I-Esophagectomy - ukukhipha

Uhlinzwe ukukhipha ingxenye, noma konke, kwesisu sakho (ithubhu yokudla). Ingxenye esele yesisu sakho nesisu sakho kwahlanganiswa kabusha.

Manje njengoba uya ekhaya, landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungazinakekela kanjani ekhaya ngenkathi usalulama. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Uma ngabe uhlinziwe kusetshenziswa i-laparoscope, ukusikeka okuncane (ukusikeka) kwenziwa esiswini sakho, esifubeni noma entanyeni. Uma ngabe uhlinziwe uvulekile, kusikeka okukhulu esiswini sakho, esifubeni noma entanyeni.

Ungathunyelwa ekhaya une-tube ye-drainage entanyeni yakho. Lokhu kuzosuswa udokotela wakho ohlinzayo ngesikhathi sokuvakasha kwehhovisi.

Ungaba neshubhu yokondla izinyanga ezi-1 ukuya kwezi-2 ngemuva kokuhlinzwa. Lokhu kuzokusiza uthole amakhalori anele ukukusiza ukuthi ukhuluphale. Uzodla nokudla okukhethekile lapho ufika ekhaya okokuqala.

Izindle zakho zingakhululeka futhi ungahle ube nokunyakaza kwamathumbu kaningi kunangaphambi kokuhlinzwa.

Buza udokotela wakho ohlinzayo ukuthi isisindo sakho siphephile kangakanani ukuthi usiphakamise. Ungatshelwa ukuthi ungaphakamisi noma uphathe noma yini esindayo kunamakhilogremu ayi-4.5.

Ungahamba izikhathi ezimbili noma ezintathu ngosuku, ukhuphuke noma wehle izitebhisi, noma ugibele imoto. Qiniseka ukuthi uyaphumula ngemuva kokusebenza. Uma kubuhlungu uma wenza okuthile, yeka ukwenza lowo msebenzi.

Qiniseka ukuthi ikhaya lakho liphephile njengoba usalulama. Isibonelo, susa amarowu wokuphonsa ukuvimbela ukukhubeka nokuwa. Endlini yokugezela, faka imigoqo yokuphepha ukukusiza ungene futhi uphume kubhavu noma eshaweni.

Udokotela wakho uzokunikeza incwadi kadokotela yemithi yezinhlungu. Yigcwalise lapho ubuyela ekhaya kusuka esibhedlela ukuze ube nayo lapho uyidinga. Thatha umuthi lapho uqala ukuba nezinhlungu. Ukulinda isikhathi eside kuzovumela ubuhlungu bakho bube bukhulu kakhulu kunalokho obekufanele bakwenze.

Shintsha ukugqoka kwakho (amabhandeshi) nsuku zonke kuze kube yilapho udokotela wakho ohlinzayo ethi awusadingi ukugcina ukubopha kwakho kubhandishiwe.

Landela imiyalo yokuthi ungaqala nini ukugeza. Udokotela wakho ohlinzayo angathi kulungile ukususa ukugqokiswa kwamanxeba bese ugeza uma kusetshenziswa ama-sutures (stitches), okuyisisekelo, noma i-glue ukuvala isikhumba sakho. Ungazami ukugeza imichilo emincane yeteyipu noma iglu. Bazoza ngokwabo esikhathini esingangesonto.

Ungafaki kubhavu, kubhavu oshisayo, noma echibini lokubhukuda kuze kube yilapho udokotela wakho ohlinzayo ekutshela ukuthi kulungile.

Uma unezicucu ezinkulu, kungadingeka ukuthi ucindezele umcamelo phezu kwazo lapho ukhwehlela noma uthimula. Lokhu kusiza ukudambisa izinhlungu.

Kungenzeka ukuthi usebenzisa ithubhu yokondla ngemuva kokuya ekhaya. Cishe uzoyisebenzisa ngesikhathi sasebusuku kuphela. Ishubhu lokudla ngeke liphazamise imisebenzi yakho ejwayelekile yasemini. Landela imiyalo kadokotela wakho ohlinzayo ngokudla nokudla.

Landela imiyalo yokwenza izivivinyo zokuphefumula okujulile ngemuva kokufika ekhaya.

Uma ubhema futhi unenkinga yokuyeka, khuluma nodokotela wakho ngemithi engakusiza uyeke ukubhema.Ukujoyina uhlelo lokuyeka ukubhema nakho kungasiza.

Ungaba nobuhlungu besikhumba obuzungeze ithubhu yakho yokondla. Landela imiyalo yokuthi ungayinakekela kanjani ithubhu nesikhumba esizungezile.

Ngemuva kokuhlinzwa, uzodinga ukulandelelwa okuseduze:

• Uzobona udokotela wakho ohlinzayo amasonto amabili noma amathathu ngemuva kokufika ekhaya. Udokotela wakho ohlinzayo uzohlola amanxeba akho abone ukuthi uqhuba kanjani ngokudla kwakho.
• Uzoba ne-x-ray ukuqinisekisa ukuthi ukuxhumana okusha phakathi kwesisu sakho nesisu kulungile.
• Uzohlangana nengcwethi yokudla ukuze uhlole ama-feed feeding akho kanye nokudla kwakho.
• Uzobona i-oncologist yakho, udokotela owelapha umdlavuza wakho.

Shayela udokotela wakho ohlinzayo uma unokunye kwalokhu okulandelayo:

• Imfiva engu-101 ° F (38.3 ° C) noma ngaphezulu
• Ukuqhekeka kuphuma igazi, kubomvu, kufudumele kuze kufike lapho uthinta khona, noma ube nomsele ojiyile, ophuzi, oluhlaza okotshani noma obisi
• Imithi yakho yezinhlungu ayisizi ukudambisa izinhlungu zakho
• Kunzima ukuphefumula
• Ukukhwehlela okungapheli
• Awukwazi ukuphuza noma ukudla
• Isikhumba noma ingxenye emhlophe yamehlo akho iba phuzi
• Izitulo ezixegayo zikhululekile noma zinohudo
• Ukuhlanza ngemuva kokudla.
• Ubuhlungu obukhulu noma ukuvuvukala emilenzeni yakho
• Umuzwa ovuthayo emphinjeni wakho lapho ulele noma ulele

Trans-hiatal esophagectomy - ukukhishwa; Ukukhishwa kwe-Trans-thoracic esophagectomy - ukukhishwa; Ukukhishwa kwe-esophagectomy okuncane - ukukhishwa; En bloc esophagectomy - ukukhishwa; Ukususwa kwesomlomo - ukukhishwa

UDonahue J, uCarr SR. I-esophagectomy encane engahlaseli. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 1530-1534.

USpicer JD, uDhupar R, uKim JY, uSepesi B, uHofstetter W. Esophagus. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 41.

• Umdlavuza we-Esophageal
• I-Esophagectomy - ihlasela kancane
• I-Esophagectomy - evulekile
• Amathiphu wokuthi ungakuyeka kanjani ukubhema

• Sula ukudla oketshezi
• Ukudla nokudla ngemuva kwe-esophagectomy
• Ishubhu yokudla ye-Gastrostomy - bolus
• Ishubhu yokudla yeJejunostomy

• Umdlavuza We-Esophageal
• Ukuphazamiseka Kwe-Esophagus