I-Splenectomy Ngaba i-Spleen Removal Surgery

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Yintoni i-Splenectomy?

I-splenectomy yindlela yokutshatyalaliswa kwepen . Kukho iintlobo ezimbini ze-splenectomies - indlela evulekileyo yendabuko, esebenzisa ubungqina obukhulu besayizi, kunye ne-laparoscopic, esebenzisa izinto ezincinci ezincinane. Utyando lwe-laparoscopic udla ngokuba ngumsebenzi otyunjelwayo ongaphantsi.

Inqubo ye-laparoscopic yinto eqhelekileyo yeenkqubo ezimbini ze-splenectomy kwaye isetyenziswe xa kunokwenzeka ngudokotela ogqirha. Inkqubo isebenzisa izimbalwa ezincinci kwaye zibizwa ngokuba yi-minimally surgery surgery. Ngenxa yobukhulu bokungena, indlela ye-laparoscopic iyanciphisa intlungu yokubuyiselwa kunye nomngcipheko wokusuleleka .

Azikho zonke izigulane zezigulane okanye iimeko zeepleen ezivumela inkqubo ye-laparoscopic; Kwizo meko, indlela evulekile isetyenzisiweyo. Isetyenziswe kwakhona xa ipenki isuswe ngenxa yeemeko ezibizwa ngokuba yi-splenomegaly, okanye ukukhuliswa kweseyile. Oku kungenxa yokuba ipenethi inokuba yinto emikhulu kakhulu ukuba isuswe kwizinto ezincinci ze-laparoscopic.

Kwezinye iimeko, inqubo ingaqala njengophenyo lwe-laparoscopic kodwa ugqirha unokukhetha ukuqhubeka nokuhlinzwa ngento evulekileyo ukuba i-spleen ifunyenwe ukuba yanda kakhulu.

Ngethuba lokuhlinzwa ngokukhawuleza, njengokuba emva kokuphazamiseka kwemoto xa ipeni iphukile, ukuchithwa kwendawo evulekile ingasetyenziswa ukuvumela ugqirha ukuba acinge ngolu hlobo nokulimala ngokukhawuleza.

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Xa i-Spleen Surgery iyingozi?

Uvavanyo lwe-splenectomy, okanye utyando lwe-spleen, lungenakukhuseleka kwiimeko ezinxamisekileyo. Kwimeko ezininzi apho i-splenectomy eyenziwa ngokukhawuleza , okanye ukugcina ubomi bomguli, ipeni ibonakaliswe ngengozi. I-spleen isisombululo esikhulu, ngeemitha ezininzi zegazi kunye negazi elikhulu, kwaye liphuma ngokulula. Ukuba ukuphuma kwegazi akunakulawulwa ngenye indlela, kufuneka kususwe, okanye isigulane sinokufa. Ingozi yemoto yimbangela eqhelekileyo yentlekele kwipeni.

Ukuphuka ngokukhawuleza, xa i-spleen iqhuma ngokungalindelekanga ngenxa yesizathu esicacileyo, ayinqabile kakhulu kodwa nayo ibangela isidingo sokuhlinzwa ngokukhawuleza .

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Iimpawu Zokuba U-Splenectomy?

U-splenectomy, utyando lokususa ipeni, lunokuthi luboniswe kula maxesha alandelayo:

• Amacwecwe egazi
• I-Hypersplenism : Le yimeko apho i-spleen ingasebenzi kwaye ichithe iiseli zegazi eziphilileyo.
• I-Splenomegaly : Ukwandiswa kweseyile
• Cancer
• I-hypertension ye-Portal : Le yimeko apho isitya esikhulu segazi esibangela isibindi sinegazi eliphezulu kakhulu. Ingabangela izimo ezininzi zeesibindi, kuquka i-cirrhosis nomhlaza.
• I-Cirrhosis yesibindi : Esi sifo esingasasigxina sesifo apho izicubu ezonakalisiweyo zithatha indawo yesikhumba esinqabileyo njengoko umonakalo owenziwe. Igazi aliqhubeki ngokukhululekile ngesibindi, kubangela ukuba ingozi yomsindo ophezulu.
• I-Lymphoma : Olu hlobo lomhlaza lungabangela ukwandiswa kwetyeni (splenomegaly).
• Idiopathic thrombocytopenia purpura (ITP)
• I-anemia ye-Spherocytic : Olu hlobo lwe-anemia, apho iiseli zegazi ezibuthakathaka zimilo kwaye zonakaliswe njengoko zihamba ngepeni, zingaphiliswa yi-splenectomy.
• I-héemolytic anemia : Ezinye iindidi ze-hemolytic anemia, imeko apho amangqombela egazi abomvu atshabalaliswa kwangaphambi komzimba, ingahlaziywa ngokususwa kwetera.

