Oko Kufuneka Ukwazi Ngale Nkqubo Yokususwa Kwemigudu
Ukulungiselela i-proctectomy kubandakanya okokuqala ukufunda oko kukuthi. Ngokuqhelekileyo, lo msebenzi uphethwe ukonyanga i- colon okanye i- cancer ye-rectal , kodwa ingasetyenziselwa ukuphatha abantu abanezifo ezigugu ezinjenge-Crohn's okanye i-ulcerative colitis.
Iimitha eziyi-6 zokugqibela zeekolon yakho zibizwa ngokuba yi-rectum yakho. Ngokungafani nayo yonke ikolon, i-rectum inomkhumbi onjenge-reservoir ye-stool kunye nokuvulwa kwe-anal (i-anus), apho isitulo ixoshwa emzimbeni wakho.
Amathuba awungazange ulive igama elithi " proctectomy " ngaphandle kokuba wena okanye othandekayo kufuneka ufumane lo msebenzi, apho i-rectum iyasuswa khona.
Iintlobo zeProtectomy Surgery
Kukho iintlobo ezahlukeneyo zokuhlinzwa ngenxa yomdlavuza wekolon apho isalathisi sakho sisusiwe. Udokotela wakho ugqirha usebenzisa isigaba , ibakala, indawo, kunye nobukhulu bomhlaza wakho ukucacisa okukhethwa kukho ukhetho olungcono kwiimeko zakho. Ukuba iimvumba zixhomekeke kwi-rectum yodwa, ugqirha wakho angakhuthaza i-proctectomy ngokusebenzisa i-anus, ebizwa ngokuba yi-proctectomy ye-transanal.
Ukuba ufuna ukuba inxalenye yekholoni yakho isuswe, unxungule ukubandakanyeka kwe-lymph node , okanye ube nemimandla yendawo yemetastasis efuna ukususwa, unokufumana i-proctectomy njengenxalenye yokuhlinzwa okubizwa ngokuba yi-low-abdominoperineal resection. Kulo msebenzi, ugqirha uvula isisu sakho ukuze akwazi ukubona kwaye asuse iingxenye ezithile zeembilini kunye nezicubu ezizungezile (ezifana neelymode) ukunika umdlavuza ocacileyo kunye nomphumo ophuculweyo.
Phantse zonke iiplastiki ze-abdominoperineal ezisezantsi ziphela ngokuvalwa komfanekiso, okuya kufuna i- ostomy yokusisigxina ekukhutshweni kwezitofu .
Ngaba Ndiyakwazi Ukuhambisa Ubomi Bam?
Ngaphandle kokuba i-proctectomy yakho ibandakanye ukuvala umlingane, kufuneka ukwazi ukuhambisa amathambo akho njengoko ulandele ukuhlinzwa rhoqo. Kuxhomekeke kwiyiphi inxalenye yekholoni yakho isuswe eceleni kweritela yakho, ugqirha unamathuba ambalwa ahlukeneyo okukunceda ukubuyisela imikhuba yakho yesiqhelo.
Ukulandela i-proctectomy yakho, unokuthatha inxalenye eseleyo yekholoni yakho kwaye uyixhase ngokuyiyo kwi-anus yakho. Olu hlobo lugqirha lubizwa ngokuba yi-anastomosis ye-coloanal evumela ukuba uqhubeke uhamba ebilini yakho njengoko uhlala uyenza. Ngexesha lotyando, inxalenye yokugqibela yekholoni yakho iguqulwa ukuba yenze i-reservoir entsha kwiqoqo le-stool elilinganisa i-rectum yakho endala.
UkuCanda
Ugqirha wakho uya kunika i- regimen yokulungiselela isilwanyana ngaphambi kokuhlinzwa. Ekubeni ugqirha uya kukhangela kwi-rectum yakho, kwaye mhlawumbi ikholoni yakho, izibilini kufuneka zihlambuluke kuzo zonke i-stool kunye nenkunkuma ngaphambi kokuhlinzwa. Unokufuneka kwakhona ukuba uthathe i-antibiotics ukunceda ukunciphisa umngcipheko wokusuleleka kosulelo. Ngokufanayo, qiniseka ukuba uxoxe nayiphi na imithi kunye neyeza ezingaphezulu kwamanqaku oyithathayo njengoko abanye bafuna ukuyeka. Ukuba uthabatha amayeza ukuze uncedise igazi lakho, kuyakufuneka uxoxe ngeengozi zokumisa ezi zonyango ukuba utyando kunye ne-cardiologist yakho, okanye ugqirha obabekayo.
