Ukuqhathanisa ama-Stents and Surgery: Yikuphi Okuhle Kakhulu?
Ezimweni zomdlavuza wekoloni ophakeme , kunezikhathi lapho isisu singenakususwa. Isimo esibi futhi esiyinkimbinkimbi futhi esivame ukugcwele imizwelo nokungaqiniseki.
Noma ubani obhekene ne-tumor engasebenzi, kubalulekile ukukhumbula ukuthi abantu bangaphila iminyaka ngemdlavuza ophakeme . Akusho ukuthi wonke umuntu kufanele aphelelwe yisikhathi ngenxa yokuthi isisu asikwazi ukusebenza.
Ezimweni eziningi kunalokho, kuvele okuphambene nalokho.
Umgomo oyinhloko ezimweni ezinjengalezi ukuqinisekisa ukuthi izimpawu ziphethwe nokuthi umuntu uyakwazi ukugcina ikhwalithi engcono kakhulu yokuphila ngisho noma umdlavuza awuphilwanga.
Enye yezinkinga ezingase zibe khona zomdlavuza wokuphela komgqa wukuthi ikoloni ingavikelwa yisisu. Lokhu kubizwa ngokuthi yisithiyo esibi . Ngenhlanhla, odokotela bangaphatha lesi simo ngezindlela ezimbili ezahlukene:
- Bangakwazi ukuhlinzwa ukuze baphambukise noma badlule ukuvinjelwa.
- Bangakwazi ukubeka i-stent (i-tube elincane eguquguqukayo) ukusiza ukusekela ukuvulwa kwendima
I-Stent vs. Ukuhlinza Ukuvimbela Okubi
Kubantu abahlangabezana nokuvinjelwa okubi, ukukhetha phakathi kokuhlinzwa okugcwele noma ukubekwa kwe-stent kufakwe kungase kube nzima. Kwabaningi, i-stent izobonakala isinqumo esicacile. Phela, ama-stents angenziwa kalula, ngokuvamile ehlinzeka ngokuhlinzwa okungavamile kwe- laparoscopic kanye nesikhathi esincane sokutakula.
Kodwa ingabe lula njalo impendulo efanele?
Ucwaningo olwenziwe ngo-2011 olwanyatheliswa emaphepheni wezinsipho lwe-Endoscopy lwangombuzo kuphela. Ngokusho kombiko, abantu abangu-144 abanomdlavuza wekoloni ophakeme baphethwe ukwelashwa ukulungisa ukuvinjelwa okubi okuyinto ukuhlinzeka isigamu kwabahlinzwa; enye ingxenye yayine-stent.
Ekubukezeni imiphumela emfushane neyesikhathi eside, umehluko omkhulu oqala ukuvela:
- Ngokuvamile, amazinga okuphumelela okwesikhathi esifushane ama-stents nokuhlinzwa avamile awafani kakhulu. Zombili izinqubo zasebenza kahle ukuphatha ikoloni evaliwe.
- Ngesikhathi sokuphumula kokuqala, iqembu elathola ama-stents lalingamaphesenti angaba yisilinganiso sezinkinga zakudala eqenjini lokuhlinzwa (15.5 ngokumelene no-32.9%, ngokulandelana).
- Kodwa-ke, njengoba ukuvuselela kuqhubekile, isikhathi sokuthi ukuvinjelwa kwahlala kucacile kwakuncane kakhulu eqenjini eliqinile, nabanye abantu baze bafuna isiteji sesibili.
- Ngesikhathi eside, ngenkathi izinga lezinkinga ezinkulu lilingana kakhulu nalawo maqembu, iqembu le-stent lalinenkinga enkulu kakhulu uma kuqhathaniswa neqembu lokuhlinza.
Ukwenza Isinqumo Sakho Esihle Kakhulu
Uma wena noma othandekayo ubhekana nesithiyo esibi, ungaphoqeleka ukuba ukhethe phakathi kokuhlinzwa noma isiteji njengento yokuphuthuma. Isivimbelo esinjengalesi sifo esibucayi esibangela ukukhathazeka ngokushesha ukuze sigweme ukuhlukumezeka nanoma iyiphi enye inkinga yokuphila engozini.
Njengoba kushiwo, isinqumo esisheshayo akudingeki sibe yinto engaziwa. Kumane udinga ukulinganisa izinzuzo nezindleko ngokusekelwe kokuqonda okujwayelekile:
- Ngenkathi i-stent ingase ibe isilungiselelo esisheshayo se-colon evinjiwe, amathuba okudinga omunye aphezulu uma kuqhathaniswa nokuhlinzwa.
- Ngenkathi ukuhlinzeka kuvame ukunikeza imiphumela ehlala isikhathi eside, kudinga isikhathi eside sokuphulukisa ngenengozi enkulu yenkinga yesikhashana.
Sebenza nge-oncologist yakho kanye nodokotela ohlinzayo ukuze uthole okukhethwa kukho okungcono kakhulu kulabo abathintekayo. Lokhu kungabandakanya ukubuyekezwa kweminyaka yobudala bomuntu, impilo ejwayelekile, isimo somzwelo, nezinye izinto ezingasikisela ukuthi umuntu uzobekezelela kanjani inqubo futhi alulame kuyo.
Asikho isinqumo esifanele noma esingalungile uma unikezwe lonke ulwazi oludingekayo ukuze wenze ukukhetha okunolwazi.
> Umthombo:
> Lee, H .; Hong, S .; I-Cheon, i-J .; et al. "Umphumela Wesikhathi eside Wokwelashwa Kwama-Palliative Ukwelashwa Okungalungile Kweziguli Ezigulane Ezinamaphilisi Angenakugwenyelwa I-Metastatic Colorectal Cancer: I-endoscopic Stenting Versus Surgery." I-Endoscopy yamathumbu. 2011; 73 (3): 535-542.