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Iingxaki ze-Splenectomy

Ukongeza kwimingcipheko eqhelekileyo enxulumene nokuhlinzwa kunye ne- anesthesia , utyando lokususa ipeni luneengxaki zalo. I-spleen iyisitho esikhulu se-vascular, esithetha ukuba ineemithwalo ezininzi zegazi. Oku kwenza ukuba ipeni ilungele ukuphaphama xa ibonakaliswe okanye isebenze. Ukuba ipenji ibonakaliswe kakhulu kwaye iphelelwa igazi ngaphambi kokuhlinzwa, ukuphuma kwegazi kunokuqhubeka nokuqhubeka ngexesha lotyando de ukuba ugqirha uyakwazi ukufumana umthombo wokukhupha nokuwulawula.

I-pleen ixhambile emva kwesisu, ngaphantsi kwesifo se-diaphragm nokuhlala kufuphi ne-pancreas nesisu. Ngenxa yokusondela kwamanye amalungu kunye nezakhiwo, kunomngcipheko omncinci wokuba bangonakaliswe ngexesha le nkqubo.

Umngcipheko wokusuleleka usulele kakhulu kule nkqubo kunokuba utyando oluqhelekileyo, kungekhona ngenxa yenkqubo yokuhlinzwa, kodwa ngenxa yokuba ipeni inendima ekulwa nokusuleleka. Xa ithenda isuswe, i-immune system ayisebenzi kwaye yenze ngaphambi kokuhlinzwa.

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I-Splenectomy: Inkqubo yeLaparoscopic

I-splenectomy ingenziwa i- laparoscopically okanye isebenzise indlela evulekileyo ngokuchaneka kobukhulu obukhulu. Ngelixa ubuninzi beentlobo zogqirha zisusa i-spleen yonke, kunokwenzeka ukuba ube ne-splenectomy ekhethekileyo, inkqubo apho kuphela inxalenye yelungu isuswe.

Utyando luqala ngokulawulwa kwe- anesthesia . Emva kokuba isiguli singakwazi, utyando luqala, ngokuqhelekileyo ukuqaliswa kwezinto ezincinane ezincinane ezi-2 ukuya ku-3 ububanzi obude ngaphantsi kwembambo ekhohlo. Ikhamera encinane ebizwa ngokuba yi-laparoscope efakwe kwenye yezinto ezibonwe. Ezinye izigqibo zisetyenziselwa ukufakwa kwezixhobo zokugqithisa kunye nokusebenza okwenziweyo kokuhlinzwa. Ngethuba lokuhlinzwa, ugqirha ugqirha indawo eqhutyelwa kuyo kunye nekhamera, njengoko iziganeko ezincinci zingavumeleli ugqirha ukuba abone ukuhlinzwa ngokuthe ngqo.

I-spleen ineemithwalo ezininzi zegazi, ngoko ugqirha ufumana imithana yegazi ehamba phambili ukusuka kwipeni kwaye ibeka izicatshulwa kuzo ukuyeka isigxina igazi ngokugqithiseleyo ukusuka ekugqithiseni ukuya kwipeni. I-spleen iyakunqunywa kwezinye izakhiwo zomzimba. Xa ikhululekile, ipenethi ifakwe kwisibhakabhaka esingumzimba ukuze ikhutshwe ngaphandle komzimba ngenye yezinto ezibonwe. Ukuba kuyimfuneko, ukufakwa komzimba kungancinci ukuvumela ukuba isikhwama sidlule. Oku kwenziwa ukwenjenjalo, akukho nxalenye yerenti iyakwazi ukuphuka kwaye ihlale kwisigxina esiswini, apho ingabangela ukusuleleka kakubi.

Emva kokuba ithini lisusiwe kwaye ugqirha akafumananga iimpawu zokuphuma kwegazi, izixhobo ziya kususwa kwaye izigqibo zivaliwe. Izibhengezo zivaliwe ngeglue, kwi-ster-strips (amacandelo amancinci ebhanti), okanye ngaphantsi kwexesha, kwi-staples okanye kwi- sutures .

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Splenectomy: Indlela Evulekileyo

Inkqubo evulekile ye-splenectomy ifana kakhulu nenkqubo ye-laparoscopic kunye nomnye umbahluko oyintloko - ukuchithwa okusetyenziswayo kumalunga no-4 ukuya kuma-intshi ama-intshi ubude, kwaye ugqirha unako ukukhangela ukukhangela ukujonga yonke inkqubo.

Le ndlela iluncedo ngokukhethekileyo kwiimeko ze-splenomegaly, okanye ukwandiswa kwetyeni, okwenza ukuba ipeyin enkulu kakhulu isuswe ngokubambisana okuncinci kusetshenziswe kwinkqubo encinci. Ukuba i-pentile iye yaxinwa kakhulu, inqubo evulekile ingasetyenziselwa ukuvumela ugqirha ukuba ubhetele ukujonga indawo kunye nokuphuma kwegazi ukuze kulawulwe ngokukhawuleza kunokuba kwindlela ye-laparoscopic.

