba wenza njalo. Ngesikhathi sokuhlinzwa, ingxenye yokugcina yekoloni yakho iguqulwa ngokuzenzekelayo ukudala isitsha esisha seqoqo lesitokisi esilingisa i-rectum yakho yakudala.
Ukulungiselela Ukuhlinzwa
Udokotela wakho uzomisa isimiso sokulungiselela amathumba ngaphambi kokuhlinzwa kwakho. Njengoba udokotela ohlinzayo eyokwehlukanisa emgqeni wakho, futhi mhlawumbe ikholoni yakho, amathumbu kumele ahlanzwe kuzo zonke izitoli kanye nemfucuza ngaphambi kokuhlinzwa. Kungadingeka futhi ukuthi uthathe ama-antibiotic ukusiza ukunciphisa ingozi yokutheleleka kokuhamba phambili. Ngokufanayo, qiniseka ukuthi uxoxisana nanoma yiziphi izidakamizwa ezithatha izidakamizwa kanye nokuningi okuthathayo njengoba abanye kungase kudingeke bayeke. Uma uthatha imithi yokusiza ukunciphisa igazi lakho, kuzodingeka uxoxe ngezingozi zokumisa le mithi yokuhlinzwa ne-cardiologist yakho, noma udokotela obabekayo.
Usuku ngaphambi kokuhlinzwa, udokotela ohlinzayo uyokucela ukuba uyeke ukudla nokuphuza ngesikhathi esithile. Uma ubhema noma usebenzisa ugwayi wokuhlafuna uzodinga ukumisa nalokhu.
Ukwamukela izihambi kanye nokuvuselelwa
Isikhathi sakho sokuhlala esibhedlela kanye nokuphumula sincike ekutheni uhlinzekwa yi-proctectomy. Ukuhlala esibhedlela sekuphakathi kwezinsuku ezine nezinsuku eziyisikhombisa (ukuvimbela izinkinga) futhi ukutakula kwakho ekhaya kungathatha amasonto ayisithupha. Ngesikhathi sokuphuma kwakho esibhedlela, udokotela wakho ohlinzayo uyohlinzeka ngemfundo emikhawulweni yakho yokuthutha engabandakanya ukulinganiselwa ngokomzimba, njengokuphakamisa noma ukugwema ubulili, kuze kube yimingcele yokudla kuze kube yilapho usuphelile ngokuphelele. Ungase ube ne-ostomy yesikhashana ezinyangeni ezimbalwa ngenkathi ikholoni yakho iphilisa - noma ungaya ekhaya nge-ostomy ehlala njalo uma i-anus yakho ivuliwe ngokuhlinzwa.
Ungase uthande ukucabangela ukwenza amalungiselelo ambalwa ngaphambi kokuhlelwa ekhaya ukwenza izinto zibe lula ekubuyeni kwakho esibhedlela. Ngokwesibonelo, misa ukuthi yiziphi amalungu omndeni noma abangani abazotholakala ukukusiza ngaphandle kokudla noma ezinye izinto zasendlini. Ezinye izici okufanele uzicabange ngenkathi usubuyela ekhaya zihlanganisa:
- Ubani ozonakekela izingane zakho, abaxhomekile noma izilwane ezifuywayo?
- Uma unekhaya elikhulu, ungakwazi yini ukuhambisa umbhede wakho ezingeni eliphansi uze ukwazi ukuxoxa ngezinyathelo ngokuphepha?
- Beka zonke izidingo zakho eduze kombhede wakho noma umbhede ekhaya. Okuthile okulula njengokugijima ngezinyathelo zokubamba intambo yokukhokha kungase kubonakale kungenakunqotshwa uma ufika ekhaya kuqala.
- Qinisekisa ukuthi unemithi eningi etholakalayo uma uthatha imiyalelo yesimiso. Thola ama-refills akho ngaphambi kokuba ungene esibhedlela ukuhlinzwa. Ngokufanayo, uma odokotela bakho ohlinzayo bakuthumela ekhaya abanama-painkillers, thola imithi egciniwe futhi ulungele ukubuyela ekhaya esibhedlela.
- Qinisekisa ukuthi unezinto eziningi zokudla okulula okutholakala, ngisho noma lokho kusho ukupheka nokugcoba ukudla okunye kusengaphambili.
Izingozi ze-Proctectomy
Ukususwa kwe-rectum kuyindlela enkulu yokuhlinzwa. Izingozi ziphakanyiswa uma unesimo sezokwelapha esandulele, njengesifo sikashukela. Ngaphambi kokusayina imvume yakho yokuhlinzwa, i- anesthesiologist kanye nodokotela wakho ohlinzayo uzobukeza lezi zingozi kuwe ezingafaka ingozi ye:
- Ukweqa (ngenkathi noma emva kwenqubo)
- Ukutheleleka
- Izinkinga zocansi (ukungasebenzi kwe-erectile, ukumelela kwesisu)
- Izinkinga ngokuqedwa (ukuchama noma ukuhambisa amabilini akho )
Qinisekisa ukuthi ubuza imibuzo uma ungaqondi noma yikuphi ingxenye yokulungiselela, ukuhlinza, ukutakula noma izinkinga ezingase zibe khona ngaphambi kosuku lwakho lokuhlinzwa.
> Imithombo:
> I-American Cancer Society. (nd). Ukuhlinzwa kweCrorectal Cancer.
> Khaikin, M. (2009). I-Laparoscopic Versus Open Proctectomy ye-Cancer Rectal: Umphumela Weziguli kanye nokuphumelela kwe-Oncologic. I-Laparoscopy yokuhlinzeka, i-Endoscopy, ne-Techniques ye-Percutaneous. 19 (2): 118-22.