Ukuchaswa ligama lonyango lokususa i-part or all of a tissue, structure, or organ. I-resection ingenziwa ngenxa yezizathu ezahlukeneyo. I-resection ingasusa iisunja ezaziwa ngokuba ngumhlaza okanye isifo, kwaye unyango lunokunyanga okanye ukunyanga inkqubo yesifo. Ngokuxhomekeka kwimizimba okanye i-organ, ukuhlinzwa ngokutsha kungenza utyando oluvulekileyo okanye lunokwenziwa ngobuninzi ngokubambisa okuncinane okanye kwindawo yokungena yemvelo, njenge-urethra okanye umlomo wesibeleko.
Iintlobo
Olunye uhlobo oluqhelekileyo lwe-resection yintengiso encinci yebilini, inkqubo apho enye okanye inxalenye engaphezulu yamathumbu amancinci isuswa. Kubantu abajongene neengxaki zekoloni kwindawo ethile emathunjini, ukususa loo ndawo kunokukwenza ukuba ikholoni isebenze ngokuqhelekileyo emva kokuba inkqubo yokuphilisa iphelile. Utyando lwenziwa ngolu hlobo oluvulekileyo okanye ngokubambisana okuncinci usebenzisa i- laparoscope .
Kwesinye isigulane, banokufumana ukuba banomdlavuza kwikolon yabo. Utyando lomhlaza lungabandakanywa ukususwa kokukhangela kwendawo yomhlaza kunye nomda wezilwanyana ezizungezile, i-colectomy. Oku kunokwenziwa njengonyango okanye inokuba yipilisi yengxaki.
Ukuxhomekeka kungenziwa kwiindawo zomzimba ngaphandle kwephepha lokutya, ezi zimbini iintlobo zokuhlinzwa ziyimimiselo. Ukuba kwakukho indawo yesifo esibindiweyo, ukuthengiswa kwesibindi esincinane kungenziwa ukuze kususwe izicubu ezimbi kwaye ushiye izicubu ezintle neziphilileyo zesibindi endaweni.
Ukuthengiswa kwemiphunga kuyakususa indawo yesikhumba segazi.
Ezinye iintlobo eziqhelekileyo zokugonywa okwenziweyo:
- I-Mastectomy: Ukususwa kwesifuba somhlaza wesifuba.
- Iprostatectomy: Ukususwa kwe-prostate gland kwiziganeko zomhlaza wesibeletho. Utyando lwe-TURP yintengiselwano ye-prostate.
- I-Gastrectomy: Ukususwa kwesisu, epheleleyo okanye ekhethekileyo, inokwenziwa ngumhlaza wesisu, izilonda, okanye ukuphuma kwegazi.
- Ukuxhoma komlenze: I-pneumonectomy ukususwa komphefumlo wonke. I-lobectomy ukususwa kwe-lobe enye yomphunga. I-lobectomy yomkhono isusa umphunga kunye nxalenye ye-bronchus kwaye ibuyisela kwakhona iqela leleyo. I-resection resection isusa kuphela isahluko esine-tumor kunye nezicubu ezithandayo. Inxalenye yentengiso ikhupha inxalenye enkulu kodwa ayiyiyo yonke into.
- I-Adrenalectomy: Ukususwa kwesinye okanye zombini i-adrenal glands, ephezu kweentso. Kungenziwa kumhlaza wesifo somhlaza okanye i-syndromes efana ne- Cushing's syndrome apho kukho i-hormone eninzi.
- Appendectomy: Ukususwa kwesi sikhwama somathumbu omkhulu ngenxa yesifo, ukuphaphaza, okanye ukuvuvukala.
- I-Oophorectomy : Ukususwa kwesinye okanye zombini amaqanda emdlavuza, i-cyst ovarian, ubuhlungu obungapheliyo beplavic, okanye izifo ezivuthayo.
- I-thyroidectomy: Ukususwa kwayo yonke intsimbi ye-thyroid okanye i-lobe enye ye-thyroid engasebenzi, i-goiter, iigununu, okanye umdlavuza we-thyroid.
- I-Hysterectomy : Ukususwa kwesisu, ngamanye amaxesha kuquka ezinye izakhiwo. Yenzelwa umhlaza, i-fibroids, ubuhlungu obungapheliyo be-pelvic, kunye nokuphuma kwegazi.
UkuCoding kwezoNyango zeConfision vs. Resection
Kwi-ICD-10-PCS inkqubo yokunikwa kwezokwelapha, ukugqithisa kubonisa inkqubo apho isahlulo somzimba sinqunyulwa okanye sinqunyulwe.
I-resection yilapho iqela lomzimba wonke lichithwe okanye lichithwe. Kodwa oku akudingeki ukuba libe yilungu lonke okanye izicubu, ngokuqhelekileyo zibhalwe njengengxenye yelungu. Ngokomzekelo, i-lobes yokunene neyekhohlo yesibindi nganye inayo ikhowudi yayo. Ngako oko, ukususwa kwesinye i-lobe yintengiso kunokuba i-excision. Kwimeko yenkcazo yezokwelapha, ukuthengiswa kwemida yompompo kukuxhamla, kungekhona ukuthengiswa.