Ukuya ngaphesheya kwe-polypectomy
Umdlavuza weColon uphathwa ngezindlela ezihlukahlukene - kodwa ukwelashwa okubaluleke kakhulu ngokuhlinzeka ngamathumbu. Phakathi ne- colonoscopy yakho, udokotela angasusa ingxenye yamathambo noma ama-polyps , eyaziwa ngokuthi i-polypectomy. Kodwa-ke, ukuze uthole kansela ephakeme kakhulu, udokotela angase adinge ukususa ngokuphelele isilonda namathishu azungezile, okubizwa ngokuthi ukuthengiswa kwamathumbu.
Kungani Ngidinga Ukuhlinzwa?
Ukwelashwa kwesisu kuvumela udokotela ohlinzayo ukuba asuse ngokuphelele isifo esibuhlungu sekholoni yakho. Izicubu ezinkulu noma izicubu eziye zahlasela izindonga zamakoloni kuzodingeka zisuswe ngokuhlinzwa. Kunezinhlobo eziningi ezihlukahlukene zokuhlinzwa kwesisu. Udokotela wakho uzocabangela izici eziningana ngaphambi kokukhetha uhlobo lokuhlinzeka okungcono kuwe. Uzobuka umlando wakho wezokwelapha odlule nempilo yamanje, kanye nendawo (s), isigaba kanye nebanga lomdlavuza wakho .
Izinhlobo ze-Colon Cancer Surgeries
Kunezinqubo eziningi zokuhlinzwa ezihlukahlukene zokususa umdlavuza wakho wekoloni. Inqubo evamile yokuhlinzwa ihilela ukugxilisa isikhathi eside phakathi kwesisu sakho, okuvumela udokotela ohlinzayo ukuba abuke konke okuqukethwe kwesisu, kufaka phakathi amathoni akho kanye nezicubu ezungezile.
Indlela ye- laparoscopic , eyenziwa ngezinsimbi ezikhethekile zokuhlinza ngezimbalwa ezincane ezitholakala esiswini sakho, isetshenziselwa ukususa ezinye umdlavuza we-colon.
Kuye ngendawo kanye nobukhulu bomdlavuza wakho, udokotela ohlinzayo angaqedela:
- Ukuthengiswa kwesigaba
- Ukuthengiswa okukhulu noma i-colectomy (kwesokudla, kwesobunxele, isigmoid, inani)
- Colectomy noma i-hemicolectomy
- Ukuzikhandla kwendawo
- I-Proctectomy
- I-Colostomy ne ileostomy
Ukuhlinzwa Kwama-Cancer Rectal
- Ukuthengiswa kwangaphakathi okuphansi (LAR)
- Ukuzikhethela kweTransanal
- Ukuvuselelwa kwe-Abdominoperineal (APR)
- Ukuthengiswa kwangaphakathi kwe-anastomosis nokuphambukisa okulandelanayo
- I-Proctectomy
Naphezu kwawo wonke amagama amahle, kunemibandela embalwa nje esemqoka okudingeka uyikhumbule ngokuhlinzwa kwakho kwezinyosi:
I-Colectomy - ukususwa kwengxenye yekoloni (ebizwa nangokuthi i-resection). I-colectomy ethize oyothola ibizwa ngokuthi yiyiphi ingxenye (noma izingxenye) zekhaloni isusiwe. Ngokwesibonelo, i - colectomy eguquguqukayo ihilela ukukhipha ikholoni ehamba phambili. I-hemicolectomy elungile (isigamu) ihilela ukususa ingxenye efanele yekoloni. I-colectomy ephelele kakhulu ihilela ukususa lonke ikoloni.
I-Anastomosis - ukuthunga izingxenye zekoloni emuva ndawonye ngemva kokuqothula isilonda . Uma udokotela ohlinzayo esusa ikoloni ehamba phambili, angase ahlanganise iziphetho zekhaloni ekhuphuka futhi ehlayo ndawonye.
