Ukuya ngaphaya kwe-polypectomy
Umdlavuza weColon uphathwa ngeendlela ezahlukeneyo - kodwa unyango oluphambili lubonakala ngokuhlinzwa. Ngexesha le- colonoscopy yakho, ugqirha unokususa inxalenye yezicubu okanye iipolisi , ezibizwa ngokuba yi-polypectomy. Nangona kunjalo, kwii-cancer eziphambili, ugqirha unokudinga ukususa ngokupheleleyo isilonda kunye nezicubu ezikujikelezayo, okubizwa ngokuba ngumthamo wokuxhamla.
Kutheni Ndifuna Unyango?
Utyando lwabilini luvumela ukuba ugqirha ukuba ususe ngokupheleleyo isahlulo esifanelekileyo sekholoni yakho. Izicubu ezinkulu okanye izicubu eziye zangena kwiindonga zekholoni ziza kufuneka zikhutshwe. Kukho iintlobo ezahlukeneyo zokuhlinzwa. Ugqirha wakho uya kuthatha ingqalelo imiba emininzi ngaphambi kokukhetha uhlobo lotyando olulungile kuwe. Uya kujonga imbali yakho yonyango yexesha elidlulileyo kunye nempilo yangoku, kunye nendawo (s), isigaba kunye nebakala lomhlaza wakho .
Iindidi zeCaron Cancer Surgery
Kukho iindlela ezahlukeneyo zokuhlinzwa zokususa umhlaza wakho wekoloni. Indlela yokugqithisa eqhelekileyo ibandakanya ukugxilwa kwexesha elide phakathi kwesisu sakho, esivumela ukuba ugqirha ukuba abuke yonke into ebomvu, kuquka i-colon kunye nezicubu ezikujikelezayo.
Indlela ye- laparoscopic , eyenziwa ngezixhobo zokucoca ezikhethekileyo ngeenombolo ezincinci kwiisisu zakho, isetyenziselwa ukususa ezinye i-cancer colon.
Ngokuxhomekeka kwindawo kunye nobukhulu bomhlaza wakho, ugqirha ungagqiba:
- Ukutyunjwa kwamacandelo
- I-resection radical okanye i-colectomy (kunene, kwesobunxele, isigmoid, isixa)
- Ukhetho olukhethekileyo okanye i-hemicolectomy
- Ulungelelaniso lwasekhaya
- Proctectomy
- Colostomy ne ileostomy
IiNtsholongwane zeCancer
- Ukuthengiswa kwangaphakathi okuphantsi (LAR)
- Ukutshintshwa kweTransanal
- I-Abdominoperineal resection (APR)
- Ukuthengiswa kwangaphambili kunye ne-anastomosis kunye nokuphambuka okukhulu
- Proctectomy
Nangona onke amagama anqabileyo, kukho imigaqo embalwa kuphela efunekayo ukuba uyikhumbule ngokuhlinzwa kwakho kwezilwanyana:
I-Colectomy - ukususwa kwesahlulo sekholoni (ebizwa ngokuba yi-resection). I-colectomy ekhethekileyo oya kuba nayo ibizwa ngokuba yiyiphi inxalenye (okanye iincandelo) zekholoni isuswe. Ngokomzekelo, i - colectomy ejikelezayo iquka ukususa i-colon. Ilungelo le-hemicolectomy (isiqingatha) libandakanya ukususa inxalenye efanelekileyo yekholoni. I-colectomy epheleleyo ye-colectomy iquka ukususa i-colon yonke.
I-Anastomosis - ukuthunga iziqendu zekholoni emva kokulandela isalathisi esesifo . Ukuba ugqirha uyasusa i-colon ehambayo, unokugcoba iziphelo ze-colon ekhuphukayo yehlayo kunye.
I-Stoma - ukuvulwa komsebenzi okwenziwa kwesikhumba, njenge-colostomy okanye ileostomy. Ukuba unikwe i-colon yonke okanye ukuba ugqirha awukwazi ukuphinda ubandakanye iziqendu ezimbini zekolon (de kube yiphilisile), uza kwenza uvulo lwakho lwangaphakathi kwisigodlo sakho esiswini. Kukho ama-stomas aphendulekayo kwaye angabuyiswanga, ngokuxhomekeke kumlinganiselo wokuhlinzwa kwakho.
Ukulungiselela Ukuhlinzwa
Ngaphambi kokuphandwa kwikholoni, kufuneka ihlambuluke ngaphakathi ngaphakathi. Oku kufezekiswa ngokulungelelaniswa kwezilwanyana ezipheleleyo, ezifana neyodwa oye wayenayo kwi-colonoscopy yakho. Olu lungiselelo lunciphisa umngcipheko wokusuleleka ngexesha lokuhlinzwa. Ngokungafani ne-colonoscopy prep yakho, nangona kunjalo, ugqirha wakho unokukubeka kwi-antibiotic yokukhusela phambi kokuhlinzwa, kwakhona ukunciphisa ingozi yokusuleleka kwezifo ezithintekayo.
Imibuzo yeGqirha
- Yintoni ebizwa ngokuba yiyo?
- Ngaba ndiya kufuna i-colostomy okanye i-ileostomy? Ukuba ewe, ixesha elide?
- Ngaba ndiza kufuneka i- chemotherapy okanye i-radiation? Ngaphambi okanye emva kokuhlinzwa?
- Ziziphi iindlela zam zokuhlinzwa?
- Ndize kube nini ndibe esibhedlele?
- Ndiya kubuyela nini emsebenzini? Imisebenzi eqhelekileyo?
