Ukuhlaselwa yiyona ndlela ejwayelekile kunazo zonke zokwelapha I-Colon Cancer
Ukuthola ukuxilongwa komdlavuza wekoloni kuyamangalisa ngempela futhi kungasabisa kakhulu. Umdlavuza weColon ungaphathwa ngezindlela ezihlukahlukene, kufaka phakathi izinhlobo eziningana zokuhlinzwa. Umdlavuza weColon uvame ukuhlotshaniswa eduze ne-colostomy, kodwa ukuhlinzeka nge-colostomy akulona njalo kusetshenziselwa ukwelapha umdlavuza we-colon. Eqinisweni, kungukuhlinzwa okuthiwa i-resection yindlela yokuhlinzwa eyenziwa kaningi ukuphatha umdlavuza wekoloni.
Ukuhlinzekwa kokuthengiswa kwempahla kuhilela ukukhipha ingxenye yekoloni (isibilini esikhulu) kodwa kuvame ukungabi nesisindo esincane kunokuba
Ukwelapha isiguli nodokotela okhetha ukuphishekela umdlavuza wekoloni kuzokwenziwa ngesilinganiso, noma isigaba somdlavuza . Ngokukhipha izicubu ngenxa yomdlavuza wekoloni, ukuhlinzekwa ngokuthengiswa (ngezinye izikhathi kuthiwa yi-partial noma i-hemicolectomy) yindlela yokwelashwa evame kakhulu.
Mayelana nokuhlinzwa kokusinda
Ukuthengiswa kuyindlela enkulu yokuhlinza lapho udokotela ohlinzayo ochwepheshe, obizwa ngokuthi udokotela ohlinzayo, ungena esiswini ngokusebenzisa ukugxila okukhulu emdongeni wesisu. Isigaba esibulalayo se- colon noma i- rectum sisuswa kanye nama- lymph nodes kanye nengxenye yekoloni enempilo elandela ingxenye yekoloni ethintekile ngumdlavuza. Okulandelayo, izinhlangothi ezimbili eziphilile zesilonda zihlanganiswa. Umgomo wezokwelapha uzoba isiguli ukuba ubuyele emsebenzini ovamile wesibilini. Lokhu kusho ukuthi udokotela ohlinzayo uzokhipha nje emathunjini amakhulu ngangokunokwenzeka.
Ezinye zezicubu ezisusiwe emagqabini lymph isithathwe ebhokisini lomzimba futhi zihlolwe ngaphansi kwe-microscope ngumhlengikazi . I-pathologist izobheka izibonakaliso zomdlavuza emathisini lymph. Ama-lymph nodes aqhuba uketshezi olubizwa ngokuthi "lymph" emaseli emzimbeni. Amaseli omdlavuza avame ukubutha emagqumeni, ngakho-ke ayibonakaliso enhle yokunquma ukuthi umdlavuza usakaze kangakanani.
Ukususwa kwe-lymph nodes kunciphisa ingozi yomdlavuza ophindaphindiwe.
Kwezinye izimo lapho inani eliphakeme le-colon noma i-rectum ligula, ukubuyisana kabusha kwesilwane esinempilo (okuthiwa i-anastomosis) kungenzeka ukuthi akunakwenzeka. Kulezi zimo, i- colostomy ingadingeka. Ezimweni eziningi udokotela ohlinzayo uzoba nomqondo omuhle wokuthi uzohlinzwa kanjani ngaphambi kokuqala, kodwa ngezinye izikhathi lapho udokotela ohlinzayo enethuba lokubona indlela umdlavuza oye waqhubeka ngayo, ushintsho lungenziwa ngesikhathi senqubo. Iziguli ezinokukhathazeka ngokuthi ukuhlinzeka kwazo kuzoqhubeka kanjani kufanele zikhulume ne-oncologist yazo kanye nodokotela wabo odokotela abahlinzayo bese zibuza ukuthi kungenzeka yini ukuthi ukuhlinzeka kube ngaphezulu kunalokho okucatshangwa ekuqaleni.
I-Colostomy Surgery
I-colostomy iyadalwa lapho ingxenye yamathumbu amakhulu efakwa ngaphakathi kokuvula emdongeni wesisu. Ingxenye yekoloni engaphandle komzimba ibizwa ngokuthi i- stoma (isiGreki "ngomlomo"). I-stoma i-pink, njengezicubu zesikhumba, futhi ayizizwa ubuhlungu. Isikhwama sangaphandle esigqoke esiswini kuyadingeka ukuqoqa imfucuza. Isikhwama sikhishwa izikhathi eziningana ngosuku futhi sashintsha njalo.
Ama-colostomie amaningi okwenziwa ukwelapha umdlavuza wekoloni angokwesikhashana futhi adingeka kuphela ukuvumela ikoloni ukuba iphuluke kahle ngemva kokuhlinzwa.
Ngesikhathi sokuhlinzwa okwesibini iziphetho ezinempilo ze-colon zihlanganiswa ndawonye futhi i-stoma ivaliwe. I-colostomy engapheli idinga kuphela amaphesenti angu-15 esikhathi esimweni somdlavuza wekoloni.
Ezinye zokwelapha ezifana ne-chemotherapy noma imisebe ingasetshenziswa ngokubambisana nokuhlinzwa. Ngemuva kokuhlinzwa, kuzodingeka ukuhlolwa okujwayelekile ukuze kuqinisekiswe ukuthi umdlavuza awuzange uphinde uqhubeke.
Imithombo:
I-American Cancer Society. "Ukwelashwa komdlavuza wokubala." Cancer.org. 30 Jul 2013. 26 Aug 2013.
I-National Cancer Institute. "I-Colon Cancer Treatment (PDQ®)." Izikhungo zezempilo zikazwelonke. 16 Meyi 2013. 26 Aug 2013.