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Ukubuyisela emva kokuPhepha kwe-Splenecotomy

Ukufumana emva kokuba utyando lwe-splenectomy luhluka ngokubanzi ukusuka kwisigulane ukuya kwisigulane, ngokuyininzi kuba kukho izizathu ezahlukileyo zokuba ne-splenectomy. Kungakhathaliseki isizathu sokuhlinzwa kwakho, xa uvuka ekutyunjeni kwakho, uya kuziva intlungu ekhohlo lwakho kwisisu sakho. Uya kuba nayo ityhubhu, ebizwa ngokuba yi-nasogastric tube (NG), ehamba ekhaleni lakho, phantsi kwesisu sakho nasesisu sakho. Le bhubhe inqanda ukwakha isisu se-acid, ukunciphisa isicupunu kunye nokuhlanza emva kwenkqubo yakho. Ityhubhu isuswe isuku okanye ezimbini emva kokuhlinzwa.

Umonde wesiganeko unako ukubuyela ekhaya esibhedlele 48 ukuya kwiiyure ezingama-72 emva kokuhlinzwa ukuba i-splenectomy yenziwa i-laparoscopically. Inkqubo evulekile ingadinga ukuhlala ixesha elide, rhoqo ukuya kwiveki, ngaphambi kokukhutshwa. Uninzi lwezigulane ziyakwazi ukuqhuba kwakhona imisebenzi yazo eqhelekileyo ukuya kwiiveki ezi-4 ukuya kuma-6 emva kokuhlinzwa. Nangona kunjalo, isigulane esidinga i-splenectomy emva kokuba i-spleen ixinzeleleke ingasetyenziswa esibhedlele ixesha elide kusekelwe nasiphi na ukulimala okongeziweyo okukhoyo. Kwezinye iimeko, umonakalo kwipeni ingaba yincinci yeyona nzakala.

I-spleen iyakwazi ukuphaphama xa ixinzekile ukuze ufune ukudluliselwa igazi emva kwenkqubo. Oku kuya kuxhomekeka kwisixa segazi elahlekile ngaphambili, ngexesha nangemva kwenkqubo kwaye kwenziwa kuphela njengoko kuyimfuneko. Ngaphandle kokumpontshelwa, isiguli esiye sabona ukuphuma kwintswelo singathi sibuthathaka okanye siphumelele, ngenxa yokulahlekelwa kwegazi.

Kubaluleke kakhulu ukuba unomdla ngokunyamekela kwakho, njengoko isilonda sakho sinokusuleleka emva koko lotyando. Izigqibo zakho kufuneka zihlolwe ngenxa yempawu zentsholongwane imihla ngemihla okanye rhoqo.

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Emva kweSplenectomy

Emva kwe-splenectomy, uya kuba neengxaki zokutheleleka kwaye umzimba wakho awuyi kulwa nabo ngokulula. Uya kufuneka ukhuthalele ngokunyamekela unyango lweemeko ongeke uzikhawuleze ufune unyango kwixesha elidlulileyo, njengentlungu, umkhuhlane , isifo kunye nokutheleleka kwendlebe, kunye nezinye izifo ezifayo.

Ugqirha wakho uya kuncomeka ukuba ufumane isitofu sokukhusela i-pneumonia kwaye unokubonisa iingcinezelo ezongezelelweyo, ezifana nokugonya kwe-meningitis. Ukuxhatshazwa kwakho kwintsholongwane kuya kuphucula kwiminyaka emibini yokuhlinzwa kwakho, kodwa akunakwenzeka ukuba uya kuphinda abuyele kumanqanaba angaphambili.

Ukuba ubona ugqirha omtsha okanye uphathwa ngeengxaki ezingahambelani, qiniseka ukuba uvumele ugqirha azi ukuba awunayo ipeni.

Ukunyamekelwa koNyango emva kokuPiliswa

_Imithombo:

_{Emva kokuba i-Spleen yakho isuswe: Into omele uyazi ukuze uzikhusele. WaseMerika ugqirha. http://www.aafp.org/afp/20010201/508ph.html}

_{I-Congenital Spherocytic Anemia. MedLine Plus http://www.nlm.nih.gov/medlineplus/ency/article/000530.htm}

_{Ukususwa kweNtsana. MedLine Plus http://www.nlm.nih.gov/medlineplus/ency/article/002944.htm}

_{Splenectomy. AmaZiko eZiko lezeMpilo. [link ulr = http: //www.ncbi.nlm.nih.gov/books/bv.fcgi? rid = i-accg.section.3057] http://www.ncbi.nlm.nih.gov/books/bv. fcgi? rid = i-spg.section.3057}