Usuku olungaphambi kokuhlinzwa, ugqirha uya kukucela ukuba uyeke ukutya nokusela ngexesha elithile. Ukuba utshaya okanye usebenzise iteksi yechunge uya kufuneka ubeke le nto.
Izibhedlele kunye nokubuyiswa
Ukuhlala kwakho esibhedlele kunye nokubuyisela ixesha kuxhomekeke kukuphi uhlobo lwe-proctectomy yokuhlinzwa. Isihlala esibhedlele esibhedlele siphakathi kweentsuku ezine kunye neesisixhenxe (ukuphelisa iingxaki) kunye nokubuya kwakho ekhaya kungathatha iiveki ezintandathu. Ngethuba lokuphuma kwakho esibhedlele, ugqirha wakho uya kunika imimiselo kwimimiselo yakho yokuhamba emva kokubandakanya, ukuphakamisa okanye ukuyeka isondo, ukuya kwiimingcipheko zokutya uze ufumane kwakhona. Unokuba ne-ostomy yexeshana kwiinyanga ezimbalwa ngelixa i-colon yakho iphilisa - okanye unokuya ekhaya kunye ne-ostomy esigxina ukuba i-anus yakho yayivuliwe.
Unokufuna ukuqwalasela ukwenza amalungiselelo ambalwa ngaphambi kokulungiswa ekhaya ukwenza izinto zibe lula xa ubuya esibhedlele. Ngokomzekelo, misela ukuba yeyiphi amalungu entsapho okanye abahlobo abaza kubakho ukukunceda ngokutya okanye ezinye izinto zasekhaya. Ezinye izinto oza kuziqwalasela xa ubuya ekhaya ziquka:
- Ngubani oza kunyamekela abantwana bakho, abaxhomekeke kuyo okanye ezifuywayo?
- Ukuba unayo ikhaya elincinci, unokuhambisa umbhede wakho kwizinga eliphantsi uze ukwazi ukuthetha ngokuthe ngileyo kwizitepsi?
- Beka zonke iimfuno zakho kufuphi nombhede wakho okanye umbhede ekhaya. Into elula nje ukugijima kwizitepsi zokubamba intambo yentlawulo ingabonakala ingenakulinganiswa xa ufika ekhaya kuqala.
- Qinisekisa ukuba unamachiza amaninzi afumaneka xa uthatha imiqathango eqhelekileyo. Fumana i-refills yakho ngaphambi kokungena esibhedlele ukuze unyango. Ngokufanayo, ukuba oogqirha bakho bathumela ekhaya kunye ne-painkillers, fumana umyalelo ogcwalisiweyo kwaye ulungele ukubuyela ekhaya esibhedlele.
- Qinisekisa ukuba unokutya okuninzi okulula, nangona oko kuthetha ukupheka nokuphelisa ukutya kwangaphambili.
Iingozi zeProctectomy
Ukususwa kweriteyumu kukuhlinzwa okukhulu. Ubungozi buphakanyiswa ukuba unesifo se-medical pre-existing, ezifana nesifo sikashukela. Ngaphambi kokusayina imvume yakho yokuhlinzwa, i- anesthesiologist kunye nodokotela wakho ogqirha uya kuhlolisisa le mngcipheko kuwe ongabandakanya umngcipheko:
- Ukuhlamba (ngexesha okanye emva kwenkqubo)
- Sulelo
- Ubunzima bezesondo (i-erectile dysfunction, umeko lwesisu)
- Iingxaki zokuphelisa (ukucoca okanye ukuhambisa amathambo akho )
Qiniseka ukuba ubuze imibuzo ukuba awuyiqondi nayiphi na inxalenye yokulungiselela, ukuhlinzwa, ukufumana okanye ukufumana iingxaki ngaphambi kokuba ukhange.
> Imithombo:
> I-American Cancer Society. (nd). Utyando lweCrorectal Cancer.
> Khaikin, M. (2009). I-Laparoscopic ne-Proctectomy evulekileyo yeCarcer Rectal: Isiphumo sezilweliso kunye nokulingana kwe-Oncologic. I-Laparoscopy yokugada, i-Endoscopy, kunye neTraducaneous Techniques. 19 (2): 118-22.