I-stoma - ukuvulwa okufakelwa esikhumbeni, njenge-colostomy noma ileostomy. Uma usususwe lonke ikoloni noma uma udokotela angakwazi ukufaka izingxenye ezimbili ze-colon ndawonye (baze baphulukise), uzokwenza ukuvulela odongeni lwesisu ukuze uhambe ngesitokisi ungene esikhwameni. Kukhona ama-stomas avuselelwe futhi angaphenduliwe, kuye ngokuthi ububanzi bakho buhlinzwa kanjani.
Ukulungiselela Ukuhlinzwa
Ngaphambi kokuhlinzwa okwenziwa kukholoni, kufanele ihlanzeke ngaphakathi ngaphakathi. Lokhu kufezwa ngokulungiselela okuphelele kwamathumbu , okufana nalokho okungenzeka ukuthi ube nakho nge-colonoscopy yakho. Lokhu kulungiswa kunciphisa ingozi yokutheleleka ngesikhathi sokuhlinzwa kwakho kwesisu. Ngokungafani ne-prep colonoscopy yakho, noma kunjalo, udokotela wakho angakubeka kuma-antibiotic wokuvimbela ngaphambi kokuhlinzwa, futhi unciphise ingozi yokutheleleka kokuthunyelwa komzimba.
Imibuzo yesigqirha
- Uyini umsebenzi obizwa ngokuthi?
- Ngidinga i-colostomy noma i-ileostomy? Uma kunjalo, kungakanani?
- Ngidinga i- chemotherapy noma imisebe? Ngaphambi noma emva kokuhlinzwa?
- Yiziphi izindlela zami zokuhlinzwa?
- Ngizohlala isikhathi esingakanani esibhedlela?
- Ngingabuyela nini emsebenzini? Imisebenzi evamile?
- Ngidinga yini ukuyeka ukuphuza imithi yami? Ngaphambi kokuhlinzwa, chaza udokotela wakho mayelana nemithi yokwelapha kanye nokunye okuningi, kanye nanoma yiziphi izithako zokudla okunomsoco ozithathayo, ikakhulukazi uma usebenzisa i-aspirin noma i-blood thinners .
Izingozi Zokuhlinzwa Kwezinyosi
Yonke inqubo yezokwelapha ibeka izingozi nezinzuzo. Qiniseka ukuthi ukhuluma nodokotela wakho bese ubuza imibuzo uma ungaqondi lezi zingozi. Ezinye zezingozi ezihlobene nokuhlinzwa kwamathumbu kufaka:
- Ukuphuza
- Ukutheleleka
- Ukuhamba nge-anastomosis
- Amakhekhe egazi (ngokuvamile emilenzeni)
- Ukwehliswa kwe-Incision (ukuvulwa kwesisindo somzimba)
- Ukuthuka
- Ukunciphisa
- Ukukhubazeka ngokocansi (kubikwe ngamadoda alandela i-APR ne-proctectomy)
Umphumela ovame ukubikwa komphumela wesibalo kwaba ngokokuhlukunyezwa ngokocansi emadodeni, kubike phakathi kwamaphesenti angu-10 ukuya kwangu-50 weziguli ngemuva kokuhlinzwa. Kodwa-ke, qaphela ukuthi lezi zibalo aziziphendulela izindlela zabo ze-libido, iminyaka noma imithi ngaphambi kokuhlinzwa.
Ukuvuza okuvela endaweni ye-anastomosis kwenzeka kumuntu oyedwa kuya kwezingamaphesenti amathathu weziguli ezine-anastomosis kuhlanganise nesisu esincane kanti phakathi kwamaphesenti angu-10 ukuya kwangu-20 weziguli ezine-colon and anal anastomosis.
Izifo ezitholakala emva kokuhlinzwa zibikwa ngamaphesenti amahlanu kuya kwezi-15 ezigulini, nakuba izici ezithile (ubudala, amasosha omzimba obuthakathaka, ukungondleki) zidlala indima enkulu engozini yokutheleleka kokuthunyelwa komzimba.
