Ukuthelekisa iStents and Surgery: Yiyiphi eyona nto ihamba phambili?
Kwiimeko zesifo somhlaza wekoloni , kukho amaxesha apho i-tumor ayikwazi ukususwa. Iimeko ezibuhlungu kwaye eziyinkimbinkimbi kwaye enye idla ngokukrakra kunye nokungaqiniseki.
Kuba nabani na ojamelene ne-tumor engasebenzi, kubalulekile ukukhumbula ukuba abantu banokuphila iminyaka emininzi yomhlaza. Akuthethi ukuba wonke umntu kufuneka aphelelwe yintsholongwane ngenxa yokuba isisu asikwazi ukusebenza.
Kwiimeko ezininzi kunokuba kunjalo, kunjalo nje.
Injongo ephambili kwiimeko ezinje ukuqinisekisa ukuba iimpawu zilawulwa kwaye loo mntu unako ukugcina umgangatho wobomi obunokwenzeka nangona umhlaza awuphilwanga.
Enye yeengxaki ezinokuthi umhlaza wesigxina wokugqibela kukuba i-colon inokuthi ivalwe yi-tumor. Oku kubizwa ngokuba ngumqobo . Ngethamsanqa, oogqirha banokuphatha le meko ngeendlela ezimbini ezahlukeneyo:
- Baya kuba notyando ukuba baphambuke okanye baqhephe umqobo.
- Bangakwazi ukubeka i-stent (ityhubhu eguquguqukayo) ukuze incedise ukuvulwa kwesahluko
I-Stent kunye noBuqhwala beZakhiwo eziMngcipheko
Kuba umntu obhekene nesithintelo esibi, ukukhetha phakathi kokuhlinzwa ngokugcwele okanye ukufakwa kwesigxina esibekwe kuso kunokuhlala kunzima. Kwabaninzi, i-stent iya kubonakala iyona nto ikhethekileyo. Emva koko, i-stents ingafakwa lula, ngokuqhelekileyo kunye nokuhlinzwa okwenzisayo kwe-laparoscopic kunye nexesha elifutshane lokubuyisela.
Kodwa ngaba kulula ukuphendula rhoqo?
Uphando olwenziwa ngo-2011 olupapashwe kwiphepha le- Gastrointestinal Endoscopy luthi nje lo mbuzo. Ngokwale ngxelo, abantu abangama-144 abanomdlavuza ophezulu we-colon bafumana unyango ukulungisa ukuphazamiseka okubi kwesigidi sokuhlinzwa; esinye isiqingatha sineentente.
Ekuqwalaseleni iziphumo ezifutshane kunye nexesha elide, umahluko ophezulu uqala ukuvela:
- Ngokubanzi, amazinga okuphumelela kwexesha elifutshane ngama-stents kunye nokuhlinzwa ngokuqhelekileyo awazange ahluke kakhulu. Zombini iinkqubo zisebenza kakuhle ukuphatha ikoloni ekhutshiwe.
- Ngethuba lokuphuluka kwangaphambili, iqela eliye lafumana i-stents lalingathi kwisiqingatha sesantya seengxaki zokuqala kwiqela lokuhlinzwa (15.5 ngokumalunga ne-32.9 ekhulwini, ngokulandelanayo).
- Nangona kunjalo, njengoko kuqhutywe phambili, ixesha lokuvalwa kwesigxina belifutshane kakhulu kwiqela elinobuchule, nabanye abantu befuna i-stent yesibili.
- Ngethuba elide, ngelixa ixabiso leengxaki ezinkulu lilinganayo okanye lilinganayo kumacandelo omabini, iqela elilumkileyo luneenkcenkceshe ezinzulu ngokukhawuleza xa kuthelekiswa neqela lotyando.
Ukwenza Okukhethekileyo Kokukhetha
Ukuba wena okanye umntu obathandayo ubhekene nesithintelo esibi, unokunyanzeliswa ukuba ukhethe phakathi kokuhlinzwa okanye i-stent njengento yokuphuthuma. Ukuphazamiseka okunjengolu hlobo lonyango olunzulu olufuna uncedo ngokukhawuleza ukuphepha ukuphazamiseka kunye nayiphi na enye inkxalabo esongela ubomi.
Xa kuthethwa oko, isigqibo esheshayo akumele sibe yinto engafundile. Kufuneka uqikelele ubuchule kunye neengxaki ngokusekelwe kwiingqiqo ezithile:
- Nangona i-stent ingaba isilungiso esheshayo kwi-colon evinjiweyo, amathuba okufuna omnye aphezulu xa kuthelekiswa nokuhlinzwa.
- Nangona utyando ludla ukunika iziphumo ezihlala ixesha elide, ludinga ixesha elide lokuphilisa elinomngcipheko omkhulu weengxaki zexesha elifutshane.
Sebenzisana ne-oncologist yakho kunye nodokotela ogqirha ukuze ufumanise ithuba elifanelekileyo lomntu ochaphazelekayo. Oku kungabandakanya ukuhlaziywa kweminyaka yomntu, impilo jikelele, imeko yesimo sengqondo, kunye nezinye izinto ezinokubonisa ukuba umntu uya kunyamezela njani inkqubo kwaye abuyele kuyo.
Akukho sigqibo esilungileyo okanye esingalunganga ukuba unikwe lonke ulwazi olufunekayo ukwenza ukhetho oluchanekileyo.
> Umthombo:
> Lee, H; Hong, S .; I-Cheon, J .; okqhubekayo. IsiPhumo sexesha elide soPilliative Treatment kwi-Malignant Colorectal Obstruction kwizigulane ezineMatastatic Colorectal Cancers ezingenakuziphendulela: I-Endoscopic Versent Versus Surgery. Endoscopy yesisu. 2011; 73 (3): 535-542.