Ukumiswa kuyigama lezokwelashwa lokususa okuyingxenye noma zonke izicubu, isakhiwo noma isitho. I-resection ingenziwa ngezizathu ezihlukahlukene. I-resection ingasusa izicubu eziyaziwa ukuthi zinomdlavuza noma ezigulayo, futhi ukuhlinzwa kungaphatha noma kuphulukise inqubo yesifo. Ngokuya ngezicubu noma isitho, ukuhlinzekwa kwe-resection kungase kube ukuhlinzwa okuvulekile noma kungenziwa ngezinga ngokusebenzisa incision encane noma indawo yokungena yemvelo, njenge-urethra noma umlomo wesibeletho.
Izinhlobo
Uhlobo olulodwa olujwayelekile kakhulu lokuthengiswa komkhiqizo ngumthengisi omncane wesilonda, inqubo lapho ingxenye eyodwa noma ngaphezulu yamathumbu amancane isusiwe. Kubantu abahlangabezana nezinkinga zamakholoni endaweni ethile yamathumbu, ukususa leyo ndawo kungenza kube lula ukuthi ikoloni isebenze ngendlela evamile ngemuva kokuba inqubo yokuphulukisa iphelile. Ukuhlinzwa kungenziwa nge-incision evulekile noma ngokusebenzisa ukucubungula okuncane usebenzisa i- laparoscope .
Kwesinye isiguli, bangase babonakale benomdlavuza ekoloni yabo. Ukwelashwa komdlavuza kungabandakanya ukukhishwa kokuhlinzwa kwesifo somdlavuza kanye nomkhawulo wezicubu ezizungezile, i-colectomy. Lokhu kungenziwa njengoba ukwelashwa noma kungaba yiphilisi yenkinga.
Ukuncintisana kungenziwa ezindaweni zomzimba ngaphandle kwegciwane lokugaya, lezi zinhlobo ezimbili zokuhlinza ziyisibonelo nje. Uma kwakukhona indawo yesifo sebindi, ukuthengiswa kwesibindi okuyingxenye kungenziwa ukuze ususe izicubu ezimbi bese ushiya izicubu ezinhle nezinempilo zesibindi endaweni.
Ukuthengiswa kwamaphaphu kuzosusa indawo yezicubu zesifo samaphaphu.
Ezinye izinhlobo ezivamile zokuhlinza okuyizivumelwano:
- I-mastectomy: Ukususwa kwesifuba somdlavuza webele.
- I-prostatectomy: Ukususwa kwe-prostate gland ezimweni zomdlavuza we-prostate. Ukuhlinzekwa kwe-TURP ukuthengiswa kwe-prostate kwe-prostate.
- I-Gastrectomy: Ukususwa kwesisu, okugcwele noma okuyingxenye, kungenziwa ngomdlavuza wesisu, izilonda noma ukuphuma.
- Ukusungulwa kwama-Lung: I-pneumonectomy ukususwa kwephasi lonke. I-lobectomy ukususwa kwe-lobe eyodwa yamaphaphu. I-lobectomy yomkhono isusa amaphaphu nenye ingxenye ye-bronchus futhi ixhuma kabusha ingxenye esele. Ukuthengiswa komgqa kususa kuphela ucezu oluqukethe isisu kanye nezicubu ezinempilo ezizungezile. Ukuthengiswa kwesigaba kususa ingxenye enkulu kodwa hhayi i-lobe yonke.
- I-Adrenalectomy: Ukususwa kwesinye sezinhlayiya zombili, eziphezu kwezinso. Kungenziwa ngomdlavuza we-adrenal noma ama-syndromes afana ne- Cushing's syndrome lapho kukhiqizwa i-hormone kakhulu.
- Appendectomy: Ukususwa kwalesi sikhwama semathumbu amakhulu ngenxa yokutheleleka, ukuphuma kwegazi, noma ukuvuvukala.
- I-Oophorectomy : Ukususwa komunye oyedwa noma womabili ama-ovari omdlavuza, i-cyst ovarian, ubuhlungu obungapheli be-pelvic, noma isifo sokuvuvukala kwe-pelvic.
- I-thyroidectomy: Ukususwa kwayo yonke ingubo ye-thyroid noma i-lobe eyodwa ye-thyroid, i-goiter, i-nodules, noma umdlavuza we-thyroid.
- Hysterectomy : Ukususwa kwesibeletho, ngezinye izikhathi kuhlanganise nezinye izakhiwo. Kuyenziwa ngomdlavuza, i-fibroids, ubuhlungu obungapheli be-pelvic, nokuphuma kwegazi okukhulu.
I-Coding yezokwelapha ye-Excision ne-Resection
Kuhlelo lwekhodi yezokwelapha lwe-ICD-10-PCS, ukuxolisa kubonisa inqubo lapho ingxenye yomzimba inqunywa noma inqunywe.
I-resection yilapho yonke inxenye yomzimba inqunywa noma inqunywe. Kodwa lokhu akudingeki ukuba kube isilwane noma izicubu, njengoba njalo zibhalwe njengengxenye yelungu. Isibonelo, i-lobes kwesokudla nesobunxele yesibindi ngayinye inakho ikhodi yayo. Ngakho-ke, ukususwa kwe-lobe eyodwa kungumthengisi kunokuba kube nokuziqhenya. Endabeni yokwenza ikhodi yezokwelapha, ukuthengiswa komkhawulo wamaphaphu kuyisiko, hhayi ukuthengiswa.