- Ngaba ndiza kufuneka ndiyeke ukuthatha imithi yonyango? Ngaphambi kokuhlinzwa, xelela ugqirha wakho malunga nayo yonke imirhumo kunye neyeza-counter-counter-counter, kunye naluphi na uncedo olusondlo oluthathayo, ingakumbi ukuba unesifo se-aspirin okanye i-blood thinners .
Iingozi Zobungqina Bomzimba
Zonke iinkqubo zonyango zibeka ingozi kunye nezibonelelo. Qinisekisa ukuba uthetha ugqirha wakho kwaye ubuze imibuzo ukuba awuyiqondi loo mingcipheko. Ezinye zeengozi ezinxulumene nophando lwezilonda ziquka:
- Ukuhlamba
- Sulelo
- Ukuvuza i-anastomosis
- Amacwecwe egazi (ngokuqhelekileyo emilenzeni)
- Ukuchithwa kwe-Incision (ukuvulwa kwesisindo somzimba)
- Ukuqhekeka
- Ukuxhaswa
- Ukungaxilongo ngokwesondo (kubikwe kumadoda emva kwe-APR kunye neproctectomy)
Umphumo oqhelekileyo ochaphazelekayo olwabiwo lwazo lwangokwemisebenzi yokuziphatha ngokwesini, echazwe phakathi kwe-10 ukuya kuma-50 ekhulwini kwezigulane emva kokuhlinzwa. Nangona kunjalo, qaphela ukuba la manani awanakho ukuphendula nge-libido, ubudala okanye unyango ngaphambi kokuhlinzwa.
Ukuvuza okuvela kwisayithi ye-anastomosis kwenzeka kwiphesenti enye ukuya kweyesithathu yezigulane ezine-anastomosis kuquka intlungu encinane kunye naphakathi kwe-10 ukuya kwe-20 ekhulwini yezigulane ezine-colon kunye ne-analastosis.
Izifo ezithatha emva kokuhlinzwa zichazwe kwii-100 ukuya kwezi-15 kweepesenti zezigulane, nangona iimeko ezithile (ubudala, ama-immune systems), zidlala indima enkulu kwincipheko yokusuleleka kwintsholongwane.
Ukubuyiselwa kwiNtsholongwane yoBubele
Uya kufunwa ukuba uhlale esibhedlele ubuncinane iintsuku ezimbalwa emva kokuthengiswa kweembilini zakho. Ixesha lakho esibhedlele liya kukuvumela ukuba ukugqitywa kwakho kuqalise ukuphulukiswa xa oongikazi nabaqeqeshi baqaphele i-hydration, isondlo kunye nezinye iimfuno emva kokuhlinzwa.
Ugqirha wakho uya kuba nemiyalelo endaweni yokuphatha nayiphi na intlungu. Iimpawu zonyango ziyakunikwa nge-intravenously, intramuscularly okanye ngomlomo. Xa intlungu yakho iqalisa kuqala, qiniseka ukuyibika kumongikazi osebenzayo ukuze ayenze ukuyiphatha ngokukhawuleza, kungekhona emva kokuba ikhula.
Kuxhomekeke kutyando lwenu, unokuba ne-drain endaweni. Ezi zikhuni zivumela ukuphuma kwamanzi, njengegazi, ukushiya isisu sakho. Amanzi angasuswa ngaphambi kokuphuma kwakho esibhedlele. Ukuba unayo i-colostomy okanye i-ileostomy efakwe ngexesha lotyando, abahlengikazi baya kukufundisa indlela yokunyamekela umbane wakho ngaphambi kokuba uhambe ekhaya.
Udokotela wakho ogqirha uya kucwangcisa izidingo zakho zokuncedisa ukuba ulandele ukuhlinzwa. Ungadinga ukutya okhethekileyo ngelixa isilonda sakho siphulukisa. Ngaphambi kokuba amathumbu akho "avuke", ugqirha unokukugcina ngokutya okucacileyo (kungekhona ubulili, nayiphi na into ongayibona ngayo). Uya kunikwa imiyalelo yokutya ngaphambi kokuya ekhaya.
Nini ukubiza uDokotela wakho
Ukulandela uphando oluphambili, ukukhathazeka okubalulekileyo kukulahlekelwa igazi, ukusuleleka, kunye nezinye iingxaki. Mamela umzimba wakho; ingxelo malunga naziphi na iimpawu ezingavumelekanga kumgqirha wakho. Biza ugqirha wakho ngokukhawuleza ukuba unayo:
- Fever
- Ukunyuka kwentlungu
- Ubomvu, umjelo okanye ukunyamezela malunga neziphumo
- Iindawo ezingaphili ukukhutshwa
- Isihlunu, ukuhlanza
- Igazi kwisigxina okanye i-colostomy bag
- Isikhwehlo esingahambi
- Amehlo aphuzi okanye ulusu
Ubomi Emva Konyango
Unokukhutshwa kwisibhedlele unomlinganiselo omkhulu wemigaqo. Unganqikazi ukucela abahlobo kunye nosapho uncedo kunye nenkxaso . Nika umzimba wakho ixesha elifunekayo lokuphilisa. Iziphakamiso zondlo kunye nezenzo ziya kuvumela ixesha lakho lekoloni ukuba liphilise. Ugqirha bakho kunye nabahlengikazi balapho ukuze baphendule imibuzo yakho, ngoko unganqikazi ukubuza ukuba awukwazi impendulo.
> Imithombo:
American Cancer Society. (2006). I-American Cancer Society's Guide epheleleyo yeCrorectal Cancer . Clifton Fields, NE: I-American Cancer Society.
American Cancer Society. (nd). Utyando lweCrorectal Cancer.
I-Dietz, iDW (2011). Iingxaki kwiColorectal Surgery. Umbutho waseMelika weColon kunye nabaPhandi beRectal.
National Cancer Institute. (nd). Ukwelashwa kweCaron Cancer: iTransfer Overview.