Ukuvuselela kusuka ekuhlinzekeni kwesisu
Kuzodingeka ukuthi uhlale esibhedlela okungenani izinsuku ezimbalwa emva kokuthengiswa kwamathumba wakho. Isikhathi sakho esibhedlela sizovumela ukufakwa kwakho kokuhlinzwa ukuqala ukuphulukisa ngenkathi abahlengikazi nabaqeqeshi abaqeqeshiwe beqapha i-hydration yakho, umsoco , nezinye izidingo emva kokuhlinzwa.
Udokotela wakho uzoba nemiyalo endaweni ukuze aphathe noma yikuphi ubuhlungu bokuthunyelwe. Imithi yokwelashwa inganikezwa nge-intravenously, intramuscularly noma ngomlomo. Uma ubuhlungu bakho buqala kuqala, qiniseka ukuthi uyokubika kumhlengikazi onomsebenzi ukuze akwazi ukuyiphatha ngokushesha, hhayi ngemuva kokuba ikhula.
Kuye ngokuhlinzekwa kwakho, ungase ube ne-drain endaweni. Lezi zidonsa zivumela uketshezi okwedlulele, njengegazi, ukushiya esiswini sakho. Ama-drain angasuswa ngaphambi kokukhishwa kwakho esibhedlela. Uma unayo i-colostomy noma i-ileostomy efakwe ngesikhathi sokuhlinzwa, abasebenzi abahlengikazi bazokufundisa indlela yokunakekela imishini yakho ngaphambi kokuba uhambe ekhaya.
Udokotela wakho ohlinzayo uzohlela izidingo zakho zokudla okunomsoco ukuthi ulandele ukuhlinzwa. Ungadinga ukudla okukhethekile ngenkathi isilonda sakho siphulukisa. Kuze kube amathumba akho "avuke", udokotela angakugcina ekudleni okunomsoco okucacile (okungewona amafutha, noma yini ongayibona). Uzonikezwa imiyalo yokudla ngaphambi kokuba uhambe ekhaya.
Nini Ukubiza Udokotela Wakho
Ukulandela noma yikuphi ukuhlinzwa okukhulu, ukukhathazeka okuyinhloko ukulahlekelwa igazi, ukutheleleka, nezinye izinkinga. Lalela umzimba wakho; kubika izimpawu ezingavamile kudokotela wakho ohlinzayo. Shayela udokotela wakho ngokushesha uma unayo:
- Fever
- Ubuhlungu obandayo
- Ukubomvu, ukugeleza noma ukubekezela nxazonke
- Izindawo ezingaphili ukuphulukisa
- Nausea, ukuhlanza
- Igazi kulesi sikhwama noma esikhwameni se-colostomy
- Ukukhwehlela okungahambi
- Amehlo aphuzi noma isikhumba
Ukuphila Ngemva Kokuhlinzwa
Ungase ukhululwe esibhedlela ngesinxephezelo semilayezo. Unganqikazi ukubuza abangane nomndeni usizo nokusekela . Nika umzimba wakho isikhathi esidinga ukuphulukisa. Izincomo zokudla nezokusebenza zizovumela isikhathi sakho sekolon ukuphulukisa. Udokotela wakho nabahlengikazi balapho ukuze baphendule imibuzo yakho, ngakho unganqikazi ukubuza ukuthi awukwazi yini impendulo.
> Imithombo:
I-American Cancer Society. (2006). Umhlahlandlela ophelele we-American Cancer Society ku-Cancer Colorectal . I-Clifton Fields, NE: i-American Cancer Society.
I-American Cancer Society. (nd). Ukuhlinzwa kweCrorectal Cancer.
I-Dietz, i-DW (2011). Izinkinga kuColorectal Surgery. I-American Society of Colon ne-Rectal Surgeons.
I-National Cancer Institute. (nd). Ukwelashwa Kwemdlavuza Yamagciwane: Ukubukezwa Kwokwelapha.